Journal of Telenursing (JOTING)

Pemberian Akupresur terhadap Perubahan Nilai Glasgow Coma Scale (GCS) pada Pasien Penurunan Kesadaran

Sun, 28 Jul 2024 14:27:19 +0000

This study aims to determine the effectiveness of acupressure on changes in Glasgow Coma Scale (GCS) values in patients with decreased consciousness. The research design used was a quasi-experiment, one group pre-test, and a post-test design. The results of the univariate analysis showed that before the acupressure intervention, the majority of respondents (23.3%) were at the somnolent level of consciousness, and after the intervention, the majority of respondents, six people (20.0%), were at the delirium level of consciousness. The results of bivariate analysis showed that the p-value (0.004). In conclusion, acupressure has an effect on changes in GCS values in patients with decreased consciousness.

Keywords: Acupressure, Glasgow Coma Scale (GCS)

Pengaruh Zinc Chitosan Cream terhadap Proses Penyembuhan Ulkus Diabetikum pada Pasien Diabetes Mellitus Tipe II

Sulastri G P Tambunan, Jansen Parlaungan — Mon, 29 Jul 2024 15:27:29 +0000

The aim of this study was to analyze the healing process of diabetic ulcers in Type II Diabetes Mellitus patients on day 1, day 7 and day 14 at the Asri Wound Care Center Medan clinic. The research method used is Quasi Experimental research using a one group pretest-posttest design. The intervention used is Zinc Chitosan Cream. The tests used are the Kruskal Wallis Test and the Wilcoxon Test. The research results show that the Sig. (2-tailed) day 1 to day 7 for an Asymp Sig value of 0.000 < 0.05 there is a significant difference, day 7 to day 14 for an Asymp Sig value of 0.157 < 0.05 there is no significant difference, day 1 to day for the 14th Asymp Sig value of 0.000 < 0.05, there is a significant difference, it can be concluded that the effect of Zinc Chitosan Cream on healing diabetic ulcers in Type II Diabetes Mellitus patients only affects days 1 - 7 and day 1 - 14, whereas for days 7 – day 14 in healing diabetic ulcers in patients with Type II Diabetes Mellitus does not affect the wound healing process. In conclusion, Zinc Chitosan Cream in healing diabetic ulcers in Type II Diabetes Mellitus patients only has an effect on days 1 - 7 and days 1 - 14.

Keywords: Type II Diabetes Mellitus, Diabetic Ulcers, Zinc Chitosan Cream.

Hubungan Burnout dengan Kinerja Perawat di Ruangan Rawat Inap

Hanna Ceria Lumbantoruan, Rika Endah Nurhidayah, Jenny Marlindawani Purba — Tue, 30 Jul 2024 18:58:42 +0000

This study aims to analyze the relationship between burnout and nurse performance at Prof Dr. Hospital Chairuddin Panususnan Lubis USU. The Type of research used is Analytical survey method with cross-sectional approach is employed. The research sample amounted to 62 nurses on duty in the patient room using with total sampling. Data was collected using primary and secondary data and anlyzed using Chi- Square statistical test with a confidence level 0f 95%. The results showed that nurse burnout p=0,001. Conclusion, there is relathionship between burnout and nurse performance.

Keywords: Burnout, Nurse performance

Pengetahuan Bantuan Hidup Dasar dengan Pelaksanaan pada Perawat

Wed, 31 Jul 2024 10:32:20 +0000

This study aims to determine the relationship between knowledge and the implementation of essential life support in inpatient nurses at the Hospital. The quantitative research method was cross-sectional, with a sample of 68 nurses in the inpatient room of the hospital. The results of this study obtained a p-Value of 0.032 = <0.05, with a positive correlation direction, which means that the higher the nurse's knowledge, the better the implementation of essential life support. The conclusion is that there is an influence between knowledge of critical life support and implementation in nurses.

Keywords: Basic Life Support, Implementation, Knowledge

Faktor yang Berhubungan dengan Kejadian Anemia pada Ibu Hamil

Guruh Suprayitno, Jeni Oktavia Karundeng, Suningsih Suabey, Maria Serafina Gebze — Wed, 31 Jul 2024 00:00:00 +0000

This study aims to determine what factors are related to the incidence of anemia in pregnant women at the Sota Health Center, Merauke Regency. The research method used is an analytical observational study or analytical survey with a cross-sectional research design. The study results showed a significant relationship between Compliance with Fe consumption and the incidence of anemia in pregnant women, as evidenced by a p-value of 0.001. There was no relationship between Maternal Age (p-value 0.345), Gestational Age (p-value 0.678), Education (p-value 0.699), Income (p-value 0.163), and Parity (p-value 0.911) with the incidence of anemia in pregnant women. In conclusion, of the six independent variables, 1 () factor has a relationship, namely compliance with Fe consumption, with the incidence of anemia in pregnant women. In contrast, the other five factors have no relationship with the incidence of anemia in pregnant women.

Keywords: Anemia, Pregnant Women

Peran Rumah Sakit dalam Pencegahan dan Pengendalian Infeksi di Rumah Sakit

Wita Handriani, Chrismis Novalinda Ginting, Sri Wahyuni Nasution — Thu, 01 Aug 2024 13:09:00 +0000

This study aims to determine the role of hospitals in preventing and controlling infections at Royal Prima Indonesia Hospital. The research method uses a cross-sectional study. The study results showed that the chi-square statistical test analysis of the role of hospitals in preventing and controlling infections at Royal Prima Medan Hospital showed a p-value = 0.283, which means the p-value> 0.05. In conclusion, there is no relationship between the hospital's role and the PPI team's compliance in preventing and controlling infections. Suggestions should be made so the hospital can provide ongoing training and education to improve compliance with standard precautions every three months.

Keywords: Role of Hospitals, Prevention and Control of Infection

Pengetahuan dan Sikap Remaja terhadap Kekerasan Seksual

Ahmad Yamin, Maria Ulpa, Kurniawan Kurniawan, Adelse Prima Mulya — Thu, 01 Aug 2024 13:22:35 +0000

This study aims to analyze the relationship between knowledge and adolescents' attitudes towards sexual violence. The research method uses a correlational approach, with a sample size of 98 adolescents selected through proportional stratified random sampling. Data were analyzed using Pearson correlation. The results show that 40.8% of students have poor knowledge, 37.8% have good knowledge, and 21.4% have adequate knowledge. In terms of attitudes towards sexual violence, 57.1% of adolescents have a positive attitude, while 42.9% have a negative attitude. The Pearson correlation test results showed a p-value of 0.147. The conclusion is that there is no relationship between knowledge and adolescents' attitudes towards sexual violence, but efforts to improve attitudes and personal boundaries among students are necessary, as nearly half have a negative attitude.

Keywords: Sexual Violence, Knowledge, Adolescents, Attitudes

Perbedaan Dampak Radioterapi dan Kemoterapi terhadap Fertilitas Penyintas Kanker Anak dan Remaja

Barkah Isnaini, Allenidekania Allenidekania — Thu, 01 Aug 2024 13:28:19 +0000

This study aims to identify differences in the impact of chemotherapy and radiotherapy on the fertility of childhood and adolescent cancer survivors. The method used was a systematic review with searches in five databases including Pubmed, ScienceDirect, Scopus, Proquest, and Clinical Key Nursing regarding fertility in child and adolescent cancer survivors treated with chemotherapy or radiation, with a publication range from 2000 to 2018. There were 11,131 articles at the start of the data search, after filtering using the PRISMA 2020 method, the final results were 9 articles for analysis using the Joanna Briggs Institute (JBI) checklist. The nine articles used a cohort study involving a total of 25,210 respondents from six countries (America 2, Netherlands 2, Italy 2, Japan 1, England 1, Ireland 1). The research results show that alkylating agent type chemotherapy can affect the fertility of cancer survivors, as well as radiotherapy to certain areas of the body such as the abdomen, head and total body radiation also affect the fertility of childhood cancer survivors. In conclusion, providing appropriate information regarding the impact of alkylating agent chemotherapy and radiotherapy to the head area, abdomen and total body radiation before starting cancer therapy is very necessary. So that patients and families can make the best decisions in treating the patient's cancer regarding the patient's future.

Key words: Adolescence, Chemotherapy, Childhood Cancer, Fertility, Radiotherapy

Sanitasi Lingkungan dan Pengelolaan Sampah pada Kejadian Stunting

Metriana Metriana, R. Azizah R. Azizah, Lilis Sulistyorini, Yulia Yunara — Thu, 01 Aug 2024 17:05:58 +0000

The aim of this study is to analyze the relationship of environmental sanitation and its impact on children's health and growth. The Systematic Review with Preferred Reporting Items for Systematic Review and Meta Analysis (PRISMA) was used as a guideline. The results of this study are: (1) Environmental sanitation in terms of the use of clean water has a correlation with stunting; (2) Environment sanitation from the aspect of waste management has a correlation with stunting; and (3) Environment sanitation from the aspect of toilet facilities has a correlation with stunting. Poor sanitation will increase the incidence of infectious diseases which have an impact on energy intake in the body, so that nutrients are difficult to absorb by the body so that growth is stunted or disrupted which is called stunting.

Keywords: Clean Water, Environmental Sanitation, Stunting, Waste Management

Efektivitas Konsumsi Mixed Jus Mentimun dan Belimbing terhadap Penurunan Tekanan Darah pada Klien Hipertensi

Hasian leniwita, Adventus Adventus, I Made Mertajaya — Thu, 01 Aug 2024 17:16:52 +0000

This study aims to determine the effect of giving a mixture of star fruit and cucumber juice on reducing blood pressure in the elderly at Panti Sasana Tresna Werdha (PSTW) Ria, Jakarta development. The method used is a one-group pre-test and post-test design approach. Population and sampling used simple random sampling techniques with a total of 30 respondents. The research results show the results of univariate and bivariate analysis with the t-test p.value = 0.000. This shows that the administration of a mixture of star fruit and cucumber juice has a significant effect on reducing blood pressure. In conclusion, there is an effect of giving a mixture of star fruit and cucumber juice in reducing blood pressure in hypertension sufferers.

Keywords: Hypertension, Mixed Juice,Blood Pressure

Pengaruh Edukasi Keluarga terhadap Pengetahuan Keluarga dan Kepatuhan Penderita Hipertensi

Tahan Tahan, Siti Zahara Nasution, Farida Linda Sari Siregar — Wed, 31 Jul 2024 00:00:00 +0000

This study aims to analyze the effect of family education on family knowledge and compliance with hypertension sufferers in carrying out treatment. The research method used was pre-experiment with a one-group pretest-posttest design approach. The sample in this study amounted to 83 respondents. Data analysis used the Wilcoxon test. The results of research on the influence of family education on family knowledge about hypertension treatment, P-Value < 0.000 and compliance of hypertension sufferers in carrying out P-Value treatment < 0.000. In conclusion, there is an influence of family education on family knowledge and compliance with hypertension sufferers in carrying out treatment.

Keywords: Education, Family, Knowledge, Compliance with Hypertension Sufferers

Kaitan Gender dan Struktur Keluarga dengan Pemberian Intervensi Gizi Spesifik pada Anak Usia 6-23 Bulan

Rutmauli Hutagaol, Niken Pratiwi, Ferry Fadli Fratama, Erna Fauziah — Wed, 31 Jul 2024 00:00:00 +0000

This study aimed to explore the relationship between gender and family structure by providing specific nutritional interventions to children aged 6-23 months. The method used was analytical observational with a cross-sectional approach. The research results from chi-square analysis showed that there was a significant relationship between the child's gender and family type and the provision of specific nutrition (p value <0.05). The majority of male children received positive specific nutrition, namely 52.2%, and girls received positive specific nutrition, namely 64.9%. The nuclear family type provided specific nutrition positively by 63.1% and the large family type provided specific nutrition negatively by 52.8%. In conclusion, the child's gender and family type have a significant influence on the provision of specific nutrition and nuclear families are more likely to provide better nutrition.

