ANJI: Applied Nursing Journal of Indonesia
This journal serves as a platform for sharing research findings, scholarly reviews, practical innovations, and critical insights in various areas of nursing, including Fundamental Nursing, Medical-Surgical Nursing, Community Nursing, Emergency Nursing, Mental Health Nursing, as well as Nursing Ethics, Law, and Policy. We believe that the development of evidence-based nursing knowledge is essential to improving the quality of healthcare services and enhancing the professionalism of nurses across all healthcare settings.
THE EFFECT OF COLD COMPRESS THERAPY ON REDUCING INCISION PAIN IN PATIENTS POST PERCUTANEOUS CORONARY INTERVENTION (PCI) AT DR. SARDJITOP GENERAL HOSPITAL
ABSTRACT Introduction Percutaneous Coronary Intervention (PCI) is a revascularization procedure performed on patients with coronary artery disease to restore blood flow in coronary arteries that have narrowed or become blocked. A common issue following PCI is pain at the vascular access site due to tissue trauma during the procedure. Cold compresses are a nonpharmacological nursing intervention that can help reduce pain through vasoconstriction and by slowing the transmission of pain impulses. Method(s) This case study involved two post-PCI patients complaining of pain. The intervention involved applying ice gel wrapped in a protective cloth to the vascular access site for 15–20 minutes over two days. Evaluation was conducted using the Numeric Rating Scale (NRS) and observation of the patients’ responses. Result(s) The acute pain nursing issue in both patients was resolved. In the first patient, pain intensity decreased from a score of 5 to 1 on the second day following the application of the cold compress. In the second patient, pain intensity decreased from a score of 5 to 0 on the second day. Grimacing decreased on the second day, and anxiety levels decreased starting from the first day of the intervention. Both patients appeared more relaxed, calm, and comfortable during treatment. Conclusion(s) So it can be concluded that there is a relationship between diet and the incidence of obesity in school children at MI Hidayatul Mutaalimin and there is a relationship between physical activity and the incidence of obesity in school children at MI Hidayatul Mutaalimin.
Copyright (c) 2026 ANJI: Applied Nursing Journal of Indonesia
THE EFFECT OF AIRWAY PILLOW USE ON AIRWAY PATENCY IN POST-GENERAL ANESTHESIA PATIENTS AT DR. SOERADJI TIRTONEGORO GENERAL HOSPITAL KLATEN
ABSTRACT Introduction Patients after general anesthesia are at risk of impaired airway patency due to decreased consciousness and muscle relaxation, which can lead to airway obstruction. Appropriate monitoring and intervention in the PACU are essential to prevent respiratory complications. One non-pharmacological intervention that can be used is an airway pillow, an ergonomic pillow designed to maintain an extended head position, thus helping to maintain an open airway. Method This study used a quasi-experimental quantitative design with a pre-test and post-test approach with a control group design. The population in this study was patien post operative with general anesthesia. . The study sample consisted of 70 respondents divided into an intervention group and a control group. The sampling technique used consecutive sampling. The intervention group was given an airway pillow, while the control group used a standard IV fluid bag. Airway patency was measured using oxygen saturation (SpO₂) values via a bedside monitor before and after the intervention. Data analysis was performed using the Shapiro-Wilk test, the Wilcoxon Signed-Rank Test, and the Mann-Whitney U test. Result The result of statistical test showed that the Wilcoxon signed rank test of airway pillow and IV flud bag with the airway patency in post general anesthesia patient were obtained with a value of p= 0,000 (p<0,05), the result of Mann Whitney U test for the effectiveness of airway pillow and IV flud bag on airway patency obtained a value of p=0,000 (p<0,05). Conclusion The use of airway pillows is more effective in helping maintain a airway patency in patients after general anesthesia in the PACU than IV fluid bag. A non-pharmacological method to improve the quality of recovery for patients after anesthesia.
SELF-MANAGEMENT IN TYPE II DIABETES MELLITUS PATIENTS
Introduction Self-management is not an easy thing to do, it requires good or high knowledge, support, and self-confidence that comes from within. Activities that must be carried out by diabetes mellitus patients include regulating diet, using diabetes medication, checking or monitoring blood sugar levels, doing physical activities or sports, and doing good foot care Method This study aims to determine the factors related to Self-Management in Type II Diabetes Mellitus Patients in Pauh Timur Village The service area of Pariaman Health Center Year 2024. Result The results of the study showed that most respondents, namely 25 (72.8%) were in the age range of 45-59 years. More than half of the respondents, namely 19 (57.6%) had high knowledge. More than half of the respondents, namely 22 (66.7%) had high support. More than half of the respondents, namely 23 (69.7%) have high self-efficacy. More than half of the respondents, namely 22 (66.7%) have self-management in the good category. The conclusion is that there is a significant relationship between age, knowledge, family support and self-efficacy with Self Management in patients with type 2 diabetes mellitus in Pauh Timur Village in 2024 Conclusion Suggestions in the study are expected that respondents can educate care management to be carried out independently and regularly by DM sufferers so that it can reduce the prevalence of type 2 diabetes mellitus in Pauh Timur Village The service area of Pariaman Health Center Year 2024.
