Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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The Effectiveness of Reflexology Massage to The Reduction of Blood Sugar Level of Elderly with Type 2 Diabetes Mellitus
Get PDFChronic hyperglycemia in clients with diabetes mellitus will cause long-term damage, namely dysfunction or failure of organs such as eyes, kidneys, nerves, heart and blood vessels. Therefore, reflexology on the soles of the feet is become one of the complementary therapies that has no side effects. The research design used pre-experimental approach with a one group pretest-posttest design. The data analysis was divided into two, namely univariate analysis by frequency distribution and bivariate analysis by paired sample t-test. The results showed that there was a difference in the points of before and after treatment as much as 36.15 points. There was an effect between reflexology treatment before and after as much as 0.0001 < 0.05. Reflexology could respond the hypothalamus, activated the Hypothalamus-Pituitary-Adrenal AXIS, and produced corticotropin releasing factor (CRF) hormone which stimulated the pancreas to increase insulin synthesis. One of the receptors on target cells, namely the glucose transporter (GLUT 4) which functioned to bring glucose into cells and accelerated the use of glucose which resulted in lower blood glucose levels. Reflexology can be done by oneself and has no side effects
The Correlation of Knowledge and the Attitudes of Class VII Teenage Girls in Readiness to Face Menarche
Get PDFMenstruation is one of the things that many girls or teenage girls fear. Those who are not aware of the occurrence of changes in the body and its reproductive processes, can suppose that menstruation is one of the diseases that occurs on her that affects physical and mental health. It happens to girls who are not given the knowledge and understanding of the correct menstruation, that menstruation is as a normal function. teenage girls who are not ready to face menarche will experience fear, anxiety, surprise, sadness, disappointment, shame, worry and confusion that will arise the desire to reject the physiological process. Adolescence feels that menstruation as something cruel and threatening, this can also continue in a more negative direction. Teenage girls who are ready to face menarche, will feel happy and proud, because they consider themselves biologically mature. Analytical observational research with cross sectional design. The subjects in this study were teenage girls in grade VII of SMPN 1 Gampeng Rejo Kediri who were aged 12-14 years and were willing to become respondents, who had not or who had menstruated and wanted to fill out the questionnaires included in the inclusion questionnaire totaling 40 people. Most of the 29 respondents (72.5%) had an attitude of accepting criteria to face menarche, namely 2 respondents (5%) with criteria not ready to face menarche, 16 respondents (40%) with criteria of being sufficiently prepared and 11 respondents (27.5%) with ready criteria. The results of the correlation test showed there is a significant relationship between the Menarche Knowledge and Attitudes of Class VII Teenage Girls in Menarche Readiness. D gets a value of Ïvalue = 0.000 < α 0.05
Positive correlation of Hypertension and Cognitive Function of Elderly
Get PDFBiological changes in the elderly are one of the triggers for the emergence of hypertension which can cause changes in cognitive function. The purpose was to analyze the correlation between hypertension and cognitive function in the elderly. The design was correlation descriptive research design with the cross-sectional approach. The sampling technique was purposive sampling, the number of samples of respondents was 56 people. The research was conducted at Integrated Healthcare Center Elderly, Malang City. The instrument used to while the cognitive function in the elderly uses the MMSE. Analysis used the Spearman rank test with an alpha value of 0.05 (95% CI). The results showed that there was a significant correlation between hypertension and cognitive function in the elderly (r=0.532 and p=0.000). The direction of the correlation is positive, meaning that the more severe hypertension suffered by the elderly, the more severe they will tend to experience more severe cognitive function impairments. Based on the results of this study, it is recommended for people with hypertension do blood pressure screening and undergo hypertension treatment regularly. This is very important so that prevention and treatment can be carried out earlier to prevent more severe cognitive impairment
Lecturing Method and Video Learning Media Effectively Increases Knowledge and Motivation on Health Education
