Jurnal Kesehatan

Family support for management of hypertension

Vera Kurnia — 2024-07-31

Background: The phenomenon that occurs in hypertension patients in the internal medicine room at Dr. Achmad Darwis Suliki Hospital is that the family is not involved in managing hypertension management because the family does not know about hypertension management.

Purpose: The research purpose is to examine the relationship between family support and hypertension management at home

Methods: This research uses a quantitative type with a descriptive correlation and design using a cross-sectional approach. Data collection started from October to February 2022 in the internal medicine room at Dr. Achmad Darwis Suliki Hospital with a sample of 67 respondents using an accidental sampling technique. The data collection tool used a questionnaire and was analyzed using the chi-square test.

Results: The results of the study that there was a relationship between family support and hypertension management at home (p = 0.000 and OR = 18.889), with an Odds Ratio value of 18.889 so that respondents whose families supported hypertension management had 18.9 times the chance of carrying out hypertension management well.

Conclusion: The family has an important role in hypertension management, family support is a motivation for sufferers to carry out hypertension management well. Health workers are expected to always educate families of hypertension sufferers so that they are involved and play an active role in carrying out hypertension management at home so that they can control blood pressure and preventive measures for the occurrence of complications in hypertension sufferers.

Risk Factors For Stunting Incidents In Toddlers

Ratna Juwita — 2024-07-31

Background: Stunting can hinder physical growth, increase a child's susceptibility to diseases, and create barriers to cognitive development, potentially reducing intelligence and productivity in the future. The prevalence of stunting in Riau Province in 2022 was 17%. This figure does not meet the target set by the Medium-Term Development Plan (RPJM), which is 14% by 2024. In Purnama Sub-District, Dumai Barat District, the prevalence of stunting remains high, with 47 toodlers (30%) out of a total of 159 under-fives affected.

Objective: This study aims to identify the risk factors associated with stunting in toodlers aged 24-59 months, including maternal and child characteristics, knowledge, maternal nutritional status during pregnancy, exclusive breastfeeding history, and basic immunization history.

Methods: This research is a quantitative study with an analytical observational design using a case-control approach.

Results: Statistical tests showed significant associations between maternal education (p-value 0.29), maternal chronic energy deficiency (KEK) during pregnancy (p-value 0.032), history of iron tablet consumption (p-value 0.002), exclusive breastfeeding (p-value 0.031), and basic immunization (p-value 0.019) with stunting in toodlers. No significant association was found between occupation (p-value 0.059) and maternal knowledge (p-value 0.073) with stunting in toodlers.

Conclusion: The calculation of the Odds Ratio (OR) indicates that pregnant women with a history of chronic energy deficiency are three times more likely to have stunted toodlers compared to those without a history of chronic energy deficiency. Women who do not exclusively breastfeed are three times more likely to have stunted toodlers compared to those who exclusively breastfeed. Toodlers who do not receive complete immunization are 11 times more likely to experience stunting than those who receive complete immunization. In this study, immunization was found to have the greatest impact on the occurrence of stunting in under-fives in Purnama Sub-District, Dumai Barat District, after controlling for variables such as exclusive breastfeeding, maternal history of iron tablet consumption, maternal occupation, maternal knowledge, and maternal nutritional status during pregnancy.

Spiritual Emotional Freedom Technique (SEFT) Analysis of the Anxiety Levels of Primigravida Pregnant Women in the Third Trimester

Asri Hidayat — 2024-09-17

Background:When facing childbirth, anxiety about giving birth often occurs. Anxiety that is not resolved properly causes changes in the function of the autonomic nervous system/ANS, worsens cardiovascular adaptation and risks complications in pregnant women.

Purpose:This research aims to identifySpiritual Emotional Freedom Technique(SEFT) Regarding the Anxiety Level of Primigravid Pregnant Women in the Third Trimester.

Methods:Qualitative study with a case study approach. The informants in this study consisted of 10 primigravida pregnant women who were recruited through purposive sampling. Data collection through in-depth interviews using data collection instruments, in-depth interview guides, field notes, audio recorder. By analyzing data using Collezi thematic analysis.

Results:The results of the qualitative analysis showed that two major themes were studiedSpiritual Emotional Freedom Technique(SEFT) Regarding the Anxiety Level of Primigravida Pregnant Women in the Third Trimester, namely; 1) Spiritual Emotional Freedom Technique (SEFT) process, 2) Spiritual Emotional Freedom Technique (SEFT) results.

Conclusion:Spiritual Emotional Freedom Technique(SEFT) is good for women who are undergoing pregnancy to reduce feelings of anxiety and worry, especially the worries experienced by pregnant women in the third trimester, the feelings of anxiety and worry are increasing. Pregnant women feel the benefits of SEFT. They feel the effectiveness of SEFT and can continue to practice SEFT in a sustainable manner.

