Healthcare in Low-resource Settings

Transmission rate factors among tuberculosis patients in West Kalimantan, Indonesia

Fri, 17 Nov 2023 00:00:00 +0000

Tuberculosis is a critical issue in a community, and the rising number of cases can be attributed the development and evolution of the bacteria responsible. As part of independent nursing actions, educational intervention is a solution to improve prevention and treatment success at the family and community levels. This study aimed to determine the factors for Tuberculosis transmission. This research was a correlation study with a cross-sectional design, involving a sample of 100 participants selected through purposive sampling. Independent variables for the present study include age, gender, occupation, diabetes record, body mass index (BMI), and level of knowledge. Meanwhile, the dependent variable in this study is the risk of transmission. This observation used a questionnaire with chi-square and logistic regression analysis. The result showed that families with a thin body mass index had a lower likelihood of carrying out infectious behavior (p=0.000). Most respondents have a high level of knowledge and a low potential for infectious behavior. In fact, a good education system, it will allow someone to be independently trained to change behaviors and attitudes for the better.

Time frame guide for emergency model of care and patient satisfaction in emergency facilities

Thu, 23 Nov 2023 00:00:00 +0000

Patient satisfaction in the emergency department is crucial for assessing the quality of care provided. Timely patient management enhances confidence in healthcare providers and the hospital. The Time Frame Emergency Model of Care is instrumental in ensuring timely service delivery and reducing adverse effects associated with prolonged patient stays (LOS) and overcrowding. The purpose of this study was to investigate the relationship between the time frame guide emergency model of care and patient satisfaction in the emergency room. This quantitative cross-sectional study employed accidental sampling, involving 95 respondents aged over 18 years with triage 4 classification in the emergency department. Questionnaires were used to collect data on the Time Frame Emergency Model of Care and patient satisfaction. The chi-square test was utilised for data analysis. The findings revealed a high level of patient satisfaction in the emergency department. The chi-square test demonstrated a significant relationship between the Time Frame Emergency Model of Care and patient satisfaction (p-value = 0.000, <0.05). Moreover, the correlation coefficient of 0.582 indicated a strong relationship. In conclusion, this study established a significant relationship between the Time Frame Emergency Model of Care and patient satisfaction at emergency room. These results emphasise the model’s role in enhancing patient satisfaction and reducing adverse outcomes associated with extended patient stays and overcrowding.

The relationship between food quantity and diversity with stunting incidence in Indonesia

Noer Kumala Indahsari, Olivia Herliani, Masfufatun Masfufatun — Fri, 24 Nov 2023 00:00:00 +0000

Stunting often a result of inadequate nutrition or malnutrition, can be mitigated by ensuring both sufficient food quantity and dietary diversity. This study aimed to explore the relationship between food quantity and diversity with stunting incidence in toddlers. Employed a cross-sectional design, this observational research involved 39 randomly selected toddlers from a Surabaya Public Health Center in Indonesia. Researchers assessed nutritional status, diagnosing stunting using anthropometric measurements. Food quantity and diversity in the children’s diets were evaluated through a semi-Food Frequency Questionnaire (FFQ). Data analysis was conducted using the Chi-Square test in the Statistical Package for the Social Sciences (SPSS). The study revealed a significant relationship (p=0.001) between dietary diversity with stunting incidence but found no significant link (p=0.892) between food quantity with stunting. Stunting has multifactorial causes, some originating even before a child’s birth. After birth, several factors beyond dietary patterns influence stunting. Thus, addressing the causes of stunting necessitates a case-by-case approach and tailored interventions for each child.

The effect of coping intervention on maternal competency in caring for premature infants at home

Thu, 23 Nov 2023 00:00:00 +0000

The mother's ability to care for premature infants will affect the success of the interaction between mother and baby as well as the growth and development of the baby. The study aimed to assess the impact of coping interventions on mothers' ability to care for premature infants at home. This quasi-experimental research involved 80 respondents, divided into a treatment group and a control group, with 40 participants in each. The treatment group received a 3-month coping intervention, while the control group did not. The mothers' abilities were evaluated using questionnaires and the Developmental Pre-Screening Questionnaire (KPSP) instrument. The results revealed significant improvements in the treatment group's abilities in providing nutrition, maintaining body temperature, preventing infection, recognizing danger signs, and stimulating development in premature infants. These positive outcomes underscore the effectiveness of coping interventions in enhancing maternal abilities. It is recommended that health workers incorporate coping interventions into their support for mothers of premature infants, aiming to empower them with the skills and knowledge needed for better care and development of their infants at home. This approach can contribute to the overall well-being and growth of premature infants while reducing the burdens on healthcare providers.

Dark chocolate as a non-pharmacological alternative to reduce dysmenorrhea in adolescents

Ferina Ferina, Dian Nur Hadianti, Yulia Ulfah Fatimah — Tue, 21 Nov 2023 00:00:00 +0000

Dysmenorrhea, menstrual pain often experienced by women of reproductive age, including teenage girls, can cause discomfort and hinder daily activities, necessitating treatment. Chocolate contains copper, which synthesizes neurotransmitters like collagen and endorphins, serving as an analgesic and natural sedative to alleviate pain. This study aimed to assess the effect of dark chocolate on reducing dysmenorrhea in adolescents. This study employed a quasi-experimental research design and was conducted over six months at a polytechnic in Bandung. Pain intensity was measured using a standardized instrument known as the WALIDD score. A total of forty students with primary dysmenorrhea participated in the study, selected through purposive sampling, and were divided into a treatment group and a control group. The independent variables included the administration of dark chocolate, while the dependent variable was the intensity of menstrual pain in students with primary dysmenorrhea. Data were analyzed using an independent t-test. The intervention group, which received education on menstruation and dark chocolate, exhibited a significant reduction in dysmenorrhea pain as early as the second day, with a p-value of <0.001. Administering dark chocolate at a dosage of 35 mg/day from the onset of menstruation helps reduce pain from the first day of menstruation compared to standard therapy, which includes education about menstruation. Chocolate enhances mood due to its copper content, releasing endogenous morphine that inhibits pain impulses. This makes chocolate a non-pharmacological alternative for alleviating dysmenorrhea.

