Analysis Of Smoking Behavioral Factors In Adolescents During Covid-19 Pandemic In Aru Islands Maluku

Background: Smoking has become a habit of Indonesian society. This behavior is not only found in adults but also in adolescents over 15 years. Indonesia ranks third out of the ten largest smoking countries in the world. There are 33.37% of the population of the Aru Islands aged over 15 years who have a smoking habit. This behaviour in adolescents occurs due to invitations from peers, being ridiculed by friends if they do not smoke, desire to try new things, fad, addicted, imitating parents and the influence of the mass media.Purpose: This study aimed to determine the factors of smoking behaviour in adolescents in Aru Islands, Maluku.Methods: This study used a cross sectional approach with a total sample of 72 respondents using purposive sampling technic. This research used questionnaire as instrument, whereas the data were analysed using the chi-square test to relate the analysed data to the chi-square of age, education, knowledge, and stress levels.Results: The results shows that there are relationships between age (p. value 0.015), education (p. value 0.005), knowledge (p. value 0.038) and stress levels (p. value 0.035) on smoking behaviour in the Aru Islands region, Maluku.Conclusion: The hope is that with good education and knowledge, teenagers in these areas will be more easily exposed to information about the dangers and impacts of smoking at a young age and not use cigarettes as an escape to deal with stress

Determinant Factor of Childhood Basic Immunization Compliance during the COVID-19 Pandemic in Jambi City, Jambi Province, Indonesia

Background: The coverage of immunization among children in Jambi City decreased during COVID-19 pandemic.Purpose: This study aims to identify the factors that might be associated with basic vaccination compliance among mothers in Jambi, Indonesia.Methods: This study uses a case control design in 5 Jambi City Regions in March-May 2021. The sample in this study is mothers who have children in age 9-24 months. The sampling that is used in this study is cluster sampling with total sample of 506 mothers. The data analysis used in this study is descriptive statistical analysis of univariate, bivariate using chi square test.Results: The results of data analysis showed that the variables related to compliance were perceptions of receiving immunization, attitudes, knowledge, husband's support with p value < 0.01, and distance traveled with p value < 0.05.Conclusion: Effort to improve compliance in the pediatric immunization Pandemic are needed to strengthen mother’s perception, knowledge, attitudes during COVID-19. Analysis with predictive models is highly recommended to determine the odd-ratios and adjusted odd-ratios between factors related to the complying for basic vaccination.

Analysis of Needs For Using Android-Based KPSP Applications In Monitoring The Growth of Together

Background: The development process occurs simultaneously with growth, so that every growth is accompanied by a change in function. Development is the result of the interaction of the maturity of the central nervous system with the organs it affects. The development of the early phase in the form of cognitive, motor, emotional, social, and language functional abilities, is a determinant of the development of the next phase. If there is a deficiency in one aspect of development, it can affect other aspects, so there is a need for early detection of toddler growth and development.Purpose: This study aimed to find out the need for KPSP applications in monitoring the growth and development of toddlers.Methods: This research uses a descriptive-analytic design, cross-sectional approach. The population of this study amounted to 36 respondents, with a purposive sampling technique. The research site is in the Surabaya area by distributing questionnaires in the form of Google Form. Analyze data with Descriptive Analysis.Results: The results of this study stated that before the pandemic monitoring of toddler growth and development was carried out at the Posyandu using the KIA Handbook Instrument/Tool, while during the pandemic monitoring of toddler growth and development could not be carried out directly because of a policy. In this regard, respondents need an instrument/tool that can be used for independent monitoring of growth and development.Conclusion: Monitoring the growth and development of toddlers during the pandemic by utilizing technological advances and being up to date

Chronic Disease Management Programs Based On Caring Theory With Blood Pressure Reduction

Background: Hypertension cases to overcome the patient's hypertension condition would be well or prosperous condition and the patient could prevent complications and control blood pressure. Activities in Chronic Disease Management Program (Prolanis) include medical or educational consultations, home visits, reminders, club activities.Purpose: This study aimed to analyze the application of the prolanis program based on the caring theory by reducing blood pressure in hypertensive patients.Methods: The design of this research is pre-experimental with cross sectional study approach. The population in this study were all patients with hypertension who took part in management program activities in the public health center (PHC), a number of 40 people, with the sampling technique used was accidental sampling and the total sample was 28 people. The data collection method used a questionnaire. The data analysis of this research is to use the Paired t test.Results: The result of this study is that there is a relationship between the application of a chronis disease management programs based on caring theory with blood pressure reduction with an average systolic blood pressure before the intervention of 142?26.15 and after the intervention of 138?1.21 with p= 0.000 which means that the module intervention can decrease systolic and diastolic blood pressure. While for diastolic blood pressure, the results of the study showed that the mean blood pressure before the intervention was 85?10.36 and after the intervention was 85?7.61 with p= 0.000.Conclusion: It can be concluded that there is a possitive effect between giving prolanis module based on caring theory with systolic and diastolic blood pressure

