INDOGENIUS

Evaluation of 90 Minute Healthy Napping as an Intervention to Improve Night Shift Nurses' Performance

2025-04-17T20:46:09+07:00

Background & Objective: The night shift among nurses poses risks of circadian rhythm disruption, fatigue, and decreased alertness, which impact their performance. Napping during night shifts has been proposed as a strategy to reduce fatigue and enhance nurses' performance. Method: This study aims to analyze the effect of 90-minute healthy napping on the performance of night shift nurses at the Inpatient Installation of RSU Mitra Sejati Medan. This research employs a pre-experimental design with a one-group pretest-posttest approach. A total of 108 nurses participated in the study and were divided into two groups, each taking a 90-minute nap between 01:00–02:30 AM and 02:30–04:00 AM. Nurses’ performance was measured before and after the intervention using a questionnaire, and the data were analyzed using the Wilcoxon test. Result: The results indicate a significant improvement in nurses' performance following the intervention (p = 0.000). Before the intervention, the majority of nurses had a moderate performance level (60.2%), with only 11.1% exhibiting good performance. After the intervention, 61.1% of nurses improved to the good performance category. Conclusion: This study concludes that 90-minute healthy napping is effective in enhancing night shift nurses' performance. Implementing this strategy can serve as a solution to maintaining service quality during night shifts.

Characteristics of Wound Assessment According to Meggit-Wagner and Pedis and Spiritual Response in Diabetic Ulcer Patients at RSUD Dr. Soekardjo Tasikmalaya City

2025-03-19T21:07:44+07:00

Background & Objective: Diabetic ulcer is one of the complications of diabetes mellitus. Assessment of diabetic ulcers is done as a basis for determining wound care and therapy. Meggit-Wagner and Pedis have the advantages of a simple, easy-to-remember system, based on the location and depth of ulceration. A good quality of life for ulcer patients is an optimal functional condition in terms of physical, psychological, environmental, social and spiritual aspects. Good spirituality and social can improve the health of diabetic ulcer patients.

Method: The purpose of the study was to determine the wound with Meggit-Wagner and PEDIS assessment and the spirituality of diabetic ulcer patients. Descriptive case study research method, sample of 3 respondents.

Result: The results showed that the respondents' education level was high school / vocational school, the gender of the respondents was female, the results of the Maggit-Wagner wound assessment of the wound condition of respondents 1, 2 and 3 grade 3, namely deep wounds with cellulitis or abscess formation.

Conclusion: The results of the PEDIS assessment of respondents 1, 2 and 3 grade 3 wounds, namely severe infection based on PEDIS characteristics, are characterized by more than two signs in the characteristics: cellulitis >2 cm, abscesses in deep tissue and gangrene but no systemic inflammation. It is suggested that nurses can apply Maggit-Wagner and PEDIS wound assessment so that they are more precise in providing dressings and better understand the condition and characteristics of the wound.

Effectiveness of The Climacterium Digital Pocket Book on Menopause Readiness

2025-02-10T13:16:15+07:00

Background & Objective: Women in the climacteric period will experience certain changes that can cause mild to severe disorders. A woman's readiness or unpreparedness for the menopause can be influenced by the amount or lack of knowledge she has about the menopause. The results of the preliminary study in Sumberjaya Village show that most pre-menopausal women do not understand how to deal with the menopause. In this study, the media used to improve readiness is a climacterium digital pocket book. The aim of this study was to determine the effectiveness of the climacterium digital pocket book on menopause readiness.

Method: This study is a pre-experimental study using a one group pretest-posttest design. The population in this study were premenopausal mothers aged 40-50 years totalling 482 people. The sample size was determined using the Slovin formula as many as 83 respondents. The sampling technique was carried out by accidental sampling. This research instrument used a questionnaire and data analysis using the Wilcoxon test.

Result: The results of the difference test (Wilcoxon) pretest and posttest data on readiness to face menopause before and after reading the climacterium digital pocket book with a p-value of 0.000 (p <0.05), which means that the climacterium digital pocket book is very effective in increasing readiness to face menopause among premenopausal mothers in Sumberjaya Village.

Conclusion: Climacterium digital pocket book effectively improves the readiness of premenopausal women to face menopause in Sumberjaya Village. It is hoped that this climacterium digital pocket book can be used as one of the educational media in other locations, particularly for pre-menopausal.