The effect of Dayak onion brewed water in reducing blood pressure and mean arterial pressure (MAP) in hypertensive patients

Tue, 21 Nov 2023 00:00:00 +0000

Background: The World Health Organization (WHO) estimated that 1.28 billion adults aged 30-79 years worldwide suffered from hypertension. Dayak onion is an herbal plant found in Indonesia, particularly in Kalimantan and traditionally used to treat hypertension. The purpose of this study was to determine the effect of Dayak onion steeping water on the reduction of systolic-diastolic blood pressure and mean arterial pressure (MAP) in hypertensive patients.

Methods: This study employed a quasi-experimental research design with a time series approach, utilizing a pre-post-test design with a control group. The sample included two groups (intervention and control), totaling 30 participants. The independent variable was the steeping of Dayak onion bulbs, while the dependent variables were blood pressure values and MAP. The instruments used were Standard Operating Procedures (SPO) Dayak onion herb, SPO blood pressure measurement, SPO calculation of MAP, and a digital sphygmomanometer. Data analysis was performed using paired t-tests.

Results: The results of the paired t-test statistical analysis of systolic-diastolic values and MAP in each group revealed significant findings. In the intervention group, a significant result was obtained in the pre-post test difference test, with a p-value of < 0.05 from day 1 to day 3 assessments. This suggests that Dayak onion steeping water had an effect on systolic-diastolic and MAP values in the intervention group. In contrast, the pre-post test in the control group yielded a p-value of < 0.05 for systolic values on days 2 and 3, diastolic values on days 1 and 3, and MAP values on days 1, 2, and 3. This indicates differences in systolic-diastolic and MAP values in the pre-post assessments, although these differences were not evenly distributed across every day.

Conclusion: The study found that Dayak onion steeping water had an effect on systolic-diastolic and MAP values in the intervention group. Thus, the use of Dayak onion steeping water, containing allicin, can be considered an approach for controlling hypertension in the realm of complementary and alternative medicine, utilizing natural ingredients for herbal therapy.

The role of family healthcare in the social development of vulnerable school-aged children groups

Hilda Mazarina Devi, Ronasari Mahaji Putri, Yanti Rosdiana — Thu, 23 Nov 2023 00:00:00 +0000

The COVID-19 pandemic has compelled children to embrace remote learning and interact more with their immediate families. However, this increased family interaction may pose a potential risk to children's social development. This study aimed to investigates the relationship between family involvement in healthcare and the social development of children. A cross-sectional correlational design was used, involving reliable questionnaires on family healthcare roles and a school-age child social development questionnaire adapted from the V-SMS (Vineland – Social Maturity Scale). Data were collected from 37 parents of 4th and 5th-grade of elementary school students. The data were analyzed using chi-square tests. The study revealed significant associations between family healthcare roles and children's self-direction ability, decision-making, communication skills, and their abilities to dress, eat, and socialize independently. Negative correlation coefficients for specific variables indicated that family healthcare involvement could potentially hinder school-age children's social development. Further research should consider controlling for various factors affecting family healthcare roles and children's social development. Strengthening the family's role, particularly for those facing challenges in fulfilling various tasks, is crucial. Collaboration programs between nursing and family development, such as "Bina Keluarga Remaja" or Adolescent Family Development in schools, can be beneficial. Additionally, further analysis is needed to understand the impact of family healthcare roles on children's social development during the new-normal era.

Optical membrane for visual screening of mercury determination in drinking water based on polyvinyl chloride and dioctyl sebacate

Choirul Amri, Sri Puji Ganefati, Sardjito Eko Windarso, Adib Suyanto — Fri, 24 Nov 2023 00:00:00 +0000

This study developed an optical membrane for detecting Hg pollution in water, using polyvinyl chloride and dioctyl sebacate (PVC-DOS). The primary aim was to assess the suitability of PVC-DOS optical membranes as a screening tool for Hg in drinking water. Specific objectives included determining optimal conditions (wavelength, reaction pH, response time) for Hg determination with PVC-DOS-based optical membranes and evaluating the visual performance (absolute and difference thresholds) for detecting Hg in drinking water. Laboratory experiments involved preparing PVC-DOS-based optical membranes composed of 1,5-diphenylcarbazone, PVC, and DOS mounted on mica paper holes. Optimisation of wavelength, response time, and reaction pH was performed (each five times). Absolute and difference thresholds were established. Optimal conditions were found to be a reaction pH of 6-9, a membrane response time of 45 minutes, and a purple Hg-positive membrane (wavelength 575-580 nm). The visual optical membrane method demonstrated an absolute threshold of 0.4 μg/L and a difference threshold of 0.5 μg/L. PVC-DOS-based optical membranes can effectively screen for Hg in water. This method involves dipping an optical membrane stick and comparing the result with a color standard.

Development of a spiritual-based palliative care model for the quality of life of people with HIV/AIDS

Fri, 17 Nov 2023 00:00:00 +0000

People living with HIV (PLHIV) require a focus on their quality of life to prevent deterioration. This study aims to establish a spiritual-based palliative nursing model to enhance the quality of life for PLHIV. A cross-sectional study of 225 PLHIV receiving treatment at Said Sukanto Hospital, Jakarta. Data, including demographic, disease, psychological, spiritual, support, services, spiritual-based palliative care, spiritual meaning in illness experience, and quality of life variables, were collected using a researcher-modified questionnaire. Data were analyzed using descriptive and structural analysis through Partial Least Square Equation Modeling (SEM-PLS). The outer model demonstrated construct validity (λ > 0.5) and high reliability (composite reliability > 0.7). The inner model exhibited moderate power (R2 > 0.33) and predictive relevance (1.009). Goodness-of-fit indicators (RMS Theta = 0.072, NFI = 0.971, SRMR = 0.098) confirmed the model's suitability. Hypothesis testing indicated the significance of all variables (p < 0.05). The findings support the application of a spiritual-based palliative nursing model to enhance the quality of life for PLHIV. This model offers a holistic approach encompassing physical, psychological, social, and spiritual well-being, providing a comprehensive framework for healthcare providers and policymakers to improve care for PLHIV.

