Jurnal Ilmiah Kesehatan Sandi Husada

The Effect of Post-Placental Intrauterine Contraceptive Devices on Decreasing in Uterine Fundus Height in Postpartum SC Mothers

2024-04-13T04:44:25+00:00

Introduction: Contraception and family planning services are an essential part of reproductive health. Postpartum IUDs in SC postpartum have a much lower expulsion rate than vaginal delivery.

Objective: to determine the effect of post-placental intrauterine devices on the decrease in fundus uteri.

Methods: Using a correlational analytical research design, the research design used is a prospective cohort with a sample size of 30 for the treatment group and 30 for the control group.

Result: It can be concluded that the effect 2 hours after the installation of post-placental IUD is known (p-value = 0.279), which indicates that there is no influence between the variable of post-placental IUD installation of SC delivery mothers and the decrease in fundus uteri height. The effect of post-placental IUD insertion on the decrease in fundus uteri height in SC postpartum mothers at Karanganyar Regional Hospital on day 3 shows a p-value of 0.262, and it shows that there is no influence between the variable post-placental IUD insertion of SC mothers and the decrease in fundus uteri height. On day 7, the p-value = 0.008 means that the p-value is smaller than the value of α = 0.05 (p-value < 0.05) and that there is an influence between the variable of post-placental IUD insertion of SC mothers and the decrease in fundus uteri height. Post-placental IUD is a reference for making birth control choices during the postpartum period without interfering with breast milk.

Conclusion: The conclusion does not prove the hypothesis in part because the rapid effect on the decrease in TFU in SC postpartum mothers is only after 7 days from the insertion of the IUD, while at 2 hours of IUD insertion and day 3 of IUD insertion, it does not have a rapid effect on reducing TFU in SC postpartum mothers. implications for the management of maternity women who plan to postpone the next pregnancy and this research can be used as empirical evidence that a post-placental intrauterine device acceptor has the potential to increase uterine contractions and accelerate the decrease in fundus uteri height on day 7.

Dental odyssey: a comprehensive literature review on global strategies, behavioral programs, and creative approaches for ages 6-12 years

2024-04-13T04:44:26+00:00

Introduction: Oral and dental hygiene serves as an indicator of a condition free from diseases, debris, and health issues in the oral cavity, affecting individuals of all age groups. Health education through various global learning systems, behavioural programmes, and creative approaches has proven effective in enhancing children's understanding of the importance of maintaining oral and dental cleanliness.

Objective: Objective: This research aims to review relevant journals contributing to the development of insights, behaviours, and understanding regarding children's oral and dental health across crucial age ranges.

Methods: Using a literature review method, we filtered articles from Google Scholar, PubMed, Garuda (Digital Reference Library), and Science Direct published within the last six years. Searches in both Indonesian and English languages yielded ten articles that, after a selection process, provided diverse results regarding the implementation of learning models to enhance children's understanding of their oral and dental hygiene.

Result: From the ten articles, it can be concluded that the application of education on oral and dental hygiene through various learning systems can effectively improve children's knowledge.

Conclusion: the oral hygiene of elementary school children from various countries. Variations in research designs were found, and there is low awareness among children regarding dental health in Indonesia. Educational programmes, such as "Brush Day & Night," and collaborations between FDI and Unilever have proven effective in improving children's toothbrushing habits. The use of music and the snake ladder game was also considered appropriate for developing awareness and behaviours related to dental hygiene.

Determinants associated with carpal tunnel syndrome complaints

2024-04-13T04:44:26+00:00

Introduction: Carpal Tunnel Syndrome (CTS) is one of the most common problems in the upper extremities caused by the narrowing of the carpal tunnel, which results in pressure on the median nerve. Increased pressure in the carpal tunnel causes compression and damage to the median nerve.

Objective: determinants associated with carpal tunnel syndrome .

Methods: quantitative research with a cross-sectional research design. The sampling technique in this study used a total sampling technique in which the entire population is equal to the number of samples, namely 36 people. Data obtained by using a questionnaire. The analytical method used was univariate and bivariate analysis using the chi-square test.

Result: showed that there was a relationship between length of work and carpal tunnel syndrome (p-value = 0.0190. There is a relationship between age and complaints of carpal tunnel syndrome (p-value = 0.032. There is no relationship between personal protective equipment and complaints of carpal tunnel syndrome (p-value = 0.759). There is no relationship between repetitive movements and carpal tunnel syndrome (p-value = 0.787.

