Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
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The Analysis of Factors Related to Anemia Levels in Adolescent Girls
Get PDFThe impact on teenagers, if they experience anemia, is that it disrupts their ability to learn, reduces their physical exercise ability and body fitness, reduces individual work capacity, reduces the body's immune function, and reduces the ability to regulate body temperature. This research aimed to analyze factors related to anemia in adolescent girls. The research method used quantitative with a cross-sectional approach. The population in the study were all 50 Adolescents who were checked for Hb in March and had moderate anemia. The sample was 44 respondents taken by purposive sampling technique. The instrument used a questionnaire to determine the length of the menstrual period, nutritional status, knowledge, and iron intake. The research used an ordinal distribution used an ordinal regression test. The research results showed that the variable length of menstruation was 0.879 with p=0.348 (> 0.05), the nutritional status variable was 0.231 with p=0.631 (>0.05), the knowledge level variable was 4.407 with p=0.021 (>0.05) and the nutritional intake variable was 11.575 with p=0.001 (<0.05). This meant that the level of knowledge and nutritional intake was related to the level of anemia. Meanwhile, the length of menstruation and nutritional status were not related to the level of anemia. For future researchers, it is expected to provide interventions related to knowledge including individual or group counseling as well as providing a healthy lunch menu program to increase iron intake in adolescents
Decreased Insulin and Interleukin-6 Levels in Rattus Norvegicus Model of Polycystic Ovary Syndrome-Insulin Resistance Treated with a High Protein Diet
Get PDFHypercaloric in women of childbearing age is one of the causes of polycystic ovary syndrome (PCOS) with insulin resistance. Increased inflammation (tumor factor necrosis-α (TNF-α) and interleukin-6 (IL-6)) is the impact of endocrine and metabolic disorders involved due to metabolic syndrome, obesity, and diabetes mellitus. This study aims to evaluate whether a high-protein diet can reduce insulin and interleukin-6 levels, which are key indicators of polycystic ovary syndrome, and whether these changes can help in the treatment of the syndrome. This study used a prepost test only control design, true experimental, with a total sample of 6 female Rattus norvegicus rats aged 2–3 years (150–200 g). It consists of 4 groups, namely the negative control group (K-), the positive control group (K+), the treatment group (P), and the group without treatment (P-). The study examined the rat blood serum ELISA measurement of insulin and IL-6 levels. Anova test results of IL-6 levels (p = 0.002). Post-hoc test results of group K- and group P (p = 0.002), group K + and group P (p = 0.037), group K- and group K + (p = 0.437). The Anova test results of insulin levels between groups found a significant difference (p = 0.001). Post-hoc test of insulin levels of group K- and group P (p = 0.002), group K- and group K+ (p = 0.000), and group K+ with group P (p = 0.356). In group K and group P, the results of the ANOVA and post hoc tests on IL-6 levels and insulin levels with the provision of a high-protein diet show significant differences. This study suggests that a high-protein diet may be an effective therapeutic alternative in reducing the symptoms of polycystic ovary syndrome, especially in controlling high insulin and interleukin-6 levels
Nurse Self-Management Experience as a Covid-19 Vaccinator
Get PDFChanges in work patterns during a pandemic will certainly impact changes in the work habits of nurses who must be able to adapt to any work situation in the field, especially for nurses vaccinated with the COVID-19 vaccine. More than 11 billion people in the world have received a dose of the Covid-19 vaccine. Data for receiving the Covid-19 vaccine in Indonesia is 208,265,720 people. Achievements in the implementation of Vaccination in Palangka Raya City reached 223,414 people with the first phase vaccine distribution of 264,173 people, the second phase amounted to 228,457 people, and the third phase vaccine reached 88,282 people. Amost 80% of nurses experienced mental health problems, namely stress during the COVID-19 pandemic. The increased workload can affect the physical and psychological health of nurses. Based on the analysis of the data, the nurse's self-management ability is needed to deal with any job demands or workload that is obtained while being a Covid-19 Vaccinator. This study aimed to explore self-management experiences among nurses as COVID-19 vaccine providers. The study used a qualitative research method with a phenomenological approach with in-depth interviews with 11 participants who served in five areas of the city of Palangka Raya and were selected based on purposive sampling inclusion criteria. The results of qualitative analysis of thematic data using the Colaizzi technique found seven themes, four of which were very relevant to self-management, namely: 1) Professional Attitude in Discrediting Tasks; 2) Coping Strategy; 3) Job Satisfaction and Altruism; 4) Teamwork Atmosphere; and three additional themes, namely: 5) Factors that cause work stress; 6) Workload of Nurses as Stressors; and 7) Holistic Response experienced by Vaccinatio