Education And Maternal Self-Confidence In Caring For Premature Babies

Indah Permatasari — 2024-07-31

Background: The high number of preterm births in 2014-2015, Indonesia is one of the countries that contributes the highest premature rate of 19% and is a major factor in perinatal mortality. RSAB Harapan Kita West Jakarta has a rate of 3.46% about 105 mothers who gave birth to premature babies within 3 months. The formulation of this problem is the health of premature babies who need intensive and special care so that most of them can affect the self-confidence of the baby's parents.

Purpose: The purpose of this study was to determine whether there is a relationship between maternal education and maternal confidence in caring for premature babies at RSAB Harapan Kita, West Jakarta

Methods: This study used quantitative methods and used a cross sectional approach with 38 samples obtained by non-probability sampling method and total sampling technique.

Results: The results showed that there was no significant relationship between maternal education and maternal confidence in caring for premature babies with a p-value of 0.721 (? 0.05).

Conclusion: There are other factors apart by education that may affect mothers' confidence in caring for premature babies such as health education. Thus, the researcher suggests the future researchers to examine the effect of health education on the confidence of mothers in taking care of premature babies.

Stunting Prevention in the Preconception Period

Lady Wizia — 2024-08-31

Background: The stunting rate in Indonesia in 2022 was 21.6%. I was reduced when compared to the SSGI data in 2021 of 24.4%. The stunting rate appears to be decreasing from year to year, but a joint commitment is still needed to achieve the target of reducing stunting to 14% by 2024. Stunting prevention is a much more effective step than stunting treatment itself. Prevention of stunting can be done by optimizing the role of mothers in the golden phase of child development. stunting prevention in Indonesia still focuses on pregnancy and toddlers, while prevention during the preconception period is still limited.

Purpose:To synthesize and critically effective steps that can be taken to prevent stunting in the preconception period

Methods:The research method employed was a literature review, conducted by using primary studies from PubMed, google scholar, and ScienceDirect with the keywords “stunting; prevention; praconception” published between 2017-2023, in English, open access, and relevant to the topic

Results:A total of 397 research articles were screened for eligibility, and 15 articles met the inclusion criteria. Based on the 15reviewed articles, devide into three themes: Nutritional status during preconception, Supplementation during preconception and Lifestyle during preconception

Conclusion: This review found that there are several efforts made in preventing stunting in the preconception period. it is recommended that health workers can optimize the prevention of stunting in the preconception period.

The relationship of knowledge about Diabetes Mellitus risk factors with the healthy lifestyle among nursing students

Hema Malini — 2024-07-31

Background: The incidence of Type 2 Diabetes Mellitus (T2DM) in young age groups continues to increase. Student knowledge about diabetes risk factors is still in the category of lacking so that students cannot apply healthy lifestyle implementation behaviors correctly.

Purpose: The study aims to determine the relationship between knowledge and healthy living behavior in students of the Faculty of Nursing, Andalas University.

Methods: The design of this study was cross sectional. The sample number was 218 students of the Faculty of Nursing and used the propotional random sampling technique. The research data was collected with DM risk factor knowledge questionnaire and healthy lifestyle application questionnaire through Google form media. Data analysis using chi-square test.

Result: Researchers found that there was a relationship between knowledge of DM risk factors and the application of a healthy lifestyle (p = 0.002), where knowledge about DM risk factors was obtained in the sufficient category with the application of a low healthy lifestyle.

Conclusion: Therefore, it is still necessary to increase student knowledge about diabetes mellitus risk factors.

The Effect of Warm Compress on the Intensity of Back Pain in Pregnant Women in the Third Trimester: Scoping Review

Bella Riska Ayu — 2024-09-20

Background: Pregnancy is a natural process. During pregnancy, a mother experiences discomfort, one of which is back pain, there are several treatments to treat back pain, namely pharmacological and non-pharmacological therapies. One of the nonpharmacological therapies that can be done is with warm compresses because it is safer, cheaper, effective, cheap and without adverse effects.

Purpose : This article aims to identify literature related to the effect of warm compresses on the intensity of back pain in pregnant women in the third trimester.

Methods: The method used is scoping review which consists of 5 phases, namely identifying scoping review questions using the PICO framework; identifying relevant articles; searching for articles using relevant databases, namely PubMed, Wiley, and Google Scholar; creating PRISMA flowcharts; conducting critical appraisals to assess the quality of articles; charting data; compiling, summarizing and reporting results.

Results: The results of the review of 15 selected articles obtained 8 articles with grade A, 7 articles grade B, 11 articles using quasi experiment, and 4 articles pre experiment. Two themes that emerged based on the results of the Scoping Review are the concept of back pain, and the concept of warm compresses.

