The 3rd Joint International Conference

The Relation Between Stress Level During Study From Home (SFH) And Menstrual Cycle On University Students Of Regular Midwifery Department Program At STIKES Karya Husada Kediri

Tintin Hariyani — 2021-12-18

Menstruation is a sign of female sexual maturity that first occurs at puberty. Menstrual cycles are ideally regular every month with a span of 21-35 days on each menstrual period. The menstrual cycle is influenced by many things, one of them is stress level. The most common stress experienced by students is academic stress, especially during the Covid-19 pandemic which requires students to study from home. The objective of this study was to determine whether there is a relation between stress level during Study From Home (SFH) and the menstrual cycle in undergraduate students of Regular Midwifery Department Program at STIKES Karya Husada Kediri.

This study used a correlational analytic method, examining the relation between independent variable (stress level) and the dependent variable (menstrual cycle) with a cross-sectional approach. The research was carried out on July 29 to August 30, 2021 at STIKES Karya Husada Kediri. The population consisted of 31 respondents. The sample used was 29 respondents with purposive sampling technique. The instrument in this study used a questionnaire and data analysis used the Spearman Rho test.

Based on the Spearman Rho. test, it obtained p value = 0.154 (> = 0.005) and r value = 0.272, which means there is no significant relation between stress level during Study From Home and the menstrual cycle.

In a stressed state, the hypothalamus releases the hormone CRH which will stimulate the release of endorphins and ACTH hormones, causing blood cortisol levels to increase and indirectly lowering GnRH levels and causing menstrual cycle disorders, but there are also other factors including weight, physical activity, diet, environmental exposure, working conditions, menstrual process synchronization, and endocrine disorders that may have important roles in maintaining menstrual pattern to remain normal.

Characteristics of Stroke Patients in Outpatient: An Analytical Descriptive

Joko Susanto — 2021-12-19

Background: Characteristics of the population are influenced lifestyle due to changes in demographics, epidemiology, and local culture there is a risk of behavior that is detrimental to health. This study aims to determine the characteristics of stroke patients in outpatient settings.

Methods: The study using a descriptive-analytic. The population was patients diagnosed with stroke in the Outpatient Unit of RSUD dr. Soegiri Lamongan in June-July 2019. The sample size was 46 patients with consecutive sampling. Data was collected from interviews with patients or patient families and based on medical records. Patients criteria for interviewed have an MMSE score of 24-30. Analysis data used descriptive statistics and Logistic Regression tests.

Results: The results showed the characteristics of stroke patients 57.6% aged 40-59 years, 50% male patients, no education to school 30.4%, non-hemorrhagic stroke 83.7%, patients with left hemiparesis 51.1%, risk factors for hypertension 85.9%, and patients never been exposed to information about stroke as much as 79.6%. Patients with diabetes mellitus have a risk of 9.6 times, and patients with smoke habits had to risk of 3.9 times to occur a non-hemorrhagic stroke.

Conclusions: The concluding study is that non-hemorrhagic stroke is the dominant type of stroke in the Lamongan Regency. History of Diabetes Mellitus and smoking habits significantly influence the occurrence of non-hemorrhagic stroke.

Correlation of Nutritional Status with The Degree of Diarrhea in Toddlers in Srikandi Room at RSUD Jombang

Pujiani — 2021-12-20

Low nutritional status of toddlers may interfere metabolic processes in their body which cause infection such as diarrhea. The purpose of this study was to determine the relationship between nutritional status and the degree of diarrhea of toddler in the Srikandi Room at RSUD Jombang. The research design used was correlational analytic with cross sectional design. The independent variable was nutritional status on the dependent degree of diarrhea. While the sampling technique, it applied consecutive sampling, with a total sample of 39 toddlers. The nutritional status instrument for toddlers uses observations based on body mass index according to age (BMI/U) and the degree of diarrhea uses observations based on medical records, then the results of statistical tests: Pearson correlation with a significance level of 0.05. The results showed that: half of the respondents had normal nutritional status , more than half of the respondents had mild dehydration . From the pearson correlation statistical test, it was obtained p-value 0.00 < α = 0.05, then H1 was accepted. Based on the results of the study, it can be concluded that there is a significant relationship between nutritional status and the degree of diarrhea of toddler in the Srikandi Room of RSUD Jombang. Therefore, mothers of toddlers are expected to improve the nutritional status of their children and always monitor it regularly through the posyandu Balita. It is intended that mothers understand that the nutritional status of children is good. Besides, it is to prevent diarrhea.

The Effectiveness of Zinc Supplementation on Z-Score Index Changes in Stunting Children

brivian florentis yustanta — 2021-12-20

Background: During the Covid-19 pandemic, the number of stunting cases continue to increase. The prevalence of stunting in East Java in 2020 reached 32.81%, while in Kediri reached more than 30%. In stunted children, there is a deficiency of macro and micronutrients. One of the micronutrients that have an important role in growth process is zinc. This study objective to analyze the effectiveness of zinc supplementation on z-score index changes in stunting children.

Methods: This study was an experimental research with pretest posttest control group design. It was conducted from February to May 2021 in several Public Health Center Kediri, East Java, Indonesia. The population were all stunting children under five. By using purposive sampling obtained sample size 32. The instrument used questionnaire, zinc syrup, weight scale, stature meter, maternal and child health book. Data were analyzed using Mann Whitney and Wilcoxon Sign Ranked Test.

Results: After 4 months of zinc supplementation with a dose of 1 tablespoon (10 mg) per day, the results showed that there was a significant difference in the z-score index of stunting children who received zinc compared to the control group with p value 0.001. The average weight gain in intervention group was 2.7 kg and in control group was 1.2 kg. While the average increase in height in intervention group was 2.9 cm and in control group was 1.1 cm.

Conclusions: Handling cases of malnutrition, especially stunting, need to be a priority during the pandemic.

Stress And Coupling Mechanism In Postpartum Mothers Ethnography Study On Postpartum Mothers In Darungan Village, Pare District, Kediri Regency

Ratna Hidayati — 2021-12-20

Physical changes that occur in postpartum mothers require the ability to adapt both physically and psychologically which of course has started since pregnancy. The inability to adapt to the postpartum period will cause stress both physically and psychologically and even have an impact on the baby. Socio-cultural and environmental factors in society can affect stress, such as some rituals and dietary restrictions for postpartum mothers from Javanese tribes, but also can play a role in helping mothers' coping mechanisms to deal with stress with the support and attention given by the family. The purpose of this study was to determine stress and coping in postpartum mothers in Darungan Village, Pare District, Kediri Regency. This research is an ethnographic qualitative study with pregnant women participating in Darungan Village, Pare District, Kediri Regency with a total sampling of 12 informants. Data were collected through observation and structured interviews and analyzed by analysis of cultural themes. The results showed that the theme of stress that occurred in postpartum mothers was due to physical complaints, mood disorders, feeling neglected by their husbands/family, and the impact of being lazy to interact with their babies. Meanwhile, the mother's coping mechanism in dealing with stress is silent and does not confront when it is related to the culture that parents usually do first and the strength to overcome the stress is due to the support of her husband. It is recommended that the husband/family provide support with an accepting attitude, be ready to listen to complaints, and provide assistance in getting through the postpartum period.

Dyad Model as a Caring Innovation in High Risk Pregnancy

Sri Wahyuni — 2021-12-20

Introduction Pregnancy is a process of maturity for women that requires adaptation to the changes in their new roles. Adjustment to a new role is not easy, especially if the pregnancy is accompanied by risks, so it is necessary to get treatment to minimize complications. Dyad models that optimize husband or family support are very important to prevent the risk of complications and adapt mothers to their new roles. The purpose of this study was to determine the effect of the dyad model on high-risk pregnancies. The method used with a literature review is through the collection of articles from Scopus, ebsco, ProQuest and PubMed. The results obtained were articles from Scopus 9, Ebsco 107, PubMed 214 and ProQuest 85 which carried out identification, screening and eligibility for 25 articles. Overall results mention. Journals are categorized into 4 groups, Dyad Model and social support, high-risk pregnancy, maternal role and Self Efficacy. Conclusion, there is an effect of the dyad model on care for high-risk pregnancies.

Ramatasya Meditation To Reduce Psychological Distress Of Chronic Kidney Failure (CKF) Patients In The Hemodialysis Room

MOCH. MAFTUCHUL HUDA. — 2021-12-20

Distress is formed from a negative stress response. Distress of CKF (Chronic Kidney Failure) patients undergoing hemodialysis is triggered by having to undergo hemodialysis for life. Ramatasya meditation (an unconditional acofceptance meditation method) is proposed as an alternative solution to psychological distress. This study aims to prove the effect of Ramatasya meditation on psychological distress in CKF patients in the hemodialysis room of Dr. Iskak Tulungagung Hospital. Research design of this study was Quasi experimental research design, with a sample of 30 patients (15 treatment groups and 15 control groups according to the inclusion criteria), used the Kesler Psychological Distress Scale as a measuring instrument. Most of the psychological distress data before intervention in the treatment and control groups (86.7%) were in the moderate category. After the intervention, most of respondent of treatment group (86.7%) experienced mild psychological distress and in the control group most (60%) experienced moderate psychological distress. Statistical results with the Wilcoxon Signed Rank Test (α = 0.05), (p-value = 0.000), meaning that there is an effect of Ramatasya meditation on psychological distress in patients with chronic kidney failure. The decrease in psychological distress occurs due to an increasing of endorphins and a decreasing of the cortisol hormone. CKF patients who experienced psychological distress could do Ramatasya meditation because it was easy to do his/herself, doesn’t cost much money and safe to use in patients. Keywords: Chronic Kidney Failure, Meditation, Psychological Distress.

Breastfeeding Techniques In Babies Aged 0-6 Months In The New Normal Era

Dwi Ertiana — 2021-12-20

Background: In the new normal era, many mothers who breastfeed their babies are anxious and afraid when breastfeeding their babies because they are afraid to transmit the virus to babies through breast milk. Currently the government has taken action to prevent the spread of covid 19, namely the implementation of New Normal. New normal is a change in human behavior during the pandemic, covid-19 where humans limit touch with other individuals. The purpose of this study is to indentify of breastfeeding techniques in infants aged 0-6 months in the new normal era.
Methods: The design of the research in this study is descriptive. The variable in this study was the breastfeeding technique. The population in this study was all mothers who breastfed babies aged 0-6 months in Midwife independent practice Binti Mahmudah as many as 20 respondents. Samples are taken using accidental sampling techniques. The instrument used in this study was a questionare sheet. The study time was conducted on July 5 to 10, 2021, where the study was conducted in Sukorejo Village Ngasem District Kediri Regency. Data retrieval is done by observation by researchers, then inserted a distribution frequency table analyzed in the form of a percentage.
Results: The results showed that mothers who breastfed their babies with the correct breastfeeding technique according to questionare as many as 12 respondents (60%), mothers who breastfed with enough techniques as many as 8 respondents (40%). While the breastfeeding technique is less than 0 respondents (0%)
Conclusions: Breastfeeding techniques in the new normal era are very influential on breastfeeding. Because with the correct breastfeeding technique in the new normal era the mother feels safe and comfortable in providing breast milk, as well as preventing the transmission of covid.

The Improvement of Compliance with Catheter Traction Treatment Through Leaflet Media Education as an Effort to Prevent Post-BPH Surgery Syndrome

khotimah — 2021-12-20

Surgery that is often done to overcome the presence of an enlarged prostate is called Transurethral Resection Prostate (TUR P) surgery. Post-surgery bleeding often occurs within the first 24 hours, so it is necessary to perform catheter traction action. The traction action of the catechetical causes pain and discomfort. Lack of understanding and discomfort conditions make some patients remove catheter traction by themselves. Health education has been done but less effectively. Furthermore, Health education is needed by using leaflet media to improve patients' understanding and compliance to post-surgery care of TUR P This research aims to find out the influence of educational media leaflets on compliance with catheter traction treatment of patients post-BPH surgery. The research method uses a quasi-experiment with a post-test-only control group design approach. The population of the study is all patients post- BPH surgery at RSUD Jombang as many as 30 respondents. The sample met the inclusion criteria of 24 respondents with a simple random sampling technique. Data analysis used was Mann Whitney U Test sig α < 0.005. The results of the study were obtained by ρ Value Sig. 0,004 < 0,005 means that there is an influence of educational media leaflets on compliance with catheter traction care of patients post-BPH surgery. Inappropriate media on the condition of respondents led to a lack of understanding of respondents resulting in non-compliance with catheter traction treatment post-TUR P surgery. Non-compliance with catheter traction treatment causes bleeding. Health education with the right media is effective to reduce the occurrence of TUR Psyndrome 24 hours after the surgery.

IPCN (Infection Prevention Control Nurse) monitoring function with the PPI Implementation

Widyasih Sunaringtyas — 2021-12-20

Background: The risk of infection that occurs in hospitals can be acquired and transmitted between patients, staff, health professionals, contract workers, volunteers, students, and visitors. The risk of infection can be prevented if the supervisory function is carried out by the infection prevention and control nurse (IPCN), one of which is monitoring the implementation of infection control and prevention. The purpose of this study is to analyze the relationship between the IPCN monitoring function and PPI implementation

Methods: The research design used correlational with cross sectional approach. The population and sample of this study were 25 nurses with a total sampling technique. The independent variable was IPCN monitoring function and the dependent variable was PPI implementation. The instrument used to measure the independent and dependent variables were observation. Data was analyzed used Spearman's rho test

Results: Based on the results of the descriptive analysis, almost all of the IPCN monitoring functions (84%) were in the good category. Almost all of the PPI implementation (92%) including categories was carried out optimally. Spearman's rho test results obtained P value: 0.032. Shows P value < : 0.05, This means that there was a relationship between the IPCN monitoring function and the implementation of PPI

Conclusions: The monitoring function carried out by IPCN needs to be maintained and it was necessary to improve the monitoring system on the evaluation and reporting aspects.