THE RELATIONSHIP BETWEEN MOTHERS’ KNOWLEDGE LEVEL ABOUT THE PCV VACCINE AND THE INCIDENCE OF PNEUMONIA IN CHILDREN AGED 12–59 MONTHS AT RSD MANGUSADA IN 2026
Introduction Pneumonia remains a major cause of morbidity among children under five. Mothers' knowledge of the Pneumococcal Conjugate Vaccine (PCV) is one factor associated with pneumonia prevention. This study aimed to analyze the relationship between mothers' knowledge of the PCV vaccine and pneumonia incidence among children aged 12–59 months at Mangusada Regional Hospital. Method This quantitative study used a cross-sectional design. The study included 40 mothers of children aged 12–59 months selected through purposive sampling. Data were collected using a validated questionnaire and analyzed using the Chi-Square test. Result The results of the statistical analysis showed that the Chi-Square test of the relationship between mothers' knowledge of the PCV vaccine and pneumonia incidence among children under five yielded a p-value of 0.007 (p < 0.05). Conclusion So it can be concluded that there is a significant relationship between mothers' knowledge of the PCV vaccine and pneumonia incidence among children aged 12–59 months at Mangusada Regional Hospital.
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND ANXIETY LEVELS IN CHILDREN TREATED WITH PNEUMONIA AT KLUNGKUNG GENERAL HOSPITAL YEAR 2026
Introduction Hospitalization due to pneumonia may cause anxiety in children. Family support plays an important role in helping children adapt to the hospital environment. This study aimed to analyze the relationship between family support and anxiety levels among children hospitalized with pneumonia Method This quantitative study used a cross-sectional design. A total of 35 respondents were selected through consecutive sampling at Klungkung Regional General Hospital in 2026. Family support and anxiety levels were measured using a family support questionnaire and the SCAS Preschool Parent Report. Data were analyzed using the Spearman rank test (α = 0.05). Result Most respondents received good family support (82.9%), while low anxiety was found in 42.9% of children. Spearman rank analysis showed a significant negative correlation between family support and anxiety levels (p < 0.001; r = -0.551). Conclusion So it can be concluded that there is a significant association between family support and anxiety levels among children hospitalized at the Klungkung Regional General Hospital for pneumonia in 2026. The better the family support provided, the lower the anxiety levels of these children during their hospitalization. Nurses need to actively involve families in the care process for these children.
ALTERNATE NOSTRIL BREATHING EXERCISES IN MEETING THE ACTIVITY NEEDS OF PATIENTS WITH CONGESTIVE HEART FAILURE IN THE ICCU UNIT AT Dr. SOERADJI TIRTONEGORO HOSPITAL
Introduction Congestive heart failure (CHF) is a cardiovascular disease with high morbidity that causes a decrease in cardiac output, leading to exercise intolerance manifested as fatigue, weakness, and dyspnea during physical activity. Alternate Nostril Breathing Exercise (ANBE) is a nonpharmacological therapy aimed at improving ventilatory efficiency, balancing the autonomic nervous system, and supporting increased exercise tolerance in CHF patients. Method A case study involving two CHF patients with activity intolerance. The intervention utilized the ANBE therapy standard operating procedure (SOP). The intervention was conducted for 15 minutes, once daily over three days. Measured parameters included respiratory rate, oxygen saturation (SpO₂), and subjective complaints of dyspnea. Result Following 3×24 hours of ANBE therapy, improvements were observed in both patients. In Mr. B, respiratory rate decreased from 28 breaths/minute to 20 breaths/minute, and SpO₂ increased from 94% to 98%. In Mr. S, respiratory rate decreased from 27 breaths/minute to 22 breaths/minute, and SpO₂ increased from 93% to 97%. Both patients also reported reduced shortness of breath and fatigue, as well as improved ability to perform daily activities. Conclusion ANBE therapy can be used as a complementary nursing intervention to improve activity tolerance in patients with CHF.
THE RELATIONSHIP BETWEEN STRESS LEVEL AND SLEEP QUALITY IN THE ELDERLY AT POSYANDU KASIH IBU RW 006, MALAKA SARI VILLAGE, EAST JAKARTA
Introduction The elderly are an age group that is prone to experiencing a decrease in sleep quality due to physiological and psychological changes, including stress. The elderly experience a decrease in sleep quality at night by around 70% to 80%. The need for adequate sleep for an individual is not only measured by the quantity of sleep, but also by the quality of his sleep. Poor sleep quality in the elderly is often associated with several factors such as age, medical conditions, psychiatric disorders, and the use of certain medications. This will have an impact on cognitive decline, fatigue during the day, decreased quality of life, sleep disorders such as insomnia and depression to anxiety. Method(s) This study was quantitative with a cross sectional approach design.The population in this study was elderly aged 60-90 years using the Cluster Total Sampling technique. The sample size used in this study was 70 respondents and data analysis used the Chi-Square test. Result(s) The results of statistical tests showed that most of the elderly experienced moderate stress levels of 24 respondents (34.3%) and had poor sleep quality of 29 respondents (41.4%), the Chi-Square statistical test was a pvalue = 0.001 or a pvalue < 0.05 so that H1 was accepted and H0 was rejected. Conclusion(s) So it can be concluded that there is a relationship between stress levels and sleep quality in the eldery at Posyandu Kasih Ibu RW 006 Malaka Sari Village, East Jakarta.
