bluuebunny/crossref_metadata_2025 huggingface dataset:
The Factors Associated with The Triage Implementation in Emergency Department
Authors: Ainiyah Nur , Ahsan Ahsan , Fathoni Mukhamad
Published: July 2022

Introduction: Triage is defi ned as a process to sort patients based on the severity and emergency situation. In fact, Emergency Department (ED) in several hospitals in Indonesia do not implement it, so not all patients come to Emergency Department due to a true emergency case but there are also a false emergency. Implementing triage is important in order to decrease false emergency case and also increase ED service quality. The research goal was to analyze factors associated with the triage implementation in Emergency Department in Hospitals (type A and B).  Methods: The research design was a cross sectional with corrrelative analysis. The research population was emergency department nurses and patients. Samples were taken by total sampling for the nurses (54 respondents) and accidental sampling for patients (54 respondents). The research instruments were questionnaire and direct observation. The research datas were analized using multivariat logistic regression by backward LR.Results: The result showed that the dominant factors correlated with the implementation of the triage was the performance factor (p value. 0,002), the patient factor (p value = 0.011), and the staffing factor (p value. 0.017).Conclusion: The hospital management can increase the work motivation,then optimize the nurses by giving a job description clearly and improve nursing service quality through Triage Offi cer Course.
Psycoeducative Family Therapy Mempengaruhi Pengetahuan, Dukungan Keluarga dan Stigma Kusta
Authors: Putri Mega Arianti , Harmayetty Harmayetty , Utomo Budi
Published: July 2022

Introduction: A person with leprosy present disability and lesions caused by related nerve damage. Without treatment leprosy can permanently damage skin, feet and eyes. Leprosy-related documents show that stigma is typically a very deep rooted social process. It refers to unfavourable attitudes and beliefs directed toward someone or something. The stigma against leprosy not only burdens the affected individuals but also their family members. This research aims was to analyze the influence of family on knowledge psychoeducative intervention, family support and the self stigma.Methods: The  design  was  a  quasy experiment. The samples were the intervention and the comparison group each of 30 respondents. The sample consisted of respondent and respondent's family. Sampling technique is using purposive sampling. The research instrument was a questionnaire used by researchers.Results: The result showed that not only psychoeducative family influence level of knowledge, support family and self stigma. The other factor are family characteristics and respondent characteristics. The statistical result shown that a significant relationship between psychoeducative family with knowledge (p=0,000), family support (p=0,000) and the stigma of leprosy (p=0,004).Conclusion: Level of knowledge, family support and self stigma have relations to each other. Families who have less knowledge about leprosy will influence to be given family support. Leprosy patients who have high self stigma caused by lack of knowledge and they feel there have not symphaty, attention and support from their families.
Early Marriage Based on Transcultural Nursing Theory in Kara Village Sampang
Authors: Yunitasari Esti , Pradanie Retnayu , Susilawati Ayu
Published: July 2022

Introduction: The early-age marriage is still happened in the world with many reasons. Early marriage has many negative impacts on education, social, economic, psychological, and reproductive health. The purpose of this study is to analyze the factors of early marriage based on Transcultural Nursing theory. Methods: Design used in this research was cross-sectional approach. The sampel was women who got married between January 2015 and February 2016. The 39 sample respondents were chosen by purposive sampling technique. The independent variables in this study were knowledge, culture, family suport, economic, technology and the dependent variable was early marriage. The data were collected by using questionnaire and analyzed by using chi square test. Results: The results showed significant correlation between cultural factor (p=0.013), family support factor (=0,001), economic factor (p=0,040), and technology factor (p=0,002) with early marriage, while knowledge factor have not significant correlation with early marriage. Discussion: By the result of this study, it was expected there will be some actions together with relevant parties to give health education for adolescent who has married yet to prevent early marriage.
Pornographic Media and Peer’s Influence Towards Sexual Behavior among Teenagers
Authors: Murdiningsih Murdiningsih , Rosnani Rosnani , Arifin Hidayat
Published: July 2022

Background: The problems associated with unsafe sexual behavior in adolescents are caused by premarital sexual intercourse with a partner of their own age. One of the problems caused by premarital sex is a pregnancy outside of marriage. Increased incidence of premarital sex is caused by the development through media depictions of sex scenes in the form of television, magazines, video clips, online media, and films. In Musi Banyuasin there are 7754 high school students, many students have dropped out of school because they get pregnant before marriage so that in adolescence their parents are forced to marry or have abortions. The aim study is determined the factors associated with unsafe sexual behavior in adolescents in high school.Method: Observational research with cross sectional and quantitative approach. The population is high school students. Sampling technique was using multistage random sampling obtained 393 samples. Bivariate analysis, chi-squareResult: the result showed a correlation between the influence of peers with adolescent sexual behavior has p-value (0,000). There was no relationship between media pornography with sexual behavior because the result more than p-value (0,05). Conclusion: Necessary to be given knowledge and assistance to adolescents about positively and creatively thing and supervision of parents to their children in order to have a friends and avoid unsafe sexual behavior.
Back Matter
Authors: Matter JNers Back
Published: July 2022

