Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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The Effect of Soursop Leaf Extract in Reducing Pain in Gout Arthritis
Gout arthritis is a disease characterized by pain caused by deposits of monosodium crystals that accumulate in the joints due to high levels of uric acid in the blood. Currently, pain management treatment for gout arthritis patients focuses on pharmacological treatment by providing analgesics to relieve pain. Soursop leaf extract has been proven to have an effect in reducing pain, but there has been no research regarding the effect of boiled soursop leaves to reduce it. The aim of this study was to analyze the effect of giving soursop leaf decoction on reducing pain in gout arthritis patients. The research used a quasi-experimental design with a one group pre-posttest design. The sample selected by using purposive sampling technique, totaling 18 people. The independent variable was soursop leaf decoction. The dependent variable was the pain in gout arthritis. The data analysis used the Wilcoxon Signed Ranks Test statistical test. The compounds contained in soursop leaves function as a strong analgesic (pain reliever) and have antioxidant properties. The antioxidant properties contained in soursop leaves can reduce the formation of uric acid by inhibiting the production of the enzyme xanthine oxidase. This combination of analgesic and anti-inflammatory properties can reduce gout. This study found that there was an effect of giving soursop leaf decoction on reducing pain in gout arthritis patients
Stimulation, Detection, Early Intervention of Growth and Development: A Case Study of a Child with Speech Delay
Speech delay is a condition where a child's speech and language development are significantly below the milestones of other children at the same age. The delay in school aged children will impact the child's enrollment in school. The purpose of this study was to describe stimulation, detection, and intervention in children with speech delay. The research used a qualitative approach with a case study design. The research population consisted of 97 children with speech delay. The inclusion criteria were children aged 2-3 years old, willingness to participate as respondents and presence during the research. The exclusion criteria were children with hearing loss, autism, attention deficit hyperactivity disorder (ADHD) and chromosome abnormalities. The sample was chosen by using purposive sampling technique. The subject was a child aged 32 months old. The data was collected through interviews, observation, and documentation. Based on the results of the study, it can be concluded that the child is classified as a functional speech delay caused by lack of stimulation. The child was first identified by parents having speech problems at the age of 18 months. Intervention was done through speech therapy. It is recommended that parents can stimulate and monitor children's development especially at the age of 0-2 years to avoid developmental problems, especially speech dela
The Detection of Stunting Anomalies in Toddler by Computer Vision
The golden age is the most important period that all children go through. At this time, parents need to optimize their child's growth and development. The nutritional adequacy of toddlers must be monitored to detect abnormalities such as stunting, wasting, obesity and malnutrition. Stunting is a condition in young children where height or body length as measured by Z-score does not correspond to age. In today's digital era, healthcare generates large amounts of data every day. This data is in various forms, including text, numbers, and digital images or videos. Computer vision in health care is a field of artificial intelligence that allows computers to interpret and act on visual data, including monitoring the growth and development of toddlers. Computer vision can be used to analyze data on stunting status of toddlers. The aim of this research was to develop mobile media to be able to screen and monitor stunting in toddlers using computer vision. The type of the research was research and development methods where the function of using this method was for product validation and development, with the dependent indicator being stunting toddlers. The results of this research showed an accuracy of 90.5%. These results showed that the application of computer vision and artificial neural networks to predict stunting anomalies in toddlers could be used and showed good results. It is hoped that in the future this application can be used by the government, midwives and cadres to continuously monitor toddler stuntin
Motivation with Compliance of Health Protocol Implementation
The transmission of COVID-19 can be prevented by implementing health protocols. However, the community compliance rate is still low. The purpose of this study is to prove whether there is a relationship between motivation and adherence to health protocols. This study used a cross sectional design. The population in this study were students from Tribhuwana Tunggadewi University in Malang. A sample of 96 respondents was taken randomly from 6 faculties. Motivation and compliance were measured using a questionnaire. Data were analyzed using Pearson's test with =0.05. The results showed that the mean value of motivation was 30.09 (SD=5.772), the average value of compliance with the application of health protocols was 25.75 (SD=6.217) and there was a significant relationship between motivation and compliance with the application of health protocols (p=0.000; r=0.583). Strong motivation will have an impact on the high rate of adherence to the implementation of health protocols. So, it is important for students to improve and maintain their motivation in implementing health protocols correctl
Is Depression After Childbirth Correlated by The Number of Children in The Family?