Keyword: Child's Gender, Provision of Specific Nutrition, Stunting, Family Type

Intervensi Pencegahan Perilaku Bunuh Diri pada Remaja Berbasis Aplikasi dalam Meningkatkan Efektivitas Penanganan Kesehatan Mental

Rian Priambodo, Rizki Fitryasari, Rr Dian Tristiana — Wed, 31 Jul 2024 00:00:00 +0000

This research aims to develop a suicide prevention intervention for adolescents by utilizing technology to reach adolescents with suicidal behavior effectively and efficiently. The method used was a literature review with articles originating from the Scopus, Web of Science, Wiley Online, and Science Direct databases, to search for keywords using the Medical Subject Headings (MeSH) system related to relevant articles in this research. The research results resulted in an initial 354 articles. Articles were selected based on publications in the last 5 years and did not include literature reviews or systematic reviews, screening 187 articles. The final results of the 15 articles synthesized showed that there was effectiveness of screening interventions, education, DBT (dialectical behavioral therapy) skills, and help seeking in adolescents with suicidal behavior. The conclusion of this research is that suicide prevention interventions for teenagers by utilizing application technology on smartphones have proven to be effective and efficient in reaching and helping teenagers with suicidal ideation.

Keywords: Application, Suicide Prevention, Suicide Intervention, Teenagers

Pemanfaatan Teknologi dan Intervensi Digital dalam Pencegahan Risiko Jatuh pada Lansia

Blandina Easter Grace Wairata, Retno Indarwati, Dianis Wulan Sari — Thu, 01 Aug 2024 18:09:42 +0000

The aim of this research is to evaluate digital interventions aimed at preventing falls among individuals aged 65 and older. The methodology employed involves a literature review assessing the effectiveness of various technologies in reducing fall risks, as well as identifying the strengths and weaknesses of each approach. The study includes elderly participants using digital technology or interventions compared to a control group receiving standard care or no intervention. Outcomes considered include reduced fall risk, fall incidents, or severity of fall-related injuries. Studies meeting inclusion criteria encompass experimental designs (randomized controlled trials, controlled trials) or observational studies with adequate controls, available in English. PubMed, Scopus, and IEEE Xplore databases were utilized up to June 19, 2024, with additional reference searches. Research findings indicate that out of 608 identified articles, 10 studies met inclusion criteria following screening processes. These studies utilized a variety of technologies such as mobile applications, virtual reality (VR), augmented reality (AR), machine learning, and robotics. Conducted in various countries, these studies demonstrate diverse applications; for instance, UK studies used mobile apps and 3D games for fall awareness, Chinese studies employed VR for rehabilitation, and German studies explored robotics for fall prevention. The research concludes by highlighting the potential of technologies like VR, AR, machine learning, and robotics in reducing fall risks among the elderly, thereby enhancing healthcare practices and quality of life.

Keywords: Elderly, Falls Risk, Prevention, Technology

Penggunaan Media Audio Visual terhadap Peningkatan Pengetahuan tentang Perilaku Hidup Bersih dan Sehat pada Anak Usia Sekolah

Susi Sastika Sumi, Mika Sugarni, Yusnaeni Yusnaeni, Wiwin Handayani — Thu, 01 Aug 2024 18:24:43 +0000

This research aims to determine the effect of using audio-visual media on increasing knowledge about clean and healthy living behavior in school-aged children. The method used is a quantitative research method with an experimental research type of one-group prepost design. The research sample consisted of 59 respondents using purposive sampling technique. The results of this study show that knowledge is in the good category after being given the intervention with an n value of 30, which means that 30 respondents experienced an increase in knowledge. And the sufficient value is n 2, which means there are 2 respondents with insufficient knowledge even though they have been given the intervention, and there are 27 respondents whose knowledge remains good or sufficient after being given the intervention. Based on the statistical output test, a significant value of 0.000 was obtained. This means that H0 is rejected because the significant value is <0.05 and Ha is accepted. The conclusion of this research is that there is an influence of the use of audio-visual media in increasing knowledge about clean and healthy living behavior in school-aged children

Keywords: School age children, audio visuals, clean and healthy living behavior

Penggunaan Draping Bedah Anti Mikroba untuk Mencegah Kontaminasi Selama Pembedahan

Fri, 02 Aug 2024 03:48:08 +0000

This study aims to determine the efficacy of using antimicrobial surgical draping on surgical area contamination. The research method used is a narrative review of the database used. The search engine used is Google Scholar. Articles based on the criteria include, published between 2020-2024, there are full manuscripts, primary research (RCT, Cross-sectional, retrospective, and cohort) in Indonesian and English. The article database uses Science Direct, EBSCO-CINAHL, and Pubmed. The keywords used are surgical draping, antimicrobial, and contamination. The study results showed 33 articles (CINAHL), 90 articles from Science Direct, and 271 articles from Pubmed, but only nine articles were the focus of the study. This study concludes that antimicrobial drapes can prevent contamination in the surgical area by preventing transmission and antibacterial. Nurses are advised to conduct further research on the types and characteristics of microbes before using antimicrobial surgical drapes.

Keywords: Antimicrobial, Surgical Draping, Contamination

Analisis Faktor-Faktor Penunjang Kesiapan Pelaksanaan Rekam Medis Elektronik

William Umar, Chrismis Novalinda Ginting, Ali Napiah — Fri, 02 Aug 2024 07:53:14 +0000

This study aims to analyze the factors that support the readiness to implement electronic medical records at the Royal Prima Medan General Hospital. The research method uses cross-sectional. The results of this study indicate that there is an influence of the perception of benefits on the readiness of the implementation of electronic medical records at the Royal Prima Medan Hospital with a p-value = 0.041, there is an influence of behavioral interest factors using the behavioral attention hospital management information system on the readiness for the implementation of electronic medical records at the Royal Prima Medan Hospital with a p-value = 0.000, there is an influence of the use of the hospital management information system on the readiness of submitting electronic medical records at the Royal Prima Medan Hospital with a p-value = 0.016. The conclusion is that there is an influence of the perception of benefits, behavioral interest, and use of information systems on the implementation of electronic medical records is a behavioral variable.

Keywords: Readiness for Implementation, Electronic Medical Records, Hospital

Penjelasan Dokter dan Durasi Pengambilan Obat terhadap Loyalitas Pasien BPJS dengan Variabel Kepuasan Pasien sebagai Variabel Intervening

Chrismis Novalinda Ginting, Yuti Paramitha Agatha, Herbert Wau — Sat, 03 Aug 2024 17:22:18 +0000

This study aims to determine the effect of a doctor's explanation and duration of drug intake on BPJS patient loyalty, with patient satisfaction as an intervening variable. The research method used cross-sectional. The results showed that there was an effect of doctor's explanation on BPJS patient loyalty at RSU Royal Prima Medan P value <0.05, there was an effect of drug intake duration on BPJS patient loyalty at RSU Royal Prima Medan P value <0.05, there was an effect of doctor's explanation on patient satisfaction, there was an effect of drug intake duration on patient satisfaction, there was an effect of patient satisfaction mediating doctor's explanation on patient loyalty, there was an effect of patient satisfaction mediating drug intake duration on patient loyalty, and there was an effect of patient satisfaction on patient loyalty. This study concludes that the doctor's explanation and duration of drug intake affect patient loyalty.

Keywords: Drug Taking Duration, Satisfaction, Loyalty, Doctor's Explanation

Preceptorship terhadap Kepatuhan Melaksanakan SPO Pemasangan Infus dan Pendokumentasian dalam Melakukan Tindakan Pemasangan Infus

Meli Marlina — Sun, 04 Aug 2024 11:24:17 +0000

This study aims to determine the effect of preceptorship on compliance in implementing SOP for infusion installation and documentation in carrying out infusion installation actions. The method used is a quasi-experiment with a one-group pretest–post-test design. The results showed compliance in infusion installation by the SOP before and after preceptorship increased from 67.6% to 88.2%. At the same time, compliance in documentation in carrying out actions before and after preceptorship rose from 52.9% to 85.3%. In conclusion, preceptorship affects compliance in implementing SOP for infusion installation and documentation in carrying out infusion installation actions in the Inpatient Room of Bertha Medika Hospital, Sukabumi Regency.

Keywords: Compliance, Documentation, Infusion Installation, Preceptorship

Model Pembelajaran E-Learning dan Pelatihan Softskill Tenaga Keperawatan terhadap Mutu Pelayanan Keperawatan

Nila Kusumawardani, Indasah Indasah, Joko Prasetyo — Sun, 04 Aug 2024 15:27:26 +0000

This study aims to determine the effect of e-learning learning models and soft skill training for nursing staff on the quality of nursing services at Restu Kasih Hospital. The method is genuinely experimental and uses a pre-post-test control group design. The study results showed that before e-learning was carried out in the intervention group, almost all of the quality was in the sufficient category of 52 people (89.7%). Before soft skill training was carried out in the control group, almost all of the quality was in the sufficient category of 48 people (84.2%). After e-learning was carried out in the intervention group, nearly all of the quality was in the excellent category of 51 people (87.9%). After soft skill training was carried out in the control group, almost all of the quality was in the sufficient category of 48 people (84.2%). In conclusion, there is a significant influence between the e-learning learning model and soft skill training for nursing staff on the quality of nursing services at Restu Kasih Hospital.

Keywords: Nursing Service Quality, E-Learning, Soft Skill Training

Edukasi Mual dan Muntah Pasca Operasi terhadap Pengetahuan Orang Tua dan Dehidrasi Anak

Jhon Feri, Wella Juartika, Eva Oktaviani — Mon, 05 Aug 2024 12:28:00 +0000

This study aims to examine the effect of education about postoperative nausea and vomiting on increasing parental knowledge and reducing the incidence of dehydration in children. The research method used was a quasi-experimental design with a pretest-posttest approach with a control group. The results showed a significant increase in parental knowledge about nausea and vomiting management in the intervention group compared to the control group (p < 0.05). In conclusion, the practical implications of this study are significant. Education about postoperative nausea and vomiting effectively increases parental knowledge and reduces the incidence of dehydration in children. The education program, which is routinely applied to pediatric patients undergoing surgery, demonstrates its potential to improve the quality of care and reduce postoperative complications.

Keywords: Children, Dehydration, Education, Postoperative Nausea and Vomiting, Parental Knowledge

Rancangan Modul Self Care sebagai Sarana Pendidikan Kesehatan terhadap Penanganan Dysmenorrhea pada Remaja

Mon, 05 Aug 2024 12:37:49 +0000

This study aims to design a self-care module for handling dysmenorrhea based on the needs of female adolescents. The method used is a qualitative descriptive exploration with a research & development model. The results of the study indicate that female adolescents' understanding of dysmenorrhea can be seen from four themes, namely perceptions about the meaning of dysmenorrhea, perceptions about the causes of dysmenorrhea, perceptions about the impact of dysmenorrhea, and perceptions about handling dysmenorrhea. In conclusion, female adolescents need educational media to hold the dysmenorrhea they experience, so this study produces a product design in the form of a dysmenorrhea handling module for schools and female adolescents.

Keywords: Dysmenorrhea, Self Care Module, Adolescents

MBCT (Mindfulness Based Cognitive Therapy) terhadap Stres dan Kopingsindrom Pramenstruasi

Ermilya Restiani Jauhary, Sri Sumarni, Arwani Arwani — Sat, 10 Aug 2024 03:55:44 +0000

This study aims to determine the effect of MBCT (Mindfulness Based Cognitive Therapy) intervention on stress and coping with premenstrual syndrome. The research method is a quasi-experiment within two groups with a pretest-posttest control group design. The results showed that the Mindfulness-Based Cognitive Therapy (MBCT) Intervention affected stress (p 0.000 <0.015) and had an effect on coping with premenstrual syndrome (P 0.049 <0.05) compared to the control group. The conclusion is that the Mindfulness-Based Cognitive Therapy (MBCT) Intervention has an effect on stress and coping with premenstrual syndrome for four weeks consisting of 4 meeting sessions with a duration of 60 minutes per meeting so that it can be applied as an alternative holistic therapy for sufferers of premenstrual syndrome.