Tripod Position and Pursed Lip Breathing on Respiration Rate in COPD Patients
Get PDFMany people with COPD develop emphysema and chronic bronchitis. Both conditions cause obstruction of airflow in the respiratory system and cause an increase in the frequency of external respiration. One of the non-pharmacological management is tripod position and pursed lip breathing. This study aimed to determine the effect of giving a tripod position and pursed lip breathing on respiration rate in COPD patients. The design of this study used a one group pretest-post test design. The population in this study were all COPD patients at Bangil Hospital, Pasuruan in June 2021. The sampling technique of this study was consecutive sampling, the sample was obtained by 25 respondents. The instrument used observation and SOP. The results showed that the average respiration rate before giving the combination of tripod position and pursed lip breathing was 28.8x/minute, and the average value of respiration rate after giving the tripod position and pursed lip breathing was 23.2x/minute. Wilcoxon test results value = 0.000 on respiration rate before and after the combination of tripod position and pursed lip breathing, which means that tripod position and pursed lip breathing are proven to be effective on respiration rate in COPD patients. Tripod position and pursed lip breathing will loosen the chest cavity, provide positive pressure on the lungs so that air can go in and out more smoothly and reduce shortness of breat
Midwives’ Views Regarding Tuberculosis Screening amongst HIV/AIDS Positive Pregnant Women South Africa
Get PDFTuberculosis (TB) infections is classified as one of the non-pregnancy related infections (NPRI) which cause maternal mortality. Therefore, it was important for the researcher to explore the challenges faced by midwives regarding TB screening as it is the most leading complication in human immunodeficiency virus (HIV) infected pregnant women. To that effect, several strategies for TB screening during pregnancy have been introduced and implemented thus far. Screening of TB during antenatal care helps to enhance early detection, exclusion and treatment of the infection in pregnant women who are HIV positive. The study used qualitative descriptive research design. The population included all midwives aged 30 to 48 years, who were working at primary health (PHC) clinics in Kganya local area, Capricorn District, Limpopo Province in South Africa. Nonprobability purposive sampling technique was employed to select ten midwives. Data were collected through in-depth individual semi -structured interviews with ten midwives. Data analysis was accomplished, using the manual thematic analysis according to Tesch’s method of data analysis. Finally the main themes were extracted. Two themes emerged from the study, namely: Challenges regarding TB screening; Measures that can enhance TB screening. It is important that the department of health should pay attention to challenges faced by midwives to ensure adequate TB screening amongst HIV positive pregnant women. Capacitating both midwives and the community with knowledge regarding TB screening during pregnancy can be beneficial to the health of the pregnant women and their unborn babies
The Correlation of Length of Using IUD and Hemoglobin Levels in IUD Acceptors
Get PDFIUD is a device inserted into the uterus that is very effective and long term. Behind the success of IUD, there is a side effect that often occurs, called menorrhagia. Prolonged menorrhagia will cause a decrease in hemoglobin levels which can lead to anemia. The purpose of this study was to determine the correlation between the length of using intrauterine devices and hemoglobin levels in IUD acceptors at Keniten Village, Mojo District, Kediri Regency. This type of research was a quantitative research by using observational design with Cross-Sectional approach. The population in this study were 53 IUD acceptors by using Probability Sampling called Simple Random Sampling, which obtained 35 respondents. This research used questionnaires as the instrument to obtain general data, birth control participant card, and hemoglobin measurement tool with Easy Touch brand. There was a significant correlation between the length of using IUD and hemoglobin levels in IUD acceptors. So it can be concluded that the use of IUD for more than 5 years can potentially lead to a greater reduction of hemoglobin levels in IUD acceptors. This can be used as a source of reference for prospective IUD acceptors about side effects, prevention, and treatment if they experience side effects from IUDs
Contraception History and Nutritional Status Affected the Menopause Incidents on Women
Get PDFMenopause is a natural process that every woman will experience. Menopause is the end of a woman's reproductive period or the time her last menstrual cycle occurs. The active reproductive period is marked by the first menstruation or what is usually called menarche. The diagnosis of menopause is made after amenorrhea for at least one year. Cessation of menstruation may be preceded by a longer menstrual cycle with less bleeding. The type of research was analytical observational or analytical survey with a retrospective cohort approach. This research was conducted at the Bara-Baraya Community Health Center, Makassar City, South Sulawesi The samples in this study were women who had gone through menopause, were able to speak Indonesian, were not seriously ill (such as a stroke) and were not impaired by their sense of sight and hearing (such as blindness or deafness). This research used 47 respondents taken by purposive sampling technique. The data analysis used the multiple linear regression test. The results of this study showed there was an effect of contraceptive history and nutritional status on the incidence of menopause in women. Therefore, it is hoped that there will be a program for health workers around menopause for women
