THE CORRELATION OF FAMILY KNOWLEDGE AND BEHAVIOR IN CONTROLLING HYPERTENSION IN PATIENTS AT OUTPATIENT DEPARTMENT

There has been a significant and continuous increase in the number of people suffering from hypertension worldwide, particularly in Indonesia. Many families with hypertensive members do not recognize hypertension or control their hypertension. This study aims to determine the correlation of family knowledge and behavior in controlling hypertension in patients at the outpatient department of a private hospital in Jakarta. The method was a quantitative methodology with a cross-sectional design approach. The population was the patients’ families in outpatient department. The sample was 94 respondents who were selected using the purposive sampling technique. The instrument was a previous study's questionnaire. The univariate analysis showed that 64.9% of respondents have good knowledge, and 53.3% have good behavior. The bivariate analysis, which used the Pearson Chi-Square test showed a p-value of 0.001 (CI 95%). There was a correlation between family knowledge and behavior in controlling hypertension in patients at the outpatient department. Hospitals and nurses can further optimize family education, socialization, and collaboration in controlling hypertension.

THE MOZAIC EFFECT ON THE IMPROVEMENT OF FINE MOTOR SKILLS OF 3-4 YEARS OLD CHILDREN IN INTEGRATED HEALTH CARE CENTER, THE WORKING AREA OF PUBLIC HEALTH CENTER WAENA JAYAPURA CITY.

The Child development speed is unique; it varies due to the child’s nature and its stimulants. Lack of stimulants will affect late fine motoric development of children. Data from the Waena Health Center inform, 190 toddlers have impaired fine motor development. This research objective was to determine the effect of mosaic techniques on the enhancement of fine motor skills in children aged 3-4 years in Integrated Health Care Waena area, Jayapura City. A quantitative descriptive research was done with Two Group Pretest-Postest Group Design. The results before the mosaic technique showed in intervention group, had dubious fine motor skills (55.6%) and 16.6% deviant. Whereas in the control group had dubious fine motor skills (83.3%) and 5.6% deviant. After using mosaic technique the intervention group had fine motor skills (77.8%) and small part doubted (22.2%). The average score after improving fine motor skills in the intervention group was 8, while the control group was 7.1 with independent t-test statistical test at a significance value of 95% ( = 0.05) obtained p-value 0.042 or p <α (0.05), thus there is an effect of mosaic techniques on improving fine motor skills of children at the Integrated Health Care Waena area, Jayapura City. Keyword: Mozaik Technique, Fine motor skill, children age 3-4 tahun

LEMON AROMATHERAPY AS AN ALTERNATIVE TO REDUCE THE INTENSITY OF CHEMOTHERAPY-RELATED NAUSEA AND VOMITING EXPERIENCED BY THE BREAST CANCER PATIENTS

ABSTRACT Introduction : The mechanism of breast cancer is the cells growing and breeding become appear abnormal tissue of breast. One of the common treatments for it is chemotherapy using cytotoxic drugs. However, chemotherapy may cause nausea and vomiting as its side effects. Lemon aromatherapy is a complementary therapy in patients with breast cancer who experience nausea or vomiting. The study’s purpose was to know the effect of lemon aromatherapy on the intensity of nausea and vomiting experienced by the breast cancer patients as an effect of chemoterapy in the Chemo Center Room of RSAL Dr. Ramelan Surabaya. Material and Methods : The study was the pre-experimental design with pre-post test without control group. There are two variables, lemon aromatherapy is independent, and the intensity of nausea and vomiting is dependent. The sampling technique was nonprobability purposive sampling, with 34 breast cancer patients taken as the sample. A questionnaire was the instrument for collecting the data. The Data collected were analyzed using the Wilcoxon Test (α = 0,05). Results : The study’s result indicated that the lemon aromatherapy was effectively to decrease of the intensity of nausea and vomiting exeperienced by the respondents, with the value of Wilcoxon test p < 0.001. Conclusion : Lemon aromatherapy stimulates the raphe nucleus to produce serotonin. Which function to generate a sense of comfort and calm. For that reason, it can be used as an alternative for taking care of nausea and vomiting experienced by patients with breast cancer as the side effect of chemotherapy. Keywords: Lemon Aromatherapy, Nausea, Vomiting, Chemotherapy

