scholarly journals Edukasi Meningkatkan Pengetahuan dan Sikap Ibu dalam Pencegahan Kejang Demam Berulang

2020 ◽  
Vol 4 (3) ◽  
pp. 124
Author(s):  
Jayanti Dwi Puspitasari ◽  
Nani Nurhaeni ◽  
Allenidekania Allenidekania

ABSTRAKLatar Belakang: Kejang demam yang terjadi berulang akan mengakibatkan efek yang buruk bagi anak, terutama untuk kecerdasan dan perkembangan otak. Salah satu cara untuk mencegah kejang demam berulang adalah dengan memberikan edukasi kesehatan kepada ibu. Edukasi kesehatan dapat meningkatkan pengetahuan ibu, sehingga sikap ibu akan berubah kearah positif. Tujuan: untuk mengetahui pengaruh edukasi kesehatan terhadap pengetahuan dan sikap ibu dalam pencegahan kejang demam berulang. Metode: Desain penelitian ini adalah Quasi Experiment dengan teknik pre test and post test nonequevalent control group pada 58 responden (kelompok intervensi=29 dan kelompok kontrol=29). Instrumen yang digunakan dalam penelitian ini adalah kuesioner A, B, C dan media audiovisual. Responden adalah ibu yang memiliki balita pernah mengalami kejang demam dan pernah dirawat di rumah sakit. Kelompok intervensi diberikan edukasi kesehatan tentang pencegahan kejang demam berulang dengan media video, sedangkan kelompok kontrol tidak diberikan intervensi. Analisis yang digunakan dalam penelitian ini adalah analisis bivariat dengan uji paired t-test dan independent t-test dan multivariate dengan MANCOVA. Hasil: ada pengaruh edukasi kesehatan terhadap pengetahuan (p=0,001) dan sikap (p=0,001). Kesimpulan: Edukasi dapat dimasukkan ke dalam rencana asuhan keperawatan ketika anak pertama kali dirawat di rumah sakit karena kejang demam, karena terbukti dapat meningkatkan pengetahuan ibu sehingga ibu dapat mengambil sikap yang positif untuk pencegahan terjadinya kejang demam berulang.Kata kunci: edukasi kesehatan, pengetahuan, sikap, kejang, demamThe Effect of Health Education on Knowledge and Attitude of Mothers in Preventing the Recurrent Febrile Seizures Abstract The Recurrent Febrile Seizures (RFS) could affect the children intelligence and their brain development. Health education is one of the ways in order to prevent the RFS. By providing health education among mothers, it might increase their knowledge and could lead to a positive attitude in preventing the RFS. Aim: This study was aimed at investigating the effect of health education on knowledge and attitude of mothers in preventing the RFS among hospitalized children. Method: This was a quasi-experimental study with pre- and post-test nonequivalent control group with total sample was 58 respondents (intervention group, n=29, and control group, n=29). The instruments used in this study were questionnaire A, B, C and audiovisual media. Respondents in this determination are mothers who have children who have experienced febrile seizures and have been hospitalized. The video guidelines on RFS prevention was performed in the intervention group, while there was no intervention performed in the control group.Data was analysed with univariate (paired t-test and unpaired t-test) and multivariate with MANCOVA. Result: There was a significant effect of health education on knowledge (p=0.001), and attitude (p=0.001). Conclusion: Health education should be included in the nursing care plan when the children with RFS were admitted to the hospital.Keywords: Health education, knowledge, attitude, febrile, seizures

2021 ◽  
Vol 6 (1) ◽  
pp. 15
Author(s):  
Dewi Astuti Pasaribu ◽  
Septian Mixrova Sebayang

