Jurnal Ilmu Kesehatan Dharmas Indonesia

Coping Strategies for Mothers with Diabetes who are Pregnant and Give Birth to Large Babies (Macrosomia)

Rita Setyani Hadi Sukirno — Tue, 31 Dec 2024 00:00:00 +0700

Mothers with diabetes have a risk of giving birth to macrosomic babies and they are vulnerable to experiencing pressure or stress. In stressful conditions, a person needs a way to deal with the stress they face, which is known as a stress coping strategy. This study aims to describe the coping strategies used by mothers with diabetes from pregnancy to giving birth to macrosomic babies. This research method is a case study of an informant (Mrs. L) who gave birth to a baby with a birth weight of 4.8 kg and was treated in the NICU because of experiencing seizures. The data collection method for this research is semi-structured interviews. The main question of this research is how to describe the stress coping strategies of mothers with diabetes who are pregnant and give birth to macrosomic babies. The results of this research can illustrate the stress coping strategies of mothers with diabetes in facing various challenges ranging from accepting their pregnancy to accompanying macrosomic babies who need medical care. The emotional-focused coping and religious coping strategies used by the informants are more to manage emotions as a form of surrender and hope for God’s help. However, the informant also used problem-focused coping strategies while monitoring the health of herself and the unborn baby by routinely checking her pregnancy. Another form of problem-focused coping is that when the baby was being treated in the NICU, the informant tried to ensure that the macrosomia baby got the right medical care.

Effect of Laughter Therapy on Blood Pressure Reduction in Elderly with Hypertension

Poniyem, Luri Mekeama, Nurlinawati Nurlinawati — Tue, 31 Dec 2024 00:00:00 +0700

Managing hypertension in older adults involves not only medication but also non-pharmacological approaches to support effective blood pressure management. One alternative approach that has gained attention is laughter therapy. Laughter is known to have relaxing effects, improve blood circulation, and reduce stress hormones, all of which contribute to lowering blood pressure. This study aims to investigate the effect of laughter therapy on blood pressure reduction in elderly individuals with hypertension at the Tresna Werdha Budi Luhur Social Home in Jambi Province. The research employs a Quasi-Experimental Pre and Post Test Control Group Design, involving 32 respondents divided into two groups (treatment and control), with sessions conducted three times a week for one month. Data were collected using observation sheets and standard operating procedures (SOP) for laughter therapy through total sampling. The results show a significant difference in blood pressure before and after laughter therapy in the treatment group, with a p-value of 0.002 (p-value < 0.005) according to the Wilcoxon test. The conclusion of this study indicates that laughter therapy significantly lowers blood pressure in elderly individuals with hypertension. Therefore, this therapy is effective as a non-pharmacological care approach for hypertensive patients, especially the elderly.

Application of Massage Effleurage in The Elderly (Mrs. N) with Gastritis Pain in The Working Area of Putri Ayu Health Center, Jambi City

esasuryaaulia aulia, Luri Mekeama, Kamariyah Kamariyah, Indah Mawarti — Tue, 31 Dec 2024 00:00:00 +0700

The incidence of gastritis at the Putri Ayu Health Center occupies the seventh position out of the ten most non-communicable diseases with 1,260 cases (4.25%). Based on an initial survey at the Putri Ayu Health Center on May 27, 2024-June 7, 23 elderly people over the age of ≥ 60 years suffered from gastritis. One of the non-pharmacological pain treatments that can be done is massage effleurage. This case study aims to provide nursing care to the elderly (Mrs. N) with gastritis pain through massage effleurage in the Working Area of the Putri Ayu Health Center, Jambi City. The method used in this study is a case report. The innovation made by the researcher is the provision of massage effleurage to reduce the level of pain in Mrs. N in the work area of the Putri Ayu Health Center, Jambi City. The instruments used are the Numeric Rating Scale (NRS) and the standard operating procedure (SOP) for massage effleurage. Nursing care will be provided on June 3-8, 2024. After being given 5 meetings with massage effleurage, Mrs. N experienced a decrease in the pain scale from moderate pain (scale 5) to mild pain (scale 1). Non-pharmacological therapy massage effleurage is effective in lowering pain levels and this therapy can be applied independently or with the help of others in people with gastritis. Future research should be able to analyze cases using 2 or more patients that can be used as comparison materials to obtain more optimal results.

