Journal of Telenursing (JOTING) https://journal.ipm2kpe.or.id/index.php/JOTING <p>Journal of Telenursing (JOTING) diterbitkan oleh Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE) sebagai media informasi dan komunikasi para praktisi, peneliti dan akademisi yang berkecimpung dan menaruh minat serta perhatian pada pengembangan ilmu keperawatan. Journal of Telenursing (JOTING) terbit dalam dua versi, yakni online/OJS (e-ISSN 2684-8988) dan cetak (p-ISSN 2684-8996)</p> Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE) en-US Journal of Telenursing (JOTING) 2684-8996 Hubungan Pengetahuan dengan Kepatuhan Berobat Pasien Tuberkulosis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8737 <p><em>This study aims to determine whether there is a relationship between knowledge about the side effects of tuberculosis drugs experienced by patients and compliance with treatment for tuberculosis patients. The method used in this research uses quantitative methods with a cross-sectional approach. The research results based on the Spearman Rank Correlation test obtained p-value = 0.000 &lt; 0.05. In conclusion, the results obtained from this study show a relationship between knowledge about the side effects of Anti-Tuberculosis Drugs (OAT) and compliance with treatment for tuberculosis patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Treatment Compliance, Knowledge, Tuberculosis</em></p> Okti Tri Saputri Fahrun Nur Rosyid ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-30 2024-01-30 6 1 1 9 10.31539/joting.v6i1.8737 Hubungan Motivasi dan Supervisi Dengan Pendokumentasian Keperawatan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8627 <p><strong><em>&nbsp;</em></strong></p> <p><em>This research aims to determine the relationship between motivation and supervision with nursing documentation at the Rimbo Bujang Inpatient Health Center, Tebo Regency. This research method was cross sectional involving 52 nurses who worked in the inpatient care at the Rimbo Bujang Community Health Center, Tebo Regency. The statistical test used is chi square. The research results showed that 55.8% of nurses had high motivation, 55.8% carried out good supervision, 51.9% of nurses carried out incomplete nursing documentation. The Chi-Square statistical test obtained a significant value of p = 0.001 &lt; 0.05, indicating that there was a relationship between motivation and nursing documentation. The supervision statistical test obtained a significant value of 0.000 (p &lt; 0.05). There was a relationship between supervision and nursing documentation. The conclusion of the research is that there is a relationship between motivation and nurse supervision in carrying out nursing documentation at the Inpatient Hospital of Rimbo Bujang Community Health Center, Tebo Regency</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Nursing Documentation, Motivation, Supervision</em></p> Mursidah Dewi Yellyanda Yellyanda Ernawati Ernawati Yan Haryanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-31 2024-01-31 6 1 10 18 10.31539/joting.v6i1.8627 Penerapan Latihan Sepeda Statis Intradialitik dalam Memperbaiki Gejala Kelelahan pada Pasien Hemodialisis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8286 <p><em>This study aims to implement an intradialytic stationary bicycle exercise intervention to improve fatigue symptoms in hemodialysis patients. The research method used is a literature review. Research results The research results showed that there were significant differences between the experimental group and the control group on fatigue subscales such as decreased motivation (P = 0.02) and mental fatigue (P = 0.046). Also, there were significant differences between the experimental and control groups in all fatigue subscales during the third month of intervention and 1 month after intervention. In addition, the results showed that exercise prevented the development of mental fatigue in the experimental group. In conclusion, exercise with a stationary bicycle prevented an increase in fatigue and its subscales, especially mental fatigue, in the test group</em><em>.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Hemodialysis, Fatigue, Stationary Bike</em></p> Dedeh Ernawati Diana Irawati Dewi Anggraeni Dewi Anggraeni Wati Jumaiyah Rika Mustika Abriyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-31 2024-01-31 6 1 19 26 10.31539/joting.v6i1.8286 Analisis Asuhan Keperawatan Pasien Leukemia dengan Pemberian Terapi Musik pada Masalah Keperawatan Nyeri Akut https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/7424 <p><em>This study aims to explain nursing care by providing music therapy for acute pain nursing problems in leukemia patients. The method used is to analyze the nursing care that has been provided, namely music therapy to treat pain in leukemia patients. The results of the study showed that there was a decrease in pain levels in leukemia patients before and after the music therapy intervention was given. The music the patient listens to helps the patient feel relaxed and calm, so that after listening to music he can calm himself down and forget for a moment the pain or pain the patient is experiencing. In conclusion, even though music does not affect the disease itself, this therapy makes patients forget about the condition and pain by focusing on breathing and the music they listen to, even if only for a moment.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Leukemia, Pain, Music Therapy</em></p> Kadek Andal Martadi Prianugraha Ni Made Dwi Yunica Astriani Putu Indah Sintya Dewi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-31 2024-01-31 6 1 27 33 10.31539/joting.v6i1.7424 Tingkat Pendidikan, Pendapatan, Dan Pola Asuh Orang Tua Terhadap Kejadian Stunting Pada Balita https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8418 <p><em>This research aims to identify the relationship between education, income, and parenting patterns with the incidence of stunting among toddlers in Sukamulya Village. The research method used is quantitative correlational and uses secondary data. The research results showed that the Chi-square test obtained a p-value (α = 0.05) on the stunting variable with the father's education of 0.831, the mother's education of 0.209, the parents' income of 0.011, and the parents' parenting style of 0.614. The conclusion is that there is a significant relationship between parental income and the incidence of stunting among toddlers in Sukamulya Village. At the same time, the level of the father's education, the mother's education, and parenting patterns do not have a significant relationship with the incidence of stunting.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Toddlers, Income, Education, Parenting Patterns, Stunting</em></p> Yasmin Salsabila Solihin Citra Windani Mambang Sari Iwan Shalahuddin Laili Rahayuwati Theresia Eriyani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-31 2024-01-31 6 1 34 42 10.31539/joting.v6i1.8418 Pengetahuan Ibu Mengenai Gizi Seimbang pada Pengukuran Antropometri (TB/U) Balita https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8387 <p><em>This study analyzes the relationship between maternal knowledge regarding balanced nutrition and anthropometric measurements (TB/U) in toddlers in Sukamulya Village. The method used is quantitative correlational. The study results showed that maternal knowledge regarding balanced nutrition and the incidence of stunting obtained a p-value of 0.889. In conclusion, there is no significant relationship between maternal knowledge about balanced nutrition and the incidence of stunting in Hamlet 3, Sukamulya Village, Bandung Regency.</em></p> <p><em>&nbsp;</em><em>Keywords: Anthropometrics, Balanced Nutrition, Knowledge, Stunting</em></p> Anita Purnama Theresia Eriyani Adelse Prima Mulya Laili Rahayuwati Ristina Mirwanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-31 2024-01-31 6 1 43 51 10.31539/joting.v6i1.8387 Mhealth terhadap Manajemen Diri dan Motivasi Pengobatan pada Pasien Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8821 <p><em>This research aims at hypertension management, which is very important to improve public health and reduce suffering from chronic diseases with the support of mobile health technology (mHealth). The research method used is a literature review through electronic databases and websites, namely Scopus, PubMed, Science Direct, and ProQuest. The research results show that from 11 research articles, there is primary education based on health care technology or mHealth in the form of voice calls, web-based, and applications that can provide access, assessment, assistance, awareness, ability, and activation where mechanisms are felt regarding the use of mHealth services in supporting their hypertension self-management. In conclusion, patients can monitor their health status and self-management progress in real time thanks to mHealth services, which in turn encourages more self-management as well as mHealth services also provide patients with access to health education and reminders to help with their Blood Pressure (BP) self-management.</em></p> <p><em>&nbsp;</em><em>Keywords: Hypertension, Self Management, Mhealth, Motivation, Public Health Services</em></p> Ach Maskur Ferry Efendi Dianis Wulan Sari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-01-31 2024-01-31 6 1 52 60 10.31539/joting.v6i1.8821 Sedentary Lifestyle Berhubungan dengan Status Gizi pada Remaja https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8883 <p><em>This study aims to determine the relationship between a sedentary lifestyle and nutritional status in adolescents at SMPIT Qordova. The method used is correlation analysis with a cross-sectional approach. The research results show that the p-value is 0.000 (p &lt; 0.05) with a correlation coefficient of 0.405, which means there is a relationship in the same direction with moderate strength. In conclusion, a significant relationship exists between sedentary lifestyle and nutritional status in adolescents at SMPIT Qordova.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Adolescents, Sedentary Lifestyle, Nutritional Status</em></p> Syifa Nurul Aulia Sukmawati Sukmawati Udin Rosidin ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-01 2024-02-01 6 1 61 69 10.31539/joting.v6i1.8883 Pelaksanaan Program Perencanaan Persalinan dan Pencegahan Komplikasi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8609 <p><em>This study aims to determine the implementation of birth planning and prevention of complications. The method used is adapting the Arksey and O'Malley framework with five stages, namely identifying research questions, relevant studies, selecting subjects, mapping data, compiling, summarizing and reporting the results in the PubMed, Science Direct, Wiley databases and the Google Scholar web search engine. The research results showed that there were 16 articles related to the implementation of P4K. In conclusion, most of the prevalence has shown good implementation of P4K.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Prevention of jumps, planning, childbirth</em></p> Novika Mangampe Asri Hidayat ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-01 2024-02-01 6 1 70 78 10.31539/joting.v6i1.8609 Sedentary Lifestyle dan Metabolic Syndrome sebagai Predictor Kejadian Sindrom Koroner Akut pada Dewasa Muda https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8549 <p><em>The aim of this study is to identify Sedentary Lifestyle and Metabolic Syndrome as predictors of the incidence of Acute Coronary Syndrome. The method used in this research was the PRISMA (Preferred Reporting Items for Systematic-Reviews and Meta-Analyses) search strategy. The databases used in the literature search were Clinical Key Nursing, ScienceDirect, Springer link, Proquest, EBSCOHost. The results of the study show that there are two groups of predictors in the literature search that cause Acute Coronary Syndrome in young adults. Conclusions based on the 7 articles analyzed in the study showed that Sedentary Lifestyle and Metabolic Syndrome were the main risk factors determining the incidence of Acute Coronary Syndrome in young adults. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Metabolic Syndrome, Predictor, Sedentary Lifestyle, Acute Coronary Syndrome</em></p> Ngakan Nyoman Rai Bawa Elly Nurachmah Muhamad Adam Riri Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-01 2024-02-01 6 1 79 87 10.31539/joting.v6i1.8549 Penerapan Teknik dan Balutan Luka Modern untuk Mempercepat Penyembuhan Luka Infeksi Daerah Operasi (IDO) Paska Persalinan Sectio Caesaria https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8480 <p><em>This study aims to provide an overview of the application of modern techniques and wound dressings to accelerate healing of surgical site infections (SSI) after caesarean section (SC) delivery. This descriptive case study method involved 2 patients who experienced surgical wound infections after SC delivery at the wound care clinic. Participants were given treatment for 4 weeks with 10-12 treatment visits. Planning with TIME management and using modern dressing. The results of the case study include procedures for washing the wound using irrigation techniques and gentle rubbing using 0.9% Nacl and non-toxic </em><em>gentle </em><em>antiseptic soap, followed by compression with polyhexamethyl biguanide (PHMB) solution. The procedure for removing dead tissue uses mechanical techniques using scissors, tweezers and gauze and is followed by autolysis</em><em> debridement</em><em> using zinc cream chitosan. The procedure provides a primary dressing in the form of silver alginate at the wound </em><em>undermining</em><em>, zinc cream chitosan and cadexomer iodine in the wound infection phase, and using zinc hyaluride acid cream in the wound proliferation phase with a secondary dressing of polyurethane foam and fixation with transparent film. Inflammation and infection in the wound area were controlled for 3 days, proliferation until the wound closed with epithelial tissue lasted for 4 weeks. Conclusion: the treatment techniques and wound dressing materials used in wound care can be adjusted to the condition of the wound and the patient's financial ability to prove effective in accelerating wound healing.</em></p> <p><em>&nbsp;</em></p> <p><em>Key Words: Modern Dressings, Surgical Site Infections, Cesarean Wounds, Surgical Wounds, Cesarean Delivery</em></p> Idramsyah Idramsyah Dahrizal Dahrizal Husni Husni ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-01 2024-02-01 6 1 88 95 10.31539/joting.v6i1.8480 Hubungan Kepemimpinan Klinis Perawat dengan Penerapan Budaya Patient Safety https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8358 <p><em>This study aims to analyze the relationship between the clinical leadership of nurses and the implementation of patient safety culture at the H. Sahudin Kutacane Regional Hospital. The method used is descriptive-analytical correlational research with a cross-sectional study approach. The results of the research show that the characteristics of the respondents at H. Sahudin Kutacane Regional Hospital, the majority of respondents were aged 30 - 39 years, the majority of respondents were female, almost all of the respondents had a D-III level of education in Nursing and the majority of respondents had 6 - 10 years of service. years and there is a significant relationship between clinical leadership of nurses and the implementation of patient safety culture with a p-value of 0.015. In conclusion, clinical leadership possessed by nurses is related to the implementation of patient safety culture in hospitals.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Culture, Clinical Leadership, Patient Safety.</em></p> Eliati Eliati Devi Susanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-01 2024-02-01 6 1 96 103 10.31539/joting.v6i1.8358 Hubungan Efek Samping Obat Anti Tuberkulosis & Penyakit Penyerta dengan Kualitas Hidup Pasien Tuberkulosis Paru https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8565 <p><em>This study aims to determine the relationship between side effects of anti-tuberculosis drugs (OAT), comorbidities and the quality of life of pulmonary tuberculosis patients. The research method used is quantitative with a correlative descriptive approach, data collection techniques using a cross sectional method. The results of this study showed that 53 respondents (69.7%) of pulmonary TB patients were very certain to experience side effects from Anti-Tuberculosis Drugs (OAT), 54 respondents (71.1%) of pulmonary TB patients had comorbidities and 54 respondents (71.1%) had pulmonary TB patients with Poor quality of life was 51 respondents (67.1%). In conclusion, there is a relationship between the side effects of Anti-Tuberculosis Drugs (OAT), comorbidities and the quality of life of pulmonary tuberculosis patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Side Effects of OAT, Quality of Life, Concomitant Diseases</em></p> Siti Nur Alfiyatin Nasichah Beti Kristinawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-01 2024-02-01 6 1 104 112 10.31539/joting.v6i1.8565 Hubungan Pemberian Asi Ekslusif dengan Tingkat Stunting pada Balita Usia 1-3 Tahun https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8575 <p><em>The aim of this research is to find out whether there is a relationship between exclusive breastfeeding and the level of stunting in toddlers aged 1-3 years. This research uses a quantitative cross-sectional correlation approach. The sample method in this study was simple random sampling of 93 respondents who had stunted toddlers aged 1-3 years from two sub-districts in the Surakarta area in 2023. The instruments used in this study were height measurements and a demographic questionnaire. The research results were analyzed using frequency and Spearman distribution statistical tests. The results showed that there was a relationship between exclusive breastfeeding and the level of stunting with a value of 0.015 (p=&lt;0.05). Conclusion: There is a relationship between exclusive breastfeeding and the level of stunting in toddlers aged 1-3 years.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Exclusive Breastfeeding, Toddlers, Stunting</em></p> Siti Arifah Arian Wirani Sudariyekti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-02 2024-02-02 6 1 113 120 10.31539/joting.v6i1.8575 Gambaran Sleep Hygiene pada Remaja https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8571 <p><em>This study aims to describe sleep hygiene in junior high school adolescents. The method used is descriptive quantitative with a cross-sectional approach. The results of the study showed that 76.2% of teenagers at SMP Negeri 2 Pamulihan, Sumedang Regency had moderate sleep hygiene, 20% had good sleep hygiene, and 3.8% had poor sleep hygiene. In conclusion, almost all adolescents have poor sleep hygiene.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Adolescents, Sleep Hygiene, Sleep</em></p> Rositianti Rositianti Mamat Lukman Henny Yulianita ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-02 2024-02-02 6 1 121 129 10.31539/joting.v6i1.8571 Hubungan Cultural Competency Tenaga Kesehatan dalam Layanan Homecare dengan Cultural Safety pada Masyarakat yang Berbeda Suku https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8604 <p><em>This research aims to analyze the relationship between the cultural competency of health workers in homecare services and cultural safety in communities of different ethnicities in Babussalam District, Southeast Aceh Regency. The method used is correlation analytical research with a cross-sectional approach. The research results show that there is a relationship between the cultural competency of health workers in homecare services and cultural safety in communities of different ethnicities with a p-value of 0.016. In conclusion, health workers who have good cultural competency can implement good cultural safety. Therefore, it is recommended that health facility managers support health workers by providing cultural competency training and cross-cultural communication skills as well as forming a representative team of health workers from various ethnic groups in the region.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Cultural Competency, Cultural safety, Homecare. </em></p> Yusnaini Yusnaini Dina Andriani Br. Karo Dini Qurrata Ayuni Mariza Elvira ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-02 2024-02-02 6 1 130 137 10.31539/joting.v6i1.8604 Risiko Obesitas Efek Pengobatan Hipertiroid pada Pasien Hipertiroid https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8405 <p><em>This study aims to determine the risk of obesity and the effects of hyperthyroid treatment in hyperthyroid patients.</em> <em>The research method used is a systematic review through electronic databases and websites, namely ScienceDirect, Pubmed and Wiley Online Library. The research results showed that of the 7 research articles, 4 articles reported that hyperthyroidism treatment had an effect on the body, one of which was weight gain due to the disease. This needs to be controlled so that you don't become obese. There are articles stating that there is a lack of information about treatment options and their long-term consequences so that patients have no mechanism to predict these potential effects, namely weight gain that will lead to obesity. In conclusion, hyperthyroid patients undergoing treatment need to be given information about the drug therapy they are undergoing in order to reduce/avoid unwanted side effects, namely obesity.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords:</em> <em>Hyperthyroid, </em><em>Medication, </em><em>Obesity, Obesity Risk</em><em>, </em><em>Thyroid Disease </em></p> Fajrinandetya Paramita Ika Yuni Widyawati Ika Nur Pratiwi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-02 2024-02-02 6 1 138 146 10.31539/joting.v6i1.8405 Gejala Primer Serangan Stroke pada Pasien Dengan Serang Pertama https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8378 <p><em>This study aims to identify stroke symptoms that often occur in first-attack stroke patients. Using observational method with secondary data from medical records of stroke patients. The results of the study showed that the symptoms of stroke that often occurred in first stroke stroke patients were experiencing sudden weakness in the movement of half of the body (hands and feet) as many as 89 people (96.08%). Then, the majority of stroke patients had a history of disease, namely hypertension, 88 people (86.3%). and The majority of stroke onset when patients arrived at the hospital in this study was more than 3.5 hours but still under 24 hours. 63 people (61.8%). The conclusion from this study can be seen that the majority of the main symptoms of a stroke are experiencing sudden weakness in the movement of one side of the body (hands and feet) with the onset of stroke when the patient arrives at the hospital in the majority more than 3.5 hours but still less than 24 hours.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Hypertension, Stroke, Stroke onset, Stroke symptoms</em></p> Rizki Nugraha Agung Wati Jumaiyah Iyar Siswandi Rinawati Rinawati Jum’atina Jum’atina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-02 2024-02-02 6 1 147 155 10.31539/joting.v6i1.8378 Perubahan Pengetahuan dan Sikap Remaja Setelah Diberi Promosi Kesehatan Mental https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8518 <p><em>The aim of this research is to determine differences in changes in knowledge and attitudes of adolescents after being given mental health promotion. This research method is pre-experimental design with one pre-test-posttest group. This research was conducted on students of SMAN 2 Sukoharjo who were given health promotion. The results of the research before being given health promotion were 91 people who had sufficient knowledge. After being given health promotion, 91 people had good knowledge. Before being given the health promotion, 93 teenagers had Sika in the low category. After being given health promotion, 91 people had attitudes in the high category. There is a difference in teenagers' knowledge before and after health promotion (p value = 0.001). There is a difference in teenagers' attitudes before and after health promotion (p value = 0.001). The conclusion is that there is an increase in knowledge and attitudes after being given health promotion regarding mental health in adolescents. It is recommended that nurses provide health promotion to teenagers directly in schools.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Adolescents, Health Promotion, Mental health</em></p> Yeni Rahmawati Arif Widodo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 156 163 10.31539/joting.v6i1.8518 Karakteristik Sensori dan Hedonik pada Pacid Kule Ikan Mas (Cyprinus Carpio) Fermentasi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8406 <p><em>This research aims to determine the best and most preferred sensory and hedonic characteristics of fermented Pacik kule goldfish (cyprinus carpio) typical of the Alas tribe, Southeast Aceh district. The research method was an experiment using a completely randomized design (CRD) with 3 treatments for the storage time of Pacik kule fish typical of Aceh. With 2 repetitions. Statistical tests for sensory use the Kruskal Wallis test and for hedonic tests use the Fiedman test to see test ranking. The results showed that the sensory characteristics for aroma attributes were different for each sample (p = 0.03 &lt; 0.05). For sensory taste, there are differences in each attribute (p = 0.01 &lt; 0.05). The hedonic test of color, aroma, taste and texture that was most liked by the panelists was found in the F2 fermentation time (12 hour fermentation), with a very like classification and the lowest classification, namely F3 (36 hour fermentation) with a dislike classification. The research conclusion is that the aroma sensory characteristic with the highest intensity is the very aromatic attribute of Pacik kule spices typical of Southeast Aceh, for the taste sensory characteristic with the highest intensity is the characteristic fish taste attribute. The best hedonic test was found in the F2 treatment or fermentation for 12 hours.</em></p> <p>&nbsp;</p> <p><em>Keywords: Hedonic</em><em>, </em><em>Pacik kule</em><em>, Sensory</em></p> Yuli Pramesti Gemala Anjani Dase Hunaefi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 164 172 10.31539/joting.v6i1.8406 Pemberian Seduhan Ekstrak Kunyit terhadap Tekanan Darah pada Penderita Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8434 <p><em>This study aims to determine the effect of steeping turmeric extract on blood pressure in hypertension sufferers. This type of research is a quantitative method with a quasi experimental design approach with a non-randomized pre and post test design with control group design. The sample for this study was 30 people with a control group of 15 people and an intervention group of 15 people. This data collection technique uses purposive sampling. The measuring instrument used is the observation sheet, Blood Pressure Monitor. The analysis used was Univariate and Bivariate with the statistical test used was paired sample t-test analysis and processed using SPSS 25.0. With the results obtained, the average blood pressure before being given the turmeric extract steeping intervention was 152/87 mmHg with a standard deviation of 8,200/4,867 mmHg, while the average blood pressure after being given the turmeric extract steeping intervention was 141/80 mmHg and the standard deviation 10,025/4,320 mmHg. It was concluded that there was a difference in the effect of steeping turmeric extract on diastolic blood pressure in the intervention and control groups with a significance value of 0.002 &lt; 0.05.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Hypertension, Turmeric Extract Infusion, Blood Pressure</em></p> Choirida Ailani Arina Maliya ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 173 181 10.31539/joting.v6i1.8434 Terapi Laser untuk Skar Hipertrofik dan Keloid https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8514 <p><em>T</em><em>his study aim</em><em> to evaluate the success rate of laser therapy in hypertorphic, and keloid scar patients based on scar characteristics. The research </em><em>method used is </em><em>systematic review using data from Pubmed, Cochrane Library, Clinicaltrials.gov, and Mendeley from 1994 to July 2022. The </em><em>results found a total of 28 studies, consisting of 3 retrospective studies, 5 randomized controlled trials (RCT), and 20 prospective studies included in the review. This research</em><em> evaluated 11 585nm pulse dye laser (PDL) studies, 2 595nm PDL studies, 3 1064 nm Nd:Yag studies, 3 1550nm Er:Yag studies, 3 2940nm Er:Yag studies, and 6 10,600nm fractional CO2 laser studies. In</em><em> conclusion, </em><em>the 585 nm pulse dye laser showed the best overall therapeutic success rate. Fractional CO2 10,600nm, Er:YAG 2940nm, and Nd:YAG 1064nm lasers showed the best therapeutic response for reducing erythema, pigmentation, height, and scar consistency. Further research is needed to assess the success rate of therapy.</em></p> <p><em>&nbsp;</em></p> <p><em>Keyword: Keloid<strong>, </strong>Laser, Hypertrophic scar, Systematic</em> Review</p> Ritchie Santoso Yuli Kurniawati Sarah Diba Rusmawardiana Rusmawardiana Nopriyati Nopriyati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 182 191 10.31539/joting.v6i1.8514 Edukasi terhadap Sikap Upaya Pencegahan Komplikasi pada Penderita Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8435 <p><em>The aim of this research is to determine the effect of educational activities on the attitudes of hypertension sufferers in carrying out preventive measures against the possibility of complications. This research method uses a pre-experimental approach with a pre-test and post-test design in one group. The results of the study showed that the average attitude towards preventing complications in hypertension sufferers before education was 25.13 and after education increased to 35.97. Analysis using the Wilcoxon Test shows a probability value (p) of 0.001, indicating p&lt;0.05, so it can be seen that education has an influence on attitudes towards preventing complications in hypertension sufferers. The conclusion is that there is a significant difference between attitudes towards preventing complications before and after providing education to hypertension sufferers.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Health Education, Hypertension, Complications</em></p> Fera Alfina Dinita Arina Maliya ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 192 199 10.31539/joting.v6i1.8435 Hubungan Tingkat Nyeri Sendi dengan Aktivitas Fisik pada Lansia Gangguan Sendi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8692 <p><em>This study aims to determine the relationship between the level of joint pain and physical activity in elderly with joint disorders in the Genuk Community Health Center. The method used is non-experimental quantitative with a cross-sectional approach and using the bivariate spearman rank test. The instruments used in this research were the Numeric Rating Scale (NRS) and the Physical Activities Scale of Elderly (PASE) questionnaire. Results of research showed that 35.1% of elderly experienced unbearable severe joint pain and 59.2% of elderly did less physical activity. The results of the spearman test show that there is a significant relationship between the level of joint pain and physical activity in elderly with joint disorders with p = 0.000 and </em><em>r<sub>s</sub></em><em> = -0.847. The research conclusion is that the higher the intensity of joint pain in the elderly, the lower the physical activity or the less physical activity the elderly, the intensity of joint pain increases.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Elderly, Joint Pain, Physical Activity</em></p> Naila Dhiya’ul Muna Elis Hartati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 200 207 10.31539/joting.v6i1.8692 Peningkatan Imunitas Ibu Nifas Melalui Senyawa Flavonoid Hasil Ekstraksi Lemon (Citrus Limon) Menggunakan Teknologi Ultrasound Assisted Extraction https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/5256 <p><em>This study aims to determine the effectiveness of the extraction of lemon liquid (citrus limon) using Ultrasound Assisted Extraction (UAE) technology against increasing the immunity of puerperal mothers. The method used is true experiment&nbsp;&nbsp; with randomized pretest and posttest with control group design.&nbsp; The results showed that&nbsp; the average increase in immunity of postpartum mothers in the pretest intervention group was 264.66 and posttest was 328.16 while in the control group the average result of increasing immunity was 208.76 and posttest was 137.05. The conclusion of giving the results of the extraction of lemon liquid&nbsp; (citrus limon)&nbsp; using Ultrasound Assisted Extraction (UAE) technology at a dose of 7grams / 175ml given for 14 days was proven to have an effect on increasing the immunity of postpartum mothers with a p value of &lt;0.05.