Pentavalent immunization is an immunization developed from a combination of vaccines so that there are eight antigens that can be given to children, namely Hepatitis B, BCG, Oral Polio, Diphtheria, Pertussis, Tetanus, Hib and Measles. The act of immunization can cause pain in babies, so that the baby becomes fussy. The aim of this study is to determine the effectiveness of the 5 S Method (Swaddling, Side / Stomach Position, Shushing, Swinging, Sucking) on Pain Response in Infants aged 2-6 Months during Immunization. Pentavalent. The design of this research is experimental research with the design of Post Test Only Control Group Design. The total sample in this study was 36 babies. This research was conducted at Puskesmas Bestari, Medan. Sampling using consecutive sampling. Collecting data using a FLACC scale questionnaire. Data analysis using paired t-test. The results showed that the effect of the 5S method on the pain response of infants aged 2-6 months during pentavalent immunization was shown by the statistical t-test with p = 0.007 and significantly reduced the pain response of infants at 15 seconds, second. 30, 45 seconds, and can reduce the length of crying babies after injection of pentavalent immunization. The results of this study are expected that nurses can use the 5 S method in relieving the pain response and the duration of crying in infants during immunization or when inserting sharp objects into the baby's body.


2019 ◽  
Vol 11 (3) ◽  
pp. 177-190
Author(s):  
Nurlaili Nurlaili ◽  
Adnil Edwin Nurdin ◽  
Dewi Eka Putri ◽  
Yulastri Arif ◽  
Basmanelly Basmanelly ◽  
...  

Halusinasi mengakibatkan bunuh diri, mencederai orang lain atau merusak lingkungan. Halusinasi harus diturunkan dengan asuhan keperawatan mandiri dan kolaborasi obat-obatan. Asuhan keperawatan mandiri dengan tehnik distraksi. Tehnik distraksi terdiri dari 3, yaitu: distraksi melawan dengan suara keras, distraksi menghindar melalui bercakap-cakap dengan orang lain dan distraksi mengalihkan dengan melakukan aktifitas terjadwal. Fokus penelitian ini pada tehnik distraksi menghardik yang dikombinasikan dengan terapi spiritual.Penelitian ini bertujuan untuk mengetahui pengaruh tehnik distraksi menghardik dengan spiritual terhadap halusinasi pasien. Metode penelitian menggunakan metode kuantitatif dengan desain “Quasy Experimental Pre-Post Test With Control Group”. Tehnik pengambilan sampel dengan purposive sampling berjumlah 94 pasien halusinasi pendengaran, terdiri dari 47 responden kelompok intervensi dan 47 responden kelompok kontrol. Instrumen penelitian menggunakan kuesioner dari Haddock berupa Auditory Hallucinations Rating Scale (AHRS). Teknik analisis menggunakan analisis univariat dan bivariat dengan uji paired t-test dan independent t-test. Hasil Penelitian ada pengaruh tehnik distraksi menghardik dengan spiritual terhadap penurunan halusinasi pasien dengan nilai ƿ value 0,000. Kesimpulan penerapan tehnik distraksi menghardik dengan spiritual dapat menurunkan halusinasi pasien.                                           Kata kunci : tehnik distraksi,  halusinasi, spiritual, asuhan keperawatan mandiri, skizofrenia   THE INFLUENCE OF SPIRITUAL DISTRACTION TECHNIQUES REBUKES THE PATIENT'S HALLUCINATIONS   ABSTRACT Hallucinations result in suicide, injury to others or damage the environment. Hallucinations must be derived from independent nursing care and drug collaboration. Independent nursing care with distraction techniques. Distraction technique consists of 3, namely: distraction against loud, distraction avoids through conversing with other people and distraction distracts by carrying out scheduled activities. The focus of this study is on rebuking distraction techniques combined with spiritual therapy. This study aims to determine the effect of rebuking with spiritual rebellion techniques on patient hallucinations. The research method uses quantitative methods with the design "Quasy Experimental Pre-Post Test With Control Group". Sampling technique with purposive sampling amounted to 94 patients with auditory hallucinations, consisting of 47 respondents in the intervention group and 47 respondents in the control group. The research instrument used a questionnaire from Haddock in the form of the Auditory Hallucinations Rating Scale (AHRS). The analysis technique uses univariate and bivariate analysis with paired t-test and independent t-test. The results of the study have the effect of spiritual rebuking distraction techniques on decreasing hallucinations of patients with a value of ,000 0,000. Conclusion The application of spiritual rebuking distraction techniques can reduce patient hallucinations.   Keywords: distraction techniques, hallucinations, spiritual, independent nursing care, schizophrenia