Keywords: Coping with Premenstrual Syndrome, MBCT, Premenstrual Syndrome, Stress

Dampak Pernikahan Dini terhadap Kehamilan Remaja Putri

Yessi Syahradesi Br. Tambunan, Purnama Sari Cane — Mon, 12 Aug 2024 16:28:40 +0000

This study aims to identify the impact of early marriage on teenage girls' pregnancy in Darul Amin Village, Lawe Alas District, Southeast Aceh Regency. The research method used is quantitative correlational and uses secondary data using a case-control design. The results of the study indicate that there is a relationship between knowledge and early marriage (pvalue = 0.005, OR value = 0.180), there is a relationship between parental income levels (pvalue = 0.001, OR value = 5.90), there is a relationship between respondent education levels (pvalue = 0.002, OR value = 5.50). Variables that are not related to early marriage are parental trust levels (p-value = 0.806, OR value = 1.45). The conclusion is that there is a relationship between teenage girls' knowledge, parental income, adolescent girls' education, and early marriage, so there is an impact of early marriage on adolescent girls' pregnancy in Darul Amin Village, Lawe Alas District, Southeast Aceh Regency in 2024.

Keywords: Pregnancy, Early Marriage, Teenage Girls

Gambaran Status Kesehatan Gingiva dan Oral Hygiene Behavior pada Pasien dengan Diabetes Melitus Tipe 2

Meina Nur Aeni Adisite, Tuti Pahria, Nursiswati Nursiswati — Wed, 14 Aug 2024 22:11:21 +0000

This study aims to determine gingival health status and oral hygiene behavior in patients with Type 2 DM. The method used is descriptive observational. The results showed the gingival health status in patients with Type 2 DM at RSAU dr. M. Salamun Bandung, namely, there were changes (47%), healthy (40%), and unhealthy (13%) and oral hygiene behavior in the moderate (56%) and sound (44%) categories. In conclusion, almost half of patients with type 2 DM showed changes in gingival health status with oral hygiene behavior, and most patients were in the moderate category.

Keywords: Type 2 DM, Oral Hygiene Behavior, Gingival Health Status

Faktor-Faktor yang Mempengaruhi Terjadinya Depresi pada Remaja

Tati Karokaro, Afrizal Afrizal, Amel Yanis, Hardisman Hardisman — Thu, 15 Aug 2024 18:12:59 +0000

This study aims to build a family empowerment model in an effort to prevent depression in adolescents for their families, adolescents, and community mental health nurses in Deli Serdang Regency, North Sumatra. This research method uses a sequential explanatory design. The results of the study showed that there was no significant relationship between individual characteristics and the incidence of adolescent depression. There was a significant relationship between family emotional support and instrumental support with depression in adolescents. The results of this study conclude that families are expected to be able to foster good communication with children, especially adolescents.

Keywords: Depression, Family Empowerment Model, Adolescents

The Predisposing and Enabling Factors in HIV Testing Among Pregnant Women: A Systematic Review

Monica Ayu Rossalya, Ernawaty Ernawaty, Sri Widati, Christopher Dick-Sagoe — Thu, 15 Aug 2024 18:25:29 +0000

This study aims to analyze predisposing and supporting factors in the use of HIV testing in pregnant women. The method used is a literature review using the PRISMA checklist and searching for articles from 2015 to 2020, utilizing five databases: Cambridge eJournal, Scopus, Science Direct, Proquest, and Google Scholar. The results obtained 16 articles that met the inclusion criteria from 2036 articles in this study. In conclusion, most of the use of HIV testing is influenced by age factors, education level, perceptions of HIV testing, health promotion, human resources, infrastructure, and facilities, which have a significant impact on the awareness, willingness, and ability of pregnant women to undergo HIV testing.

Keywords: Supporting Factors, Predisposing Factors, HIV Testing

Analisis Faktor yang Mempengaruhi Implementasi Standar Keselamatan Pasien

Nina Marlina, Budiman Budiman, Oyoh Oyoh, Mulyati Mulyati — Tue, 20 Aug 2024 00:00:00 +0000

This study explores the factors that can influence the implementation of patient safety standards. The method used is correlational analysis with a cross-sectional approach. The results of the study indicate that there is a significant partial effect of gender on the implementation of patient safety standards p-value of 0.005; there is a significant partial effect of education on the implementation of patient safety standards p-value of 0.011, meaning that there is a significant partial effect of length of service on the implementation of patient safety standards p value 0.037; there is a significant partial effect of awareness on the implementation of patient safety standards p value 0.001; compliance has a partial considerable impact on the implementation of patient safety standards p value 0.001. In conclusion, awareness is the dominant factor influencing the implementation of patient safety standards.

Keywords: Nurse Compliance, Nursing Services, Patient Safety Standards

Pengaruh Permainan Simulasi Media Kartu Kuartet dan Leaflet terhadap Tingkat Pengetahuan Malaria

Endah Purwanti Handayani, Susi Lestari, Eftyaningrum Dwi Wahyu Astutik — Wed, 21 Aug 2024 10:37:13 +0000

This study aims to determine whether there is an influence of quartet card and leaflet media on malaria knowledge in the Youth Posyandu in the working area of the Harapan Sentani Community Health Center. The method used in this research uses a quasi experiment design with a Two Group Pretest Posttest Design. The research results based on the Wilcoxon test obtained p-value= 0.001 < 0.05 with a mean pretest of 5.45 and posttest 9.55 in the quartet card media group and p-value= 0.132 > 0.05 with a mean pretest of 5.05 and posttest 6 .80 in the leaflet group with results from the use of the quartet card game simulation, there was an influence on the level of knowledge of adolescents about malaria compared to the use of leaflets. In conclusion, the quartet card media has a greater influence than the leaflet media on malaria knowledge in the Youth Posyandu in the Harapan Sentani Community Health Center Working Area.

Keywords: Quartet Card, Leaflet, Malaria, Knowledge

Analisis Determinan Kejadian Anemia Ibu Hamil Trimester III pada Era New Normal

Wed, 21 Aug 2024 10:50:29 +0000

This study aims to analyze the determinants of the occurrence of anemia in pregnant women. The study used an observational analytic design with a case control with analysis using bivariate and multivariate methods. The results show that a significant relationship with the incidence of anemia in third trimester pregnant women, namely pregnancy distance, KEK status, compliance with Fe Consumption, Achievement of ANC visits and History of exposure to Covid19. The factors that most influenced the incidence of anemia were Compliance with Fe Tablet Consumption, mother's KEK status and history of exposure to Covid19. Age and history of premarital counseling were not significant to the incidence of anemia. Conclusion compliance with consumption of Fe tablets is the most influential factor on the incidence of anemia in third trimester pregnant women at new normal era.

Keywords: Anemia, New Normal Era, Pregnant Women TM III

Pengaruh Obesitas dan Perokok terhadap Kejadian Post Operative Nausea and Vomiting pada General Anestesi

Ahmad Mustopa, Jamilah Al Husaini, Madinatul Munawaroh — Thu, 22 Aug 2024 20:44:23 +0000

This study aims to identify the influence of obesity and smoking on the incidence of PONV in general anesthesia patients. This research method is a type of quantitative research with analytical observational type, using a cross sectional design. The sampling technique used was non-probability sampling with purposive sampling, namely 68 respondents were obtained. The data measurement tools used were Gordon score observation sheets, smoking habits questionnaires, and interviews. The statistical test used is Spearman's Rank. The results of the study showed that from 68 respondents, for obesity, the number of underweight BMI respondents was 4 respondents, 5.9% and for smoking habits, namely passive smoking, 42 respondents, 61.8%. Obesity with a p value of 0.000 < 0.05 means there is a significant influence between obesity and PONV. Smokers with a p value of 0.942 > 0.05 means there is no significant influence between smokers and PONV. Conclusion, Based on the results of research conducted regarding the influence of obesity and smoking on the incidence of post-operative nausea & vomiting (PONV) in general anesthesia at Sumedang District Hospital.

Keywords: General anesthesia, Obesity, Smoker, Post Operativ Nausea and Vomiting

Implementasi Media Love Alarm Puzzle terhadap Kepatuhan Minum Obat Malaria

Fri, 23 Aug 2024 19:38:36 +0000

This study aims to explore the benefits of the Love Alarm Puzzle media with compliance in taking malaria medication in SP 6 Village, Naena Muktipura Village, Iwaka District, Mimika Regency. The method used is descriptive qualitative with purposive sampling technique. Based on the theme analysis, the results of the study showed that the cause of non-compliance in taking malaria medication was due to forgetfulness and the benefits of implementing the love alarm puzzle media were increased compliance in taking malaria medication. The conclusion after this implementation was carried out, compliance in taking malaria medication in patients increased.

Keywords: Love Alarm Puzzle, Malaria

Diabetes Self-Management Education Berbasis Experiential Learning terhadap Kepatuhan Diet dan Kualitas Hidup Pasien Diabetes

Priyo Sulistiono, Yenny Puspitasari, Agusta Dian Ellina — Fri, 23 Aug 2024 20:02:22 +0000

This study aims to analyze the effect of Experiential Learning-Based Diabetes Self-Management Education (DSME) on dietary adherence and quality of life among diabetes patients at RSUD Dr. R. Koesma Tuban. A quasi-experimental method with a control group design was employed. The sample consisted of 40 respondents selected using simple random sampling. Data were collected through questionnaires and analyzed using the Wilcoxon Signed Rank Test. The results indicate that, based on the Wilcoxon Signed Rank Test with a significance level of α = 0.05, the obtained Asymp.Sig (2-tailed) value was 0.000 < 0.05, which means H1 is accepted. This finding demonstrates that Experiential Learning-Based DSME significantly affects dietary adherence and quality of life among diabetes patients at RSUD Dr. R. Koesma Tuban. In conclusion, DSME based on experiential learning has a significant impact on improving dietary adherence and quality of life for diabetes patients at RSUD Dr. R. Koesma Tuban.

Keywords: Diabetes, Diet Adherence, Quality of Life, Technology

Penatalaksanaan Nipple Inverted dengan Jarum Suntik Terbalik pada Ibu Menyusui

Dwi Suryanti Wahyuningsih, Marsum Marsum, Melyana Nurul Widyawati — Sat, 24 Aug 2024 20:06:12 +0000

This research aims to identify effective and innovative techniques that can be used to treat inverted nipples in breastfeeding mothers. The method used is literature using the PICO technique including: (1) Population: breastfeeding mothers; (2) Intervention: inverted nipple technique; (3) Comparison does not exist; (4) Outcome: prominent nipples. The database used is Evidence Based Practice (EBP) from the Google Scholar data base. The results of the research show that there are 5 articles that mention several efforts that can be made in the management of inverted nipples, including the use of skill vacuum therapy, modification of injection syringes, reverse syringe technique, breast care, pulling the nipple using the thumb, and forefinger and the nipple retractor method. It was concluded that the inverted nipple management method affected the nipple shape of breastfeeding mothers and the dominant technique was the technique with an inverted syringe.

