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The Effect of Progressive Muscle Relaxation Therapy on Anxiety in Hypertension Patients
No full textAnxiety is a condition in which an individual experiences a concern about something that is not certain to happen, even some people experiencing anxiety but do not understand the specific cause of the anxiety source they feel. Anxiety problems, which are common in people, can be treated non-pharmacologically with deep muscle relaxation techniques, which do not require guided imagination or cause side effects in patients undergoing progressive muscle relaxation therapy. The objective of this study is to identify how progressive muscle relaxation techniques affected the anxiety levels of hypertension patients at the Kedaung Wetan Public Health Center. The study was conducted to determine if there was a difference in the level of anxiety experienced by hypertensive patients before and after receiving progressive muscle relaxation therapy. The design in this study employed a quasi-experimental pre-post-test with a control group with a progressive muscle relaxation therapy intervention. Result: there is a significant relationship between the period of occurrence of hypertension with anxiety experienced by respondents. Anxiety in hypertensive patients is more prevalent in those who are unfamiliar with hypertension. Thus, anxiety can arise from a sense of concern and fear of more serious complications which occur from the hypertension they are experiencing. The experimental group who received treatment in the form of progressive muscle relaxation therapy had a lower level of anxiety than the control group at the Kedaung Wetan Public Health Center in Tangerang City, with a p-value of 0.000
The Effect of Using Endorphin Massage for Decreasing Pain at First Stage in Normal Labor
No full textLabor pain is a subjective experience of physical sensations associated with uterine contractions, dilation, thinning cervix and fetal descent during labor. To resolve the pain of labor, it has been implemented in a nonpharmacological method which is endorphin massage, in understanding endorphin massage for pressing pain in the first stage, in an active phase of normal multiparous mothers\u27 deliveries. This research aims to research endorphin massage\u27s influence on suppressing pain during the active phase of normal labor of multiparous mothers. This study is quasi-experimental with a cross-sectional approach. The study population of all women giving birth administered the purposive sampling data capture techniques, and it was obtained 132 multiparous mothers with normal labor in the observation sheet. Data were examined by administering a T-test. The majority of the pain intensity in the first stage of active phase multiparous mothers with normal labor, before the breath relaxation, is severe, with up to 49% experiencing severe pain. The majority of the percentage of moderate pain in the first stage of active phase multiparous mothers with normal labor, after breath relaxation, is as high as 42%. Meanwhile, the pain intensity of the first stage in active phase multiparous mothers with normal labor, prior to endorphin massage, is as high as 73.3%. Pain intensity of the first stage in active phase multiparous mothers normal labor after endorphin massage, the majority of the percentage is moderate pain up to 53.3%. Statistical test results obtained p-value is 0.004 endorphin massage. In conclusion, there is an effect of breath relaxation on the intensity of pain during normal labor in multiparous mothers. Furthermore, researchers can do a combination of endorpine massage with other treatments to treat pain during the I active phase of labor and pain intensity checks can be done by testing cortisol levels
The Effect of Black Cumin (Nigella Sativa) on Breastfeeding Mothers
No full textBreast milk is the best nutrient to reduce the pain in nursing mothers and death in infants. However, for nursing mothers, too little milk volume is the cause of problems occurring during the breastfeeding process. Thus, mothers who breastfeed should consume foods that can increase the breast milk volume. One food frequently consumed by mothers to increase breast milk is honey. In fact, natural honey is challenging to discover, and the price is also high which makes it as an obstacle. A more economical alternative is required, one of which is black cumin. It is easy to obtain and the price is also affordable. Black cumin also contains galactagogue to increase prolactin that influences breast milk production. The objective of this study is to identify the effect of black cumin on the volume of breast milk. The study was a randomized controlled trial involving 60 breastfeeding mothers divided into intervention groups and control groups. The intervention group was provided 15 grams of black cumin brewed with 1000C boiling water as much as 200 ml, and the control group was assigned 15 grams of pure honey brewed boiling 1000C as much as 200 ml. Intervention