Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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The Effect of Behavioral Therapy with Modeling Techniques on Changes in the Adherence of Diabetes Mellitus Patients
Get PDFDiabetes Mellitus (DM) is a disease whose prevalence is not infectious increases with changes in lifestyle. If not managed properly, it will cause various complications that reduce quality of life, increase morbidity and mortality, and harm the economy. The success of DM management is strongly influenced by the patient's adherence to medication and diet. One of the interventions to improve the adherence of DM sufferers is Behavior Therapy with modeling techniques. The purpose of this study was to analyze the effect of behavioral therapy with modeling techniques on changes in adherence of DM patients. The design of this study was quasy-experimental with pretest posttest and control group, on a sample of 40 DM patients with consecutive sampling technique. The intervention was carried out in 4 sessions for 2 weeks. The results of the statistical test paired sample t-test and independent sample t-test obtained p <0.5 (0.000), which meant that there was an effect of behavioral therapy with modeling techniques on changes in adherence DM patient. Changes in compliance that occurred between before and after the intervention was 16.95 points. Modeling technique is behavioral learning through observation of a model who has successfully controlled his illness to emphasize changes in mindset, beliefs, and commitment to a person's new positive behavior. Modeling has an impact not only on imitating, but also adding or subtracting the observed behavior, so that it can be applied to obtain new behavior, leave old negative behavior, and maintain the desired behavior
The Corelation of Compliance to Use PPE (Mask) and The Event of Respiratory Disorders in Workers in Bukit Kapur Jaddih, Parseh Village, Socah District, Bangkalan Regency
Get PDFThe process of limestone mining will resulted in limestone dust on the working environment. This can lead to inhalation of the limestone dust which can cause respiratory problems.The type of the research was analytic with Cross Sectional design. The population was all workers in Bukit Kapur Jaddih, Parseh Village, Socah District; 52 workers. The sample was 45 workers taken by simple random sampling technique. The independent variable was compliance to use mask protective equipment, while the dependent variable was respiratory disorders. The data was collected by questionnaires and observation physical observation.  The data was analyzed using Lambda test, with α= 0.05.The results of the research showed that workers who did not use PPE (masks) were 35 workers (77.8%), who experienced respiratory problems were  39 workers (86.7%), and 6 workers (13.3%) did not experience respiratory problems. The lambda test results p Value of 0.073>α (0.05) meant that H0 was accepted and H1 was rejected. The compliance to use personal protective equipment (masks) and the presence of respiratory problems showed no correlation. For this reason, workers must continue to use masks while working to protect themselves from the effects of occupational breathing (lime dust)
The Correlation of Self-Regulation Theory Constructs and the Incidence of Intradialytic Complications during Hemodialysis
Get PDFHemodialysis is currently applied as a routine treatment that is widely used by patients with chronic kidney failure, though complications still occur during dialysis. Self-regulation is a kind of theoretical model that represents the effect of perceived disease on behavior and health-related consequences. There is a process of problem representation, coping and appraisal or assessment of coping success involved in self-regulation. This study aimed to determine the correlation between self-regulation theory constructs and the incidence of intradialytic complications during hemodialysis. This was a descriptive analytic study with cross-sectional design. Consecutive sampling resulted in 42 respondents. Logistic regression results obtained disease representation variable with timeline (p=0.122; OR=0.412) and control (p=0.068; OR=0.582) sub-variables; as well as coping variable with Problem-focused (p=0.219; OR=0.912) and emotion-focused (p=0.036; OR=0.3) sub-variables. Intradialytic complications are complex conditions that involve many factors, but the patient's psychological adaptation process also deserves to be considered in developing self-regulation among hemodialysis patients. It is necessary to consider the provision of health education based on the constructs of this self-regulation theory, especially on variables/factors that have a correlation with the incidence of intradialytic complications in order to improve self-management among hemodialysis patients to get a better life
The Timeliness of Baby’s Basic Immunization in Pandemic Based on Mother's Knowledge about Covid-19