Evaluating the effect of dental explosion boxes on oral health awareness in preschoolers

Thu, 16 Nov 2023 00:00:00 +0000

Many children experienced anxiety during their initial dental visits, often fearing medical equipment and the procedures they would undergo. The Dental Explosion Box served as an alternative approach to enhance oral health awareness and functioned as an educational tool integrated with a game. This study aimed to assess the effectiveness of the Dental Explosion Box in introducing oral health concepts to early childhood. This research employed a pre-experimental design featuring a one-group pre-test and post-test approach. Sampling relied on the purposive sampling technique, with the sample size determined using the Isaac and Michael formula, resulting in a cohort of 25 preschool students. Variables examined in this study encompassed the Dental Explosion Box and Oral health Awareness. Oral health awareness in preschool children was measured using a checklist of questions. The Dental Explosion Box had undergone rigorous testing and had been endorsed by media and material experts. The study's hypotheses were tested using the Wilcoxon Sign Rank Test. The average pre-intervention oral health introduction score was 6.68, while the post-intervention score increased to 11.00. Analysis through the Wilcoxon Sign Rank Test revealed a significant difference (p-value of 0.000, <0.05) between the level of oral health awareness in early childhood before and after receiving intervention with the Dental Explosion Box. The findings from this study highlighted the effectiveness of the Dental Explosion Box in introducing oral health concepts to early childhood. It enhanced children's familiarity with oral health and motivated them to regularly visit the dentist.

Effect of using cassava and glycerol as food storage on the quality of bioplastic packaged food

Yosephina Ardiani Supardi, Mimin Karmini — Mon, 23 Oct 2023 00:00:00 +0000

Food packaging today often involves the migration of monomer substances from petroleum-based plastics into the food. This study aimed to determine the effects of storing food in bioplastic on moisture content and peroxide levels. The study design employed a post-test experimental design with a control group. Dodol samples were selected for this study using a simple random sampling method. The bioplastics used were made from cassava peel starch, and the food storage conditions included temperature-humidity variations of 10-15°C and 85.3-90.8% relative humidity and 25-29°C and 46.5%-80.4% relative humidity. Data were collected through laboratory tests and analyzed using the SPSS program. The study found a significant effect of glycerol dosage on the thickness of the bioplastic (p-value < 0.001). There was a significant influence of temperature-humidity storage on moisture content with glycerol dosages of 3 ml (p-value = 0.002), 4 ml (p-value < 0.023), and 5 ml (p-value = 0.007), as well as on the peroxide content of dodol. This effect was particularly pronounced with glycerol dosages of 3 ml (p-value = 0.001), 4 ml (p-value < 0.001), and 5 ml (p-value = 0.008). The results indicate that cassava peel starch bioplastic can serve as a viable alternative for food packaging, provided that temperature and humidity conditions during food storage are carefully controlled.

Factors affecting individual beliefs associated with the quality of life of traditional divers in the coastal area

Dhian Satya Rachmawati, Nur Chabibah, Muh. Zul Azhri Rustam — Fri, 17 Nov 2023 00:00:00 +0000

Traditional divers in Surabaya’s coastal area face challenges despite the abundance of marine resources. This study aims to explore the factors that related to the quality of life among these divers. The research followed an observational analytic approach with a cross-sectional design. The study involved 31 traditional divers from Kedung Cowek Village in Surabaya, randomly selected based on specific criteria. The research utilised the Health Belief Model theory to assess individual beliefs and the WHOQOL-BREF tool to measure their quality of life. The individual beliefs were categorised into five indicators: perceived vulnerability, perceived severity, perceived obstacles, perceived benefits, and self-efficacy. Out of these factors, two had a significant influence on the quality of life of traditional divers: perceived benefits (p = 0.009) and self-efficacy (p = 0.020). The study concludes that the quality of life for traditional divers in the Surabaya coastal area is primarily influenced by perceived benefits and self-efficacy. It suggests that nearby healthcare facilities could offer health education to traditional divers, focusing on specific protective measures to reduce the risks associated with diving, such as barotrauma and decompression sickness.

Cancer risk factors associated with historical contraceptive use and breastfeeding duration

Thu, 26 Oct 2023 00:00:00 +0000

Cancer is the second leading cause of death worldwide. Two prominent factors in this regard are a woman's history of contraceptive use and the duration of breastfeeding. This study aimed to delve into these risk factors and their impact on cancer incidence. The research employed a cross-sectional design involving 125 cancer patients undergoing chemotherapy at Abdul Wahab Sjahranie Hospital in Samarinda, East Kalimantan. This study used a total sampling approach to include all available patients. Data on contraceptive use, breastfeeding duration, and cancer status were collected through a questionnaire and subsequently analyzed using the chi-square test. The study revealed that breast cancer was the most prevalent type, affecting 41.6% of patients. Additionally, more than half of the respondents breastfed for less than two years (52%), while only 48% breastfed for two years or more. Notably, a significant majority (66.4%) had a history of using hormonal contraception. Statistical analysis demonstrated a compelling association between contraceptive history, breastfeeding duration, and cancer incidence (p < 0.001). In summary, the findings highlight a substantial relationship between a woman's history of contraceptive use, the duration of breastfeeding, and the incidence of breast cancer. These results underscore the importance of further research and the development of targeted interventions to better understand and mitigate breast cancer risk factors among women.

