JKEP

Reproductive Health Information Application Using E-Mobile in Readiness to Face Menarche in Teenage Girls in East Jakarta

2024-11-25T09:07:38+00:00

Preparedness for menarche can be achieved by providing information and attention to young women when facing menarche so that they will be calmer and ready to welcome the arrival of menarche. The initial survey, conducted by the researchers using an interview method involving four elementary school students who had experienced menarche, revealed that they experienced panic and embarrassment when facing menarche. They did not obtain information on menarche from their parents (mothers). Several findings have shown that their readiness to face menarche is still low. Mothers' awkwardness in providing information directly to young women can be overcome by using media in the form of e-mobiles or the internet. A pre-experiment using a single-group pretest-posttest methodology without a control group is the type of study design that will be used. The study variable was teenage girls' knowledge of reproductive health in preparation for menarche. A t-test was used for data analysis. The study was conducted between March and December 2023. SD Negeri 07 Pagi in the Ciracas District of East Jakarta served as the research site. The study population consisted of female pupils in classes 3, 4, 5, and 6 who had not yet reached menarche. Adolescent reproductive health, young women's preparation for menarche, and views on the usage of menarche information were the topics covered in the questionnaire. The initial readiness variable (pre-test) of young women and the results of the readiness (post-test) of young women after obtaining reproductive health information using the women's menarche information application obtained a Sig. (2-tailed) of 0.000 < α (0.05), as did the Paired T-test of the initial understanding variable (pre-test) of teenage girls with the variable of understanding results (post-test) of teenage girls. Young women's pre- and post-test understandings and readiness differed significantly from one another. They also differed significantly from one another in terms of their initial readiness and subsequent readiness following the use of the menarche information application to obtain reproductive health information.

Compliance of Patients Undergoing Hemodialisis with Recovery Time Post-Dialysis

2024-11-18T07:46:12+00:00

Post-hemodialysis, patients frequently experience symptoms that disrupt their comfort during daily activities, ranging from simple to strenuous tasks. Many hemodialysis patients do not feel well after dialysis sessions and require time to recover before resuming their usual activities at home or work. This study aims to determine the influence of fluid compliance, dietary compliance, and hemodialysis dose compliance on post-dialysis recovery time. A cross-sectional design with consecutive sampling was employed, involving 76 respondents. Data were collected by distributing questionnaires to patients undergoing hemodialysis during each session. Data analysis was conducted using the Mann-Whitney test with a 95% confidence interval. Post-dialysis recovery time ranged from a minimum of 15 minutes to a maximum of 1,800 minutes, with the majority of patients recovering within 240 minutes. There was a significant difference between post-dialysis recovery time and fluid restriction adherence (p-value = 0.000, p-value < 0.05), with respondents who adhered to fluid restrictions having a predominantly 45-minute recovery time. Similarly, a significant difference was observed between post-dialysis recovery time and dietary compliance (p-value = 0.000, p-value < 0.05), with respondents who adhered to their diet also having a 45-minute recovery time. Additionally, a significant difference was found between post-dialysis recovery time and hemodialysis dose compliance (p-value = 0.007, p-value < 0.05), with the majority of respondents adhering to the hemodialysis dose exhibiting a 120-minute recovery time. Post-dialysis recovery time is influenced by compliance to fluid restrictions, dietary management, and hemodialysis dosing in hemodialysis patients. Maintaining compliance to fluid restrictions, diet, and hemodialysis dosing can shorten post-dialysis recovery time.

Analysis of Factors Associated with The Occurrence of Anemia in Adolescent Girls in Indonesia

2024-11-19T02:19:45+00:00

The main causes of anemia are a lack of knowledge about anemia, lack of iron, vitamin 12, vitamin A, and folic acid. The aim of this research was to find out what factors are associated with the incidence of anemia in adolescent girls in Indonesia. This research is an analytical survey using a cross-sectional design. The population in this study was women aged 19-25 years. Data was collected using secondary data from the 2017 Indonesian Demographic Health Survey (SDKI) and analyzed using the SPSS Paired T-Test. The results of this research are the occurrence of anemia in women in Indonesia, which is related to age, gender, education level, occupation, case criteria, drug consumption, and distance from home.