Conclusion: It was concluded that there is a relationship between length of service and carpal tunnel syndrome complaints, there is a relationship between age and carpal tunnel syndrome complaints and there is no relationship between body mass index and carpal tunnel syndrome complaints . In this study, researchers suggest to companies to pay more attention to employees who have a long working period so as not to do excessive work and for employees to take advantage of adequate rest time to minimize the occurrence of complaints of Carpal Tunnel Syndrome (CTS).

Analysis of the influence of communication, leadership, and work teams on nurse discipline

2024-04-13T04:44:26+00:00

Introduction: The availability of quality health services for the community must receive attention from the government as one of the efforts to develop the health sector. Disappointing evidence regarding improvement in nurses' safe and quality care elevates the need to broaden our knowledge regarding the factors that enhance constant learning in nursing teams.

Objective: Analyzes the effect of communication, leadership, and teamwork on nurse discipline.

Methods: This quantitative research uses an analytical observational approach and a cross-sectional research design. With the analysis of the data, a linear regression test. The sample was selected using the cluster random sampling method with 36 respondents.

Result: This shows the results of a linear regression test with a communication value of p = 0.024, a leadership p = 0.057, and a work team value of p = 0.004, so it can be supposed that there is an influence between the effectiveness of the work team and nurse discipline. So, it can be concluded that the point of communication and the effectiveness of the work team affect the discipline of nurses.

Conclusion: the effect of the level of communication effectiveness and the effectiveness of the work team on the discipline of nurses. The story of the effectiveness of nurses can be increased by regulating the flow of information by sending authorized delegates. They are utilizing feedback to maintain organizational communication effectiveness by providing nurses with orientation, direction, and supervision.

Analysis of tera gymnastic as an intervention of acute pain nursing problems in elderly families with hypertension

2024-04-13T04:44:27+00:00

Background: One of the problems that occurs in the elderly is hypertension. Hypertension has many symptoms, including dizziness, fatigue, and difficulty sleeping, and one of them is acute pain in the nape of the neck. In treating pain, there are two methods of treatment: pharmacological techniques and non-pharmacological treatments. One of the non-pharmacological treatments is tera exercise. Terra exercise is an alternative way to reduce pain.

Objective: To analyze the implementation of acute pain nursing care for elderly families who experience hypertension problems in Trayeman Pleret Hamlet, Bantul.

Method: This research method uses descriptive methods. The approach used is a case study with the management of one case using a nursing care process approach involving elderly families who experience acute pain nursing problems with hypertension.

Results: After performing tera exercises three times for ± 60 minutes, participants said the pain had decreased from a pain scale of 5 to 2.

Conclusion: The application of tera exercise can reduce the problem of acute pain nursing in elderly families with hypertension.

Effectiveness of giving dragon fruit and ambon banana to increase hemoglobin levels in anemic adolescent girls

2024-04-13T04:44:27+00:00

Background: Anaemia is a common health problem among adolescent girls, especially in areas with limited access to nutritious food. One of the efforts to overcome anaemia is to increase the consumption of iron-rich fruits, such as dragon fruit and ambon banana.

Objective: to evaluate the effectiveness of dragon fruit and ambon banana administration in increasing haemoglobin levels in anaemic adolescent girls

Method: Qualitative research combines observational and interventional approaches. The research sample amounted to 2 adolescent female respondents. Instrument of treatment activities using a checklist sheet on elevated haemoglobin levels.

Results: An increase in haemoglobin levels was obtained in adolescents given dragon fruit juice, where the first week was 10.1 g / dl, the second week was 11.2 g / dl, and the fourth week was 12.3 g / dl. There was a slightly slower increase in haemoglobin levels in adolescents who were given Ambonese bananas in the first week of 10.2 g / dl, the second week of 10.8 g / dl, and the fourth week of 11.3 g / dl.

Conclusion: Respondents who consume dragon fruit increase haemoglobin levels faster than bananas. It is expected to be used as an alternative midwifery care for the midwife profession by giving dragon fruit juice to increase haemoglobin levels. Teenagers are advised to maintain a balanced diet by consuming fruits rich in iron and nutrients, such as dragon fruit, ambon, bananas, and other essential nutrients. By maintaining a balanced diet and increasing the consumption of iron-rich fruits, adolescents can improve their haemoglobin levels and maintain overall body health.

Work motivation of implementing nurses to improve the quality of health services

2024-04-13T04:44:27+00:00

Introduction: The motivation of the implementing nurse is essential to improving the quality of health services. Implementing nurses plays a vital role in providing quality services to patients. High work motivation is crucial in enhancing nurses' performance and commitment to providing the best care.

Objective: Knowing the motivation behind implementing nurses can improve the quality of health services.