The Correlation Between Menopausal Women's Motivation and Regular Visits to The Elderly Health Care Center

Aprilia Nurtika Sari — 2021-12-20

The elderly health care center is a facility for health services for the community, especially the elderly. Menopausal women are one of the targets of the elderly health care center. The elderly health care center has an important role in maintaining the quality of life for the elderly in the community. However, the frequency of visits to the elderly health care center from year to year is decreasing. Motivation is one of the factors that can affect the frequency of visits to the elderly health care center. This study aims to determine the correlation between menopausal women's motivation and regular visits to elderly health care center. The research design used correlational analytic research with a cross-sectional approach. The population and samples were postmenopausal women who came to the elderly health care center in Bangkok Village, Gurah District, Kediri Regency. With accidental sampling technique, obtained 30 respondents. The variable consists of the independent variable, namely the motivation of postmenopausal women and the dependent variable, namely the regularity of visits to the elderly health care center. Collecting data using questionnaires and attendance lists for elderly health care center. Data processing by editing, coding, scoring, and tabulating. Data analysis using Spearman Rank correlation. The results showed that from 30 respondents, 23 respondents (76.66%) had high motivation with regular visits. Statistical test results obtained rs count 0.45 > rs table 0.364. So H1 is accepted, meaning that there is a correlation between the motivation of menopausal women and the regularity of visits to the elderly health care center. Thus, the high motivation of menopausal women must be maintained because it can affect the regularity of visits to elderly health care center. To increase motivation, it can be done by conducting home visits for the elderly, especially menopausal women who have not come regularly to the elderly health care center.

Relationship Between Mom Anxiety Towards Covid-19 With Breast Milk Production

Siti Asiyah — 2021-12-20

Preliminari data on 10 postpartum mothers who were controlled on 26-27 April 2021, 5 mothers said breastfeeding was only not smooth and anxious and 5 breastfeeding mothers were smooth and not anxious, this is because during the covid-19 pandemic they still have to go out of the house and check their condition after delivery, mothers are afraid to carry germs that can affect themsleves and their babies. The purpose of the study: to determine the relationship between post partum mother’s anxiety about covid-19 with breastfeeding at clinic 7 (Gynecology Specialist) Mojowarno Christian Hospital Jombang.

This type of research is an analytic survey using a cross sectional design. The independent variabel is the postpartum mother’s anxiety about covid-19, and the dependent variable is breastfeeding. The research site was at Clinic 7 (Gynecology Specialist) Mojowarno Christian Hospital Jombang on 28 June 2021 – 12 July 2021. The population was postpartum mothers who had control at Clinic 7 (Gynecology Spesialist) who met the inclusion criteria, a sample of 35 people. Bivariate data analysis using Chi Square Test.

The results showed that of the 35 postpartum mothers most of them experienced moderate anxiety for covid-19 amounting to 15 people (42,86%) dan mild anxiety in covid-19 amounting to 10 people (28,6%). Expenditure of breast milk mostly non current breast milk amounted to 24 people (68,6%), while the current breastfeeding amounted to 11 people (31,4%). There is a relationship between postpartum mother’s anxiety about covid1-9 and breastfeeding (p value: 0,000 < : 0,05).

Mothers who do not have confidence in being able to produce breast milk, stress, worry, fear of contracthing covid-19 to themselves and their babies, mother’s unhappiness when breastfeeding during the covid-19 pandemic affect breast milk production, because it will inhibit the let down reflect.

An Overview of The Organoleptic Assessment of Herbal Teas with the addition of Stevia Leaves

Zauhani Kusnul — 2021-12-20

The current COVID-19 pandemic situation encourages many efforts to adapt to new situations. At the individual level, adaptation is in the form of changes in various healthy living behaviors in all aspects. In addition, one thing that is also very important to note is the individual's internal immune system. Various natural products have been researched to have positive benefits in increasing body resistance/immunity, including green tea leaves, moringa, meniran, and pegagan. The current pandemic situation has inspired us to combine various natural ingredients that have been proven to have immunomodulatory activity in the combination of herbal tea preparations. Herbal teas generally have a less favorable taste and aroma because most of the natural ingredients are naturally nutritious, each of which has a distinctive taste and aroma. The purpose of this study was to obtain an overview of respondents' assessment of the taste, aroma and color of the combination herbal tea preparations that we added stevia leaves as a natural sweetener. The research was conducted at the Stikes Pamenang research laboratory involving 50 panelists who gave sensory assessments including taste, aroma, color and overall acceptance of herbal tea formulations. The results of this study indicate that the addition of stevia leaves to herbal tea preparations makes herbal tea preparations more preferable in terms of taste

The Effect of Abelmoschus Esculentus Infused Water Therapy for Hypertension

ANIS MURNIATI — 2021-12-20

Background: High blood pressure (hypertension) is an increase in blood pressure in the arteries which is characterized by a systolic more than 140 mmHg and a diastolic more than 90 mmHg. The prevalence of hypertension increase sharply, it is predicted that in 2025 around 29% of adults worldwide suffer from hypertension. The development of complementary therapies for hypertension has been widely developed, one of which is the use of the herbal okra. Okra (Abelmoschus esculentus) is a vegetable that has a very low calorie, contains 30 calories in 100 grams, does not contain saturated fat or cholesterol, a source of protein, vitamins and mineral, dietary fiber. It’s also contain large amounts of glycine which is responsible for the viscosity of suspension fluids and consistency so that it functions is to control cholesterol levels and lower blood pressure.

Methods: The subject group was observed before the intervention, then observed again after the intervention. Data analysis using Wilcoxon sign rank test with p value = 0.05. The subject is human who has hypertension.

Results: The mean systolic blood pressure in the pretest was 150 mmHg, means diastolic pretest was 90 mmHg. The mean systolic after administration of infused water okra for 7 days was 141 mmHg and diastolic was 83 mmHg. The results of data analysis showed a systolic significance value of 0.000 and a diastolic significance of 0.001.

Conclusions: From the results of the study, it can be concluded that the infusion of water okra (Abelmoschus esculentus) has potential antihypertensive activity

Knowledge About Breastfeeding Techniques to The Event of Nipple Blister

Wuri Widi Astuti — 2021-12-20

Background: Mother's milk (ASI) is the single best food for newborns up to 6 months. Breastfeeding for 6 months can prevent about 1.4 million deaths in children under five worldwide. Only 37% of infants in low-income countries are exclusively breastfed. Nipple blisters are one of the reasons mothers stop breastfeeding their babies.

Methods: Analytical Research Design with a Crosectional approach. The independent variable is knowledge and the dependent variable is nipple blisters. The population is primiparous postpartum mothers in the working area of Tirtoyudo Health Center Malang Regency, a total of 35 people. The research sample of 32 respondents was selected using a simple random sampling technique. The study was conducted from August 14 to September 28, 2020. Data were collected using a questionnaire instrument and an observation sheet. Data analysis using Spearmen Rank statistical test.

Results: The results showed that the incidence of nipple blisters was 56.3% in respondents with less knowledge, 12.5% in respondents with sufficient knowledge, and 9.4% in respondents with good knowledge. Analysis of the data with the spearman rank test obtained the results of p-values = 0.000< α which means that lack of knowledge contributes to the incidence of nipple blisters.

Conclusions: Nipple blisters occur when the mother breastfeeds with the wrong technique, namely the nipple and the part around the breast do not fit properly into the baby's mouth. Good knowledge of breastfeeding techniques will encourage mothers to breastfeed properly so that the incidence of nipple blisters can be avoided.

Health Education Program In Menopause To Improve The Quality of Life (QoL) of Menopausal Women In Covid-19 Pandemic In Kediri East Java

Mirthasari Palupi — 2021-12-20

Background: Menopausal symptoms can affect daily activities that may eventually cause a negative impact on the quality of life (QoL) of menopausal women. Health education program can be one of the alternatives to addressing menopausal complaints and increases QoL of menopausal women. This study aims to analyze the effectiveness of health education program for menopausal women in improving the QoL menopausal women in Kediri Regency.

Methods: This research has used true experimental with pretests posttest control group design. This research was conducted in Kediri Regency East Java Province. An amount of 88 menopausal women (N= 44 became group interventions and N= 44 became control groups) was done with a random system. The intervention group had educational health program consist 6 times health education in small group discussions, as well as 3 times of training to utilize unused items or objects, 3 times of training on making herb and 6 times of training for menopausal gymnastics. The control group received blood pressure checks and weighing. QoL was measured using WHOQOL-BREF. Analysis used paired t-test, independent samples t-test with α = 0.05.

Results: The mean scores of QoL for the intervention group were 51.8 (pretest) and 66.3 (posttest).The QoL was significantly impaired among the intervention group [mean (SD); 14.4 (4.5)] compared to control group [mean (SD); 0.4 (1.4)] (p<0.005). The paired t-test showed that there was a significant difference of QoL score before and after health education program in the intervention group (t =13.436, p=0.001), but there was no significant difference of QoL in the control group (t=1.067, p= 0.0347).

Conclusions: A health education program for menopausal women for 3 months can improve the QoL during the Covid-19 pandemic

Intermittent Exercise in Reducing Glucose Levels in Type 2 Diabetes Mellitus Patients

Dhina Widayati — 2021-12-20

Background: Diabetes mellitus (DM) is a metabolic condition marked by a rise in blood glucose levels. Dietary control, exercise, stress management, and anti-diabetic medications are all used to maintain low glucose levels. Intermittent exercise is one type of exercise. This study aims to determine the effect of intermittent exercise on glucose levels in patients with type 2 diabetes.

Methods: A pre-experimental approach was adopted in this investigation, with 17 respondents selected through purposive sampling. The independent variable was intermittent exercise, whereas the dependent variable was glucose levels. A glucometer was used to monitor glucose levels before and after the intervention, and the Wilcoxon sign rank test was used to evaluate the results.

Results: The results showed that the glucose levels of all respondents (100%) before the intervention were in the hyperglycemic category and after giving the intervention, almost all (88%) were in the normal category. The p value of the statistical test is 0.001 with α 0.05, indicating the effect of intermittent exercise on decreasing glucose levels. Reduced glucose levels can be achieved through two mechanisms: physiologically (intermittent exercise movements require large muscles to actively move and do not require insulin to enter glucose into cells in this condition, because the sensitivity of insulin receptors increases in active muscles, and glucose uptake also increases) and psychologically (exercise activities carried out in a group setting can make a person relaxed, comfortable and more motivated)

Conclusions: Intermittent exercise reducing glucose level and can be used as an alternative exercise for patients with Type 2 DM.

Literature Review : Covid 19 & Pregnancy

Ita Eko Suparni — 2021-12-20

Background: The current non-natural disaster, namely Covid 19, has had an impact on increasing the number of maternal and infant deaths. This is because the new variant of Covid 19 is susceptible to infecting pregnant women which can cause complications and even death for both mother and baby. So far, information about COVID-19 in pregnant women is still limited. This literature study aims to identify pregnancies with COVID-19 and its prevention efforts in pregnancy

Methods: The research method is a literature review, which collects and analyzes data on pregnancy with COVID-19 in pregnant women for 1 year and efforts to prevent the COVID-19 pandemic in pregnancy through Google Scholar, PubMed, Springer and Lancet databases. Use keywords; Pregnancy, Covid 19, prevention, transmission,

Results: Covid 19 increases the risk of preterm delivery and other pregnancy complications. Vaccination during pregnancy will prevent pregnant women with severe symptoms when exposed to COVID-19. Preventive measures for COVID-19 include general precautions, including diligent hand washing, proper wearing of masks, vaccinations, social distancing, regular exercise, and good nutrition. eat a balanced and nutritious diet.

Conclusion: COVID-19 cases in pregnant women are under control, but preventive measures need to be taken to better control the spread of COVID-19.

Aspects of Spirituality with People's Stress Levels During the Covid-19 Pandemic

Wahyu Tanoto — 2021-12-20

Introduction : The widespread spread of COVID-19 has an impact on people's mental health which makes individuals easily stressed. Stress is a non-specific response of the body to the load stimulus and the pattern of reaction and adaptation. One aspect of the source of hope to overcome stress is the aspect of spirituality or religion. Spirituality is a belief in God Almighty related to the psyche. The purpose of this study was to identify the relationship between aspects of spirituality and the stress level of society during the COVID-19 pandemic.

Method : In the following cross-sectional study involving 65 respondents in the area of Pare Kediri, using purposive sampling technique and the instrument used is a questionnaire.

Results : The results of the 2x3 chi-square test showed that there was a significant relationship between aspects of spirituality and the level of stress in the community in the Pare Kediri area with the results (p-value 0.000; = 0.05).

Analysis : The level of public stress during the COVID-19 pandemic is closely related to how individuals can fulfill their spiritual needs in a complete way.

Conclusion : The results of the study state that with the spirituality aspect being fulfilled, it will make the stress level lighter and it is hoped that the community can always have the spirituality aspect fulfilled as individual coping and effective adaptation to minimize stress levels in the community during the covid-19 pandemic.

