Jurnal Penelitian Sekolah Tinggi Ilmu Kesehatan Nahdlatul Ulama Tuban
Original title : JP: Jurnal Penelitian Sekolah Tinggi Ilmu Kesehatan Nahdlatul Ulama Tuban English title : JP: Research Journal of Institute of Health Science Nahdlatul Ulama Tuban Short title : JP Abbreviation : jpstikesnu Frequency : 2 issues per year (June & December) Number of articles per issue : 8 research articles and reviews per issue DOI : https://doi.org/10.47710/jp p-ISSN : 2338-5898 e-ISSN : 2686-4959 EIC : Tiara Putri Ryandini Publisher : LPPM IIK NU Tuban Citation Analysis : Sinta, Google Scholar, Garuda, DOAJ, Indonesia One Search, RJI Language : Indonesian Discipline : Nurse, Maternity, and Public Health Research Journal of Institute of Health Science Nahdlatul Ulama Tuban is published by the IIKNU Tuban Community Service Research Institute. Published 2 times a year in June and December. Since January 2021, the journal has been ACCREDITATED with the grade "SINTA 6" by the Ministry of Research, Technology and Higher Education (RistekDikti) of The Republic of Indonesia. The recognition was published in Director Decree B/1796/E5.2/KI.02.00/2020 December 30 2020 effective until 2023. The journal certificate can be downloaded here.
Institut Ilmu Kesehatan Nahdlatul Ulama Tuban
Hak cipta atas artikel apa pun dipegang oleh penulisnya. Penulis memberikan jurnal, hak publikasi pertama dengan karya yang dilisensikan secara bersamaan di bawah Lisensi Atribusi Creative Commons yang memungkinkan orang lain untuk membagikan karya dengan pengakuan atas kepenulisan dan publikasi awal karya tersebut dalam jurnal ini. Penulis dapat membuat pengaturan kontrak tambahan yang terpisah untuk distribusi non-eksklusif dari versi jurnal yang diterbitkan dari karya tersebut (misalnya, mempostingnya ke repositori institusional atau menerbitkannya dalam sebuah buku), dengan pengakuan dari publikasi awalnya di jurnal ini. Penulis diizinkan dan didorong untuk memposting karya mereka secara online (misalnya, di repositori institusional atau di situs web mereka) sebelum dan selama proses pengiriman, karena hal itu dapat mengarah pada pertukaran yang produktif, serta kutipan yang lebih awal dan lebih besar dari karya yang diterbitkan. Artikel dan materi terkait yang diterbitkan didistribusikan di bawah Lisensi Internasional Creative Commons Attribution-ShareAlike 4.0
RELATIONSHIP BETWEEN FACTORS AFFECTING THE IMPLEMENTATION OF OCCUPATIONAL SAFETY AND HEALTH AT HOSPITAL X
Background: Occupational Safety and Health (OHS) services are a crucial aspect in creating a safe and healthy work environment, especially in hospitals that have a high potential for physical, chemical, biological, ergonomic, and psychosocial hazards. The Hospital OHS Service is one of the efforts to improve the quality of Hospital services, particularly in terms of health and safety for hospital staff, patients, visitors/patient escorts, and the surrounding community. According to the guidelines of the Minister of Health Regulation No. 66 of 2016 concerning Hospital Occupational Safety and Health, it is stated that OHS Service efforts must be implemented in all workplaces, especially workplaces that have a risk of health hazards and are easily infected by disease. Method: Observational with a cross-sectional study approach Result: The results of the study showed that there was a significant relationship between knowledge (p=0.000), training (p=0.000), workload (p=0.012), and length of service (p=0.003) with the implementation of occupational health and safety at Hospital X. Conclusion: It is hoped that employees will always follow the hospital's occupational health and safety guidelines so that in carrying out their duties work accidents can be avoided..
THE EFFECT OF EARLY WARNING SYSTEM IMPLEMENTATION ON EARLY DETECTION OF EMERGENCY CONDITIONS IN HOSPITALIZED PATIENTS: A DESCRIPTIVE CORRELATION STUDY
Background: Patient safety is a primary focus in healthcare services, particularly in the early detection of clinical deterioration among hospitalized patients. Delays in identifying signs of critical conditions may increase the risk of cardiac arrest, disability, and even death. The Early Warning System (EWS) is an instrument used to efficiently and accurately detect patient deterioration through structured monitoring of vital parameters. This study aimed to determine the relationship between the implementation of EWS and the early detection of emergency conditions in hospitalized patients. Method: This research employed a descriptive correlation design with a cross-sectional approach. The sample of 60 nurses with a total sample. Data were collected using observation instruments assessing EWS implementation and early detection capability. Data analysis was performed using the Chi-Square test. Results showed that most nurses demonstrated a moderate level of EWS implementation (61.6%), while the ability for early detection of emergency conditions was predominantly in the good category (71.6%). The Chi-Square test revealed a significant relationship between EWS implementation and early detection ability with a p-value of 0.001 (p < 0.05). This indicates that the more optimal the EWS implementation, the faster and more accurate nurses are in recognizing clinical deterioration. Conclusion: The importance of consistent EWS application as a preventive measure against critical events in patients. Hospitals are encouraged to strengthen training programs, supervision, and support facilities to optimize EWS performance and enhance patient safety outcomes.