Keywords: Effective, Mother, Breastfeeding, Inverted Nipple, Technique

Analisis Pengaruh Dimensi Caring terhadap Pengambilan Keputusan Perawat pada Proses Asuhan Keperawatan Berdasar Teori Swanson

Nurul Rachmaningsih, Noer Saudah, Lilik Ma’rifatul Azizah — Sat, 24 Aug 2024 20:14:07 +0000

This study aims to analyze the Caring dimension of nurses' decision-making in the nursing care process. The research method used a correlational analytical design with a cross-sectional approach with a sample of 116 nurses used a simple random sampling technique, data collection using The Caring Assessment for the Direct care Giver (CACG) questionnaire for the independent variable of the Caring dimension, and The Clinical Decision Making in Nursing Scale (CDMNS) questionnaire for the dependent variable of decision-making, the data was analyzed using logistic regression with a p ≤ value of 0.05. The results showed that the dimensions of maintaining belief (0.029), knowing (0.030), being with (0.009), doing for (0.031), and enabling (0.039) had a significant influence on decision-making in the nursing care process. Conclusion, the dimensions of Caring maintaining belief, knowing, being with, doing for, and enabling can have an influence on quality nursing services for patients.

Keywords: Caring, Decision Making, Nursing Care

Analisis Pengaruh Bauran Pemasaran 7P terhadap Keputusan Pasien dalam Memilih Layanan Kesehatan di Rumah Sakit

Anisa Raudatul Ulfa, Ernawaty Ernawaty, Andi Safutra Suraya — Sat, 24 Aug 2024 20:21:05 +0000

This study aims to explore the impact of implementing the 7P marketing mix on patient decisions in choosing healthcare services at hospitals. The method used is a literature review, utilizing the PRISMA diagram for article selection from Google Scholar and Scopus databases. The study filtered 1709 articles down to 6 relevant articles based on the topic and specified time period. The results indicate that all elements of the marketing mix—product, price, people, place, process, promotion, and physical evidence—significantly influence patient decisions, although the level of impact varies. The conclusion of this study is that the application of the 7P marketing mix significantly affects patients' choices in selecting healthcare services at hospitals.

Keywords: Marketing Mix, 7P Marketing Mix, Hospital, Patient Decision.

Fungsi Kepemimpinan dan Manajemen Kepala Ruang Berbasis Bureaucratic Caring Theory terhadap Pelayanan Keperawatan

Yulius Mau Leon, Blasius Dedi, Indriati Kusumaningsih — Sat, 24 Aug 2024 20:30:58 +0000

This study aims to explore the functions of leadership and management functions of the head of the room based on bureaucratic caring theory towards nursing services at X Pontianak Hospital. The research method used was qualitative with an exploratory phenomenology approach. approach. The results of this study resulted in 15 themes, namely the time line time line is the foundation in carrying out an effective management planning function, the importance of the head of the room's planning activities in managing facilities, the flow of planning coordination flow, conformity with planning in Hospital X Hospital X Pontianak, supervision to improve performance and professional development of nursing, nursing methods used in the hospital, nursing methods used in the hospital, and nursing methods used in the hospital. methods used in the hospital, chain of command system as a workflow in the organization, mentor for workflow in the organization, mentors for nurses in the hospital, rewards for nurses in the hospital, overcoming conflicts as soon as possible. nurses in the hospital, resolving conflicts as soon as possible to avoid further problems, delegation of tasks according to further problems, delegation of tasks according to the direction of the head of the unit, supervision related to documentation, performance appraisal of nurses using DP3, the process of controlling the process of controlling nursing services to improve service quality, the hope of the head of the room to the leader or direct supervisor so that his role is optimal. The conclusion that can be drawn from this research is that the head of the room needs to develop leadership and management functions head of the room based on Bureaucratic Caring Theory on nursing services. nursing services.

Keywords: Leadership, Department Head Management, Management, Bureaucratic Caring, Phenomenology

Kepuasan Perawat terhadap Pelaksanaan Peran MPP tentang Kontinuitas Pelayanan Pasien

Dwi Anidar Ristianti, Catharina Dwiana Wijayanti, Sudibyo Supardi — Sat, 24 Aug 2024 20:37:54 +0000

This study aims to explore nurses' level of satisfaction with the role of MPPs in patient care at Hospital X in Tangerang Regency. The method used was quantitative - qualitative mixed methods. Data analysis used chi square analysis. The results showed that based on the results of quantitative analysis, it appears that the MPP role has a significant positive influence on nurse satisfaction in carrying out patient discharge planning. The results of qualitative analysis through interviews with informants also support quantitative findings. Informants stated that timely assessment and implementation of continuity of patient care for discharge preparation and evaluation of implementation are important factors that can increase nurse satisfaction. The majority of informants expressed satisfaction with the implementation of the MPP role, although there were some who were dissatisfied, which was also in line with the quantitative results. The conclusion of the study that can be drawn is that nurses' satisfaction with the role of the Patient Service Manager (MPP) at Hospital X Tangerang Regency depends on the effectiveness of coordination and integration of services carried out by MPP. Periodic evaluation of the MPP program is needed to improve nurse satisfaction and patient service quality.

Keywords: satisfaction, nurses, MPP role, mixed-methods.

Pemberdayaan Keluarga Sebagai Pencegahan Demensia pada Lansia

Halimatus Sa’diyah, Retno Indarwati, Dianis Wulan Sari — Sat, 24 Aug 2024 20:50:07 +0000

This study aims to see how the relationship between family empowerment and efforts to prevent dementia behavior in the elderly. The method used was a systematic review of three databases; Scopus, PubMed, and Web of Science using various combinations of keywords related to "family empowerment", "dementia prevention", and "elderly" (including synonyms). Inclusion criteria were studies published between 2019 and 2024, available in English. The review process involved title and abstract screening and full-text review of potential studies. The results showed that 9 articles conveyed the support provided by families for dementia prevention consisting of several aspects, namely disease management, emotional support, physical support, lifestyle, nutritional management by consuming healthy foods, stress management, social support and financial support. In conclusion, family empowerment has a positive impact on preventing dementia in the elderly, the family provides several aspects of support received by the elderly so that it can affect cognitive conditions and prevent dementia in the elderly.

Keywords: Dementia; Elderly; Family empowerment; Prevention

Penyuluhan Pemutaran Media Animasi terhadap Pengetahuan, dan Sikap tentang Jajanan Sehat sebagai Upaya Pencegahan Diare pada Anak Usia

Sri Wahyuni Nasution, Chrismis Novalinda Ginting, Jean Saragih — Tue, 27 Aug 2024 15:15:45 +0000

This study aims to see the effect of animation media screening counseling on knowledge and attitudes about healthy snacks as an effort to prevent diarrhea in school-age children. The research method is quantitative with a pre-experimental design with one group pre-and post-test. Data were collected using observation sheets. Data were analyzed using the Wilcoxon test. The results showed that the mean knowledge score about healthy snacks before and after animation media screening counseling was 20.27 ± 1.461 and 23.07 ± 0.740. The mean score of attitudes about healthy snacks before and after animation media screening counseling was 38.43 ± 2.648 and 43.83 ± 2.291. The conclusion of this study is that animation media screening counseling has an effect on knowledge and attitudes about healthy snacks as an effort to prevent diarrhea in school-age children.

Keywords: School-Age Children, Healthy Snacks, Animation Media, Knowledge, Attitude

Pengalaman Masyarakat Aceh Selatan Terkait Perilaku Kesehatan Selama Pandemi COVID-19

Salma Merda Kawati, Dewi Elizadiani Suza, Amira Permatasari Tarigan — Thu, 29 Aug 2024 15:40:24 +0000

This study aims to explore in depth the experiences of the people of South Aceh related to health behavior during the COVID-19 pandemic. The research method uses a descriptive phenomenological approach with an in-depth interview process, making interview transcripts and then analyzing the data using the Collaizi analysis method. The study results showed four themes: community efforts to prevent COVID-19, psychological disorders, activities carried out during the COVID-19 pandemic, and difficulties in implementing COVID-19 prevention efforts. The conclusion is that most of the community's behavior is positive, and the community has implemented prevention efforts well, even though some religious and traditional events have been carried out during the COVID-19 pandemic.

Keywords: COVID-19, Community, Experience, Health Behavior

Gambaran Pengetahuan Tentang Perilaku Perawatan Diri pada Pasien Gagal Jantung

Agnes Putri S Marbun, Mula Tarigan, Nur Asnah Sitohang — Thu, 29 Aug 2024 23:05:06 +0000

This study aims to determine the description of knowledge about self-care behavior in heart failure patients. The research method used is quantitative research with a descriptive approach. Sampling was taken using a purposive sampling technique with a total sample of 50 people with heart failure who were hospitalized. Data collection used the Dutch Heart Failure Knowledge Scale instrument. Data were analyzed using univariate analysis tests with presentation of tables in the form of frequency distributions and percentages. The results showed that knowledge about self-care behavior in hospitalized heart failure patients tended to vary, with an average knowledge score of 4.44 and a standard deviation of 1.554. In conclusion, although there are variations in patient knowledge, nurses have an important role in improving patient knowledge and care, both during hospital treatment and after the patient goes home. This is important to help patients optimize their function in carrying out daily activities.

Keywords: Heart Failure, Knowledge, Self-Care Behavior.

Implementasi Kebijakan Akreditasi di Klinik Pratama

Rhesiwenny Rushe, Ermi Girsang, Sri Lestari Ramadhani Nasution — Fri, 30 Aug 2024 02:24:44 +0000

Akreditasi merupakan pengakuan terhadap mutu fasilitas pelayanan kesehatan setelah dilakukan penilaian bahwa fasilitas pelayanan kesehatan telah memenuhi standar akreditasi yang ditetapkan oleh pemerintah. Berdasarkan Peraturan Menteri Kesehatan Republik Indonesia Nomor 34 Tahun 2022 setiap klinik wajib dilakukan akreditasi. Penelitian ini bertujuan untuk menganalisis implementasi kebijakan akreditasi di Klinik Pratama Polda Jambi dengan metode kualitatif deskriptif. Data primer dikumpulkan melalui wawancara mendalam terhadap 6 informan. Data sekunder diperoleh melalui telaah dokumen dan observasi. Hasil penelitian yang didapatkan adalah implementasi kebijakan akreditasi di Klinik Pratama Polda Jambi berjalan dengan baik ditinjau dari faktor komunikasi, sumber daya, disposisi dan struktur birokrasi. Disarankan kepada Biddokkes Polda Jambi sebagai pembina fungsi untuk tetap melaksanakan sosialisasi akreditasi secara berkesinambungan dan kepada Klinik Pratama Polda Jambi untuk mendata kelengkapan klinik secara berkala.

Kata kunci : Implementasi Kebijakan, Akreditasi Klinik

Desinfeksi Nebulizer yang Terkontaminasi Klebsiella Pneumoniae untuk Pencegahan Ventilator-Associated Pneumonia (VAP)

Fri, 30 Aug 2024 08:39:31 +0000

This study aims to evaluate the effectiveness of nebulizer disinfection contaminated with Klebsiella pneumoniae using one of the materials widely used in hospitals, chlorhexidine. The research method used in vitro experiments. K. pneumoniae was isolated from hospital samples and then multiplied for 24 hours. The nebulizer jet was then intentionally contaminated with K. pneumoniae and disinfected using chlorhexidine solution at various concentrations. The effectiveness of the disinfection process was then assessed using culture and calculated based on the number of colonies formed after the disinfection process. The results showed that chlorhexidine was effective in significantly reducing the number of K. pneumoniae colonies, especially at a concentration of 2.5%. The use of chlorhexidine as a routine disinfectant in pneumatic nebulizers could be an effective strategy in the prevention of VAP, thus improving safety in critically ill patients. This study supports the use of chlorhexidine as part of a disinfection protocol to reduce the incidence of VAP caused by K. pneumoniae. In conclusion, chlorhexidine is effective in reducing the number of K. pneumoniae colonies so that it can be a disinfectant to prevent Ventilator-Associated Pneumonia (VAP).

