Journal of Vocational Nursing

COVER OKTOBER 2024

JOVIN COVER — 2024-10-31

COVER

TABLE OF CONTENT OKTOBER 2024

JOVIN TABLE OF CONTENT — 2024-10-31

TABLE OF CONTENT VOL 5 NO 2 OKTOBER 2024

IDENTIFICATION OF CHARACTERISTICS OF SCHIZOPHRENIA PATIENTS IN MENTAL HOSPITAL

Rindayati Rindayati — 2024-10-31

Introduction: Schizophrenia is a group of disorders characterized by hallucinations, delusions, changes in thought flow, affect, and agitation. This disease attacks people of various ages, genders, and educational and economic levels. The purpose of this study is to identify the characteristics of patients with schizophrenia in mental hospitals. Methods: This quantitative research used a descriptive approach, with a sample of 319 patients. Data was taken using a purposive sampling technique, the data source was from the medical records of the Menur Mental Hospital, Surabaya in January-March 2023. Variables, namely the characteristics of schizophrenia patients, include age, gender, education, employment, and marital status. Data analysis uses quantitative description. Results: The average age of patients is 25-44 years with a mean value (2.78), the largest age is 25-44 years (37.6%), 3-4 years (20.1%), a small percentage is >65 years (4.4 %), there were more men (63.3%) than women, the majority, 77.1%, did not work, the majority of patients had a high school or equivalent education (36.7%), and 68% were not married. Conclusions: Characteristics of schizophrenic patients, most of them are adults, men, not working, lower middle school education, and not married. Identification of important characteristics is used as basic information in early patient treatment.

THE EFFECT OF BOOKLET MEDIA HEALTH EDUCATION ON MOTHERS’ KNOWLEDGE ABOUT PICKY EATERS OF PRESCHOOL CHILDREN

Ajeng Salsabila Putri Kirana — 2024-10-31

Introduction: Picky eating is a behavior that is difficult to eat in children with a strong tendency to be picky about food, consuming less varied food, limiting intake of certain foods, both familiar and new types of food to try. Good maternal knowledge is needed to be able to deal with picky eater behavior in children appropriately and prevent the picky eater problem from getting worse. Lack of knowledge causes limited information as a reference for action. Health education about picky eaters is carried out as an effort to increase mothers' knowledge about picky eaters. Carrying out health education using booklet media will help receive information about picky eaters more optimally. This research aims to analyze the effect of booklet media health education on mothers' knowledge about picky eaters in preschool children. Methods: This research design uses pre-experimental with one group pre-test and post-test. Using total sampling with a population of 40 respondents. The data collection method uses a questionnaire with 20 question items whose validity and reliability have been tested. The questionnaire is suitable to be used to measure mothers' knowledge about picky eaters in preschool children. Results: The results of the research using the Wilcoxon test obtained sig (0.000) <0.05) which means there is an influence on mothers' knowledge about picky eaters before and after health education. Conclusions: Booklet media health education has a significant effect on mothers' level of knowledge about picky eaters in preschool children.

THE RELATIONSHIP BETWEEN GADGET ADDICTION AND INTEREST IN STUDYING AND SLEEP QUALITY IN SCHOOL CHILDREN

Aries Chandra Ananditha — 2024-10-31

Introduction: Excessive use of gadgets in children can lead to addiction and the bad impact can influence students' interest in studying and sleep quality because students will experience dependence and explore more of the other applications of gadgets. This research aims to analyze the relationship between gadget addiction interest in learning and sleep quality in school children. Methods: The research method is quantitative and uses a cross-sectional approach. The sample of this study was 83 children in 6th-grade elementary school at SD Muhammadiyah 21. Gadget addiction was measured with a modified questionnaire consisting of 30 favorable items, which were then altered and tried out into 21 questions, consisting of 14 favorable items and 7 unfavorable items with a Cronbach's alpha reliability test result of 0.880. Interest in learning is measured with a questionnaire consisting of 4 answer items and sleep quality is measured with a sleep quality questionnaire (SQQ). Research data analysis used the Spearman rho correlation test. Results: There is a relationship between gadget addiction and interest in learning (p=0.000; (r) = 0.902) and there is a relationship between gadget addiction and sleep quality (p=0.000; (r) = 0.843).Conclusions: So, it can be concluded that there is a significant relationship between gadget addiction and students' interest in learning and sleep quality. So, teachers should have a good relationship with students' parents to control the intensity of students' gadget addiction and foster students' motivation to learn and get enough sleep.

