The Effect The Effect Of Cardiopulmonary Resuscitation (CPR) Training On Knowledge, Attitudes And Practices Of Pool Guards

Introduction: CPR is a very vital implementation in cases of cardiac arrest. The occurrence of cardiac arrest is influenced by several factors one of cause is drowning. Pool lifeguard is one of the jobs that has the potential to find cases of cardiac arrest but the majority of them have never received CPR training. The purpose of this study was to determine the effect of pulmonary resuscitation (CPR) training on knowledge, attitudes and practices on the management of cardiac arrest. Objective: To determine the effect of pulmonary resuscitation (CPR) training on knowledge, attitudes and practices on the management of cardiac arrest. Methods: This study uses a pre-experimental design with one group pretest-posttest design. The sampling technique uses total sampling of 10 pools lifeguards of Metro swimming pool, Kepanjen. Research conducted in May 16-17 2019 at Kepanjen Metro Swimming Pool. The independent variable is Cardiopulmonary Resuscitation (CPR) training and the dependent variable is the knowledge, attitude, and practice of cardiac arrest management. Results: Statistical tests using the Wilcoxon Test with result variable knowledge p value = 0.002; attitude p value = 0.007; and practice p value = 0.004. All three variables show the effect of CPR training with increase in knowledge, attitudes and practices in pool guards. Limitation of this study is time for evaluation too fast, only one day away from research. Conclusion: Several things that influence the results of this study are information exposure, experience, education level, body mass index (BMI), and gender. It is hoped that pool lifeguard can apply first-aid cardiopulmonary resuscitation (CPR) to drowning victims

Tabletop Tsunami Simulator In Tsunami Disaster Preparation To Make Schools Of Disaster Preparedness

Introduction: Tsunami in Indonesia become a threat to society, especially for vulnerable groups. Primary school students are one of the vulnerable groups that should have adequate preparedness both in their knowledge and attitudes in facing the tsunami. To support the preparedness, a tabletop tsunami simulator has been developed. Objective: To describe the tsunami preparedness of school-age children and to assess the impact of the tabletop tsunami simulator on the knowledge and attitudes of school children towards tsunamis. Methods: The study design was a one group pre-test – post-test design with a total participant of 157 students. The research instrument used was a tabletop tsunami simulator and a questionnaire to assess knowledge and attitude towards tsunamis. The statistical test used was the Mann Whitney test. The inclusion criteria included primary school 5th and 6th grade students, had a smartphone, and were willing to be participants. The data was collected using Google form and had obtained ethical approval number 62/SDS/KEPK/TL/VI/2020. Result: The Mann Whitney test showed a significant effect between the tabletop tsunami simulator and the participants’ knowledge of tsunamis with a p-value of 0.000 (p-value <0.05). In the attitude variable, an increase in the attitude score between the pre-test and post-test was also observed. The average attitude score increased from 32.99 to 34.97, with a p-value = 0.000. Conclusion: There is a significant effect between the tabletop tsunami simulator with the participants’ knowledge and attitudes in facing the threat of a tsunami.

Low Birth Weight Incidence In Balung Hospital Jember Regency

Low birth weight (LBW) is a condition in which the birth weight of a baby is less than 2500 gram during an hour after birth. In 2015, WHO recorded the incidence of LBW in Indonesia was on the ninth level with a percentage of 15.5%. East Java Central Bureau of Statistics also recorded the incidence of LBW in 2017 was 6.01%. Moreover, the incidence of LBW in Jember Regency was 6.11%. There is a relationship between the incidence of LBW with perinatal and neonatal mortality. Internal factors which might cause LBW are the age of the pregnant mother and parity. This study used a descriptive-analytical method with a retrospective approach. The study population were 421 LBW babies treated at Balung Hospital from January until December 2019. The result of this study shows that the mother of 291 study participants was at reproductive age (69.1%) and the parity of 370 mothers of the study participants was a low-risk pregnancy. We concluded that there was no relationship between age and parity of mother with LBW incidence.

