bluuebunny/crossref_metadata_2025 huggingface dataset:
Persepsi Keyakinan Kesehatan Memengaruhi Perilaku Wanita Usia Subur (WUS) Terhadap Pemeriksaan Inspeksi Visual Asetat (IVA)
Authors: Widjayanti Yhenti
Published: September 2021

Cervical cancer is the most causa of deaths for women. Acetic Acid Visual Inspection Examination (IVA) is an effort to detect cervical cancer early. Conduct early detection is closely related to the perception of health beliefs (health belief). This study aimed to analyze the effect of perceived health beliefs on the behavior of women during childbearing age in conducting IVA examinations. The design of this study was observational analytic with a cross-sectional approach. The subjects of this study were 123 women who collected by simple random sampling. The variables of this study were the perception of health beliefs and behavior towards the IVA examination as early detection of cervical cancer. Data were collected by a questionnaire. The results showed that 57.7% of subjects had negative health belief perceptions, 60.2% had negative attitudes and 61.8% of subjects had never done an IVA examination. The results of the linear regression statistical test showed between the perception of health beliefs with attitudes obtained p-value = 0.00, the correlation value (R) = 0.951, the coefficient of determination = 0.904, between the perception of health beliefs with the act of conducting an IVA examination obtained p = 0.00, Correlation value (R) = 0.851 coefficient of determination = 0.724, It meant that there is an effect of perception of health beliefs on behavior (attitude & action) on IVA examination as early detection of cervical cancer. The implication in nursing is the need for collaboration between health cadres and the Public Health Center to increase socialization about IVA to women of childbearing age and family.
Pengalaman Keluarga Dalam Mencari Pengobatan Pada Gangguan Jiwa
Authors: Trihidayati Noorwahyu , Permana Iman
Published: September 2021

Background: Seek treatment is a continuous process, where the symptoms of the disease suffered have increased and can gradually be seen, evaluated and finally treated through the initiation of specific interventions Early symptoms of mental disorders are not always seen by lay people, so the search for treatment for psychosis is sometimes sometimes delayed. Delays in seeking treatment will lead to worse results. The process of seeking treatment will be repeated until recovery goals are achieved. Objective: To find out family experiences in seeking treatment in patients with mental disorders. Methods: The method used in this review literature by analyzing several articles using data base at EBSCO, Science direct, Pupmed and Google scholar, then extraction using the keywords "Help seeking behavior" OR "treatment seeking behavior" AND mental illness "OR Mental disorder" OR "Health mental" OR first episode psychosis "AND" Qualitative "In the 2015-2019 period to find articles that fit the inclusion and exclusion criteria then a review was conducted. Result : The first search results collected 152 articles from Pumped, 287 Science direct 1410 articles, Google scholar articles, and 191 articles from EBSCO, the second attempt by entering "Duplication" of a total of 1410 articles. The third attempt with m Including "linked full text" available, abstract, and limited references from 2015 -2019 inclusive and exclusive criteria obtained as many as 172 articles, the last 17 articles that will be analyzed later. From the results. Analysis obtained several themes, namely: Search for health treatment mental and barriers in seeking treatment. Conclusions :some studies discuss seeking treatment in mental disorders: supernatural consultation with physicians, scholars or spiritual treatments that are culturally appropriate for handling mental health problems and for health services such as psychiatrists or doctors / nurses who professional.Inhibition of seeking treatment occurs because of the stigma associated with mental patients, lack of knowledge is also due to socioeconomic.
Efektivitas Terapi Komplementer Dalam Meningkatkan Kualitas Hidup Pada Pasien Gagal Jantung: Systematic Review
Authors: Paat Toar Calvin Christo , Erika Kadek Ayu , Saleh Arianty
Published: September 2021

Introduction: The prevalence of heart failure patients is increasing along with the increase in the global population. Poor quality of life is one of the characteristics of heart failure patients. Complementary therapy might be an alternative to overcome them.. Methods:  The design of this study is a systematic review using the Preferred reporting items for systematic review and meta analysis (PRISMA) method to compile this paper. The article were collected from online database included PubMed, Science Direct and Google Scholar and publish in 2010 to 2020. Determined articles about intervention articles that discuss the effectiveness of complementary therapies to improve quality of life in heart failure patients.Results:  Six articles were identified and determined to conduct this systematic review. All studies were conducted using intervention trials of complementary therapy to increase quality of life. Those therapy included Music therapy, a walking exercise program with regulates breathing patterns, benson relaxation, yoga practice, tai chi. These therapy provided by trained nurse. The duration of administration is from 15 minutes to 60 minutes for 3 days to 14 weeks. MLHFQ is the most widely used assessment instrument, the rest are EuroQol, KCCQ and WHOQOL. All studies revealed the significance improvement of quality of life.Conclusion:  It is conclude that complementary therapy showed strong evidence to improve the quality of life in heart failure patients. in practice, official standard procedures are needed.
Peran Kader Dalam Pelayanan Kesehatan Maternal Di Puskesmas Ch M Tiahahu Ambon
Authors: Jambormias Rut Martavina , Nusawakan Arwyn Weynand , Sanusi Rose Rien
Published: September 2021