Keywords: Covid-19 Pandemic Spiritual Aspect Stress Level

Effect of Elderly Exercise on Blood Pressure of Hypertensive Elderly

Sufendi Hariyanto — 2021-12-20

Blood pressure can increase when one is aged 45 – 55 years old. The artery walls become thick due to the collagen accumulation in the muscle layers. As a result, the blood vessels will gradually narrow and become rigid. Elderly exercise is a mild exercise. It is easy to do without burdensome, which is dedicated to the elderly. The objective of this research is to analyze the effect of the elderly exercise on the blood pressure of the hypertensive elderly at Kalikejambon Village, Tembelang District, Jombang Regency.

This research used the quasi experimental method with the pre-post test design. The population of this study were elderly people with hypertension in Kalikejambon Village, Tembelang District, Jombang Regency. The sample in this study amounted to 32 respondents who were divided into treatment groups and control groups. The data of research were analyzed by using the t-test.

There was an effect of the elderly exercise on the systolic blood pressure and dyastolic blood pressure of the hypertensive patients as indicated by the p-value = 0.000.

The health workers are required to conduct socialization and training of he elderly exercise need to socialize and train the performance skill of exercise elderly. So, they can manage the elderly whom have hypertension by using non-pharmacological management to control blood pressure on hypertensive patients.

The Use of Neuropathy System Score (NSS) in Measuring Peripheral Neuropathy in Diabetes Mellitus

zuliani — 2021-12-20

Peripheral neuropathy is one of the microvascular complications of Diabetes Mellitus (DM) that occurs in the periphery and causes damage to nerve function. Damage to nerve function can affect sensory, motor, and autonomic nerves. The purpose of this study was to determine peripheral neuropathy in patients with diabetes mellitus. This study uses descriptive research with a population of 62 respondents with sampling by the inclusion criteria. The instrument uses a peripheral neuropathy examination sheet from the NSS (Neuropathy system score) consisting of 10 questions. The data analysis used in this study is univariate analysis. More than half of diabetics are in the early elderly (55%), female (66%), have diabetes >5 years (69%), and have GDS levels 200 mg/dL (74%). A small proportion of people with diabetes have a history of comorbidities and a history of DFU (Diabetic Foot Ulcer) (24%, 8%). More people with diabetes had mild neuropathy (58%) than people with moderate or severe neuropathy (34%; 8%). The results of this study showed that more than half of the respondents had mild peripheral neuropathy. The results of this study showed that more than half of the respondents had mild peripheral neuropathy. Therefore, an early examination is needed to prevent more severe neuropathy. It takes promotive and preventive efforts from primary health services to people with diabetes.

Knowledge and Attitudes about Handling Mental Health Problems of the Implementing Team in Community

Fajar Rinawati — 2021-12-20

People with mental disorders in the community have a greater number than in hospitals, so handling mental health problems in the community is very important to pay attention to. The government has also formed a special team in handling mental health problems in the community consisting of several cross-sectors. The purpose of this study was to determine the knowledge and attitudes about handling mental health problems in a special team that handles mental health problems in the community. The sample in this study is part of the team for handling mental health problems in the community which consists of elements of health, government, police, army and society. The sampling method in this study is clustered simple random sampling, obtained as many as 46 respondents. Data were analyzed by univariate and bivariate analysis. The results showed that 72% good knowledge, 28% sufficient knowledge and 0% lack of knowledge, while attitudes showed good attitudes 67%, 33% sufficient attitudes and 0% poor attitudes. This study also shows that knowledge affects attitudes with a p-value of 0.031.

Survey on Knowledge of Women in Reproductive Age About Long-Term Contraceptive Methods

Widya Kusumawati — 2021-12-20

Long-term contraceptive methods are very effective for couples in reproductive age, because the side effects and failures are very minimal. However, data obtained from the East Java Provincial Health Office, community participation in using long-term contraceptive methods is still below the target, which is 22.21% of the target of 22.85% (Perwakilan BKKBN Propinsi jawa Timur, 2019). The purpose of this study was to describe the knowledge of women in reproductive age about long-term contraceptive methods. This was a cross-sectional study conducted in Ngampel village, Mojoroto District, Kediri, East Java, in June - July 2019. The total of 30 women in reproductive age were selected using purposive sampling technique. The research instrument uses a questionnaire, and the type of data taken is quantitative data. The results showed that of the 30 respondents, 6 respondents (20%) have good knowledge, 14 respondents (46.67%) have sufficient knowledge, and 10 respondents (33.33%) have less knowledge. The results of this study can be used as basic data by health workers that women in reproductive age still need to improve their knowledge through communication, information and education methods about long-term contraceptive methods.

Birth Ball The Effect Of Exercise On The Reduction Of Labor Pain When I Phase I Active

yunarsih . — 2021-12-20

Pain in the first stage of labor is a physiological condition due to uterine contractions, causing cervical effacement and uterine ischemia. The pain that is felt causes discomfort that causes fear, worry. A birth ball is one of the non-pharmacological methods, namely a physical therapy ball that helps the progress of labor and can be used in various positions. One of the birth ball exercise movements in the form of sitting on a ball by shaking the pelvis is considered to be able to provide comfort and speed up a delivery time. The purpose of this study is to review journals regarding the description of the effect of birth ball exercises on reducing labor pain in the first stage of the active phase.

Literature review research design, using the Systematic Mapping Study method. This study was conducted to determine the effect of birth ball exercises on reducing pain in the first stage of labor.

Identification by using Compare and Contrast, namely summarizing, critiquing the similarities of articles, reviewing a study that contradicts each other then summarized and made into an article. Exercise a Birth ball has an effect on reducing the pain felt by the mother due to contractions during the first stage of labor.

Birth balls can be used by health workers for the management of pain in the first stage of labor as a form of maternal care and comfortable service.

Influence of First Aid Training on The Level of Knowledge of Handling Victims For Indonesian Red Cross Volunteers in East Java Province

Hengky irawan — 2021-12-20

The more densely people drive, the risk of traffic accidents will increase. Treatment of injuries due to accidents or medical cases that come suddenly must be treated immediately. First aid is a golden period in saving lives. The speed and accuracy of action in the pre-phase of health facilities determines the success of the patient's help. First aid is a golden period in saving lives. The speed and accuracy of action in the pre-phase of health facilities determines the success of the patient's help. Providing first aid training for Indonesia Red Cross volunteers will increase knowledge to perform appropriate assistance will save lives and prevent disability and support the healing process. Providing first aid training for Indonesia Red Cross volunteers will increase knowledge to perform appropriate assistance will save lives and prevent disability and support the healing process. The purpose of the study is to find out the influence of first aid training on the knowledge of handling sufferers for Indonesia Red Cross volunteers. Research methods using Quasi Experiment Design (Pseudo-Experimental) design with Pre-Post Without Control Group Design. The technique of collecting respondents with Purposive sampling with 110 volunteers as research respondents. Data analysis using the Wilcoxon test. The average value of knowledge level with less category as many as 72 respondents (65.45), after being given training, the level of knowledge increased to enough as many as 64 respondents (58.18%). The respondent's knowledge before first aid training averaged (mean) of 3.50 and after training increased to 55.48. Wilcoxon Signed Ranks Test results obtained A value of -9,053 and p value = 0.000, meaning there is a difference in respondents' knowledge before and after first aid training. Conclusions there is a significant influence between first aid training on the level of knowledge of handling sufferers for Indonesia Red Cross volunteers in East Java Province

Red Dragon Fruit Effectiveness On Decrease Blood Glucose Levels In Patients Type II Diabetes Mellitus In Kepatihan

Berlian Yuli Saputri — 2021-12-20

Background: Diabetes mellitus is a group of metabolic diseases characterized by high blood glucose levels that occur due to impaired insulin secretion. The impact of diabetes is not treated immediately will develop into complications. Diabetes Mellitus can be given non-pharmacological therapy, one of which is the consumption of red dragon fruit. The purpose of this study was to determine the effectiveness of red dragon fruit on reducing blood glucose levels in type II diabetes mellitus patients in Kepatihan Village.

Methods: The research design used was Pre Experiment using the One group Pretest-Posttest design. The population in this study were all patients with type II diabetes mellitus in Kepatihan Village. The research sample was type II diabetes mellitus patients who were in Kepatihan Village who met the criteria of 30 respondents. The sampling technique is purposive sampling. The data was collected using observation sheets and the research results were analyzed using the paired t-test.

Results: The results showed that from 30 respondents the average value of pre blood glucose levels was 177.97 mg/dl and post blood glucose levels were 159.50 mg/dl. The results of the paired t-test statistic showed that the P-value = 0.018 and = 0.05 so that p <0.05. This Shows that there is the effectiveness of red dragon fruit in reducing blood glucose levels in type II diabetes mellitus patients in Kepatihan Village.

Conclusions: This shows that respondents can consume red dragon fruit as a non-pharmacological therapy that can help lower blood glucose levels in patients with type II diabetes mellitus.

Activity Test Of Infused Water Okra To Wards Reduction Of Blood Sugar Levels In Type Ii Diabetes Mellitus Patients In Gondang Tulungagung Village

dewi zuniawati — 2021-12-20

Background: Diabetes mellitus is a group of metabolic diseases with characteristics of hyperglycemia that occur due to abnormalities of insulin secretion, insulin work or both that leads to multi-organ chronic complications. Okrais an herbal plant that can be used as an alternative to decrease and help stabilize blood sugar levels. The purpose of this study was to determine the activity test of giving infused water okra to reduce blood glucose levels in people with diabetes mellitus type II.

Methods: The research design used is pre-experiment (one group pre-post test design). While the population is of all type II diabetes mellitus in gondang Village Tulungagung District. The sample size is 30 respondents taken by purposive sampling approach. Data collection was conducted on July 22 - July 28, 2020. Using glukotest instruments and observation sheets. Processing and data analysis using SPSS 16.0 statistical application, using Paired T-test with α = 0,05.

Results: The result of paired t test statistic shows p-value = 0,000 <α = 0,05. So that H0 rejected H1 accepted which means there is influence of infused water okra to decrease blood glucose level in type II diabetes mellitus patient in gondang village, Tulungagung sub-district. From this research, infused water okra proven to decrease blood glucose level in diabtes mellitus type II patient because of fiber and flafonoid content in it.

Conclusions: With these capabilities are expected to the consumption of infused water okra on a regular basis can keep blood sugar levels remain normal levels in people with diabetes mellitus type II.

Effectiveness of Construction Play on Sibling Rivalry Reaction in Preschool Age Children

Dwi Retnowati — 2021-12-20

Background: A healthy child is a healthy child physically, psychologically, socially and spiritually. A child’s health is characterized by developments that match his age, and is able to adapt to the environment. In preschool-aged children health problems that often arise is a disorder of growth and development and behavioral disorders one of them sibling rivalry. Sibling rivalry is a competition with siblings. One way to handle sibling rivalry is to play. Games that can be applied is construction play which is a construction game that can be played with friends or siblings to increase cooperation. This study aims to determine the effect of construction play on sibling rivalry reaction in preschoolers in Kinderganten TK Dharma Wanita Persatuan Sumberbendo District Pucanglaban Tulungagung.

Methods: The research design used in this research is pre experiment using One-group pre-post test design. The population is all student who have siblings of 22 children by using Purposive Sampling Technique. The study was conducted for ione month. Data collection using questionnaire sheet, then data processed with Editing, Coding, Scoring and Tabulating technique. Then analyzed by statistical test of willcoxon sign rank test.

Results: The results obtained P value of 0,002 and α = 0,05 which means the value of ρ<α (0,05), so that H0 is rejected and H1 accepted. The conclusion show the effect of construction play on sibling rivalry reaction in preschoolers.

Conclusions: The effevtiveness of construction play on sibling rivalry reaction show the importance of parents and the school to apply the construction play as an effort in dealing with sibling rivalry.

Student Coping Strategies in Facing Changes during the COVID-19 Pandemic (A Case Study about Lecturing System in STIKes Hutama Abdi Husada Tulungagung)

Evi Tunjung Fitriani — 2021-12-20

Background: The COVID-19 pandemic made a sudden transition, face-to-face learning in universities was shifted to online learning. The implementation of learning with the online system will have an impact or problem on educators and students. This change requires adjustments from all parties, especially students. These various forms of change are considered to be a stressor for students. Students will face various problems including, unlimited study time, boredom. Consequently, students are required to be able to manage stress that arises through various coping strategies. So as not to experience prolonged stress and interfere with the learning process. This study aims to determine the coping strategies used by students in dealing with Changes in the Lecture System during the COVID-19 Pandemic

Methods: : This research uses a qualitative approach with a case study method. Data were collected through written interviews using Google Forms with 312 students at Stikes Hutama Abdi Husada Tulungagung.

Results: The thematic analysis technique used resulted in three findings. First, the problems faced by the subjects included understanding online learning materials, readiness for internet network strength and internet quotas, environmental distractions, and changing class schedules. Second, experiencing boredom and psychological problems Third, in adapting to the online lecture system with various problems, students use various coping strategies which can be broadly grouped into three, namely problem-centered coping, emotion-based coping, and emotion-based coping. Interpretation.

Conclusions: The findings in this study are expected to be a recommendation for the campus to help students use appropriate coping strategies in managing stress in the face of Changes in the Lecture System during the COVID-19 Pandemic

The Effectiveness Of Giving Temulawak Extract Against Increasing Application To Tools Aged 3-5 Years At Posyandu I Sumberejo Wetan Village Ngunut Tulungagung

ketjuk herminaju — 2021-12-20

Background: Normal appetite in toddlers is 3 times a day or the equivalent of 1400 cal/day. But not all toddlers have a normal appetite. Signs of symptoms that can be seen if the child lacks appetite are the face looks lethargic, not excited, and weight loss. This study aims to determine the effectiveness of giving temulawak extract to increase appetite for toddlers aged 3-5 years at Posyandu I Sumberejo Wetan Village, Ngunut, Tulungagung.

