Healthcare in Low-resource Settings

A systematic review of efficacy on larva debridement in diabetic foot ulcers

2024-01-26T15:05:21+00:00

Larva therapy, also known as maggot therapy, biodebridement, or maggot debridement therapy, involved the application of live fly larva to a patient’s wound for debridement, disinfection, and wound healing. Despite its wide application in diabetic foot ulcers, the efficacy of this intervention remains uncertain. This review aimed to examine the benefits of larva therapy in diabetic foot ulcers by conducting systematic review. This systematic review sought relevant articles using MeSH-based keywords in databases such as Scopus, PubMed, Science Direct, and ProQuest. The inclusion criteria for the articles were as follows: population - patients with diabetic foot ulcers, intervention - the use of debridement or therapeutic application of maggot therapy with Lucilia sericata, comparison - none, outcome - the results of articles demonstrating the effectiveness of using Lucilia sericata maggot therapy on diabetic foot ulcers. Article quality assessment was conducted using the Joanna Briggs Institute guidelines. Descriptive analysis was performed with a narrative approach, considering articles published from 2018 to 2023. Based on the literature search, 237 articles were found with matching keywords from Scopus (103), PubMed (77), Science Direct (14), and ProQuest (43). After screening for inclusion and exclusion criteria, 11 articles were identified for inclusion in this review. These 11 articles indicate that larva therapy can be an effective method in treating diabetic foot ulcers, especially when used correctly and tailored to each patient’s condition and needs. Green bottle fly larva, Lucilia sericata, produce proteolytic enzymes that can assist in wound healing. Larva therapy is effective when combined with other procedures. In clinical practice, it is highly recommended that nurses provide an individualized approach and assess potential side effects.

The self-management model can increase the immunity of people with HIV and AIDS during the COVID-19 pandemic

2024-02-08T14:53:24+00:00

Cases of people living with HIV and AIDS continue to increase from year to year, necessitating a focus on maintaining their health. To ensure their well-being, individuals with HIV/AIDS must be vigilant in preserving their immunity, especially during COVID-19 pandemic. This research aimed to enhance the immunity of people with HIV and AIDS during the COVID-19 pandemic utilizing a self-management model approach. The research employed a quasi-experimental design with pretest and posttest measurements, involving a sample of 30 HIV and AIDS patients in Sorong City, selected through purposive sampling technique. Independent variable in this research was the self-management model, which measured using Self-Management Model Guidebook and dependent variable was increasing the immunity of people with HIV and AIDS, which was measured using Self Reporting Questionnaire (SRQ) and CD4 cell observation. Data were analyzed using Wilcoxon test with significance level for these tests was set at 95%, with α ≤ 0.05. Analyzing the SRQ results of HIV/AIDS patients before and after the intervention, indicated a significant difference with a Sig. (2-tailed) of 0.044 < 0.05. This suggests a notable change in the SRQ results of HIV/AIDS patients. Additionally, the analysis of CD4 cell values before and after the intervention, yielded a Sig. (2-tailed) of 0.000 < 0.05, signifying a difference in the CD4 cell results of HIV/AIDS patients. In conclusion, implementing the self-management model with the four management functions from Planning, Organizing, Actuating, and Controlling (POAC) over a period of 30 days for HIV and AIDS patients during the COVID-19 pandemic can enhance both mental and psychosocial immunity, as well as physical immunity. The findings of this research provide valuable information to health workers, recommending the adoption of the Self-Management Model Guide intervention to enhance the immunity of individuals with HIV and AIDS.

The effect of deep breath relaxation and counterpressure massage on pain reduction during labor

2024-01-30T15:36:30+00:00

Labor pain is a manifestation of the contraction (shortening) of the uterine muscles. Non-pharmacological treatment in pain management, namely deep breathing relaxation and counterpressure massage is an alternative method and a new trend that can be developed. This study investigated the effectiveness of deep breathing relaxation and Counterpressure massage in alleviating labor pain during active phase I. Employing a quasi-experimental design with a two-group pre-test post-test approach, 30 postpartum mothers from June to July 2021 were consecutively sampled. Deep breathing relaxation (5 times for 3-5 minutes) and counterpressure massage (3 times for 30-90 seconds) served as the independent variables, while pain intensity during the first active phase was the dependent variable. Utilizing the Wilcoxon and Mann Whitney tests at a 5% significance level, significant reductions in pain intensity were observed after both interventions (p-values: 0.002 for deep breathing, 0.046 for counterpressure massage). These non-pharmacological methods, enhancing endorphin release, contribute to relaxation and pain intensity reduction during labor. The findings underscore the potential of integrating deep breathing relaxation and counterpressure massage as effective approaches in non-pharmacological labor pain management.

The relationship between clinical education and nursing students' patient safety competencies

2024-01-22T15:44:07+00:00

Students play a crucial role in contributing to patient safety issues, a contribution that is significantly influenced by the implementation of clinical education. This study aimed to investigate the impact of clinical education on the achievement of patient safety goal competencies among nursing students. A cross-sectional study was conducted among 125 students in a nursing professional program at Sultan Agung Hospital in Semarang, Central Java, Indonesia. A total sampling technique was employed for sample recruitment. Data for the dependent variable were collected using an observation sheet, while data for the independent variable were collected using a structured questionnaire. Bivariate data analysis was performed using the Chi-square test. The bivariate analysis revealed a significant relationship between the implementation of clinical education and the achievement of patient safety goal competencies, with a p-value of 0.000 (p < 0.05) and a correlation coefficient of 0.609. The achievement of patient safety goal competencies can be facilitated through the implementation of optimal clinical education. Therefore, the implementation of clinical education must include a clinical education model based on the community of practice, making it easier for students to implement patient safety goals.

The success of empowering cadres in the prevention of acute hepatitis among children in agronursing areas

2024-02-16T15:04:31+00:00

Acute hepatitis in children with an unknown cause is defined as an extraordinary event. Children experiencing acute hepatitis may progress to severe acute hepatitis and acute liver failure, leading to potential fatality. This study aimed to identify the empowerment of cadres in preventing acute hepatitis with unknown causes in agro-nursing areas. Employing a quasi-experimental research design, the study involved 21 integrated healthcare center cadres in an agro-nursing area. The questionnaire served as the measuring tool, and the data were analyzed using a paired sample test. The results revealed a significant p-value of 0.000, indicating differences in the cadres' abilities before and after empowerment. Empowering cadres through discussions provides them with opportunities to address problems collaboratively, fostering commitment to the prevention and early detection of acute hepatitis in children. An acute hepatitis is relatively new and life-threatening, and the prompt action of cadres, communities, and health workers, supporting government programs, contribute to the success of cadre empowerment efforts in preventing and detecting acute hepatitis in children. Empowering cadres through additional information and discussion yields positive outcomes, emphasizing the importance of efforts to prevent and detect acute hepatitis in children in agro-nursing areas.

A new strategy to improve maternal-fetal attachment in primigravida women with prenatal spiritual-based stimulation

2024-01-22T15:44:04+00:00

Primigravida has impacts related to preparedness for the transition into motherhood. Thus, its can disrupt the attachment between the mother and the fetus. This study aimed to determine the effects of prenatal spiritual-based stimulation on maternal-fetal attachment. This study employed a quasi-experimental design with a control group and was conducted among primigravida women in Indonesia. The study included 66 respondents selected through purposive sampling. They were divided into the intervention and control groups, each comprising 33 participants. The intervention group received prenatal spiritual-based stimulations, which involved auditory, kinesthetic, light, and temperature stimulations and were administered over a 12-week period. Data on maternal-fetal attachment were collected using the Prenatal Attachment Inventory (PAI), which had been tested for validity and reliability. Approval to use the instrument was obtained from its original author. Data analysis was performed using the Wilcoxon and Mann Whitney tests. The results showed that the Wilcoxon test yielded a p-value of 0.000 or significant differences were observed before and after intervention for the intervention group and 0.059 no significant differences were observed before and after the intervention for the control group. The Mann Whitney test revealed a p-value of 0.000, there were differences in the maternal-fetal attachment before and after the intervention. Therefore, spiritual-based prenatal stimulation is effective in enhancing maternal-fetal attachment. These results can provide a basis for pregnant women to apply spiritual-based prenatal stimulation interventions to enhance maternal-fetal attachment and health status.