THE RELATIONSHIP BETWEEN BREASTFEEDING AND MATERNAL DIET DURING PREGNANCY WITH THE GROWTH AND DEVELOPMENT OF CHILDREN AGED 1-2 YEARS
Background: The first 1000 Days of Life, spanning from pregnancy until the child is two years old, is a crucial phase for human capital quality. Fetal nutritional status relies heavily on maternal intake during pregnancy, while postnatally, breast milk serves as the primary source of nutrition. Nutritional deficiencies during gestation and suboptimal breastfeeding practices can negatively impact physical growth (stunting) and cognitive development in toddlers (aged 1-2 years). Method: This study employed an observational analytic design with a cross-sectional approach. The population consisted of mothers and children aged 1-2 years in Mojo Village, Kalitidu District, Bojonegoro Regency. A sample of 30 respondents was selected using purposive sampling. Pregnancy diet data were collected using pregnancy history questionnaires, breastfeeding data via questionnaires, growth was assessed through anthropometry (Weight-for-Age, Height-for-Age), and development was measured using the Pre-Screening Developmental Questionnaire (KPSP). Data analysis was conducted using the multiple linear regression test. Result: Statistical tests using multiple linear regression tests obtained a p-value = 0.000 < 0.05, so H0 is rejected, and H1 is accepted, which means it can be concluded that there is a relationship between breastfeeding and maternal diet during pregnancy with the growth and development of children aged 1-2 years. Conclusion: There is a positive relationship between breastfeeding and maternal diet during pregnancy with the growth and development of children aged 1-2 years. Nutritional interventions must commence during the prenatal period and continue with proper lactation management.
COMPARISON OF BREAST CARE AND OXYTOCIN MASSAGE INTERVENTIONS ON BREAST MILK PRODUCTION IN POSTPARTUM MOTHERS AT THE TANASITOLO HEALTH CENTER, WAJO REGENCY, SOUTH SULAWESI
Background: Optimal breast milk production is very important in supporting the success of exclusive breastfeeding in postpartum mothers. Two interventions that are often used to increase breast milk production are breast care and oxytocin massage. This study aims to compare the effectiveness of breast care compared to breast care and oxytocin massage on increasing breast milk production in postpartum mothers at the Tanasitolo Health Center, Wajo Regency, South Sulawesi. Method: This study uses a True experiment design with a posttest equivalent group design approach. The population is all postpartum mothers at the Tanasitolo Health Center. A total sampling technique was used, involving 40 postpartum mothers who were equally divided into a breast care group and a breast care plus oxytocin massage group. The participants were divided into two groups, consisting of 20 individuals in the intervention group and 20 individuals in the control group, assigned randomly. Breast milk production was assessed using the LATCH score, and data were analyzed with the Mann–Whitney test. Results: The study showed that both interventions increased breast milk production, but the average increase in breast milk production in the breast care and oxytocin massage group was higher than the breast care only group, with a p-value of 0.000 (p <0.05). Conclusion: Breast care and Oxytocin massage are more effective than breast care alone in increasing breast milk production in postpartum mothers. It is expected that health workers can provide education and services related to breast care and oxytocin massage as one of the effective interventions in supporting successful lactation in postpartum mothers.
THE RELATIONSHIP BETWEEN THE INTENSITY OF TAHAJJUD PRAYER AND BLOOD PRESSURE IN THE ELDERLY AT THE KARANG WERDA COMMUNICATION FORUM IN JEMBER REGENCY
The aging process is a phase in which the body's ability to repair and regenerate itself gradually declines, which can lead to increased stiffness of blood vessels and higher blood pressure. Hypertension is a condition where blood pressure exceeds 140 mmHg systolic and more than 90 mmHg diastolic. This condition can be caused by mental conditions that influence people's stress levels. Managing blood pressure issues in the elderly can be achieved through meditation, such as performing the Tahajjud prayer. The Tahajjud prayer is thought to aid in stress reduction and contribute to lowering blood pressure. The purpose of this study is to investigate the relationship between the intensity of Tahajjud prayer and blood pressure in elderly individuals at the elderly forum in Jember Regency. This is a cross-sectional study that included a total sample of 189 elderly individuals. The prevalence of hypertension is 59.3%, 55% of them have already performed the Tahajjud prayer, and 45% do not perform the Tahajjud prayer. A significant relationship exists between the intensity of Tahajjud prayer and blood pressure in the elderly population of Jember Regency.
EFFECT OF PSYCHOEDUCATION ON THE LEVEL OF ACADEMIC STRESS IN IMPROVING COPING STRATEGIES OF FINAL STUDENTS
Background: Students are a special group of individuals involved in tertiary education. Final-year students experience higher academic stress due to thesis, time pressure, and transition to professional life. Through the learning process, students will encounter and overcome obstacles in their educational journey. Other triggers of student stress include academic pressure, social challenges, family tensions, and financial problems. These conditions cause stress in their lives. Method: Respondents in this study were 112 students in a control group consisting of 56 respondents and an intervention group consisting of 56 respondents. The questionnaire by the Depression, Anxiety, Stress Scale (DASS) consisted of 42 statements. Research design was Quasi-Experimental with a Control Group, Pre-Post Test design with Psychoeducation intervention. Sampling technique by total sampling. Inclusion and exclusion criteria were willing respondents for this study. Result: Stress level on Final Year students in the control group pre-test and post-test results p-value is 0.567 > 0.05, indicating that the control group isn’t affected before and after intervention. And then on the intervention group pre-test and post-test intervention, results are p = Value is 0.004 < 0.005, concluding that the intervention group pre-test and post-test intervention significantly affected stress levels in final students. Conclusion: Psychoeducation is one strategy for handling academic stress, which can be applied in individual, family, and group settings, focusing on psychological education of participants regarding various problems faced in life, helping people to develop supportive environments, and developing coping skills to manage various problems.
