Procceeding the 4th International Nursing Conference
Proceeding the 4th International Nursing Conference: life cycle approach for successful aging: Ahmad Zainuri Hall University of Muhammadiyah Jember, September 7, 2019. ISBN: 978-602-6988-78-2
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
WHAT FACTORS ARE SUPPORTING BREASFEEDING OF WORKING MOTHERS: LITERATURE REVIEW AS APPROACH
BACKGROUND: Breastfeeding is one of the natural and important way to provide food for baby. It also has role to support the physical and emotional development between mothers and baby. Nowadays, coverage numbers of breastfeeding is low. The objective of this study is to understanding determinant factors to encourage breastfeeding of working mothers. METHODE : This study was literature review. Searching literatur on online database consist of Medline, Pubmed, Science Direct and Cochrane. Inclusion criteria such as literature in english, both qualitative and quantitative research, literature published after 31 December 2005 until 31 December 2017. Article appraisal used Form Crowe Critical Appraisal Tool (CCAT). Based on the findings of the analysis of 21 literature. RESULTS AND DISCUSSION : There are several factors that can influence mother working to breastfeed. Factors supporting: high incomes, high education, mature age, marital status, multiparity, low of psychosocial distress, broad knowledge, support from workplace, existing facilities at the workplace, part-time work, co-workers and supervisor to provide time to pumped breast milk, suggestions and appeals from health workers, also policy in workplace. Obstacle factor to breastfeeding for working mother such as tightly work schedule and unflexible, full-time work, mother did not understood about breasfeeding policy, low economy status, lack of support and facility for breastfeeding, vacation regulation, lack of support and attention of health workers, infant condition (premature or illness) and exposured advertisement of formula.
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NUTRITIONAL STATUS AND SOCIAIZATION ABILITY IN CHILDREN WITH AUTISTIC DISORDER
ABSTRACT BACKGROUND : Autism is a pervasive development disorder that affects abilities in social interaction, communication and behavior. The disorder is seen before a three year old child. Children with autistic disorders have behavioral disorders called autistic behavior. Autistic behavior is classified into two types, namely excessive behavior and deficit behavior.The purpose of this study was to determine the relationship between nutritional status and socialization ability in autistic children. SUBJECT AND METHODE : This study is a correlation study conducted with a cross sectional approach. The population in this study were 35 autistic children in SLB Bintoro. The instrument used was a questionnaire on the nutritional status of autistic children to assess nutritional status, and a Social Skills training (SST) sheet to assess the socialization skills of autistic children. Data analysis was carried out by using the Spearman Rho correlation statistical test. RESULTS : The results showed that the results of the study using the Sperman RHO test for nutritional status on the socialization abilities of autistic children showed that a significant value of p = 0.000 because the value of p <0.05, there was a significant relationship between nutritional status and the ability to disseminate information on autistic children shows a very strong relationship. DISCUSSION : Nutrition status is one factor that greatly affects the socialization capabilities of autistic children.
A DIFFERENCE BETWEEN THE EFFECT OF TRANSFEMORAL PROSTHESIS USE AND AXILLARY CRUTCHES TOWARD THE QUALITY OF LIFE
ABSTRACT BACKGROUND: Quality of Life (QOL) is an individual perception of their position in life. Some factors that affected a person’s QOL may be physical condition. Related with this factor, amputation is a form of physical change that has a negative effect on physical, psychological and social life. One way to overcome is rehabilitation program. The program aims to improving mobility and re-integration to community. The aims of this study were to determine the effect of prosthesis and axillary use toward QOL. SUBJECTS AND METHODS: This study was Quasi-Experiment with two-group only by post- test design. Forty individuals with lower limb amputation that using transfemoral prosthesis and axillary crutch in PT Kuspito Prosthetic Orthotic participated in this study. QOL was then measured using the WHOQOL-BREF. The data was analyzed by using descriptive statistics and Mann-Whitney test. RESULTS: Prosthesis users overall QOL and health scores were 3.8824 and axillary crutch users scores were 3.8696 and 3.9130. Prosthesis users scored significantly higher on all QOL domains. Statistically, there were differences in QOL domains of prosthesis and axillary crutch users, with score in physical health (p = 0.018), psychological (p = 0.017), social relationship (p = 0.026) and environment (p = 0.003). CONCLUSION: There are differences in the quality of life in the environmental domain between groups using transfemoral prosthesis and axillary crutches. In the environmental domain, the use of transfemoral prosthesis is more influential in improving the quality of life.
AN EXTRAORDINARY SCHOOL TEACHER EXPERIENCE IN OVERCOMING GROWTH AND DEVELOPMENT OF CHILDREN WITH SPECIAL NEEDS
ABSTRACT BACKGROUND : Children with special needs are children who in the proccess of growth or development experience abnormalities or deviations so as to require special treatment. SUBJECT AND METHODE : This is qualitative study conduct with phenomeological approach. The participants were all teacher in Extraordinary Middle School in Waingapu. The data was obtained by structured interview and analyzed and presented in narrative form towards themes, sub themes, and categories found. This study was conduct to describe teacher’s experience in overcoming the growth and development of childrena with special needs. RESULTS : The themes obtained in this study were “the role of the teacher” and “the source of obstacles”. The theme of the teacher’s role sonsist of two subthemes, namely the teacher’s role as an educator and the teacher’s role as a motivator. The source of obstacle themes consist of 2 subthemes, namely students and teachers. CONCLUSION : The role of the teacher as a motivator has been carried out in the form of of support, praise and reward but not doing touch. The results of research sources of obstacles from students are the limitations both physically and psychologically. Barriers from the teacher are lack of experience and feeling feel difficult and discouraged in dealing with students.