Back Matter
Factors Related to Vaccine Hesitancy in Anti-vaccine Group on Facebook
Authors: Izzati Aisyah Nur , Utomo Budi , Indarwati Retno
Published: July 2022

Introduction: The current controversial issue regarding the anti-vaccine movement is the biggest challenge in implementing immunization in Indonesia because it influences the stagnation in the coverage of complete basic immunization. The World Health Organization (WHO) also states that the anti-vaccine group is one of the ten major threats to global health in 2019 since this phenomenon can cause rare diseases to become epidemic. This study aims at factors related to vaccine hesitancy in the anti-vaccine group on Facebook.Methods: This study used a descriptive correlational method with a quantitative approach. The sample in this study was 150 mothers who were members of the anti-vaccine group on Facebook social media, selected using a purposive sampling technique.Results: Demographic characteristics include religion, ethnicity, education, and income. Perceived susceptibility and perceived severity were assessed using Hwang’s Health Belief Model questionnaire, while vaccine hesitancy was assessed using Saphiro’s Vaccine Hesitancy Scale questionnaire, then analyzed using Spearman Rho (α<0.05). The results of this study showed that there was a correlation between perceived susceptibility and perceived severity of vaccine hesitancy (p=0.000), while demographic characteristics were not related to vaccine hesitancy.Conclusion: Certain religions and ethnicities which have caused concern have proven unrelated to parent’s hesitance in immunization, as well as the level of education and income. The vulnerability and severity of a disease emerged as most parents’ overriding concern when making decisions about vaccine
Lived Experience of People Living with HIV/AIDS Undergoing Antiretroviral Therapy: A Qualitative Study
Authors: Martawinarti RTS Netisa , Nursalam Nursalam , Wahyudi Andri Setiya
Published: July 2022

Introduction: Antiretroviral therapy is an important factor in improving the quality of life of HIV sufferers, but a complex problem in HIV sufferers is a trigger factor for non-compliance in undergoing ARV therapy. The purpose of this study was to explore the experience of people living with HIV/AIDS (PLWHA) undergoing antiretroviral treatment.Methods: This study was a qualitative phenomenological study, with a sample of 13 HIV patients (10 men and 3 women) who were taking antiretroviral therapy for more than one year; they were recruited using purposive sampling techniques, and data were collected through in-depth semi-structured interviews, field notes and document reviews. Data were analyzed using the Colaizzi method which consists of nine stages.Results: There were six themes that emerged from the experience of PLWHA undergoing antiretroviral therapy and these became the subject of this study, namely knowledge of HIV disease and antiretroviral drugs, self-motivation, social support, and skills in undergoing treatment (self-management), adherence, and quality of life.Conclusion: Of the six themes that emerged, poor knowledge (understanding of the disease and its treatment), social support and self-management were the main factors that were obstacles to and causes of treatment failure; this was due to the unpreparedness for receiving information at the beginning of treatment, lack of motivation, and ignorance in behavior when people had problems with medication.
Non-pharmacological Therapy for the Elderly to Prevent Dementia through Cognitive Stimulation Therapy: A Systematic Review
Authors: Siagian Martha Lowrani , Indarwati Retno , Lestari Pudji
Published: July 2022

Introduction: Dementia is the most prevalent disease in older people and it has become the largest global public health priority. Not only does it cause a progressive loss of independent functioning, a decline in the cognition of people with dementia and family restlessness but it also leads to an enormous social and economic burden. The aim of this study was to describe the non-pharmacological therapy that is commonly used and to show the significantly effect that it has in terms of preventing cognitive decline in the elderly with dementia.Methods: The literature review approach was used with a cross-sectional framework. Data was taken using a checklist and observations that were modified from the key words used to search Scopus databases. The 20 final articles were published from 2010 to 2019. The data was analyzed through a comparative studyResults: There are several interventions based on cognitive stimulation therapy including clock-drawing, board games, story-telling, musical therapy, bright light therapy, aromatherapy, touch therapy, gardening,  brain gym, modality therapy etc. From the study, it was found that cognitive stimulation therapy is suitable in all conditions, is easy to implemented and it significantly improved the cognitive and executive functioning of the elderly with dementia.Conclusion: Nowadays, most studies concern alternative approaches that are non-invasive, cost-effective, safe and easy to implement. Cognitive stimulation therapy can be the best choice. It is expected that further research is needed to find other tools for scoring the intervention that is most suitable for all.
The Bullying Phenomenon and Handling Efforts in Reducing Cases of Bullying: A Systematic Review
Authors: Rohmana Devis Yulia , Estelina Kartini , Iskandar Iskandar
Published: July 2022

Introduction: Bullying is behavior that deliberately wants to dominate, hurt, or get rid of its victims, both directly (physical) or indirectly (verbal). The impact of bullying can cause psychological distress and if left untreated will worsen the victim to the point of committing suicide. This study aims to find out the most appropriate types of interventions that can be implemented to reduce intimidation and prevent the risk of suicide by using systematic reviews based on PRISMA guidelines.Methods: The studies were searched in five databases: Scopus, ScienceDirect, Proquest, Pubmed and CINHL and had to be published from 2014-2019. The articles were identified using the keywords “bullying” AND “intervention”, “anti-bullying program”.Results: 14 articles found were used using this systematic review. The article reviewed mentions that an antibullying program that involves several parties has the benefit of reducing bullying.Conclusion: Several intervention efforts can be used in preventing recurring breaches and can also be used as promotive and preventive efforts in cases of bullying in schools and communities.
The Use of Olive Oil for Reducing the Complaint of Itching Related to Striae Gravidarum in Pregnant Women
Authors: Dwi Astikasari Nita , Tsalatsatul Mufida Riza , Natalia Shanty
Published: July 2022

