Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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Simulation of Interprofessional Collaboration on Self-Awareness of Diabetes Mellitus Patients
Full text linkDiabetes mellitus is a non-communicable disease that is included in the chronic disease category and is expected to increase, so a method is needed to carry out the control recommended by the Ministry of Health in the form of intelligent management of diabetes mellitus. The management given to people with diabetes is developed based on the theory of the Health Promotion Model and the form of Diabetes Self-Management Education (DSME) intervention. The aim was to analyze the simulation of interprofessional collaboration on self-awareness of diabetes mellitus patients. Quasi Experiment Pre-Post Test with Control Group Design for 4 weeks consisting of 8 sessions and each session + 30 minutes. The samples were taken using simple random sampling technique, namely type 2 diabetes mellitus as many as 58 respondents in each intervention and control group. The instrument used a diabetes mellitus self-awareness questionnaire with 51 statement items that had been tested for validity and reliability. The data analysis used a paired t-test. There was a significant difference in the self-awareness of people with type 2 diabetes before and after being given the Interprofessional Collaboration Simulation (IPC-S) which had a significant p-value of 0.001 <0.05. In the control group, there was no significant difference in the self-awareness of people with type 2 diabetes before and after being given Interprofessional Collaborative Simulation (IPC-S) with a significant p-value of 0.569 > 0.05. There was a difference in self-awareness in the intervention group because the method provided was complete which was adapted to the needs of the patient so far, to still be able to manage the disease so that blood sugar levels can be controlled. This activity directly has also made the respondents in the intervention group have more self-awareness, higher than the control group
The Profile of Hospitalized Patients with Low Birth Weight Infants at RSUP Dr. M. Djamil Padang in 2018-2020
Full text linkLow Birth Weight (LBW) infants is the highest cause of neonatal death in Indonesia. LBW deaths are related to the baby's outcome which worsens his condition. LBW is grouped based on birth weight into LBW (1500-2499 grams), VLBW (1000-1499 grams), ELBW (<1000 grams), and each group shows a different neonatal outcome. This study aims to look at the profile of the group of low birth weight babies who are hospitalized at RSUP Dr.M.Djamil Padang. This research was a descriptive study by collecting medical record data from January 2018-December 2020. The data collection used total sampling 181 patients which were obtained and analyzed univariately. The results showed that out of 181 babies, 39.8% LBW, 37% VLBW, and 23.2% ELBW were found. Preterm gestational age is mostly in LBW (38.5%). Appropriate for Gestational Age (AGA) condition were mostly in VLBW (43.2%). APGAR scores at the 5th minute were normal mostly in LBW (48.3%). The most common comorbidity in LBW was hyperbilirubinemia (44.2%), in VLBW it was respiratory distress syndrome (45.1%), and in ELBW it was asphyxia (57.7%). Most NICU care was for VLBW (41.9%). Maternal breast milk combined with formula milk is the most common for LBW (49.3%). Most of the length of stay was 8-28 days for LBW (53.3%). Discharge from the hospital with a doctor's permission was mostly found in LBW (57.1%). Low birth weight babies were dominated by preterm gestational age, born at AGA, normal 5th minute APGAR score, had comorbid hyperbilirubinemia, received NICU care, received breastfeeding nutrition, had length of stay for 8-28 days, and discharged from the hospital with a doctor's permission
Positive Affirmations Affected the Postpartum Blues Mental Health
Full text linkIndonesia is currently being hit by the Covid-19 virus, while the incidence of postpartum blues is increasing, one of the influencing factors is the decline in mental health and perceived social support. The objetive of the research was to prove the effect of positive affirmations on mental health, perceived social support for postpartum blues mothers. This was analytic research with true experimental method, with randomized controlled, pretest-posttest design with control group. The number of samples was 40 respondents; 20 intervention respondents and 20 control respondents. The intervention group was given positive affirmation videos for 10 minutes, 5 times every day. The data obtained from the questionnaire. The analysis used to assess the variables was a paired sample test. To assess the differences in the two groups using the Independent T-test. The result showed the improvement in mental health before the intervention was 28.3 this value included weight. After the intervention was given, it was 13.3 in the normal category. The increase in perceived social support, before the intervention was given, was 24.7 the value was included in the low category, after being given the intervention, it was 38.4 in the medium category. The p-value before and after the positive affirmation technique treatment has a p-value <0.05, so there is a difference after being given positive affirmations, namely increasing mental health and perceived social support. Giving positive affirmations can improve mental health and perceived social support in postpartum blues mothers
Depression, Anxiety, Stress Correlated with Suicide Idea on Students of The Faculty of Health
