NHIHC : NANI HASANUDDIN INTERNATIONAL HEALTH CONFERENCE

IMPLEMENTATION OF PEDIATRIC NURSING DOCUMENTATION QUALITY AUDIT: A SCOPING REVIEW

Neneng Sundari — Wed, 28 Aug 2024 00:00:00 +0000

Background : In clinical practice, documentation of accurate nursing is essential for nurses to provide a good quality service. Inadequate documentation of nursing care can cause errors in interpretation that potentially threaten the safety of patients. Problems in nursing documentation poses more risk in pediatrics patients because of limitations in communication to convey complaints and obstacles they perceived. Special nursing documentation in child care room is required to ensure the safety and quality of care provided to the patients. The aim is to identify, assess, and map evidence regarding the implementation of documentation quality audits in improving the quality of pediatric nursing documentation. Objective: To identify, assess, and map evidence regarding the implementation of documentation quality audits in improving the quality of pediatric nursing documentation. Methods: A systematic search was conducted by identifying all relevant publications, in relevant bibliographic databases namely PubMed, EBSCO, and Sciencedirect. Relevant articles published in English from 2020 to 2024 were included. Six articles were included in the analysis. Results; Based on this review, the implementation of pediatric nursing documentation quality audit includes interventions of pediatric essential clinical data collection implementation can improve the efficiency and quality of documentation, audits can improve the utilization of pain measurement tools & identify good and suboptimal nutrition practices, management of children with gastroenteritis, transition from hospital to home, pediatric nursing clinical decision support system for hyperthermia can improve the quality of nursing records. Conclusion: the importance of various aspects in improving the quality of children's health care as well as the integration and automation of nursing information systems are essential to improve the accuracy and completeness of nursing records, which overall support the efficiency and quality of children's health care.

ETHNOPHARMACEUTICAL STUDY THE MEDICINAL PLANT USE IN FAMILIES OF HYPERTENSION SUFFERS

Indra Atsah, Erna Kadrianti — Wed, 28 Aug 2024 00:00:00 +0000

Baground: Indonesian people have long known about the function of plants as traditional medicine in an effort to overcome health problems. Hypertension is a disease that occurs quite often in society, so various efforts are made by the community to overcome this disease. One way is by using medicinal plants. Objectivenes: The aim of this research is to find out the types of plants used by the community to treat hypertension, the parts of the plants used, how they are processed and how to use them. Method: This type of research is descriptive using a purposive sampling method. The number of samples obtained in this research was 26 families as respondents. Result :The results of the research show that there are 3 medicinal plants used for hypertension, namely Soursop Leaves (Anonna muricata L), Gerseng Leaves (Muntingia Calabura) and Jatropha Leaves (Ricinus communis). The part of the plant used is the leaves which are processed by boiling. How to use 1 x a day to 2 x a day. Conclusion: The conclusion of this research is that there are still many people who use traditional hypertension medicinal plants even though many chemical medicines have been produced.

THE ROLE OF THE MIDWIFER IN PROVIDING EDUCATION ABOUT THE BENEFITS OF PREGNANCY EXERCISES AT THE PATTINGALLOANG HEALTH CENTER

Hasnaeni, firawati, Arnona Riska Taipabu — Wed, 28 Aug 2024 00:00:00 +0000

Background: Pregnancy exercise is exercise that is done to prepare and train the muscles so that they can be used to function optimally in normal childbirth. Pregnancy exercise is very important for pregnant women to do after 22 weeks of pregnancy. Pregnancy exercise aims to relax or to prepare the pregnant woman mentally and physically. Objective: The aim of this research is to determine the role of midwives in providing education about the benefits of pregnancy exercise. Method: The method used was descriptive with a sampling technique, namely accidental sampling with a sample size of 31 respondents at the Pattingalloang Makassar Community Health Center. Result: The results of this study showed that there were 21 respondents who played a good role in providing education about the benefits of pregnancy exercise with a percentage of (67.7%) and 10 respondents who played a sufficient role in providing education about the benefits of pregnancy exercise with a percentage of (32.3%). Conclusion: The conclusion is that there is a need to increase the role of midwives in providing counseling about the benefits of pregnancy exercise for pregnant women.

Effectiveness Of Social Support Groups To Improve Self-Management In Diabetes Mellitus Patients: A Systematic Review

Marce Marghareta Takumansang — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; : Diabetes mellitus (DM) is a chronic disease whose prevalence continues to increase. Management of DM requires good self-management from the patient to achieve optimal glycemic control. Social support groups are believed to be able to improve self- management of DM patients; ObjectivesThe aim of this systematic review is to assess the effectiveness of social support groups in improving self-management of DM patients. Methods; : Inclusion criteria included: (1) participants with a diagnosis of type 1 and 2 DM; (2) intervention in the form of social support groups; (3) control group without intervention; (4) output in the form of DM self-management. This review is in accordance with PRISMA guidelines on discussing systematic reviews Results; This systematic review found evidence that social support groups are quite effective in improving self- management of DM patients. More high-quality studies are needed to strengthen this evidence Conclusions; Social Support Groups, Peer Support groups, Mutual Aid Groups, Group Therapy, Community Support Programs, self-management, self-care, self- regulation, self-control, self-guidance, self-efficacy, dm, diabetes mellitus, type 1 diabetes, type 2 diabetes, high blood sugar, hyperglycemia

Factors Affecting The Quality Of Life Of Dm t2 Patients With Diabetic Food Ulcer: A Scoping Review

Diana Rerung — Wed, 28 Aug 2024 00:00:00 +0000

Background; Type 2 Diabetes Mellitus (T2DM) is a metabolic disorder characterized by an increase in blood sugar levels due to lack of insulin production that occurs over a lifetime. If T2DM patients make the wrong decision, one of the complications that can be experienced is Diabetic Foot Ulcer (DFU), due to damage to peripheral nerve tissue in the foot. Objective; This study aims to explore the factors that influence the quality of life of T2DM patients with DFU. Methods; This study used a scoping review approach guided by the PRISMA framework. The literature search was conducted through Scopus, Pubmed, and Science Direct databases, with inclusion and exclusion criteria focusing on the last 10 years of articles. Results; Of the 155 articles, after filtering with full text searches, 110 articles were then entered into the Elicit application which was filtered based on the author's name, research country, research year, research design and research objectives, with duplication checking of articles in the Mendeley application which left 100 articles, which fit the inclusion and exclusion criteria into 8 articles. Conclusion; The incidence of DFU in T2DM patients is the effect of limited literacy in making medical decisions, which is influenced by factors of gender, age, educational background, employment status, marital status, economic level, surrounding environment, and the spiritual level of the patient. Thus, correct literacy is needed in the community to improve the quality of life of T2DM patients to avoid complications of T2DM, namely DFU

FACTORS INHIBITING THE WOUND HEALING PROCESS IN PATIENTS WITH DIABETIC FOOT ULCERS : A SCOPING REVIEW

Ukkas Hi Akil, Saldy Yusuf, Amri Rahman, Jibril, Yusriyah — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; The number of people with diabetes mellitus (DM) continues to rise. One of the most common complications of this condition is diabetic foot ulcer (DFU). Delayed management of DFU can lead to more severe wounds. Various factors pose a high risk for the development of chronic wounds, amputation, or even death. Objectives; To identify the factors that inhibit the healing of diabetic foot ulcers. Methods; A scoping review of research and literature (2013-2022) was conducted using scoping review frameworks and following the five-stage framework described by Arksey and O'Malley. The review was reported in accordance with the PRISMA-ScR extension. Two databases were searched for research literature, followed by a manual search of reference lists of relevant topics. Inclusion criteria included articles focused on diabetic foot ulcers and articles on factors inhibiting wound healing. Results; The search identified a total of 537 articles from PubMed, which were filtered down to a total of 40 articles. The search from Scopus yielded a total of 28 articles, which were filtered down to a total of 51 articles. Further abstract and full-text screening, along with filtering for the last 10 years, resulted in a final selection of 14 articles. Conclusions; Factors inhibiting wound healing in diabetic foot ulcers include: Increased overall body protein metabolic demand, Negative nitrogen balance, Inadequate increased energy intake, High infection rates, High financial costs, Delayed wound care, Inappropriate antibiotic therapy, Peripheral vascular disease, Neuropathy, Advanced age, Malnutrition, Kidney disease, Improper footwear, Poor clinical management, Chronic inflammation, Poor blood sugar control, Elevated levels of destructive proteases, Long-standing diabetes, Abnormal foot structure, Smoking habits, History of ulcers or previous amputations.

