Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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The Effect of Touch and Talk Therapy on Reducing Anxiety in Hospitality Children
Full text linkHospitalization causes impacts on children such as the impact of separation, loss of control, and illness or pain. Children feel hopeless, protest, uncooperative, and depressed. Children who are sick and have to be hospitalized will have a difficult time because they cannot carry out their habits. The environment and unfamiliar people, care, and various procedures that children undergo are the main sources of stress, disappointment, and anxiety. If not treated immediately, the impact of hospitalization will affect psychosocial development, especially in children. The research aimed to determine the effect of touch and talk therapy on reducing anxiety in hospitalized children in the children's care room at RA Basoeni Regional Hospital, Mojokerto Regency. The design used Pre-Experimental with one Group Pre-Post Test approach. The population in this study were all children who were hospitalized in the children's care room at RA Basoeni Regional Hospital. The sampling technique used purposive sampling, obtaining a sample of 27 respondents. Data analysis used the Wilcoxon signed Ranks test. The instrument used the modified DASS-14 anxiety questionnaire. Touch and talk therapy influences the anxiety level of hospitalized children in the children's care room at RA Basoeni Regional Hospital, Mojokerto. Touch and talk therapy involves touching the child while providing motivation or telling stories to create a relaxed and comfortable condition. Children feel happy and there is a diversion of attention which makes them happy, thereby reducing anxiety in children undergoing hospitalization.
The Influence of Peer Group Education on The Quality of Life of Elderly with Hypertension
Full text linkHypertension is a prevalent issue commonly encountered among the aged population, which can significantly impact their overall quality of life. Peer Group Education might be considered as a viable approach to enhancing the overall well-being and quality of life among the aged population. Peer group education refers to the systematic dissemination of education and knowledge to cohorts of individuals who perceive themselves to share commonalities in terms of age, mindset, hobbies, or other relevant attributes with their peers. The objective of this study was to examine the impact of Peer Group Education on the quality of life among elderly individuals diagnosed with hypertension. The research employed a purposive sampling technique, targeting a population of 42 individuals residing in Palebon Duduksampeyan Village. The final sample size consisted of 38 participants. The independent factors were measured using a Standard Operating Procedure (SOP), whereas the dependent variable was assessed by a questionnaire on quality of life. Before peer group education, 36.8% of elderly individuals with hypertension reported a moderately bad quality of life; after peer group education, nearly 81.6% reported a reasonably excellent quality of life. These findings related to the impact of peer group education on the quality of life of elderly people with hypertension. The Wilcoxon ranks test was utilized to assess the impact of peer group education on the quality of life among senior individuals with hypertension. The resultant p-value was 0.008, with a significance level (α) of 0.05. The quality of life of older individuals residing in Palebon Village, Ponkesdes, is impacted by the presence of hypertension
Early Warning Scores as a Predictor of Mortality in Non Comorbid COVID-19 Patient
Full text linkThere are several non-comorbid COVID-19 patients lead to mortality, but the risk factors that affect it have not been widely discussed in research. Treatment of COVID-19 patients focuses more on patients with comorbidities. This study aimed to check the effectiveness of Early Warning Scores (EWS) assessment to predict the mortality of non-comorbid COVID-19 patients. The method of the study was a case study research with a retrospective approach using secondary data, namely the patient's medical record status. This study took medical record data from 262 patients confirmed positive for non-comorbid COVID-19 who were hospitalized at Ngudi Waluyo Wlingi Hospital from July to September 2021. The multivariate data analysis used multiple linear regression tests to simultaneously test the relationship of the independent variables (age, gender, and Early warning score) to the dependent variable (mortality). The statistical analysis result showed the correlation between gender, age, and assessment with mortality, each of which has a p-value of 0.000, meaning that each of these variables has a relationship with mortality. If a simultaneous test (F test) is carried out, the p-value is 0.000, meaning that gender, age, and EWS simultaneously affect mortality. The coefficient of determination or R square of 0.773 means that gender, age, and EWS simultaneously influence mortality by 77.3%. Early Warning Scores (EWS) assessment influenced the mortality of non-comorbid COVID-19 patients. The highest contribution affecting mortality was the EWS assessment. The contribution of influence on sex and age is relatively the same
