Community stigma on the health care providers during COVID-19 Pandemic

Stigma can be an obstacle in efforts to prevent, treat and treat COVID- 19 patients. Negative stigma can cause psychological problems for health workers during the COVID-19 pandemic. Stigma is often associated with health problems including COVID-19 which is caused by fear and lack of knowledge. This study aims to determine the image of the community's stigma against health workers during the COVID-19 pandemic. This study used a quantitative descriptive research design with a survey approach using a questionnaire filled out via google form. Sampling was done through convenience sampling. The sample of this study was 138 respondents who met the inclusion criteria. Most of the respondents did not give stigma labelling 82.6%, did not give stigma stereotype 81.9%, did not give stigma separation 89.9% and did not give stigma discrimination 77.5% to health workers. The results showed that the community did not give stigma of labelling, stereotype, separation and discrimination to health workers during the COVID-19 pandemic. It is hoped that this research can be used as input to prevent the emergence of a negative stigma against health workers during a pandemic.

Reduction of Anxiety Levels in Schizophrenia Patients Using Progressive Muscle Relaxation

Anxiety neurosis is the most common mental disorder in society. Progressive muscle relaxation is an independent nursing intervention that can be chosen to reduce anxiety in schizophrenia patients. This case study aims to prove that progressive muscle relaxation can help reduce anxiety levels in schizophrenic patients. The study design is descriptive in the form of a case study with a nursing process approach, applying progressive muscle relaxation techniques to schizophrenic patients who experience problems with anxiety levels. The sample was two adult schizophrenic patients who experienced anxiety in Eredah Complex Mental Health Hospital. The patient's anxiety was measured by the Zung-Self Anxiety Rating Scale. The progressive muscle relaxation procedure is performed 2 times over two days with a duration of 20-30 minutes each session. Hemodynamic measurements and anxiety levels were performed pre-post progressive muscle relaxation. The results of the case study showed that progressive muscle relaxation interventions affected reducing patient anxiety levels. The mean score of the patient's anxiety decreased by 30.34% after being given progressive muscle relaxation. Progressive muscle relaxation is effectively applied to schizophrenic patients with anxiety disorders in nursing service settings.

The Correlation between Nurses’ Knowledge Regarding Patient Safety and Nurses’ Behaviors in Drug Management

Nurses’ knowledge regarding patient safety affects nurses’ behaviors in managing drugs related to patient safety. A preliminary study at Sultan Agung Islamic Hospital Semarang showed that nurses’ knowledge regarding patient safety was still low, especially about drug management, including storing, ordering/prescribing and recording, administering, and monitoring drugs. This study aimed to determine the correlation between nurses’ knowledge regarding patient safety and nurses’ behaviors in drug management among nurses in the inpatient units of Sultan Agung Islamic Hospital, Semarang. This research was an observational study with a cross-sectional design. The population was 178 nurses in the inpatient units of the specified hospital with a total sample of 123 respondents. The data were collected using a questionnaire and analyzed using Spearman’s rank correlation test. The results showed a correlation between nurses’ knowledge regarding patient safety and nurses’ behaviors in storing drugs (p=0.001 <ά=0.05), ordering and recording drugs (p=0.000 <ά=0.05), administering drugs (p=0.001 <ά=0.05), and monitoring drugs (p=0.003 <ά=0.05). It is expected that nurses evaluate the drug management implementation in the inpatient units so that patient safety is guaranteed as well as plan and manage their behaviors in managing drugs in the hospital to ensure patient safety.

Nurses' Anxiety amid of COVID-19 Pandemic

The psychological response toward pandemics experienced by medical workers is increased due to the anxiety about their health condition and the risk to infect the family member. This research was aimed to describe the nurses’ anxiety amid the COVID 19 pandemic at Piru Hospital. This research was descriptive quantitative research with the cross-sectional approach. The research was conducted from December 29, 2020, to March 4, 2021. The population was 125 medical workers at RSUD Piru, with 95 respondents taken as a sample by using the random cluster sampling technique. The instrument used was Hamilton Rating Scale for Anxiety (HRS-A). The data was then analyzed by using frequency distribution data classified in a table. The result of univariate data analysis showed that 91 respondents (95.8%) didn’t experience anxiety, and 2 respondents (2.1%) experienced anxiety. In case of anxiety, 95.8% of nurses at Piru Hospital in West Seram Regency, Maluku didn’t experience anxiety. The research finding shows the importance of prevention and early detection of anxiety disorder to minimize further impact. Individual identification on the early stage of psychological disorder could be an effective intervention strategy.