Legal Protection of Women Workers in Garment Companies in Bandung Regency

2025-02-09T20:54:29+07:00

Background & Objective: Legal protection for working women is the fulfillment of basic rights that are inherent and protected by the State, meanwhile there are still many female workers who have to struggle to be able to exercise their rights to provide breast milk to their children. The existence of company support in terms of providing child care in the workplace, a special room for expressing breast milk, and sufficient rest time for expressing breast milk are several supporting factors for the success of exclusive breastfeeding. This research aims to find out how garment companies in Bandung give their female workers the right in the form of time to provide exclusive breastfeeding, as well as to find out the legal protection for female workers to provide exclusive breastfeeding based on Law no. 36 of 2009 concerning health is linked to Law no. 13 of 2003 concerning employment. Method: normative juridical is presented descriptively and analytically. Result: At the garment factory in Bandung district, there is no ideal place or room for breastfeeding or expressing breast milk, and special opportunities for breastfeeding or expressing breast milk have not been provided during working hours, which means the company has not implemented the provisions of the legislation. So it can be said that legal protection for female workers in garment factories in Bandung district is not optimal enough in protecting the right to breastfeed for female workers. Conclusion: In garment companies in Bandung Regency, there is no ideal place or room for breastfeeding or expressing breast milk, and special opportunities for breastfeeding or expressing breast milk have not been provided during working hours so the rights of female workers are not implemented and are not by the provisions regulated in Law no. 36 of 2009 concerning Health.

The Relationship Between Knowledge and Early Mobilization in Postoperative Laparatomy Patients in The Inpatient Room RSUD Praya Inpatient Room

2025-02-09T12:03:06+07:00

Background & Objective: Surgery is an invasive action (affecting the integrity of body tissue) by opening up parts of the body for repair. (WHO) revealed that the number of patients undergoing surgery from year to year has increased significantly. In 2011 there were 140 million patients in all hospitals in the world, while in 2012 there was an increase of 148 million. The purpose of the study was to determine the relationship between knowledge and mobilization in postoperative laparatomy patients.

Method: The research design used in this study was analytic observation. The population amounted to 55 laparatomy patients. The sample was 48 laparatomy patients. The sampling technique was purposive sampling. Data analysis using Chi Square.

Result: Based on the results of statistical tests of bivariate analysis using the Chi Square test, the results obtained ρ value = 0.000 <0.05 Based on the rules for rejecting the hypothesis, H0 is rejected, this means and H1 is accepted.

Conclusion: There is a relationship between knowledge and early mobilization in postoperative laparatomy patients. This means that the better the patient's knowledge about early mobilization, the more aware the patient is of the importance of early mobilization after laparatomy surgery.

Caring Model Development in Improving Quality of Nursing Services in Tasikmalaya

2025-02-08T20:58:40+07:00

Background: Caring is needed to improve services for consumers, in this case, patients. The development of caring behavior models in hospitals is essential in improving the quality of nursing services so that it impacts the number of patients treated.

Purpose: to identify the need for a caring model in improving the quality of nursing care at the Tasikmalaya Islamic Hospital, Indonesia

Method: The research method uses a qualitative design with a phenomenological approach involving elements of management, nurses, and patients being treated. There were 13 participants consisting of 8 nurses as critical participants and five patients currently treated as validators. Data retrieval through in-depth interviews and focus discussions is then analyzed through content analysis.

Results: The results obtained were four major themes and two sub-themes related to hospital development and the required caring model. A model of serving with "HEART" is obtained from the hospital's vision, nurse's, and patient's expectations of caring behavior.

Conclusion: Nurses perceive caring behavior as serving wholeheartedly, prioritizing patient comfort, and communicating effectively and ethically. The caring model of serving with "heart" can be presented and implemented to improve nursing care services..

Patterns and Trends of Respiratory Diseases in Indonesian Hajj Pilgrims in Mecca: 2024 Descriptive Study

2025-02-04T15:31:20+07:00

Background and Objective: Respiratory diseases are a major health problem for Indonesian Hajj pilgrims in Mecca, triggered by extreme environmental factors such as high temperatures (39-43°C), crowding, and air pollution. Changes in physical activity and dust exposure also play a role, especially in the elderly and those with comorbidities. Data from the Ministry of Health shows that >50% of Hajj pilgrims experience respiratory problems, with pneumonia, bronchitis, and asthma as common diagnoses, particularly after the peak of the Hajj pilgrimage. This study aims to analyze the patterns and trends of respiratory diseases among Indonesian Hajj pilgrims in Mecca in 2024.