&nbsp; </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords : Immunity, Mother Puerperium, Flavonoid Compounds, Lemon Extraction, Ultrasound Assisted Extraction (UAE).</em></p> Camilla Septiani Melyana Nurul Widyawati Kurnianingsih Kurnianingsih Sudiyono Sudiyono Edy Susanto ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-05 2024-02-05 6 1 208 216 10.31539/joting.v6i1.5256 Prinsip Etik Keperawatan Respect to Others Berpengaruh Positif dengan Kinerja Perawat https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8811 <p><em>This research aims to identify the relationship between the application of nursing ethical principles and nurse performance. The method used was quantitative with a cross-sectional approach to 129 nurses on duty in the Inpatient Room at RSAL Dr. Mintohardjo. Data analysis was carried out using a linear regression test. The research results show that factors related to performance include rank or class (p=0.037), respect for others (r=0.621), compassion (r=0.594), advocacy (r=0.610), intimacy (r=0.608). The regression test shows that 7 variables have a joint influence with the equation Y: 31.864+1.127*Respect to Others + 1.689*Education + 1.179 Length of Work - 1.919 *class rank + 0.755 Intimacy – 1.975*career level + 1.054 Advocacy. Respect to others partially has a positive effect on nurses' performance in nursing care (t=2.433, p=0.016), while the other variables are confounding variables (p&gt;0.05, t&lt;1.98). Variables namely education, rank/class, length of service, career level, advocacy, respect for others and intimacy influence nurse performance with a determined influence of 39.3%. Conclusions from the 4 sub-variables of ethical implementation where these four variables have a significant relationship independently to nurse performance.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Nurse Performance, Ethical Principles</em></p> Eva Oktaviarini Krisna Yetti Tuti Afriani Rr Tutik Sri Hariyati Andi Amalia Wildani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 217 225 10.31539/joting.v6i1.8811 Pengalaman Perawat dalam Memberikan Asuhan Keperawatan pada Pasien Readmission https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8745 <p><em>This study aims to explore the experiences of nurses in providing nursing care to patients undergoing readmission at the Prof. Mental Hospital. Dr. Muhammad Ildrem Medan. This type of research is qualitative with a descriptive phenomenological approach. The research results showed that there were 5 themes, namely: 1) Care is given to readmission patients, 2) Nurses' feelings about caring for readmission patients, 3) Identifying the causes of readmission patients, 4) Prevention strategies for readmission patients, 5) Barriers to caring for readmission patients. Conclusion, To prevent readmissions, nurses are required to be able to provide education about illnesses and how to care for family members with mental disorders, train families as supervisors of taking medication, and strategies for overcoming crises when caring for people with mental disorders at home.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Nursing Care, Nurse Experience, Readmission.</em></p> Kartika Santi Jenny Marlindawani Purba Siti Zahara Nasution ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 226 235 10.31539/joting.v6i1.8745 Hubungan Modal Psikologis dengan Kinerja Perawat Pelaksana https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8834 <p><em>This research aimed to analyze the psychological relationship with the performance of executive nurses at the Prof. Mental Hospital. Dr. Muhammad Ildrem Medan in 2023. Quantitative type of research with a cross-sectional design. The population in this study were all executive nurses who worked in the mental inpatient ward at the Prof. Mental Hospital. Dr. Muhammad Ildrem Medan as many as 90 people. The sampling technique used simple random sampling so that 48 people were obtained. Data collection techniques used the Psychological Capital Questionnaire (PCQ) questionnaire with 24 items to measure psychological capital and the nurse performance questionnaire with 25 items. The data that has been obtained will be analyzed univariate and bivariate using the pearson correlation test. The research results showed that the significance value of the psychological capital variable and the performance variable of the implementing nurse was 0.000 (p&lt;0.05). In conclusion, there is a significant positive relationship between psychological capital and the performance of implementing nurses at the Prof. Mental Hospital. Dr. Muhammad Ildrem Medan, where the more positive psychological capital one has, the higher the performance of implementing nurses.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Executive Nurse, Performance, Psychological.</em></p> Rosa Berlina Fransiska Siti Zahara Nasution Taufik Ashar ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 236 243 10.31539/joting.v6i1.8834 Pentingnya Penerapan Kode Etik pada Pelayanan Keperawatan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8886 <p><em>This research aims to show the importance of implementing a code of ethics in services and services during the COVID-19 pandemic. The method used is a systematic review that uses PRISMA guidelines. The research results showed that 16 studies were used from 8144 articles. The majority of research used is qualitative research, randomized controlled trials and cross-sectional designs, data collection is carried out by observation, interviews and interventions in several articles. Articles taken from 2018 to 2022. The study of the code of ethics has a positive meaning for students in providing good care for learning and clinical nurses in assisting the decision-making process in ethical dilemmas, preventing the occurrence of ethically poor care services. Conclusion, the importance of hygiene ethics, in conditions where the role of ethics in dealing with dilemma situations is that nurses can still act professionally.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Code of ethics, COVID-19, Nursing</em></p> Nuur Fadhilah Nursalam Nursalam Nuzul Qur’aniati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 244 253 10.31539/joting.v6i1.8886 Hubungan Self-Efficacy dan Kepatuhan Pengobatan terhadap Asthma Control Test pada Pasien Asma https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9118 <p><em>This research aims to examine the relationship between self-efficacy and treatment compliance with the asthma control test in asthma patients. This type of research is quantitative using descriptive correlational methods. The number of samples in this study that met the inclusion criteria was 44 patients at the North Sumatra University Hospital, Medan, with the sampling technique used was consecutive sampling. The instruments used in this research were self-efficacy instruments, medication adherence instruments namely MMAS-8 and Asthma control test measurements by (ACT) by the American Lung Association (ALA) questionnaire. Data analysis in this research consists of Univariate analysis and Bivariate analysis using the Chi-Square statistical test. The research results showed that self-efficacy and the Asthma Control Test (ACT) obtained a value of p = 0.01 &lt; 0.05 and the value of treatment compliance with the Asthma Control Test (ACT) obtained a value of p = 0.051 &lt; 0.05. In conclusion, there is no significant relationship between self-efficacy and treatment compliance with the Asthma Control Test (ACT) in asthma patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Asthma Control Test, Treatment Compliance, Self-Efficacy.</em></p> Isah Masdiana Girsang Dewi Elizadiani Suza Amira Permatasari Tarigan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 254 261 10.31539/joting.v6i1.9118 Evaluasi Penerimaan Penggunaan Rekam Medis Elektronik oleh Petugas Menggunakan Teori UTAUT 2 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8699 <p><em>The aim of this research is to analyze expectancy, effort expectancy, social influence and facilitating conditions on the acceptance of the use of electronic medical records at Hospital X. This research method is quantitative with a cross sectional approach with the data analysis used in this research is the Simple Linear Regression &amp; Moderated Regression Analysis (MRA) test. Based on the results of the analysis of performance expectancy, effort expectancy, and facilitating conditions, the influence on acceptance of the use of electronic medical records is moderated by gender and age. The social influence variable has no effect on acceptance of the use of electronic medical records with moderation by gender and age. From this research, it can be concluded that what influences officers in using electronic medical records is performance expectancy, effort expectancy, and facilitating conditions. RS So that new users can easily understand how the system works.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Electronic Medical Records</em><em>. </em><em>Effort Expectancy, Facilitating Conditions Performance Expectancy,</em> <em>Social Influence </em></p> Siti Rohmawati Agusta Dian Ellina Joko Prasetyo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 262 270 10.31539/joting.v6i1.8699 Penerapan Edukasi Kesehatan Diet Dash terhadap Kepatuhan Dan Tekanan Darah Pasien Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8537 <p><em>This study aims to determine the influence of dietary approaches to stop hypertension (DASH) health education on dietary compliance and blood pressure in hypertensive patients located in the Kertasemaya Health Centre Working Area, Indramayu Regency. The research method used Quasi Experimental Pre-Post Test with Control Group by providing health education to the intervention group. Consecutive sampling was selected in sampling with inclusion criteria, namely 160-190 mmHg systole blood pressure, 90-100 mmHg diastole blood pressure, no disease complications, and adult age. The exclusion criteria for this study were those who did not participate in DASH diet health education activities and experienced cognitive impairment and conditions of decreased consciousness. The results showed that there were significant differences in dietary compliance, systole, and diastole blood pressure in the intervention group before and after provided DASH diet health education (p &lt; 0,005). It is concluded that DASH diet health education affects dietary compliance and systole and diastole pressure of hypertensive patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords:</em><em> DASH Diet, Hipertension, Diet Adherence, Blood Pressure</em></p> Evi Supriatun Hasim Asyari Kayubi Kayubi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 271 279 10.31539/joting.v6i1.8537 Pelaksanaan Perencanaan Pulang Pasien Berbasis Theory Of Caring Swanson pada Pasien Stroke https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8704 <p><em>This study aims to identify the effectiveness of nurses in carrying out discharge planning for stroke patients and their families based on the components of Swanson's Theory of Caring. The research method used is a systematic review through databases and electronic websites, namely Scopus, Sciencedirect, ProQuest, Research Gate, PubMed and Google Scholar. The research results showed that of the 15 research articles there were articles that reported an increase in knowledge of stroke patients and their families after being given discharge planning so that they could improve care after being at home. Conclusion: Discharge planning based on Swanson's Caring Theory involves five components, namely maintaining belief, knowing, being with, doing for, enabling. There is effectiveness of nurses in implementing caring-based discharge planning for patients with stroke.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Caring, Patient Discharge Planning, Stroke</em></p> Fatimatuzzahra Khairunisa Mira Triharini Eka Mishbahatul Mar’ah Has ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-08 2024-02-08 6 1 280 288 10.31539/joting.v6i1.8704 Instrument Pengukuran Kelelahan pada Pasien HIV https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8567 <p><em>This study aims to identify instruments for measuring fatigue in HIV. The research method used is a narrative review with the criteria for articles published between 2019-2023, complete manuscripts available, and articles using primary data (RCT, cross-sectional, and cohort) in Indonesian and English. The research results showed The Chalder Fatigue Questionnaire (CFQ), Modified Fatigue Impact Scale (MFIS), Fatigue Severity Scale (FSS), Patient-Reported Outcomes Measurement System (PROMIS), HIV-Related Fatigue Scale, Ped-sQL Multidimensional Fatigue Scale (MFS ) and the Functional Assessment of Chronic Illness Therapy Fatigue scale (FACIT-F) are fatigue measurement instruments that can be used in HIV patients. A total of 7 (seven) fatigue measurement instruments were found. The seven instruments have been tested for validity and reliability. In conclusion, nurses can use this instrument to measure fatigue before developing management strategies for people with HIV.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: HIV, Fatigue, Fatigue Measurement</em></p> Bambang Aditya Nugraha Gusgus Ghraha Ramdhanie Sulastini Sulastini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-09 2024-02-09 6 1 289 297 10.31539/joting.v6i1.8567 Multimodal Strategi untuk Meningkatkan Kepatuhan Hand Hygiene https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8957 <p><em>This research aims to identify multimodal strategies to increase hand hygiene compliance. The method used was a literature study using PubMed, Scient Direct, and Ebsco, with inclusion criteria for articles focusing on multimodal hand hygiene strategies, publications in 2013-2023, available in full text in English. The research results from thirteen analyzed articles showed increased hand hygiene compliance among health workers. Seven articles showed the highest compliance among nurses. Significant improvements show varying results depending on the type of health worker, care unit, and type of intervention. The multimodal hand hygiene strategy comprises five components: system change, education and training, observation and feedback, workplace reminders, and institutional safety climate—conclusion: Multimodal intervention strategies can increase hand hygiene compliance among health workers.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Compliance, Nurses, Multimodal Hand Hygiene Strategy</em></p> <p><em>This research aims to identify multimodal strategies to increase hand hygiene compliance. The method used was a literature study using PubMed, Scient Direct, and Ebsco, with inclusion criteria for articles focusing on multimodal hand hygiene strategies, publications in 2013-2023, available in full text in English. The research results from thirteen analyzed articles showed increased hand hygiene compliance among health workers. Seven articles showed the highest compliance among nurses. Significant improvements show varying results depending on the type of health worker, care unit, and type of intervention. The multimodal hand hygiene strategy comprises five components: system change, education and training, observation and feedback, workplace reminders, and institutional safety climate—conclusion: Multimodal intervention strategies can increase hand hygiene compliance among health workers.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Compliance, Nurses, Multimodal Hand Hygiene Strategy</em></p> Wartini Wartini Maria Komariah Furkon Nurhakim ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-18 2024-02-18 6 1 298 306 10.31539/joting.v6i1.8957 Skin To Skin Contact pada BBLR terhadap Waktu, Durasi dan Dampaknya https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/7054 <p><em>This research aims to examine the implementation of skin-to-skin contact for LBW, which includes an analysis of when it is fastest to start, how long it lasts, and what the impact is. The research method used was a systematic review through searches in electronic databases, namely Proquest, Scopus, EBSCOhost, Clinical Key, and Clinical Key for Nursing from 2013 to 2023. The study results showed that early skin-to-skin contact for LBW was safe from eight research articles. Starting in the first 24 hours of life, including mild to moderate unstable conditions, still using a breathing apparatus and IV line (umbilical or central). The initial duration starts from 40 minutes to 16 hours per day. The impact is in the form of a higher rate of weight gain, reduced need for parenteral nutrition, longer duration of breastfeeding, better immunological function and lung function, better sleep patterns, lower prolonged crying patterns, lower markers of stress in babies and mothers, and mortality rates. In the first month, it was quieter. In conclusion, skin-to-skin contact for LBW is safe to do from an early age, including for unstable LBW in the mild to moderate category; the duration starts from 40 minutes and is increased gradually according to the baby's tolerance and has been proven to have many positive impacts on both the baby and the mother.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: LBW, Premature Babies, Kangaroo Method Treatment, Skin To Skin Contact</em></p> Eva Perawaty Sitinjak Siti Chodidjah Imami Nur Rachmawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-23 2024-02-23 6 1 307 315 10.31539/joting.v6i1.7054 Penerapan Model Spiritual Leadership terhadap Peningkatan Kinerja Perawat https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8975 <p>This research aims to see how implementing the spiritual leadership model improves nurse performance. The research method used is a literature review through electronic databases and websites, namely Google Scholar, Science Direct, PubMed, and Semantic Scholar, with inclusion criteria including ten journals with the keywords "Spiritual Leadership" and "Nurse Performance." The research results show that spiritual leadership significantly affects nurse performance, which is mediated by affective commitment and job satisfaction. Spiritual values such as compassion and caring are essential in spiritual leadership and impact nurse performance. In conclusion, spiritual leadership is vital to improving nurse performance through increasing organizational commitment, work involvement, and motivation.</p> <p>Keywords: Nurse Performance, Spiritual Leadership</p> Theresia Hartati Asnet Leo Bunga ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-23 2024-02-23 6 1 316 324 10.31539/joting.v6i1.8975 Hubungan antara Stres Kerja dengan Symptom Depresi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8866 <p><em>This research aims to determine the relationship between work stress and depressive symptoms in employees at the Meranti Islands District Attorney's Office. This research method uses descriptive analysis with a cross-sectional approach. The results of the study showed that employees at the Pulau Meranti Prosecutor's Office experienced the most job stress with no qualifications, namely 17 people (64%), and the most depressive symptoms with standard qualifications were 17 people (68%) and there was a significant relationship between job stress. Depressive symptoms in employees at the Meranti Islands District Prosecutor's Office which was characterized by a significant p-value of 0.045 &lt; 0.05. In conclusion, there is an essential relationship between work stress and depressive symptoms in employees at the Meranti Islands District Attorney's Office.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Employees, Depression Symptoms, Work Stress</em></p> Nining Gilang Sari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-27 2024-02-27 6 1 325 331 10.31539/joting.v6i1.8866 Kombinasi Imajinasi Terpimpin dan Nafas Dalam terhadap Penurunan Kecemasan Pasien dengan Premature Ventricular Contraction (PVC) https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8948 <p><em>This study aims to explore interventions to prevent anxiety in Premature ventricular complex (PVC) patients in the ICCU treatment room. This research method uses a case study approach on three patients with PVC with almost the exact etiology and experiencing anxiety since the start of treatment and a combination of interventions carried out for three consecutive days. The results show that there are differences in anxiety parameters before and after intervention in each patient. Anxiety parameters were assessed from the first day to the third day, respectively, before the intervention and after the intervention. Conclusion: The combination of guided imagery intervention and deep breathing relaxation can help reduce anxiety in patients with PVC.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Guided imagination, Anxiety, Deep Breathing, Premature Ventricular Complex</em></p> Ninuk Dian Kurniawati Nissa Aruming Sila Rustiana Tasya Ariningpraja Leli Ika Hariyati Ana Suciari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-27 2024-02-27 6 1 332 339 10.31539/joting.v6i1.8948 Senam Yin Yoga terhadap Penurunan Kadar Gula Darah pada Pasien Diabetes Mellitus Tipe II https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/6517 <p>This research aims to determine the effect of yin yoga on reducing blood sugar levels with type 2 diabetes mellitus in the Karawang Regency General Hospital. The method used in this research is quantitative with a quasi-experimental design, with a pre-posttest with a control design. The results of the study showed the results of the T-test (paired sample) showed that the average blood sugar level measurement before control was 334.95 mg/dl with a standard deviation of 95.697 mg/dl. The measurement value for the respondents' sugar levels after control was an average of 251.80 mg/dl. In conclusion, both blood sugar levels during pre-intervention and pre-control had similar results.</p> <p>Keywords: Diabetes Mellitus Type 2, Blood Sugar Levels, Yin Yoga Exercises</p> Muhamad Ifadh Arifqy Jayusman Budiman Budiman Ria Eviyantini Sitorus Cecep Eli Kosasih Hotma Rumahorbo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-28 2024-02-28 6 1 340 348 10.31539/joting.v6i1.6517 Self Care Management Berhubungan dengan Kualitas Hidup pada Penderita Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8578 <p><em>This study aims to determine the relationship between self-care management and quality of life in hypertension sufferers. This research uses a cross-sectional approach, where independent and dependent variable data are observed only once, with no follow-up. The research results based on the chi-square test obtained p-value = 0.000 &lt; 0.05, which means there is a relationship between self-care management and the quality of life of hypertension sufferers. In conclusion, the results obtained from this research show a relationship between self-care management and quality of life in hypertension sufferers.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Hypertension, Quality of Life, Self Care Management&nbsp; </em></p> Krisma Giri Ayuningjati Fahrun Nur Rosyid ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-29 2024-02-29 6 1 349 357 10.31539/joting.v6i1.8578 Terapi Pijat Punggung Effleurage terhadap Intensitas Nyeri Akut Pasca Bedah Fraktur Tulang Panjang https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8697 <p><em>This study examines the effect of effleurage back massage therapy on the intensity of acute pain after long bone fracture surgery. This research method is true experimental with a pretest-posttest control group design. The results showed a significant difference between the NSAID and NSAID groups with effleurage with a p-value &lt;0.05. The range of changes in VAS in the NSAID group with effleurage tended to be higher than in the NSAID group on days 3 and 4. The conclusion is that NSAIDs with effleurage are effective in reducing the intensity of acute pain in patients after long bone fracture surgery and are recommended as a nursing intervention. Independently to ease the pain intensity of fracture patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Effleurage, Fracture, Pain</em></p> Yuni Suharnida Lubis Dudut Tanjung Dedi Ardinata ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-29 2024-02-29 6 1 358 366 10.31539/joting.v6i1.8697 Dampak Intervensi Complementary Food pada Anak dalam Pencegahan Stunting https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9024 <p><em>This study explores the importance of providing appropriate complementary foods in preventing stunting during the transition period from exclusive breastfeeding to complementary foods. This research uses a literature review method with electronic databases and websites, namely Ebsco, Scopus, Proquest, and PubMed. The study's results showed that intensive complementary feeding during the first 1000 days of life effectively prevented stunting. This research highlights the combination of Behavior Change Communication (BCC) interventions and education for mothers and families as critical factors for success in preventing stunting. This research recommends the importance of varying complementary food choices adapted to the living environment's characteristics during the first 1000 days of life, as well as the role of health workers in providing BCC in the community. The conclusion is that intensive complementary feeding during the first 1000 days of life, supported by BCC and education interventions, as well as a variety of food choices that are appropriate to the environment, is effective in preventing stunting.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Stunting, MPASI, Intervention</em></p> Eishca Fanani Grathima Esti Yunitasari Retno Indarwati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-29 2024-02-29 6 1 367 375 10.31539/joting.v6i1.9024 Field Massage Therapy terhadap Stabilitas Fisiologis dan Kadar Bilirubin Bayi dengan Hiperbilirubinemia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8651 <p><em>This study aims to determine the effect of field massage therapy on the physiological stability and bilirubin levels of babies with hyperbilirubinemia. The method used is quantitative with a one-group post-test research design. The study's results showed that the average bilirubin level of babies after the intervention was given was 10.6 mg/dL. The statistical analysis found that the p-value was 0.000, which means there was an influence from the therapy provided. This research concluded that there were differences in the impact on physiological stability and bilirubin levels before and after being given field massage therapy.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Field Massage Therapy, Hyperbilirubinemia, Neonates</em></p> Fitri Wahyuni Rini Rahmayanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-02-29 2024-02-29 6 1 376 384 10.31539/joting.v6i1.8651 Efektifitas Mobile Applications terhadap Self-Management pada Pasien dengan Kaki Diabetik https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8468 <p><em>This study aims to map the influence of mobile applications as self-management support in management of diabetic feet. This research uses a scoping review method by entering keywords into the CINAHL, Pubmed, and Scopus databases. The research results show that mobile applications are effectived in increasing knowledge, self-care behavior, self-efficacy, compliance with self-care foot care, eating behavior, reducing wound/ulcer recurrence rates, and cost-effectiveness. The effectiveness of mobile applications can be used as a strategy in providing interventions to support self-management in the management of diabetic feet. The use of mobile applications has an impact on improving independent foot care management as well as increasing knowledge of diabetic foot care so that it has benefits in controlling glycemia, increasing adherence to diet, and increasing physical exercise. In conclusion, Mobile application-based based programs had the potential to improve self-management in diabetic foot patients.</em></p> <p><em>Keywords: Diabetic Foot, Mobile Applications, Self-Management</em></p> Dewi Ikawati Tuti Pahria Titis Kurniawan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 385 393 10.31539/joting.v6i1.8468 Model Dukungan Sosial Berbasis Health Belief Model untuk Meningkatkan Penerimaan Diri terhadap Stigma dan Diskriminasi Pasien TB https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8752 <p><em>This study aims to develop an effective intervention to improve self-acceptance of TB patients who experience stigma and discrimination using the Health Belief Model-Based Social Support approach. Web of Science, ProQuest and Pubmed databases were used to search for keywords derived from the Medical Subject Headings (MeSH) system for relevant articles in the preparation of this systematic. The results showed the initial literature search yielded 74 articles (48 Web Of Science, 7 from Proquest and 19 from Pubmed). After reviewing the abstracts for relevance and matching the inclusion criteria, 21 articles were selected for full-text review. Finally, 16 articles were selected for review and the results of the 16 articles analyzed showed that social support with the Health Belief Model can help reduce stigma and discrimination in TB patients. The conclusion of this study is that the results of the systematic review provide evidence for policy makers to consider alternative interventions using this method to fight stigma and discrimination so that the treatment process of TB patients becomes faster.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Social support Models, Health belief Model, Accept Yourself, Tuberculosis, Stigma, Discrimination.</em></p> Fransiska Fabiola Mau Leon Tintin Sukartini Makhfudli Makhfudli Hesti Warastuti Luwarsih ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 394 402 10.31539/joting.v6i1.8752 Pengaruh Crossword Puzzle terhadap Gangguan Fungsi Kognitif pada Pasien Stroke Iskemik https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8839 <p><em>This study aims to apply crossword puzzles to cognitive impairment in patients with ischemic stroke. The method used was a Randomized Controlled Trial with a Quasy Experiment research design carried out at PON Hospital Jakarta. The research results showed that there was a greater and more significant increase in cognitive function scores with a larger effect size than the current results. Meanwhile, for the MMSE method, the results obtained from the Paired T-Test test obtained an effect size value of 6.91 (moderate) and it can be assumed that the application of MMSE improves the results of cognitive function positively. In conclusion, crossword puzzle intervention can improve cognitive outcomes</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: </em><em>Crossword Puzzle, Cognitive, Ischemic Stroke</em></p> Satriani Satriani Yani Sofiani Fitrian Rayasari Ninik Yuntiri Mg Enny Mulyatsih ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 403 409 10.31539/joting.v6i1.8839 Permainan Tradisional Congklak terhadap Pengembangan Kecerdasan Logis Matematis Anak https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8929 <p><em>This research aims to determine the influence of traditional games on the development of children's mathematical logical intelligence in preschool Kartika and Dta Al-Bilal, Karawang district in 2023. The method used is a quasi-experimental type with a non-equivalent control group design approach. The research results show that the Wilcoxon test results show the asymp value. Sig. (2-taileid) is &lt;.001 &lt; 0.005, so it can be concluded that ho is rejected and ha is accepted, thus it can be concluded that there is an influence of the traditional game congklak on the development of children's mathematical logical intelligence in the Kartika preschool, Karawang district in 2023. The conclusion of this research is that there is an influence of traditional games on the development of children's mathematical logical intelligence at Paud Kartika and Dta Al-Bilal.</em></p> <p><strong><em>&nbsp;</em></strong></p> <p><em>Keywords:</em> <em>Children's Mathematical Logical Intelligence, Traditional Congklak Games, Development</em><em>.</em></p> Rahmadayanti Rahmadayanti Iis Sehan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 410 419 10.31539/joting.v6i1.8929 Efektivitas Cognitive Behavioural Therapy (CBT) terhadap Fatigue Pasien Hemodialisis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/5408 <p><em>This study aims to evaluate the application of Cognitive Behavioral Therapy (CBT) in hemodialysis patients who experience fatigue based on the results of the latest research (Evidence Based Nursing Practice) at RSUD Dr. M. Haulussy Ambon. The method used is quasi-experimental with a pretest and posttest design approach with control group. The research results based on the homogeneity test of respondent characteristics found that there were no significant differences (p&gt;0.05) in the intervention group and the control group. There was a significant improvement in fatigue in the intervention group (p=0.000). In conclusion, there is an influence of Cognitive Behavioral Therapy (CBT) on fatigue in patients undergoing hemodialysis.