and control were administered on the second day to the day of completion after giving birth. They were measuring instruments which accustomed to measure breast milk pumps. Bivariate analysis employing the Wilcoxon and Mann Whitney tests presented a significant difference between the volume of breast milk (p = 0.001) of the control and intervention groups. This study recommends the application of black cumin as a strategy to increase the volume of breast milk in nursing mothers.Breast milk is the best nutrient to reduce the pain in nursing mothers and death in infants. However, for nursing mothers, too little milk volume is the cause of problems occurring during the breastfeeding process. Thus, mothers who breastfeed should consume foods that can increase the breast milk volume. One food frequently consumed by mothers to increase breast milk is honey. In fact, natural honey is challenging to discover, and the price is also high which makes it as an obstacle. A more economical alternative is required, one of which is black cumin. It is easy to obtain and the price is also affordable. Black cumin also contains galactagogue to increase prolactin that influences breast milk production. The objective of this study is to identify the effect of black cumin on the volume of breast milk. The study was a randomized controlled trial involving 60 breastfeeding mothers divided into intervention groups and control groups. The intervention group was provided 15 grams of black cumin brewed with 1000C boiling water as much as 200 ml, and the control group was assigned 15 grams of pure honey brewed boiling 1000C as much as 200 ml. Intervention and control were administered on the second day to the day of completion after giving birth. They were measuring instruments which accustomed to measure breast milk pumps. Bivariate analysis employing the Wilcoxon and Mann Whitney tests presented a significant difference between the volume of breast milk (p = 0.001) of the control and intervention groups. This study recommends the application of black cumin as a strategy to increase the volume of breast milk in nursing mothers
Ex-Migrant Nurses Empowerment after Recovery from Covid-19 Pandemic: An Analysis of Reflective Cycle Gibbs Model
No full textDuring the Covid-19 outbreak, many ex-migrant nurses who had resigned and were living in Indonesia were unable to return to work. The objective of this study is to develop strategies for empowering ex-migrant nurses in the sustainable healthcare sector following the recovery from the Covid-19 pandemic. The Reflective Cycle Gibbs (RCB) model was employed during the research, which comprised six stages that began with a document review and PRISMA analysis. The PRISMA Analysis utilized Google search engines to filter documents from Google Scholar, Research Gate, and other sources. The RCB model examined 10 eligible journals and discovered records of nurses who returned to their home country due to inadequate pay, career development, workforce protection policy, and empowerment facilities. We concluded 4 problems encountered by returnee nurses i.e. lack of protection policy, poor wages, less career development, and lack of empowerment facilities
The Effect of Multimedia-Based Education on Knowledge, Attitudes, and Behavior Hypertension Patients in Stroke Prevention
No full textThe prevalence of hypertension continues to increase, and various epidemiological studies revealed an increase in the incidence of hypertension in different parts of the world. According to the American Heart Association (AHA), The number of Americans over the age of 20 who suffer from hypertension has risen to 74.5 million, while nearly 90% of cases have no identified cause. If not treated effectively, hypertension may cause damage to blood vessels throughout the body, the most prominent of which is the danger of damage to the brain, eyes, heart, and kidneys. An introduction to stroke is essential for reducing the risk of stroke in people with hypertension. Multimedia is one of the developments in health education media, which is in accordance with the advancement of digital technology, incorporating stroke prevention. This study aims to examine the impact of multimedia-based education on hypertension patients\u27 knowledge, attitudes, and behavior toward stroke prevention. This research is a quasi-experiment with a pre-posttest with a control group design. The sampling technique employed was simple random sampling, and the sample size determination utilized a hypothesis test of the average difference in two independent groups of 60 respondents. Data analysis in this study administered paired t-test and independent t-test. The results unveiled that there were significant differences in knowledge (p=0.022), attitudes (p=0.001), and behavior (p=0.008) of hypertension patients in preventing stroke after intervention in the form of multimedia-based education. Therefore, it is recommended that the community can perform hypertension treatment independently frequently, and the implementation of the prolanis program can be enhanced so that people can receive services easily and regularly to prevent stroke
