Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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Expository Methods of Bundles HAP Affected the Implementation of HAP Prevention of Adult Inpatient Unit
Hospital-acquired pneumonia (HAP) incidents in private hospitals in Bandung reached 0.11 % -1.03 %. HAP affects the quality of hospital services related to patient safety. One of the methods used for socializing implementation of HAP prevention was the expository method means learning method that is directly implemented to maintain contact between the speaker and audience. The purpose of this study was to determine the effect of the expository method of education on HAP bundles on the implementation of HAP prevention in the adult inpatient units. The study was designed by pre-experimental design one group pretest-posttest. A total of 16 associate nurses were part of the research using the purposive sampling technique in the adult inpatient units. The variable in the study was the implementation of HAP prevention which was measured by using an observation sheet. Wilcoxon tests were used to compare the scores between pretest-posttest. The researched result was P-value 0.000 (P-value < α 0.05), meaning the expository method of education on HAP bundle affected the implementation of HAP prevention in the adult inpatient unit. Suggestions derived from this study are to advise the infection prevention and control committee to implement the expository method in socializing bundles to prevent infections categorized as HAIs to health workers and to perform a regular evaluation
Hematology Profile of Pregnant Women in Trimester III with Covid-19
Women pregnant classified as vulnerable groups because of changes in body physiology and immune response mechanisms in their bodies. SARS-CoV-2 infection in pregnancy stimulates an increase in the expression of proinflammatory cytokines, namely IL-6, IL-12, IL-1β, dan IFNγ which can damage lung organs. The purpose of this study was to look at the hematological profile of pregnant women with COVID-19, especially in the third trimester as an effort to detect the severity of the infection experienced by the mother. This study was a quantitative descriptive study with a retrospective design using secondary data from medical records. This study was carried out at dr. Soebandi Hospital Jember, medical record data were taken from January to December 2021. The subjects of study were pregnant women in the third trimester with COVID-19. The sampling technique   total sampling. Method of analysis in this study used a frequency distribution. Results of the study showed that 100% of pregnant women with COVID-19 had symptoms of cough, runny nose, fever  and shortness of breath. Results of the mother's hematological examination showed an increase in leukocytes (48%) and a decrease in lymphocytes (92%), most of the mothers had anemia (76%), there was a decrease in platelets (8%) and an increase in platelets (20%). In conclusion, they had the same symptoms as patients in general, including cough, runny nose, fever to shortness of breath, an increase in leukocytes and a decrease in lymphocytes, most of the mothers also experience anemia and changes to abnormal maternal platelets occur
The Correlation of the Open Dry Treatment to Umbilical Cord Separation Time on Newborns
According to East Java health profile (2019), the number of neonatal tetanus is 10 cases because of inappropriate treatment. Thus, bacteria enter the body and prolong the umbilical cord separation time. WHO (2010) and Ministry of Health Republic of Indonesia (2015) recommend umbilical cord care using an open dry method. This study attempts to identify the correlation of the open dry treatment to umbilical cord separation time according to literary results. Literature review was used to analyze the data from three online databases: PubMed, Google Scholar, and DOAJ using inclusion-exclusion criteria. The keywords were “Umbilical Dry Cord Care,â€â€œDay of Release of the Umbilical Cord,†“PerawatanTali Pusat Kering Terbuka,†and “Lama PelepasanTali Pusat.†The analysis method was compared and contrast. Based on 16 articles, the results showed three categories of umbilical cord separation time by using the open dry method. Four articles indicated the fast category (< 5 days), other ten as normal (5-7 days), and the other two the slow category (> 7 days). The accurate method for the umbilical cord care is open dry because the separation time is the fastest. However, further research using primary data is needed
The Correlation of Anxiety and Behavior of Preventing the Transmission of the Covid-19 Virus in Pregnant Women
