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 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.
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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..
IDENTIFICATION OF THE EFFECT OF KANGAROO CARE METHOD ON MOTHER'S ANXIETY AND SLEEP-WAK STATUS OF LBW IN SURABAYA
Introduction Clinical condition and treatment in NICU might effect on sleep-wake state of Low Birth Weight baby and result on maternal anxiety. The aim of this study was to identify the effect of kangaroo maternal care on maternal anxiety and sleep-wake state of LBW babies. Low birth weight (LBW) babies often have various health problems that require special, even intensive, care. This condition can cause anxiety in mothers due to separation from their babies Method This study uses one group pretest-posttest design with 16 samples in Surabaya. PSS :NICU and sleep-wake state scale from Priya were used. This design involves taking measurements several times before and after the intervention to record behavioral patterns and trends Result The Wilcoxon signed rank test shows p value = 0.000 and the Friedman test shows p value = 0.000. There were significant effects of KMC on maternal anxiety and sleep wake state of LBW babies . Conclusion There is a need for an educational 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.
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.
VARIOUS DOMINANT FACTORS THAT INFLUENCE THE FREQUENCY OF BRONCHIAL ASTHMA RECURRENCES
Introduction Bronchial asthma is a chronic disease, with many patients in the world. Bronchial asthma is a lung disease which is often met in the public. Growth of industry in Indonesia is more and more fast and extending will give negative impact in the form of air pollution. This air pollution is one of the factors in the incidence of relapse of bronchial asthma. This purpose of research is to know the dominance factors influencing the frequency of relapses of bronchial asthma, and the pattern of increasing frequency of relapses of bronchial asthma. Method The method applied in this research is analytical descriptive with cross sectional design. Population which checked are all patients whose bronchial asthma medicating in Polly Lung Disease RSU Dr. Soetomo Surabaya. Technique in sampling totally sample. The sample which was checked was bronchial asthma patient which of old age between 20-25 years was either woman or men. Technique of data collecting with structural questionnaire and observation method. Presentation of data by using tables of frequency distribution. Result Research results show must of frequent respondents of relapsing of bronchial asthma in the last years more than 5 times; reals, and some smalls less than 3 times; reals, factors influencing frequency of relapse of bronchial asthma are as follows: allergic to inhalants, bad air, inhalant irritants, heavy activity, reaction of drugs, infection (viral), emotional, heavy sport, household conflict, and allergic to food Conclusion This research conclusion depicts relapse in an factor and the last year influencing the frequency of relapse of bronchial asthma so that patients are more increasing information which got and planned in medication .
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND SELF-EFFICACY, MOTIVATION AND TREATMENT COMPLIANCE IN MULTIDRUG-RESISTANT TUBERCULOSIS (MDR-TB) PATIENTS AT THE MDR-TB POLYCLINIC OF DR. SOETOMO HOSPITAL, SURABAYA
Introduction MDR-TB occurs due to treatment failure, one of the causes of which is non-compliance. Non-compliance is based on low patient knowledge, motivation, and self-efficacy. This study aims to analyze the relationship between family support and self-efficacy, motivation, and treatment adherence in MDR-TB patients at the MDR-TB Polyclinic at Dr. Soetomo Hospital, Surabaya . Method The cross-sectional research design involved 55 selected respondents. using consecutive sampling. The independent variable is family support. The dependent variable is self-efficacy, motivation and adherence to treatment. Data were obtained using a questionnaire which was then analyzed using Spearman rho and chi square with a significance level of   0.05 . Results Family support is not significantly related to self-efficacy with a p-value = 0.429 or (p ≥ 0.05 ). Family support is significantly related to motivation p-value = 0.043 r = 0.275 (p ≤ 0.05 ) and medication adherence p-value = 0.037 or (p ≤ 0.05). Conclusion It is recommended that MDR TB treatment programs involve families more as a source of support. in increasing motivation and adherence to treatment. Suggestions for further research include examining regarding counseling interventions to increase family support participation of MDR TB patients.
