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.
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.
Copyright (c) 2026 ANJI: Applied Nursing Journal of Indonesia
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.
LEVEL OF KNOWLEDGE ABOUT NUTITIONAL NEED FOR ELDERLY BASED ON BLOOM DOMAIN
Introduction There are still a lot of elderly people who tend not to think about the nutrients they need. The objective of this study was to determine the level of knowledge based on Bloom. Domain about nutrition in the elderly Posyandu Method Design research was descriptive analytical. Population were selected all listed in the elderly in the village Posyandu Rejotangan district, 34 respondents. Variable was the level knowledge domain from Bloom . The data were collected by questionnaire and they were analyzed by using the descriptive statistical Result The result of these studies showed the level of knowledge (C1-C6) seniors about nutrition were categorized with the value – average 56%. It can be concluded that from all of the domain from Bloom, the level of knowledge of Elderly was categorized on sufficient level. It is recommended that the involment of the is important to improve the delivery of information through extension or move the elderly to be more active in following Posyandu. Conclusion This study concluded that the level of knowledge of the Bloom's domain level in the elderly regarding nutrition at the Elderly Posyandu in Rejotangan Village, Rejotangan District, was categorized as sufficient. Although the majority of respondents had elementary school education and were aged 60-70 years, their thinking patterns in processing something were still quite good due to their ability to use reasoning to acquire knowledge and develop an understanding of nutrition..
EFFECTS OF AUDIO VISUAL PREVENTS HYPERTENSION EMERGENCY ON ATTITUDE AND KNOWLEDGE OF HYPERTENSION PATIENTS
Introduction A hypertensive emergency is a condition where there is a sudden increase in blood pressure (systole 180 mmHg and diastole ≥ 120 mmHg). Lack of knowledge about hypertension can also influence the occurrence of complications if preventive measures are not taken immediately. Audiovisual media is one of the media that can be used to provide knowledge about hypertension. This study aims to determine the effect of Audio Visual Prevent Hypertension Emergency on the attitudes and knowledge of hypertension patients. Method This research uses a quasy experimental design method using a pretest-posttest control group type of research. This study's population comprised all hypertensive patients who underwent examinations at the Kerobokan Community Health Center. The number of samples in the study was 68 respondents, who were divided into two groups, namely 34 for the intervention group and 34 for the control group, with a sampling technique using a non-probability sampling method using purposive sampling. Result The Wilcoxon test results for attitudes before and after being given the intervention obtained a p-value of 0.000 (<0.05), while the control group obtained a p-value of 0.002 (<0.05). Meanwhile, knowledge before and after being given the intervention obtained a p-value of 0.000 (<0.05), while the control group obtained a p-value of 0.001 (<0.05) Conclusion It can be concluded that there is an influence of Audio Visual Prevent Hypertension Emergency on the attitudes and behaviours of hypertensive patients.