The relationship between knowledge and social support with sexual behavior in adolescents

Puji Hastuti, Alesya Putri Jayanti, Astrida Budiarti, Iis Fatimawati — Mon, 16 Oct 2023 00:00:00 +0000

Adolescents often undergo a tumultuous phase of sexual maturation, leading to increased dating activity due to a lack of adequate knowledge and support. This study aimed to investigate the relationship between knowledge, social support, and sexual behavior among adolescents. The research adopted a cross-sectional design with 100 respondents from Manukan Kulon. Simple random sampling was used to select the respondents. Knowledge and social support served as independent variables, assessed through questionnaires, while sexual behavior was the dependent variable, evaluated with a separate questionnaire. Ordinal data analysis, specifically the Spearman Rho test (ρ<0.05), was employed. Results indicated that 57% of adolescents in Manukan Kulon had low knowledge, 46% lacked social support, and 60% engaged in unsafe sexual behavior. The Spearman Rho test revealed significant relationships between knowledge and sexual behavior (ρ = 0.000) and between social support and sexual behavior (ρ = 0.000). In conclusion, improved knowledge can lead to safer sexual behavior among adolescents, while strong social support, particularly from parents and teachers, plays a vital role in providing information and promoting safe sexual behavior.

Increasing young women's knowledge of early marriage issues through audiovisual media intervention

Ega Ersya Urnia, Dini Indo Virawati, Cristinawati B.R. Haloho — Fri, 10 Nov 2023 00:00:00 +0000

Each year, approximately 12 million girls worldwide enter into marriage before reaching the age of 18. In East Kalimantan Province, data from the 2020 National Socio-Economic Survey revealed that 11.54% of women aged 20-24 had experienced early marriage, surpassing Indonesia's average. This study aimed to assess the efficacy of audiovisual and printed health education media in enhancing the knowledge of young women about early marriage. A quasi-experimental approach was adopted, involving 32 young women aged 15-18 from a public high school in Borneo. The study measured the knowledge change in young women and their parents through questionnaires. Data analysis consisted of descriptive and inferential procedures, including normality tests, homogeneity tests, paired t tests, and analysis of variance tests. The findings demonstrated that audiovisual media significantly improved young women's awareness of early marriage (p<0.005). The study encourages midwives and healthcare professionals to employ effective health education media, particularly audiovisual tools, in educational settings to combat early marriage practices.

Effectiveness of prenatal yoga on pregnant women's anxiety and duration of labour

Diyan Indrayani, Titi Legiati, Chris Sriyanti — Thu, 16 Nov 2023 00:00:00 +0000

The birth process involves physical and psychological mechanisms. Anxiety creates physical and psychological tension, interfering with the birth process. The study aimed to analyze the effectiveness of Yoga on pregnant women's an’iety and labor duration. This study used an experimental design with a Randomized Controlled Trial (RCT) involving 60 pregnant women divided into two groups: Yoga and walking (30 participants each). The variables studied were pregnant women's anxiety and the duration of labor. The sampling technique was conducted using block randomization. Data were analyzed using the Independent T-test. The Yoga group attended 30-minute sessions twice weekly, while the walking group engaged in the same frequency and duration of walking until giving birth. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS) before and one month after the intervention in both groups. The duration of labor was measured using partographs and medical records during delivery for both groups. Data were analyzed using the Shapiro-Wilk test and independent t-test. Pregnant women in both the Yoga and walking groups experienced reduced anxiety scores, with a decrease of 11.6%, and statistically significant p-values of <0.05. The duration of labor was significantly shorter in the Yoga group (mean: 2.65 hours, SD: 1.01) compared to the walking group (mean: 4.01 hours, SD: 2.54), with a mean difference of 1.36 hours and a p-value of <0.05. Prenatal Yoga in the third trimester reduces pregnant women's an’iety and shortens the duration of labor. It can be suggested as an alternative exercise for pregnant women to improve maternal health during pregnancy and childbirth.

Effect of E-Duva application on knowledge and attitude of visual inspection using acetic acid (VIA) among women of childbearing age

Jasmawati Jasmawati, Siti Raihanah, Ratna Wati — Tue, 14 Nov 2023 00:00:00 +0000

E-Duva is an application model designed to introduce innovations for delivering information and education about visual inspection with acetic acid (VIA) tests. The use of the E-Duva application can facilitate access to information and education for mothers without the need to visit a healthcare facility to learn about the VIA test. This study aimed to assess the effectiveness of the E-Duva application on the knowledge and attitudes of women of childbearing age (WUS). The study population comprised women of childbearing age (WUS). We employed a quasi-experimental research design with a pretest-posttest design using non-probability purposive sampling. The total sample size in this study was 30 respondents, with 15 women in the control group and 15 women in the intervention group. A questionnaire was used to assess the knowledge of WUS regarding cervical cancer and the VIA test. Statistical analysis was conducted using the Paired T-test. The study results indicate a significant increase in knowledge in both the experimental group (p = 0.000; mean SD 90.88±6.9) and the control group (p = 0.000; mean SD 78.40±10.1). Attitudes toward early detection of cervical cancer were significantly related (p = 0.015). This suggests that a more positive attitude towards early detection of cervical cancer among WUS is associated with a greater willingness to undergo cervical cancer screening. The findings of this study support the role of the E-Duva application in enhancing the knowledge and attitudes of women of childbearing age regarding VIA tests and cervical cancer, emphasizing the potential of technology-driven health education in improving women's health outcome.

The effect of family empowerment through education and mentoring on increasing knowledge of exclusive breastfeeding

Kamsatun Kamsatun — Thu, 16 Nov 2023 00:00:00 +0000

Providing appropriate education to breastfeeding mothers and their families is essential to ensure a high level of breastfeeding implementation. The purpose of this study was to analyze the effect of education and mentoring on increasing knowledge about exclusive breastfeeding. This study employed a quasi-experimental design with two groups, one before and one after testing. The research was conducted in one village during March and April 2023, using purposive sampling techniques. Data were collected through questionnaires. Family empowerment interventions in the form of education and mentoring were administered twice with one-week intervals. Data analysis was performed using an independent t-test with p-value < 0,05. The study revealed significant differences in respondents' knowledge after they received educational interventions and guidance. The results showed a p-value of 0.006, which is less than 0.05, indicating a significant difference in respondents' knowledge before and after the intervention. Education and instruction had a positive impact on respondents' knowledge of exclusive breastfeeding. Both the intervention and control groups showed efficacy. Notably, the intervention group displayed a highly significant increase, as evidenced by the significant difference values. In conclusion, family empowerment through education and assistance has a positive effect on increasing knowledge about exclusive breastfeeding. Enhancing family knowledge, skills, and social support can lead to improved optimal breastfeeding practices, enhanced infant health, and reduced infant mortality.