Methods: This descriptive-analytic study uses secondary data from the registration of regular Hajj pilgrims at the KKHI Mecca in 2024 (1445 H). The total sample consists of 1962 Hajj pilgrims. Data were analyzed quantitatively using descriptive.

Results: The majority of Hajj pilgrims seeking treatment were male (55.4%) and aged >61 years (65.3%). Pneumonia was the most common respiratory disease (62%), followed by COPD (11.8%), asthma (4.3%), and ARI (8.1%). Risk factors included old age, extreme weather changes, physical fatigue, and air pollution. The majority of cases were treated on an outpatient basis at the KKHI Mecca (61.1%).

Conclusion: Pneumonia is a major health problem among Indonesian Hajj pilgrims in Mecca. Old age is an important risk factor. Comprehensive prevention and treatment efforts are needed, including health education, awareness of medical personnel, and further research. This study provides valuable information for the development of more effective Hajj health policies.

The Relationship Between Gender and Hypertension Severity in the Working Area of Puskesmas Cempaka Putih, Banjarmasin

2025-02-04T11:20:49+07:00

Background & Objective: Hypertension is a global health issue, increasing morbidity and mortality due to cardiovascular complications. Gender differences affect blood pressure regulation, with men generally having higher blood pressure before menopause, while postmenopausal women face a greater risk due to hormonal changes. However, research on gender and hypertension severity remains inconclusive in Indonesia. This study aims to analyze the relationship between gender and hypertension severity at Puskesmas Cempaka Putih, Banjarmasin.

Method: This cross-sectional study used a quantitative approach. A total of 68 hypertensive patients were selected through purposive sampling. Blood pressure was measured using a sphygmomanometer, while secondary data were obtained from medical records. The Chi-Square test was used to assess the relationship between gender and hypertension severity.

Result: Among respondents, 38.2% were men and 61.8% were women. Of the men, 65.4% had Grade 1 hypertension, while 34.6% had Grade 2 hypertension. Among women, 50% had Grade 1 hypertension, and 50% had Grade 2 hypertension. The Chi-Square test yielded p = 0.214, indicating no significant association between gender and hypertension severity.

Conclusion: Although gender differences in hypertension severity were observed, no significant correlation was found. Other factors, such as lifestyle and adherence to antihypertensive treatment, may play a more significant role. Future research with a larger sample and additional variables is recommended to further investigate gender differences in hypertension severity.

Relationship Between Self-Confidence and anxiety in Rehabilitants at the Tanah Merah Rehabilitation Center, East Kalimantan

2025-01-19T13:44:03+07:00

Background & Objective: Drugs stands for narcotics and illegal drugs. Which can reduce or change consciousness, reduce to eliminate pain, and can cause dependence. This study aims to analyze the relationship between self-confidence and anxiety in rehabilitants at the Tanah Merah rehabilitation center in East Kalimantan.

Method: This study used a quantitative design method, the population in this study were 89 rehabilitants at the Tanah Merah rehabilitation center, East Kalimantan Badan Narkotika Nasional (BNN), the sampling technique used was total sampling, data analysis using the Chi Square test and the instruments used were the Self Confidence Scale questionnaire and the Hamilton Rating Scale for Anxiety.

Result: The results of statistical tests regarding the relationship between self-confidence and anxiety obtained a value of P = 0.774 which is higher than the significant level of alpha 0.05, so it can be concluded that the hypothesis Ha is rejected and Ho is accepted.

Conclusion: This study shows that the level of self-confidence does not significantly affect the level of anxiety in the population studied.

Nursing Care For Patients with Congestive Heart Failure (Chf) By Giving 45 Head Up Position to Overcome The Problem Of Ineffective Breathing Patterns at RSUD General Ahmad Yani Metro City

2025-01-12T14:35:15+07:00

Background & Objective: This study is to determine the nursing care of Congestive Heart Failure (CHF) patients with nursing problems of ineffective breathing patterns with nursing interventions for head up 45o at Jenderal Ahmad Yani Metro Hospital.

Method: Data collection using surgical nursing care assessment sheets and oxygen saturation observation sheets. The study used Congestive Heart Failure (CHF) patients.

Result: The results of nursing care obtained the results of evaluations that researchers conducted on clients based on the criteria that researchers compiled against 3 diagnoses, the resolved diagnoses were ineffective breathing patterns, decreased cardiac output and activity intolerance. Diagnoses of ineffective breathing patterns experienced an increase in oxygen saturation which was initially 89% after being given a 45o head up position to 99%.