WORK–LIFE BALANCE DIMENSIONS AS PREDICTORS OF WORK STRESS IN HOSPITAL NURSES: A CROSS-SECTIONAL STUDY
Background: The nursing profession has high physical and mental demands that can interfere with nurses' ability to maintain work-life balance (WLB), thus potentially increasing work stress. This study aims to analyze the relationship between WLB determinants and work stress levels in inpatient nurses at Prof. Dr. Soekandar Mojosari Regional General Hospital. Method: The study design used a cross-sectional approach with 84 respondents selected through purposive sampling. Instruments included the WIPL, PLIW, PLEW, and WEPL questionnaires, and work stress questionnaires. The analysis used the Spearman correlation test. Results: WIPL had a significant negative relationship with work stress (p = 0.000; r = –0.499), and PLIW also showed a significant negative relationship (p = 0.021; r = –0.235). WEPL had a strong and significant negative correlation (p = 0.000; r = –0.557), indicating that the more work supports personal life, the lower the nurses' stress levels. However, PLEW did not show a significant relationship (p = 0.246; r = –0.117). This condition indicates that personal life support, such as family comfort or social environment, is not enough to offset the high work pressure, so it does not have a direct impact on stress reduction. Conclusion: This study confirms that the imbalance between work demands and personal life is an important factor affecting work stress. Hospitals need to strengthen strategies to improve WLB through flexible scheduling, adequate rest time, and psychological support to reduce nurses' work stress.
THE EFFECT OF POST PARTUM EDUCATION ON PARENTING SELF-EFFICACY AND POST PARTUM BLUES IN PRIMIPARA MOTHERS POST SECTIO CAESAREA AT ESTOMIHI HOSPITAL, MEDAN C
Background: High parenting self-efficacy will reduce the risk of postpartum depression. The prevalence of depression 6 months postpartum overall is 4.0%, with a higher prevalence in urban areas (5.7%) than in rural areas (2.9%). Young mothers in urban and rural regions show different risk factors for postpartum depression. Meanwhile, mothers who have low parenting self-efficacy scores can increase the risk of postpartum depression, inability to care for babies, which will increase infant morbidity and mortality rates, marital conflict, lack of relaxing and enjoyable time with children, and experience great difficulties in carrying out baby care tasks. The purpose of this study is to determine the effect of postpartum education on parenting self-efficacy and postpartum blues in primiparous mothers after cesarean section. Method: This study is a Quasi-Experimental study with a pretest-posttest Non-equivalent control group design. The research method used is postpartum education with leaflets and lectures on parenting self-efficacy and postpartum blues. The study population is post-CS mothers at Estomihi Hospital, Medan. The sampling technique is purposive. The sample size is 38 respondents, consisting of 19 people in the experimental group and 19 people in the control group. Univariate and bivariate data analysis using the Wilcoxon test and ordinal regression test. Results: The statistical test results showed a decrease from the intercept-only model to the final model, namely 26.761 to 5.623, with a difference (Chi-square value) of 21.138, which means there is a real influence with the presence of independent variables. If seen from the significance value, there is a significant influence between postpartum education using leaflets on parenting self-efficacy and postpartum blues because the significance value obtained is 0.000 <0.05. Conclusion: There is a significant influence of postpartum education using leaflets on parenting self-efficacy and postpartum blues.
COMPARISON OF EXCLUSIVE BREASTFEEDING WITH FORMULA MILK ON THE FREQUENCY OF ACUTE DIARRHEA IN INFANTS AGED 0-6 MONTHS IN PULO ARA GEUDONG TEUNGOH VILLAGE, KOTA DISTRICT THE STRUGGLE OF BIREUEN DISTRICT
Background: Breast milk for babies is the perfect food. This is because of the important antibodies contained in colostrum; in addition, breast milk is also always safe and clean, so it is very unlikely for germs to enter the child's body. Breast milk can protect babies through the various immune substances it contains. Even if the mother is in a state of malnutrition, breast milk still contains sufficient essential nutrients for babies and can overcome infections through phagocyte cell components and immunoglobulins. The purpose of the study: to determine the comparison of the incidence of acute diarrhea in infants with exclusive breastfeeding and formula milk in Pulo Ara Geudong Teungoh Village, Kota Juang District, Bireuen Regency. Method: This study is a Quasi-Experimental study with a pretest-posttest Non-equivalent control group design. The study population was infants aged 0-6 months in Pulo Ara Geudong Teungoh Village, Kota Juang District, Bireuen Regency. The sampling technique was purposive. The sample size was 36 respondents, consisting of 18 people in the exclusive breastfeeding group and 18 people in the formula milk group. During the pretest, the researcher asked about the infant’s history of diarrhea before the treatment. After the treatment, the researcher reassessed the incidence of diarrhea in both groups over a period of one month. Univariate and bivariate data analysis were performed using the Wilcoxon test and the Mann-Whitney test. Results: The results of the Mann-Whitney test analysis show that the Asymp.Sig. (2-tailed) The value is 0.004, which is smaller than 0.05. Therefore, it can be concluded that the hypothesis is accepted, and there is a difference in the incidence of acute diarrhea in infants with exclusive breastfeeding and formula milk. Conclusion: There is a difference in the incidence of acute diarrhea in infants with exclusive breastfeeding and formula milk.