The postpartum blues are frequently disregarded, which makes early diagnosis difficult. As a result, postpartum mothers are more likely to develop emotional disorders, which may affect their ability to be good mothers. The aim of this research was to find out whether there was a relationship between the number of children and the incidence of postpartum blues. With a cross sectional design, this research was analytical in nature. The sample of this research was parts of postpartum women with purposive sampling. at the Ernita Midwife Independent Practice based on the inclusion criteria, which had 35 respondents. The results of the examination of the connection between parity and postpartum depression showed a strong correlation between the two, with a p value of 0.002 (p = 0.05) for postpartum maternal parity. Families should consider the number of children, especially toddlers, while planning their next pregnancy, suggests the researche
The Application of Developmental Care by Providing Snuggle Up positioning in BBLR-Premature Infants
One of the main causes of death in neonates is low birth weight (LBW), which is the condition of babies with birth weight < 2500 grams from gestational age < 37 weeks. Problems that often occur in LBW are thermoregulation disorders, respiratory disorders, nutritional disorders and others. This case study was conducted to describe developmental care interventions on the comfort level of premature LBW infants. This study used a case study design with an evidence-based practice implementation approach that focuses on interventional nursing. The study was conducted in the NICU of RSU UMM on 24-26 October 2023. The participants in this study were Baby Mrs. P aged 0 years, 0 month, 0 days, male, with LBW-Premature. Measurement of comfort level using NIPS and Comfort-B Scale through physical examination and observation every 7 hours for 3 days. Patient observation showed that there was a decrease in pain level and an increase in the baby's comfort level every day. This could be seen from the NIPS score on the first day of treatment from 7 points (severe pain) to 0 points (no pain) on the third day, and the Comfort-B score from 25 points (moderate comfort) to 8 points (high comfort). The application of Snuggle up Position can effectively reduce the level of pain scale and increase the comfort scale in LBW-premature infants in the hospita
Conscious Techniques Affected the Adolescent’s Ability In Early Breast Cancer Detection
Breast cancer is a malignant tumor and grows in the breast tissue resulting in death. Breast cancer prevention by means of breast self-examination. This study aimed to determine the effect of video media on conscious techniques with a combination of demonstrations on the practical ability of adolescents in early detection of breast cancer. The method used a quasi-experimental design, non-equivalent control group design with a population of 279 and a sample of 40 respondents with inclusion criteria of young women, aged 16 years as students of SMA Negeri 1 Tarik Sidoarjo. The data collection measured skills in 2 groups of respondents. The experimental intervention group used videos and demonstrations, while the intervention control group used lectures and leaflets. The intervention was done in 1 day, the posttest was conducted 7 days after the intervention. The results showed that the average value of the pretest posttest of the two groups increased. The results of the statistical test paired T-Test obtained a significant value of p-value = (0.000 < 0.05) meant that there was an effect of providing video media with conscious techniques with a combination of demonstrations on the practical ability of adolescents in early detection of breast cancer. Educators should develop programs to improve skills for early detection of breast cancer, in collaboration with health workers through health promotion so that all students are aware of health
The Effectiveness of Pojok Cerita (Po'rita) Counseling in Maintaining Mental Health of Adolescent
Adolescent mental health including anxiety, depression, bipolar disorder, and psychosis is a serious public health challenge because it can affect fundamental aspects of human life. One effort that can be made to maintain mental health is through Counseling as an intervention to solve mental problems. This research aimed to see the effectiveness of Counseling Pojok Cerita (Po'rita) in maintaining the mental health of teenagers. The research used a pre and post-test research design with a population of class X and XI students. Before the Counseling session, mental health screening was conducted using the Self-Reporting Questionnaire (SRQ). Out of 93 respondents, 43 students exhibited symptoms of mental health problems. The sampling technique employed was purposive sampling, targeting only students with identified mental health issues. The data were analyzed using the Paired T-test. Before the Counseling, all 43 students (100%) showed symptoms of neurosis (psychological issues), 37 (86%) exhibited psychotic symptoms, and all 43 students (100%) displayed symptoms of Post-Traumatic Stress Disorder (PTSD). After the Counseling, 19 (44%) still showed symptoms of neurosis, 17 (39%) exhibited psychotic symptoms, and 18 (42%) continued to display PTSD symptoms. There was a significant reduction in the number of students experiencing mental health problems post-counseling, with a p-value of 0.00<0.05. The Pojok Cerita (Po'rita) Counseling program is effective in maintaining the mental health of teenagers at SMA Negeri 1 Kebomas. It is recommended that the Po'rita Counseling program collaborate with school Counseling services to provide therapeutic interventions for adolescent mental health issues
Dates Palm Increases Breast Milk Production of Breastfeeding Mothers
Breastfeeding is the ideal step in providing breast milk that is good for newborns and babies. Good support and effort can influence success in the breastfeeding process. Breast milk production is the key to breastfeeding and baby health. This study aimed to analyze the effectiveness of dates palm in increasing breast milk production of breastfeeding mothers. This study used secondary data, which was searched through the Google Scholar and Research Gate databases, to discuss the effect of dates palm on breastfeeding mothers for breast milk production. The study design of this research was a Systematic Literature Review. The research results showed 2 research articles that met the criteria which stated that there was an effect of dates on breastfeeding mothers to increase breast milk production. The researchers concluded that dates palm can be considered as an alternative to increase breast milk production in breastfeeding mothers. Dates palm are safe for consumption by breastfeeding mothers and pregnant women. This research is expected to be a form of meta-analysis by adding more similar articles to update the results of the effect of giving dates palm on breast milk production
Pregnant Women’s Complience in Preventing Mother to Child Transmission (PMTCT) Examination
HIV infection during pregnancy not only threatens the health and safety of the mother, but can also pose a threat to the fetus. This is because pregnant women with HIV infection have a high risk of mother to child transmission (MTCT) or vertical transmission from mother to baby. This research was a descriptive study which aimed to see the compliance of pregnant women in PMTCT examinations. The population in this study was all pregnant women in the Sutojayan Community Health Center working area who had not taken a PMTCT examination. The sample in this study was 20 pregnant women who had not taken a PMTCT examination at the Sutojayan Community Health Center. The sampling technique used Accidental sampling. Inclusion criteria in this study include (1) pregnant women who had not taken a PMTCT examination, (2) being able to read and write. The instrument in this study used a questionnaire sheet containing compliance statements related to the PMTCT examination developed by the researcher. The data analysis method was by using a frequency distribution. This study was carried out from 10 to 19 April 2023. The results of this study showed that the majority of respondents in the compliant category in the PMTCT examination were 14 respondents (70%) and the number of respondents in the non-compliant category in the PMTCT examination was 6 respondents (30%). PMTCT examination is very important for pregnant women to reduce the risk of HIV transmission from mother to child