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THE CORRELATIONSHIP BETWEEN SELF EFFICACY AND COMPLIANCE OF LOW SALT DIET IN THE ELDERLY WITH HYPERTENSION IN WORKING AREA OF JELBUK HEALTH CENTRE
BACKGROUND : Self-efficacy is an individual's belief in his ability to organize and perform the specific tasks required to get results as expected. Compliance is the extent to which a person's behavior is committed to a therapeutic regimen that has been agreed with a health care provider. The purpose of this study was to determine the correlation of self efficacy with low salt diit adherence in elderly hypertension in Jelbuk District Jember Working Area. SUBJECT AND METHODE : This research use correlation research design with cross sectional approach. The population in this study were 746 elderly with hypertension, with purposive sampling technique and proportional sampling with inclusion criteria and exclusion criteria were obtained as many as 149. RESULTS : The result of hypertension elderly with high self efficacy was 85.2%, low self efficacy 14.8%. Low salt with obedient 75.8%, low salt diit adherence with non-adherence 24.2%, self efficacy in good category and obdient in low-salt diit equal to 86,6%, whereas self efficacy less with low salt diit compliance in adherence category 13,6% using Chi Square analysis obtained p value 0.000 which means H1 accepted which means there is a relationship of self efficacy with low salt diit compliance. CONCLUSION : In conclusion there is a relationship of self efficacy with adherence of low salt diit in elderly hypertension In Work Area Puskesmas Jelbuk Jember regency. It is expected that elderly increase self efficacy so that they coul run in low-salt diit.
ANALYSIS OF FACTORS RELATED TO THE ABILTY TO PERFORMING SELF CARE IN PATIENTS WITH AUDITORY HALLUCINATION IN WORKING AREA OF UPTD KARANGANYAR HEALTH CENTER GANDUSARY SUB-DISTRICT TRENGGALEK REGENCY
ABSTRACT BACKGROUND : Auditory hallucination in inability of individual to differ internal stimuli (mind) and external stimuli (the outside world). Patient with hallucination are giving perception or opiniion about the environment without any object or real stimulus so it will affect their ability to fulfill their needs, including the need of self care. There are some factors related to their ability to performing self care. This study is conduct to analyze factors that related to the ability of performing self care in patients with auditory hallucination in working area of UPTD Karanganyar Health Center. SUBJECT AND METHODE : It is an observational study conducted with cross sectional approach involving 20 patients taken by total sampling. The variables were observe by using cheklist. This study were conduct at 13 May to 13 June 2019. The independent variables were factors related to ability of patients with auditory hallucination while the dependent variables were ability to performing self care. The correlation between these two variables were analyzed using Spearman Rank and continges coefficient with α 5%. RESULTS : Statistical analysis show that factors which has no relation to the ability to performing self care in patients with hallucinationa are including age, education, gender, living with falmily, marital status, duration of suffered mental disorder, history of being hospitalized and medical history. While factors related to the ability to performing self care are including occupation (p- value 0.012) and regularity of having medication (p-value 0.004). DISCUSSION : The patients were recommed to stay active to work and having medication regularly so that they could control the hallucination that affect the ability to performing self care. Family and health practitioners should support the patients so they will have motivation to performing self care.
SELF MANAGEMENT EXPERIENCE ON PATIENTS WITH HYPERTENSION IN PANGGANG II COMMUNITY HEALTH CENTERS GUNUNGKIDUL DISTRICT
BACKGROUND : Hypertension is a non-communicable disease that causes the highest death in the world. It is said hypertension if systolic pressure is ≥140 mmHg or more and diastolic 90 mmHg or more. National hypertension prevalence in the results of Basic Health Research (Riskesdas) in 2013 based on the results of blood pressure measurements by medical personnel reached 25.8%. Self-management activities, especially in patients with hypertension can certainly affect the possibility of complications and the degree of health of these patients. This study aims to find a picture related to the Self Management Experience in Patients with Hypertension. SUBJECT AND METHODES : This study uses a qualitative descriptive approach with in-depth interviews, participant observation and documentation. Data analysis in this study used qualitative content analysis to interpret the description of data obtained from all interviews conducted with participants regarding self management experiences in patients with hypertension. RESULTS : The results showed 4 main themes which were further described by researchers in the results of this study. The 5 themes are: 1) dietary patterns at home; 2) exercise routine; 3) antihypertensive drug therapy; 4) obstacles in controlling blood pressure; 5) source of support. DISCUSSION : With this research it is hoped that the prolanis program manager can design health education programs for hypertensive patients routinely and continuously in every event created, so as to increase patient awareness in carrying out proper self-care management
THE LEVEL PREPAREDNESS HEAD OF FAMILY FOR FACING THE EARTHQUAKE DISASTER SUB-DISTRICT IMOGIRI AND JETIS IN BANTUL DISTRICT
