INDOGENIUS

Identification of Ancylostoma Duodenale Eggs in Pregnant women with Anemia at Kusuma Bangsa Community Health Center, Pekalongan City

Abdul Ghofur, Miladia Nisa Kamilya — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Helminthiasis is a public health problem that can affect nutritional status and cause anemia, especially in vulnerable groups such as pregnant women. One type of worm that plays a role in anemia is Ancylostoma duodenale, which lives in the small intestine and can cause chronic blood loss. This study aimed to identify Ancylostoma duodenale eggs in pregnant women with anemia at Kusuma Bangsa Health Center, Pekalongan City.

Method: This study used a descriptive design with a sample of 11 pregnant women with anemia at the Kusuma Bangsa Community Health Center, Pekalongan City. Ancylostoma duodenale eggs were examined using sedimentation method.

Result: The examination results showed that all samples were negative for Ancylostoma duodenale worm infection. Factors supporting the negative results were that most respondents had implemented good personal hygiene, such as the habit of washing hands with running water, using footwear when leaving the house, always cutting nails at least once a week, and washing raw vegetables before consumption, so as to prevent transmission of helminthiasis.

Conclusion: In conclusion, there was no Ancylostoma duodenale infection among pregnant women with anemia at Kusuma Bangsa Community Health Center, Pekalongan City.

Relationship Between Education Level and Elderly Compliance in Hypertension Treatment in The Work Area of Datah Kotou Community Health Center

Rina Triani, Rian Tasalim, Subhannur Rahman, Muhammad Wijaksono — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Hypertension is a common health issue among the elderly, with prevalence increasing as age advances. According to data from the WHO, approximately 1.13 billion people worldwide suffer from hypertension, with the elderly being the most vulnerable group. Poor management of hypertension can lead to serious complications such as stroke, heart failure, and chronic kidney disease. Adherence to treatment is crucial to prevent these complications. However, many elderly individuals, especially those with low education levels, struggle to understand medical instructions and the importance of medication. This study aims to analyze the relationship between education level and adherence to hypertension treatment among the elderly in the working area of Puskesmas Datah Kotou, Puruk Cahu.

Methods: This research employs a quantitative design with a cross-sectional approach. The sample consists of 30 elderly individuals diagnosed with hypertension, and data were collected through a questionnaire measuring education level and adherence using the Morisky Medication Adherence Scale (MMAS-8).

Results: The results indicate that 83.3% of respondents have a low education level (elementary school), and 63.3% show low adherence to treatment. Statistical analysis reveals a significant relationship between education level and adherence, with a correlation coefficient of 0.691 and a p-value of 0.000.

Conclusion: This study concludes that education level significantly affects the adherence of the elderly to hypertension treatment, highlighting the need for more effective health education interventions.

Surgical Medical Nursing Care in Hypertensive Patients with the Application of Benson Relaxation Therapy to Lower Pain Levels in the Nerve Room Rsud Jendral Ahmad Yani Metro City

Miftachur Rohman Lutfi, Eko Wardoyo, Giri Susanto — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: The purpose of this study was to determine surgical medical nursing care in hypertensive patients with the application of benson relaxation therapy to reduce the level of nyri in the Nerve Room of Rsud Jendral Ahmad Yani Metro City.

Method: The method in this scientific work with a descriptive approach to nursing care involving 2 decubitus patients, the instruments used are assessment sheets, head to toe¸ and pain measurement sheets, the application of acute pain treatment using benson relaxation therapy is carried out for 3 days, with the intensity of administration twice a day for 15 minutes.

Result: The results of this study found that the main problem that arose in the patient was acute pain, the intervention was arranged by performing benson relaxation therapy, the implementation was carried out for 3 days in the patient, the evaluation of acute pain nursing began to improve on day 3 where when assessing pain obtained a value of 4 and the last day became 2. Recommendations that the author can give are by applying benson relaxation can reduce pain in hypertensive patients and can be done anywhere and anytime without contra indications.

Conclusion: Benson relaxation therapy can reduce the pain scale in patients suffering from hypertension.

Increasing Elementary School Children's Knowledge about Health Education Related to PHBS at SD N 3 Bulukarto

Nia Fatma Riyanti, Afif Ghariza, Riska Hediya Putri, Amatus Yudi Ismanto — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: The coverage of Clean and Healthy Living Behavior (PHBS) at SDN 3 Bulukkarto is still low, and only a few students apply it. Therefore, it is important to improve the knowledge of elementary school students through health education related to PHBS. With PHBS, it is expected that the community will be able to recognize and overcome health problems independently and implement a healthy lifestyle by maintaining, maintaining and improving their health. This study aims to analyze the effect of PHBS education on the knowledge of primary school students at SDN 3 Bulukkarto.