Introduction: This study is regarding the incidence of complaints of itching made by pregnant women, one of which is caused by striae gravidarum. The purpose of this research was to learn about the use of olive oil to reduce the itching complaints of striae gravidarum among the expectant mothers in the village of Anyer Ponggok Ringin Blitar.Methods: The research design used was True Experimental research. The population examined was the total number of pregnant women in the village of Ringin Anyar, totaling 30 pregnant women. The final respondents totaled 27. The design used was a technical pre-post test control group. The method of sampling used was simple random sampling. The research instrument used was olive oil for 3 days. The research results were then analyzed using the Wilcoxon and Mann-Whitney tests.Results: The results of the analysis showed there to be no difference before or after being given the olive oil to treat the itching of the pregnant women in the village of Ringin Anyar Ponggok Blitar. The prevalence of events in Puskesmas ponggok states that on June 2nd 2016, out of the 28 pregnant women who were examined, 17 of them experienced itching called striae gravidarum.Conclusion: Based on the results of the research, it is expected for all of the expectant mothers to keep their skin moist with olive oil at the beginning of the second trimester in order to reduce the rate of itching in pregnancy.
The Effectiveness of Occupational Therapy on Patients with Schizophrenia or Another Mental Illness: A Systematic Review
Authors: Anggraini Yuli , Wahyudi Ahmad , Intan Larasati Dutya , Yusuf Ah
Published: July 2022

Introduction: A growing body of literature has shed light on occupational therapy (OT) interventions and outcomes in relation to mental illness. The purpose of this article is to provide an overview of the OT interventions used with patients with schizophrenia or mental illness and their documented outcomes in relation to functional level, well-being and quality of life.Methods:  The databases searched were Scopus, Proquest, Sage, and Pubmed and the time of publication was in the last ten years. This was limited by the journal source type. The search terms, truncated when relevant, were "schizophrenia," "mental illness,"  “work training,” “occupational therapy” and “vocational therapy”.Results: Thirteen peer-reviewed intervention studies targeting adults with mental illness or schizophrenia were reviewed and analyzed. There are 6 categories related to the occupational interventions that emerged: skill training, cognitive-based occupational treatment, psychosocial-based occupational therapy, cognitive behavior therapy-based occupational therapy, creative occupational therapy, and peer group support-based occupational intervention.Conclusion: Most of the previous literature states that there were significant effects from the occupational therapies on the level of functioning, well-being or quality of life of the patients with schizophrenia or mental illness.
A Correlation between Working Environment and Job Experience Toward Culture Shock among Indonesian Nurses in Japan
Authors: Yektiningsih Erwin , Astari Asti Melani , Utami Yulian Wiji
Published: July 2022

Introduction: Indonesian nurses living and working in Japan with a culture likely to be very different from their own may be additional sources of culture shock, feeling confusion and discomfort when living in a new country. They also experience difficulties in maladaptive adjustments to the new environment to overcome culture shock, then they get stressed in a working environment which can   decrease   work motivation and quality of performance.Methods: This study used a cross-sectional approach with a non-probability sampling method. The sample is 90   Indonesian nurses having been working in Japanese hospitals, both those passing the National Board Examination (NBE) and those not. Working environment (job satisfaction, colleague, rule of employment) and job experience were independent variables and culture shock was dependent variable. Work environment research instruments were from the revised questionnaire modification Scale of Socio-Cultural Adaptation (SCAS-R), the substance of work performance, job experience questionnaire and the Culture Shock Questionnaire (CSQ). Data analysis used Spearman-rho and multiple logistic regression statistical tests.Results: The average of respondents who did not experience culture shock or normal  was 44 (49%) and respondents who experienced culture shock were a poor level of 36 (40%) and moderate level of 10 (11%). Job satisfaction (ρ value = 0.001) and colleague (ρ value = 0.000) have a significant correlation with culture shock. Rule of employment (ρ value = 0.174) and job experience (ρ value = 0.209) were not significant with culture shock. Multiple logistic regression analysis was conducted to figure out the predictors that influence the change in culture shock status while a colleague (β = 2.445, p value < 0.000).Conclusion: The results of the research showed that colleagues in the work environment had a significant influence effect on cultural shock. Therefore, it is necessary to provide social support to adaptive adjustment and stress management to Indonesian nurses in Japan so that they can impact increased quality performance.
Pernafasan Active Cycle of Breathing Meningkatkan Aliran Ekspirasi Maksimum Penderita Tuberkulosis Paru
Authors: Sukartini Tintin , Sriyono Sriyono , Sasmita Iwan Widia
Published: July 2022

