The THE INFLUENCE OF BRAIN GYMNASTIC TO LEARNING ACHIEVEMENT ON STUDENTS IN MOJOKERTO REGENCY

Memory is used for building self-reliance and self-confidence in children. Memory disorders will complicate learning process and cause health problems for children. Exercise activities will familiarize children to maintain the main cognitive function of the brain and can help them to achieve achievement. This study aims to determine the influence of brain gymnastic to learning achievement on Al-Akbar Islamic Elementary School students Mojokerto. This research was done with quasi-experiment method with "Pretest-Postest with Control Group Design" in Islamic Elementary School of Al-Akbar Mojokerto. The sample was determined purposively, with 50 students. Brain gymnastic was done 6 times a week for 4 weeks with 7-10 minutes in each exercise, while the child's learning achievement was measured by the test score. The instruments in the study used observational data on brain exercise and reports on children's learning achievement Data were analyzed by using Wilcoxon Mann Whitney test with SPSS for Windows. The results showed that learning achievement before brain gymnastics was mostly satisfying amounted to 32 respondents (97%) in treatment group and for control group were mostly very satisfying amounted to 9 respondents (28%) in. The learning achievement after brain exercises for 4 weeks was mostly very satisfying 29 respondents (88 %) in treatment group, while in control group, almost half respondents were rated satisfying amounted to 16 respondents (49%). Data result with Man Witney got p value 0,008, meant there was influence of brain gymnastics in improving learning achievement. By doing simple movement has already activate brain cells and increase blood flow to the brain so student can receive knowledge that provided by teachers and increase learning concentration.

The CORRELATION OF BLOOD SUGAR LEVELS WITH THE ELASTICITY OF CORONARY ARTERIES

Coronary arteries are blood vessels that carry oxygen and nutrients to the heart muscle. These vessels can experience constriction due to the accumulation of plaque which causes atherosclerosis. Atherosclerosis is characterized by reduced coronary artery elasticity. Blood glucose levels are one of the factors that cause atherosclerosis. The aims of this study was to determine whether there was a correlation of blood sugar levels with the elasticity of coronary arteries. This study is an analytical study with cross sectional design. The population in this study were all patients who visited the Gipateda Tulungagung treatment clinic that was more than 30 years old and female. Through accidental sampling technique, 30 respondents were obtained. The study was conducted from March 1, 2016 to May 1, 2016. Data was collected using a quantum resonance magnetic analyzer (QMRA) to determine the value of blood sugar levels and the value of elasticity of coronary arteries. The data obtained were analyzed statistically by bivariate linear regression tests to determine whether there was a significant correlation of blood sugar levels with the elasticity of coronary arteries. The results showed that the p value is 0.000 < 0.05, which means that there was a significant correlation between blood sugar levels and the elasticity of the coronary arteries. High blood glucose levels can damage the vascular endothelium and also increasing platelet agegrat, so that can resulting atherosclerosis. Every individual should be able to control blood sugar levels with a healthy lifestyle and early detection regularly to prevent the decrease of coronary arteries elasticity because that can lead to coronary heart disease (CHD).

The philosophies of science in developing nursing science

During the successive wave of globalization, nurses emphasized the requirement of specialized knowledge to improve the nursing as a profession and to make the transition from vocation to profession. The science of nursing is a foundation of knowing for nurses. Also there has a shift of nursing metaparadigm based on Kuhn’s philosophy of science. It was assumed that Philosophies are theoretical works that included one or more of the metaparadigm concepts. Philosophy provide us broad general view of what is science and human science, evolution of science, function of scientific theory, scientific methodologies, different philosophical approaches, significant philosophical shift in different eras and it would be helpful for the development of nursing as a discipline from adhering to the knowledge that we learnt in this paper.

PLAYDOUGH TO REDUCE ANXIETY”: Alternative Therapy in Pre-School Children with Hospitality