AbstrakPuskesmas menjadi sentral dalam pengembangan kesehatan masyarakat di Indonesia. Dalam menjalankan tugas tersebut, Puskesmas perlu didukung dengan keterlibatan masyarakat yang dalam hal ini sering dilakukan oleh Kader. Tujuan dari penelitian ini adalah mengidentifikasi peran serta tugas kader dalam kesehatan ibu dan anak. Metode penelitian yang digunakan yaitu metode Kualitatif dengan pendekatan studi kasus. Teknik pengumpulan data dilakukan dengan wawancara dan Focus group discusiion (FGD) dan kemudian data dianalisa menggunakan Analisa tematik. Hasil dari penelitian ini terdapat dua tema yaitu kader sebagai tukang hayo-hayo, dan peran kader yang sudah baik namun perlu ditingkatkan beberapa perannya. Kesimpulan dari penelitian yaitu bahwa kader memiliki peran yang penting sebagai penghubung antara tenaga kesehatan dan masyarakat (tukang hayo-hayo), selain itu untuk memaksimalkan perannya kader perlu dukungan dari puskesmas dan perangkat masyarakat lain agar dapat lebih optimal dalam membantu meningkatkan kesehatan ibu dan anak.Kata kunci : Peran Kader, Kesehatan  Maternal , Tukang hayo-hayo
Peran Spiritual Dalam Penyembuhan Skizofrenia : A Literature Review
Authors: Pramudita Fadma Aji , Permana Iman
Published: September 2021

Mental health is one of the health problems in the world, including in Indonesia, one of which is schizophrenia. Management of schizophrenia not only uses pharmacological therapy but also with non-pharmacological therapy. Spirituality is believed to have a role in the treatment of schizophrenia. Purpose: This article aims to identify and analyze research articles about the spiritual role in healing in schizophrenic patients. This article search uses a literature study approach from several ProQuest, Ebsco ScienceDirect databases, and Google Scholar databases, using the keywords "Spiritual OR Spirituality AND Mental disorder OR Mental Illness OR Schizophrenia". Based on the screening process of 509,589 journals, 9 articles were obtained by selecting inclusion criteria. The results obtained are summarized in 2 theme forms including the spiritual role in mental health problems where the importance of health professionals involves the spiritual dimension in health services as well as the spiritual concepts that play a role in handling mental problems; the second theme is about the spiritual role in schizophrenia healing, which is that spiritual can affect active and adaptive coping in schizophrenia patients. Social support activities, age, service satisfaction, spiritual well-being, and symptom severity are identified as aspirators in the quality of life of patients with schizophrenia. Conclusion: Four things that are felt to have a significant effect on healing schizophrenic patients include interactions or therapeutic relationships with health care providers, increased self-awareness of disease, social support, and the use of psychotropic drugs to reduce symptoms that arise.
Hubungan Kepatuhan Hemodialisis Dengan Disfungsi Ereksi Pada Pria Usia Subur Di RSUD Ungaran
Authors: Sujana Treesia , Kadoyu Miktam Herdianto , Dary Dary -
Published: September 2021

Abstract Background Hemodialysis is a program that replaces the function of the kidneys due to damage to the kidney organs (dialysis), where patients with chronic kidney failure must obedient in undergoing hemodialysis. Disobedience can cause therapy failure. Prolonged hemodialysis programs have an impact on reproductive health. It often happens, patients who undergo hemodialysis program have erectile dysfunction problems where patients who do hemodialysis will experience decreased libido, impotencei, infertility, gynecomastia. The purpose of this study was to determine the relationship between adherence to undergo hemodialysis therapy with erectile dysfunction in men of childbearing age who have chronic kidney failure. The research method used in this study is a quantitative correlation research method with a cross-sectional approach, with  questionnairs as the data collection tool. The sample used in this study was determined by purposive sampling with 31 respondents of childbearing age undergoing hemodialysis. Data analysis used are descriptive analysis and bivariate test and chi-square correlation test. The resultsof this study are participants that compliance with hemodialysis in the obedient category are 30 people (97%) and erectile dysfunction in men of childbearing age in the category of erectile dysfunction are 27 people (87%). Chi-square correlation test results obtained Value = 0.573 which means greater than alpha 0.05 (0.573> 0.05) then the Ha hypothesis is rejected and Ho is accepted so it can be concluded that there is no significant relationship between adherence to undergoing hemodialysis therapy with erectile dysfunction in men of childbearing age at Ungaran District Hospital. Compliance, Erectile Dysfunction, Hemodialysis, Productive  men
Hubungan Kebutuhan Tidur Dengan Aktivitas Fisik Pada Lansia
Authors: Wahyuni Endah Trie , Susilowati Tri , Imamah Ida Nur
Published: September 2021