RELATIONSHIP BETWEEN DURATION OF TYPE 2 DIABETES MELLITUS AND BLOOD PRESSURE IN PATIENTS AT THE PERSADIA TULUNGAGUNG CLINIC
Background: Type 2 diabetes mellitus (T2DM) is a chronic condition characterized by the body's inability to use insulin effectively. Prolonged duration of T2DM and poor glycemic control may lead to various complications, including macroangiopathy—damage to large blood vessels—which can affect blood pressure. This study aimed to investigate the relationship between the duration of type 2 diabetes mellitus (T2DM) and blood pressure levels in patients with type 2 diabetes. Methods: This study employed an analytical design with a cross-sectional approach, involving 30 respondents selected through purposive sampling. The study was conducted from June 15 to 22, 2019. Data collection involved the use of validated questionnaires and medical records, as well as direct blood pressure measurements. The Spearman Rho correlation test was used with a 95% confidence level. Results: Among the 13 respondents with a longer duration of T2DM, all (100%) had high blood pressure. The Spearman Rho test yielded a p-value of 0.000, which is less than the significance level of 0.05, indicating a statistically significant relationship. The correlation coefficient was 0.797, suggesting a strong positive correlation between the duration of diabetes and blood pressure. Conclusion: There is a significant relationship between the duration of type 2 diabetes mellitus and blood pressure levels in patients at the Indonesian Diabetes Association (PERSADIA) Clinic in Tulungagung
The Relationship Between Breastfeeding Position and the Occurrence of Regurgitation In Infants Aged 0-6 Months
One of the problems in the breastfeeding process is regurgitation. Efforts to prevent regurgitation include training in the proper breastfeeding technique. Hold the baby upright so that the air swallowed while sucking can be released. This research analyzes the relationship between breastfeeding position and the occurrence of regurgitation in infants aged 0-6 months in Songgokerto village, Batu city. This study is designed as quantitative research with a cross-sectional approach and uses a post-test only study. Therefore, all mothers with children aged 0-6 months in the Songgokerto sub-district became respondents in this study. The sample size in this study was 30 mothers who have infants aged 0-6 months who experience regurgitation. Univariate data analysis and bivariate analysis with anova test and linear regression test analysis. Analysis result of t count > t table, which is -2.918 > -2.056. This means that there is a significant relationship between Breastfeeding Position and the Occurrence of Regurgitation. The statistical analysis result shows that F count > F table, which is 33.305 > 2.975. This indicates a significant relationship between the variable Breastfeeding Technique (X) and Occurrence of Regurgitation (Y). The analysis result of the R-squared value for variable X (Breastfeeding Position) is 0.794, meaning that the breastfeeding position affects the occurrence of regurgitation by 79.4%, while the remaining 20.6% is influenced by other factors not studied. The significant relationship between breastfeeding position and the occurrence of regurgitation.
Frequency of Tahajjud Prayer and Its Impact on Sleep Quality Among Elderly People in Karang Werda, Jember Regency
Background: The elderly experience a decrease in sleep quality, one of which is becoming easier to wake up at night. This can happen, among others, due to the habit of practicing the tahajjud prayer. The relationship between the frequency of tahajud prayer and sleep quality in the elderly has never been studied before. Objectif: This study aims to explore the relationship between the frequency of Tahajjud prayer and sleep quality among elderly individuals at the Karang Werda Communication Forum in Jember Regency. Method: This type of research is descriptive analytic with a cross-sectional design. Samples were selected using purposive sampling and analyzed using the Spearman Rank Correlation method. Results: A total of 28 elderly people in this study were female (n=23; 82.1%), 60-64 years old (n=13; 46.4%), and not working (n=23; 82.1%). A total of 20 (71.4%) elderly practiced tahajud prayer 6-7 times per week. 16 (57.1%) elderly had good sleep quality based on the result of PSQI. The Spearman correlation coefficient was -0.287 (p = 0.131), indicating no significant relationship. Conclusion: There is no relationship between tahajud prayer frequency and sleep quality in the elderly at Karang Werda Communication Forum of Jember.
FOOD INTAKE AS A DETERMINANT OF NUTRITIONAL STATUS IN CARAT VILLAGE
Introduction: The nutritional needs of children under five are increasing because they are in a phase of rapid growth and high physical activity. SSGI data for 2022 shows that in Pasuruan District in 2022, stunting reached 20.5%, wasting reached 12.4%, underweight reached 21.4%, and overweight reached 6.2%. One of the direct contributing factors to stunting is insufficient nutrient intake. Methods: The type of research applied was quantitative analysis with a cross-sectional design. The study period was from September 30 to October 05, 2024, with a population of 339 children under five. Sampling was done by purposive sampling, so that 75 toddlers were obtained. The process of collecting food consumption data was carried out using a food record form for 1x24 hours, and evaluating the nutritional status of toddlers using the BB / U index. Data analysis using the Chi-Square test to analyze the relationship between carbohydrate, protein, and fat intake with nutritional status. Results: This study shows that there are 24 respondents (23%) of toddlers with abnormal nutritional status characteristics and 51 respondents (68%) with normal nutritional status. The number of respondents who had sufficient carbohydrate intake was 58 people (77.3%), for sufficient protein intake, there were 46 respondents (61.3%), and the number of respondents with sufficient fat intake was 49 people (65.1%). The results of bivariate analysis showed that there was a relationship between carbohydrate intake and nutritional status (p=0.001), there was a relationship between protein intake and nutritional status (p=0.001), while there was no relationship between fat intake and nutritional status of toddlers (p=0.440). Conclusion: There is a relationship between food consumption and the nutritional status of children under five in Carat village in 2024. The intake of carbohydrate, protein, and fat for children under five needs to be increased to support their growth period.
