Nurse and Health: Jurnal Keperawatan

THE VULNERABILITY OF THE DIGITAL NATIVE GENERATION TO HIV/AIDS INFECTION: A CONCEPT ANALYSIS

Moh. Khotibul Umam — 2024-11-16

Background: The digital native generation is the current generation of young people who are very familiar with the internet and gadget applications. This makes them vulnerable to the risk of disease transmission, both directly and indirectly.

Objective: The study aimed to analyze the concept of the vulnerability of digital natives, or young adults, to HIV/AIDS.

Methods: This study used the 8-step concept analysis framework developed by Walker and Avant, along with a comprehensive literature review done across three databases: google scholar, ProQuest, and ScienceDirect. The systematic literature reviewed included papers published between 2008 to 2022.

Results: The concept identification findings derived from a comprehensive evaluation of 16 papers indicate that the defining features include individual characteristics, social factors, structural problems, and health programs.

Conclusion: The digital generation, characterized by their convenient access to the internet and digital media, has a greater vulnerability to HIV/AIDS transmission as a result of engaging in hazardous behaviors and participating in health initiatives. The use of digital media in intervention programs has the potential to decrease healthcare expenditures and improve the efficacy of HIV/STI control measures.

TRANSFORMATIONAL LEADERSHIP ON JOB SATISFACTION AMONG REGISTERED NURSES CARING PERSPECTIVE: A SYSTEMATIC REVIEW

Elizabeth Vallejo — 2024-11-25

Background: The healthcare profession face scarcity due to increased global demand for registered nurses. The inadequacy of the healthcare workforce is a critical concern in an organization, as it is difficult to retain and recruit qualified staff to deliver safe and quality outcomes in the provision of care. Numerous studies identify transformational leadership style as an effective style to foster job satisfaction among licensed nurses.

Objective: The study aimed to review transformational leadership in relation to job satisfaction according to Registered Nurses perspective.

Design: This systematic review utilized the Cochrane Collaboration procedures and PRISMA statement.

Data source: A comprehensive search of Pubmed, CINAHL, ScienceDirect, Cochrane Library, Wiley Online, and Google Scholar published from 2018 to 2023. Ten articles of cross-sectional studies met the inclusion criteria.

Review Methods: The method utilized is the JBI Critical Appraisal Checklist for Analytical Cross-Sectional Studies.

Results: All articles demonstrated that a transformational leadership style was reported to have a positive correlation among registered nurses' job satisfaction. In addition, four main themes emerged to determine job satisfaction variables on organizational commitment, work environment, competencies in evidence-based practices, and resilience of skilled nurses to minimize the repercussions of the inadequacy of nurses in the healthcare setting.

Conclusion: Transformational leadership contributes to improving job satisfaction and instituting the identified themes that could support the development of caring strategies that would close the gap of registered nurses’ shortage in healthcare.

EFFECT OF AUDIO-VISUAL HEALTH EDUCATION ON PSYCHOLOGICAL DISTRESS OF PERIOPERATIVE PATIENTS: A SYSTEMATIC REVIEW

Arif Setiawan — 2024-11-25

Background: Audiovisual health education for postoperative patients is a strategy used by health care providers to reduce psychological distress in postoperative patients. Health education improves the patient's adaptation to the anxiety associated with a surgical project.

Methods: This study was a systematic review study of 4 databases, namely Web of Science, PubMed, EBSCO Host, and Scopus, with keywords “Audio-Visual" OR "Health Education" AND "Psychological Distress" OR "Perioperative" OR "Surgery. The result followed the protocol and rules of Preferred Reporting Items for Systematic Review (PRISMA) and used JBI tools to assess the quality of articles to be analyzed. The inclusion criteria in this study were articles that taken in the last 5 years with the method of Randomized Control Trials (RCTs).

Results: The literature search resulted in 2324 research articles, of which 10 were included after multiple selections in the systematic review and were eligible for analysis. All 10 articles used the randomization comparison research method. Most of the articles showed a positive impact on perioperative patient anxiety either with audiovisual intervention alone or in combination.

Conclusion: It showed that health education with audiovisual assistance is one of the effective educational methods to increase knowledge to reduce perioperative patient distress. Therefore, audiovisual health education should be implemented to improve patient satisfaction and job effectiveness.

ANALYSIS OF FACTORS INFLUENCING THE USE OF THE TUBECTOMY METHOD IN FERTILE COUPLES: A LITERATURE REVIEW

Agus Sulistyowati — 2024-12-04

Background: The use of tubectomy contraception is one way to control birth rates and improve reproductive health. Tubectomy is a permanent form of contraception that involves blocking or sealing the fallopian tubes to prevent the egg from reaching the uterus for fertilization. This article analyzes the factors that influence the use of tubectomy contraception among couples of childbearing ages.

Objective: This literature review aims to identify factors that influence the use of the tubectomy method in fertile couples.

Design: This research design is a literature review.