Method: The research method used a pre-experiment design with a one group pretest-posttest design, involving 30 respondents selected through total sampling. Data were collected using a questionnaire and analyzed using the Wilcoxon test.

Result: The results showed an increase in the median value of respondents' knowledge from 73.00 (pre-test) to 86.00 (post-test), with P-value = 0.000 (p < 0.05).

Conclusion: It is recommended that the government continue to hold PHBS education regularly and utilize social media to increase children's knowledge.

Effectiveness of Ginger Warm Compress on Neck on Head Pain of Elderly Patients with Hypertension at UPTD Tresna Werdha Natar

Sutrisno, Rini Antika, Reni Ferlia, Rice Hernanda — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: To determine “The effectiveness of warm ginger compress on the neck on the head pain of elderly patients with hypertension at UPTD Tresna werdha natar”.

Method: This type of research is a quantitative study that utilizes a pre-experimental approach, with a pretest-posttest design and applies a sample selection technique through total sampling. The population and sample were all elderly patients with hypertension totaling 15 respondents, the tools used in this study were standard operating procedures (SOPs), the data analysis used was the Wilcoxon Test.

Result: The results obtained based on statistical tests showed that there was an effect of using warm compresses made of ginger on reducing the level of pain in the head p-value 0.000.

Conclusion: It is concluded that the use of warm compresses of ginger in the neck area can reduce the head pain of the elderly who experience hypertension.

The Relationship Between Knowledge and Attitude of Women of Fertile Age Towards Preconception Screening in Preparation for Pregnancy at UPTD Paconkang Community Health Center, Soppeng District

Sahidah, Nasrayanti Nurdin, Fitri Jaya — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Preconception care is a service aimed at identifying factors related to health issues, lifestyle habits, or unfavorable social problems that may affect pregnancy.

Method: The type and method of research used in this study is quantitative analytic research with a Cross-Sectional Study approach, which is a type of study used to examine the relationship between independent variables (knowledge and attitudes of women of childbearing age) and the dependent variable (preconception screening) at the same time the study is conducted. The population in this study consisted of all married women of childbearing age who underwent screening at UPTD Pacongkang Health Center, Soppeng Regency, totaling 30 participants. The sampling method used in this study was Purposive Sampling, which is a deliberate sampling technique based on specific criteria or considerations.

Result: Based on the Chi-square statistical test, the results showed that p-value = 0.715 > α = 0.05, indicating that H0 was accepted and Ha was rejected.

Conclusion: Thus, it can be concluded that there is no significant relationship between the knowledge of women of childbearing age and preconception screening in pregnancy preparation at Pacongkang Health Center. Furthermore, the Chi-square statistical test also resulted in a p-value = 0.456 > α = 0.05, indicating that H0 was accepted and Ha was rejected. This means that there is no significant relationship between the attitudes of women of childbearing age and preconception screening in pregnancy preparation at Pacongkang Health Center.

Spiritual Emotional Freedom Technique on Reducing The Symptoms of Patients at Risk of Violent Behavior in The Work Area UPTD Puskesmas Karangrejo in 2024

Saleh, Feri Agustriyani — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: The purpose of this study was to apply the spiritual emotional freedom technique to reduce the symptoms of patients at risk of violent behavior in the UPTD Puskesmas Karangrejo Work Area.

Method: Data collection methods using mental nursing care assessment sheets and SEFT SOP sheets. The study used two mental patients with the problem of risk of violent behavior.

Result: The results of nursing care obtained the results of evaluations that researchers conducted on clients based on the criteria that researchers compiled on the diagnosis of risk of violent behavior resolved on day 3 of the implementation of nursing care by providing SEFT to two patients, where both patients did not show signs of violent behavior and both patients were able to apply spiritual emotional freedom technique 5 times within one day.

Conclusion: Suggestions for patients and families can apply the position of spiritual emotional freedom technique when to reduce signs of violent behavior and as an alternative in reducing the impact of patients who experience the risk of violent behavior in mental patients.

The Relationship Between Knowledge and Attitudes with Medication Adherence in Tuberculosis Patients in The UPTD Puskesmas Ciamis Work Area

Intan Monica, Elis Noviati, Ayu Endang Purwati, Heni Marliany, Rudi Kurniawan — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Mycobacterium tuberculosis bacteria is an acute infection also known as tuberculosis disease. This disease will have a bad impact if not treated properly. Knowledge and attitude can affect adherence to the healing process, the patient's indiscipline can be caused by the lack of public knowledge and awareness about medication adherence is very important. To find out whether there is a relationship between knowledge and attitude and medication adherence in tuberculosis patients in the work area of UPTD Ciamis Health Center.

Method: This type of study uses observational analytics with a cross sectional research design.The population in this study is 30 people, and the sampling technique in this study uses Total Sampling because the number of samples is the same as the population and the number of population is less than 100.