INCOMPLETENESS AS A RISK FACTOR FOR DELAY IN RETURN OF MEDICAL RECORD FILES
Background: Complete and timely medical records play an important role in health services, according to SOP at Aisyiyah Siti Fatimah Hospital, which states that the return of medical record documents is 2x24 hours. Where the results in the introduction showed that there was an inaccuracy in the return time and incomplete filling in the discharge summary. Method: This study used quantitative analytical methods and a cohort design, and logistic regression analysis. The number of samples used was 70 medical record documents, and the research instrument used was a checklist. Results: There was an incomplete discharge summary with a percentage of 67.1% while the return documents were not on time there were 51.4% and the RR value = 15.714 which was proven to affect the delay in returning medical record documents was the incompleteness of the discharge summary form, there was a probability value of 70% indicating that the incomplete discharge summary had a probability of inaccurate return. Conclusion: There is still an incomplete discharge summary form and a late return of medical record documents. Therefore, researchers can suggest that hospitals hold regular outreach regarding the importance of completeness and timeliness of returning medical record documents.
Nursing Care with Effective Cough Training for Asthma Patients with Ineffective Airway Clearance at RSUD Dr. Wahidin Sudiro Husodo, Mojokerto: A Case Study
Background: Asthma is a chronic respiratory disease characterized by inflammation of the airways, causing difficulty breathing and symptoms such as shortness of breath, coughing, and wheezing. One of the primary problems for asthma sufferers is ineffective airway clearance, often caused by the accumulation of mucus. This condition can worsen asthma symptoms and increase the risk of attacks. The method employed is descriptive, utilizing a case study approach to nursing care involving two respondents. Data collection techniques included interviews, observation, and documentation of activities carried out, including assessment, nursing diagnosis, nursing intervention, implementation, and evaluation. The results of this study discuss the absence of a gap between theory and the implementation of nursing care for clients 1 and 2 with effective cough exercises. This was shown from the results of interviews and observations of two clients with ineffective airway clearance problems based on the results of the assessment. Based on the implementation of nursing care, which had been carried out for 3 days, it was found that the problem had been resolved well. So the suggestion for future researchers is to increase research time so that they get maximum results.
ANALYSIS OF THE EFFECT OF TYPE OF WORK AND DURATION OF WORK AMONG PREGNANT WOMEN ON THE INCIDENCE OF LOW BIRTH WEIGHT
Background: The Length of work is the period or the length of time that the workforce works in a place. The period starts from when a pregnant woman starts to work as an employee in a company until a certain period. Pregnant women who work too hard will spend a lot of energy and fatigue if not balanced with balanced food consumption and sufficient rest, then the nutritional needs of the fetus are not met properly, so that the weight in baby to be born has a small weight. Objective: Analyze the type of work and length of work of the mother during her pregnancy on the incidence of Low Birth Weight (LBW) at the UPTD Ma'u Health Center, Ma'u District, Nias Regency. Method: The research design used is a case-control study. In the case-control study, subject identification (cases) is carried out. Thus, there is a case group, namely mothers who gave birth to LBW babies, and a control group, namely mothers who gave birth to babies with normal weight at the Ma'u Health Center. The number of samples is 60 respondents, consisting of 30 respondents who gave birth to LBW babies and 30 respondents who gave birth to non-LBW babies. Univariate data analysis and bivariate analysis with chi-square test and linear regression test analysis. Results: Linear regression test f value count = 3.719 with a significance level of 0.030 <0.05, which means there is a real relationship with the presence of independent variables. When viewed from the significance value, there is a significant relationship between the type of work and the length of work on the incidence of LBW. Conclusion: a significant relationship between the type of work and length of work on the incidence of LBW.
EFFECT OF PEER SUPPORT GROUP ON ACADEMIC STRESS AMONG GRADE II VOCATIONAL HIGH SCHOOL ADOLESCENTS
Background: Academic stress is a phenomenon that often occurs in school-age adolescents. Academic stress is a condition where students cannot face academic demands and perceive the academic demands as disturbances. Method: This research was conducted by a researcher who used student respondents who were divided into two intervention groups, 141 respondents, and a control group of 141 respondents. This study used by Zung Self-Rating Anxiety Scale (ZSRAS) questionnaire. In this research design was used by Quasi with a Control Group Pre-Post Test with Peer Support Group intervention. Sampling technique using by Simple Random Sampling using Lottery Technique with inclusion and ekslusion criteria of respondents and using analysis with SPSS using a Pearson product-moment correlation analysis test. Stress level in the control group was obtained P = 0.513 > 0.05, while stress level in the intervention group before and after intervention in the intervention group was obtained P = 0.003 < 0.05, differed in effect stress levels in control and intervention groups. Conclusion: Peer support groups can provide positive support to students who have experienced academic stress due to learning. It is a system for providing assistance with respect, shared responsibility, and mutual agreement, namely through support, friendship, empathy, sharing, and mutual assistance. Peer support groups provide social, emotional support, instrumental support and sharing in any condition in bringing about the desired social or personal change.