2019 ◽  
Vol 2 (3) ◽  
pp. 164-171
Author(s):  
Sarmaida Siregar ◽  
Kintoko Rochadi ◽  
Linda T Maas

Smoking is a bad behavior which can cause danger to health. Today, it becomes a habit for adolescents. It can be prevented by promoting health education by using audiovisual media, which provides information and education for increasing good knowledge and attitude toward the prevention of smoking. The research problem was how about the influence of audiovisual media on adolescents' knowledge and attitude. The objective of the research was to analyze the impact of audiovisual media on adolescents' knowledge and attitude toward the danger of smoking at SMP Negeri 2 Halongonan Timur Subdistrict. The study used a quasi-experimental method with pretest-posttest design. It was conducted at SMP Negeri 2 Halongonan Timur Subdistrict, Padang Lawas Utara Regency. Eighty-four samples were selected and allocated to the intervention group and the control group. The data were gathered using questionnaires. The hypothesis was tested by using paired t-test ad independent t-test. The result of the research showed that there was a significant influence of audiovisual media (p<0.05) on adolescents' knowledge and attitude after they had been given intervention. The conclusion was that audiovisual media was more effective in increasing adolescents' knowledge and attitude toward the danger of smoking. It is recommended that parents not smoke in front of their children. The school management needs to collaborate with the parents for discussing the academic development and students' behavior, and health care providers should increase health education program about the danger of smoking. Keywords: audiovisual media, knowledge, attitude, the danger of smoking


2020 ◽  
Vol 21 (2) ◽  
pp. 206-219
Author(s):  
Zahra Kiyani ◽  
◽  
Hoshang Mirzai ◽  
Seyed Ali Hosseini ◽  
Hossein Sourtiji ◽  
...  

Objective: Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that affects the person’ life. The prevalence of ASD in Iran is increasing. The complicated nature of this disorder disrupts the balance and work routines in the family, which puts a lot of stress on the entire family, especially mothers. Mental health of the mother affects all family members, including a child with ASD. On the other hand, mothers’ confusion and failure in relation to their ASD child causes more stress and discomfort for them. In this study, we aimed to investigate the effect of filial therapy, as a play therapy, on the parenting stress of mothers with ASD children. Materials & Methods: In this experimental study, participants were the mothers of 32 children with ASD (9 girls and 23 boys) aged 4-12 years referred to autism centers and occupational therapy clinics in Isfahan, Iran who were selected using a convenience sampling method. After obtaining an ethical approval from the Research Ethics Committee of the University of Social Welfare and Rehabilitation Sciences (code: IR.USWR.REC.1396.97), and necessary permissions, researchers referred to the clinics and after explaining the purpose of the study to the mothers, an informed consent was obtained from them. Then, they completed a demographic form, Gilliam Autism Rating Scale-2 (GARS-2), and Abidin’s Parenting Stress Index-Short Form (PSI-SF). Participants were randomly divided into two intervention and control groups after matching for the child’s age, GARS score, and the education of children and mothers. The intervention group received 10 sessions of filial therapy, once a week, each for two hours, while the control group continued routine treatment. After intervention, PSI-SF was completed by all mothers again. The collected data were analyzed by using ANCOVA, paired t-test and independent t-test. Shapiro-Wilk test was used to determine the normality of PSI-SF data distribution at Pre-test and Post-test phases. Results: Paired t-test results showed that there was no statistically significant difference in the mean total parenting stress score between the two groups in the Pre-test phase (P= 0.679) but it was significant in the Post-test phase (P=0.010). The results of independent t-test showed that the difference between the mean Pre-test and Post-test scores of total parenting stress in the control group was not significant (P= 0.268) but it was significant in the intervention group (P=0.001). ANCOVA results showed that the Pre-test score of parenting stress had an effect on the total parenting stress score after intervention such that it could explain 82% of variations in this variable. After controlling the Pre-test score, the total parenting stress was significantly different in two groups (P=0.001). Eta squared value indicated that the intervention could explain 54% of changes in total parenting stress of mothers. Conclusion: Filial therapy can help better acceptance of the ASD children by their parents and reduce parenting stress by improving child-parent relationships. This method can be taught as a complementary intervention to the mothers of ASD children.