Hospitalization is an experience that produces every child who has physical and psychological effects as a result of the environment, and officers they do not know. Therefore the effort that can be done by nurses is to provide distraction therapy with playdough. The study aimed to prove the effect of treatment on Playdough play on anxiety in preschoolers because of hospitalization in the Kertawijaya Room Dr. Wahidin Sudiro Husodo Mojokerto. The design of this study uses pre-experiment with one group pretest approach. The population in this study were all preschool children who were in hospital treatment in the first week of October 2018. Samples were 20 children, with consecutive sampling. Playdough therapy for 20 children. Data collection used a mYPAS (Modified Yale Preoperative Anxiety Scale) questionnaire. After that, the data processing with Wilcoxon signed test was 0.00 which was <0.05, As for the conclusions in this study there is a therapeutic effect of playing plasticine on children's anxiety with hospitalization. The value of preschool children's anxiety before being given play therapy is the majority of respondents 13 respondents (65%) experienced moderate anxiety and And a small proportion of respondents experienced severe anxiety as many as 5 respondents (25%). The value of anxiety after being given play therapy most of the respondents experienced a decrease in anxiety as many as 12 respondents (60%) experienced mild anxiety and almost half of the respondents were 8 respondents (40%). Stress will stimulate the body to send messages from the hypothalamus to the adrenal gland which will affect vasodilation and vasoconstriction of blood vessels that will determine the increase or decrease in blood pressure which is one of the physiological characteristics of the body when experiencing anxiety.

The THE RELATIONSHIP OF INFORMATION GIVING PERIODICALLY WITH PSYCHOLOGICAL WELL-BEING IN PATIENTS UNDERGOING HEMODIALYSIS THERAPY (Study at Islam Jemursari Hospital Surabaya)

Patients have undergone hemodialysis therapy experience changes in their lifestyle such as the body's limited function, dependence on treatment, feelings of fear and worry about uncertainty about death, as well as lifestyle changes that can cause anxiety and emotional instability in patients. The purpose of this study was to determine the relation of information giving periodically with psychological well-being in patients undergoing hemodialysis therapy. This research method was analytic with cross sectional approach. Total population was 120, sample of this research was 92 respondents. Sampling was using simple random sampling, the instrument used was a questionnaire of regular information and psychological well-being questionnaires in patients undergoing hemodialysis therapy. The statistical test used Spearman Rank with significance value α 0,05. The result of the study showed that the information giving was less, that was 43 respondents (47%), while the psychological well-being was 46 respondents (50%). The result of statistical test showed that P value (0,042) <α (0,05) mean there was a relation of information giving periodically with psychological well-being in patients who undergo hemodialysis therapy at RSI Surabaya. The results of the research conducted, there was a relationship of information giving periodically with psychological well-being in patients undergoing hemodialysis therapy. It is expected that nurses can give information periodically to patients undergoing hemodialysis therapy in order to phsychological well-being of patients is high.

LEVELS OF DIABETES BLOOD SUGAR WITH TYPE OF CATARACT

Diabetes mellitus was a disease with macro and micro risk of angiopathy, which includes the impact of causing cataracts. Diabetic patients with high sugar levels have a greater chance of developing cataracts at a younger age and certain tendencies towards cataract type. The aim of the study was to analyze the correlation between diabetes blood sugar levels and cataract type. The research design was correlation analysis with Cross-Sectional approach. Samples in the study were some cataract patients who had a history of diabetes mellitus in Surabaya Undaan Eye Hospital as many as 125 people, it was taken using consecutive sampling technique, and fulfilling the criteria of the study (age range 45 - 65 years, have complete medical records related to the continuity of sugar examination results in blood, the incidence of cataracts is not caused by congenital cataracts, juveniles, due to trauma, chemical exposure to UV radiation). Independent variable was the blood sugar level of Diabetes mellitus and the Dependent variable was cataract type. The instruments used were laboratory tests related to blood sugar levels, and medical diagnosis related to cataract type. Data were analyzed by Spearman rho, with a significant value <0.05. The results showed a close association between diabetes and cataracts, where as many as 47.2% with high blood sugar levels, 40% with nuclear cataract type and from 59 respondents with high blood sugar levels 26 people experienced nuclear cataract type, with rho value = 0.001. The mechanism of glucose toxicity in Diabetes Mellitus which causes cataracts can go through three paths: increased activity of the aldose reductase enzyme which causes the formation of sugar alcohol, sorbitol and galactitol in crystalline lenses; through the non-enzymatic replication process; and at high blood glucose levels a glucose oxidation process will occur which causes oxidative stress conditions. Maintenance of managing blood sugar levels must be a concern for diabetics. Keywords: Blood Sugar Level, Diabetes Mellitus, Type of Cataract

THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND DEPRESSION LEVEL AMONG HIV/AIDS PATIENTS IN PROF.DR. SOEKANDAR GENERAL HOSPITAL MOJOKERTO

