The Potential of Walnut Oil with Massage Effleurage to Prevent Grade 1 Decubitus Wounds of Bed Rest Patients

The main problem in decubitus patients is the risk of damage to skin integrity related to factors: immobility, decreased sensory perception, decreased tissue perfusion, decreased nutritional status, friction and pulling force, advanced age, and increased humidity. The decubitus is a problem faced by patients with chronic diseases, weak conditions, and patients who experience paralysis. This study aimed to analyze the potential of walnut oil in preventing grade 1 decubitus Wounds of bed Rest Patients. This study used a Quasi-Experimental design (pretest-posttest control group). The sample was 20 people, divided into 2 groups; treatment and control. The treatment group received effleurage massage with walnut oil given twice a day for 7 days, while the control group received pressure ulcers prevention treatment according to the SOP applied in the hospital. A total of 10 patients who received massage using walnut oil showed a p-value of 0.04 (<0.05), which meant that walnut oil massage was affected significantly in preventing pressure ulcers. In conclusion, decubitus wounds can be prevented by effleurage massage with walnut oil which is given regularly twice a day.

The Correlation of Maternal Age and the Incidence of Preeclampsia at Aura Syifa Hospital

Preeclampsia is a condition when hypertension and proteinuria occurs after 20 weeks of pregnancy. The exact cause of preeclampsia is currently unknown, but many factors influence the occurrence of preeclampsia, especially the age factor. This study was aimed to determine the correlation between maternal age and the incidence of preeclampsia. This study was analytical survey designed with retrospective study method. From Aura Syifa hospital, 142 medical records in of pregnant women in 2017 were taken 105 samples by using simple random sampling technique. The result of this study indicated that delivered mothers who were in reproductive age (20-35 years old), 25.8% of them had preeclampsia and 31,1% had severe preeclampsia. The data analyzed by suing chi-square correlation and the result was ρ (0.00) < α (0.05) which meant that there was a correlation between maternal age and the incidence of preeclampsia. It would be better for couples planning pregnancy in healthy reproductive age for minimize the risk of preeclampsia.

The Effect of Behavioral Therapy with Modeling Techniques on Changes in the Adherence of Diabetes Mellitus Patients

Diabetes Mellitus (DM) is a disease whose prevalence is not infectious increases with changes in lifestyle. If not managed properly, it will cause various complications that reduce quality of life, increase morbidity and mortality, and harm the economy. The success of DM management is strongly influenced by the patient's adherence to medication and diet. One of the interventions to improve the adherence of DM sufferers is Behavior Therapy with modeling techniques. The purpose of this study was to analyze the effect of behavioral therapy with modeling techniques on changes in adherence of DM patients. The design of this study was quasy-experimental with pretest posttest and control group, on a sample of 40 DM patients with consecutive sampling technique. The intervention was carried out in 4 sessions for 2 weeks. The results of the statistical test paired sample t-test and independent sample t-test obtained p <0.5 (0.000), which meant that there was an effect of behavioral therapy with modeling techniques on changes in adherence DM patient. Changes in compliance that occurred between before and after the intervention was 16.95 points. Modeling technique is behavioral learning through observation of a model who has successfully controlled his illness to emphasize changes in mindset, beliefs, and commitment to a person's new positive behavior. Modeling has an impact not only on imitating, but also adding or subtracting the observed behavior, so that it can be applied to obtain new behavior, leave old negative behavior, and maintain the desired behavior.

Intradialytic Complication and Associated Factors among Patients Undergoing Hemodialysis