Data Sources: Search for articles using three journal databases, namely Google Scholar, PubMed, and ScienceDirect.

Reviews Methods: Used PRISM flow diagram to find a total of 6 articles that meet the inclusion criteria reviewed.

Results: Inclusion criteria include full text articles from 2015-2024 published from national or international journals. Article types are quasi-experimental and case studies. Five articles meet the inclusion criteria. the various techniques used in tubectomy, the benefits and risks associated with the procedure, and its effectiveness in preventing pregnancy. Tubectomy can be done through different methods.

Conclusion: Tubectomy is crucial to recognize and address the social stigmas surrounding tubectomy in order to create a more supportive and understanding environment for individuals seeking this form of birth control. By promoting open dialogue and challenging misconceptions, we can work towards creating a more inclusive society where individuals feel empowered to make informed decisions about their reproductive health.

THE EFFECT OF AUTOGENIC RELAXATION ON PAIN RELIEF IN HYPERTENSION PATIENTS: A SYSTEMATIC REVIEW

Risti Puji Listari — 2024-12-04

Background: Hypertension can be treated with non-pharmacological treatment. Comprehensive chronic pain treatment involves a combination of methods and therapies. Relaxation effectively reduces muscle tension, improves well-being, and reduces symptomatic stress in individuals experiencing various situations. Autogenic relaxation therapy carried out for ± 10 minutes scientifically has a physiological impact on the body.

Objective: This literature review aimed to identify the effect of autogenic relaxation on pain reduction in hypertensive patients

Design: This research design was a literature review.

Data Sources: Search for articles using three journal databases, namely Google Scholar, PubMed, and ScienceDirect.

Reviews Methods: Used PRISM flow diagram to find a total of 6 articles that meet the inclusion criteria reviewed.

Result: The literature search results found 2 articles that met the inclusion criteria that were published in 2023.

Conclusion: One of types of relaxation is an autogenic relaxation on reducing pain in hypertensive patients. Continue to do relaxation routinely and regularly both independently and with guidance from experts, and continue to take medication according to doctor's recommendations and carry out routine checks with doctors, for symptom improvement.

EFFECTIVENESS OF WALKING EXERCISE ON HBA1C AND BMI OF DIABETES MELLITUS TYPE 2: A SYSTEMATIC REVIEW

Nurul Fitri — 2024-12-17

Background : Survey data shows that there are 51.9% of DM sufferers who do not exercise as an alternative to controlling diabetes. Walking exercise has been demonstrated to have an impact on BMI and HbA1c in one trial, but only in people with prediabetes.

Objective: Analyzed the results of primary research regarding the effectiveness of walking exercise in controlling the HbA1c and body mass index (BMI).

Methods: Design of this study was a systematic review. Data sources of this article was from 4 databases (Scopus, EBSCO, Proquest and Pubmed). Search for articles for the last 10 years, Mar 2015- Mar 2024. The research method used PRISMA 2020 guidelines. Article selection used the PICO framework. Medical Subject Heading (MeSH) is used to search for keywords. The quality assessment of an article is assessed using the Joanna Briggs Institute (JBI) format.

Results: Walking exercise has a positive effect on HbA1c and BMI. Four of the eight articles showed a significant effect of walking exercise on reducing HbA1c. Three of the 7 articles showed a significant effect of walking exercise on reducing BMI.

Conclusion: Walking exercise is a type of physical exercise that is considered to have a positive effect on body health for both diabetics and non-diabetics. Walking exercise can improve the metabolic status of diabetes sufferers by reducing blood glucose levels, HbA1c and BMI.

THE INFLUENCE OF CHILD GROWTH STATUS AND FAMILY RELATIONSHIPS ON THE SOCIAL-EMOTIONAL DEVELOPMENT OF PRESCHOOL-AGE CHILDREN

Sisilia Indriasari Widianingtyas — 2024-11-25

Background: Social-emotional development is one of the most influential aspects of a child's subsequent development. Negative early experiences can lead to disruptions in children's mental health and affect their cognitive, behavioral, and social-emotional development. Children who can adjust socially and emotionally well will perform better at school, have increased self-confidence, have good relationships, take on and persist in challenging tasks, and communicate well.

Objectives: The purpose of this study was to determine the effect of growth and family relationships on the social-emotional development of preschool-age children.

Methods: The design of this study is observational research (non-experimental) with a cross-sectional research design, to see the relationship between the influence of child growth, and family relationships with social-emotional development. The instrument used in this study was a questionnaire. The statistical test used in this study is coefficient regression with a significance level of p 0.05.

Results: The results showed that the level of social-emotional development in preschool children in kindergarten. ADNI Surabaya 72% (47) medium category. Child growth variables have a significant positive effect on children's socio-emotional development, and mother-child attachment has a significant positive impact on children's socio-emotional development.

Conclusion: It is recommended that the Principal of ADNI Kindergarten strive for continuous education on good parenting patterns, attachment between mothers and children, how to improve children's ability to socialize, and how to stimulate children's growth and development, to achieve optimal children's socio-emotional development.