Get PDFThe Covid-19 pandemic situation has an impact on the implementation of health services which cause delays in immunization services in health facilities. National  data showed a decrease in the basic immunization from 55,2% in 2018 to 53,07% in 2019. Meanwhile, East Java basic immunization was from 67,02% in 2018 to 61,33% in 2019. The data obtained in Blitar districts showed the number of immunization was BCG of 99,27%, Polio of 95,57%, measles and MMR of 80,04% and hepatitis B of 98,04%. The purpose of this study was to determine the correlation between mother's knowledge about Covid-19 and the timeliness of basic immunization in infants in Tulungrejo Village, Gandusari District, Blitar Regency. The study used analytical observational method with cross sectional study approach. The independent variable was (mother's knowledge about Covid-19) and the dependent variable was the timeliness of basic infant immunization. The study was conducted on 28th August to 20thOctober 2020. in Tulungrejo Village, Gandusari District, Blitar Regency. Population of 87 mothers who have babies. The sample was 71 respondents taken by simple random sampling technique. The instrument used a questionnaire. The data analysis used the chi square test with a value of α 0.05. Results : The results showed that out of 71 respondents, there were 63 (88.7%) categories of good knowledge, the timeliness of the right immunization was 62 (87.3%). Meanwhile, 8 (11.3%) respondents with sufficient knowledge and 9 (12.7%) had inappropriate immunization accuracy. While the chi square statistical test obtained p value = 0.001 (α <0.05), and with closeness value og 0.371 or low category.It can be concluded that there was a correlation between the mother's knowledge of Covid-19 and the timeliness of basic immunization in infants in Tulungrejo Village, Gandusari District, Blitar Regency
Solus Per Aqua (SPA) Massage to Reduce Complaints During the Period Postpartum at Mombykids Village Sambong Dukuh District Jombang Regency Jombang
Get PDFThe mother's struggle after giving birth takes a long time. One of them is to restore a fresher and more relaxed body shape.Because it cannot be denied, after birth the body will feel weak because of the energy released.The muscles that feel are usually tense, especially for women who give birth normally.This condition is of course intolerable, special care is needed to restore the mother's body to recovery.Solus Per Aqua (SPA) postpartum is one way to restore body shape.Solus Per Aqua (SPA) massage can be useful to improve blood circulation and restore the body to be firmer and make the body more comfortable and relaxed.This study aims to determine the Solus Per Aqua (SPA) Massage in mothers can reduce complaints during postpartum.The type of this research is quasi-experimental using a pretest and posttest design by treating the research subject.The samples in this study were 20 mothers who came to Mombykids from day 2 to 14.The sampling technique used simple random sampling.The variables in this study were spa massage and complaints during postpartum.Data collection was carried out using checklist and questionnaire.Data processing was performed using the "Wilcoxon" statistical test with a significance level of 0.05.The results of this study showed that complaints of mothers before spa massaging experienced complaints during the postpartum period including postpartum pain 25 %, non-smooth milk production 60%, stress 15%, and almost 75% of mothers felt relaxed / comfortable after spa massaging.This study concluded that there is a significant effect of spa massage in reducing complaints during the postpartum period.For the next researchers, because of the limitations in conducting this research, the variables were studied in general,it is expected that next research can expand the research into the variables studied, for example those related to uterine involution, lactation, or postpartum exercise and there may be new findings that need to be reexamined
The Correlation of Family Support and Dietary Compliance of The Eldery With Hypertension at Sub-District Health Center Klurahan, Ngronggot District Nganjuk Regency
Get PDFIntroduction: Current lifestyle triggers an increase in the incidence of hypertension, especially diet. Hypertension sufferers are expexcted to obey the predetermined diet. Family support should be a reinforcing factor that can influence the patient decision to adopt a hypertension diet. The purpose of this study was to determine the correlation of Behavior of Family Support with Dietary Compliance of The Elderly With Hypertension at Sub-District Health Center Klurahan, Ngronggot District, Nganjuk Regency. Methods: Design of the study was a correlation with a cross sectional approach. This study was conducted on February 23-24 July 2020. The population of this study was all elderly patient with hypertension at Sub-District Health Center Klurahan as many as 38 patients. The sample was 32 respondents taken by purposive sampling technique. The independent variables was The Family Support. The dependent variables was dietary compliance of The Elderly With Hypertension. The Data Collecction used a questionnaire. The data analysis used the Spearman Rank with α = (0,05). Results: The results of the study showed almost half of them were 15 respondents (46, 2%) had good family support. Dietary compliance of the elderly most of the were respondents (51, 3%) Compliance to the hypertension diet. The test results obtained p-value = 0,000 ≤ α = (0,05) so Ha was accepted with r value was 0, 851 which meant had a very strong level of correlation. Conclusions: Family support is one of the important roles that can help improve care for people with hypertension, support make sufferers more motivated to a compliance hypertension diet
Difference in SWOT Analysis Factors : A Systematic Review
Get PDFIntroduction: SWOT analysis can be used to assess the position of an organization that has considered internal and external conditions. The objective of this systematic review is to find out the differences in SWOT analysis carried out by health service facilities outside Indonesia and the other country. Method: A systematic review used the PRISMA method. The search keywords used were strategic management, hospitals, health facilities, health services, and SWOT analysis obtained from Google Scholar, Science Direct, ProQuest, and PubMed. The articles analyzed were fully accessible and published in 2010-2020. Result: The main difference of analysis was that in Indonesia illustrates that the SWOT analysis was aimed at hospital organizations and few were oriented towards special services which has similar indicators on internal and external factors. Meanwhile, outside Indonesia, SWOT analysis was directed at specific health services so that it has different internal and external factors of indicator. Discussion: The difference analysis illustrates that the needs of an organization are different in strategic management development