Result: The results of the study showed that there was a relationship between knowledge and medication adherence to outcomes (p=0.003<α=0.005) and a relationship between attitude and medication adherence to medication and outcomes (p=0.011<α=0.005).

Conclusion: In this study, almost all of the respondents had good knowledge, good attitude and good medication adherence, and there is a relationship between knowledge and attitude and adherence to taking medicine.

The Effect of Progressive Muscle Relaxation Therapy and Deep Breath Relaxation on Lowering Blood Pressure in Hypertension Patients in Selajambe Village, Selajambe District, Kuningan Regency in 2024

Rastipiati, Moch. Didik Nugraha, Dea Nur Alifah — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Hypertension is a disease that causes premature death in the world. West Java Province ranks second with the most hypertension patients with a prevalence of 39.60%. Treatment of hypertension uses pharmacological therapy which can be combined with non-pharmacological therapies such as relaxation therapy. Currently, the belief of hypertension sufferers in chemical drugs is decreasing, and increasing treatment using complementary therapies. This study aims to determine the effect of progressive muscle relaxation therapy and deep breath relaxation on reducing high blood pressure in hypertensive patients in Selajambe village, Kuningan Regency, 2024.

Method: This type of research is an analytic quasy experiment design with pre-test and post-test design. The population was 168 hypertensive patients with purposive sampling technique. Bivariate analysis using the T test.

Result: The results showed that the average blood pressure before being given progressive muscle relaxation was 160.1/101.7mmHG which decreased to 135.6/79.35. The results of deep breath relaxation were 155.9/95.20mmHg decreased to 147.0/87.20mmHg. T test on progressive muscle relaxation obtained p-value = 0.000 on systole blood pressure and p-value = 0.006 on diastole blood pressure. The results of deep breath relaxation obtained p-value = 0.011 on systole blood pressure and p-value = 0.002 on diastole blood pressure (<0.05).

Conclusion: There is an effect of progressive muscle relaxation therapy and deep breath relaxation on reducing high blood pressure in hypertensive patients in Selajambe village, Kuningan Regency, 2024. Hypertensive patients can combine drug therapy and relaxation as part of controlling blood pressure.

The Relationship between Homesickness and Learning Motivation of First Year Overseas Students of the Faculty of Health, Universitas Harapan Bangsa Purwokerto

Eliana Septi Maharani, Ita Apriliyani, Noor Yunida Triana — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Homesickness is a feeling of homesickness that is often experienced by overseas students, especially in the first year. This condition can affect psychological conditions and reduce motivation to learn. Overseas students often face challenges adapting to a new environment, which can increase the risk of homesickness. Research conducted by Firdasari et al at Halu Oleo University found a correlation value of r = -0.351 (p value <0.05), which shows the higher the level of homesickness, the lower the learning motivation. This study aims to analyze the relationship between homesickness and learning motivation of first-year overseas students at the Faculty of Health, Harapan Bangsa University Purwokerto.

Method: This study used quantitative methods with a correlational design and cross-sectional approach. The sample consisted of 109 first-year overseas students selected through total sampling technique. Data were collected using Homesickness Questionnaire (HQ) adapted by Utami to measure the level of homesickness and Motivated Strategies for Learning Questionnaire (MSLQ) adapted by Afifah to measure learning motivation. Data were analyzed using Spearman's rho two-tailed correlation test.

Result: The results showed a significant negative relationship between homesickness and learning motivation in overseas students with a correlation coefficient of r = -0.344 and p-value = 0.000. These results are in line with previous research, showing that the higher the level of homesickness, the lower the student's learning motivation.

Conclusion: This research is expected to be a reference for students in order to optimize high learning motivation and manage homesickness wisely by participating in activities such as student and academic organizations.

Nursing Care for Toddlers Giving Tempe Porridge to Children with Diarrhea at The Margorejo Health Center in South Metro Metro City

Noviana, Anggi Kusuma — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: The purpose of this study was to determine the nursing care for the implementation of tempe porridge in toddlers experiencing diarrhea at the Margorejo Metro South Health Center in 2024.

Method: This type of research is a case study research using a qualitative study with an experimental approach. By giving tempe porridge made by yourself in accordance with the SOP for making tempe porridge. Data collection was done by interview, observation and documentation.

Result: The evaluation results showed that after giving tempe porridge for 3 days with 3 times/day with the number of portions made (50 grams of tempeh, 30 grams of rice flour, 15 grams of margarine, 20 grams of brown sugar and salt to taste) each administration the problem of diarrhea was resolved marked by the frequency of defecation 1-2 times/day, the consistency of soft and clotted phases, the frequency of defecation improved, intestinal peristalsis improved.

Conclusion: Giving tempe porridge to toddlers with diarrhea is effective in reducing the frequency of defecation and improving the consistency of bowel movements.