COMBINATION BENSON RELAXATION AND MURROTAL ALQURAN TO DECREASE ANXIETY, STRESS, AND DEPRESSION HEMODIALYSIS PATIENTS: AN EXPERIMENTAL STUDY

Riska Rohmawati — 2024-11-08

Background: Anxiety, stress and depression in hemodialysis patients often occur due to changes in lifestyle and boredom undergoing therapy. Data from the hospital 63.9% of hemodialysis clients experienced anxiety, 51.7% experienced stress, and 60.5% experienced depression.

Objectives: The purpose of this study was to determine the effect of the combination of Benson relaxation and Murrotal Al-Quran in hemodialysis patients at Islamic hospital.

Methods: The design of the research was quasi-experiment with pre-posttest control group design. The sample of the research was 180 respondents that divided into three groups: 60 respondents in intervention group with combination of Benson relaxation and Murrotal Al-Quran, 60 respondents in intervention group with Benson relaxation, and 60 respondents in control group (no intervention). The intervention groups were given combination of Benson relaxation and Murrotal Al-Quran for 15 minutes once daily for 1 month. Research instruments using DASS (Depression Anxiety Stress Scale) to measure the anxiety, stress, and depression.

Results: The t-test analysis found that the decrease in anxiety, stress, and depression was more common in the Benson relaxation and Murrotal Al-Quran combination group. While the Manova test showed that there were differences in the intervention group and the control group with the strength of differences in anxiety (68.7%), stress (68.4%), and depression (58.2%).

Conclusion: Benson relaxation combination therapy with Murrotal Al-Quran is more effective in reducing anxiety, stress, and depression levels in hemodialysis patients. Nurses can implement this intervention in order to meet the patients’ psychological needs.

DETERMINANTS OF NEONATAL PAIN MANAGEMENT PRACTICES AMONG NURSES WORKING IN NEONATAL CARE UNITS IN WESTERN KENYA HOSPITALS

Damaris Ongori — 2024-11-08

Background: Newborn babies in the neonatal intensive care units (NICU) and newborn units (NBUs) undergo various tissue-damaging procedures as a result of both diagnostic and therapeutic care. Each neonate may experience an average of 300 painful procedures throughout their period hospitalization surgeries inclusive. However, little is known about factors that determine the neonatal pain management practices among nurses working in NICUs in Kenya.

Objective: To assess factors that determine neonatal pain management practices among nurses working in neonatal intensive care and newborn units.

Methods: A descriptive analytical cross-sectional study design with qualitative and quantitative approach was used. The statistical package for social science version 22.0 software was used for analysis. Spearman’s tests assessed for associations and correlations. Confidence level was 95%. A p-value equal or less than 0.05 was considered significant.

Results: Less than half of the respondents were aware of both the pharmacologic and non-pharmacologic methods used in management of pain in neonates. On beliefs and attitudes, less than half (42%) of the nurses believed that pharmacologic and non-pharmacologic interventions are vital in neonatal pain management. Only a third (33%) of the respondents felt that the pain assessment tool is accurate and effective. Use of pain assessment tools (5.6%), non-pharmacologic (34.8%) and pharmacologic (28.1%) pain intervention strategies was low. Majority used physiological and behavioral factors to assess pain in neonates. Knowledge of pharmacologic (p<0.0001) was significantly associated with the practice of pain management in neonates.

Conclusion: The study highlights that pain management in neonates is influenced by a variety of determinants including participants knowledge on various pain management practices and attitude towards pain management in neonates. Knowledge of pharmacological pain interventions emerged as the main determinant of neonatal pain management practices among nurses. There is therefore need to enhance nurses’ knowledge on neonatal pain management aspects. This can be achieved through targeted trainings and CMEs on pain management in neonates.

EFFECTIVENESS OF WHATSAPP BOT-BASED EDUCATIONAL MEDIA AND LECTURES ON INCREASING MOTHER’S KNOWLEDGE ABOUT GASTROENTERITIS IN CHILDREN

Sonia Puspita Ar Royo — 2024-11-08

Background: Gastroenteritis is the main cause of death in children under five years of age with symptoms of dehydration, which causes high mortality rates. Gastroenteritis risk factors include poor hygiene, unclean water supplies, and lack of parental knowledge. Providing health education regarding gastroenteritis is very important to increase mother’s knowledge. WhatsApp bot and lectures are effective media that can be used in health education.

Objectives: To determine the effectiveness of WhatsApp bot-based educational media and lectures in increasing knowledge of Gastroenteritis among housewives.

Methods: The research method used was quasi-experimental using a two-group design posttest only. The research was conducted in Singosari, Malang, using two different groups with a sample size of 50. Group 01 was given education using WhatsApp bot media, while group 02 was given education using lecture media. The research data was tested using the Mann-Whitney test in SPSS version 25.