Introduction: Tuberculosis bacterial can cause fibrosis tissue in lung. Fibrosis decrease elasticity and compliance of lung as a result, there will be air ventilation and oxygenation disorder, thus it will decrease peak expiratory flow rate (PEFR). The objective of this study was to analyze the effect of active cycle of breathing technique on raised peak expiratory flow rate (PEFR). Method: A quasy experimental purposive sampling design was used in this study. There were 14 sample who met in inclusion criteria divided into 7 subjects for intervention group and 7 subject for control group. Data were analyzed by using Paired t-Test, Independent t-Test, Wilcoxon Signed Rank Test, and Mann Whitney U Test with significance level α≤0.05. Result: The result showed that active cycle of breathing had significance level on increased peak expiratory flow rate (PEFR) (p=0.001). Discussion: It can be concluded that active cycle of breathing has effect on raise peak expiratory flow rate. Further study are recommended to measure the effect of active cycle of breathing on raised maximum midexpiratory flow rate (MMFR50-75%).
Buah Apel (Romebeauty) Menurunkan Kadar Gula Darah Pasien Diabetes Mellitus
Authors: Harmayetty Harmayetty , Dewi Yulis Setiya , Astutik Dwi
Published: July 2022

Introduction: The number of patients with diabetes mellitus (DM) in year 2001 was 5.6 million. In the year 2020, it is expected to reach 8.2 million. The diet of DM patients in Pulorejo village comprised low calorie, sugar free, and low fiber diet. Fiber consumed by these patients was taken from vegetables and banana. Unfortunately, the use of such diet keep the patient's blood sugar level remains increasing. The content of water-soluble fiber (pectin) in apple is higher and is able to reduce blood sugar level. The objective of this study was to analyze the effect of  apple consumption on blood sugar level. Method: This study was used a quasy-experimental pre-post test purposive sampling design. Samples who met to the inclusion criteria were 14 persons divided into treatment and  control group. Data were analyzed by using Paired t-Test  (α=0.05) and Independent t-Test  (α=0.05). Result: The result showed that there was an effect of apple consumption on blood sugar level with Paired t-Test (p=0.000) for blood glucose level before and after intervention in treatment group, and (p=0.100) for blood glucose level before and after intervention in control group. The results of Independent t-Test revealed p=0.000 for blood glucose level after intervention in treatment and control groups. Discussion:  It’s can be concluded that there was an effect of apple consumption on blood sugar level in DM patients. The apple should be given in the best dose that can reduce blood sugar level, which is 2 x 150 g. The result of this study can be considered in as a material for diet promotion for the patients. Further studies should be developed to measure the variables of stress and sex of the patients.
Peningkatan Berat Badan pada Bayi (3-6 Bulan) Melalui Infant Exercise
Authors: Sudiana I Ketut , Arief Yuni Sufyanti , Indah Puteri
Published: July 2022

Introduction: Infant body weigth is used as a best indicator to measure infant growth and nutritional status. Body weight that not related on age, does not gain at least 500-600 gram for about three months, or over body weight, can be used to predict heath problem. Infant exercise stimulation is an effort to increase body weight so that infant gain on a normal pattern of weight. The objective of this study was to analyze the influence of infant exercise to weight gain related on age on infant (3-6 month). Method: A quasy-experimental non-randomized control group pre-posttest design was used in this study. The subjects were infants in 3-6 month aged lived in Wates Negoro and Manduro village, Subdistrict Ngoro, Mojokerto.  There were 14 infants who met to the inclusion criteria.  Data were collected by  using body weight observation scale after infant exercise had been done for 4 week. Data were analyzed by using Independent t-Test and Paired t-Test with significance level of α≤0.05. Result: Result showed that infant exercise had effect on weight gain related on age on infant (3-6 month). Paired t-Test to the treatment group showed a significant differences between pre test and post test (p=0.00000). Control group  showed a significant differences between pre test and post test (p=0.00005). Independent t-Test in pre test showed body weight (p=0.74) and increasing of body weight (p=0.000).  Discussion: It can be concluded that there were significant effect of infant execise to weight gain related on age on infant (3-6 month). The limitation was that quality and quantity of the infant’s nutrition can not be controlled by the researcher.
Peningkatan Kepercayaan Ibu Postpartum dalam Merawat Bayinya Melalui Bonding Attachment
Authors: Hidayati Ratna
Published: July 2022

Introduction: Bonding attachment is one of the methods to support an excessively interaction between mother and her’s baby. This interaction may facilitate a mother to be more confident to take care of the baby. Method: This study was used a quasy-eksperimental design which is the objective of this study was to examine the influence of facilitated bonding attachment to mother’s confidence to take care of her baby at early postpartum period in Amelia Pare Kediri Hospital. There were 90 respondents who met to the inclusion criteria and taken by using purposive sampling technique, divided into control group and intervention group. Data were collected by using questionnaire, then it were analyzed by using Chi Square and t-Test. Result: The result showed that nurse behaviour had significance effect on facilitated bonding attachment to mother/women self confidence to take care of her baby at early postpartum period (p=0.000). Discussion: It can be concluded that nurses behaviour who facilitated bonding attachment influenced mother’s confidence to take care of her baby at early postpartum periode. Then family center nursing care plan should applied in all of health care setting to promote family empower and to obtain bonding attachment since newborn. Moreover, nursing companion during the care is also important to facilitate mother’s ability to take care of the baby.
Hubungan Shift Kerja dengan Stres Kerja dan Circadian Rhythm Perawat
Authors: Nursalam Nursalam , Sunarno Arie , Fitriyah Rahmatul
Published: July 2022