The Effect of Therapeutic Communication on The Anxiety Level of Preoperative Patients at RSUD Jendral Ahmad Yani Metro City

Afrizal Al'arif, Feri Agustriyani — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: The purpose of this study was to determine this study to analyze the application of therapeutic communication to the anxiety level of preoperative patients at RSUD Jendral Ahmad Yani Metro City.

Method: The research method is obtained from the results of interviews with clients and observations of the client's condition during the assessment process and written in the form of notes then copied in the form of nursing care, an activity plan carried out for three days with the application of therapeutic communication in preoperative patients with anxiety level problems at Jendral Ahmad Yani Metro City Hospital.

Result: The results of the evaluation of priority nursing diagnoses, namely anxiety related to situational crises, showed a decrease in anxiety levels and the patient looked calmer than before and after the application of therapeutic communication.

Conclusion: Based on these results the author concluded that the problem of anxiety was resolved.

Application of Benson Relaxation Technique to Patients at Risk of Violent Behavior in the Work Area of UPTD Puskesmas Karangrejo in 2024

Dedy Purwanto, Feri Agustriyani — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: The purpose of this study was to apply the Benson Relaxation Technique to patients at risk of violent behavior in the Karangrejo Health Center UPTD Work Area in 2024.

Method: The research method is a case study with a mental nursing approach by applying pre post test actions of benson relaxation therapy. The study used two mental patients with risk problems for violent behavior carried out in the work area of the UPTD Puskesmas Karangrejo in December 2024.

Result: Assessment of the first patient is the name Mr. RS, male gender, 31 years old. The second patient Mr.A is 30 years old and male. Nursing diagnoses that arise risk of violent behavior. Planning used benson relaxation therapy on diagnoses of risk of violent behavior for 3 days of treatment.

Conclusion: Nursing implementation carried out on clients is by applying the action of benson relaxation therapy, the resolved diagnosis is the risk of violent behavior.

Factors Affecting Adolescent Behavior Toward Consumption of Blood Addition Tablets in Adolescent Girls at SMA Negeri 1 Abung Tinggi North Lampung Year 2024

Indah Syehasinah, Desi Kumalasari — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: The purpose of this study was to analyze the factors that influence the behavior of taking blood supplement tablets in adolescent girls at SMA Negeri Abung Tinggi North Lampung.

Method: This type of research is a type of quantitative research with the approach method used cross sectional. Populas, as many as 182 adolescent girls. sample as many as 101 respondents, sample technique using random sampling. The research was conducted on December 02, 2024 at SMA Negeri Abung Tinggi North Lampung. The instrument used was a questionnaire. Data analysis using the Chi-square test.

Result: The results of the study obtained 3 factors associated with the behavior of taking blood add tablets in adolescent girls at SMA Negeri Abung Tinggi Lampung Utara, namely the knowledge factor, the family support factor, the attitude with the obtained ρ (sig) value <0.05 while the teacher and peer support factor obtained ρ (sig) value> 0.05 means that there is no relationship with the behavior of taking blood add tablets in adolescent girls at SMA Negeri Abung Tinggi Lampung Utara.

Conclusion: The Chi-square statistical test showed a significant relationship between knowledge, attitude, and family support with the behavior of taking blood supplement tablets. However, there was no significant relationship between teacher and peer support with the behavior.

Nursing Care for Preschool-Aged Children Experiencing Hospitalization Using Bibliotherapy Innovation Interventions Against Anxiety Problems at Jend. Ahmad Yani Metro City Hospital in 2024

Kurniati, Anggi Kusuma — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: The purpose of this study was to provide nursing care for preschool-age children who experienced hospitalization using bibliotherapy innovation interventions against anxiety problems at Rsud Jend. Ahmad Yani Metro City in 2024.

Method: Data collection methods using pediatric nursing care assessment sheets and anxiety observation sheets using VAS-A. The study used pediatric patients. The results of nursing care were obtained in the evaluation that researchers conducted on client 1 based on the criteria that researchers compiled for 1 diagnosis.

Result: The resolved diagnosis is anxiety with both clients both having an anxiety scale of 0 on day 3 after doing bobliotherapy for 3 days.

Conclusion: Suggestions for patients and families can apply bibliotherapy either at home, at the hospital or in public places to train children to avoid excessive fear and can be used to improve children's motor and sensory.

Application Of Busy Book Play Therapy In Nursing Care For Preschool Children Who Experience Anxiety During Hospitalization At Menggala Regional Public Hospital

Meri Julyanti, Anggi Kusuma, Rini Palupi — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Hospitalization is an emergency or planned process that requires children to stay in the hospital to undergo treatment and care procedures until the child's condition improves and can be returned home. One of the consequences that can occur in children who undergo hospitalization is anxiety. Interventions that can be done to reduce children's anxiety levels while undergoing hospitalization are by doing busy book play therapy. The purpose of this study was to determine the effect of the application of busy book play therapy on the anxiety level of children undergoing hospitalization.

