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Effects of Religious Instrumental Music Therapy on Pain Level in Breast Cancer Patients
Get PDFIntroduction: Breast cancer is a type of cancer that frequently occurs in women, characterized by hard, movable lumps with an irregular shape. The main complaint in cancer patients is pain. Pain management can be performed through instrumental music therapy. Instrumental music therapy provides a relaxing effect due to the balanced tempo and harmony of tones.
Objective: This study aims to analyze the impact of religious instrumental music therapy on pain levels in breast cancer patients.
Method: This research is a quantitative study employing a quasi-experimental design, specifically utilizing a pre-test post-test control group design approach. This study's population is made up of 183 breast cancer patients. The research was conducted in the chemotherapy room of RSUD Dr. H. Moh. Anwar Sumenep from September to November 2022. The sampling technique used is non-probability sampling with a purposive sampling method, based on inclusion criteria. A total of 54 participants were selected and allocated to the intervention group and the control group. The McGill Pain Questionnaire (MPQ) is used to measure pain. Data analysis is performed using the Wilcoxon statistical test with a significance level of p<0.05. Data analysis is carried out using SPSS 24 software.
Result: The results of the bivariate test analysis showed that the pain level in the experimental group significantly changed before and after receiving the religious instrumental music therapy intervention, with a p-value < 0.05. In contrast, the control group showed no significant change, with a p-value of 1.000, as no intervention was provided.
Conclusion: Religious instrumental music therapy has proven to be effective in reducing pain levels in breast cancer patients at RSUD Dr. H. Moh. Anwar Sumenep
High-Risk Factors Affecting Adolescent Reproductive Health
Get PDFIntroduction: Adolescent reproductive health services consist of activities aimed at maintaining the reproductive health of adolescents. According to data from the Central Statistics Agency (BPS), Bappenas, and UNFPA in 2010, 63 million adolescents in Indonesia are vulnerable to unhealthy behaviors. Data from adolescent posyandu visits reveal that the majority of adolescents suffer from anemia, malnutrition, or overnutrition, including obesity. However, the specific risk behaviors affecting the reproductive health of adolescents in Cikunir Village remain unknown.
Objective: This study aims to identify the risk factors affecting the reproductive health of adolescents in Cikunir Village.
Method: This research employed a descriptive method. The study population comprised all adolescents in Cikunir Village. A total of 201 adolescents were selected as samples using purposive sampling. Secondary data were sourced from the reproductive health survey conducted as part of the Village Development and Empowerment Grant Program (PHP2D) by the Ministry of Education and Culture of the Republic of Indonesia in 2021. Data were analyzed using univariate analysis.
Results: The study identified several risk factors for adolescent reproductive health: 11.4% of adolescents smoked, 1% had tried drugs, and 15.9% had watched pornographic videos. Additionally, 29.4% of adolescents reported having boyfriends or girlfriends, and 23.4% were influenced by a social environment associated with risky behaviors.
Conclusion: Adolescent reproductive health in Cikunir Village is affected by various risk factors, including smoking, drug use, exposure to pornography, and risky social environments. Parents are advised to provide attention and affection to their children, monitor their social and school environments, and actively engage in guiding them towards healthier behaviors
Kuresif 2.0 Barcode Technology to Improve Maternal Knowledge and Attitudes Regarding Complementary Feeding
Get PDFObjective: This study aims to evaluate the effectiveness of Kuresif 2.0: Barcode in enhancing mothers’ knowledge and attitudes regarding complementary feeding rich in animal protein.
Method: A quasi-experimental design was employed, utilizing a pretest-posttest control group framework. The sample consisted of 100 mothers of toddlers, divided into 50 in the control group and 50 in the intervention group, selected through total sampling. Statistical analysis was performed using the Wilcoxon Test and Cohen’s d for effect size. A questionnaire served as the research instrument.
Results: The findings indicate that Kuresif 2.0: Barcode significantly improved mothers’ knowledge and attitudes regarding complementary feeding rich in animal protein. The knowledge variable exhibited a t-value of -17.955, with a p-value less than 0.001, indicating a highly significant increase in knowledge. Cohen’s effect size for knowledge was calculated at 0.7, suggesting a moderate impact of the intervention. For attitudes, the t-value was -19.298, also with a p-value less than 0.001, confirming a significant influence of the intervention. The effect size for attitudes, represented by Cohen’s d, was 0.4, indicating a small to moderate effect of the intervention on maternal attitudes.
Conclusion: Kuresif 2.0: Barcode significantly enhanced mothers’ knowledge, demonstrating a stronger effect than on attitudes. These results underscore the importance of implementing structured interventions to foster improved knowledge and attitudes among mothers related to complementary feeding practices
Ethnomedicine Study in Enhancing Women’s Reproductive Health
Get PDFObjective: The aim of this research is to analyze the number and variety of uses of medicinal plants in improving reproductive health in Sukamulya Village as local community wisdom in medicine (ethnomedicine).