Introduction: Shift work, primarily night shift may worsen some health disturbances because it changes especially circadian rhythm. Therefore, it may lead to sleep disturbance, increased vital signs (heart rate, respiration rate and blood pressure), bowel disturbance, reaction times, conscious stage and increased work stress. The objective of this study was to analyze the correlation between shift work and Nurse’s circadian rhythm. Method: These study was cross sectional with nurses in Flamboyant Intermediate Surgical Ward Dr. Soetomo Hospital Surabaya as subjects. Samples were recruited by using total sampling and there were 15 samples as on inclusion criteria. Data were analyzed using Paired t-Test, Krusskall-Wallis, Wilcoxon, Mann-Whitney, Anova and Chi-Square with significance level α≤0.05. Result: The result showed that shift work had no correlation with nurses’ work stress (p=0.221). Nurses stress stage had no differences in three of shift (p=0.757). While shift work had correlation with nurse’s circadian rhythm disturbance (p=0.038) and night shift had differences circadian rhythm disturbance (p=0.038). Discussion: It can be concluded that there was correlation between shift work and circadian rhythm disturbance, however there is no correlation between shift work and work stress. Further studies are recommended to identify the dominant factor which cause work stress for nurses.
Active Cycle of Breathing Decrease Dyspneu on Tuberculosis Patient
Authors: Sukartini Tintin , Sriyono Sriyono , Sasmita Iwan Widia
Published: July 2022

Introduction: Active cycle of breathing as one of the nursing intervention can solve respiratory problems (such as caused by tuberculosis). Tuberculosis can cause fibrosis tissue in lung. Fibrosis makes elasticity and compliance of lung decrease result in air ventilation and oxygenation disorder, so it will increase Respiratory Rate (RR) and dyspnea. The objective of this study was to analyze the effect of active cycle of breathing technique on reducing RR and dyspnea. Methods: A quasy experimental purposive sampling design was used in this study. There were 14 respondents who met to the inclusion criteria, divided into 7 respondents for intervention group and 7 respondents for control group. Data were analyzed by using Paired t-Test, Independent t-Test, Wilcoxon Signed Rank Test and Mann Whitney U-Test with significance levelα≤0.05.Results: The result showed that active cycle of breathing had significance level on decreased RR (p=0.002) and dyspnea (p=0.014).Conclusion: It can be concluded that active cycle of breathing has effect decrease RR and dyspnea. It recommended to use active cycle of breathing continuously to decrease dyspnea and to enhance quality of life on Tuberculosis patient.
The Effect Of Extrinsic Motivation On Adversity Quotient In Patients With HIV/AIDS
Authors: Nursalam Nursalam , Misutarno Misutarno , Puspitawati Yulia Dewi
Published: July 2022

Introduction: Patients with HIV/AIDS may have various types of psychological responses. It was very difficult situation for them. Difficulty can measured by using Adversity Quotient. As a nurse, we can give extrinsic motivation to bring back the patient HIV/AIDS’s quality of life. The objective of this study was to identify the presence effect of extrinsic motivation on Adversity Quotient in patients with HIV/AIDS in Infectious Disease Intermediateatery Treatment Unit, Dr. Soetomo Hospital, Surabaya.Methods: This study was used a quasy experimental purposive sampling design. The population was taken from ambulatory patients. There were 16 respondents who met to the inclusion criteria. The independent variable was extrinsic motivation and dependent variable was Adversity Quotient. Data were collected by using questionnaire and interview, then analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level p=0.05.Results: The result revealed that there was an effect of extrinsic motivation on Adversity Quotient of patients with HIV/AIDS (p=0.017). The extrinsic motivation was found to have an effect on control response (p=0.027) and origin response (p=0.028), there was no influence of extrinsic motivation on ownership response (p=0.334), reach (p=0.129) and endurance (p=0.161).Conclusion: It can be concluded that the extrinsic motivation with intervention of social support has a positive effect on the improvement of Adversity Quotient in patients with HIV/AIDS. Further studies should measure the effectiveness of Adversity Quotient training on acceptance response in patients with HIV/AIDS.
Hypnobirthing Increase Pain Tolerance And Anxiety In Active Phase Labor
Authors: Nursalam Nursalam , Pradanie Retnayu , Trisnadewi Ida Ayu
Published: July 2022