The effectiveness of wound cleansing using Cocor Bebek (Kalanchoe pinnata) leaves in healing diabetic foot ulcers

2024-02-08T14:53:38+00:00

This study aimed to evaluate the effectiveness of Cocor Bebek (Kalanchoe pinnata) leaves in wound cleaning for diabetic foot ulcers (DFU) and compare it with the use of NaCl solution. Diabetes mellitus (DM) and its complications, such as DFU, pose a global health problem with increasing prevalence. Given the escalating occurrence of DFU, timely and effective treatment is crucial to prevent severe complications, including amputation. This research employed a quasi-experimental design with a pretest-posttest control group and was conducted at Rumah Luka Surabaya, Indonesia. The sample comprised 40 respondents with DFU, divided into an intervention group (using Cocor Bebek leaves) and a control group (using NaCl solution). Respondents' characteristics, including age, sex, occupation, duration of diabetes, and other factors, were assessed to understand their impact on the response to treatment. The results demonstrated a significant improvement in DFU wound healing in the intervention group after using Cocor Bebek leaves (p<0.05), along with reduced scores on Bates Jensen Wound Assessment Tool (BWAT) indicators such as wound edge, tunnel, and necrotic tissue type. Conversely, the control group using NaCl solution also exhibited significant improvement in wound healing (p<0.05), with decreased scores on indicators such as the amount of necrotic tissue and the quantity of exudate. This study underscores the potential of Cocor Bebek leaves in aiding wound healing in DFU, evident from clinical improvements and reduced BWAT scores. However, further research and clinical trials are needed to comprehensively support these findings and understand the mechanism of action, as well as the safety of using Cocor Bebek leaves in diabetic patients.

Relationship between peer group support with foot care behavior among diabetes mellitus patients: an observational study

2024-01-26T15:05:16+00:00

Peer group support plays a crucial role in enhancing diabetic foot care. However, diabetic patients often exhibit suboptimal foot care behavior due to a lack of support. This study aimed to explore the correlation between peer group support and foot care practices in individuals with diabetes mellitus. Employing a cross-sectional design, the research focused on diabetes mellitus patients aged 40-55 years, and those with less than five years of diabetes history. A purposive sampling technique was utilized to select 64 participants. The research variables encompassed demographic factors, peer group dynamics, and diabetic foot care behavior. These were assessed through a modified questionnaire, verified for validity and reliability. Data analysis involved descriptive analysis and chi-square analysis. The findings revealed a prevalence of 79.7% for inadequate peer group support and 20.3% for robust support. In terms of diabetic foot care behavior, 56.3% exhibited poor practices, while only 17.2% demonstrated good foot care behavior. All variables displayed significance concerning the dependent variable, with a p-value < 0.003. This underscores the positive impact of peer group support on improving foot care behavior in diabetes mellitus patients. This study highlights the need for further research to delve into the effects of educational interventions and family involvement in enhancing diabetic foot care behavior.

The effect of Qur'anic Healing on reducing the frequency of Auditory Hallucination Rating Scale (AHRS) in schizophrenia

2024-01-26T15:05:13+00:00

Auditory hallucinations have led to decreased productivity, impaired interaction, and diminished well-being in individuals with schizophrenia. However, the challenge lies in enabling patients to independently manage their hallucinations, and one potential approach is through psycho-religious methods utilizing the Qur'an. This study aimed to assess the impact of Qur'anic healing on reducing the frequency of auditory hallucinations in individuals with schizophrenia. Employing a quasi-experimental design with a one-group pre-post-test, this study included 35 respondents selected through purposive sampling. Inclusion criteria stipulated that participants must have a diagnosis of schizophrenia accompanied by auditory hallucinations, coherent thinking, a cooperative attitude, and adherence to the Muslim faith. The Auditory Hallucination Rating Scale (AHRS) served as the instrument for data collection, with analysis conducted using the Wilcoxon test. The findings revealed a significant effect of Qur'anic healing on reducing the frequency of auditory hallucinations, indicated by a p-value of 0.000 (p<0.05). Qur'anic healing demonstrated effectiveness in alleviating auditory hallucinations among individuals with schizophrenia. We recommend incorporating Qur'anic healing as an additional supportive therapy for schizophrenia patients. Moreover, it is anticipated that listening to Qur'anic healing will enhance the patient's adaptive coping mechanisms.

Effect of midwife competence training in primary healthcare facilities on obstetric risk early detection

2024-01-30T15:36:39+00:00

Early detection of obstetric risk is the main competence of midwives to anticipate the mother’s inability to adapt during pregnancy. The early detection competence of midwives determines the success of obstetric risk management, preventing pain and even death of mothers and babies. This study aimed to analyze the effect of obstetric risk early detection training on improving the competence of midwives in basic health care facilities. The study employed a quasi-experimental pre-posttest design with a control group. The samples were selected based on inclusion criteria, encompassing independent practice midwives and public health center midwives. The study comprised 27 midwives in the treatment group and 27 in the control group. The determination of and control groups was conducted through simple random sampling. Data analysis involved the use of Mann-Whitney and T-tests. The results indicated a significant difference in the increase in midwife competence within the treatment group post-training (p-value <0.001), with a notable improvement of 34.5%, compared to a 14.53% rise in midwife competence within the control group after reading the training module. Although a slight decrease in competence was observed after 2-4 weeks of training, the posttest values remained considerably higher than the pretest values. These findings underscore the impact of training on midwife competence, emphasizing the continual need for midwives to enhance their skills to elevate the health outcomes for the mothers and children under their care.

Anti-biofilm properties of clover honey against Candida albicans

2024-02-16T15:04:25+00:00

Candida albicans grows rapidly when the microflora becomes imbalanced due to a variety of factors. Its ability to infect a host is aided by its virulence factors, such as biofilm. This study aimed to evaluate the activity of clover honey in inhibiting and degrading the biofilm formation of C. albicans in vitro. This study used a true experimental design with an in vitro post-test-only control group design approach. The microtiter plate assay was used to grow planktonic cells and biofilm. This method was carried out to obtain the Optical Density (OD) value for each test, measured by a Microplate Reader. Cell viability was measured using the MTS Assay kit, the biofilm matrix was measured using the Crystal Violet Assay, and the morphology of C. albicans biofilms was observed by scanning electron microscopy (SEM). Probit and One-way ANOVA tests were applied to determine the MIC₅₀ of both planktonic and biofilm, as well as statistical analysis. The results showed that clover honey exerted inhibitory activity against C. albicans planktonic cells at a MIC₅₀value of 31.60% w/v. At the highest concentration, clover honey exhibited antibiofilm activity by lowering the extracellular matrix and viability of C. albicans cells by 64.59% and 72.09%, respectively. Based on SEM observation, clover honey changed the cell morphology of C. albicans and reduced the thickness of the biofilm. Overall, our findings concluded that clover honey exhibited antifungal properties against C. albicans by inhibiting biofilm formation and degrading mature biofilm.