THE RELATIONSHIP BETWEEN STRESS LEVELS AND SLEEP QUALITY WITH THE MENSTRUAL CYCLE ON NURSING STUDENTS

Dianna Ika Ernawati — 2024-10-31

Introduction: Every month's regular menstrual cycle should ideally span 21-35 days. The menstrual cycle is influenced by several factors, namely stress levels and sleep quality. Menstrual cycle disorders indicate metabolic and endocrine system irregularities. The impact that often occurs due to menstrual cycle disorders is infertility and difficulty identifying the fertile period. The purpose of the study was to determine the relationship between stress levels and sleep quality with the menstrual cycle in seventh-semester nursing students at Universitas Muhammadiyah Lamongan. Methods: This research design uses correlation analytics with a cross-sectional approach using a simple random sampling technique with a sample of 111 respondents. Measured using the Depression Anxiety Stress Scale questionnaire sheet for stress levels and the Pittsburgh Sleep Quality Index questionnaire for sleep quality. After tabulating the data and analyzing it using the Spearmen Rank test. Results: This study showed that almost half of the 43 female students (38.7%) experienced mild stress and more than half of the 60 female students (54.1%) had poor sleep quality. Conclusions: Based on the results of the analysis using the Spearmen rank test, the value of p = 0.000, where p <0.05 means that there is a relationship between stress levels and sleep quality with the menstrual cycle in nursing students in semester VII of Universitas Muhammadiyah Lamongan. Based on this research, it is expected that female students can reduce stress, get enough sleep 7-8 hours, diet, and control weight so that the menstrual cycle returns to normal.

THE EFFECT OF NONI (MORINDA CITRIFOLIA L.) LEAVES EXTRACT ON BRUISES HEALING AMONG PERSAUDARAAN SETIA HATI TERATE MARTIAL ARTS ATHLETES

Nur Hidayati — 2024-10-31

Introduction: Bruises are the most common injuries for martial arts athletes during training and competitions. If bruises are not treated immediately, they can cause infection and interrupt daily activities. Noni leaves are an alternative therapy containing flavonoids which play a role in anti-inflammation. This study aims to determine the effect of Noni leaf extract on bruise healing for martial arts athletes in Kedungadem District, Bojonegoro Regency. Methods: This research used a one-group pre-posttest pre-experimental design. The research sample was 32 martial arts athletes with bruises selected by Accidental sampling conducted in June - July 2023. The intervention was done by giving Noni (Morinda Citrifolia l.) leaves extract ointment for 1 week twice daily. The data were collected using an observation sheet and then tested using the McNemar test (α ≤ 0.05). Results: The results showed bruise healing in less than 7 days after Noni leaves extract therapy was given to all respondents. Noni leaf extract had an effect on bruise healing in martial arts athletes (p=0.001). Conclusions: Noni leaf ointment can significantly accelerate bruise healing without pharmacological therapy.

LEVEL OF DIETARY COMPLIANCE AMONG HYPERTENSION PATIENTS AT IBNU SINA GRESIK REGIONAL GENERAL HOSPITAL

Cucuk Rahmadi Purwanto — 2024-10-31

Introduction: Hypertension is a prevalent chronic disease among adults worldwide, including in Indonesia. A busy lifestyle and tight routine are some of the reasons why someone does not adhere to hypertension therapy or ignores a healthy lifestyle, such as consuming junk food that is high in fat and sugar, having an irregular activity pattern, and having irregular activity patterns. This study aimed to describe the dietary compliance of hypertensive patients. Methods: The research was conducted using a descriptive design, with the population comprising hypertensive patients, and a sample of 45 respondents selected through accidental sampling. The variable studied was the level of dietary compliance. The inclusion criteria were patients registered at the heart polyclinic and willing to be studied, while the exclusion criteria were suffering from mental disorders or severe complications such as stage 5 chronic kidney failure. The instrument used was the Dietary Approaches to Stop Hypertension (DASH) diet compliance questionnaire administered in June 2023. Results: The results indicated that 42.2% of respondents were compliant, 42.2% were moderately compliant, and 15.6% were non-compliant. The conclusion was that nearly half of the respondents adhered to the hypertension diet. Conclusions: It is hoped that nurses can provide Communication, Information, and Education (IEC) to hypertensive patients through comprehensive counseling on hypertension management, emphasizing the importance of adhering to a hypertension diet, antihypertensive therapy, and other healthy lifestyle modifications such as physical activity and smoking cessation, and involving families in improving compliance with the DASH diet.