Method: A descriptive qualitative research method using an ethnographic approach to document and analyze the practice of using medicinal plants in ethnomedicine in Sukamulya Village, Ciamis, using data collection techniques through in-depth interviews and participant observation. The research participants consisted of cadres and individuals who actively used traditional medicine.
Result: Research results show that the most commonly used medicinal plants for reproductive health include fennel pulosari, cinnamon, and black cumin to reduce menstrual pain; rambusa flowers, pomegranate skin, papaya leaves, and betel leaves to reduce heavy bleeding during menstruation; bitter leaves, castor leaves, galangal, turmeric, and Mahkota dewa to regulate the menstrual cycle; and gardenia leaves and papaya leaves are often used in traditional medicine to stimulate delayed menstruation. The use of these plants is not only medicinal but also reflects cultural values and traditional beliefs.
Conclusion: The people of Sukamulya Village, Ciamis Regency, apparently have knowledge about medicinal plants because they usually use various types of plants as medicinal ingredients. There are around 14 species from 11 families that are known and used by the public to cure various reproductive health diseases
Hedonic Evaluation of Red Ginger Extract Gummy Candy as an Innovative Approach to Prevent Stunting in Children Under Five
Get PDFIntroduction: Stunting can have long-term impacts on children's health and development. Preventing stunting in children under five requires a comprehensive approach, including adequate and balanced nutritional intake. One of the natural ingredients commonly used in traditional medicine is red ginger (Zingiber officinale var. rubrum), which contains phytochemical compounds, vitamins, minerals, and fiber beneficial for maintaining vascular and digestive health. Gummy candy formulations have the advantage of high acceptability and appeal, particularly for children who find it difficult to consume medicine.
Objective: This study aims to determine the level of preference for gummy candy made with red ginger extract as a strategy to prevent stunting in children under five.
Method: The study employed an experimental design using a sensory hedonic test. The inclusion criteria included mothers with toddlers. A total of 20 participants were selected using an incidental sampling technique.
Result: The findings indicated that participants showed a high level of preference for red ginger extract gummy candy. On average, the gummy candy was rated as highly appealing in terms of appearance, taste, aroma, and texture.
Conclusion: Red ginger extract gummy candy has significant potential to be well-accepted by children under five. Further improvements are recommended, particularly in enhancing the gummy candy's appearance and incorporating more varied shapes to increase its appeal
Genetic Inheritance Risk Calculation as a Practical Approach in Health Prevention and Management: A Perspective
Get PDFIn the genomic era, understanding the risk of inheriting genetic diseases has become a crucial element in designing effective health prevention and management strategies. The initial step in calculating the risk of genetic inheritance involves gathering information about family health history. Through the analysis of genetic data and family health history, healthcare professionals can determine an individual's potential genetic risk for various diseases. Calculating the risk of genetic inheritance has several important benefits, including early prevention and management, family planning, genetic counseling, targeted therapy and care development, and informed medical decision making. By knowing an individual's genetic risk for a particular disease, they can take appropriate prevention measures or early management actions. These may include lifestyle changes, regular health check-ups, or even advanced genetic testing for early detection. In Family Planning, calculating genetic risk can assist individuals and couples in planning pregnancies and families more effectively. If a high risk is detected, couples can consider options such as genetic counseling, premarital screening, or selecting suitable reproductive methods. Overall, calculating the risk of inheriting genetic diseases can provide individuals and families with valuable information to take preventive measures, make informed medical decisions, and manage their health more effectively
Behavioral Models for Controlling Blood Pressure in Patients with Hypertension
Get PDFObjective: This study aimed to develop a behavior model in controlling blood pressure of patients with hypertension by integrating the theory of Health Belief Model and adaption model theory by Roy.
Method: This was a cross-sectional study conducted in January 2020. The population in this study was hypertension patients at the Community Health Center. The sampling technique used in this study was consecutive sampling. The instrument used in this study was a questionnaire. The data were analyzed by Partial Least Squares.
Result: Modification factor, cues to action, individual beliefs and cognator significantly affected the behavior for blood pressure control with t-statistic value >1.96. Modification factors affected individual beliefs (t=10,648).
Conclusion: This behavioral model can assist nursing in developing strategies to improve blood pressure control behavior in hypertensive patients. The behavior of the hypertensive patients was possibly improved by the involvement of the health worker by routinely educating the patients and their family related to hypertension and how to control blood pressure and also related to stress and how to manage it as well as with support from the family in self-care management and lifestyle modification
Effectiveness of Maternity Infrared Electric Massage Mattress (Kapein) on Labor Pain and Progress in Primigravida during the Active Phase of Labor
Get PDFIntroduction: Labor pain in mothers is partly caused by a reduced oxygen supply to the uterine muscles during contractions. Non-pharmacological interventions, such as electric massage with infrared therapy on the spine, can help increase oxytocin levels, which may accelerate labor progress.