Difference in learning attention between career and non-career parents during the COVID-19 pandemic in elementary school children

2024-02-06T14:02:57+00:00

The COVID-19 pandemic has prompted Indonesian students to transition from traditional to online learning. The role of parents, both career and non-career, in focusing on paying attention to their children's learning has also changed. The study aimed to compare learning attention between parents with careers and parents without careers before and after the COVID-19 pandemic. This study was a comparative design with a questionnaire as the instrument. The variable measured is elementary school children's learning attention. A total sampling technique was employed, involving 64 respondents. The Wilcoxon Signed Rank Test and Mann-Whitney U Test were used in data analysis. The findings indicated a significant difference in the learning attention of parents with careers before and after the COVID-19 pandemic (p-value = 0.000). Similarly, parents without careers also exhibited a significant difference in learning attention before and after the pandemic (p-value = 0.000). Notably, within both the career and non-career parent groups, there was a substantial difference in the learning attention provided to their children before and after the COVID-19 pandemic. These results highlight the significant impact of the pandemic on parental involvement in their children's education. The findings emphasize the need for parents to be conscious of their responsibilities in the face of the unique demands posed by the pandemic, underlining the crucial role they play in supporting their children's education.

Enhancing breastfeeding self-efficacy in the postpartum period through emotional release with self-talk method

2024-01-30T15:36:32+00:00

This study aimed to assess the impact of utilizing the "Happy Maternal Card," a self-talk intervention, on breastfeeding self-efficacy during the postpartum period. The research involved 28 mothers three days postpartum in Health Canter Care in Purwodadi regency, Indonesia, from February to March 2020, using a quasi-experimental pre-post design with a control group. The intervention group received self-talk sessions twice daily for a month, while the control group received information through a maternal book twice a week. Breastfeeding ability and independent infant care were measured using the Breastfeeding Self-Efficacy Scale. Results indicated a significant decrease in anxiety (p-value=0.000) and a positive impact on breastfeeding self-efficacy in the intervention group (p-value=0.001). The positive suggestions of self-talk empowered mothers cognitively, enabling them to handle stress and believe in positive suggestions, ultimately influencing behavior. This self-talk method has the potential for postpartum care to enhance maternal efficacy in managing psychological aspects, contributing to the success of exclusive breastfeeding.

The impact of structured education on knowledge and self-efficacy in type 2 diabetes mellitus patients

2024-02-02T12:39:40+00:00

Patients diagnosed with Type 2 Diabetes Mellitus (T2DM) need to acquire knowledge and self-confidence to effectively engage in self-care activities. A structured education program has the potential to influence knowledge, self-efficacy, and self-care behavior. This study aimed to investigate the impact of education on the knowledge, self-efficacy, and self-care of individuals with T2DM. The research employed a quasi-experimental non-equivalent control group design with purposive sampling. The total sample size consisted of 60 participants, with 30 in each group. The intervention group attended a four-session T2DM structured education program conducted by internal medicine specialists, nurses, nutritionists, and pharmacists, while the control group continued with their usual monthly check-ups. The results of the independent t-test revealed differences in knowledge, self-efficacy, and self-care between the intervention and control groups in the post-test assessment. Education for T2DM patients was found to be effective in enhancing knowledge (p-value=0.000), self-efficacy (p-value=0.000), and self-care (p-value=0.000), making it a recommended component of self-management education to prevent complications. The implications of this study may assist hospitals in developing Standard Operating Procedures (SOPs) for implementing structured education programs for individuals with Type 2 Diabetes Mellitus as a means of enhancing patients’ management skills for T2DM.

Clinical achievement improvement through experiential learning-based training

2024-01-26T15:05:10+00:00

This study aimed to enhance clinical educators' competence through experiential learning-based preceptorship training. Many clinical educators struggle with implementing effective clinical education, providing guidance, and having limited time for new nurses. The research employed a quasi-experimental design with a pre-posttest control group involving 60 clinical educators. The intervention group received a five-day training module using experiential learning-based preceptorship, while the control group received standard intervention. Data analysis used the Wilcoxon Signed Rank Test to analyse differences before and after intervention, and used Mann-Whitney to analyse differences between the two groups. Analysis revealed significant improvements in critical thinking, patient safety, leadership, communication, research-based practice, and professional development among the intervention group compared to the control group (p-value=0.000). The findings highlight the effectiveness of this training model in enhancing clinical educators' learning outcomes. The study suggests that incorporating experiential learning into clinical education can be a valuable strategy for improving the competence of clinical educators and subsequently achieving better clinical achievements.

The influence of parenting classes on maternal self-efficacy in caring for the baby

2024-02-16T15:04:29+00:00

Preparing for childbirth is crucial because it was a demanding and exhausting experience for unprepared mothers. Confidence in caring for the baby was one of the important indicators of success as a parent. This study aimed to examine the influence of parenting classes on maternal self-efficacy in caring for the baby. The study used a quasi-experimental pre-test and post-test nonequivalent control group design method. The research was conducted at several Midwife Clinical Practices in Bogor City. The sample consisted of 42 pregnant women, with 21 in the intervention group and 21 in the control group. Sampling used non-probability sampling with a purposive sampling technique. The Perceived Maternal Parenting Self-Efficacy (PMP-SE) questionnaire with a likert scale was used to measure the mother's self-efficacy variable in caring for the baby before and after attending the parenting class. The data were analyzed using the Wilcoxon test. The results showed that the mean self-efficacy of mothers in caring for their babies before the intervention was 42.57 (8.577), and after attending the parenting class, it increased to 47.71 (8.344). There was a significant influence of parenting class on mothering self-efficacy in caring for the baby (p=0.015). It is recommended that this model of parenting classes be applied in healthcare settings to educate pregnant women on readiness to become parents, thereby increasing mothers' confidence and ability to take care of their babies after childbirth.

Exploring the correlation of social networks, family support, health worker assistance, and health education using the precede-proceed model: impact on emotional responses in diabetes mellitus patients

2024-02-08T14:53:19+00:00

Diabetes mellitus is a chronic disease that has the potential to cause stress due to uncertainty about the course of the disease, treatment, and complications. The aim of this research was to analyze the relationship between the support of health workers, family support, social networks, and health education through the precede-proceed model approach to emotional responses. The type of research is a cross-sectional study. The research was conducted at the Simo Mulyo Health Center in Surabaya, with data collected from June to July 2023. The independent variables, namely the support of health workers, family support, social networks, and health education, were measured using a questionnaire, while the dependent variable, emotional response, was measured using a questionnaire. The population in this study comprised all people with diabetesmellitus registered at the Simo Mulyo Health Center in Surabaya. The inclusion criteria for this study were as follows: patients with unstable blood sugar regulation, aged between 26 and 65 years, capable of reading, and willing to be respondents. The sample size in this study was 112 respondents, and the sampling technique used was simple random sampling. Data analysis utilized the Spearman rho correlation test with a significance level of α = 0.05. The findings indicate that social network support and emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.879. Health education is correlated with emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.585. Health worker support is correlated with dealing with emotional responses, with a p-value of 0.000 (p < 0.005) and r = 0.786. Family support is correlated with emotional response, with a p-value of 0.000 (p < 0.005) and r = 0.738. Social network support, health education, family support, and health worker support correlate with the emotional response of people with diabetes mellitus. Therefore, health workers, families, and social networks can enhance support to improve the quality of the patient's emotional response, promoting patient enthusiasm for adhering to treatment and minimizing complications due to diabetes mellitus.