Integration in nursing curriculum for building Islamic nurses' character in Indonesia: a descriptive qualitative approach

Dwi Setiowati, Waras Budi Utomo, Marisca Agustina — Mon, 06 Nov 2023 00:00:00 +0000

The integration of a curriculum that combines Islam and science has become a necessity and a demand in higher education, including nursing study programs in Indonesia. This study aimed to explore the perceptions of nursing school heads, lecturers, and students regarding the integration of character-building Islamic values into nursing education. The research design was a qualitative descriptive approach. The sample collected using a purposive sampling technique, focusing on lecturers and students involved in integration, resulting in a total of twenty-six participants. Data was collected by conducting online interviews, posing questions to individuals from five Islamic higher education nursing schools, including nursing school principals and lecturers. The research reveals six key themes: perception of the integration of Islam and science, its application, the sources of power in the integration, the barriers faced, the evaluation process, and potential solutions for achieving successful integration. It is essential to consistently monitor and evaluate the integration process through a comprehensive review of the curriculum, including semester learning plans at the beginning, during, and at the end of the study, in the form of outputs and outcomes. Furthermore, it is crucial to optimize collaboration between nursing lecturers and Islamic expert lecturers.

Efficacy of turmeric (Curcuma longa Linn) decoction to reduce pain in patients with gastritis

Ismansyah Ismansyah, Frana Andrianur, Rini Ernawati — Mon, 16 Oct 2023 00:00:00 +0000

Turmeric (Curcuma longa Linn) has been used by Indonesian people for a long time to treat pain in digestive disorders. The purpose of this study was to determine the efficacy of turmeric decoction on pain in gastritis patients. This study employed a quasi-experimental design with a one-group pre- and posttest approach. The consecutive sampling method was employed to recruit 100 participants in Samarinda, Indonesia. After assessing baseline pain levels (Pretest), participants were administered the intervention, which involved the consumption of turmeric decoction for 14 consecutive days, with a regimen of 2 × 150 ml daily, specifically 15 minutes before breakfast and dinner. Post-test measurements were recorded on days 5, 10, and 14. Pain scores were evaluated using the Numeric Rating Scale, Data analysis utilized the paired T-test to determine differences in mean gastritis pain levels before and after the intervention. The findings revealed a significant reduction in gastritis pain scores between the Pretest measurements is 3.8 and the post-test on day 5 (1.34), day 10 (0.62), and day 14 (0.31). The statistical analysis yielded a p-value of 0.000. The study demonstrated the efficacy of turmeric decoction in alleviating pain among gastritis patients, with notable improvements observed as early as day 5 of the treatment regimen. Consequently, we recommend the incorporation of turmeric decoction as a complementary and non-pharmacological therapeutic approach for the effective management of gastritis symptoms.

Bay leaf decoction water and low-impact aerobic exercise impact on blood cholesterol levels

Ismansyah Ismansyah, Arifin Hidayat, Rini Ernawati — Tue, 10 Oct 2023 00:00:00 +0000

Hypercholesterolemia is a global health concern, including in Indonesia, potentially leading to coronary artery disease, heart failure, and stroke if left untreated. This study aimed to assess the effectiveness of bay leaf decoction and low-impact aerobic exercise on reducing blood cholesterol levels in patients. Used a quasi-experimental design with 120 participants, randomly assigned to two groups, the first group consumed bay leaf decoction (100 ml, twice daily for 7 days), while the second group underwent low-impact aerobic exercise (3 times a week for 7 days). Blood cholesterol levels were measured, and paired t-tests were employed for statistical analysis. Results revealed that both interventions significantly lowered cholesterol levels after 7 days (p<0.001 for bay leaf decoction and p=0.001 for low-impact aerobics). The bay leaf decoction group achieved the highest reduction at 25.3 mg/dl. In conclusion, this study highlights the potential of bay leaf decoction and low-impact aerobic exercise as non-pharmacological approaches to manage blood cholesterol levels. It reinforces the notion that these interventions can be valuable in addressing hypercholesterolemia.

The influence of religious well-being on the resilience of family spirituality during the COVID-19 pandemic

Thu, 09 Nov 2023 00:00:00 +0000

Religious or spiritual well-being has a significant influence on family resilience, particularly in the spiritual aspect when dealing with changes or crises. The COVID-19 pandemic represents a significant change and crisis that can potentially impact religiosity and affect family resilience in spirituality. This study aimed to analyze the impact of religious well-being on family resilience in terms of family spirituality during the COVID-19 pandemic. This was a descriptive study, utilizing a cross-sectional survey approach. A total of 243 respondents were recruited for this research using accidental sampling technique. Data collection was conducted through questionnaires. Data analysis involved binary logistic regression and multivariate logistic regression, with a 95% degree of freedom and a standard error of 0.05. The main finding of this study indicates that religious well-being (p=0.000) significantly influences family resilience in family spirituality. Families with sufficient religious well-being are four times more likely to exhibit resilience in family spirituality compared to families with inadequate religious well-being (OR: 3.807; 95% CI: 2.230–6.498). The family resilience in family spirituality is strongly influenced by the factor of religious well-being. Strengthening the community with a religious approach is essential to bolster the family's ability to cope with the challenges posed by the pandemic.