Conclusion: Suggestions for patients and families can apply the 45o head up position when experiencing shortness of breath at home and remain compliant with taking medication.

The Effectiveness of Active Range of Motion Exercises on the Pain Scale of Gouty Arthritis in the Elderly in the Working Area of the Gedong Tataan Health Center

2025-01-12T14:36:35+07:00

Background & Objective: Gouty arthritis is a condition that occurs when uric acid levels in the blood exceed normal limits, characterized by prolonged pain and impaired daily activities. Based on data at the Gedong Tataan Health Center, there were 26 elderly people with Gout Arthritis who experienced joint pain. Pain in patients with Gout Arthritis can be treated through pharmacological therapy, such as the administration of drugs, and non-pharmacological therapy, such as active range of motion exercises. This study aims to determine the effectiveness of active Range Of Motion exercises on the Gout Arthritis pain scale in the elderly in the Gedong Tataan Health Center Working Area.

Method: Quantitative research method with quasy experiment type and pretest posttest control design approach. The population of this study was 26 elderly people while the sample used by the total sampling technique was divided into 2 groups, consisting of 13 intervention groups, and 13 control groups. The research instrument used SOP Range Of Motion and pain scale measurements, the data analysis test used in this study used Mann-Whitney.

Result: The results of the study obtained a p-value of 0.004, meaning that there is an effectiveness of active Range Of Motion exercises on the Gout Arthritis pain scale in the elderly in the Gedong Tataan Health Center Working Area.

Conclusion: It is hoped that this intervention can be applied at the health center in overcoming pain complaints in the elderly suffering from Gout Arthritis.

The Relationship Between Self-Concept and Academic Achievement of 5th Semester Students at Stikes Hamzar East Lombok

2025-01-12T14:23:31+07:00

Background & Objective: Student academic achievement is one of the things that characterizes the quality of students. Academic achievement is a change in behavioral skills or abilities that can increase over time that is not caused by the growth process, but through learning situations. Relationship between self-concept and academic achievement of 5th semester students of STIKes Hamzar East Lombok.

Method: The type of research used is quantitative research with a cross sectional approach. The sampling technique in this study used total sampling with a total sample size of 56 samples.

Result: This study shows that most (58.9%) students' self-concept in the Moderate category as many as 33 people, students' academic achievement shows that most (83.9%) are categorized as very satisfying as many as 47 people. This study shows the results of statistical tests using Spearman rank on the Self-Concept variable with academic achievement with a p-value of 0.01 <0.05, which means that there is a significant relationship between student self-concept and academic achievement.

Conclusion: This study can be concluded that there is a relationship between student self-concept and academic achievement at STIKes Hamzar East Lombok.

The Effect Of Free Sex Education On The Knowledge Of Free Sex In Adolescents In MTs. Maraqitta'limat Medas

2025-01-19T14:38:48+07:00

Background & Objective: Sexual violence against children is a global issue that is still rampant in many countries around the world and affects children of various vulnerable ages. Sex education does not mean limiting their association with fellow friends, but aims to make them more careful in socializing. The purpose of this study is to determine the influence of sex education on knowledge about free sex in adolescents at MTs. Maraqitta'limat Medas in 2024.

Method: Types of pre-experimental research with One Grub pretest-posttest design. A sample of 33 adolescents with a total sampling method. Respondents were given an intervention by providing health education, previously respondents were given a pretest before the intervention and a posttest after the intervention, The measuring tool used was a questionnaire about free sex.

Result: The results of the statistical test using the Wilcoxson test with a value of α=0.05 with an average value before the intervention was 8.00 and an average value after the intervention was 16.04. This shows that there is an influence of sex education on the knowledge of free sex in adolescents in MTs. Maraqitta'limat Medas.

Conclusion: Based on the results of this study, it is hoped that health workers will be more active in providing education related to promiscuity in adolescents, as an effort to overcome promiscuity that is rampant in the community.

Nursing Care For The Application of Combined Deep Breath Relaxation Techniques and Lavender Aromatherapy in Post-Prostatectomy Patients with Acute Pain Problems at RSUD Jendral Ahmad Yani Metro City

2025-01-12T15:05:24+07:00

Background & Objective: The purpose of this study was to determine the effect of deep breath relaxation and lavender aromatherapy on reducing the pain scale of post-prostatectomy patients.