Background:  Disability prevalence in the elderly in Indonesia as much as 1.6% experienced total dependence, 1% experienced heavy dependence, 74.3% were able to carry out independent activities, 22% could only do light activities, and 11% were able to carry out moderate activities. Results obtained in Central Java province 1.8% experienced total dependence, 1% experienced severe dependence.Objective: Analyze the relationship between the need for sleep and physical activity in the elderly at the Bhakti Surakarta Dharma Nursing Home. Method: This type of research is quantitative, with an observational analytic method with a cross sectional design, sampling using the purpose sample method with a sample of 44 respondents with a research instrument using a GPAQ (Global physical activity questionnaire) from physical activity. This data analysis uses Fisher Test. Results: Statistical test results on respondents showed ρvalue (0.018) <0.05, so that there was a significant relationship between the need for sleep and physical activity. Conclusion: There is a relationship between the need for sleep and physical activity in the elderly at the Surakarta Darma Bhakti Nursing Home.
Hubungan Tingkat Pengetahuan, Sikap Dan Perilaku Pencegahan Tuberkulosis Di Distrik Meyado, Kabupaten Teluk Bintuni, Papua Barat
Authors: Wanma Febriani Robeka , Putra Kukuh Pambuka , Nusawakan Arwyn Weynand
Published: September 2021

World Health Organization states that in 2017 Tuberculosis cases are estimated to reach 842 thousand cases and 116 thousand deaths. Indonesia ranks third after India with 2.4 million cases and China with 889 thousand cases from all sufferers in the world. BTA + cases in Teluk Bintuni Regency in 2017 were 192 cases, 2018 were 265 cases and 2019 were 264 cases. The purpose of this study is to describe the level of knowledge, attitudes and behaviors in preventing Tuberculosis. Method: The type of research used is Observational Analytic. Research site in Meyado District, Bintuni Regency, West Papua. Samples 88 respondents, The sampling technique uses simple random sampling. The research instrument used a questionnaire. Results: respondents with a level of knowledge of less than 42 people (48%), 32 people enough (36%) and good 14 people (16%). Respondents with negative attitudes 65 people (74%) while positive attitudes 23 people (26%). The respondent's behavior is quite 49 people (56%), less behavior 25 people (28%) and good behavior is 14 people (16%). The Spearman rho test showed no relationship between the level of knowledge with tuberculosis prevention behavior (p value = 0.214), and there was a relationship between attitudes and tuberculosis prevention behavior (p value = 0,000).
Hubungan Kebiasaan Makan Pagi (Sarapan) Dengan Status Gizi Anak Usia Sekolah Di SD Muhammadiyah Terpadu Ponorogo
Authors: Munawaroh Siti , Muftiana Elmie , Dwirahayu Yayuk
Published: September 2021

Objective: Elementary school age children nutrition problems are the impact of an imbalance between food intake and nutrients released by the body. This can be caused by not having breakfast habits. Eating breakfast has the benefit of maintaining endurance and increasing learning concentration. The breakfast habit provides the energy and nutrients needed to carry out various activities throughout the day such as school, study, and play optimally. This study aims to determine the relationship between breakfast habits and nutritional status of elementary school children.Methods: This research was conducted at SD Muhammadiyah Terpadu Ponorogo class 4 and 5 with a sample of 113 students. The measuring instrument used was a questionnaire to explore the variables of breakfast habits, while to determine the nutritional status of students using a weighing scale. Nutritional status was calculated IMT/U. The bivariate analysis test used the Chi Square test of significance level 0.05Results: Chi square test results obtained p-value 0.406 means that there is no relationship between breakfast habits and nutritional status of school age children at SD Muhammadiyah Terpadu Ponorogo. Many factors influence nutritional status. Respondents do not usually eat breakfast, but during recess they eat by buying a canteen and in their daily life they like to eat vegetables and fruit so there is no problem with nutritional intake.Conclusion: Researchers recommend to the next researchers to dig deeper about the composition of the food at the time the respondent had breakfast.
Discharge Planning Pada Rehospitalisasi Pasien Congestive Heart Failure (CHF)
Authors: Hidayah Nurul , Kurniawati Dian Aulia , Umaryani Dewi Siti Nurkhasanah , Ariyani Novi
Published: September 2021

Objective:  to analyze a correlation of Congestive Heart Failure (CHF) discharge planning and readmission after hospitalization.Methods: The  study  was  conducted  at  ICCU  Tidar  Magelang  hospital  with  27 Congestive Heart Failure (CHF)  patients  who  had  readmission after hospitalization. The sampling technique was done by consecutive sampling technique. Data analysis in this study using Chi square.  Results:  The results of the statistical test (Chi Square) show that 1 cell (25,0%) with an expected value <5 means that the cell (box) with the expected value is below 5 is 25,0%. The minimum expected value is 2,96 meaning that there is no expected value <1. Continuity correction with p value = 0,002. The p-value of Fisher's Exact Test = 0,001. The results of the Symmetric Measures table (correlation test) obtained the value of the Contingency Coefficient (r) = 0,561 with a value of p = 0,000.Conclusion:  The  conclusion  of  this  statistical  test  is  that  there  is   a correlation of Congestive Heart Failure (CHF) discharge planning and readmission after hospitalization.Keywords:  Congestive Heart Failure, Discharge Planning, Readmission, Hospitalization
Optimalisasi Program Continuing Professional Development (CPD) Untuk Mendukung Peningkatan Kompetensi dan Karir Perawat RSI Surabaya
Authors: Muhadi Muhadi , Wahyuni Titin
Published: September 2021

