Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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Gadget Use Correlated with Emotional Development in Preschool Children
Full text linkChildren who often use gadgets at home have a bad impact, children become unwilling to play outside the house and interact with others to behave aggressively. Nowadays, children's emotional development is a problem that is often conveyed by parents to teachers at school. This study aimed to examine the correlation between gadget use and the emotional development of preschool children at Tunas Jaya Kindergarten, Surabaya. This study used an observational analytic design with a cross-sectional approach. From the population of 59, 53 respondents were selected as the sample through a simple random sampling technique. The variables being studied were gadget use and emotional development in which data were collected using a gadget use questionnaire and ASQ: SE-2 questionnaire. Data processing was conducted by editing, scoring, coding, tabulating, processing, and cleaning. Moreover, the data were analyzed using the Spearman Rho Correlation Test in SPSS with a significance level of α = 0.05. The results revealed the high use of gadgets by the majority of the preschool children (96%), while 45.3% experienced emotional development categorized as "refer." The p-value = 0.000 indicated that there was a correlation between gadget use and emotional development in preschool children. This study concluded that there is a relationship between gadget use and the emotional development of preschool children. It is recommended that preschool children should not use gadgets more than 3 times a day and avoid using them daily. so as not to bring negative impacts on them
Surya Namaskar Yoga and Chamomile Essential Oil Aromatherapy on Hot Flashes and Insomnia in Perimenopausal Women
Full text linkAs women approach perimenopause, aging of the ovaries causes a decrease in estrogen production. The inability to maintain adequate estrogen levels, whether due to low production or other factors, can cause a variety of physical and psychological changes, including irregular periods, hot flashes, and insomnia. The purpose of this study was to find the effectiveness of Surya Namaskar Yoga and Chamomile Essential Oil Aromatherapy on Hot Flashes and Insomnia in Perimenopausal Women. This was a quasi-experimental study with a control group design. The sample size of this study used the Slovin formula to obtain 80 respondents. Bivariate data using the Kolmogorov Smirnov test, if the data is normally distributed then using the paired sample t-test, and to compare between the control group and the treatment group using the ANOVA test. The results for comparing the control and treatment groups obtained p = 0.031, which means that there was a significant difference in the post-test value of insomnia complaints between the control and treatment groups, and p 0.041 < α 0.05. P 0.007 < α 0.005, meaning there was a significant difference in the post-hot Flashes complaint value between the control and treatment groups. The combination of Suryanamaskar yoga and chamomile aromatherapy provides a synergistic effect in improving insomnia and hot Flashes. It is expected that yoga and chamomile aroma therapy can be used to perimenopausal women so that they can prevent the uncontrollable perimenopause syndrome.
Head-up Position did not Correlated with the Recovery Time of Lower Extremity Motor Function in Spinal Anesthesia Patiens
Full text linkPatients who are delayed in recovery after spinal anesthesia will be transferred to the post anesthesia care unit (PACU) which can lead to increased service costs and patient dissatisfaction. Lower extremity motor function recovery time after spinal anesthesia is the time it takes for patients to be able to move from the recovery room to the patient's original room. The purpose of this study was to determine the correlation of Head-up position to the recovery time of lower extremity motor function in spinal anesthesia patients in the recovery room. The design of the study was correlation with a “cross-sectional” approach. The population was post-spinal anesthesia patients in the recovery room who meet the criteria. The study used "purposive sampling" with 96 post-spinal anesthesia patients. The independent variable was the head-up position, while the dependent variable was the recovery time of lower extremity motor function. The analysis test used the Pearson correlation test. The results of the correlation test showed no correlation between head-up position and recovery time of lower extremity motor function in spinal anesthesia patients with p-value = 0.099 (>0.05). This was due to the longer the duration of surgery, the faster the effect of spinal anesthesia drugs will run out. It is recommended to apply the results of this study as a review of SOPs related to the intervention of giving a head-up position to post-spinal anesthesia patients in the recovery room
Relationship Between the Frequency of Eating Snack Food and Incidence of Stunting