THE EFFECT OF INSTRUMENTAL MUSIC GUIDED IMAGERY THERAPY ON THE LEVEL OF HEADACHE
Background: One of the most common degenerative diseases among the elderly is hypertension. Headaches are one of the symptoms of hypertension; if not addressed promptly, headaches in hypertensive patients can lead to sleep disturbances, anxiety, emotional instability, and ultimately affect the patient's quality of life. One non-pharmacological management that can be employed to address headaches is guided imagery therapy with instrumental music. The aim of this study is to analyze the effect of guided imagery therapy with instrumental music on the level of headaches in elderly hypertensive patients in Dusun Krajan, Desa Bektiharjo, Semanding. Method: The research design in this study is a quantitative pre-experimental using the one group pre-test post-test design method. The population in this study consists of elderly hypertensive patients experiencing headaches, totaling 25 elderly individuals, with a sample selected through purposive sampling technique, resulting in a sample of 23 elderly individuals. Result: The results of the conducted research showed that elderly individuals with mild headache levels after undergoing therapy for 3 consecutive days exhibited a decrease in pain levels. After being analyzed using the Wilcoxon test with a significance level of α=<0.05, with a p-value of 0.000<0.05, the result obtained was an Asymp sig (2-tailed) value of 0.000. Conclusion : It can be concluded that H1 is accepted, which means that guided imagery therapy with instrumental music has an effect on the level of headache in elderly hypertensive patients in Dusun Krajan, Desa Bektiharjo, Semanding. The guided imagery technique is a method that helps achieve deep relaxation, creating relaxation in various ways that can control the nervous system, ultimately lowering blood pressure, thereby alleviating headaches caused by elevated blood pressure.
EFFECTIVENESS OF COMPLEMENTARY TREATMENTS IN DIABETIC WOUND HEALING
Diabetic foot ulcers are typical wounds that are serious and common complications in people with diabetes with a long healing time. The cost of treating diabetic foot ulcers is relatively expensive because the price of modern dressings is less affordable and the recovery time is long. Complementary dressing interventions are expected to heal diabetic foot ulcers effectively. This case study aims to analyze the results of the implementation of wound care with complementary dressings on the healing of diabetic foot ulcers. This case study uses a descriptive method with a nursing care process approach. The subjects of the case study were patients with diabetes mellitus with grade 1-2 diabetic ulcers. The subjects of the case study were 2 people, who were obtained randomly. The subjects of the case study had signed an informed consent before data collection. The population used was all patients with diabetic foot ulcers. The number of samples used was 2 female patients. The data collection tool used the Bates-Jensen Wound Assessment Tool (BWAT) assessment sheet. The results obtained were an improvement in the wound as indicated by an increase in the score on the assessment sheet with an average difference of 3 points. The complementary dressing technique accelerates the healing of diabetic wounds
The Effectiveness of Infection Prevention Control Nurse (IPCN) Supervision in Improving Safe Injection Compliance at RSUD Dr. R. Koesma Tuban
Background: Compliance with safe injection standard operating procedures (SOP), in accordance with WHO recommendations, is an effort to prevent and control healthcare-associated infections. This is in line with the global commitment to improving the safety of patients and healthcare workers. Supervision is a reinforcing factor to improve compliance in performing safe intravenous injections. Method: The type of this research is correlational with a cross-sectional time approach. The respondents used in the study were 68 nurses and were selected using the cluster random sampling technique. The instrument used in data collection was a checklist. Result: The results of the statistical test using Chi Square with a significance level of α < 0.05 obtained a value of ρ = 0.001 < 0.05 with a correlation coefficient of r = 0.405, indicating a relationship between the two variables, categorized as moderate with a positive correlation. Conclusion: The conclusion of this study indicates a relationship between the implementation of IPCN supervision and efforts to improve safe intravenous injection practices at RSUD dr. R. Koesma Tuban.
EFFECTIVENESS OF AUDIO VISUAL AIDS (AVA) BASED EDUCATION ON PATIENTS' KNOWLEDGE AND ANXIETY PRE CATARACT OPERATION
Background: One of the treatments for cataracts is surgery. Lack of knowledge of precataract surgery patients can cause fear, anxiety and stress, because it can threaten the integrity of the body, soul and can cause pain. The purpose of the study was to determine the effect of audio visual education on the cataract surgery process on the knowledge and anxiety of precataract surgery patients at Tulungagung hospital Method: This study was conducted on July 15-August 10, 2024 using the pre- experimental design method with a one group pretest posttest design approach. population of all pre-cataract surgery patients at RS Tulungagung underwent surgery on July-August 2024, samples were taken using accidental sampling techniques of 40 respondents Result: in this study with statistical test showed that there was an effect of audio visual education of the cataract surgery process on the knowledge of pre-cataract surgery patients (0.000 <0.05) and anxiety of pre-cataract surgery patients (0.000<0.05) at Tulungagung Hospital in 2024. Conclusion : Audio-visual-based health education carried out by health workers as people who are proven in the health field is very useful in increasing knowledge and reducing anxiety of pre-cataract surgery patients
DUAL ROLE CONFLICT WITH BURNOUT SYNDROME IN NURSES
Burnout syndrome in nurses who are too busy tall can influence ability individual in face environment work , so that arise various consequence Good both mentally and physically physical which can seriously disrupt the service process . Research This aiming For know connection conflict role double with burnout syndrome in nurses at RSNU Tuban . Research This is non- experimental research with design analytic correlational and the approach used is cross sectional . Respondents in study This totaling 40 respondents with use total sampling technique . Variables free is conflict role double and variable tied up is burnout syndrome. The instrument used is questionnaire . Research results show conflict role double burden and burnout syndrome in nurses at RSNU Tuban is in the category moderate . The statistical test used is the Spearman rho test with α = 0.05 and obtained value of ρ = ​​0.000 (ρ = <0.05) then H1 is accepted . Research conclusion This is there is significant relationship​ between conflict role double with burnout syndrome in nurses at RSNU Tuban . Therefore that , the more tall conflict role double so the more the level of burnout syndrome is also high .