Methods: The method used in this study is an experimental method with 30 respondents who have appetite problems. Data collection was carried out on Jul - August 2020. Data was collected by filling out a questionnaire (pre and post-giving temulawak extract) which was then processed using cross-tabulation in the form of percentages and analyzed and drawn conclusions.

Results: To determine the effectiveness of giving temulawak extract to toddlers aged 3-5 years, the Wilcoxon Signed Rank Test statistical test obtained p-value = 0.001 where = 0.05 so that Hο was rejected and Hı was accepted, which means that there is an effect of giving temulawak extract on increasing toddler's appetite. aged 3 – 5 years at Posyandu I Sumberejo Wetan Village, Ngunut Tulungagung.

Conclusions: It was concluded that there was effectiveness of giving temulawak extract to increase the appetite of toddlers aged 3-5 years at Posyandu I Sumberejo Wetan Village, Ngunut District, Tulungagung Regency. After conducting this research, it is hoped that mothers who have toddlers with a poor appetite can give ginger extract so that the child's appetite increases. If the appetite increases, the child's nutritional needs can be fulfilled.

Correlation of Self-Forgiveness with Quality of Live in HIV/AIDS Patients, Tulungagung, 2020

Lasman — 2021-12-20

Background: The occurrence of HIV so far has been caused by their own behaviour and attitudes. This certainly will greatly trigger the state of the patient or [atient expertencing changes in risk behaviour both environmental changes and changes in free sex with multiple partners, the use of needles that are not sterile in turn will greatly trigger an increase in HIV- AIDS.After patients are diagnosed with HIV- AIDS, they realize that this HIV- AIDS disesase attacks the immune system. In the end the psychological impact on sufferers, such as feeling guilty, helpless, useless and frustrated. This can have an impact on the quality of life both psychologically and socially.

Methods: The purpose of this research was to determine the relationship of self forgiveness with quality of life in people with HIV-AIDS.Cottrlation analytic research design with cross sectional approach. The population of HIV –AIDSsuffers contained in the KPA Tulungagung District Health Office was 30 respondens. The sample in this study was taken by total sampling technique.

Results: Retrieval of self-forgiveness date using theHFS (Heartland Forgiveness Scale) questionnaire shett and for collecting quality of life date using theWHOQOL –HIV BREF questionnaire, Test date analysis using Spearman- rho. Showed p (0,000 < (0,05) meaning that there was a relationship between self-forgiveness and quality of life in people with HIV-AIDS with r = 0,629 indicating a strong relationship and a positive correlation.

Conclusions: It can be concluded that the bigher the self- forgiveness, the better the quality of life in people with HIV- AIDS. Increased self-forgiveness can occur when the patient is able to accept his condition, changing himself into an open personality and always apply forgiveness and can forgive or forgive event that have been done by himself or other.

Effect Therapeutic Touch on Anxiety Patients With Chronic Kidneys Diseases (CKD) With Hemodialysis

Purnomo — 2021-12-21

Background: Condition Patients with Chronic Kidney Disesases (CKD) is an kidneys are sufficiently or unable properly function which results acucumulations metabolisme wastes on kidneys. Condition patients causes by Chronic Kidney Disesases is undergoing which hemodyalisis. Patients with Chronic Kidney Disesases is undergoing hemodialysis can be common psychological disorders, such as anxiety to changes mental health status, self acceptance, life threats, stress and depression. Intervention Therapeutic Touch is one of therapy due to reduce anxiety in patient.

Purpose : The Purpose in study was to determine effect therapeutic touch on reducing anxiety level in patsients Chronic Kidneys Disesases undergoing hemodialysis

Methods: Design in this study used pre-post test quasi experiment design without control group. Sample in this study were 45 patients selected using consecutive sampling. Data were collected in control group and intervention group with questionare Hamilton Anxiety Rating Scale (HARS), data were analyzed using Wilcoxon Paired Test.

Results: The result showed and decrease patients anxiety level after intervention group with therapeutic touch with p = 0.000 < α = 0,005 in the control group and intervention group. There was significant decrease of anxiety level stress pre test and post test intervention between pre test dan post test intervention group.

Conclusions: Intervetion therapeutic touch used evidence based for profesionalisme to managing problem related physical and psychological rehabilitation on diseases. Therapeutic touch is bio energy alignment activities brain structures such as sensory processing, attention, and memory, and can stimulate complex cognition and multisensory integration. Intervention therapeutic touch in every day can be increased calm.

The Effectiveness of Counseling on the Characteristics of Cerebro Vascular Accident Attack in Golden Period Stage to Quick Attitude to Family Response With Hypertension

Ria Anggraini — 2021-12-21

Background: Hypertension or high blood pressure is a silent killer disease. Uncontrolled hypertension can damage blood vessels so that they lose elasticity of blood vessels which one of the complications of hypertension is CVA (Cerebro Vascular Accident). Paralysis and even death can occur if late in handling CVA. Families need to know the attitude of response to family members with a history of hypertension who are at risk for CVA attacks. This study aims to determine the effectiveness of counseling about the characteristics of the Golden Period stage of the attack on the attitude of family emergency response with hypertension.

Methods:This study used a one-group pretest-posttest design. The population of this study was families with hypertension who lived in the work area of Boyolangu Community Health Center as many as 125 people by using quota sampling techniques so that a sample of 30 respondents was obtained. Data were collected by giving questionnaires before and after the counseling was carried out and then processed and tested using the Mc Nemar test.

Results: The results showed an increase in attitudes between before and after counseling where p-value (0.003) < α (0.05).

Conclusion: Counseling about the characteristics of the CVA attacks in the Golden Period stage affects the attitude of the family emergency response with hypertension. It is recommended that counseling on the characteristics of CVA attacks can be given to family members who have hypertension so that health improvements can be achieved.

Early Contingency Training of Diasaster Mitigation Influenced Community Preparedness of Disaster Earthquake in Nggeger, Sendang, Tulungagung

Siti Nurhasanah — 2021-12-21

Background: Indonesia was one of the countries with high seismic activity and a long history of powerful earthquakes. Therefore Indonesian must have good knowledge in dealing with disasters especially earthquake. The purpose of the study was to analyse the effect of providing counselling on community preparedness on knowledge of earthquake disaster in Nggeger, Sendang, Tulungagung

Methods: : This study used a quasi experimental research design with one group pretest-posttest. The research was carried out on January 2021. Samples were taken by purposive sampling technique of 63 people. Data were analyzed by Wilcoxon Signed Ranks Test.

Results: The results showed that the most respondents (76%) had less knowledge level before training but after training, the level of knowledge increased. Wilcoxon Test indicated that P Value = 0.000 <0.05 so H1 is accepted. It meant that early contingency training of diasaster mitigation influenced community preparedness of disaster earthquake in Nggeger, Sendang, Tulungagung 2021.

Conclusions: Training was very useful to increase the level of community knowledge especially about disaster mitigation. By increasing the level of community preparedness in dealing with earthquake disasters, it was hoped that the material and non-material impacts of disasters can be minimized.

The Effectiveness Of Diabetes Exercise With Ergonomic Exercise On Blood Sugar Levels In Diabetes Mellitus Clients In Persatuan Diabetes Indonesia (Persadia) Tulungagung

Yitno — 2021-12-21

Baground : Diabetes mellitus (DM) is group of heterogeneous disorders characterized by abnormalities of blood glucose levels or hyperglycemia. Four main pillars of hyperglycemia control is one of them is physical exercise such as diabetes gymnastic that is physical gymnastics designed according to age physical status. Beside that there is also ernonomic gymnastic is a technique of gymnastics to maximize the burning system of uric acid, cholesterol, blood glucose, lactic acid, chrystal oxalate. This study aims to determine the effectiveness of diabetes gymnastics with ergonomic gymnastics against blood glucose levels of DM client at the clinic PERSADIA Tulungagung.

Method : Research design used is pre experimental design, with a shortcut of two pre-post groups. The populations of all clents of diabetes mellitus PERSADIA. Using Quota sampling technique with 36 respondent. Retrieval of independent variable data using SOP diabetes gymnastics and gymnastics ergonomic, variable dependent using glucotest. Then the data in the analysis using Independen t-tes. The study was conducted on Jul 2020. Result : The results obtained by the averange blood glucose level after diabetes gymnastics intervention is 259,33 mg/dl and averange blood glucose levels after the ergonomic gymnastics intervention of 231,33 mg/gl. From the statistical test results obtained there effectiveness diabetes gymnastics with ergonomic gymnastics with ergonomic gymnastics on blood glucose levels on the client DM indicated by p value 0,029while for alpha value 0,05, it means p value

< alpha then H0 is rejected.

Conclusion : Research results show diabetes gymnastics is more effetive in deteriorating blood glucose levels client DM than ergonomis gymnastics because diabetic exercise causes increased blood flow, capillary meshes are more exposed resulting in more insulin receptors that effect the decrease in blood glucose.

Correlation of Knowledge and Health Behaviour about Covid-19 Protocol of Patient’s Families at Irna Shafa, RSUI ORPEHA, Tulungagung, 2020

farida farida — 2021-12-21

Background: Covid-19 is very dangerous disease because it could be transmitted very quickly. Its transmition was 10 times faster than other infectious diseases such as tuberculosis. The purpose of this study was to analyse correlation of knowledge and health behavior about Covid-19 Protocol of Patient’s Families at Irna Shafa RSUI Orpeha Tulungagung.

Methods: Cross sectional design was used to describe the correlation. Sampel’s study was one of patient’s families at Irna Shafa RSUI Orpeha Tulungagung. Sampels size were 30 respondents who were selected by convenience sampling method. To analized the correlation, we used Spearman rho test.

Results: The results showed that respondents who had moderate level of knowledge are 17 respondents (57%), another had good (27%), and poor (16%). According to behaviours level, the most of respondents had good behavior (77%). Based on statistical tests using Spearman rho, it was obtained ρ value (0.006) with α (0.05).

Conclusions: It was concluded that there were correlation between knowledge and health behavior about Covid-19 Protocol of Patient's Family at Irna Shafa RSUI Orpeha Tulungagung. Finally, this Recomendation were to improve health education about Covid-19 Protocol in communities and communities must comply with health protocols.

The Effect Of Relaxation Techniques And Warm Compresses On Reducing Disminorore Pain In Adolescents

Nurhidayati — 2021-12-21

Background: Dysmenorrhea is defined as a symptom of recurrence or in medical terms it is called catmenial pelvic pain, is a condition in which a woman experiences pain during menstruation which has a bad effect causing disturbances in carrying out daily activities because of the pain. Dysmenorrhea pain management is divided into 2 categories, namely non-pharmacological and pharmacological approaches. The purpose of this study was to determine the effect of relaxation techniques and warm compresses on reducing dysmenorrhea pain in adolescents in Pucangan Village, Kauman District, Tulungagung.

Methods: The research design uses an experimental method (one grub pre test – post test). The research location is in Pucangan village, Kauman sub-district, Tulungagung, population of 70 members, sample of 30 respondents. Using wilcoxon signed ranks statistical test. Measurement and assessment using observation sheets.

Results: The results of observations and research found 30 respondents who experienced a decrease in dysmenorrhea pain after relaxation techniques and warm compresses were 21 respondents. The results of the Wilcoxon signed ranks test statistical test obtained p value <a or 0.000 <0.05 Then H0 is rejected and H1 is accepted, that is, there is an effect of relaxation techniques and warm compresses on reducing dysmenorrhea pain on reducing dysmenorrhea pain.

Conclusions: Based on the results above, it can be concluded that there is an effect of relaxation and compression techniques on reducing dysmenorrhea pain in adolescents in Pucangan village, Kauman sub-district, Tulungagung in 2021. Therefore, it is recommended that teenagers if they experience dysmenorrhea pain can do non-pharmacological therapy in the form of relaxation techniques and independent warm compresses. at home.

The Influence Of Education Health On The Handling Of Address The Crisis Fracture Spinaservikal In Accidents Traffic With The Methods Roleplay To Knowledge Member Of The Club A Motor

Suciati — 2021-12-21

Background: Traffic accidents are an unexpected street event involving a vehicle with other road users, occurring in a community that has many highway activities, one of which is a motorcycle club. According to RISKESDAS, 2013 accidents caused by cervical fractures are about 28 (12.96%). The further impact of spinaservical fractures is death. This is due to a lack of information and understanding of what a sporeervical fracture is and how it is treated initially. The purpose of this study was to determine the influence of health education on the knowledge of motor club members and expected members of the motor club to get the right information about the handling of sprayerviral fracture

Methods: The design of this study is One-Group Pre-post Test Design by comparing the results of pre test and post test without doing comparison with the influence imposed in other groups. This study was conducted on May 14, 2018. The population of this study were all members of motorcycle clubs using total sampling technique with a total of 40 respondents. Data collection using questionnaire sheets. Then the data is processed with Editing, Coding, Scoring and Tabulating techniques Further analyzed by wilcoxon statistic test

Results: From the result of research indicate that there is influence of health education to the knowledge of motor club members which is shown with p =0,000 < = 0,05.