2019 ◽  
Vol 10 (2) ◽  
pp. 307
Author(s):  
Dwi Astuti ◽  
Dewi Hartinah ◽  
David Reveindra Afif Permana

Abstrak Latar belakang:Di Indonesia dalam Riset Kesehatan Dasar tahun 2013 proporsi persalinan dengan bedah sesar menunjukkan sebesar 9,8% Provinsi Jawa Tengah sendiri untuk metode persalinan Caesar sebesar 10%. Bedah caesar merupakan bedah yang bukan tanpa resiko, risiko dari bedah Caesar ini merupakan potensi stressor yang dapat menyebabkan pasien operasi SC mengalami kecemasan.  Dunia kesehatan Islam, memasukkan dzikir sebagai salah satu upaya untuk mengatasi kecemasan. Tujuan: mengetahui pengaruh pemberian terapi dzikir terhadap penurunan tingkat kecemasan pada pasien post SC. Metode: Penelitian ini menggunakan quasy experiment dengan desain pre-post test design with control group. Sampel sebanyak 24 orang yang diambil secara sampel jenuh. Statistik yang digunakan adalah paired t test, wilcoxon test dan independent t test. Hasil uji Paired t Test diperoleh ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan terapi dzikir pada kelompok intervensi nilai p = 0,000 > α = 0,05, terjadi penurunan rata-rata sebesar 9,917.  Hasil uji Wilcoxon diperoleh tidak ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan komunikasi terapeutik pada kelompok kontrol nilai p = 0,636 > α = 0,05, penurunan yang terjadi yaitu hanya 0,83. Hasil uji Independent t Test diperoleh tidak ada perbedaan (perubahan) tingkat kecemasan pasien post SC sebelum dan sesudah diberikan perlakuan pada kelompok intervensi dan kelompok kontrol dengan nilai p = 0,211 > α = 0,05. Kesimpulan: ada pengaruh pemberian terapi dzikir terhadap penurunan tingkat kecemasan pasien post operasi SC Kata kunci      : Kecemasan, Post SC, Dzikir AbstractBackground: In Indonesia in 2013 Basic Health Research the proportion of deliveries with cesarean section showed 9.8% of Central Java Province alone for the method of caesarean delivery by 10%. Caesarean section is a surgery that is not without risk, the risk of a C-section is a potential stressor that can cause SC surgery patients to experience anxiety. The world of Islamic health, incorporating dzikir as an effort to overcome anxiety. Objective: to determine the effect of dzikir therapy on reducing anxiety levels in post SC patients. Method: This study uses a quasy experiment with a pre-post test design with control group design. A sample of 24 people were taken in a saturated sample. The statistics used were paired t test, Wilcoxon test and independent t test. Results: Paired t Test results obtained there were differences (changes) in the anxiety level of post SC patients before and after given dzikir therapy in the intervention group the value of p = 0,000> α = 0.05, there was an average decrease of 9,917. The results of the Wilcoxon test obtained no difference (change) in the anxiety level of post SC patients before and after therapeutic communication in the control group p = 0.636> α = 0.05, the decrease that occurred was only 0.83. The results of the Independent t Test obtained no difference (change) in the anxiety level of post SC patients before and after treatment in the intervention group and the control group with a value of p = 0.211> α = 0.05. Conclusion: there is an effect of giving dzikir therapy to decrease anxiety level of postoperative SC patients Keywords: Anxiety, Post SC, Dzikir