Results: The demographic data obtained shows that the average number of respondents is (60%) not working or a housewife. The research results show a difference between giving education using the lecture method and WhatsApp bot media on housewives' knowledge level. Mother’s knowledge about gastroenteritis increased after being given education using two different media. The group using lecture media had a better increase in knowledge than the group using WhatsApp bot media.

Conclusion: Health education regarding gastroenteritis based on lecture media is more effective than WhatsApp bot media in increasing mothers' knowledge about preventing gastroenteritis in children

FAMILY KNOWLEDGE AND PREPAREDNESS IN FACING FLOOD DISASTERS IN BENGKULU CITY

Loren Juksen — 2024-11-08

Background: Floods are natural events that can occur at any time and often result in loss of life and property. Losses due to flooding can be in the form of damage to buildings, loss of valuables, so that the losses that result cannot be prevented, but can be controlled and reduced the impact of losses caused.

Objectives: This study aims to determine the relationship between family knowledge and preparedness in facing flood disasters in Bengkulu City.

Methods: This study used a cross-sectional research design. The population were head of family, samples obtained by accidental sampling technique as many as 90 respondents. Data analysis used univariate and bivariate analysis, questionnaire were knowledge and preparedness questionnaires

Results: The results of this study showed that from 90 samples of family knowledge about flooding, 30 respondents (33.3%) were well informed and 44 respondents (48.9%) were well-knowledge, while 20 respondents (22.2%) had good preparedness, and 70 respondents (77.8%) had sufficient preparedness. The results of the Chi-square analysis obtained there was no significant relationship between family knowledge and preparedness

Conclusion: The result of this research can be used as information material for the family that are about that the knowledge is not one of the factors can be affecting the preparedness of respondents in facing flood disaster.

THE EFFECT OF LAVENDER OIL IN RELIEVING PERINEAL PAIN FOLLOWING CHILDBIRTH

Yenita Agus — 2024-11-18

Background: Postpartum mothers often face discomforts such as back pain, uterine cramps, fatigue, and perineal pain. Perineal pain after an episiotomy can significantly impact daily activities, maternal quality of life, and the mother-infant relationship. Effective management is crucial to decrease the perineal pain.

Objectives: The study aimed to evaluate the effect of lavender oil on relieving perineal pain in postpartum mothers.

Methods: A pre-experimental design with a pretest-posttest format was used. Participants, selected through purposive sampling, were assessed for pain intensity using a Numeric Rating Scale (NRS) from 0 to 10. Bivariate analysis was conducted using the Wilcoxon test to assess changes in pain levels before and after the intervention.

Results: The significance level was found to be 0.004 (p < 0.05), indicating a statistically significant reduction in pain intensity.

Conclusion: Lavender oil aromatherapy effectively reduces perineal pain in postpartum mothers. Although the study lacked a control group, lavender oil was found to be a safe and effective treatment, with no reported side effects.

THE EFFECT OF THE APPLICATION OF GARDENING MODALITY THERAPY ON THE QUALITY OF LIFE OF THE OLDER PEOPLE

Ellia Ariesti — 2024-11-18

Background: Humans experience the natural process of aging. The most important stage is in the old or elderly stage, where a person naturally experiences changes and decreases in conditions from physical, social, psychosocial. One way to optimize the cognitive function of the elderly is to use modality therapy. One type of modality therapy is gardening, gardening activities can provide opportunities for the elderly to do physical activity, release physical energy and emphasize physical movements.

Objectives: This study aimed to analyze the effect of the application of gardening modality therapy on the quality of life of the older people in Puskesmas Tajinan Malang Regency.

Methods: The design used quasi-experimental with one group pre-posttest design. The population in this study were all old people who participated in prolanis activities and were aged > 50 years totaling 30 people. This research was conducted for one month. Measurement of the quality of life of the elderly used the WHOQOL-BREF questionnaire, while for the measurement of gardening therapy used an observation sheet. Data analysis was carried out using the statistical test used was the Wilcoxon Test with α 0.05.

Results: The results of bivariate analysis using the Wilcoxon test show that the P value is 0.317 > 0.05, which means that there is no significant effect of providing gardening modality therapy 2 times per week on the quality of life of the older people, while the provision of gardening modality therapy 3 times per week on the quality of life of the older people the results of bivariate analysis using the Wilcoxon test show that the P value is 0.0001 < 0.05, which means there is a significant effect.

Conclusion: The effect of gardening therapy on the quality of life of the elderly can be used as an alternative to improve the quality of life of the elderly, because gardening can make the elderly more productive, the elderly can also be a stimulation for the elderly to socialize and do physical activity.

NURSES’ OCCUPATIONAL STRESS IN EMERGENCY CARE AND ISOLATION WARDS AFTER SECOND AND THIRD WAVE OF COVID-19

Nurfika Asmaningrum — 2024-11-20

Background: COVID-19 pandemic caused globally public health crises. The massive spread of COVID-19 cases put nurses under immense stress due to high workload and thus high risk of infection, especially those in Emergency Room (ER) and Isolation Wards (IW). Both units were actively involved in handling COVID-19 as the first screening and treatment were given to COVID-19 patients.