PSYCHOLOGICAL STRESS ON NURSE PERFORMANCE IN PROVIDING NURSING CARE DURING THE COVID-19 PANDEMIC

Objectives: This study examines the psychological stress experienced by nurses, explores the psychological stress on nurses' performance in providing nursing care in hospitals during the COVID-19 pandemic. Methods: In this study using a qualitative design with an analytical strategy using in-depth interviews, the subjects used were nurses who worked in two Yogyakarta hospitals, the sampling technique used consecutive sampling, which was then carried out qualitative analysis. Results: The research has two themes. First, the psychological stress experienced at the beginning of the pandemic with four sub-themes, namely; 1) fatigue and PPE problems during the pandemic; 2) fear of infection; 3) anxiety caused by community stigmatization; 4) concern for family health. Second, coping and self-care with three sub-themes, namely; 1) awareness and vigilance on duty; 2) spiritual support; 3) support for facilities and infrastructure. Conclusion: Research provides in-depth knowledge of the stress experienced by nurses in the COVID-19 pandemic situation and can provide advice to hospital management in ensuring the health and safety of nurses in the hospital. Recommendation: Hospitals can improve the Standard Operating Procedures, mental support, support for personal protective equipment to protect nurses to minimize the negative impact in nurses in providing nursing care in a pandemic situation.

SELF CARE ABILITY INFLUENCES THE QUALITY OF LIFE CONGESTIVE HEART FAILURE (CHF) PATIENTS

The prevalence of congestive heart failure sufferers in Indonesia is very high and is expected to continue to increase every year. Heart failure conditions and other manifestations cause a decrease in the quality of life due to the patient's inability to perform self-care properly. The purpose of this study was to determine the relationship between self-care ability and the quality of life of patients with congestive heart failure (CHF) in cardiac outpatient unit Arifin Achmad Hospital, Riau Province. This research was conducted on 64 respondents which by purposive sampling technique. Methode of this research was descriptive correlative with cross-sectional disign. The instrument of this research is the Self Care of Heart Failure Index (SCHFI) questionnaire to measure self-care ability and Minnesota Living with Heart Failure Questionnaire (MLHFQ) questionnaire to measure quality of life. The results of this study indicate that the respondent's self-care ability is balanced by good and bad as many as 32 respondents (50.0%) and the quality of life of the majority is bad as many as 39 respondents (60.9%). Based on the chi square test it can be concluded that p value= 0.01 (<0.05) means that there is a significant relationship between self-care ability and the quality of life of people with congestive heart failure (CHF). The recommendation for further research is to study about the factors that influence self-care ability and quality of life in patients with congestive heart failure.

THE INCREASING THE INTRODUCTION OF BALANCED NUTRITIOUS FOOD THROUGH COOKING CLASS ACTIVITY ON CHILDREN OF 3-4 YEARS OLD AT PPT PELANGI KECAMATAN PAKAL SURABAYA

The research purpose is to increase the introduction of balanced nutritions food. The research method used was Classroom Action Research (CAR). The researcher subjects were 22 children of 3-4-year-old children at PPT Pelangi, Pakal, Surabaya. Data collection techniques included: planning, implementation, observation, and reflection. This research consisted of pre-cycle, cycle I and cycle II with 2 meetings/ cycle. The research result showed that in the pre-cycle, it obtained 46,6 %, there was An increase in the first cycle of 61,4 %, it showed an increase in the number of children who developed well, although it was not maximally yet, in the second cycle, It increased as 83 % it showed an increase in the percentage of development with very good growth.