Keywords : Disinfectant, Jet Nebulizer, Klebsiella pneumoniae, Ventilator-Associated Pneumonia

Mutu Pelayanan Puskesmas dengan Status Akreditasi di Puskesmas

Sonya Marsela Pieta Duha, Chrismis Novalinda Ginting, Ali Napiah Nasution — Sat, 31 Aug 2024 21:55:07 +0000

This study aimed to see the relationship between service quality and the accreditation status of the Health Center. The research method used a cross-sectional study. Data were collected using a questionnaire sheet. The collected data were analyzed using the Chi-Square test. The study's results showed a significant relationship between the service quality dimensions (responsiveness, assurance, tangible, empathy, and reliability) and the accreditation status of the health center. This study concludes a relationship between responsiveness, assurance, tangible, empathy, and reliability with accreditation status.

Keywords: Accreditation, Service Quality, Health Center

Faktor-Faktor yang Mempengaruhi Peningkatan Kualitas Pendokumentasian Asuhan Keperawatan

Sat, 31 Aug 2024 00:00:00 +0000

This study aims to determine the factors that influence improving the quality of nursing care documentation. The research method used is a literature review through academics: Google Scholar, Neliti, World Scientific, ProQuest, and PubMed. The results of the study showed that from 15 articles obtained, the factors that influence the improvement of the quality of nursing care documentation are motivation, knowledge, workload, attitude, operational standards, supervision, education, work stress, job satisfaction, availability of operational standards, training, lack of staff, managerial room heads, and performance. In conclusion, the factors influencing the quality of nursing care documentation are motivation, knowledge, workload, attitude, operational standards, supervision, education, work stress, job satisfaction, operational standards, training, lack of staff, managerial room heads, and performance.

Keywords: Nursing Care, Documentation Quality, Patient Service

Potensi Brownies Ubi Jalar Ungu terhadap Status Gizi Kurang pada Balita Tahun 2022

Nafi'atul Latifah, Rr. Sri Endang Pujiastuti, Sudirman Sudirman — Sat, 31 Aug 2024 23:48:55 +0000

This study aims to determine the effect of purple sweet potato brownies on improving nutritional status in malnourished toddlers in the working area of Ponggok Health Center, Ponggok District, Blitar Regency. The research method used is proper experimental using a pre-test and post-test control group design. The study results showed that the average increase in nutritional status in the intervention group improved the nutritional status of toddlers in body weight (p-value = 0.000). The average increase in nutritional status improved the nutritional status of toddlers with height (p-value = 0.000). The average increase in nutritional status improved the nutritional status of LILA toddlers (p-value = 0.000). The conclusion is that giving purple sweet potato brownies can improve the nutritional status of toddlers. From the study results, giving purple sweet potato brownies tends to improve the nutritional status of toddlers more than just using green bean porridge.

Keywords: Undernourished Toddlers, Purple Sweet Potato Brownies, Nutritional Status

Analisis Korelasi Stigmatisasi dengan Kecemasan pada Penderita Tuberkulosis yang Sedang Menjalani Pengobatan

Sudirman Efendi, Sri Wahyuni, Iqwan Syarif, Winda Rahmatia Nusi — Sun, 01 Sep 2024 15:34:02 +0000

This study aims to analyze the relationship between stigmatization and the level of anxiety felt by tuberculosis patients undergoing treatment in the Kassi-Kassi Community Health Center working area in Makassar City. The study used a quantitative correlation research method with a Cross Sectional Study approach and used the Spearman test. The results of this study showed p Value = 0.000 (p <0.05) which means Ha is accepted or in other words there is a significant relationship between stigmatization and anxiety felt by tuberculosis patients. So it can be concluded that the stigma obtained from family or society causes tuberculosis sufferers to experience anxiety and will have an impact on the healing process during treatment.

Keywords: Anxiety, Stigma, Tuberculosis

Uji Toksisitas Akut Asam Askorbat Per Oral pada Organ Ginjal dan Hepar Tikus (Rattusnorvegicus) Betina Galur Wistar

Sun, 01 Sep 2024 15:45:22 +0000

This study aims to determine the effects of acute toxicity of ascorbic acid on the kidney and liver organs of female Wistar rats. The method used in this study is an experimental method with a post-test only control group design model approach. The results showed that the average SGPT level was 61.24 ± 9.416 U / L. While the results of the mean value of blood serum creatinine levels were (1.48) (0.60 - 2.00) Based on bivariate analysis, there was no significant difference in the mean between the treatment and control groups (P <0.001). Acute administration of ascorbic acid at a dose of 9 mg / 200 grams of BW / day, 36 mg / 200 grams of BW / day, 72 mg / 200 grams of BW / day did not increase SGPT and blood creatinine levels in female Wistar rats. The results obtained using doses of 9 mg, 36 mg, 72 mg on toxicity were not too significant for the kidney and liver organs. Administration of ascorbic acid has an impact on SGPT (Serum Glutamic Pyruvic Transaminase) levels in the liver of mice. Doses of 9 mg, 36 mg, and 72 mg of ascorbic acid did not show significant toxicity effects on the kidneys and livers of mice.

Keywords: Ascorbic Acid, Creatinin Serum, SGPT.

Indeks Massa Tubuh (IMT) dan Aktivitas Fisik sebagai Faktor Risiko Kejadian Hipertensi

Ana Khumaeroh, Wilda Fauzia — Thu, 05 Sep 2024 22:34:39 +0000

This study analyzes the relationship between body mass index and physical activity with hypertension in the Kemayoran Health Center work area. The method used is a cross-sectional design. The study results showed a p-value of 0.020 on the BMI variable and 0.045 on the physical activity variable. In conclusion, a significant relationship exists between body mass index (BMI) and hypertension and between physical activity and hypertension in the Kemayoran Health Center work area.

Keywords: Physical Activity, Hypertension, Body Mass Index (BMI)

Analisis Budaya Keselamatan Pasien terhadap Kepatuhan Penerapan SPO di Ruang Rawat Inap

Candra Rukmana Dalimunthe, Ermi Girsang, Sri Lestari Ramadhani — Thu, 05 Sep 2024 22:58:03 +0000

This study analyzes patient safety and compliance with implementing SOPs in inpatient rooms. The research method used in this study is qualitative research with a phenomenological approach. The results of this study are that the manager's expectations and patient safety promotion actions have been implemented, organizational learning and improvements are evaluated in the form of online questionnaires, feedback, and communication about errors, and not all staff understand the procedures for reporting patient safety incidents, the openness of communication with superiors has been carried out well, and superiors provide positive reciprocal responses, there is no blaming response when reporting patient safety incidents from superiors or related parties, and the implementation of SOPs in the ward has not been carried out optimally and not all staff understand and implement them well. In conclusion, the implementation of SOPs on patient safety has been carried out well by all aspects of health workers in the hospital.

Keywords: Patient Safety Culture, SOPs, Hospitals

Peningkatan Mutu Keselamatan Pasien Melalui Digitalisasi Pelaporan Insiden Keselamatan Pasien

Henik Saefulmilah, Eli Marlina, Pini Sundari, Inna Nopianna — Thu, 05 Sep 2024 23:18:28 +0000

This study aims to build and strengthen the IKP reporting system, improve the culture of reporting in the event of a patient safety incident, and learn from the incidents that occur. The method used is through the Plan-Do-Check-Action (PDCA) cycle approach. The study's results showed the perception that officers did not report IKP because of fear of disciplinary action, the absence of reporter anonymity, and confidentiality was not maintained. Based on the identification results, an intervention plan was prepared to develop IKP reporting through digital media. The intervention results showed an increase in IKP reporting to 34 reports in one month of the IKP reporting digitalization trial period. In conclusion, the intervention proved successful in one PDCA cycle. There needs to be socialization, monitoring, and evaluation of the implementation of the IKP reporting flow SOP periodically to improve the reporting culture and the quality of service that prioritizes patient safety.

Keywords: Patient Safety Incident, Reporting

Analisis Penatalaksanaan Program Penanggulangan Tuberkulosis Paru dengan Strategi DOTS

Rara Jaka Desy, Asriwati Asriwati, Arifah Devi Fitriani — Mon, 09 Sep 2024 13:56:14 +0000

The purpose of this study was to determine the method of case finding, to determine the management of the control program, to determine the distribution of drugs, to assess the performance of the PMO, and to determine the recording and reporting in the tuberculosis control program with the DOTS strategy. The results of this study are the method of finding pulmonary tuberculosis cases according to the SOP set by the health center, the management of the pulmonary tuberculosis control program with the DOTS strategy at the UPT Namu Ukur Health Center, Langkat Regency by implementing a pulmonary TB control program with a plan, drug distribution begins with the process of submitting a letter to the Langkat Regency Health Office, the performance of the Drug Supervisor (PMO) is good, namely motivating patients to undergo regular treatment, and nurses and analysts carry out recording and reporting by recording TB patients in a manual report book carry out the laboratory. In conclusion, the implementation of tuberculosis control with the DOTS strategy has been running well.

Keywords: Management, Control, Tuberculosis and DOTS

Penerapan Terapi Bermain Puzzle dengan Terapi Getar dalam Meningkatkan Fungsi Motorik Halus Anak dengan Cerebral Palsy Usia Pra Sekolah

Hartimang Hartimang, Yayat Suryani, Dewi Ummu — Mon, 09 Sep 2024 23:20:15 +0000

This study aims to determine the effectiveness of applying puzzle play therapy and vibration therapy in improving the fine motor function of preschool children with cerebral palsy. The research method used is a quasi-experimental, pre-post-test control group design. The study's results showed that the average fine motor skills of CP children before the intervention was 20.26, and after the intervention, it was 16.16. In the control group, before the intervention, it was 20.26; after the intervention, it was 18.95; the decrease in value indicates motor skills heading towards better. Applying puzzle play therapy and vibration therapy improves the fine motor function of preschool cerebral palsy children (p-value 0.001). In conclusion, puzzle therapy improves the fine motor function of preschool preschool cerebral palsy children more than vibration/vibration therapy.

Keywords: Puzzle Play, Cerebral palsy, Fine Motor, PreschoolPreschool, Vibration Therapy

Senam Yoga dan Aromaterapi terhadap Kualitas Tidur pada Lanjut Usia

Tue, 10 Sep 2024 12:52:38 +0000

This study aims to determine the effect of yoga and aromatherapy on sleep quality in older people. The research method used is a quasi-experiment with a pre-test and post-test group control design. The results showed that the sleep quality in the control group was 2.631, while the sleep quality of the experimental group was 3.723. A p-value of 0.000 (<0.05) was obtained based on statistical tests using the T-Test. In conclusion, there is a significant effect between yoga and aromatherapy on sleep quality in older people.

Keywords: Aromatherapy, Sleep Quality, Elderly, Yoga

Pengetahuan dan Perilaku Diet Purin dengan Kadar Asam Urat pada Masyarakat Dewasa

Thu, 12 Sep 2024 14:19:44 +0000

This research aims to determine the relationship between knowledge and behavior of purine diets and uric acid levels in adults in Ranging Hamlet, North Satarmese District. The method used is quantitative research with a cross sectional design. The research results showed that the majority of respondents' age distribution was 20-49 years, namely 48.8%, female gender was 56.1%, BMI status was normal 78.0% and knowledge about the purine diet was in the poor category 56.9%, negative behavior regarding the purine diet, it was 58.5% and most of the respondents' uric acid levels were in the high category, namely 56.9%. The results of statistical analysis show that there is a significant relationship between knowledge and behavior about the purine diet and uric acid levels in adults in Ranging Hamlet, North Satarmese District (p=0.000). The better the level of public knowledge and behavior regarding the purine diet, the more it can prevent an increase in uric acid levels in the body.