Factors Influencing Medication Adherence In Elderly with Hypertension: A Scoping Review

Samuel Leonardo Siagian, Suni Hariati, Lisnawati Sidabutar — Wed, 28 Aug 2024 00:00:00 +0000

Background: Hypertension significantly impacts cardiovascular health globally, with a prevalence of 25.8% among adults in Indonesia, and 65.66% among those aged 55 and above. Managing hypertension in the elderly is challenging due to poor medication adherence influenced by various factors. Objectives: This study aims to identify factors affecting medication adherence in elderly hypertensive patients, explore barriers to adherence, and propose strategies to improve compliance. Methods: A scoping review using the PRISMA-ScR framework was conducted, analyzing literature from PubMed and Wiley databases published between 2018 and 2023. The review involved defining research questions, identifying relevant literature, selecting studies based on inclusion criteria, charting data, and summarizing results. Results: Key factors influencing medication adherence include demographic aspects like age and education, family support, and healthcare provider roles. Knowledge about hypertension and its treatment also plays a crucial role. Barriers include physical discomfort from medication side effects, misunderstanding medication instructions, and limited healthcare access. Strategies to improve adherence involve health education programs, social support initiatives, and better patient-provider communication. Conclusions: The study underscores the complexity of medication adherence in elderly hypertensive patients, highlighting the need for comprehensive approaches addressing both individual and systemic factors. Future research should focus on d eveloping targeted interventions to support effective hypertension management in the elderly

THE RELATIONSHIP BETWEEN NURSE RESPONSIVENESS AND PATIENT SATISFACTION IN HOSPITALS

Liza Fauzia, Fitri A Sabil — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds: One indicator of the quality of service in a hospital can be seen in the level of patient satisfaction during treatment. Many factors affect patient satisfaction, including the responsiveness of nurses in meeting all patient needs related to their health status. Objectives: This study aims to identify relationship between nurse responsiveness and patient satisfaction in hospitals. Methods: This research is a type of quantitative research using a cross-sectional study approach. The study was conducted in one of the educational hospitals in the city of Makassar, with a sample size of 89 respondents. The respondents involved were patients undergoing treatment in the inpatient room. The sampling technique was purposive sampling. Univariate analysis to identify the characteristics of respondents and the variables of nurse responsiveness and patient satisfaction level, while bivariate analysis to see the relationship between nurse responsiveness and patient satisfaction level, the test used was chis-square with a significance value of p <0.05 Results: ρ = 0.003 <α = 0.05 indicating that there is a relationship between nurse responsiveness and patient satisfaction. Conclusion: In providing nursing care, the ability of nurses to be responsive in handling patient complaints is very much needed. Responsive nurses will affect patient satisfaction. Patients will feel protected and can reduce anxiety during treatment in the hospital. It is also important for hospitals to assess the level of patient satisfaction because patient satisfaction is a benchmark in assessing the quality of service in hospitals and improving the image of hospitals in health service users.

Identification of Educational Media for Primary Care in Type 2 Diabetes Mellitus A Patients: A Scoping Review

Rivaldi Iskandar, Saldy Yusuf, Yusryah — Wed, 28 Aug 2024 00:00:00 +0000

Background: Type 2 diabetes mellitus, one of the most common metabolic disorders, is caused by two main factors: suboptimal insulin production by pancreatic β-cells and the inability of insulin-sensitive tissues to respond properly to insulin. Primary care, a shorter term, refers to a more specific concept of services such as ‘family doctor-type’ care provided to individuals. Objective: This article explores the identification of educational media for primary care in patients with type 2 diabetes mellitus. Methods: This scoping review design used the Arksey and O'Melley model in analysing the scoping review. Literature sources used were through online databases, namely Pubmed and Scopus from 2014 to 2023. Identification and analysis using Preferred Reporting Items for Systematic Reviews and Meta Analysis for Scooping Review (PRISMA-SR). Result: From the results of 14 articles analyzed, this article has summarised the identification of educational media for primary care in patients with type 2 diabetes mellitus. Conslusion: The success of primary care in patients with type 2 diabetes mellitus is influenced by various factors, including beliefs, education, knowledge, educational media, and psychological conditions of patients. Educational media plays an important role in helping patients understand care-related information and can improve their knowledge, attitudes, health behaviours, and quality of life

THE RELATIONSHIP BETWEEN STRESS AND PHYSICAL ACTIVITY WITH PREMENSTRUAL SYNDROME IN ADOLESCENT GIRLS (AGED 12-15 YEARS) AT SMP NEGERI 4 POLEWALI

Henriwati, Nur Isriani Najamuddin — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds: Premenstrual syndrome is a group of symptoms that occur in the luteal phase of the menstrual cycle which causes disruption to a person's work and lifestyle. Premenstrual syndrome becomes more disturbing as you get older, stress factors can make premenstrual syndrome disorders worse, and lack of exercise and physical activity can also make premenstrual syndrome symptoms worse. Objectives: This study aims to determine the relationship between stress and physical activity with premenstrual syndrome in adolescent girls (aged 12-15 years). Methods: The research design used is a cross sectional study with data collection at one time. The sampling method used random sampling with the Slovin formula to obtain a sample of 198 people.The results of statistical tests using the Spearman correlation test between stress and premenstrual syndrome obtained a p-value of 0.000, which means it is smaller than a (0.05). Results: Thus it can be concluded that there is a significant relationship between stress and premenstrual syndrome in adolescent girls. Meanwhile, the results of statistical analysis using the Spearman Correlation test between physical activity and premenstrual syndrome obtained a p-value of 0.072 which means it is greater than a (0.05). Conclusion:Thus, it can be concluded that there is no significant relationship between physical activity and premenstrual syndrome in adolescent girls.

SINGLE ANTIDIABETIC ACTIVITY AND COMBINATION OF AVOCADO LEAVES AND CURCUMA RHIZOME IN VIVO

Darini Kurniawati, Fitri Yuliana, M Faisal — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; The prevalence of Diabetes Mellitus is increasing, meanwhile synthetic drugs use raw materials from abroad and undesirable events often occur. Indonesia is known to have thousands of plants with medicinal properties, including avocado leaves and ginger rhizomes which are empirically used by the Dayak people of South Kalimantan in the treatment of Diabetes Mellitus. Some of these empirical uses only use avocado leaves, only ginger rhizomes and some combine avocado leaves and ginger rhizomes and there is no uniform dosage dose; Objectives; Research purposes.Identifying the antidiabetic activity of avocado leaf extract and ginger rhizome alone or in combination. Methods; True experimental,Experimental test with Pre-Posttest Control Group Design. The samples used were 15 male Wistar rats and divided into 5 groups (n = 3), namely the positive group (Metformin 500 mg), the negative group (Na CMC 0.5%) and the treatment group, namely the Combination Formula Group (0 .6 grams of ginger extract and 0.4 grams of avocado), Single Formula Group Temulawak Extract 17.5 mg/kgBB and Single Formula Group Avocado Leaf Extract 175 mg/kgBB given for 14 days. Results; resultThe antidiabetic activity of the ethanol extract of ginger rhizomes was stronger than the ethanol extract of bay leaves, also against Metformin 500 mg. Formula 1 is a combination (0.6 gr of ethanol extract of ginger rhizome (Curcuma xanthorrhiza Roxb.) and 0.4 gr of avocado leaf (Persea americana P. Mill). has stronger antidiabetic activity than single ethanol extract of ginger rhizome or single ethanol extract avocado leaves also Metformin 500 mg. Conclusions; Single or combination of avocado leaf extract and ginger rhizome extract have antidiabetic activity

Various Interventions for Managing Nausea and Vomiting in Breast Cancer Patients Undergoing Chemotherapy: A Scoping Review

Putri Puspitasari, Yusryah, Saskiah Putri Diniaty — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; Management of nausea and vomiting in breast cancer patients undergoing chemotherapy is an important aspect of medical care. This article examines various interventions used to alleviate these symptoms, including the use of antiemetic drugs, non-pharmacological therapies such as acupuncture and acupressure, as well as psychological approaches. Objectives; The main objective of this study is to evaluate the effectiveness of different methods for managing nausea and vomiting in cancer patients undergoing chemotherapy. Methods; This scoping review design utilizes the Arksey and O'Malley framework for analyzing scoping reviews. Results; The literature sources are obtained from online databases, including PubMed, ScienceDirect, Ebsco, and Proquest, covering the years 2018 to 2023. Conclusions; Identification and analysis are conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Scoping Reviews (PRISMA-SR). Conclusion:From the analysis of 8 articles, this article has summarized various interventions for managing nausea and vomiting in cancer patients undergoing chemotherapy.