Full text linkThe occurrence of suicide in the world had never decreased, this started with the emergence of suicidal ideas, which originated from several mental and physical health disorders, but currently most of the younger generation, especially students, experiencing depression, anxiety, and stress which caused many students to choose to end their life due to various pressures during education. This research aimed to determine the correlation between depression, stress, anxiety, and suicide idea. This research was a study using a quantitative approach and a cross-sectional research design. The data collection used a questionnaire filling system involving 215 students from the Faculty of Health, University of Muhammadiyah Gresik, a significance value of 0.01 (p-value < 0.05) was obtained for each independent variable which was related to the dependent variable, this shown that depression, anxiety and stress were related to suicide idea. It could be concluded that depression, anxiety, and stress correlated with suicide idea at the Faculty of Health, University of Muhammadiyah Gresik. Psychological disorders that made students uncomfortable greatly influence the emergence of suicide idea. Thus, this needed to be resolved considering the correlation between depression, anxiety, stress, and suicide idea on students of the Faculty of Health, University of Muhammadiyah Gresik. Such as providing mental health care or counseling facilities that guarantee the safety or mental health of students with the aim of improving psychological health and minimizing the risk of suicidal ideation caused by depression, anxiety and stres
The Efforts of Stunting Prevention Through Increasing Maternal Knowledge: a Cross Sectional Study in Pemalang, Central Java
No full textStunting refers to a condition characterized by short or very short stature based on the length/height for age, below -2 Standard Deviation (SD) on the WHO growth curve. This condition typically appears from chronic malnutrition, which is often linked to low socioeconomic status, inadequate nutritional intake, maternal health issues, a pattern of recurrent illness, and inappropriate feeding practices during infancy and early childhood. Stunting becomes a serious health problem and requires immediate treatment. In this case, the Indonesian government has made several efforts to improve the reduction of stunting as stated in the 2018 national plan. The World Health Organization (WHO) estimates that 22,2% or 149,2 million children under 5 years old will be stunted by 2020. This research is quantitative type with a cross sectional approach. The independent variable in this study involved mothers' knowledge about stunting as well as being the population, while the dependent variable was the prevention efforts in toddlers. The sampling technique employed probability sampling, namely by stratified random sampling. Inclusion criteria in this study were: a) Mothers and children under five, who live in the RW 01 area of Banyumudal Village, Moga District, Pemalang Regency; b) Mothers who have children under five years old; c) Understand Indonesian; d) Physically and mentally healthy, and e) Willing to be a respondent. The results of the Chi Square test with an error degree of α = 0,05 obtained a p value = 0,001 < α = 0,05. It means that there is a correlation between maternal knowledge about stunting and efforts to prevent it in toddlers in RW 01 Banyumudal Village, Moga District, Pemalang Regency. Stunting will affect long-term brain development, which in turn affects cognitive ability and school performanc
The Evaluation of The Achievements of Universal Health Coverage Program in Health Facilities in Gresik District
Full text linkQuality and affordable health services are a government obligation that must be provided to every citizen. Universal Health Coverage (UHC) refers to a health care system that provides quality health care coverage and financial protection to all citizens. In implementing UHC there are various challenges that can hinder the achievement of UHC, especially in Gresik Regency. This research aimed to provide results on the achievement value of the UHC program in Gresik Regency. The type of the research was a mix method, namely a mixture of qualitative and quantitative types of research. The research was carried out at first-level government facilities, namely 32 Community Health Centers in Gresik Regency. The assessment of UHC data in this research was based on several indicators, namely membership, basic service coverage and UHC utilization. The research results showed (1) Total JKN membership meets the Great category (2) JKN membership was based on the membership segment of the majority of APBN Contribution Assistance Recipients (3) UHC basic service coverage was based on (a) Maternal & Child Health Dimensions, the majority was in the good category (b) The majority of Infectious Diseases Dimensions good category (c) The majority of Non-Communicable Diseases dimensions were in the poor category (d) The majority of the dimensions of Capacity & Access to Health Services were in the good categor
Workload and Coping Strategies Correlated with Burnout Syndrome in Operating Room Nurses