Increasing Knowledge of Family Empowerment and Welfare Mothers (PKK) about Herbal Medicine
Get PDFThe trend towards a more natural lifestyle encourages people to choose herbal medicines cause not to significant side effects and usually have more affordable prices through utilize traditional ingredients to maintain health. However, many housewives in rural areas do not understand that herbal plants are not only very useful for seasoning dishes, but these plants are also widely needed to cure various diseases. This study aimed to reveal the effect of health education about the use of herbal plants as family medicine on increasing the knowledge of Family Empowerment and Welfare Mothers (PKK) Mojorejo Village, Wates District, Blitar Regency. The research design used quasy-experimental with a one-group pre-test post-test design without control group. The population and sample in this study were mothers of Family Empowerment and Welfare (PKK) Mojorejo Village, Wates District, Blitar Regency totaling 28 respondent taken by total sampling. The data were analyzed by the Wilcoxon Signed Rank Test. The results showed that there was a difference in the average score of knowledge before and after being given health education, namely 20.21 and 28.14. There was a significant influence the provision of education on the knowledge and skills about the use of herbal plants as family medicine of Family Empowerment and Welfare Mothers (PKK) Mojorejo Village, Wates District, Blitar Regency
Positive Impact Of Health Education Through Video Media to the Improvevement of Adolescent Reproductive Health Knowledge
Get PDFReproductive health knowledge is a critical aspect of adolescents' overall well-being, and its effective promotion plays a pivotal role in ensuring their long-term health and decision-making. In recent years, the utilization of video-based health education has gained popularity as a means of delivering information to this demographic. However, it was imperative to investigate the extent to which this innovative approach truly influences adolescents' knowledge. This study employed a quasi-experimental two-group pretest-posttest design and involved a total of 34 respondents who were selected through a comprehensive total sampling technique. The primary objective was to evaluate the impact of video-based health education on adolescents' knowledge of reproductive health. Statistical analysis was conducted using the Mann-Whitney Test and the Wilcoxon Test, revealing a statistically significant improvement in reproductive health knowledge among the participants, as indicated by a p-value of 0.000, which was less than the significance level of 0.05. These findings emphasized the effectiveness of video-based health education as a powerful tool in enhancing adolescents' comprehension of reproductive health matters. It underscores the importance of integrating video-based education into comprehensive health promotion strategies targeted at adolescents, as it has the potential to significantly contribute to their overall health awareness and decision-making capabilities
Positif Correlation of Hormonal Contraception and The Occurrence of Leucorrhoea
Get PDFHormonal contraceptives contain estrogen and progesterone. Prolonged use causes a higher dose of the estrogen and progesterone hormones that can cause leucorrhoea or vaginal discharge. Analyzing and reviewing articles related to the relation between the use of hormonal contraceptive methods with the leucorrhoea occurrence. The literature review method used a systematic mapping study design. Literature sources were obtained from the Google Scholar, Pubmed, and Proquest databases with 6 years of publication. The literature collection strategy using PEOS was then selected to produce 10 articles that matched the research criteria. Of 10 articles that examined the type of hormonal family planning (KB) that were mostly used were 3 articles with injectable KB, 2 articles on pill KB, 2 articles on KB implants, and 3 articles that did not mention the type. There were 3 articles describe that both <1 year and >1 year duration of the usage can cause vaginal discharge. There were 7 articles with analytical tests, 4 articles (57%) stated that there was a relation between the use of hormonal contraceptive methods and the occurrence of vaginal discharge, while 3 articles (43%) stated that there was no relation between the use of hormonal contraceptive methods and the occurrence of vaginal discharge. There were 3 articles that did a descriptive analysis, it was found that contraceptive users who experienced vaginal discharge were more than 35%. The use of hormonal contraception can cause physiological vaginal discharge since the hormones progesterone and estrogen change the flora and pH of the vagina, besides that vaginal discharge occurs because personal hygiene is not correc