Introduction: The main problem of inpartu mother was a labour pain and anxiety. The etiology of labour pain has been determained by dilatation and cervic’s tickness. The objective of this study was to examine the effect of hypnobirthing relaxation on the pain tolerance and anxiety responses in labor.Methods: A pre experimental static group comparison purposive sampling design was used in this study. Population were all pregnant women in age of pregnancies between 38 until 39 weeks at RSUD Wangaya Denpasar. There were 12 respondents who met to the inclusion criteria divided into 6 respondents were given hypnobirthing relaxation intervention and 6 respondents as the control group. The independent variable was hypnobirthing relaxation and dependent variables were tolerance of pain and anxiety responses. Data were collected by using observation and questionnaire, then data were analyzed by using Mann Whitney U Test with significance level p=0.05.Results: The result showed that hypnobirthing relaxation had an effect on the pain tolerance and anxiety responses (p=0.015.Conclusion: It can be concluded that the hypnobirthing relaxation has an effect to increase the pain tolerance and to decrease anxiety responses in active phase of labour. It is recommended to the hospital that have an ante natal care to hypnobirthing relaxation technique. Further studies should measure the effect of hynobirthing relaxation on increasing of β-endorfin in active phase labour.
Eugenia Jambolana Seed Decrease Blood Glucose Level
Authors: Sudiana I Ketut , Sukartini Tintin , Anugrahini Hepta Nur
Published: July 2022

Introduction: The incidence of diabetes mellitus still increasing and needed a cost-effective complementary therapies such as Eugenia jambolana seeds. Eugenia jambolana seeds contain of Chromium and Tannin. It has been reported that Eugenia jambolana seeds has ability to decrease blood glucose, and increase HDL level significantly. The objective of this study was to investigate the effect of Eugenia jambolana seed to exchange of blood glucose in streptozotocin-diabetic rats. Method:  A true experimental post test only control group design was used in this study. A number of 15 male albino Wistar rats weighing 100-200 gram were divided into 3 group (normal group, diabetic group and experiment group), 5 rats in each group. Normal group and diabetic group were given aqua 2ml/200 g bw as placebo. Eksperiment group were fed Eugenia jambolana seeds extract 500 mg/Kg b.w for 15 days. Data were analyzed by using One Way ANOVA with significance level  α≤0.05.Result: The result showed that blood glucose level of experiment group was significantly different from diabetic group (p=0,001). Discussion: It can be concluded that Eugenia jambolana seeds extract (500 mg/Kg b.w) has an effect to decrease blood glucose level in streptozotocin-induced diabetic rats.
Playing Lego Increase Cognitive Development on Preschool Child (4-5 Years Old)
Authors: Utami Sri , Qur'aniati Nuzul , Kusuma Erlita
Published: July 2022

Introduction: The preschool cognitive development can be stimulated with playing activity. The preschool child who stimulateless, their creativity will be checked and it can effect their cognitive development. Playing lego is one of the stimulation which give chance to the preschool child to express creativity and explorate their skill in playing construction. This research was aimed to analyze the effect of playing lego to the preschool cognitive development. Method: Quasy experimental pre post test design was used in this research. Total sample were 18 preschool child (4-5 years old). The independent variable was playing lego and the dependent variable was the cognitive development. Data were analyzed by Wilcoxon Signed Rank Test and Mann Whitney U Test with the significance α<0.05. Result: Result showed that the control group has significance level p=0.059 and the treatment group has significance level p=0.008. The result of Mann Whitney U Test showed p=0.001. Discussion: It can be concluded that playing lego can effect the preschool cognitive development in spatial factor, reasoning, memory, and perceptual speed. It can be suggested to the further research to examine the effect of playing lego to the motoric development or social development.
Discharge Planning Increase Therapy Obedient of Patients
Authors: Nursalam Nursalam , Sumiatun Sumiatun , Musrini Amirul
Published: July 2022

Introduction: Discharge planning is a nurses learning  process of patients  hospitalized in  the hospital. Discharge planning  includes all treatments given to the patients  from the time of admission, during hospitalization, until the time of discharge. The aimed of this study was to evaluate  the patient’s  compliance for therapy (oral and injection medicine, nutrition and activities). Method: A quasy experimental purposive sampling design was used in this study. There were 14 respondents with DHF and GE who met to the inclusion criteria. The independent variable was Discharge planning and the dependent variable was patient’s  compliance for therapy.  Data were collected by using questionaire of medicine, nutrition and activity then analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level α≤0.05. Result: The result showed that discharge planning had significance influence to patient’s  compliance for therapy (p= 0.028). Discussion: It can be concluded that discharge planning has an effect to increase patient’s  compliance for therapy (oral and injection medicine, nutrition and activities).
Pathways Awareness’s Brochure As Early Detection for Child Development
Authors: Nursalam Nursalam , Krisnana Ilya , Satiti Nantiya Pupuh
Published: July 2022

Introduction:Parental awareness of the earliest milestones considerably lower than of the later milestones. To raise parental awareness, Pathways Awareness’ brochure (PAB) can be used by the parents. The objective of this study was to examine the effect of health education of Pathways Awareness’ brochure to the behavior of parental early identification in child (3-15 months) early development.Methods: This study used Quasy-Experimental design. Population had taken from parents who have a child from 3 until 15  months. Sample was comprised in to 30 individuals who fit with the inclusion criteria. Sample was divided by two groups, one group as intervention group, and another one as control group. The independent variable in this study were health education of Pathways Awareness’ brochure. The dependent variable was the behavior of parental early identification in child (3-15 months) early development. Data was collected by questionnaire of family knowledge, family attitude, and family action. They were analyzed by Wilcoxon Signed Rank Test with significance level  α<0.05.Results: According to the result by Wilcoxon Signed Rank Test, there was a significance difference between the behavior of parental early identification in child (3-15 months) early development before and after the intervention ( family knowledge p = 0,003; family attitude p = 0,034; family action p = 0,025).Analysis:It conclusion, pathway awarness’  brochure foster the behavioural of the parents on early detection.Conclusion: It is recommended to explore study on cooperation of PAB and KMS.
The Effect of Waist Circumferences More Than Normal on the Incident of Coronary Heart Disease
Authors: Wahyu Pria , Hidayati Ratna
Published: July 2022