Conclusions: Therefore, researchers believe that the provision of health information is very important, including members of the motor club and other related parties can work together to provide health education on the handling of cervical spine fracture to prevent preventive defects continue

Correlation of Repeat Cooking Oil Use to Increasing Cholesterol Levels in Community, Gandong Village, Bandung District, Tulungagung Regency In 2021

Surtini — 2021-12-21

Background: The use of recurrent cooking oil is very difficult to separate from people's lives, because food that is processed fried is much favored by the community. And if you use cooking oil repeatedly continuously can cause cholesterol levels to increase. The purpose of this study was to determine the relationship between the use of recurrent cooking oil to increase cholesterol levels in the community in Gandong Village, Bandung District, Tulungagung Regency in 2021.

Methods: This study uses an analytical research design with a cross sectional approach. The population is housewives in RT 02 and RT 03 / RW 02 in Gandong Village, Bandung District, Tulungagung Regency, in 2021 as many as 55 families using simple random sampling technique and obtained a sample of 35 respondents. Data was collected by observing the use of cooking oil and checking cholesterol levels and then processed by editing, coding, scoring, and tabulating, and using Pearson test with an error rate (α) of 0.05.

Results: The results of the study showed that 25 respondents (71.4%) used recurrent cooking oil. While respondents who had high cholesterol levels were 23 respondents (65.7%). There is a relationship between the use of recurrent cooking oil to increase cholesterol levels in the community in Gandong Village, Bandung District, Tulungagung Regency in 2021 with a value of ρ 0,000.

Conclusions: Repeated cooking oil contains saturated fatty acids and free radicals which can increase cholesterol levels which can eventually cause constriction of blood vessels. For this reason, it is necessary to conduct health education or counseling on the dangers of using recurrent cooking oil.

Complementary Therapy For Treatment of Post Traumatic Stress Disorder (PTSD) : A Literature Review

Fitrio Deviantony — 2021-12-21

Background: Post Traumatic Stress Disorder (PTSD) is a group of symptoms that occur when a person repeatedly relives a traumatic incident through recurring thoughts, nightmares, and flashbacks. There are various complementary therapy options for PTSD. Mind-body therapies, art, music, meditation, and yoga, have shown potential in treating PTSD symptoms. This study aims to find out what kinds of complementary therapies can be given to PTSD patients and how different effective types of therapeutic interventions are for PTSD patients.

Methods: This literature review focuses on complementary therapy and its effects for rehabilitation intervention in PTSD patients spiritual intervention by nurses with databases in the form PubMed, Willey, Proquest published in 2015-2020 using keywords: complementary therapy, post-traumatic stress disorder, PTSD. Articles obtained are analyzed descriptively

Results: The therapy Based on a review of the nine selected articles, it was discovered that complementary therapies such as yoga, art therapy, music therapy, Emotional Freedom Techniques (EFT), and others have positive effects on PTSD patients, such as improving concentration sleep, and hyperarousal. These complementary practices were also linked to positive psychological attitudes, vitality, good health, and relaxation

Conclusions: These findings suggest that complementary therapy can be an effective and convenient alternative treatment that, being used regularly, can improve participants' quality of life (QoL) and their mental and physical health.

The Relationship Of The Absence Of A Spouse With The Level Of Stress In The Elderly At The Tresna Social Service Upt Werdha Blitar In Tulungagung

Suharyoto — 2021-12-21

Background: The life of the elderly who do not have a life partner will influence social activities and the lifestyle of the elderly. Elderly people who are not ready to face old age without a life partner will not feel the satisfaction and meaning of life as expected. The purpose of the study was the relationship between the absence of spouses with stress levels in the elderly in the UPT of the Social Services of Tresna Werdha Blitar in Tulungagung in 2020. The study was conducted on 17-29 June 2020. Research correlational analytic method with cross sectional approach

Methods: The study population was all elderly in the UPT of the Social Services of Tresna Werdha Blitar in Tulungagung in 2018 with a total of 80 people. Samples were taken with a purposive sampling technique of 62 respondents. The independent variable is the absence of a spouse, the dependent variable is the stress level of the elderly. Processing data using the Spearman Rho test with the SPSS program

Results: The results of statistical tests obtained P Value = 0,000 <0,05 so that H1 was accepted, meaning that there was a relationship between the absence of a spouse with stress levels in the elderly at the UPT of the Social Service of Tresna Werdha Blitar in Tulungagung in 2020

Conclusions: Elderly people who have just left their life partners and live in nursing homes will experience stress. This condition is due to the presence of the elderly in adapting to the new environment, where the elderly usually live with a partner and now have to live in a nursing home.

Impact Of Work Posture On Musculoskeletal Disorder In Nurses

Kushariyadi — 2021-12-21

The problem of nurses in hospitalization is complaining of back pain, and stiff neck. Often nurses experience pain so that work productivity is not optimal. Ergonomics or posture errors at work cause health problems such as low back pain. During the process of providing nursing care, nurses often use non-ergonomic and constant body postures such as bending, lifting patients, moving patients, installing catheters, installing infusions and other independent actions and collaboration for a long time so that there is a risk of low back pain or back pain. The purpose of the study was to determine the impact of work posture on musculoskeletal disorders in nurses. The research design used in this study is an association research using a cross sectional approach. The research sample was 30 nurses at Jember Lung Hospital. The sampling technique uses total sampling. Using the Nordic Body Map questionnaire and the RULA (rapid upper limb assessment) method. The analysis test used Spearmen rank correlation with p <0.000. The results showed that the work posture for musculoskeletal disorders showed r value of 1.000 and p value of 0.000. That there is a very strong relationship between work posture and musculoskeletal disorders. Imperfect posture in nurses causes musculoskeletal complaints in the mild category. At work postures with medium and high categories, improvements are needed so as not to cause bigger complaints.

Swedish Foot Massage Therapy For The Treatment Of Blood Pressure And Pulse Rate In Hypertension

Mulia Hakam — 2021-12-21

Hypertension or high blood pressure is referred to as the silent killer because the symptoms that appear are often without complaints. If hypertension is not treated properly, there is a risk of cardiovascular diseases such as myocardial infarction, stroke and complications. The management of hypertension using Swedish foot massage for the treatment of blood pressure and pulse has never been done. The purpose of the study was to determine the use of Swedish foot massage for the treatment of blood pressure and pulse in hypertensive patients. The study used a quasi-experimental design with a two-group pre-post test design. The research sample was 10 people with hypertension at Baladhika Husada Hospital, Jember. The measuring instrument used a sphygmomanometer, stopwatch, stethoscope, blood pressure and pulse observation sheet, at 5 minutes before the intervention was given and 5 minutes after the intervention was given. Each respondent will be given an intervention with a duration of 15-20 minutes for 3 consecutive days. The analysis test used Wilcoxon sign rank test with p value < 0.000, and T-test dependent with p value < 0.000. The results of the Wilcoxon sign rank test in the intervention group (pretest and posttest) showed a p value = 0.008. The results of the T-test dependent on the intervention group (pretest and posttest) showed the value of p = 0.001. The difference in the decrease in blood pressure and pulse in the pretest and posttest is caused by the effect of massage therapy which has a relaxing effect and can reduce pain and provide a relaxing effect because it stimulates an increase in the production of endorphins.

The Multivariate Analysis Of Health Determinants On Compliance With Drug Drinking In Hypertension Patients At Pratama Mitra Clinic 02

Yeni Wahyu Cristina — 2021-12-21

Hypertension has a high prevalence rate in the general population, despite the wide availability of drugs, only about 25% of hypertension patients have blood pressure controlled. The purpose of this research was to analyze the effect, self-efficacy, family support and trust on medication adherence to hypertension patients at Pratama Mitra Clinic 02. The design of this research was an observational quantitative with a cross sectional approach with the focus of the research being to analyze the effect, self efficacy, family support and trust in medication adherence to hypertension patients at Pratama Mitra Clinic 02 with a population of 164 respondents and a sample of 116 respondents who were taken using the Accidental Sampling technique. The findings showed that almost half of the respondents had moderate self-efficacy as many as 47 respondents (40.5%). Almost of the respondents had sufficient family support as many as 47 respondents (40.5%). Almost half of respondents have confidence in drugs in the moderate category as many as 48 respondents (41.4%). Most of the respondents did not comply with hypertension drugs as many as 85 respondents (73.3%). Based on the results of the Multiple Linear Regression analysis, it shows that with a p-value of 0.000 <0.05, H1 is accepted, so it can be concluded that simultaneously there is an effect of self-efficacy, family support and trust on medication adherence to hypertension patients at Pratama Mitra Clinic 02 with an influence of 80.1%. Hypertensive patients can adhere to the drugs given by health workers, which drugs should be consumed until they run out according to schedule and routinely control the health facilities that were used before.

The Effect of Expressive Writing Therapy to The Stress Level on Class IX Students Ahead of The National Exam

Arif Setyawan — 2021-12-27

Background: National examination is one of the government's efforts to improve the quality of education in Indonesia. There is students having stress when facing national examinations, so that appropriate action is needed to deal with the stress experienced by students. One of them is by providing cognitive expressive writing psychotherapy. Write down thoughts and deepest events about an unpleasant event effective in reducing stress levels.

Methods: Research method using Pre Experimental, type of One Group Pre-test Post-test Design with sample class IX students who will under national examinations that meets the inclusion and exclusion criteria using Purposive Sampling technique with sample of 39 respondents and the respondent that drop out as many as 1 respondent. Research instrument using Educational Stress Scale for Adolescents (ESSA) by Jiandong Sun, et al in Indonesian Language.

Results: Expressive writing therapy is done in three sessions, each writing session is conducted for 15-20 minutes. The results of the majority of respondents experienced a change in the stress level previously in the very high category as many as 19 respondents (48.72%) to 8 respondents (20.51%). Based on the results of the Paired Sample T-Test obtained significance value 0.000 <α (0.05).

Conclusions: Expressive writing therapy can reduce the stress levels.

Vinegar Acid As Binder To Heavy Metals Lead And Cadmium In Kupang

Indasah Kabul — 2021-12-27

Kupang is nutritious food product, but on the other hand it also been contaminated by lead and Cadmium which has been endangering human being. Therefore, it is necessary to decrease the content of Lead and Cadmium in Kupang by so that it is safe to be consumed. The objective of this research is to study the use of vinegar acid to decrease the content of lead and Cadmium as much as possible of kupang (Corbula faba). From this research, it is hoped to find the best treatment to decrease the content of Lead and Cadmium of kupang. The research is True Experimental and used Completely Randomized Design with 3 treatments, namely, the addition of 5 %, 15 % and 25 % Vinegar acid and compared with controlled treatment. The data obtained from the research finding show that without treatment (control) the average content of lead is 1.281 ppm, Cadmium is 1.254 ppm. If it is related to the regulation FAO/WHO with says that the content of heavy metal allowed in food product that can be consumed by human being for lead is not more than 1 ppm and for Cadmium is not more than 0.1 ppm. Intake limit for lead based on the regulation of ADI ( Acceptable Daily Intake) is 200 - 300 µg/day, for Cadmium is 25 – 60 µg/day. Lead content in Kupang is 1.281 mg/kg , it means that Kupang allowed to be consumed by human being that is 156 - 234 gram/day. Cadmium content in kupang is 1.254 mg/kg, it means that kupang beras allowed to be consumed by human being is 19.9 – 47.8 gram/day. The results showed that with the addition of vinegar, there was a decrease in lead by 90.1 – 95.7%, and cadmium by 97.3 – 98.5%. The addition of acetic acid which is best used to reduce the heavy metal content of lead and cadmium is a concentration of 25% with .

Explore Exploratory Experiences Arising from Labor Trauma with Severe Pre-Eclampsia / Eclampsia in Public Health Center Bendo Pare Kediri District

Shinta Dyah laksana — 2021-12-27

Background: Mothers who have childbirth complications have the perception that the action taken during labor was a painful action that affects the mother's response such as resignation, fear, confusion, worry or anxiety and panic that can cause labor trauma. The purpose of this study was to explore exploratory experiences arising from labor trauma with severe pre-eclampsia / eclampsia.

Methods: The research design was phenomenological with exploratory approach. The population was all mothers who experienced labor trauma with severe pre-eclampsia / eclampsia, a sample of 3 respondents with purposive sampling technique. Data collection techniques used interviews.

Results: The results showed the process of rising from the trauma of childbirth was obtained through support, love, attention and hope from her husband and family. With support and love and hope, the mother can rise from the trauma of childbirth that has been experienced. So that the mother can sincerely accept her kofrat as a woman who really has to undergo it all.

Conclusions: Pregnant and childbirth mothers are encouraged to recognize, understand the emergence of trauma situations that can lead to postpartum depression, efforts to overcome or prevent more severe disorders that affect the relationship between mother and baby with the closest person.

Effectiveness of Tui Na Massage in Increasing Appetite Infants Aged 1-5 Years in The Work Area UPTD Puskesmas Bendo Kediri Regency

Astri Yunita — 2021-12-27

Background: Problems that often occur in toddlers were reduced appetite in toddlers that can cause growth and development disorders such as decreased endurance, sleep disturbance, impaired balance and coordination also the child becomes aggressive, impulsive and stunting. The purpose of this study was to determine the effectiveness of tui na massage in increasing appetite in infants aged years.

Methods: The design used in this study was pre-experimental with the One Group Pretest-Postest Design approach. The population of all toddlers aged 1-5 years with underweight in the Working Area of UPTD Puskesmas in Kediri Regency was 222 children. The purposive sampling technique obtained a sample of 16 respondents. This research instrument used observation.