THE RELATIONSHIP BETWEEN ADOLESCENTS' KNOWLEDGE LEVELS OF SEXUAL DEVELOPMENT AND ANTICIPATION OF THE RISK OF SEXUAL HARASSMENT

Lailatul Fadliyah — 2024-10-31

Introduction: Adolescence is a transition period from childhood to adulthood that includes changes both biologically, intellectually, psychosocially, and economically. In this period, individuals have reached sexual and physical maturity. Negative behavior carried out by adolescents is risky behavior in having sexual intercourse. The purpose of this study was to determine the relationship between the level of adolescent knowledge about the development of sexuality (physical changes) and anticipation of the risk of sexual harassment. Methods: This research is an analytical research with a cross-sectional design. Population in this study were 92 junior high school students in grades 7 and 8 in Kediri Regency. Sampling technique used was Purposive sampling, with a sample size of 80 students. The data collection technique used a questionnaire. The analysis test used was the Chi-Square Test. Results: Results of the study found that 47 respondents had low knowledge levels (58.75%), and 46 respondents had poor anticipation of sexual harassment (78.0%). Bivariate analysis with Chi-Square obtained p value = 0.000 (significance t < 0.05). Conclusions: There is a relationship between the level of adolescent knowledge about sexual development (physical changes) and anticipation of the risk of sexual harassment.

THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND IDWG VALUES IN CKD PATIENTS UNDERGOING HEMODIALYSIS

Dian Nurfarida — 2024-10-31

Introduction: Every month's regular menstrual cycle should ideally span 21-35 days. The menstrual cycle is influenced by several factors, namely stress levels and sleep quality. Menstrual cycle disorders indicate metabolic and endocrine system irregularities. The impact that often occurs due to menstrual cycle disorders is infertility and difficulty identifying the fertile period. The purpose of the study was to determine the relationship between stress levels and sleep quality with the menstrual cycle in seventh-semester nursing students at Universitas Muhammadiyah Lamongan. Methods: This research design uses correlation analytics with a cross-sectional approach using a simple random sampling technique with a sample of 111 respondents. Measured using the Depression Anxiety Stress Scale questionnaire sheet for stress levels and the Pittsburgh Sleep Quality Index questionnaire for sleep quality. After tabulating the data and analyzing it using the Spearmen Rank test. Results: This study showed that almost half of 45 female students (38.7%) experienced mild stress and more than half of the 60 female students (54.1%) had poor sleep quality. Conclusions: Based on the results of the analysis using the Spearmen rank test, the value of p = 0.000, where p <0.05 means that there is a relationship between stress levels and sleep quality with the menstrual cycle in nursing students in semester VII of Universitas Muhammadiyah Lamongan. Based on this research, it is expected that female students can reduce stress, get enough sleep 7-8 hours, diet, and control weight so that the menstrual cycle returns to normal.

DIFFERENCES IN PATIENT SATISFACTION REGARDING NURSES’ THERAPEUTIC COMMUNICATION IN CLASS I, II, AND III IN PATIENT ROOMS AT RSUD SUBANG

Maya Rahma Aulia — 2024-10-31

Introduction: Therapeutic communication is one of the factors that contribute to patient satisfaction, which is a measure of the quality of the services provided by the health care provider. The objective of the investigation is to determine whether there is a disparity in patient satisfaction regarding the therapeutic communication of nurses among the nursing facilities of Classes I, II, and III at RSUD Subang. Methods: This quantitative investigation employs a cross-sectional design. The sampling technique employed is stratified sampling, with a total sample of 86 respondents involved in the sample collection. The research instrument uses a patient satisfaction questionnaire with 7 questions that require the nurses to fill in directly in the paper to assess the therapeutic communication of nurses. Results: Based on data collected by RSUD Subang's official Instagram page, @rsudsubang, the Community Satisfaction Index during the 2023 period was 83.8%. The bivariate analysis showed a p-value of 0.094, which is higher than 0.05. Subsequently, the statistical test of p > 0.05 (p-value 0.094) proves that there are no gaps in patient contentment among the hospital rooms of classes I, II, and III at RSUD Subang. Conclusions: The research is anticipated to generate data that can be employed as guidance and evaluation tools for hospitals, particularly in class I, II, and III nursing rooms, to enhance therapeutic communication in health services for patients in those classes.