Conclusion: Warm compresses are effective in reducing back pain in pregnant women in the third trimester, so they can be recommended as complementary therapy to reduce the intensity of back pain.

The Effect of Warm Water Compress on the Vagina on the Healing of Perinium Wounds in Post Partum Mothers

Wiwit Fetrisia — 2024-07-31

Background: Based on data from the World Health Organization (WHO) in 2017, around 830 women died every day due to complications during pregnancy or childbirth. In Indonesia, 75% of women who give birth vaginally experience perineal wounds and some of these wounds have the potential to become infected. In the Tanjung Emas Community Health Center working area, out of 23 post partum mothers, 4 people (27%) experienced slow wound healing. One cause of infection is poor perineal care. The cause of the high infection rate is due to a decrease in the body's resistance in mothers who are susceptible to infection. To reduce the risk of maternal death globally from 216.1 million live births in 2015 to 70 per 100,000 live births in 2030.

Purpose:The purpose of this research is to determine the effect of warm water compresses on the vagina on healing perineal wounds in post-partum mothers. Methods: The design of this research is a two-group post test only control group design. The population in this study was all postpartum mothers (0-40 days) from December-March 2024 who gave birth in the Tanjung Emas Community Health Center Working Area, namely 23 people. The sampling technique used is a non-probability sample using the sampling technique method in this research using purposive sampling, namely 8 intervention groups and 8 control groups.

Results: The results of this study were that the average wound healing was 5.5 and in the Control Group 6.5 days with a mean difference of 1 day and SD = 0.926. The results of calculations using the Paired T-Test showed p value = 0.039 (p < 0.05), which means Ho is rejected and Ha is accepted, meaning there is a significant influence between the effect of warm water compresses on the vagina on healing perineal wounds.

Conclusion: Further research may be carried out to develop research on other effective methods for healing perineal wounds in pregnant women.

Katuk Leaves (Sauropus androgynus (L.) Merr) on Hemoglobin Level among Pregnant Women in Third Trimester

Memes Nur Masriyah — 2024-09-23

Background: In 2018, 41,8% of amternal mortality in developing countries was caused by anemia in pregnancy, the prevalence of anemia in Indonesia is still very high at 44,2%. One of the causes of anemia is a lack of iron in the body. Anemia can be prevented by consuming foods that contain iron and vitamin C to help the absorbtion process, by consuming katuk leaves while continuing to consume Fe Tablets according to government recommendations.

Purpose: This study aims to determine the effect of Katuk Leaves (Sauropus androgynus) and Fe Tablets on hemoglobin levels among pregnant women in third trimester.

Methods: This research is aquassy experiment pre and post test with control group design. The population in this study was 86 third trimester pregnant women which 45 had anemia in last 6 month at Private Midwifery Practice N. The sample were divided by intervention group and cotrol group, each group was 15 pregnant women, according to sample theory of experimental research. The sampling technique used purposive sampling. The research instrument used observation sheets and Digital Hemoglobinometer. The data analyzed with parametric test, the t-test.

Results: The result of statistic tests showed that there was an effect of katuk leaves and Fe tablets on hemoglobin level with p value of 0,00 (<0,005).

Conclusion: Consumption katuk leaves and Fe tablet is more effective in changing hemoglobin levels compared to consuming Fe tablets only.

Analysis of Risk Factors for Subjective Work Fatigue Levels Among Nurses at RS.Otak DR.Drs. M. Hatta Bukittinggi, West Sumatra, In 2024

Nursanti, Djamalus — 2024-07-31

Background: Service nursing care that is carried out home nurse Sick for 24 hours a day , very much needed readiness physical , mental and time . This is potential cause work fatigue which has an impact decline alertness and concentration , disturbed taking decisions and occurrences error or accident Work .

Purpose : This Study For analyze factors risk level fatigue Work subjective on Nurses at RS.Otak.DR.Drs.M.Hatta Bukittinggi, West Sumatra 2024 .

Methods: Study quantitative with design study This cross-sectional on 100 nurses at the Brain Hospital DR. Drs . M. Hatta Bukittinggi, West Sumatra in 2024. The risk factors are the characteristics individual , factor related work and environment Work Lighting . Measurement of work fatigue with a questionnaire SSRT ( Subjective Self Rating Test ) from IFRC; burden mental work with the NASA-TLX ( National Aeronautics & Space Administration Task Load Index ) questionnaire ; for role , control and satisfaction work with the COPSOG ( Copenhagen Psychosocial Questionnaire ) III questionnaire ; measurement lighting with lux meter

Results: The results showed that 79% of nurses experienced mild levels of work fatigue and moderate levels of work fatigue (21%). Risk factors that had a significant relationship with the level of work fatigue were age (p 0.013; OR 6.82), nutritional status: obese (p 0.020; OR 3.77), sleep duration (p 0.050; OR 3.14).