Keywords: Uric acid, Purine Diet, Knowledge, Purine Diet Behavior

Spiritual Caring Terapi Murotal Al-Qur’an Dan Dzikir terhadap Penurunan Tingkat Nyeri pada Pasien Kanker

Mon, 16 Sep 2024 13:30:03 +0000

This study aims to assess the effectiveness of spiritual, caring therapy, including mutual Al-Qur'an and dhikr, in reducing the pain level of cancer patients at the Dimyati Wound Care Center. The method used is quantitative observational. The results of the study indicate that spiritual interventions such as mutual Al-Qur'an and dhikr significantly help in the pain management of cancer patients. These therapies not only provide peace but also improve the psychological ability of patients to deal with pain. In conclusion, mutual Al-Qur'an and dhikr are effective in reducing the pain level of cancer patients at the Dimyati Wound Care Center.

Keywords: Dhikr, Murottal Al-Qur'an, Cancer Patients, Spiritual Caring, Pain Level

Rancangan Modul Peran Keluarga dalam Perawatan Luka pada Pasien Ulkus Diabetikum

Mon, 23 Sep 2024 14:31:50 +0000

This study aims to create a module design for the role of the family in wound care for diabetic ulcer patients. The research method used is qualitative descriptive explorative research utilizing the research and development method. The results of the study showed that the interview results showed that the role of the family in wound care for diabetic ulcer patients had four themes, namely family knowledge about diabetes mellitus, the role of the family in caring for diabetic ulcer patients, the role of the family when they find out that one of their family members has diabetes mellitus and the role of the family in wound care for patients with diabetic ulcers. In conclusion, the study produced a module design for families caring for family members with diabetic ulcers.

Keywords: Family Role, Wound Care, Diabetic Ulcers

Optimalisasi Serah Terima antar Ruangan dan Transfer Pasien Kasus COVID-19 ke Ruang Perawatan

Annisa Rahmi Galleryzki, Rr. Tutik Sri Hariyati, Siti Anisah, Leny Pratiwi — Mon, 30 Sep 2024 22:36:35 +0000

This study aims to provide recommendations for the implementation of COVID-19 patient transfers and handovers between rooms carried out by nurses to be more optimal. The method used is a case study at the Jakarta Military Hospital. The results of the study through interviews and document searches found that in the planning function, there is no SOP for handovers between rooms, the SOP for handovers between rooms is combined with the SOP for handovers between shifts where the SOP contains more of the handover process between shifts. In addition, there is no monitoring and evaluation (money) form for the implementation of handovers and documentation of handovers between rooms. In conclusion, the situation analysis obtained at the Jakarta Military Hospital, the handover process between rooms, and the COVID-19 patient transfer process still needs to be developed.

Keywords: COVID-19, Handover, Intrahospital Transfer, Patient Transfer

Analisis Tingkat Kecemasan Masyarakat Tentang Varian Covid-19 Omicron dengan Vaksinasi Covid-19

Rizkan Halalan Djafar, Ariska Ariska — Fri, 04 Oct 2024 18:57:10 +0000

Penelitian ini bertujuan untuk mengetahui Analisis Tingkat Kecemasan Masyarakat Tentang Varian Covid-19 Omicron Dengan Vaksinasi Covid-19. Metode yang digunakan adalah kuantitatif dengan desain penelitian korelasional. bertujuan untuk mengungkapkan hubungan menggunakan pendekatan cross sectional, populasi semua warga di Kelurahan Bahu Kecamatan Malalayang Kota Manado. Sampel 123 orang diambil dengan teknik purposive sampling. Hasil penelitian menunjukkan bahwa ada hubungan Analisis Tingkat Kecemasan Masyarakat Tentang Varian Covid-19 Omicron Dengan Vaksinasi Covid-19 dengan nilai ρ-value = 0,001 lebih kecil dari nilai α=0,05. Kesimpulannya, ada hubungan antara tingkat kecemasan terhadap vaksinasi covid-19

Kata Kunci : Omicron Covid-19, Tingkat Kecemasan Masyarakat, Vaksinasi Covid-19

Pemberdayaan Keluarga terhadap Peran Keluarga dalam Pencegahan Anemia pada Ibu Hamil

Merry Noviyanti, Mira Triharini, Elida Ulfiana — Fri, 04 Oct 2024 20:15:12 +0000

This research aims to provide opportunities for pregnant women and their families to receive education and information regarding the role of the family in preventing anemia in pregnant women. The method used to search for articles relevant to the study in February – March 2024 was carried out using three stages: planning, conducting, and reporting. The results show that 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 family's role is very important in ensuring the health of the mother and future baby. The family is a support system that is very close to pregnant women so that it can motivate and provide support in preventing anemia.

Keywords: Anemia Prevention, Family Empowerment, Family Role, Health Belief Model

Preventif Care Melalui Media E-Booklet “Cerdi” dan Video Dapat Meningkatkan Pengetahuan dan Sikap Orang Tua dalam Pencegahan Diabetes Melitus pada Anak

Suviola Khairu Nissa, Dahrizal Dahrizal, Andra Saferi Wijaya — Fri, 04 Oct 2024 20:49:08 +0000

This study aims to determine the effect of preventive care through “cerdi” e-booklet media and videos on parents' knowledge and attitudes in preventing diabetes mellitus in children. The research method used was a pre experimental One Group pretest posttest design. The results showed that preventive care through the media e-booklet “cerdi” and video obtained a p-value of 0.000. In conclusion, preventive care through “cerdi” e-booklet media and videos can improve parents' knowledge and attitudes in preventing diabetes mellitus in children.

Keywords: E-Booklet, Parents, Prevention of Diabetes Mellitus in Children, Knowledge, Attitude, Video

Mobile Aplikasi Pencegahan Infeksi Luka Pasca Operasi Fraktur

Ananta Baru Wijaya, Andri Setiya Wahyudi, Arina Qona'ah — Fri, 18 Oct 2024 23:08:48 +0000

This study aims to identify the effect of mobile applications on preventing postoperative fracture wound infections. The method used is a systematic review through electronic databases, namely CINAHL, ProQuest, PubMed, Web of Science, and ScienceDirect. The results of the study showed that out of 8 research articles, there were articles that reported how to prevent surgical wound infections by performing wound care, use of antibiotics, hand hygiene, education on nutritional intake, high-risk factors for infection, monitoring pain and abnormal body temperature in patients, fracture type, duration of surgery, surgery time, blood sugar levels, leukocyte counts, the application of mobile applications in fracture surgery patients is useful for remote rehabilitation, chat boxes or consultations with doctors, monitoring by sending photos of wound conditions periodically. In conclusion, mobile applications can be an effective and cost-effective method for postoperative care in orthopedic procedures, preventing surgical wound infections by monitoring signs of surgical wound infections through mobile applications after patients return home from the hospital can be very important to know the signs of postoperative infection.

Keywords: Fracture, Surgical wound infection, Mobile applications, Prevention, Postoperative

Hubungan Antosianin dan Diabetes Melitus Tipe 2 dalam Kajian Medis

Sun, 20 Oct 2024 18:15:49 +0000

The aim of the current research is to review and provide a more comprehensive assessment of the relationship between the anti-diabetic effects of Anthocyanins in humans, whether consumed as a dietary supplement, purifying agent, flavonoid mixture, or extract. In this narrative review, eighteen recent clinical studies that have been published over the last five years studying the therapeutic effects of Anthocyanins in the diet in diabetes are described. Research results show that anthocyanin supplements can control blood glucose, glycated hemoglobin and other diabetes markers. Additionally, larger doses of Anthocyanins were shown to have better effects on diabetes treatment. There is evidence in this review that diets rich in Anthocyanins may increase the risk of diabetes, especially in people at risk. Additionally, research should focus on various clinical biomarkers, the ideal time frame for intervention, and the effect of Anthocyanins in both controlled and uncontrolled diabetes patients. In conclusion, clinical studies show that Anthocyanins can influence many targets related to diabetes mellitus simultaneously. Additionally, use of ACN during diabetes or hyperglycemia appears to be safe and effective.

Keywords: Diabetes, Anthocyanin, Metabolism, Food

Rasio Monosit LDL Cholesterol dan Neutrofil LDL Cholesterol pada Penderita TB

Agraini Agraini, Muslina Muslina, Uce Lestari, Elisma Elisma, Abdan Saquro — Mon, 21 Oct 2024 11:53:51 +0000

This study analyzes the relationship between monocyte LDL cholesterol and LDL neutrophil values in patients with pulmonary TB. The research method used is descriptive observational analytic with a cross-sectional study design. The results of the study showed that monocyte values with LDL cholesterol showed a p-value> 0.05 with an r value = 110 so it can be concluded that there is no significant relationship between monocyte values and LDL cholesterol levels in patients with pulmonary TB. The results of the Pearson statistical test of neutrophil values with LDL cholesterol levels showed a p-value> 0.05 with an r value = -0.134. In conclusion, there is no relationship between monocyte LDL cholesterol and LDL neutrophil values in patients with pulmonary TB.

Keywords: Cholesterol, LDL, Monocytes, Neutrophils, TB

The Mobilisasi Dini terhadap Tekanan Darah, Denyut Nadi dan Saturasi Oksigen pada Pasien Congestive Heart Failure

Risma Nurfitriawaty, Argi Virgona Bangun — Mon, 21 Oct 2024 13:05:37 +0000

The study aims to analyze the effectiveness of early mobilization on blood pressure, pulse rate, and oxygen saturation of CHF patients. The research method uses a quasi-experiment, pretest-posttest with a control group design. The results of the paired t-test before and after early mobilization in the intervention group showed an increase in systolic blood pressure (t = 13.2 mmHg, p-value = 0.000), diastolic blood pressure (t = 12.6 mmHg, p-value = 0.000), pulse rate (t = 16.1 times/minute, p-value = 0.000), and oxygen saturation (t = 11.8%, p-value = 0.000), while in the control group there was an increase in systolic blood pressure (t = 5.75 mmHg, p-value = 0.000), diastolic blood pressure (t = 5.99 mmHg, p-value = 0.000), pulse rate (t = 5.51 times/minute, p-value = 0.000), and oxygen saturation (t = 5.59%, p-value = 0.000), The results of the Independent t-test after early mobilization showed an increase in systolic blood pressure (t = 6.49, p-value = 0.000), and oxygen saturation (t = 4.90, p-value = 0.000) in the intervention group compared to the control group, however, there was no significant difference between the two groups in diastolic blood pressure (t = 1.17, p-value = 0.24), and pulse rate (t = 0.24, p-value = 0.80), Conclusion, early mobilization in CHF patients is more effective in increasing systolic blood pressure and oxygen saturation compared to standard care, although it has no significant effect on diastolic blood pressure and pulse rate.

Keywords: CHF, Early Mobilization, Pulse, Oxygen Saturation, Blood Pressure

Mengungkap Risiko Hepatitis B pada Ibu Hamil

Hasmi Hasmi, Hervina Kole, Novita Medyati — Mon, 21 Oct 2024 18:18:36 +0000

This study aims to reveal the risk of Hepatitis B in pregnant women at the Waena Health Center, Jayapura City. The method used is a quantitative survey approach with a cross sectional design. The results showed that the age relationship was significant with the incidence of hepatitis B in pregnant women with a p value of 0.035. The length of marriage was found to have a p value of 0.521 or insignificant. The number of pairs, the results of the chi square analysis are known to have a p value of 0.000 or significant and parity is known to have a p value of 0.26 or not significant. Conclusion, the relationship between the number of sexual partners, age of marriage is significant with the incidence of Hepatitis B and the length of marriage and parity is not significant with Hepatitis B in pregnant women at the Waena Health Center, Jayapura City. It is necessary to educate pregnant women in order to prevent being infected with Hepatitis B.