THE APPLICATION OF ORTHOPNEIC POSITION IN MEETING OXYGENATION NEEDS IN CKD PATIENTS AT RSUP DR. SARDJITO YOGYAKATRA
Background: CKD is a noncommunicable disease with a global prevalence of 14.2% in 2023 and a prevalence of 6.1% in DIY. One of the most common complications I dyspnea caused by fluid overload and cardiopulmonary dysfunction. Orthopneic positioning, as a non pharmacological intervention, can optimize lung expansion and improve oxygen saturation in patients with CKD. Objective: Gained practical experience in applying the orthopneic position to meet the oxygenation needs of CKD patients at Dr.Sardjito General Hospital in Yogyakarta. Methods: This study employed a descriptive design using a case study approach involving two patients with chronic kidney disease (CKD) who experienced dsypnea. Nursing care was provided through assessment, diagnosis, intervention, implementation, and evaluation, utilizing and evidence-based clinical responses of the patients. Results: The use of the orthopneic position for three days in both patients resulted in progressive imporement in respiratory function. Mr. A’s respiratory rate decreased from 27 to 20 breaths per minute and his SpO₂ increased from 95% to 98%, while Mr. B’s respiratory rate decreased from 27 to 21 breaths per minute and his SpO₂ increased from 95% to 98%. Shortness of breath decreased and nursing issues were resolved in both patients. Conclusion: The use of the orthopneic position 3 days (24 hours each day) for 20 minutes per session was effective in reducing oxygenation problems in patients with CKD.
CKD, Orthopneic Position, Oxygenation, Dyspnea
APPLICATION OF BAY LEAF (Syzygium polyanthum) DECOCTION INTERVENTION ON BLOOD PRESSURE REDUCTION IN ELDERLY WITH HYPERTENSION AT UPTD GRIYA WERDHA JAMBANGAN SURABAYA
Introduction Introduction: Hypertension is one of the most prevalent health problems among the elderly and remains a leading cause of morbidity and mortality worldwide. Long-term use of antihypertensive medications carries the risk of adverse effects, necessitating safe and affordable non-pharmacological complementary therapies. Method This study employed a single case study design. The subject was Mrs. S, a 62-year-old female with hypertension residing at UPTD Griya Werdha Jambangan Surabaya. Data were collected through interviews, head-to-toe physical examination, and medical record review. The intervention consisted of bay leaf decoction administered twice daily for seven consecutive days (December 3–9, 2025), combined with deep breathing relaxation, health education, and sleep facilitation. Nursing care was implemented using SDKI, SIKI, and SLKI standards. Result Prior to the intervention, the client reported throbbing occipital headache with a pain scale of 6 (NRS) and blood pressure of 170/100 mmHg. Following seven days of intervention, the pain scale decreased to 1, blood pressure dropped to 140/90 mmHg, and sleep quality improved from 4–5 hours to 7–8 hours per night. The client appeared relaxed, showed no grimacing, and was able to perform daily activities independently. Conclusion Non-pharmacological therapy using bay leaf decoction combined with relaxation techniques and health education positively reduced acute pain and blood pressure in elderly patients with hypertension. This therapy is recommended as a complementary approach alongside pharmacological treatment in gerontological nursing care.
THE EFFECT OF JASELAM (GINGER, LEMONGRASS, AND BAY LEAF) ON BLOOD PRESSURE REDUCTION IN HYPERTENSIVE PATIENTS WITH ACUTE PAIN AS A NURSING ISSUE
Introduction Hypertension is a noncommunicable disease characterized by elevated blood pressure above normal levels and can cause headaches. In East Java, the prevalence of hypertension among those aged 18 and older increased from 26.2% to 36.3%. Method A single-case study was conducted on a client and their family with hypertension in Kalijudan Village, Mulyorejo Subdistrict, involving the administration of jaselam decoction for 7 days from March 5–11, 2026, at a dose of 100 ml/day. Evaluation was performed through blood pressure checks and pain measurement using the Numeric Rating Scale (NRS). Result The assessment identified the primary issue as acute pain (D.0077) related to increased vascular pressure due to hypertension, characterized by the client complaining of a headache and a blood pressure of 151/84 mmHg. The primary intervention was pain management (I.08238). Evaluation results showed improved pain control, indicated by a decrease in blood pressure to 135/91 mmHg and a reduction in the pain scale from 5 to 1. Conclusion The administration of complementary therapy in the form of a decoction of ginger, lemongrass, and bay leaves for 7 days helped reduce headaches and lower blood pressure in the hypertensive client.
Living With Leukemia: A Phenomenological Study Of School-Age Children's Experiences During Chemotherapy In Indonesia
Introduction: Leukemia is the most prevalent childhood cancer, and its primary treatment, chemotherapy, imposes profound physical, psychological, social, and spiritual burdens on affected children. Understanding children's own lived experiences of this illness and its treatment is essential to developing person-centered nursing intervention. The objectives were to explore the lived experiences and health problems of school-age children with leukemia during chemotherapy. Method: A Descriptive qualitative study using a phenomenological design was conducted with five school-age children (7-13 years) with acute lymphoblastic leukemia (ALL) in the consolidation phase. Data were collected through semi -structured child interviews, then analysed using qualitative content analysis by NVivo 12. Results: Four themes emerged from children's narratives: (1) altered physical condition, characterized by fatigue, nausea, and limited mobility; (2) pervasive negative emotions, including procedural fear, anxiety, sadness, and boredom; (3) restricted social and spiritual participation, encompassing loss of schooling, peer separation, and disrupted religious routines; and (4) transformed play experiences, marked by dependence on digital devices and absence of meaningful play in the hospital setting. Conclusion: Children with leukemia experienced multidimensional suffering during chemotherapy that extends well beyond physical symptoms. Integrated nursing intervention addressing physical, psychological, social, and spiritual dimensions simultaneously is urgently needed to improve their quality of life during hospitalization.