RELATIONSHIP BETWEEN PATIENT FACTORS AND PSYCHOLOGICAL WELL-BEING IN TYPE 2 DIABETES MELLITUS PATIENTS

Khotibul Umam — 2024-10-31

Introduction: Psychological well-being is an individual's feelings about everything from trauma to acceptance of life. Diabetes mellitus is a chronic disease that is a major problem in the world of health and a disease that has the most consequences on physical, psychological, and social. Every type 2 diabetes mellitus patient has a different psychological condition, some have high psychological well-being and some have low psychological well-being. This study aimed to analyze the relationship between patient factors and psychological well-being in type 2 diabetes mellitus patients at the Tikung Lamongan Health Center UPT. Methods: This research method is quantitative with a correlational research design. The sampling technique used consecutive sampling, samples were taken on March 24 - April 2, 2022 at the Tikung Lamongan Health Center UPT with a total of 57 respondents. The instruments used were the SPWB Ryff questionnaire (1995), demographic data, and religiosity questionnaire compiled by Kartika (2017), while the data analysis used the chi-square test from SPSS. Results: The results showed no relationship between patient factors based on age, gender, education, and psychological well-being in patients with type 2 diabetes mellitus because it had an Asymp. Sig. (2-sided) value > 0.05, while patient factors based on religiosity were related to psychological well-being because it had an Asymp. Sig. (2-sided) value of 0.000. Conclusions: This study is expected to increase information and knowledge about efforts to prevent and control type 2 diabetes mellitus so that the psychological well-being that is owned increases.

APPLICATION OF INDONESIAN NURSING DIAGNOSIS STANDARDS IN NURSING DIAGNOSIS DOCUMENTATION IN CHILDREN WITH DENGUE HEMORRHAGIC FEVER

Anestasia Pangestu Mei Tyas — 2024-10-31

Introduction: The Indonesian National Nurses Association has developed nursing language standards adapted to cultural differences and uniqueness of Indonesian nursing services, namely the Indonesian Nursing Diagnostic Standards. Dengue Hemorrhagic Fever cases in Indonesia have experienced a shortening cycle, which has led to a rise in the incidence rate (IR) and a fall in the case facility rate (CFR). This study was to learn how to describe the application of the Indonesian Nursing Diagnosis Standards (SDKI) in documenting nursing diagnoses in children with Dengue Hemorrhagic Fever (DHF). Methods: Retrospective descriptive research design with secondary data. The secondary data used in the study, namely sourced from medical records from February 1, 2021 - March 31, 2022. The number of samples is 30 medical records using the total sampling technique. Data collection using observation sheet. Data analysis uses univariate analysis. Results: Most of the priority nursing diagnosis labels in DHF pediatric patients are by the Indonesian Nursing Diagnosis Standards, namely hyperthermia. However, all the writing of actual nursing diagnoses does not comply with the Indonesian Nursing Diagnosis Standards, which consists of writing three parts: [problems] related to [cause/related factors] as evidenced by [signs/symptoms], but the writing of nursing diagnoses is only in the form of problems or problems and causes. Conclusions: There needs to be a refreshing knowledge about the Indonesian Nursing Diagnosis Standards to improve the knowledge and skills of nurses in documenting nursing diagnoses.

THE EFFECT OF PROGRESSIVE MUSCLE RELAXATION TECHNIQUES ON REDUCING SYSTOLE BLOOD PRESSURE IN ELDERLY PEOPLE WITH HYPERTENSION

Wardah Fauziah — 2024-10-31

Introduction: Hypertension is a disease that is often not felt but can have serious consequences for health. One way to prevent and overcome hypertension is using non-pharmacological therapy, one of which is the progressive muscle relaxation technique which is useful for lowering blood pressure. This study aims to analyze the effect of progressive muscle relaxation techniques on reducing systolic blood pressure in elderly people with hypertension. Methods: The method used is quantitative research with a pre-post test quasi-experimental research design with a control group. Sampling using a simple random sampling technique with a total of 60 respondents divided into 2 groups, namely, 30 intervention groups and 30 control groups. Data analysis using the Independent Sample T-test parametric test. Results: The results showed the average value of pre-test blood pressure in the intervention group was 157 mmHg and the control group was 149 mmHg, while in the post-test the intervention group after being given the progressive muscle relaxation technique was 136 mmHg and the control group was 134 mmHg. Data analysis using the Independent Sample T-test test obtained a p-value of 0.000 which indicates the effect of progressive muscle relaxation techniques on the elderly with hypertension. Conclusions: Therefore, it can be concluded that progressive muscle relaxation techniques can have an effect on reducing systolic blood pressure in the elderly with hypertension and it is recommended that this study be used as a reference material and implementation in performing progressive muscle relaxation techniques to prevent and control hypertension.