Effectiveness of Purple Sweet Potato Extract and Disclosing Substance for Plaque Identification
No full textOral hygiene is an indicator of oral and dental health which can be assessed based on the presence or absence of organic deposits, such as pellicle, materia alba (dental deposit), food residue, calculus, and dental plaque. Plaque is the cause of tooth decay among the world\u27s population. Plaque on the tooth surface can be used as an indicator of oral hygiene. Poor cleaning can lead to stickier plaque and tartar after calcification. The thin plaque is almost the same as the color of the teeth, so that plaque cannot be seen with the naked eye. The presence of plaque that is formed from contact with oral fluids can be detected by using certain dye. This study aims to determine the Effectiveness of Purple Sweet Potato Extract and Disclosing substance for Plaque Identification among the children in Aisyah Orphanage, Tilatang Kamang Sub-District, Agam District. This was a quasi-experimental study with a post-test-only design. The samples of this study were 30 children at Aisyah Orphanage, Tilatang Kamang Sub-District, Agam District, with the inclusion criteria of children with permanent teeth and index teeth. The samples were selected through total sampling technique. The results showed that after applying purple sweet potato extract to the children at Aisyah Orphanage in Bukittinggi City, most of them had the Patient Hygiene Performance index (PHP) in the moderate criteria (50%). Furthermore, after applying disclosing substances to the children at Aisyah Orphanage in Bukittinggi City, most of them had the PHP index in the poor criteria (56.7%). The t-test independent statistical test results obtained a p-value of 0.000 (p <0.005), indicating a significant difference between sweet potato extract and disclosing substance. Disclosing substance was more effective than purple sweet potato extract in identifying plaque on the tooth surface. Further study is recommended to apply purple sweet potato extract with different concentrations as an alternative ingredient to identify plaque on the tooth surface.
Spiritual Activity as an Effort to Cope with Depression during the COVID-19 Pandemic in Indonesia
No full textSpiritual activity is used to be associated with better mental health, particularly in the face of stress. At the beginning of the COVID-19 pandemic, numerous new regulations, including quarantine, restrictions on mobility, and physical distancing, triggered stress throughout society. The objective of the study is to explore the relationship of spiritual activities at each level of depression in Indonesia in the early stages of the COVID-19 pandemic (2-4 May 2020). The cross-sectional research was administered online in 34 provinces in Indonesia, involving 2189 respondents aged 15 years old and over and social media users. The researchers employed a structured questionnaire to examine demographic characteristics and coping activities and measured depressive symptoms using the Patient Health Questionnaire (PHQ-9). Multivariate results presented that the spiritual activities are able to decrease the risk of depression at every depression level (mild, moderate, and severe) after being controlled by gender and marital status. The values for each level, which are mild, moderate, and severe, were OR=0.332 (95% CI 0.19-0.60; p-value=0.000), OR=0.198 (95% CI 0.09-0.43; p-value=0.000), and OR=0.234 (95% CI 0.08-0.64; p-value=0.005), respectively. Good spiritual activities during an infectious disease outbreak are efficient to support some individuals in reducing the risk of depression, particularly in Indonesia.Spiritual activity is used to be associated with better mental health, particularly in the face of stress. At the beginning of the COVID-19 pandemic, numerous new regulations, including quarantine, restrictions on mobility, and physical distancing, triggered stress throughout society. The objective of the study is to explore the relationship of spiritual activities at each level of depression in Indonesia in the early stages of the COVID-19 pandemic (2-4 May 2020). The cross-sectional research was administered online in 34 provinces in Indonesia, involving 2189 respondents aged 15 years old and over and social media users. The researchers employed a structured questionnaire to examine demographic characteristics and coping activities and measured depressive symptoms using the Patient Health Questionnaire (PHQ-9). Multivariate results presented that the spiritual activities are able to decrease the risk of depression at every depression level (mild, moderate, and severe) after being controlled by gender and marital status. The values for each level, which are mild, moderate, and severe, were OR=0.332 (95% CI 0.19-0.60; p-value=0.000), OR=0.198 (95% CI 0.09-0.43; p-value=0.000), and OR=0.234 (95% CI 0.08-0.64; p-value=0.005), respectively. Good spiritual activities during an infectious disease outbreak are efficient to support some individuals in reducing the risk of depression, particularly in Indonesia