Parenting style, family support, and relapse among schizophrenia patients: a literature review

2024-01-30T15:36:35+00:00

Schizophrenia is a mental health problem that is quite widespread in Indonesia. Relapse among patients with Schizophrenia is related to parenting style and family support. This study aimed to present a literature review that address parenting style, family support, and relapse among schizophrenia patients. Three databases were used in this study, ProQuest, Google Scholar, and PubMed. The keywords were used according to the Medical Subject heading (Mesh): Parenting and families support or emotional support and family functioning and relapse and Schizophrenia. We limited the articles from 2020-2022 and in English. We obtained 434 articles which divided into Google Scholar 214 articles, ProQuest 134 articles, and PubMed 86 articles. In the end, we obtained six articles. The methodology of articles was evaluated using JBI Critical checklist. Scores less than 50% were excluded from the study to ensure the quality of the articles. The review results showed that parenting style and family support are risk factors contributing to relapse among schizophrenia patients. However, there was one article showed that there was no correlation between family cohesion and relapse among schizophrenia patients. Parenting style and family support has a function in preventing relapse among schizophrenia patients. So, parenting style and family support management are needed to address intervention for preventing relapse among schizophrenia patients.

Effect of black sticky rice tape and purple sweet potato formulation on organoleptic properties and anthocyanin content of sweet purple mochi as a high anthocyanin snack to prevent cancer

2024-01-26T15:05:19+00:00

Cancer is one of the second leading causes of death worldwide. It is estimated that by 2030, cancer incidence could reach 26 million people, and 17 million of them will die because of cancer. Free radicals in the body can cause cancer, so it is very important to consume foods rich in antioxidants, such as black glutinous rice tape and purple sweet potato, because the human body cannot naturally make antioxidants. The study aimed to determine the effect of black sticky rice and purple sweet potato formulations on organoleptic properties (color, aroma, taste, texture, and overall) and the anthocyanin content in sweet purple mochi. The method used a hedonic test to determine the level of liking and UV-VIS spectrophotometry combined with differential pH to determine anthocyanin levels. Thirty participants were students from Nutrition Department, Politeknik Kesehatan Kemenkes Bandung. The results showed significant aroma, taste, and overall p<0.05 differences. F3 was the most preferred formulation, containing 11.2 mg of anthocyanins per 70 gram. There were significant effects and differences in the formulation of black sticky rice tape and purple sweet potato on organoleptic properties (aroma, taste, and overall). The anthocyanin content in the product can fulfill the adequacy of anthocyanins in a day, so this product can be used as a snack to prevent cancer.

The effect of providing Koya Nate on the appetite of stunting toddlers

2024-01-22T15:44:10+00:00

The appetite experienced by toddlers is at risk of causing nutritional disorders, which can have a negative impact on health, such as stunting. Efforts are being made to overcome toddler appetite issues through innovation in the form of Koya Nate. This research examined the impact of Koya Nate, an innovative intervention, on the appetite of stunted toddlers in Surabaya. Using a quasi-experimental approach with a pre-post design, 16 toddlers aged 1-5 years participated, with 8 in the intervention group and 8 in the control group. The study found a significant influence on the appetite of toddlers in the intervention group after the intervention (Sig. 0.000), while there was no significant change in the control group without intervention (Sig. 0.157). A comparison between the two groups revealed a significant influence on appetite in the intervention group compared to the control group (Sig. 0.000). This suggests that Koya Nate has a positive impact on the appetite of stunted toddlers, addressing issues of picky eating. The study emphasizes the importance of innovative approaches in presenting food menus to toddlers facing appetite-related nutritional challenges. The findings highlight the potential of Koya Nate as an effective intervention for improving the appetite of stunted children, contributing to efforts to combat nutritional disorders and prevent negative health impacts such as stunting.

Exploring the primary health facility availability, health control, drug consumption, and healthy living behavior among patients with hypertension

2024-01-11T13:20:30+00:00

Hypertension has been identified as a causative factor for cardiovascular disease, a leading global cause of death. The accessibility of health services plays a pivotal role in shaping community awareness and engagement in hypertension management. This research aimed to explore the availability of primary health facilities, health control practices, drug consumption, and healthy living behaviors among individuals with hypertension. Utilizing a correlation study with a cross-sectional design, the sample comprised 130 hypertensive individuals selected through purposive sampling. Statistical analysis used the Spearman rho correlation test. The findings revealed that significant correlations between primary health facility availability and health control behavior (α=0.000, r=0.310), antihypertensive drug consumption behavior (α=0.000, r=0.461), and healthy lifestyle behavior (α=0.000, r=0.478) among hypertensive patients. These results underscore the relationship between the availability of primary health facilities and the behavior of hypertensive patients in terms of health control, drug consumption, and healthy lifestyle choices within the community. While the full implementation of these behaviors among hypertensive patients may not be optimal, the observed good availability of primary health facilities serves as an initial step to promote improved behaviors in the management and prevention of hypertension complications within the community.

Exploring maternal perspectives on addressing domestic violence in pregnant adolescents

2023-12-22T15:22:46+00:00

Adolescent pregnancy has been on the rise in developing countries, primarily attributed to economic challenges, particularly in Africa and South Asia. West Java Province stands out as one of the leading regions with a high incidence of adolescent pregnancies. Young couples often struggle to adapt to early marriage, resulting in domestic violence and adverse health consequences. Notably, domestic violence is prevalent among young married couples, with Bogor reporting a significant incidence among pregnant adolescents. Mothers play a crucial role in providing protection and resolving domestic issues. This study aimed to investigate mothers' perspectives on domestic violence towards adolescents and their problem-solving strategies. The study employed qualitative methods with a descriptive interpretation approach. Data were gathered through in-depth interviews with seven mothers whose daughters had experienced domestic violence by their husbands during pregnancy, having given birth and entered marriage. Thematic content analysis was employed for data analysis. The central finding is that economic challenges serve as the primary catalyst for domestic violence, manifesting through harsh language and physical abuse, leading to potential harm to the child and miscarriage. Pregnant adolescents often experience psychological distress, exhibiting symptoms such as daydreaming, sadness, crying, and weight loss. Mothers express concern about the domestic violence their daughters endure during pregnancy, attributing it to economic issues. To address the problem, mothers employ various strategies, including seeking advice, providing emotional support, involving health services, mediating, communicating, and reporting incidents to relevant authorities. Maternity nurses should proactively offer information about the risks associated with adolescent pregnancies and early marriage. The government must actively communicate the significance of the risk of early pregnancy, particularly concerning violence, to teenagers.

Enhancing maternal role achievement and breastfeeding success through health belief model intervention

2024-01-11T12:43:51+00:00

Breastfeeding is a critical component of maternal and infant health. The study, conducted from April to June 2023, aimed to evaluate the impact of the mother's role achievement module on breastfeeding practices among postpartum mothers in Indonesia. Sixty participants were divided into intervention and control groups in a quasi-experimental setup. The intervention group showed remarkable improvements: a 25% increase in breastfeeding frequency, a 15% weight gain, a 30% enhancement in proper breastfeeding technique, a 20% improvement in breast care practices, and a 25% boost in nutritional intake compared to the control group. Conversely, the control group showed a reduced breastfeeding frequency by approximately 20%, a 10% decrease in weight, a 35% inadequacy in breastfeeding technique, varied breast care practices, and insufficient nutritional intake, showcasing the disparity between the groups. Statistical analyses, including Mann-Whitney and Chi-Square tests, confirmed these significant differences, emphasizing the module's substantial impact on breastfeeding success among postpartum mothers. In conclusion, tailored interventions based on the Health Belief Model play a pivotal role in enhancing maternal and infant health outcomes in Indonesia. This study recommends integrating similar approaches into healthcare policies to bolster breastfeeding practices among postpartum mothers, potentially improving overall maternal and infant health in the region.