Method: Descriptive type of research with a case study approach in multiple cases. Data collection methods using surgical nursing care assessment sheets and pain scale observation sheets using the Numeric Rating Scale. The study used 2 patients with the same criteria.

Result: The results of this study are proven effectiveness in reducing pain intensity in both patients. There is a decrease between before and after being given deep breath relaxation techniques and lavender aromatherapy for 3 days, as evidenced by using the Number Rating Scale (NRS) score after being given deep breath relaxation techniques and lavender aromatherapy for 15 minutes for 3 days, the results showed a change in the pain scale in patient 1 and patient 2, with patient 1's pain scale from 6 to 3 and patient 2 from 5 to 2.

Conclusion: Researchers advise nurses in overcoming pain with deep breath relaxation techniques and lavender aromatherapy as non-pharmacological therapy.

The Relationship Between The Level Of Protein And Carbohydrate Adequacy, The Activity Of Weighing, The Level Of Maternal Knowledge With Nutritional Status In Toddlers Aged 12-59 Months In Ulak Rengas Village, Abung Tinggi Sub-District, North Lampung District

2025-01-19T14:43:32+07:00

Background & Objective: Nutritional status is a reflection of the size of the fulfillment of nutritional needs obtained from the intake and use of nutrients by the body. One of the factors that affect nutrition in toddlers is the level of parental education. The purpose of this study was to determine the relationship between the level of protein and carbohydrate adequacy, the activeness of weighing, the level of maternal knowledge with nutritional status in toddlers aged 12-59 months in Ulak Rengas Village, Abung Tinggi District, North Lampung Regency in 2024.

Method: The type of research used was quantitative with a cross sectional design. Data collection was done by interview using a structured questionnaire and 2x24 hour food recall. The population in this study were mothers and toddlers 12-59 months, while the samples taken were 44 mothers and toddlers. Bivariate analysis in this study used the Gamma test.

Result: The results obtained ρ value 0.001 < 0.05 which means there is a relationship between the level of protein adequacy with the nutritional status of toddlers aged 12-5h9 months, ρ value <.001 < α (0.05) there is a relationship between the level of carbohydrate adequacy with the nutritional status of toddlers aged 12-59 months, ρ value 0.854 < α (0.05) there is no relationship between weighing activity with the nutritional status of toddlers aged 12-59 months, the results of ρ value 0.854 < α (0.05) there is a relationship between the level of maternal knowledge with the nutritional status of toddlers aged 12-59 months.

Conclusion: Answering the research objectives. Should consist of There is a relationship between the level of maternal knowledge and the nutritional status of toddlers aged 12-59 months.

The Relationship Between Age and Blood Sugar Levels in Patients with Type 2 Diabetes Mellitus Outpatient at Wonogiri Health Center, North Lampung in 2024

2025-01-13T03:11:56+07:00

Background & Objective: The purpose of this study was to determine the relationship between nutritional status, carbohydrate intake, and fiber intake on blood sugar levels of type 2 diabetes mellitus patients at Wonogiri Health Center.

Method: This study was conducted in December 2024. This research design uses analytic observational quantitative research with a cross sectional approach. The sample of this study were patients diagnosed with type 2 diabetes mellitus in the Wonogiri Health Center work area as many as 57 respondents. Bivariate analysis of this study using the Spearman Rho test.

Result: his study shows that there is no significant relationship between age and blood sugar levels of respondents (Sig. > 0.05). This happens because each individual has differences regarding other risk factors such as lifestyle, physical activity that may affect the condition of type 2 diabetes mellitus patients.

Conclusion: There is a significant relationship between age and blood sugar levels of respondents.

Multifactorial Predisposition Related with Scabies Among Islamic Student

2025-01-21T04:32:12+07:00

Background & Objective: Scabies is known as a contagious skin disease caused by mites that hide in the skin called sarcoptes scabiei var ectoparasites hominis and causes quite serious morbidity and severe bacterial infections. This bacteria easily breeds in damp or wet places, dense settlements and lack of sunlight such as Islamic boarding schools, dormitories and boarding schools. This study aims to analyze the factors related to the incidence of scabies in students at Islamic boarding schools.

Method: The research design used was correlational analytic with a cross-sectional approach. The population in this study were all students who were experiencing and had a history of scabies at the Miftahul Amin Islamic Boarding School from November to January. The number of participants involved in this study was 50 people with a purposive sampling technique. The research instruments used were questionnaires on knowledge, attitudes, personal hygiene behavior, and environmental sanitation. The data were processed using SPSS software version 20 and analyzed using the chi square test and double logistic regression.