Keywords : Hepatitis B, Sexual Partner, Pregnant Women

Prevalensi Global Skizofrenia dan Gangguan Psikotik Lainnya di Kalangan Tunawisma dan Implikasinya

Wasiaty Wasiaty, Hanik Endang Nihayati, Rr. Dian Tristiana — Mon, 21 Oct 2024 18:26:41 +0000

This systematic review aims to determine the global prevalence of schizophrenia and other psychotic disorders among homeless people and its implications. The method we used was to search for articles that determined the prevalence of schizophrenia and other psychotic disorders among homeless people in Scopus, Web of Science, Science Direct, PubMed, and Google Scholar that were published in English between 2018-2022. Eligibility of study articles was assessed using the Joanna Briggs Institute guidelines. The results of this systematic review were 114 articles from five databases: 46 articles in Scopus, 28 articles in PubMed, 20 articles in Science Direct, 10 articles from PsycoINFO, and 10 articles from Google Scholar. The results of the selection of articles that met the inclusion criteria were 10 articles, then given serial numbers and analysis of the articles was carried out to facilitate the review process. Selected articles will be presented in PRISMA format. The prevalence of schizophrenia was 13.20% for studies conducted in or after 2010, and 8.88% for studies conducted before 2010, while the prevalence of psychosis was 24.44%. In conclusion, the prevalence of schizophrenia and other psychotic disorders among homeless people is still very high. This is not only a nursing problem, but also a multidimensional social, economic and social problem that requires hard work from us (nurses) to handle it.

Key words: Homeless, Mental Disorders, Psychotic, Schizophrenia

Pengembangan Standar dan Pedoman Penilaian Soft Skill Perawat

Wed, 23 Oct 2024 00:00:00 +0000

This study aims to develop standards and guidelines for assessing the soft skills of nurses at PHC Hospital Surabaya, in order to enhance professional interaction and the quality of patient care. A descriptive cross-sectional approach was used with stratified random sampling of nursing professionals actively involved in the Inpatient, Outpatient, and Medical units. Data collection included quantitative metrics from historical assessments, qualitative insights from Focus Group Discussions (FGD), and a literature review. The method used was a 360-degree evaluation, involving supervisors, colleagues, subordinates, and self-assessment. The results showed significant deficiencies in critical soft skills such as communication, teamwork, leadership, empathy, decision-making, and adaptability. The assessment revealed that no soft skills met the hospital's standards, with all scores below the 80% threshold considered very good. The highest levels of soft skills were observed in communication and interpersonal skills, though only 26.0% were rated as sufficient. The acronym "KOMPAK" (Teamwork, Communication, Empathy, Decision Making, Adaptability, Leadership) summarizes the core soft skills for evaluation. In conclusion, these findings highlight the need for targeted interventions and regular training to improve nurses' soft skills. The developed assessment indicators, based on PHC Hospital's core values and corporate culture, provide a robust framework for evaluating nursing staff proficiency.

Keywords: Guidelines, Nursing, Patient Care, Soft Skills

Aplikasi Stimulus Motoric Oral Massage terhadap Kemampuan Minum pada Bayi Prematur di Ruangan Perinatologi

Wed, 23 Oct 2024 04:25:30 +0000

This study aim to explore the effect of the motor stimulus oral massage to the ability to drink in premature baby in the Perinatology. This study was a quasi - experimental research by using the approach of pre and post test with control group design. The results showed that the difference between the pre-test and post-test scores obtained was 0.001. In conclusion, the application of motoric oral massage stimulus on the ability to drink in premature infants can improve the ability to drink in premature infants.

Keyword: Drink Ability, Motoric Oral Massage Stimulus, Premature Baby

Penerapan Brisk Walking Exercise terhadap Penurunan Tekanan Darah pada Penderita Hipertensi di Jakarta

M Luthfi Adillah, Putri Permata Sari, Isnayati Isnayati — Wed, 23 Oct 2024 06:41:47 +0000

This study aims to determine the effectiveness of brisk walking exercise in reducing blood pressure in hypertensive patients. This type of research uses descriptive case study research methods. The subject of this research was 4 respondents. Data collection techniques were carried out by measuring blood pressure before the intervention was given at all and when the intervention was carried out, blood pressure was measured before and after the intervention. This research was conducted 3 days a week with a frequency of 15-30 minutes. The results of the study showed that brisk walking was able to reduce the blood pressure of hypertension sufferers with an average decrease in systolic pressure of 3.95 mmHg and an average diastolic pressure of 3.3 mmHg. In conclusion, the application of fast walking techniques is a non-pharmacological method that can control blood pressure in hypertensive patients because it has an effect on reducing blood pressure.

Key Words: Hypertension; Blood Pressure; Brisk Walking Exercise

Implementasi Theory of Constraints untuk Penurunan Waktu Tunggu Pelayanan Resep Obat

Rhesta Nurtania, Sururut Tazkiyah, Thinni Nurul Rochmah — Thu, 24 Oct 2024 19:19:45 +0000

This research aims to increase the efficiency of prescription service time at the Outpatient Pharmacy Installation (IFRJ) of Semen Gresik Hospital through the implementation of ToC by providing recommendations for improvement. The method used is observational with a cross-sectional design, and the Theory of Constraints (TOC) is applied to identify and overcome the main obstacles in the service process prescription, as well as develop performance improvement solutions. The research participants consisted of pharmaceutical personnel who had worked for more than one year, including 1 Head of Pharmacy Installation, 1 Head of the Outpatient Pharmacy Service Team, and 1 Pharmaceutical Technical Personnel. Observations were made based on recipes served for two weeks. The research population was 14,226 prescriptions for one month, with the sample consisting of 193 finished medicine prescriptions and 180 concocted prescriptions taken by simple random sampling. The research results show that the main obstacles lie in the process of prescription entry and drug delivery as well as KIE (Communication, Information and Education). The prescription process uses a single line queuing system through seven main stages, with an overall average waiting time of 32.82 minutes. The longest process was preparing medicine with an average time of 12.22 minutes, and finished medicine prescriptions had a waiting time that did not meet the highest standards (26.1%) with an average waiting time of 24.18 minutes. Recommendations for improvement include optimizing work flow with information technology, increasing coordination between units, and increasing the number of pharmacists. Simultaneously, the implementation of ToC through recommendations for improvements is expected to increase service efficiency and patient satisfaction at IFRJ Semen Gresik Hospital.

Keywords: Communication, Information, and Education, Efficiency of Service, Patient Satisfaction, Prescription Service, Theory of Constraints, Wait Time

Penerapan Metode Asuhan Keperawatan Primary Care dengan Rekam Medis Elektronik terhadap Kualitas Asuhan Keperawatan dan Kepuasan Pasien

Myhrna Rosany Hutagalung, Iin Inayah, Gunawan Irianto — Thu, 24 Oct 2024 19:31:52 +0000

This study aims to identify the impact of implementing primary care with electronic medical records (EMR) on the quality of nursing care and patient satisfaction. The study used a retrospective design with secondary data from the Quality Department of Rumah Sakit Advent Bandung, with a sample of 150 inpatients selected through simple random sampling. Univariate analysis used the frequency distribution, and bivariate analysis used the Wilcoxon signed rank test. The results showed that before the implementation of primary care with EMR, 92.7% of nurses provided good-quality nursing care, and 72.7% of patients were satisfied with the services. After the implementation, 98.0% of nurses provided good-quality nursing care, and 76% of patients were satisfied with the nursing services. There was a significant impact of implementing primary care with EMR on the quality of nursing care and patient satisfaction, with a p-value = 0.0001 (p<0.05). In Conclusion, there is a significant relationship between the implementation of primary care with electronic medical records (EMR) on the quality of nursing care and patient satisfaction.

Keywords: Electronic Medical Records (RME), Patient Satisfaction, Primary Care, Quality Of Nursing Care

Pengaruh Terapi Refleksi Kaki terhadap Kualitas Tidur Pasien Kanker Payudara yang Menjalani Kemoterapi

Zilya Andriani, Dewi Gayatri Gayatri, Agung Waluyo — Thu, 24 Oct 2024 19:43:41 +0000

ABSTRACT

This study aims to investigate and analyze the effectiveness of foot reflexology therapy on the sleep quality of breast cancer patients undergoing chemotherapy. The method used was a literature search across four databases, namely ScienceDirect, Scopus, ProQuest, and Sage Journals, based on the PICO framework. The research design identified included nine articles employing the Randomized Controlled Trial (RCT) method and one article with a case report design. The study results indicate that foot reflexology as a non-pharmacological intervention is effective in improving the sleep quality of cancer patients, particularly breast cancer patients undergoing chemotherapy. In conclusion, foot reflexology can be used as an effective complementary therapy to improve the sleep quality of cancer patients and may be combined with other therapies.

Keywords: Breast cancer, Foot reflexology, Sleep quality

Optimalisasi Handover Perawat dengan Komunikasi SBAR Berbasis Elektronik

Anika Kartika, Krisna Yetti, Tuti Afriani, Dyah Fitri Wulandari — Thu, 24 Oct 2024 19:54:44 +0000

This research aims to optimize nurse handover with electronic-based SBAR communication. The research method used is a pilot project. The research results show that implementing nurse handovers with electronic-based SBAR communication in the Emergency Room makes the nurse's work system more optimal, which is demonstrated when patient-related information is clearer, structured and more complete, communication becomes more effective, and can increase patient safety, 27 respondents stated 81.5 % already understand what SBAR communication is and 40.7% have attended SBAR communication training, and as many as 77% have the ability to fill in electronic-based handover formats and are able to carry out handovers using electronic-based SBAR Communication. In conclusion, implementing nurse handovers with electronic-based SBAR communication in the Emergency Room makes the nurse's work system more optimal, which is demonstrated by making patient-related information clearer, structured and more complete, communication becomes more effective, and can increase patient safety.

Keywords: Electronics, Effective Communication, Handover, SBAR.

Perilaku Merusak Diri pada Usia Dewasa Muda

Fri, 25 Oct 2024 18:35:47 +0000

This study aims to explore the experiences of self-harm in young adulthood. The research employs a qualitative method with a phenomenological approach. The findings reveal three main themes in the experience of self-harm among young adults: 1) causes of self-harm, 2) ideas about self-harm, and 3) the cycle of self-harm. The conclusion indicates that the causes of self-harm vary among individuals, including factors such as family, academic, psychosocial, intrapersonal, personality, unpleasant past experiences, and physical health history. The ideas about self-harm among participants are influenced by everyday media exposure, such as social media and preferred films. The self-harm cycle begins with an individual's negative response to stressors, the type of self-harm performed, the negative feelings experienced before self-harm, and the relief felt as an emotional release after self-harm, which leads individuals to feel addicted and engage in repeated self-harm. In summary, self-harm is a maladaptive coping mechanism that provides only temporary relief from emotional burdens. Social skills training and counseling are recommended to reduce the risk of recurring behavior for those who are not yet ready to stop.

Keywords: Self-Harm, Students, Young Adult

Ronde Keperawatan terhadap Pengetahuan Perawat

Harwina Harwina, Tuti Afriani, Sudaryati Sudaryati — Sun, 27 Oct 2024 22:42:34 +0000

This study aims to determine the implementation of rounds to improve nurses' knowledge at Fatmawati General Hospital. The research method used is a case study. The study's results showed that optimization of the implementation of rounds was carried out in stages, where 12.5% of rooms were found to have implemented nursing rounds but were not yet optimal. Nurses' knowledge was found to have increased through questionnaires related to the definition, implementation of rounds, the role of round officers, and post-rounds rising from 60% to 80%-100%. When viewed from the accuracy of the implementation of rounds, data on the accuracy of rounds was obtained at 90%-95%. In conclusion, there was an increase in nurses' knowledge at Fatmawati General Hospital after the implementation of rounds.