Literature Review: Improving The Quality of Hospital Services through The Utilization of Electronic Nursing Documentation
Full text linkDocumentation of nursing care from assessment to evaluation in the patient's medical record is very important because it is legal evidence of a case, an important indicator of the quality of patient care, and a tool for assessing the quality of service as well as being an important element of clinical documentation and quality, effective medical services. Efforts that can be made to improve service quality are through changes in electronic-based documentation. The purpose of this literature review was to get an idea of whether electronic nursing documentation can be effective in improving the quality of service and the quality of nursing documentation in hospitals. The database search included Google Scholar getting 18 articles, ProQuest getting 78 articles, Pubmed getting 15 articles, National Library getting 7 articles. The keyword used in the article search was electronic nursing documentation and only 5 articles were used which were suitable through analysis of objectives, suitability of topics, research methods used, sample size, research ethics, results of each article, and limitations that occurred. There results were android-based documentation of nursing diagnoses and interventions was effective in improving the quality of documentation of nursing diagnoses and interventions and the quality of hospital services
Husband's Support Associated with Postpartum Family Planning Use
Full text linkPostpartum contraception prevents about 30% of maternal deaths and 10% of infant deaths within two years. As many as 62% of women who gave birth did not use contraception immediately after delivery. Therefore, this study aimed to analyze the correlation between maternal knowledge and husband's support for postpartum family planning use. This study was a cross-sectional study. The data was collected by interview and filling out questionnaires. The sample included mothers with no history of chronic and infectious diseases who were 42 days postpartum. Bivariate analysis was performed using chi-squared to evaluate the correlation between independent variables and dependent variables. A total of 42 women who gave birth were identified in this study, 21.4% were using postpartum family planning and 78.6% were not using postpartum family planning. Factors associated with postpartum family planning use were husband's support (p=0.038), while maternal knowledge was not associated with postpartum family planning use (p=0.480). Husband's support is associated with postpartum family planning use. Husband's support for family planning will have a significant impact on the family's decision to use a particular family planning tool or method
Education Level and Employment Status Correlated with Parenting Patterns in Pre-School Age Children
Full text linkParenting is the attitude of parents to their children seen from their correlation, giving rules to children, how to give attention and respond to children's desires. This is the initial education received by children in the family environment. This study aimed to analyze the correlation between the level of education and the employment status of parents with parenting patterns of preschool children. This research was a quantitative, correlation research. The population based on inclusion criteria was parents who had children aged 3-6 years, willing to become respondent, and presented at Dahlia Posyandu activities. The exclusion was parents who did not complete the questionnaire and did not biological parents who attended the activities. The respondent sample was taken using a purposive sampling technique of 34 people which was carried out on July 1 - July 31, 2023. The Instrument used Parental Authority Questionnaire (PAQ). The data analysis was carried out using the Spearman Correlation test. The results obtained there was a correlation between education level and employment status with parenting patterns. Parents are expected to be able to apply good parenting patterns, namely supporting children to become independent, getting used to having discussions with children in everyday life
Acupressure Reducing the Insomnia Disorders of Perimenopause
Full text linkThere are two therapeutic methods for treating insomnia in perimenopause, namely chemical and complementary treatment methods. One of the complementary therapies for reducing the problem of insomnia in perimenopause is acupressure. The design of the research used a pre-experimental with one group pretest-posttest. A pretest was conducted before the treatment of giving acupressure. The population was 32 perimenopause women registered at the Jatinom elderly posyandu in Kecamatan Kanigoro Kabupaten Blitar area. The researchers calculated the sample size using the Slovin formula at a 5% confidence level resulting in a sample size of 30 people. Purposive sampling was used as the sampling technique. The analysis was carried out to see the effect of acupressure massage therapy on insomnia in perimenopause women, using the paired sample t-test. The result of this research revealed that there was a significant difference in insomnia scores before and after acupressure treatment in reducing insomnia in perimenopause women. The treatment of Acupressure was effective in reducing the insomnia disorders of perimenopause. It is suggested that perimenopause women to apply this method to reduce their insomnia since it can be done independently
