bluuebunny/crossref_metadata_2025 huggingface dataset:
Comparative characteristics of modern dressing in the complex treatment of patients with purulent infection.
Authors: Yarema Ivan Vasilievich , Yarema Vladimir Ivanovich , Valentov Alexey Yurievich , Kozinda Zinaida Yulianovna , Erofeev Oleg Olegovich , Prosycheva Olga Olegovna
Published: October 2019

Rationale. According to recent studies, purulent complications of postoperative wounds are found quite widely in surgical practice. Objective. To establish the effectiveness of an integrated approach to the treatment of purulent wounds.Methods. The most popular dressings were investigated in the treatment of purulent cavities in patients with suppurative coccygeal cyst. The studied patients in the experimental groups had various comorbidities, such as diabetes mellitus, obliterating atherosclerosis of the lower extremities. Experimental dressings include a dressing agent with antimicrobial properties (with chlorhexidine digluconate), Hydrotül, Activetex HF. Results. In the postoperative period, it is necessary to use broad-spectrum antibacterial drugs. However, in addition to the primary methods it is necessary to apply additional methods of treatment. In particular, we are talking about the use of modern dressings, as well as methods of physical impact on the wound. Among the important additional methods of treatment is physiotherapy, which has a positive effect on the vascularization of soft tissues, thereby enhancing nutrition and epithelialization of the wound. The doctor is faced with the difficult task of determining the most appropriate material for a particular patient among a wide range of dressing materials on the medical market.Conclusion. In patients with an established diagnosis of “abscess pilonidal cyst” who do not have associated diseases, it is most effective to apply a Hydrotül ointment during dressings; in patients with a concomitant diagnosis of atherosclerosis obliterans, the dressing agent with antimicrobial properties (with chlorhexidine digluconate) has the greatest effect; in patients with diabetes mellitus type II - Activetex HF.
Ultrasound evaluation of the variants position of the femoral artery and vein in surgical practice
Authors: Moshkin Andrew Sergeevich
Published: October 2019

Aim. Clarify common variant of the relationship of the initial parts of the femoral artery and vein among outpatients Orel.
Methods. In the observation, 138 patients were examined on an outpatient basis using a Samsung Medison R7 ultrasound scanner using a 7-12 MHz linear transducer when examining the arteries and veins of the lower limbs [4]. 81 women and 57 men, aged 21 to 91 years (mean age 57.3 ± 9.9 years) were examined.
Results. As a result of the observation, 6 main types of mutual relations of the initial sections of the femoral vein were distinguished on the basis of a possible cover of the anterior wall of the vein of the femoral artery among the 138 outpatients. The results are grouped by type of vascular arrangement, patients' sex, and visualization of structures. The most common option was the close non-intersecting location of the vascular trunks, and the rarest - a partial cover of the surface of the femoral vein by 1/3 and 3/4 of the femoral artery trunk.
Conclusion. Knowledge of the characteristics of the relationship of large arterial and venous highways at “key points” allows us to develop the most optimal techniques for minimally invasive surgical interventions, reducing the likelihood of complications.
Surgical Tactics in Damages of the Scenosis of the Duodenumi of the Fince
Authors: Kubachev Kubach Gadgimagomedovich , Hachimov Kantemir Arturovich , Mukhiddinov Nuriddin Davlatalievich , Zarkua Nonna Enrikovna
Published: October 2019

Rationale. To date, the issues of early diagnosis and surgical treatment of patients with injuries to the retroperitoneal duodenum have not been resolved. Due to late diagnosis, the development of retroperitonitis in a short time after injury, the frequency of postoperative complications reaches 20% - 32%, and mortality - up to 18% - 27%.Purpose of the study. Improving the results of treatment of patients with damages to the retroperitoneal part of the duodenum.Methods. The results of treatment of 54 patients with a rupture of the retroperitoneal part of the duodenum are presented. In the study of patients with suspected damage to the retroperitoneal part of the intestine used ultrasound, EUS, FGDS and MSCT with intraluminal contrastResults. 28 victims were sutured by a duodenal defect and cholecystostomy. In these patients, the patient was disconnected by a flashing apparatus, and a gastroenteroanastomosis was formed. The failure of the duodenal sutures developed in 10 (35.7%), 8 (28.6%) victims died26 victims, after mobilization of the intestine by Kocher, were performed excision of the edges of the rupture of the intestinal wall and the formation of the side-to-side duodenojejunostomy with the Ruian loop of the jejunum off. The postoperative period was smooth in 20 victims. 2 patients with concomitant injuries of the liver, spleen, skeleton bones died 2 and 4 days after the operation due to severe blood loss and shock. In the postoperative period, 4 patients on the 5th and 6th day developed micrononextensity of the seams of duodenojejunostomy. Both patients were treated conservatively and were discharged.
Evolution of upper urinary tract drainage method
Authors: Zolotuhin Oleg V , Madykin Yuri Yurievich , Fedorov Artur A
Published: October 2019