Primigravida's Readiness in Dealing with Childbirth Considering the Mother's Social Characteristics

Background: Indonesian Population Demographic Survey (IDHS) in 2017 stated that the Maternal Mortality Rate (MMR) in Indonesia was 309/100,000 live births. According to Ristica (2017) the high maternal mortality rate in Indonesia is caused by the unpreparedness of the mother in facing childbirth. Maternal unpreparedness is usually seen among primigravida who struggle in preparing for childbirth as they have yet experience in delivering. Geniofam in Muthoharoh explained (2018) the factors that influence mother's readiness including knowledge, education, socio-culture and economy.Purpose: This study aimed to determine the mother social characteristic (age, education, occupation) that affect the readiness of primigravida in facing childbirthMethods: This type of research is analytical research with an observational approach. The sample in this study involved 53 primigravida on the third trimester of pregnancy. Data collection was carried out by filling out questionnaires on the readiness of mothers to face childbirth by respondents.Results: The results of statistical tests showed that age, education, or occupation did not affect mother's readiness in dealing with childbirth with p value > 0.05.Conclussions: mother’s social characteristics do not affect the readiness of primigravida in facing childbirth.

The Effect of Guided Imagery on Insomnia in the Elderly in the Jara Mara Pati Technical Implementation Unit (UPT) Kab. Buleleng

Background: The aging process is a natural process faced by humans where there is a decrease or change in physical, emotional, psychosocial conditions which will certainly affect their productivity. This situation tends to have the potential to cause health problems, one of which is insomnia. There are some serious effects on sleep disorders such as excessive daytime sleepiness, impaired attention and memory, mood, depression, and decreased quality of life.Purpose: This study aimed to determine the effect of giving guided imagery to insomnia in the elderly at the Technical Implementation Unit (UPT) Jara Mara Pati Kab. Buleleng.Methods: The research design used was pre-experimental with a one-group pre-test post-test design. The population in this study were all elderly people who experienced insomnia in the Technical Implementation Unit (UPT) of Jara Mara Pati Kab. Buleleng with a sample size of 36 respondents, by using a simple random sampling technique. Data collection using a checklist sheet. The data obtained were then coded, scored, tabulated, and analyzed with the Wilcoxon test with a significant value of 0.05.Results: The results of this study show the results of value < which means that there is an influence of guided imagery on insomnia in the elderly.Conclusion: Seeing the results of this study can be used as non-pharmacological therapy by the elderly in (UPT) Jara Mara Pati Kab. Buleleng to improve sleep quality which is done once a month on a scheduled basis

Harmonising Nurses’ Roles to Clinical Environment: A Synergy to Theory-Based Nursing Practice

Introduction: Nursing theory constitutes a body of knowledge that supports nursing practice. It earns nursing a scientific development, help enhance the care nurses provide to clients and serves as basis for nursing practice.Purpose: The aim of this paper was to showcase the harmonisation of the nurses’ roles to clinical environment as a synergy to theory based nursing practice.Method: The position paper used theoretical and empirical evidences in drawing its stance through literature review. It addresses certain issues related to theory-based nursing practice. Result: The issues addressed by the paper includes: theory-practice artificial gap, research, evidence based practice, and nursing students learning in the application of nursing theories respectively. The paper revealed harmonisation of nurse academicians and practitioners roles to clinical environment as a solution.Conclusion: Nurses need to harmonise the roles of academicians and clinicians as a synergy that can yield a favourable outcome to nursing profession.