Development Of Diabetes Self-Care Management Using Audio-Visual Media

Introduction: Complications due to diabetes can prevented if patients able to independently handle the disease properly. According several studies, there is a significant relationship between diabetes self-management (DSM) and glycemic control. Diabetes Self Management education (DSME) is the provision of health education by experienced medical personnel about the daily behavior of diabetics such as self-monitoring blood glucose (SMBG), diet, health care, monitoring of medication and physical activity. Objective: To understood the education response in DM patient using video approached. Methods: The design of this study used a Research and Development approach with a quasi-experimental research design pretest-posttest with control group. The research began with the making of a DSME educational video which was carried out in three stages : exploration, development and validation stages. After the video was produced, further testing was carried out to determine the effectiveness of the video in increasing knowledge of DM. Result: The analysis showed that after the intervention there was an increase in knowledge in the treatment group from 10% to 43.3% while in the control group from 13.3% to 23.3%. Chi square results p value 0.023 (p <0.05), there was a significant difference between the experiment group and the control group after intervention. Conclusion: The DSME through audio-visual media can be more effective in increasing knowledge of diabetes. The use of video as a learning medium would help someone get better information because used of interesting features, authentic and real language. Audio visual as a learning medium made it easier for nurses in diabetes as educators.

Long term Depot Medroxy Progesterone Asetate (DMPA) Injectable Increase Changes in Lipid Profiles of DMPA Injection Contraceptive Acceptors

DMPA injectable contraceptives can cause changes in lipoprotein metabolism. Long term use of DMPA increases triglyceride levels, total cholesterol and LDL and decreases HDL levels. So, it can be concluded that DMPA can cause changes in lipid metabolism which can increase the risk of cardiovascular disease. Changes in fat metabolism occur due to the influence of the hormonal progesterone, which causes disruption of the balance of the lipid profile in the body. The purpose of this study was to determine the effect of using Depo Medroxy Progeserone Acetate injection on the lipid profile of three months injection family planning acceptors based on the duration of use.This research is an analytic observational study with a cross sectional approach, the population in this study were all DMPA family planning acceptors in the work area of ​​the Banjar Sengon Community Health Center, the sampling technique used was total sampling with a sample size of 30. Examination of the lipid profile was carried out by taking blood samples and then measuring them. lipid profile using the enzymatic colorimetric method (cholesterol oxidase method / CHOD PAP). The measurement results obtained were then analyzed using the Independent T test. The results of the T test analysis showed that the P value for cholesterol levels was 0.016 (P <0.05); The p value for triglyceride levels was 0.004 (P <0.05); The p value for HDL levels was 0.046 (P <0.05); The p value for LDL levels was 0.004 (P <0.05).From these data it can be concluded that there is a significant difference in the average levels of cholesterol, triglycerides, HDL, LDL between respondents with a duration of use <3 years and> 3 years. Respondents are expected to carry out routine lipid profile checks to detect early detection of possible abnormalities in lipid profiles that can lead to the risk of heart defects and stroke.

Behavior Characterization of Use of Mobile Phones which Potentially Cause Health Problems of Elementary School-Age Children in Rural and Urban Areas

Introduction: The development of communication technology meets a siginificant advancement, and mobile phones are part of it. Mobile phones are used not only by adults but also by children, including elementary school age children. Children in using mobile phones have different behavior based on their social, economic and cultural differences. Some behaviors of children in using mobile phones have a risk of health problems. Objective: The purpose of the study was to characterize the behavior of the use of mobile phones in primary school age children which could potentially cause health problems. Methods: This is a descriptive study using cross-sectional design. The study involved 60 children and their parents in urban and rural elementary schools. Data were collected by questionnaire (there were 13 questions) using the Google form application (close ended questionnaire) from population taken by the nonprobability sampling method. The data obtained were analyzed using descriptive analysis. Results: The results found that the possession of mobile phones, lighting, place and duration of use mobile phones were behaviors that descriptively showed that there were differences between children from rural and urban elementary schools. Behavior of time using mobile phones, body position, alignment and distance of the mobile phone to the head or eye, the purpose, tool and the place where to use the cellphone, both groups have the same percentage. Conclussion: there are differences and similarities in behavior in using mobile phones between children from rural and urban elementary schools.

The Effect Of Bioinsecticide Granule Mixture Of Sugar Apple Seed (Annonae Squamosa) And Betel Leaf (Piper Betle) On Morphology Of Eggs Aedes Aegypti