Objective: This study aimed to determine the effectiveness of the infrared electric massage mattress (Kapein) in reducing labor pain and enhancing labor progress in primigravida mothers during the active phase of labor.
Method: A true experimental research design with a pretest-posttest control group was used. The study involved all primigravida mothers in the active phase of labor at the Musytasyfah Karawang Clinic. A total sampling technique was employed, with 30 participants divided into an intervention group (15) and a control group (15). The data were analyzed using the McNemar test. The research was conducted from April to July 2024.
Results: The study found that the infrared electric massage mattress (Kapein) was effective in reducing labor pain in primigravida mothers during the active phase (p=0.000). It also demonstrated effectiveness in improving labor progress (p=0.027).
Conclusion: The infrared electric massage mattress (Kapein) is effective in reducing labor pain and improving labor progress in primigravida mothers during the active phase of labor. It is suggested that this intervention be considered as an alternative tool in obstetric services and recommended for use by the Health Office in childbirth care
The Relationship Between Breastfeeding, Nutritional Status, and Exclusive Breastfeeding History with Stunting
Get PDFIntroduction: Stunting remains a nutritional problem facing Indonesia. The nutritional intake of breastfeeding mothers is closely linked to the production of breast milk, which is also a key factor in ensuring the adequate nourishment of infants and toddlers.
Objective: The research aims to determine the relationship between the nutritional status of breastfeeding mothers, the history of exclusive breastfeeding, and the incidence of stunting in infants under five in Cikunir Village.
Method: The type of research used is quantitative with analytical methods which aims to determine the relationship between the nutritional status of breastfeeding mothers, the history of exclusive breastfeeding, and the incidence of stunting in babies under five. The population is mothers who have babies aged 6-24 months in Cikunir Village, the sampling technique used purposive samples, samples were 52, the data presentation method was in tabular form, the analysis used descriptive and analytical analysis, the instrument used a questionnaire consisting of questions regarding the nutritional status of breastfeeding mothers, factors which affect nutritional status, history of exclusive breastfeeding, incidence of stunting.
Result: The results of the statistical test on the relationship between the nutritional status of breastfeeding mothers and the incidence of stunting obtained a p-value of 0.307, so that 0.307 > alpha (0.05), while the results of the statistical test of the relationship between exclusive breastfeeding and the incidence of stunting obtained a p-value of 0.020 so that it was 0.020 < alpha. (0.05).
Conclusion: There is no relationship between the nutritional status of breastfeeding and the incidence of stunting, and there is a relationship between exclusive breastfeeding and the incidence of stunting. The researcher postulates that if the nutritional status during pregnancy and breastfeeding is normal, yet the mother is ignorant, unable, or unwilling to obtain information about the nutrition that must be met during this period, this will result in stunting of the child. The prevention of stunting should commence with the provision of education and integrated services for pregnant women and mothers with children up to the age of two
Simple Coaching Clinic to Improve Nurse's Knowledge of Genetic Counseling among Thalassemia Patients
Get PDFIntroduction: The coaching clinic is one of the strategies designed to increase nurses' knowledge in conducting genetic counseling for patients and families of thalassemia patients. Nurses will not only be given information, but they will also be taught how to communicate and how to use genetic counseling to make sure the coaching clinic's goals are met.
Objective: This study aims to describes the effect of a simple coaching clinic on nurses' knowledge of genetic counseling implementation in thalassemia care.
Methods: This research used a quantitative approach and was conducted on August 20th–21st , 2022. The design of this study was quasi-experimental without a control group. This study obtained a total sample of 29 nurses using a proportional sampling technique and inclusion criteria. The inclusion criteria in this study were nurses with a diploma degree, an undergraduate education background, and registered nurses. The data collection instrument was a 30-questions genetic counseling questionnaire. IBM SPSS version 25.0 was used to analyze the data using the Wilcoxon test.
Results: Simple coaching clinic proved to have a significant effect in improving the knowledge level of nurses in general with p-value = 0.004. Knowledge level improvement can be seen from Mean (+SD) 53.67 (+13.64) to 69.67 (+8.26). Likewise with nurses' knowledge about thalassemia, genetic counseling and bio-informatics, the majority of respondents experienced positive changes. In contrast to the genetic topic, the majority of respondents did not experience a change in their level of knowledge so that a p-value >0.05 was obtained.
Conclusions: Changes in level of knowledge indicated that the coaching clinic's effects on level of knowledge are significant and have an impact on health services across a variety of health institutions, including clinics and hospitals. As a result, it is critical to have a health strategy that promotes the accessibility of genetic counseling services for patients with thalassemia and other genetic illnesses