THE EFFECT OF NON-PHARMACOLOGICAL THERAPY ON PAIN REDUCTION IN POST OP FRACTURE PATIENTS
Background: Fracture is a disruption of the continuity of bone tissue caused by traffic accidents or deformity. Fracture surgery is an invasive procedure that is usually performed on fracture patients. Surgery will of course have unpleasant impacts on the patient, one of which is pain. Pain arising from surgery or post-surgery can be reduced using non-pharmacological techniques. Non-pharmacological techniques that can be applied include deep breathing techniques, classical music therapy, cold compress therapy, aroma therapy, and finger-hold relaxation techniques. Objective: This research aims to analyze journals related to non-pharmacological techniques in reducing post-operative fracture pain. Method: Using literature review. The research samples analyzed were 5 articles. Data collection tools use Google Scholar, ResearchGate, and PubMed. Results: The 5 articles used in this literature review show an influence or reduction in the intensity of post-fracture surgery pain after being given non-pharmacological therapy. Conclusion: Non-pharmacological techniques can be used on patients who experience post-fracture surgery pain because the results of the analysis of several articles state that there is an influence or reduction in the intensity of post-fracture surgery pain.
CORRELATION OF SANITATION WITH STUNTING IN MANDER VILLAGE, TAMBAKBOYO DISTRICT. TUBAN REGENCY
Background: Stunting is one of the most critical malnutrition problems globally caused by multiple factors. Sanitation of the family environment, especially unhealthy ones, both from the criteria for housing, sanitation facilities owned and the behavior of household residents can increase the risk of stunting in toddlers. Objectives: This study aims to analyze the correlation between environmental sanitation and the incidence of stunting. Method: The study used a quantitative study with a correlational analytic research design, the population is all stunting in Mander Village, Tambakboyo District Tuban Regency in March 2024, as many as 42 toddlers were obtained by total sampling technique. Collecting data using a healthy home observation sheet and measuring height according to age, then the data was analyzed by using the Spearman Rank correlation test with a significance level of 0.05 Result: Most of respondent with unhealthy home environment sanitation as many as 28 respondents (66.6%), most of the toddlers experienced stunting in the short category as many as 23 toddlers (54.7%) and there was a significant relationship between sanitation and the incidence of stunting. stunting in children under five at the Mander Village, Tambakboyo District, Tuban Regency in 2023 (ρ value 0.001; r 0,725). Conclusion: There is a significant relationship between environmental sanitation and the incidence of stunting. Unhealthy home environment sanitation will increase the risk of children suffering from stunting greater than children from families with healthy home environment sanitation
The Effectiveness of Integrated Antenatal Care Services at IIKNU Tuban in Improving the Health and Awareness of Pregnant Women
This study evaluates the effectiveness of integrated Antenatal Care (ANC) services at IIKNU Tuban in improving maternal health and awareness among pregnant women. Integrated ANC, which combines routine medical care, nutritional education, and early detection of pregnancy complications, has been shown to significantly reduce maternal and neonatal morbidity and mortality globally. Despite improvements in healthcare delivery, challenges such as inadequate access to services and cultural barriers persist, especially in rural areas. Data collected from pregnant women at IIKNU Tuban indicated that the program has successfully increased maternal awareness regarding the importance of regular ANC visits, nutritional needs, and the identification of potential complications. Participants also reported better health outcomes, such as improved nutritional status and a reduction in anemia. However, challenges, including staffing shortages and the limited availability of advanced medical resources, continue to affect the program's overall impact. The study concludes that while integrated ANC services at IIKNU Tuban are effective in improving maternal health, addressing resource constraints and cultural barriers is crucial for further enhancing program effectiveness. These findings suggest that localized, integrated ANC programs could serve as a model for other regions aiming to improve maternal health outcomes in underserved populations.