Spinocan 27G with Trendelenburg 15º Position Post Induction Anesthesia Can Reduce the Incidence of Hypotension in Subarachnoid Block Anesthesia

2024-11-25T00:14:11+00:00

The surgery requires anesthesia, one of which uses the subarachnoid block anesthesia technique. Hypotension is a complication of subarachnoid block anesthesia which ranks highest in 70,7% of 82 respondents in one study. The prevalence of hypotension was reported in the last five years with different result each year starting 32,69%-76,9%. Hypotension can lead to reduces conditions consciousness, pulmonary aspiration, hypoventilation, tissue hypoxia and even death. This study to determine the comparison of the use of spinocan size and post anesthesia induction position on the incidence of hypotension in patients with subarachnoid block at RSUD Bendan Kota Pekalongan. Analytical observation with cross sectional design. The research was conducted in February - March 2024 with samples were 148 respondents with sampling using consecutive sampling technique based on inclusion and exclusion criteria. Anesthesia used spinocan size 27G and 25G, blood pressure was measured by bedside monitor. Data were analyzed using the Mann Whitney statistical test. The result showed that 84/144 respondents (56.8%) experienced hypotension. Data normality test showed that the data not normally distributed. The result of statistic test were obtained with p value

0.028 in the supine and trendelenburg groups with spinocan 27G. The statistical test results were p value 0.010 in in the supine and trendelenburg 15º groups with spinocan 27G. Obtained statistical test results p value 0.000 between the spinocan 27G and spinocan 25G groups in the incidence of hypotension. The Conclusion of the study, the size of the spinocan 27G and trendelenburg 15º position group significantly reduced the incidence of hypotension compared to the spinocan 25G and supine position group.

Effectiveness of Mindfulness Intervention to Reduce Burnout in Intensive Care Nurses: A Systematic Review

2024-11-20T01:44:33+00:00

Nurses need proper self-management to deal with emotions caused by burnout. One of the meditations that nurses can do is focus attention or mindfulness. Mindfulness is a form of self-regulation strategy that involves focusing attention, responding to thoughts, sensations, and emotions with an attitude of acceptance, without judgment, and being aware of current situations and events. This study aimed to examine of a mindfulness intervention that can reduce burnout in intensive care nurses. Design study a systematic review, the sample used was intensive care nurses, variables are mindfulness intervention and burnout. Mindfulness-based interventions (yoga or meditation, music therapy, cognitive relaxation, breathing relaxation, stress management). Were searched using four databases published through February 2024. A total of 15 RCT and Quasi-Experimental were included in the final analysis. Mindfulness-based interventions (yoga or meditation, music therapy, cognitive relaxation, breathing relaxation, stress management). Effective mindfulness programs are generally carried out for 12-8 weeks with weekly meetings for 2 hours and intensive training between meetings. Overall, the modalities appeared to alleviate and reduce burnout (p<0,001). Mindfulness-based interventions appear to alleviate can reduce burnout in intensive care nurses. Future studies look at mindfulness-based interventions among nurses using more rigorous approaches and larger samples.

Health Volunteers and E-Booklet Impact on Knowledge and Treatment Adherence in Hypertension Patient