The Effect of Early Self-Detection of Diabetes Mellitus on the Healthy Behavior of DM Risk Groups Based on Health Belief Model (HBM)
Full text linkDiabetes mellitus is a health problem throughout the world, and its prevalence continues to increase every year. Diabetes mellitus is often not realized by diabetics because it does not produce typical symptoms in the early period. Diabetes is a non-communicable disease (NCD) because of 80% unhealthy behavior. The problem in this research is that the diabetes risk group cannot yet carry out independent early detection of diabetes; they are not aware of their health conditions related to the incidence of DM, so they have not made efforts to change behavior to prevent diabetes mellitus and reduce risk factors that can be changed. This research aimed to determine the effect of early self-detection of diabetes mellitus on the health behavior of DM risk groups based on the Health Belief Model (HBM). This quantitative research used a quasi-experiment design with a one-group pre-post-test approach. The sample was 100 respondents by purposive sampling. The data collection used questionnaires based on HBM. The research intervention was by teaching the use of the SEDAB application and educating on healthy behavior to prevent DM; the interval between intervention and post-test was 4 weeks. Analysis of research data uses the Wilcoxon Signed Rank Test. The research results show that the intervention has the effect of increasing perceived susceptibility (p-value=0.000), Perceived Severity (p-value=0.000), Perceived Barriers (p-value=0.000), Perceived Benefit Perceived (p-value=0.000), cues to action (p-value=0.017), Self-efficacy (p-value=0.000), and healthy behavior (p-value=0.000). Early detection of diabetes in diabetes risk groups is essential to prevent DM and improve healthier lifestyles
Knowledge, Attitude, and Practice Among Nurses Regarding Nutrition Management of Diabetes Mellitus Patients
Full text linkDiabetes mellitus is a chronic metabolic disorder that contributes significantly to the global health burden, with a rising prevalence globally. Understanding nurses' knowledge, attitudes, and practices (KAP) is crucial because knowledge provides essential insights into how diet affects blood glucose levels, a positive attitude encourages support for patient adherence, and efficient practices ensure the consistent application of dietary management strategies. This study aimed to assess the KAP among nurses about the nutritional management of Diabetes. This descriptive study involved 100 nurses working in medical and surgical wards of a hospital, with 99 respondents included in the analysis following the dropping out of one respondent. Data was collected using a structured questionnaire designed to evaluate the KAP of nurses concerning diabetes nutritional management. The study found disparities in the levels of knowledge among nurses: 14.1% demonstrated high knowledge, 49.5% demonstrated intermediate knowledge, and 36.4% demonstrated poor knowledge. Despite these variations, none demonstrated a bad attitude, a lousy 11.1% demonstrated an intermediate attitude, and the majority of nurses (88.9%) exhibited high attitudes towards Diabetes nutritional management. Additionally, 0% engaged in harmful practices, 4% demonstrated intermediate practices, and nearly all respondents (96%) reported engaging in good practices. These results underscore the need for targeted educational interventions to bridge knowledge gaps. Enhancing nurses' knowledge in Diabetes nutritional management is essential to improve the quality of care and health outcomes for patients with Diabetes
The Effect of Progressive Muscle Relaxation (PMR) on Stress Level of Diabetes Mellitus Patients
Full text linkDiabetes mellitus is a chronic condition that occurs when there is an increase in glucose levels in the blood because the body cannot produce enough insulin or use insulin effectively. In stressful conditions, it can increase the hormone adrenaline which can convert glycogen reserves in the liver into glucose and increase blood sugar in diabetes mellitus patients. The objective of this research was to prove the effect of Progressive Muscle Relaxation (PMR) on stress levels in Diabetes Mellitus patients. Research design pre-post test control group design. The experimental group was given treatment in the form of progressive muscle relaxation (PMR) while the control group received treatment as usual/conventional. The samples in this research were some DM patients at the Mentikan Community Health Center, Mojokerto City, totaling 35 respondents. The results of the pre-test and post-test in the treatment and control groups showed that there was a reduction in stress. It was found that there was a significant decrease in stress in both the treatment group, this was indicated by p=0.001 for the treatment group, while in the control group it was found to be p=0.303, so the decrease stress is not significant. After carrying out PMR, it is hoped that the client will be able to manage the body's condition in response to stress