The effect of ethanol extract of Cosmos caudatus leaves on the percentage of the cell cycle in Candida albicans culture

Lidia Lushinta, Heni Suryani — Thu, 12 Oct 2023 00:00:00 +0000

Candidiasis is a common fungal gynecological disease among humans. The use of antifungal agents, such as Fluconazole, has been reported to increase resistance to candidiasis by 7%. This study aimed to investigate the effect of antifungal flavonoids from Cosmos caudatus leaf extract on the cell cycle percentage in C. albicans culture. This research employed a true experimental post-test only with a control group design. The C. albicans isolate was obtained from the Microbiology Laboratory under the code C. albicans SV-1148. The isolates were cultured in Sabouraud Dextrose Agar (SDA) medium and Sabouraud Dextrose Broth (SDB). The sample group was divided into a negative control group, a positive control group with fluconazole (60 µg/ml), and a treatment group with various concentrations of ethanol extract from Kenikir leaves (C. caudatus Kunth.) - 5%, 10%, 20%, 40%, and combinations (20% ethanol extract from Kenikirleaves + 30 µg/ml Fluconazole). This study revealed a reduction in the percentage of cell cycles in the S phase (DNA synthesis) in the treatment group receiving ethanol extract from Kenikir leaves (C. caudatus Kunth.) and the combination treatment group compared to the negative control group. The study suggests that this decrease in the percentage of cell cycles results from DNA damage caused by the presence of flavonoids in Kenikir leaves (C. caudatus Kunth.). Kenikirleaves (C. caudatus Kunth.) have the potential to decrease the percentage of S-phase cell cycles (DNA synthesis) in the culture of C. albicans. This research demonstrates that Kenikir leaves (C. caudatus Kunth.) contain natural flavonoids with antifungal properties and have the potential to be used as an alternative medicine for candidiasis in humans. It is hoped that incorporating Kenikir as a food ingredient can serve as an alternative prevention and treatment approach for candidiasis.

Relationship between CGOL (Chlorophyll, Ginger, Orange, and Lemongrass) consumption and confirmed COVID-19 cases on pregnant women

Diyan Indriyani, Esti Yunitasari, Ferry Efendi — Fri, 13 Oct 2023 00:00:00 +0000

Nutritional status and health are crucial factors in maintaining a healthy pregnancy, especially during the COVID-19 pandemic. This study aimed to analyze the relationship between CGOL (Chlorophyll, Ginger, Orange, and Lemongrass) consumption and confirmed COVID-19 cases in pregnant women. The research, conducted in East Java with 250 purposively sampled respondents, employed a correlational cross-sectional design. Data were collected through questionnaires, Likert scales, and documentation. Analysis of research data using descriptive analysis and Spearman-Rho analyses. The study revealed that CGOL consumption in pregnant women was 28% less than optimal, 21.2% moderate and 50.8% optimal. Confirmed COVID-19 cases in pregnant women are 10%, and 90% are not confirmed. There was a significant relationship between CGOL consumption and confirmation of COVID-19 in pregnant women (p-value=0.0001). These findings emphasize the importance of integrating CGOL-based nutritional guidelines into prenatal care programs, particularly during pandemics, to enhance pregnant women's and their babies' health.

The impact of soil-transmitted helminths infection on growth impairment: systematic review and meta analysis

Thu, 09 Nov 2023 00:00:00 +0000

Human helminthiasis, particularly soil-transmitted helminth (STH) infections, is a prevalent health concern in Indonesia, especially among children, often resulting in growth disorders, notably stunting. To examine the link between STH infections and childhood stunting, we conducted a comprehensive review of literature spanning 2012-2023, encompassing 40 selected articles from databases like PubMed, Science Direct, and Google Scholar. Our analysis revealed a substantial association between STH infections and increased stunting risk in children, estimating a 44.407% rise in stunting risk due to STH infection. Stunting, a consequence of chronic malnutrition, profoundly affects a child's physical and cognitive development, with long-lasting repercussions on their future potential and quality of life. This study has significant implications. It underscores the urgent need for robust public health interventions targeting STH infections, especially in high-prevalence areas like Indonesia. Measures such as mass deworming campaigns, improved sanitation and hygiene practices, and health education can significantly alleviate the burden of STH infections and the resulting stunting. Moreover, the research emphasizes the intricate relationship between infectious diseases and malnutrition, highlighting the necessity for a holistic approach to child health. Addressing STH infections necessitates not only medical intervention but also efforts to enhance overall living conditions and nutritional status. Integrating these approaches into a comprehensive public health strategy can yield more effective and sustainable results in the fight against childhood stunting. In conclusion, this study underscores the paramount importance of addressing STH infections in the context of child growth and underscores the urgency of implementing effective public health interventions. This approach can enable children to reach their full physical and cognitive potential, ultimately contributing to the overall well-being and development of societies.

The effectiveness of project-based learning on students’ academic achievement in emergency nursing study

Arista Maisyaroh, Eko Prasetya Widianto, Syaifuddin Kurnianto — Fri, 27 Oct 2023 00:00:00 +0000

Projects necessitate students to choose and identify constructive models of investigation and materials while employing appropriate strategies for conducting learning activities. However, the effectiveness of such methods in the context of nursing-specific education has not been extensively explored. This study aimed to assess the effectiveness of project-based learning in emergency and critical care nursing courses for nursing students. This study employed a pre-experimental design. The research sample consisted of 123 students enrolled in the emergency, critical, and disaster management nursing course at Universitas Jember. The research involved a comparison of students' learning outcomes through written test questions before and after they completed a project. The results of the learning assessment before and after the project intervention were analyzed using the Wilcoxon Test. The results of the bivariate obtained a significance value of 0.0001. The results of this statistical test can be concluded that the project-based learning method is effective in increasing the knowledge of emergency, critical and disaster nursing. The project-based learning method proves to be effective in enhancing students' comprehension of emergency, critical, and disaster nursing. Nursing educational institutions can consider the incorporation of this method in curriculum design to create more effective learning strategies. It serves as a promising alternative for enhancing the quality of nursing education. Further research is necessary to validate these findings and investigate various factors that may influence the effectiveness of project-based learning methods in the nursing context.