Method: This research method uses a descriptive approach with a case study design. Respondents in this case study were two preschool-age children who were indicated to experience anxiety. The intervention provided is busy book play therapy which is carried out once a day for 15 minutes. The level of children's anxiety was measured before and after the implementation of play therapy.

Result: The results of the analysis show that there is a decrease in the level of children's anxiety after busy book play therapy.

Conclusions: Busy books as one of the creative media that can be used to reduce children's anxiety levels during hospitalization.

Nursing Care for Post Op Orif Femur Fracture Patients with Ambulation Support Interventions in the Special Surgery Room Rsud Jenderal Ahmad Yani Metro Year 2024

Ika Puspitasari, Sugiarto, Eko Wardoyo — Wed, 28 May 2025 00:00:00 +0700

Background and Objectives: Femur fractures are one of the leading causes of complications and death that require proper management to prevent morbidity, complications, and accelerate patient recovery. The management of femur fractures includes pharmacological and non-pharmacological approaches, one of which is ambulation support. The purpose of this scientific work is to describe nursing care in postoperative patients with femur fractures through innovative ambulation support interventions.

Methods: This research design uses a case study on a postoperative patient with a femur fracture, with early ambulation interventions carried out every day for 3 days of care.

Results: The results showed increased left limb mobility, decreased edema, and tingling, and decreased pain intensity from scale 5 to scale 3 after 3 days of treatment.

Conclusion: Early ambulation as part of postoperative management of femur fracture is effective in reducing pain, improving mobility, and accelerating patient recovery. This approach can be adopted in nursing practice to improve the postoperative rehabilitation process.

Quantitative Comparison of Soil Transmitted Helminths (STH) Eggs Flotation Method with Different Solutions and Times

Ardian Chairil Anam, Abdul Ghofur — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Soil-Transmitted Helminths (STH) infections are among the most common communicable diseases worldwide and have a significant impact on public health. These infections are caused by several types of intestinal worms, including Ascaris lumbricoides, Trichuris trichiura, Strongyloides stercoralis, Necator americanus, and Ancylostoma duodenale. Children and individuals working in agriculture are particularly at high risk of infection. The flotation method is commonly used to detect helminth eggs in stool samples. This study aimed to assess the effectiveness of the flotation method using different solutions—NaCl, ZnSO₄, and MgSO₄—at incubation times of 30 minutes and 40 minutes in detecting the number of STH eggs.

Method: This study used an experimental design, where the researchers applied different flotation solutions and incubation times. The results were statistically analyzed using the MANOVA test.

Results: The MANOVA test showed that all significance values were > 0.05, indicating no statistically significant effect of the different flotation solutions and incubation times on the quantitative detection of STH eggs. However, descriptive analysis revealed that the ZnSO₄ solution with 40 minutes of incubation was more effective than NaCl and MgSO₄, as it detected a higher number of STH eggs.

Conclusion: It can be concluded that there is no statistically significant effect of the flotation method using different solutions and incubation times on the quantitative detection of Soil-Transmitted Helminth eggs. Nonetheless, ZnSO₄ with 40 minutes of incubation showed relatively better descriptive results.

Identification of Escherichia coli in Patients with Diabetes Mellitus Suspected of Urinary Tract Infection Complications at the Imbanagara Health Center, Ciamis Regency

Rivana Ariyadi, Undang Ruhimat, Reza Fathurrohman — Wed, 28 May 2025 00:00:00 +0700

Background & Objectives: Diabetes Mellitus (DM) is a metabolic condition characterized by hyperglycemia due to irregular insulin production and action. Increased levels of glucose in the blood cause people with diabetes mellitus to experience glycosuria and neutrophil dysfunction, causing the risk of being susceptible to infectious diseases. One disease that can cause complications is urinary tract infection. This study aims to determine the presence or absence of Escherichia coli bacteria in the urinary tract of patients with diabetes mellitus suspected of complications of urinary tract infection. Methods: The method used in this study uses a descriptive method, namely the researcher only identifies Escherichia coli in patients with diabetes mellitus suspected of complications of urinary tract infection at the Imbanagara Health Center, Ciamis Regency Results: Based on the results of the research that has been done, it can be concluded that of the 12 samples examined, 5 samples were indicated positive for Escherichia coli bacteria, while 7 other samples found Enterobacter bacteria. Conclusion: Based on the results of the research that has been carried out, it can be concluded that of the 12 samples examined, 5 samples indicated positive for Escherichia coli bacteria, while 7 other samples found Enterobacter bacteria.