Introduction: Coronary heart disease is known as the most common disease that causes mortality in the world, one of the examination to identify the risks of coronary heart disease is measuring waist circumference. The purpose of this study was to identify correlation between large waist circumferences and the incident of coroner heart disease. Method: Design used in this study was analytic observational (retrospective) with cross sectional approach. There were 63 respondents which sampling by simple random sampling. The independent variable was waist circumferences and the dependent variable was coronary heart disease. Data were collected by direct observation then analyzed by spearman correlation statistic test with significance level α≤0.05. Result: The result showed that waist circumferences more than normal had significant correlation with the incident of coronary heart disease (p=0.02). It can be concluded that there was correlation between waist circumferences more than normal and the incident of coronary heart disease to the clients with coroner cardiac disease. Discussion: Earlier screening and detection is needed to prevent coronary heart disease.
Comparison of The Effectiveness Between Propolis and Silver Sulfadiazine 1% on Burn Wound Healing
Authors: Sudiana I Ketut , Pangestuti Walida , Lestari Wahyuni Tri
Published: July 2022

Introduction: Silver sulfadiazine 1% is often used as topical agent in burn wound due to its antimicrobial effect. Moreover, this agent has toxigenic effect on fibroblast and keratinocyte. Propolis is a honey bee product and has been used for a long time in burn wound related to antimicrobial effect, anti-inflammation, anti-oxidant and increasing fibroblast. The purpose of this study was to examining the differences between propolis and silver sulfadiazine 1% on burn wound healing process. Method: Design used in this study was true experimental design. The samples were 18 guinea pigs divided randomizely into three group. The groups were control group, propolis group, and silver sulfadiazine group. The independent variables were  the using of propolis and silver sulfadiazine 1%. The dependent variables were inflammation phase (erythema, oedema, wound fluid) and proliferation phase (wound granulation, wound size) which were observed on the 3rd, 7th, 14th days. Data were collected by using observation paper based on the sign of inflammation and proliferation. Data were analyzed using One-Way ANOVA and Kruskal-wallis test with level of significance of α ≤ 0.05. Result: Results showed that there were differences between propolis and silver sulfadiazine 1% in erythema (p=0.00) and oedema (p=0.001) on 3rd day and erythema (p=0.00) and oedema (p=0.00) on7th day, furthermore burn wound size (p=0.00) on14th day was also attenuated by propolis and silver sulfadiazine 1 %. It can be concluded that the using of propolis was more effective than silver sulfadiazine 1% in burn wound healing. Discussion: Further studies involved microscopic observation of collagen, PMN cell (neutrophile), lymphocyte and monocyte cell are needed.
Community of Lombok’s Tradition Effects the Nutrient Intake Behavior in Pregnant Woman
Authors: Armini Ni Ketut Alit , Pradanie Retnayu , Sudariani Putu Widhi
Published: July 2022

Introduction: Tradition about nutrient intake in pregnant women had being spreaded in the society and it can influence the behaviour of pregnant women in the fulfilment of nutrient intake in pregnancy. Lombok area is still following the nutrient intake tradition. The objective of the study was examine the relation between tradition of Lombok community with the nutrient intake behaviour in pregnant woman in the working area of Public Health Center Perampuan, Labuapi District, West Lombok Regency. Method: This study used cross sectional design. The population was all pregnant women that came to the Puskesmas Public Health Center Perampuan, Labuapi District, West Lombok Regency each month. Sample formulation used purposive sampling. Total sample were 45 respondents that were taken according to inclusion criteria. Independent variable was tradition of Lombok community and dependent variable was the nutrient intake behaviour in pregnant woman. Data were collected using questionnaire, interview, respondent observation and dietary recall 24 hours. Data were analyzed with correlation Spearman Rho, with significance value α≤0.05. Result: The result showed that there were corelation between tradition of Lombok community with the knowledge (p=0.002), attitude (p=0.001). the action of nutrient intake in pregnant woman of the fulfilment nutrient intake in pregnancy. Discussion: Further studies should do the research to change the negativity behaviour causes by tradition of community, specially for nutrient intake in pregnancy, such as continuously health education.
Changing the Personal Hygiene Behavior of Preschool by Reading Stories from Contemporary Books
Authors: Arief Yuni Sufyanti , Farokha Ifa Maftukhatin , Armini Ni Ketut Alit
Published: July 2022