BACKGROUND : Indonesia is one of the countries in the world that is vulnerable to various natural disasters. Indonesia is located at the confluence of three main plates of the earth, the Eurasian Plate, the Indo-Australian Plate and the Pacific Plate. One of the disasters that occurred in Indonesia was an earthquake, Yogyakarta is an area prone to experiencing earthquakes more precisely in Bantul district. In 2006 the earthquake in Yogyakarta claimed more than 6500 lives and property losses. The main factor in the emergence of many victims due to disaster is due to lack of knowledge about disasters and lack of preparedness in anticipating the disaster. The purpose of this study was to measure the preparedness of the head of the family for the earthquake disaster in Imogiri and Jetis sub-districts of Bantul Regency. SUBJECT AND METHODE : This type of research is in the form of quantitative descriptive by describing data that has been collected without intending to make conclusions that do not apply to the public. The number of samples is 192 head familys. Sampling of research using acidental sampling for the selection of male head family respondents. The instruments used were LIPI and UNESCO in 2006. RESULTS : The results of research on the level of disaster preparedness in the majority Imogiri districts in the ready category (65-79) were 93 respondents (96.9%), while the jetis sub-district included in the ready category (65-79) 95 respondents (99%). There is no difference in the level of preparedness between the imogiri and the jetis sub-district with a sig value of 0.313. CONCLUSION : Suggestions from this research are to improve disaster preparedness by conducting training and simulations from the government, BPBD or involving health education institutions
SEXUAL FUNCTION OF Ca MAMMAE PATIENTS WHOM UNDERGOING CHEMOTHERAPY
BACKGROUND : Ca mamae is one of the first rank in cancer case every year. One of the treatment for Ca mamae is chemotherapy which has an effect of losing interest in sexuality. The purpose of this study was to identify sexual function problems of Ca Mamae patients whom undergoing chemotherapy. SUBJECT AND METHODE : This is descriptive conducted with cross sectional research design through survey. The sample in this study were 31 respondents and sampling method with purposive sampling. Measurement in this study used FSFI questionnaire, to identify components of sexual desire, sexual arousal, lubrication, orgasm, satisfaction and pain. Data analyzed used SPSS program. RESULTS : The results of this study found that 2 (6.4%) respondents in normal sexual satisfaction and 29 (93.5%) respondents with sexual impaired function. CONCLUSION : The conclusion of this study is the incidence of sexual function disorders in patients with Ca mamae still being majority case.
INSTRUMENT DEVELOPMENT OF MANPOWER (M1) NURSING MANAGEMENT BASED ON PROFESSIONAL NURSING CARE METHODS AND JCI ACCREDITATION
BACKGROUND : Planning in nursing management is based on the results of the assessment from information about the patient, nursing staff, administration, nursing care models and documentation systems. Nursing students at the nursing management profession stage have an important role in studying the condition of nursing management. A valid and reliable assessment instrument is needed to be able to describe the conditions of work in managing nursing management. The aim of this study is to develop an instrument of manpower (M1) in nursing management based on professional nursing care methods and JCI accreditation. SUBJECT AND METHODE : The research design combines a qualitative and quantitative approach (mix method) consisting of 2 phase. The population in this study were all nurses (76) at Amelia Hospital. The sample in this study was 20 nurses with purposive sampling technique. The first phase researchers set up the instrument and conduct Small Group Discussions with the head of nursing, the head of the room, and nurses. Phase 2 analyzes the validity and reliability test of the instrument and SGD phase 2 for the delivery of research recommendations. RESULTS : The results of the validity test show that the Manpower Assessment Instrument (M1) of nursing management has an average r count> r table (0.643> 0.423), and the reliability test result was 0.820. The Manpower (M1) assessment instrument was declared valid and reliable. The Manpower (M1) assessment instrument of nursing management examined the human resources that manage a nursing practice space. DISCUSSION : With this assessment instrument, the head of the room or the manager of nursing can manage his human resources so as to create a conducive work environment so that the main goal of improving the quality of nursing services can be achieved
THE EFFECTIVENESS OF KANGAROO MOTHER CARE (KMC) TECHNICAL TRAINING IN THE GROUP OF HOUSWIFES ON THE ABILITY TO IMPLEMENT KMC IN CARING FOR LOW BIRTH WEIGHT BABIES AT HOME
ABSTRACT BACKGROUND: Low birth weight (LBW) babies are babies weighing less than 2500 grams and they are including to baby at risk due to an immature organ system and lack of body fat reserve. Common problems include respiratory dystress syndrome (RDS), dysfunction of immunological system, gastrointestinal system, central nervous systems and temperature problems. Related to te risk of maladaptive temperature LBW infants has a serious risk of hypothermia. Kanggoro Mother Care (KMC) is known as one of LBW baby care strategy in preventing hypothermia at home. SUBJECT AND METHODE : This study is conduct to analyzed the effectiveness of KMC technical training in the group of housewife on ability to implement KMC for LBW babies at home. This is pre-experimental research involving 12 respondents or housewife who having a LBC babiesin Sumbersari taken by purposive sampling. The data was colledted using ibtervention of KMC Technicque adn likerst scale. RESULTS: the result study show that the average pre test score was 66.25 and score for post test are 80.42. The effectivity tof KMC technical training was analyzed by using paired T – test and show p value of 0,0000. DISCUSSION : KMC technical training is effective on ability to implement KMC in caring for LBW babies at home. The recommendation of this study are suggested taht housewife use the KMC methode at home in helping LBW infants adapt to extra uterine temperature changes.