Development An Organizational Cultural Model For Enhancing Organizational Effectiveness: A Systematic Literature Review
The effectiveness in contemporary management environments characterized by rapid change, innovation demands, and increasing organizational complexity. Despite extensive studies examining organizational culture, there remains limited integrative understanding regarding the development of a comprehensive cultural model capable of enhancing organizational effectiveness across different organizational contexts. Therefore, this study aims to develop an organizational cultural model for enhancing organizational effectiveness through a Systematic Literature Review (SLR) approach. This study employed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework to identify, screen, and analysed relevant studies published between 2015 and 2025. Data were collected from major academic databases, including Scopus, Web of Science, ScienceDirect, and Google Scholar. A total of 42 peer-reviewed articles met the inclusion criteria and were critically analysed using thematic synthesis. The findings revealed that organizational effectiveness is strongly influenced by several cultural dimensions, including transformational leadership, collaborative communication, employee engagement, adaptability, innovation orientation, and shared organizational values. Furthermore, the review identified that adaptive and participative organizational cultures contribute significantly to improving employee performance, decision-making quality, organizational commitment, and long-term sustainability. Based on the synthesis, this study proposes an integrative organizational cultural model consisting of leadership, communication, adaptability, and innovation as the core dimensions of organizational effectiveness. This study contributes theoretically by integrating fragmented organizational culture theories into a comprehensive conceptual framework and provides practical implications for organizational leaders seeking to strengthen management effectiveness through cultural transformation strategies.
ACUTE CARE AND OLDER PEOPLE: SISTEMATIC REVIEW
Introduction Older people are large consumers of acute hospital care, and acute hospitals are known to pose significant risks for this vulnerable population. Such risks include delirium, falls, restraints, drug side effects, and general de‑conditioning entailing loss of function and independence. Eight dimensions of person‑centred care are presented to promote assessing and meeting the needs of older people in acute care. Alternatives to acute hospital admission are also suggested, such as developing ‘older people centres’ to which older people could be admitted for triage in older‑friendly environments staffed by geriatric experts, places in which their multidimensional care needs could be better met. Method This article aims to (a) suggest ways in which acute hospital environments might be modified to better meet the needs of the older person and (b) question whether options other than acute care should be canvassed for older people. Conclusion As an alternative to acute hospital admission, ‘older people centres’ could be developed to which older people could be admitted for triage in older‑friendly environments staffed by experts in care of older people. In the mean time, why not provide a balanced approach that provides some environmental adjustments for older people, core knowledge and skills for all staff, and access to gerontic expertise in the acute hospital care of older people.
EFFECTIVENESS OF PERSONAL HYGIENE AND PETROLEUM JELLY (VASELINE) THERAPY ON THE SEVERITY OF DERMATITIS SCALE IN THE ELDERLY AT UPTD GRIYA WREDA JAMBANGAN
Introduction In the elderly, dermatitis often occurs due to internal factors such as physiological changes in the skin due to aging, as well as external factors such as the environment and personal hygiene. Personal hygiene that is not optimal can cause the accumulation of dirt, sweat, and microorganisms on the surface of the skin that can potentially trigger irritation and infection. The administration of petroleum jelly is an occlusive agent that works by forming a protective layer on the surface of the skin so that it can reduce fluid loss, maintain moisture, and protect the skin from irritation that can help accelerate the recovery of skin integrity in the elderly. Method The provision of nursing care uses a single case study design with the SDKI, SLKI, and SIKI approaches. The subject in this case study is a 66-year-old patient, Mrs. S, diagnosed with atopic dermatitis with a nursing problem of impaired skin integrity. Petroleum jelly was administered for 4 days combined with improved personal hygiene. Result Mrs. S, a 66-year-old patient diagnosed with atopic dermatitis, received skin integrity care consisting of 2-3 applications of petroleum jelly combined with personal hygiene care. After 4 days of intervention, there was improvement in skin condition, characterized by increased skin moisture, reduced lesions and scratch marks, decreased redness, smoother skin texture, and reduced pruritus. Conclusion The administration of petroleum jelly and improved personal hygiene can be done to reduce the symptoms of atopic dermatitis sufferers. The abnormal pigmentation value has not been resolved, as pigmentation is caused by increased melanin production, while petroleum jelly cannot inhibit melanin production.