Despite the achievements of modern medicine, the method of drainage of the upper urinary tract with obstruction remains an urgent problem in urgent urological practice. The article presents a brief literature review of classical methods of upper urinary tract drainage, such as open nephrostomy and ureteral catheter installation. Special attention is paid to modern methods of drainage of the upper urinary tract. Percutaneous puncture nephrostomy today is one of the most frequently performed operations for the purpose of upper urinary tract drainage in urology, which is used both for medical and diagnostic purposes, which characterizes it as a fairly simple operation and safe for the patient, which has a number of significant drawbacks (wearing a urinal, possible purulent-septic complications, traumatization of the renal parenchyma). In contrast to percutaneous puncture nephrostomy, the urethral stent is devoid of the above disadvantages, however, it has no less significant disadvantages in use (migration, inlay, reflux).
Bathing Method for Preterm Infants: A Systematic Review
Authors: Tambunan Dior Manta , Mediani Henny Suzana
Published: October 2019

Background: Current research suggests that routine daily bathing for preterm infants can render many adverse effects on physiological responses and comfort distress of the infant. Repeated stress on premature babies can have destructive longterm effects on brain development. Objectives: To identify the best current evidence regarding bathing method for preterm infants in enhancing neuro developmental care by using atraumaticcareapproach. Methods:Acomprehensiveliteraturesearchwasperformed in PubMed, ScienceDirect, Wiley Online Library, EbscoHost, Proquest from year of 2008 – May 2019 with the search strategy keywords: bathing, behavioral responses, physiological parameters, premature babies, preterm infants. Inclusion criteria for this study were an original research or systematic review about preterm/premature infants with gestational age is 30 – 37 weeks. PRISMA guideline was applied as a search strategy tool, compared to the used of another conceptualizing tool.
Results: A total of 883 of records were identiﬁed. After removal of duplicates and initial screening, nine articles met the inclusion criteria of bathing methods for preterm infants. There are several bathing methods were identiﬁed: sponge bath, conventional/immersion tub bath, and swaddle bath which is related to physiological responses and behavioral distress during and after bathing intervention. This systematic review showed that swaddle bath had a positive effect on physiological measurement and behavioral responses to preterm infants compared to conventional tub bath and sponge bath which can increase physiological and behavioral discomfort to the preterm infants.
Conclusion: This study showed that some of the processes actually reduce negative effects of bathing on the health of the preterm infants. Swaddle bath has proven to be the best and safest type of bathing method for preterm infants during hospitalization that produces fewer changes regarding physiological and behavioral distress to the preterm infants. It is recommended that swaddle bath should be used for preterm infants during they are hospitalized and to be considered as a standard operating procedure in the perinatology unit and neonatal intensive care unit or pediatric intensive care unit.
The Relationship between Eating Wild Animal Meat with the Level of Uric Acid in Langowan Minahasa, Indonesia
Authors: Reagen Mandias , Reagen Mandias
Published: October 2019

Background; Some researchers have proven that there was a relationship between eatingmeatanduricacidlevels.Therehavebeennospeciﬁcstudiesontherelationship between eating wild animal products and uric acid levels. LangowanMinahasa is one of the tribes in Indonesia whose people love to eat wild animal meat from hunting.
Objectives; The purpose of this study was to determine the relationship between consumption of wild animal meat and uric acid levels in the LangowanMinahasa community.
Methods; The research method used wascross sectional with 35 respondents selected using purposive sampling.
Results; 42.9% of respondents eat wild animal meat more than three times a week and the mean of uric acid was 6.78mg/dL (SD = 1.27). There was a positive relationshipbetween consumption of wild animal meat with uric acid levels in the MinahasaLangowan community (r = 0.562), (p = 0.000).
Conclusions; consumption of wild animal meat with uric acid levels have a positive relationship. This study recommend that the LangowanMinahasa people should reduce or even stop consuming wild animal meat and switch to consuming other protein sources. The researcher also recommended to village ofﬁcials and the government to provide information to the community on the negative impact of consuming meat from hunted products, both on health and natural ecosystems.
Effect of Problem Solving Cycle (PSC) on Nursing Student’s Leadership Competencies
Authors: Hayati Suci Noor , Supriatin Eva , Rizki Kusuma Putri Tri Antika
Published: October 2019

Background: Problem Solving Circle (PSC) is a learning method used to build up a leadership characteristic to meet the clinical practice outcome especially in nursing management subject. The characteristic includes 3 aspects, there are knowledge/intelligence, personality, and ability. The way of thinking critically, systematically, and creative are basic characters in facing a competitive future ahead.
Objective: This studyaimed toidentify the effect of PSC to student’s leadership competencies on nursing management subject.
Method: One group pre-post test designwasusedinthisstudywithtotal35nursingstudentassamples.Datacollecting have done accord to questioner as an instrument in this study which divided the competencies as 3 domains, intelligence, personality, and ability. Univariate and bivariate analysis have conducted used paired T-Test. It used to ﬁnd out the difference betweenleadershipcompetenciesbeforeandafterimplementation.Result:therewasa signiﬁcant difference in leadership competencies after using PSC method with p-value 0.000(α:0.005).
Conclusion: Nursingeducationespecially inclinicalpracticeareanot only to increased students skill competencies but also the leadership competencies to make them ready at their future job as nurse professional. This study showed that PSC can be an alternative learning method for improving student leadership competencies. Another study should conduct in PSC implementation with larger samples.
The Risk Factor of Recurrence Stroke among Stroke and Transient Ischemic Attack Patients in Indonesia
Authors: Rahayu Listian Prisilia , Sudrajat Diwa Agus , Nurdina Gina , Agustina Elis Nurhayati , Kusuma Putri Tri Antika Rizki
Published: October 2019