Objectives: Analyze the differences in stress among nurses working in emergency room and isolation room in designated hospitals after the second and third waves of the COVID-19 pandemic.

Methods: The study was designed as comparative descriptive research, with observational and comparative longitudinal approach. There was a 14-month time periods between T1 and T2. The research samples were 33 nurses who working in emergency room (ER) and 32 nurses’ isolation wards (IW) at two hospitals handling COVID-19. Healthcare Workers' Stress questionnaire was used to assess nurse's stress level. Data analysis was performed using the Mann Whitney U Test.

Results: The results indicated there were differences levels of stress among the 65 nurses who worked in the emergency room and isolation ward. On average, those Nurses working in the ER experienced lower stress than IW during first wave. By contrast, those Nurses working in IW experienced lower stress than ER during the third wave. There were significant differences on nurses’ stress scores between the two departments during the second wave (p=0.000) and third wave (p=0.036) of COVID-19 pandemic.

Conclusion: This study suggests that nurses need to develop adaptive coping mechanisms to maintain decent nursing care during the COVID-19 pandemic. Attempts to anticipate or resolve the work stress are believed to maintain their performance on par with professional nursing care standards, even during the post-pandemic.

PREDICTIVE FACTORS ASSOCIATED TOWARDS QUALITY OF LIFE IN PATIENTS WITH CANCER: A CROSS-SECTIONAL STUDY

Yulia Rizka — 2024-11-25

Background: Cancer patients face various symptoms and problems caused by the disease or cancer treatment. Physical and psychological symptoms worsen the patient’s quality of life (QOL).

Objectives: To predict how age, gender, marital status, educational level, working status, type of cancer, stage of cancer, physical factors (pain, fatigue, nausea, lack of appetite, shortness of breath, constipation, drowsiness, well-being) and psychological factors (anxiety and depression) affect to quality of life in patients’ cancer.

Methods: The study was quantitative research with a cross-sectional approach with purposive sampling. Ninety-nine cancer patients participated in this study. Data were collected in General Hospital, Pekanbaru, in October - November 2022. The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) was used to assess patient’s cancer quality of life. The Multivariate analysis uses the multiple linear regression.

Results: The EORTC QLQ-C30 mean scores for QoL (65,9725,18), physical, emotional and cognitive functioning were high, at 60 or above. The score of most symptom scales in this study were reportedly good, at 37 or below. However, for pain and fatigue, the score was reportedly worse (range:45, 3227,84 to 64,2725,58). The results of multiple linear regression analysis showed that factors predictive of quality of life were pain (p=0,032), fatigue (p=0,004), shortness of breath (p=0,020), constipation (p=0,002) and depression (p=0,042). These factors together can cause quality of life problems in cancer patients by 55% (adjusted R2 = 0.468).

Conclusion: The study finding indicate that QoL score were influenced with several symptoms (pain, fatigue, shortness of breath, constipation and depression) of the ESAS-r score. Healthcare professionals should properly address pain and fatigue, as patients in this patient group consistently report them.

EFFECTIVENESS OF PEER GROUP SUPPORT IN THE APPLICATION OF ACUPRESSURE AND ABDOMINAL STRETCHING ON MENSTRUAL PAIN IN ADOLESCENT FEMALES WITH THE SELF DETERMINATION MODEL

Rosari Oktaviana Mahundingan — 2024-12-02

Background: One of the changes that appears in adolescent is menstruation. One way to reduce menstrual pain is to use relaxation techniques, acupressure, and abdominal stretching. Another way is to help teenagers deal with pain by using group methods, such as peer group support.

Objective: The purpose of this study was to determine the relationship between Peer Group Support in the application of acupressure and abdominal stretching to menstrual pain in adolescent girls using the self-determination model approach.

Methods: This study used a quasi-experimental design with a pre-test and post-test design. The sampling technique used was simple random sampling. Inclusion criteria were respondents who had menstruated, experienced menstrual pain, aged at menarche between ≤12 years to ≥14 years, and had a menstrual duration of 7 days, as well as being cooperative and willing to be a respondent. The sampling technique used was simple random sampling. The sample size was 70 female adolescent respondents.

Results: The results of the study with Paired t-test showed that the Acupressure and Abdominal Stretching intervention groups both experienced changes with a value of p = 0.03 in the Acupressure and Abdominal Stretching groups and p = 0.000. On average, there was an increase in overcoming menstrual pain, but in the Acupressure group, there was only a slight increase in the t-count, which was 2.45. In the abdominal stretching group, the t-count value was greater, at 11.16.

Conclusion: The published research shows that acupressure and abdominal stretching were also carried out on the same group in the 2 intervention groups. The results were effective and could be carried out together, as evidenced by a decrease in the level of pain during menstruation and self-determination.