SELF MANAGEMENT ON DIABETIC PATIENT FOOT ULCER : A SCOPING REVIEW

Salmia — Wed, 28 Aug 2024 00:00:00 +0000

Background ; Diabetes mellitus (DM) is a chronic disease whose prevalence is increasing every year and has many complications. One of the complications is Diabetic Foot Ulcer (DFU). The handling of DFU is with a self-management strategy. Objectives; This study aims to explore and summarize the existing literature on self management in DFU patients, as well as identify the factors that affect self-care behavior.Method; This study uses a Scoping Review approach guided by the PRISMA framework. A literature search was conducted through Pubmed, Science Direct and Garuda databases, with inclusion criteria for articles focusing on self-management of DFU patients in the last 10 years. Result; Of the total 113 articles identified, 71 articles remained after duplicate screening. After further evaluation, 28 articles were excluded because they did not meet the criteria, so 7 articles were selected for final analysis. The results showed that stress factors, knowledge and sosial support played an important role in the self-care behavior of DFU patients. Conclusion; Good self-management in DFU patients is greatly influenced by a variety of factors, including knowledge about diabetes and support from the environment. More research is needed to develop interventions that can improve self-care behaviors and prevent further complications in diabetic patients

ANTI-INFLAMMATORY EFFECT OF AROMATHERAPY OIL OF LEMONGRASS (CYMBOPOGON CITRATUS) ON MALE MICE (MUS MUSCULLUS) INDUCED BY CARRAGEENIN

Suryanita, Rahmatullah Muin, Muthmainna B — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; Kitchen lemongrass (Cymbopogon citratus) is a type of plant from the grass family that has a strong and fragrant aroma because it contains essential oils; Objectives; This study aims to determine the aromatherapy activity of lemongrass oil as an anti-inflammatory. Methods; This research is experimental in nature, where aromatherapy is made from lemongrass stems using the distillation method, then made into a dosage form and tested on male mice (Mus muscullus). Male mice were divided into 3 groups, group 1 negative control (Aquades), group 2 (Lemongrass oil aromatherapy) and group 3 positive control (hydrocortisone cream 2.5%). Results; The results of the percentage of mouse edema inhibition were obtained from distilled water (0 %), lemongrass (Cymbopogon citratus) oil aromatherapy (11.83%) and hydrocortisone cream 2.5% (9.15%). Conclusions; Based on the conclusion that lemongrass oil aromatherapy (Cymbopogon citratus) has an anti-inflammatory effect on mice.

DETERMINATION OF VITAMIN C CONTENTS FROM ETHANOL EXTRACT OF LIME (Citrus aurantifolia) PEEL USING UV-VIS SPECTROPHOTOMETRY METHOD

Andi Nurpati, Hasma, Yusnita Usman — Wed, 28 Aug 2024 00:00:00 +0000

Baground: Lime peel is a plant that is used as a traditional medicine, the content contained in the skin of lime fruit, of which is Vitamin C. Vitamin C is a type of natural antioxidant that can ward off harmful free radicals so that it can boost the immune system. Objective: The purpose of this study was to measure the levels of vitamin E in the peel of lime (Citrus aurantifolia) using the UV-Vis spectrophotometer method. Method: The sample used was lime peel. The extraction method used was the maceration method and this type of research was an experiment with direct observation at the laboratory to find out how to find Vitamin C levels in lime peel (Citrus aurantifolia) Determination of vitamin E levels in 10 g lime peel samples was carried out using a spectrophotometer: UV-Vis in the wave range 200-400 nm Determination of the calibration curve was determined from the absorbance value standard solution of vitamin C at concentrations of 5 ppm 10 ppm, 15 ppm 20 ppm and 25 ppm. Result:The results of the research obtained the maximum wavelength of the Bako Vitamin C solution of 266.05 nm and the absorbance of the sample is 79.005. From the determination of the calibration curve, the regress equation is -0.0815x 0.02 with a value equal to 0.09934. Conclusion: From the results of the calculations, it can be concluded that the level of Vitamin C in the peel of lime fruit is 0.0078%.

SELF MANAGEMENT PREVENTS COMPLICATIONS IN HYPERTENSION PATIENTS AT TAMALANREA MAKASSAR HEALTH CENTER

Sriwahyuni, Sri Darmawan, Alfiah A, Eva Arna Abrar — Wed, 28 Aug 2024 00:00:00 +0000

Background: Hypertension is blood pressure of more than 140 mmHg and/or diastolic blood pressure reaching around 90 mmHg. in Indonesia in 2018 there was an increase in women of 36.9% and in patients aged 60 years and over. This occurred due to changes in lifestyle patterns or lifestyle. Objective: it is hoped that you will have a high desire to be able to regulate yourself in your daily implementation and care. day Method: This research uses descriptive analytic, cross-sectional approach. The instrument used regarding hypertension self-care management was tested for validity and reliability. Data analysis used the Spearman Rank test. Which was carried out on July 25-August 25 2022 at the Tamalanrea Makassar Health Center Work Area with a sample size of 31 people. Results: in the dimensions and sub-dimensions of self-management for hypertensive patients, of the 3 existing categories, respondents tend to have good self-management (48.4). However, there were also respondents with sufficient and insufficient self-management, 25.8% each. Conclusion: respondents tend to have good self-management in preventing complications in hypertensive patients so that the impact of complications will decrease. Suggestions require the development of further analysis regarding more specific factors that allow complications to occur in hypertensive patients

THE EFFECT OF THE HEALTH PROMOTION MODEL (HPM) ON MOTHERS' KNOWLEDGE LEVELS ABOUT STUNTING IN THE SOMBA OPU HEALTH CENTER'S WORKING AREA

Jibril, Siti Badriah Asikin, Sri Wahyuni Bahrun — Wed, 28 Aug 2024 00:00:00 +0000

Background: Stunting is a chronic nutritional problem caused by inadequate nutrient intake over a prolonged period due to the provision of food that does not meet dietary needs. One cause is the need for mothers' knowledge about stunting, as the current health promotion model media has not been effective in increasing mothers' knowledge. Aim: To determine the effect of the health promotion model (HPM) on the level of mothers' knowledge about stunting in the Somba Opu Health Center's working area. Method: The type of research used is quantitative, with a pre-experimental design approach through a one-group pretest-posttest design. The sample size is 40 people, and the sampling technique used in this study is purposive sampling. Data measurement tools include questionnaires and leaflets. Results: Analysis using the Wilcoxon test yielded a p-value of 0.000, less than 0.05. Thus, Ha is accepted. There is a significant effect before and after implementing the health promotion model (HPM) in the Somba Opu Health Center's working area. Conclusion: The health promotion model (HPM) affects mothers' knowledge about stunting in the Somba Opu Health Center's working area.

EVALUATION OF THE PROGRAM OF GIVING BLOOD TABLETS TO FEMALE TEENS AT SMAN 18 MAKASSAR

Wed, 28 Aug 2024 00:00:00 +0000

Background ; Stunting is one of the chronic nutritional problems in Indonesia that has not been resolved until now. Stunting does not only occur in children but also in adolescents. Stunted children will tend to grow into stunted adolescents or adults. Anemia is one of the factors that contributes to the formation of a stunted generation. Anemic women are at risk of giving birth to premature babies, low birth weight (LBW), and small-for-gestational-age (SGA). These three problems have a 3.2 times greater risk of causing children to grow up with stunting problems. In addition, anemia is also a risk for stunted individuals. Objectives; One of the targets of this program is adolescent girls. The expected effect of this program is an improvement in hemoglobin concentration. In practice, there are several factors that can affect hemoglobin concentration, including knowledge about anemia and TTD, the level of compliance with TTD consumption, and the management and implementation of the TTD program. The purpose of this study was to analyze the management of the TTD supplementation program by UKS teachers. This study used a cross-sectional design. This study itself was conducted in March-June 2023 at SMAN 18 Makassar. The research subjects included 50 female adolescent students who received the TTD program. This study used primary data including TTD program management data. Result; the highest level of compliance in taking blood-boosting tablets was in the low compliance category, conversely at the good knowledge level, most respondents were found to have a moderate compliance category. The results of the Spearman test found a p value of 0.023. This means that there is a significant relationship between knowledge and the level of compliance in taking blood-boosting tablets. Conclusion; There is a relationship between the level of knowledge of anemia and compliance with iron supplementation tablets at SMAN 18 Makassar with a p value = 0.023 (<0.05) so that it can be an evaluation of the iron supplementation tablet implementation program carried out by the government.

EFFECTIVENESS OF HUSBAND'S ASSISTANCE ON THE PROCESS OF LABOR PROGRESS AT TAMALANREA JAYA COMMUNITY HEALTH CENTER, MAKASSAR

Uliarta Marbun, Irnawati, Lili Purnama Sari, Agnes Rwine Dielsa Sterdi — Wed, 28 Aug 2024 00:00:00 +0000

Baground: Childbirth is the process of expelling the results of conception (fetus and placenta) that have reached term or can live outside the womb through the birth canal or through other means, with assistance (own strength) and is the peak point in terms of psychosocial and emotional aspects, where women experience stress, physical pain, and threats of danger that could occur. Objective: This study aims to determine the effectiveness of husband's assistance in the labor process at the Tamalanrea Jaya Health Center, Makassar. Method: The type and method of research used is an analytical survey with a cross-sectional approach. The study was conducted on June 18 - July 18, 2019. The sample referred to in this study were all mothers who gave birth at the Tamalanrea Jaya Health Center, Makassar. The sampling technique in this study was Accidental Sampling. Data collection was carried out by directly observing the mother giving birth and seeing the progress of her labor. Data analysis using the chi-square test with a = 0.05. Result: The results obtained from patients who were accompanied by their husbands, 19 people (63.33%) experienced a smooth delivery process and patients who were not accompanied by their husbands, 11 people (36.67%) mostly experienced an uneventful delivery. Bivariate analysis showed a p value = 0.000 which means p <a, meaning there is an influence between husband's assistance and smooth delivery. Conclusion: conclusion of this study is that there is a relationship between husband's assistance and smooth delivery. Husband's assistance is effective in helping smooth delivery. Delivery without assistance will increase the risk of uneven delivery.