The Effect of Green Coconut Water On The Levels Of Dysmenorrhea Pain Among Adolescent Girls In Berekah Village Sukabumi Regency In 2021

Background: Menstruation is periodic bleeding from the uterus which starts about 14 days after ovulation periodically due to the detachment of theuterine endometrial lining. The incidence of dysmenorrhea in West Java was quite high, the results of the study found that 54.9% of women experienced dysmenorrhea, consisting of 24.5% experiencing mild dysmenorrhea, 21.28% experiencing moderate dysmenorrhea and 9.36% experiencing severe dysmenorrhea. One of the treatment for menstrual pain with other non-pharmacological therapies can be used by consuming coconutwater.Purpose: This study aimed to determine the effect of giving green coconut water on dysmenorrhea pain among adolescent girls in Berekah village, Sukabumi district in 2021.Methods: This study was a Quasi Experiment using a pretest-posttest design with a control group. The sampling technique used was purposive sampling which consisted of 30 adolescent girls who experienced dysmenorrhea every menstruation. The data were analyzed using the Paired T-Test to determine the difference in scores in one group and the Independent T-Test to determine the difference in scores between groups.Results: The results showed that there was a significant difference in the dysmenorrhea pain scale before and after being given green coconut water (p <0.05).Conclusion: Green coconut water has an effect on reducing the dysmenorrhea pain scale among adolescent girls in the village of Berekah, Sukabumi district. It is hoped that green coconut water can be applied thoroughly as a traditional treatment in dealing with dysmenorrhea pain in adolescent girls

Standardized Follow-up Plan For Depression Through The Implementation Of Provider Note And Nurse Follow-up Phone Call Templates

Background: Depression is highly prevalent in primary care settings and depressed patients of all ages are seen by their Primary Care Provider (PCP) for treatment (Datto et al., 2003). In order to adequately treat depression, PCPs must follow the clinical guidelines for follow-up.Purpose: The purpose of this project was to implement a standardized follow-up plan for patients aged 12 and older with a positive screen for depression using the Patient Health Questionnaire (PHQ-9) screening tool.Methods: The setting was a rural clinic in Broken Bow, Nebraska. The sample included 89 patients seen between September 1 -November 30, 2020 who met the criteria of a PHQ-9 score of 5 or greater compared with 47 patients seen between September 1 -November 30, 2019. Quantitative data was analyzed using descriptive statistics, frequency and means and compared between before and after implementation of this quality improvement project.Results: In 2019, 11.3 % of patients reported depression. That more than doubled to 25.6 % in 2020. Of the depressed patients in 2019, 36.2% had mild depression, while the number almost doubled to 60.7% in 2020. The 2020 PHQ-9 results were reviewed from most severe down to mild depression. Of the 35 patients with the highest severity, 89% had at least one measure completed representing an adequate follow-up plan. Referral rates improved from 12.8% in 2019 to 14.6% in 2020. Medication was the most common treatment in both years with 57.4% in 2019 and 27% in 2020. Completed follow-ups improved from 45.5% in 2019 to 73% in 2020; with 1 nurse phone call follow-up and one CSSR-S completed.Conclusion: It is unknow the affects from the 2020 pandemic. However, and increase in mild depression shows a need to know how to treat sub-threshold depression. The use of the template as a guide led to improvement on all measures. However, some measures were used only sparingly and use may be improved with increased acceptance of the guide.

Nurse's Experience Program In Implementing Intravenal Chemotherapy Treatment In Cancer Patients: A Phenomenology Study

Background: Cancer or malignant tumor is uncontrolled growth of cells or tissue and spreads from abnormal cells, if the spread is uncontrolled it can cause death. Experience is a very dynamic, complex and subjective phenomenon. One of the treatments for cancer patients is chemotherapy.Purpose: The purpose of this study was to explore the experiences of nurses in implementing intravenous chemotherapy treatment programs in cancer patients.Methods: This study uses a qualitative design with a phenomenological approach model to understand one's life experience and existing perceptions. The sampling technique used snow ball sampling. In this study, researchers will perform a snow ball sampling technique of participants who are at the Dr. Soedarso General Hospital. A total of ten nurses who work in the chemotherapy room participated.Result: The perception of nurses in providing intravenous chemotherapy services as a form of carrying out their assigned duties and responsibilities apart from curiosity to carry out chemotherapy and their empathy for patients. Support from nurses in providing intravenous chemotherapy services is obtained from the family even though they are reminded to always be careful (protected), from the hospital, especially the improvement of infrastructure and related policies as well as support from colleagues and doctors. Obstacles for nurses in providing intravenous chemotherapy services arise from the capacity of nurses and specialists who are less trained, the inadequate reporting system between nurses during service changes including infrastructure such as PPE, room size and medicine.Conclusion: Recommendations This study is expected to be used as a reference for future researchers related to the topic of nurse experiences that are still related to chemotherapy clients in cancer