Nurses are an integral part of patient care and play an important role in improving the quality of care in the hospital. Nurses have a responsibility to ensure patient safety with reliable and guaranteed competence. Nurse competence must be maintained through continuous professional development. The purpose of this study was to map the level of participation, driving and inhibiting factors for the implementation of the Continuing Professional Development (CPD) program. This study used a cross-sectional study design with a quantitative descriptive approach. The study population was all RSI nurses with a total sample of 104 survey participants with purposive sampling technique. Data were collected using an online questionnaire through the google form application from June to September 2020. Data analysis was carried out through SPPS 17 and presented in descriptive and tabulated narrative. The results of the study were the level of participation of nurses at the Surabaya Islamic Hospital in carrying out CPD activities which were divided into 3 categories, namely high, medium and low participation. A total of (17.3%) belonged to the low level of participation, (69.2%) the level of participation was medium and (13.5%) was classified as high. Some of the nurses in this survey reported reaching structural and clinical positions of nurses quickly through the skills, approaches and recommendations of managers. Short-term development plans are a priority for nurses' thinking in improving (CPD), namely the continuous fulfillment of complete nursing care practices and increasing the clinical career level. The long-term development plan for nurses is that some want to continue educational programs at a higher level such as specialized education and master's degree in nursing.
Pengaruh Guided Imagery Terhadap Skala Nyeri Pada Pasien Kanker Payudara Di Ruangan Rawat Inap Bedah Wanita RSUP Dr. M.Djamil Padang
Authors: Amelia Weny , Irawaty Dewi , Maria Riri
Published: September 2021

ABSTRACTBreast cancer is the abnormal growth of cells that occurs in breast tissue. The problem often arises in patients with breast cancer is pain. Guided Imagery is a nonpharmacological strategi that can reduce pain. The aimed of this research was to identify the effect of Guided Imagery to the scale of pain in breast cancer patients admited in female surgical wards Dr. M. Djamil hospital Padang. The study design was quasi experimental using pretest-posttest with control group and using a consecutive sampling. The number of samples was 30 people (15 control group and 15 the intervention group). Pain was measured by the Numeric Rating Scale (NRS). The statistical test was two different test mean. The result was a significant effect on the pain scale Guided Imagery in breast cancer patients (P Value = 0.000; α = 0.05). There was a significant relationship between the age with the pain scale (P Value = 0.000; α = 0.05), and there is no relationship between the tribe with the pain scale. The results of this study recommends Guided Imagery being implemented as nursing interventions to reduce the pain of breast cancer.
Perhitungan Kebutuhan Tenaga Medis Berdasarkan Workload Indicators of Staffing Need (WISN): Studi Kasus di Rs A, Rs B, Rs C, Rs D
Authors: Nasution Ali Napiah , Nasution Sri Lestari Ramadhani , Nasution Sri Wahyuni
Published: September 2021

Indicators showing how needs of steam in health facilities based on workload , so that the location / relocation would be easier and rational known as the workload indicators of staffing need ( wisn ) .Meeting the needs of of human resources in hospital was a the tone for hospital management .The management of the hospital have to are able to count needs human resources precisely on demand in each service unitMeeting the needs of excess of human resources in the hospital give a consequence labor costs high and gives rise to one of inefficiency of in financial management at the hospital .Lack of meeting the needs of human resources hospital give the effect of the workloads high to health workers and led the decline in of satisfaction with patient care , increase desire move work and diminishes the quality of patient safety. The number of human resources varied at every hospital in the city of medan.To achieve, vision and mission hospital skill and the ability of human resources needed to solve all problems is.From observation carried out in several hospitals in the city of medan, had shown an imperfection in planning the health workers and have not managed in a professional based on the workloads to the needs of human resources in every hospital. As a result , the available health numbers of workers have not been in accordance with a load of work and the real needs of in the field .The purpose of this research to analyze the needs of paramedics by counting discrepancy between the number of ideal paramedics ( skilled manpower including nurses and energy pharmacy ) by the fact that is said wisn difference and counting the workloads .The results of the study stated that the needs of labor is in accordance with the workloads is in some hospitals.
Kepatuhan Perawat Dalam Menyimpan Obat High Alert Di Unit Kritis Rumah Sakit Advent Bandungs Rumah sakit Advent Bandung
Authors: Ambarwati Ambarwati , Br Perangin-angin Mori Agustina
Published: September 2021

The critical unit is a treatmenta room for patients with severe conditions that require close observation and advanced treatment.  Due to severe conditions, patients are given therapy and types of drugs that require special attention or are often called high alert drugs, either in providing, giving or storing. The administration of drug in an inappropriate manner can cause a reaction that is dangerous to the patient and improper storage can also harm the patient materially.This study aims to determinethe compliance of nurse in the high alert drug storage processin the Critical Care Room in Bandung Adventist Hospital. The storage process includes labeling high alert drugs including high concentration electrolytes,cytostatic drugs,similar speech drugs ( NORUM AND LASA ),narcotics,insulin,antiarythmia,inotropics, and anticoagulants. The method used in this research is descriptive, namely through the data obtained fron the compliance of nurse who are in the critical care roomin Bandung Adventist Hospital regarding the storage process and high alert drug services. The results showed that the compliance of nurses who were in the critical care room who was the most obedient in storing high alert drugs was the NICU-PICU (Neonatal Intensive Care Unit - Pediatric Intensive Care Unit) room with an adherence rate of 86,01%. While the space that is lacking in compliance with high alert drug storage is the HCU-ICCU ( High Care Unit- Intensive Caronary Care Unit) room of rate 77,56% . This shows that the level of compliance thatis owned is still below the standard qualityindicator, which is 100%. So,it requires commitment by the nursesto better complywith the high alert drug storageand service protocols.
Persepsi Kesehatan Dan Status Kesehatan Mental Penderita Rematik Di Ambon
Authors: Raatburu Elda Janty , Ranimpi Yulius Yusak , Soegiono Simon Pieter
Published: September 2021