Get PDFThe selection of health education media should be based on target tastes, broad impact, and presented in an attractive manner. Health Education on Breast Self-Examination (BSE) is generally still carried out using the conventional method, namely face-to-face (FF). This study aimed to determine the effect of health education on BSE using the Lecture Plus Animation Video Demonstration (VBL) on the knowledge and motivation of Vocational High School students. There were 80 respondents who were divided into 2 groups, 40 students in the control group with health education provided with direct FF, and the rest with VBL. The level of knowledge and motivation were obtained through a questionnaire and then the Wilcoxon signed-rank test was conducted to determine the effect of the intervention on each group, while Mann-Whitney to find out which group had better knowledge and motivation after receiving the intervention. The results showed that the Wilcoxon test in both the control and treatment groups showed p = 0.000 for the knowledge and motivation variables. Meanwhile, the Mann-Whitney test for the knowledge variable showed a p-value = 0.004 with a mean rank of 36.00 for the control group and 45.00 for the treatment group. In the motivational variable, the value of p = 0.003, and the mean rank of 46.13 in the treatment group. This meant that health education with FF methods or through VBL could increase students' knowledge and motivation, but VBL had a greater influence on increasing respondents' knowledge and motivation in doing BSE
The Correlation of Long Term Hemodialysis and Inter Dyalisis Weight Gain (IDWG) in CKD Patients
Get PDFCKD patients have kidney damage and their function is replaced using hemodialysis. An indicator of the success of hemodialysis patients in managing fluids is control weight gain, known as Interdialytic Weight Gain (IDWG). The purpose of this study was to determine the correlation of long term hemodialysis and Inter Dyalisis Weight Gain (IDWG) in CKD Patients. Correlation analytic research design with a cross-sectional approach. The population in this study were all patients undergoing hemodialysis at RSU Dr. Soeroto Ngawi. Sampling technique consecutive sampling. The sample in this study amounted to 42 people. The research instrument used an observation sheet. Data analysis using Spearman Rho test. The results showed that most of the respondents underwent hemodialysis < 12 months, namely 26 people (62%), for hemodialysis 3-4 hours, 42 respondents (100%), and most of the respondents experienced IDWG which could not be tolerated, namely 30 people (71.5%). The results of the Spearman Rho test showed that p-value = 0.000 so that H1 was accepted, meaning that there was a correlation between the length of time undergoing hemodialysis and duration of HD with Interdyalitic Weight Gain (IDWG) at Dr. Soeroto Ngawi General Hospital, meaning that the longer you undergo hemodialysis, the lower the IDWG value or the more tolerated the IDWG value. It is expected that patient seek as much information as possible from health workers, especially regarding fluid restriction diets and related to increasing IDWG so that fluid intake is more controlled, trying to control food and drinks so that fluid intake is maintained and IDWG can be tolerated
The Relation of Sleep Quality in Pregnant Mothers with The Incidence of Preeclampsia
Get PDFThe main focus in pathogenesis of disease is the state of wakefulness with little attention regarding the state of sleep. Whereas, sleep is active condition where metabolism, memory consolidation, tissue restoration and homeostatic balance are maintained. Bad sleep quality had impact on human health, especially caused some complications in pregnancy. This study was aimed to know the relation of sleep quality in pregnant mother with the incidence of preeclampsia in Gambiran Hospital Kediri. Analytical survey method with cross sectional study was performed on 30 respondents who complied inclusion and exclusion criteria. The Pittsburgh Sleep Quality Index (PSQI) was used in determined sleep quality. The result of Chi Square test with α = 0.05 and df = 1 was clarified that the score of χ2count (8.56) > χ2table (3.841) which meant H0 was rejected and Ha was accepted. Based on the result, there was relation of sleep quality in pregnant mothers with the incidence of preeclampsia in Gambiran Hospital Kediri
Multilevel Analysis of Determinants of Stunting Incidence in Children Under 5 Years in Malaka Regency, East Nusa Tenggara
Get PDFStunting is still a global nutritional problem. Stunting is a picture of the occurrence of chronic nutritional problems. Stunting caused by multiple factors, especially if it occurs in the first 1000 days of birth. Malaka Regency is one of the regions in NTT that recorded an increase in the percentage of stunting, from the previous 25% to 30% with the number of children experiencing stunting in Malaka currently reaching 4,909 people. With this number, Malaka is in 11th place with stunting in NTT (Malaka District Health Office, 2020). The purpose of the study was to determine the determinants of stunting in children under five in Malaka Regency. Research design. This research is analytic observational. This research is an observational analytic. The approach is case control and using a multilevel model which is one of the analytical techniques to determine the relationship between various variables in health with the Stata-13 program. This research was conducted by simple random sampling. The sampling technique used in this study. The sampling technique used in this study was stratified random sampling. The method used at the first level was to randomly select 10 villages in the district of Malaka, the second level to randomly select 25 integrated health care (IHC). Eight research subjects will be taken from each integrated service post so that the sample studied is 200 research subjects. Data was collected using a questionnaire and height measurement using a microtoise measuring instrument. The results of this study indicate that the factors causing stunting are exclusive breastfeeding (55.5%), Basic Sanitation (61.5%), Parenting (67.5%), and early marriage (32.0%). The results of this study indicate that the causes of stunting based on these variables have a significant difference (p < 0.05). Recommendations for health workers conduct socialization and counseling about exclusive breastfeeding, the importance of hygiene practices in daily life including caring for children, maximizing the community-based total sanitation program and conducting socialization related to the influence of early marriage