EFFECTIVENESS OF AUGMENTED REALITY-BASED THERAPEUTIC PATIENT EDUCATION ON HEALTH LOCUS OF CONTROL IN TYPE 2 DIABETES MELLITUS PATIENTS

Novita Fajriyah — 2024-12-02

Background: Type 2 Diabetes Mellitus (T2DM) is a chronic disease with a rising global prevalence, significantly affecting patients' quality of life and the health system. Effective management of T2DM requires patients to actively regulate their diet, physical activity, and adherence to treatment. Health Locus of Control (HLC) measures the extent to which individuals believe their health is influenced by their actions (internal), others (powerful others), or chance. Augmented Reality (AR) technology presents an innovative method for therapeutic education, potentially enhancing patient engagement and learning effectiveness.

Objectives: To analyze the effect of Augmented Reality-based therapeutic patient education on health locus of control in T2DM patients.

Methods: A quasi-experimental design with pre- and post-tests and a control group was used. Non-probability purposive sampling selected 100 respondents, divided into an intervention group (50) and a control group (50). The Multidimensional Health Locus of Control questionnaire served as the research instrument. Univariate analysis described respondents' frequency distribution, mean, median, and standard deviation. Bivariate analysis utilized the Wilcoxon test.

Results: Augmented Reality based Therapeutic Education significantly improved HLC scores in T2DM patients: Internal (p = 0.01), Powerful Others (p = 0.02), and Chance (p = 0.00). However, no significant difference was found between the intervention and control groups in terms of overall HLC improvement, indicating the need for further research to confirm these preliminary findings.

Conclusion: Augmented Reality-based Therapeutic Education shows promise in enhancing patients' perception of control over their health. This innovative approach could significantly impact clinical practice and patient education.

COMPARISON OF VIDEO CALL INSTRUCTIONS AND VOICE CALLS IN INDONESIAN LANGUAGE ON CHEST COMPRESSION ONLY HAND POSITION

Maulidah — 2024-12-04

Background: Out of Hospital Cardiac Arrest (OHCA) or cardiac arrest events that occur outside the hospital are the focus of world health problems which is often threaten a person's life. First aid that must be given quickly and precisely is Cardio Pulmonary Resuscitation (CPR). The rapid initiation of CPR with correct hand positioning by laypersons in cases of OHCA is critical for improving survival rates.

Objectives: The purpose of this study was to compare the accuracy of the hand position of the lay rescuer when performing chest compressions only which was instructed through video calls and voice calls in Indonesian Language.

Methods: This research was an experimental study. Sampling using probability sampling. The sample consists of 40 people who were divided into 2 groups, namely the instruction group via video call and voice call.

Results: The results show that in the video call group there were as many as 9 people (45%) who performed hand placement during CPR correctly, while in the voice call group there were 13 people (65%). The statistical results using Mann Whitney test showed that there was no significant difference between video call and voice calls instructions in Language (p = 0.209).

Conclusion: It needs the training for Emergency Medical Services (EMS) operator officers prior to conducting the study and the near real situations as the original incident in order to get more effective on performing chest compressions.

EFFECTIVENESS OF DOUBLE LUMEN CATHETER WOUND CARE USING 0.9% NaCL, 7.5% CHLORHEXIDINE, 15% CETRIMIDE ON DOUBLE LUMEN CATHETER INFECTION IN REGULAR HEMODIALYSIS PATIENTS

Heru Firman Andita — 2024-12-09

Background: The high incidence of double lumen catheter infections in Hemodialysis patients requires a solution including wound care using the antiseptic chlorhexidine 7.5% and cetrimide 15%.

Objectives: The aim of this study is to identify the effect of double lumen catheter wound care using NaCL 0.9%, Chlorhexidine 7.5%, and Setrimide 15% on double lumen catheter infection in regular hemodialysis patients at Bhayangkara Lumajang Hospital.

Methods: The research design used was quantitative research with a PreExperimental One-Group Pretest-Posttest Design approach. The population in this study was hemodialysis patients with double lumen access who meet the inclusion and exclusion criteria, with a sample of 31 respondents. The sampling technique uses accidental sampling.

Results: The research results were obtained before wound treatment using NaCL 0.9%, Chlorhexidine 7.5%, and Setrimide 15%. From 31 respondents 12 (38.7%) respondents experienced infection and after wound treatment using NaCL 0.9%, Chlorhexidine 7.5%, and Setrimide 15%. From 31 respondents 7 (22.6%) respondents experienced infection. After statistical tests were carried out using the Willcoxon test, the result was P = (0.025 < α 0.05), which means that there is a significant effect between treating double lumen catheter wounds using Nacl 0.9%, chlorhexidine 7.5 %, and cetrimide 15% against double lumen catheter infections in regular hemodialysis patients.

