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The Effect of Home Visits on Depression and Anxiety in Pregnant Patients During COVID-19
No full textDepression and anxiety during pregnancy can increase the risk of miscarriage, premature birth, low birth weight, low Apgar scores, and fetal death The past COVID-19 pandemic caused significant anxiety and infection fear, causing significant harm to pregnant women\u27s lives. Public access to health services has changed during the COVID-19 pandemic. This study aimed to determine the effectiveness of pregnancy care home visits on depression and anxiety of pregnant women. Efforts should therefore be made to increase visits by pregnant women while maintaining health protocols during the pandemic. The research method is a Quasi-experimental design with one group pretest-posttest design. Sampling was carried out by purposive sampling with the inclusion criteria of pregnant women who did not re-examine at the Health Center for 1 month and pregnant women who were willing to be selected as respondents. obtained 28 pregnant women as respondents. The instruments used are the Edinburgh Postpartum Depression Scale (EPDS) questionnaire and the Hamilton Anxiety Rating Scale (HARS). The data analysis technique used the Paired Simple T-test. The results of the study showed that there was an increase in depression and anxiety during pregnancy during the COVID-19 pandemic, this data was obtained from interviews and pregnancy care with home visits. The depression rate at the initial data of 12.36 dropped to 3.50, and the anxiety rate of 22.46 dropped to 6.61 after being given prenatal care with home visits. In these difficult times, the need for prenatal health care can ensure the provision of protective and safe services and psychological screening of pregnant women at risk for depression to reduce long-term negative outcomes should be carried out
The Effect of Knowledge of Mothers Assisted by Cadres during Pregnancy on the Incidence of Low Birth Weight
No full textEvery pregnancy carries risks to the quality of birth outcomes, such as low birth weight (LBW). Interventions such as increased maternal knowledge, supervision, and intensive assistance are required, which can be performed by health cadres. The study aimed to examine the impact of knowledge on the incidence of LBW in pregnant women accompanied/assisted by cadres during pregnancy. This method combines descriptive research with a quasi-experiment. The study included 30 pregnant women who fulfilled the following criteria: single pregnancy, 30 weeks gestation, not a high-risk pregnancy, and no comorbidities. The study lasted three months, and the independent variable was the knowledge of pregnant women assisted by cadres, while the dependent variable was the incidence of LBW. Pregnant women\u27s questionnaires and observation sheets were employed as instruments. T-Test and Yates\u27 Correction were utilized during data analysis. The findings revealed a p-value of 0.031 increase in knowledge of pregnant women before and after being assisted by cadres during pregnancy, and the incidence of LBW was 3 cases (10%). With a p-value of 0.041, the results of Yates\u27 Correction statistical test revealed that knowledge of pregnant women assisted by cadres is one of the determinants of the occurrence of LBW. It is critical to increase cadre involvement and role in assisting pregnant women.
Implementation of Telemedicine through “Apoteker Keluarga Online” Application as an Effort for Rational Headache Self-Medication
No full textPeople who seek self-medication for acute headaches in pharmacies are not properly diagnosed and treated. Irrational drug use has a high potential for causing medication errors. The AKO application is one of the digital counseling service apps managed by a pharmacist who has a strategic role in educating patients on self-medication behavior in telemedicine services. The objective of this study is to identify the benefits of AKO use in increasing rational self-medication behavior in headache complaints. It is a descriptive analysis study with a case-control design. The population is the Lamongan community who have had headache self-medication. Samples were taken by purposive sampling technique. A total of 130 participants were divided into two groups: the intervention group and the control group. A headache self-medication questionnaire was employed as the instrument. The collected data was then analyzed using the Mann Whitney test to determine the value of the AKO application in increasing knowledge of the rationality of self-medication in headache complaints. The data from the measurement of the level of knowledge of the rationality of headache self-medication revealed that the majority of the intervention group (92.3%) had good knowledge and none had poor knowledge. While there are still respondents with less knowledge (15.3%) in the control group. The statistical test results for the benefits of AKO application assistance on the level of knowledge of the rationality of headache self-medication revealed a p value = 0.000, indicating a significant difference between the intervention and treatment groups. The use of telemedicine via the AKO application can increase public awareness of the rational use of headache medications. Digital health services can be used as a medium for counseling and remote patient health monitoring.