</em></p> <p><em>&nbsp;</em></p> <p><em>Key words: Behavioral, Cognitive, Fatigue, Hemodialysis, Therapy</em></p> Grace Jeny Wakanno Olivia T alahatu Diana Irawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 420 428 10.31539/joting.v6i1.5408 Pengaruh Terapi Konseling terhadap Tingkat Depresi Pasien Melalui Pemeriksaan Mini International Neuropsychiatric Interview https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9096 <p><em>This study aims to determine the effect of counseling therapy on the level of depression in patients at the Mekarsari Community Health Center as measured by the MINI Form (Mini International Neuropsychiatric Interview). This research is a quasi-experimental quantitative research conducted using patient data based on MINI results, with a sample of 43 for the intervention group and 37 patients for the control group. The research results show that there is strong evidence showing the effectiveness of counseling therapy in reducing levels of depression. Based on research results, patients who were given counseling therapy experienced a decrease in depression levels, while the control group who were not given counseling experienced an increase in depression levels in patients in the Mekar Sari Health Center working area. The conclusion is that counseling therapy using MINI is effective in reducing the level of depression in respondents, as can be seen from the significant reduction in MINI scores after the intervention. Test results in the control group also showed a significant impact. These findings confirm the positive contribution of counseling therapy in overcoming depression, with statistical effects in both groups.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: </em><em>Counseling Therapy, SRQ, MINI.</em></p> Linda Kristian Ningtiyas Yuly Peristiowati Agustin Widyowati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 429 437 10.31539/joting.v6i1.9096 Pelaksanaan Pelvic Rocking dengan Birth Ball terhadap Kemajuan Persalinan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9016 <p><em>The aim of this study was to determine the effect of implementing pelvic rocking with a birth ball on the progress of labor. The method used was pre-experimental using a static group comparison design with accidental sampling technique. Two groups were selected from the sample, the intervention group performed pelvic rocking movements while monitoring the progress of labor in the control group. The research was conducted in November and December 2023. The sample consisted of 60 respondents. Independent Sample Test was used in data analysis. Research findings show that pelvic rocking with a birth ball has an impact on the course of labor, with a p-value of 0.000 &lt; 0.05 and a confidence level of 95%. In short, pelvic rocking with a Birth ball makes it easier to rotate the baby into an optimal position so that the mother in labor can shorten the first stage, providing a feeling of comfort and relaxation, thereby helping the mother psychologically in processing pain.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Birth ball, Labor progress, Pelvic rocking</em></p> Rahmadyanti Rahmadyanti Lulu Hernawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 438 446 10.31539/joting.v6i1.9016 Dampak Permainan Lego terhadap Perkembangan Kognitif Anak Usia Dini https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8927 <p><em>This study aims to determine the effect of Lego games on cognitive development of early childhood (5-6 years) in Ra Bani Asyyfa and Paud Nurul Hassanah Pandeglang Banten. The method used is quesi experiment with Non Equivalent Control Group Design approach. The sampling technique uses total sampling technique. The sampling technique uses total sampling technique. The research results showed that out of 30 games, the majority of children's cognitive balance started to be balanced (MB) when they were given a game of playing, namely 21 games (70%) were playing. Meanwhile, of the 30 respondents, the majority of children's cognitive balance was attributed to playing games, as many as 25 respondents (83%) were categorized as very well balanced (BSB), but there were 5 respondents (17%) whose cognitive development was still developing according to expectations (BSH). This was caused by many types of the respondent's gender is male based on, The results of the Wilcoxon Uiji are known as the Asymp value. Sig. (2-tailed) equal to 0.001 &lt; 0.005. Conclusion There is a significant relationship between the influence of Lego games on the cognitive development of early childhood (5-6 years).</em></p> <p><strong><em>&nbsp;</em></strong></p> <p><em>Keywords:</em> <em>Playing Lego </em><em>, </em><em>Cognitive </em><em>, </em><em>Child Development,</em> <em>Ages 5-6</em></p> Fepy Martini Rahmadyanti Rahmadyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 447 455 10.31539/joting.v6i1.8927 Dukungan Keluarga, Karakteristik dan Efektivitas Kompres Hangat Kayu Manis terhadap Penurunan Skala Nyeri Rheumatoid Arthritis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9179 <p><em>This study aims to identify and analyze the influence of family support before and after the action, the characteristics of family members, the influence of the action, and the effectiveness of the action of warm cinnamon and warm compresses on reducing the pain scale for rheumatoid arthritis. This research method is quantitative with a quasi-experimental research design using a pre-test and post-test design with a warm compress control group. The sampling method in this study used total sampling, so the number of samples for each group was: 30 people for the control group and 30 people for the intervention group. This research began in September 2023 – February 2024. Based on the results of statistical tests using the Mann-Whitney and Wilcoxon tests, the P-value was obtained, namely 0.000 &lt; α = 0.05. In conclusion, there is the influence of family support before and after the action is taken, there is the influence of warm cinnamon compresses and warm compresses, then there is the effectiveness of warm cinnamon compresses and warm compresses on reducing the scale of rheumatoid arthritis pain.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Warm Cinnamon Compress, Pain, Rheumatoid Arthritis.</em></p> Muhammad Nur Maghribi Sembiring Siti Zahara Nasution Rika Endah Nurhidayah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-01 2024-03-01 6 1 456 465 10.31539/joting.v6i1.9179 Pengembangan Layanan Baru dan Penggunaan Teknologi dalam Strategi Inovasi pada Masa Pandemi Covid-19 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9363 <p><em>This research aims to analyze the development of new services and the use of technology in innovation strategies at Hospital X during the COVID-19 pandemic. The research method uses a case study approach with interviews, document review, and observation, as well as Focus Group Discussions (FGD). The research results show that health service innovation strategies at Hospital hospital services such as registration, payment transactions, service outreach, or online consultations. Apart from that, increasing the use of e-health or IT, such as telemedicine, drive-thru vaccination, drive-thru PCR/antigen/antibody swabs, MCU on site, and home care, etc. can provide speed and accuracy in service delivery. In conclusion, in the digital era, the pace of change has become very fast. Hospital X applies these strategic, creative, execution and organizational factors in innovation. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: COVID-19, Innovation, Service Development, Strategy, Technology.</em></p> Selfi Farisha Hardisman Hardisman Abdi Setia Putra Yani Anggina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-06 2024-03-06 6 1 466 474 10.31539/joting.v6i1.9363 Gambaran Tingkat Kompetensi Perawatan Spiritual pada Mahasiswa Program Profesi Ners https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8976 <p><em>This study aims to identify the level of spiritual care competence in Ners Professional Program (PPN) students. The research method used was descriptive quantitative, with data collection techniques using a questionnaire. The results showed that the level of spiritual care competence was 76.6% in the high category and 23.4% in the medium category. In conclusion, almost all respondents have a level of spiritual care competence in the high category, but in the aspects of referring, personal support and client counseling, as well as professionalization and improving the quality of spiritual care, only some respondents have a level of competence in the high category.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Competence, Ners Professional Program, Spiritual Care </em></p> Tarisa Tarisa Hana Rizmadewi Agustina Indra Maulana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-06 2024-03-06 6 1 475 483 10.31539/joting.v6i1.8976 Persepsi dan Self-Efficacy terhadap Perilaku STBM Pilar 1 di Daerah Lahan Kering Kepulauan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8660 <p>This study focuses on The Self-Efficacy and Community Perspectives Regarding STBM Pillar 1, specifically the practice of defecation cessation, in Taebenu district, Kupang Regency, East Nusa Tenggara. The research methodology used is qualitative, utilizing interpretative phenomenological analysis (IPA). Ten individuals were selected as informants as they play a significant role in the community's empowerment process related to sanitation. The data was collected through interviews guided by interview protocols. The outcomes of these interviews and focus Group Discussions (FGDS) were transcribed word-for-word and analyzed thematically. The research findings revealed that the majority of the informants shared latrines with their neighbors. However, they expressed feeling uneasy and rushed while using these facilities. They had to coordinate with their neighbors regarding timing, which often led to defecating in the forest. Additionally, children frequently used their neighbor's latrines. Despite financial constraints, the informants had high self-efficacy and believed that they could afford private toilets. They were motivated to change their behavior regarding defecation cessation to promote good health, maintain cleanliness, avoid embarrassment from neighbors, and protect their children's health.</p> <p>Keywords: Self-Efficacy, Defecation, STBM.</p> Marylin S. Junias Yuliana Marlyn Benu Sarci M. Toy Claudya S. Virlynriana Sudarmadji Atarini A. Lona ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-07 2024-03-07 6 1 484 492 10.31539/joting.v6i1.8660 Tingkat Culture Shock pada Mahasiswa Keperawatan Program Profesi Ners https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8561 <p>This research aims to determine the level of culture shock in nursing students in the professional nurse program at STIKes Dharma Husada Bandung. The research method used is a quantitative descriptive method. The research showed that 60 nursing students in the STIKes Dharma Husada Bandung professional nurse program experienced moderate culture shock (100%). In conclusion, the level of culture shock experienced by nursing students in the professional nurse program at STIKes Dharma Husada Bandung is in the medium category.</p> <p>Keywords: Culture Shock, Nursing Students, Professional Nurse Program</p> Rahadiani Ayu Tuti Pahria Aat Sriati Kusila Devi Rahayu ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-10 2024-03-10 6 1 493 499 10.31539/joting.v6i1.8561 Potensi Susu Fermentasi dalam Mempengaruhi Parameter https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8372 <p><em>This study aims to explain the effect of milk on hematological parameters. The method used is a literature review made through a systematic approach, using the PICO method, by searching for articles in the Pubmed, Scopus, and EBSCOhost databases. The research results showed that 425 articles were found, and seven articles met the inclusion criteria; these articles were fermented milk containing lactic acid bacteria, which are probiotics. Fermented milk products such as yogurt, Yakult, kefir, active, fermented goat's milk, and dahi influence hematological parameters. Namely, they can increase hemoglobin, ferritin, and erythrocyte count and reduce MCV. Milk fermentation affects hematological parameters, namely increasing hemoglobin, ferritin, and erythrocyte count and reducing MCV.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Anemia, Probiotics, Fe Absorption, Fermented Milk, Iron Status</em></p> Annisa Furkaniaty Gemala Anjani Edward Kurnia Setiawan Limijadi Anang Mohamad Legowo Ahmad Syauqy ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-13 2024-03-13 6 1 500 507 10.31539/joting.v6i1.8372 Perbandingan Efektifitas Pemberian Akupresur Titik Hegu dan Penggunaan Squishy Stress Ball terhadap Nyeri Persalinan Kala I https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9257 <p><em>This study aims to determine the effectiveness of Hegu point acupressure and the use of a squishy stress ball on first stage labor pain at 'Aisyiyah Siti Fatimah Tulangan Hospital. The method used is quasi-experimental with a pre-test and post-test design approach. The results of the study showed that Hegu point acupressure and the use of squishies reduced the level of pain in the first stage of labor with results of p=0.004 (P&lt;0.05). The conclusion of this research is that Hegu point acupressure is more effective than using squishies in reducing the level of pain in the first stage of labor.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords : Acupressure, First Stage Labor Pain, Squishy Stress Ball, Hegu Point.</em></p> Wistri Cendra Mulya Dewi Yanik Purwanti Cholifah Cholifah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-15 2024-03-15 6 1 508 516 10.31539/joting.v6i1.9257 Dukungan Keluarga untuk Kepatuhan Pengobatan Tuberkulosis Paru https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9115 <p>This study aims to investigate family support for compliance with pulmonary tuberculosis treatment. The method used in this research is systematic observation. The research results showed that out of 1,870 articles, 15 articles in this study found that the implementation of family support was not optimal in relation to four important points in family support such as support (informational, instrumental, emotional, and assessment). In conclusion, when the family always provides support in the form of information, emotions, appreciation, and also plays a role for tuberculosis patients, then this encouragement will influence their psychology, so that it will encourage them physically to take medication regularly and adopt a healthy lifestyle as an effort to achieve successful treatment. Apart from that, it is necessary to pay attention to policies, health programs, support for medical and paramedical personnel.</p> <p>Keywords: Family Support, Compliance, Pulmonary Tuberculosis</p> Syahruddin Lahuo Kevin Efrain Tololiu Joni Haryanto Dianis Wulansari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-25 2024-03-25 6 1 517 525 10.31539/joting.v6i1.9115 Analisis Teknik Relaksasi dan Mobilisasi untuk Mengatasi Nyeri pada Ibu Post Sectio Caesarea https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9159 <p>This study aims to determine the effect of the Benson relaxation technique on the pain scale in post-SC surgery patients at RSU Proklik Karawang in 2023. The research method used pre-experiment with a research design of one group pre and post test design. The results of the research showed that there was a decrease in the average pain score before and after Benson relaxation by 6.13 on the pain scale and the results of the t-test showed that there was a significant difference in pain scores before and after Benson relaxation intervention in patients after caesarean section Sig. (2-tailed) of 0.000 &lt;0.005. In conclusion, there is an effect of Benson relaxation on reducing pain in post-SC surgery patients at RSU Proklik and it is hoped that Benson relaxation can be used as a reference for alternative treatment to reduce pain in post-SC surgery patients.</p> <p>Keywords: Mobilization, Post-operative SC, Pain Scale, Benson Relaxation Technique</p> Rahmadyanti Rahmadyanti Nani Nani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-25 2024-03-25 6 1 526 533 10.31539/joting.v6i1.9159 Gambaran Kebiasaan Pola Makan pada Ibu Hamil dengan Kekurangan Energi Kronis (KEK) https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9406 <p><em>This study aims to determine the dietary habits of pregnant women with chronic energy deficiency (CHD) at Puskesmas Leles Garut Regency. This research method is descriptive-quantitative by involving 31 pregnant women experiencing first, second, and third trimester SEZ in the age range of 20-35 years at Puskesmas Leles Garut Regency with total sampling. The results showed that 22.6% had bad dietary habits, and 77.4% had good dietary habits. In conclusion, only a small proportion of pregnant women have bad dietary habits because they do not pay attention to the frequency of eating and drinking.</em></p> <p><strong>&nbsp;</strong><em>Keywords: </em><em>Chronic </em><em>Lack </em><em>Of </em><em>Energy (CED), Dietary </em><em>Habits, </em><em>Pregnant</em><em> Women</em></p> Salsa Dila Fitria Hariyani Yanti Hermayanti Ahmad Yamin Mamat Lukman Tetti Solehati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-25 2024-03-25 6 1 534 542 10.31539/joting.v6i1.9406 Analisis Ubi Jalar Ungu terhadap Kenaikan BB Ibu Hamil KEK https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9149 <p>This research aims to determine the effect of purple sweet potatoes on weight gain in KEK pregnant women at the Keboncau Teluknaga Village Health Center in 2023. The method used is quasi-experimental with a one-group pre-test and post-test research design. The results of the research showed that before LILA was given purple sweet potatoes, the data obtained an average value (mean) of 22.452 cm, a standard deviation value of 0.4976, a minimum LILA size of 21.5 cm, and a maximum LILA size of 23 cm. Before LILA was given purple sweet potatoes, the data obtained an average value (mean) of 23.548 cm, a standard deviation value of 0.5680, a minimum LILA size of 22 cm and a maximum LILA size of 24.5 cm, meaning that the presence of Purple Sweet Potatoes Influences on Increasing the Weight of Pregnant Women in SEZ—Keboncau Teluknaga Village Health Center in 2023 with a p-value of 0.006. Conclusion: after consuming purple sweet potatoes for one month, there was an increase in the average body weight to 42.714 kg or an increase in the average body weight of 0.8857 kg.</p> <p>Keywords: Pregnant Women, KEK, Sweet Potatoes</p> Ise Alhusna Rahmadyanti Rahmadyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 543 549 10.31539/joting.v6i1.9149 Kepatuhan Pasien pada Program Therapeutic Community https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8346 <p><em>This research aims to determine the factors that influence the compliance of drug abuse patients in participating in therapeutic community programs at social drug rehabilitation institutions. This research is a systematic journal using the preferred item reporting method for systematic and meta-analysis (PRISMA) from online databases. Therapeutic community programs in social drug rehabilitation institutions do not all run smoothly, so it is necessary to know the factors that influence the compliance of patients who are victims of drug abuse in participating in therapeutic community programs in social drug rehabilitation institutions. The results of this research show that the factors that influence patient compliance in participating in a therapeutic community program include family factors, a counselor's skills in interacting with counselors, economic factors, peer factors, environmental factors including social support, social relationships and social interactions. The conclusion of this research is that there are factors that influence patient compliance in participating in the therapeutic community program in social drug rehabilitation.</em></p> <p><em>&nbsp;</em></p> <p><em>Keyword</em><em>: Adherence, Drug Abuse</em><em>,</em><em> Therapeutic Community</em></p> Muhammad Anwarul 'Izzat Ira Nurmala Muji Sulistyowati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 550 558 10.31539/joting.v6i1.8346 Pengembangan Dokumentasi Intervensi Keperawatan OTEK Berbasis EMR untuk Peningkatan Kinerja Perawat https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8931 <p><em>This study aims to describe to utilize electronic medical records (EMR) for clinical practice, research, education and surveillance. The research method uses systematic review was prepared based on Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). This study used 8 articles that met the inclusion criteria. The results showed that literature search yielded 12,678 articles (337 from Scopus, 3,414 from Science Direct, 8,880 from Proquest and 47 from Pubmed). The research above explains that digitization in hospital nursing holds promise for changing the organization of care processes and, therefore, providing relief for nursing staff shortages. While advanced technology solutions and many application fields, comprehensive implementation remains challenging. Many publications show that electronic medical records (EMR) can make an important contribution to improving service quality. In conclusion, the results of this systematic review provide evidence for policy makers to be able to consider the development of EMR-based OTEK nursing intervention documentation for improving performance.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Nursing</em><em> documentation, EMR, Nurse Performance, Nurse working time.</em></p> Indrasari Wardani Hanik Endang Nihayati Ika Nur Pratiwi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 559 567 10.31539/joting.v6i1.8931 Implementasi Satuan Pendidikan Aman Bencana terhadap Kesiapsiagaan Bencana Gempa Bumi pada Siswa https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9064 <p><em>This research aims to determine whether increased knowledge and changes in disaster preparedness behavior can be formed properly through a comprehensive education process that has a long and sustainable impact. The effectiveness of the learning approach through the disaster curriculum method in schools can optimize educational outcomes from the disaster preparedness curriculum. The method used in this research is cross sectional with a total percentage of 67%, then Quasi-Experiment 27% and Experiment 6%. The results of the research show that the influence of the Disaster Safe Education Unit Program on Disaster Preparedness Education can be seen from the results of the analysis of studies in Indonesia showing that Disaster safety education unit education significantly increases students' knowledge, attitudes and actions in dealing with earthquakes and that this program can certainly increase students' knowledge, metacognitive awareness, safety behavior and general well-being regarding earthquakes. The overall conclusion of this research is that the Disaster Safe Education Unit program has had a significant positive impact on students' preparedness for earthquakes.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Earthquake Disaster Disaster Preparedness, Students, Disaster Safe Education</em></p> Patricia Mega Sri Yulianty Tae Retno Indarwati Ni Ketut Alit Armini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 568 577 10.31539/joting.v6i1.9064 Perbedaan Berat Badan Sebelum dan Sesudah Terapi Akupuntur https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9217 <p><em>This study aims to determine the difference in patient weight before and after acupuncture therapy at Rajawali Clinic Jayapura. The method used is an analytical quantitative method with a survey approach. The results showed that respondents consisted of 67% women and came from non-Papuan tribes by 64%. The age of respondents is dominated by the age group of 25-64 years (96%) and education is dominated by college graduates by 78%. Respondents' jobs were dominated by civil servants at 62%. The results&nbsp; of the Wilcoxon test&nbsp; show that the value of sig. (2-tailed) of 0.000 &lt; 0.05 which means that there is a significant difference in patient weight before and after acupuncture therapy at Rajawali Clinic Jayapura.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: </em><em>Acupuncture, </em><em>Weight, </em><em>Therapy. </em></p> Sarce Makaba Minhas Matturungan Hasmi Hasmi Agus Zainuri Rosmin M. Tingginehe Novita Medyati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 578 586 10.31539/joting.v6i1.9217 Intervensi Senam Kaki Berdasarkan Self Care terhadap Sensitifitas Kaki Pasien Diabetes Melitus https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9212 <p><em>This study aims to identify the effect of self-care based foot gymnastics intervention on foot sensitivity, The method used is Quasi Experimental Design with Pretest Posttest Nonequivalent Control Group Design design that provides pretest before undergoing intervention. Based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 &lt; 0.05,</em> where there is an effect of Foot Exercises Based on <em>Self care </em>on Diabetes Foot Sensitivity in the intervention group before and after the foot exercise intervention based on self care, <em>Conclusion that there is an effect of Self care Based Foot Exercises on Foot Sensitivity.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Diabetes Mellitus, Foot Sensitivity, Foot Gymnastics, Self Care.</em></p> Topan Ariyanto Nurharlinah Nurharlinah Agus Riyanto Iin Inayah Lina Safarina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 587 594 10.31539/joting.v6i1.9212 Literature review Cabai Jawa (Piper Retrofactum Vahl) dalam Proses Penyembuhan Luka https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9264 <p><em>This research aims to find out the extent of research that has been carried out and the results obtained regarding the use of Javanese chilies in the wound healing process. The method used in this research is to conduct a literature review. Literature search using Google Scholar, Science Direct and Pubmed databases from 2010 to 2023 with keywords in Indonesian: Javanese chili and wound healing process, and in English with keywords: piper retrofactum vahl, piper longum and wound healing process. Articles were selected using inclusion and exclusion criteria so that the results were 3 (three) articles in Indonesian that were in accordance with the research objectives. The conclusion of this research is that research on the influence of Javanese chilies in the wound healing process is still limited. Administration of Javanese chili extract can help in the wound healing process by increasing the number of macrophages, reducing leukocyte numbers and increasing the thickness of the epithelium in wounds.</em></p> <p><em>Keywords: Java chili, Wound healing, Literature Review</em></p> Sigit Nian Prasetyo Edy Soesanto Sri Rejeki Satriya Pranata ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 595 601 10.31539/joting.v6i1.9264 Strategi Intervensi Non-Farmakologi untuk Gangguan Tidur pada Pasien Kanker Payudara https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9307 <p><em>This research aims to determine non-pharmacological intervention strategies in treating sleep disorders in breast cancer patients. The method uses a systematic review, by identifying nursing problems faced by breast cancer survivors, determining research questions, exploring relevant research, and carrying out data extraction. The results show that there are various non-pharmacological intervention strategies for sleep disorders in breast cancer patients, both single and combination therapy. These interventions such as Cognitive Behavioral Therapy for Insomnia (CBT-I), Sleep Hygiene Education (SHE), Bright Light Therapy (BLT), internet-based interventions, Acupressure, Acupuncture, Tai Chi, Dance Therapy, Mindfulness-Based Stress Reduction (MBSR) and Yoga. In conclusion, various non-pharmacological intervention strategies can be carried out by oncology nurses independently, where each intervention has its own advantages. In its implementation to patients, should adapt to cultural backgrounds, be flexible, easy to apply, doesn’t require large costs, effective, efficient, and focuses on patient needs.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Sleep Disorders, Non-pharmacological Intervention, Breast Cancer</em></p> Ni Luh Lasiyani Dewi Gayatri Hening Pujasari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 602 612 10.31539/joting.v6i1.9307 Pengaruh Perawatan Paliatif terhadap Kualitas Hidup Pasien Kanker Payudara https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9415 <p><em>This study aims to analyze the effect of palliative care on the quality of life of breast cancer patients. The research method used was a systematic review using the Research gate, Google Scholar, and PubMed databases with inclusion criteria covering 10 journals using the keywords palliative care, quality of life, and breast cancer. The research results showed that of the 10 articles reviewed, all articles showed that good palliative care would improve the quality of life in patients with breast cancer. In conclusion, there is a relationship between palliative care and the quality of life of patients with breast cancer, thus proving that palliative care has an influence on quality of life. Comprehensive palliative care for various aspects of the patient's life plays a very important role in achieving maximum quality of life in breast cancer patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Breast Cancer, Palliative Care, Quality of Life.</em></p> Kadek Yemi Ariyanti Yati Afiyanti Riri Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-27 2024-03-27 6 1 613 621 10.31539/joting.v6i1.9415 Program Kader Kesehatan Jiwa terhadap Kecemasan, Stres dan Depresi pada Lansia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9438 <p><em>This study aims to examine the effect of the mental health care mentoring program on anxiety, stress, and depression in the elderly. The research method used was a pre-experimental design with a one-group Pre-Post Test Design. The results of the study showed that the value of reducing anxiety in the elderly pre-test anxiety was 76 people (32.28%), and post-test anxiety was 52 people (22.4%). The stress reduction value in the elderly pre-test stress was 32 people (13.8%) and post-test stress was 14 people (6%). The value of reducing depression in the elderly, pre-test depression was 33 people (14.28%) and post-test depression was 21 people (9.1%). Meanwhile, the results of the Wilcoxon signed rank test showed that there was an influence because the p-value was 0.000, &lt;0.05, which means there was an influence of cadre mentoring on anxiety, stress, and depression. In conclusion, there is an influence of cadre assistance on anxiety, stress, and depression in the elderly.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Depression, Elderly, Health Cadres, Anxiety, Mentoring Program, Stress.</em></p> Muchammad Nurzaman Suryani Suryani Khrisna Wisnusakti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-30 2024-03-30 6 1 622 628 10.31539/joting.v6i1.9438 Edukasi Diet Rendah Garam dan Pembatasan Cairan terhadap Self Efficacy dan Motivasi untuk Sembuh pada Pasien Hemodialysis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8772 <p><em>This study aims to determine low salt diet education and fluid restriction on self-efficacy in controlling fluid salt intake and motivation to recover in haemodialysis patients. The method used in this research is quasi-experimental research. This quasi-experimental uses a Non Equivalent Control Group design or often called Non Randomised Control Group Pretest And Posttest Design.</em> <em>The results showed that based on the results of the Dependent T Test there was a difference in Self Efficacy before and after education in the intervention group with a p-value of 0.001 &lt;0.05 with a t value of 4.661 there was a difference in motivation to recover before and after education in the intervention group with a p-value of 0.001 &lt;0.05 with a t value of 4.001. The conclusion of this study is that low salt diet education and fluid restriction have an effect on Self Efficacy and motivation to recover in haemodialysis patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Education, Haemodialysis, Self Efficacy, Motivation </em></p> Yulinawati Yulinawati Katmini Katmini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 629 638 10.31539/joting.v6i1.8772 Intervensi Terapi Musik dapat Meningkatkan Fungsi Kognitif pada Lansia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9263 <p><em>This study aims to identify the effect of music therapy interventions on cognitive function in elderly people in nursing homes. The method used in this research was a systematic review using a systematic search through the ProQuest, Clinical Key Nursing, PubMed, Sage journal, and Scopus databases with articles that met the inclusion criteria with publications between 2014 and 2023, as well as an article search technique using the PRISMA scheme stages. The results of this study show that the search results identified ten articles in which various types of music therapy interventions and durations of interventions stated that music therapy had a positive effect on the cognitive function of the elderly. The conclusion obtained is that music therapy interventions can be effective interventions to improve cognitive function in the elderly.