2024-11-20T03:54:33+00:00

Hypertension is a disease with a global prevalence of 1.3 billion cases in 2019, which is the leading cause of cardiovascular morbidity and mortality. The prevalence of hypertension in Indonesia is 34.1% among the adult population, with a mortality rate of 427,218. The failure of hypertension patient management is mostly due to a lack of awareness of the importance of adherence to hypertension treatment and a lack of knowledge. This study aims to determine the effect of health education by health volunteers using e-booklet on the knowledge and adherence to treatment of hypertensive patients at Batujajar Health Center area. This study used a quasi-experimental design with intervention and control groups. The sample in this study consisted of 32 respondents, who were selected using the purposive sampling technique. The results showed that health education by health volunteers using e-booklet significantly increased the mean knowledge of hypertensive patients, with the mean value of knowledge rising from 75.6 to 86.8 after the intervention. Patients' adherence to treatment also increased, with the mean value rising from 4.4 to 6. The results showed a significant positive effect on both variables, with a p-value of 0.016 for knowledge and 0.001 for treatment adherence, respectively. Based on the findings, health education conducted by health volunteers using e-booklets significantly impacts the knowledge and medication adherence of hypertension patients in the Batujajar Health Center area. It is recommended that health volunteer training be conducted periodically by healthcare professional and that the e-booklet be utilized as an educational tool at the health center and as a credible reference source for the community.

Increasing The Ability to Manage Hypertension Care in The Elderly Using a Pocket Book

2024-11-20T07:13:46+00:00

Family support is very influential in the success of hypertension care management through health education or information education about hypertension care, one of which is by using a pocket book containing information about hypertension care management for the elderly. The aim of the research was to determine the family's ability to manage hypertension in the elderly using a pocket book. This research uses a quasi-experimental design with a pre-test and post-test control group design approach. of 70 families selected by purposive sampling. Data was collected using a pretest in the treatment group and control group to determine the basic values used to determine the influence of the independent variables. The treatment group was given intervention through the provision of pocket books; while the control group received a booklet about high blood pressure. The results of data collection were analyzed using univariate and bivariate using the t test. The results of this study found that after the intervention was implemented in the intervention group there were differences in knowledge, attitudes and skills between the intervention group and the control group. Researchers suggest using pocket books as a medium to increase the family's ability to manage hypertension in the elderly.

Psychometric Analysis of Validity and Reliability of The Indonesian Version of The Modified Fatigue Impact Scale in Chronic Disease Patients

2024-11-25T09:12:52+00:00

Fatigue is a lack of physical or mental energy that can be felt by individuals and can disrupt daily activities. Fatigue causes a constant decrease in vitality, a lack of energy, and prevents sleep gaps from being filled, ultimately leading to a decline in productivity and quality of life. The prevalence of fatigue in chronic patients varies, as there is no specific data available. However, the prevalence of fatigue depends on the chronic disease in question, such as chronic kidney disease, diabetes mellitus, and heart disease. To obtain a valid and reliable Indonesian version of the MFIS instrument that can measure fatigue in patients with chronic diseases. The sampling technique used was based on the population, using a non-probability sampling method with purposive sampling. The population in this study consisted of patients with chronic diseases (Diabetes Mellitus, Congestive Heart Failure, Stroke). The population was 244 respondents (4 respondents for language comprehension, 30 respondents for validity and reliability testing, and 210 respondents for the final instrument test). The validity test results, with a sample of (n=210 respondents), showed a loading factor value greater than 0.135, indicating that all MFIS items were valid and highly correlated. The reliability test (n=210 respondents) yielded a Cronbach’s Alpha coefficient of 0.869. This study demonstrates that the Indonesian version of the MFIS instrument is valid and highly correlated. This instrument can be used to identify fatigue in chronic diseases and can serve as a guideline for nurses to implement fatigue interventions, thus helping to reduce and address fatigue issues in patients with chronic diseases.

The Link Between Dietary Habits and Body Mass Index in Relation to the Occurrence of Hypertension in The Jatiwarna Village Community Health Center

2024-11-21T07:24:33+00:00

High blood pressure is a prevalent condition in the community and is a significant risk factor for heart disease. Hypertension is often called “the silent killer” because it is a highly perilous condition that can strike individuals without any detectable signs. There are various elements that can impact high blood pressure, such as dietary habits and obesity, which can be assessed by determining body mass index. To establish the correlation between dietary habits and BMI in relation to the prevalence of hypertension at the Jatiwarna Village Community Health Center. This investigation is a quantitative analysis with a cross-sectional methodology. The example utilized in this study consisted of 79 participants selected through the purposive sampling method. An examination of the connection between factors was conducted using chi square. The findings of the chi square analysis examination on the connection between diet and the occurrence of hypertension obtained p-value = 0,038 (<0,05) and an OR value = 3,117 and the correlation between body mass index and the occurrence of hypertension resulted in a p-value = 0.781 (greater than 0.05). There is a noteworthy connection between diet and the prevalence of hypertension and there is no substantial connection between body mass index and the prevalence of hypertension in adulthood.