AN INTEGRATIVE REVIEW OF FACTORS AND INTERVENTIONS AFFECTING NURSES' MENTAL HEALTH

Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; Nurse numbers are rising, but so are mental health issues due to healthcare sector pressures. Mental health allows one to cope with stress, realize potential, perform well, and contribute to society;Objectives; This integrative review aims to systematically evaluate the current literature on factors and interventions that influence nurses' mental health. These findings can provide an overview of the influencing factors and what interventions are used to maintain nurses' mental health. Methods Literature search: Pubmed, CINAHL, Science Direct, Garuda, Cochrane databases. Criteria: English articles (2018-2023), free access, on nurses' mental health factors/interventions. Excluded: literature reviews, Covid-19 related. From 867 initial titles, 8 articles met inclusion criteria after screening. Results; Factors affecting nurses' mental health: workload, fatigue, job demands, social support. Interventions: character strength development, self-efficacy, professional support, anger management, CBT, internet-based therapy, group psychotherapy for resilience. Conclusions; Studies show work fatigue, workload, job demands, and professional support affect nurses' mental health. Effective interventions like CBT, workload management, and resilience programs reduce depressive symptoms and improve nurses' psychological well-being. Good workload management, psychological interventions, and resilience programs are crucial for enhancing nurses' well-being and care quality.

THE EFFECT OF HIP STRETCHING EXERCISES (COXAE) ON LEVEL OF LOWER BACK PAIN IN THE ELDERLY AT POSYANDU ASOKA LIMA MANGASA DISTRICT MAKASSAR CITY

Sri Nala Sri Nala, Musaidah, Atikah, Lorensius Lonik — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds ; Low back pain in the elderly is one of the top three health problems targeted by the World Health Organization (WHO). WHO data in 2020 shows that almost 727 million people aged 60 years and over experience lower back pain years and above. Objectives ; To determine the effect of stretching on back pain in the elderly. Methods ; Quantitative research with experimental research type with One Group Pre-Posttest design, the sample size is 25 elderly people who experience lower back pain Results; The level of pain before stretching was given, 6 (24%) respondents experienced mild pain and 19 (76.0%) respondents experienced moderate pain. Meanwhile, the level of pain after stretching was painless was 4 (16.0 %) respondents and mild pain was 21 (84.0%) respondents. Conclusions ; The effect of stretching on the level of lower back pain in the elderly has a significant impact on reducing the intensity of pain felt. It is hoped that the results of this research can be used as a reference or guideline for treating elderly patients with low back pain

THE INFLUENCE OF NUTRITION ON INFANT AND YOUNG CHILD FEEDING (IYCF) ON THE KNOWLEDGE OF HEALTH WORKERS AT COMMUNITY HEALTH CENTER IN MAROS DISTRICT

Wed, 28 Aug 2024 00:00:00 +0000

Background ; The Indonesian government is currently implementing various things in improving nutrition problems, especially at 1000 HPK, including infant and young child feeding strategies, among others, Strengthening Health Workers in IYCF practices. Objectives; This study aims to analyse the effect of nutrition training on infant and young child feeding (IYCF) on the knowledge of health workers at Puskesmas in Maros District. Method; This study used an experimental research design with one group pre-post test. The subjects in this study were 27 health workers who participated in training. The research was conducted in August 2023 in Maros District. Result; The results showed that the average score of health workers knowledge showed an increase after the training. The results of the Paired Sample T-test showed that training had a significant effect of <0.001 (p value <0.05) on changes in knowledge of health workers at Puskesmas in Maros District. Conclusion; There was a significant effect on health workers knowledge through nutrition training on infant and young child feeding (IYCF).

DETERMINANTS OF HIGH MATERNAL MORTALITY RATE IN INDONESIA

Ernawati, Askar M — Wed, 28 Aug 2024 00:00:00 +0000

Background: Maternal Mortality Rate (MMR) reflects women's health status and the quality of a country's healthcare system. In Indonesia, the MMR in 2019 was 305 per 100,000 live births, indicating a significant health issue. The high MMR is caused by various complex and interrelated determinants, including medical complications, socio-economic conditions, healthcare access, cultural factors, and nutrition. Objectives: This study aims to identify and analyze the determinants contributing to the high MMR in Indonesia and provide evidence-based recommendations for effective policies and programs to reduce MMR. Methods: This literature review uses descriptive and thematic methods, analyzing 11 articles published between 2013 and 2024. Articles were selected based on their relevance and quality in discussing maternal mortality determinants. Data were collected and analyzed to identify key factors contributing to maternal mortality. Results: The study found that obstetric complications such as postpartum hemorrhage and pre-eclampsia/eclampsia are primary causes of maternal mortality. Non-communicable diseases such as heart disease and hypertension also play a significant role. Socio-economic factors, including maternal education and employment status, influence maternal mortality risk. Limited access to and poor quality of healthcare services in rural and remote areas exacerbate the situation. Cultural beliefs and stigma towards modern healthcare services, as well as traditional health practices, hinder timely medical care. Maternal nutritional status, including anemia and chronic energy deficiency, significantly contributes to maternal mortality. Conclusions: To reduce MMR, it is necessary to improve healthcare access and quality, provide continuous health education, enhance maternal nutritional status, strengthen health policies, and improve environmental conditions. Implementing comprehensive maternal health programs and collaboration among stakeholders is crucial to achieving the target of reducing maternal mortality in Indonesia.

THE EFFECTIVENESS OF BRAIN GYMNASTICS ON REDUCING BLOOD SUGAR LEVELS IN PATIENTS WITH TYPE II DIABETES MELLITUS IN THE WORKING AREA OF THE PAMPANG HEALTH CENTER, MAKASSAR CITY

Syaipuddin, Suhartatik, Yasir Haskas, Siti Nurbaya, Eva Arna Abrar — Wed, 28 Aug 2024 00:00:00 +0000

Baground: Diabetes is a long-term disease, if ignored, diabetes complications can cause blood sugar levels in diabetics to be uncontrolled, so it can affect every part of the body. The impact of diabetes can be macrovascular and microvascular diseases such as heart disease, peripheral vascular disease, kidney failure, nerve damage, and blindness. Objective: The purpose of this study is to determine the effect of Brain Gym on blood sugar levels in people with type 2 diabetes at the Pampang Health Center, Makassar City .Method: This type of research uses a quantitative strategy with a type of pre-experimental examination with the design of the one group pre-test post-test design. Where blood sugar level measurement is carried out before and after Brain Gym. The population of the study sample was 111 people, with 30 people taken using purposive sampling technique. Result: Data analysis using the Willcoxon test with the results of the study showing the effect of brain gym on blood sugar levels in patients with type 2 diabetes mellitus with a p value of 0.000. Conclusion: It is recommended for the Pampang City Health Center Community to always provide counseling on diabetes mellitus and diabetes exercise instructors to pay more attention to diabetes sufferers by increasing the training time for diabetes sufferers in carrying out diabetes exercise activities

The Development of Therapeutic Aroma Massage Oil Formulations from a Combination of Ginger Oil (Zingiber officinale var Rubrum) and Lemongrass (Cymbopogon citratus (DC) Stapf)

Rahmatullah Muin, Ferna Indrayani, La Sakka — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; The essential oils of ginger (Zingiber officinale var Rubrum) and lemongrass (Cymbopogon citratus (DC) Stapf) are two natural ingredients that are often used in various aromatherapy and traditional medicine applications. Ginger is a plant known for its distinctively flavorful root and is used in various cuisines and traditional medicine.; Objectives; The aim of this research is to produce essential oil from ginger rhizome (Zingiber officinale var Rubrum) and lemongrass essential oil (Cymbopogon citratus (DC) Stapf) then formulated into aroma therapy massage oil preparation.. Methods; This type of research is quasi-experimental where this research does not meet all the criteria of pure experimental research which only involves groups that use groups of variations in formulation concentrations. While the method used to obtain essential oils uses the distillation method. a method commonly used to extract essential oils from aromatic plant materials. Steam distillation is one method that is often used in the extraction of essential oils. Results; According to the results of formulations F1, F2, F3, F4, and F5, having a pH of 6 and F5 having a pH of 7, homogeneous, the test meets the requirements of SNI characteristics.Conclusions; The research that has been done, it can be concluded that the essential oil produced from the combination of Ginger Oil (Zingiber officinale var Rubrum) and Lemongrass (Cymbopogon citratus (DC) Stapf) from the distillation process can be processed into a preparation of Massage Oil Aroma Therapy.