THE EFFECT OF MINI ELECTRICAL MUSCLE STIMULATION (EMS MINI MASSAGE) BUTTERFLY ON ELDERLY PATIENTS WITH PARESTHESIA AND SLEEP PATTERN DISTURBANCE
Introduction Sleep disturbances are a common problem among older adults due to physiological changes associated with aging and the presence of chronic diseases that cause physical discomfort. These conditions can lead to a decline in quality of life, daily activities, and the health status of older adults. To address these issues, one non-pharmacological therapy that can be used is the administration of massage therapy using the butterfly mini Electrical Muscle Stimulation (EMS Mini Massage). This study aims to explore the effects of administering the butterfly mini Electrical Muscle Stimulation (EMS Mini Massage) on elderly individuals with paresthesia and sleep pattern disturbance as a nursing issue. Method This study employed a single-case study design involving a 70-year-old elderly individual with paresthesia and sleep pattern disturbance as a nursing issue at the UPTD Griya Wredha Jambangan in Surabaya. The intervention consisted of administering the butterfly-style mini Electrical Muscle Stimulation (EMS Mini Massage) for 7 days, with sleep quality evaluated using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Result The results of the 7-day intervention using the butterfly-shaped mini Electrical Muscle Stimulation (EMS Mini Massage) device showed that the client experienced improved sleep patterns, as indicated by a decrease in the Pittsburgh Sleep Quality Index (PSQI) score from 12 pre- intervention to 8 post-intervention. Conclusion There was an improvement in the clients’ sleep quality following the gradual administration of the Butterfly Mini Electrical Muscle Stimulation (EMS Mini Massage) intervention, accompanied by a reduction in sensory discomfort. This intervention can serve as a non- pharmacological alternative in geriatric nursing care to improve the quality of life for older adults.
CASE STUDY ON CHRONIC LOW SELF-ESTEEM AMONG SCHIZOPHRENIA PATIENTS AT RSJD. ATMA HUSADA MAHAKAM SAMARINDA
Introduction Chronic low self-esteem is one of the most commonly found nursing diagnoses in schizophrenia patients and is a reflection of a negative self-concept that can worsen the course of the disease. This study aims to describe the nursing care of chronic low self-esteem in four schizophrenia patients at RSJD Atma Husada Mahakam, Samarinda. Method A descriptive case study method was used with a nursing process approach applied to four schizophrenia patients experiencing chronic low self-esteem. Data were collected through interviews, observation, and documentation studies conducted in April 2026 at RSJD Atma Husada Mahakam. Result All four patients showed signs and symptoms of chronic low self-esteem including feelings of shame, inability, lack of self-confidence, avoidance of eye contact, and pessimistic outlook. Nursing implementation using implementation strategies (SP) 1-3 was successfully carried out. Evaluations showed improvements in self-esteem across all four subjects. Conclusion Nursing care for schizophrenia patients with chronic low self-esteem at RSJD Atma Husada Mahakam, when delivered using therapeutic communication principles and a structured implementation strategy, can significantly improve patient self-esteem and adaptive behavior.
THE RELATIONSHIP BETWEEN SMOKING AND SPO₂ EXAMINATION RESULTS AMONG MANUAL LABORERS AT PT X, KEDIRI
Introduction Smoking is a major public health problem that can affect oxygen transport in the body due to carbon monoxide exposure, which reduces hemoglobin’s ability to bind oxygen. This condition may lead to decreased oxygen saturation (SpO₂), especially in workers who rely on physical strength such as manual laborers. This study aimed to determine the relationship between smoking behavior and SpO₂ levels among manual labor workers at PT X Kediri. Method This study used a quantitative approach with a cross-sectional design. A total of 44 respondents were selected using quota sampling. Data were collected using questionnaires for smoking behavior and pulse oximetry for measuring SpO₂ levels. Data analysis was performed using the Independent t-test. Result The average SpO₂ level in non-smokers was 98.23%, while in smokers it was 97.27%. Most smokers (90.9%) had normal SpO₂ levels, although some (9.1%) showed decreased values. Statistical analysis showed a significant relationship between smoking behavior and SpO₂ levels (p = 0.035; p < 0.05). Conclusion There is a significant relationship between smoking and oxygen saturation levels. Smoking behavior can decrease SpO₂ levels among manual labor workers. It is recommended that workers reduce or stop smoking to maintain optimal health and work performance.
Copyright (c) 2025 ANJI: Applied Nursing Journal of Indonesia
TERAPI NON FARMAKOLOGI PENANGANAN ANSIETAS: HIPNOSIS 5 JARI DI PUSKESMAS LOA BAHU
Introduction Anxiety is a psychological condition frequently experienced by patients with various health conditions and can impact quality of life. Anxiety management can be carried out through non-pharmacological approaches, one of which is 5-finger hypnosis therapy. The purpose of this community service activity is to educate patients about anxiety and the 5-finger hypnosis technique as a method of anxiety management. Method Health education was conducted through lectures, discussions, and coercion for approximately 18 participants at the Lok Bahu Community Health Center in Samarinda. Evaluation was conducted verbally using three main questions related to participant understanding. Result Participants were able to understand the basic concepts of anxiety, recognize the signs and symptoms, and re-explain the 5-finger hypnosis technique. Participants also demonstrated enthusiasm and active participation throughout the activity. Conclusion Health education through lectures and reflection effectively increased participants' understanding of anxiety and the 5-finger hypnosis technique descriptively.
