DETERMINANT OF HEALTH PROTOCOL IMPLEMENTATION AMONG ELDERLY WITH CHRONIC DISEASE IN JEMBER

Background: Elderly is one of the vulnerable groups against COVID 19 infection. The mortality rate from COVID 19 is the highest in the elderly. The chronic disease is worsening the outcome. Objective: This study aimed to find the determinant of the implementation of health protocols among the elderly with chronic disease. Methods: This study was a correlational study conducted with a cross-sectional approach. A total of 437 elderly were selected through consecutive sampling techniques. The respondents were asked to fill the KAP questionnaire through a google form. The data were analysed using binary logistic regression and multivariate logistic regression techniques using SPSS. Result: The results showed that educational level (p-value 0,088); living arrangement (p-value 0,035); knowledge (p-value 0,026); occupation (p-value 0, 042) and the implementation of self-care management (p-value 0,047) were correlated with the implementation of health protocols among the elderly with chronic disease. Knowledge became the main determinant of the health protocol implementation among the elderly with OR 8,456 95%CI (3,495 – 20,455). Conclusion: It can be concluded that the elderly with adequate knowledge has the potential to be 8,4 times more likely to implement the health protocols properly. Health education about the appropriate implementation of health protocol needs to be carried out using a plain language that is easily accepted by the elderly

ANALYSIS OF THE PREVALENCE OF ALCOHOL CONSUMPTION IN HYPERTENSION PATIENTS AT THE GLENO INPATIENT PUBLIC HEALTH CENTER ERMERA MUNICIPALITY, TIMOR-LESTE

Background; Arterial hypertension is a chronic disease where the blood pressure in the arteries is persistently above the normal value (systolic pressure > 140 mmHg or diastolic pressure is > 90 mmHg). The worldwide number of hypertension deaths reaches 9.4 million deaths. Hypertension data recorded at Gleno Inpatient Health Centre (IHC) in 2019 reaches 810 patients. Objective; This study aimed to analysis on alcohol consumption with prevalence of hypertension. Methods; This quantitative research used correlation approach, the samples were the patients who make an appointment and intern in Gleno IHC, the sampling technique was non-probability, the purposive sampling technique based of the inclusion criteria and the instrument was a questionnaire. Results; Sample size on study were 46 respondents. Based on the results of correlation statistical analysis Spearman Rank indicates the p-value was 0.001, which is lower than 0.05. This test showed a significant relationship between the consumption of alcohol with the occurrence of hypertension in Gleno IHC. Never the less, the result of the correlation test (r) was 0.473. Which means having the most high impact of alcohol consumption with an opportunity of 0.473 times. Which result in the most severe hypertension disease in Gleno IHC. Conclusion; This research indicated that the relationship is positive and significant between the alcohol consumption and the prevalence of hypertension in Gleno Inpatient Health Centre, municipality of Ermera. This result can be used as a good input to improve the health promotion program and better service for hypertension patients at this health centre.

INTERNAL AND EXTERNAL FACTORS RELATED TO THE IMPLEMENTATION OF PATIENT SAFETY GOALS: A LITERATURE REVIEW

Background: Patient safety goals are important things that must be done by nurses to get a patient safety culture. Individual internal factors and external factors can influence nurses in carrying out patient safety goals. Objective: This literature review study aims to discuss further internal and external factors that correlated in implementing patient safety goals by nurses. Methods: The design used was literature review. The keywords are in two languages. The keywords for articles in Indonesian are “faktor yang mempengaruhi”, “sasaran keselamatan pasien”, “perawat”, “rumah sakit”. The keywords for English articles are "factor", "patient safety goals", "Nurse", “hospital”. There was conducted through three databases, including PubMed (13 articles), Google Scholar (482 articles in Bahasa), and Science Direct (110 articles). Articles limited from January 2015 to October 2021. Then the author re-sorted the articles according were free access and full text, in the form of original articles. Result: There are 8 articles that appropriate with the criteria. Six articles are quantitative studies with a cross sectional approach and 2 articles with the SEM method. The results of the review show that there are 2 factors. Internal factors that correlated are motivation, knowledge and length of work. External factors that correlate are supervision and organizational culture. Conclusion: Two factors correlated with patient safety goals implementation by Nurses. Further research that can be carried out as a follow-up study from this literature review is to determine interventions related to these two factors to achieve the maximum application of patient safety goals.