Keywords: Knowledge, Nurses, Nursing Rounds

Penyebab Resistensi Obat Tuberkulosis

Thu, 31 Oct 2024 22:47:34 +0000

This study aims to analyze the causes of drug resistance in patients with pulmonary TB at Sele Be Solu General Hospital, Sorong City. The research method used is quantitative research. The results showed that the most dominant reason for not taking medication routinely was not being able to tolerate the side effects, namely 9 respondents (5.9%), then the treatment period felt long, namely 7 respondents (4.6%), often forgetting, 7 respondents (4.6%), then not routinely seeking treatment at health service facilities (Fasyankes) namely 5 people (3.3%), then feeling healthy, namely 4 respondents (2.6%), and those who had no complaints, namely 121 respondents (79.1%). In conclusion, the factors that often occur in patients with pulmonary TB at Sele Be Solu General Hospital are caused by patients not complying with the advice of doctors or health workers, not regularly taking OAT guidelines, stopping treatment unilaterally before time, and having drug absorption disorders, as well as other reasons because some patients are far from health service facilities due to distance factors, especially patients from outside Sorong City.

Keywords: Causes, Drug Resistance, Tuberculosis

Evaluasi Kinerja Perawat Pelaksana di Rawat Inap dengan Pendekatan Personal Balance Score Card

Midoro Tjiawi, Chrismis Novalinda Ginting, Ali Napiah Nasution — Thu, 31 Oct 2024 22:58:43 +0000

This study aims to evaluate the performance of nurses with the Personal Balance Scorecard approach. The research method uses a cross-sectional study. The results of the study are that there is an effect of the use of a personal balanced scorecard on the quality of performance with a p-value of 0.003, there is an effect of the use of a personal balanced scorecard on work standards with a p-value of 0.021, there is an effect of the use of a personal balanced scorecard on customer perception with a p-value of 0.027, and there is an effect of the use of a personal balanced scorecard on learning and development with a p-value of 0.030. In conclusion, there is a significant effect of the use of a personal balanced scorecard on the quality of performance, work standards, customer perception, and learning and development of adult inpatient nurse performance at Sapta Medika Indrapura Hospital.

Keywords: Evaluation, Performance, Personal Balance Score Card

Pemeriksaan Kasus Chronic Myeloid Leukimia pada Pasien Remaja

Mulyadi Mulyadi, Renillia Renillia, Dessy Dessy — Thu, 31 Oct 2024 23:08:13 +0000

This study aims to assess patients diagnosed with Chronic Myeloid Leukemia (CML). The research method used is qualitative using a descriptive case study design with participants who are patients diagnosed with CML. The results of the study showed that a 15-year-old girl who came with complaints of weakness since 3 days of SMRS had recurred in the last 5 years. Hematology examination found anemia, leukocytosis with 9% blast cells, and thrombocytosis. The results of the BCR ABL molecular examination were positive for the BCR ABL exon e14a2 gene fusion, so the patient was diagnosed with chronic myeloid leukemia chronic phase. In conclusion, the results of the assessment that had been carried out showed that the patient was diagnosed with chronic myeloid leukemia chronic phase.

Keywords: Chronic Myeloid Leukemia, Chronic Phase, Adolescents

Parental Holding terhadap Distress Anak Selama Prosedur Insertion Intra Vena (IV)

Padila Padila, Juli Andri, Muhammad Bagus Andrianto, Harsismanto J — Thu, 31 Oct 2024 23:14:45 +0000

This study aims to determine the effect of parental holding on children's distress during the intravenous (IV) insertion procedure in the pediatric inpatient room of Dr. M. Yunus Hospital, Bengkulu. The research method used was quantitative, with a quasi-experimental approach using the One Group Pretest-Posttest design. The results showed that there was a significant effect of parental holding before and after on children's distress during the intravenous (IV) insertion procedure in the pediatric inpatient room of Dr. M. Yunus Hospital, Bengkulu with a diastolic p-value of 0.000 (p <0.05). In conclusion, there is an effect of parental holding on children's distress during the intravenous (IV) insertion procedure in the pediatric inpatient room of Dr. M. Yunus Hospital, Bengkulu.

Keywords: Child Distress, Intravenous Insertion, Parental Holding

Optimalisasi Fungsi Perencanaan Kepala Ruangan pada Bedside Handover

Eka Handayani, Andi Amalia Wildani, Roro Tutik S Hariyati, Aat Yatnikasari — Thu, 31 Oct 2024 23:20:00 +0000

This study aims to identify and analyze bedside handover problems using the role and function management approach. The research method used is a case study through analysis with a fishbone diagram, compiling innovations with Lewin's 3-step model approach. The results showed an increase in bedside handover compliance from 44% to 94.25%, the ineffectiveness of SBAR communication affected the observation results, verbally nurses understood the SOP for bedside handover, with the planning of the head of the room. In conclusion, there are obstacles and barriers to implementing this innovation such as the head of the room who also handles patients because there is an increase in patients and staff who are absent due to illness, CI / Katim / PPJA who handle patients with the same number as associate nurses so that the socialization and supervision process carried out in stages is not optimal.

Keywords: Bedside Handover, Planning Function, Head of Room.

Analisis Pengaruh Peningkatan Kerja Perawat dalam Pencegahan dan Pengendalian Infeksi dengan Pendekatan Employee Engagement

Silvia Rizki Amanda, Ermi Girsang, Sri Lestari Ramadhani Nasution — Thu, 31 Oct 2024 23:25:17 +0000

The purpose of this study was to analyze the effect of increasing nurses' work in preventing and controlling infections with an employee engagement approach. The research method used a cross-sectional study. The study's results were that there was an effect of the employee engagement approach on the aspect of nurse capacity on improving the quality of nurse work in preventing and controlling infections in Medan City Private Hospitals with a p significance value of 0.000 <0.05. There was an effect of the employee engagement approach on nurse motivation in improving the quality of nurse work in preventing and controlling infections with a p-significance p-value of 0.000 <0.05. There was an effect of the employee engagement approach on nurse freedom in improving the quality of nurse work in preventing and controlling infections with a p-significance value of 0.000 <0.05. In conclusion, there was a significant influence between the capacity, motivation, and freedom of nurses on improving the quality of nurse work in preventing and controlling infections in Medan City Private Hospitals.

Keywords: Infection, Nurse Work, Prevention, Control

Kelas Persiapan Persalinan secara Holistik terhadap Kecemasan dan Self Efficacy Menghadapi Persalinan pada Ibu Hamil Trimester III

Tavazuli Clara Dheanda, Bedjo Santoso, Sri Wahyuni — Sun, 03 Nov 2024 01:17:42 +0000

This study aims to produce a holistic childbirth preparation class model to reduce anxiety and increase self-efficacy in facing childbirth in pregnant women in the third trimester. The method used is Research and Development (R&D). The results of the study showed that the application of the holistic childbirth preparation class model effectively reduced anxiety with a p-value of 0.000 (<0.05) and increased self-efficacy in facing childbirth with a p-value of 0.000 (<0.05). In conclusion, the childbirth preparation class is feasible and its application is effective in reducing anxiety and increasing self-efficacy in facing childbirth in pregnant women in the third trimester.

Keywords: Holistic Midwifery Care, Anxiety, Childbirth Preparation Class, Self Efficacy

Ekstrak Andaliman (Zanthoxylum Acanthopodium) dan Bawang Putih (Allium Sativum L.) terhadap Pertumbuhan Bakteri Staphylococcus Aureus dan Eschericia Coli

Faisal Arbi, Sri Wahyuni Nasution, Ali Napiah Nasution — Sat, 09 Nov 2024 15:32:54 +0000

The purpose of this study was to see the comparison of the effectiveness of andaliman and garlic against staphylococcus aureus and eschericia coli bacteria. The research method used Post Test Only Control Group. The results of the antibacterial effectiveness test of ethanol extract of andaliman plants on the growth of Staphylococcus aureus bacteria at a concentration of 15% obtained the highest average clear zone diameter from the treatment group, namely 6.36 mm, having a moderate response to the growth of Staphylococcus aureus bacteria. While the antibacterial effectiveness of ethanol extract of andaliman plants on the growth of eschericia coli bacteria at concentrations of 5%, 10% and 15% obtained the average clear zone diameter from the treatment group, namely 0 mm, had a weak response to the growth of eschericia coli bacteria. The results of the antibacterial effectiveness test of ethanol extract of garlic on the growth of Staphylococcus aureus bacteria obtained the average clear zone diameter at concentrations of 5%, 10% and 15% from the treatment group, namely 0 mm, had a weak response to the growth of Staphylococcus aureus and eschericia coli bacteria. The conclusion of this study is that there is a significant difference in the effect of andaliman plant extract with a concentration of 15% on the growth of staphylococcus aureus, which is smaller than the effect of the antibiotic ciprofloxacin with an average diameter of the positive control clear zone of 26 mm.

Keywords: Andaliman, Garlic, Staphylococcus Aureus

Efektivitas Pemberian Minuman Bunga Telang (Clitorea Ternatea) untuk Mengurangi Nyeri Menstruasi pada Remaja Puteri

Devinta Widya Kenhapsari, Krisdiana Wijayanti, Masrifan Djamil — Sat, 09 Nov 2024 00:00:00 +0000

This study aims to make a formula for butterfly pea flower drink and analyze the effectiveness of giving butterfly pea flower drink (clitorea ternatea) to reduce menstrual pain in adolescent girls. This research uses a true experiment design with a pretest - posttest design. The results there was a significant difference between the intervention group and the control group, namely a decrease in the dysmenorrhea pain level with a p-value of <0,05 in the intervention group with given at a dose of 50 mg/Kg BW although at a second dose of 25 mg/Kg BW. From the statistical results, it was found that the greatest reduction in pain was in the intervention group with a dose of 50 mg/kb BW, p-value >0.05. The conclusion, Giving butterfly pea flower drink (clitorea ternatea) at a dose of 50 mg/kg BW and a dose of 25 mg/kg BW is effective as an effort to reduce menstrual pain in adolescent girls.

Keywords : Butterfly pea flower (clitorea ternatea), Menstrual Pain (Dysmenorrhea), Adolescent Girls.

Pengembangan Media Edukasi Berbasis Progressive Web Apps (Wiyata Care) terhadap Kepatuhan Konsumsi Tablet Tambah Darah dan Peningkatan Kadar Feritin Remaja Putri

Aufi Rahmadhani, Muflihah Isnawati, Supriyana Supriyana — Sat, 09 Nov 2024 16:08:47 +0000

This study aims to prove the effect of educational media based on Progressive Web Apps in increasing compliance in consuming TTD and ferritin levels in young women. . The research method used Research and Development (R&D)with develop educational media based on Progressive Web Apps. The results showed Educational media based on Progressive Web Apps (Wiyata Care) has proven to be effective in increasing knowledge, attitudes, compliance with TTD consumption, and ferritin levels in adolescent girls. The Conclusion, The use of educational media based on Progressive Web Apps (Wiyata Care) and compliance in consuming Blood Supplement Tablets are effective in increasing ferritin levels in young women.

Keywords : Ferritin, Educational Media, Young Women, TTD.

Efektifitas Penggunaan Sistem Mentoring Dalam Meningkatkan Kualitas Perawat Di Rumah Sakit

Sat, 09 Nov 2024 16:31:22 +0000

This study aims to determine the effectiveness of the use of the Mentoring system in helping nurses to improve the quality of nurses in hospitals. The method used is analytical survey research using a cross sectional approach. The results of the study showed that the effectiveness of the mentoring system (82.5%), satisfaction with the mentoring system (76.6%), the usefulness in improving the Competence of Nurses (77.5%), and the technology and accessibility of the mentoring system (70%). It was concluded that the Mentoring System was more than 76% effective in improving the quality of nurses in hospitals.

Keywords: Nurse Quality, Mentoring, Mentor