Background:Stroke described as a disruption of blood ﬂow in the brain which can lead to brain malfunction, neurological deﬁcits, and even death. Although with good managementin acute period, the incidence of recurrent stroke still increasing every year.
Objectives: This study aimed to determine the dominant risk factorof stroke recurrence.
Methods: This study was a cross sectional descriptive study with 274 strokes patients as samples. The samples were recruited from one of general hospital specialize in neurology disorders in Jakarta, Indonesia.
Results: The result indicated a signiﬁcant correlation betweencardiovascular disorders, cholesterol, and activity withincidence of stroke recurrent (p<0.05). The dominant risk factor in this study wasobesity event (OR = 0.616).
Conclusion: Besides the dominant factor, there were 3 factors that signiﬁcantly affectstroke recurrence;cardiovascular disorders, hypercholesterolemia, and physical activity.Nurses should be more aware that some patients may still have risk factors of stroke recurrence even they have discharged from hospital. With some efforts like health education and controlling the factors can help to reduce the risk of stroke recurrence.
The Satisfaction Level of Elderly Health Service at the Integrated Community Service Delivery (POSBINDU) of Community Group 02, Lingkar Selatan Village, Bandung City
Authors: Enisah Enisah , Lindayani Linlin
Published: October 2019

Background:Elderly health status,particularly about elderly welfare,isregulatedbyLaw Number13launchedin1998.Thenatureoftheagingprocesschallengesthispopulation with a wide range of health problems, emerging the need for health prevention and promotion program. Based on the Regulation Number 43 on 2004, government have launched Intergrated Community Service Delivery (Posbindu) for elderly as one of Implementation of Elderly Welfare Improvement Efforts, and this study to describes a case example of a treatment outcome and satisfaction assessment program at the Posbindu that provide comprehensive health service.
Objectives: This study aim to identify the satisfaction of elderly on the implementation of Posbindu.
Methods: Design of this descriptive survey study are carried out atone time point or overshort period.Purposivesamplingmethod to use is total population sampling because the number of elderly relatively small. In this study, the elderly population in Posbindu registered and recorded in 2019 was 81 people and therefore the samples were received based on the required minimum formula of 23 people. Service quality intrument used to measure the satisfaction of the health service include reliability, responsiveness, assurance, empathy, and physical evidence (tangible) assessed, as well as the level of experience of the elderly in health service at the Posbindu. The Likert scale was used to measure opinions and perceptions ranging from 1 to 5. The Wilcoxon Sign Rank Test was used for data analysis, which involves a test on two inter-correlated samples (paired samples) from populations with the same average.
Results: The data analysis results indicated there was a very signiﬁcant correlation on: 1) the ability of the clinic ofﬁcers to be fastresponsive in solving the complaints; 2) the Posbindu ofﬁcers Spaid special attention to the elderly while providing health service; and 3) the rooms of elderly health service were clean, tidy and comfortable. These three indicators should be improved in order to guarantee satisfaction of health service to the elderly.
Conclusions: There were other parameters which needs to be ﬁxed for the ofﬁcers to be more fast-responsive in handling the complaints, pay more special attention and improve the cleanliness, tidiness, and comfort of the Intergrated Community Service Delivery (Posbindu) rooms.
Multidimensional Quality of Life of HIV/AIDS Patients Who Undergo ARV Therapy in Maccini Clinic Makassar
Authors: Tahir Muh Yusuf
Published: October 2019

Background: AIDS is a collection of symptoms caused by a variety of microorganisms and other ferocity due to the decreased resistance/immunity of the patient.GlobalAIDS epidemicshowsthatthereare34millionpeoplewithHIVworldwide.InSoutheastAsia, there are approximately 4 million people with HIV. HIV infection in humans has a long incubation period (5-10 years), and then the patient can be called as people living with HIVHIVcausesimmunedeﬁciencysothatthepatientsarevulnerabletoopportunistic infection attack. Antiretroviral (ARV) could be given the patients to stop a virus and restoring the immune system, reduce the occurrence of opportunistic infections, improve the quality of life and decrease disability.
Objectives: This study aims to explore the Multidimensional Quality of Life of HIV/AIDS patients in Maccini Clinic Makassar.
Methods:Phenomenological study conducted to explore the experiences of informants related to the quality of life of HIV/AIDS patients who have antiretroviral therapy. Ten informants selected based on inclusion criteria using purposive sampling. Data were collected through interviews and analysis with the aid of N Vivo software version 10.
Results: The results of this study shows that after having antiretroviral therapy, HIV/AIDS patients have increased in physical, psychological, social, functional, environmental, spiritual, and sexual dimensions.
Conclusions: The dimension that gives most inreasing of the quality of life in HIV patients was physical dimension.
The Life Experience of Family As Caregiver in Child with Cancer
Authors: Supriatin Eva , Oktaviani Milawati
Published: October 2019

