Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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The Duration of Suffering from Diabetes Mellitus did not Correlate with the Occurrence of Cataract
Full text linkPeople with diabetes mellitus are five times more likely to develop cataracts. High blood sugar levels over a long period of time can be one of the complications of cataracts. This was a correlational study with the purpose to determine the correlation between the duration of diabetes mellitus and the occurrence of cataracts in patients with diabetes mellitus at the Internal Medicine Polyclinic of Medika Utama Hospital, Blitar. The population in this study was patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Medika Utama Hospital, Blitar. The sample in this study was patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Medika Utama Hospital within a period of 2 weeks, totaling 56 people. The sampling used an accidental sampling technique. The statistical test used was chi-square. The results of this study showed that the p-value was 0.449, which meant that there was no correlation between the duration of diabetes mellitus and the incidence of cataracts. Several actions that can be taken to prevent cataracts are controlling blood glucose levels by obediently taking medication and following a diet. In addition, routine eye checks are useful in preventing cataracts in people with diabetes mellitus
Factors Associated with Mothers’ Interest in Choosing Intrauterine Contraceptive Device (IUD) at Moti Health Center, Ternate City, North Maluku Province
Full text linkThe utilization of intrauterine devices (IUDs) remains low in Maluku Province, with a reported adoption rate of only 33.9% in 2020. At the Moti Community Health Center in 2022, IUD usage was recorded at just 0.19%. This study aimed to identify factors influencing the interest in choosing IUD at the Moti Community Health Center in Ternate City, North Maluku Province. Using a quantitative cross-sectional design, the research employed multistage random sampling involving 66 women of reproductive age (WRA). Data collection utilized questionnaires and interviews, with statistical analysis including univariate and bivariate analyses using Chi-Square tests. Out of 66 respondents, 19 (28.8%) expressed interest in choosing IUD, while 47 (71.2%) did not. Chi-square analysis revealed significant correlations between interest in IUD and variables such as knowledge (p-value 0.002), attitude (p-value 0.031), education (p-value 0.027), husband's support (p-value 0.000), and acceptance of birth control information (p-value 0.001). However, parity showed no significant association (p-value 0.624) with mothers' interest in choosing IUD at the Moti Health Center in Ternate City, North Maluku Province. Significant relationships were observed for variables like knowledge and attitude, whereas parity did not demonstrate a notable link. Increasing IUD adoption among WRA requires enhanced education, family involvement, flexible services, and competent healthcare providers. Encouraging husbands’ participation, structured counselling, home visits, and incentives can boost uptake. These findings highlight the need for training the staff, and collaborating with community leaders to increase IUD adoption
Educational Demonstration of Eye Exercises Video Based Affected Knowledge, Anxiety, Self-Resilience of Cataract Patients
Full text linkCataracts are the main cause of blindness throughout the world which can actually be prevented. Lack of knowledge, increased anxiety and lack of self-resilience in cataract patients cause patients to be afraid to seek treatment from health services. The research design used Quasi Experimental Pre-Post Test with One Group Design. The sample in this research was 42 cataract patients. The instrument for this research was the Knowledge, Anxiety and Self-Resilience Questionnaire. Data analysis in this research used the Wilcoxon Test statistical test. The results of the Wilcoxon Test of knowledge in the experimental group showed that Sig. equal to 0.000 or <0.05 (error level), meant that there was a difference in knowledge results before and after treatment. Meanwhile, the results of the Wilcoxon test for anxiety in the experimental group showed that Sig. equal to 0.008 or <0.05 (error level), it could be concluded that there was a difference in anxiety results before and after treatment. And the results of the Wilcoxon Test of self-reliance in the experimental group showed that Sig. equal to 0.000 or <0.05 (error level), meant that there was a difference in the results of self-resilience before and after being given treatment. Video-based Educational Demonstration Of Eye Exercises is effective for increasing knowledge, reducing anxiety and increasing self-resilience in cataract patients. Health workers can increase knowledge about cataracts and non-pharmacological therapy independently to increase personal resilience and reduce anxiety in cataract patients, as an effort to improve optimal health services
Exploring Psychosocial Issues of Breast Cancer: What Coping Mechanisms Have They Used to Manage Their Stressors?