Abstract Background: Health Department data shows an increasing amount of prevalence of rheumatic diseases significantly in Maluku Province, starting from the year 2012 there are 8,549 cases, in 2013 as many as 12,761 cases, and in 2014 there were 28,279 cases. These figures certainly show a decline in health status especially when the disease can have an impact on the physical health of the individual Objective: know the perception of health and mental health status of patients with rheumatoid arthritis in Ambon. Method: qualitative with phenomenology approach using purposive sampling technique. Data collection with structured interviews and using interview guides as a data gathering tool, as well as a validity test using source triangulation. Results: there are four major themes: healthy-sick perception, participant health status, mental health status including self-concept, emotional and cognitive aspects, and pain management patterns in cultural view. Conclusion: rheumatic sufferers perceive the healthy that can move and socialize, while the pain is when not able to move. Participants' mental health is not affected by the pain they experience, and when they get sick, participants take their own medication. Keywords: Mental Health, Perception, Rheumatism
Pengaruh Konseling Saat Antenatal Care (ANC) Terhadap Pengetahuan Dan Sikap Ibu Hamil Tentang Tanda-Tanda Bahaya Kehamilan Di Wilayah Kerja Puskesmas Kapasa
Authors: Eppang Yudiarsi
Published: September 2021

Objective: The purpose of this study was to determine the effect of counseling during Antenatal care (ANC) on the knowledge and attitudes of pregnant women about the danger signs of pregnancy in the Kapasa health center coverage area. Methods: In this study, using a pre-experimental design design with the One Group Pre test and Post test approach and using purposive sampling research techniques. The number of samples is 16 people. The sampling technique uses the Federer formula. Data was collected by means of a questionnaire, data analysis used univariate and bivariate analysis using distribution tabels and Wilcoxon statistical test with 95% confidence degrees. Results: The results showed that the results of the Wilcoxon test for knowledge obtained p value = 0.011 which means that there is an effect of counseling on knowledge of pregnant women. And the Wilcoxon test results obtained p value = 0.025, which means there is an effect of counseling on the attitude of pregnant women. Conclusion: there is an effect of counseling during antenatal care on attitudes of pregnant women.
Pemahaman Makna Hidup Dalam Perspektif Kesehatan Pada Lansia Di Panti Werdha
Authors: Wijayanti Lono , Damawiyah Siti
Published: September 2021

Background: Everyone would want to enjoy their old age in a healthy condition both physically and spiritually, but the fact is that old age is more synonymous with periods of decline in physical, mental, and human interest. Purpose: The purpose of this study is to Identify the description of understanding the meaning of life from a health perspective for the elderly at the Panti Griya Werdha Jambangan in Surabaya. Methods: This study is a quantitative study with a descriptive design. The population in this study were all the elderly who live in the home for the werdha Jambangan with a total of 60 elderly and the sample used was 56 respondents using simple random sampling. The variable in this study is the understanding of the meaning of life from a health perspective in the elderly. The data were analyzed with descriptive statistics and presented in a frequency distribution table. Results: The results showed that out of 56 elderly people at the Werdha Jambangan Nursing Home in Surabaya, 73.2% of the respondents were 60-74 years old, 73.2% were female, and most of them 55.4% had an understanding of the meaning of a moderate life. Conclusion: Getting an understanding of the meaning of life requires a long and continuous process. A person who already has an understanding of the meaning of his life will be more prosperous and happier in life.Key words: Understanding the meaning of life, health perspective, elderly
Pengaruh Aplikasi Akupuntur Pada Pasien Hipertensi di Puskesmas Sentani Kabupaten Jayapura
Authors: Nompo Rifki Sakinah
Published: September 2021

Hypertension is blood pressure that exceeds normal limits divided into three categories. Hypertension is dubbed as a silent killer with symptoms of feelings of bending, headaches, palpitations, blurred vision, ringing in the ears, fatigue, vertigo, and nosebleeds. In addition, trends in treatment using alternative and complementary therapies are starting to appeal to the community, one of which is acupuncture. Acupuncture is a method of treatment by attaching needles to certain points on the body to reduce blood pressure or relieve symptoms of hypertension. This study aims to determine the application of acupuncture at points: LV3, HT7, PC6, and LU9 in hypertensive patients. This research was an experimental pretest-posttest without a control group with a time series approach, in 15 people with blood pressure criteria ≥130mmHg. This research was conducted from November 2018 to February 2019 using the analysis of the repeated ANOVA test. The results of the comparative output mean it is known that average hypertension before the acupuncture application was 172.93 mmHg, and after the acupuncture application 155.87 mmHg at the first meeting, hypertension before the acupuncture application was 154.50 mmHg and after the acupuncture application was 135.73 mmHg at the second meeting with the results of the in-action effect test revealed a Greenhouse-Geisser sig value of 0,000, so it can be concluded that there is a difference in the decrease in average blood pressure in hypertensive patients. Efforts that can be done are monitoring the continuity of hypertensive patients in carrying out acupuncture therapy.
Hubungan Pengetahuan dan Perilaku Pengawas Minum Obat Terhadap Kepatuhan Minum Obat Pada Pasien TB Paru Di Puskesmas Tobadak Kabupaten Mamuju Tengah
Authors: Swarjana I Kadek Dwi , Sukartini Tintin , Makhfudli Makhfudli
Published: September 2021