ANALYSIS OF THE RELATIONSHIP BETWEEN WORK CLIMATE, WORK ETHIC AND WORK DISCIPLINE WITH THE WORK PRODUCTIVITY OF NON-MILITARY IMPLEMENTING NURSES AT THE Dr. RAMELAN NAVAL HOSPITAL, SURABAYA
Introduction Contribution of nursing service to the quality of health service depends upon nursing management, and one of the indicators of excellence in nursing is how much the productivity of the staff nurse in providing a good care to clients and families. To achieve the optimal productivity growth needs some supporting factors including conducive work, work climate, good work ethos and high discipline. This research aims at identifying the relationship between work climate, ethos, and discipline with work productivity of non-military nurses at RSAL dr. Ramelan Surabaya. Method The design of this research was a descriptive correlation. The number of samples was 170 of 302 total population, obtained through a systematic random sampling technique. The univariate, bivariate and multivariate analysis were utilized to identify the correlation between the independent and dependent variables. Using the level of significance (α=0.05), the bivariate analysis identified a relationship between work productivity and work climate (p=0.032), psychological (p=0.00), and social dimensions (p=0.012), ethos (p=0.035), discipline (p=0.028), compliance to the schedule (p=0.014), local policy (p=0.00), standard (p=0.024) and direct superior (p=0.014).The multivariate analysis showed that age (0.000) represents most related to work productivity. Conclusion Recommendation is directed to the director and nursing manager at dr. Ramelan Surabaya Hospital, that performance of nursing care, work discipline standards and team building development, fair reward system for high work performance and penalty for low work performance need to be developed further. In turn, all components mentioned above will improve work productivity as a final goal of management, especially nursing management.
CORRELATION OF THE PERCEPTION OF DEATH WITH RELIGIOUS ACTIVITY ON ELDERLY IN PANTI NURSING HOME HARGODEDALI SURABAYA
​ Introduction​ The perception of death is a process to get the underlying meaning of the death of the individual decisions select an action later adjustments to the death. For a person's death is something scary, the reality of some cases is also the individuals who are afraid of life in the view of both religion and society are forbidden. 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 residing 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 The results are largely the perception of death as many as 14 elderly aged less (39%) and most religious activity levels of elderly diligent conduct of worship as much as 22 elderly (61%). The results of statistical analysis by Che square showed that H1 accepted means there is a relationship between the perception of death and religious activities with significant levels of 0.004 . 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
ANALYSIS OF FACTORS INFLUENCING SUCCESSFUL AGING IN ELDERLY OLDER WORKING AS FARMERS
ABSTRACT​ Introduction​ Successful aging is an important achievement for older adults. Some older adults who work as farmers are experiencing successful aging. However, there are few studies explaining the factors that contribute to successful aging in older adults who work as farmers. The purpose of this study was to determine the factors influencing successful aging in older adults who work as farmers. Method​ This study used a correlational study with a cross-sectional approach. The population was elderly farmers in 11 sub-districts in the south-central Lamongan region. A total of 110 samples were obtained using probability sampling. The independent variables were lifestyle factors, physical activity factors, psychological factors, social factors, and spiritual factors, while the dependent variable was successful aging. Data were collected using a questionnaire and analyzed using Spearman's rho. Results There is a relationship between lifestyle factors (p=0.002), physical activity factors (p=0.026), psychological factors (p=0.020), social factors (p=0.003), and spiritual factors (p=0.001) with successful aging. 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.