Method: This research is quantitative, with a cross-sectional study design using a quantitative analytical approach. The number of samples was 81 people using total sampling. The research instrument used was a questionnaire with a Likert scale. The analysis method uses the Fisher's exact test.

Results: Based on the results of the analysis, these employees have discipline that is still lacking in completing work, while of the 5 respondents who have low work motivation, three respondents (3.7%) have good performance. This is because employees have effectiveness, efficiency, authority, responsibility, discipline, and good work initiative. The statistical test results using Fisher's exact test obtained p = 0.009, smaller than a = 0.05 (p < 0.05), which means Ho is accepted and Ha is rejected. This suggests there is a meaningful relationship between work motivation and.

Conclusion: The researchers found that the work motivation of implementing nurses can improve the quality of health services. Implementing nurses can enhance healthcare quality, build team spirit, and achieve organisational goals. These efforts help increase patient satisfaction and improve job satisfaction and nurses' well-being. Therefore, understanding and applying compelling work motivation is the key to improving the quality of health services.

Factors associated with toddler development

2024-04-13T04:44:28+00:00

Introduction: Children are the nation's next generation; therefore, they need quality children to achieve a good future for the nation. Growth and development experience a rapid increase at an early age, namely from 0-5 years.

Objective: This study knows the factors related to toddler development.

Method: The research design uses correlational with a cross-sectional approach. The population of this study was all toddlers, as many as 250 toddlers. The sample of 71 toddlers used the sampling technique of proportionate random sampling. Test data analysis using the chi-square test, continue correction, and alternative Fisher’s exact test.

Results: This study showed a significant association between nutritional status (p = 0.04), history of chronic disease (p = 0.01), education (p = 0.04), history of childbirth (p = 0.03), stimulation (p = 0.04) with toddler development and there was no significant relationship between socioeconomic (p = 0.71) and toddler development.

Conclusion: there is a relationship between nutritional status, history of chronic disease, education, history of childbirth, and stimulation with toddler development. Health workers should be advised to detect child growth and development early by looking at the history of chronic diseases suffered and stimulating toddlers for optimal development.

Health education lecture method to increase posyandu cadres' knowledge about stunting prevention in children

2024-04-13T16:52:44+00:00

Introduction: Stunting is a serious health problem in children, especially in developing countries. Sufficient knowledge about stunting prevention is essential for Posyandu cadres, as they play a role in providing information and support to mothers and children in the community.

Objective: evaluate the effectiveness of the lecture method in increasing the knowledge of Posyandu cadres about stunting prevention in children.

Method: This type of research uses a quantitative approach. In this study, using a group of health posyandu cadres, stunting knowledge was given using the lecture method. The population in the study of cadre mothers was 60 people, with a sample size of 36 people, using purposive sampling. Measuring instruments use questionnaire instruments and analysis results are in the form of descriptive data equipped with tables.

Results: based on statistical test wilcoxon test Asymp.Sig. (2-tailed) P Value 0.000 ≤ 0.05 means that there is an increase in knowledge between before and after educational intervention with the lecture method.

Conclusion: The lecture method is effective in increasing the knowledge of Posyandu cadres about stunting prevention in children. It is hoped that the results of this study can be the foundation for a broader health education program to overcome the problem of stunting in children in the community.

Overview of mom's confidence when planning to return low birth weight baby from the hospital

2024-04-13T16:57:58+00:00

Introduction: Babies with low birth weight are one of the health problems often faced by mothers and families in various countries, including Indonesia. The return of babies with low birth weights from the hospital became a critical stage in their care after a period of intensive hospitalization.

Objective: Describe the mother's confidence level when planning to return a baby with a low birth weight to the hospital.

Method: quantitative research with a descriptive design involving 29 respondents. This study used non-probability and consecutive sampling techniques to determine subjects who met the inclusion criteria. The measuring instrument uses the Maternal Confidence Questionnaire Instrument, and the analysis results are descriptive data equipped with tables.

Results: Most of the self-confidence of mothers planning to return home with high-birth-weight babies from the hospital was high among 16 respondents (55.2%). Factors that influence a mother's confidence include previous experience caring for a child, social support from family and friends, information and education provided by medical personnel, and an adequate financial condition and environment for the care of the baby.