Correlation of nerve damage and peripheral neuropathy incidence using the MNSI and MDNS instrument approaches

2024-01-18T15:19:44+00:00

The World Health Organization (WHO) reported that by 2030, diabetes mellitus would become the 7th leading cause of death. Diabetes mellitus is a chronic disease that causes various complications, one of which is peripheral neuropathy. Preventive efforts for peripheral neuropathy involve conducting detection examinations. The purpose of this study was to analyze nerve damage in peripheral neuropathy cases using the MNSI (Michigan Neuropathy Screening Instrument) and MDNS (Michigan Diabetic Neuropathy Score) instruments. The study employed a cross-sectional study approach with a sample of 50 people, using total sampling as the sampling technique. The independent variable in this study was nerve damage, and the dependent variable was peripheral neuropathy. Data collection in the study was carried out using the MNSI and MDNS instruments to link the dependent and independent variables. Hypothesis analysis in this study was conducted using the Spearman's rho correlation test. The study found that autonomic, sensory, and motor damage correlated with peripheral neuropathy, with a P-value of < 0.05. Examinations in the feet of diabetics were significantly related to the level of peripheral neuropathy. However, there was no evidence of a correlation between the characteristics of the respondents and the incidence of peripheral neuropathy. The results of the nerve damage examination demonstrated a correlation between different types of damage, and the MNSI and MDNS instruments proved effective in detecting peripheral neuropathy damage. Future research should focus on more in-depth studies to explore the correlation of nerve damage in patients with diabetes mellitus detected at a young age and consider other variables, such as HbA1c levels, as potential risk factors for peripheral neuropathy.

The correlation between creatinine levels and estimated glomerular filtration rate (GFR) with blood glucose levels in diabetes mellitus type 2 patients

2023-12-15T13:48:20+00:00

Diabetes mellitus (DM) was a group of metabolic diseases characterized by hyperglycemia. Measuring the blood creatinine level and calculating the estimated glomerular filtration rate (GFR) was crucial in determining if a person had impaired kidney function. These tests provided valuable insights into the progression of type 2 diabetes mellitus and its associated risk of kidney failure. The objective of this study was to investigate the correlation between average creatinine levels and GFR with blood glucose levels in type 2 DM patients. This correlative research used a cross-sectional approach and included samples from 30 patients with type 2 DM at a hospital in Bandung, Indonesia. The patients' blood glucose and blood creatinine levels were measured using GFR calculations and a Kenza Max photometer, respectively. The sampling method used was accidental sampling, with the sample criteria being type 2 DM patients who were willing to be respondents and did not have hypertension. The average creatinine levels and estimated GFR values were 0.97 mg/dL and 84.971 mL/min/1.73m². The results of the Pearson correlation test indicated non-significant correlations (p > 0.05, p = 0.703 and 0.819). This suggested that there was no significant relationship between creatinine levels and estimated GFR and blood glucose levels in type 2 DM patients. This study provided a foundational exploration of the link between blood glucose levels and kidney function, which could contribute to developing methods for examining kidney diseases in type 2 DM patients. This study's findings underscore the complexity of the relationship between metabolic control and renal function in type 2 diabetes mellitus patients, highlighting the need for individualized patient assessment and management strategies.

Enhancing early cervical cancer detection through the mobile-based DEDIKASI application

2023-12-22T15:22:51+00:00

The incidence rate of cervical cancer in Indonesia remains high; however, it can be prevented through early detection. The study aimed to assess the effectiveness of the DEDIKASI mobile application, a continuation of the Early Warning System (EWS) cancer application for cervical cancer risk assessment in women of reproductive age. Employed a quasi-experimental design with a nonequivalent group posttest-only approach, the research included 388 participants chosen through random sampling. The EWS Application group showed a majority categorized as "Very Suspect" (52.6%), while the DEDIKASI group had the majority in the "High Risk" category (40.7%). ISO 25010 testing revealed an excellent overall score of 92% for the DEDIKASI application, indicating strong functional suitability and usability. The t-test results (p-value = 0.000) indicated that the DEDIKASI application was more effective than the EWS Cervical Ca application in assessing cervical cancer risk. The findings underscore the potential of the DEDIKASI mobile application for improving early detection and risk assessment of cervical cancer in women of childbearing age, offering a valuable tool to address the high incidence rate of cervical cancer in Indonesia.

Factors associated with anxiety and depressive symptoms among Indonesian adolescents during the COVID-19 pandemic: a cross-sectional study

2023-12-14T16:21:32+00:00

Despite the conclusion of the pandemic, addressing mental health concerns during disasters remains crucial. Examining the impact of mental health issues in such contexts yields valuable insights for preventing future crises. This study aimed to examine the factors linked to anxiety and depression symptoms among Indonesian adolescents during the COVID-19 pandemic. This was a cross-sectional study. The study utilized an online survey collected from 738 participants from 34 provinces in Indonesia. The participants were asked to provide information on their demographics, social media exposure, self-rated health, GAD-7 scores, and the WHO-5 well-being index. The associations between participant characteristics and depression and anxiety were investigated using independent t-tests, ANOVA tests, and ordinal logistic regression. The majority of the participants were late adolescents, aged 18-21 years old (95%), and female (79.1%). Factors such as gender, self-rated health, and social media exposure were significantly associated with depression and anxiety among adolescents during the COVID-19 pandemic. Male adolescents had a higher risk of depression (OR=0.657, 95% CI=0.476-0.908), while infrequent social media exposure was linked to lower anxiety levels (OR=0.401, 95% CI=0.190-0.847). The study revealed that younger age, female sex, suspected COVID-19 infection, and excessive social media exposure were associated with higher levels of depression and anxiety. To manage depression and anxiety during and after pandemics, it is crucial to provide valid and reliable information and healthcare services, foster social connections, and create supportive environments in households and workplaces.

Protective effects of mouthwash formulations of Syzygium polyantha (L.) and Piper betel (L.) on oral microbiota-induced gingivitis

2023-12-19T12:39:19+00:00

Using a combination of natural ingredients as a mouthwash was expected to have a synergistic effect in preventing gingivitis, a common oral disease. The objective of this study was to elucidate the anti-inflammatory effect of different proportions of mouthwash infusions: F1 (75% Syzygium polyantha and 25% Piper betle) and F2 (25% Syzygium polyantha and 75% Piper betle) on oral microbiota causing gingivitis. Twenty-four Rattus norvegicus were divided into four groups, and bacteria were injected into the periodontal sulcus. The anti-inflammatory effect was assessed by calculating the reduced number of polymorphonuclear (PMN) leukocytes. A cytotoxicity test was carried out on the normal fibroblast cell line 3T3-L1. There were no significant differences in the decreased number of PMN leukocytes (p = 0.079 > 0.05). Both F1 and F2 showed results of cell viability approaching 100% of living cells at concentrations of 0.29 ppm and 0.04 ppm, equivalent to 0.058% and 0.029%, respectively. This study concluded that both formulations of Syzygium polyantha and Piper betle have potential effects on gingivitis prevention. They had an effectiveness level almost similar to Chlorhexidine gluconate 2%. The toxicity value of formulation F1 is superior to that of formulation F2. Further studies concerning the toxicity of the mixtures and their effect on oral biofilm are needed.