Result: The results of the bivariate analysis showed that all variables had a relationship with the incidence of Scabies, namely knowledge (pvalue = 0.03), attitude (pvalue = 0.03), personal hygiene behavior (pvalue = 0.04) and environmental sanitation (pvalue = 0.03). While the multivariate analysis showed that environmental sanitation was the most dominant factor causing scabies with a pvalue = 0.006.

Conclusion: There is a significant relationship between knowledge, attitudes, personal hygiene behavior and environmental sanitation with the incidence of scabies in students at Islamic boarding schools.

Nursing Care For Patients With Post Debridement Diabetic Ulcers With Moist Wound Healing Innovation Interventions At General Ahmad Yani Hospital, Metro City

2025-01-19T14:46:32+07:00

Background & Objective: Diabetes is one of the problems caused by chronic metabolic disorders characterized by high sugar levels accompanied by metabolic disorders of carbohydrates, lipids, and proteins as a result of insufficient insulin function. The purpose of this study was to determine the effect of moist wound healing on post debridement diabetic ulcers. Descriptive research with a case study approach in multiple cases.

Method: Data collection methods used surgical nursing care assessment sheets and Bates-Jensen Wound Assessment Tools (BWAT) wound assessment sheets. The study used 2 patients with the same criteria

Result: The results of nursing care obtained in patient 1 are tissue integrity disorders, instability of blood glucose levels, and knowledge deficits. Patient 2 had problems with tissue integrity disorders, physical mobility disorders, and knowledge deficits. After nursing care was carried out, it was found that in patient 1 there was a decrease in wound score from 40 to 37 after moist wound healing treatment. Instability of blood sugar levels has not been resolved, patients get insulin therapy. The knowledge deficit was resolved on the second day. In patient 2, there was a decrease in wound score from 37 to 35 after moist wound healing treatment. Physical mobility disorders have not been resolved and the knowledge deficit was resolved on the second day.

Conclusion: Suggestions for patients and families can use the booklet media made by researchers as a guide for wound care, wound observation, diabetic diets, and drug compliance.

Nursing Care For Patients With Second-Degree Decubitus Wounds in The Destructive Phase Using Wound Care with Honey Against The Problem of Tissue Damage Tissue Integrity in General Ahmad Yani Hospital Metro City

2025-01-21T04:27:19+07:00

Background & Objective: The purpose of this study was to determine the effectiveness of destructive phase II decubitus wound care using honey at Jendral Ahmad Yani Metro Hospital.

Method: The method in this scientific work is a descriptive approach to nursing care involving 2 decubitus patients, the instruments used are assessment sheets, head to toe¸ and wound observation sheets, the application of wound care using honey is carried out for 4 days in patient 1 and 5 days in patient 2, with the intensity of giving honey once a day every day.

Result: The results of this study found that the main problem that arose in both patients was damage to tissue integrity, the intervention was arranged by performing wound care using pure honey, the implementation was carried out for 4 days and 5 days in each patient, the wound nursing evaluation began to improve on day 3 of wound care using honey.

Conclusion: The recommendation that the author can give is that honey can cure and accelerate wound healing, so it can be applied to other types of wounds not only decubitus wounds.

Nursing Assistance For Traumatic Brain Injury Patients With Intracranial Adaptive Capacity Decrease Using 30o Head Up Position Intervention At Jendral Ahmad Yani Hospital Metro City

2025-01-19T14:45:18+07:00

Background & Objective: A head injury is a traumatic disruption of brain function with or without interstitial hemorrhage in the brain substance without a break in brain continuity. The purpose of this study was to determine Nursing Care for Traumatic Brain Injury Patients with Decreased Intracranial Adaptive Capacity Using the 30⁰ Head Up Position Intervention.

Method: The method in this scientific work with a descriptive approach to nursing care involving 2 head injury patients, the instrument used is an assessment sheet, the application of the 30⁰ Head Up position is carried out for 4 days in patients 1 and 2, with the intensity of giving the 30⁰ Head Up position 3 times a day for 30 minutes.

Result: The results of this study found that the main problem that arose in both patients was a decrease in intracranial adaptive capacity, the intervention that was arranged was intracranial management combined with giving the Head Up 30⁰ position, implementation was carried out for 4 days, nursing evaluation of intracranial decline improved to 2 in the first patient and day 3 in the second patient.