Problems that arise in people with HIV / AIDS not only from viral infections there are also social impacts experienced such as a lack of support from the family. The phenomenon that occurs in the community that shy families sometimes even ostracize people with HIV / AIDS so that when treatment is rarely delivered, isolating in the family such as placing in a separate room makes ODHA increasingly experiencing psychological disorders such as prolonged stress reactions, namely depression. The purpose of this study was to determine the relationship of family support with the level of depression in patients with HIV / AIDS in VCT poly RSUD Prof.Dr. Soekandar Mojokerto. The research design used is correlation analysis. The population in this study were all HIV / AIDS sufferers in the VCT Police Hospital, Prof. Dr. Soekandar, Mojokerto Regency, which consists of 51 patients. The Sampling technique uses consecutive sampling with a number of samples that meet the research criteria of 50 people. The instrument used is a questionnaire. After the data is collected, data processing is done in editing, coding, scoring, tabulation by using the frequency distribution and followed by cross tabulation (Crosstab). The results of the study were tested by the Spearman rho test. Obtained by the results of p (0,000) and α (0,05), so that p (0,000) <α (0,05) which means that H0 is rejected and H1 is accepted which means there is a relationship between family support and depression in HIV / AIDS patients in Poly VCT Rsud Prof. Dr. Soekandar Mojokerto. Family support is needed by patients with HIV / AIDS to reduce depression by providing support, providing facilitation, and assisting patients when at home or when going to the hospital.

PERCEPTION OF NURSING ABILITY IN IMPROVING MOTIVATION AND HOPE IN HYPERTENSION PATIENTS IN HOSPITALS IN EAST JAWA

Hypertension is one of the important factors as a trigger for non-communicable diseases. Hypertension is a preventable and controllable disease that can be managed with medications and lifestyle changes. The purpose of this study was to determine perceptions of Nurse Ability to Increase Expectations and Motivation of Hypertensive patients. The type of research used is cross-national survey. The Population in this study were all nurses in hospitals in East Java who had been fully accredited. The sample amounted to 200 nurses with a simple random sampling sampling technique. The research instrument uses a questionnaire that has been tested for validity and reliability. Perception of Nurse's Ability in Increasing Expectations and Motivation of Hypertension Patients in Hospitals in East Java is an important matter that is equal to 75.7%. This shows the importance of nurses' ability to increase motivation and expectations of patients suffering from hypertension.

THE RELATIONSHIP BETWEEN WORKLOAD WITH WORK STRESS ON NURSES IN INTENSIVE INSTALLATION OF BANGIL GENERAL HOSPITAL PASURUAN DISTRICT

Work stress due to excessive demands on the workplace is a problem of human resource management in the hospital. The high workload is one of the factors that cause work stress for nurses. The purpose of this study was to determine the relationship between workload and work stress on nurses in the Intensive Care Unit at Bangil Hospital. The design of this study was an analytic survey using cross-sectional study. The population of all nurses working in the Intensive Care Installation with a sample of 40 respondents and using purposive sampling technique. Workload instruments use work sampling observation sheets, while work stress instruments use questionnaires based on Sulsky and Smith's theory of Jusnimar, (2012) modified. The results of the study using Spearman rho showed a relationship between workload and work stress on nurses with p-value = 0.000 (<0.05) and an r-value of 0.551. The level of dependency of the client and the amount of labor that is not appropriate is a factor of high workload so that nurses experience work stress. There needs to be an evaluation of the number of nurse needs or the provision of rewards and stress management training for nurses to adapt and control work stress.

RELATIONSHIP BETWEEN HEMODIALYSIS AND Hb LEVELS WITH LEVEL OF FATIGUE

Hemodialysis is one of the interventions for patients with chronic renal failure which if done for a long time will cause fatigue symptoms as much as 82% to 90% of patients. The duration of the patient undergoing hemodialysis will increase fatigue levels; this will cause decreased concentration, malaise, sleep disturbances, emotional disturbances and reduce the ability of the patient's ability in daily activities. The exact symptom that occurs in patients with chronic renal failure is a decrease in Hb levels. The purpose of this study was to prove the long-standing relationship between hemodialysis and Hb levels with fatigue levels. The research design uses correlation analytic. The variables studied were hemodialysis duration, hemoglobin level,and fatigue level. The sample size in this study was 61 respondents with simple random sampling technique. Data analysis uses multiple linear regression. The results of the study simultaneously showed a long relationship between hemodialysis and HB levels with fatigue levels. Patients who have long undergone hemodialysis will have high levels of urea and creatinine. High urea will interfere with the production of the hormone erythropoietin. As a result of the number of red blood cells decreases, as a result, the patient will experience symptoms of fatigue.