Kompetensi yang Dibutuhkan Perawat Saat Bekerja di Ambulans Pra-Rumah Sakit: Scoping Review
No full textPrehospital care has historically provided medical care with the aim of saving lives and preventing disability. Prehospital services that are accommodated by ambulances have complex and unpredictable care arrangements, so ambulance personnel, namely nurses, must prepare themselves to deal with all situations and conditions. This study aims to describe the competencies possessed by nurses while on duty in prehospital ambulances. This research is a literature study from several databases, and we obtained 20 articles for analysis. The results of the article analysis show that nurses who work in prehospital ambulances must have the competence to be able to save patients\u27 lives, which is formed from knowledge, attitudes, and skills. Knowledge that must be possessed by ambulance nurses includes assessment, triage, and situation analysis. The positive attitudes of ambulance nurses include decision-making, communication, collaboration, caring, ethics, and culture. The skills possessed by ambulance nurses are BHD, intubation, examination of vital signs, interpretation of supporting examinations, and drug management. Ambulance nurses can improve their emergency care competencies through continuous education and training.Pelayanan pra-rumah sakit secara historis memberikan perawatan medis dengan tujuan menyelamatkan nyawa dan mencegah kecacatan. Layanan pra-rumah sakit yang diwadahi ambulans memiliki pengaturan perawatan yang kompleks dan tidak dapat diprediksi. Perawat yang telah teregistrasi memiliki seluruh tanggung jawab untuk melakukan perawatan dan pengobatan, yang meliputi pengkajian pasien, pengambilan keputusan dan melakukan evauasi terhadap kondisi pasien. Sehingga personel ambulans yaitu perawat harus mempersiapkan diri untuk menghadapi segala situasi dan kondisi. Penelitian ini bertujuan untuk memaparkan kompetensi-kompetensi yang dimiliki perawat saat bertugas di ambulans pra-rumah sakit. Penelitian ini merupakan studi literatur dari beberapa database yang meliputi Science Direct, ProQuest, SpringerLink and EbscoHost. artikel ini menggunakan boolean yang dikombinasikan beberapa kata kunci dan memperoleh 410 artikel. Penelitian ini menggunakan alur analisis Prisma dalam memilih artikel dan dipilih 20 artikel untuk dianalisis. Hasil dari analisis artikel menunjukkan Perawat yang bertugas di ambulans pra-rumah sakit harus memiliki kompetensi untuk dapat menyelamatkan nyawa pasien yang dibentuk dari pengetahuan, sikap dan keterampilan. Pengetahuan yang harus dimiliki perawat ambulans meliputi pengkajian, triase, dan analisis situasi. Sikap positif yang dimiliki perawat ambulans diantaranya pengambilan keputusan, komunikasi, kolaborasi, kepedulian, etik dan budaya. Keterampilan yang dimiliki perawat ambulans yaitu BHD, intubasi, pemeriksaan tanda vital, interpretasi pemeriksaan penunjang dan manajemen obat. Perawat ambulans dapat meningkatkan kompetensi perawatan gawat darurat melalui Pendidikan dan pelatihan secara berkesinambungan
The Density of Aedes aegypti Larvae Density and the Incidence of Dengue Hemorrhagic Fever in the Pesingahan Environment, Pagesangan Barat Village, Mataram
No full textDengue hemorrhagic fever remains a public health concern in West Nusa Tenggara Province, with the majority of cases occurring in Mataram City and the Pesinggahan Environment of West Pagesangan Village. The density of Aedes aegypti larvae as disease vectors has a strong influence on the high incidence of cases and the spread of dengue hemorrhagic fever. The objective of this study was to identify if there was a relation between the density of Aedes aegypti larvae and the rate of dengue hemorrhagic fever in the Pesinggahan Environment of Pagesangan Barat Village. This study is an analytic observational study with a cross-sectional design. This study\u27s sample size was 56 houses. The data collected included information on the density of Aedes aegypti larvae and the incidence rate of dengue hemorrhagic fever in the Pesinggahan Environment of Pagesangan Barat Village over the previous year. Descriptive analysis was used to examine data on the density of Aedes aegypti larvae and the incidence rate of dengue hemorrhagic fever in the Pesinggahan environment. The findings revealed that the density of Aedes aegypti larvae was high (Density Figure (DF) = 6), as was the incidence rate of dengue hemorrhagic fever (0.39%). The statistical analysis between the density of A. aegypti larvae and the incidence rate of dengue hemorrhagic fever in the Pesinggahan Environment with the chi square test demonstrated indicate that p-value = 0.000 < alpha = 0.05. Based on the results of the study, there was a relationship between the density of A. aegypti larvae and the incidence rate of dengue hemorrhagic fever in Pesinggahan, Pagesangan Barat Village. Further research is required regarding the detection of the dengue virus transmitted by A. aegypti mosquitoes to their offspring (transovarial)