Attitude, Audio Visual, Knowledge,Hypertension Emergency
THE EFFECTIVENESS OF BRAIN GYM AND MEMORY GAMES NURSING THERAPY ON THE COGNITIVE ABILITIES OF THE ELDERLY AT THE ELDERLY POSYANDU, SIDOSERMO COMMUNITY HEALTH CENTER, SURABAYA
Introduction Execution of Brain Gymnastics, Memory Games and other cognitive activities to cognitive capacity of elderly people is still unclear in Posyandu Lansia Puskesmas Sidosermo Surabaya. The objective of this research was to explain the effectiveness of Brain Gym (Brain Gymnastics) and nursing therapy of Memory Games to cognitive capacity of the elderly in Posyandu Lansia Sidosermo Health Center Surabaya. Method Research Method was used Quasi Experimental Design. Population was Elderly in Posyandu Lansia Puskesmas Sidosermo Surabaya with Sampling Technique which was Simple Random Sampling and Research sample counted 33 respondents which consisted of 11 respondents with Gymnastic Brain (Brain Gym), 11 respondents with Memory Games and 11 respondents as a control group. Execution of treatment one week during once 2 months starting June - August 2010. Result The results of this research were Brain Gymnastics (Brain Gym) effective towards the cognitive capacity of elderly people in the Community Health Center of Sidosermo Surabaya with the Wilcoxon Signed Rank Test statistic p=0.005 (p < 0.05); Memory Games effective towards the cognitive elderly capacity in the Community Health Center of Sidosermo Surabaya with the statistical test Wilcoxon Signed Rank Test p=0.003 (p < 0.05) as well as the difference of the effectiveness of Brain Gymnastics (Brain Gym) and Memory Games towards the cognitive elderly capacity in the Community Health Center of Sidosermo Surabaya with the statistical test of Kruskal Wallis Test p=0.006 (p < 0.05). Conclusion It can be concluded that Memory Games was more effective than Brain Gym to increase the cognitive capacity of elderly at Posyandu elderly in the Community Health Center of Sidosermo Surabaya understanding life, being active in social life, and believing in God's intervention in life.
PHENOMENOLOGICAL STUDY: WOMEN'S EXPERIENCES OF SEXUALITY DURING PREGNANCY IN SURABAYA
Introduction Phenomenological study: Women's Experience of Sexuality During Pregnancy in Surabaya. Sexuality is the desire to build relationships, intimacy, and love. The purpose of this study was to reveal the phenomenon of women's experience of sexuality during pregnancy. Method Qualitative approach with a descriptive phenomenological according to Hussler philosophy with semi-structured interview techniques used in this study. Methods of data analysis is a method of Colaizzi . Sample of eight participants. There are four groups of themes, namely expressions of love during pregnancy, coital activity during pregnancy, nursing sexuality services during pregnancy, and women's expectations of health workers. Result The results of this research are important to be taken by nurses, in order to improve nursing care related to women's sexuality during pregnancy. Conclusion Factors, physical activity factors, psychological factors, social factors, and spiritual factors influence successful aging in elderly farmers in the south-central Lamongan region. It is hoped that elderly people will understand and make efforts to achieve successful aging through a healthy lifestyle, physical activity, a positive attitude in understanding life, being active in social life, and believing in God's intervention in life.
INTERNAL MEDICINE INPATIENT INSTALLATION MOHAMMAD HOESIN HOSPITAL PALEMBANG
Introduction Diabetes mellitus is Wrong One disease degenerative which becomes threat health resident world on moment this . Amount diabetes sufferers continue increase along with changes pattern Eat And style live . On in 2000, the number resident 171 million people in the world suffer from diabetes soul And estimated amount This will Keep going increase to 366 million on 2030. Research conducted​​ between 2001 and 2005 in the area Depok and in Makassar obtained prevalence of type 2 diabetes is quite high fantastic. Method The purpose of this study is to determine the relationship of perception of death of elderly religious activity in Panti Hargodedali Surabaya. This research design uses a cross sectional analytic. This is all the elderly population living at Panti Hargodedali as much as the number of samples of 36 respondents. The data were collected by interview questionnaire and observation analyzed then performed tabulation. Result From the results of the study on 86 samples, the distribution of type 2 diabetes sufferers was highest at the age of 45-59 years, namely 40 people (46.51%), and more women, namely 57 people (66.28%). The distribution of blood sugar levels was highest, namely ≥ 200 mg/dL, as many as 66 people (76.74%). The distribution of BMI was highest in the overweight group with a risk of as many as 36 people (41.86%). The most common complication was diabetic gangrene, as many as 36 people (41.86%). Conclusion There is a need for an education program regarding diabetes by relevant parties to the community to suppress the increase in the number of diabetes sufferers and to prevent complications and reduce the mortality rate.