Quality of Thorax CT Scan Images among Covid-19 Cases using Variations of Filter
No full textA typical image of the Thorax CT Scan as a sign of the early stages and development of Covid-19 is the finding of Ground Glass Opacities (GGO). GGO is an insignificant increase in the density of the lungs without occlusion of blood vessels and bronchi. In mild cases, GGO tends to be difficult to identify and requires high-resolution CT scanning. In this study, we intend to improve the resolution of the Thorax CT Scan image through filter settings, to analyze the difference in the variations of filters B50s, B70s, and B90s towards the quality of the CT Scan image and obtain the optimal use of filter in the Thorax CT Scan examination among Covid-19 cases. This was a quantitative analytical study conducted at one of the Regional General Hospital in Jakarta on March-April 2022. The samples were secondary data derived from 10 patients by using MSCT Siemens Somatom Perspective 128 slices. Data were collected through observation and experiment. The images collected were further analyzed using Image j software to find values of Signal to Noise Ratio (SNR) and Contrast to Noise Ratio (CNR). Furthermore, the values were compared by assessing the anatomical image information through various filters. The results of this study indicated that there were differences in the SNR and CNR values of the three filters. The higher resolution of the filter used, the more capable it was to sharper and more detailed the image but the noise level was also higher. Thorax CT Scan examination should be carried out using the B70s very sharp filter that was able to produce images with the optimal information and fairly low noise level. A very thin GGO image in the early stage of the manifestation of Covid-19 could be identified in the Thorax CT Scan examinations for diagnosis of Covid-19 case
Characteristics and Physical Workload of Nurses on Night Shifts with Work Fatigue
No full textAt RSUD Sidoarjo, it was discovered that 44% of nurses experienced fatigue. Fatigue occurs due to several factors, one of which is the physical workload. The objective of this study is to examine the physical workload and characteristics of nurses on night shifts on the fatigue of inpatient tulip nurses at RSUD Sidoarjo in 2022. The number of samples was 30 respondents with the sampling technique encompassing all of population of nurses on night shifts. The results demonstrated that there was no influence between physical workload on work fatigue with a value of 0.717, as well as characteristics incorporating age, length of service and gender which had no effect on work fatigue with a value of 0.636, respectively; 0.747 and 0.235. The result of the study indicates that workload, age, working period, and gender of nurses have no effect on nurses\u27 work fatigue. The conclusion is there was no influence between physical workload and characteristics of nurses on night shifts on the fatigue of inpatient tulip nurses at RSUD Sidoarjo in 2022. It is recommended that future researchers will conduct research on nurse fatigue employing various variables such as mental workload on nurses, hospital physical environment, distance of residence, and marital or family status
Utilizing Go-Yoga Smartphone Application to Prevent Preeclampsia in Pregnant Women
No full textAfter bleeding, hypertension is the second leading cause of maternal death. Hypertension is caused by a combination of factors, including increased stress and a low level of albumin. All of these changes will cause complications and necessitate long-term medication therapy. As a result, complementary therapies such as family roles and yoga are required. Many people are unfamiliar with yoga movements, so this study provides innovation by incorporating yoga into a smartphone application. The objective of the study is to determine the differences in the implementation of the Go-Yoga smartphone application and the role of the family in pregnant women in the III trimester on blood pressure and albumin levels. This type of research is quasi-experimental involving 60 pregnant women in the third trimester. In Group I, 20 pregnant women practiced yoga with books; in Group II, 20 pregnant women exercised yoga with the Go-Yoga app without their families; and in Group III, 20 pregnant women practiced yoga with their families. The study\u27s results revealed significant blood pressure, with the third group having the highest average (p = 0.000 1). Pregnant women who utilize the Go-Yoga app with their families have lower blood pressure than other groups. Furthermore, pregnant women who employ the Go-Yoga app with their families have higher albumin levels than other groups. Therefore, this study suggests employing the Go-Yoga application with the family prevents hypertension in pregnancy