Results: The results showed that prior to treatment it was known that most of the respondents (62.5%) had sufficient appetite whereas after being treated most of the respondents (62.5%) had a good appetite. Wilcoxon test results obtained p value = 0.001 and the level of error (a)= 0.05, so p <a, then Ho was rejected and HI was accepted, meaning tui na massage was effective in increasing appetite in toddlers aged 1-5 years.

Conclusions: Tui Na Massage is a more specific massage technique to overcome the difficulty of eating in toddlers where the more routine the tuina massage, the blood circulation to the spleen and digestion will be more smooth so that it can increase the child's appetite.

The Relationship of Exclusive Assessment with Stunting Events in Children Aged 2-5 Years in Uptd Ngadi Health Center, Kediri District

Sulistyo Dewi Wahyu Rini — 2021-12-27

Background: Stunting is a condition of the body that is short by age to exceed the SB deficit -2 below the standard median of length or height according to age. The incidence of stunting is influenced by several factors, one of which is breastfeeding. Breastfeeding less than 6 months can increase the risk of stunting in infants. Objective: To determine the relationship of exclusive breastfeeding with the incidence of stunting in children aged 2-5 years at UPTD Ngadi Health Center, Kediri District.

Methods: This study is a correlational study using the case control method. The population of this study was all mothers and children aged 2-5 years in UPTD Ngadi Health Center Kediri Regency as many as 130, the sample in this study was 30 respondents. Data analysis uses univariate analysis and bivariate analysis.

Results: The results of research on exclusive breastfeeding variables were mostly not exclusive breastfeeding as many as 17 respondents (56.7%), and the variables on the incidence of stunting were mostly not stunting as many as 17 respondents (56.7%). The analysis of this study has a p-value of 0.007 smaller than 0.05 which means there is a significant relationship between exclusive breastfeeding and the incidence of stunting in children aged 2-5 years in the working area of the Ngadi district health center.

Conclusions: There is a relationship between exclusive breastfeeding and the incidence of stunting in children aged 2-5 years. The results of this study make input for mothers to provide exclusive breastfeeding for children to avoid stunting.

Analyze Multivariate There Was a Relationship Between The Incidence of Stunting Infants Aged 2-5 Years

Endah Susanti — 2021-12-27

Background: Short toddler problems describe the existence of chronic nutritional
problems that were influenced by the condition of the mother/expectant mother,
the fetus, and infancy/toddler, included illnesses suffered during infancy and
other problems that indirectly affect. The purpose of this study was to analyze
whether there was a relationship between the incidence of stunting infants aged 2-
5 years in the Ngadi Health Center, Kediri Regency.

Methods: The research design was Case Control. The population was all children
aged 2-5 years who experienced stunting in Ngadi Health Center as many as 145,
samples of stunting and non-stunting children aged 2-5 years were 106
respondents used Simple Random sampling technique. The independent and
dependent variables were examined by questionnaire. Data analysis research
used the Logistic Regression Statistical Test.

Results: The results were obtained from several variables that the most influential
factor was LBW. Children born in LBW are 38 respondents who are stunting and
9 stunting.The results of the Multivariate Logistic Regression Statistical Test showed
that the LBW variable had a very strong influence with a p-value of 0,000 <0.05,
acceptable compared to other variables.

Conclusions: The best time to prevent stunting is during pregnancy and the first two
years of life and monitoring the growth of toddlers and implementing healthy
living behaviors.

Relationship of Free Speaking Learning Method with The Development of Language Communication to Pre-School Children in Santa Maria Kindergarten Pare Kediri

Febrina Dwi Nurcahyanti — 2021-12-27

The development of language communication was a basic component found in the development of children. The development of language involves the motorist aspects associated with listening, comprehension, and sound production. This condition has been brought child since birth. This research aims to determinate relationship of free speaking learning method with the development of language communication to pre-school children in Santa Maria Kindergarten Pare Kediri.

This research used non-experimental method. The design used in this research was correlation study with cross sectional approach. Samples in this research were kindergarten school students in Santa Maria Kindergarten Pare with 24 respondents with total sampling technique. Data were collected by recorded data from the observation sheets of free speech learning and the development of language communication.

From the result of Spearman Rho statistic test, p value = 0,026 α <0,05 and H0 was rejected, it means there was influence of free speech learning method with development of language communication. Results obtained from speech observation data (63%) experienced a correct speech improvement while from the analysis of language development data found all respondents (63%) experienced language development.

Based on the results of the study can be concluded that there is a relationship of free speech learning method with the development of language communication because in talking children using articulation, or words to convey intent. While the language is a communication tool in the child to convey thoughts, feelings and desires.

Analysis of Anxiety on the Choice of Birthing Place During Covid-19 Pandemic in Sepanjang Village, Gondanglegi District, Malang Regency

Suci Anggraeni — 2021-12-27

Anxiety and fear were at the top most frequently experienced by pregnant women before delivery. This could also be caused by concerns about the smooth delivery process related to the choice of birthing place. The purpose of this study was to determine the relationship between anxiety and the choice of birthing place during Covid-19 pandemic in Sepanjang Village, Gondanglegi District, Malang Regency. This research is a quantitative research using correlative analytic research type and the research design used is cross sectional. The population of this study were all third trimester pregnant women in Sepanjang Village who were not confirmed positive for Covid-19, as many as 30 people. The sampling technique used was total sampling, with a sample of 30 people. The data analysis technique used was Chi-Square. Respondents experienced the most anxiety in the moderate category as many as 12 people (40,0%). Most respondents chose the birthing place at BPM (Independent Practice Midwives) as many as 16 people (53,3%). There was a relationship between anxiety and the choice of birthing place during Covid-19 pandemic in Sepanjang Village, Gondanglegi District, Malang Regency (ρ-value = 0,000). Pregnant women without anxiety and with mild anxiety prefer the birthing place at BPM, while those who experience moderate and severe anxiety prefer the birthing place at Public Health Center and Hospital. The public is expected to consult with health workers regarding the anxiety experienced by health workers.

The Relationship of Environmental Sanitation and Family Attitudes with Events of Dengue Hemorrhagic Fever (DHF)

Nanang Muhibuddin — 2021-12-27

Background: Dengue Hemorrhagic Fever (DHF) is still a public health problem in Indonesia. The increase in dengue cases every year is related to poor environmental sanitation. The purpose of this study was to determine the relationship of environmental sanitation and family attitudes with the incidence of dengue in the working area of UPTD Puskesmas Bendo, Kediri Regency, 2019.

Methods: The design was correlational analytic research with cross sectional approach. The population of the entire community working area UPTD Puskesmas Bendo District of Kediri diagnosed with DHF as many as 30 families with a sample of 30 respondents taken a total sampling. The independent variable was environmental sanitation and attitude, the dependent variable was dengue collected by questionnaire and checklist and analyzed by Mc Nemar test and Linear Regression. To the p = <0.05 then H0 is rejected and p => 0.05 then H0 is accepted.

Results: Environmental sanitation with the incidence of DHF (p = 0.031). Family attitudes with the incidence of DHF (p = 0.039). Environmental sanitation and family attitudes with the incidence of DHF in the Work Area of UPTD Puskesmas Bendo, Kediri Regency in 2019 (p = 0.110).

Conclusions: It was concluded that there was a relationship between environmental sanitation and the incidence of DHF, there was a relationship between family attitudes and the incidence of DHF and there was no relationship between environmental sanitation and family attitudes with the incidence of DHF. So that people are more concerned about environmental sanitation to reduce the occurrence of dengue fever as a manifestation of the movement of one house 1 cadre of jumantik.

The Effect of Kegel Exercises on The Frequency of Urination in The Elderly in UPSTW Jombang in Pare

Rischar Beny Riswanto — 2021-12-27

Background: As we age, changes in anatomy and function of the urinary organs were caused by weakened of the pelvic floor muscles, wrong pushed habits or a decrease in the hormone estrogen at the age of 50 years and over which causes decreased puboccygeal muscle tone and urethral urinary tract muscles. The purpose of this study was to influence the exercise of Kegel exercises on the frequency of urination in the elderly.

Method: The research design was pre experimental with one group pretest - posttest design. The population was all elderly in UPSTW Jombang in Pare, Kediri regency as many as 85 elderly, a sample of 46 respondents used purposive sampling technique. The technique of collecting voided frequency data used a questionnaire. Data analysis used Wilcoxon test with the provisions of the value <a, a: 0,05.

Result: The results showed that fine motor development before being given treatment most respondents experienced an abnormal urination frequency that was as many as 27 respondents (58.7%) and after being treated almost all respondents experienced normal urination frequency that was as many as 43 respondents (93.5%). Results of data analysed of sig (2-tailed) values: 0,001.

Conclusion: Kegel exercises affect the frequency of urination in elderly people who experience urinary incontinence

Effectiveness of Gallery Walk Learning Method in The Class of Pregnant Women to The Knowledge of Pregnant Women about Pregnancy Danger Signs in The Region of Tulungrejo Village

Pramitha Sandy Ulya — 2021-12-27

Background: Pregnant women's class is one of the means for pregnant women to learn together about health during pregnancy, the active learning method is to use the gallery walk method which is a learning method that builds the activeness of learners that can stimulate and strengthen the memory of learners. This program is an integrated and systematic activity to reduce AKI and AKB.

Methods: This research was conducted in Tulungrejo Village, Pare District. This research is one group pretest-posttest design. The research population is pregnant women with a pregnancy of 20-32 weeks, a total of 31 pregnant women. Sampling technique is by using total sampling technique. All samples will be given interventions and questionnaires about the mother's knowledge of pregnancy hazard signs.

Results: The results showed significant differences in the group before intervention and after intervention of learning methods about pregnancy hazard signs, with a value of p = 0.000. This shows that the learning method of gallery walk in the class of pregnant women is effective against the knowledge of pregnant women about the dangers of pregnancy in Tulungrejo Village, Pare District.

Conclusions: The results of this study are expected to provide input for the place of health services in providing health education to pregnant women about the dangers of pregnancy to be more attractive, organized and improve the quality of service, so that pregnant women feel satisfied while pregnant and enthusiastic.

Attitudes and Knowledge about The Covid-19 Pandemic of Members of The Gbi Bukit Pengharapan Kediri Congregation

Dewi Ika Sari Hari Poernomo — 2021-12-27

The public needs to understand about the COVID-19 pandemic for a pandemic situation requires the vigilance of all parties. The knowledge that must be known by the public starts from the understanding and mode of transmission of covid-19, signs of symptoms of covid-19, management and prevention of transmission. The purpose of this discription was to determine attitudes and knowledge among members of GBI Bukit Pengharapan Kediri about COVID-19 pandemic. The design of this research is descriptive. The population in this study were all members of GBI Bukit Pengharapan Kediri. There were 32 samples for this study using consecutive sampling on members of GBI from adolescence to the elderly. The variables in this study were attitudes and knowledge about the covid-19 pandemic. Collecting data using a questionnaire, the data collected is presented in the form of a frequency distribution. The results of this study showed that more than 50% of respondents had a good attitude (59,4%) and enough (40,6%), and more than 50% of respondents had good knowledge about the Covid-19 Pandemic. The conclusion of this study is that most of the GBI Bukit Pengharapan members have good and enough attitudes and have good knowledge about the Covid-19 pandemic.

Analysis of Pregnant Women Class With Childbirth Preparation During the Pandemic Period at the Wajak Health Center Malang Regency

nur yeny hidajaturrokhmah — 2021-12-27

The low childbirth preparation of pregnant women during the Covid-19 pandemic is due to the many restrictions on almost all maternal and neonatal health services, including pregnant women class. Along with the COVID-19 pandemic, the government has implemented social distancing, physical distancing, and working from home as an effort to prevent the transmission of COVID-19, so that pregnant women classes are held on a limited basis through a virtual model.

The purpose of this study was to know the relationship between the pregnant women class and childbirth preparation during the pandemic at the Puskesmas Wajak, Malang Regency. The design of this study is a quantitative study analytic observational design with a cross-sectional approach. The population is third-trimester pregnant women with a sample of 30 respondents with a sampling technique using purposive sampling and data collection using a questionnaire. Data analysis used the statistical test of the contingency coefficient. The results showed that the implementation of the pregnant women class was mostly 19 people (63.3%) active. Most of the childbirth preparation was 16 people (53.3%) good.

The results of the analysis showed that there was a relationship between the pregnant women class and childbirth preparation in the pandemic at the Health Center Wajak, Malang Regency (p-value <0.05,). It shows that the more active pregnant women are in participating in the pregnant women class, the better the childbirth preparation. Pregnant women class is a very important activity for every pregnant woman to increase knowledge and understanding of childbirth preparation so that they are better prepared to face childbirth and prevent complications. Pregnant women class can improve childbirth preparation because there is a delivery of knowledge about physical, mental, and financial readiness so that childbirth goes smoothly and safely. It is hoped that pregnant women should actively participate in the implementation of pregnant women classes so that they can know about childbirth preparation so that they can make efforts to prevent complications during pregnancy, maternity, and postpartum.

Keywords: Pregnant women class, pandemic period, childbirth preparation.

The Effect of Progressive Muscle Relaxation Therapy of Pregnant Women's Anxiety with Gestational Hipertension in Bendo Community Health Center Kediri Regency

Dily Ekasari — 2021-12-27

Background:Anxiety as an effect of gestational hypertension in pregnant women. Every pregnant woman with gestational hypertension is usually overwhelmed by feelings of fear, worry, and anxiety especially pregnant women with pregnancy complications that increase pain, muscles become tense, and mothers become tired quickly, which can threaten the lives of mothers and fetuses. One way to reduce the anxiety of pregnant women with progressive muscle relaxation therapy The purpose of this study was to determine the Effect of Progressive Muscle Relaxation Therapy on Anxiety Pregnant Women with Gestational Hypertension.