Comparison of Quality of Life of Diabetes Mellitus Ulcer Patients with Non Ulcer Patients at Kota Agung Hospital

Usman Stiawan, Sahyana, Riska Hediya Putri, Hardono — Wed, 28 May 2025 00:00:00 +0700

Background & Objectives: Diabetes mellitus (DM) is currently one of the global health threats, worldwide nearly half a billion people live with diabetes. Poor quality of life of patients with DM results in decreased self-care, worsening the situation over time. Quality of life issues become an important aspect in diabetes mellitus with ulcers or non-ulcers.Tujian in this study to determine “Comparison of Quality of Life of Patients with DM Ulcers with Non Ulcers at Kota Agung Hospital”.

Methods: This research method uses descriptive with a cross sectional approach, this research was conducted at Kota Agung Hospital during December 15 - January 07. The sampling technique used total sampling, which was 20 respondents, of the 20 respondents there were 10 respondents with diabetic ulcers and 10 non-diabetic ulcer respondents as well as the World Health Organization Quality of Life (WHOQoL) questionnaire developed by WHO to assess quality of life, data analysis using the mann withney test.

Results: Based on the results of the Mann-Whitney test, the p-value = 0.000 indicates that ha is accepted and ho is rejected, which means that there is a comparison between the quality of life of non-ulcer DM patients and the quality of life of DM patients with ulcers.

Conclusion: It is hoped that the management of the Great City Hospital can create an assessment unit for the quality of life of non-ulcer DM patients and diabetic ulcers, in order to improve the quality of life of patients.

The Relationship Between Illness Perception and Religiosity on Medication Adherence Among Type 2 Diabetes Mellitus Patients at Puskesmas Lampihong

Helenisa, Onieqie Ayu Dhea Manto, Cynthia Eka F. T, Rian Tasalim — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Adherence to medication is a key factor in controlling Diabetes Mellitus; however, challenges in patient compliance are still frequently encountered. Illness perception and religiosity have been shown to have a significant impact on adherence levels. Preliminary data from Lampihong Health Center indicate an increase in DM cases, yet medication adherence remains low, highlighting the need for an in-depth study of the influencing factors. This study aims to analyze the relationship between illness perception and religiosity and their impact on medication adherence among patients with type 2 diabetes mellitus receiving treatment at the Lampihong Health Center.

Methods: This study employs a cross-sectional design with a descriptive correlational approach. A total of 30 type 2 DM patients were selected using an accidental sampling technique. Data were collected using the Illness Perception Questionnaire, Religious Involvement Questionnaire, and the Morisky Medication Adherence Scale. Pearson correlation tests were used for data analysis.

Results: A significant relationship was found between illness perception and religiosity with medication adherence (p < 0.05). Patients with positive illness perceptions and higher religiosity levels tend to have better medication adherence.

Conclusion: A positive illness perception and high religiosity can enhance medication adherence in type 2 DM patients. These findings provide a basis for developing interventions that consider psychosocial and spiritual aspects in the management of DM at the local level.

The Relationship Between Stress Levels, Learning Motivation, and Academic Performance of Nursing Students in Hybrid Learning at Universitas Muhammadiyah Kalimantan Timur

Wed, 28 May 2025 00:00:00 +0700

Background and Objective: This study aims to analyze the relationship between stress levels, learning motivation, and academic performance among nursing students in the hybrid learning environment.

Method: This research uses a cross-sectional approach. The population of this study consists of 413 nursing students from the Universitas Muhammadiyah Kalimantan Timur for the academic year 2024/2025. The sampling technique used was simple random sampling, with a total sample size of 203 respondents. Data analysis was conducted using the Chi-Square test, and the instruments used were the Kessler Psychological Distress Scale (K10) questionnaire, a learning motivation questionnaire, and the students' latest GPA as an indicator of academic performance.

Results: The results show a significant relationship between stress levels, learning motivation, and academic performance, with a ρ-value of 0.000 < α (0.05), indicating a significant relationship between stress levels, learning motivation, and academic performance.

Conclusion: This study concludes that stress levels and learning motivation significantly influence academic performance in hybrid learning environments. These findings highlight the importance of considering stress levels and learning motivation in improving student performance in hybrid learning settings.

Effectiveness of the Sowan Program Holistic Nursing Intervention on the Independence of Pulmonary TB Patients

Ike Nurjana Tamrin, Muhammad Asikin, Muhammad Nuralamsyah — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Researchers analyzed the effect of the SOWAN program on the independence of TB patients physically, psychological management, socially and spiritually.

Method: The design used was quasi-experimental with a quantitative approach. With 40 respondents who met the criteria selected as samples with 20 people in the intervention group and 20 others as controls. The intervention created was a health education package called SOWAN, an abbreviation of support, observation, welfare and action.