Analysis of Factors That Influence Bullying Behavior in Adolescents in Public Middle School in East Jakarta Region

2024-11-25T04:09:56+00:00

Bullying is intentional aggressive behavior by a stronger individual or group of peers against a weaker individual or group of peers, whether physically, verbally, or psychologically. This behavior occurs repeatedly and has a negative impact on the victim. The discussion in this research that will be examined are the factors that influence bullying behavior, including: age, gender, parents' educational background, parents' parenting patterns, and peer factors. This research was conducted to determine the factors that influence bullying behavior among teenagers at State Middle Schools in the East Jakarta Region. This type of research is quantitative correlation research with a cross sectional approach and the sampling technique in the research was carried out using non-random sampling with a purposive sampling technique. The sample size in this study was 115 respondents and was analyzed using the chi square test for bivariate and univariate analysis. Based on the results of the analysis, there is a relationship between parental parenting factors and bullying behavior (p value 0.014), and peer factors (p value 0.006) and bullying behavior. Based on the research results from the data presentation and discussion as described in the previous chapter, the results of this research explain based on the characteristics of the respondents (age, gender, and educational background of parents) which are of particular concern regarding internal factors that can be formed in the family to pay attention to each age stage of their child's development.

The Effectiveness of Transcultural Nursing Model to Improve Malaria Childcare

2024-11-25T09:37:02+00:00

Malaria is endemic to Papua due to various factors, rendering its eradication a continual challenge. Nurses, as healthcare practitioners engaged in malaria management, frequently encounter clinical and sociocultural challenges. Consequently, transcultural nursing has emerged as an effective approach to improve pediatric malaria treatment. This study seeks to assess the efficacy of the transcultural nursing model in enhancing malaria care for children provided by their families. This quasi-experimental design used two groups: a control group and an intervention group, each comprising 50 participants. Data analysis utilized t-tests and a general linear model to evaluate the efficacy of the transcultural nursing model among groups subjected to three interventions over time The findings indicated notable disparities in child malaria care practices between the control and intervention groups, as demonstrated by both the t-test and general linear model analyses. This research concludes the transcultural nursing model can effectively address cultural barriers in the provision of nursing care for malaria.

Earthquake Disaster Simulation on Increasing Knowledge and Preparedness Attitudes of Elementary School Students in Padang City

2024-11-25T08:52:44+00:00

The earthquake in West Sumatra in 2009 caused 1,195 people to die, where the majority of victims were the elderly and children. The factor that causes the large number of fatalities during earthquake disasters is the lack of knowledge and attitudes of the community and children regarding earthquake disaster management preparedness. This research aims to determine the effect of earthquake simulation on increasing knowledge and attitudes about earthquake disaster preparedness among elementary school students in Padang City. The research method uses Quasi-experimental with One Group Pre test and Post design, the research location is Lubuk Lintah State Elementary School 21. The population is 80 grade 5 elementary school students with 44 samples taken by proportionate random sampling. The data collection technique uses a questionnaire. The earthquake disaster simulation educational intervention was carried out twice in one meeting for 2x120 minutes. Data analysis used the Paired T-dependent test. The research results showed that there was an effect of increasing knowledge and attitudes before and after being given an earthquake simulation to elementary school students with P-value = 0.000. The research conclusions show that earthquake simulations can be used to increase knowledge and attitudes about earthquake disaster preparedness among elementary school students. If earthquake simulation is used as an activity program in schools, it can make students resilient to disasters.