1970 ◽  
Vol 4 (2) ◽  
Author(s):  
Yanita Trisetiyaningsih ◽  
Elsi Dwi Hapsari ◽  
Shofwal Widad

Perubahan fisik dan psikologis yang terjadi pada masa klimakterium akan mempengaruhi kualitas hidup perempuan. Untuk itu diperlukan proses adaptasi terhadap berbagai masalah dan perubahan selama masa klimakterium sehingga akan meningkatkan kualitas hidup perempuan klimakterik. Kurangnya pengetahuan dan akses informasi merupakan tantangan besar yang dihadapi oleh wanita menopause. Salah satu upaya yang bisa dilakukan untuk meningkatkan pengetahuan adalah melalui pemberian pendidikan kesehatan. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan tentang menopause terhadap perubahan kualitas hidup perempuan klimakterik. Penelitian ini merupakan penelitian quasy experimentdengan rancangan pretest and posttest nonequivalent control group design. Penelitian dilakukan di Dusun Gamping Kidul Ambarketawang bulan Desember 2013-April 2014. Jumlah populasi sebanyak 271 orang. Sampel terdiri dari 44 orang kelompok intervensi dan 44 orang kelompok kontrol. Kelompok intervensi diberikan pendidikan kesehatan sebanyak 4 kali ceramah dan diskusi kelompok kecil, serta 1 kali praktik relaksasi dan senam yoga. Kelompok kontrol diberikan booklet tentang perubahan masa menopause, tanda dan gejala, nutrisi masa menopause, dan penatalaksanaan menopause. Instrumen yang digunakan adalah WHOQOL-BREF. Analisis yang digunakan adalah uji Paired t-test, Independent Samples t-Testdengan α 0.05.Nilai rata-rata kualitas hidup pretest pada kelompok intervensi sebesar 51,9 dan posttest sebesar 66,5. Hasil uji paired t-test menunjukkan ada perbedaan skor kualitas hidup sebelum dan sesudah diberikan pendidikan kesehatan pada kelompok intervensi (t =14,436, p=0,001). Namun tidak bermakna pada kelompok kontrol (t=1,059, p= 0,0295) dengan perubahan skor kualitas. Berdasarkan hasil penelitian dapat disimpulkan bahwa program pendidikan kesehatan tentang menopause dapat meningkatkan kualitas hidup perempuan selama periode klimakterium.Kata kunci: Klimakterium, kualitas hidup, menopause, pendidikan kesehatan.Influence of Health Education about Menopause towards the Quality of Life Changes in Climacteric Women AbstractPhysical and psychological changes that happen at the climacterium period would influence the quality of life in climacteric women. Therefore, the adaptation process is needed to overcome problems and changes during this period so that the quality of life of climacteric women could be increased. Lack of knowledge and access to information are major challenger that were faced by menopause women. One of efforts that can be done to improve their knowledge is through health education. This study aimed to identify the influence of health education about menopause towards the quality of live changes in climacteric women. The study used quasi experiment design with pretest and posttest nonequivalent control group. The location of this study was in Gamping Kidul Ambarketawang Village in December 2013 to April 2014. The total population is 271 people. Sample consisted of 44 people in the intervention group and 44 people in the control group. The intervention group received 4 times health education and small group discussion, as well as once relaxation and Yoga. Participants in control group received a booklet about menopause, signs and symptoms, nutrition during menopause period, and management of menopause. The quality of life was measured using WHOQOL-BREF. Analysis used paired t-test, independent samples t-test with α = 0.05. The mean scores of quality of life for intervention group were 51.0 (pretest) and 66.5 (posttest). The paired t-test showed that there was a significant difference of quality of life score before and after health education in the intervention group (t =14,436, p=0,001). However, there was no significant difference of quality of life in the control group (t=1,059, p= 0,0295). Based on this results, it can be concluded that health education program about menopause can increase quality of life of climacteric women. Keywords: Climacterium, health education, menopause quality of life.