RELATIONSHIP OF IMPLEMENTATION MODIFICATION NURSING ROUND TO PATIENT'S SATISFACTION IN NURSING TO INPATIENT AT BHAKTI MEDICARE HOSPITALS CICURUG SUABUMI
Introduction Nursing round is an action carried out by nurses with patient involvement in discussing and implementing nursing care. Good quality nursing rounds will improve the quality of nursing care, improving the quality of nursing care will have an impact on increasing patient satisfaction in nursing care services. The implementation of the nursing round is useful in reducing the incidence rate, developing skills and knowledge of nurses and as a parameter of nursing care interventions. The characteristic of the nursing round is that the patient is directly involved with the aim of the patient understanding the care that will be received. Method This study was to determine the relationship between the implementation of modification of nursing rounds on patient satisfaction in nursing care in inpatient at Bhakti Medicare Hospitals Cicurug Sukabumi with a sample of 175 respondents. Research Methods: This study used an observational analytic method with a cross-sectional design. This study used an observational analytic method with a cross-sectional design Result There is a relationship between the variable nursing round with the variable of patient satisfaction in nursing care in inpatient at Bhakti Medicare Hospitals Cicurug Sukabumi. Conclusion The implementation of a good nursing round has an effect on patient satisfaction in the inpatient care of Bhakti Medicare Hospital.Development of research on the implementation of nursing rounds, and research is carried out in more specific areas (intensive care)
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND SUICIDE RISK BEHAVIOR IN GRADE IX ADOLESCENTS AT SMPN 1 KINTAMANI
Introduction Adolescents are an age group vulnerable to psychological pressure that may trigger suicidal behavior, especially when adequate support from the family is lacking. This study aims to determine the relationship between family support and suicidal risk behavior among ninth- grade students at SMP Negeri 1 Kintamani. Method(s) This research used a quantitative design with a cross-sectional approach and involved 174 respondents selected through simple random sampling. The instruments used were the Family Support Scale (FSS) and the Suicide Behaviors Questionnaire-Revised (SBQ-R). Result(s) The results of the Chi-Square test showed a highly significant relationship between family support and suicidal risk behavior, with a p value of 0.00 (p < 0.05). Respondents who received good family support tended to have a lower risk of suicidal behavior. Conclusion(s) The conclusion of this study indicates that family support plays a protective role against suicidal risk in adolescents. Therefore, it is recommended that families enhance emotional involvement and open communication with adolescents as an early prevention effort. Schools and health institutions are also expected to participate in promoting mental health among teenagers.
Family Support, Adolescents, Suicidal Risk
THE RELATIONSHIP BETWEEN PARENTING STYLES AND EMOTIONAL DEVELOPMENT IN PRESCHOOL CHILDREN AT SUBAK BALI SCHOOL
ABSTRACT Introduction Emotional development in preschool-aged children is a vital aspect that influences their ability to recognize, manage, and express emotions appropriately. One of the main contributing factors is parenting style. This study aims to examine the relationship between parenting styles and the emotional development of preschool children at PAUD Subak Bali School. Method(s) This research used a correlational design with a cross-sectional approach. The sample consisted of 75 respondents selected using a total sampling technique. Data were collected through parenting style and emotional development questionnaires that had been tested for validity and reliability. Data analysis was conducted using the Chi-Square test. Result(s) The results showed a significant relationship between parenting styles and children’s emotional development (p = 0.035). Democratic parenting was associated with better emotional development outcomes compared to authoritarian and permissive styles. Conclusion(s) It is recommended that educational institutions provide regular educational forums for parents to discuss parenting strategies and emotional development. Health professionals are also encouraged to take an active role in conducting counseling and monitoring parenting patterns and child development. Future research is advised to use qualitative approaches and expand the research scope to obtain more in-depth and representative findings.
ANALYSIS OF CHOLESTEROL LEVELS AND DEGREE OF STENOSIS IN PATIENTS WITH CORONARY ARTERY DISEASE AT BW HEART HOSPITAL JAKARTA
Coronary Artery Disease (CAD) is the leading cause of death worldwide, with an estimated 17.9 million deaths in 2019 due to cardiovascular diseases (CVDs). One of the major types of CVDs is CAD. Dyslipidemia is one of the risk factors contributing to CAD. This study aims to analyze the relationship between cholesterol levels and the degree of stenosis in CAD patients at BW Heart Hospital. The research method used was descriptive correlational with a cross-sectional design. The target population consisted of 250 individuals, and a purposive sampling technique was used to recruit 84 respondents. Univariate and bivariate analyses were conducted, with the Chi-Square test applied at α = 5%. Results showed that 41 respondents (64.1%) had abnormal LDL cholesterol levels and severe stenosis. The Chi-Square analysis indicated a significant relationship between LDL levels and degree of stenosis with a P-value of 0.004 (p < 0.05), leading to the rejection of H0. The study concludes that LDL cholesterol levels are significantly associated with the degree of stenosis in CAD patients. Education to control CAD risk factors—especially LDL levels—is recommended to prevent worsening stenosis.
THE IMPLEMENTATION OF PUZZLE PLAY TO IMPROVE THE COGNITIVE ABILITIES OF CHILDREN AGED 7–9 YEARS ON INDONESIAN CULTURAL DIVERSITY AT SDN SITU GEDE 2, BOGOR CITY
Introduction This study aims to determine of puzzle play in enhancing the cognitive abilities of children aged 7–9 years regarding the cultural diversity of Indonesia. The research method used is a descriptive case study involving three third-grade students from SDN Situ Gede 2 Kota Bogor, identified with low cognitive levels based on pretest results. The intervention was carried out through puzzle games themed around. Indonesian culture over three days, covering traditional dances, traditional clothing, and traditional houses. Method This study was quantitative with a cross sectional approach design.The population in this study was children aged 10-12 years using the Cluster Random Sampling technique. The sample size used in this study was 98 respondents and data analysis used the Chi-Square test. Result The results of statistical tests showed that the chi-squre analysis of diet with the incidence of obesity in school children were obtained with a value of p= 0.035 (p<0.05), physical activity with the incidence of obesity in school children obtained a value of p= 0.006 (p<0.05) Conclusion So it can be concluded that there is a relationship between diet and the incidence of obesity in school children at MI Hidayatul Mutaalimin and there is a relationship between physical activity and the incidence of obesity in school children at MI Hidayatul Mutaalimin.