</em></p> Anyta Hera Wahyuni Etty Rekawati Dikha Ayu Kurnia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 639 647 10.31539/joting.v6i1.9263 Efektivitas Penggunaan Teknologi Mobile Health dalam Peningkatan Self Management Pasien Diabetes Mellitus Tipe-2 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9253 <p><em>This review aim to evaluate effectiveness of mobile health (mHealth) technology on self management of Type 2 Diabetes Mellitus (T2DM) patients based on evidence from various studies. The method employed in this review included a systematic search of articles from PubMed, Scopus, and Embased databases using the keywords </em><em>“mobile health and diabetic”, mobile health and diabetes”, dan “mobile health and diabetes mellitus”</em><em>. The analysis was conducted on 1,479 articles, from which 12 met the inclusion criteria. The findings of this review reveal that the utilization of mHealth whether in the form of application or text messages, has the potential to enhance self-management, particularly in diet regulation, physical activity, blood glucoseoo monitoring, medication adherence, and doctoro visits among T2DM patients. mHealth technolgy has proven effective in improving self-management T2DM patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords : Diabetes Mellitus, Mobile Health, Self Management, Smartphone. </em></p> Anies Dewi Wirati Indraswari Yulia Yulia Rr. Tutik Sri Hariyati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 648 656 10.31539/joting.v6i1.9253 Dukungan Keluarga terhadap Manajemen Hipertensi pada Lansia di Indonesia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8212 <p><em>This study aims to examine the impact of family support on the management of hypertension in the elderly. The method used is PRISMA as a guide in choosing articles.&nbsp; Search articles using Medical Subject Heading (MeSH) with keywords Family Support or Family Engagement AND Management or Controlling and Hypertension or High Blood Pressure AND Elderly. The article used cross-sectional, quasi-experimental and descriptive studies published from 2018-2023 that discussed the relationship of family support with hypertension control in the elderly. The assessment is based on the Joanna Briggs Institute's (JBI) Critical Appraisal. The results showed that a total of 9 articles that fit the inclusion criteria were analyzed in this study. Participants in the study were families and elderly people with hypertension. All related studies on the effectiveness of providing family support for the management of hypertension in the elderly such as increased family roles, increased adherence to taking medication in the elderly, providing regular physical activity, facilitating the elderly to go to health facilities, prioritizing elderly worship activities, allowing the elderly to choose activities they like while still paying attention to health behavior to improve the quality of life for the elderly with hypertension. Conclusion, families are expected to always support the elderly in order to improve the management of hypertension.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Elderly, Family Support, Hypertension Management</em></p> Nadiya Sahara Annisa Joni Haryanto Kristiawati Kristiawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 657 665 10.31539/joting.v6i1.8212 Kebutuhan Spiritual pada Pasien Kanker Stadium Lanjut https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9404 <p><em>This study aimed to determine the various spiritual needs of patients with advanced cancer. The method used was a systematic review with article searches in nine journal databases, such as PubMed, Scopus, EBSCOhost, ClinicalKey Nursing, SpringerLink, PMC, Sage Journal, ProQuest, and ScienceDirect. Article analysis used the PRISMA method. The results showed that there were six articles that met the criteria that discussed spiritual needs in advanced cancer patients. All articles used quantitative research methods with a cross-sectional design. In conclusion, spiritual needs in advanced cancer patients can include the need for connection, peace, meaning or purpose, and transcendence. Meeting spiritual needs through holistic nursing care can help patients reduce suffering.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Advanced Cancer, Spiritual Needs</em></p> Ibaadi Indra Yati Afiyanti Giur Hargiana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 666 674 10.31539/joting.v6i1.9404 Faktor-Faktor yang Mempengaruhi Siklus Menstruasi pada Remaja Putri https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8273 <p>This study aims to analyze the factors that influence the menstrual cycle in adolescent girls at SMA Negeri 2 Ngaglik, explicitly analyzing the influence of body weight, physical activity, and anxiety in teenage girls at SMA Negeri 2 Ngaglik. The method used is quantitative research with descriptive methods and a cross-sectional design. The research results show a significant relationship between body weight and menstrual cycle irregularities with a p-value of 0.001, so the p-value is &lt;0.05. There is an essential relationship between physical activity and menstrual cycle irregularities with a p-value of 0.000, so the p-value is &lt;0.05. There is a significant relationship between anxiety and menstrual cycle irregularities, with a p-value of 0.001 with a p-value &lt;0.05. In conclusion, body weight, physical activity, and anxiety influence menstrual cycle irregularities in young women at SMA Negeri 2 Ngaglik.</p> <p>Keywords: Physical Activity, Body Weight, Menstrual Cycle, Anxiety</p> Jenia Paula Sequeira Bima Suryantara Fatimah Sari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 675 683 10.31539/joting.v6i1.8273 Evidence Based Nursing Jacobson’s Progressive Muscle Relaxation untuk Mengurangi Kecemasan dan Depresi pada Pasien Dengan Hiv https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9001 <p>Kecemasan dan depresi yang tidak di obati akan mengganggu proses perawatan HIV dan mengarah pada ketidakpatuhan pengobatan ARV (Manavalan et al., 2023), penurunan kesehatan mental dan kesejahteraan pada ODHA berhubungan dengan jumlah CD4, dan jumlah CD4 yang rendah dapat menjadi indikator depresi yang tidak diobati (Ramirez-garcia et al., 2019). <em>Jacobson’s Progresive Muscle Relaxation</em> (JPMR) telah digunakan untuk mengatasi berbagai jenis masalah kesehatan termasuk untuk mengatasi kecemasan dan depresi pada pasien dengan HIV/AIDS. Dengan metode one group pre test dan post test, partisipan sebanyak 20 responden. Dengan kriteria inklusi pasien HIV/AIDS berusia lebih dari 20 tahun, dan mengalami kecemasan dan depresi. Sedangkan kriteria eksklusinya adalah pasien dengan gangguan depresi berat dan terdapat gangguan system neurologis. Menggunakan instrumen <em>Hospital Anxiety and Depression Scale</em> (HADS) untuk mengukur skor pre test dan post test terhadap kecemasan dan depresi yang dirasakan oleh pasien HIV/AIDS yang berobat ke poliklinik Wijayakusuma RSUP Fatmawati. Pemberian intervensi teknik <em>Jacobson’s Progresive muscle relaxation</em> pada pasien dengan HIV terbukti efektif, efisien merupakan metode non-invasif yang sederhana, hemat biaya dan dapat dilakukan kapan saja dan dimana saja untuk menurunkan kecemasan dan depresi pada pasien dengan HIV.</p> <p>Kata Kunci: Jacobson’s Progresive muscle relaxation, kecemasan, depresi orang dengan HIV/AIDS</p> Retnowati Retnowati Agung Waluyo Anggri Noorana Zahra Sariaman Purba ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 684 692 10.31539/joting.v6i1.9001 Terapi Akupresur pada Pasien Paska CABG https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9077 <p><em>This study aims to determine the effect of acupressure therapy on patients who experience various complaints of nausea, vomiting, pain, sleep disorders, constipation, and anxiety after cardiac surgery. The method used is searching for several sources using Scoping Review using the PRISMA flow diagram, searching for sources from PubMed, EMBASE, Science Direct, and Scopus. The research results showed that ten articles reviewed the effects of acupressure therapy after CABG heart surgery, such as nausea, vomiting, pain, sleep disorders, constipation, and anxiety. In conclusion, acupressure intervention can be applied to reduce various complaints after CABG heart surgery at the Neiguan (PC6), Shenmen (HT7), Fengchi (GB20), Jiache (ST6), Yintang (EX-HN3), Yongquan (KI1), Hegu ( LI4).</em></p> <p><em>&nbsp;</em><em>Keywords: Acupressure, Open Heart Surgery, Cardiac Surgical Procedures</em></p> Pasti Kurnia Tuti Herawati Riri Maria Agung Waluyo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 693 700 10.31539/joting.v6i1.9077 Analisis Asuhan Keperawatan Pasien dengan Myasthenia Gravis pada Kehamilan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9246 <p><em>This study aims to analyze cases of myasthenia gravis (MG) in pregnancy using the Roy Adaptation model approach. The research method used a case study approach with a case of a patient experiencing MG-weighted flaccid tetraparesis during pregnancy. The research results showed that the nursing care plan used the Roy adaptation model. The main needs found are nutrition (swallowing disorders), mobility (impaired physical mobility), sensation (acute pain) and protection (risk of infection). Interventions provided include self-care assistance: eating, exercise promotion: muscle strength, pain management and infection control. In conclusion, Roy's adaptation model approach is useful in this case because it focuses on the patient's ability to adapt to his illness. The patient had a disease that had been going on for years and had worsened due to her pregnancy. Providing appropriate nursing care can speed up patient recovery so that the length of stay is shorter.&nbsp;Keywords: Roy Adaptation, Nursing Care, Myasthenia Gravis</em></p> Candradewi Mahardika Ranukusuma I Made Kariasa ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 701 709 10.31539/joting.v6i1.9246 Relaksasi Otot Progresif dalam Manajemen Nyeri Pembedahan Ortopedi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9303 <p><span data-preserver-spaces="true">This writing aims to determine the effect of progressive muscle relaxation as a non-pharmacological therapy that can be used as a complementary or additional therapy in pain management in patients after orthopedic surgery. The method used was a systematic search for articles through the PubMed, Science Direct, Proquest, and</span><span data-preserver-spaces="true">&nbsp;</span><span data-preserver-spaces="true">Francis Taylor databases and published from 2013 to 2023 using the keywords "progressive muscle relaxation" AND "Pain" OR "Postoperative Pain" AND "Orthopedics surgery." From the search results, 11,262 articles were obtained, and it was determined that five articles that met the inclusion criteria were RCT (Randomized Control Trial) research studies. The study's results showed that 521 patients who met the inclusion criteria reported significant pain differences between the intervention and control groups. The intervention group given progressive muscle relaxation showed better pain reduction than the control group. The heterogeneity of study participants included patients after lumbar surgery (lumbar disc herniation, microdiscectomy, laminectomy), after TKA (Total Knee arthroplasty), and after tibiofibular fracture surgery. Four research articles provided progressive muscle relaxation interventions without combining them with other interventions, while one research article combined progressive muscle relaxation with other interventions in the form of physiotherapy. In conclusion, the latest evidence from several studies shows the role of progressive muscle relaxation as an additional or complementary therapy in managing pain in patients after orthopedic surgery, whether given together or without in combination with other interventions, shows positive results in helping reduce pain.</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: Pain, Orthopedic Surgery, Progressive Muscle Relaxation</span></p> Nurul Hendayani Masfuri Masfuri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 710 718 10.31539/joting.v6i1.9303 Manfaat Pendidikan Kesehatan terhadap Konsistensi Penggunaan Kondom pada Pasien ODHA https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9305 <p><em>This study aims to see the effect of health education on the consistency of condom use in patients living with HIV. The method used in this writing is a systematic review through several databases, namely Pubmed, Proquest, Science Direct, Sage journals, ClinicalKey Nursing, and Ebsco. Article analysis process using PRISMA method. The results showed that health education provided to PLHIV can influence consistent condom use. Health education provided in person or over the phone can improve the knowledge and self-efficacy of PLHIV about the importance of condom use consistency. In addition, consistent condom use can prevent the transmission of diseases due to unsafe sexual intercourse. In conclusion, consistent condom use among PLWHA can prevent cross infection of the HIV virus and can prevent sexually transmitted infections (STIs).</em></p> <p><em>Keywords: HIV/AIDS, &nbsp;Health Education, Condom Use</em></p> Mimi Jamilah Sri Yona ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 719 727 10.31539/joting.v6i1.9305 Self Management Berhubungan Dengan Nilai Tekanan Darah Pada Pasien Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9335 <p><em>This study aims to determine whether there is a relationship between self-management and blood pressure values ​​in hypertensive patients at UNS Hospital. The method used in this research is a cross sectional approach with a correlational quantitative descriptive research design. The research results were based on the results of the Spearman rank correlation test between self-management and blood pressure values, with a p-value of 0.000 and a correlation coefficient value of 0.363. The results of the research show that there is a correlation between self-management and blood pressure values ​​in hypertensive patients with the level of strength of the relationship between the two variables in the sufficient category. In conclusion, there is a relationship between self-management and blood pressure values ​​in hypertensive patients.</em></p> <p>&nbsp;<em>Keywords: </em><em>Self Management, Blood Pressure, Hypertension</em></p> Hevy Ambarwati Fahrun Nur Rosyid ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 728 735 10.31539/joting.v6i1.9335 Instrumen Penilaian Disfungsi Seksual Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9380 <p><em>This study aims to identify sexual dysfunction assessment instruments used in population-based studies of cancer patients. The method in this review used a systematic review that began in September - December 2023. Using Ebsco, Scopus, Proquest, and Pubmed databases, the results showed that instruments used to assess sexual dysfunction must have valid and reliable psychometric properties. Conclusion: the choice of sexual dysfunction assessment instrument depends on the type of study and the purpose of the study.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Cancer Patients, Questionnaire, Reliable, Sexual Dysfunction, Valid</em></p> Sri Murtiasih Dewi Gayatri Allenidekania Allenidekania ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-03-31 2024-03-31 6 1 736 744 10.31539/joting.v6i1.9380 Dampak Dokumentasi Elektronik terhadap Implementasi, Manfaat dan Hambatan pada Pelayanan Home Care https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9401 <p><em>This study aims to determine the role of digitization in the documentation of nursing care for community nurses in home care services. Involving aspects of implementation, benefits and barriers in using electronic nursing documentation. The method used was using electronic databases such as Ebsco, Scopus, Proquest, and PubMed published between 2020-2023. Based on the initial search, there were 8 relevant articles out of 320 articles found. The results showed that the implementation of electronic nursing care documentation has a positive impact on patients, nurses and health services. However, several obstacles were found, namely the skills and knowledge of nurses on electronic documentation are still lacking, so training is needed. Internet network constraints are also very influential, especially in rural areas. In conclusion, there is a gap between the need for internet and internet distribution which is a challenge for the government in developing digitalization in the health sector and improving nurses' skills in electronic documentation.</em></p> <p><strong><em>&nbsp;</em></strong><em>Keywords: Electronic Documentation, Barriers, Benefits</em></p> Agustina Agustina Eka Mishbahatul Mar’ah Has Retno Indarwati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 745 752 10.31539/joting.v6i1.9401 Assesment Fungsi Kognitif pada Anak dengan Penyakit Kronik https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9402 <p>This study aims to identify what assessments can be used to screen cognitive function in children with chronic illnesses. The method used is a systematic review using the PRISMA flow diagram. Researchers used PIOs and searched for English language articles published from 2013 to October 2023. The databases used were PubMed, ProQuest, Science Direct, Taylor &amp; Francis, Scopus, and EBSCO Medline. This systematic review showed that the initial total of articles obtained from all databases was 5889. After limiting the articles, 297 articles were obtained, which were then screened according to the inclusion criteria, with the final result being eight articles with a cross-sectional design. In conclusion, four instruments for assessing cognitive function in children with chronic diseases include Ouvrier modified MMSE, EpiTrack Junior (EpitrackJR), pedsFACIT-PCF, and Ped-ANAM. The Ouvrier-modified MMSE is widely used in several kinds of literature and is validated against standard cognitive function examinations by examination.</p> <p>Keywords: Children with Chronic Diseases, Assessment, Cognitive Function</p> Anita Rachmawati Allenidekania Allenidekania Nur Agustini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 753 761 10.31539/joting.v6i1.9402 Evaluasi Pelaksanaan Kangaroo Mother Care (KMC) pada Kasus Ibu yang Memiliki Bayi dengan Berat Lahir Rendah https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8257 <p><em>This study aims to evaluate the implementation of Kangaroo Mother Care (KMC) in cases of mothers who have low birth weight (LBW) babies at PKU Muhammadiyah Hospital Yogyakarta. The research method used is qualitative with a case study design. The research results showed that the implementation of KMC at PKU Muhammadiyah Hospital Yogyakarta had followed the established SOP and received a positive response from mothers. The benefits felt include increased emotional bonding between mother and baby, stable baby body temperature, and calm baby. However, mothers face difficulties in implementing KMC at home, especially in installing a sling and depending on the help of others. Additional support is needed to overcome these challenges. In conclusion, KMC has significant benefits in improving the health and development of babies and strengthening the bond between mother and baby.</em></p> <p><em>&nbsp;</em><em>Keywords: </em><em>BBLR</em><em>, Evaluation, KCM</em></p> Khulasoh Khulasoh Farida Kartini Sri Ratnaningsih ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 762 770 10.31539/joting.v6i1.8257 Hambatan Yang Dirasakan Perawat dalam Implementasi Pencegahan Luka Tekan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/6719 <p><em>This study aims to review the research and make traps with a scoping review approach. Literature searches were carried out using electronic engines on 5 databases, &nbsp;PubMed, Science Direct, Cochrane, Wiley, and Google Scholar with a time limit of 2010 - 2023 and full text. Of the 9,768 articles, 6 articles were obtained that fit the research objectives. After analysis, 5 themes were identified, high workload, </em><em>lack of </em><em>&nbsp;knowledge and skills, l</em><em>insufficient </em><em>resources, unstable patient condition and </em><em>low</em><em> priority. Pressure </em><em>injuries</em><em> in the ICU can be prevented by reducing </em><em>perceived barrier nurse toward pressure injury</em><em>. Multidisciplinary supports expected to facilitate nurses in implementing maximum pressure </em><em>injuries </em><em>prevention</em></p> <p><em>&nbsp;</em></p> <p><em>Keyword : ICU Nurse, Pressure Injury Prevention, Barrier</em></p> Syamsuriah Lansa ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 771 778 10.31539/joting.v6i1.6719 Konversi Dokumentasi Keperawatan Berbasis Elektronik https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9444 <p><em>This research aims to improve the quality of nursing services, increase time and cost efficiency, optimize patient data management, improve care coordination, and provide better outcomes for patients overall. The method used was a systematic review carried out using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method. The databases used are Scopus, Science Direct, Pubmed and the Ners journal. The research results show that electronic-based documentation offers optimization for nurses in providing nursing care to patients. This includes more effective and efficient documentation, more integrated nursing care, and reducing the use of paper (paperless) which can contribute to reducing the impact of global warming and reducing hospital expenditure. In conclusion, changing nursing documentation in paper form to electronic documentation in hospitals requires careful preparation. Preparation for preparing the instruments used, supporting infrastructure and the readiness of nurses to carry out nursing documentation.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Nursing Documentation,Electronic Nursing Documentation</em></p> Siti Kalimah Rizki Fitryasari P.K Herdina Mariyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 779 788 10.31539/joting.v6i1.9444 Manajemen “KEPO” dalam Perawatan Diabetes Melitus Tipe 2 pada Keluarga Jawa dan Batak https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9531 <p><em>This study aims to analyze the effect of KEPO management in diabetes care on self-care and blood sugar levels of patients with DM in Javanese and Batak families. The method used was quasy experimental nonequivalent control group design. Respondents in this study were diabetics accompanied by one family member totaling 84 people. Data were collected using The Summary of Diabetes Self Care Activities (SDSCA) instrument and blood sugar level observation sheet (KGD). Data were analyzed by parametric T-test for self-care and non-parametric Wilcoxon and Mann Whitney for KGD. The results showed that there was a difference in the average self-care and blood sugar levels of patients with DM in Javanese and Batak families before and after being given KEPO management with a p-value = 0.001 (p &lt;0.005). In conclusion, there is an effect of KEPO management on self-care and blood sugar levels of diabetics in Javanese and Batak families.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Diabetes Mellitus, Blood Sugar Levels, KEPO Management, Javanese Batak Families, Self-Care</em></p> Fitriani Fitriani Siti Zahara Nasution Evi Karota Bukit ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 789 799 10.31539/joting.v6i1.9531 Campuran Produk Berbasis Alami dan Perawatan Mulut Dasar untuk Pengelolaan Mukositis Mulut dan Xerostamia bagi Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9464 <p><em>This study aims to describe the effectiveness of oral care using mouthwash or using herbal solutions to reduce the severity, value of pain, incidence of mucositis and xerostomia and other oral symptoms such as dysphagia for cancer sufferers. This research method uses a literature review by searching articles in 6 trusted databased such as PubMed, ScienDirect, Scopus, Springer, ProQuest and EBSCHost. The results of &nbsp;this study showed that eleven articles out of thirteen showed the effectiveness of herbal solutiona as mouthwash in reducing mucositis and xerostomia. Two of them are the use of herbal solutions which can reduce xerostomia, bad breath and increase the rate of saliva for those undergoing hemodialysis. In conclusion, oral care interventions using mouthwash and herbal solutions as mouthwash and herbal solutions as mouthwash are effective, safe and can be used to reduce mucositis and xerostamia for cancer patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords : Mucositis, Cancer Patients, Oral Care, Xerostomia</em></p> Entin Prakartini Enie Novieastari Dewi Gayatri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 800 810 10.31539/joting.v6i1.9464 Efektivitas Self-Management Pasien Kanker di Rumah Sakit https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9471 <p><em>This study aims to determine the effectiveness of self-management carried out by cancer patients while in hospital. The method used was a systematic review of several databases, namely Proquest, Science Direct, Sage Pub, Scopus, Ebsco, ClicalKey Nursing, and PubMed, resulting in 15 articles that could be analyzed. The research results show that the self-management behavior that cancer patients can use to overcome symptoms during treatment in hospital is effective in its use, starting from managing symptoms of fatigue, severe pain, anxiety, the effects of specific diseases such as urinary elimination disorders, lymphedema, and mucositis. Conclusion: Strategies that can be used by patients to manage symptoms are by making lifestyle changes, including resting, reducing activity, changing diet, consuming supplements, reading books, doing light sports activities, yoga and meditation. These strategies are expected to improve the quality of life of cancer patients. who is in the hospital.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Cancer Patients, Hospitals, Self-Management</em></p> Siti Herlina Ali Sopiah Agung Waluyo Yati Afiyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 811 820 10.31539/joting.v6i1.9471 Intervensi Spiritual untuk Meningkatkan Kesejahteraan Spiritual Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9475 <p><em>This study aimed to explore and synthesize the scientific literature on the types of spiritual interventions that are effective in improving spiritual wellbeing in cancer patients. The method used was a systematic review through the PubMed, Science Direct, EBSCOhost and Springer Link databases using the keywords: cancer patients OR oncology patients OR patients with cancer AND spiritual interventions AND spiritual well being OR spiritual health OR spiritual healing, with inclusion criteria for cancer patients aged &gt;18 years, January 2010 - September 2023 the selection process used the PRISMA method and the quality assessment of articles using the JBI tools RCT design. The number of initial search articles was 6725 articles with 13 articles used. The results showed that 8 spiritual interventions were found to be statistically effective in improving the mean spiritual well-being score in cancer patients. Conclusion spiritual interventions can be effective in improving spiritual well-being in cancer patients who have metastases and are in palliative care as well as those with chemotherapy.</em></p> <p>&nbsp;</p> <p>Keywords<em>: Spiritual Interventions, Cancer Patients, Spiritual Well-Being</em></p> Dwi Asih Rohmawati Yati Afiyanti Hening Pujasari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 821 829 10.31539/joting.v6i1.9475 Efektivitas Virtual Reality terhadap Penurunan Nyeri Prosedural pada Anak dengan Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9466 <p><em>This study aims to determine the effectiveness of Virtual Reality (VR) to reduce procedural pain in children with cancer. The method use is a systematic review by collecting articles from the Proquest, Sage Journals, ScienceDirect and PubMed databases. The results describe that children with cancer in the VR group reported lower pain scores compared to the control group, both pain scores reported by children and pain scores reported by parents. Conclusions, the use of VR is effective in reducing prosedural pain in children with cancer.</em></p> <p><em>Keywords: Children With Cancer, Procedural Pain, Virtual Reality</em></p> Apriyani Apriyani Yati Afiyanti Tuti Nuraini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 830 839 10.31539/joting.v6i1.9466 Analisis Faktor yang Mempengaruhi Kualitas Hidup Pasien Kanker Payudara dengan Limfedema https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9503 <p><em>This study aims to determine the factors that influence the quality of life of breast cancer patients with lymphedema. The research method used is a systematic review through databases and electronic websites, namely Pubmed, Proquest, EbscoHost, and Embase. The results of the study showed that the 10 research articles explained factors that influence quality of life, including operations involving the removal of a number of lymph nodes thereby increasing the possibility of lymphedema, the degree of lymphedema which affects the physical domain, mental domain, social domain and sexuality domain, as well as the accuracy of handling lymphedema. In conclusion, anticipating the impact of lymphedema will improve the quality of life of breast cancer patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Breast Cancer, Lymphedema, Quality Of Life</em></p> Rosalinda Bella Allenidekania Allenidekania Tuti Nuraini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 840 847 10.31539/joting.v6i1.9503 Efektifitas Edukasi Rokok Elektrik dalam Menurunkan Kejadian Kanker Paru pada Kelompok Remaja https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9411 <p><em>This research aims to evaluate the success of quitting smoking in adolescents through education provided in several countries regarding electronic cigarettes/VAPE. The method used is a systematic review with the PRISMA search strategy. Initial selection involved Sage Journals, Clinical Key, Scopus, and Proquest. The results of the research show that the ten journals in the review show high concern about smoking among school students, education increases knowledge about the dangers of smoking, although the desire to smoke still exists, education via social media according to the style of teenagers is more effective, there is still an opinion that VAPE is not dangerous such as tobacco cigarettes, and there is an effective signal for diversion methods to stop smoking such as yoga, as well as the importance of attention to teenagers, consistent evaluation and application of discipline in schools for not smoking, because it is found that teenagers imitate their parents, teachers and the school environment in terms of smoking. . The conclusion is that there is a need for consistency from health actors, government, education services and health institutions who are concerned about adolescent health to develop smoking cessation programs, the importance of strict laws and consistent evaluation of the interventions carried out.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Education, Teenagers, E-Cigarettes, Lung Cancer</em></p> Ai Aminah Allenidekania Allenidekania Riri Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-01 2024-04-01 6 1 848 856 10.31539/joting.v6i1.9411 Perawatan Topikal Berbasis Minyak pada Pasien Pruritus Uremik dengan Gagal Ginjal Kronis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9286 <p><em>The aim of this study was to look at oil-based topical treatments that are effective in reducing and reducing the scale of uremic pruritus in patients with chronic kidney failure. The research method used in writing this systematic review was a literature search conducted through the Pubmed, Proquest, Science direct, Scopus databases with articles selected from 2010-2022. The results of this study showed a significant reduction in the scale of uremic pruritus in chronic kidney failure patients within 1-4 weeks of oil-based topical treatment. In conclusion, oil-based topical treatments are effective in reducing complaints of itching and pruritus in chronic kidney failure patients so that they can be used in nursing treatment.