BENEFITS OF SPIRITUALITY FOR THE ELDERLY: LITERATURE REVIEW

Background: Aging is the final phase in the human life cycle; elderly people are at risk to face the problem as an impact loss of their roles. Objective: This study aimed to know that spirituality has an impact on providing the ability to face and accept the changes that occur with age. Methods: This literature review aimed to find out the benefits of spirituality for healthy elderly lives. Data Sources: This study searched articles published between 2010 to 2020, full-text and free articles. The search keywords consisted of “function” and “spirituality” and “elderly”. Review Methods: This literature review was conducted using analysis of the selected articles based on the inclusion criteria such full-text articles that were discussed about the benefits of spirituality for the elderly, published in the last 10 years. Result: Spirituality has an impact on influencing the incidence of depression; the main source of support for physical and psychosocial health, increasing self-awareness that they are no longer young and death will surely come for them; source of life force; coping strategies that help overcome difficult times in the elderly’s life. Conclusion: Spirituality has a positive impact on the elderly in terms of physical and mental well-being.

THE EFFECT OF HEALTH EDUCATION ON INCREASING BEHAVIOR FOR THE PREVENTION OF DENGUE HEMORRHAGIC FEVER IN THE COMMUNITY

Background: One form of prevention of dengue haemorrhagic fever is through increasing public knowledge and understanding of the incidence of dengue haemorrhagic fever. Objective: This study was carried out with the aim of knowing the effect of health education on increasing behaviour for the prevention of dengue hemorrhagic fever in community. Methods: This study used a research design in the form of a pre experimental design with one group pre-post test design approach. This research was conducted on September 5, 2021 at RT 01 Kali Pecabean Village, Candi Sub-District, East Java Province, Indonesia. The population of this research is all families who live in RT 01 Kali Pecabean Village. The number of research samples was 26 families that were determined by using a sampling technique in the form of purposive sampling. Families who became respondents in this study were represented by one of the family members who participated in social gathering activities. The inclusion criteria used were families who participated in health education activities conducted at regular social gatherings. The instrument used is The Dengue Haemorrhagic Fever Prevention Questionnaire (DHFPQ). The result of reliability test was .550 and the validity was .84. Analysis of the data used is the Wilcoxon Signed Rank Test with p-value < .05. Result: The results showed that there was an effect of health education on increasing behaviour for the prevention of Dengue Haemorrhagic Fever in the community (p-value .0000). Conclusion: With the results of this study, it is hoped that health workers are expected to increase public understanding through the provision of health education as a preventive measure against the incidence of Dengue Haemorrhagic Fever. In addition, health workers are also expected to provide assistance to the community.

FULFILLMENT OF EXERCISE NEEDS AMONG PREGNANT WOMEN DURING THE COVID-19 PANDEMIC

Background: During the Covid-19 pandemic, many restrictions on almost all routine services including maternal and newborn health services. Some pregnant women are reluctant to go to health facilities for fear of contracting it. The exercise need fulfillment of pregnant women's is disrupted by a pandemic because the gym and the park are closed or fear of the virus exposure when exercising outside the home. Objective: The purpose of the study was to describe the exercise need fulfillment of pregnant women during the Covid-19 pandemic at Jagir Health Center Surabaya. Methods: This study used descriptive design. The sample was 40 pregnant women in the 2nd and 3rd trimester at Jagir Health Center Surabaya which obtained bytotal sampling technique. The research variable was the exercise need fulfillment of pregnant women during the Covid-19 pandemic. The research instruments was questionnaires and then data were analyzed using frequency distribution tables. Results: The study results found that out of 40 respondents, almost entirely pregnant women (82.5%) had poor exercise need fulfillment and 17.5% pregnant women had good exercise need fulfillment during the Covid-19 pandemic. Conclusion: The exercise need fulfillment of pregnant women during the Covid-19 pandemic was poor. The role of nurses can improve and maintain regular exercise in pregnant women. In education, it is important to emphasize that moderate amounts of exercise 150 minutes/week such as walking and yoga can be done in various ways, such as exercising indoors or viewing videos from YouTube, zooming during the Covid-19 pandemic to increase immunity.

THE CORRELATION BETWEEN LIFESTYLE AND INCREASED URIC ACID LEVELS IN THE ELDERLY

Background: Increased serum uric acid levels are the strong predictors of death due to cardiovascular damage. The sedentary lifestyle tends to make physical inactivity and less attention to nutrition in eating. There has been a lifestyle shifting, whether we realize it or not. Objective: The purpose of this study was to analyze the correlation between lifestyle and the incidence of uric acid in the elderly at nursing home (Griya Werdha) Jambangan Surabaya. Methods: This study was an analytic study with a cross-sectional approach. The population was 150 elders. A total sample was 109 respondents which taken used Simple Random Sampling. The independent variable was lifestyle and the dependent variable was the incidence of uric acid in the elderly. The research instrument used a questionnaire and observation. This research test used Fisher's exact test = 0.05. Results: The results showed that some respondents (78.9%) experienced a bad lifestyle and some respondents (81.7%) increased uric acid. There was a correlation between lifestyle and increased of uric acid levels (p=0.000). Conclusion: The worse a person's lifestyle, the higher risk of increased uric acid levels. It is expected that the elderly able to perform a healthy lifestyle to prevent elevated uric acid levels