Conclusion: The recommendation that the author can give is that the application of the Head Up 30⁰ position can restore intracranial decline quickly.

The Relationship Between Work Shifts And Work Stress Among Nurses In The Maternity Ward At Permata Bunda Hospital

2025-02-01T12:50:46+07:00

Background and Objective: Stress is a symptom of the biggest disease of the modern century that is often experienced by nurses in hospitals. Stress in the workplace is where employees encounter conditions of overwork, low levels of job satisfaction. One of the causes of work stress is work shift arrangements. The data obtained is that nurses complain of work stress due to the continuing shift schedule or nurses replacing their colleagues' work shifts due to the lack of manpower in the room. The purpose of this study was to determine the relationship between work shifts and nurses' work stress in the maternity ward of Permata Bunda Hospital Purwodadi.

Method: This is quantitative research with a cross sectional research method, with a correlation approach, the sampling technique used total sampling, which amounted to 26 respondents.

Results: The test results using spearman rank between work shifts and nurses' work stress, obtained p value (0.000) < α (0.05) which means H0 is rejected and Ha is accepted. With a correlation result of 0.723, it’s concluded that there is a significant relationship between work shifts and work stress.

Conclusion: There is a relationship between work shifts and nurses' work stress, meaning that there is a positive correlation between work shifts and work stress. This means that the more inappropriate the work shift, the heavier the nurse's work stress.

Aloe Vera Compress in Children With Diagnosis of Dengue Hemorrhagic Fever (DHF)

2025-02-13T22:41:34+07:00

Background: Dengue Hemorrhagic Fever (DHF) is an acute viral infection caused by the dengue virus, genus flavivirus, and family flaviviridae, which can be transmitted through the bite of Aedes mosquitoes, especially Aedes aegypti and Aedes albopictus.

Objective: This case study describes the results of Aloe vera compress intervention in Dengue Hemorrhagic Fever (DHF) patients.

Method: The case study with a nursing care approach where this research was carried out by collecting data starting from assessment, formulating a diagnosis, planning, carrying out actions, and carrying out intensive evaluation. This case study uses a descriptive method with the main aim of exploring the problem, providing an overview of the case study by analyzing in more depth the nursing care for the diagnosis of Dengue Hemorrhagic Fever (DHF) with the diagnosis of hyperthermia using the application of aloe vera compresses to Dengue Hemorrhagic Fever (DHF) patients.

Result: The subjective data obtained was that the patient's mother said that her child's body temperature decreased after being given the Aloe vera compress intervention. Meanwhile, the objective data obtained was body temperature, which was originally 38.7°c to 36.8°C.

Conclusion: The intervention carried out is thought to be effective in reducing body temperature in pediatric patients with Dengue Hemorrhagic Fever (DHF). Theoretically, this research does not conflict with previous research, so it can be a reference in conducting further research. Meanwhile, clinically, the Aloe vera compress intervention carried out to reduce body temperature in pediatric patients with Dengue Hemorrhagic Fever (DHF) can be an alternative for reducing body temperature in pediatric patients with Dengue Hemorrhagic Fever (DHF).

Case Study of The Application Warm Water Foot Soak Therapy in The Elderly With Hypertension The Hamlet of Gubuk Pande, Apitaik Village, Pringgabaya Sub-District

2025-01-19T14:36:24+07:00

Background & Objective: Hypertension often occurs in the elderly and is a condition in which a person experiences an increase in blood pressure above normal which can result in morbidity and mortality. One of the nonpharmacological treatments for hypertension is foot soak using hanagt water. Warm water is able to provide a relaxing effect that causes a sense of relaxation to cause sopartifik (want to sleep) which can lower blood pressure.

Method: This study aims to analyze the use of foot soaks using warm water against insomnia in the elderly to lower blood pressure in hypertensive patients in Gubuk Pande Hamlet, Apitaik Village, Pringgabaya District. The subject of this case study was a patient with hypertension.

Result: The results of the treatment showed that after 5 days of intervention, blood pressure dropped from 160/100 mmHg to 150/90 mmHg.

Conclusion: The conclusion from the results of this study is that foot soak therapy using warm water can reduce blood pressure in hypertensive patients. It is hoped that medical personnel can improve the quality of service in providing nursing care to patients, especially in Hypertensive Patients with foot soak interventions using warm water.