Conclusion: Implementation of fatigue management and fatigue screening periodic expected can lower level of work fatigue .

THE INFLUENCE OF 1000 HPK VIDEO MEDIA ON INCREASING THE KNOWLEDGE AND ATTITUDE OF MOTHERS OF REPRODUCTIVE AGE COUPLES AS AN EFFORT TO PREVENT STUNTING IN GUGUK PANJANG HEALTH CENTER

Siti Khadijah — 2024-07-31

Background: There are many growth and development problems that occur in children, including stunting. Stunting is a condition of growth failure in children under five due to chronic malnutrition so that children are too short for their age. Malnutrition occurs from the time the baby is in the womb and in the early period after the baby is born, however, stunting conditions are only visible after the baby is 2 years old. Thus the period of 1000 HPK should receive special attention because it determines the growth rate of physique, intelligence, and productivity in the future. In 2020, the national stunting prevalence rate was 27.6%. In Bukittinggi city, the stunting rate in 2021 is 19%. This figure is still far from the national target for 2024 to 14%. Given the importance of stunting prevention, researchers are interested in conducting research on the Influence of 1000 HPK Video Media on Increasing Knowledge and Attitudes of Uisa Subur Couples as Stunting Prevention Efforts at the Guguk Panjang Health Center.

Purpose: To determine the influence of health promotion media videos about 1000 HPK on increasing knowledge and changing attitudes of mothers of couples of childbearing age as an effort to reduce the incidence of stunting

Methods: This study is a quasi-experimental study, which uses a one-group pre-test post test design, with a sample of 18 people in the Guguk Panjang Health Center work area.

Results: The results showed that before being given education through video media about 1000 HPK, the average maternal knowledge was 7.44 and after it was carried out it became 9.61. The average attitude of mothers before being given education was 34.88 and after it was carried out it was 37.88.

Conclusion: There is an influence of 1000 HPK video media education as an effort to prevent stunting on increasing the knowledge and attitudes of mothers of couples of childbearing age at the Guguk Panjang health center..

Uncovering the reasons behind irregular visits by patients with type 2 diabetes mellitus

Titik Kuntari — 2024-07-30

Background: Type 2 diabetes mellitus (DM) is a non-communicable disease with an increasing incidence. DM is associated with deaths caused by several complications. One of the efforts to manage DM is to control blood glucose by maintaining regular check-ups and treatment compliance. Unfortunately, many people with DM still need to visit health facilities regularly.

Purpose: This study aimed to explain the factors associated with the irregularity of type 2 DM patients having check-ups at the public health center (puskesmas).

Methods: This cross-sectional study used the medical record data from Grabag II Public Health Center. The subjects were 135 outpatients with type 2 DM and complete medical records.

Results: The results showed that visit irregularity was significantly associated with sex (OR = 3.8; 95% CI = 1.12-12.79), distance from home (OR = 0.2; 95% CI = 0.06-0.52), and duration of diagnosis (OR = 0.3; 95% CI= 0.12-0.85), but not with age, insurance, comorbidities, and types of therapy.

Conclusion: Factors associated with type 2 diabetes mellitus patients' irregular visits to Puskesmas are sex, distance from home, and duration of diagnosis. Educational interventions at all levels of society should be carried out to increase knowledge about DM and the importance of regular check-ups and medication

Improving Self-Care Behavior of Elderly Group with Diabetes Mellitus through Diabetes Self Management Intervention

Widya Naralia — 2024-07-31

Background: The elderly are one of the age groups that are easily affected by diabetes mellitus due to the decline in organ function and unhealthy lifestyles. Self-care management of diabetes is crucial for helping to control the blood glucose levels of individuals with diabetes mellitus. Self-care management can be carried out through education, discussions, and the practice of physical exercise to regulate blood glucose levels. The implementation of self-care management interventions is considered effective when conducted in groups among the elderly.

Purpose: This research aims to observe changes in the knowledge and attitudes of the elderly, as well as changes in their independence skills.

Methods: The implementation of the Diabetes Self-Management intervention was carried out on 33 elderly individuals with diabetes who were organized into one group. The intervention was conducted over 12-14 weeks, which included education, simulation, and chair-based exercise (CBE) training performed once a week consecutively.. This research uses a pre-post group design with t-test analysis to determine changes in the self-care behavior of group members.

Results: There was an increase in the average score of 1.54 in the knowledge domain, and an average score of 5.18 in the attitude domain. Additionally, there was a decrease in the average blood glucose level of 61.61 mg/dL in the elderly group with diabetes mellitus. Other improvements were also observed in the changes in the Functional Independence variables for motoric and cognitive functions.

Conclusion: Diabetes self-management intervention has become one of the effective strategies that can be implemented in elderly groups with diabetes in the community.