PLASTIC BLANKETS AS TEMPERATURE STABILIZER FOR PREMATURE LOW BIRTH WEIGHT (LBW) BABY

Sendy Andrela Sunandar — 2024-10-31

Introduction: Low birth weight (LBW) babies born via deep transperitoneal cesarean section (SCTP) with a gestational age of less than 34 weeks are highly susceptible to hypothermia. Hypothermia poses a significant risk of neonatal mortality, with LBW being one of the contributing factors. Thus, it is crucial to implement strategies to minimize heat loss and provide warmth, such as using plastic blankets. This case study aims to present the outcomes of implementing plastic blankets to manage hypothermia in LBW babies post-SCTP in the IBS Room at RSUP Dr. Kariadi Semarang. Methods: The study employs a descriptive design with a nursing care approach. The subjects included premature babies born via SCTP < 34 weeks. Three infant patients according to the criteria were included in the study. The measurement tool used was an observation sheet to monitor axillary temperature. The intervention plan involved providing plastic blankets to all three subjects to prevent hypothermia. Following birth, the infants were placed in an infant warmer, cleaned of mucus, wrapped in a plastic bag with a cloth cap on the head, underwent neonate resuscitation, and then covered with cloth while awaiting transfer to the room. Results: The findings indicate that the plastic blanket intervention increased the post-SCTP LBW temperature by an average of 0.50°C based on thermometer measurements and an average increase of 0.48°C based on infant warmer measurements. Conclusions: Therefore, it is recommended that healthcare professionals, particularly perinatology nurses, consider employing the plastic blanket method in managing hypothermia in LBW babies post-SCTP to maintain thermoregulation.

MOTIVATION OF NURSES IN PROVIDING FIRST AID TO PATIENTS EXPERIENCING CARDIAC ARREST

Ivananda Siera Lisna Putri — 2024-10-31

Introduction: Cardiac arrest is often found in patients in the inpatient room of Ibnu Sina Hospital, Gresik. Nurses as the first responders who find cardiac arrest in the treatment room must have high work motivation to provide first aid to patients before the code blue team arrives. The purpose of this study was to obtain a description of the work motivation of nurses in providing first aid to patients experiencing cardiac arrest in the inpatient room of Ibnu Sina Hospital, Gresik. Methods: This study used quantitative research with a descriptive approach. The sample of this study was some of the nurses in the inpatient room of Ibnu Sina Hospital, Gresik, which was taken using a purposive sampling technique of 55 respondents who had met the inclusion and exclusion criteria. The data collection instrument used a questionnaire. The data was processed using SPSS v.25 for frequency and percentage. Results: The results showed that most respondents had good work motivation, with 53 respondents (96.4%) providing first aid to patients experiencing cardiac arrest. Conclusions: Nurses are expected to maintain work motivation in providing first aid to patients experiencing cardiac arrest, especially in inpatient rooms, through good collaboration between teams, always receiving positive support in the form of recognition of achievements from colleagues, and increasing periodic certification training related to handling cardiac arrest patients because patient safety is the main priority.

KNOWLEDGE AND READINESS OF ADOLESCENTS AS PROSPECTIVE BRIDES AND GROOMS IN STUNTING PREVENTION EFFORTS

Suryani Hartati — 2024-10-31

Introduction: Stunting is currently happening and is a threat to Indonesia. Planning is needed starting from adolescence, having good knowledge and readiness regarding how to prevent having stunted offspring. The target of the Sustainable Development Goals (SDGs) in 2030 includes the second goal, eliminating hunger and all forms of malnutrition and achieving food security, reducing stunting rates by 40% by 2025. The purpose of this study is to analyze the level of knowledge and readiness of adolescents to become prospective brides in an efforts to prevent stunting. Methods: This study uses a survey research design with a sample size of 67 adolescents taken in two cities, DKI Jakarta and Surabaya in 2024. This sampling used purposive sampling. The research variables consist of the knowledge and readiness of adolescents as prospective brides and grooms in efforts to prevent stunting. The instrument used was a questionnaire distributed via Google form distributed by researchers in both areas. The data collected used Spearman rank correlation analysis. Results: There is a relationship between knowledge and the readiness of prospective adolescent brides in efforts to prevent stunting (p=0.001). Conclusions: Health education on stunting, nutritional status, and reproductive health during adolescence must be a mutually supportive program between the Ministry of Health and the Ministry of Education and Culture, both in schools and in integrated “posyandu” that also involve families.