Conclusion: The mother's self-confidence plays a crucial role in planning the return of a low-birthweight baby from the hospital. Social support, knowledge of baby care, interaction with health workers, and understanding of the baby's health condition contribute to the mother's confidence. A holistic approach involving adequate social support, information and education, and financial and environmental readiness to increase maternal confidence in caring for a low-birth-weight baby after discharge from the hospital

Physiotherapy management of functional activity disorders of knee dekstra et cause post-op anterior cruciate ligament reconstruction

2024-04-17T16:48:54+00:00

Introduction: anterior cruciate ligament injury is one of the common knee injuries among athletes, which can cause functional activity impairment of the knee, such as pain, edema, range of motion limitation, contracture, and anxiety. Anterior cruciate ligament reconstruction is a surgical procedure that aims to restore the stability and function of the knee. Patients who undergo Anterior cruciate ligament reconstruction require appropriate physiotherapy management to accelerate the healing and recovery process.

Aim: this study aims to determine the physiotherapy management of functional activity disorders of the knee joints and the causes of postoperative anterior cruciate ligament reconstruction.

Methods: this study used a case study method with a research subject of a 24-year-old male who suffered an anterior cruciate ligament injury on the right knee and underwent Anterior cruciate ligament reconstruction. Data were collected using instruments such as the VAS pain scale, goniometer to measure a range of motion, MMT to measure muscle strength, and international knee documentation committee questionnaire to measure functional activity.

Results: showed a decrease in pain, an increase in range of motion, an increase in muscle strength, and an increase in functional activity on the right knee caused post-op Anterior cruciate ligament reconstruction after receiving physiotherapy intervention for 9 sessions.

Conclusion: physiotherapy management given in the form of electrical muscle stimulation, prone hang, passive range of motion exercise, patella mobilization, isotonic & isometric strengthening, and walking exercise, as well as education, can help overcome functional activity impairment on the right knee et cause post-op anterior cruciate ligament reconstruction.

Effect of perineal massage and gentle techniques on perineal rupture in primigravida maternity mothers

2024-04-18T15:48:18+00:00

Background: Perineal rupture is a tear that occurs when a baby is born, either spontaneously or by using tools/actions. Preventive efforts can be made to reduce the risk of perineal rupture by massaging the perineum and using good pressure techniques during labor.

Objective: To determine the effect of perineal massage techniques and pressure on perineal rupture in primigravida mothers who give birth.

Method: This research uses experimental research methods; this type of research is quantitative with a pretest-posttest research design with a control group and an analytical study design with a retrospective approach. The total research sample required was 30 primigravidas, with details, namely 15 people from the perineal massage group and 15 from the gentle technique. Sampling was taken using an accidental sampling technique, where subjects were selected as research samples based on cases/respondents who happened to be available in a place according to the context.

Results: research results of primigravid mothers who experienced perineal rupture in the perineal massage group were two people (20%), and in the menstrual technique group, there were eight people (80%), based on the results of data analysis using the Wilcoxon test, the p-value was obtained. In the perineal massage group, it was 0.000; in the gentle technique group, it was 0.005.

Conclusion: It can be concluded that perineal massage is more effective than gentle techniques in preventing perineal rupture in primigravida mothers. To ensure the effectiveness of the chosen method, it is advisable to consult with medical personnel experienced in this field and follow the recommendations and protocols approved by the relevant health authorities. In addition, careful monitoring and care during labor is also essential to minimize the risk of perineal rupture.

Analysis of reconstitution process, stability, stability of intravenous antibiotics in hospitalised patients in a private hospital

2024-04-27T06:14:47+00:00

Introduction: reconstitution of sterile preparations is a series of changes in the drug from its original condition to a new product by dissolving or adding other ingredients carried out aseptically by the pharmacy.

Aim: determine the suitability of the reconstitution technique, the suitability of stability (solvent type and solvent volume), and the suitability of the sterility of the reconstitution product.

Methods: data collection obtained by observation is carried out with the help of a checklist that is adapted to hospital standard operating procedures (SOPs), Inject-able Drug Guide, guidelines for mixing inject-able drugs, and preparations. 48 processes of reconstitution of intravenous antibiotics were carried out in hospitals that could be observed as samples.

Results: conformity to the preparation stage were 99%, the mixing stage was 73%, the labelling was 100%, and the labelling was 90%. In evaluating the stability of the solvent type category, the suitability of 100%. In the volume category of the solvent used, 90% were suitable, and 10% were unsuitable for the antibiotic’s cefotaxime 1 gram, vancomycin 1 gram, and sulbactam + ampicillin Na 1 gram. From the sterility test results, the reconstitution of ceftriaxone intravenous antibiotic preparations showed that the bacterial preparations were free of microorganisms (sterile).

Conclusion: the personnel performing the reconstitution are nurses trained in intravenous antibiotic recovery. One of the factors that caused the reconstitution process not to be under the hospital's KSB was the lack of training and supervision from the hospital management. SPO recovery is not installed in an intravenous drug mixing room.