Case Study of Nursing Care with Pressure Bandage Technique on Nursing Problems of Post PCI Bleeding Risk in the Heart Room of General Ahmad Yani Hospital Metro City

2025-01-19T14:47:50+07:00

Background & Objective: Acute coronary syndrome (SCA) is a set of symptoms that occur due to the accumulation of atherosclerotic plaque in the walls of blood vessels, which is part of Coronary Heart Disease (CHD). The purpose of this study was to determine the description of nursing care with pressure dressing techniques in patients with nursing problems of Post PCI bleeding risk.

Method: This type of research is descriptive research using the case study method. The action taken is the application of the pressure dressing technique using a mechanical pressing device on the puncture area where the catheter is inserted after the PCI procedure. The monitoring process was carried out for 2 x 24 hours after the application of the technique to assess the effectiveness of the intervention and monitor signs of bleeding.

Result: After 2 x 24 hours of treatment, there were no signs of bleeding, the acral was warm and pain at the puncture area was reduced.

Conclusion: Answering the research objectives. Should The risk of bleeding can be well managed through treatment with the pressure dressing technique.

Literature Review : Factors Influencing The Implementation Early Initiation of Breastfeeding in Mother’s Materials

2025-02-10T23:30:53+07:00

Background & Objective: Initiation Early Breastfeeding has been proven to reduce neonatal mortality. The practice of initiating breastfeeding within the first hour of birth, known as Early Initiation of Breastfeeding (EIBF) benefits both the mothers and their children. It reduces mortality among infants through increased exclusive breastfeeding and associated mechanisms by allowing the infants to get the highly nutritious maternal colostrum that reduces the risk of microbial translocation, accelerates intestinal maturation and promotes resistance to infection. EIBF also reduces the risk of hypothermia and helps develop bonding between mother and baby through close physical contact.

Method: The method used in writing this article is a review of the results study which related with factors influencing the implementation early initiation of breastfeeding in mother’s materials.

Result: Five studies wich analyzed in literature reviews this form factors influencing the implementation early initiation of breastfeeding in mother’s materials.

Conclusion: Many kinds of factors influencing the implementation early initiation of breastfeeding in mother’s materials. There are education, type of birth, knowledge, attitude, support from health workers, parity, family support, habits, midwife knowledge, midwife support, midwife training and skin-to-skin contact between mother and infant immediately after birth.

Literature Review: Effect of Water-Based Exercise on Chronic Obstructive Pulmonary Disease (COPD) Patients

2025-01-19T14:19:55+07:00

Background & Objective: Chronic Obstructive Pulmonary Disease is a chronic condition of injury to the respiratory tract due to exposure to toxic gases or substances. The various clinical manifestations caused have a major effect on the patient's quality of life. Water-based exercise is a non-pharmacological intervention that helps improve the functional of the lung organs so that the quality of life increases. The purpose of this study was to determine the effect of water-based exercise for COPD patients.

Method: This type of research uses the literature review method through google, google schoolar, ncbi, openknowledge and garuda in the range of published years 2018 to 2023 using the keywords water-based exercise; water exercise; water-based exercise; COPD; COPD; Chronic Obstructive Pulmonary Disease; Chronic Obstructive Pulmonary Disease.

Result: From the five journals analyzed, participants experienced functional improvements in lung function, respiratory muscle strength, and tolerance to physical activity or exercise.

Conclusion: Water-based exercise provides several benefits for people with COPD, including improving lung function, increasing respiratory muscle strength, and optimizing tolerance to physical activity so that quality of life can be supported slowly.

Literature Review: Effect of AIUEO Therapy on Speaking Ability in Non-Hemorrhagic Stroke Patients

2025-01-19T14:37:26+07:00

Background & Objective: AIUEO therapy is a speech therapy that can help improve speech so that others can understand it. The method of this therapy is to move the lips, facial muscles and tongue by pronouncing the letters given such as A, I, U, E, O. The purpose of the literature review was to find references related to the effect of AIUEO therapy on the ability to speak in non-hemorrhagic stroke patients.

Method: This literature review uses the PICOT framework method.

Result: The results of the analysis that have been carried out in the article are known to have an effect after AIOUEO therapy on respondents who experience verbal communication disorders. AIUEO therapy is a form of rehabilitation therapy to improve the ability to speak in non-hemorrhagic stroke patients.

Conclusion: AIUEO therapy has the effectiveness of being used in improving speech in non-hemorrhagic stroke patients.