DIFFERENCE BETWEEN HEALING LEVEL OF FOOT GANGRENE WOUNDS WITH REGULAR AND IRREGULAR ACTIVE PHYSICAL MOBILIZATION IN DIABETES MELLITUS PATIENTS IN PAVILION III Dr. RAMELAN CLINICAL HOSPITAL SURABAYA
Introduction Patient's gangrene Diabetes Mellitus needs a regular active physical mobility in the hospital for healing of wound, but actually most Patient's gangrene Diabetes Mellitus in the inpatient room is directed toward medical treatment and nursing program such as regular physical mobility , as a result the wound of patient's gangrene Diabetes Mellitus becomes worst. A regular active physical mobility influences the wound healing level. The purpose of this research is to know concerning differently the patient's wound healing level with regular and irregular physical mobility Method This research used experimental design, samples were taken using purposive sampling, obtained 16 respondents of gangrene Diabetes Mellitus who are in hospitalization room in pavilion III Navy Hospital Dr. Ramelan. Data were collected using questionnaire and observation, and then data were analyzed using non-parametric statistics, Wilcoxon Signed rank with significance level of ρ < 0.05 . Result The results of the research denoted that the wound healing level of patients toward regular active physical mobility good 62.5 % , static 37.5%, and bad 0% respectively. and irregular active physical mobility , bad 50%, static 25%, and good 25%. Results showed that a regular active physical mobility influences the wound healing level (ρ = 0.02 ) . Conclusion Based on the results above, so the efforts to increase the wound healing level is needed, a regular active physical mobile is done to arise wound healing gangrene Diabetes Mellitus the toward nursing given so that accelerate wound healing process. Community health information provided by poster mounting and leaflet by medical officers .
RELATIONSHIP BETWEEN HUSBAND'S ROLE AND REGULARITY OF ANTENATAL CARE IN PREGNANT WOMEN IN THIRD TRIMESTER AT ANANDA WARULOR PACIRAN LAMONGAN VILLAGE POLINDES
Introduction Antenatal and postnatal surveillance is very important important in effort lower number pain And death Mother and perinatal. Regularity of antenatal care can shown through frequency visits . From the results of the initial survey conducted researcher at Polindes Ananda Warulor Paciran Lamongan there are 23 mothers pregnant woman who is checking on July 12 - 14, 2009, and there are 10 mothers pregnant woman who is checking regular , while That Still there are 13 mothers pregnant who is still Not yet regular do inspection pregnancy . Purpose study This is For know connection role husband with regularity of antenatal care Mother third trimester pregnant at Polindes Ananda Warulor Paciran Lamongan .. Method Design study use method analytic with cross-sectional approach . The population is all over Mother pregnant woman in her third trimester who was checked at the Polindes Ananda Warulor Paciran Lamongan on month August 2009 as many as 50 people, samples that meet the requirements criteria inclusion as many as 44 people. The sampling technique used consecutive sampling, Instrument in study This use sheet questionnaire And sheet observation . After tabulated existing data analyzed use chi-square test with level significance α < 0.05. Result The results of the study showed that most husbands had a negative role, as many as 28 (64%) people, and as many as 26 (59%) pregnant women did not regularly carry out ANC. The results of the chi-square test obtained count = 22.578 and ρ = 0.000 where ρ < 0.05. Conclusion The conclusion of this study is that there is a relationship between the husband's role and the regularity of antenatal care among pregnant women in their third trimester at the Ananda Warulor Paciran Lamongan Polindes. The less the husband's role and attention, the less regular the pregnant women's antenatal care. Efforts can be made to provide counseling, motivation, and support to husbands through family, close friends, and health workers.