Role Model and Family Support Related to Self Efficacy Sleep in The Sand in Coastal Elderly

The elderly naturally experience a decrease in physical and psychological function so that it affects individuals in their daily activities. Self-efficacy is the ability to carry out a series of actions to provide life satisfaction for the elderly who sleep in the sand. Role models can provide role models for the elderly in doing activities to sleep in the sand where family support can influence the behavior of the elderly sleeping in the sand in the coastal elderly. The research method is descriptive-analytic with a cross-sectional approach. The population of this study were all the elderly who lived in the village, Village, Pasir Lenggung Batang Batang -District, Sumenep Regency as many as 124 elderly. The sampling technique used is purposive sampling. The analysis used is the test Spearman rank. The results of this study stated that most of the respondents had role models in the high category as many as 57.5% coastal elderly, respondents had family support in the medium category as many as 72.5% coastal elderly, and respondents had self-efficacy sleeping in the sand in the capable category as many as 72, 5% of coastal elderly. There is a relationship between the role model and the self-efficacy of sleeping in the sand in the coastal elderly and there is a relationship between family support and the self-efficacy of sleeping in the sand in the coastal elderly. Role models can be role models and motivations for the coastal elderly to sleep in the sand. When the role model is good, self-efficacy will increase, with that the ability of the elderly to carry out activities in the sand is better as well as the higher family support, the higher self-efficacy the elderly

Cucumber and honey soaking reduces hypertension in the elderly

Hypertension is a condition of increasing a person's blood pressure beyond normal limits, causing increased morbidity and mortality. Hypertension can be reduced by consuming cucumber which contains potassium which inhibits the release of renin so that there is an increase in sodium and water excretion. In addition, it can also be reduced by consuming honey which can prevent the formation of plaque attached to the walls of blood vessels so that it can eliminate bad cholesterol for the body. This study aimed to determine the effect of giving cucumber and honey water immersion on Elderly Hypertension. This study used a Quasy Experimental design with a Pretest and Posttest with Control Group design. Sampling using a simple random sampling technique. The sample in this study amounted to 30 elderly people using the paired sample t-test statistical test. The results showed that the average blood pressure of the intervention group before being given the cucumber and honey water immersion was 153.6/84 mmHg and after it was 148.3/82.1 mmHg. The average blood pressure of the control group before being given the cucumber and honey water immersion was 158.5/80.2 mmHg and after it was 163.5/80.2 mmHg with p = 0.000. In the results of the independent sample test the intervention group before being given therapy, namely Sig. (2-tailed) = 0.027, the control group before treatment was Sig. (2-tailed) = 0.045. While the test results of the intervention group after being given therapy are Sig. (2-tailed) = 0.124, the control group after being given therapy is Sig. (2-tailed) = 0.139. There is an effect of giving cucumber and honey water immersion therapy on changes in blood pressure in the elderly with hypertension. But there is no difference in the average blood pressure of the Hypertensive Elderly. It is expected that the elderly with hypertension can make cucumber and honey water immersion as an alternative therapy to reduce hypertension

Factors Contributing to Intradialytic Hypertension in Hemodialysis Patients

Intradialytic hypertension (IDH) is the most common complication of hemodialysis patients in Indonesia. It must be controlled, to maintain the patient's quality of life and prevent worsening conditions. Some factors affecting IDH include predialysis fluid overload characterized by excessive interdialytic weight gain (IDWG), low adherence to fluid restriction and increased ultrafiltration during haemodialysis. The study aims to identify contributing factors of IDH. A case-control design was used in this study. A purposive sampling technique was used to recruit 92 samples at two centres of dialysis in Semarang, which was divided into case group (n=46) and control group (n=46). Data were analyzed using the Chi-square test by calculating Odds Ratios (OR). The finding showed that excessive IDWG (p=0,000, OR=16.95, 95% CI:5,56-51,65), low fluid adherence (p=0,001, OR=4,41, 95% CI:1,82-10,68) and excessive ultrafiltration (p=0,000, OR = 29,52, 95% CI:9,23-94,46) showed significant result. However, the incidence of IDH was not correlated with sex, age and length of haemodialysis. A greater increase in interdialytic weight requires lower fluid and higher ultrafiltration factors must be controlled precisely because those are considered as the risk factors for the high incidence of IDH. Excessive ultrafiltration is the most dominant risk factor in the high incidence of IDH.