Nursing student perspectives on clinical instructor performance

Rizeki Dwi Fibriansari, Anggia Astuti, Zainal Abidin — Fri, 20 Oct 2023 00:00:00 +0000

The rapid development of higher education in nursing and science and technology in Indonesia is still having problems related to the quality of learning, student graduates, and variations in academic quality that affect the quality of higher education. The perspective of nursing students is deemed a crucial factor for assessment and plays a significant role in enhancing learning activities and clinical practices. This study aimed to assess the perspectives of nursing students regarding the performance of their clinical instructors. This study employed a quantitative descriptive research design with an explanatory survey approach, utilizing a cross-sectional methodology. The criteria for selecting respondents consisted of 3rd and 5th-semester students who had completed clinical nursing practice in hospitals. The primary variable examined in this research was the performance of clinical instructors. Data collection was conducted using an instrument in the form of a Course Experience Questionnaire (CEQ) that employed a Likert scale to measure student perspectives on clinical instructor performance. To analyze the correlation between student satisfaction and the five aspects of the CEQ, Spearman's Rho correlation was employed. Nursing student perspectives on clinical instructor performance using CEQ-23 have an overall effect on student satisfaction with a p-value of 0.000. The aspect that has the most influence on student satisfaction was the scale of Generic Skills with 67,7%. Technical proficiency and effective communication skills, clinical instructors must also possess a comprehensive understanding of their roles and functions in guiding students. To enhance the quality of teaching and institutions, it is essential to establish teaching objectives that prioritize the development of general skills and ensure that students comprehend these objectives. Moreover, it is crucial to maintain manageable workloads for instructors. Clinical instructors should consistently offer valuable feedback and guidance to students.

The journey of Indonesian nurse migration: a scoping review

Tue, 07 Nov 2023 00:00:00 +0000

The migration of nurses from Indonesia to other foreign countries is an inevitable part of the global mobility of the nurse profession. This phenomenon requires investigation to understand the current trajectories of Indonesian nurses in the global market. This scoping review aimed to investigate the Indonesian nurses' mobility to the international healthcare market. A scoping review of primary research addressing Indonesian nurses migration journey overseas. A range of databases were searched, including Scopus, Web of Science Clarivate Analytics, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PubMed. A systematic process was performed guided by the work of Arksey and O'Malley. Four databases were searched, and 68 articles were retrieved. After screening articles and abstracts, 19 full texts were assessed for eligibility, and finally, 17 studies were further analyzed and synthesized. Eleven qualitative studies, five quantitative study and one literature review study met inclusion criteria, emphasizing the three phases of migration: pre-migration, migration and post-migration. The destination countries of Indonesian nurses including Japan, Kuwait, Saudi Arabia and Taiwan. At the pre-migration stage there are several aspects that must be considered, there were: language, understanding of the job position, reason to work and comprehensive understanding of the destination countries. Migration stage include issues language, deskilling, mental health, unclear career path, cultural adaptation, lack of religious services and homesickness. At the post-migration stage includes deskilling, brain waste and re-integration with brain circulation platform. The comprehensive approach of Indonesian nurses migration from pre-migration, migration and post-migration has shown us the trajectory of Indonesian nurses in international migration. Understanding the bottle neck of each stage with improve policy support is needed to create safe and sound migration channel for Indonesian nurses. This review highlighted to the need for future research in key areas such as the impact of nurse migration on Indonesia's health systems.

Antibacterial and antibiofilm effects of gold and silver nanoparticles against the uropathogenic Escherichia coli by scanning electron microscopy (SEM) analysis

Thu, 26 Oct 2023 00:00:00 +0000

Uropathogenic Escherichia coli (UPEC) is a nosocomial pathogen associated with urinary tract infections and biofilm formation, which contributes to antibiotic resistance. Discovering potent antibacterial agents is crucial. This study aimed to assess the antibacterial and antibiofilm effects of gold and silver nanoparticles on UPEC using Scanning Electron Microscopy (SEM). UPEC biofilms were cultivated on nitrocellulose membranes for 48 hours at 37°C, then treated with gold nanoparticles (50 ppm and 100 ppm) and silver nanoparticles (50 ppm and 100 ppm) for another 48 hours. Antibacterial and antibiofilm activities were evaluated through cell density and SEM analysis. SEM revealed lower cell density, reduced biofilm formation, and altered cell morphology with rough, wrinkled surfaces after nanoparticle treatment. In conclusion, gold and silver nanoparticles exhibit antibacterial and antibiofilm properties, as observed in SEM analysis. SEM is a valuable tool for studying the antimicrobial effects of nano gold and silver on bacterial cell morphology and biofilm populations.

Relationship between nurses knowledge level and workload about implementation of patient identification

Thu, 12 Oct 2023 00:00:00 +0000

Patient safety incidents can originate from patient identification errors. From the preliminary study, it was found that there were 3 cases of patient identification errors in the year 2022. The objective of this research was to determine the relationship between nurses knowledge level and workload with patient identification implementation. This study employed a quantitative method with a cross-sectional research design. This research aims to analyze the relationship between variables where the independent variable and dependent variable are identified at one unit of time. In this case, to determine the relationship between the level of knowledge and workload of nurses with the implementation of patient identification. The sample consisted of 93 individuals distributed across the inpatient wards. The research sample was selected used random sampling. The knowledge level and workload of nurses were independent variables, while the implementation of patient identification was the dependent variable. Data collected was used of a level of knowledge, workload, and application of identification questionnaire. Data analyzed used were with Chi-square test. The obtained p-value for the relationship between nurses knowledge level and the implementation of patient identification is p=0.018 (p<0.05). Therefore, there is a significant relationship between nurses knowledge level and the implementation of patient identification. P-value for the relationship between nurses workload and the implementation of patient identification is p=0.564 (p>0.05). This explains that there is no significant relationship between nurses workload and the implementation of patient identification. There is a significant relationship between nurses knowledge level and the implementation of patient identification. The majority of nurses demonstrated a good implementation of patient identification. It is recommended for the hospital management to make efforts to improve nurses knowledge, especially in the area of patient safety.