A SUPPORT OF THE HUSBAND DURING THE PROCESS OF LABOR AND THE PUERPERIUM IN KUPANG DISTRICT

Husband's support during pregnancy, childbirth and the puerperium is needed by both mother and baby. Husband's support makes mothers less stressed, needs are met, mothers feel comfortable emotionally. The purpose study was to determine the husband's support during labor and childbirth. The research method is qualitative exploration with a phenomenological approach. The research was conducted in Oelbiteno Village with the informants were 10 husbands of mothers who gave birth. Data collection by direct interview and via telephone. Data processing and analysis techniques are interpretative phenomenological analysis with content analysis. Results showed husband's support for his wife during childbirth is physical support (massaging the wife's back, feeding and drinking); emotional (feeling what the wife is facing, helping her during childbirth); informational (information about nutritious food); advocacy (planning a safe labor for the wife, preparing clothes for mothers and babies, KTP, KK, JKN). Husband's support during the puerperium period is physical support (caring for the baby, delivering the wife and control baby); emotional (encouraging to provide exclusive breastfeeding); informational (information about wife and child health, nutritious food); advocacy (planning family planning programs).

FACTORS AFFECTING COPING STRATEGIES FOR HEALTH WORKERS IN DEALING STIGMA DUE TO COVID-19

Coping strategies used by health workers in dealing with community stigma due to Covid-19 are varied. The influencing factors include individual characteristics such as gender, marital status, profession, education level, marital status, salary, sift and others. The purpose of this study was to determine the factors that influence health workers in the selection of coping strategies. The design of this study was cross-sectional. The population is health workers who work in health services in Indonesia with a total of 530 samples through incidental sampling technique. The research instrument used a Brief Cope Inventory which consists of 28 question items with 14 subscale items. Data analysis used univariate, bivariate and multivariate. The coefficient of determination obtained is 0.125, meaning that the variability of the dependent variable that can be explained by independent variability is 12.5% ​​or about 87.5% the rest is explained by other factors outside the model, which means that it cannot be explained by the model including physical health factors and psychology.

THE EXCESSIVE USE OF SOCIAL MEDIA AND ITS RELATIONSHIP TO INSOMNIA AMONG NURSING STUDENTS

Social media is online media used to interact and exchange information with other people. Excessive use of social media can negatively impact, one of which can make a person's sleep patterns change, causing insomnia. Insomnia is a condition characterized by a disturbance in the amount, quality, or time of an individual's sleep. This study aimed to analyze the relationship between the excessive use of social media and insomnia among nursing students. This research method was correlational quantitative with a cross-sectional design. The sampling technique used was purposive sampling with a sample size of 207 participants. Data analysis used the chi-square test.The results showed 102 participants (49.3%) actively used social media, and 105 participants (50.7%) were not actively using social media, 103 participants (49.8%) experienced insomnia, and 104 participants (50.2%) do not experience insomnia. This study demonstrated a significant relationship between the excessive use of social media and insomnia among nursing students(p-value 0.01).Therefore, this research can provide information to students to optimize the use of social media to support the learning process and improve students’ sleep quality.

EDUCATION TO IMPROVE QUALITY OF LIFE OF PATIETS WITH STOMA: A LITERATURE REVIEW

Several conditions or disease may necessitate the formation of stoma as a treatment. However, stomas has a negatif effect on physical, psychological, social and spiritual aspects that can reduce the quality of life. Education is an effort to improve the quality of life of patients with stoma. The aim of this study was to describe the education of patients with stoma to improve quality of life. A review of the literature by searching in sciencedirect, EBSCO, and pubmed. Four relevant articles include in syntesis. Three studies conclude that education can improve quality of life and one study did not show significant results, but there were positive changes in the quality of life value. Education is provided through a variety of methods, the topic covers various aspects of life, delivered by a team of health care, given at least 2 sessions. Education in patients with stomas can improve quality of life. Although each article has a different method of education, it has a positive effect on improving the quality of life.