2021 ◽  
Vol 7 (1) ◽  
pp. 12-15
Author(s):  
The Maria Meiwati Widagdo ◽  
Rambat Sambudi

Background: Population of elderly in Indonesia continues to grow. Physical changes in the elderly cause balance disturbances, increasing the risks of falling. Objective: To determine balance training effectiveness on reducing risks of falls in elderly. Methods: This study used a quasi-experimental design with control and intervention groups. Functional Reach Test (FRT) and Falls Efficacy Scale-International (FES-I) were used to assess balance function. The elderly in this study had risks of falling according to FRT and FES-I. Timed Get-up and Go Test was used to assess physical function. Education and balance exercises were given for 3 weeks to the intervention group. Pre-test data were taken at the beginning of the study, while post-test data after the balance training was given to the intervention group. Paired t-test was used to compare the pre-test and post-test data. Results: Research was conducted in Warungboto and Giwangan Kampongs, Umbulharjo District, Yogyakarta Municipality. Data from 60 elderly: 30 in the intervention and 30 in the control groups. Paired t-test showed a significant difference between pre-test and post-test results in the intervention group on FRT (t=-16,301, p<0.001, and FES-I (t=-24,457, p<0.001). The three-week-balance-training significantly reduced the risk of falling in the intervention group. Significant difference was not found in the control group on FRT (t=-0.126, p=0.901), and FES-I (t=-0.764, p=0.451). There was no significant reduction in the risks of falls in the control group. Conclusion: Balance training is effective in reducing the risk of falls in elderly.


2018 ◽  
pp. 254-262
Author(s):  
Riani Pradara Jati ◽  
Fery Agusman Mendrova ◽  
Rita Hadi Widyastuti

ABSTRAK Hipertensi  pada  lansia  merupakan  peningkatan  tekanan  darah  sistolik  diatas  140mmHg  dan tekanan diastolik 90mmHg atau lebih dan menduduki peringkat pertama masalah kesehatan. Perawatan hipertensi memerlukan peran aktif keluarga sebagi suatu sistem pendukung. Pemberian pendidikan kesehatan tentang teknik terapi relaksasi nafas dalam berguna untuk menurunkan stres sebagai dampak yang muncul dari hipertensi. Penelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan terhadap kemampuan tugas perawatan hipertensi family caregiver di Kelurahan Langenharjo Kabupaten Kendal. Desain penelitian yang digunakan adalah quasi experiment dengan desain pre and post-test with control group. Populasi penelitian adalah family caregiver di Kabupaten Kendal. Sampel diambil dengan teknik purposive sampling sejumlah 68 yang terbagi dalam kelompok intervensi (n=34) dan kelompok kontrol (n=34). Intervensi berupa pendidikan kesehatan tentang teknik terapi relaksasi nafas dalam diberikan pada kelompok intervensi. Data diambil melalui kuesioner dan dianalisa melalui uji sampel (paired t-test dan independentt-test). Hasil penelitian menunjukan setelah diberikan pendidikan kesehatan, kemampuan tugas perawatan family caregiver pada kelompok intervensi adalah 60,97 (SD 2,30), dan mengalami peningkatan sebesar 34% dari sebelum intervensi. Sementara pada kelompok kontrol, kemampuan tugas perawatan menunjukan nilai 46,14 (SD 2,94). Hasil analisis mendapatkan nilai p-value = 0,002 α=0,05, yang mengindikasikan adanya pengaruh pendidikan kesehatan terhadap kemampuan tugas perawatan hipertensi family caregiver. Berdasarkan hasil penelitian, direkomendasikan bagi tenaga kesehatan untuk melibatkan keluarga dalam mengatasi masalah kesehatan pasien melalui pendidikan kesehatan.   Kata kunci: Pendidikan kesehatan, hipertensi, stress, family caregiver       ABSTRACTHypertension in the elderly describes an increase in the systolic blood pressure of above 140 mmHg and the diastolic pressure of 90 mmHg or more and becomes the first ranked health problem. The treatment of hypertension requires an active participation of the family as a support system. The provision of health education about deep breathing relaxation therapy is useful for reducing stress as an impact arising from hypertension. This study aimed to determine the effects of health education on the ability to perform hypertension treatment among the family caregivers in Langenharjo urban-village in Kendal regency. This study employed a quasi-experimental design with pre and post-test with a control group The population was the family caregivers in Kendal. The samples were taken by using purposive sampling and involved 68 caregivers who were assigned to the intervention group (n = 34) and the control group (n = 34). An intervention of health education about deep breathing relaxation therapy was given to the intervention group. The data were collected through the questionnaires and analyzed by the paired t-test and the independent t-test. The results showed that after given the intervention, the ability to perform hypertension treatment among the family caregivers in the intervention group was 60.97 (SD 2.30), indicating an increase of 34% as before the intervention. Meanwhile, in the control group, the ability of the family caregivers demonstrated a value of 46.14 (SD 2.94). The result of the analysis obtained a p-value of 0.002, and α of 0.05, indicating the effects of health education on the ability of performing hypertension treatment among the family caregivers. Based on the findings, it is recommended that the healthcare providers involve the family to address the patient’ health problems through the health education programs.   Keywords: Health education, hypertension, stress, family caregivers