Full text linkOne of the most common diseases causing death in women is mammary carcinoma which is the third largest cause of death in Indonesia after heart disease and stroke. Chemotherapy and surgery are treatment methods that have been widely used. The body image of patients who have undergone mastectomy will change as they no longer have breasts. The purpose of this study was to determine how coping mechanisms were used in patients suffering from carcinoma mammae post-mastectomy. This study used a qualitative-quantitative research design. The data was obtained through semi-structured interview guides and coping mechanism questionnaires as support. The data validity test method used triangulation of sources and methods. The data analysis in the study used domain analysis. The researcher analyzed the data using domain analysis and found seven main themes emotional distress when first diagnosed with Ca mammae, body image disturbance after mastectomy, breast loss after mastectomy, the use of active coping in seeking recovery, use of healthy lifestyle planning to reduce disease risk, use of religious coping mechanisms for illness perception, use of acceptance coping mechanism in illness. Some psychosocial problems such as mental emotional disorders such as severe stress, fear, and worry about the disease are often felt by patients. However, participants use adaptive coping mechanisms to adapt to psychosocial problems through the use of active coping, religion, planning, and being able to accept deficiencies in their body image
Exploratory Descriptive Study on the Management og Hospital Facilities and Infrastructure
Full text linkManagement of facilities and infrastructure has a very important role in the effectiveness of health services, especially in Medical Rehabilitation Installations. Hospitals face challenges related to increasing patient volumes, leading to patient overcrowding and extended waiting times. The aim of this research was to analyze the management of hospital service facilities and infrastructure. The design of this research was exploratory descriptive with a qualitative approach. The subjects of this research were 11 subjects from units related to hospital services at the West Sidoarjo General Hospital. The data collection process was carried out using interviews, observation and documentation. This study showed that improving coordination between management and medical staff as well as improving medical equipment maintenance systems will make a significant contribution to hospitals' ability to meet healthcare needs efficiently. Hospitals need to carry out routine training on the use of medical equipment, form equipment maintenance teams and carry out regular audits
Sexual Education Improves Students’ Knowledge About Early Marriage Risks
Full text linkEarly marriage is not an easy thing, especially if it is done at the wrong age. According to the Central Statistics Agency (BPS), in 2020 the prevalence of early marriage aged 15 - 17 years was 15.40 percent in Blitar Regency, while in Blitar City it was 8.00 percent. Providing sexual education is one way to prevent early marriage. The aim of this research was to determine the effect of sexual education on students' knowledge regarding the impact of early marriage at Public Vocational High School 1 of Kademangan. The design of this research was pre-experiment with One Group Pretest-Post-test approach. The samples in this research was 48 respondents taken by total sampling technique. The research instrument used a pretest-Post-test questionnaire. The method of delivering sexual education was by lecturing session with power points. The data analysis used the Wilcoxon Test. The statistical test results showed that the p-value was 0.000 or <0.05, meant there was an effect of sexual education on students' knowledge regarding the impact of early marriage at Public Vocational High School 1 of Kademangan. It is hoped that the results of this research can be used as evaluation material and information to support increased knowledge of the impact of early marriage on teenagers which can be conveyed by institutions
Enhancing Clinical Competence of New Graduate Nurses to Improve The Quality of Patient Care