Introduction: Dengue hemorrhagic fever (DHF) is an important public health problem in Indonesia because its morbidity and mortality are quite high. Prevention by vector control methods with chemical insecticides adversely affects the environment. Research on granular bioinsectide mixture of betel leaf extract and sugar apple seeds against Aedes aegypti is expected to be used to break the chain of Aedes aegypti mosquitoes starting from the juvenile stage (eggs) as an effort to control the vector population naturally. Objective: This study aims to analyze the effect of granule bioinsecticide mixture of sugar apple seed extract and betel leaf on changes in the morphology of Aedes aegypti eggs. Methods: This study is a true-experimental study with a Post test Only Control Group Design design. The treatment group will be given a granular bioinsecticide, a mixture of sugar apple seed extract and betel leaf, positive control will be given abate while negative control will be given aquades. Each group uses 25 eggs with 3 repetitions. On day 3, all eggs will be observed using a stereo microscope to determine morphological changes. The data obtained will be analyzed using ordinal regression test. Results: the ordinal regression test got the value of ρ in the Wald test between (0.012 - 0.955)> α = 0.01. Conclusion: there is no effect of mixed granules of betel leaf and sugar apple seeds on the mortality of Aedes aegypti eggs. Further research is needed on new formulations using other natural ingredients to increase the effect of ovicides on Aedes aegypti.

Relationship Between Husband’s Support And Mother’s Attitude To Exclusive Breastfeeding For 6 Months

Introduction: Breastfeeding is the responsibility of a woman who has a baby. The decision of the Indonesian Ministry of Health assign exclusive breastfeeding was given for 6 months and continues until 2 years old. Until now in Indonesia there are still many women who have not given exclusive breastfeeding to their babies. The failure to give exclusive breastfeeding is caused by several factors, one of which is the husband's support and mother's attitude. Objective: To determine the relationship between husband's support and the mother's attitude to breastfeed exclusively for 6 months in the Kudu Village, Semarang City. Methods: This was a descriptive qualitative study with an analytical study design with Cross Sectional. The study populations was 116 pregnant womens, the research sample was 32 third trimester pregnant womens. The sampling technique in this study uses total sampling. Results: Fisher's Exact Test analysis results on the two variables of this study obtained p value = 0.018 where p value <0.05 then Ha is accepted, which means there is a relationship between the husband's support variable and the mother's attitude to breastfeed exclusively for 6 months. Conclusion: The mayority of respondents recived husband’s support and had a good attitude for exclusive breastfeeding for 6 months.

Self Care Application In Improving The Quality Of Care And Management Of Type 2 Diabetes Mellitus Clients

Introduction: Diabetes Mellitus (DM) is a chronic disease (CD) in Indonesia that contributes to high mortality. This disease poses a limitation to self-care. Good self-care prevents complications and improves the quality of life. Self-care application (SCA) is a way to increase understanding of Type 2 Diabetes Mellitus (T2DM) clients and their families to improve the quality of care and good management of T2DM clients. Objective: To determine the effect of SCA on improving the quality of care and management of T2DM clients which include blood sugar levels, nutrition management, activity/ exercise management, self aesthetics, and personal hygiene. Methods: A quasi-experimental design with a non-equivalent control group design. The population of this study was patients with type 2 diabetes with a total sample size of 50 patients with type 2 diabetes who were evenly divided into 2 research groups. The sampling method used was proportional sampling. The interventions are in the form of SCA with training and mentoring patterns of T2DM clients and their families. Data analysis using independent t-test. Result: The application of self-care had no significant impact on blood sugar stability (p 0.540), was able to improve the quality of nutritional management (p 0.018), improve activity/ exercise management (p 0.000), improve self-esthetic behavior (p 0.000), and increase personal hygiene behavior (p 0.000). Conclusion: Improving the quality of care and management of T2DM due to SCA is directly related to the understanding and awareness of T2DM clients.

A Descriptive Study Of Factors Affecting Nurses Caring Behavior In Baladhika Husada Jember Hospital

Introduction: Caring behavior is very important for nurses to have because it illustrates the quality of nursing care, especially for nurses who work in inpatient units. There are three factors that can influence the level of caring behavior, namely individual, psychological and organizational factors. Meanwhile, caring behavior is assessed from Knowing, Being With, Doing For, Enabling, and Maintaining Belief. Objective: To describe the factors that influence the caring behavior of nurses in Baladhika Husada Jember Hospital. Methods: Nonexperimental design with descriptive type, in which the approach was cross sectional, carried out for 1 month and involved 62 respondents. Results: 47 respondents stated that the three factors above had an influence on caring behavior and 15 respondents stated that it had no effect, while the caring behavior of respondents in the good category was 58 people and 4 people were not good. Analysis of data using the One-Sample Binominal test at alpha (α) = 0.05, has the p-value = 0.000, which illustrates the difference between the factors that influence caring behavior towards nurses caring behavior. Conclusion: The factors that influence caring behavior are directly proportional to caring behavior, meaning the better factors that influence caring behavior, the better nurses caring behavior level. Maintaining and improving caring behavior requires good effort and cooperation between the hospital manager which is the place for health services and nurses as nursing care providers.