Study of Local Plant as a Functional Food to Increase Breast Milk Supply
Get PDFExclusive breastfeeding for 6 months is one of the global strategies to improve infant growth, development, health and survival. One of the efforts that support the success of breastfeeding is by providing additional food in the form of local plants as functional food ingredients to increase breast milk supply and avoid less than optimal milk production. This research was conducted to explain the content of local plants as functional food ingredients that can help increasing breast milk supply. This literature study research used secondary data from the Google Scholar, Pubmed, Science Direct database with the last 5 years published, and then the journals obtained are identified according to the inclusion and exclusion criteria set by the researcher. The results of a review of 12 journals stated that local plants Moringa leaf, katuk leaf, mung beans, and soybeans as functional food ingredients that can increase breast milk supply because the four plants contain laktagogum effects that can stimulate, maintain and increase breast milk. Local plants Moringa leaf, katuk leaf, mung beans and soybeans as functional food ingredients to increase breast milk supply because they have a laktagogum effect which are consumed in varying doses and ways of consumption, but have the same efficacy, namely increasing the rate of secretion and production of breast milk
Factor Predictors of Prolonged Stress of University Students Taking Online Learning
Get PDFThe Covid-19 pandemic has caused changes all aspects of people's lives today, especially in the world of education which requires all elements of education to adapt and continue the rest of the semester with online learning. This condition caused prolonged stress, a condition where there is physical, emotional, and mental fatigue caused by excessive. This research was conducted on April 2021 with the aim of identifying predictors of prolonged stress of students taking online learning. The method used descriptive approach. The data analysis used factor analysis with KMO and Bartlett's Test methods. The population in this research were all students of nursing study program ITSK RS dr. Soepraoen Malang total 815. The sampling technique used accidental sampling with total sample of 279. The instrument used Maslach Burnout Inventory which distributed online by google forms. The results showed that almost all of the students who experienced mild to moderate prolonged stress were regular students with a total of 252 people (90.3%), low to moderate respondents were unmarried, organizational factors causing prolonged stress were institutional support, more than half of the respondents, 27 people (9,7 %) who felt adequate support from the institution experienced prolonged stress in the mild to moderate category. The dominant factor was student's status as a regular student or assignment or study permit with the significance value was 0.001 <0.05. It is recommended that students actively seek support systems from family and friends as well as educational institutions that are consistent in supporting student
Early Detection of Mental Disorders and Psychosocial Problems in Students Taking Online Learning during COVID-19 Pandemic
Get PDFThe online problems impact from online learning faced by students if not handled immediately will lead to the impact of mental disorders and psychosocial problems that are bigger and more serious. The aim of this study is to conducted early detection of mental disorders and psychosocial problems in nursing students who run online clinical practices during the COVID-19 pandemic at Tribhuwana Tunggadewi University, Malang. This research uses descriptive research with a cross-sectional study approach. That is, data between the independent and dependent variables collected at the same time. The population in this study were all students at Tribhuwana Tunggadewi University Malang, class of 2016, as many as 276 people. Sampling in this study is the total sampling technique is the overall sampling technique. This research used Chi square analytics to test the hypothesis. Result of this study shows that gender is significantly associated with psychological problems (p = 0.038), while gender has no relationship with the use of psychoactive use (p = 0.789), and PTSD (p = 0.551). It is concluded that mental disorders and psychosocial problems (i.e., psychological problem, psychoactive use, PTSD and unidentified psychologicaly) were prevalent among nursing students who run online clinical practice at Tribhuwana Tunggadewi. Students’ gender are associated with psychological problems, while has no associated with psychoactive use and PTSD. This study recommend that faculty authority, health professionals, and other professional related to mental health should play an important role for the prevention and earlier recognition of and intervention for psychosocial problems in nursing students who run online clinical practice during the COVID-19 pandemic