THE RELATIONSHIP BETWEEN THE LEVEL OF DEHYDRATION AND ANXIETY IN CHILDREN AGED 6-12 YEARS TREATED WITH DIARRHEA
Introduction Elementary school-aged children (6-12 years old) often exhibit poor snacking habits, lead into health issues, particularly gastrointestinal problems such as diarrhea. Diarrhea-induced dehydration can necessitate hospitalization. Hospitalization due to diarrhea can trigger changes in a child's health status, eliciting individual responses, including anxiety. Method(s) This study investigated the correlation between dehydration levels and anxiety in children aged 6-12 years hospitalized with diarrhea in the pediatric ward of Tabanan Regional General Hospital in 2022. This correlational study employed a quantitative design, utilizing purposive sampling with a sample size of 32 children. Result(s) The findings revealed that among the hospitalized children, 17 experienced mild/moderate dehydration, 13 were admitted without dehydration, and 2 presented with severe dehydration. A majority of the children experienced moderate anxiety (19 respondents, 59.4%), followed by mild anxiety (8 respondents, 25.0%), severe anxiety (3 respondents, 9.4%), and only 2 respondents (6.3%) exhibited no anxiety or depression. The study concluded that there is a positive correlation between dehydration levels and anxiety levels, albeit a weak one (r = 0.361). Conclusion(s) This suggests that increased dehydration severity is associated with increased anxiety in children. The importance of educating school-aged children about diarrhea prevention and the crucial role of parents in managing childhood anxiety are highlighted
THE RELATIONSHIP BETWEEN STRESS LEVELS AND SLEEP QUALITY IN ADULTS IN RW 01 JATICEMPAKA VILLAGE, BEKASI CITY IN 2023
Introduction Adult age is someone who has completed his growth phase and is ready to accept his position in society or adapt to other adult ages. Several life factors that can make adulthood experience stress are due to targets to be achieved, from work to family. A person experiencing stress will experience symptoms such as headaches, irritability, anxiety or excessive anxiety, lack of enthusiasm and problems with sleep quality. Purpose to determine the relationship between stress levels and sleep quality in adults in RW 01 Jaticempaka Village, Bekasi City. Method(s) Quantitative with a descriptive correlation research design¸ with a population of 201 adults, samples were taken using probability sampling of 134 respondents. The analysis used univariate and bivariate. Result(s) Using the Chi-square test, the result is a ρ value of 0.004 (ρ <0.05), then H0 is rejected and H1 is accepted. Conclusion(s) There is a relationship between stress levels and sleep quality in adults in RW 01 Jaticempaka Village, Bekasi City. Suggestion it is hoped that the people of RW 01 Jaticempaka Village, especially adults, can improve healthy behavior, including controlling and managing stress properly such as by exercising and doing other fun activities so that they can have good sleep quality
THE RELATIONSHIP BETWEEN GADGET USAGE DURATION AND SOCIAL DEVELOPMENT IN PRESCHOOL CHILDREN AT DHARMA SENTANA KINDERGARTEN
Introduction Preschool is an important period in the process of human development. The speed of growth and development of each individual with the others varies, depending on the factors that influence it during the growth and development process takes place. At this time, as technology develops, there are many influences on the child's development process, one of which is the use of gadgets. The purpose of this study was to determine whether there was a relationship between the duration of gadget use and social development in preschoolers at Dharma Sentana Kindergarten. Method(s) This research method is correlational which is quantitative with the approach model used is cross sectional. The sampling technique used in this study was non-probability sampling with purposive sampling, namely 94 respondents. Data collection using a questionnaire instrument. Result(s) The Spearman rank statistical test obtained a p value on the duration of gadget use with social development, namely 0.000 <0.05, then Ho was rejected and Ha was accepted, that is, there was a significant relationship or correlation. Conclusion(s) The conclusion from this research is that it is expected that the community, especially parents, pay more attention to children and build good communication and interaction with children so that children can reduce excessive playing of gadgets and prevent social development problems in children
Gadgets; Preschool Children; Social Development
THE EFFECT OF SNAKES AND LADDERS PLAY THERAPY ON ARV MEDICATION COMPLIANCE IN CHILDREN WITH HIV/AIDS AT THE AKAR CINTA KASIH FOUNDATION, BALI