The Relationship between Excellent Service and Patient Satisfaction at the Depati Payung Inpatient Installation, Mayjen H.A Thalib General Hospital, Sungai Penuh in 2024

Riris Friandi, Emitrafariona Emitrafariona, Dian Eka Putri — Tue, 31 Dec 2024 00:00:00 +0700

Based on Eurostat Statistics Explained in 2021, France recorded the highest discharge rate for all inpatients (41,100 per 100,000 population for inpatients) among EU member countries. Excellent service is oriented towards patient satisfaction, so health workers must provide optimal service. Excellent service in primary health care aims to provide satisfaction to the public for public services. Trust being formed among the community certainly provides benefits for primary health services. This research aims to determine the relationship between excellent service and patient satisfaction. This type of research is quantitative and analytical with a cross-sectional study approach. The sampling technique used in this research was the random sampling technique. The population in this study was all 228 patients treated at the Depati Payung Inpatient Installation in 2024 from January to February with a sample of 70 respondents. The results showed that more than half of the 38 (54.3%) respondents with excellent service were not good, and more than half of the 37 (52.9%) respondents with patient satisfaction were less satisfied with the results of the statistical test (Chi-Square) obtained by a p-value of 0.034. The research conclusion shows a relationship between excellent service and patient satisfaction. The researchers' suggestions from the research results can be applied in daily nursing practice, such as providing excellent service so that patients will be satisfied with the services provided by nurses.

Factors Associated with Blood Sugar Levels in Patients with Diabetes Mellitus at Puskesmas USA, Bone Regency

Kistan Kistan, Muhammad Basri, Megawati Sibulo — Tue, 31 Dec 2024 00:00:00 +0700

Diabetes Mellitus is characterized by high blood sugar levels. Puskesmas USA is one of the health centers located in Bone Regency, where in 2021, around 71 patients sought treatment with high blood sugar levels and were diagnosed with Diabetes Mellitus. The aim of this study is to determine the relationship between gender, occupation, stress level, and sleep duration with blood sugar levels in Diabetes Mellitus patients at Puskesmas USA, Bone Regency. This research uses an analytic survey method with a cross-sectional study design. The sample size for this study was 53 samples. The results of the analysis using the chi-square test in SPSS 21 showed that there is a significant relationship between gender (p value = 0.04), stress level (p value = 0.002), and sleep duration (p value = 0.004) with blood sugar levels in Diabetes Mellitus patients. However, no relationship was found between occupation (p value = 0.744) and blood sugar levels in Diabetes Mellitus patients. In conclusion, being female, having high stress levels, and inadequate sleep duration all contribute to increased blood sugar levels, thereby increasing the risk of Diabetes Mellitus. These findings emphasize the importance of lifestyle management and regular check-ups to prevent further complications. It is recommended to implement a screening program for the local community with a high risk of Diabetes Mellitus for early detection and prevention, including education on the risks of diabetes and the importance of regular health check-ups.

The Influence of Bullying Prevention Education on Bullying Attitudes and Behaviors of Grade VII Students at SMPN 1 Padang Laweh, Dharmasraya Regency in 2024

Ika Margi Ningsih, Erma Erfiana, Costarin Enopadria — Tue, 31 Dec 2024 00:00:00 +0700

According to Programmer for International Student Assessment (PISA) in 2023, Indonesia is ranked 5th in terms of bullying cases in the world out of 78 countries surveyed, where 42% of 15-year-old students in Indonesia become victims of bullying within 1 month. Based on the Indonesian Child Protection Commission (KPAI) 2023, it is stated that 236 cases of physical and psychological violence occurred. This research aims to determine the effect of bullying prevention education on students' attitudes and behavior. This research uses a Pre-Experimental research type using a design (One group pre-post test), research time 06 June 2024 at SMPN 1 Padang Laweh with a population of 60 students with a total sampling technique. Based on univariate analysis, it was found that the majority, namely 39 respondents (65%), had a positive attitude, and almost half, namely 28 respondents (46.7%) had low bullying behavior before being given bullying prevention education. Based on the Wilcoxon test, the results of the research on the influence of bullying prevention education on students' attitudes showed a P-value = 0.683>0.05. It could be concluded that bullying prevention education had no effect on students' bullying attitudes. Based on the results of the Paired Sample T-Test, it was found that the P-Value = 0.000 < 0.05, it can be concluded that there is an influence of bullying prevention education on student behavior. It is hoped that students will be able to understand and always apply attitudes and behavior to prevent bullying at school and in everyday life.