THE GERMAS INFLUENCE OF GYMN BRAIN COMBINATION EXERCISE ON THE STRESS LEVEL OF XI ADOLESCENT STUDENTS IN SMK 17 PARE
BACKGROUND : Stress is an inevitable part of everyone's life. Stress in school adolescents can result in decreased learning achievement. Therefore, it is necessary to do therapy, one of which is a combination of Germas stretching and brain exercise. This study aims to determine and prove the effect of Germas Exercise Combination Brain Gymn on the Stress Levels of Adolescent in Class XI SMK 17 Pare. SUBJECT AND METHODE : Quasi Experiment research design, the number of samples of 40 adolescents using purposive sampling techniques, uses a stress sclae measurement tool of DASS 42 modification. RESULTS: Almost all (90%) of respondents' stress conditions before the intervention were in the mild stress criteria, whereas after the intervention, the majority were obtained (55%) with mild stress criteria. Statistical test results with the Wilcoxon signed rank test (p-value = 0.003), means that there is an effect of Germas Exercise Combination Brain Gymn. DISCUSSION : Stress is characterized by signs and symptoms of feeling difficult to relax, pessimistic, easily offended. Germas Exercise Combination Brain Gymn can cause the pituitary gland to stimulate the hypothalamus so that the endorphins are raised and the cortisol hormone decreases which makes the feeling relaxed and happy so that the stress decreases. Germas Exercise Combination Brain Gymn can be an alternative solution as an innovative and applicative effort to reduce stress levels that can be done easily and independently.
STUNTING OCCURENCE HANDLING EFFECTIVENESS IN REDUCING STUNTING PREVALENCE IN BOJONEGORO
BACKGROUND : Indonesia is currently facing nutritional problems which seriously affect its human resource. One of the main issues is the high rate of short toddlers (stunting). According to Sustainable Development Goals (SDGs), all kinds of malnutrition, including stunting, must be overcome. This research aimed to reveal driving factors that affect stunting prevalence in Bojonegoro and programmes carried out to handle stunting in the region. SUBJECT AND METHODE : This study uses phenomenology as its design and retrospective as its time approach. Meanwhile, the subjects observed are main informant and supporting informant related to stunting handling programme. The writers also functioned as the main instruments of the study by using triangulation, including in depth interviews and documentation, as the data collecting technique. RESULTS: The study results show that stunting prevalence is affected by the decreasing rate of exclusive breastfeeding between 2016 and 2017. The Public Health Bureau of Bojonegoro has made some efforts to accelerate the prevalence reduction by prioritising nursery room provision in offices and stunting audit programme as included in PESTA GITA (Toddlers Nutritional Level Improvement) programme. DISCUSSION: However, there are several obstacles in its implementation, and they are expected to be fixed soon by creating cross-sector collaboration. Furthermore, organised programmes are expected to be benchmarks and recommendations to be carried out consistently and continuously
EFFECT OF HEALTH COACHING BASED ON HEALTH BELIEF MODEL THEORY TO PHYSICAL ACTIVITY IN ELDERLY WITH HYPERTENSION
BACKGROUND : Most people with hypertension assume that consumption drugs can control their blood pressure. In fact, lifestyle factor such as physical activity contribute to the burden of account for substantial morbidity, mortality, and rising in hypertension, highlighly the much for prevention afford to curb public health epidemic. Health coaching was one way for the nurse to improve motivation and patient’s beliefs concerning their disease so that they would show good compliance behavior. Objective of this study was to analyze the effect of health coaching toward physical activity. SUBJECT AND METHODE : This study used quasy experiment design with pre-post test control group design. Sample collection technique was by purposive sampling. The amount of sample was 26 person for each group. There were two variables, the dependent and independent variables, the dependent variable was physical activity and the independent variable was health coaching. The location in the work Pandanwangi Public Health Center and the time was April 4th – June 7th , 2019. Statistic analysis used Wilcoxon Signed Rank Test and Mann Whitney. RESULTS : Health coaching has effect toward physical activities. Difference test in treatment group using Wilcoxon obtain p value 0,025, while differece test with Mann Whitney obtain p value 0,000. DISCUSSION : There is physical activity differences between treatment and control group. furthermore, physical activity as a management of hypertension. It is expected hypertension patients should be always doing physical activity that has been recommended.
THE EFFECT OF BOOKLET EDUCATION ABOUT CHILDREN NUTRITION NEEDS TOWARD KNOWLEDGE OF MOTHER WITH STUNTING CHILDREN IN PUNDONG PRIMARY HEALTH CENTER WORK AREA BANTUL YOGYAKARTA
BACKGROUND : Stunting defined as chronic malnutrition during infancy, that cause height-for-age z score (HAZ) <-2 SD. Children with stunting, has been related to poor cognitive function in late childhood motoric ability, productivity and increasing the risk of degenerative desease in the future. Nutritional problem in children associated with some related factor, one of the factor is lack of knowledge about children nutrition needs. One of the Indonesian governance preventive action on increasing the mother with stunted children knowledge about nutrition needs is a health promotion. This study was aimed to examine the effect of booklet education about children nutrition needs toward knowledge of mother with stunted children. SUBJECT AND METHODE : Quasi-experimental with non equivalent control group with pretest and posttest was used, 90 mother with stunted children was recruited with simple random sampling. Wilcoxon and Mann Whitney analysis was performed. RESULTS : Based on Wilcoxon test results obtained mother knowledge was significantly increased (p < 0.05) after the intervention, from 29 (64%) was categorized as fair knowledge, increased to 34 (75.6%) categorized as good knowledge after the intervention. Mann Whitney test results showed that mother knowledge improvement in intervention and control group was significantly different (p < 0.05). DISCUSSION : there is an influence of booklet education on the knowledge of mothers of toddlers with stunting
PATH ANALYSIS OF FACTORS AFFECTING BULLYING BEHAVIOR IN SCHOOL AGE CHILDREN IN SMPN 1 RAMBIPUJI JEMBER
BACKGROUND : Bullying that is often found in school-age children can have an impact both physically and psychologically on the lives of children in school and the stages of child development. The impact of bullying for children can last a lifetime, both for victims and bullying perpetrators themselves. Many factors contribute to the emergence of bullying behavior in the school environment. However, these factors were never identified by the school to determine the appropriate intervention in overcoming the problem of bullying in children at school. Nurses can act as early case finding through activities to identify factors that can influence the emergence of bullying in schools to be able to determine the handling and prevention of bullying behavior in schools. The purpose of this study was to analyze the factors that influence bullying behavior in school-age children. SUBJECT AND METHODE :The design of this study used the explanatory research design of the cross-sectional survey with a sample of 74 respondents. RESULTS : The results showed that (1) biopsychological factors had a significant effect on bullying behavior; (2) cognitive factors had a significant influence on bullying behavior; (3) social factors had a significant effect on bullying behavior. DISCUSSION : Pathway analysis of factors affecting bullying by considering biopsychological, cognitive and social factors is adequate for nurses to predict in identifying the causes of bullying behavior in school-age children.