Hemodialysis is one of the vital management options for end-stage renal disease (ERDS) patients. Adequate hemodialysis can make a good quality of patient life. Hemodialysis patient commonly has experienced intradialytic complications, and it can be life-threatening. ESRD patients who are not compliant with fluid and dietary restrictions raised Intradialytic weight gain (IDWG), and blood pressure leads to intradialytic complications. This study aimed to determine factors associated with intradialytic complications among undergoing hemodialytic patients in Blitar. The data analysis used Multiple linear regression analysis to ascertain the possible factors that influence intradialytic complications. The sample was 55 hemodialysis patients with intradialytic complications. Based on this study, the Spearman Rank correlation test results, the factor that correlated with intradialytic complications was patient compliance with a Sig (2-tailed) value of 0.016 with a correlation coefficient value of -0.26. The correlation coefficient in the results above was negative, namely -0.263 so that the correlation between the two variables was not unidirectional. The higher compliance showed, the lower the intradialytic complications. The odds ratio (OR) value between adherence and the occurrence of intradialytic complications was 3,229. That value meant that patients with kidney failure who do not comply with the diet will have a 3-fold risk of intradialytic complications compared to patients with renal failure who comply. This result emphasizes the need for constant motivation and education at frequent intervals to ensure better adherence.

Self Care Profile of Diabetic Patient during Covid 19 Pandemic in Manggarai Regency, East Nusa Tenggara

Diabetes mellitus (DM) is one of the comorbid diseases commonly found on COVID-19 infected individuals and causing the most death. In the pandemic era, DM patients are needful to execute the care management by themselves due to the social restriction as a part of transmission control. This study aimed to assess the self-care behavior of DM patients during the COVID-19 pandemic era in Manggarai Regency who still carry out various traditional ceremonies even during the pandemic. This study was a quantitative descriptive study. The research data get by the SDSCA (The Summary of Self-Care Activities) questionnaire developed by the General Service Administration (GSA) Regulatory Information Service Center (RISC). This study attends from January to March 2021, with 88 respondents have participated after being recruited using purposive sampling and inclusion criteria. Among the 88 respondents, the respondents were most compliant with eating restrictions on sugar-contained food such as cake, chocolate, biscuit, and ice cream diet. Respondents did not restrict themself to consume carbohydrate contained foods. Self-care behavior is most important to DM patients in the pandemic era due to the social restrictions creating the hesitancy among the patients to come to the health care facilities. Moreover, when DM patients are more prone to develop severe symptoms of covid-19. Health professionals have to improve the health education to the patients by emphasizing the importance of exercise, diabetic foot care, and routine blood sugar monitoring so that the patients are not only focused on dietary management and medicine.

The Corelation of Compliance to Use PPE (Mask) and The Event of Respiratory Disorders in Workers in Bukit Kapur Jaddih, Parseh Village, Socah District, Bangkalan Regency

The process of limestone mining will resulted in limestone dust on the working environment. This can lead to inhalation of the limestone dust which can cause respiratory problems.The type of the research was analytic with Cross Sectional design. The population was all workers in Bukit Kapur Jaddih, Parseh Village, Socah District; 52 workers. The sample was 45 workers taken by simple random sampling technique. The independent variable was compliance to use mask protective equipment, while the dependent variable was respiratory disorders. The data was collected by questionnaires and observation physical observation. The data was analyzed using Lambda test, with α= 0.05.The results of the research showed that workers who did not use PPE (masks) were 35 workers (77.8%), who experienced respiratory problems were 39 workers (86.7%), and 6 workers (13.3%) did not experience respiratory problems. The lambda test results p Value of 0.073>α (0.05) meant that H0 was accepted and H1 was rejected. The compliance to use personal protective equipment (masks) and the presence of respiratory problems showed no correlation. For this reason, workers must continue to use masks while working to protect themselves from the effects of occupational breathing (lime dust).

Systematic Review: Tele-Nursing a Universal Access to Care for Oncology Patients

Telenursing is a way of caring for and educating oncology patients to promote self-care management at home. The objective of the study was to analyze the scientific evidence on telenursing in the care of oncology patients. This was a systematic and descriptive review in Spanish, Portuguese and English which was available in 3 databases: BMC, Pubmed and Scielo. The articles were selected in English, Spanish and Portuguese with data from 2010-2020. It was found that tele-nursing, a new form of access to the care service provided by nursing professionals to patients with oncology treatment, including technological tools allow a direct and timely relationship to respond to the detection of adverse events after chemotherapy, promote self-care and control and monitor the patient's health status at home. Conclusions: There is a need to use tele-nursing as an opportunity to care for the patient at home through virtual means by providing relevant information to promote self-care and quality of life.