Application of Hypnobirthing Therapy to Reduce Anxiety Levels and Sleep Pattern Disorders in Third Trimester Pregnant Women in the Working Area of the Putri Ayu Health Center, Jambi City

Eva Daya Nababan, Muthia Mutmainnah — Tue, 31 Dec 2024 00:00:00 +0700

Anxiety often appears in the third trimester of pregnancy. Pregnant women may feel anxious about their baby's and their own life, worry that the baby will be born prematurely or abnormally, and fear the pain and physical dangers of childbirth. These anxieties often lead to sleep difficulties. Hypnobirthing therapy is an alternative complementary therapy that can help pregnant women feel more comfortable and relaxed. The objective of the research is to determine the effects of Hypnobirthing therapy in reducing anxiety and sleep disturbances in third-trimester pregnant women in the Putri Ayu Health Center, Jambi City. The method involves applying Hypnobirthing therapy to these women. The results show that after three days of Hypnobirthing relaxation therapy, anxiety levels decreased, as evidenced by the reduction in the Perinatal Anxiety Screening Scale (PASS) score from 23 (moderate anxiety) before the intervention to 8 (mild anxiety) after the intervention. Additionally, sleep pattern disturbances were resolved. The conclusion is that Hypnobirthing therapy is effective in reducing anxiety levels and sleep disturbances in third-trimester pregnant women. It is recommended that health workers apply Hypnobirthing therapy to help manage anxiety and sleep issues in pregnant women.

Giving Young Coconut Water to Reduce Blood Pressure in Elderly Mrs. R with Hypertension in the Working Area of the Putri Ayu Health Center, Jambi City

Mutiara Prasani, Luri Mekeama — Tue, 31 Dec 2024 00:00:00 +0700

Background: In 2023, people aged 65-74 years (62.21%) will be found to suffer from hypertension. Putri Ayu Community Health Center in May 2024 there were 210 cases of elderly hypertension. Uncontrolled hypertension causes complications and even death. One innovation to lower blood pressure is giving young coconut water. Objective: To find out the nursing care of Mrs. R by providing young coconut water to reduce pressure in the working area of the Putri Ayu Health Center, Jambi City. Methods: The method used in this research is a case report. Researchers provided nursing care to one elderly person, namely Mrs. R who suffers from hypertension. The innovation carried out by researchers was giving young coconut water to lower blood pressure. Blood pressure measurements are carried out using a stethoscope and a blood pressure monitor using an observation sheet. Researchers also used Standard Operating Procedure (SOP) guidelines for administering young coconut water. Nursing care will be provided on June 8-12, 2024. Results: Blood pressure on the first day before administration was 170/100 mmHg, and after administration for 3 days it was 145/85 mmHg. Conclusion: Giving young coconut water can reduce blood pressure in hypertensive patients. The community health center is expected to remain active in providing direction and education regarding the importance of maintaining stable blood pressure.

The Influence of Health Education on Adolescents' Knowledge and Attitudes about Sexual Violence at SMP N 2 Sitiung, Dharmasraya in 2024

Elvina Deviyanti, Reni Fitria, Costarin Enopadria — Tue, 31 Dec 2024 00:00:00 +0700

In 2023, there were 19,593 cases of sexual violence against adolescents in Indonesia, with 9,047 victims aged 13-17 years, according to SIMFONI-PPA West Sumatra. The purpose of this study was to determine the effect of health education on adolescent knowledge and attitudes about sexual violence. This research method is pre-experimental. The population is 169 students. The research sample is 63 people. Sampling using purposive sampling technique. Statistical tests using the Wilcoxon test. A total of 32 respondents (50.8%) had sufficient knowledge before receiving Health Education. A total of 60 respondents (95.2%) had sufficient knowledge after receiving Health Education. There is an effect of Health Education on adolescent knowledge and attitudes about sexual violence at SMPN 2 Sitiung with a P value = 0.000. The school should form a special team of teachers and students in preventing sexual violence at school.