STRATEGIES FOR NURSING STUDENTS IN ACHIEVING BASIC NURSING COMPETENCIES THROUGH SELF-DIRECTED LEARNING READINESS

Anggia Astuti — 2024-12-09

Background: Clinical practice learning is designed to prepare nursing students to become professional nurses, students are required to meet competency achievement targets. To comprehensively achieve these targets, students must employ effective learning strategies, one of which is Self-Directed Learning Readiness.

Objectives: To explore the strategies nursing students use to meet basic nursing competencies through Self-Directed Learning Readiness.

Methods: This research used a quasi-experimental design with a one-group pretest-posttest model with total sampling, about 91 respondents of second-semester students from the Diploma 3 Nursing Program who conducted clinical practice. The intervention was carried out during the basic nursing clinical practice, with the approach of the stages in SDLR (plan-implementation-monitoring-evaluation). Respondents were given daily journaling which was filled in every day regarding the plan, implementation, monitoring, and evaluation of 58 basic nursing competency achievements. After the basic nursing clinical practice ended, respondents completed the post-test questionnaire. Data analysis was performed using an independent sample t-test.

Results: The results showed that the majority of students achieved excellent scores (91%) in meeting basic nursing clinical practice competencies. The competency assessment covers three main aspects: knowledge, attitude, and psychomotor skills, with average scores of 82, 84.3, and 83, respectively. The results of statistical tests using the Independent T-Test showed that there was a positive effect of SDLR on the Competency Achievements of Basic Nursing Clinical Students with a p-value <0.05.

Conclusion: Students with higher levels of SDLR tend to be more independent in managing time, utilizing various learning resources, and practicing clinical skills. The basic competencies achieved include cognitive, affective, and psychomotor aspects, reflecting their readiness to provide comprehensive nursing care.

THE EFFECT OF BRAIN GYM ON THE LEVEL OF INDEPENDENCE OF THE ELDERLY

Widya Nurcahyaningtyas — 2024-12-09

Background: The height ratio dependence elderly in Indonesia is very worrying. The ratio dependence elderly in Indonesia are increasing from 14.02% in 2017 to 16.76% in 2021. East Java including the top 5 province with dependence elderly and occupying ranking to 3 after Central Java Province.

Objectives: To know the effect of brain gym on level independence elderly.

Methods: This was pre-experiment with use approach one group pre-post test design. Population in the study is all over elderly people in the village Ringinsari, District Kandat Kediri Regency. Technique of taking sample done with technique Consecutive Sampling. Data analysis was carried out through two stages. Stage First that is analyzing pre and post independence data elderly using the pre post test design test. Stage second is analyze the effect of brain gym on level independence elderly using the Wilcoxon test.

Results: Research results show that there is change in level of independence before and after given Brain Gym intervention. The results of data analysis using the Wilcoxon test (level of 95% confidence interval is p= 0.000<0.05) which means there is the effect of brain gym to level independence elderly in the village Ringinsari, District Kandat Kediri

Conclusion: Brain gym influential to level independence in the elderly.

ANALYSIS OF POTENTIAL HAZARDS FOR GADUNG CHIPS WORKERS USING THE HIRARC METHOD IN RINGINSARI VILLAGE KEDIRI REGENCY

Riza Irianingtyas — 2024-12-09

Background: One of the industrial sectors that has a high risk of danger is the informal sector, one of which is the home industry of making chips. Knowledge about occupational health and safety is one of the factors that cause health problems and incidents in the workplace. Therefore, it is necessary to handle the problem of danger by identifying risks and controlling in minimizing the occurrence of accidents and occupational health disorders.

Objectives: The purpose of this research was to determine the risk of work accidents, determine the level of work accident risk and provide suggestions for controlling the risk of work accidents that can occur in the cassava chips manufacturing industry.

Methods: This study is a descriptive observational study, which is a research method that provides an in-depth description of the process of making gadung chips in a home industry which is then analyzed and compared based on existing reality. Observations are made directly to ensure that the process reflects daily practices in the home industry. The study was conducted with a cross-sectional approach, data will be collected at one time to understand the conditions at that time. The data analysis technique used in this study is descriptive analysis and risk identification with the HIRARC method, namely: 1) Hazard identification, 2) Risk Assessment (Risk Analysis), 3) Determining Controls, 4) Documentation Socialization and Implementing Controls

Results: 33 work accident risks were found that could occur in the process of making combined chips. The level of work accident risk from 33 risks obtained 42% low risk hazards, 21% medium risk hazards, 30% high risk hazards and 7% very high risk hazards

Conclusion: Based on the research results, it can be concluded that: 1) 33 work accident risks were found that could occur in the process of making combined chips. 2) the level of work accident risk from 33 risks obtained 42% low risk hazards, 21% medium risk hazards, 30% high risk hazards and 7% very high risk hazards. 3) there are 33 risk control studies consisting of substitution control, administration, and use of PPE

ERGONOMIC RISK ASSESSMENT OF GADUNG PEELERS USING NORDIC BODY MAP (NBM) AND OVAKO WORK POSTURE ANALYSIS (OWAS) METHODS

Nima Eka Nur Rahmania — 2024-12-11

Background: The activity of peeling gadung as a raw material for making gadung chips is done manually and repeatedly with an unnatural working posture and can cause musculoskeletal disorders (MSDs). Preventive measures need to be taken by carrying out ergonomic risk assessments.