The Effect of Breastfeeding Management Training on the Understanding of Exclusive Breastfeeding in Third Trimester Pregnant Women

Exclusive breast milk is the main food for infants aged 0-6 months. Malang City is one of the cities in East Java which still has less than optimal coverage of exclusive breastfeeding than the set target. One of the factors that cause mothers not to give exclusive breastfeeding is because the working mother. The purpose of the study was to determine the effect of breastfeeding management training on understanding of exclusive breastfeeding in third trimester pregnant women. The design of the study used a quasi-experimental using one group pre-test – post-test design. The sample was third trimester pregnant women who work and get health services in Pandanwangi Public Health Center Malang which met the inclusion criteria of 35 people by total sampling technique. Breastfeeding Management Training was conducted in three meetings. Most of the pretest results (60%) were in the sufficient category, and almost all of the posttest results (97%) were good. The results of hypothesis testing with the Wilcoxon Signed Rank Test, the Z value obtained -5.166 with a p value (Asymp. Sig 2 tailed) of 0.000 (<0.05), proving that there was an effect of breastfeeding management training on understanding of exclusive breastfeeding in third trimester pregnant women at Pandanwangi Public Health Center, Malang City.

Risk Factors of Breast Cancer based on Case-Control Study in Women of Child-Bearing Age (WEBA) at Gambiran Hospital Kediri

Breast cancer is a type of cancer that starts in the breast tissue and spreads throughout the body. Every year more than 185,000 women are diagnosed with breast cancer. This incidence is increasing in developed countries (Kemenkes RI, 2015). In Indonesia, a high rate of breast cancer, especially in Kediri, makes breast cancer the number one position of cancer in women, followed by cervical cancer. Based on research by Harrianto et al. at Dr. Cipto Mangunkusumo Hospital in the Journal of Public Health 8 (2) (2013) 121-126, breast cancer risk factors include a family history of breast cancer patients (15.79%), early menarche (8.77%), nullipara (7.02 %), and long-term use of pills containing estrogen (42.11%). In addition, there are also incidences of breast cancer, namely late menopause, history of breastfeeding, and obesity. From the description above, the purpose of this study is to determine and analyze the risk factors for breast cancer based on a case-control analysis in women at Gambiran Hospital, Kediri. This study uses data collection sheets and field studies, then processed for hypothesis testing so that the objectives of this research can be carried out. This study indicates a significant relationship between the risk factors for a breast cancer history with a p-value of 0.0000 OR 9.837. For women who have families with cancer should be aware of the onset of breast cancer. If they have reached puberty, it is recommended for early detection (screening test) through breast self-examination (BSE), IVA method, and mammography testing.

Level of Online Learning Motivation in Ners Professional Students in Online Learning at University Muhammadiyah Malang

Background: Since the covid-19 pandemic occurred at the end of 2019, the education process which is usually carried out face-to-face must be done through online learning. Due to this pandemic condition, it is still difficult for Nurse Profession level students to adapt. This study was determined the level of learning motivation during online learning at the University of Muhammadiyah Malang. Method: This descriptive analytical study was analyzed by a IBM SPSS 26 version for windows. The number of respondents as many as 78 students of ners 22 class and ners 23 class was recruited by total sampling from October 2020 - January 18, 2021. The level of motivation data was identified by the Watsin questionnaire using whatsapp, zoom and google meet online platforms. Results: The 19 respondents or about 25% of participants was less than and equal to 19 years old, 22 peoples or about 28% of student nurses aged 20 years, 19 peoples or about 24% of nursing students aged 21 years, and the remaining 18 peoples or about 23% of student aged 22 years and over. The descriptive analysis showed that the average level of motivation of Nurse students during online learning was 63,14. Conclusion: the level of motivation of Nursing students during online learning in hospitals during the COVID-19 pandemic was categorized in sufficient level. The further strengthens was the needs of variety online learning model towards nursing professional level during pandemic of COVID 19.