Prevalensi PREVALENCE OF WEIGHT GAIN IN PREGNANT WOMAN DURING SUPLEMENTARY FEEDING

arisna kadir, Hasnita — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; Monitoring of maternal mortality and morbidity (MMR) shows results related to nutritional status in 2018, namely around 53% of pregnant women experience chronic energy deficiency. From the 2020 health profile data, it is known that the coverage of pregnant women with SEZ who have received supplementary food (MT) in 2019 is 90.52%. Objectives; assessing the prevalence of weight gain among pregnant women during supplementary feeding. Methods; The method used was pre-experimental design with a one-shoot case study approach, sampling technique with quota sampling which was carried out for three months at Pattingalloang Health Center and Bara-barayya Health Center. Primary and secondary data collection using observation questionnaires measuring LILA after supplementary feeding.. Results; one sample statistic test shows a value of ρ value = 0.032. Conclusions; There are changes in nutritional status during supplementary food intake among pregnant women with SEZ at Bara-barayya Health Center and Pattingalloang Health Center.

THE EFFECT OF AUDIOVISUAL DISTRACTION TECHNIQUES ON PAIN REDUCTION IN CHILDREN AGED 6-12 YEARS IN THE PEDIATRIC CARE ROOM OF ANWAR MAKKATUTU BANTAENG HOSPITAL

Fitri Yulianti Faisal Huda, Nurnainnah — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds: The background of this journal centers on the management of pain in pediatric patients, specifically those aged 6-12 years, in the Lamalaka Ward of Anwar Makkatutu Hospital. The study investigates the effectiveness of audiovisual distraction techniques in reducing pain during invasive procedures. The research highlights the importance of ethical considerations in nursing research, such as informed consent, anonymity, and confidentiality. It also underscores the necessity of non- pharmacological pain management methods, including audiovisual distraction, to improve pediatric patients' quality of life and cooperation during medical interventions. The study aims to provide a foundation for future research and offer insights to hospitals for better pain management strategies in children. The aim is to investigate the effect of audiovisual distraction techniques on reducing pain in children aged 6-12 years during invasive procedures in the Lamalaka ward of Anwar Makkatutu Hospital. Methods: This study uses a quantitative approach with a pre-experimental design, specifically utilizing a one-group pretest-posttest approach. Results: The study results indicate a significant reduction in pain levels among pediatric patients following the application of audiovisual distraction techniques. Initially, 7 children (43.8%) experienced mild pain, 6 children (37.5%) experienced

moderate pain, and 3 children (18.7%) experienced severe pain. Post-intervention, 15 children (93.8%) reported mild pain, 1 child (6.2%) reported moderate pain, and none reported severe pain. Conclusions: This study concluded that audiovisual distraction techniques effectively reduced pain levels in children aged 6-12 during invasive procedures. The results showed that most children reported decreased pain from moderate to severe to mild levels after applying this technique. This suggests that audiovisual distraction can help children become more cooperative and reduce fear during medical interventions.

THE RELATIONSHIP OF NURSE CHARACTERISTICS AND THE ACCURACY OF GCS ASSESSMENT IN HEAD INJURY PATIENTS IN EMERGENCY ROOM GRESTELINA HOSPITAL

Ika Arfianti, Irma Andriyanis — Wed, 28 Aug 2024 00:00:00 +0000

Background; Head injury is a leading cause of death, with mortality and morbidity rates of head injury approaching one-third of deaths in multitrauma patients. Head injury cases account for 52,000 or 40% of the total number of deaths caused by acute injury. Objectives: The relationship between nurse characteristics and the accuracy of GCS assessment in head injury patients in the emergency room Grestelina Hospital. Method; This study uses a quantitative research design with a total sampling approach method with a sample size of 33 respondents. Result; The results showed that age, education level and tenure obtained p=0.030, p=0.004 and p=0.000 < α (0.05). Thus Ha is accepted and Ho is rejected, meaning there is a relationship with the accuracy of GCS assessment in head injury patients. Meanwhile, the results showed that gender obtained a value of p=0.358> α (0.05). Thus Ho is accepted and Ha is rejected, meaning that it is not related to the accuracy of GCS assessment in head injury patients. Conclusion; The results show that age, education level and tenure have a relationship with the accuracy of GCS assessment in head injury patients in the emergency room Grestelina Hospital. While from the results of gender there is no relationship to the accuracy of GCS assessment in head injury patients in the emergency room Grestelina Hospital.

THE INFLUENCES OF DIABETES SELF-MANAGEMENT EDUCATION (DSME) BASED ON HEALTH COACHING (HC) ON THE CHANGES IN KNOWLEDGE AND BEHAVIOR OF HEALTH CADRES IN PROVIDING EDUCATION IN THE RUMPA VILLAGE

Handayani, M.Syikir — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds: Diabetes mellitus (DM) is a chronic condition and/or a group of metabolic diseases that occur when the body cannot produce enough insulin hormone or cannot effectively use the insulin it produces, resulting in hyperglycemia. The higher cases of DM are directly correlated with the risk of complications. Poorly controlled blood glucose levels can lead to damage to the heart vessels, eyes, kidneys and nerves, resulting in various diseases such as cardiovascular disease, stroke, nephropathy, blindness, kidney failure, impotence in men, amputation and infections. Diabetes mellitus is treated with pharmacological and non-pharmacological therapy. One non-pharmacological treatment for diabetes mellitus is by providing education such as Diabetes Self-Management Education (DSME); Objectives: This research aims to determine the effect of DSME based on health coaching on cadres’ knowledge and behavior in providing education. Methods: This research is Quasy Experimental Design with a pre and post without control approach. The sampling method was conducted using a total sampling technique of 20 people. Results: The results of the normality test on Shapiro Wilk show pre knowledge p=0.203, post knowledge p=0.557 <0.05, pre DSME behavior p=0.187 <0.05 and post DSME behavior p=0.061 <0.05, meaning that the data is normally distributed. Furthermore, knowledge data is analyzed using a paired sample t test with a result of p=0.000, and behavioral data is analyzed using an independent t test with a result of p=0.000. Conclusions: There is an influence of DSME based on HC on cadres’ knowledge and behavior in providing education in the Rumpa village.

THE EFFECTIVENESS OF HEALTH EDUCATION, FOCUS GROUP DISCUSSION METHOD, AND LEAFLET METHOD ON ATTITUDES AND KNOWLEDGE OF ADOLESCENT GIRLS WHO EXPERIENCE DYSMENORRHEA AT ANREAPI STATE JUNIOR HIGH SCHOOL, POLEWALI MANDAR REGENCY

Wahyuni B, Febri Nirwana, Lina Fitriani — Wed, 28 Aug 2024 00:00:00 +0000

Background; Dysmenorrhea is abdominal pain that comes from uterine cramps and occurs during menstruation, health education about dysmenorrhea is very important to be given to adolescents who have just experienced menstruation because it can be a guide for adolescents to overcome dysmenorrhea. Objectives; This study aims to evaluate the effectiveness of the health education method using the FGD method and the leaflet method on the attitudes and knowledge of adolescent girls about dysmenorrhea at Anreapi State Junior High School, Polewali Mandar Regency. Method; This research is an Experimental Design with a two-group pre-posttest design approach, The sampling method is carried out by purposive sampling, The research was carried out on July 18-21, 2023, the research subjects were students who experienced dysmenorrhea at Anreapi State Junior High School, Polewali Mandar Regency, the total research subjects were 20 students who were divided into two different treatment groups, data was collected through questionnaires and using tests Independent T Test Results; The results of the statistical test obtained a p value of 0.000 (<0.05), meaning that there was a significant influence or difference between the attitudes and knowledge of adolescent girls before and after the health education focus group discussion method and leaflet method. Conclusion; This study provides important information about dysmenorrhea and fosters a positive attitude in dealing with dysmenorrhea through health education and it is recommended to conduct further evaluation and observation regarding the change in the behavior of adolescent girls after receiving health education, to see the long-term effects of the educational methods used.

TESTING THE TOXICITY OF BIRD'S NEST FERN LEAF EXTRACT (ASPLENIUM NIDUS) ON BRINE SHRIMP LETHALITY TEST BSLT LARVA USING BRINE SHRIMP LETHALITY TEST (BSLT)

Rukmawati, Muhammad Asri SR, Muzayyidah — Wed, 28 Aug 2024 00:00:00 +0000

Background: Bird's nest fern is a plant that lives on other trees and grows a lot in Indonesia. The leaves are the part that is usually used as a mixture of herbal medicines, such as in the treatment of stomach ulcers. This plant contains alkaloids, flavonoids, and steroid terpenoids, saponins. Objectives: The aim of this research was to determine the potential toxicity and LC50 value of bird's nest fern (Asplenium nidus) leaf extract against Artemia salina leach larvae. Method: The research design was experimental using the Brine Shrimp Lethality Test (BSLT) method. Using 150 artemia salina leach larvae and divided into 5 groups with a concentration series of 800 µg/mL, 600 µg/mL, 400 µg/mL, 200 µg/mL. Each group consisted of 10 larvae and 3 replications of treatment. Results: of the research calculated the death of Artemia salina leach larvae for 24 hours and were analyzed using probit analysis to calculate the LC50 value. Namely, the toxicity test shows the LC50 value is 90,99 µg/mL (toxic). It was concluded that the ethanol extract of bird's nest fern leaves has the potential to be toxic to Artemia salina leach larvae with an LC50 value of 106.346 µg/mL.