</em></p> <p><em>&nbsp;</em></p> <p><em>Key Word: Chronic Renal Failure; Oil Based Treatment ; Uremic Pruritus</em></p> Vitta Margareth Philipus Krisna Yetti Riri Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 857 865 10.31539/joting.v6i1.9286 Metode dan Strategi Pembelajaran Medication Administration pada Pendidikan Keperawatan untuk Mencegah Medication Error https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9494 <p><em>This research aims to identify various learning methods that have been used in teaching medication safety. The research method is a scoping review where articles are taken from several databases such as PubMed, ProQuest, Science Direct, and Springer Link from year to year. Keywords used include "learning methods", "learning strategies", "drug administration", and "nursing education". The results obtained by researchers found several learning strategies used in the drug administration learning process based on literature searches. In conclusion, several learning strategies used are simulation-based, 3D game simulation, Computer-Based Virtual Learning Environment (CBVLE), and Web-Based Virtual Learning Environment. Other methods include training based on the Teaching for Understanding (TfU) framework, lecture demonstration &amp; video demonstration, flipped classroom (FC) learning with a near-peer education (NPE) approach, Medication Error Encouragement Training (MEET), and drug safety training using the 4C approach /ID.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Medication Administration, Medication Error, Learning Methods, Learning Strategies, Nursing Education.</em></p> Puteri Dianti Lisa Musharyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 866 875 10.31539/joting.v6i1.9494 Pemanfaatan Multimedia pada Edukasi untuk Meningkatkan Kepatuhan dan Kualitas Hidup Pasien Transplantasi Ginjal https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9512 <p><em>This study aims to determine the effectiveness of the use of multimedia in education in improving compliance and quality of life of kidney transplant patients. The method used in writing this article is literature review on three databases ProQuest, PubMed, ScienceDirect using the keywords multimedia, education, adherence AND 'quality of life' and 'kidney transplantation’. The results of a review show that the types of multimedia that can be used in education include animated videos, applications and artificial intelligence chatbots. The conclusion of this study is that the use of multimedia in education effectively improves adherence and quality of life for kidney transplant patients. However, the use of multimedia in education must consider accessibility, the elderly population and patients with visual and/or cognitive impairments.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords : Education, Adherence, Quality of life, Multimedia, Kidney transplantation</em></p> Nita Indah Pratiwi Yulia Yulia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 876 884 10.31539/joting.v6i1.9512 Penggunaan Lumbar Pillow Support pada Pasien Tirah Baring https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9511 <p><em>This study aims to explain the use of lumbar pillows in bed rest patients in a supine sleeping position. The method used is a scoping review by searching for articles using keywords in the Scopus, Science Direct, PubMed, EBSCOhost, and ProQuest databases based on inclusion and exclusion criteria. The research results showed that there were 3 articles consisting of 2 studies conducted on total bed rest patients and a study on healthy respondents. Two studies used a combination therapy of a support pillow with existing therapies. Two studies showed that support pillows help distribute pressure in the pelvic, lumbar and thoracic areas and support the lumbar arch which can reduce pain levels and increase the comfort of respondents. The conclusion from this study is that the lumbar pillow can be applied to patients on bed rest and provides effective results when combined with physical therapy, conservative therapy, and modification of sleeping position.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Lumbar pillow, Pillow support, Comfort, Pain, Bedrest, </em></p> Arni Budi Meisa Ndari Sri Yona Elly Nurachmah Riri Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 885 892 10.31539/joting.v6i1.9511 Efektifitas Latihan Otot Dasar Panggul dalam Meningkatkan Fungsi Seksual pada Pasien Kanker Ginekologi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9527 <p><em>This study aims to determine the effectiveness of pelvic floor muscle exercise in improving sexual function in gynecological cancer patients. The method used in this study uses a systematic review using the procedures recommended in the </em><em>Preferred Reporting Items for Systematic Reviews and Meta-Analyses</em> (PRISMA)<em>. The author uses several databases, namely PubMed, Cochrane Library, ProQuest, EbscoHost, Sage Journal, Clinical Key Nursing and Google Scholar. The results of this study contained 12 articles consisting of 6 RCTs, 2 Cohort Studies, 1 single arm, 1 Crossectional, 1 clinical report study, 1 mixed method. The conclusion of this study provides data and evidence that pelvic floor muscle exercise not only affects the improvement of sexual function but also affects the improvement of quality of life, changes in anxiety, depression, and pain of gynecological cancer patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Gynecological Cancer, Pelvic Floor Muscle Exercise, Sexual Function</em></p> Aprilia Dian Prawesti Yati Afiyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 893 902 10.31539/joting.v6i1.9527 Efektifitas Akupresur terhadap Kelelahan dan Kecemasan Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9524 <p><em>This study aims to identify the effectiveness of acupressure in treating fatigue and anxiety in cancer patients. The research method used is Systematic Review, through searching articles against six trusted databases, namely Cocharene, EbscoHost, ProQuest, Sage Journals, ScienceDirect, and Scopus, for article analysis using the PRISMA method. The results of the study showed that of the 10 research articles, there were articles which stated that acupressure was effective for overcoming fatigue and anxiety in cancer patients, but there were also articles which stated that acupressure had less significant effectiveness in overcoming fatigue and anxiety in cancer patients, especially when done with a small number of samples and during the chemotherapy process. In conclusion, acupressure has positive benefits in overcoming fatigue and anxiety, although in some cases the impact is not very significant. Acupressure is a therapy that does not use invasive procedures, is safe, cost-effective and easy to apply. Acupressure can be done independently by the patient by massaging the acupoints</em><em>.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Acupressure, Anxiety,</em> <em>Cancer</em><em>,</em><em> Fatigu</em><em>e</em></p> Mahda Chresginova Malau Enie Novieastari Dewi Gayatri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 903 910 10.31539/joting.v6i1.9524 Stress, Burnout dan Strategi Coping Perawat Frontline pada Waktu Pandemi COVID-19 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9600 <p><em>This research aims to determine the stress, burnout, and coping of nurses during the COVID-19 pandemic in hospitals. The research method used is a literature review by selecting a theme and determining keywords (Keywords) and Boolean operators (AND, OR NOT, or AND NOT) before searching for scientific articles online. The literature search in this literature review used 4 databases, namely, Cochrane Library, Pubmed, Scopus, and ProQuest. The research results show that psychological symptoms that appeared in health workers due to the COVID-19 pandemic, such as depression, anxiety, stress, PTSD, fatigue, insomnia, and somatic symptoms, increased during the beginning of this pandemic. In conclusion, nurses experience a lot of work stress, medical professional burnout (emotional exhaustion, depersonalization, and a low sense of personal accomplishment), and mental health. Stress prevention should be adapted to the characteristics of the workplace, taking into account workplace optimization, social support, and compensation for workers' efforts.</em></p> <p><em>&nbsp;</em><em>Keywords: Burnout, Coping Strategies, COVID-19, Nurses, Stress</em></p> Risdayanto Nono Else Maria Rosa ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-02 2024-04-02 6 1 911 920 10.31539/joting.v6i1.9600 Diit Rendah Karbohidrat dan Puasa Intermitten terhadap Tekanan Darah pada Penderita Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9513 <p><span data-preserver-spaces="true">This study aims to analyze the effect of a low carbohydrate diet and intermittent fasting on blood pressure in hypertension sufferers. The research method used literature searches published in electronic databases, namely PubMed, Google Scholar, Scopus, and ScienceDirect, from 2013 to 2023, using the PRISMA method. Research shows that both can reduce blood pressure, especially systolic blood pressure. In conclusion, further research needs to be carried out to look specifically at the impact of a low-carbohydrate, high-fat diet and intermittent fasting on blood pressure in people with hypertension.</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: Low Carbohydrate Diet, Hypertension, Intermittent Fasting, Blood Pressure</span></p> Wahadi Wahadi Elly Nurachmah Riri Maria ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-19 2024-04-19 6 1 921 929 10.31539/joting.v6i1.9513 Hubungan Pengetahuan dan Keterampilan Bencana Mahasiswa dengan Kesiapsiagaan Keluarga Menghadapi Bencana https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9624 <p><em>This research aims to identify the relationship between disaster knowledge and skills of Indonesian Adventist University students and family preparedness for facing disasters. This research method uses descriptive quantitative research with a survey method which will describe the relationship between knowledge and skills of Indonesian Adventist University students as many as 187 respondents. The results of this study show that in general, the subjects have a moderate to high level of knowledge. This is different from the subject's skill level which, when compared with disaster knowledge, is found to be at a lower level. In conclusion, there is a significant relationship between disaster knowledge and family preparedness as well as between students' disaster skills and family preparedness in facing disasters that can occur at any time.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Family Preparedness, Disaster Skills, Disaster Knowledge</em></p> Sylvana Claudia Tambunan Gilny Aileen Joan Rantung ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-20 2024-04-20 6 1 930 938 10.31539/joting.v6i1.9624 Intervensi Non Farmakologi terhadap Stres dan Nyeri pada Anak dengan Gangguan Hematologi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8762 <p><em>This research aims to identify the relationship between disaster knowledge and skills of Indonesian Adventist University students and family preparedness for facing disasters. This research method uses descriptive quantitative research with a survey method which will describe the relationship between knowledge and skills of Indonesian Adventist University students as many as 187 respondents. The results of this study show that in general, the subjects have a moderate to high level of knowledge. This is different from the subject's skill level which, when compared with disaster knowledge, is found to be at a lower level. In conclusion, there is a significant relationship between disaster knowledge and family preparedness as well as between students' disaster skills and family preparedness in facing disasters that can occur at any time.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Family Preparedness, Disaster Skills, Disaster Knowledge</em></p> Betti Arisanti Saragih Allenidekania Allenidekania ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-20 2024-04-20 6 1 939 947 10.31539/joting.v6i1.8762 Rerata Kenaikan Berat Badan Per Hari pada Bayi Berat Lahir Rendah dengan Perawatan Metode Kanguru https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9409 <p><em>This study aims to analyze the weight gain of premature babies and Low Birth Weight (LBW) babies after carrying out Kangaroo Method Treatment (PMK). The research method used is a systematic review through searching for articles from the ProQuest, ScienceDirect, PubMed, Sage Journal and Taylor &amp; Francis Online databases. The results of the study showed that FMD intervention would be able to increase the weight of premature babies more than routine care. In conclusion, by doing PMK regularly, the baby's weight will increase. A duration of six hours has been proven to be more effective in increasing a baby's weight than a duration of one hour. PMK can be used as a cheap complementary care intervention for premature or low birth weight babies when care facilities are limited.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: low-birth-weight, kangaroo care, premature baby, weight gain</em></p> Melissa Selviany Allenidekania Allenidekania Yeni Rustina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-20 2024-04-20 6 1 948 955 10.31539/joting.v6i1.9409 Latihan Relaksasi Secara General terhadap Tingkat Mual dan Muntah pada Pasien Kanker dengan Induksi Kemoterapi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9450 <p><em>This study aims to determine the effectiveness of general relaxation exercises on the level of nausea and vomiting in cancer patients receiving chemotherapy induction. The method used in this research is a systematic review of several databases through searches of trusted journals, such as Scopus, E</em><em>BSCO</em><em>host, Springer</em> <em>Link, Proquest and Science Direck, Google Schooler with article analysis using the PRISMA method. The results of the study showed that a total of 10 articles had been analyzed in which there were several relaxation exercise interventions that were given generally and successively proven to reduce the level of nausea and vomiting in cancer patients who received chemotherapy induction. Conclusion: Providing relaxation exercise interventions in general is flexible, simple, easy to learn, and helps reduce the level of nausea and vomiting in cancer patients receiving chemotherapy induction.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: General relaxation exercises, Cancer, Nausea, Vomiting</em></p> Indarti Dwi Ningsih Tuti Nuraini Yati Afiyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-20 2024-04-20 6 1 956 964 10.31539/joting.v6i1.9450 Kompetensi Mahasiswa Keperawatan Tingkat Dua dalam Pelaksanaan Keterampilan Praktik Klinis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9607 <p>This study aims to determine the competency abilities of Level 2 nursing students in clinical practice in private hospitals. The method used is univariate descriptive analysis. The research results show five categories of skills: highly skilled, skilled, moderately skilled, less skilled, and not skilled. This data shows that the average percentage of level 2 nursing students carrying out clinical practice competencies in hospitals is in the highly skilled, skilled, and quite skilled competency categories. Level 2 nursing students have pretty good skill competencies in carrying out clinical practice competencies in hospitals, with a highly skilled percentage of 12 people (26.9%), skilled as many as 14 people (31.1%), quite skilled as many as nine people (21 .0%), less skilled as many as four people (10.1%), unskilled as many as five people (10.9%). In conclusion, second-level nursing students were able to carry out 32 assessment items on the achievement of clinical practice skills competency from the Child, KMB, and Maternity courses.</p> <p>Keywords: Skills, Competencies, Clinical Practice</p> Kayla Debrisya Naibaho Lyna M. N. Hutapea ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-20 2024-04-20 6 1 965 972 10.31539/joting.v6i1.9607 Faktor Penghambat Kembali Bekerja pada Pasien Gangguan Mental Umum https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9459 <p>This research aims to analyze the factors that prevent individuals who experience mental disorders in general from being able to return to work. The method used is a systematic review by searching for articles tailored to formulating research questions with PEO formulations in seven databases: Scopus, ScienceDirect, Pubmed, Proquest, Sage Journals, Oxford, Taylor &amp; Francis. The research found two categories: internal factors, job status, workability, positive attitude, symptom severity, self-efficacy, and&nbsp;male. In contrast, external factors were supervisor support, loss of work contract, initial unemployment, low control over work, job tension, inflexible working hours, and&nbsp;no possibility of working from home. In conclusion, recovery can be achieved if internal and external factors work together and contribute positively to the client.</p> <p>Keywords: Inhibiting Factors, Common Mental Disorders, Return to Work</p> Eliza Cahyani Novy Helena Catharina Daulima Giur Hargiana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-24 2024-04-24 6 1 973 981 10.31539/joting.v6i1.9459 Faktor-Faktor yang Memengaruhi Psikologis Pasien dan Keluarga saat Menerima Bad News tentang Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9533 <p><em>This research aims to determine the factors that influence psychology when receiving bad news about cancer. The method uses a systematic review approach on ten journals analyzed using PRISMA. Database search via Springer, Scopus, PubMed, ClinicalKey, and ScienceDirect. The results of a systematic review show that the factors that influence psychological factors are supportive communication, information, nurse presence, environment or privacy, emotional and empathic support, language, stage of disease, family involvement, and demographic characteristics. In conclusion, delivering bad news about cancer must consider factors that can influence the psychology of patients and families. Training related to delivering bad news needs to be given to nurses who provide oncology services to reduce the psychological factors that occur when patients and families receive bad news about cancer.</em></p> <p><em>&nbsp;</em><em>Keywords: Bad News, Cancer, Patients and Families, Psychology</em></p> Indida Leli Indah Febrianty Dewi Gayatri Imami Nur Rachmawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-24 2024-04-24 6 1 982 989 10.31539/joting.v6i1.9533 CBT-I Online Efektif Meningkatkan Kualitas Tidur Lansia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9559 <p><em>This study aims to examine the effectiveness of implementing online CBT-I on older adults with sleep disorders. The method used is a Systematic Review guiding a search of 4 databases, ScienceDirect, Scopus, PubMed, and UI Lib, in October 2023 with article publication years starting from 2019-2023 to identify all relevant journal articles. The search technique follows the PRISMA flow. The research results showed that online CBT-I was proven to be effective in treating insomnia sleep disorders in the elderly. CBT-I can even treat secondary disorders due to insomnia, such as depression and anxiety. In conclusion, Online CBT-I can be implemented in health services provided that there is adequate computer and internet accessibility.</em></p> <p><em>&nbsp;</em><em>Keywords: Online CBT, Insomnia, Sleep Disorders, Elderly</em></p> Ida Faridah Etty Rekawati Junaiti Sahar ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-24 2024-04-24 6 1 990 997 10.31539/joting.v6i1.9559 Pengetahuan dan Perilaku Merokok pada Pasien Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9608 <p><em>This study aims to examine the relationship between the level of knowledge and smoking behavior in hypertensive patients at the Bandar Lampung Adventist Hospital. This research is a simple descriptive quantitative research. The results of the study showed that the relationship between knowledge and smoking behavior in hypertensive patients at Bandar Lampung Adventist Hospital had a significance value of 0.047 (p &lt;0.05) and r = 0.272, which means there was a relationship between knowledge and smoking behavior and smoking behavior in patients at the hospital. Bandar Lampung Adventist. In conclusion, a person's knowledge has a significant relationship with the smoking behavior of patients with hypertension.</em></p> <p><em>&nbsp;</em><em>Keywords: Hypertension, Knowledge, Smoking Behavior</em></p> Citra Wachyuni Nainggolan Ernawaty Siagian ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-24 2024-04-24 6 1 998 1006 10.31539/joting.v6i1.9608 Hubungan Tingkat Religiusitas, Tingkat Kebersyukuran dengan Kejadian Depresi pada Remaja https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9504 <p><span data-preserver-spaces="true">This study aims to determine the relationship between the level of religiosity, the level of gratitude, and the incidence of depression in teenagers in high schools in Labakkang District, Pangkep Regency. The research method used is a cross-sectional method. The&nbsp;</span><span data-preserver-spaces="true">results of the study</span><span data-preserver-spaces="true">&nbsp;showed that the highest level of religiosity was 98.5%, moderate level of gratitude was 97%, and no depression was 98.5%. Of the 200 respondents who had a high level of religiosity, 200 (100.0%) also did not experience depression, while</span><span data-preserver-spaces="true">&nbsp;3&nbsp;</span><span data-preserver-spaces="true">respondents had a moderate level of religiosity, as many as 3 (100.0%). Meanwhile, the relationship between gratitude and the incidence of depression shows that of the 197 respondents who had a moderate level of&nbsp;</span><span data-preserver-spaces="true">gratitude</span><span data-preserver-spaces="true">, 3 (1.5%) experienced mild depression, while of the</span><span data-preserver-spaces="true">&nbsp;6&nbsp;</span><span data-preserver-spaces="true">respondents who had a high level of&nbsp;</span><span data-preserver-spaces="true">gratitude</span><span data-preserver-spaces="true">, 6 (100.0%) did not experience depression. In conclusion, there is a relationship between the level of religiosity and the incidence of depression, and there is no relationship between the level of gratitude and the incidence of depression.</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: Depression, Gratitude, Religiosity</span></p> M.Agus Jabir Akemat Pawirowiyono Rahmi Imelisa Iyus Yosep Khrisna Wisnusakti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-28 2024-04-28 6 1 1007 1015 10.31539/joting.v6i1.9504 Terapi Musik terhadap Nyeri Anak di Pediatric Intensive Care Unit https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9566 <p><em>This study aims to analyze the benefits of music therapy intervention on pain experienced by children treated in the Pediatric Intensive Care Unit (PICU). The method used is&nbsp;through&nbsp;searching for articles adapted to the formulation of research questions using the PICO formula in the EMBASE, Clinicalkey for Nursing, Proquest, ScienceDirect, Springer Link, Pubmed, and Scopus databases. The research results showed that music therapy for children treated in the PICU varied, including live music therapy, recorded music therapy,&nbsp;music therapy and&nbsp;hand massage, and&nbsp;music and video therapy.&nbsp;In conclusion,&nbsp;intervention through music therapy has proven to be&nbsp;effective in reducing pain, increasing comfort, and stabilizing children's hemodynamics.</em></p> <p><em>&nbsp;</em><em>Keywords: Children, Pain, Pediatric Intensive Care Unit, Music Therapy</em></p> Lilis Kurniawati Allenidekania Allenidekania Nani Nurhaeni ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-28 2024-04-28 6 1 1016 1024 10.31539/joting.v6i1.9566 Peran Mahasiswa Keperawatan dalam Pemenuhan Kebutuhan Spiritual Selama Praktik https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9606 <p><em>This study aims to determine the extent to which student nurses provide spiritual nursing care to clients in private hospitals. The method used is descriptive quantitative. The research results show that the role of nursing students in fulfilling the spiritual needs of patients is very often (16.7%), often (52.8%), rarely (27.8%), and&nbsp;never (2.8%). In conclusion, the role of nursing students in fulfilling spiritual needs&nbsp;often&nbsp;falls into the increasing category.</em></p> <p><em>&nbsp;</em><em>Keywords: Spiritual Needs, Nursing Students, Clinical Practice</em></p> Andra Eunike Vieira Bianca Situmeang Lyna M Hutapea ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-28 2024-04-28 6 1 1025 1031 10.31539/joting.v6i1.9606 Faktor Risiko yang Mempengaruhi Kematian Maternal https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9673 <p><em>This study aims to determine the risk factors that influence maternal mortality, which consist of close determinants, intermediate determinants, and distant determinants. The method used is observational with a case-control study. The research results obtained show that the risk factors that influence maternal mortality based on multivariate analysis are pregnancy complications and late referral. In conclusion, maternal deaths are influenced by various factors such as delays in referral, especially the first delay, low levels of maternal education, low levels of family income, and the inability to implement the Mother Love Movement (GSI) optimally throughout Ermera Municipality as the government's effort to reduce maternal deaths.</em></p> <p><em>&nbsp;</em><em>Keywords: Risk Factors, Maternal Death, Case-Control Study</em></p> Jermias da Cruz ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-29 2024-04-29 6 1 1032 1040 10.31539/joting.v6i1.9673 Teknologi Edukasi Perawatan Bayi Prematur https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9408 <p><em>This study aims to identify the most effective technology for preterm infant care, so as to improve knowledge, maternal skills and growth of preterm infants. The research method used was systematic review using five databases, namely Proquest, ScienceDirect, Emeraldinsight, PubMed, ClinicalKey. The results showed that 10 research articles could improve the knowledge, skills, and growth of preterm infants, such as: Booklet, tele-rehabilitation-based educational technology EI (Early Intervention), Family Integrated Care and Mobile Technology (m-FiCare m-Health, Telenursing education of premature, web application. Conclusion The most effective educational technology and has the advantage of accessing education is the web.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Baby </em><em>C</em><em>are, Premature, Technology</em></p> Rachmayanti Purawita Wardhani Allenidekania Allenidekania Yeni Rustina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-29 2024-04-29 6 1 1041 1048 10.31539/joting.v6i1.9408 Efektivitas Relaxation Technique dalam Menurunkan Kecemasan pada Pasien Heart Disease https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9442 <p><em>Introduction: This systematic review aims to determine the effectiveness of relaxation therapy in reducing anxiety in heart disease patients and knowing what relaxation techniques are more effective than other techniques. The method used in this review is a review of various data bases including ProQuest, ScienceDirect and Pubmed published between 2013-2023 with the search keywords Relaxation Technique, Anxiety, Heart Disease. The results showed that there were four articles that showed the effectiveness of relaxation therapy in reducing anxiety in patients with heart disease. Conclusion: Relaxation therapies such as Benson's Relaxation Technique, prayer therapy, TaiChi, Meditation can be used effectively in the management of anxiety in heart disease patients. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Heart Disease, Anxiety, Relaxation Technique</em></p> Tutut Riana Hapsari Agung Waluyo Denissa Faradita Aryani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-29 2024-04-29 6 1 1049 1057 10.31539/joting.v6i1.9442 Perbandingan Angka Cakupan Imunisasi Dasar Anak Sebelum, Selama dan Setelah Pandemi Covid-19 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9763 <p><em>This research aims to provide a clear picture of the impact of the Covid-19 pandemic on children's basic immunization coverage at the Parongpong Community Health Center, West Bandung Regency from 2019-2023. The research uses a quantitative descriptive approach with sampling techniques using methodstotal sampling. The data used is secondary data from monthly reports of routine immunization results every month. The research results show that the basic immunization coverage rate for children in the Parongpong Community Health Center working area before the 2019 Covid-19 pandemic had good coverage with the highest coverage in December amounting to 1237 (115%). In 2020, during the pandemic, basic immunization coverage for children experienced a significant decline with the highest coverage in January being only 514 children (48%) and in 2021 increasing with the highest coverage being 953 children (88%). In 2022 there will be an insignificant decline. After the Covid-19 Pandemic in 2023, the figure for basic immunization coverage among children showed an increase of 88% or around 953 children were vaccinated. Conclusion, there is a comparison of basic immunization coverage rates for children before, during and after the Covid-19 pandemic. This shows the need for special attention in efforts to restore and increase children's basic immunization coverage after the pandemic.</em></p> <p>&nbsp;</p> <p><em>Keywords: Immunization Coverage, Covid-19, Basic Immunization </em></p> Irene Primagdasary Leokuna Monalisa Sitompul ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-30 2024-04-30 6 1 1058 1066 10.31539/joting.v6i1.9763 Intervensi Spiritualitas untuk Menurunkan Tingkat Kecemasan dan Depresi terhadap Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9534 <p><em>This study aims to determine the factors that influence the level of spirituality and the level of anxiety and depression in cancer patients. The method used was a systematic review of several databases, such as Scopus, Google Scholar, PubMed, ProQuest, and EBSCOHost, which were used in the search for relevant articles. The research results show that there are a total of 9 articles that have been analyzed, one of which is the complex condition of cancer-causing sufferers to face various clinical symptoms, both physical and psychological, and the spirituality needed by cancer patients to provide comfort. In this context, the need for aspects of spirituality cannot be ignored because it can give comfort and positively impact the health and healing of patients. Therefore, fulfilling spiritual needs is very important, apart from paying attention to other aspects of needs in individuals experiencing cancer. Conclusion: The spiritual interventions carried out are suitable for reducing levels of anxiety and depression in cancer patients, including dhikr therapy, reading books about religion, spiritual counseling, nursing care based on a support-based spiritual care model, religious-spiritual psychotherapy, and Al-based group spiritual interventions. -Quran and Islam.</em></p> <p><em>&nbsp;</em><em>Keywords: Anxiety, Depression, Cancer, Spirituality</em></p> Ida Yanti Tuti Nuraini Chiyar Edison Dewi Gayatri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-30 2024-04-30 6 1 1067 1075 10.31539/joting.v6i1.9534 Faktor–Faktor yang Berhubungan dengan Kenyamanan, Beban Gejala, dan Depresi pada Pasien Kanker Payudara https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9692 <p><em>This study aims to evaluate factors associated with comfort, symptom burden, and depression in breast cancer patients. The method used was a systematic review following PRISMA guidelines, with searches in PubMed, Embase, and ScienceDirect until March 2024 using the terms "breast cancer," "comfort," "symptom burden," and "depression." Research results from 9 articles show that demographic factors, clinical factors, and psychological factors have an impact on patient comfort. Symptom burden was influenced by race, age, employment status, and place of residence. At the same time, bisphosphonate treatment, metastasis, comorbidities, disease stage, chemotherapy, hormone therapy, and physical activity contributed to variation in symptom burden. Depression, as measured, was also analyzed, as well as these factors. In conclusion, comfort, symptom burden, and depression in breast cancer patients are influenced by various demographic, clinical, and psychological factors.