NUTRITIONAL STATUS AND QUALITY OF LIFE OF PEOPLE WITH DIABETES MELLITUS TYPE 2
BACKGROUND: Diabetes mellitus is a kind of metabolic disease characterized by increasing of blood glucose related to insulin resistence. Controlling the risk factor has prooven to be effective in controlling the pathophysiolgy of the disease. In the other hand, diabetes mellitus has an effect in quality of life. The purpose of this research are to find out the correlational relationship between the nutritional status and quality of life of people with diabetes mellitus. SUBJECT AND METHODE : Its’a acorrelational research conducted by cross sectional approach. The population are people with diabetes who came to Holistic Care clinic at December – Februari 2019 counted 100 people. There are 30 respondents taken by simple randim sampling. The data taken using a questionnaire Revised Diabetes Quality of Life (Revised DqoL). Then the data analysed by using by statistical analysis using Spearman correlational test. RESULT : It show that the mean of respondent’s body mass index as nutritional status were 32,606 which mean that the respondents has ideal body weight. Then the mean of DQoL show 3,66 means that respondent has good quality of life. Statistical analysis show p value 0,587 means that there are no significant correlational between nutritional status and quality of life people with diabetes mellitus. DISCUSSION : Psychological and social aspect has bigger part in forming quality of life in people with diabetes.
LEVEL OF ANXIETY AND INCIDENCE OF HYPERTENSION IN ELDERLY AT GAPURANA VILLAGE TALANGO SUMENEP
BACKGROUND : Hypertension is one of the most common diseases in developing countries such Indonesia. Some researcher said hypertension happens if after several measurements, the blood pressure value remained high, with systolic blood pressure ≥ 140 mmHg and diastolic blood pressure ≥ 90 mmHg. Elderly people who have hypertension are at the big risk of experiencing anxiety compared to elderly people who don’t have hypertension. The purpose of this study was to determine the relationship between anxiety levels and the incidence of hypertension on the elderly in Gapurana Village, Talango, Sumenep. SUBJECT AND METHODE : Method of this research is Cross Sectional approach. The population in this study were all elderly who suffer from hypertension as many as 56 people and the sample of this study was elderly who suffer from hypertension with a total of 36 people, with the sampling technique using purposive sampling. The independent variable in this study is the levels of anxiety while the dependent variable is the incidence of hypertension on the elderly. RESULTS : The results of the study between the levels of anxiety and the incidence of hypertension on the elderly showed that most of the elderly experienced mild anxiety are 20 people (55.5%) and most of the elderly suffered stage 1 of hypertension are 20 people (55.5%). The results of statistical tests using the Spearman Test obtained ρ value = 0,000 (ρ <5 0.05), so Hₒ was rejected and Hı was accepted, which that means there was a relationship between anxiety levels and the incidence of hypertension on the elderly in Gapurana Village, Talango. DISCUSSION : Therefore, the elderly who suffer from hypertension and experience anxiety, should be more responsive in controlling hypertension by maintaining a healthy lifestyle and also interacting with the surrounding environment so that they do not always feel anxious about their condition about health problems.
CORRELATIONAL OF MOTHER’S KNOWLEDGE ABOUT NUTRITION WITH NUTRITIONAL STATUS AND DEVELOPMENT OF CHILDREN IN THE APPLE PUBLIC HEALTH IN JAMBEARJO VILLAGE, TAJINAN SUB-DISTRICT, MALANG
BACKGROUND : Children are the population groups that show very rapid growth that requires high nutrients in every kilogram of their body. To get the proper nutrition needed a knowledge in terms of selection, and providing nutritional balanced menu (Devi, 2012) The purpose of research to determine the relationship between mother knowledge about nutrition and nutritional status and the level of early childhood development. SUBJECT AND METHODE :The study design was correlational, Its population is mothers who have children in the village of Apple Integrated Health Post of Jambearjo numbered 89 mothers, samples were taken by purposive sampling technique, totaling 58 people. Research variables include; mother’s knowledge about nutrition, nutritional status and level of development. The research instrument used a questionnaire, KPSP, anthropometric measurements with a Z-Score table. Data were analyzed using univariate and bivariate analysis using spearmen rho test with a significance level of 95%. RESULTS : Based on the analysis of Spearman Rho test was obtained p Value 0.000 <0.05 then H1 accepted meaning there is a relationship between knowledge and nutritional status and the level of early childhood development. Value cooficient correlation with nutritional status .590 knowledge, knowledge with the development .515 DISCUSSION : Based on the results above, it should be cadres of Apple public health and public health center of workers provide health information, coaching, food availability and nutrition simultaneously to the mothers and developmental delays with the provision of PMT, stimulation of early childhood development and monitoring and early detection of growth and development of infants.