Background: Cancer in children is a very complex issue when treatment and care involve families especially parents, peers and other environmental components are needed to help the healing process.
Purpose:This study aimed to know the experience of family while caring the children with cancer.
Method: This study was a qualitative study with descriptive phenomenology design. The participants in this study were ﬁve people using Colaizzi’s analysis technique.
Results: The results of this study showed four themes, which were the physiological needs and the need for comfort and safety, loss process experienced by the caregiver, overcoming obstacles, and family’s decision making.
Conclusion: Physiological needs that came out from this study were bathing, eating, hyperthermia management, and giving the drug, while the need for comfort and safety described as bringing a child to a health care facility. The loss process starts with denial from family into acceptance phase. The family has strong conﬁdence to overcome the obstacles with believing that the child will be cured.Environmental support with good health care facility and decision-makingbythe mother also showed in this study.
Suggestions: The family who also being a caregiver for their children expected to increase their knowledge about cancer and health care provider are required to be capable enough to delivere dheal the ducation about cancer.
The Effectiveness of Family Peer Group Education Intervention on Family Support of Type II Diabetes Mellitus Patients
Authors: Irawan Erna , Alfatih Hudzaifah , . Faisal
Published: October 2019

Background: The number of people with diabetes mellitus is increasing with the most cases being Type II Diabetes Mellitus which is a chronic condition and if not treated seriously can cause complications such as kidney disease, amputation and blindness. Families play an important role in prevention and help deal with patients’ disease problems. One of the factorsthat inﬂuence the health of DM patientsis family support. It has a signiﬁcant inﬂuence on the success of diabetes management. The most inﬂuential factor for family support is health knowledge and education. Peer education intervention group is one type of health education that provides increased knowledge, psychosocial, and more effective expenditure, rather than personal counseling. Family as a function of health that requires peers from their own family members. 
Objective: The purpose of this study was to identify the effectiveness of the peer group Educationin tervention family against the family support of type II DM patients.
Methods: The designused in this study included the randomized pretest and -posttest control group design. Sampling was done by purposive sampling with family inclusion criteria in which one family member suffered from type II DM, stayed with the patient, and was willing to become a respondent. Data collection is using family support questionnaire. Data analysis used a t-test.
Results: The results showed there were signiﬁcant differences between pre and post intervention. The peer group education intervention increased the family support of type II DM patients after the post intervention (p = 0.00). the peer group education intervention family increases the family support of type II DM patients in the intervention group compared to controls (p =0.00).
Conclusion: The results showed that peer group intervention education was more signiﬁcant than health education usually in increasing the family support of diabetes mellitus patients,so that it could be used as an intervention choice for community nurses in increasing family support for DM patients.
The Development of Information System for Mental Health Nursing Interventions: A Literature Review
Authors: Dwidiyanti Meidiana , Kurniasari Cecilia Indri , Mamo Kitu Irene Febriany , Agustriyani Feri , . Rokhyati , Utama Medika , . Asiah , . Ardinata , Sari Sri Padma , Wijayanti Diyan Yuli
Published: October 2019

Background: Technology is used for not only the development of the health industry but also the advancement of health services, especially in mental health nursing. The current service of mental health nursing needs quick and accurate actions and security of documentation. An information system is a form of technology which can provide a solution to improve the quality of mental health nursing services.
Objectives: This paper aims to review some information system or application that was used in mental health and describe information systems associated with the patients’ ability in performing self-care also the outcomes of services.
Methods: This study is a literature review which collected its data from journal articles published from 2000 to 2019, with keywords: mental health, information technology, and mobile application. The articleswereretrievedfromtheelectronicdatabasesofGoogleScholar,PubMed,Wiley Online Library, and Science Direct. Seven articles were included in this review. The theme of this study is the information system in mental health nursing interventions.
Results: The results of the analysis show that technological development is applied in the information system of patient monitoring and independent actions in caring for symptoms of mental health disorders to increase the quality of mental health.
Conclusions: The implementation of information technology on the documentation of mental health nursing service has not been extensively developed in hospitals.
The Optimalization of Family Coping n Caring for Mental Retardation Children through Family Psychoeducation in Jombang
Authors: Rosmaharani Shanti , Noviana I , Susilowati A
Published: October 2019

Background:Children with Mental retardation have intellectual limitations which cause dependency. The limitation of mentally retarded children becomes a stressor for the family which can affect the family’s ability to provide care. So that adaptive coping is needed, so families can provide optimal care. Family psychoeducation is a way that can optimize family coping.
Objective: This study aims to determine the effect of family psychoeducation on coping in treating children with mental retardation.
Methods: The design of this study was quasi experimental pre-post test with control group of family psychoeducation intervention. The family population who had mental retardation children in Jombang was 277. While the sample was taken using a simple random sampling technique as many as 140 families with a distribution of 70 families as the control group and 70 families as the treatment group. The independent variable was family psychoeducation and the dependent variable was family coping in treating children with mental retardation. This study used the Wilcoxon statistical test in the treatmentgroup0.001whichfollowedbyaMannWhitneydifferencetestwhichshowed the results of ρ value (0.000)<α (0.05).
Result: The results showed that there was an effect of family psychoeducation on family coping in treating children with mental retardation. Family psychoeducation provided information through a psychological approach to the care of children.
Conclusion/implication: Families are expected not only understand the care of children with mental retardation but also improve family coping mechanisms so that psychosocial problems in the family are resolved properly.
Descriptive Study On Family Planning Village of National Population and Family Planning Board Banten Province
Authors: Nugraha Deden Gumilar , Riyanto Dwi Agung , Ariesta Rita , Azmi HanaNurul
Published: October 2019