</em></p> <p>Keywords: Symptom Burden, Depression, Breast Cancer, Comfort</p> Mustafidz Mustafidz Tuti Nuraini Giur Hargiana Dewi Gayatri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-30 2024-04-30 6 1 1076 1084 10.31539/joting.v6i1.9692 Manfaat Rehabilitasi Psikososial dalam Mendukung Pemulihan Orang dengan Gangguan Jiwa https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9672 <p><em>This research aims to analyze the benefits of psychosocial rehabilitation in supporting the recovery of people with mental disorders. The research method used was a literature review where article searches were carried out on the ProQuest, SpringerLink and EBSCOhost databases with publication years 2019-2023. The research results show that psychosocial rehabilitation has been proven to have a positive impact on the recovery of people with mental disorders. The positive impacts include: improving health behavior, improving functioning as an individual and increasing the ability to live independently and productively. Through psychosocial rehabilitation, people with mental disorders are able to increase their self-efficacy and satisfaction with their lives, which has a positive correlation in improving their quality of life. In conclusion, psychosocial rehabilitation is a program that must be integrated into the recovery of people with mental disorders.</em></p> <p><em>&nbsp;</em><em>Keywords: People with Mental Disorders, Recovery, Psychosocial Rehabilitation</em></p> Ida Ayu Kartikasari Achir Yani S. Hamid Giur Hargiana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-30 2024-04-30 6 1 1085 1092 10.31539/joting.v6i1.9672 Kombinasi Pijat Marmet dan Kompres Hangat terhadap Pengeluaran Asi pada Ibu Nifas https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8217 <p><span data-preserver-spaces="true">This study aims to determine the effectiveness of a combination of marmet massage and warm compresses on breast milk production in postpartum mothers. The method used is quantitative research with a quasi-experimental research design. The study's results showed a difference in the effectiveness of the combination of marmet massage and warm compress on breast milk production in postpartum mothers with a p-value of (0.032 &lt;0.05). In conclusion, combining marmet massage and warm compresses can influence the breast milk production of postpartum mothers.</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: Exclusive Breast Milk, Warm Compress, Marmet Massage, Breast Milk Production</span></p> Ni Putu Indu Dewi Pradnyani Murti Bima Suryantara Fatimah Sari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-30 2024-04-30 6 1 1093 1102 10.31539/joting.v6i1.8217 Peer Education Sadari terhadap Perilaku Remaja dalam Deteksi Dini Kanker Payudara https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9540 <p><em>This study aims to analyze the influence of breast self-examination peer education on adolescent behavior in early breast cancer detection. This research method is quantitative with a pre-experimental research design, one group pretest-posttest design. The sampling method in this study used proportional stratified random sampling, so the total sample in this study was 114 respondents. This research began in September 2023 – February 2024. Based on the results of statistical tests using the Wilcoxon signed rank test, the P-value was obtained, namely 0.000 &lt; α = 0.05. In conclusion, there is an influence before and after breast self-examination peer education is carried out on adolescent behavior in early detection of breast cancer. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Adolescent Behavior, Breast Cancer, Breast Self-Examination, Peer Education</em></p> Sry Rumondang Sitindaon Siti Zahara Nasution Rika Endah Nurhidayah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-01 2024-05-01 6 1 1103 1111 10.31539/joting.v6i1.9540 Efek Aromaterapi Minyak Esensial terhadap Nyeri pada Pasien Pasca Pembedahan Gastrointestinal https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9619 <p><em>This study aims to show the effectiveness of essential oil aromatherapy for pain compared with standard intervention measures in patients after gastrointestinal surgery. The research method used is a systematic review through databases and electronic websites, namely Pubmed, Science Direct, ProQuest, Embase and Sage Journals. The results of the study showed that from 5 research articles, data was obtained that giving Aromatherapy essential oils was proven to reduce pain after gastrointestinal surgical procedures, including lavender oil, geranium oil, mixing lavender, ylang-ylang, marjoram and neroli oils as well as sweet orange and rose types. Silk cloth. Conclusion: The addition of aromatherapy to standard therapy significantly reduces the severity of postoperative pain compared to standard therapy with or without placebo.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: aromatherapy essential oils, pains, gastrointestinal surgery</em></p> Natallina Sianturi Debie Dahlia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-01 2024-05-01 6 1 1112 1120 10.31539/joting.v6i1.9619 Intervensi yang Efektif dalam Peningkatan Skrining Kanker Serviks pada Perempuan Usia Subur https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9487 <p><em>This study aims to review the literature on effective interventions to increase the uptake of cervical cancer screening in women of childbearing age. The method used is a systematic review through searching for articles according to the formulation of research questions using the PIO formula in the Proquest, Pubmed, Sage Journal, Science Direct, and Scopus databases. The search keywords used are ((technology[Title/Abstract]) OR (innovation[Title/Abstract])) OR (intervention[Title/Abstract])) OR (method[Title/Abstract])) AND (increase cervical cancer screening[Title/Abstract])) OR (improve cervical cancer screening[Title/Abstract]). The results showed that from 10 articles reviewed, relevant interventions were found to increase screening uptake, including the provision of SMS (education and reminder) and eVouchers, self-sampling of HPV sent by post, FCHV visits to provide education and counseling using flipchart media and booklets as well as talk shows and peer discussions by CHW. CHW conducts education using video clips and brochures, Conclusions, and relevant interventions to increase the uptake of cervical cancer screening are the provision of reminder messages and eVouchers, self-sampling of HPV sent by post, mentoring interventions by FCHV or CHW for education and counseling. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Technology Intervention, Cervical Cancer Screening, Women of Childbearing Age</em></p> Pindi kurniawati Kurniawati Setyowati Setyowati Imami Nur Rachmawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-04-30 2024-04-30 6 1 1121 1129 10.31539/joting.v6i1.9487 Korelasi Durasi Penggunaan Smartphone dengan Kualitas Tidur dan Prestasi Belajar Siswa https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9617 <p><em>This study aims to determine the correlation of the duration of smartphone use with sleep quality and learning achievement of Riau Banking Vocational School students. The method used is a correlation design with a cross sectional approach. The results showed that there was a relationship between the duration of smartphone use with sleep quality with a p-value of 0.002. As for the duration of smartphone use with learning achievement, there is no relationship with a p-value of 0.156. It is concluded that the duration of smartphone use is one of the factors that affect sleep quality in adolescents and for learning achievement there are other factors that affect student achievement. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Duration of smartphone use, sleep quality, learning achievement, and adolescents.</em></p> Siska Mayang Sari Yecy Anggreny Nurlaila Anisa Nurlaila Anisa ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-01 2024-05-01 6 1 1130 1138 10.31539/joting.v6i1.9617 Hubungan Tingkat Pengetahuan dan Tingkat Kecemasan Menghadapi Masa Menopause https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9690 <p><em>This research intends to identify the relationship between the level of knowledge and women's anxiety about facing menopause among women in the Seventh-day Adventist Church Salemba, Central Jakarta.</em> <em>The Method that has been used in this is descriptive quantitative, with a correlative approach to analyze the relationship between the level of knowledge and the level of anxiety that has been measured by a knowledge questionnaire and the Hamilton Rating Scale for Anxiety (HRS-A) questionnaire. The results of the research showed that there was a relationship between the level of knowledge and the level of anxiety facing the menopause at the Seventh-day Adventist Church Salemba, Central Jakarta.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Anxiety, Menopause, Knowlege level</em></p> Tiffara Keavy Sharon Panjaitan Masta Haro ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-02 2024-05-02 6 1 1139 1147 10.31539/joting.v6i1.9690 Hubungan Pengetahuan dan Sikap dengan Perilaku Hygiene Penjamah Makanan pada Warung Makan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9681 <p><em>This research aims to determine the relationship between knowledge and attitudes and the hygiene behavior of food handlers at food stalls. This research was located at a food stall in the Gonilan Village area, Kartasura District, Sukoharjo Regency. The method used is analytical observational and uses a cross-sectional design. The sampling technique used in this research was purposive sampling using the inclusion criteria of the respondent being a food handler, aged &gt;18 years, and the inclusion criteria for a food stall being a fixed or permanent building located in the Gonilan area. This research used questionnaire instruments and observation sheets with a sample size of 106 food handler respondents from 40 food stalls in Gonilan Village. The results showed that (36.8%) the majority of food handler respondents were aged 26-35 years, (63.2%) the majority of food handler respondents were men, (78.3%) of food handler respondents had completed high school education. /Equivalent, and (50.9%) food handler respondents have worked for &lt; 5 years. From the results of the univariate analysis, 55 (51.9%) food handler respondents tended to have good knowledge, 60 (56.6%) food handler respondents tended to have a positive attitude, and 55 (51.9%) food handler respondents had good behavior. The research conclusion shows that there is a relationship between knowledge (p-value 0.020) and attitude (p-value 0.013) with the hygiene behavior of food handlers at food stalls in the Gonilan Village area. There needs to be increased supervision and better guidance by food stall owners, health centers and related agencies.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Hygiene, Food Handlers, Knowledge, Behavior, Attitudes.</em></p> Razhiqa Syahru Alghifari Mitoriana Porusia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-03 2024-05-03 6 1 1148 1156 10.31539/joting.v6i1.9681 Dampak Oforektomi terhadap Kualitas Hidup dan Fungsi Seksual Orang dengan Kanker Payudara https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9708 <p><em>This study aims to identify the impact of orthorectomy on breast cancer patients, especially on their quality of life and sexual function. We conducted a systematic review adhering to PRISMA guidelines, searching articles from PubMed, ProQuest, Embase, and ScienceDirect databases from inception to March 2024. The search terms used were "oophorectomy", "quality of life", "sexual function", and "breast cancer". Results from 8 articles showed that oophorectomy can negatively affect quality of life, especially in physical and psychosocial aspects, and can be associated with sexual dysfunction. Ophorectomy was also associated with significant reductions in all-cause mortality and breast cancer-specific mortality. In conclusion, this study shows about ooforectomy have a significant impact on quality of life and sexual function of women, especially on physical and psychosocial aspects. Although, these impacts do not entirely affect quality of life,</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Oo</em><em>phorectomy, Breast Cancer, Quality of Life, Sexual Dysfunction</em></p> Hasan Fuadi Yati Afiyanti Dewi Gayatri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-04 2024-05-04 6 1 1157 1165 10.31539/joting.v6i1.9708 Penerapan Terapi Musik untuk Menurunkan Kecemasan pada Pasien yang Akan Dilakukan Percutaneous Coronary Intervention (PCI) https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9710 <p><em>This his study aims to overcome anxiety in CHD patients who will undergo percutaneous coronary intervention (PCI). The method used was random sampling with a sample of 12 CHD patients who were going to undergo PCI. This sample size was obtained from calculations using G-Power version 3.1.9.4. The research results showed that the characteristics of the participants in the EBNP were an average age of 48.4 years (12.3%), male 9 (75.0%), Muslim 7 (58.4%), high school education 5 (41.7%), married status 11 (91.7%), BPJS health insurance for retired military personnel 5 (41.7). The results of the T-Test analysis or comparison test of state anxiety inventory and trait anxiety inventory before and after being given music therapy showed a P value of 0.000. In conclusion, music therapy has a significant effect on reducing anxiety in patients with coronary heart disease who will undergo PCI or percutaneous coronary intervention.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Anxiety, CHD, Music therapy</em></p> Abdi Tallulembang Wati Jumaiyah Ninik Yunitri Lyana Arsianti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-04 2024-05-04 6 1 1166 1174 10.31539/joting.v6i1.9710 Faktor Determinan Disfungsi Seksual pada Pasien Kanker Serviks https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9772 <p><em>This study Aims to identify any factors that determine the incidence of sexual dysfunction in cervical cancer patients. The method used in this article is a systematic review uses several databases such as Pubmed, Ebscohost, Proquest, Science Direct and Scopus. The article analysis process uses the PRISMA method. The result of this study showed that<strong> t</strong>he incidence of sexual dysfunction in cervical cancer patients is generally not only caused by a decrease in the patient’s physical function, but is also influenced by the patient’s Bio, Psychological, social and spiritual factors. The Conclusion of this systematic review is that to overcome the various factors that cause dysfunction in cervical cancer patients. It is necessary for the cervical cancer patients to adapt with these factors. Moreover, to help cervical cancer patients overcoming the problem caused by sexual dysfunction, a good theraupeutical strategy is also needed to deal with the symptoms caused by the desease as well as the cancer’s therapy and treatment.</em></p> <p>&nbsp;</p> <p><em>Key words : Sexual Dysfunction, Factors Related to, &nbsp;Cervical Cancer Patient</em></p> Margareth Lasut Tuti Nuraini Dewi Gayatri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-04 2024-05-04 6 1 1175 1184 10.31539/joting.v6i1.9772 Instrumen Discharge Planning Berbasis Patient Family Centered Care https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9733 <p><em>This study aims to develop a discharge planning instrument through an inpatient family centered care approach, to improve service quality. The method used was systematic review, a systematic search through the Scopus, Science Direct, and Pub Med databases published between 2018-2023. The results showed that discharge planning based on patient family centered care helps prepare patients and families for home care, increase knowledge and skills, and collaborate with other health workers. The conclusion of this study is that discharge planning has an influence on the success of patient care after being at home. The implementation of discharge planning is important in preparing patients and families with education by nurses related to the disease and patient care so as to increase knowledge and skills for home care. Improved quality of service at home and patient and family satisfaction.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Discharge Planning, Instrument Development, PFCC, Hospitalization, Hospital.</em></p> Paskalia Uut Rizki Fitryasari Ni Ketut Alit Armini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-04 2024-05-04 6 1 1185 1193 10.31539/joting.v6i1.9733 Waktu Pelaksanaan Senam Aerobik terhadap Mean Arterial Pressure (Map) pada Wanita Usia Subur (WUS) dengan Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9731 <p><em>This study aims to analyze the timing of the best aerobic exercise in reducing mean arterial pressure as an alternative in dealing with hypertension in women of childbearing age. The research method used was quasy experimental with pretest posttest with control group design. Results of the study showed that the average decrease in MAP of the pre and post morning gymnastics group was 110.76 and 96.21 (p = 0.000), afternoon exercise 106.95 and 93.78 (p = 0.000), and the education group 108.07 and 102.42 (p = 0.008). And the results over time showed (p = 0.239) in week 2, (p = 0.032) in week 4 and (p = 0.000) in week 6. It was concluded that aerobic exercise in the morning was more effective in reducing MAP compared to aerobic exercise in the afternoon and the control group in women of childbearing age.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Mean Arterial Pressure, Aerobic Gymnastics, Women of Childbearing Age</em></p> Ainishfi Laili Septiani M. Choiroel Anwar Aris Santjaka ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-04 2024-05-04 6 1 1194 1202 10.31539/joting.v6i1.9731 Intensi Berbasis PMT terhadap Kepatuhan Pengisian Dokumentasi Asuhan Keperawatan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9753 <p><em>This study aims to determine the influence of protection motivation theory (PMT)-based intentions on nursing care documentation compliance behavior. In this research, motivation that influences behavior is described by intention, which is an indication of how strongly someone wants to carry out a behavior. The method used in literature searches uses four databases, namely Google Scholar, PubMed, ProQuest, and ScienceDirect. Search for articles or journals using keywords and Boolean operators. The research results show that the most applicable benchmark for individual behavioral motivation in protection motivation theory is intention. The research conclusions illustrate that there is an intention showing a person's willingness to try to carry out behavior in accordance with applicable orders or policies. If the individual understands the risk of non-compliance in filling out nursing care documentation, then the individual will have the motivation to protect themselves (protection motivation) in the form of a desire to carry out documentation in accordance with the policy procedures that apply at the hospital.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: intention, protection motivation theory, documentation of nursing care</em></p> Indah Azhari Ilya Krisnana Nuzul Qur’aniati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-04 2024-05-04 6 1 1203 1211 10.31539/joting.v6i1.9753 Efektivitas Cognitive Behavior Therapy (CBT) Terhadap Kecemasan, Stres dan Peningkatan Resiliensi Pada Korban Pascabencana Banjir : Literature Review https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9747 <p><em>This research aims to describe Cognitive Behavior Therapy (CBT) for anxiety, stress, and increasing resilience in post-flood disaster victims through a literature study search. The method used is a journal review approach from the Proquest, Science Direct, Pubmed, Scopus databases with the keyword Cognitive Behavior Therapy AND Anxiety, Cognitive Behavior Therapy AND Stress AND Resilience. with inclusion criteria, full paper articles, English, Indonesian, publications in the last 10 years, namely from 2020 to 2024, disaster victims. The results of the research show that of the 10 articles that can be used for literature reviews, CBT is effective in reducing anxiety disorders, stress and increasing resilience. Conclusion Cognitive Behavior Therapy (CBT) is effective in reducing anxiety, stress and increasing resilience in victims of natural disasters who experience anxiety, stress and low resilience.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Cognitive Behavior Therapy, Anxiety, Stress, Resilience, Post-Flood DisasterVictims. </em></p> Meyunda Alfriyani Mustikasari Mustikasari ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-04 2024-05-04 6 1 1212 1220 10.31539/joting.v6i1.9747 Health Seeking Behaviour pada Perawatan Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9701 <p><em>This study aims to synthesize the findings from existing research on health-seeking behaviors among cancer patients. A systematic review was conducted using electronic databases and websites, including Sage Journal, ProQuest, and Science Direct, on March 9, 2024. The search strategy employed a combination of MeSH terms and keywords, specifically "health-seeking behavior," "cancer care," and "cancer prevention." The analysis revealed that, out of 11 research articles reviewed, several reported a low incidence of health-seeking behavior, particularly in communities within developing countries. This was largely attributed to limited access to healthcare facilities, leading some patients to rely solely on traditional medicine. In conclusion, the decision to seek medical assistance in some communities is complex and influenced by various factors.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Cancer Care, Cancer Prevention. Health Seeking Behavior.</em></p> Arza Rufli Yati Afiyanti Giur Hargiana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-04 2024-05-04 6 1 1221 1230 10.31539/joting.v6i1.9701 Intervensi Latihan Fisik terhadap Perbaikan Status Frailty Pada Lansia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9737 <p><em>This study aims to explore physical exercise interventions that can improve frailty status in the elderly. The method used was a systematic review. The results showed that 6 articles with experimental research types (Single-Arm Pre-Post Comparison Trial), and Randomized Controlled Trial which provide evidence that different physical exercise interventions can improve frailty status in the elderly, namely 1) Combination of brain and physical function training and health education, 2) Multicomponent Exercise Program (MCEP), 3) Community-based group Functional Power Training (FPT), 4) Inspiratory Muscle Training (IMT) on Whole Body Vibration (WBV), 5) Resistance Training (RT) and 6) Vitality Acupunch (VA) Exercise. In conclusion, there are six physical exercise interventions that can all be recommended to prevent and improve the frailty status of the elderly by maintaining and increasing muscle mass and function.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Older Adults, Physical Exercise, Frailty</em></p> Anna Kasfi Etty Rekawati Utami Rachmawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-04 2024-05-04 6 1 1231 1239 10.31539/joting.v6i1.9737 Edukasi Ergonomi dalam Mencegah Gangguan Muskuloskeletal pada Perawat yang Bekerja di Rumah Sakit https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9787 <p><em>This study aims to determine the relationship between ergonomics education and reducing musculoskeletal disorders for nurses and also to determine appropriate educational methods for nurses working in Hospitals. The research method used was a systematic review by searching for this article using the keywords education, ergonomics, musculoskeletal disorders, and nursing. Inclusion criteria involved nurses working in hospitals, articles with an RCT or clinical trial research design, published within the last 10 years, and interventions that included ergonomics education for nurses. Articles were found through searches in several electronic databases, including PubMed, ProQuest, Science Direct, Scopus, Sage Journal, and Embassy. The research results show that from the 7 articles that have been reviewed, the results of the ergonomics education program have succeeded in reducing the prevalence and risk of musculoskeletal disorders in nursing staff working in hospitals. In addition, there has been a significant reduction in the prevalence of musculoskeletal disorders in various parts of the body. In conclusion, providing ergonomics education to nurses working in hospitals can reduce complaints of work-related musculoskeletal disorders.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Education, Ergonomics, Musculoskeletal, Nursing.</em></p> Syafri Enta Masfuri Masfuri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-10 2024-05-10 6 1 1240 1249 10.31539/joting.v6i1.9787 Efektivitas Terapi Ozone terhadap Penyembuhan Luka Kaki Diabetik pada Pasien DM Tipe II https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9792 <p><em>This study aims to analyze the effectiveness of ozone therapy in healing diabetic foot wounds in type II DM patients. The research method used is quasi-experimental with a two-group pretest control group design approach. The research instruments used were the Bates-Jensen Wound Assessment Tool (BWAT) and SOP for ozone therapy and wound care. Data were analyzed using the paired sample T-test and the independent sample T-test. The research results obtained were a bivariate analysis of the paired sample T-test in the intervention group with values ​​of t=11.945 and p=0.003 and in the control group values ​​of t= -5.705 and p=0.000. The results of the independent t-test obtained a value of t = -8.581 and p = 0.001, so it can be stated that ozone therapy is effective in healing diabetic foot wounds in type II DM patients at the Bone Woundcare Center, South Sulawesi. In conclusion, ozone therapy is effective in healing diabetic foot wounds in type II DM patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Diabetes Mellitus, Foot Wounds, Ozone Therapy.</em></p> Supriadi Supriadi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-10 2024-05-10 6 1 1250 1258 10.31539/joting.v6i1.9792 Simvastatin dengan Senyawa Turunan Β-Siklodextrin https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9472 <p><em>This study aims to determine the profile of the inclusion complex formed between simvastatin and β-cyclodextrin and its derivatives. To determine the level of stability and determine the solubility level of the inclusion complex formed between simvastatin and β-cyclodextrin and its derivatives (2-hydroxypropyl-β-cyclodextrin and 2,6-di-O-methyl-β-cyclodextrin) in water solvent.The method used is qualitative descriptive using the molecular docking method, modeling and anchoring the inclusion complex model.The research results show that the simvastatin/HP-β-CD inclusion complex has a higher level of solubility in water solvents compared to the simvastatin/β-CD and simvastatin/DM-β-CD inclusion complexes, with a ΔGsolvation value of -1032.34 kJ/mol.Conclusion: Simvastatin is able to bind to the cavity of 2-hydroxypropyl-β-cyclodextrin, 2,6-di-O-methyl-β-cyclodextrin, and simvastatin/β-cyclodextrin with the following order of bond strength: simvastatin/2-hydroxypropyl-β -cyclodextrin &gt; simvastatin/2,6-di-O-methyl-β-cyclodextrin &gt; simvastatin/β-cyclodextrin.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: </em><em>Inclusion Complex, Molecular Docking, Molecular Dynamics Simulation, Β-Cyclodextrin, Simvastatin.</em></p> Devina Wahyu Astaning Cristy Nuraini Harmastuti Mardiyono Mardiyono ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-19 2024-05-19 6 1 1259 1268 10.31539/joting.v6i1.9472 M-Health terhadap Kepatuhan Pengobatan pada Pasien Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9575 <p><em>This research aims to provide an opportunity for hypertensive patients to receive education and information related to hypertension and medication from health workers via their cell phones. The method used to search for articles relevant to the study in September-October 2023 was carried out using three stages, namely: planning, conducting, and reporting. The results obtained show that as many as 10 international articles analyzed in this paper have passed screening according to the inclusion and exclusion criteria. The journals or articles reviewed include the year of publication, database, research design, and location. In conclusion, the use of M-Health has been proven to be effective in making sufferers more compliant with every treatment carried out, especially when treatment is hampered by geographical problems. This M-Health innovation can help the process of effective management and control of hypertension.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords</em><em>: M-Health, innovation, medication adherence, hypertension</em></p> Merry Noviyanti Mira Triharini Elida Ulfiana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-19 2024-05-19 6 1 1269 1277 10.31539/joting.v6i1.9575 Model Metode Asuhan Keperawatan Profesional (MAKP) Tim Berbasis Structural Empowerment terhadap Kualitas Kehidupan Kerja Perawat https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9734 <p><em>This research aims to develop an effective Team MAKP model to improve the quality of nurses' work life using a structural empowerment approach. The method used is a systematic review by collecting articles using the Scopus, Science Direct, Proquest and PubMed databases, to search for keywords using the Medical Subject Headings (MeSH) system related to relevant articles in this research. Initial research results produced 547 articles (Scopus, Science Direct, Proquest Pubmed and Google Scholar). Articles were narrowed down based on the last 5 years and did not include literature reviews and 127 articles were filtered. Articles with completeness assessed for article suitability were 29 articles. The final results of the 16 articles analyzed show that team MAKP with a structural empowerment approach can help improve the quality of nurses work life. The conclusion of this research is that the results of the systematic review provide </em><em>it was found that the MAKP Team was able to provide quality work life for nurses with a structural empowerment approach. Explain empowerment in the care unit, especially the climate within the care team with structural empowerment, so that nurses/team members and team leaders feel satisfied with their work experience.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Quality of Work Life, Team MAKP,Nurse, Structural Empowerment.</em></p> Maria Goretti Yulianti Mira Triharini Andri Setiya Wahyudi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-19 2024-05-19 6 1 1278 1286 10.31539/joting.v6i1.9734 Determinan yang Mempengaruhi Keikutsertaan Pasangan Suami Istri dalam Mengikuti Tes HIV Selama Masa Kehamilan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/8938 <p><em>This study aims to determine whether employment, education and family income are related to the participation of married couples in taking HIV tests during pregnancy. The method used was a quantitative study with a cross sectional research design. The results of this study show that there are still many couples who do not test for HIV during pregnancy and husbands are the largest number of subjects who do not test for HIV. In conclusion, only educational characteristics are related to the wife's participation in HIV testing during pregnancy</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: HIV Test, Married Couple, Pregnancy.</em></p> Yustika Rahmawati Pratami Wiwit Vitania ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-19 2024-05-19 6 1 1287 1294 10.31539/joting.v6i1.8938 Penerapan Health Promotion dan Education tentang Nutrisi pada Ibu Hamil dan Menyusui dalam Pencegahan Stunting https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9017 <p><em>This </em><em>study</em><em> aims to analyse the effect implementing health promotion and education on specific intervention target groups through nutrition in stunting prevention measures. The method used was a systematic review sourced from journals searched through the </em><em>Scopus</em><em> database, </em><em>Ebsco</em><em>, </em><em>W</em><em>eb of </em><em>Science</em><em>, and </em><em>Pubmed</em> <em>published in the last 3-year period (</em><em>20</em><em>21</em><em>-202</em><em>3),</em><em> regarding the provision of health promotion and education on nutrition as a preventive measure for stunting. Analysis of research results using the PICOS method (Population, Intervention, Compare, Outcome, and Study Design).