THE INFLUENCE OF ONLINE TO OFFLINE LEARNING METHODS ON LEARNING MOTIVATION IN MUSLIM DOCTORS, FACULTY OF MEDICINE, YARSI UNIVERSITY
Background: Online learning is implemented as an effort to reduce the spread of Covid-19. In the medical education, coass, online learning affects the learning motivation of students. Motivation is the drive to perform an action with a specific goal. The goal of this research is to understand the learning motivation of Muslim doctors during the transition from online to offline learning methods during clinical clerkship. Method: This research is quantitative, using the Wilcoxon test by distributing the Motivated Strategies for Learning Questionnaire (MSLQ) online. The research sample consists of Muslim doctors from the Faculty of Medicine, YARSI University in 2022, learning with the transition from online to offline methods during clinical, selected through simple random sampling. Result: The results obtained in this study show that the learning motivation during online learning is mostly categorized as very good compared to offline learning Conclusion : The score of learning motivation from online to offline does not show significant changes, with a significance value of 0.812 > 0.05, indicating no increase in learning motivation during the transition from online to offline learning methods.
SKRINING PERUBAHAN FISIK, PERILAKU SEKSUAL, DAN PSIKOLOGIS PADA WANITA YANG MENGALAMI MENOPAUSE
Background Changes in women experiencing menopause often become a problem in their health. This aims of this research is to identify a picture of the changes that occur in women who have experienced menopause. The research design is descriptive. The research population was women aged 45-59 years who had experienced menopause in Cemani village, Surakarta with no nee a total of 50 subjects. Sampling uses cluster sampling. The variable is the changes that occur at menopause. The instrument uses structured interviews and is analyzed using descriptive analysis. The results of the study described severe physical changes (57.8%), moderate changes in sexual behavior (68.9%), and moderate psychological changes (55.6%). It was concluded that menopausal women will experience physical, sexual behavior and psychological changes with severe and moderate modifications. Keywords: Degeneratif; Wowen; Menoupouse; Skrining
EFEKTIVITAS SENAM HAMIL PADA IBU TRIMESTER III TERHADAP JENIS PERSALINAN
One of the causes of the high number of maternal deaths is prolonged labor. The form of prevention of prolonged labor that can be done is by controlling the five factors of the birth process which include power, passage, passenger psychology and helpers. Power is a very important birth factor, originating from pregnant women which can be controlled with pregnancy exercises. This research aim is to determine the outcomes of maternal exercise in the third trimester during the birth process. This research method is retrospective, with a total sampling technique of 25 and data analysis use Chi Square. The results of this study were that the majority of pregnant women in the third trimester did regular pregnancy exercise, with as 20 respondents (80.0%). Pregnant women in the third trimester who do pregnancy exercises regularly mostly have a normal delivery process, 17 respondents (85%), and the Pearson Chi-Square Test shows that the significant value is p value = 0.035 < a (0.05), so H1 is accepted. Keywords: Labor Process; Pregnancy Exercise Outcomes; Third Trimester
RESILIENSI DAN PERTUMBUHAN PASCA-TRAUMA PADA PENDERITA GAGAL GINJAL KRONIK DI HEMODIALISA 2023
Chronic kidney disease patients undergoing hemodialysis often face significant psychological challenges. Resilience, the ability to adapt and recover from difficulties, can influence post-traumatic growth in these patients. This study aims to identify the relationship between resilience and post-traumatic growth in chronic kidney disease patients in the hemodialysis unit of RSUD Blambangan in 2023. To determine the relationship between resilience and post-traumatic growth in chronic kidney disease patients undergoing hemodialysis therapy. This quantitative study used a cross-sectional approach. Data were collected through questionnaires distributed to 65 respondents undergoing hemodialysis therapy. Data analysis was performed using the Spearman test with the assistance of SPSS for Windows. The analysis results showed a significant relationship between resilience levels and post-traumatic growth in chronic kidney disease patients (ρ value = 0.001). Most respondents exhibited high resilience levels (58.5%) and moderate post-traumatic growth (96.9%). There is a positive relationship between resilience and post-traumatic growth in chronic kidney disease patients undergoing hemodialysis therapy. Higher resilience levels in patients are associated with a greater likelihood of experiencing post-traumatic growth. Keywords: Chronic Kidney Disease; Hemodialysi; Post-Traumatic Growth; Resilience.
PENGARUH KONSUMSI REBUSAN DAUN SALAM SEBAGAI ANTIINFLAMASI TERHADAP NYERI SENDI OSTEOARTHRITIS
Osteoarthritis (OA) is a joint disorder that affects all parts of the joint, especially cartilage, can have an impact on articular structural damage and loss of synovial joint function as well as causing chronic pain and requires treatment that has minimal side effects and cheap, so research on bay leaves has been carried out as an alternative solution. The research aims to determine the impact of consuming boiled bay leaves as an anti-inflammatory in reducing osteoarthritis pain. Quasi-experimental research design, use pretest posttest group design approach. Pain measurement uses the NRS scale. Samples were taken with a total sampling of 38 osteoarthritis sufferers in Wates Village. Data analysis using the Wilcoxon sign rank test with an interpretation error rate of α = 0.05. The result was that almost half of the respondents, 17 people (44.7%) experienced a decrease in the pain scale to mild pain after being given the consumption of bay leaf decoction with a P value = 0.000, meaning that there was an effect of consuming bay leaf decoction on reducing pain in osteoarthritis patients. Bay leaf bioled has effects on reducing pain in osteoarthritis sufferers because bay leaves contain tannins, flavonoids, alkaloids and essential oils, while flavonoids play an active role as anti-inflammatory by inhibiting transcription factors such as NF-κB. Inhibition of NFκB is part of the activity of flavonoids in inflammatory responses. This is similar to transcription factor and activation protein-1 (AP-1). Keywords: Anti-Inflammatory; Bay Leaf Boiled; Osteoarthritis; Pain