Family planning village is one of the miniature forms BKKBN and synergizes with Institutions, working partners, stakeholders of relevant agencies in accordance with regional needs and conditions, and to be implemented at the lowest government level (according prerequisites for determining the location of family planning villages) in all districts and cities. This study is an evaluative study with data collection carried out through quantitative and qualitative approaches. Respondents with quantitative data collection were Fertile Age Couples in the family planning village target area. The Evaluation Study of family planning village was held in the Cikentang village, Sayar Village, Taktakan Subdistrict, Serang City and Kadu Seeng village, Talagasari Village, Saketi Subdistrict, Pandeglang District. Program mobilization from the provincial BKKBN with regional area from sub unit is ceremonial and activity development is still integrated with the KKBPK program activities in general. The program achievements according to family planning participation from the tools / methods used after the declaration do not show signiﬁcant program achievements, which are around 10 – 13 percent of implants and injections, from population administration (ID card) is not complete target. The knowledge and practice of family development after the declaration of the people who joined BKB, BKR, BKL, and UPPKS was very low, rangefrom 1 - 6 percent, while community participation in the family planning village in variousaspectsofactivitiesshowedalowparticipationrateof8percentand14percent.
Association between the Onset of Menopause and Hypertension among Elderly in Kamurang and Rawakuda Villages, Kedung Waringin Sub-District in 2019 Iin Ira Kartika, Cusmarih, Sisca PriAndini
Authors: Kartika Iin Ira , . Cusmarih , PriAndini Sisca
Published: October 2019

Background: Menopausal women are more prone to have hypertension. Estrogen can cause narrowing of the arteries, which cause an increase in blood pressure. The impact of hypertension on older adults become a signiﬁcant factor in the occurrence of stroke, heart failure, and coronary heart disease. The elderly who are more than 60 years old may die of heart and cerebrovascular disease. Add more support senetence to highlight the imprortance of your study.
Objective: To determine the relationship between the age of menopause and hypertension in women in Kamurang and Rawakuda village in KedungWaringin sub-district, Bekasi regency in 2019.
Method: This study uses a cross-sectional approach; the sampling technique used in this study is to a total sampling with 42 respondents. The variables in this study include dependence variable, namely hypertention while the independent variable is the age of menopause,and the confounding variables Reage, genetic,caffeine and salt intake. The writer analyzes variables using univariate analysis and bivariate analysis using chi-square while multivariate analysis using multiple logistic regression tests.
Results: Therelationshipofmenopausalagewithhypertensioninolderwomenhasap-valueof 0.499 with an OR value of 1.597 (CI: 0.412-6189) controlled by high salt intake variable. Elderly with age experiencing menopause older than average (50 years) will have the risk of developing hypertension 1.597 times greater than the elderly who experience younger menopause after being controlled by high salt intake variable.
Conclusion: Elderly with age experiencing menopause older than average (50 years) will have a risk of developing hypertension 1.597 times greater than the elderly who experience younger menopause after being controlled by high saltin take variable.For researchers who would like to conduct further research, it is recommended to investigate the most dominant or most inﬂuential factors which inﬂuence the occurrence of hypertension in elderly women.
Do the User of Nutrition Information System (SISFORNUTRIMIL) Application Have an Impact on Maternal Eating Behaviour and Pregnancy Outcomes?
Authors: Koeryaman Mira Trisyani , Pallikadavath Saseendran , Ryder Isobel
Published: October 2019

Background: In several studies have reported that complications of pregnancy could be indicated by inadequate nutrition during pregnancy. In this regard, some of the pregnant women are limited-time engagement with health professionals, lack resources and education of nutrition, and consume unhealthy food. Often found that pregnant women and family are difﬁcult to estimate nutrient intake in line with dietary targets and guidelines and nutrient reference value.TheNutritionalInformation System (SISFORNUTRIMIL) is an application which helps the pregnant women to estimate nutrient intake and record their food intake.
Objectives: The study aims to determine the maternal eating behaviour and pregnancy outcomes measurements.
Methods: This study involved two phases. Phase one: Conducting a literature search required engaging in an extensive and systematic search strategy to be able to identify articles related to this study. Step two: this study will randomized control trial (RCT) and allocate participants 1:1 to the SISFORNUTRIMIL application user and non-user application. The Minimum Dietary Diversity for Women of reproductive age (MDD-W) indicators and Adult Behaviour Eating Questionnaire (ABEQ) will be used to identify maternal eating behaviour. In additional, maternal weight gain, blood sample test, and birth weight examination used to measure pregnancy experience and pregnancy outcome.
Discussion: Nutrition intervention during pregnancy is an important strategy to improve health pregnancy in reduced the healthcare and health promotion issue. The SISFORNUTRIMIL application for individual preferences for nutrition intervention and optimal pregnancy outcomes, suggesting a need for food intake guidelines that facilitate pregnant women involvement in eating properly. Furthermore, this research as a proper foundation to contribute to decreasing the morbidity and mortality rate.
Effect of Progressive Muscle Relaxation and Slow Deep Breathing on Blood Pressure and Heart Rate on Hypertensive Clients
Authors: Manoppo Arlien J. , Anderson Elisa
Published: October 2019