Full text linkFailure to thrive among toddlers results in stunting. One of the contributing factors is not fulfilling nutritional needs. Toddlers prefer to eat snack food with low nutritional content and the sugar content makes children feel full, reducing the portion of food in the main meal schedule that contains balanced nutritional value. The purpose of this study was to determine the relationship between the frequency of consuming snack food and the incidence of stunting. The method in this study used observations with a cross-sectional design. The Population was 232 people, with a sample of 70 mothers of stunted toddlers selected through the Simple Random Sampling technique. The instrument in this study used a questionnaire and was analyzed with the Spearman Rank test with the results (ρ = 0,000 < 0.05) between the frequency of consuming snack food and the incidence of stunting. This study showed a relationship between the frequency of consuming snack food and the incidence of stunting toddlers who consume snack food too often will cause stunting in toddlers. Based on the results, it is recommended that snack foods be given two hours before main meals to help address this issue
Hemoglobin (Hb) Values Correlated with Fatigue in Patients Undergoing Hemodialysis
Full text linkKidney damage can reduce the production of erythropoietin, a hormone that stimulates the formation of red blood cells in the bone marrow. This leads to anemia due to a lack of red blood cells. One of the signs of anemia symptoms in chronic kidney disease that has undergone hemodialysis is fatigue. The type of the study was correlation analytic which aimed to analyze the correlation of hemoglobin values with fatigue in patients undergoing hemodialysis with a cross-sectional approach. The population in this study was all patients undergoing hemodialysis in the HD room of RSI Siti Hajar as many as 108 patients. A sample of 40 respondents was taken using a consecutive sampling technique for 4 days. The research instrument used the FAS (Fatigue Assessment Scale) questionnaire and laboratory examination results—data analysis using the Spearman rho correlation test. The results showed that p values of 0.031 < α 0.05 proved a correlation between hemoglobin values and fatigue levels in hemodialysis patients in the HD room of RSI Siti Hajar Sidoarjo. The correlation coefficient (r) of 0.341 indicated a positive correlation with a fairly strong and unidirectional level of correlation strength. The lower the hemoglobin level, the more fatigue patients tend to experience. Therefore it is very important to maintain Hb levels to prevent further decline and reduce fatigue as a result
Health Education Through Illustrated Storybooks Affected the Bullying Knowledge of Primary School Students
Full text linkBullying has become more prevalent not only among secondary school (SMP and SMA) students but also in primary school (SD) students. Children's physical and psychological development in primary school are the most crucial aspects. However, many primary school students face physical and psychological pressure in social interactions due to bullying. However, they are rarely reported even though they have a detrimental effect on both victims and perpetrators. Bullying is still considered normal in social interactions and is used as a joke and a way to demonstrate strength. One of the causes is primary school students’ lack of comprehension of bullying.This research aimed to determine primary school students' knowledge about bullying before and after receiving health education and analyze the impact of bullying themed illustrated storybooks on primary school students’ knowledge in Kupang to prevent bullying behaviors. The quasiexperimental approach pre-test and post-test with one group design. There were 200 primary school students involved in intervention. The Wilcoxon test results show that the average respondents’ knowledge improvement after being provided with health education about bullying using illustrated storybooks was 78.5%, with a p-value of 0.000. Therefore, it can be concluded that health education using illustrated storybook positively impacts primary school (SD) students’ bullying knowledge in Kupang. Collaboration between various parties, including parents, teachers, schools, and nurses, will continue to provide education about bullying for elementary school children as an effort to prevent bullying behavior in elementary school children
Exploring The Correlation between Motivation, Anxiety, Stress, and Hockey Athletes’ Confidence Before Competition
Full text linkConfidence is a key aspect of an athlete's performance, affecting motivation, performance, and stress management while competing. This study aimed to analyze the correlation between motivation, anxiety, and stress with the confidence of East Java hockey athletes before competition. The design of the study was cross-sectional. The population was 2024 PON hockey athletes aged 18-25 years totaling 60 athletes, namely 30 male athletes and 30 female athletes using the total sampling method. A quantitative descriptive research method was conducted with the DASS-42 questionnaire to measure anxiety and stress levels, as well as a questionnaire adopted for motivation and confidence. Of the 60 respondents, 73.3% of the athletes showed excellent motivation, while anxiety and stress ranged from normal to severe. Analysis using Spearman rank showed a significant correlation between motivation (p=0.001), anxiety (p=0.006), and stress (p=0.005) and self-confidence. Emphasize the importance of athletes' mental readiness in facing competition and the need for support and education regarding the management of psychological factors. Advice is given for coaches to strengthen mental support programs to increase athletes' confidence