ASSOCIATION BETWEEN PARENTING STYLES AND PSYCHOLOGICAL WELL BEING OF ADOLESCENTS AT SMK SANDIKTA, BEKASI CITY
ABSTRACT Introduction Psychological well-being is one of the forms of well-being that is important for the development stage of adolescents. The well-being felt by adolescents makes adolescents have positive emotions and can foster a sense of life satisfaction and happiness so as to reduce negative behavior. The way parents educate children has a great influence on children's development. Positive parenting from parents can improve adolescent psychological well-being. Method Quantitative with a descriptive correlation research design ̧ with a population of 178 student SANDIKTA, samples were taken using probability sampling of 81 respondents. The analysis used univariate and bivariate. Result The results of the parenting research that were most applied by parents to adolescents were democratic parenting from 48 respondents (59.3%). And high psychological well-being as many as 36 respondents were present (44.4%). The p-value was 0.001 and the Cmax result was 61.1%. Conclusion there is a relationship between parental parenting and the psychological well-being of 11th grade adolescents at SMK Sandikta, Bekasi City. Suggestions for parents should be cooperation with teachers at school about parental parenting styles that should be implemented, to provide guidance to parents
psychological well-being, parenting style, adolescent
THE RELATIONSHIP BETWEEN DIETARY PATTERNS AND PHYSICAL ACTIVITY WITH THE INCIDENCE OF OBESITY IN SCHOOL CHILDREN AT MI HIDAYATUL MUTAALIMIN
Introduction Obesity is a condition of being overweight due to fat accumulation. Until now, childhood obesity is still a problem, one in ten children in the world who experience obesity and an increase in obesity in school children. One of the main factors that contribute to the increase in obesity in children is diet and physical activity. This study aims to analyze the relationship between diet and physical activity and the incidence of obesity in school children at MI Hidayatul Mutaalimin. Method This study was quantitative with a cross sectional approach design.The population in this study was children aged 10-12 years using the Cluster Random Sampling technique. The sample size used in this study was 98 respondents and data analysis used the Chi-Square test. Result The results of statistical tests showed that the chi-squre analysis of diet with the incidence of obesity in school children were obtained with a value of p= 0.035 (p<0.05), physical activity with the incidence of obesity in school children obtained a value of p= 0.006 (p<0.05) Conclusion So it can be concluded that there is a relationship between diet and the incidence of obesity in school children at MI Hidayatul Mutaalimin and there is a relationship between physical activity and the incidence of obesity in school children at MI Hidayatul Mutaalimin.
THE RELATIONSHIP BETWEEN PARENTING PATTERNS AND PARENTAL KNOWLEDGE ON EARLY CHILDHOOD INDEPENDENCE
Introduction Independence is a person's ability to act independently and not rely on parental supervision. Parenting styles in the family influence a child's personality growth and development, particularly independence. Conversely, having the right parenting style will help a child become more independent. The purpose of this study was to evaluate the relationship between parenting styles and the level of independence of children aged 4-6 years. Method This research is a correlational analytic study with a cross-sectional approach. The population was 40 parent respondents at Al-Ajib Kartamulia Kindergarten, South OKU. The technique used was total sampling. Result This study analyzed 40 samples and found that the parenting styles were Democratic (50%), Permissive (32.5%), and Authoritarian (17.5%). The majority of participants were knowledgeable (60%), moderately knowledgeable (27.5%), and less knowledgeable (12.5%). This study also found a significant relationship between parenting styles and parental knowledge and early childhood independence (p-value 0.000). Conclusion At the age of five and six, children's behavior is significantly influenced by parental influence. To make children feel responsible, parents of Al-Ajib Kartamulia Kindergarten use democratic parental influence. Authoritarian parents can help children make decisions, while permissive parents often give children greater freedom. And there is a significant relationship between parenting styles, parental knowledge and their children's independence. : Suggestions for providing educational programs that encourage child development, using psychological research to help parents make informed decisions about their children's well-being.
FACTORS RELATED TO SELF-MANAGEMENT IN TYPE II DIABETES MELLITUS PATIENTS
Introduction Self-management is not easy; it requires knowledge, support, and strong or strong self-confidence. Activities that must be carried out by diabetes mellitus patients include regulating diet, using diabetes medication, checking or monitoring blood sugar levels, engaging in physical activity or exercise, and maintaining good foot care. This study aims to determine the factors associated with self-management in type II diabetes mellitus patients in Pauh Timur Village, within the Pariaman Community Health Center working area in 2024. Method This type of research is quantitative with a descriptive analytical design and a cross-sectional approach. The research was conducted from July 15 to 29, 2024. The research sample was determined at 33 people. Sampling was carried out using total sampling. Statistical tests used univariate analysis and bivariate analysis using Chi-Square. Result The results of the study showed that the majority of respondents, 25 (75.8%) were in the 45-59 year age range. More than half of the respondents, 19 (57.6%), had high knowledge. More than half of the respondents, 22 (66.7%), had high levels of support. More than half of the respondents, 23 (69.7%), had high self-efficacy. More than half of the respondents, 22 (66.7%), had good self-management. Conclusion The conclusion is that there is a significant relationship between age, knowledge, family support and self-efficacy with Self Management in type 2 diabetes mellitus patients in Pauh Timur Village in 2024. Suggestions in the study are expected that respondents can educate care management to be carried out independently and regularly by DM sufferers so that it can reduce the prevalence of type 2 diabetes mellitus in Pauh Timur Village, Pariaman Health Center Working Area in 2024.