Factors Associated with Early Child Development: A Pre-Screening Study
No full textEarly child development is a critical phase for lifelong health, resulting from the influence of various factors. The present study assessed the factors associated with children’s deviant development. This cross-sectional study was conducted on 88 infants aged 6-12 months in six Public Health Centres in East Pontianak, West Kalimantan. Breastfeeding duration at each session, the frequency in a day and the length of breastfeeding in months, mothers’ knowledge, behavior, and the habit of squeezing in children were the risk factors for early development. A chi-square analysis of the relationship between risk factors and children’s development. Overall, the results indicated that shorter breastfeeding duration at each session (p=0.027), non-exclusive breastfeeding (p=0.050), and low mothers’ knowledge (p=0.032) significantly affected children’s development. These results suggested that exclusive breastfeeding and enough knowledge enhance infant development
SITEPIS Contraception is an Extension Officer in Providing Information on Family Planning in Indonesia
No full textThis study addresses the vital role of information as a reproductive health right and emphasizes the responsibility of family planning officers, including health workers, to disseminate accurate information for ensuring public reproductive health. The research focuses on evaluating the effectiveness of SITEPIS Contraception, an online information service designed to aid family planning officers in conveying contraceptive information. SITEPIS is a web application offering comprehensive information on contraception, medical eligibility criteria, and a live chat service. This study involves 28 family planning officers at sub-district and village levels in Bogor and West Lombok districts. Employing a descriptive research approach, the study includes socialization events introducing Sitepis Contraception, encouraging usage, and collecting officers\u27 evaluations. Results indicate positive feedback from all officers, citing the website\u27s appealing design, user-friendly accessibility, and essential features for effective information delivery. Despite challenges related to internet network support in certain areas, officers express willingness to use the SITEPIS website for their community information duties. Notably, while face-to-face interaction is preferred by most officers, SITEPIS contraception serves as a valuable tool for information dissemination. The study underscores the underutilization of online information as the primary method among family planning officers in Indonesia. Despite this, it recognizes the potential of online platforms, like SITEPIS, in reaching diverse societal levels. The findings emphasize the need for further examination of SITEPIS Contraception from the community\u27s perspective, the primary target audience, to enhance its effectiveness. In conclusion, the study advocates for the integration of online information tools to empower family planning officers in fulfilling their crucial role as information providers
Aloe Vera: Potential to Reduce Fasting Blood Sugar Levels in Prediabetes
No full textPrediabetes is a continuous spectrum of developmental stages before a person is diagnosed with diabetes mellitus. Considering the long-term effects of pharmacological treatment, other natural-based methods are needed. The purpose of this study was to analyze the effect of Aloe Vera Juice on the reduction of fasting blood glucose levels in patients with prediabetes in Pontianak City. A pre and post-test design study was conducted between March and July 2021 at Alianyang Public Health Center. A total of 12 subjects were identified as prediabetic at the beginning of the study through screening involved in this study. The included subjects were asked to consume 175 ml of Aloe Vera Juice for 15 consecutive days and measured their fasting blood glucose (FBG) levels on the 16th day. A paired t-test was performed to determine the difference in FBG levels before and after the treatment. Present findings revealed that the mean FBG level before intervention was 107.4 mg / dL and 92.1 mg/dL after the intervention. A statistically different FBG reduction significance was found between groups (p<0.001). Consuming Aloe vera juice regularly for 15 days has proven to lower FBG levels among prediabetics. Future studies with better adherence monitor and larger sample sizes might have resulted in better determination of the intervention\u27s effect.