Results: The results showed that there was an increase in the independence of respondents in the intervention group after using the SOWAN program (average before intervention 32.8667 and after intervention 55.33) and the difference value was significant p = 0.000. In addition, there was also a significant difference between the intervention group and the control group after the intervention became p 0.000. This is also seen from the use of the health card. The condition used by respondents in the intervention group after conducting the SOWAN program for 6 weeks increased from an average of 3 to 4.9 (range of values 1 - 5).

Conclusion: this shows that the SOWAN program has proven to be effective in making TB clients independent in physical, psychological, social and spiritual independence. So this SOWAN program is recommended for use in Nursing with other chronic diseases through maternal and child health programs.

The Role of Nurses in Improving Medication Adherence Among Pulmonary Tuberculosis Patients: A Phenomenological Study

Wed, 28 May 2025 00:00:00 +0700

Background: Tuberculosis (TB) remains a significant public health issue, particularly in developing countries, due to low treatment adherence, which can lead to drug resistance and treatment failure. Nurses play a critical role in enhancing medication adherence among pulmonary TB patients through education, monitoring, and emotional support.

Objective: This study aims to explore the role of nurses in improving medication adherence among pulmonary tuberculosis patients using a phenomenological approach.

Method: This qualitative study employed a phenomenological design to understand the lived experiences of nurses A total of 10 nurses from Sikumana Health Center in Kupang City, East Nusa Tenggara, who had worked for at least one year in TB treatment units, were selected using purposive sampling. Data were collected through in-depth, semi-structured interviews and analyzed using thematic analysis.

Results: The findings revealed that nurses play a central role in patient education through one-on-one counseling, group discussions, and the provision of educational materials. Adherence monitoring was conducted through home visits and follow-up appointments, accompanied by emotional support and encouragement. Furthermore, nurses collaborated closely with patients' families and community health workers to foster a supportive environment that promotes treatment success. Three main themes emerged: patient education and counseling, monitoring and emotional support, and collaboration with families and communities.

Conclusion: Nurses at Sikumana Health Center play a strategic role in improving medication adherence among pulmonary TB patients through educational efforts, active monitoring, and psychosocial support. Strengthening nurses' capacity and implementing supportive policies are essential to enhance treatment outcomes and prevent drug resistance.

Family Experiences in Caring for Patients with Hallucinations: A Phenomenological Study at Naimata Regional Mental Health Hospital

Violin Irene Ninef, Aplonia Nenobais, Syahrir — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Hallucinations are a form of perceptual disturbance commonly experienced by patients with mental disorders, which impact the quality of life for both the patients and the families who care for them. The objective of this study is to deeply explore the experiences of families caring for patients with hallucinations at Naimata Regional Mental Health Hospital.

Method: This study employs a qualitative approach with a phenomenological design. The population consists of families who have a family member suffering from a mental disorder involving hallucinations. The sample includes twelve participants, selected using purposive sampling. Data collection was carried out through in-depth interviews guided by a semi-structured interview protocol. The data were presented in the form of thematic narratives and analyzed using thematic analysis, which included the processes of data reduction, data presentation, and conclusion drawing. The research instruments used were the interview guidelines and a voice recording device.

Results: The findings of the study indicate that families experience psychological burdens such as stress, fear, and helplessness, as well as social pressure due to societal stigma. Despite these challenges, families continue to play a crucial role in providing emotional, physical, and social support to the patients. Additionally, support from healthcare providers and the surrounding community significantly aids the caregiving process.

Conclusion: This study concludes that the experience of families caring for patients with hallucinations is highly complex and requires mental, emotional, and social readiness. Active interventions involving families are necessary to improve the quality of patient care and the well-being of families in facing these challenges.

The Relationship Between Social Media Use and Mental Health Among Adolescents at SMP Negeri 11, Kupang

Sat, 31 May 2025 00:00:00 +0700

Background & Objectives: The advancement of information and communication technologies, especially social media, has significantly impacted daily life, particularly among adolescents. This age group is particularly vulnerable to mental health disorders such as anxiety, depression, and stress due to excessive social media use. This study aims to investigate the relationship between social media use and mental health among adolescents at SMP Negeri 11 Kupang.

Methods: This quantitative research adopts a cross-sectional design. The population consists of all students at SMP Negeri 11 Kupang. A sample of 100 students was randomly selected. Data was collected via questionnaires that assessed the frequency and intensity of social media use, as well as mental health indicators (anxiety, depression, stress). Data analysis was performed using descriptive and inferential statistics, specifically Pearson correlation tests.

Results: There is a significant relationship between the frequency and duration of social media use and levels of anxiety, depression, and stress in students. Sixty percent of students who use social media for more than 4 hours a day show higher levels of mental health symptoms compared to those who use it less than 2 hours per day.