DIMENSIONS OF PARENTING PATTERNS OF PARENTS/GUARDIANS OF CHILDREN SUFFERING FROM STUNTING AT THE LEKEBAI COMMUNITY HEALTH CENTER, MEGO DISTRICT
Introduction Stunting is a condition where a child's height is shorter than the height of other children in general (his age) as seen from the Z-score value <-2SD which can be influenced by several factors such as parents, especially parenting in stunting children. stunting can result in an increased risk of morbidity, weak immunity, lack of intelligence, low productivity and sub-optimal brain development so that motor development is inhibited and mental growth is delayed. The intervention that needs to be done to prevent stunting starts from the first 1000 days of birth (HPK). the prevalence of stunted toddlers in sikka district in 2022 was 3174 children (13.8%), and the prevalence of stunting in lekebai health center in 2022 was 40 children Method This research design is descriptive with the population being all parents or guardians of children with stunting at the lekebai health center with a sample size of 40 people. This study used total sampling, data collection using a questionnaire. To determine the dimensions of parenting of parents or guardians of children with stunting at the Lekebai health center. Result Based on the results of the study, it was found that the dimensions of parenting in children with stunting were mostly categorized as good in the warmth dimension with a total of 37 respondents 92.5%. Conclusion The description of the dimensions of parenting or parents or guardians of children with stunting consisting of age, education, occupation, and relationship.
THE EFFECT OF TRADITIONAL GAME STIMULATIONS AND DEPRESSION ON MEMORY LOSS AND COGNITIVE PROCESSES IN ELDERLY DEMENTIA
Introduction Elderly often experience dementia, and dementia is a serious problem. World Alzheimer's Reports (2015) noted with dementia will be the biggest health crisis in this century, the number of patients continues to grow. Indonesia have 1 million more people with dementia in 2015. Traditional of game east java is solution for prevention memory loss and cognitive lost Method This research used quasy experiment design with pre-posttest design control method. The population of this research was seven member of a district who plays role as the stimulation of traditional game for dementia elderly. This study employs the purposive sampling method. The data is gathered through interviews and field notes that is then analyzed with the Collaizi technique. This research generated three themes Result The results illustrate families display the grieving process as a cycle. They feel a deep, permanent and long period of grief through in to five stages of grief: denial, anger, depression, bargaining and acceptance. The Grieving is come from the caregiver and the autism child. Large amounts of grief cause families in grief for a long period and this causes family burden. There are six family burden, psychological burden, physical burden, financial burden, social burden, time burden and thought burden Conclusion Finding of the research would hopefully be beneficial to professional health staff, especially psychiatric nurses to complete their ability in minimizing various negative impacts that the family may suffer from while taking care their autism children with autism through nursing care plans designs development, researches about family empowerment in burden managements and also a research to improve the Family Psycho-education Therapy and a specific Supportive Group Therapy modules for family with autism children.
ISLAMIC HIJAMA FOR HEALTHY BLOOD SUGAR LEVEL ON ELDERLY WITH DIABETES MELLITUS IN SURABAYA-INDONESIA
Introduction Islam is the perfect religion that is carried by Muhammad PBUH not only for healthy people but also for sick people as said in the Qur'an surah al-Fatihah verse 5: “iyyāka na’budu wa iyyāka nasta’īn” which means “It is You we worship and You we ask for help.” (Qs. Al-Fatihah [1]: 5) and surah al Isra’ verse 82 “And we send down from the Al-Qur`an a bidder and mercy for those who believe and the Qurʻan does not add to the wrongdoers other than losses” (Qs. Al-Isra` [17]: 82). A sahih hadith it is said that the Prophet Muhammad PBUH “…who had been cupped and had cupped him. He ordered Abd Taiba to give two cuppings (wet and dry), then he said, ‘The best medicine that you can use for treatment is cupping Method The number of patients with Diabetes Mellitus increases every year, and Indonesia is a contributor to the top 10 diseases. In every 6 minutes, 1 patient with Diabetes Mellitus dies. In Surabaya alone, there are 35,092 cases of Diabetes Mellitus. Populations: All elderly with Diabetes Mellitus in Surabaya, a simple random sampling technique with a large sample of 107 elderly people. By experiment-observation pre post-test group control design Result After analysis, the Wilcoxon sign rank test was used in the intervention group 0.000 (p <0.5) and the control group 2.110 (p <0.5) and Mann Witney 0.000 analysis (0 <0.5). Discussion: Islamic Hijama shows significant good impacts on blood sugar levels. The hypothalamus secretes the corticotrophin factor, which makes the pituitary gland secrete balanced ACTH and makes a neuro-hormonal balance in the blood. Different from other inflammations which reduce blood sugar levels in patients with Diabetes Mellitus, puncture wounds and suctioning (cupping) on the body’s back surface produce Prostaglandin E2 Conclusion Islamic Hijama is appropriate to be used to reduce blood sugar levels in the elderly who have Diabetes Mellitus.