Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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    Compliance with a Low Salt Diet in Elderly Hypertension at the Elderly Posyandu, Gedog Village, Sananwetan District, Blitar City

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    The problem of elderly hypertension is very complex, especially the problem of a low-salt diet. Non-compliance with hypertension will have a negative impact on the elderly and will cause many complications. This research is a descriptive study that aims to see the adherence to a low-salt diet in hypertensive elderly people. The population in this study were hypertensive elderly at the Srikandi elderly Posyandu and Brontoseno Elderly Posyandu in the Working Area of the Sananwetan Health Center, Gedog Village, Sananwetan District, Blitar City as many as 60 people. The sample in this study is based on the formula for calculating the number of samples, namely as many as 50 people. The sampling technique in this study was simple random sampling. The tools in this study were a respondent characteristics questionnaire and a low-salt diet adherence questionnaire that the researchers made themselves based on references. This research was conducted from April to May 2023. General data in this study included gender, marital status, last education, length of time suffering from hypertension and routine internal pressure control. While the specific data in this study is the adherence diet of hypertensive elderly. The results of this study indicate that almost half of the respondents are less compliant with the low-salt diet, namely 46% (23 respondents) and a small proportion of the respondents are compliant with the low-salt diet, 14% (7 respondents). Based on the results of this study, more in-depth interventions are still needed, especially to increase adherence to a low-salt diet in elderly hypertensio

    The Relationship between Anxiety Levels and Blood Sugar Levels in the Elderly

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    The increasing age, the more problems faced both physically and mentally such as loneliness, anxiety and depression. The prevalence of anxiety in the elderly is increasing. The increased release of the hormones cortisol and epinephrine in someone who is experiencing anxiety can affect an increase in gluconeogenesis and glycogenolysis which results in an increase in blood sugar levels. This study was to analyze the relationship between anxiety levels and blood sugar levels in the elderly. The research design uses a cross sectional approach. The sample for this research was 87 respondents who were taken by purposive sampling from 111 elderly people.  The results of the Pearson correlations test showed that there was a relationship between anxiety and blood sugar levels in the elderly with a p value = 0.000 (<0.05). Therefore, the elderly can control their anxiety to reduce the risk of increasing blood sugar levels which have an impact on the health of the elderl

    Reduction of JITANTI PTM Questionnaire: Principal Component Factor Analysis

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    69 questions in the JITANTI PTM application with the logo , can be employed to measure an individual's risk of suffering from non-communicable diseases. The 69 questions in the app can tire the user's eyes, as can the app user's comments. The objective of the study is to reduce questions in order to be more effective. The research design used was cross-sectional. The sample who volunteered to fill out the JITANTI PTM application were 324 people using simple random sampling. The inclusion criteria was people who were living in Blitar Raya, at risk of suffering from non-communicable diseases, and frequently consuming fast food and drinks. Data collection was administered from April to June 2022. Data analysis was then performed to calculate validity using Pearson Product Moment, reliability by administering Cronbach's a, and factor loading employing principal component factor analysis. The software for calculations utilized SPSS. The validity test values obtained were between 0.234 – 0.708 which is greater than r table at a = 0.05 and degrees of freedom > 300 = 0.113, meaning the questions met the validity requirements. The reliability test scores obtained were between 0.783 – 0.907 which met the minimum reliability requirements of 0.7. Based on the Eigenvalue, which is more than 1.0, 19 new questions can be generated (7 for knowledge, 7 for attitude, and 5 for action). Reducing the number of questions in the JITANTI PTM application can reduce user visual fatigue and speed up charging time, thereby reducing the accommodation power of vision

    Complementary Therapy of Tui Na Massage Affected the Increase of Children’s Appetite

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    Nutritional status is an indicator in determining a children’s health status. Massage is one of the therapies complementary that many parents choose to avoid malnutrition. Touch therapy (massage) can have positive physical effects, including weight gain. Tui Na massage is a more specific massage technique to overcome feeding difficulties in toddlers by improving blood circulation in the spleen and digestion. The purpose of this study was to measure the extent to which Tui Na massage complementary therapy increased children's appetite.  This research used a literature review design.  The data used secondary data obtained from the results of research that had been carried out by previous researchers whose research journals had been published which were relevant to the topic, from 2015 to 2021, were accessed in full text by 16 journals according to the formulation of the problem and research objectives, and 6 the journal given the Tui Na massage. The results showed that there was an effect of Tui Na massage on weight gain. Tui Na Massage was effective in increasing a toddler's weight. There was an effect of massage on increasing the appetite of toddlers aged 1 year. Based on the results of the above study, the children’s appetite and weight after being given the Tui Na massage treatment, the average growth rate of weight gain increased and the appetite increased above the average of babies who did not get massage treatment