Indonesia is being the COVID-19 pandemic, where the number of patient deaths has increased. Some reports mention side effects on the fetus in the form of preterm delivery, fetal distress but there is no evidence that COVID-19 infection can pass the transplacental route to the baby. The purpose of this study was to determine the correlation between the level of anxiety and the behavior of preventing transmission of the Covid-19 virus in pregnant women at the Jaya Kusuma Husada Clinic, Kepanjen Malang. This study used descriptive-analytic research with a cross-sectional study design. The population was pregnant women at the Jaya Kusuma Husada Clinic, Kepanjen on January 2021 with a sample of pregnant women using purposive sampling technique with a total of 53 pregnant women as respondents. The independent variable in this study was anxiety. The dependent variable in this study was the behavior of preventing the transmission of the Covid-19 virus. Data collection techniques using a questionnaire. The results of the Spearman Rank statistical test obtained a p-value of 0.090 (sig< 0.050), which meant that there was a negative correlation between the level of anxiety and the health behavior of pregnant women in the COVID-19 pandemic. The COVID-19 pandemic has caused increased anxiety among pregnant women. Anxiety about the risk of contracting COVID-19 encourages pregnant women to take steps to prevent transmission of COVID-19. Pregnant women and the public are expected to follow health protocols to prevent the transmission of COVID-19 for themselves, their families and the surrounding community
Literature Review: Factors Caused an Increase the Number of Early Marriage during the Covid-19 Pandemic
Early marriage is an issue that is quite hotly discussed at this time, especially during the COVID-19 pandemic. The reason is, during the COVID-19 pandemic, there was an increase in the number of early marriages which became a serious threat to women's health, dignity and autonomy. This study aimed to determine the factors that cause an increase in early marriage during the COVID-19 pandemic. The method a literature review was conducted using the Google Scholar, Pubmed, and Science Direct databases to search for national and international journals researching early phenomena during the COVID-19 pandemic. The results of a review of 6 journals showed that the factors that cause an increase in early marriage during the pandemic are caused by several factors, namely economic problems, free sex, lack of knowledge in children, low awareness and knowledge of parents about the impacts and risks arising from child marriage, both physically and mentally. , mental, social and psychological, cultural and because they believe that marriage is an escape from schoolwork, homework, and the stress and boredom of studying and staying at home during a pandemic.Conclusion: From the results of a journal review, it can be concluded that the COVID-19 pandemic has impacted many aspects of life and continues to be felt throughout the world. Including the increase in marriage during the COVID-19 pandemic. To prevent an increase in child marriage, namely the existence of social protection interventions related to social, economic and educational empowerment of adolescents, especially poor youth during the pandemic. and joint efforts are needed involving parents, victims, community leaders, faith-based organizations, governments, international agencies and stakeholders related to preventing early marriage, especially during a pandemic
Analysis of Anemia Incidence Determinants among Female Students at Islamic Boarding School Al Hidayah 2 Bangkalan
The incidence of anemia is common in adolescent girls. Anemia causes decreased learning achievement due to lack of concentration. This research aimed to analyze the determinant factors associated with the incidence of anemia in female students at Islamic Boarding School Al Hidayah 2 Bangkalan. The research was observational analytic, a cross sectional design. The population was female students at Islamic Boarding School Al Hidayah 2 and the sample size was 72 people. The independent variables include menstrual patterns, sleep patterns, consumption patterns of food sources of iron and nutritional status. The dependent variable was anemia status. Data collection on menstrual patterns and sleep patterns used a questionnaire, consumption patterns with the Food Frequency Questionnaire and anemia status by testing hemoglobin levels. Analysis of the data by Contingency Coefficient test. The results showed that 27.8% of subjects experienced menorrhagia, 54.2% had poor sleep patterns, 58.3% had good food consumption patterns, 25.0% had underweight nutritional status, and 13.9% subjects experienced anemia. Correlation tests showed that the menstrual pattern was significantly related to anemia status (p=0.048). Sleep pattern (p=0.776), food consumption pattern (p=0.908) and nutritional status (p=0.462) were not significantly correlated with the incidence of anemia. Menstrual pattern is the most influential factor of anemia incidence. The longer of menstrual period will cause the greater the chance of the subject experiencing anemia.Â
Gadget Use Duration and its Impact on Learning Motivation and Social Development of Children
Development in communication technology such as smartphones and the internet are able to easily solve all information needs. However, there are many misuses of the sophistication of these tools by many children. This study aimed to determine the impact of using gadgets on learning motivation and children's social development at Islamic Elementary School Yaabunayya Mojokerto. The design of the study used cross-sectional analysis. The population was all students at Islamic Elementary School Yaabunayya with a total of 146 children. The sampling technique used purposive sampling with the inclusion criteria of children in grades two to six who were willing to be researched with the consent of their parents. Samples that meet the inclusion criteria were 85 respondents. The instruments used were the Motivated Strategies for Learning Questionnaire (MSLQ) and Vineland Social Maturity Scale (VSMS). Data analysis used the Spearman Rho test. The results of the analysis found that there was a correlation between the duration of using gadgets and the social development of children with a Ï value (0.013). Children who don’t play with gadgets tend to look for playmates who can improve social development. The results of the study there is no correlation between the duration of gadget use and learning motivation in children with a Ï value (0.095). This is because children use gadgets to get lots of interesting lessons on the internet. For this reason, parents are expected to always accompany their children in using gadgets