Methods:The research design was pre experimental with one group pretest - posttest design. The population is all pregnant women with gestational hypertension in UPTD Puskesmas Bendo, Kediri Regency with 36 pregnant women, a sample of 20 respondents using purposive sampling technique.

Results:The results showed that before being given treatment from 20 respondents, almost all respondents experienced moderate anxiety, namely 19 respondents (95.0%) and after being given treatment from 20 respondents, almost all respondents experienced mild anxiety, namely as many as 17 respondents (85.0%). The results of the data analysis of the value of sig (2-tailed) p: 0.00. Data analysis using Wilcoxon test with the provisions of the value p <, :0,05.

Conclusions:Progressive muscle relaxation therapy is suitable for reducing anxiety of pregnant women with gestational hypertension. Suggestions for health center are expected to improve the quality of services provided to patients, especially in pregnant women with gestational hypertension who experience anxiety.

The Effect Of Murottal Combination Progressive Muscle Relaxation On Stress Level In The Elderly At Lks-Lu, Kasembon Village, Malang Regency

Ahmad Wasis Setyadi — 2021-12-27

Background: Stress that occurs in the elderly can decrease in ability. The purpose of this study was to analyze the effect of progressive muscle relaxation with murottal combinations on stress levels in the elderly in LKS-LU Kasembon Village, Malang Regency. Methods:We conducted pre-experimental research design using one group pretest-posttest design. The population was all elderly who had signs and symptoms of stress in LKS-LU Kasembon Village, Malang Regency with a sample of 30 elderly people using purposive sampling technique. The analysis test used a paired sample t test with a significant level of 0.05. Results: Respondents who had a moderate level of stress before treatment was 14 respondents (46.6%). After treatment, elderly who had a stress level with a mild category and no stress as many as 12 respondents (40%) each. Mean difference score level of stress experienced by the elderly before and after giving progressive muscle relaxation combination murottal was 7,933 with confidence interval was 6,709 to 9,158. Paired sample T test showed a significant ρ value 0,001 (α<0,05). Conclusions:Progressive muscle relaxation and murottal listening are effective in reducing the stress level felt by the elderly in LKS-LU Kasembon Village, Malang Regency.

Analysis of Food Diversity Consumption in Stunting Toddlers

Lia Agustin — 2021-12-27

Background: Stunting is a child malnutrition that occurs in several countries with a height value compared to the age of -2 SD. Stunting is often considered a common thing in society. This growth disorder starts from pregnancy until the child is 5 years old. Micro and macronutrient deficiency in infants is a problem that is often experienced in Indonesia. The purpose of this study was to determine the description of the consumption of food diversity in stunting toddlers.

Methods: The research method used in this study is descriptive with a cross sectional approach. The population is stunting toddlers in Bangkok village with 25 toddlers. The sampling technique is total sampling. The research variable is the consumption of food diversity in stunting toddlers. Data obtained from interviews and filling out the IDDS questionnaire. The results were processed by means of univariate analysis of each food consumption variation of stunting toddlers.

Results: The results showed. toddlers consume about 84% of cereals/tubers, 60% of eggs and 60% of fats and oils. In conclusion, 56% of stunting toddlers consumed a variety of foods based on the results of interviews and IDDS filling.

Conclusions: This study shows that stunting toddlers in Bangkok village need to increase the diversity of food types. Socialization to parents needs to be improved and supervision of children's growth and development also needs to be improved by health workers

The Attitude of Mother in Prevention Efforts Stunting In Toddlers Aged 2-3 Years In Bangkok Village, Gurah District, Kediri Regency

Betristasia Puspitasari — 2021-12-27

Background:Stunting is a chronic malnutrition problem caused by lack of nutritional intake for a long time, resulting in impaired growth in children, namely the child's height is lower or shorter (dwarf) than the standard age. Stunting not only affects cognitive but will also affect the growth and development of a country because it will result in reduced quality human resources. The purpose of this research is to find out the attitude of mothers in stunting prevention efforts in toddlers aged 2-3 years.

Methods:The research method used is descriptive with a cross sectional approach. The research population was all mothers who had toddlers aged 2-3 years in the village of Bangkok, Gurah district, Kediri regency. The research sample was all mothers who had toddlers aged 2-3 years in the village of Bangkok, Gurah district, Kediri regency as many as 72 mothers of toddlers, sampling techniques using Total Sampling. The single variable is the attitude of the mother in efforts to prevent stunting in toddlers aged 2-3 years. Data collection techniques with questionnaires. Data processing uses editing, coding, scoring and tabulating and then analyzed using the T Score.

Results:The results of the research obtained most of the respondents had a positive attitude in stunting prevention efforts as many as 40 respondents (55.56%) and who had a negative attitude in stunting prevention efforts as many as 32 respondents (44.44%).

Conclusions: Based on the results of the research, it can be concluded that most respondents have a positive attitude in stunting prevention efforts in toddlers aged 2-3 years. Although there are still negative attitudes, for that it is necessary the role of health workers in increasing the knowledge of toddler mothers about stunting and prevention through health counseling.

Developing ESP Nursing Based on CLT in STIKES RS Baptis Kediri

Yoyok Febrijanto — 2021-12-27

Background: ESP nursing materials is an important component in the success of educational programs, especially in the field of nursing. The development of English learning is now more emphasis on the authenticity of the material that is contextual activities or work involved, one of which is in nursing profession. Communicative language teaching (CLT) sets principles about the teaching of communicative competence not confined to verbal communication but also includes written communication, consists of four skills especially on ESP nursing based on nursing care (assessment, nursing diagnosis, planning(intervention & implementation, and evaluation) as the main source of objective achievement in teaching learning process.

Methods: The development method used R&D adapted from Borg and Gall's model involved 24 students, 1 expert in English education, 2 experts in nursing education, and 1 practitioner of hospital.

Results: Researchers developed materials (4 chapters) based needs analysis (students’ need and reviewing existing syllabus) with four language skills. Result of expert validation (materials evaluation based on contents, exercises, communication, and general elements) was very good (average score 3.5) and result of students’ try out to give the decision of the product quality, the average score was 3.2, it meant the materials was acceptable and eligible to be used by the nursing students as autonomous learning.

Conclusions: In conclusion, the final product can be used as a model of instructional materials to teach English nursing as ESP materials

Negative Social Stigma Impact on Nurses’ Anxiety (In The Covid-19 Pandemic Disaster)

heru suwardianto — 2021-12-27

a new psychosocial problem. In society, stigmatizing nurses can contribute to nurses' anxiety. The purpose is to analyze the social stigma impact on nurses' anxiety during the COVID-19 pandemic.

Methods: The design in this research was Cross-Sectional. The population was all nurses in the Kediri city, with a sample size of 577 respondents. The formula to get this sample size used the Slovin formula with accidental sampling. The independent variable was social stigma impact and the dependent variable was anxiety. The research instrument was the Zung self-rating anxiety scale questionnaire. Statistical test using Odd Ratio and Spearman-rho with α <0.05.

Results: The results showed that most nurses were affected by negative stigma (61.4%) in public, with 9.4% of nurses being affected by the extreme impact in public. Most of the respondents experienced mild anxiety (54.6%) and 6.6% of respondents experienced extreme anxiety. The results showed that social stigma had an effect on nurses' anxiety (ρ=0.000) with a sufficient level of correlation coefficient (0.432). The negative social stigma impact can be 6,7 times exposed anxiety from mild to extreme anxiety.

Conclusions: Social stigma can cause anxiety; it was necessary to have proper health education and information related to the COVID-19 Pandemic Disaster to change perceptions and improve stigmatization conditions in nurses.

Analysis of Factors Related to Mortality in Hemorrhagic Stroke Patients

Fidiana Kurniawati — 2021-12-27

Background : Hemorrhagic strokes have severe neurological impairment and higher mortality rates in the acute phase. The purpose of this study was to explain the relationship between body temperature, blood pressure, cholesterole and blood sugar levels, with mortality in hemorrhagic stroke patients in hospital of Baptis Kediri.

Methods : This research method was quantitative research with analytic observational research with cross sectional approach. The sample was 119 respondents from hemorrhagic stroke in January 2016 - December 2017 at hospital of Baptis Kediri. The bivariate analysis used the Chi-Square test, while the multivariate analysis used multinomial logistic regression

Results : The results showed the bivariate test of body temperature P 0,002 < = 0,05 and r = 0,588, blood pressure P 0,007 < = 0,05 and r = 0,525, cholesterol P 0,000 < = 0.05 and r = 0,614, and blood sugar P 0,000 < =0,05 and r = 0,663. The results showed that hemorrhagic stroke patients with hyperglycemia had a 2.114 times greater chance of experiencing mortality compared to ischemic stroke patients with hyperthermia, hypertension, and hypercholesterolemia.

Conclusions : The conclusion showed that a relationship between body temperature, blood pressure, cholesterol and blood sugar levels with the mortality of hemorrhagic stroke patients. Hyperglycemia is dominant factors with mortality in hemorrhagic stroke patients. Regular monitoring of body temperature, blood pressure, cholesterol and blood sugar levels can be a determinant for the next management and information for nurses regarding the worsening condition of hemorrhagic stroke patients.

The Level of Knowledge of Pregnant Women About COVID-19 Pandemic in Ngumpul District, Jogoroto, Jombang

Vivin Eka Rahmawati — 2021-12-27

Background: Corona virus spreads trought droplet transmission from person to person and contact of surface contaminated with mucous membranes. Current data suggest that pregnant women require more intensive care and mechanical ventilation compared to the normal population. Explain the research background broadly and highlight the research objective. This study aimed to description pregnant women of knowledge level about COVID-19 pandemic in Ngumpul district Jogoroto Jombang.

Methods: This was a descriptive study. A total sample of 72 pregnant women in Ngumpul District, Jogoroto, Jombang. Univariat analysis data to describe the level of knowledge of pregnant women.

Results: the result of this study indicate that the characteristics of pregnant women are mostly between the ages of 20-30 years 58 (80,55%), less than half of pregnant women are included in the 3rd trimester as much as 28 (38,89%), less than half of pregnant women as housewives 35 (48,62%), and most the last education of pregnant women is high school as mush as 57 (79,1%). The result of the frequency distribution show the level of knowledge of pregnant women about the covid-19 pandemic, namely pregnant women in the good knowledge category as much as 63 (87,5%).

Conclusion: That more than half of the respondents have good knowledge, there are still some pregnant women who have less and moderate knowledge. As a health worker to provide education this can be improved.

The Correlation of Community's Perception and Anxiety of Adverse Events Following Immunisation Covid-19 in The City District Kediri City

Erma Herdyana — 2021-12-27

The Covid-19 pandemic is now entering its second year of 2020. Based on data from WHO, in 2020 it was stated that WHO had identified 10 of the 42 COVID-19 vaccine candidates who had gone through the third clinical trial stage, While in Indonesia there are 3 types of Covid-19 vaccines. (Putri, 2020). Currently, a policy program has been issued, namely vaccination activities are carried out by the Indonesian government as an effort to have community immunity (herd immunity), especially in East Java the coverage of the Covid-19 vaccine is still low below 40%. (Kompas, 2021). This allows people to still be worried about side effects of the Covid-19 vaccin. The purpose of this study is to analyze the public's perception and anxiety of adverse events following immunisation.

This type of research is analytic with a cross sectional approach. The study was conducted in the City District, Kediri City with a sample that met the research criteria of 140 respondents using a simple random sampling technique. Contingency coefficient test was carried out with SPSS and the level of significance = 0.05.

Based on the test results obtained p value 0.000 < significance (0.05) so that the research hypothesis is accepted which means that there is a relationship between public perception and anxiety of adverse events following immunisation Covid-19 Vaccine.

Socialization activities about the Covid-19 vaccine still need to be carried out to provide understanding to the whole community.

Food Safety Analysis Based on Food Handlers at Girl Islamic Boarding School Hidayatul Mubtadia'aat Lirboyo

Panca Radono — 2021-12-27

Food is a basic human need that is used for the growth and development process. Food safety problems occur because the food product is exposed to a dirty environment, so the food becomes contaminated by substances that can harm human health. The purpose of this study was to determine food handler's behavior with the implementation of food safety in food at girl Islamic boarding school hidayatul mubtadia'aat lirboyo.

The research design used in this study was observational, using a cross-sectional approach. The population of all food handlers in Girl Islamic Boarding School Mubtadia'aat Lirboyo., by simple random sampling technique obtained a sample of 32 respondents. The independent variable in this study was the behavior of handler's food, while the dependent variable was food safety. The research instrument used a questionnaire and the results were analyzed using Spearman Rank test.

The results showed 32 respondents have less behavioral food security in the medium category, that is 16 respondents (50.0%). Results of analysis using Spearman rank test showed a p-value = 0.000 <α = 0.05 so that H0 rejected and H1 accepted meaning there is a food handler behavior with food safety in the operation of the food in Girl Islamic Boarding School Mubtadia'aat Lirboyo.

The behavior of the food handlers or managers of the most important procedures to maintain food security. Procedures maintain the cleanliness of one of them is related to the attitudes and behavior of clean. With this expected pattern of preventive measures such as sanitation managers of food handlers and handlers in islamic boarding schools.

