Implementation of teleHealth using SKEDit for protein diet education for diabetes patients

A protein diet is an alternative to control hyperglycemia and hyperlipidemia conditions in diabetic patients. However, for the program to run optimally, the implementation of technology in the form of TeleHealth is needed to help educate patients on a regular and flexible basis. The purpose of this study was to analyze the effectiveness of implementing TeleHealth using the SKEDIt application for protein diet education in diabetic patients. Methods: This research is a quasi-experimental study, pre and post-test with a control group. The subjects involved were 20 diabetic patients, divided into 2 groups (intervention and control). Parameters analyzed were lipid profile and blood glucose levels. There was no difference in lipid profile and blood glucose levels between the intervention and control groups (p > 0.05). However, there was a difference between the pre and post-test on cholesterol parameters in the lipid profile examination of the control group: p=0.031 and LDL p=0.021 (p <0.05). Implementation of TeleHealth using SKEDit may be an effective recommendation to support health education methods but needs to be supported by good patient compliance.

Nurses’s knowledge and attitude in facing potential landslide disasters

Landslide is one of the natural disasters which cause not only infrastructure damage but also death. Nurses have a role in disaster management at the phase of mitigation to rehabilitation during landslide disasters. This study is aimed to analyze nurses' knowledge and attitudes in the face of future landslide disasters. A quantitative method with a descriptive design was used in the study. The respondents in this study were 20 nurses who work at one rural community health center in Malang. Data were collected using a questionnaire. From the current research, most respondents had been involved in disaster emergency response activities (85%), had good knowledge (75%), and all nurses (100%) had a positive attitude towards landslide disaster preparedness. From this current study, nurses' knowledge and attitudes towards preparedness for facing landslides might be essential to build more awareness among nurses in preparing the community in facing landslides; thus, the impact of the disaster could be decreased.

Stress level of nursing students due to online learning during the covid-19 pandemic

Changes in learning methods to online learning due to the Covid-19 pandemic have an impact on the psychology of students. Constraints related to the implementation of online learning cause students to experience stress. This study aims to investigate the effect of online learning on stress levels in nursing students at STIK Siti Khadijah Palembang. The research was descriptive correlation design with cross-sectional approach, the total sample was 230 students with total sampling technique. Data were collected through online-based questionnaires (google form), namely the online learning constraints questionnaire and the Perceived Stress Scale (PSS-10). Data analysis using the chi-square test. The results showed that most of the students (50.9%) experienced enough problems in online learning and almost all students (90.9%) experienced moderate stress, statistical tests showed that there was an effect (p = 0.007) of online learning with stress levels on nursing students. The obstacles that students feel during online learning such as starting to feel bored, weak internet network, limited internet quota, difficulty concentrating and understanding the material, many lecture assignments, lack of understanding of electronic media are stress triggers for students, so it can be concluded that there is an effect of learning online during the Covid-19 pandemic with stress levels in nursing students.

Increasing knowledge and attitudes of adolescents related to sexual and reproductive health by using audio-visual media during the covid-19 pandemic

Adolescence is a developmental stage from the transition to adulthood. A cognitive problem that affects adolescence namely the lack of knowledge about reproductive health. The purpose of this study was to explain the effectiveness of health education using audio-visual methods on students' knowledge and attitudes about adolescent reproductive health during the COVID-19 pandemic. This research uses a quasi-experimental design. The results obtained from the 75 respondents who filled out the questionnaire showed that the attitude of the students on the pre-test score was 60,00 and the post-test was 63,45, whereas the students' knowledge on the pre-test score was 15,89 and the post-test is 17,20. From the results of the research carried out with the Wilcoxon test that the Asymp. Sig (2-tailed) is worth 0,0001 where the value is less than <0.005, therefore the hypothesis was accepted. Using audiovisual media is that it will add more real material content and will increase memory retention due to media that is much interesting and easy to remember by the individual, factors that can influence knowledge and attitudes related to reproductive and sexual health in adolescents are knowledge, attitudes and the individual's environment in processing the information obtained. Therefore there is a significant effect of health education with audiovisual methods on increasing the knowledge and attitudes of adolescents related to reproductive and sexual health.

The effect of giving potty training on the skills of defecating and urinating at toddler

Toddlers are an effective age to develop their various potentials which include physical, motor, cognitive, social-emotional development and language development. One of the child's developmental tasks is toileting skills or what are known as urinating and defecating skills. A skill that should be introduced early in toddlers to prevent enuresis is potty training. This study aims to analyze the effect of giving potty training on the independence of defecation and urination in toddlers. The type of research used is Quasy Experiment with one group pretest-posttest design research design. This study design only conducted an intervention in one group, without comparison. The population in this study were all children under five as many as 85 people. The sampling technique used purposive sampling so that the sample size in this study amounted to 30 people. Data analysis using Paired Samples Test. The results showed that there where there is an effect of giving potty training on defecation and urination skills in toddlers (p-value 0.000 <α 0.05). So it can be concluded that giving Potty Training can improve defecation and urination skills in toddlers.