SELF EFFICACY, POSTURAL BALANCE AND FALL RISK ON ELDERLY IN UPT PSTW JEMBER
BACKGROUND : Self efficacy is a cognitive control system which affect someone’s believe to do an activity in a special condition. This research conduct to find out the relationship between self efficacy and postural balance with fall risk in elderly. SUBJECT AND METHODE : It’s a correlational research with cross sectional approach that followed by 40 elderly as the respondents. The respondents taken by simple random sampling from total number of 120 elderly in nursing home of Jember Social Ministry. The data taken by using Falls Efficacy Scale (FES) to measure self efficacy, Timed Up and Go Test to measure postural balance and Tinetti Balance and Gait scale to measure the fall risk of the elderly. Then the data are analysed using Spearman Correlation Analysis. RESULTS: The results show p value of correlation between self efficacy and fall risk as 0,067 which means there is no correlation between those two variable. In the other hand, the p value of correlation between postural balance and fall risk of elderly are 0,0341 which means there is correlation between those two variables. CONCLUSION: The inconsistency of self efficacy and physical performance could happen when there is ambiguity of task or environment or when someone has little information to learn a new ability. But, postural balance is require to support someone’s ability to move and to function independently.
EFFECTIVENESS OF BREATHING RELAXATION TO RELIEVE ANXIETY IN ELDERLY AT UPT PSTW BONDOWOSO
BACKGROUND : Human aging process undergoes a change toward physical and mental dependence. Complaints that accompany the aging process become a sign of disease, usually accompanied by feelings of anxiety. Anxiety also arises in certain situations such as public speaking, high job pressures, facing exams. Anxiety disorders arise when the anxiety lasts a long time, changes in behavior, or the occurrenceof changes in body metabolism. This study is conducted to determine the effectiveness of breathinf relaxation to reduce anxiety in elderly. SUBJECT AND METHODE : This is a quasy experimental research conducted with two groups pre test and post test design. This study incolving 43 respondents divided into control group for 20 resondents and the rest become the experimental group. The data collected using questionnaire and alayze by using Man Whitney test. RESULTS : Based on the results of the research before the breathing relaxation in the mean score in the experimental group was 2.35 and in the control group was 2.2. While after breathing relaxation in mean value in experiment group is 2.70 and in control group is 2.70 Then obtained result p value: 0.000 <α 0.05 concluded H1 accepted, meaning there is influence of deep breath relaxation DISCUSSION : Based on the research results, deep breath relaxation can be used as an alternative to lower anxiety levels
ROLE TRANSITION APPLICATION OF PARENTHOOD IN ADOLESCENT
BACKGROUND : role transtition is a role changing process to become a parents in adolescents, and it is common to occur due to early marriage aor married by accident. New role as a parents need a good preparation since this changes need certain periode of time. But when an adolescents faced those situation due to their sexual behavior they will face role transition spontaneously and not ready in all aspect, phisically and psychologically. This transition will lead into role insufficiency as a parents. This stydy is conduct to analyze the role application of parenthood in adolescent. SUBJECT AND METHODE : This is a qualitative study with thematic analysis. This study including 5 participants and 5 respondents for triangulation taken by purposive sampling. The participants is mother who is married by accidents with a minimum of 6 months parenting experience. The research was conduct in 6 month. RESULTS : This study found several themes, including difficulty in adaptating as a parents, changing habits, new forms of experience, form of support. CONCLUSION : based on the results of this study, the experience of adolescent as parents is expected to improve their awareness and their involvement with their child through the interaction of inherent meaning so that role supplementatio ncan be fulfilled to produce a healthy role transition to feel conected, interact, have a situation, develop self confidence and coping.
COMMUNITY EMPOWERMENT IN REDUCING ENVIRONMENTAL POLLUTION THROUGH PROCESSING OF TERASI (DRIED SHRIMP PASTE) WASTE INTO ORGANIC LIQUID FERTILIZER
BACKGROUND : Community empowerment is a systematic action and involves various formal and informal organizational components in the community. Community empowerment must be based on the assumption, that the community is the owner of the authority that determines the needs and strategies to achieve those needs. SUBJECT AND METHODE : The KKN-PPM (Kuliah Kerja Nyata-Pembelajaran Pemberdayaan Masyarakat) activity involves the entire community to reduce pollution from dried shrimp paste by processing it into fertilizer which can improve the welfare of the Puger Kulon community. The manufacturing process of liquid organic fertilizer using the method of fermentation technology by bio activators/decomposer agents Effective Microorganism 4 (EM4) which aims to accelerate the formation of liquid fertilizer from dried shrimp paste waste. RESULTS : Providing alternative solutions to reduce pollution of dried shrimp paste by processing it into fertilizer that can improve the welfare of the Puger Kulon community. CONCLUSION : This program is able to reduce the impact of environmental pollution by processing dried shrimp paste waste into an organic liquid fertilizer that both can be produced by the community itself and used to support natural greening program.