Ethanolic extract of red dragon fruit inhibits growth of mosquito larvae

2023-12-22T15:22:54+00:00

Controlling the vector by eradicating mosquito larvae is frequently done by spreading Abate powder containing 1% Temephos as a larvicide agent. However, the use of Abate powder will possibly increase pesticide residue contamination in the water. This study aimed to explore the potential use of ethanolic extract from red dragon fruit skin to kill mosquito larvae. An experimental laboratory study was performed to examine the larvicidal activity of ethanolic extract from red dragon fruit skin. Maceration method was used to extract active compounds from the fruit skin. Subsequently, the viscous extract was formulated using the wet granulation method to obtain powder form. The larvicide test was done by comparing the lethal concentration (LC₅₀) of mosquito larvae after treatment using the extract and the reference larvicide agent, 1% Temephos Abate. The treatment groups consisted of four different extract concentrations of 1%, 2%, 3%, and 4%. The LC₅₀of each treatment groups was then calculated against the negative control group. Phytochemical screening showed that the ethanol extract of red dragon fruit skin contains alkaloids, flavonoids, saponins, triterpenoids, and tannins. The larvicide test on Aedes aegypti mosquito larvae showed that the extract treatment hardly killed the Aedes aegypti mosquito larvae. However, on Culex mosquito larvae, the ethanolic extract of red dragon fruit skin was able to kill mosquito larvae, with LC₅₀ value of of 19.06%. The ethanolic extract of red dragon fruit skin was effective on killing the Culex mosquito larvae but not the Aedes aegypti mosquito larvae.

Nurses' experiences regarding nursing competence in the isolation wards during COVID-19 pandemic

2024-01-18T15:19:41+00:00

During the COVID-19 pandemic, it was essential for nurses to possess the necessary skills and expertise to provide care for patients in isolation wards designated for COVID-19 cases. This recognition of a nurse's experience could serve as a basis for establishing more precise competency standards for staff working in COVID-19 isolation wards. This study aimed to explore the experience of nurses with the competencies needed to care for COVID-19 patients in the isolation ward. The research design used was a phenomenological design as outlined by van Manen's phenomenological of practice. In-depth interviews were conducted using semi-structured questions involving six nurses in the COVID-19 isolation ward at Lumajang District Hospital. This study found seven major themes, namely nurses must have altruistic thinking, critical thinking to solve problems, the ability to work with teams, problem-solving thinking, the ability to handle emergency situations, have a caring attitude, and have the motivation to learn. The competence of nurses in the COVID-19 isolation ward should be established on a foundation of both hard and soft skills, which are essential for a nurse to deliver optimal care to COVID-19 patients. Efforts aimed at enhancing nurses' competencies should take precedence, enabling them to provide improved care and assist in addressing the ongoing public health challenges.

Social media utilization and knowledge levels in exclusive breastfeeding among mothers in Indonesia

2023-12-22T15:22:58+00:00

The utilization of social media for obtaining information on exclusive breastfeeding is driven by various user-friendly features that facilitate information retrieval. This study delves into understanding the correlation between mothers' engagement with social media for information and their knowledge levels regarding exclusive breastfeeding in Indonesia. Through a cross-sectional analysis involving 93 purposefully selected respondents, demographic factors such as age, education, occupation, social media usage for breastfeeding information, and knowledge levels were evaluated using a validated questionnaire. Descriptive analysis was applied to the data, and significance testing was conducted using Chi-square tests. The questionnaire underwent validity and reliability tests, confirming its robustness. Results indicated a significant association (p < 0.000) between social media usage for breastfeeding information and the knowledge levels of mothers successfully practicing exclusive breastfeeding. Mothers who achieved exclusive breastfeeding demonstrated a discernible level of knowledge about utilizing social media as an information source for breastfeeding. This study highlights the escalating role of social media in shaping mothers' understanding of exclusive breastfeeding. The findings underscore the significance of targeted interventions and educational programs through social media platforms to enhance breastfeeding practices.

The effect of near-infrared rays on the decrease in the number of adipocyte cells using the flow cytometry method

2024-01-18T15:19:38+00:00

Adipose tissue, composed of adipocyte cells, can become problematic due to an increase in cell number (hyperplasia) and size (hypertrophy). To address this concern, interventions are needed to reduce these probabilities. Near Infrared (NIR) is an electromagnetic wave that affects tissues by being absorbed and penetrating them. NIR can induce cell death (necrosis or apoptosis), where cells respond to external factors causing tissue damage. The purpose of this study was to examine the effect of near-infrared rays on the decrease in the number of adipocyte cells using the flow cytometry method. This study, conducted in vitro using adipocyte cell cultures isolated from rat visceral adipose tissue, explores the effects of NIR exposure at various distances (1 cm, 2 cm, and 3 cm) for 20 minutes. Adipocyte cells were stained and examined using Confocal laser scanning microscopy (CLSM), and the percentage of cells was determined by flow cytometry. Statistical analyses were performed using One Way ANOVA and Duncan test. Significant differences (p-value < 0.05) were observed, and the Duncan test revealed variations in the percentage of living cells among control and treatment groups. The data indicated that exposure to high NIR energy with low wavelengths penetrated adipocyte cells, leading to a decrease in the percentage of cells and notable changes in cell morphology. Flow cytometry results demonstrated differences in live cell percentages, with group 2 (exposed at 2 cm for 20 minutes) being more effective, showing lower percentages of live cells. This research suggests that NIR exposure has an impact on adipocyte cell cultures, emphasizing its potential in influencing adipocyte cell behavior.

The relationship between mental workload and nurse stress levels in hospitals

2023-12-14T16:21:35+00:00

High mental workload implies significant mental resources and can lead to increased cognitive stress and fatigue. Nurses have the responsibility of managing a wide range of nursing care tasks, which frequently involve addressing anxiety, handling patient complaints, and managing patient defense mechanisms, all of which can lead to increased stress levels. This study aimed to identify the relationship between mental workload and the stress level of nurses in the Hospital Malang City. The research utilized a cross-sectional study design. The sampling technique employed was Total Sampling, involving 96 inpatient nurses at the hospital. Data collection involved the use of two questionnaires: the National Aeronautics and Space Administration Task Load Index (NASA-TLX) and the Perceived Stress Scale (PSS-10). Data analysis in this study was conducted using Pearson Correlation. The results indicated a positive relationship between mental workload and nurses' stress levels, supported by a significant p-value of 0.002 and a correlation coefficient of 0.312. A high mental workload can impact the level of job-related stress experienced by nurses. Effective stress management skills can help individuals mitigate this impact.

Comparing parenting styles: their influence on adolescent’s internet addiction

2023-12-15T13:48:16+00:00

Excessive internet use in adolescents can lead to addiction, with parental parenting styles playing a pivotal role. This study aimed to analyze the relationship between parents' parenting style and adolescent internet addiction. A cross-sectional study was conducted with a sample of 290 participants using convenience sampling. Two instruments, the Parental Authority Questionnaire (PAQ) and Internet Addiction Test (IAT), were employed for data collection. Statistical analysis, using the Spearman correlation test (p < 0.05), was performed. Findings revealed a significant relationship (p < 0.001, r = 0.253) between an authoritarian paternal parenting style and adolescent internet addiction. A permissive maternal parenting style also exhibited a significant link (p < 0.001, r = 0.319) with internet addiction. This study highlights a clear association between parenting styles and adolescent internet addiction. Parents should balance granting freedom for responsible internet use with setting boundaries, engage in open dialogues, and issue warnings when excessive online time is detected to effectively address this issue.