THE RELATIONSHIP BETWEEN JOB SATISFACTION AND WORK MOTIVATION FOR NURSES IN THE DEPARTMENT OF SURGERY AT THE Dr. RAMELAN CITIZEN HOSPITAL, SURABAYA
Introduction Motivation is everything that drives someone to act and carry out their work well. Nurses who work are not based on a strong desire and motivation to work and good adjustment, then in carrying out the work will not be good and optimal so that it will have an impact on nurse job satisfaction and will lead to coercion so that it refers to the formation of dependent behavior that can later lead to working below standards that cause malpractice or work ignoring the code of ethics of care. Factors that influence work motivation are extrinsic factors and intrinsic factors, one of which is job satisfaction (needs) , this satisfaction is in the form of results achieved from their efforts and challenges so far . Method The research design used a cross- sectional research method with a probability sampling technique, the type of simple random sampling. The sample taken was 83 respondents among surgical nurses. The research data was collected using a questionnaire. The results of data collection were tested using a linear regression test (Pearson Correlation) with a significance level of p < 0.05 . Result The results of the study obtained an average nurse job satisfaction of 87.2 with the lowest satisfaction value of 74 and the highest value of 102, indicating that the level of nurse job satisfaction is high, while the average nurse work motivation is 56.7 with the lowest motivation value of 45 and the highest motivation value of 68, indicating that the nurse work motivation is moderate. The results of the Linear Regression test (Pearson Correlation) obtained an r value of 0.522 and a p value of 0.000. Conclusion Based on the research, it was found that work motivation was moderate and the level of nurses' job satisfaction was high. This is because job satisfaction is one of the intrinsic factors (work goals, attitudes, challenges and skills) that cause motivation. In addition, there are extrinsic factors (salary, security, relationships with fellow workers, supervision, appreciation, work) that also need to be considered in increasing the work motivation of surgical nurses .
THE EFFECT OF MUSIC THERAPY ON THE LEVEL OF ANXIETY IN PATIENTS PRE-OPERATING UTERINE MYOMA IN PAVILION F II OF THE CITY HOSPITAL Dr. RAMELAN SURABAYA
Introduction Uterine myomas are the benign neoplasm origin from the uterine muscles and the binding tissue, the impact caused by uterine myomas is the one to the pregnancy and child-birth and, inversely, so the pregnancy and child-birth also influence the existing myoma. The uterine myoma treatment in general is the operative action namely hysterectomy, and myomectomy, the operative action frequently causes psychological effects in the form of anxiety, anxiety is the emotional response to something that is not yet clearly marked on the biological aspect, intellectual aspect and emotional aspect. The theory mentioned that music triggers the endophrine hormone, a hormone with a relaxing nature and the slow music can be relaxing by slowing the breathing and heart beat. Method The design used in this research was the pre experiment design with the one group pre test-post test design type in which the independent variable was musical therapy effect and the dependent variable was the anxiety level of the preoperative uterine myoma patients. This research used the non probability sampling method with the saturated sampling technique. It was analyzed using the Wilcoxon test with p < 0.005; sample taken was the entire myoma uterus pre operative patients at F II room of Dr. Ramelan Naval Hospital of Surabaya on April 20 – June 30 2010. Result In the results of this research obtained that before the musical therapy the average patients' anxiety level was in the moderate anxiety namely 5 patients (71%), after the musical therapy implementation the average patients' anxiety level was in the moderate anxiety of as many as 4 patients (57%) with p .... 0.257 and value of Z-1, 134a meaning that the musical therapy did not prove could decrease the anxiety level of the preoperative uterine myoma patients . Conclusion Viewing the results of this research, the musical therapy did not give the significant anxiety decreasing effect. Therefore, it is expected that it can open the discourse for the nurses to re-examine the musical therapy. .