Application Of Predialytic Exercise To Reduce Fatigue In-Patient Undergoing Hemodialysis

Chronic kidney disease is an irreversible and slow-progressing disorder of kidney function so that the kidneys are unable to maintain the body's metabolism, fluid and electrolyte balance and cause uremia which requires dialysis or kidney transplantation. Hemodialysis is management to treat chronic kidney disease that is carried out for life so that the complications that often arise are fatigue, cramps, anxiety, pain. The phenomenon found in the Hemodialysis Room of the Tugurejo Hospital Semarang, there were 34% of the 84 patients who experienced fatigue which was characterized by lethargy, weakness, drowsiness, dizziness. This research is a quantitative study with a quasi-experimental design. The sample size is 4 respondents in the intervention group without a control group. Measurement of the level of fatigue (pre and post-test) using the PFS (Piper Fatigue Scale) which contains 22 subjective statements. Predialytic Exercise intervention is given for 5 sessions with a duration of 10-15 minutes. The results of this study indicate that the fatigue level of hemodialysis patients has decreased after the intervention of predialytic exercise for 5 sessions. The fatigue score of respondents 1 has decreased from a score of 4.8 (moderate fatigue) to 3.2 (mild fatigue), respondent 2 from a score of 6.3 (moderate fatigue) to 4.3 (moderate fatigue), respondent 3 from score 9 (severe fatigue) to 7 (severe fatigue), and respondent 1 from a score of 4.9 (moderate fatigue) to 2.4 (mild fatigue). The results of this study indicate that there is a decrease in each dimension of fatigue levels so that predialytic exercise intervention is effective to reduce fatigue in patients undergoing hemodialysis.

Community Knowledge and Compliance in Doing Prevention of COVID-19

Community compliance in taking measures to prevent transmission of COVID-19 must be based on good knowledge about COVID-19 so that it can break the chain of transmission of COVID-19. The objective of this research to determine the relationship between the level of community knowledge about COVID-19 with compliance to prevent COVID-19 at the Community Health Center of Jati Kudus. This study used a quantitative analysis with a cross-sectional approach. The population was 115 people treated at Community Health Center of Jati Kudus with range aged 17-35 years, then got 89 respondents were obtained using the purposive sampling technique. The instrument used was a questionnaire. From the results of univariate data testing, 65 respondents (73%) had good knowledge of COVID-19, while those who had sufficient knowledge were 24 people (27%). The results showed that all respondents complied with the prevention measures for COVID-19 with a percentage of 100%. Based on the bivariate test result, it was found that there was a relationship between the level of knowledge and compliance in preventing transmission of COVID-19 with a p-value of 0.034 and r (correlation coefficient) of 0.225. It can be concluded that there was a relationship between the level of public knowledge about COVID-19 and compliance with COVID-19 prevention at the Pubic Health Center of Jati Kudus.

High Flow Nasal Cannula Oxygen Therapy in Long Hauler Covid-19 Patients

Long Hauler Covid-19 is a condition that describes a person who has recovered from Covid-19 and is declared with a negative PCR smear 2 times but still feels signs and symptoms for a longer period of time, even severe and critical symptoms. Most cases complicate Acute Respiratory Disorder Syndrome (ARDS), which can lead to death. Fulfilment of non-invasive high concentration oxygenation requirements as an intervention modality in this case. The purpose of this case study was to determine the effect of giving oxygen therapy through the High Flow Nasal Cannula (HFNC) on the respiratory function of Covid-19 long haulier patients. The method of nursing care was a case study on 2 respondents with a descriptive approach method. There were 2 cases of Long haulier Covid-19 patients with comorbid smokers, Diabetes Mellitus, experiencing moderate ARDS complications, desaturation, and tachypnea. Patients received oxygen therapy intervention through HFNC while being treated in the critical care room, and after being given HFNC oxygen therapy for 5 days there was a decrease in respiratory frequency, a change in breathing pattern from shortness of breath to shortness of breath, an increase in oxygen saturation, an increase in the ROX Index, an increase in PO2 and blood pH in normal limit. Nursing care that focuses on respiratory management in covid-19 long haulier patients improves patient outcomes in particular, namely decreased respiratory rate, changes in the respiratory pattern of shortness of breath, increased oxygen saturation, increased ROX index, increased PO2 and blood pH within normal limits.