Background: Conclusions/Importance.Indicators of hypertension can be seen through the blood pressure (BP) and heart rate (HR). Several attempts continue to be made to control BP and HR, such as progressive muscle relaxation (PMR) and slow deep breathing(SDB).
Objectives:The purpose of this study was to analyze the effect of PMR and SDB to control BP and HR on the hypertension clients.
Methods: The research utilized a quasi-experimental design with pre-post test nonequivalent control group. Sample of 91 respondents were selected during May-July 2016 through convenience sampling techniques. The researcher used parametric statistical regression multiple linear regression to analyze the effect of PMR, SDB, and combination of PMR and SDB on BP and HR.
Results: In the intervention group, PMR, SDB, and combined PMR-SDB are given twice a day for four days. The results showed the inﬂuence of PMR,SDB,combinedPMR-SDBtechniquestoBPandHR(p<0.05).PMRandcombined techniques (PMR-SDB) simultaneously and partially have a signiﬁcant inﬂuence on BP and HR (p<0.05). SDB simultaneously only have a signiﬁcant inﬂuence on diastolic BP and HR (p<0.05), but partially have a signiﬁcant inﬂuence on BP and HR (p<0.05).
Conclusions: The research concluded that there is signiﬁcant inﬂuence of PMR, SDB, and combined PMR and SDB on BP and HR. PMR and SDB programs need to be developed as independent nursing interventions on the nursing care of patients with hypertension.
Effects of Benson’s Relaxation Technique on Nausea in Patients with Chronic Kidney Disease Undergoing Hemodialysis
Authors: Ropyanto Chandra Bagus , . Sumarsih , Kusumaningrum Niken Saﬁtri Dyan , Hidayati Wahyu
Published: October 2019

Background: Nausea is a common complaint of patients with chronic kidney disease due to an accumulation of urea. Hemodialysis therapy has some side effects that play a role in increasing nausea. The use of pharmacological treatment to deal with nausea may bring a risk of aggravating the work of the kidneys, and thus its administration should be limited. Benson relaxation is a complementary therapy which reduces nausea by increasing the relaxation response that affects the nausea center in the brain.
Objectives: This study aims to determine the effects of Benson relaxation technique on decreasing nausea.
Methods: This study used a pre-posttest quasiexperimental research design with a control group. The samples were 30 patients recruited using consecutive sampling and were divided into the intervention group (n=15)andthecontrolgroup(n=15).Nauseawasmeasuredusinganumericratingscale. Theresultsshowedthattherewasadecreaseinthemeanofnauseaintheintervention group from 7.13 to 2.26, with p-value = 0.001. The mean value slightly decreased in the control group from 7.20 to 6.40, with p-value = 0.001.
Conclusions: Benson relaxation affected the decrease of nausea in patients undergoing hemodialysis. Based on the results of this study, it is expected that nurses apply Benson relaxation technique as a non-pharmacological therapy to decrease nausea in hemodialysis patients.
Contribution of the Amount of Pregnancy (Gravida) to Disease Related Pregnancy and Complications During Labor
Authors: Sari Dilla Nurfatika , Muﬁdah Ni’mah , Lestari Diyah Ayu Suri , . Sulastri
Published: October 2019

Background: Increasing maternal and neonatal mortality is still the most important health problem in the developing country like Indonesia. One of the causes of high maternal and infant mortality rates is the presence of mother and disease during pregnancy such as diabetes mellitus, pre-eclampsia, anemia, asthma, heart disease, infection, and hepatitis. The diseases of participants during pregnancy should not be immediately handled when copied, therefore can impact and threaten the safety of mothers and their infants.
Objectives: This study aims to ﬁnd the age of the mother with the diseases, the status of the gravida of the mother, the diseases of the woman, the type of delivery which was undertaken, and the status of the maternal graph with the highest participant disease.
Methods: This research used descriptive with study design. Researchers took samples using a total sampling technique of 157 respondents who were taken from looking at the Medical Record (RM) data at PKU Muhammadiyah Klaten, in a central data processing technique.
Results: The research shows that mothers 20-35-year high age presentation of 106 (67.5%). Gravida of the highest mothers was at multigravida (70.7%). Participants in the highest pregnant women were 128 (81.5%). Delivery of pregnant women with the highest participant diseasethroughthe81(51.6%)sexistcontributionof81.6%.Thecontributionofmother’s gravida to the highest gestational disease is in multigravida with pre-eclampsia 103 (92.7%).
Conclusions:the pregnancy status of mothers contributes to them maternal and child health during pregnancy and childbirth.
Factors Related to Napza Abuse among Adults in the Narcotics and Drug Abuse Foundation (YKPN2N) Makassar
Authors: Napolion Kens , Siatang Weni , Idris Noﬁanti
Published: October 2019