Objective: Indonesia is a country with the third highest TB burden in the world, after India and China. Tuberculosis is a global health problem that mostly occurs in developing countries. The cause of failure to treat pulmonary TB patients is inadequate knowledge that is caused due to low knowledge and lack of supervision carried out by the PMO. This study aims to get an overview of the relationship between the level of knowledge and behavior of supervisors taking medication to medication adherence in patients with pulmonary TB. Methods: This study used a descriptive analytic design with a cross-sectional approach. Data collection techniques are carried out by survey and observation. Sampling by purposive sampling. Results: The results of the study revealed that the statistical test using the SPSS version 16.0 program with the help of the Chi-Square test found that there was a relationship between knowledge and adherence to medication with a value of p = 0.001 with a significance level of α = 0.05 and PMO behavior with compliance with p values = 0.017 with a significance level of α = 0.05. Conclusion: The results of the study show that there is a relationship between knowledge and behavior towards medication adherence for patients with pulmonary TB
ASI Ekslusif, Perilaku Orang Tua Dalam Pemberian Makan Dan Kejadian Stunting Pada Anak Usia 1-3 Tahun
Authors: Purnama Ni Luh Agustini
Published: September 2021

Stunting is one of the nutritional problems that occur in toddlers due to chronic malnutrition. Chronic malnutrition is closely related to the ineffectiveness of exclusive breastfeeding, poor parenting, especially the behavior of mothers in feeding toddlers, this is because mothers have a major role, especially in choosing and preparing food to be consumed by toddlers. The phenomenon that occurred at the Posyandu Anggrek, Mulyorejo, Surabaya, was found that some children had a height that was not suitable for their age and some parents only gave formula milk when the child did not want to eat. The purpose of this study was to analyze the relationship between exclusive breastfeeding, parental behavior in feeding toddlers with stunting. The study design uses a cross-sectional design. Respondents were 22 mothers in Posyandu Anggrek 2, Mulyorejo Subdistrict, Surabaya, who fulfilled the inclusion and exclusion criteria. Stunting in toddlers is assessed based on z-score Height/ Age. Exclusive breastfeeding was assessed using a questionnaire. Maternal behavior in feeding is measured using the Parental Feeding Behaviors Questionnaire (PFBQ) questionnaire. Fisher's Exact Test statistic test results show there is a relationship between exclusive breastfeeding and parental behavior in feeding children with stunting in children aged 1-3 years (p = 0.002; p = 0.015). Exclusive breastfeeding and proper feeding behavior are important to prevent stunting in children.
Evaluasi Penerapan Early Warning Score di Ruang Rawat Inap Dewasa
Authors: Megawati Sri Wulan , Jundiah Raden Siti , Khotimah Nur Intan Hayati Husnul , Muliani Rizki
Published: September 2021

Early Warning Score (EWS) is one of the instruments used to assess the patient's physiological deterioration and is one of the assessments in hospital accreditation. The application of the EWS can predict patient outcomes in the form of mortality, length of stay, and re-hospitalization. The purpose of this study was to evaluate the application of EWS in the inpatient room. This study was a prospective observational cohort study of patients in adult wards (≥16 years) over a while (1 month). The number of samples was 256 patients. The instruments used in this study were a demographic data questionnaire and an EWS observation sheet. Descriptive statistics were used for patient characteristics, and EWS monitoring documents. The results showed that 100% of the EWS sheet documentation was incomplete, if this examination sheet was not carried out correctly it would affect the subsequent patient handling and patient outcomes both related to illness and death. Monitoring and evaluation related to the implementation of the EWS are very much needed in the future for the improvement of hospital services as a whole. Keywords: Early Warning Score, Evaluation
Health Belief Model dan Management Hipertensi Pada Penderita Hipertensi Primer di Papua
Authors: Rayanti Rosiana Eva , Nugroho Kristiawan Prasetyo Agung , Marwa Shendy Lusynthia
Published: September 2021

Objective: The prevalence of hypertension continus to increase. When suffering from hypertension, pattients must also carry out pressure management disease to control their blood. The Health Belief Model (HBM) can influence the pattient’s health behavior.The purpuseof this research is to analyze the relationship between the Health Belief Model and Manegement Hypertension in primary hypertension sufferes in Papua.Diabetes Mellitus, Methods: This article  use quantitative research with cross sectional design. The location of this research at Biak Kota Health Center, Papua from December 2019 until Ferbuary 2020. The criteria for respondents are hypertensive patients aged 20-55 years who were registered at the Biak Kota Health Center and the indigenous Biak Papua tribe. The instruments of research are the questionnaire Health Belief Model (about the level of confidence in the desease suffered) and hypertension management questionnaire (knowledge of the disease suffered and attitudes and actions taken). Patients also measured their blood pressure with a digital tension meter.Results:  of data analysis with correlation test is no relationship between all indicators in the health belief model and hypertension management.Conclusion: there is a relationship between the actions with serious of perception, benefits, behavior, and confidence in the health belief model with a weak correlation.
Asuhan Keperawatan Pada Lansia Ny.W Dengan Arthritis Gout Dalam Penerapan Implementasi Senam Ergonomis Untuk Menurunkan Nyeri : Studi Kasus
Authors: Budiari Ketut Dewi , Beba Nova Natalia , Mukti Wibawani Yunestri , Tarigan Sabarulin
Published: September 2021