Objectives: The research aimed to analyze the level of ergonomic risk in MSDs using the Nordic Body Map (NBM) and Ovako Work Posture Analysis (OWAS) methods.

Methods: The research method used was an analytical method with a cross-sectional research design. This research was conducted in the home industry gadung chips, Kediri in August 2024. The sampling technique was purposive sampling with a total sample of 10 gadung peeler workers. The variables in this study were the severity of muscle complaints and work posture (back, arm, leg, and load movements) as the risk level for MSDs. The type of data collection technique used was a field study by filling out the NBM questionnaire to determine the severity of MSDs. Working posture (back, arm, leg, and load movements) was also observed using the OWAS method by filling in a form. The results of the analysis will provide results as a reference for taking appropriate action to overcome ergonomic risks.

Results: Based on data analysis using the NBM showed the percentage of MSDs, that are right shoulder, right wrist, and right hand had the highest proportion of scores for complaints of pain that always occurred (100%). The left wrist and shoulder area (96%), stiffness in the lower neck (92%), pain in the back (91%), pain in the waist (90%), and also pain in the right and left knee areas for lower limbs. The results of the ergonomic risk level analysis using the OWAS method showed that the working posture is included in the moderate risk category (score 2).

Conclusion: Corrective action is needed to prevent musculoskeletal disorders such as improving work posture, doing stretching exercises before and after work and designing ergonomic work chairs.

VIRAL LOAD AND OPPORTUNISTIC INFECTION AS THE INDICATOR OF QUALITY-OF-LIFE PEOPLE WITH HIV/AIDS

Rina Yuliaty — 2024-12-11

Background: Human immunodeficiency virus (HIV) is a significant concern in the field of global health. However, studies on the relationship between viral load, opportunistic infections, and quality-of-life among them are limited.

Objectives: This study aims to determine the relationship between viral load count, the presence of opportunistic infection, and the quality-of-life among people living with HIV.

Methods: A cross-sectional study was used involving 35 respondents recruited through convenience sampling. The quality-of-life of individuals living with HIV was assessed using the World Health Organization Quality-of-Life instrument for HIV. Statistical analysis using descriptive statistics, including mean, standard deviation, and proportion, and bivariate analysis with p-value<0.05.

Results: Of the 35 participants, the majority were male (57.1%), with a mean age of 41.63 (9.09), and had a low education level (51.4%). The mean quality-of-life score was 86.88 (12.27), with a mean duration of ARV treatment of 7.23 years (5.36), undetectable viral load (68.6%), living with opportunistic infections (80%), and with tuberculosis being the most common (52.63%). There was a significant correlation between viral load and overall quality-of-life (p-value 0.04).

Conclusion: The results of viral load testing and the identification of opportunistic infections can serve as indicators to assess the quality-of-life among people living with HIV. The outcomes of this study have practical implications for enhancing healthcare services in clinical settings. This information can guide the implementation of targeted interventions to strengthen social relationships and these individuals' environmental quality-of-life.

ANXIETY OF MOTHERS BEFORE IUD AND IMPLANT INSERTION

Masruroh Masruroh — 2024-12-17

Background: Long-Term Contraceptive Method (LTC) is one of the effective efforts to space pregnancies. There is a psychological impact in prospective Intra Uterine Device (IUD) acceptors regarding the side effects that may appear after installation. One of the obstacles that causes women of childbearing age to use the IUD method is because of the level of anxiety, worry, and fear.

Objectives: To analyze the characteristics and determine the level of anxiety of mothers who accept IUD and Implant KB.

Methods: This research was a descriptive research type. conducted in August-December 2023 at the Isti Yuliani Independent Midwife Practice (PMB). The sample technique in this study used total sampling with 56 respondents. The research instrument with a questionnaire measuring anxiety levels with HRSA with the results of the Cronbach's Alpha test was 0.793 with the number of items 14 items greater than 0.6. The analysis used univariate..

Results: The characteristics of respondents in this study were 100% in the range of Women of Childbearing Age (WCA), the majority completed secondary education as much as 87.5%, had a parity of more than one 80.4%, respondents were unemployed 83.9%, chose the most LTC was IUD 53.6% and the reason respondents came / visited was to remove and at the same time reinstall LTC IUD & Implant. The anxiety in LTC IUD and Implant acceptors before the installation procedure had a mild anxiety level of 42 people (75%) and with a moderate anxiety level of 12 people (21.4%).

Conclusion: The characteristics of respondents were the age of respondents in the range of WCA, the majority had secondary education, parity of more than one, the majority were unemployed, the most LTC was IUD and the reason respondents came / visited was to remove and at the same time reinstall LTC IUD & Implant. The majority experienced mild anxiety.