Background : NAPZA is substances affecting the structure or function of some parts of ones’ body who consumes them.
Objective:This study examined factors related to NAPZA abuse among teenagers in the Narcotics and Drug Abuse Foundation (YKP2N) Makassar.
Methods:The design of this research was analytic survey using cross sectional study approach. The data obtained were analyzed using the ﬁsher test. Sample In this research, total sampling method was used. Therefore, the number of samples in this study were 30 people.
Result:The result of this research revealed that there is correlation between personal factor and NAPZA abuse with the score of p=0,031≤(p,α = 0,05); the correlation between family factor and NAPZA abuse scored p = 0,02≤(p,α = 0,05); while the correlation between peer factor and NAPZA abuse scored p=0,031≤(p,α = 0,05).
Conclusion: Therefore, it can be concluded that there is a correlation between personal factor, family factor, peer factor and NAPZA abuse among adults.
The Relationship between Exclusive Breastfeeding (ASI) and Mother Heightwith Incident Rates Stunting among Child Age 2-5 Years In Barombong Public Health Center, Gowa, Sulawesi Selatan
Authors: . Mikawati , Lusiana Evi , . Hasriany
Published: October 2019

Background: The incidence of stunting is one of the nutritional problems experienced by toddlers in the world today. Indonesia ranks ﬁfth for stunting in the world, which is around 37% (nearly 9 million) children. Toddlers with stunting will have a level of intelligence that is not optimal, making children more vulnerable to disease and in the future can be at risk of decreasing levels of productivity. In the working area of the Barombong Public Health Center, it was reported that nutrition issues, especially exclusive breastfeeding for toddlers and pregnant women, were still the focus of attention from the current Puskesmas work plan. So that this problem could be a risk factor for stunting incidents experienced by many toddlers in the work area of Barombong Health Center, Gowa Regency, South Sulawesi.
 Objectives: This study aims to determine how the relationship between exclusive breastfeeding and maternal heightwiththeincidenceofstuntingininfantsaged2-5yearsattheBarombongPublic HealthCenter, Gowadistrict, SouthSulawesi.
Methods:A cross sectional approach was used, this study conducted in August 2018 with the total population was 56 toddlers were selected using purposive sampling techniques. Data collection was carried out by researcher assisted used questionnaires. Forty nine toddlers met inclusion criteria. Parental height data is obtained by measuring high using a precision microtoise of 0.1 cm and the incidence of stunting is obtained by measuring the nutritional status with toddler’sheightbyage(TB/U)islessthan-2SDandchisquaretestwasusedtodata analysis.
Results: Theresultswereprevalenceofshortfathersis1%,andshortmothers is 89.8%. The prevalence of children under ﬁve did not get exclusive breastfeeding is 75.5% and the incidence of stunting is 83.7% and very short 16.3%.From the bivariate test results there was no relationship of father’s height with stunting events chi square test results (p-value 1.00) of parents with stunting events, there was a relationship of maternal height with stunting events chi square test results (p-value 0.026), there is a relationship between exclusive breastfeeding with the stunting event of the chi square test results (p-value 0.015).
Conclusion: the conclusion of this study is need family approach and providing education to the family as well as best nutritional intake in the breast milk at the beginning of life in order to prepare the ﬁrst 1000 days of children life to avoid Stunting.
The Optimalization of Family Coping n Caring for Mental Retardation Children through Family Psychoeducation in Jombang
Authors: Rosmaharani S , Noviana I , Susilowati A
Published: October 2019

Background: Children with Mental retardation have intellectual limitations which cause dependency. The limitation of mentally retarded children becomes a stressor for the family which can affect the family’s ability to provide care. So that adaptive coping is needed, so families can provide optimal care. Family psychoeducation is a way that can optimize family coping.
Objective: This study aims to determine the effect of family psychoeducation on coping in treating children with mental retardation.
Methods: The design of this study was quasi-experimental pre-post test with control group of family psychoeducation intervention. The family population who had mental retardation children in Jombang was 277. While the sample was taken using a simple random sampling technique as many as 140 families with a distribution of 70 families as the control group and 70 families as the treatment group. The independent variable was family psychoeducation and the dependent variable was family coping in treating children with mental retardation. This study used the Wilcoxon statistical test in the treatmentgroup0.001whichfollowedbyaMannWhitneydifferencetestwhichshowed the results of ρ value (0.000)<α (0.05).
Result: The results showed that there was an effect of family psychoeducation on family coping in treating children with mental retardation. Family psychoeducation provided information through a psychological approach to the care of children.
Conclusion/implication: Families are expected not only understand the care of children with mental retardation but also improve family coping mechanisms so that psychosocial problems in the family are resolved properly.
Behavior Factors in Waste Management in Mangunreja Village
Authors: . Nuraini , Pertiwi Wiwik Eko
Published: October 2019