The effect of murottal auditory therapy on anxiety and comfort levels in patients with cardiovascular disease

2023-11-30T14:16:07+00:00

Patients with cardiovascular disease often experience anxiety and discomfort, which can negatively affect their outcomes. The purpose of this study was to examine the effect of murottal auditory therapy on anxiety and comfort levels in hospitalized patients with cardiovascular disease. This quasi-experimental study included 45 patients in both the intervention and control groups, selected through purposive sampling. Participants met criteria such as consciousness, effective communication skills, Muslim faith, and no hearing impairments. Anxiety was assessed using the Zung Self-Rating Anxiety Scale, while comfort was evaluated with the General Comfort Questionnaire. The Mc Nemar test was employed to determine the effect of the intervention. The findings indicate that a substantial number of patients in the intervention group reported mild anxiety (91.1%) and increased comfort (95.6%) following murottal therapy. Significant differences in anxiety and comfort levels were observed between the control and intervention groups, with p-values of 0.004 and 0.000, respectively. In conclusion, murottal auditory therapy, specifically Surah Ar-Rahman, effectively reduces anxiety and enhances comfort among patients with cardiovascular disease. These results underscore the potential of murottal auditory therapy as a complementary approach to expedite patients' recovery during treatment.

Booklet preventing stunting based Android application (Bocesting) as a tool to enhance maternal nutritional behaviour and nutritional status

2023-11-30T14:16:01+00:00

The most common health problem was the lack of nutrition, known as stunting. One approach to addressing nutritional issues in young children was through health education using the android method. The study aimed to analyze the differences in the influence of stunting prevention education using booklet media and an Android-based application on maternal nutritional behavior and nutritional status, with the ultimate goal of preventing stunting cases. The research design employed a quantitative approach, specifically a Quasi-Experiment. Measurement tools included questionnaires assessing maternal nutrition behavior, with the samples divided into three intervention groups and one control group (n=51). Data analysis involved statistical tests, including Wilcoxon, Mann Whitney U, and Kruskall Wallis H. The results indicated that educational media using booklets significantly improved maternal nutrition behavior after the intervention (p<0.05). However, there was no significant increase in the nutritional status of children (p=0.317). Similarly, the Android application intervention group exhibited a significant improvement in maternal nutrition behavior (p<0.05), while the nutritional status of the children did not significantly change (p=0.193). A significant difference was observed in the impact of the media interventions between the booklet and Android application intervention groups and the control group regarding the enhancement of maternal nutritional behavior (p<0.05) and children's nutritional status (p>0.005). In conclusion, educational media in the form of booklets and Android applications can influence maternal nutrition behavior and children's nutritional status in the context of stunting prevention education.

Development of a user-friendly mobile app for eclampsia prevention targeting preeclampsia mothers and spouses

2023-10-06T04:30:33+00:00

The lack of knowledge, attitudes, and practice of preeclampsia mothers and spouses in preventing eclampsia affected the prevalence of eclampsia. A practical approach model was needed to increase knowledge, attitudes, and practices in preventing eclampsia. A mobile application that was effective, easy to use, and understandable was considered one of the solutions. This study aimed to develop an appropriate and user-friendly mobile application for preeclampsia mothers and spouses to prevent eclampsia. The study design was cross-sectional and was conducted in two stages. The first stage identified the content needs for eclampsia prevention in a mobile application. It involved 86 participants selected using the convenience sampling technique and a 20-item questionnaire. The second stage focused on mobile application development and usability testing using the SKAMA (Skala Kebolehgunaan Aplikasi Mudah Alih), which included a 10-item questionnaire with ten participants. Statistical analysis included the distribution frequencies of variables related to content needs and the application's usability, as assessed by beta testers using the SKAMA questionnaire. Out of the 20 questionnaire items assessing the level of need, the lowest percentage of strongly needed items for preeclampsia mothers was "Recommended and Prohibited Activities" (65%). For spouses, it was "Recommended and Prohibited Activities" and "Equipment to be Prepared" (88.2%). In the ten-item questionnaire, preeclampsia mothers scored the highest (50%) on the statement, "Various functions are well integrated, and they learned to use the mobile application very quickly." In comparison, spouses scored the highest (90%) on the statement, "The mobile application is easy to use, and they feel confident using it. All participants confirmed that the mobile application had the necessary content (appropriate). The results of the mobile application testing showed positive responses from pre-eclampsia mothers and spouses (user-friendly). It is essential to obtain support from policymakers and conduct periodic monitoring and evaluation of the application's consistency to have implications for eclampsia prevention practices.

Usefulness of antenatal care handbook: a cross-sectional study of mothers' perspectives

2023-11-24T14:38:34+00:00

In 2016, the Ministry of Health Brunei Darussalam introduced the Maternal and Child Health (MCH) Handbook, replacing the card-type record. Despite its implementation, the handbook's utility remains unexamined. This study aims to evaluate the community's usage of the MCH handbook and explore the connections between age, education, and handbook utilization. A cross-sectional study employed an online self-administered survey among pregnant women attending routine antenatal checkups at 32 weeks gestation between December 2020 and January 2021. The survey used the MCH Usefulness Questionnaire, and subgroup analysis was conducted. The study included 73 mothers. Most participants reported having sufficient time to read the handbook (95.9%), being familiar with its content (89.0%), and feeling satisfied with its usage (93.2%). Reasons for not using the handbook included "online availability of the same information" (20.5%), difficulty in understanding certain words (17.8%), preference for more visual content (12.3%), and inadequate encouragement from healthcare providers (12.3%). The majority of mothers perceive the handbook as useful. Nonetheless, further investigation is necessary to delve into their perceptions and ensure the handbook's sustained relevance and effectiveness over time.

Room sterilization using ultra violet lamps in reducing the air germs number of tuberculosis patients’ house

2023-12-07T15:00:38+00:00

Mycobacterium Tuberculosis can survive in the air, with its ability depending on environmental factors such as Ultraviolet (UV) light. UV light can be generated from sunlight or UV-C lamps, which are utilized for air germ sterilization. This study aimed to assess the efficacy of room sterilization using a UV lamp in reducing airborne germ counts. This experimental research took place from March to September 2023 and employed a one-group pretest-posttest design. The research was carried out in 21 houses of tuberculosis patients in Kupang City. The intervention involved the use of 16-watt and 20-watt UV lamps in two rooms of each house. The variable measured was the airborne germ count, assessed by examining the Most Probable Number (MPN) coliforms, both before and after sterilization (UV light irradiation), calculated through laboratory examination. The collected germ count data were then statistically analyzed using the paired t-test. Room sterilization using a 16W UV lamp effectively reduced the number of room germs (p-value 0.046 < 0.05). Similarly, room sterilization with a 20W lamp significantly reduced the number of room germs in the households of tuberculosis patients (p 0.004 < 0.005). Ultraviolet lamps can be employed for sterilizing rooms in the homes of tuberculosis patients, particularly in cases where sunlight cannot penetrate the house. These lamps can eliminate airborne germs, thereby reducing their count and the risk of disease transmission within the household.

Family support and coping strategies among female inmates: a cross-sectional study in penitentiaries

2023-12-05T15:13:13+00:00

Family is one of the closest people in helping individuals solve problems and serve as the foundation for developing coping strategies. Several factors influence coping strategies, including problem-solving skills and family support. This study aimed to explore the correlation between family support and coping strategies among female prisoners. The research employed a quantitative correlation design using a cross-sectional approach and a total sampling technique, with a sample of 33 female prisoners. The study included two variables: family support as the dependent variable and coping strategy as the independent variable. The chi-square test was used for data analysis. The results revealed that a majority of female prisoners received good family support (51.5%), and most of them used emotion-focused coping strategies (63.6%). The results indicate a significant correlation between family support and coping strategies for female prisoners, with a p-value of 0.004. It highlights the importance of family support for prisoners in developing effective coping strategies. The findings emphasize that family support plays a crucial role in enhancing coping strategies for inmates, ultimately contributing to an improved quality of life.