E-Learing of Health Protocols Improving School-Age Children's Skills Facing Offline Learning
The surge in confirmed cases of Covid-19, especially in children aged 6-18 years, on March 3, 2021, showed 9.2% of children in Indonesia were exposed to Covid-19 virus. This makes the government advises the public to implement health protocols and have clean and healthy living behaviors, especially in terms of washing hands. This study aimed to analyze the effect of E-learning of Health Protocols on the Skills of School-Age Children Facing Offline Learning at Pelita Bangsa Elementary School, Surabaya. The design of the study used pre-experimental using one-group pre-test post-test design method. The population in this study was 59 students at Pelita Bangsa Elementary School in Surabaya. There were 59 school-age children met the inclusion criteria using the total sampling technique. The inclusion criteria in this study were children aged 7-12 years, children who came to school during data collection, and children who were willing to be examined. The instrument used a hand washing checklist sheet. The data analysis used Wilcoxon. Before being given E-Learning of Health Protocols the unskilled category in washing hands with soap with a total of 51 respondents (86.4%), there was a significant difference in hand washing skills between before health education with E-Learning Media and after health education with a significant value of 0.000 (p < 0.05). E-Learning of Health Protocols affects the skills of school-age children to face offline learning at Pelita Bangsa Elementary School Surabaya
Self-Care Behavior and Associated Factors in the Elderly with Hypertension
Hypertension is one of the main risk factors for life-threatening cardiovascular disease and is often called the silent killer The results of basic health research in 2018 suffered from hypertension were the most in the elderly aged 55 to 64 years (55.2%). Hypertension in the elderly is a chronic disease that requires disease care management including regular blood pressure control and self-care behavior programs to prevent further complications. This study aims to determine the factors related to self-care behavior in hypertensive elderly in the Integrated Health Care Center of elderly, Srikandi, Turi Sub District, Community Health Centers of Sukorejo, Sukorejo district, Blitar. The method used in this study was an analytical descriptive study with a cross-sectional approach conducted on 38 hypertensive elderly people. The study was conducted from January to February 2022. Analysis data using multiple linear regression analysis to ascertain the possible factors that influence self-care behavior. Based on this study, the Rank Spearman correlation test results, the factor that correlated with self-care behavior was level of education and time living with diagnosed hypertension with a Sig (2-tailed) value of 0.008; 0,000 with a correlation coefficient is positive, the value of 0.427; 0.605. so that the relationship between the two variables is unidirectional. This study recommends that community nurses must understand the factors that influence self-care behavior in hypertensive clients in the community so that they are able to provide appropriate nursing care
The Effect of Health Education on Mandiri Nutrition Management DM Patients at Tamangapa Puskesmas Kelurahan Tamangapa Kecamatan Manggala
Diabetes mellitus is a metabolic disease that can result in pancreatic beta cells unable to produce insulin effectively, resulting in a buildup of blood glucose levels Diabetes is the third largest cause of death in Indonesia with a percentage of 6.7%, after stroke (21.1%) and coronary heart disease (12.9%). One of the control efforts is health education which aims to increase the knowledge of DM patients about independent nutritional management of DM patients. This study aims to develop nursing science, namely information about the effect of health education on independent nutrition management of DM patients at Tamangapa Puskesmas, Tamangapa Village, Manggala District, Makassar City. This type of research used a quasi-experimental research design with a pre-post test design approach. The research has been conducted at the Tamangapa Puskesmas, Tamangapa Village, Manggala District, Makassar City. The population in this study were all patients with Diabetes Mellitus who were undergoing treatment on the day of the study. The samples in this study were 51 people and used total sampling. The results obtained are that there is an effect of health education on independent nutritional management of DM patients at Tamangapa Public Health Center, Tamangapa Village, Manggala District, Makassar City