Full text linkNurses are expected to be competent with the ability to perform independently and deliver safe patient care. This paper aimed to report the measures to enhance the clinical competence of new graduate nurses with the intention of improving quality of patient care in public hospitals. This research was a qualitative design with focus group discussions and individual interviews used to collect data from seven public hospitals in three districts of Northwest Province, South Africa, during the period, of September, and November 2021. Thematic data analysis was employed to analyze the collected data. The result of this research was two themes with eight sub-themes reported as follows: 1) Dealing with theory and education gaps, and 2) Identify and eliminate organizational and institutional barriers. The conclusion was a theory-practice gap can lead to a lack of confidence and incompetence which will in return hinder safe practice and quality performance. On the other hand, organizational and institutional challenges can compromise support for newly graduated nurses during their transition period. Therefore, attending to the measures to enhance new graduate nurses’ clinical competence will benefit the healthcare facilities, as it would have positive effects on patient care. It is therefore suggested that future studies may use different study methods including the different populations such as the new graduate nurses themselves, and operational managers from the other healthcare facilities such as clinics and primary healthcare centers
Predisposition Factors Related to Stunting Preventing Behaviors
Full text linkStunting is a child growth disorder characterized by a child's lack of height compared to children his age. Morbidity and mortality rates, decreased growth, learning achievement, increased risk of infectious and non-communicable diseases, and decreased productivity are all effects of stunting. This research aimed to find predisposing factors that contribute to stunting preventing behaviors. This research focused on the working area of Sidomulyo Inpatient Health Center. The research design was cross-sectional, with 95 mother subjects. The measurement used a questionnaire. Research results from bivariate analysis using chi square analysis showed that there was a correlation between age (p-value 0.022), occupation (p-value 0.024), education (p-value 0.000), and knowledge (p-value 0.015) with the level of stunting. It is recommended to the community and families who will have children under five that the mother's age, occupation, education and knowledge influence their behavior in preventing stunting. Health workers can provide counseling or education about predisposing factors related to stunting prevention behavior to their patients
Combining Prenatal Yoga and Self-Hypnosis as Effective Intervention to Reduce Blood Pressure of Pre-Eclampsia Pregnant Women
Full text linkPre-eclampsia (PE) is a significant cause of maternal and fetal morbidity and mortality. PE requires intervention to prevent it from developing into severe pre-eclampsia or eclampsia. One of the non-pharmacological therapies for PE that has not been widely used is prenatal yoga and self-hypnosis. This research aimed to determine the effect of combining prenatal yoga and self-hypnosis on decreasing blood pressure in pregnant women with PE. The method was quasi-experimental, with a pretest-posttest and a control group design. The population was all pregnant women with PE in 5 health centers in Bangkalan district from May to August 2024. The sampling technique used simple random sampling with the Federer formula, with a total sample of 32 people, 16 in each group. The research instruments used calibrated digital tension meters and SOPs for prenatal yoga and self-hypnosis. The results of the Wilcoxon analysis test showed that prenatal yoga and self-hypnosis effectively reduced blood pressure in pregnant women with pre-eclampsia with a p-value of 0.000 (p <0.05). Yoga and self-hypnosis are effective in lowering blood pressure by increasing the physical, mental, and spiritual strength of the mother in dealing with pregnancy with PE
Health Education Affected the Anxiety Levels of Pregnant Women In Facing Childbirth
Full text linkIndonesian women within the 20-to-44-year age bracket are particularly vulnerable to experiencing depression or anxiety in the context of vaginal childbirth, with a reported risk of 10% to 25%. Of this cohort, a notable proportion, specifically 10% to 15%, may experience these psychological difficulties as complications during the delivery process, and the risk of anxiety in caesarean section patients is 15-25%. This was pre-experimental research with a One-Group Pretest and Posttest design. The sample was 40 respondents taken by a Non-Random Sampling technique; Accidental Sampling. This research was conducted October 15 - November 10 2023. The instrument used a questionnaire sheet. A Wilcoxon test was employed for data analysis, demonstrating a significant decrease in anxiety levels after an educational intervention. The mean anxiety score decreased from 2.74 before education to 1.83 afterward, yielding a p-value of 0.001 (which is less than the significance level of 0.05). These results underscore the importance of healthcare providers delivering more comprehensive education on anxiety management to pregnant women facing childbirth, with the aim of alleviating pre-delivery fear and apprehension