</em> <em>The results showed that 11 studies met the inclusion criteria. All articles had an experimental study design. The majority of respondents were mothers, breastfeeding mothers, and pregnant women. The results showed the effect of health promotion and nutrition education combined with nutrition on stunting prevention. </em><em>This journal review concludes</em><em> that health promotion and nutrition education combined with nutrition </em><em>affects </em><em>increasing understanding, attitudes</em><em>,</em><em> and </em><em>behavior</em><em> in stunting prevention. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: </em><em>Mother</em><em>;</em><em> Pregnant Women,</em><em> Health Promotion; Health Education; Stunting.</em></p> Luvelia Andreja Da Costa Freitas Ximenes Eka Mishbahatul Retno Indarwati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-19 2024-05-19 6 1 1295 1303 10.31539/joting.v6i1.9017 Penerapan Massage Kaki Kombinasi Relaksasi Napas Dalam terhadap Kecemasan pada Asuhan Keperawatan Pasien Hipertensi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9917 <p><em>This study aims to determine the Application of foot massage combined with deep breathing relaxation for anxiety in nursing care for hypertensive patients. The research method used is descriptive with a case study approach. The results showed that the pain scale was 6 (moderate), blood pressure 160/100 mmHg, pulse 110 x/minute, heart palpitations, and the patient said he was worried that the disease was getting worse, had difficulty sleeping and often woke up at night, anxiety score 21 (moderate), and the patient complained of difficulty moving his right hand, his condition was weak. His family helped him with his activities. Evaluation After carrying out nursing procedures for four days, the patient stated that the pain from the head to the nape of the neck had decreased, the patient looked relaxed, the pain scale was 3, the patient's blood pressure was 130/80 mmHg, the patient was calm, the patient slept soundly, the anxiety was reduced, and the anxiety scale was 13. Conclusion: The&nbsp;Application of foot massage combined with deep breathing relaxation can reduce stress in hypertensive patients.</em></p> <p><em>Keywords: Hypertension, Anxiety, Foot Massage, Deep Breathing Relaxation</em></p> Nirva Rantesigi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-21 2024-05-21 6 1 1304 1310 10.31539/joting.v6i1.9917 Latihan Fisik terhadap Kadar Glukosa Darah dan Kualitas Hidup Penderita Diabetes Melitus Tipe 2 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9931 <p><span data-preserver-spaces="true">This study aims to evaluate the effect of physical exercise on blood glucose levels and quality of life in people with Type 2 Diabetes Mellitus. Methods This research uses a systematic review method referring to PRISMA guidelines. Research shows that physical exercise, especially a combination of aerobic and resistance, effectively improves quality of life and glycemic control in type 2 diabetes patients. High-intensity exercise can improve cardiorespiratory fitness. The combination of vitamin D supplementation and exercise training has a synergistic effect in enhancing insulin resistance. Concomitant aerobic and resistance exercise is recommended for managing type 2 diabetes, with HIIT being an effective intensity option. In conclusion, physical exercise, especially a combination of aerobic and resistance, effectively improves the quality of life and glycemic control in T2DM individuals.&nbsp;</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: Physical Activity, Type 2 Diabetes Mellitus, Glucose Levels</span></p> Geladis Titanik Andri Setiya Wahyudi Ika Nur Pratiwi ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-23 2024-05-23 6 1 1311 1319 10.31539/joting.v6i1.9931 Intervensi Non Farmakologi untuk Menurunkan Kecemasan dan Ketakutan Persalinan pada Trimester III Kehamilan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9874 <p><span data-preserver-spaces="true">This study aims to identify non-pharmacological interventions that can reduce anxiety and fear during childbirth in the third trimester of pregnancy. Using the PRISMA method, the research method used is a systematic review through searching 6 (six) databases, namely ProQuest, Scopus, Pubmed, Science Direct, and Taylor &amp; Francis. The results of research from 11 articles included in the analysis show that non-pharmacological interventions that can reduce pregnant women's anxiety levels regarding pregnancy and childbirth are providing education and training in preparation for childbirth carried out face to face (P &lt; 0.001), Iyengar yoga (P &lt; 0 .05), and the application of lavender oil as aromatherapy (P&lt;0.001) as well as mindfulness-based antenatal education (P&lt;0.001). Meanwhile, non-pharmacological interventions that can reduce the level of fear during childbirth are simulation-based childbirth preparation education combined with mindfulness (P&lt;0.01), online-based antenatal education about childbirth preparation (P&lt;0.05), Mindfulness-Based Childbirth and Parenting (MBCP) with a partner (P&lt; 0.05), simulation-based childbirth education (P&lt; 0.05), psychodrama (P&lt; 0.001) and psychotherapy (P&lt; 0.001). In conclusion, non-pharmacological interventions given to pregnant women in the third trimester of pregnancy can reduce the level of anxiety and fear of childbirth.</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: Non-Pharmacological Intervention, Anxiety, Pregnancy, Fear of Childbirth</span></p> Nurlela Lantu Imami Nur Rachmawati Wiwit Kurniawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-23 2024-05-23 6 1 1320 1328 10.31539/joting.v6i1.9874 Analisis Faktor yang Berhubungan dengan Kualitas Hidup pada Orang dengan Skizofrenia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9853 <p><span data-preserver-spaces="true">This study aims to analyze factors related to quality of life in ODS. The research method uses a quantitative approach with a cross-sectional design. The study results show a significant relationship between family support, self-stigma, self-esteem, work, and physical health with the quality of life of ODS (p-value: 0.000). Family support is The factor most related to the quality of life (0.985). In conclusion, there is a relationship between the quality of life of ODS and family support, self-stigma, self-esteem, physical health, and work, with the dominant factor influencing the quality of life of ODS being the family support factor.</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: Quality of Life, Schizophrenia</span></p> Desy Handayani Atih Rahayuningsih Basmanelly Basmanelly ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-24 2024-05-24 6 1 1329 1337 10.31539/joting.v6i1.9853 Es Krim Ekstrak Daun Ubi Jalar Ungu sebagai Alternatif Layanan Kebidanan terhadap Kecukupan Asi pada Ibu Post Partum https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9906 <p>This research aims to show that purple sweet potato leaves can be extracted and made into ice cream to increase the adequacy of breast milk given to postpartum mothers. The research method used was True Experiment and Pretest-Posttest Design with Control. The study results showed a significant difference in the two intervention and control groups in the breast milk adequacy variable, namely baby weight p-value 0.000 and baby BAK (p=0.000). In conclusion, the ice cream intervention with purple sweet potato leaf extract for 14 days was effective in increasing breast milk adequacy compared to the control group. Purple sweet potato leaf extract had a lactogogum effect on postpartum mothers in stimulating breast milk production.</p> <p>&nbsp;Keywords: Breast Milk, Purple Sweet Potato Leaf Extract, Ice Cream, Postpartum</p> Novi Nur Ratnasari Mardiyono Mardiyono Dina Indrati DS ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-24 2024-05-24 6 1 1338 1345 10.31539/joting.v6i1.9906 Edukasi Kesehatan dalam Pengambilan Keputusan dan Perilaku Mencari Pengobatan pada Pasien Akut Miokard Infark https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9918 <p><span data-preserver-spaces="true">This study aims to identify health education in treatment decision-making and treatment-seeking behavior in AMI patients. The research method used was a systematic review with a literature search strategy using six databases: Pubmed, Science Direct, Scopus, Proquest, Taylor &amp; Francis Online, and Clinical Key Nursing. The research results show that health education for AMI patients to improve decision-making and treatment-seeking behavior consists of narrative-based health education and decision-making aid. In conclusion, health education for patients or families can improve patients and families' decision-making and increase behavior in seeking health assistance in patients or families in AMI patients.&nbsp;</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: Acute Myocardial Infarction, Health Education, Treatment Seeking Behavior</span></p> Beti Ningrum Tuti Herawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-25 2024-05-25 6 1 1346 1354 10.31539/joting.v6i1.9918 Intervensi Non Farmakologis untuk Memperbaiki Status Fungsional Pasien Kanker dengan Chemotherapy-Induced Peripheral Neuropathy (CIPN) https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9861 <p><span data-preserver-spaces="true">This study aims to identify non-pharmacological interventions that can improve the functional status of cancer patients with chemotherapy-induced peripheral neuropathy (CIPN). The research method uses a systematic review through literature searches from 4 databases: SAGE, PUBMED, SCIENCE DIRECT, and</span><span data-preserver-spaces="true">&nbsp;</span><span data-preserver-spaces="true">PROQUEST. The research results show that from 12 research articles, non-pharmacological interventions to improve functional status in CIPN can be grouped into physical and non-physical interventions. Physical interventions include physical exercise and stimulation, while non-physical interventions are through self-management. In conclusion, physical intervention effectively reduces the pain scale and sensory symptoms of CIPN, which improves the patient's functional status and quality of life. However, in some literature, it is stated that a combination with pharmacological therapy can reduce CIPN complaints.</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: CIPN, Non-Pharmacological Intervention, Functional Status</span></p> Hani Handriani Yati Afiyati Allenidekania Allenidekania ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-25 2024-05-25 6 1 1355 1363 10.31539/joting.v6i1.9861 Faktor Kejadian Balita Stunting Tahun 2022 https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9929 <p style="margin: 0cm; margin-bottom: .0001pt;"><span lang="IN">This research aims to determine the factors that influence the incidence of stunting in toddlers in East Kotawaringin Regency, Central Kalimantan. The method used is a quantitative analytical survey with a cross-sectional study approach, and the data analysis used is the chi-square test. The research results show a relationship between family knowledge and the incidence of stunting with a value of p = 0.008. There is a relationship between exclusive breastfeeding and the incidence of stunting with a value of p = 0.005. There is a relationship between the birth weight of the baby and the incidence of stunting with a value of p = 0.000. There is a relationship between a history of diarrhea and the incidence of stunting with a p-value = 0.000. In conclusion, there is a relationship between family knowledge, exclusive breastfeeding, birth weight, and history of diarrheal disease and the incidence of stunting.</span></p> <p style="margin: 0cm; margin-bottom: .0001pt;">&nbsp;</p> <p style="margin: 0cm; margin-bottom: .0001pt;"><span data-preserver-spaces="true"><span lang="IN">Keywords: Exclusive Breastfeeding, Birth Weight, Family Knowledge, History of Diarrhea, Stunting</span></span></p> Akhmad Faujannor Nurzajuli Nurzajuli Suhartono Suhartono ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-26 2024-05-26 6 1 1364 1371 10.31539/joting.v6i1.9929 Manajemen Nyeri dengan Guided Imagery pada Pasien Pasca Operasi Total Joint Arthroplasty https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9915 <p><span data-preserver-spaces="true">This study aims to identify the effectiveness of guided imagery in patients after total joint arthroplasty surgery. The method used is a systematic review using literature searches from 9 databases: PubMed, Scopus, Sage, ScienceDirect, Taylor &amp; Francis, Wiley, SpringerLink, Cochrane, and ProQuest. Fifteen thousand seven hundred forty-eight articles were obtained from the initial search using keywords related to "Total Joint Arthroplasty,"; "Guided Imagery," and "Pain," but only five articles met the inclusion criteria for this study, namely adult and elderly patients after total joint arthroplasty, period 2021 - 2024, in English, full-text and open access. The five research articles showed that guided imagery significantly reduced pain after total joint arthroplasty. In conclusion, guided imagery effectively reduces pain in patients after total joint arthroplasty surgery. Guided imagery is used because it is easy to do, teach, and affordable.</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: Guided Imagery, Pain, Total Joint Arthroplasty</span></p> Afiif Ahmidati Dewi Irawaty Sri Yona Liya Arista ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-26 2024-05-26 6 1 1372 1380 10.31539/joting.v6i1.9915 Faktor-Faktor yang Memengaruhi Stress pada Anak Thalasemia Bergantung Transfusi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9903 <p><span data-preserver-spaces="true">This study aims to determine the factors influencing stress in children with transfusion-dependent thalassemia. The method used in writing this article is a systematic review. This article was written using a database owned by the University of Indonesia through lib. UI is a website that facilitates students' search for literature. Eight databases were used to write the systematic review in this article, namely Proquest, ScienceDirect, Pubmed, Scopus, EMBASSE, EBSCO, Taylor &amp; Francis Online, and SpringerLink, and used the "Reporting Items for Systematic Reviews and Meta-Analysis Flow Diagram" (PRISMA) guidelines. The research results show that factors that influence stress in transfusion-dependent thalassemia children include age, frequency of transfusions, onset of chelation therapy, duration of illness, body image, self-confidence, complications of the disease, hemoglobin (Hb), and ferritin levels. In conclusion, factors that can cause stress in children with thalassemia can be complications of the disease, age, gender, and duration.</span></p> <p>&nbsp;<span data-preserver-spaces="true">Keywords: Pediatric, Stress, Thalassemia</span></p> Laelatul Munifah Nur Agsutini Imami Nur Rachmawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-27 2024-05-27 6 1 1381 1388 10.31539/joting.v6i1.9903 Dukungan Spiritual dan Praktik Agama bagi Kualitas Hidup Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9831 <p>This research aims to study and review each research article and summarize the relationship between spirituality and religious practices on the quality of life of cancer patients. The method used is a literature review through databases such as Scopus, PubMed, EBSCOHost, Science Direct, Clinicalkey Nursing, ProQuest, and Jstor (Springer). The research results showed that there were 10 articles that were relevant to the objectives, where spirituality/religiosity had a positive relationship with physical, emotional and social functioning. On the other hand, it is negatively associated with symptoms of disease, such as pain or emotional and physical exhaustion. In conclusion, spiritual aspects and religious practices are positively correlated with the quality of life of cancer patients.</p> <p>Keywords: Quality of Life, Cancer Patients, Spiritual-Religious Practices</p> Gledis Merry Sepang Agung Waluyo Tuti Nuraini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-29 2024-05-29 6 1 1389 1397 10.31539/joting.v6i1.9831 Analisis Faktor-Faktor yang Mempengaruhi Kesejahteraan Perawat https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9777 <p>This research aims to find out what factors influence the welfare of nurses in Bogor Regency. The research method used is correlational analysis with a cross sectional approach. The research results show that factors related to nurses' welfare are workload, training and development, team and management support, resources, recognition and appreciation and health care guarantees, involvement in decision making with a p-value &lt;0.05. In conclusion, there is a relationship between workload, training and development, team and management support, resources, recognition and appreciation and health care guarantees, involvement in decision making on the welfare of nurses.</p> <p>Keywords: Workload, Health Insurance, Nurses' Welfare, Recognition and Awards, Training and Development</p> Jajat Sudrajat Budiman Budiman Lilis Rohayani ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-29 2024-05-29 6 1 1398 1406 10.31539/joting.v6i1.9777 Pemberian Edukasi Berbasis Multimedia terhadap Kemampuan Perawatan Diri Pasien Kanker Kolorectal dengan Stoma https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9431 <p><em>This study aims to determine the effectiveness of providing multimedia-based education on self-care of colorectal cancer patients with stomas. The research method used was a systematic review on four databases, namely Pubmed, Science Direct, ProQuest and Scopus with the keywords "colorectal cancer" OR "patient with stoma", AND "stoma education" OR "stoma management education", AND "self care", OR "self management" with the inclusion criteria of colorectal cancer patients, age&gt; 18 years, from 2013 to 2023. The number of initial search articles was 4377 articles with 8 articles used. The results of the study obtained 8 articles which were then analyzed. In conclusion, the use of multimedia with OMRE, MELP, video (DVD), audiovisual, telehealth and mobile health applications to provide stoma care education can have an effective effect in increasing knowledge and self-care. In addition, it also has an effect on improving psychosocial adaptation and quality of life in colorectal cancer patients with stomas.</em></p> <p><strong><em>&nbsp;</em></strong></p> <p><em>Keywords: Education, Stoma Care, Multimedia, Self Care</em></p> Dwi Retnoningrum Debie Dahlia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-31 2024-05-31 6 1 1407 1414 10.31539/joting.v6i1.9431 Efektifitas Edukasi Berbasis Family Centered Maternity Care terhadap Dukungan Keluarga dan Self Efficacy pada Ibu Postpartum dalam Pemberian Asi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9797 <p><em>This study aims to analyze the effectiveness of family centered maternity care-based education on family support and self-efficacy for postpartum mothers in breastfeeding. The method used is quantitative research with a quasi-experimental design with a pretest and posttest design with a control group. The sample in this study consisted of 52 respondents. The research instrument used a family support questionnaire modified from Nasution's family support questionnaire (2007) and a self-efficacy instrument using the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF). Data analysis used the Paired T-Test and Independent T-Test. The results of research on the effectiveness of interventions on family support, P-Value 0.000 and self-efficacy 0.004. The conclusion is that education based on Family Centered Maternity Care is effective in increasing family support and self-efficacy for postpartum mothers in breastfeeding. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Education, Family Support, Family Centered Maternity Care, Self efficacy </em></p> Gusti Winarti Siti Zahara Nasution Farida Linda Sari Siregar ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1415 1423 10.31539/joting.v6i1.9797 Efektivitas Cognitive Behavioral Therapy pada Remaja dengan Adiksi Internet https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9791 <p><em>This systematic review aims to examine the effectiveness of thought and behavior therapy or cognitive behavioral therapy in recovering from internet addiction in adolescents. The method used in the systematic review was carried out on the Science Direct, Proquest, Scopus, Sage Journal and Springer Link databases with searches carried out between September-November 2023. Articles were filtered according to inclusion criteria and had been critically assessed using criteria from the Joanna Briggs Institute (JBI). The research results in the initial search obtained 3,793 articles, and after filtering using inclusion criteria, 10 articles were obtained that were in accordance with the aim of the article review. The search results show that thought and behavior therapy or cognitive behavioral therapy has proven to be effective in recovering from internet addiction in teenagers. The conclusion is that a well-designed cognitive behavioral therapy program by providing support to adolescents and instilling positive behavior can help clients from the threat of internet addiction again.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Addiction, Adolescent, Cognitive Behavioral Therapy, Internet.</em></p> Melissa Novitasari Samosir Budi Anna Keliat Giur Hargiana ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-25 2024-05-25 6 1 1424 1432 10.31539/joting.v6i1.9791 Pengaruh Edukasi Self Management terhadap Kualitas Hidup Pasien Kanker Payudara https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9843 <p><em>This study aims to identify the effectiveness of education or self-management programs on the quality of life of breast cancer patients. The method used was a systematic review using a systematic search through the Proquest, Science Direct, and EBSCOhost databases with articles that met the inclusion criteria with publications between 2014 and 2023 as well as an article search technique using the PRISMA scheme stages. The results of the research showed that the search results identified ten articles in which various self-management programs stated that self-management program education had a positive effect on the quality of life of breast cancer patients. The conclusion obtained is that the self-management program can be an effective intervention to improve the quality of life of breast cancer patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords:</em><em>, Breast Cancer, Self Management,&nbsp; Quality of Life</em></p> Uun Nuiva Tuti Nuraini Dewi Gayatri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-25 2024-05-25 6 1 1433 1441 10.31539/joting.v6i1.9843 Family Psychoeducation dalam Meningkatkankan Kemampuan Keluarga Merawat Anggota Keluarga dengan Skizofrenia https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9879 <p><em>This study aims to analyze the implementation of family psychoeducation in caring for family members with schizophrenia. The method used in this study is to use a literature review approach. The databases used in the literature search were Pubmed, Science direct, Scopus, and Spinger link using the keywords family psychoeducation, family intervention, schizophrenia, caregiver burden, family burden. The results showed that family psychoeducation can increase family knowledge, reduce anxiety and reduce family burden in caring for patients with schizophrenia. The conclusion based on the analyzed articles is that family psychoeducation is effective in improving the family's ability to care for family members with schizophrenia. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Family Burden, Family Psychoeducation, Schizophrenia, </em></p> Yunita Anggraini Budi Anna Keliat Yossie Susanti Eka Putri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1442 1448 10.31539/joting.v6i1.9879 Breathing Exercises terhadap Kecemasan pada Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9902 <p><em>This study aims to determine the effect of breathing exercises on anxiety in chronic kidney failure patients undergoing hemodialysis. The method used is a quasi experiment with a two group approach: control group and intervention group pretest-posttest. Data were processed using Wilcoxon and Mann Whitney. The results showed that there was an effect of breathing exercises on anxiety (p value 0.000) and there was a significant difference between the control group and the intervention group (p value 0.000). In conclusion, there is an effect of breathing exercises on anxiety and there is a significant difference between the control group and the intervention group.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Breathing Exercises, Anxiety, Chronic Kidney Disease</em></p> Zoniawan Laoli Friska Butar-butar Afeus Halawa ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1449 1455 10.31539/joting.v6i1.9902 Aromaterapi Lemon terhadap Intensitas Mual Muntah Pasien Kanker Pasca Kemoterapi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9738 <p>Study This for identify effectiveness lemon aromatherapy against nauseous vomit on receiving patients​ chemotherapy in room take care stay chemotherapy House Sick Pure Teguh Medan. Method research used​ on study This is a quasi experiment with a total of 72 respondents consisting of of 36 people group control and 36 people group selected intervention​ with technique <em>consecutive sampling</em>. Results analysis statistics with use test <em>Mann-Whitney Test </em>shows results There is difference nauseous vomit between group control And group intervention after giving lemon aromatherapy (p=0.000). Conclusion is known lemon aromatherapy can For lower intensity nauseous vomit patient undergoing cancer​ chemotherapy And recommended as Wrong One intervention nursing independent For lower nauseous vomit on patient cancer .</p> <p>&nbsp;</p> <p><em>Keywords: Aromatherpy, Lemon, Nausea and Vomiting, Cancer, Chemotherapy</em></p> Elinda Juniwati Sijabat Dudut Tanjung Emil Salim ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-30 2024-05-30 6 1 1456 1464 10.31539/joting.v6i1.9738 Pengaruh Latihan Peregangan Otot Intradialisis terhadap Kram Otot https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9620 <p><em>This study aims to describe the effect of muscle stretching exercises during hemodialysis on muscle cramps. The research method uses an integrative review approach by searching articles using 6 databases, namely ProQuest, ClinicalKey Nursing, Sage Journals, ScienceDirect, Scopus, and ResearchGate. Article searches were carried out from March 5 2024 to March 25 2024. Article searches used the keywords stretching intradialysis, cramps intradialysis, exercises intradialysis, and muscle cramps. Preferred reporting items for systematic reviews and Meta-analysis (PRISMA) were used in the review. Results: From the results of the article search, it was found that muscle stretching exercises during hemodialysis carried out at the end of the HD session were proven to be able to prevent and reduce the intensity of muscle cramps in hemodialysis patients. Conclusion: Muscle stretching exercises performed during hemodialysis have been proven to prevent and reduce the intensity of muscle cramps during hemodialysis</em></p> <p><em>&nbsp;</em></p> <p><em>Keyword: Muscle cramps, Stretching intradial</em><em>ysis, Muscle stretching</em></p> May Nurchayati Yulia Yulia Lestari Sukmarini ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1465 1471 10.31539/joting.v6i1.9620 Penerapan Komunikasi Interprofessional di Ruang Operasi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9828 <p>This research analyzes published papers on interprofessional communication impelementationin the surgical process. Research Methods: A literature search was conducted in the following database; Scopus, Science Direct, Pubmed, and Proquest, limited toEnglish’s article published from January 2019 to December 2023. Article search results are written based on appropriate protocols and strategies using the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) checklist and flow diagrams. Finding/Results:Interprofessional communication has not gone well. There findings are (1) hierarchy between doctors and nurses, (2) lack of knowledge in interprofessional collaboration, and, (3)the need for knowledge and training related to interprofessional communication.Conclusion: The lack of knowledge of team collaboration in communication is influenced by the lack of knowledge of collaboration and interprofessional communication, as well as the perception of hierarchy in providing services. There is a need for further research regarding the factors that influence interprofessional communication knowledge and skills</p> <p>&nbsp;</p> <p>Keywords: Interprofessional Collaboration, Interprofessional Communication, Surgery.</p> Ovindiana De Corona Dias Quintas Sriyono Sriyono Ira Suarilah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-30 2024-05-30 6 1 1472 1481 10.31539/joting.v6i1.9828 Penurunan Level Nyeri Melalui Terapi Musik pada Pasien Terpasang Ventilasi Mekanik https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9283 <p><em>This study aims to identify the effectiveness of music therapy in reducing the pain level in patients on mechanical ventilation. The research method used is a systematic review through searching articles on the ClinicalKey Nursing, Scopus, Embase, EBSCOHost databases and hand searching. The research result showed that 7 research articles reported that music therapy was able to reduce pain level in patients on mechanical ventilation. Music therapy lasting 30 minutes and using music with a tempo of 60-80 bpm has a positive effect in reducing pain. In conclusion, music therapy has been proven to be effective in reducing pain level in patients on mechanical ventilation so that it can be applied as a non-pharmacological intervention option in dealing with pain. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Pain, Music Therapy, Mechanical Ventilation</em></p> Herlina Herlina Agung Waluyo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1482 1490 10.31539/joting.v6i1.9283 Program Kombinasi Intervensi Stimulasi Motorik Oral dalam Meningkatkan Kesiapan Keterampilan Minum Per-Oral pada Bayi Prematur https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9975 <p><em>This study aims to evaluate the efficacy of integrating multiple oral motor stimulation interventions in facilitating the readiness for oral feeding among premature neonates.. A systematic review methodology was adapted for this inquiry. Extensive literature searches were conducted across prominent databases, including PubMed, EBSCO, Sage Journal, Taylor &amp; Francis, Clinical Key for Nursing, and Proquest. A total of six articles, all randomized controlled trials, were selected and meticulously reviewed. The results of this systematic review indicate that the interventions employed include combinations of oral motor stimulation with supplementary nursing, kinesthetic tactile techniques, non-nutritive sucking (NNS), swallowing exercises, and sensorimotor stimulation. The findings suggest that these interventions are effective in enhancing oral feeding readiness by shortening the transition period to oral feeding and promoting breastfeeding fulfillment. Additionally, they have been shown to increase breastfeeding rates and reduce concurrently the duration of hospitalization. This research provides valuable insight for improving neonatal care and optimizing feeding practices.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: </em><em>Feeding Readiness, Oral Motor Stimulation, Premature Infants</em></p> Maya Sari Allenidekania Allenidekania Fajar T Waluyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1491 1499 10.31539/joting.v6i1.9975 Faktor Mobilisasi Dini, Obesitas dan Usia Tua Sebagai Prediktor Lama Rawat Inap Pasien Fraktur Femur Pasca Bedah https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9985 <p style="margin: 0cm; margin-bottom: .0001pt; text-align: justify;"><em>This study aims to explore the factors that influence the length of stay in post-surgical femur fracture patients, specifically the interaction between early mobilization, obesity, and old age as potential predictors of hospitalization. The research method used was a systematic review using the PRISMA search strategy. The databases used in this research are ProQuest, Sage Journal, Embrace, Science Direct, and&nbsp;Scopus. The&nbsp;results of the study&nbsp;show that factors that influence the length of stay of postoperative femur fracture patients from the&nbsp;results of the literature review&nbsp;are mobility, comorbidities, related fractures, intraoperative blood loss, postoperative blood transfusion, occurrence of pressure ulcers, higher BMI or obesity, choice of anesthesia, and&nbsp;drainage status.&nbsp;The average length of stay in the literature review is 5.64&nbsp;days&nbsp;to 14.4 days.&nbsp;In conclusion, many factors influence LOS&nbsp;such&nbsp;as mobility, comorbidities, related fractures, intraoperative blood loss, postoperative blood transfusion, and&nbsp;the occurrence of wounds.