COMPARISON OF REFLUX AND MACERATION METHODS ON TOTAL FLAVONOID CONTENT FROM SONGGA LEAF EXTRACT

Nia Kurniawati, Muhammad Asri SR, Rizky Indah Pratiwi — Wed, 28 Aug 2024 00:00:00 +0000

Background: The songga plant is one of the plants belonging to the longganiacea family and empirically the people of Bima Dompu, West Nusa Tenggara use songga, including leaves, wood and roots. Songga leaves contain Alkaloid, Flavonoid, Saponin and Tannin compounds. Objectives: The aim of this research was to determine the comparison of extraction methods between maceration and reflux and determine the total flavonoid content of songga (stryhnous ligustrina) leaf extract. Method: The design of this research was experimental using a comparative method by comparing two extraction methods, namely macereation and reflux, on total flavonoid levels. Results: of research on total flavonoid levels from songga leaf extract using the reflux method (32.14028mgEK/g). higher compared to the maceration method (29.5755mgE/g). It was concluded that the reflux method was higher than the maceration method.

THE INFLUENCE OF EDUCATION ON THE CHOICE OF TYPES OF COMPLEMENTARY THERAPY IN PREGNANT WOMEN IN BONE REGENCY

Mutmainnah, Malka, Musni, Desy Heriyana — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds : Pregnancy is physiological, although in the process the mother will experience physical and psychological changes that can cause discomfort and potentially lead to pathological pregnancy. Midwifery care is currently experiencing a shift in the paradigm of back to nature treatment or non-pharmacological treatment as an alternative treatment so that it can minimize the consumption of chemical drugs which have side effects for the mother and fetus. Complementary medicine is still not very familiar, so midwives need to provide health education to mothers regarding complementary care so that mothers understand and choose the right type of complementary therapy to overcome the problems experienced by mothers during pregnancy. Objectives: The aim of this research is to analyze the influence of education on the choice of type of complementary therapy for pregnant women. Method: used is quantitative with a quasi-experimental design. The sample consisted of 34 pregnant women who matched the research characteristics. Results: of the Wilcoxon test analysis p-value 0.000 means that there is an influence of providing education on increasing pregnant women's knowledge and selecting the type of complementary therapy. Conclusion of this research is that health education has an effect on pregnant women in providing additional knowledge to pregnant women so that they are able to maintain and ensure the health of themselves and their fetuses.

THE EFFECT OF LEVEL 1 PROGRESSIVE MOBILIZATION ON THE RESPIRATION RATE (RR) OF CRITICALLY ILL PATIENTS IN ICU OF DAYA HOSPITAL, MAKASSAR

Jukas Mirnoto — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds: patients who are treated in the ICU have various conditions that require the patient to be given maximum care. Progressive mobilization of level 1 will affect oxygen saturation, which can increase the rate and depth of breathing, improve ventilation, decrease breathing, and increase diaphragmatic expansion. Objectives: to determine the effect of level 1 progressive mobilization on respiration rate (RR) in the ICU of Daya Hospital. Methods: The research design used in this research is quantitative, with a pre-experimental design and a one-group pretest post- test design. The sample used in this study was 16 respondents. This research was conducted from 10 November 2023 to 10 December 2023 in the ICU of Daya Hospital, Makassar. The research institute used a respiratory rate measuring device, a bedside monitor, and an observation sheet. The analysis used non-parametric statistics, namely the Wilcoxon Signed Rank Test analysis. Results: The Respiration Analysis Rate pretest has an average value of 16x/minute, and the Respiration Rate protest has an average value of 22x/minute with a significance of 0.002 <0.05. Conclusions: There is an influence between the knowledge variable of Level 1 Progressive Mobilization and the change in the value of the Respiration Rate in the ICU of Daya Hospital Makassar.

PHYSICAL ACTIVITY TO LOWER BLOOD PRESSURE IN HYPERTENSIVE ELDERLY: AN INTEGRATIVE REVIEW

Demitrius Liklao Sikone, Erfina, Saskiah Putri Dyiniati — Wed, 28 Aug 2024 00:00:00 +0000

Background: Hypertension is a hazardous cardiovascular disease with a high risk of causing fatal conditions such as stroke, dementia, and various heart diseases. The prevalence of hypertension doubled from 650 million to 13 billion between 1990 and 2019, necessitating effective management strategies. Objective: This integrative review aims to systematically evaluate the impact of the frequency, intensity, type, and duration of physical activity on blood pressure among elderly individuals with hypertension. Methods: This review involves a literature search in five databases (PubMed, Proquest, Cinahl, Scopus, and Garuda) using keywords related to hypertension and physical activity. The inclusion criteria are quantitative English or Indonesian studies published in the last five years, with participants aged 60 and above. Data extraction and quality assessment were performed using the 9-item Critical Appraisal Skills Program (CASP) checklist. Results: Findings indicate that low to moderate-intensity aerobic exercises such as stationary cycling and continuous or intermittent walking significantly reduce systolic and diastolic blood pressure in elderly individuals with hypertension. High-intensity interval training (HIIT) and resistance training also show notable post-exercise hypotensive effects. Conclusion: Physical activity is crucial for managing and lowering blood pressure in elderly individuals with hypertension. Aerobic exercises such as walking and cycling effectively reduce blood pressure and improve cardiovascular health. Resistance training and high-intensity interval training (HIIT) also contribute to lowering blood pressure and enhancing vascular health. These findings support integrating physical activity programs in managing hypertension in the elderly and highlight the need for further research to refine exercise prescriptions.

IDENTIFICATION OF FOOT CARE USED FOR PREVENTION OF DIABETIC FOOT ULCER (DFU): A SCOPING REVIEW

Saldy Yusuf , Seprianto Marannu Sappan, Dedi Krismiadi , Mediana Lapu — Wed, 28 Aug 2024 00:00:00 +0000

Abstract

Backgrounds; Diabetes mellitus cases continue to increase every year. Diabetes can cause various complications, with diabetic ulcers being one of the most serious problems. Diabetic ulcer treatment will take a long time and pose a significant financial burden. Diabetic ulcers can lead to numerous issues, necessitating early prevention. Aside from medication, one effort to prevent complications of diabetic ulcers in people with diabetes is to perform primary prevention on the feet. This preventive measure can save costs. Objectives : The aim of this review is to identify foot treatments used to prevent diabetic foot ulcers. Method : We carried out the review using the Arksey & Malley scoping review framework guidelines. We also utilized PRISMA-SCR to enhance reporting and boost validity. We utilize six databases to search the research literature, filtering articles based on inclusion criteria. These include qualitative and quantitative primary data studies that concentrate on foot care for individuals with diabetes. We have registered the research protocol on the Open Science Framework.(osf.io/ecqtv) Results; Ten of the 317 screened articles met the criteria for inclusion in this review. Most of the articles screened showed that 40% of the most widely used foot care was monitoring foot temperature periodically, followed by the use of pressure- reducing Isolen. Conclusions; Temperature monitoring technology, including infrared imaging, combined with special therapeutic footwear to reduce pressure is an effective measure for preventing diabetic ulcers. Telemedicine systems enable remote monitoring, while patient education strengthens self-care capabilities.

wound prevention

HEALTH EDUCATION FOR PRURITUS PREVENTION IN HEMODIALYSIS PATIENTS

Noni Arisma, Rosyidah Arafat, Syahrul — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds : Chronic Kidney Disease (CKD) is a progressive kidney condition leading to numerous complications, including pruritus, particularly in patients undergoing hemodialysis (HD). Pruritus, or uremic itching, significantly impacts the quality of life of HD patients. Health education has been identified as a potential intervention to mitigate this issue. Objectives:This scoping review aims to collate existing literature on the effectiveness of health education in preventing pruritus among hemodialysis patients. Method: Utilizing a PRISMA- guided methodology, databases including PubMed, ScienceDirect, ProQuest, Wiley, and Scopus were searched for relevant studies. The inclusion criteria encompassed studies focusing on hemodialysis patients, pruritus, and health education, published in English post-2013. A total of 181 articles were initially identified, with 18 meeting the final inclusion criteria after screening. Results: The findings indicate that various health education interventions, including emotional intelligence programs, PRECEDE model-based education, and video-assisted teaching, significantly contribute to pruritus prevention in HD patients. These interventions improve patients' self-care behaviors, knowledge, and attitudes towards managing their condition, thus enhancing their quality of life. Conclusion: The review highlights the importance of incorporating health education into the standard care of HD patients to address pruritus effectively.