CORRELATION BETWEEN INTENSITY OF SOSIAL MEDIA INSTRAGRAM WITH THE LEVEL OF SELF ESTEEM AMONG STUDENTS

Background: Factors that influence self-esteem among young people are social environments. The social environment renders the individuals doing the interaction and one type of interaction which does not need of face to face is through social media such as Instagram. Objective: This study aimed to obtain the correlations between the intensity of using social media Instagram with the level of self-esteem among eleventh-grade youth in a public senior high school in Malang. Method: This research used cross-sectional design. A sample of this research was eleventh-grade youth of senior high school with 86 active Instagram users. Data collecting in this study used the purposive sampling technique. A questionnaire used in this research intensively used Instagram and self-esteem questionnaires on social media. The data analysis used the Spearman test. Result: The result showed that the intensity of using social media Instagram with the level of self-esteem of eleventh-grade youth were mostly in low categories, while self-esteem level was mostly in the high category. The outcome indicated that the significant value = 0.310 (p<0.05) and the correlation coefficient = 0.111. Conclusion: There was no significant correlation between the intensity of using social media Instagram with the level of self-esteem of eleventh-grade youth. Further research is to analyse the social media used by youths other than Instagram and its correlation to self-concept, include self-esteem.

FAMILY KNOWLEDGE ON PREHOSPITAL STROKE DETECTION CORRELATES WITH HOSPITAL ARRIVAL TIME IN STROKE PATIENTS AT THE NAVAL HOSPITAL DR. RAMELAN, SURABAYA

Background: Successful stroke management depends on the speed, accuracy, and timeliness of the initial treatment. Stroke patients with immediate medical help can minimize permanent disability and even mortality. Objective: This study analyzes the correlation between family knowledge on prehospital stroke detection with hospital arrival time. Method: The research design was correlational analytic with a cross-sectional approach. This paper was conducted at the Naval Hospital Dr.Ramelan, Surabaya, from January to February 2019, with ethical clearance from the hospital. The independent variable was family knowledge on prehospital stroke detection, and the dependent variable was hospital arrival time. There were 115 population and 111 samples by consecutive sampling technique. The instrument to measure family knowledge was a questionnaire about prehospital stroke detection consisted of 30 items, while to evaluate hospital arrival time was data from the medical record. The data analysis used the Mann-Whitney statistical test with a significance of 0.05. Result: Most respondents had adequate knowledge regarding prehospital stroke detection (54.1%) and early hospital arrival time (59.5%). There was a correlation between family knowledge on prehospital stroke detection and hospital arrival time in stroke patients (p=0.000). Conclusion: The better family knowledge on prehospital stroke detection, the faster hospital time arrival. Health workers should give health education on prehospital stroke detection to prevent delayed hospital arrival. Further research could involve electronic and social media to improve knowledge on prehospital stroke detection.

THE RELATIONSHIP BETWEEN NURSE CARING BEHAVIOR AND ANXIETY LEVELS AMONG COVID-19 PATIENTS

Background: Covid-19 patients who undergoing treatment in isolation rooms experience anxiety problems due to loss of contact with their surrounding. Caring behavior in providing nursing services provides comfort and tranquillity for patients. Objective: This study aimed to determine the relationship between nurses' caring behavior with the anxiety level of Covid-19 patients undergoing treatment in the isolation rooms. Methods: This study used a cross-sectional design. The sample in this study was COVID-19 patients undergoing treatment in the Isolation Room as many as 30 people. The respondents were selected using a consecutive sampling technique. The anxiety levels were measured using the State-Anxiety Inventory (S-AI) questionnaire. The data were analyzed using the Gamma and Somers'd correlation test. Results: The results showed that the better caring behaviour by nurses the lesser the anxiety level of patients. Gamma statistical test results obtained a p-value of 0.000 <0.05, which means that there was a significant relationship between nurses’ caring behaviour and the anxiety level of Covid-19 patients in the Isolation Room. Conclusions: The caring behaviour of nurses in Covid-19 patients was shown by the presence of caring, empathy, compassion, and good communication so that a therapeutic relationship is established between patients and nurses. Therefore, the patient feels safe, comfortable, and has less anxiety.