Perception, Interest and Quality of Comprehensive Emergency Neonatal Obstetry Services Towards Patient's Satisfaction at Moh. Anwar General Hospital Sumenep District

Darmawan Eko Setyant — 2021-12-27

The perfection of a health service, on the one hand, can lead to satisfaction for every patient in accordance with the average level of satisfaction of the population, and on the other hand, the procedures for its implementation are in accordance with the code of ethics and professional service standards that have been set.. The purpose of this study is to analyzethe effect of perception, interest and quality of comprehensive emergency obstetric and neonatal care (PONEK) on patient satisfaction at General Hospital Moh. Anwar, Sumenep Regency. The design of this research is an observational quantitative research with a cross sectional approach with the focus of the research being directed at analyzingthe effect of perception, interest and quality of comprehensive emergency obstetric and neonatal care (PONEK) on patient satisfaction at General Hospital Moh. Anwar, Sumenep Regency. The total population is 141 respondents and a sample of 105 respondents is taken using the Simple Random Sampling technique.The findings show that sMost respondents have a good category perception as many as 58 respondents (55.2%). Most respondents have high interest category as many as 58 respondents (55.2%). Most of the respondents have good service quality category as many as 92 respondents (87.6%). Most respondents have satisfaction category satisfied as many as 60 respondents (57.1%). Based on the results of Multiple Linear Regression analysis shows that with a p-value of 0.000 <0.05 then H1 is accepted so it can be concluded that simultaneously there is influence perceptions, interests and quality of comprehensive emergency obstetric and neonatal care (PONEK) on patient satisfaction at General Hospital Moh. Anwar, Sumenep Regency with magnitude influence 84%. It is expected that respondents can provide constructive input and criticism so that the services provided can be in accordance with what is expected

An Analisis of Marketing Strategy by Using Internal Factors Analysis Summary (IFAS) and External Factors Analysis Summary (EFAS) for Evaluation Effort at Klinik Sinar Medika Plosoklaten

Ardi Bastian — 2021-12-27

Introduction: Klinik Sinar Medika Plosoklaten operated at 2019 and can be classified as a new clinic. The data shows that the number of annual visits has increased, the number of monthly visits has fluctuated, and inpatient visits have not met the target. Researcher assesses the need for a more in-depth analysis of the internal and external factors to find out the suitable marketing strategy that is expected to help the clinic achieve the target number of visits.
Methods:This research was conducted qualitatively through in-depth interviews with parties in the management structure of Klinik Sinar Medika to determine the internal and external factors, as well as the distribution of results into the IFAS, EFAS, and SFAS matrices in order to obtain the suitable marketing strategies.
Result: The results showed that the IFAS score is 3.82 and EFAS score is 3.87.
Discussion:Klinik Sinar Medika is good at taking advantage of its strengths and opportunities as well as responding to its weaknesses and threats. Through the results of the Strategic Factors Analysis Summary (SFAS), the researcher recommends the suitable marketing strategies.

Determinants Of Improved Nutritional Status In Toddlers With Micronutrient Consumption Patterns In Gleno Internment Center Municipality Of Ermera East Timor

Jose de Deus — 2021-12-27

Malnutrition status and moderate in toddlers is still a public health problem in East Timor good micronutrient nutrient intake is often not fulfilled in toddlers due to SocioEconomic factors of family education level and family level of Purpose : To find out the factors that affect the improvement of nutritional status in toddlers reviewed from micronutrients in East Timor Municipality Ermera Centro Internamento Gleno Method: quantitative obeservasional crossectinal with random sampling technique research sample is 100 toddlers aged 12-60 months are in East Timor municipality Ermera wilaya centro internamento Gleno data collection in the form of questionnaires to parents in the form of recall questions 24 hours and FFQ la in the contents and direct observation of the weight of toddlers and kroscek again in the status of toddlers.Results :age 12-23 months with the number of 48 and 3.6% of 100 toddlers The most predomined toddlers in this study were men 53 toddlers 40% of responde 7.5% toddlers in Centro internament gleno micronutrital intake goodnutrients in 60% in Recall 24hours mostly consume selenium sadangkan FFQ method 2-5days mostly consume iron .foster pattern 7.5% of the results analys non parameter test one sample Kolmogorov-Smirnov Z test results determine 2,905 , MPasi with formula milk and water each got 3% ,socioeconomic factors 92.5% low education level with 29% graduated high school and 28% illiterate, Compare means with case processing summary value 92, 9%. Of the 92.5% of infectious diseases the highest in my study was Diarea 39% Ispa 38% followed by pneumonia 30%.

Progressive Relaxation To Changes In Blood Pressure And Sleep Quality In Ladies Of Hypertension Patients

Soni Patriot Wira Atmanegara — 2021-12-27

Background:Hypertension is one of the leading causes of premature death worldwide. In 2020 about 1.56 billion adults will live with hypertension. Hypertension kills nearly 8 billion people every year in the world and nearly 1.5 million people annually in the East-South Asia region. One of the factors that affect blood pressure indirectly is poor sleep quality. One of the ways to deal with high blood pressure is progressive relaxation. The purpose of this study was to determine the effect of progressive relaxation on changes in blood pressure and sleep quality in elderly people with hypertension.

Methods: This study is a literature review. The literature sources are Google Scholar, Research Gate, Pubmed. Literature is obtained using keywords and Boolean operators (AND, OR NOT or AND NOT) and in accordance with the inclusion criteria so that 9 articles were obtained. The strategy used is using PICOS.

Results: Progressive muscle relaxation has a significant effect on reducing blood pressure in the elderly with hypertension. The implementation of progressive muscle relaxation has an effect on improving the quality of sleep in the elderly.

Conclusion: Progressive muscle relaxation can affect changes in blood pressure and improve sleep quality in elderly people with hypertension. It is hoped that medical personnel will also use progressive muscle relaxation techniques in addition to taking drugs.

Health Education on Knowledge of The Prevention of Covid-19 Transmission in The Church Community

Aries Wahyuningsih — 2021-12-27

Background: The coronavirus pandemic (Covid 19) had an impact on the global health crisis, including in Indonesia. The Covid-19 virus can be transmitted directly through cough droplets and the breath of an infected person which is then inhaled by a healthy person. Prevention efforts through health education are needed to increase knowledge about preventing covid 19 through the 3M health protocol (wear masks, wash hands, keep your distance). The purpose of this study was to analyze the effect of health education on public knowledge about preventing the transmission of Covid 19. Methods: The research method was pre-experimental, with one group pre-test and post-test design. The sampling technique was purposive sampling with a sample size of 30 people. The independent variable is knowledge and the dependent variable is health education. Results: The results showed that the knowledge of church members before being given health education was sufficient (47%) and less (20%). Knowledge after being given health education is good (93%) and (7%) sufficient. The average value of knowledge before being given health education is 2.13 and after being given health education 2.93. There is a significant difference between knowledge before and after the Covid-19 prevention health education is carried out. with a p-value of 0.00 Conclusion: Health education is effective in increasing the knowledge of church members about preventing COVID 19 by implementing 3M health protocols (wearing masks, washing hands, maintaining distance) and doing it properly.

The Effect of Counseling on Prevention Covid 19 Using the Video Call Whatsapp Application on Compliance with the Use of Masks at Families in Kandangan Village

Junianto Fitriyadi — 2021-12-28

Background:Anticipating an increase in the spread and number of infections, the public is encouraged to adopt a healthy lifestyle according to health protocols during the covid 19 pandemic. The phenomenon of knowledge about the use of masks in the community at the time of implementing Emergency PPKM level 3 in the Kediri Regency area has less knowledge and so some have more who do not wear masks. The purpose of the study was to analyze the effect of counseling on preventing the transmission of covid 19 using the video call whatsapp application on the compliance with the use of masks at families in Kandangan Village.

Methods: This research method is in the form of pre-experimental design with one group pretest - posttest design. The research population is all family members who live in Kandangan Hamlet with a sample of 30 respondents who have experience using the WhatsApp video call application. The sampling technique of this study used purposive sampling. The variable of this research is compliance with the use of masks with the instrument using a questionnaire. Analysis of the effect using the paired sample t test with a significance value α of 0,05.

Results: The results showed that almost all respondents after being given counseling on preventing covid 19 using whatsapp video calls did not comply with using masks as many as 24 respondents (80%), while after being given counseling on preventing covid 19 using video calls whatsapp almost all respondents obeyed using masks as many as 28 respondents ( 86.7%). Analysis of the effect of counseling on prevention of covid 19 before and after using the whatsapp video call application on compliance with the use of masks in families with the results of the paired sample t test -value 0,000 < α 0,05, meaning that there is an effect of providing counseling on prevention of civid 19 using the video call whatsapp application on compliance use masks for families in Kandangan Village.

Conclusions: The video call whatsapp application feature as an online learning medium is very efficient for increasing family understanding to prevent the transmission of covid 19 in the community, so that people obey to apply the use of masks in carrying out activities and interacting in their surrounding environment.

The Disruptions of Maternal Health Care Service Utilization during Covid-19 Pandemic

Susiani Endarwati — 2021-12-28

Background: The novel coronavirus (COVID-19), has both direct and indirect effects on key health services in multiple parts of the world, potentially leading to increased morbidity and death at various levels. Despite concerted global attempts to contain the pandemic, the virus is spreading in several countries. As a result, the extent of interruption to a variety of maternal health care services was measured in this study.

Methods: We used the data from the Institute for Health Metrics and Evaluation (IHME) 2020. The COVID-19 Health Services Disruption Survey 2020 was a series of surveys designed to examine the amount of disruption to a variety of health services caused by the COVID-19 worldwide pandemic. The cross-sectional individual data among 76 countries were smartphone-based Premise data-collecting technology. This study involved 667 respondents, who were pregnant or had given birth during the previous 6 months at the time of the survey (July 2020). The variables analyzed descriptively included times ANC planned and attempted, type of health facility visited during birth delivery, birth attendants, services the newborn received following the delivery.

Results: Of 667 respondents, 50.54% were at the age of 16-25, 45.13% graduated from college, and live in the city center or metropolitan area (39.28%). 17.54% didn't attend the ANC, thus the ANC4 coverage was 9.75%. The closure of a health facility and a lack of funds were two major reasons they did not attend ANC (65.169.68%) respectively). Hospitals were the top among facility-based delivery and 70.48% of them were attended by doctors.

Conclusion: ANC coverage was impacted by the Covid-19 pandemic due to the health facility closure, economic disruption, and transportation unavailability

Relationship of Nurse Motivation Factors With Discharge Planning Implementation During COVID-19 In the Inpatient Unit of RSKM

indah mukarromah — 2021-12-29

Background: Discharge planning (DP) is part of the nurse's duty to make patients independent when they return home in taking care of themselves after treatment and improving the quality of patient health. That’s implementation has not been optimal, resulting in patients will experience medication errors and are likely to be re-treated within 30 days after leaving the hospital (Family Care Giver Alliance, 2010). During the Covid-19 pandemic, 8 out of 10 inpatient unit nurses at the RSKM have not done DP and 2 other nurses have not filled in according to standard operating procedures due to lack of willingness and focus on handling complaints cases and also length of treatment. The aim was to analyze the relationship between nurses' motivation and the implementation of DP in RSKM.

Methods: The research design is cross sectional in the inpatient unit of RSKM used a total sampling technique of 43 respondents. The instruments are a nurse motivation questionnaire and a check list the implementation of DP in the medical record document of patients who will go home (RSKM Medical Record Document, 2021) and it used Spearmen Rank (α ≤ 0.05).

Results: Most of the nurses (46.5%) have good motivation due to more than ten years of service, but the implementation of DP is less (53.5%). The P-value is 0.005 with a correlation coefficient -.425, means that there is a significant relationship between the motivation of nurses and the implementation of DP with a moderate degree of relationship and a negative relationship direction.

Conclusions: During the COVID-19 pandemic, several nurses were confirmed positive and some nurses were reassigned to the Covid-19 isolation unit, so the nurse ratio was reduced impact on fatigue and decrease performance related to deficient DP implementation

The Difference Between Giving Breast Milk and Complementary Foods to Breats Milk with Nutritional Status in Infants Aged 6-24 Months in The Puskesmas Pare Working Area

Silfia Sekar AMES — 2021-12-29

Background: Breast milk guarantees the baby's nutritional status to be good, because it contains immunity and complete nutrition for babies according to their needs. After the baby is more than 6v months old, the baby needs additional food intake that can be obtained in breast milk companion food while still giving breast milk until the age of 24 months. The purpose of the difference between giving breast milk and complementary foods to breats milk with nutritional status in infants aged 6-24 months in the puskesmas pare working area.

Methods: This study uses a correlational analytical method (cross sectional). The population of this study were all mothers who had babies age 6-24 months in the Puskesmas Pare working area. With a total sample of 30 responden, divided into 15 responden to group giving breast milk (ASI) and 15 responden to group giving complementary foods to breats milk (MP-ASI). The sampling technique uses quota sampling with analysis test is spearman rho and paired sample t-test with a significant level of 0,05.

Results: The results of this study that of the 15 respondent to breast feeding mostly had nutritional status in infants with the criteria of malnutrition as many as 9 respondents (60%), while from 15 respondents the provision of MP-ASI mostly had nutritional status in infants with the criteria good nutrition as many as 10 respondents (66,7%). Analysis : The analysis of this study has a sig (2-tailed) value of 0,089, so p > a, so analysis results there is no difference between the provison of breast milk and complementary food of breast milk with nutritional status in infants aged 6-24 months in Puskesmas Pare.

Conclusions: The family must be more careful in understanding the nutritional needs of infants with a combination of nutrients that the body needs that are in accordance with the stages of development and nutritional needs of infants aged 6-24 months.