The effect of five activities daily living on improving cognitive function in ischemic stroke patients

Tue, 10 Oct 2023 00:00:00 +0000

This study aimed to assess the effects of five activities of daily living (ADL) interventions on improving cognitive function in patients with ischemic stroke. The study employed a quasi-experimental design with 16 ischemic stroke patients (n=8 per group) in an inpatient ward at a regional hospital in Samarinda, Indonesia. Inclusion criteria were: i) confirmed ischemic stroke via medical records, ii) effective communication, iii) current inpatient status, and iv) hemiparesis. Data collection used an ADL activity instrument sheet, while cognitive function was assessed with the MoCA-Ina screening (maximum score: 30 points). Data analysis included the Wilcoxon test and independent T-Test, with significance set at p<0.05. After the intervention, the intervention group's cognitive function significantly improved (from mean 20.25 ± 2.60 to 25.13 ± 1.81), while the control group changed from mean 17.13 ± 2.10 to 20.50 ± 2.00. The intervention group showed a significant cognitive improvement compared to the control group (p < 0.05). In conclusion, ADL interventions enhance cognitive function in ischemic stroke patients, aiding recovery and serving as an effective hospital nursing intervention.

The impact of sleep toward executive functions among rapidly rotating shift nurses of emergency departments in Indonesia

Tue, 31 Oct 2023 00:00:00 +0000

Sleep problems are significant and are closely related to attention issues, impacting executive function disorders, especially among healthcare professionals, including nurses. In contemporary times, shift work has emerged as a new challenge for healthcare professionals, affecting their health, wellbeing, and cognitive functions. This study aimed to investigate the relationship between sleep and executive function among staff working in the Emergency Department (ED). The research was a cross-sectional study conducted on emergency nurses (EN) from four hospitals in Malang, Indonesia. Sleep quantity parameters, including total sleep time (TST), sleep onset latency (SOL), wake after sleep onset (WASO), and sleep efficiency (SE), were collected based on 7-day sleep diaries. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Executive function was assessed using a Trail Making Test (TMT). Data analysis was carried out using one-sample T-tests and multiple linear regression with a stepwise model. Around 82% of ER have poor sleep quality (PSQI > 5). Other findings WASO, TST, and SE reported a shorter duration compared to the healthcare population, while the duration of SOL was twice as long. the sources of executive function TMT-A, TMT-B, and TMT B-A were longer, and TMT B/A was shorter than the normal population. TST was negatively related to simple (TMT-A), alternating (TMT-B), and performance difference (TMT B-A) p values =0.000. This study concludes that fast-rotating shift ED nurses experienced poor sleep and executive function. The most significant factors influencing executive function were TST and BMI.

The effect of dayak ginger (Zingiber Officinale Roscoe) extraction in ginger cookies in reducing emesis gravidarum severity among pregnant women

Fri, 10 Nov 2023 00:00:00 +0000

One of the discomforts during pregnancy is nausea and vomiting, known as emesis gravidarum. Ginger cookies, as a Complementary Alternative Medicine (CAM), are often consumed by pregnant women to alleviate nausea. The purpose of this study was to investigate the effect of ginger cookies on pregnant women experiencing emesis gravidarum. This research was conducted as a Randomized Control Trial (RCT), following the CONSORT Guidelines. The study involved 59 pregnant women with a gestational age ranging from 6 to 16 weeks who were experiencing nausea and vomiting. The subjects were selected using random sampling. The intervention involved providing ginger cookies for a duration of 3 weeks. The severity of emesis gravidarum was assessed using the Pregnancy Unique Quantification of Emesis and Nausea (PUQE) questionnaire. Data analysis was carried out using an Independent Sample t-test. The results revealed a significant difference in the average severity of hyperemesis between the treatment and control groups (p < 0.001), indicating a significant difference in emesis gravidarum severity between the intervention and control groups. In conclusion, ginger cookies have been shown to reduce the severity of emesis gravidarum. They can be considered as an adjunct in providing behavioral education to pregnant women to prevent emesis gravidarum.

Identifying the risk factors of schistosomiasis in Indonesia

Fri, 20 Oct 2023 00:00:00 +0000

In Poso, Central Sulawesi, schistosomiasis prevalence has shown fluctuations, particularly in the Napu Highland, home to around 17,000 people, where there is a 0.15% risk of Schistosomiasis. This study aimed to analyze the risk factors associated with schistosomiasis in the Napu Highland. Conducted from April to June 2022, this case-control study included residents of schistosomiasis-affected villages. The sample consisted of 148 individuals (37 cases and 111 controls). Cases were residents aged over 2 years who had tested positive for schistosomiasis in a 2021 fecal survey conducted by the Poso District Health Office. Controls were selected as the nearest neighbors of the cases. Data on education, knowledge, occupation, sanitation practices, water sources, activities near water bodies, use of protective equipment, and livestock raising were collected through questionnaires. Statistical analysis involved the Chi-square test with α=5%. The results indicated that education (p=0.018; OR=3.147) and knowledge (p=0.056; OR=2.233) were associated with schistosomiasis. Individuals with lower education levels were 3.147 times more likely to contract the disease, while those with limited knowledge were 2.233 times more at risk. In conclusion, improving schistosomiasis prevention in the Napu Highland should involve enhancing knowledge, attitudes, and practices through health promotion initiatives that engage educators and community leaders.

The effect of pregnant mother assistance on stunting prevention behavior

Nursyahid Siregar, Evy Nurachma, Siti Raihanah — Mon, 23 Oct 2023 00:00:00 +0000

Stunting, a consequence of prolonged inadequate nutrition, often due to improper feeding practices, was a significant health issue. This study aimed to investigate the impact of maternal assistance on behaviors aimed at preventing stunting. The research employed a pre-experimental design with a one-group pre-test and post-test for 32 pregnant women attending a Samarinda health center. Data collection utilized structured questionnaires evaluating knowledge, attitudes, and actions. The result of the study revealed that most participants were aged 18-25, had a high level of education, and were housewives. A majority had an income exceeding 2,868,081 units, were primigravida, and lived in nuclear families. Notably, maternal assistance significantly improved stunting prevention behaviors, as evidenced by a p-value of 0.005. This study emphasizes the positive impact of providing comprehensive support, including education and counseling, to pregnant women. Such assistance could enhance knowledge, attitudes, and actions related to stunting prevention. Health professionals should prioritize this support to reduce the risk of stunting among children and promote maternal and child health.