FAMILY SUPPORT AND RECURRENCE OF HYPERETENSION IN ELDERLY IN GONDORUSO VILLAGE PASIRIAN LUMAJANG
ABSTRACT BACKGROUND : hypertension is one of common disease in elderly. Family support is require to prevent the recurence of hypertension in elderly. This study is conduct to determine correlationship between family support and the recurence of hypertension in elderly. SUBJECT AND METHODE : this study is a descriptive correlational study conduct with cross sectional approach involving 40 elderly taken from 198 elderly in Gondoruso Village. The respondents are taken by puposive sampling. The data the analyzed using Spearman Rank statistical analysis with α 0.05. RESULT : Spearman rank analysis test show p value of 0.01 less than α 0.05. Meaning that there is significant correlationship between family support and the recurence of hypertension in elderly. DISCUSSION : support and encouragement from family is essential for elderly in forming a coping mechanism to overcome stress felt by the elderly. So that family need to involve in treatment of hypertension in eldelry since it play important roles in depress the recurence of disease in elderly.
COMMUNITY KNOWLEDGE LEVEL ABOUT THE UTILIZATION OF INTEGRATED COACHING POS OF NONCOMUNICBALE DISEASE (POSBINDU PTM) WITH THE PREVALENCE OF NONCOMMUNICABLE DISEASE AT AGE 15 – 59 IN WORKING AREA OF WONOSOBO HEALTH CENTER IN SRONO BANYUWANGI 2018
BACKGROUND : Integrated coaching pos of noncommunicable disease(POSBINDU PTM) is a form of services that involves community participation through promotive preventive effort to early detection and control of the non communicable disease risk factors. This study is conduct to determine the correlation of community knowledge level about the utilization of POSBINDU PTM with the incidence of non communicable disease at the age of 15 – 59 years in the working area of Wonosodo Health Centre, Srono, Banyuwangi SUBEJCT AND METHODE : the study was conducted with a cross sectional design using a quantitative approach. This study involving 100 respondents age 15 – 59 years old taken by proprotional random sampling. The data collected by using a questionnaire. RESULTS : statistical analysis using chi square show that 67 (67%) respondents has good kowledge and prevalence of noncommunicable disease is accounted in 25 respondents (25%). P value counted at 0.000 smaller than α 0.05 which is significantly positive between knowledge level and the utilization of Posbindu PTM. It means that there are significant correlationship between knowledge level about Posbindu PTM with the prevalence of non communicable disease. DISCUSSION : the conclution of the study stated that sufficient knowledge about the utilization of Posbindu PTM services could decreasing the prevalence of non communicable disease.
SELECTION OF POST LABOR CONTRASEPTION IN SUCI VILLAGE PANTI JEMBER
BACKGROUND: family planning (KB) is one of the efforts made to prevent pregnancy, both traditionally and modernly which aims to improve the welfare of mother and her child and realize the nirms of small, happy and prosperous familirs that are the basis for the realizaton of a prospeorus society through birth control and control population growth. Post delivery is a transition period to determine contraception. The space between pregnancy and childbirth is important for the health of the mother and child. It is a resting phase in waiting for the recovery phase. This study aims to determine the description of postpartum contraceptive choice and background of the selection. SUBJECT AND METHODE : this study is a descriptive explorative study involving 33 mother who has baby aged 6 months old in Posyandu in Suci Village. RESULT : the age of most respondents is the age of healthy reproduction that is 20 – 35 old; most respondents are graduated from elementary school and senior high school and their activity is become a housewife; most of respondents are multiparous; all respondents choose injection contraception since it is easy and practice to use. DISCUSSION : selection of injectional contraceprtion by all respondents is a reproductive right of women that must be respected. Easy and practical injection applications an a long period of time that is 3 months make respondents choose injection contraception compared to other contraceptives.
SOCIAL ECONOMY AND POSYANDU SERVICES IN DESA KALIANYAR, BONDOWOSO DISTRICT AS VILLAGE WITHOUT STUNTING
ABSTRACT BACKGROUND : Stunting has the highest prevalence compared to malnutrition, lack of nutrition, and fat. Stunting is identified characteristic of a child’s length or height. Stunting is a nutritional problem that affects human resources. Stunting can happen dur to many factors as posyandu services and socio economic. This study is conduct to determine the socioeconomic characteristics and posyandu services in Kalianyar village where there are no cases of stunting. SUBJECT AND METHODE : This reseach used GIAN questionnaire through the East Java Provincial Health Office to collection the data. The subject were 15 mothers from Kalianyar Village selected by data of posyandu. The result of thid study showed that the important things to prevent stunting were water sources, mother's education, visits to the posyandu and the need to pay attention to posyandu services. RESULTS : (93.3%) had taken their children to go to Posyandu and there were 6.7% of subjects who had never taken their children to go to Posyandu, 73,3% subject familiar with emo-demo and 26,7% never knew about emo-demo. Almost (66,7%) subjectattend in emo-demo activity and 33,3% never attend in emo demo. CONCLUSION : Some things that can be considered to prevent stunting, are water sources, mother's education, visits to the posyandu and the need to pay attention to posyandu services
PARENTAL NUTRITIONAL KNOWLEDGE AND NUTRITIONAL STATUS OF PRE SCHOOL CHILDREN (3 -5 YEARS OLD)
BACKGROUND : Parental nutritional knowledge will form an attitude towards children nutritional status. Good knowledge are expected to improve the nutitional intake of the children so that they could grow and develope as their aged. The preleminary study through interwiew obtained that there are still mothers who still do not understand about the right nutrition for chikdren accordance with children’a age. This tudy conducted to determine the correlationship between parental nutritional knowledge and nutritional status of pre school children. SUBJECT AND METHODE : This study is a correlational study conducted with cross sectional approach, this study involving 40 respondents who is taken by proprosional random sampling from 60 population. The data collected by using a quistoinnaire and anayze using correlation test. RESULTS : Analysis using Chi Square test show p value 0.001 < α 0.05 means that there are significant correlationship betwen parental nutrition knowledge and nutritional status of pre school children. CONCLUSION : Parental attention about nutritionplays an important roles in creating qualyfied generation in the future. children nutritional status will determine with child’s intelligence.