THE EFFECT OF HYPERBARIC OXYGEN (HBO) ON PERIPHERAL PERFUSION OF GANGRENIC WOUNDS IN DM PATIENTS AT Dr. RAMELAN NAVAL HOSPITAL SURABAYA
Introduction As a result of development in Indonesia, disease patterns have undergone a significant shift. This shift in disease patterns is thought to be related to changing lifestyles, for example, dietary patterns. These changes are evident in the consumption of foods that are high in carbohydrates, protein, fat, sugar, salt, and low in fiber. This increases the risk of several diseases, including diabetes mellitus (DM). Method This quasi experimental research with non equivalent control group design pre-post test approach, aim to identify HBO influence against peripheral perfusion of gangrene Diabetes mellitus patients in Dr. Ramelan Hospital, Surabaya Result The results of research on 40 respondents which were taken by consecutive sampling, showed there was a significant difference in peripheral perfusion after giving HBO group intervention and control (p=0.001). a significant difference on peripheral perfusion before and after given HBO intervention and control group (p=0.005) Conclusion Concluded by Hyperbaric oxygen has an effect on peripheral perfusion of gangrene in diabetic mellitus patients from finger tips, CRT and oxygen saturation
THE EFFECT OF FOOT EXERCISES ON THE HEALING OF GANGRENE WOUNDS IN PATIENTS WITH DIABETES MELLITUS IN PAVILION III OF DR. RAMELAN CLINICAL HOSPITAL SURABAYA
Introduction Leg exercises are Wrong One part from very sport​ important especially For prevent worsening wound gangrene on DM patients . According to Ilyas , Ermita at all ( 2002: 297). Objectives in study This is analyze influence leg exercises against healing wound gangrene on Diabetes Mellitus Gangrene patients . Method Study This study This use method pre one group pre- post test non control group design experiment with do observation First or pretest that allows researchers test changes that occur after existence experiment ( post test ), design This No own group comparison ( control ) ( Nursalam , 2007). Result The results of the study of the effect of foot exercises on the healing of gangrene wounds in patients with Diabetes Mellitus Gangrene in Pavilion III of Dr. Ramelan Hospital, Surabaya using the Wilcoxon Signed Rank Test (p <0.05); In the comparison results before and after the treatment of foot exercises, p = 0.046 so that there is a difference in the level of healing of gangrene wounds before and after foot exercises or there is an effect of foot exercises on the level of healing of gangrene wounds. While in the control group p = 0.317 means there is no difference between before and after. While the results of the statistical test for the comparison between the experimental group and the control group are p = 0.421 which is greater than (p <0.05 ). Conclusion The conclusion of this study is that there is no effect of foot exercise on the healing rate of Gangrene wounds in Pavilion III of Dr. Ramelan Hospital, this can be caused by various factors that support healing other than foot exercise such as the use of therapy and care carried out on gangrene wounds. Foot exercise is one of the physical exercise treatments which is an alternative additional treatment to support wound healing. Control group clients still receive care and treatment as well as the provision of a Diabetes Mellitus Diet .
ANALYSIS OF KNOWLEDGE MANAGEMENT WITH THE SPIRAL KNOWLEDGE MANAGEMENT METHOD APPROACH OF THE FLOOR HEAD AT AIRLANGGA UNIVERSITY HOSPITAL SURABAYA
Introduction​ Knowledge management is a discipline of knowledge used to enhance the performance of individuals or organizations, by managing and providing recent and later knowledge resources. SECI Method is used because this method focuses on creating new knowledge to overcome the problems which start personally. The knowledge gathered and standardized in a company until it can become knowledge for people. The purpose of this study was analyzing knowledge management of the floor chiefs at Airlangga University Hospital, Surabaya. Method The design used was descriptive study started from February 5th – 9th 2016 with the sample of the floor chiefs at Airlangga University Hospital by sampling technique of total sampling. There were 9 respondents obtained. This study used open interviews and questionnaire instruments. Result The result of this study was there were still at minimum level of books collection about nursing available in the hospital. The level of saving knowledge from the floor chief's willingness to the knowledge was still low. The knowledge transfer level of the floor chief's willingness to share knowledge and experience was quite high. The level of applying knowledge showed most of the floor chiefs were able to apply new sciences obtained from sharing knowledge in nursing forums. Conclusion It can be concluded that the knowledge management spiral at Airlangga University Hospital is good.