    Elderly Participation in Elderly POSYANDU in Relationship with Family Support

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    In 2020, there are an estimated 727 million elderly over worldwide. In Indonesia, according to the East Java Health Profile, it is stated that the coverage of the elderly who received health services in 2019 was 62.9% of the 5,221,188 elderly (East Java Provincial Health Office, 2020) which is very far from the minimum standard for elderly posyandu services, which is 80%. The purpose of this study was to see whether there was a relationship between the involvement of the elderly in the posyandu for the elderly with family support. The Elderly Posyandu is one of the services for the elderly which includes prevention, improvement, treatment, and healing activities. This study was conducted to see whether there is a relationship between the participation of the elderly in the posyandu for the elderly in relation to support from the family. This writing uses a systematic mapping review design. Using the keywords “Elderly†AND “Family Support†AND “Participation in Elderly Posyandu†OR “Family Support†AND “Elderly†AND “Health Servicesâ€. This writing uses a comparison technique. 10 articles were selected using CASP tools and JBI tools. Articles were taken from the Google Scholar database (1 journal), PubMed (2 journals), e-Journal (2 journals), Garuda (3 journals), and Researchgate (2 journals). There is a relationship between the actions of the elderly in attending the posyandu for the elderly with family support, which consists of instrumental assistance, information assistance, assessment assistance, and emotional assistance. From the results of the analysis, it has been found that there is a relationship between the participation of the elderly in the elderly posyandu in relation to family support. We hope that these findings can be used as a basis for analyzing plans to improve health for the elderl

    Literature Review: Fluid Therapy in Preventing Hypotension in Section Caesarean with Spinal Anesthesia

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    Background: Hypotension is a complication that often occurs in section Caesarea with spinal anesthesia. Severe hypotension poses serious risks to the mother (such as loss of consciousness) and the baby (such as oxygen deprivation and brain damage). So to prevent hypotension, it can be done by giving crystalloid or colloid fluid therapy after spinal anesthesia is carried out. Methods: Articles were searched using 3 databases (PubMed, Pro-Quest, and Google scholar) with a randomized controlled trial research method. The literature is limited between 2010 and 2019. Results: Seven articles with average results on administration of both preloaded and concomitant crystalline and colloidal fluids can reduce the incidence of hypotension, but for this technique Hypotension cannot be completely reduced and should be used with Vasopresor. Discussion and conclusion: The incidence of hypotension after spinal anesthesia should be treated immediately to prevent injury to the kidneys, heart, and brain by giving oxygen and increasing the rate of infusion (colored) of 100 ml of colloid or crystalloid fluid within the first 5 minutes or less for improving blood pressure. If blood pressure is still low after fluids are given, a vasoconstrictor such as ephedrine 5-10 mg can be gradually given

    Factors Affecting Mother's Behavior on The Compliance of Antenatal Care Visits

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    Antenatal care is very important in ensuring that both the mother and the fetus will survive during pregnancy and during delivery. ANC service is a planned program in the form of observation, education, and medical treatment for pregnant women. The purpose of the research was to determine the factors that influence the mother's behavior on the compliance of Antenatal Care Visits at the Anggrek and Mawar Posyandu, Tlogomas Village, Malang City. The research design used analytic observation. The population of this research was all pregnant women in Posyandu Anggrek and Mawar, Tlogomas Village, Malang City as many as 17 people. The sample was 17 respondents taken by total sampling technique. The data collection technique used an instrument in the form of a questionnaire. The data analysis method used the Chi Square test (p value <0.05). The results showed that most of the respondents (64.7%) had sufficient knowledge, most of the respondents (70.6%) had the attitude of the sufficient category, and most of the respondents (52.9%) had the husband's support in the sufficient category and most of the respondents (64.7%) had the level of compliance of visits in the right category. The results of the chi square test showed that there was a correlation between knowledge, attitudes and husband's support factors on the compliance of Antenatal Care Visits at the Anggrek and Mawar Posyandu, Tlogomas Village, Malang City. Further researchers are expected to conduct similar research by exploring other factors that can affect the compliance of ANC visits such as economic factors, distance from health facilities and this research is carried out by visiting respondents one by one so that it is less effective