&nbsp;pressure, higher BMI or obesity, choice of anesthesia, drainage status. The average&nbsp;length of&nbsp;stay in research journals is 5.64 days to 14.4 days.</em></p> <p style="margin: 0cm; margin-bottom: .0001pt; text-align: justify;"><em>&nbsp;</em></p> <p style="text-align: justify; text-indent: -2.0cm; margin: 0cm 0cm .0001pt 2.0cm;"><em>Keywords: Fracture, Femur, Early Mobilization, Obesity, Old Age.</em></p> Muhammad Fikri Indra Masfuri Masfuri Sri Yona ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1500 1509 10.31539/joting.v6i1.9985 Psikoedukasi Keluarga Digital terhadap Kesehatan Mental Keluarga dengan Pasien Gangguan Jiwa https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9885 <p><em>This study aims to determine the usefulness of digital family psychoeducation on the mental health of families caring for mentally ill patients. The method used was a systematic review which began with selecting articles using the PIO formulation. The results showed that there was a decrease in burden, depression, anxiety, and family conflict, as well as an increase in quality of life, hope, emotional expression, attitudes, knowledge, and family behavior as caregivers. It is concluded that digital family psychoeducation can be beneficial for the mental health of families caring for mentally ill patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords</em><em>: </em><em>Mental Disorders, Family Mental Health, Digital Family Psychoeducation</em></p> Viona Alfonsa Batmanlussy Budi Anna Keliat Yudi Ariesta Chandra ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-05-30 2024-05-30 6 1 1510 1518 10.31539/joting.v6i1.9885 Efektivitas Hipnoterapi dalam Manajemen Nyeri pada Gangguan Muskuloskeletal https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10043 <p><em>This study aims to determine the effect of hypnotherapy on pain management in patients with musculoskeletal disorders. The research method used was a systematic review&nbsp;carried out&nbsp;by searching for literature articles using Google Web, namely PubMed, Embraced, Science Direct, and ProQuest. The keywords used in this systematic review are musculoskeletal diseases, hypnotherapy or hypnosis, and pain. Inclusion criteria are male and female gender, adult age, year of publication in the last&nbsp;10&nbsp;years (2013-2023), and English language. The research results showed that&nbsp;a search of 402 articles was found, and&nbsp;only&nbsp;5&nbsp;articles were selected where hypnotherapy was effective in reducing pain in patients experiencing musculoskeletal problems such as fibromyalgia, chronic nonspecific low back pain, burns, and chronic brachial neuralgia. In conclusion, hypnotherapy can reduce pain in musculoskeletal disorders.</em></p> <p><em>Keywords: Hypnotherapy, Musculoskeletal, Pain.</em></p> Syahru Ramadhan Dewi Irawati Riri Maria Liya Arista ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1519 1526 10.31539/joting.v6i1.10043 Pengukuran Tekanan Intra Abdominal Sebagai Penanda Toleransi Nutrisi Enteral pada Pasien ICU https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9525 <p><em>This aim of this study is to determine the effectiveness of intra-abdominal pressure measurement as a marker of enteral nutrient tolerance in ICU patients. The method of this study used systematic review searched several eligible research articles from October 2013 to October 2023 using Scopus, ProQuest, Science Direct, and PubMed databases with the keywords critical ill patient, intra abdominal pressure measurement, gastric residual volume, and enteral nutrition.The result of this study show that based on six eligible research articles from 5 different countries that had been identified, show that intra-abdominal pressure measurements can predict enteral nutrient tolerance, although there was one study that had low sensitivity and significance. This systematic review concluded that intra-abdominal pressure measurements is one of the effective strategies that can be used to predict enteral nutrient tolerance in adult ICU patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Critical Ill Patient, Intra Abdominal Pressure Measurement, Gastric Residual Volume, Enteral Nutrition</em></p> Puti Rahmitha Sany Debie Dahlia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1527 1535 10.31539/joting.v6i1.9525 Hubungan Fungsi Pengawasan dan Pengarahan Perawat Manajer dengan Penerapan Keselamatan Pasien https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9220 <p><em>This study aims to analyze the relationship between the supervisory and directing functions of nurse managers with the implementation of patient safety at the Special UPTD at the Prof. Mental Hospital. Dr. Muhammad Ildrem. The design of this research is cross-sectional which is included in the type of quantitative observational research. Determining the number of samples used the Slovin formula and the number of samples was 108 people. Sampling used proportional sampling technique. The data collection process uses an instrument in the form of a questionnaire. Analysis uses Chi-Square statistical correlation. Based on the research results, it was found that the supervision and direction functions had been carried out well by the nurse manager. The implementation of patient safety has been carried out by the nurses well and there is a relationship between the supervision and direction function with the implementation of patient safety at the UPTD Special for Prof. Mental Hospital. Dr. Muhammad Idrem. In conclusion, there is a relationship between the supervisory and directing functions carried out by the nurse manager on the good implementation of patient safety by nurses at the Special UPTD at the Prof. Mental Hospital. Dr. Muhammad Idrem. </em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Patient Safety, Supervision and Direction, Nurse Manager.</em></p> Tri Suhesti Siti Zahara Nasution Zulhaidi Lubis ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1536 1544 10.31539/joting.v6i1.9220 Penerapan Intervensi Audiovisual dalam Meningkatkan Kepatuhan Selama Proses Induksi Anestesi pada Anak yang Menjalani Tindakan Operasi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10204 <p><em>This study aims to evaluate the effectiveness of audiovisual intervention in enhancing compliance during anesthesia induction in children undergoing surgery. The methodology used is a systematic review of several English-language research articles published between 2014 and 2023. Articles were retrieved from five online databases, such as ProQuest, ScienceDirect, Scopus, Ebsco MEDLINE, and Embase. The results of this study demonstrated that the use of audiovisual intervention was effective in enhancing compliance during anesthesia induction in children undergoing surgery. In conclusion, audiovisual intervention can be implemented as part of preoperative preparation programs for children undergoing surgery in order to enhance their levels of compliance during anesthesia induction. Audiovisual interventions can be used to achieve positive postoperative outcomes, either when utilized alone or combined with standard perioperative care practices.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords:Audiovisual Intervention, Child, Surgery, Induction Compliance.</em></p> Mita Noviyanti Siti Chodidjah Imami Nur Rachmawati ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1545 1553 10.31539/joting.v6i1.10204 Efektivitas Breathing Exercise dalam Menurunkan Kecemasan pada Pasien dengan Kanker Paru https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9789 <p><em>The aim of this research is to determine the effectiveness of breathing exercises, which is one of the independent nursing interventions to reduce anxiety in patients with lung cancer. The research method used was a systematic review carried out on journals originating from three databases, namely, ScienceDirect, Scopus and PubMed which were published between 2020-2023. The research results showed that there were seven articles that showed the effectiveness of breathing exercise programs on anxiety in patients with lung cancer. The conclusion obtained is that breathing exercises using the three-ball apparatus exercise technique, ACBT (Active Cycle Of Breathing Technique), ADOPT-Breathing Training and Qigong Breathing Exercise are considered effective in reducing anxiety significantly in patients with lung cancer.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords</em>: <em>Breathing Exercise, Anxiety, Lung Cancer</em></p> Destya Wenny Jelang I Made Kariasa Sri Yona ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1554 1562 10.31539/joting.v6i1.9789 Hubungan Perilaku Ibu Tentang Higenitas Botol Susu Dengan Kejadian Diare Pada Bayi Usia 6 - 24 Bulan di Klinik Pratama Mariana https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10036 <p><strong>Latar iBelakang: i</strong>Masalah ikebersihan ibotol isusu iyang iburuk idisebabkan isterilisasi, ipenyajian, idan ipenyimpanan ibotol isusu iyang iburuk. iHal iini imenunjukkan ibahwa ikesadaran iibu imasih ikurang iakan ipentingnya imenggunakan iair imengalir, isabun, idan isikat ikhusus isaat imencuci ibotol isusu. iSalah isatu ifaktor iperilaku iyang isering imenyebabkan idiare iadalah ikebiasaan iminum isusu iformula iyang itidak itepat ipada ibayi. iPendekatan iibu idalam imemberikan iASI, ikebersihan isusu, isterilisasi, idan ilain-lain iharus idiperhatikan ilebih idetail. iIbu iharus imemperhatikan ibotol iyang idisediakan, iPresentasi iyang iburuk iatau ikondisi iseperti iitu idapat imenyebabkan idiare. i<strong>Tujuan: i</strong>Mengetahui iHubungan iPerilaku iIbu itentang iHigenitas iBotol iSusu idengan iKejadian iDiare ipada iBayi iUsia i6-24 iBulan idi iKlinik iPratama iMariana itahun i2023. i<strong>Metode: i</strong>Penelitian iini imenggunakan ipenelitian ikuantitatif idengan irancangan i<em>cross isectional. i</em>Pengumpulan idata imenggunakan ilembar ikuisioner. iUji istatisik iyang idigunakan iadalah i<em>chi-square</em>. i<strong>Hasil: i</strong>Hasil iuji i<em>chi-square i</em>didapatkan ip i<em>value i</em>0,000 iartinya iterdapat ihubungan iantara ipengetahuan, isikap, idan itindakan iibu itentang ihigenitas ibotol isusu idengan ikejadian idiare ipada ibayi iusia i6 i– i24 ibulan. i<strong>Kesimpulan: i</strong>Hasil ipenelitian imenunjukan ibahwa iada iHubungan iPerilaku iIbu itentang iHigenitas iBotol iSusu idengan iKejadian iDiare ipada iBayi iUsia i6-24 iBulan.</p> <p>&nbsp;</p> <p><strong>Kata iKunci:</strong> iPerilaku, iHigenitas iBotol iSusu, iDiare, iBayi.</p> Debora Yolanda Octaviani Pardede Siti Nelly Raja GukGuk Siska Yanti Niscahaya Bate’e Krisnawati L Toruan Verawaty Fitrinelda Silaban ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1563 1574 10.31539/joting.v6i1.10036 Pengaruh Terapi Musik Terhadap Penurunan Kecemasan Pasien Pre Kateterisasi Jantung https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10311 <p><em>This study aims to determine the effect of music therapy on reducing anxiety in pre-cardiac catheterization patients. The method used is quantitative with a quasi-experimental design. The data collection technique uses an anxiety questionnaire, namely HARS (Hamilton Rating Scale). The data analysis technique uses paired sample t-test. The results of the study showed that there was an effect of music therapy on reducing anxiety in pre-cardiac catheterization patients (p&lt;0.05), where this was indicated by a significant difference in anxiety scores before and after giving music therapy. In conclusion, there is an effect of providing music therapy on reducing anxiety in pre-cardiac catheterization patients.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Anxiety, Cardiac Catheterization, Music Therapy.</em></p> Arif Wahyu Setyo Budi Wati Jumaiyah Melati Fajarini Ady Tyawarman ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-01 2024-06-01 6 1 1575 1581 10.31539/joting.v6i1.10311 Peran Kader Posyandu dalam Upaya Pencegahan Stunting https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10190 <p><em>This research aims to determine the Posyandu cadres' role in preventing stunting in the Linggar Community Health Center area, Rancaekek District. The method used in this research is descriptive quantitative with cross-sectional. The research results illustrate that Posyandu cadres have good roles (53.2%) and poor roles (46.8%). The role of cadres as growth monitors is the highest cadre role (59.5%), and the role of cadres as managers is the lowest cadre role (57.7%) in efforts to prevent stunting. In conclusion, the majority of Posyandu cadres in the Linggar Community Health Center area play an excellent role in efforts to prevent stunting.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Posyandu Cadres, Role, Stunting</em></p> Hanna Alya Yasmine Dyah Setyorini Henny Yulianita ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-02 2024-06-02 6 1 1582 1589 10.31539/joting.v6i1.10190 Kepuasan Kerja dan Motivasi Kerja terhadap Kinerja Karyawan dengan Loyalitas Karyawan sebagai Variabel Intervening https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10164 <p><em>This research analyzes the influence of job satisfaction and work motivation on team member performance and loyalty. The research method used is quantitative with a cross-sectional approach and path analysis research design. The research results show that the coefficient value of job satisfaction with performance is 0.545, which shows that the higher the job satisfaction, the more likely it is to improve performance. Then, the coefficient value of work motivation and performance is 0.239, which shows that the higher the work motivation, the more likely it is to improve performance. Then, the coefficient value of work loyalty with performance is 0.159, which shows that the higher the work loyalty, the more likely it is to improve performance. In conclusion, there is a positive influence between job satisfaction and team member motivation and performance.</em></p> <p><em>&nbsp;</em><em>Keywords: Job Satisfaction, Performance, Loyalty, Motivation</em></p> Sony Prabowo Rina Anindita C.S.P Wekadigunawan ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-03 2024-06-03 6 1 1590 1597 10.31539/joting.v6i1.10164 Pengembangan Media Edukasi Buku Komik tentang Covid-19 untuk Anak Sekolah Dasar https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9976 <p><em>We aimed to summarize the development process of developing the Covid-19 comic book as a prevention medium through a literary work. Research and Development was used as the method in this research with 4 D approach (Define, Design, Develop, Disseminate). The research results show that the average comic validation test score is 4.61 for material experts, 4.24 for media experts, and 4.58 for practitioners. Comic books about education during the Covid-19 pandemic are very suitable to be used as health promotion media about Covid-19. The results of limited trials (n=100) described the stories in comics as very interesting (85%), easy to understand (85%), and useful (100%). In conclusion, the Covid-19 comic book has been declared very suitable as a health promotion medium for children during the pandemic. Attractive Media literacy is currently being encouraged to support children's learning in the concept of understanding Covid-19 and increase children's awareness of implementing health protocols during the pandemic.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Comic Book, Covid-19, Pandemic&nbsp; </em></p> Eva Oktaviani Jawiah Jawiah Rehana Rehana Imawan Eko Setiyono ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-04 2024-06-04 6 1 1598 1606 10.31539/joting.v6i1.9976 Telehealth pada Kepatuhan Diet Pasien Penyakit Ginjal Kronis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9328 <p><em>This study aims to identify the effect of telehealth on diet compliance in CKD patients. The research method used systematic review sought relevant articles using MeSH-based keywords. Relevant full-text articles were retrieved from four databases: Scopus, PubMed, Science Direct, and ProQuest. Research guidelines followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The results showed that Telehealth programs can increase patient knowledge about the disease, treatment, laboratory results that show better results, and compliance. Telehealth interventions are promising avenues for CKD treatment delivery due to advances in technology and information. Telehealth programs may represent windows of opportunity, diet education, counselling with dieticians, sharing experience with others resulted improving patient’s knowledge on the disease, treatment, and compliance. Future telehealth programs that focus on developing the contents of telehealth modules based on evidence from this study</em><em>.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords:</em> <em>Telehealth, Chronic Kidney Disease, Compliance, Health Service</em></p> Dinda Sesylia Octaviani Ika Yuni Widyawati Ira Suarilah Fitriatul Jannah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-04 2024-06-04 6 1 1607 1616 10.31539/joting.v6i1.9328 Modifikasi Terapi Nebulizer dan Guided Imagery Berpengaruh pada Frekuensi Pernafasan pada Pasien Status Asmatikus https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10238 <p><em>This study aimed to examine the effect of modified nebulizer therapy and guided imagery on respiratory frequency in patients with status asthmaticus. The research design used in this study was quite experimental in one intervention group. The study population was patients with status asthmaticus who were experiencing attacks of status asthmaticus. The population size in this study was 40 respondents. The research sample of 40 people was selected using total sampling. The independent variable in this study was a combination of nebulizer therapy and Guided Imagery, while the dependent variable was a decrease in respiratory frequency in patients with status asthmaticus. The results of the study showed that p-value = 0.02, with 0.02 &lt; 0.05 meaning that there was an effect of the combination of nebulizer therapy and guided imagery on reducing respiratory frequency in patients with asthmatic status in the emergency room at M. Yunus Hospital, Bengkulu City. In conclusion, a combination of nebulizer therapy and guided imagery reduces respiratory frequency in patients with asthmatic status in the emergency room at M. Yunus Hospital, Bengkulu City.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Respiratory Frequency, Guided Imagery, Nebulizer, Status Asmaticus.</em></p> Padila Padila Juli Andri Andry Sartika Muhammad Bagus Andrianto Sekani Niriyah ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-05 2024-06-05 6 1 1617 1624 10.31539/joting.v6i1.10238 Teknologi Virtual Reality (VR) dalam Manajemen Nyeri pada Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10181 <p><em>This study aims to analyze the effectiveness of Virtual Reality (VR) technology in pain management in cancer patients. The method used in this research is a systematic review where this article is searched through online databases, namely Science Direct, Scopus, Sage Journals and ProQuest. The results of research from ten articles show that the use of VR technology in pain management in pediatric and adult cancer patients, both in the process of making a diagnosis and in surgery and chemotherapy or radiation therapy, shows a significant reduction in pain scale. In conclusion, the use of virtual reality technology is not only effective but also safe and efficient for use in pain management in cancer patients, providing assurance about its application.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Cancer, Pain, Pain Management, Virtual reality</em></p> Indri Winny Tulangow Dewi gayatri Chiyar Edison Agung Waluyo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-05 2024-06-05 6 1 1625 1633 10.31539/joting.v6i1.10181 Mindfulness-Based Cognitive Therapy terhadap Penurunan Kecemasan pada Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10362 <p>This research aims to determine the effectiveness of mindfulness-based cognitive therapy in reducing anxiety in cancer patients. The research method used is a systematic review, searching articles in six trusted databases: ProQuest, EBSCOhost, PubMed, Wiley Online Library, SpringerLink, and Google Scholar—article analysis using the PRISMA method. The research results show that mindfulness-based cognitive therapy can reduce anxiety in cancer patients. In conclusion, apart from reducing stress, mindfulness-based cognitive therapy can also reduce fatigue, reduce fear of recurrence, reduce depression, and improve the quality of life of cancer patients.This research aims to determine the effectiveness of mindfulness-based cognitive therapy in reducing anxiety in cancer patients. The research method used is a systematic review, searching articles in six trusted databases: ProQuest, EBSCOhost, PubMed, Wiley Online Library, SpringerLink, and Google Scholar—article analysis using the PRISMA method. The research results show that mindfulness-based cognitive therapy can reduce anxiety in cancer patients. In conclusion, apart from reducing stress, mindfulness-based cognitive therapy can also reduce fatigue, reduce fear of recurrence, reduce depression, and improve the quality of life of cancer patients.</p> <p><br>Keywords: Anxiety, Mindfulness-Based Cognitive Therapy, Cancer Patients</p> Ermelinda Toyo Legu Dewi Gayatri Agung Waluyo ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-08 2024-06-08 6 1 1634 1642 10.31539/joting.v6i1.10362 Implementasi IUD Virtual Learning Media (I-VLAM) terhadap Pengetahuan dan Sikap pada IUD Pasca Persalinan https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10379 <p><em>This research aims to increase the knowledge and attitudes of third-trimester pregnant women towards postpartum IUDs through the application of I-VLAM. The research method used was an actual experiment with a pretest-posttest control group design. The research results show that applying I-VLAM to pregnant women in the third trimester significantly influences increasing knowledge (value = 0.0001) and attitudes (value = 0.0001) toward postpartum IUDs. In conclusion, the application of I-VLAM to pregnant women in the third trimester has been proven to increase knowledge and attitudes towards postpartum IUDs.This research aims to increase the knowledge and attitudes of third-trimester pregnant women towards postpartum IUDs through the application of I-VLAM. The research method used was an actual experiment with a pretest-posttest control group design. The research results show that applying I-VLAM to pregnant women in the third trimester significantly influences increasing knowledge (value = 0.0001) and attitudes (value = 0.0001) toward postpartum IUDs. In conclusion, the application of I-VLAM to pregnant women in the third trimester has been proven to increase knowledge and attitudes towards postpartum IUDs.</em></p> <p><em><br>Keywords: E-Learning, IUD, Postpartum Contraception, Health Promotion</em></p> Umi Toifah Melyana Nurul Widyawati Suryono Suryono ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-16 2024-06-16 6 1 1643 1651 10.31539/joting.v6i1.10379 Cold Therapy pada Luka Operasi Ortopedi https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10100 <p><em>This study aims to determine the effect of the cooling method on overcoming acute responses such as pain after surgery. It has three main effects: reducing pain (analgesia), anti-inflammatory effects, and edema/swelling. The method used was a systematic search for articles with a randomized controlled trial (RCT) research design through the PubMed, ProQuest, ScienceDirect, and ClinicalKey databases from October 2013 to October 2023 using the keywords "post-surgical" OR "after surgery" OR "post-operative" AND "iced pack" OR "cold packs" AND "acute pain" OR "pain management" OR "therapy." The search results revealed that six articles were obtained from 696 articles through screening based on inclusion and exclusion criteria. Research shows that the cooling method can be applied to orthopedic patients and positively impacts the acute response after surgery. Conclusions show that this method can significantly reduce the effects of acute inflammation after surgery and restore optimal function with the standard protocols related to this method.This study aims to determine the effect of the cooling method on overcoming acute responses such as pain after surgery. It has three main effects: reducing pain (analgesia), anti-inflammatory effects, and edema/swelling. The method used was a systematic search for articles with a randomized controlled trial (RCT) research design through the PubMed, ProQuest, ScienceDirect, and ClinicalKey databases from October 2013 to October 2023 using the keywords "post-surgical" OR "after surgery" OR "post-operative" AND "iced pack" OR "cold packs" AND "acute pain" OR "pain management" OR "therapy." The search results revealed that six articles were obtained from 696 articles through screening based on inclusion and exclusion criteria. Research shows that the cooling method can be applied to orthopedic patients and positively impacts the acute response after surgery. Conclusions show that this method can significantly reduce the effects of acute inflammation after surgery and restore optimal function with the standard protocols related to this method.</em></p> <p><em><br>Keywords: Cryotherapy, Cold Compress, Orthopedics, Post-Operation</em></p> Auliya Tunnisaa Nugraheni Masfuri Masfuri ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-16 2024-06-16 6 1 1652 1659 10.31539/joting.v6i1.10100 Self-Compassion dan Psychological Well-Being pada Pasien Kanker https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10321 <p><em>This study aims to examine the relationship between self-compassion and the psychological well-being of cancer patients. The method used in this research is a systematic review, where we conducted journal searches in the ScienceDirect, PubMed, ProQuest, Springer, and EBSCOhost databases using the keywords' cancer patients', 'psychological well-being, 'and 'self-compassion. ' The research results show that self-compassion influences levels of depression, stress, anxiety, quality of life, body image disturbance, body shame, stigma, and other things that affect the psychology of cancer patients. In conclusion, there is a relationship between self-compassion and psychological well-being in cancer patients.This study aims to examine the relationship between self-compassion and the psychological well-being of cancer patients. The method used in this research is a systematic review, where we conducted journal searches in the ScienceDirect, PubMed, ProQuest, Springer, and EBSCOhost databases using the keywords' cancer patients', 'psychological well-being, 'and 'self-compassion. ' The research results show that self-compassion influences levels of depression, stress, anxiety, quality of life, body image disturbance, body shame, stigma, and other things that affect the psychology of cancer patients. In conclusion, there is a relationship between self-compassion and psychological well-being in cancer patients.</em></p> <p><em><br>Keywords: Cancer Patients, Psychological Well-Being, Self-Compassion</em></p> Ratna M. Sihombing Tuti Nuraini Yati Afiyanti ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-16 2024-06-16 6 1 1660 1669 10.31539/joting.v6i1.10321 Kandungan Antioksidan pada Suplemen Daun Kelor terhadap Kadar Acyl Ghrelin pada Subjek Obesitas https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9218 <p><em>This study aims to explore the effect of antioxidant content on acyl ghrelin levels in obese subjects. This research method is a systematic literature review approach by searching for journal articles in the PubMed database. Inclusion criteria were articles published in the last 10 years using RCT methods on experimental animals and humans with obese nutritional status and providing Moringa leaf intervention. The research results showed that of 69 articles identified, only 7 articles met the inclusion criteria. The findings obtained indicate that the high antioxidant content of Moringa leaves has great potential as a functional food source and is beneficial for body health. The conclusion of the research is that the antioxidant content in Moringa leaves has an effect on obesity and still needs to be studied for its effect on acyl ghrelin.</em></p> <p><em>&nbsp;</em></p> <p><em>Keywords: Acyl ghrelin, Moringa Leaf Supplements, Antioxidants, Obesity</em></p> Desty Mahabatillah Diana Nur Afifah Adriyan Pramono ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-18 2024-06-18 6 1 1970 1977 10.31539/joting.v6i1.9218 Pelaksanaan Bundle Chateter-Associated Urinary Tract Infections (CAUTI) Ketepatan Indikasi Pemasangan dan Pelepasan Kateter Urine https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/9520 <p><em>This study aims to synthesize studies regarding the implementation of the CAUTI prevention bundle namely the accuracy of indications for installation and removal of urinary catheters. The method used is a systematic review by taking studies from four databases, namely Science Direct, SAGE, Pro Quest, and Scopus which were published in 2017-2022, and are in English. Selection uses PRISMA guidelines. The quality of the article is assessed using the critical appraisal instrument from JBI. There were 646 articles, but only 9 articles met the inclusion criteria. The results showed that in the implementation system, 5 studies used training for staff on accurate catheter placement, catheter care, or CAUTI prevention before or during the intervention. The instrument used is a form or sticker containing a reminder about the indication or removal of the catheter. Two studies used audit or feedback systems. Benefits in rate of insertion and duration of catheterization indicate a reduction in inappropriate catheter placement and a reduction in duration of catheter use. In compliance with the procedure, the accuracy of indications and urinary catheter removal showed increased compliance. And the CAUTI numbers show varying results. In conclusion, the bundle of indications for catheter insertion and removal can be applied and the results regarding implementation compliance are still limited. However, the effect on CAUTI rates needs to be compared with bundle interventions more fully. It could be considered research supervision and compliance with implementing the CAUTI bundle.</em></p> <p><strong><em>&nbsp;</em></strong></p> <p><em>Keywords: CAUTI bundle, CAUTI, Indications for urinary catheter installation, Urinary catheter removal, Infection prevention</em></p> Devi Rahma Sofia ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-18 2024-06-18 6 1 1678 1688 10.31539/joting.v6i1.9520 Terapi Nebulasi pada Pasien Anak dengan Bronkiolitis https://journal.ipm2kpe.or.id/index.php/JOTING/article/view/10409 <p>This study aims to determine which nebulization therapy is effective for improving respiratory status and reducing the length of stay in children with bronchiolitis. The research method used was a literature search using six databases: PubMed, ProQuest, ScienceDirect, Scopus, Sage Journals, and Embase. The results of the study showed that the average age of the children who were respondents was 0-24 months. Eight articles showed that all therapy options could improve the child's respiratory status, but not all significantly reduced the length of stay. In conclusion, nebulization therapy that can be used in pediatric patients with bronchiolitis to improve the child's respiratory status includes hypertonic saline (HS), normal saline (NS), magnesium sulfate (MgSO4), interferon α1b (IFN α1b) In, In and In racemic epinephrine (RE). , while nebulized therapy that can reduce the length of stay is racemic epinephrine (RE) and hypertonic saline (HS).This study aims to determine which nebulization therapy is effective for improving respiratory status and reducing the length of stay in children with bronchiolitis. The research method used was a literature search using six databases: PubMed, ProQuest, ScienceDirect, Scopus, Sage Journals, and Embase. The results of the study showed that the average age of the children who were respondents was 0-24 months. Eight articles showed that all therapy options could improve the child's respiratory status, but not all significantly reduced the length of stay. In conclusion, nebulization therapy that can be used in pediatric patients with bronchiolitis to improve the child's respiratory status includes hypertonic saline (HS), normal saline (NS), magnesium sulfate (MgSO4), interferon α1b (IFN α1b) In, In and In racemic epinephrine (RE). , while nebulized therapy that can reduce the length of stay is racemic epinephrine (RE) and hypertonic saline (HS).</p> <p><br>Keywords: Children, Bronchiolitis, Length of Hospitalization, Nebulization, Respiratory Status</p> Gian Rasyiddin Muhammad Allenidekania Allenidekania Yeni Rustina ##submission.copyrightStatement## http://creativecommons.org/licenses/by-nc/4.0 2024-06-18 2024-06-18 6 1 1689 1696 10.31539/joting.v6i1.10409