Full text linkOperating room nurses are at risk of burnout. They face many stressors, such as the workload that must be finished. Using coping strategies that are adaptive to the situation will allow nurses to cope with their stressors. This research aimed to determine the correlation between workload and coping strategies with burnout syndrome in operating room nurses. The method used correlational research with cross-sectional approach. The population in this study was operating room nurses at Karsa Husada Batu Hospital. The number of samples was 26 nurses based on the total sampling technique. The data was collected from the workload questionnaire, ways of coping questionnaire, and Maslach burnout inventory. The data was analyzed using Spearman rank correlation test. The univariate analysis results showed that most of the respondents had a light workload, 16 people (61.5%), the most of respondents used problem-focus coping, 17 people (65.4%), and most respondents experienced low burnout syndrome, 16 people (61.5%). The bivariate analysis showed that workload had a correlation with burnout syndrome (p = 0.000) and coping strategies had a correlation with burnout syndrome (p = 0.032). A light workload and the use of problem-focused coping will reduce work stress experienced by nurses so that the development of burnout does not occu
The Correlation of Parity and Premature Rupture of Amnius
Full text linkPremature Rupture of Membranes (PROM) is a condition where the amniotic membranes rupture before delivery. Under normal circumstances 8-10% of preterm pregnant women will experience PROM. One of the contributors to AKI is the incidence of infection where this infection is caused by PROM. Term pregnant women under normal circumstances 8 – 10% will experience PROM. Preterm PROM occurs in 1% of pregnancies. PROM is more common in multiparous and grand multiparas due to excessive uterine motility, reduced cervical flexibility. The aim of the research was to determine the correlation between parity and the incidence of premature rupture of membranes at UMMI Hospital, Bogor City in 2023. This research used a cross sectional correlation design with medical record data as the data source. The samples were all mothers who gave birth with premature rupture of membranes. The measurement results were analyzed using the Chi Square test. The Chi square statistical test shows a value of p = 0.018 (p < 0.05), so Ha is accepted or Ho is rejected. There was a correlation between parity and the incidence of premature rupture of membranes. Further research can elaborate the trigger variables occurrence of PROM. This data can be used as primary data to obtain more results complete, accurate and valid
The Analysis of Factors that Influence Stunting
Full text linkStunting in children is a national problem caused by many factors that harm human resources in the future, including an impact on decreasing intelligence, vulnerability to disease, hampering economic growth, work productivity, exacerbating inequality, and height growth is shorter than age in general. Stunting in children under five is a consequence of several factors that are often associated with poverty, including nutrition, health, sanitation, and the environment There are five main factors that cause stunting, namely poverty, social and cultural, increased exposure to infectious diseases, food insecurity and community access to health service. The purpose of this literature review was to analyze the factors that influence stunting. The article was obtained from a SINTA accredited journal published in the 2013-2023 period with the same title, as well as the same research design. The selected articles were then tested for plagiarism, and nine articles with the smallest plagiarism level were selected. Analysis PICO (Population, Intervention, Comparison, Outcome) is carried out on each article, followed by making conclusions. The results of the analysis determined that factors that influence stunting include social and cultural, increased exposure to infectious diseases, food insecurity and community access to health services alone or together. The author hopes that this research will further greatly help how to do health promotion, case finding and prevention, and, many sectors must be involved and work together for the problem of stunting
Menstrual Disorders of 3-Month Contraceptive Injection Acceptors in Independent Midwife Practice in Binangun District, Blitar Regency
Full text linkThe contraceptive injection method using medroxyprogesterone (a type of progestin) which is injected every 3 months has side effects, namely menstrual cycle disorders. The longer the injection is used, the more women do not menstruate and also experience irregular bleeding. This was a descriptive study that aimed to see the menstrual disorders of 3-month contraceptive injection acceptors at the Binangun Midwife Independent Practice, Blitar Regency. The population in this study were active contraceptive injection acceptors who visited the Binangun Midwife Independent Practice, Blitar Regency, with an average population of 87 people. The sample in this study was 3-month contraceptive injection acceptors who met the inclusion and exclusion criteria. The number of samples in this study was 66 people with a purposive sampling technique. The data analysis used frequency distribution to describe menstrual disorders experienced by 3-months Contraceptive Injection acceptors. The results of this study indicated that the menstrual disorders experienced by 3-months contraceptive injection acceptors were mostly amenorrhea, namely 53 people (80.3%). While bleeding outside of menstruation was 10 people (15.2%) and the rest, namely 3 people (4.5%) did not experience menstrual disorders. The 3-months contraceptive injection method has been proven effective in preventing pregnancy, the therapy needs to pay attention to the side effects caused so as not to interfere with the 3-months Contraceptive Injection acceptors