2021 ◽  
Vol 2 (1) ◽  
pp. 80-86
Author(s):  
Molek Molek ◽  
Dwi Setya Rini ◽  
Mangatas Halomoan Parluhutan Hutagulung

Caries is a common oral and dental disease. The main etiology of caries is plaque.Chewing fibrous fruits can prevent plaque accumulation, including Manalagi applesand Fuji apples. The purpose of this study was to determine the differences in theeffectiveness of consuming manalagi apples with fuji apples on the reduction of theplaque index in Madrasah Aliyah Al-Hidayah students. This type of research is aquasi-experimental design with pre test and post test control group. Total sample was32 students aged 16-18. Data were analyzed by statistical test T Test. Based on theresults of the paired t test statistical test, it was found that the average plaque indexbefore chewing an apple was 0.63 ± 0.42 after 0.26 ± 0.26 with a mean of 0.37 ± 0.16.Meanwhile, the plaque index before chewing on Fuji apples was 1.01 ± 0.59 after 0.87± 0.54 with a mean 0.14 ± 0.05. The results of the independent statistical t testshowed that the value of p = 0.001, which means that there is a difference in chewingManalagi apples with Fuji apples to decrease the plaque index. The conclusion of thisstudy is that consuming manalagi apples is more effective than fuji apples in reducingthe plaque index


2019 ◽  
Vol 1 (1) ◽  
pp. 21-32
Author(s):  
Fatikhah Fatikhah ◽  
Nur Zuhri

Nurses’ job satisfactioninfluences the quality of nursing services. The improperly managed job satisfaction of nurses can disrupt the function of the hospital in providing comprehensive and quality health services. The nurses’ job satisfaction can be achieved through a good relationship between nurses and hospital leaders. A good and equal as well as supporting and collaborative relationshipis reflected in the supervision of reflective model. This study aimed to analyze the influence of head nurses’ supervision of reflective model on the job satisfaction of nursesat Tugurejo Regional Public Hospital in Central Java Province. This study employed a pre-post-test quasi-experimental design with a control group. The samples were 68 nurses recruited by purposive sampling and were assigned to the intervention group (n = 34) and control group (n = 34). The data were collected using questionnaires and then analyzed using the paired t-test. The result of paired t-test test obtained a p-value of < 0.001, indicating that there were influences of the head nurses’ supervision of reflective model on the nurses’ job satisfaction. The reflectivemodel supervision can be used as an alternative to improve the job satisfaction among the nurses. The head nurses as a low-level manager can perform the management functions well through the reflective model supervision to improve the nurses’ job satisfaction.


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