The Effect of Left Lateral Position and Squatting Position on The Progress of The Active Phase of The First Stage of Labor Among Primigravida Women at Private Practice Midwife Istikomah, Amd. Keb, Sampung Subdistrict, Ponorogo District
Get PDFPrimigravida women mostly experience prolonged progress of labor due to the stiff birth canal. There are several positions of labor that may accelerate cervix dilatation process including squatting. This study aimed to determine the effect of left lateral position and squatting position on the progress of the active phase of the first stage of labor among primigravida women. This was a pre-experimental study with Pre test - post test approach. The population was all primigravida women in labor at Private Practive Midwife Istikomah, Amd.Keb., Sampung Subdistrict, Ponorogo District, taken with an accidental sampling technique which obtained 9 respondents. The independent variable was labour position, while the dependent variable was duration of the active phase of the first stage of labor. The data collection instrument used here was observation sheet. The results were analyzed using Paired sample T-test (α=0,05). The results showed that before the application of left lateral and squatting positions in VT 1, all 9 respondents (100%) had normal labour progress and after the application of left lateral and squatting positions in VT 2, most respondents (77.8%) had labour progress in short category. The analysis obtained a p-value=0.000<α=0.05. Thus, there was an effect of left lateral position and squatting position on the progress of the active phase of the first stage of labor among primigravida women. The combination of squatting and left lateral positions during labour seems to accelerate the progress of the active phase of the first stage of labor with minimal side effects
Occurrence of Nutritional Status Problems (Stunting) in Cities and Villages in Children in Kediri
Get PDFThe current trend of maternal and child health problems is stunting. Health development 2015-2019 is focused on decreased in maternal and infant mortality, a decreased in the prevalence of short toddler (Stunting). The purpose of the study was compared stunting in the cities and village to children in Kediri. The research method used a comparative observation with the population of children in the City of Bangsal Kediri and Dusun Bulakdawung, Parang Kediri Village, with a sample of 49 children. Sampling using Nutritional Status based on BB/U and TB/U. Data was collected by observing spring and microtoise scales. The analysis used is Mann-Whitney. Nutritional status based on BB/U nutritional problems in the city 13.8% and in the village 5%, nutritional problems TB/U (stunting) in the city 3.4% and in the village 10%. Comparison of nutritional status based on BB/U p = 0.34 and TB/U p = 0.362 there is not significant. The main factor in nutritional problems is that the nutrients consumed are not appropriate, both in quality and quantity.The community in Parang Banyakan Village, Kediri is a mountainous community, the dominant vegetable protein rather than animal. Secondary factors of insufficient nutrition are caused by disruptions in the utilization of nutrients. In Kediri City Ward, children's malnutrition problems are not always caused by inadequate nutritional intake, child health factors such as disorders in children that cause nutrition cannot be absorbed by the body, and children experience the frequency of recurrent infections, so the child's nutrition is not for growth and development but to fight infection
Gestation Period and Its Bio-Psychosocial and Economic Factors Analysis on Toddler Growth and Development
Get PDFThe growth and development of toddlers is influenced by hereditary and environmental factors. Genetic factors, biologically have strong influences on toddlers’ growth in their early years of life. While psychologically, a good interpersonal relation of pregnant women with their families will make them more ready to undergo the pregnancy and childbirth. On the other hand, socially, the level of parental education might affect the nutrition intake and parenting patterns. For the economic factor, the level of family income and their ability to provide sufficient nutrition input might affect the nutritional status during gestation. The nutrition input during pregnancy highly contributes to the fetus growth and development. A poor nutrition input during gestation might cause an Intrauterine Growth Retardation (IUGR) and growth and development disorder. This study aimed to analyze the bio-psychosocial and economic factors of gestation period on toddler growth and development. This is a correlational analytic study with 80 mothers and toddlers as the sample. The data was analysed using univariat, bivariate with Chi square and multivariate with logistic regression. The results show that the statistically significant independent variables which influence the growth and development of toddlers are the mother height (p = 0.001), LILA (p = 0.008), family income (p = 0.007), infant birth weight (p = 0.009) and family support (p = 0.013). While the statistically insignificant independent variable is the mother level of education (p = 0.086)