    The Correlation of High-Risk Age on Women of Reproductive Age and Post Partum Bleeding Case

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    During the post partum there are physiological changes such as uterine involution and lochia expenditure. Excess lochea discharge to more than 500 cc after delivery is called postpartum hemorrhage. The purpose of this study was to analyze the correlation of high-risk age and the incidence of postpartum hemorrhage in the maternity room of Syuhada Haji Hospital, Blitar City. The type of the study was analytic with a cross sectional approach. The population was all postpartum mothers who gave birth in the maternity room of Syuhada Haji Hospital, Blitar City on January – December 2018. The poplation was 672 respondents and the sample was 97. The sample was taken systematically by random sampling. The measuring instrument used documentation guidelines. The study was carried out by Chi-Square test. It was obtained that X2 count (0.00) was less than á (0.05), then H0 was rejected and H1 was accepted. In conclusion there was a correlation between highrisk age and postpartum hemorrhage incidence. It is expected that the research area will pay more attention in the handling and care of pregnant women of reproductive age so that at the age that is slightly at risk for the occurrence of postpartum hemorrhage, they will not experience postpartum hemorrhage. And women of high-risk age should be able to give birth at hospital in order to reduce complications

    Relationship Between Early Mobilization and The Wound Healing Process of Post Sectio Caesaria in The Maternity Room of RSUD Kabupaten Kediri

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    Sectio caesarea is an artificial labor where the fetus was born through an incision in the abdominal wall and the uterus’ wall on the condition of the uterus intact and fetal weight above 500 grams. Labor by Sectio caesarea  causes sores and pain. The presence of wounds and pain causes the mother to be lazy or afraid to mobilize. Early mobilization is a rehabilitative action that is carried out after the patient is awake from anesthesia and after surgery. This study aims to analyze the relationship between early post-sectio caesarea mobilization and the wound healing process of post operative sectio cesaria.  This study used a cross sectional method and the sample was collected as many as 40 respondents using simple random sampling technique. The research data was taken using a questionnaire and then analyzed using the contingency coefficient test. The results showed that almost all of them as many as 35 respondents (87.0%) did early mobilization. The wound healing process of Sectio Caesarea was almost entirely in the good category, namely 35 respondents (87.0%). Contingency coefficient test results obtained = 5%= 0.05, p<α Positive relationship, postpartum mothers often do early mobilization, the better the wound healing. C = 0.611 means a strong relationship level. From the results of these studies, it is necessary to increase the knowledge of post partum mothers about the factors that accelerate the wound healing process of post sectio Caesare

    The Correlation of Early Detection Results using Self Detection Application for Diabetes (SEDAB) with Haemoglobin A1C (HBA1C) Levels

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    The increasing cases of diabetes mellitus significantly from year to year increase the burden on society and the government, because it requires time, cost and technology in handling. This disease can be controlled if the symptoms are detected early. The purpose of this research was to determine the correlation between the results of early detection using self-detection application for diabetes (SEDAB) with hemoglobin A1C (HbA1C) levels. The research was carried out on June 2022. The research was a correlative research with a cross sectional approach. The population was the people of the Mojoroto Kediri village. The samples were taken with consideration of a minimum sample of 30 respondents with simple random sampling technique. The instrument used to assess the level of symptoms of diabetes mellitus was the SEDAB application. Diabetes Mellitus category was assessed through the observation sheet of laboratory examination results Hemoglobin A1C (HbA1C. The data analysis used the Spearman Rank test. The test results with the Spearman rank test showed a p-value of = 0.000. This meant that there was a correlation between the level of diabetes mellitus symptoms results detection with Self Detection Application for Diabetic (SEDAB) with diabetes mellitus level based on HBA1c examination results. It is important for health workers to expand the scope of early detection of diabetes mellitus by promoting independent early detection using an effective and efficient diabetes mellitus early detection instrument, namely the SEDAB application which easy to access and use

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    Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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