SELF EFFICACY ADOLESCENTS IN PREVENTION OF RISKY BEHAVIOR OF DRUG ABUSE IN BALUNG JUNIOR HIGH SCHOOL
BACKGROUND : Drug abuse is a problem that must be solved because it is related to the future of the nation in this case is teenagers. Prevention of drug abuse can be done from within adolescents through increasing self-efficacy (self-confidence) to take preventive drug abuse measures. This study aims to identify adolescent self-efficacy in the prevention of drug abuse in Balung Junior High School. SUBJECT AND METHODE : This research is a descriptive analytic study with 77 samples. RESULTS : Result of this research found self efficacy variable the majority showed high self efficacy by 42 respondents (54.4%) and others showed moderate self efficacy by 45.5%. In risk behavior, it is found that there are mostly risk behaviors among respondents, namely 64 respondents (83.1%) and only 13 respondents (16.9%) who are not at risk. CONCLUSION : Recommendation of this study To the parties involved in this case are the family, school, health workers, government, law enforcement and other parties there needs to be an increase in the socialization of increasing understanding of youth in preventing drug abuse
EFFECTIVENESS OF PARENTING EDUCATION TOWARDS PARENTS ROLE IN GROWTH AND DEVELOPMENT OF PRE SCHOOL CHILDREN
BACKGROUND : the importance of early education in children has come to the attention of the government. If at that age the child’s brain does not get maximum stimulation then all child development both physically and mentally will not develop optimally. Care has the aim to encourage the growth and development of children, both physical and psychological, parenting is also a process of interaction that is carried out continously between parents and children. The process of care cannot be separated from the influence of culture where the child is raised. Parents has important role which is begin since their child is in the womb untill they die to nurture their children. Profile of Banyuwangi District Health Service explain that there are 2.9% or 457 out of 15,762 ore school age children who experienced speech and language disorders. The purpose of this study was to determine the effect of providing parenting education on the development of pre school age children in PAUD 05 Klaibaru Cluster. SUBJECT AND METHODE : this study is quasy experimental design conducted with pretest – post test group approach. The data anayzed by using chi square and wilcoxon sign rank test to determine the differences before and after treatment for both control group and experimental group. RESULT : the result show obtained from chi square test show p value of 0.05 which mean that parenting has significant effect toward independency and emotional regulation skill to pre school children. Although when compared between pre and post results is not too different. CONCLUSION : Parenting is a reflection of parent in caring for, raising, caring for and educating children directly so that children become independent in learning.
NUTRITIONAL SURVEILLANCE FOR STUNTING AMONG CHILDREN UNDER FIVE YEARS OLD IN JEMBER DISTRICT
BACKGROUND : Stunting is a nutritional problem in children, where the child has a significantly shorter body compared to the average age of the child. Stunting affects an individual’s educational and wage-earning potential and can even affect the next generation of children. The aim of the study was undertaken to assess the risk factors associated with stunting among children under five years old in jember district. SUBJECT AND METHODE: this study was descriptive survey in the working area of Sukowono Public Health Center. A total of 249 children were selected for nutritional assessment in terms of stunting using the new World Health Organization growth standards. RESULTS : Hierarchical logistic regression was used to examine the risk factors for adverse nutritional status. Hierarchical logistic regression analysis showed that the risk factors for stunted children were duration of exclusive breastfeeding (<6 months), low birthweight, and pregnancy anaemia. These results indicate that malnutrition especially stunting is still a major public health problem among children under five years old. CONCLUSION: The government should implement appropriate nutritional intervention strategies to help reduce the prevalence and risk factors of stunting in children.
TREND OF TYPE 2 DIABETES MELLITUS DATA STUDY (2015 – 2019)
BACKGROUND : Diabetes mellitus (DM) is degenerative disease and non communicable disease which need the right treatment. DM is a condition which is the blood glucose is increase above the normal or called hyperglicemia. The prevalence of DM tend to increase in Indonesia until 2030. Inadequate treatment will lead to serious complication. DM is the biggest thread for human health. Tendency to increase is correlate with change of lifestyle and urbanisation. SUBJECT AND METHODE : This study is using reference from previous journals and publications and then analyse using decriptive analysis. RESULTS : the results from journal description reveal that there were several factors, which is the enabiling and risk factors of DM including age, gender, obesity, lack of activity, unhealthy life style, prevention using HbA1C which is not optimal, not optimal medication and not making good use of existing facilities. CONCLUSION : the treatment and prevention of diabetes mellitus are needed good collaboration from the patients itself, family and health care team including physician, nurse and dieitician.