Conclusion: Excessive social media use has a negative impact on adolescent mental health. Therefore, it is necessary to provide education and supervision from both parents and schools on the healthy and wise use of social media.

The Effect of Storytelling on Improving Compliance with Clean and Healthy Living Behavior (CHLB) Among School-Aged Children at SD Negeri Batuplat 2

Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Clean and Healthy Living Behavior (PHBS) is a crucial component in improving the health of school-age children. This study aims to evaluate the impact of the storytelling method on school-age children's adherence to PHBS.

Method: This research utilized a quasi-experimental design with a pretest-posttest control group approach. The study population consisted of 160 fourth and fifth-grade students from SD Negeri Batuplat 2. A total of 80 students were randomly assigned to the intervention and control groups, with 40 students in each group. The intervention involved PHBS-themed storytelling sessions conducted over four weeks. Data were collected using a PHBS adherence observation questionnaire and analyzed using paired t-tests and independent t-tests.

Result: The results showed a significant improvement in PHBS adherence in the intervention group compared to the control group (p < 0.05).

Conclusion: Storytelling has been proven effective in improving clean and healthy living behavior adherence among elementary school children and can be utilized as a method in health education.

Study of Taurine Content in Energy Drink Powders: UV-Vis Spectrophotometric Method

Wed, 28 May 2025 00:00:00 +0700

Background and Objective: Energy drinks are commonly consumed as a fast and affordable solution to fatigue, especially among adolescents and young adults. However, public knowledge about their appropriate use and the health risks of excessive intake remains limited. Taurine (2-aminoethanesulfonic acid), a conditionally essential amino acid found in many energy drinks, contributes to several physiological functions. Excessive intake of taurine may adversely affect kidney function.

Method: The method of this study using UV-Vis spectrophotometry. A 0.1% ninhydrin solution was used for qualitative testing, while UV-Vis spectrophotometry was employed for quantitative measurement. Proteins were precipitated using Carrez I and Carrez II reagents before analysis.

Results: A purplish-blue color change in the qualitative test confirmed the presence of taurine. Quantitative analysis revealed taurine concentrations of 0.025% and 0.012% in the two samples.

Conclusion: The results validate UV-Vis spectrophotometry as a practical and dependable technique for analyzing taurine, highlighting the importance of educating the public on the associated health risks of excessive consumption.

Interventions in patients with nutritional disorders: Literature Review

M Bachtiar Safrudin, Alfina Nurrahmawati, Bunga Yusnanda, Fhauzia Iin Aldini — Wed, 28 May 2025 00:00:00 +0700

Background & Objective: Nutritional disorders are disorders caused by a lack of nutritional needs that cannot be met to maintain body health. This nutritional disorder problem can be caused by diseases that make it difficult to eat so that nutritional disorders can occur. This nutritional disorder occurs in patients with cancer, diabetes and elderly people who are old because of the reduced level of appetite they have.

Method: The method used in writing this literature review is to use a comprehensive strategy, such as searching for articles in the research journal database used, keywords used to search for articles, and limitations of the search for articles to be reviewed based on the year of publication of at least the last 5 years, language, and availability in full text form.

Result: Interventions that can be given to these patients are feeding through nasogastric and parenteral. Parenteral nutrition is done by administering 10% aminosteril, 20% lipid and NS+KCL+Ca fluid (a mixture of NACL, calcium potassium chloride, and calcium).

Conclusion: Various interventions have been identified as solutions to overcome nutritional disorders, including feeding through nasogastric or parenteral, proper diet planning, regular monitoring of patient nutritional status, and health education to patients and their families.

Nursing Care for Post PCNL Patients With Acute Pain Through Foot Massage in the Urology Surgery Room at General Ahmad Yani Metro Hospital

Firda Garbo Iman, Eko Wardoyo, Sugiarto — Wed, 28 May 2025 00:00:00 +0700

Background & Objectives: Management of acute pain in post-operative PCNL (Percutaneous Nephrolithotomy) patients is essential to support optimal recovery and improve patients' quality of life. One effective non-pharmacological method to manage pain is foot massage therapy, which provides a relaxing effect and helps reduce pain intensity. This scientific work aims to describe nursing care using foot massage interventions in post-PCNL patients with complaints of acute pain.

Methods: This research design is a case study, with the research subject being a patient who was treated in the urology surgery room at General Ahmad Yani Metro Hospital. Foot massage intervention was carried out for two consecutive days, each for 20 minutes each session. The techniques used included effleurage and petrissage movements on the patient's foot area, designed to relieve pain and improve blood circulation.

Results: The results showed a decrease in pain intensity in patients after foot massage therapy, from scale 7 to scale 4 within 30 minutes post intervention.

Conclusion: This effect shows that foot massage is effective in reducing acute pain in post-PCNL patients, so it can be recommended as a complementary pain management method.