The Moderating Role of Drinking Water Habit on the Effect of High- Purine Dietary Intake on Uric Acid Levels in Adults and the Elderly
Full text linkSerum uric acid levels are affected by dietary patterns and lifestyle factors. High-purine food consumption is a primary contributor to hyperuricemia, while hydration status may moderate this effect. This study aimed to examine the moderating role of drinking water habits on the relationship between high-purine dietary intake and serum uric acid levels among adults and the elderly. A cross-sectional design with purposive sampling was conducted, involving 87 respondents from Elderly Integrated Health Post (Posyandu Lansia). Data on purine-rich food intake and water-drinking habits were collected via structured questionnaires, and serum uric acid levels were measured using a point-of-care testing (POCT) device (Easy Touch GCU 3-in-1) with compatible test strips. Multiple logistic regression analysis assessed the interaction between purine intake and drinking water habits. Results revealed a significant association between high-purine dietary intake and elevated serum uric acid levels (p = 0.022). Participants who reported high-purine dietary habits along with insufficient water consumption demonstrated the highest prevalence of hyperuricemia (71.4%), whereas those with similar dietary patterns but adequate hydration showed a substantially lower prevalence (20.0%). A significant interaction effect (p = 0.040) indicated that sufficient water intake moderated the impact of a high-purine diet on uric acid levels. Adequate hydration thus plays a critical moderating role in reducing the adverse effects of a high-purine diet. Promoting sufficient water intake may serve as a simple and effective behavioral strategy to prevent hyperuricemia, particularly among individuals with high purine consumption
Cadres’ Knowledge of Integrated Primary Health Services (Posyandu ILP) and Their Skill in Implementing the Five-Table System
Full text linkThe importance of cadre roles is a key determinant in ensuring the smooth implementation of the Integrated Primary Service (ILP) Posyandu program. Cadres play essential roles and functions in Posyandu activities, one of which is carrying out the five-table system. However, in practice, the five-table system has not yet been implemented optimally. This condition may be influenced by several factors, including knowledge. The purpose of this study was to examine the relationship among cadres’ knowledge of integrated primary health services (Posyandu ILP) with their skill in implementing the five-table system. A cross-sectional study was the method applied. 55 cadres made up the study population, and a total sampling strategy was used to include all of them in the sample. Questionnaires were used as tools for testing knowledge and skill. The Spearman Rank statistical test produced a positive correlation value of 0.704 and a p-value of 0.000 (α < 0.05). This indicates a significant relationship between knowledge about ILP Posyandu and cadre skills in carrying out the five-table system. The correlation coefficient reflects a strong positive correlation, meaning that as the level of knowledge increases, the skill level also tends to improve. These findings suggest that regular and comprehensive training sessions should be provided to enhance cadres’ knowledge of ILP and their ability to perform the five Posyandu tables effectively
Medication and Lifestyle Modification Adherence to Blood Pressure Control Among Hypertensive Patients: A Cross-Sectional Study
Full text linkAdherence to medication is a crucial aspect in blood pressure control, which in turn leads to a reduction in the incidence of cardiovascular disease and medical costs. The aim of the study was to determine medication and lifestyle modifications adherence to blood pressure control among hypertensive patients in a public health center. The method of the study used a cross-sectional involving participants with primary hypertension at the Community Health Centre. One hundred respondents were recruited through consecutive sampling methods. Hypertensive patients aged 40 to 74 years who has been taking antihypertensive drugs for at least two months were approved, while hypertensive patients with cormobid and patients with communicative or behavioral impairments were excluded. The instruments used was the TAQPH, which consists of six factors: medication, diet, stimulus, weight control, physical exercise, and stress management. Blood pressure measurements were conducted using a mercury sphygmomanometer. The data was examined with the chi-squared statistical test. Twenty-five (75%) of the patients who demonstrated high levels of adherence had controlled blood pressure. In contrast, 24 (75.0%) patients with medium adherence and 29 (82.9%) patients with low adherence demonstrated uncontrolled blood pressure. A significant correlation was observed between the level of therapy adherence and blood pressure in hypertensive patients (p = 0.001). Patients with low to moderate levels of adherence have uncontrolled blood pressure, whereas those with high levels of adherence have controlled blood pressure