Introduction: Personal hygiene is an action to maintain a hygiene and body health. This condition must be caring by everyone, because various of desease can happen in lack consequence of hygiene. This study was aimed to investigate the effect of health education with contemporary book story on preschool personal hygiene behaviour (knowledge, attitude, action) at RA Perwanida, Mojokerto.Methods: Design use in this study was Quasy Experimental design. The population had taken from RA Perwanida, Mojokerto, in July 2009, whom deal directly with the preschool parents. Total sample was 22 respondents who met B class in RA Perwanida, Mojokerto. They were divided into 2 groups, treatment and control groups. Data were collected by using questionnaire and observation sheet. Data were analyzed by using Wilcoxon Signed Rank Test with significance level of α ≤ 0.05 and Mann Whitney U Test with signi fi cance level ofα ≤ 0.05.Result: Results revealed the presence of effect in treatment and control groups. In treatment group the level of dependence due to preschool knowledge had signi fi cance level of p = 0.002, while that in control group was p = 1.000, to preschool attitude p = 0.034 in treatment, and p = 0.014 in control group, to preschool action p=0.001, and p = 0.317 in control group.Conclusion: It can be concluded that there are significant influence of health education with contemporary book story on preschool personal hygiene behaviour. Further study should measure qualitation of understanding about personal hygiene behaviour for teacher in RA Perwanida, Mojokerto.
Range of Motion Exercise of Arms Increases the Muscle Strength for Post Stroke Patients
Authors: Nurbaeni Judi , Sudiana I Ketut , Harmayetty Harmayetty
Published: July 2022

Introduction: Someone attached by stroke can’t do their activity fluently because stroke can cause the weakness of motor and sensor function. This condition cause physical defect and give effect in social and economic too, because someone who suffered stroke usually still in productive age. The objective of this study was to examine the effect of arm range of motion in the muscle strength of post stroke patient.Methods: Pre experimental pre–post test design was used in this study. Population of this study was post stroke patient in Wijayakusuma ward dr. Soedono Hospital and total samples were 11 respondents. Independent variable was arm range of motion exercise, dependent variable was strength of arm muscle. Data were collected by observation with manual muscle testing of Lovelt, Naniel and Worthinghom and then analyzed using wilcoxon signed rank test with signi fi cant level of α ≤ 0.05.Result: The result showed that 11 respondents had increased their strength of muscle (p = 0.04).Conclusion: It can be concluded that the strength of muscle increased after get arm range of motion exercise. When range of motion had been done Ca+ will be activated by cell so that happen integrity of muscle protein. If Ca+ and troponin had been activated, actin and myosin would have been defensed, so that can moved the skeletal and followed by muscle contraction, expand, outgrow and had a tonus. This condition can showed the strength of muscle.
Cutaneus Stimulation: Slow-Stroke Back Massage Reduces the Intensity of Osteoartritis Pain of Elderly
Authors: Triharini Mira , Mardliyah Mardliyah , Hadisuyatmana Setho
Published: July 2022

Introduction: Osteoarthritis disease is the result of both mechanical and biological process which lead come to unstable degradation and synthesis of condrozyte cartilage and extracellular matrix. The risk factor of this instability is aging process. The aging process stimulates osteophytes formation and degradation of cartilage, and emerged pain as primary clinical symptom. One of the non pharmacological ways to cope this pain is by applying cutaneus stimulation through slow-stroke back massage method. The objective of this study was to analyze the effect of applying cutaneus stimulation with slow-stroke back massage method to osteoarthritis’s pain intensity.Methods: Pre experimental design with one group pre test-post test approach was used in this study. The subject of this study were elderly above 50 years old living in Panti Werdha Hargo Dedali Surabaya, 15 participants were involved using purpose sampling technique. This study started on January 29th until February 6th, 2010. Data were collected by interview and observation and analyzed by WIlcoxcon Signed Rank Test α = 0.05, p value <α.Results: The Result showed that the message intervention was significantly affect the elder’s level of osteoarthritis pain in Panti Werdha Hargo Dedali Surabaya (p = 0.003).Conclusion: It can be concluded that gives stimulation cutaneus: slow-stroke back massage reduce osteoathritis pain intensity. Slow-stroke back massage increase level of endorphin, so that pain reduction and individual pain perception will decrease.
The Woman Burden of HIV/AIDS Patient in Gender Perspective
Authors: Azza Awatiful
Published: July 2022

Introduction:Epidemic HIV/AIDS becomes heavy burden in every country without exception and hardly potency breaks the economic development in developing countries including Indonesia.Method: The method which use on this research was descriptive quantitative. This condition causes women who generally not guilty exactly very susceptible in infection by HIV/AIDS and accounts a real heavy burden from disease impact received by it either in social environment and also family.Result: most all the psychological experienced of respondents change from lightest storey to heaviest. Lack of ability was caused by a lot public still have not comprehended about HIV/AIDS and more tends to discriminates patient and even asks patient to move. Giving of emotion support, psychological, facility, treatment and curative and information support, it's expressed that most of public was less in giving support.Discussion: The effort that is must be done by local government Kabupaten Jember relates to handling of HIV/AIDS for example prevention and invention of case and manage of patient which has expressed positive of HIV/AIDS by entangling all society not to restrain from they environment.The Woman Burden of HIV/AIDS Patient in Gender Perspective