Introduction HIV is a virus that attacks the human immune system, while AIDS is an advanced disease that occurs due to the terminal stage of infection. The purpose of this study was to determine the effect of snakes and ladders play therapy on adherence to taking ARV drugs in children with HIV / AIDS at Yayasan Akar Cinta Kasih Bali. Method(s) Type of pre-experimental research with one-group pretest-posttest design. The sample in the study was 29 people. The sampling technique is non-probability sampling with purposive sampling technique. This study uses a measuring instrument in the form of a Morisky Medication Adherence Scale (MMAS-8) questionnaire by answering using a Guttman scale. Univariate analysis is variable characteristics and bivariate analysis using the Wilcoxon Sign Rank Test. Result(s) Respondents in this study were mostly aged 13-19 years as many as 20 people (69%), female as many as 16 people (55.2%) and elementary school education level totaling 13 people (44.8%). Before being given play therapy, the level of compliance was low as many as 20 people (69%) and after therapy the level of compliance was high as many as 22 people (75.9%). The test results showed a p-value = 0.000 < alpha (0.05), meaning that there is an effect of snakes and ladders play therapy on adherence to taking medication in children with HIV / AIDS. Conclusion(s) Suggestions for the Foundation, making play therapy as a supporting method in an effort to increase understanding of the importance of taking medication
PATIENTS' FAMILY SATISFACTION LEVEL IN THE EMERGENCY INSTALLATION : A DESCRIPTIVE STUDY
Introduction Overloading in the Emergency Room (ER) often overwhelms nurses, leading to dissatisfaction among families who expect faster care for their relatives despite the non-emergency nature of their conditions. This study aims to describe the level of family satisfaction in the ER of Dr. Soegiri Lamongan Hospital. Method(s) This research used a descriptive design with a quantitative approach and a convenience sampling technique. The sample comprised 103 respondents who were family members of ER patients at RSUD Dr. Soegiri Lamongan. The variable of this study was family satisfaction, assessed using the standardized RATER questionnaire, which consisted of 20 questions. Data analysis employed univariate methods and was presented in frequency distribution tables. Result(s) The study revealed that the overall satisfaction level of patient families in the ER of RSUD Dr. Soegiri Lamongan was mainly in the moderately satisfied category. Conclusion(s) Efforts to enhance and maintain family satisfaction include regular supervision of the ER and nursing training programs to improve service quality and patient satisfaction among nurses at Dr. Soegiri Lamongan Hospital
Emergency Room, Patient Family, Satisfaction, Services
THE EFFECT OF SNAKE LEADER CARD 3M BEHAVIOR GAME ON KNOWLEDGE OF DENGUE HAEMORRAGIC FEVER PREVENTION IN CHILDREN
Introduction Dengue Hemorhaege Fever (DHF) is a life-threatening disease mediated by mosquitoes with dengue virus. Prevention efforts suggested with this study was through education using snake leader card game with 3M behavior. Method(s) This research design is Pre Experimental Design with One-Group pretest-posttest. With 45 sample collected using total sampling from elementary school student in grade IV, V, and VI from National Elementary School 1 Samsam. Result(s) Pretest result showed the level of knowledge in the “very good” category only 6.7% from the participant, but the posttest result showed significant improvement in the “very good” category to 97.8% of total participant. Non-parametric test using Wilcoxon test showed significant p-value (< 0.05). Result showed that there’s an significant effect of snake leader card game on knowledge in preventing DHF in children. Conclusion(s) Snake leader card game on knowledge in preventing DHF in children can be used as an alternative intervention for health promoters and health care workers in educating children about preventif DHF
THE EFFECT OF PHYSICAL ACTIVITY COUNSELING ON ACTIVITIES OF DAILY LIVING INDEPENDENCY ON ELDERLY WITH FRAILTY SYNDROME
Introduction Frailty syndrome leads to activities of daily living (ADLs) dependency. Increasing dependency in ADL influencing physical and psychological well-being of elderly. Physical Activity Counseling (PAC) can increase physical activity level in elderly but its effect on ADL independence is understudied. The aim of this study was to analyze the effect of PAC on ADL independence of elderly with frailty syndrome. Method(s) This The study design was pre experimental design with one group pre post test. The population was 12 elderly living in sub district Manukan Kulon Surabaya. The independent variable was Physical Activity Counseling and the dependent variable was ADL independence. Barthel Index were used to collect data and analyzed by Wilcoxon Sign Rank test with significance of α ≤ 0,05. Result(s) Respondents with no disability are the most benefited from this study. Time to evaluate dependent variable was short, longer time needed to show better result. It is applicable for community nurses to promote physical exercise in community. Further studies should include other instruments and advance assessments needed to determine frailty and ADL independence status, so that the therapy given is more significant. Conclusion(s) PAC intervention can increase knowledge and encourage the elderly to increase physical activity so that they can fulfill ADL independently
Physical Activity Counseling, Activities of Daily Living, frailty syndrome, elderly