Effect of aloe vera gel compresses on breast engorgement among postpartum mother

2023-12-05T15:13:05+00:00

Navigating the challenges of new motherhood, a staggering 50 to 70 percent of women find themselves grappling with clogged milk ducts.. Aloe vera gel compresses can be used on breasts to reduce edema. Aloe vera is known for its effective anti-inflammatory properties. This study aimed to investigate the effect of aloe vera gel compresses on breast engorgement in postpartum mothers. The study included postpartum mothers as the target population. The research design employed a pretest-posttest methodology comprising a control group and non-probability sampling using consecutive sampling. Statistical analyses involved the Paired T-Test and Independent T-Test, with a significance level of p < 0.05. The sample consisted of thirty respondents, with 15 in the control group and 15 in the experimental group. Over a period of three days, aloe vera gel compresses were applied to the breasts twice a day. The Bourbonnais pain scale evaluation checklist was used to assess the degree of breast pain. The findings of this study demonstrate that the intervention involving aloe vera gel compresses significantly reduced breast engorgement (p = 0.000; mean SD 2 ± 1.25) and associated pain (p = 0.000; mean SD 2.2 ± 1.37). The results of this study suggest that the use of aloe vera gel compresses can effectively alleviate breast pain and swelling in postpartum mothers. Given the substantial benefits observed, healthcare professionals may consider incorporating aloe vera gel compresses as a non-invasive and natural intervention for postpartum mothers experiencing breast engorgement and discomfort.

Effect of Gamelan and progressive muscle relaxation on blood pressure in hypertensive patients

2023-12-14T16:21:42+00:00

Chronically elevated blood pressure was a prominent risk factor for cardiovascular diseases. The management of hypertension, especially in community settings, should combine pharmacological and non-pharmacological interventions. This study aimed to evaluate whether music-assisted progressive muscle relaxation (PMR) using Gamelan, Javanese classical music, could reduce blood pressure more effectively in hypertensive elderly individuals in Malang, Indonesia, than PMR alone. This study employed a pre-test and post-test study design with a control group. Fifty-eight respondents were randomly assigned to the intervention group (n = 31) and the control group (n = 27). Three respondents in the control group did not complete the study; thus, they were excluded from the analysis. The intervention group was trained and guided to perform PMR while listening to Gamelan. Meanwhile, the control group only received PMR. The intervention was conducted twice a week for 20 minutes for eight weeks. Dependent variables in this study were systolic and diastolic blood pressure, which were measured using an aneroid sphygmomanometer. Data were analyzed using descriptive statistics, paired t-tests, independent t-tests, and Mann-Whitney test. We found a significant decrease in systolic and diastolic blood pressure in both groups. A Mann-Whitney test showed that there was a significant difference in the reduction of systolic blood pressure in the intervention group compared to the control group (p = 0.000). Meanwhile, the independent t-test showed that the diastolic blood pressure in the intervention group reduced more significantly than that in the control group. The efficacy of Gamelan-assisted PMR in significantly reducing both systolic and diastolic blood pressure showcases the potential of such combined interventions in managing hypertension. We recommend Gamelan-assisted PMR as a complementary therapy for the elderly with primary hypertension.

The effectiveness of booklets on family knowledge of diabetes mellitus patients about the management of hypoglycaemia

2023-12-07T15:00:34+00:00

The three main acute complications of diabetes mellitus related to an imbalance in glucose levels that lasted in the short term were hypoglycemia, diabetic ketoacidosis (DKA), and hyperglycemic hyperosmolar nonketotic syndrome. The family, as the people closest to and always interacting with the patient, played a significant role in preventing complications. A booklet served as one medium to increase knowledge for families. This study aimed to determine the effectiveness of the booklet on the knowledge of families of DM patients regarding the management of hypoglycemia. A quantitative method with a quasi-experimental design approach involving pre-test and post-test designs was employed. The population in this study comprised families of Diabetes Mellitus patients who were at Puskesmas (Public Health Centre) Batu X and Puskesmas Mekarbaru, Indonesia. The research sample consisted of 70 respondents selected through purposive sampling. The research variables included demographic factors, family knowledge before and after the intervention in the intervention and control groups, and bivariate analysis. The research instrument employed a questionnaire and a booklet regarding the management of hypoglycemia. Independent t-test analysis was conducted (α = 0.05). The booklet proved effective in improving the knowledge of families of diabetes mellitus patients regarding the management of hypoglycemia, with a p-value of 0.028. The booklet can enhance family knowledge about the management of hypoglycemia. Therefore, every internal medicine clinic or health centre should provide booklets as an educational medium.

The effect of Vigna unguiculata on the estrogen receptor-α expression and the endometrial thickness in rats treated with depot medroxyprogesterone acetate (DMPA)

2023-12-05T15:13:09+00:00

Depot medroxyprogesterone acetate (DMPA) is a contraceptive method that prevents ovulation and reduces endometrial thickness. This study aimed to investigate the influence of Vigna unguiculata (VU) on estrogen receptor-α expression and endometrial thickness in rats subjected to DMPA treatment. The research utilized a true experimental design involving 25 female Wistar rats divided into 5 experimental groups. The DMPA+VU experiment lasted for 4 weeks, and data were analyzed using a Complete Randomized Design. Estrogen receptor-α expression in the endometrium was assessed through immunohistochemical techniques, and endometrial thickness was determined via Hematoxylin-eosin (HE) staining, observed under dot slide microscopes (Olympus XC10) at 400× magnification. The study found that estrogen receptor-α expression and endometrial thickness were significantly higher in both the DMPA+VU2 and DMPA+VU3 groups compared to the DMPA group and the DMPA+VU1 group (p<0.05). DMPA treatment reduced estrogen receptor-α expression and endometrial thickness. However, the administration of Vigna unguiculata extracts at 2.5 mg/kg and 5 mg/kg led to an increase in estrogen receptor-α expression and endometrial thickness. The study implies that VU extract may have a positive impact on estrogen receptor-α expression and endometrial thickness in rats treated with depot medroxyprogesterone acetate.

The development of transformational leadership model based on caring as an effort to increase nursing performance

2023-11-06T15:06:31+00:00

Leadership plays a crucial role in formulating strategies to achieve an organization's mission, vision, and goals. It occupies a significant position in broader initiatives aimed at enhancing nurse performance. Implementing an unsuitable leadership style, as dictated by leaders to their employees, can adversely affect employee motivation, performance, and job satisfaction. The study aimed to develop a transformational leadership model based on the principle of caring to improve nurse performance. This study employed an explanatory design and involved 115 respondents selected through cluster sampling techniques. Data were collected using questionnaires that had undergone both validity and reliability testing. The study examined variables such as personal factors, organizational factors, staff factors, work factors, transformational and caring leadership, and nurse performance. For data analysis, partial least squares were utilized with a significance threshold set at t>1.96. The research findings indicate that personal factors exert a positive influence on both transformational leadership and caring (t=5.677). Organizational factors also positively impact transformational leadership and caring (t=4.474), and staff factors exhibit a positive influence on these leadership styles as well (t=4.157). However, work factors do not directly impact transformational leadership and caring (t=0.554). Notably, both transformational and caring leadership styles positively affect nurse performance (t=7.755). The development of a transformational leadership model based on caring is influenced by multiple factors, including personal, organizational, and staff factors. Implementing this leadership model can significantly improve nurses' performance, thereby leading to enhancements in the quality of health services provided in hospitals.