Nutrition Counseling, Lipid Profile Improvement and Weight Loss in Obese Patients with Dyslipidemia
No full textObesity with dyslipidemia is a serious problem because it risks various degenerative and metabolic diseases. The prevalence of obesity in Indonesia continues to increase every year, currently in the adult population reaching 21.8%. To prevent the onset of degenerative diseases and metabolic disorders, it is important to control obesity with dyslipidemia through weight loss and lipid profile improvement. This study aims to determine the effect of nutritional counseling in losing weight and improving lipid profiles in obese patients with dyslipidemia. This is a pseudo-experimental study with One group Pre and Post Test Design. The initial stage was the identification of obesity and lipid profile. In 100 respondents identified as obese, total cholesterol, LDL and triglycerides were examined. 40 obese respondents with dyslipidemia were determined as samples. The second stage was nutrition counseling intervention. The third stage of evaluation is the re-measurement of body weight and lipid profile. The research result is only 30 respondents participated in the evaluation. Average initial body weight was 75.11 kg and final body weight was 73.14 kg. Average weight loss was 1.97 kg. Average initial cholesterol 233.20 mg/dL and final cholesterol 224.70 mg/dL. Average cholesterol reduction of 8.5 mg/dL. Average initial LDL 152.37 mg/dL and final LDL 139.47 mg/dL. Average decrease in LDL 12.9 mg/dL Average initial triglycerides 161.23 mg/dL and final triglycerides 143.97 mg/dL. The average decrease in triglycerides is 17.26 mg/dL. The statistical test results showed a p-value = 0.000. There is an effect of nutritional counseling on weight loss and improvement of lipid profiles of obese patients with dyslipidemia
Philosophy of Science on The Development of Palliative Nursing Practice in The Implementation of Long-Term Care for The Elderly: A Literature Review
No full textAs people gets older can increase health problems due to degenerative processes, thus requiring long-term care. Nurses as providers of palliative nursing care are based on nursing philosophy as a guide for acting and behaving in providing nursing care. Provide scientific information to nurses related to the role of philosophy of science in the development of palliative nursing practice that supports the implementation of long-term care in elderly. A literature review study, using various databases from Pubmed, Google Scholar, Science Direct and Research Gate. The inclusion criteria for searching for literature sources is the year of publication of the articles used starting from 2017 to 2022, in English, Indonesian and full articles. The search keywords are, nursing philosophy, nursing theory, palliative nursing, palliative care. Article selection was carried out using PRISMA and critical appraisal with a final total of 20 articles. The provision of palliative care to patients is carried out through a philosophical approach that emphasizes optimal quality of life and function, mitigates symptoms that cause sadness and promotes the values of care that focuses on comfort so as to reduce suffering and improve the quality of life of patients and families. Palliative nursing includes an understanding of the disease, pain management, and general symptoms, and follow-up care planning. Nurses are expected to make the philosophy of nursing as a basic of human as a holistic being in providing palliative nursing care