Background: Waste is any substance of products which is discarded after primary use or no longer used. Mangunreja village is one of the villages in Kab. Serang with a population of 3,018 people and the resulting volume of waste generated is 6,036 liters/person/day.
Objectives: This study aims to determine the factors associated with thebehaviorofwastemanagementintheMangunrejaVillage,PuloAmpelPublicHealth Center in 2019.
Methods: The design of this research is cross sectional where the sample was taken with a simple random sampling method. Thepopulationofthisstudy is all housewives living in the Mangunreja Village, with a total sample of 194 people. Primary data collection uses a questionnaire, while secondary data is obtained from the Pulo Ampel Public Health Center, and the Mangunreja Village Proﬁle.
Results: The frequencydistributionresultsshowedthat25.3%ofrespondentsbehavedunfavorably, 55.5% had poor knowledge, 48.5% had negative attitudes, 47.4% of respondents were informal workers, 71.1% had low incomes, and 61, 9% of respondents stated that there were no TPS facilities available. Correlation test results that there is a correlation between knowledge, attitude with waste management behavior(p=0,000),andthere is a correlation between the availability of Temporary Disposal facilities (p = 0.005) with waste management behavior. There is no relationship between work and income with waste management behavior.
Conclusions: Knowledge, attitudes, and availability of Temporary Disposal facilities are factors related to waste management behavior.
Symptoms Burden among Women with Gynecological Cancer in Indonesia: A Descriptive Study
Authors: Nurhayati Nunung , Mutiar Astri , Miraz Fitriani , Lindayani Linlin , Marfuah Dewi
Published: October 2019

Background: Gynecological cancer is one of the most common reproductive health problems of cancer. Factors that cause high rates of the incidence of gynecological cancer, because many symptoms are ignored so that symptoms that can actually be treated early become a very serious disease. Women with gynecological cancer have a burden of symptoms over time which can cause a negative response to the patient’s physical, psychological and emotional.
Objectives: This study aimed to describe the symptom burden in women with gynecological cancer.
Methods: This study used quantitative and descriptive research using cross sectional approach. Conducted in May2019,with95subjectsresearchatRumahSinggahinBandungusingconvenience sampling. Symptom Burden was assessed using Memorial Symptom Assessment Scale (MSAS).
Resuts: Ten common symptoms experienced by respondents with gynecological cancer were worrying 96.8% (92), feeling sad 95.8% (91), insomnia 93.7% (89), problems with activity or sexual arousal 89, 5% (85), feeling tired 86.3% (82), lack of appetite 81.1% (77), dizziness 80% (76), irritability 80% (76), pain 78.9% (75), less energy 78.9 (75), with a symptom mean of 1.08 (± 0.386).
Conclusion: Indicated that psychological symptoms is the common symptom that experienced by women with gynecological cancer. Nursing and other healthcare professional is expected to pay more attention to psychological symptoms to meets the need of patient.
Factors Associated with the Nurse Implementation towards Eye Care among Comatose Patient in Intensive Care Unit
Authors: Puspasari Susy
Published: October 2019

Background: Comatosepatient’sexperiencesdeclineineyereﬂex.However,this issue receive less attention from the healthcare professional,particularly in the intensive care unit. Few studies exploring the associated factors of nurse implementation of eye care in intensive care unit. Theory of Planned Behavior (TPB) has been well-known as a framework to explore the behavior relation factors including nurse’s background, the certainty of behavior, normative, and control beliefs factors.
Objectives: The purpose of this study was to analyze the factors that inﬂuence nurses in the implementation of eye care towards coma patients in intensive care rooms.
Methods: This study used cross-sectional design to the nurses who working in intensive care units. The number ofsamplesusedinthisstudywastotalsampling.Atotalof104nursesworkinintensive care units participate as a sample of this study. A set questionnaire designed by the researcher was used for data collection. Data analysis was use distribution frequency, mean, SD and Chi square.
Results:Half of nurse (50.96%) had a favorable background, unfavorable on normative assurance and belief factors. In the background factors resulted that nurse have favorable with a value of 50.96%.
Conclusions: It is suggested that nurses who work in the hospital to use the information from this study to enhance their knowledge about eye care for comatose patient routinely and continuously. As for the intensive care unit, it is recommended to enforce algorithm, standard procedure, and particular supervision on the conduction of eye care for comatose patients.
The Effectiveness of Integrated Management OF Mental Health Care Using Interactive KIE towards Attitude of Person with Mental Disorder’s Family
Authors: Hadiyani Wini , Juniarni Lia
Published: October 2019

Background: Integrated management of mental health care through interactive KIE is one of educational and communication tool between families and health services.
Objectives: The aimed of this study was to evaluate the effectiveness of integrated management through KIE on family behavior of person with mental disorder care.
Methods:This study was conducted used queasy experimental design with one group pre-post-test on 17 family with people with mental disorder. Paired t test was used to evaluate the effectiveness of intervention on the attitude.
Results: The results of the study showed positive changes in family behavior on the person with mental disorder care and integrated management through interactive KIE was effective as an initial screening to prevent recurrence of mental disorder (p-value = 0.00).
Conclusion: the implementation of integrated management through interactive KIE can be used as a join monitoring activity between families, cadres / guardians and health services to prevent recurrence in person with mental disorder.