Jurnal Penelitian Sekolah Tinggi Ilmu Kesehatan Nahdlatul Ulama Tuban

THE INFLUENCE OF ONLINE TO OFFLINE LEARNING METHODS ON LEARNING MOTIVATION IN MUSLIM DOCTORS, FACULTY OF MEDICINE, YARSI UNIVERSITY

Ayudhia Salsabila, Citra Fitri Agustina — Mon, 30 Dec 2024 00:00:00 +0700

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.

CORRELATION OF SANITATION WITH STUNTING IN MANDER VILLAGE, TAMBAKBOYO DISTRICT. TUBAN REGENCY

Aris Puji Utami, Suryo Ediyono, Ayu Setyorini — Tue, 24 Dec 2024 00:00:00 +0700

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 EFFECT OF NON-PHARMACOLOGICAL THERAPY ON PAIN REDUCTION IN POST OP FRACTURE PATIENTS

Berlian Yuli Saputri, Ria Anggraini, Ketjuk Herminaju, Dwi Retnowati — Mon, 30 Dec 2024 00:00:00 +0700

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.

The Effectiveness of Integrated Antenatal Care Services at IIKNU Tuban in Improving the Health and Awareness of Pregnant Women

Ilmiatus Qoyimah, Nurus Safa'ah — Mon, 30 Dec 2024 00:00:00 +0700

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.

DUAL ROLE CONFLICT WITH BURNOUT SYNDROME IN NURSES

Tiara Putri Ryandini, Mokhamad Nurhadi, Mei Widyawati — Tue, 31 Dec 2024 00:00:00 +0700

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 .

EFFECTIVENESS OF AUDIO VISUAL AIDS (AVA) BASED EDUCATION ON PATIENTS' KNOWLEDGE AND ANXIETY PRE CATARACT OPERATION

Angga Miftakhul Nizar, Purnomo, Suciati, Dewi Simyati, Maksum, Diana Ani Porwati — Tue, 31 Dec 2024 00:00:00 +0700

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

EFFECTIVENESS OF COMPLEMENTARY TREATMENTS IN DIABETIC WOUND HEALING

Ossi Dwi Prasetio, Suciati, Shulhan, Amita — Tue, 31 Dec 2024 00:00:00 +0700

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

Mei Widyawati, Tiara Putri Ryandini, Mokhamad Nurhadi, Lukman Hakim — Tue, 31 Dec 2024 00:00:00 +0700

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.

THE EFFECT OF INSTRUMENTAL MUSIC GUIDED IMAGERY THERAPY ON THE LEVEL OF HEADACHE

Dyah Pitaloka, Hyan Oktodia Basuki, Suhartono — Tue, 31 Dec 2024 00:00:00 +0700

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.