CULTURAL INFLUENCE ON THE INCIDENCE OF HYPERTENSION IN DEVELOPING COUNTRIES: A SYSTEMATIC REVIEW

Intan Sucitra Sima — Wed, 28 Aug 2024 00:00:00 +0000

Abstract

Backgrounds; Hypertension is a major health problem in developing countries, with increase incident. Cultural factors, such as diet, physical activity, beliefs, and health perceptions, are thought to have a significant influence on the risk of hypertension. Previous research shows that interventions adapted to local culture are more effective in managing hypertension than conventional interventions. However, the influence of cultural factors on the prevalence of hypertension in developing countries is still not fully understood. Objectives; This study aims to systematically review the influence of cultural factors on hypertension in developing countries. Methods; Literature search was carried out on the electronic databases: PubMed, Scopus, ProQuest, Science-direct and Garuda. Study quality will be assessed using Preferred Reporting Items for Systematic Reviews and Meta-Analyses developed by the Joanna Briggs Institute. Results; The results show that a culture-based approach is highly effective in hypertension management in developing countries. Interactive and image-based educational methods have proven effective for patients with low health literacy, while family involvement in the hypertension management process has shown promising results. Conclusions; These findings emphasize the importance of considering local context in designing and implementing effective hypertension management programs in developing countries.

THE EFFECTIVENESS OF HEALTH EDUCATION USING LEAFLET MEDIA AND AUDIO VISUAL MEDIA ON KNOWLEDGE OF CLEAN AND HEALTHY LIVING IN STUDENTS IN CLASS 5 - 6 AT SD 063 INPRES BAKKA-BAKKA KEC WONOMULYO

Irna Ervina, Fadli Hidayat — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; School-age children are an age group vulnerable to health problems, so students are more susceptible to disease and this is detrimental for students because they are forced to be absent from school due to illness. PHBS in schools is an effort to empower students, teachers and the school community to know, be willing and able to practice PHBS, and play an active role in creating healthy schools. The media used to provide health promotion is very necessary. The ability of this audio visual media is considered better and more interesting, because it contains both elements, namely being heard and being seen. One other health promotion media is leaflets. Leaflets are a form of conveying information or health messages via folded sheets. The information content can be in the form of sentences or images or a combination. Objectives; This research aims to determine the effectiveness of health educators using leaflet media and audio-visual media on knowledge of clean and healthy living (PHBS) among students in grades 5-6 at SD 063 Inpres Bakka bakka. Methods; This research is quantitative research using the Pre-Experimental method with a two group Pretest-Posttest design. The sampling method was carried out using a cluster sampling technique (area sampling) with a total of 40 people. Results; Shapiro Wilk normality test results. Respondents' knowledge of pre-intervention video was p=0.117 and pre-intervention on leaflets was p=0.063. So it shows that the data before the intervention was normally distributed (p>0.05), while the normality test on the attitudes of respondents before the audio-visual intervention was 0.062 while before the leaflet intervention was 0.128, it shows that the pre-intervention data was normally distributed (p>0 .05) which then analyzed the data using the Paired Samples t-test with a result of p=0.000, which means there is a difference in the Effectiveness of Health Education Using Leaflet Media and Audio Visual Media on Knowledge of Clean and Healthy Living in Grades 5 - 6 Students at SD 063 Inpres Bakka -Bakka District. Wonomulyo. Conclusions; The influence of health promotion through audiovisual media on knowledge about prevention among students at SD 063 Inpres Bakka-bakka.

DEVELOPING A MODEL OF AN INTEGRATED INTERVENTION TO ACCELERATE STUNTING REDUCTION

Hariani, Abd Hady J, Muh Nur — Wed, 28 Aug 2024 00:00:00 +0000

Background: Today, Stunting have been a global/ international, regional, national and local problem include in Indonesia. It is the multidimensional problem includes health and nutrition social, culture, historic-heredity, biology, behavior pattern, environment, food/ agriculture, economy, policy, and so on. Therefore, they need an integrated intervention model that involved nutrition-health and socio-culture approach to prevent, diminish and combatting it. Objective: This research aims to explore about developing a model for integrated intervention methods of nutrition, social, and faith healing (health and culture) to prevent and reducing stunting. Method: A Qualitative descriptive as research type. Design by analytical, exploratory, explanatory, phenomenological, and comparative and evaluative. The location at South Bontonompo District, Gowa Regency. The purposive sampling used to take 100 sample of 100 head families (household). Primary and secondary data sources. Data collected by literature study, observation, questionnaires, interviews, FGD, documentation. Likert scale research instrument. A Qualitative used to analysis it. Result, found a development model for integrated intervention to prevent and reducing stunting include five layers, include the social, faith healing, and nutrition intervention method and also kind of them component (Layer 1); parameters indicator and instruments (Layer 2); Involving amount parties as like Government/ institution and related-minister, Local government/ related-instance, private, university, non-government organization (NGO), professional, community have capacity and capability, and other stakeholders (Layer 3); Apply SWOT analyses (Layer 4); Evaluation (Layer 5).

Evaluation of Multimodal Strategies Implementation; Education and Training on Compliance in The Implementation of The Infection Prevention and Control Program: An Integrative Review

Santi Sari — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; Infection Prevention and Control (IPC) is crucial for protecting patients, healthcare workers, visitors, and the surrounding community from healthcare-associated infections (HAIs). The prevalence of HAIs remains high globally, particularly in Southeast Asia. Effective IPC programs are essential to reduce HAIs and improve healthcare quality and patient safety; Objectives; This integrative review aims to identify and evaluate the literature on the implementation of multimodal strategies, specifically education and training, to improve compliance with IPC programs. Methods; This integrative review aims to identify and evaluate the literature on the implementation of multimodal strategies, specifically education and training, to improve compliance with IPC programs. Results; Out of 910 articles initially identified, 17 met the eligibility criteria, and 7 were included in the final review. The studies highlighted the importance of educational interventions, regular training, monitoring, and feedback to enhance compliance with IPC protocols. Key strategies included hands-on training, simulation-based education, and continuous professional development programs. Conclusions; Implementing multimodal strategies, particularly focusing on education and training, significantly improves compliance with IPC programs. Ongoing education, practical training, and regular evaluations are critical components for sustaining high standards of infection control in healthcare settings.

THE ROLE OF FAMILY IN THE CARE OF CHD PATIENTS: AN INTEGRATIVE REVIEW

Rustan, Syahrul — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds: CHD contributes to decreased quality of life related to health. family economy, treatment, and clinical indicators. Thus it is necessary to involve the role of the family as an effort to improve the quality of life of CHD patients. Family roles needed such as family support, information and psychosocial social support. Objectives: The purpose of this integrative review is to identify the role and family support that can be provided to CHD patients based on the results of previous studies and their impact on patient care. Methods: An integrative review was conducted based on the Whittemore & Knafi approach. Results: Strategies in the care of CHD patients can be in the form of network-based family care, increased counseling, coping strategies, regulation of family functions, home-based cardiac rehabilitation and information provision. Conclusions: This review is very important in providing insights to nurses that emphasize the importance of understanding the role of family that can help improve psychosocial support, medication adherence, and overall quality of life of CHD patients.

Sleep disorders and effectivity of study intervention of elderly: Review Article

Nurul Rezki Anisa , Liza Fauzia — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds: Sleep disturbance is a problem that arises in the elderly that occurs physiologically. Objectives: The aim of this study is to identify the types of sleep disorders in the elderly and to examine studies management to treat sleep disorders in the elderly population. Methods: This research is a descriptive study with Study Literature. The research process used articles in the PubMed, SCOPUS, Web of Science, Cochrane Library, and OpenGrey databases. Of the total 1,620 articles retrieved in the search, ten were included in the final analysis of the study. The first stage of this research is to identify sleep disorders experienced by the elderly. Results: Of the 88 types of sleep disorders (The American Academy of Sleep Medicine), only 6 types were considered to be included in this study, namely insomnia (requiring about one and a half hours before going to sleep and frequently waking up during sleep), sleep paralysis (the feeling of being unable to move while sleeping). sleep / drowsiness), parasomnia (nightmares, sleep walking or walking while sleeping, restless leg syndrome (feeling uncomfortable in the legs while sleeping), breathing problems (waking up due to shortness of breath and snoring), sleeping habits (delirious and feeling sleepy in the morning. The next stage is to assess the effectiveness of evidence-based research interventions for the elderly in overcoming sleep disturbances, Conclusion: which are expected to be used as role models as educational material for elderly patients in hospitals and communities in further research.

EVALUATION OF THE CARE TEAM MODEL IN CARE SERVICES

Wiwik Sri Wahyuni — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds;Consistent application of the nursing model is important in a variety of conditions and primary care settings. But the fact is that case management and nurse-led care still show inconsistent results. Models of care need to be evaluated place-based to build an evidence base around effective models of care . Objectives;The purpose of this study is to dapat determine the effectiveness of the overall process of implementation of the nursing model in a more complete comprehensive on one representative health services. Methods; This study uses a quantitative method that is mixed method with desain penelitian sequential explanatory design research design to describe and analyze the effectiveness model of nursing models secara quantitatively yang reinforced with data qualitative data. The Results;The results obtained after conducting the study are expected to determine the quality of the application of the overall nursing model that has been applied to the mother and Child Hospital. Conclusions; the outcome of this study is an International Journal indexed Scopus with a minimum rating of Q4-Q3 in scimago Jr.