Elderly who experience pain needs to get attention with special strategies and techniques in solving problems. Implementation of ergonomic gymnastic becomes one of the right actions. The research objective was to find out and get an overview of nusing care to the elderly, Mrs.W who has arthritis gout in the implementation of ergonomic gymnastics to reduce pain in Tatura Utara Sub-District, Palu City. Descriptive case study research design, responden was 1 person, data was collected by interview, observation and physical, examination. The instrument used was an assessment format for the elderly that focused on pain problems and extremity assessment. Data analysis used was data reduction, presentation and conclusion. The results obtained from the special assessment on the elderly only focused on pain problems. The intervention conducted was the implementation of ergonomic gymnastics. The conclusion of nursing evaluation was obtained after nursing actions were carried out for 3 times which the client’s pain level was decreased. It is hoped that from the results of nursing care case study, the implementation of ergonomic gymnastics can be applied in Home Care practice for elderly.Keywords:  Nursing care, Arthritis gout, Ergonomic gymnastics, Pain, Elderly
Efektifitas Terapi Pijat Refleksi Kaki Terhadap Pengendalian Glukosa Darah Pada Penderita Diabetes Melitus
Authors: Mardiana Mardiana
Published: September 2021

Introduction: Diabetes mellitus is a group of metabolic disorders characterized by damaged insulin secretion, insulin action, or both, resulting in an increase in blood glucose levels (hyperglycemia). The impact of chronic hyperglycemia and metabolic disorders with diabetes mellitus, which causes damage to tissues and organs such as the eyes, nerves, kidneys and blood vessel systems.Purpose: This literature study aims to analyze the effectiveness of foot reflexology therapy in controlling blood glucose in diabetic patients.Methods: the database in making this literature review is pubmed and google scholar. The articles found were in the 2015-2021 timeframe with full text and were selected according to the appropriate literature study topic.Results: Based on the results of literature search, 331 articles were found, and there were 5 articles that met the criteria regarding the effectiveness of foot reflexology therapy in controlling blood glucose in diabetic patients.Conclusion: The results of research from several articles in this literature review indicate that foot reflexology therapy is effective in controlling blood glucose in diabetic patients.Keywords: Blood Glucose, Diabetes, Massage Therapy, Foot Reflexology
Dukungan Keluarga Terhadap Peningkatan Kualitas Hidup Lansia Melalui Pendekatan "Bahaum Bapakat"
Authors: Sari Magdalena Meda , Desi Desi Desi , Dese Dennys Christovel
Published: September 2021

Abstrak Background: Elderly is someone who has reached the age of 60 years and over and has experienced physical deterioration. Changes experienced in the aging process can have a negative impact or cause problems for the elderly such as feeling helpless and useless, feeling hopeless about the life they are living, feeling inferior so that the elderly isolate themselves and avoid their environment.. The aging process can have an impact on the quality of life. The quality of a person's life can be influenced by environmental aspects, physical aspects, mental aspects and social aspects. If all aspects can be fulfilled by the elderly, the quality of life they get is also good. Family support has a good function in improving the quality of life of the elderly, because family plays an important role in the social support closest to the family. Purpose: This study aims to describe family support for improving the quality of life of the elderly through the traditional "bahaum bapakat" approach. Methods: the study used a qualitative method by conducting semi-structured interviews, participants who contributed as many as 10 elderly people and were taken by purposive sampling, data was collected through audio recorders and interview guides which were analyzed with the stages of data collection, coding, selecting useful data for determination. themes, then data triangulation was carried out. Results: Environment as a support system for the quality of life of the elderly, Physical health care for the elderly in Sungai Buluh Village, Emotion, Spirituality, and Self-description of the elderly in Sungai Buluh Village, Social interaction, Family Support System, Social role: bahaum elderly in Sungai Buluh Village. Conclusion: Family support through the approach bahaum bapakat  has an influence on improving the quality of life of the elderly in Sungai Buluh Village.Keywords: the elderly, the quality of life, family support, bahaum bapakat
Deskripsi Perilaku Kesehatan (Health Behavior) Dan Kualitas Hidup Lansia Suku Dayak Tomun Di Desa Sungai Buluh, Kab. Lamandau, Prov. Kalimantan Tengah
Authors: Pera Yohana , Desi Desi , Dese Dennys Christovel
Published: September 2021