CONFLICT MANAGEMENT STRATEGIES USED BY NURSING EXECUTIVES : A INTEGRATIVE REVIEW

Yohan Trayanus Lasarus Djaha — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds: Workplace conflict is a global phenomenon that occurs frequently in all environments where people work together. One of the most common conflicts is among nursesaround the world. The most important causes of conflict among nurses are differences in management strategies, employee perceptions, staff shortages, goal differences, and competition between work groups. Objective: to identify scientific literature related to conflictmanagement strategies often used by nurses. Methods: an integrative review was conducted based on Cooper's Whittemore & Knafl approach. Results: The source of conflict that is often experienced by executive nurses identified is conflict with coworkers. Conflict management strategies used by executive nurses were identified as collaboration conflict management. Thechallenge of nurses in applying conflict management strategies is the emotional intelligence of executive nurses. Conclusion: The use of conflict management strategies directly helps executive nurses in resolving conflict management.

PREVENTION OF TUBERCULOSIS PATIENT TRANSMISSION: SCOPING RIVEW

Rezi Rahayu — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; Tuberculosis (TB), caused by the bacteria Mycobacterium tuberculosis complex, is one of the oldest known diseases and remains a leading cause of death worldwide; Objectives; Combining information from existing literature to provide a description of preventing tuberculosis transmission. Methods; The method used was basic electronic data retrieval from sources such as PubMed, ScienceDirect, and Wiley Results; The study found that effective TB transmission prevention approaches involve adherence to treatment, education and use of PPE, consideration of social and environmental factors, as well as the use of technology and natural methods such as sunlight. Conclusions; The review identifies effective TB transmission prevention approaches, including adherence to treatment, education, use of PPE, and addressing social and environmental factors. Innovative solutions such as SVOT technology and sun exposure also play an important role. Integrating these strategies can improve TB control efforts in the community

EFFECTIVENESS OF AMNIOTIC MEMBRANE ON WOUND HEALING IN CESAREAN SECTION PATIENTS

Kiki Fatmawati — Wed, 28 Aug 2024 00:00:00 +0000

Background; Sectio Caesarea (SC) surgery is increasingly popular as a method of delivery because it is considered more convenient and practical than normal delivery. SC, which is performed through incisions in the abdomen and uterus, can be performed in emergency or elective situations and the number of SC globally and in Indonesia continues to rise. Although SC has benefits in saving the lives of mothers and babies, the procedure also carries the risk of serious complications such as infection, hematoma, and slow wound healing; This study aims to evaluate the effectiveness of Amniotic Membrane (AM) in accelerating wound healing after SC. The focus of this research is on the benefits, effectiveness, and potential application of AM as a wound dressing compared to conventional methods.Method; The study used the PRISMA checklist to assess articles from PubMed, ScienceDirect, Scopus, Wiley, and Cochrane Library databases with related keywords from 2014 to 2024. Articles that met the inclusion criteria, such as those focusing on the use of AM in post-SC wound healing and those that were open access, were analyzed. Articles that are irrelevant, duplicate, or do not have full text are removed. Result; Of the 120 articles obtained, 37 articles were excluded for duplication, 76 articles after abstract sorting, and 7 articles were considered after reading the full text. Finally, 5 articles are analyzed in depth. These articles show that AM is more effective than conventional dressing in accelerating post-SC wound healing. Conclusion; The use of Amniotic Membrane as a post-SC wound dressing can accelerate wound healing better compared to routine treatment. AM is recommended as an effective intervention in the management of SC wounds. More research is needed to increase nurses' awareness of the benefits of AM

EDUCATIONAL PROGRAMS TO IMPROVE FLUID RESTRICTION COMPLIANCE AND INTERDIALYTIC WEIGHT GAIN IN HEMODIALYSIS PATIENTS: A SYSTEMATIC REVIEW

Zulhikmah S Hi Arsan — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; Chronic Kidney Disease (CKD) is a global health problem considered a major cause of the increasing prevalence of non-communicable diseases worldwide. One treatment option is hemodialysis. A significant issue for HD patients is fluid restriction and Intradialytic Weight Gain (IDWG). Educational programs provided to HD patients have a positive impact on fluid restriction compliance. The success of fluid restriction can be assessed by measuring IDWG.. Objectives; A systematic review was conducted to evaluate the use of educational programs to improve fluid restriction compliance and IDWG in CKD patients undergoing hemodialysis. Methods; This study followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, taking into account four stages: identification, selection, eligibility assessment, and inclusion. Results; A total of 14 studies were included in this systematic review, all of which implemented educational programs using various methods with outcomes aimed at improving fluid restriction compliance and IDWG in CKD patients undergoing hemodialysis. Nine studies were experimental studies, and five were randomized controlled trials. Conclusions; This review shows significant potential in applying educational programs using various methods to improve fluid restriction compliance and IDWG. Educational program strategies using various methods can be implemented in the care of CKD patients undergoing hemodialysis.

NURSES' ADHERENCE TO NURSING ETHICS: AN INTEGRATIVE REVIEW

Ratna Nengsih, Suni Hariati — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds: Nurses' adherence to nursing ethics is crucial for ensuring high standards of patient care and professional integrity. Ethical decision-making in nursing practice is influenced by various factors, including education, organizational support, and individual beliefs. Understanding these factors can enhance the implementation of ethical practices in nursing. This study highlights the importance of continuous ethical education and supportive supervision to enhance nurses' ethical compliance. It provides important insights that can guide nursing practice toward higher ethical standards and a deeper understanding of ethical values in the nursing profession. Objectives: This research aims to synthesize literature on the factors influencing nurses' adherence to nursing ethics and the effectiveness of educational interventions in improving ethical decision-making and behavior. Methods: A comprehensive literature search was conducted across four databases: PubMed, ScienceDirect, Proquest, and Garuda, covering the period from 2018 to 2023. Five articles meeting the inclusion criteria were selected, including quasi- experimental, qualitative, and cross-sectional studies from Iran, South Korea, Ethiopia, and Saudi Arabia. Results: The findings indicate that ethical education, particularly through scenario-based learning and group discussions, significantly enhances nurses' adherence to ethical codes and patient satisfaction. Challenges in home care practice and various factors influencing ethical behavior in nursing were also identified. Effective supervision and ongoing ethical education were highlighted as critical for maintaining high ethical standards. Conclusions: Continuous ethical education and supportive supervision play vital roles in promoting ethical behavior among nurses. These interventions contribute to better adherence to nursing ethical codes and improve overall patient care quality.

THE RELATIONSHIP BETWEEN SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION (SBAR) COMMUNICATION DURING HANDOVER AND NURSE JOB SATISFACTION IN ALAMANDA AND TULIP INPATIENT WARDS AT HAJJAH ANDI DEPU REGIONAL HOSPITAL

Aisyah Noor Bakri, Nur Isriani Najamuddin — Wed, 28 Aug 2024 00:00:00 +0000

Backgrounds; Implementing SBAR communication is an effort to improve patient safety in hospitals. Service security in hospitals is one way of improving effective communication between nurses, so that there are no misinformation during handovers and ensuring patient safety. Objectives; This study aims to determine the relationship between the application of SBAR communication during handover and the job satisfaction of nurses at Hajah Andi Depu Regional Hospital. Methods; This type of research is descriptive analytical, with a cross sectional study approach, with a cross-sectional approach, sampling was carried out using totaling sampling techniques. Results; Based on the results of the Chi Square test, there is a relationship betweenthe application of SBAR communication during handover and nurses' job satisfaction (p=0.000 where p=0.05). Conclusions; Thus, nurses are expected to carry out SBAR communication during handover effectively in order to increase job satisfaction

The Influence Of Family Knowledge On The Care Of Stroke Patients At Home In The Somba Opu Health Centre Working Area

Ridwan, Reski Amaliyah — Wed, 28 Aug 2024 00:00:00 +0000

Background; Family knowledge about stroke patient care at home is very important to support the patient's recovery rate and quality of life. Some things that families need to know about stroke patient care at home such as bed positioning, sitting positioning, feeding, and range of motion (ROM) exercises. Aim; to know the family towards stroke patient care. Method; This study used a quantitative research design using a cross sectional approach with a sample size of 32 respondents. Result; Based on the results of statistical analysis, it was found that several variables had a significant influence on the care of stroke patients at home in the Somba Opu Health Centre working area. These variables include sleeping position (p=0.020), sitting position (p=0.020), feeding (p=0.020), and range of motion exercises (p=0.004), all of which showed p<0.05. Conclusion; There is an influence of family knowledge on sleeping position, sitting position, feeding, range of motion exercises with stroke patient care at home in the somba opu health centre working area.