AbstractBackground: The aging process makes the elderly experience physiological changes, susceptible to various diseases and physical deterioration. Elderly who do not have good health behavior will have a negative impact on their health. The negative impact of the aging process, for example a decline in physical condition, can reduce the level of independence of the elderly, lose their social role in society and mentally they feel inferior because they feel useless. The aging process has a negative impact on the quality of life of the elderly. Purpose: The purpose of this study was to examine the description of health behavior (Health Behavior) and the quality of life of the elderly Dayak Tomun tribe. Methods: This study uses qualitative methods with an approach through in-depth interviews in a semi-structured form. Respondents in this study were taken by purposive sampling amounting to 10 elderly people of the Dayak Tomun Tribe. Results: A supportive environment affects the quality of life of the elderly in the Dayak Tomun tribe, conditions and efforts to maintain / improve physical health, self-image, emotional color and spirituality of the elderly, social values in elderly interpersonal relationships, and elderly health behavior (aspects of knowledge, aspects of attitude and aspects of action). Conclusion: Health behavior of elderly respondents in the Dayak Tomun tribe is seen from the aspects of knowledge, aspects of attitude and aspects of good action. Meanwhile, the quality of life of the respondents is analyzed from 4 aspects, the elderly feel comfortable with their environment, the elderly are able to maintain their health condition, the elderly are able to accept themselves,achieve spiritual prosperity,and have good social relationships. Keywords: Elderly, Quality of Life and Health Behavior
Penerapan Standar Asuhan Keperawatan Pasien TB-Paru Yang Mengalami Ketidakefektifan Bersihan Jalan Nafas Dan Ketidakberdayaan: Family Centre Care
Authors: Budiarto Eka , Kurniawati Trina
Published: September 2021

Keluarga merupakan sistem penting bagi inidvidu yang sakit. Keluarga dapat menjadi caregiver bagi anggota keluarga lain yang sakit. Sebagai caregiver, keluarga dapat merasakan beban akibat rutinitas aktifitas perawatan dan kondisi penyakit. Salah satu beban caregiver adalah merasa tidak berdaya. Ketidakberdayaan muncul akibat persepsi negatif terhadap perawatan yang sudah dilakukan dan perasaan bersalah atas kegagalan perawatan. Caregiver dengan ketidakberdayaan dapat menghambat aktifitas perawatan kepada klien. Oleh karena itu, caregiver perlu mendapat dukungan dengan Family Psychoeducation Therapy (FPE). Indikasi FPE salah satunya adalah keluarga dengan masalah psikososial. FPE diberikan kepada keluarga Tn.A (42 tahun) dengan diagnosa medis Asma dan TB Paru. Tn.A dirawat oleh istri sebagai caregiver utama. Caregiver merasa bingung, kasihan, sedih, cemas, lelah dan pegal-pegal, aktifitas meningkat, dan merasa tidak berdaya. Pemberian FPE pada keluarga Tn.A dengan pendekatan spiritual khusunya pada sesi manajemen stress. Hal tersebut bertujuan untuk merubah persepsi caregiver negatif tentang masalah yang dialami, pemanfaatan pelayanan kesehatan, dan keyakinan terhadap diri. Pendekatan spiritual yang diberikan dengan dzikir, doa, dan meditasi. Penekanan tentang harapan sebagai domain spiritual juga membuat caregiver memiliki motivasi, alternatif pemecahan masalah, dan pertimbangan dalam pengambilan keputusan. Manfaat FPE dengan pendekatan spiritual adalah caregiver mampu merubah ketidakberdaan menjadi sikap optimis melalui perubahan persepsi yang dialaminya.
Status Gizi, Aktivitas Fisik Dan Keluhan Menopause
Authors: Widjayanti Yhenti
Published: September 2021

Pada masa menopause terjadi perubahan fisik dan psikologis akibat penurunan kadar estrogen yang dapat menyebabkan gangguan ringan sampai berat yang menimbulkan ketidaknyamanan. Keluhan menopause t berpengaruh pada kualitas hidup wanita menopause. Beberapa faktor berhubungan dengan tingkat keparahan keluhan menopause diantaranya adalah status gizi dan aktivitas fisik. Tujuan penelitian ini menganalisis hubungan antara status gizi, aktivitas fisik dan keluhan menopause. Sampel penelitian ini adalah 48 wanita menopause yang memenuhi kriteria inklusi. Dan dikumpulkan menggunakan simple random sampling. Variabel yang diteliti adalah status gizi, aktivitas fisik dan keluhan menopause. Instrumen yang digunakan adalah hasil  pengukuran berat badan dan tinggi badan, IPAQ dan MRS. Data dianalisis menggunakan analisis statistik deskripsi proporsi prosentase dan uji korelasi Rank Spearman. Hasil penelitian didapatkan 50% wanita menopause memiliki status gizi normal, 31 % status gizi lebih dan 19%, obesitas, 43 % tingkat aktivitas sedang, 38 % tingkat aktivitas ringan dan 19% tingkat aktivitas berat, 31% wanita menopause mengalami keluhan menopause dengan tingkat keparahan berat, 31 % dengan tingkat keparahan sedang, 23 % dengan tingkat keparahan ringan dan 15% tidak mengalami keluhan menopause, Hasil Uji statistik p < α, α=0,05, berarti H0 ditolak sehingga disimpulkan ada hubungan yang signifikan antara status gizi, aktivitas fisik dan keluhan menopause. Bagi wanita menopause diharapkan tetap menjaga berat badan guna mempertahankan status gizi normal dan juga melakukan aktivitas dalam tingkat sedang sehingga dapat menurunkan keluhan menopause akibat penurunan kadar estrogen.