Health service for diabetic foot ulcer patients during covid-19 pandemic

In early 2020, the whole world was shocked by the COVID-19 pandemic, which impacted all aspects of life. One was changes in the service system and health care for patients with diabetic foot ulcers (DFU). Wound care in DFU patients should be routine but while minimizing hospital visits to reduce the risk of exposure to COVID-19. The objective of this study was to explore the health services provided to DFU patients during the COVID-19 pandemic at the hospital. This study used a literature review approach with six electronic databases, namely National Library, PubMed, Science Direct, ProQuest, Springer Nature, and Wiley, in 2019-2021. The keyword used were health service, diabetic foot ulcer and COVID-19. around 669 articles identified, 12 articles met the inclusion. The articles reviewed were obtained from the result of discussion and validations between researcher and supervisors following the Prisma Guideline. Health services for DFU patients during the COVID-19 pandemic may be conducted through several stages including a) online consultation or telemedicine as the first stage, b) continued with triage process, and c) screening for individual patients needs. Health services for DFU patients during the COVID-19 pandemic have changed according to the following conditions. The first procedure was to conduct an online consultation (telemedicine) to assess the client’s condition related to complaints, then proceed with the triage process to prioritize care and service needs. The health of each patient and screening to check for symptoms of COVID-19 as well as carried out additional screening, CT Thorax and Swab if the patient had to go to the hospital.

The effect of “TB Mataho” health cadres in improving self-care capacity of patients with pulmonary tuberculosis

TB is still a public health problem throughout the world where Indonesia is a country that has the third largest number of TB sufferers after India and China. Self-care by patients and families during the treatment process was the key to healing pulmonary TB. Using a quasi-experimental method, this study aims to improve the ability of self-care for pulmonary TB patients through intervention by “TB Mataho” health cadres. Most of the self-care capacity of pulmonary TB patients with pre-test results were sufficient, in the treatment group (75.2%) and the control group (62.5%). The post-test results for the treatment group were in the good category (53.1%) and the control group was in the sufficient category (59.4%). The results of the Paired Samples Test analysis in the treatment group obtained a value of p = 0.001 (p <0.05), which means that there was a significant difference in self-care capacity of pulmonary TB patients before and after treatment, as well as the results of the Independent Samples Test analysis, the p value was obtained. 0.030 (p <0.05) which means that there was a significant difference in the post-test results in the treatment group and the control group. Researchers recommend that pulmonary TB survivors who have a basic education of secondary and above can be trained to become health cadres and share their successful experiences with pulmonary TB patients who are still undergoing treatment programs.

Maternal interleukin-6 and prostaglandin levels post-regiosacral counter-pressure as pain therapy due to uterine contractions

Pain is a physiological condition that is generally experienced by almost all mothers in labor or pain during menstruation (dysmenorrhea). Pain causes tachycardia in the mother, increased oxygen consumption, lactic (lactic) acid production, hyperventilation with a risk of respiratory alkalosis, and increased skeletal muscle tension. Regiosarcal Counter Pressure is an effective therapy to reduce pain due to uterine contractions. Based on research that has been done, Regiosarcal counter-pressure therapy can reduce pain levels and has also been shown to slightly reduce prostaglandin (PGE-2) levels in an insignificant amount. Changes in PGE-2 are suspected to have an impact on the stimulant hormone Interleukin-6 (IL-6). This study aims to determine the levels of IL-6 and prostaglandins in the first stage of labor. The research method used quasi-experimental, with inclusion criteria of first-stage labor, no pelvic abnormalities and other abnormalities that hindered the process of vaginal delivery, primiparas, singleton pregnancies, the location of the head did not receive painkillers. The results obtained 25 respondents with an average age of 23.72 (± 2.89) years, the average concentration of IL-6 before therapy was 185.159 (± 3.76) pg/ml and the mean after therapy was 180.782 (± 22.05) pg. /ml, the mean concentration of PGE2 before treatment was 223.521 (± 72.73) pg/ml and the mean after treatment was 179.873 (± 110.61) pg/ml. Administration of regiosacral counter-pressure therapy did not significantly reduce the levels of the hormone IL-6 and prostaglandins in women who experienced uterine contractions.

Overcoming methamphetamine withdrawal syndrome through cognitive behavioural therapy in female correctional inmates

Cognitive-behavioural therapy (CBT) approaches have among the highest level of empirical support for drug and alcohol use disorder treatment. The unbearable impact of withdrawal syndrome such as physical related problems, psychological, social and behavioural can take a long-term impact such as affective and anxiety disorder that can lead to depression. CBT as an intervention that improves coping-skill, and strategy to change a maladaptive mindset should be convenient to reduce withdrawal symptoms. The effect of CBT intervention on the severity of the symptoms of methamphetamine withdrawal syndrome is still narrow. This research is aimed to find out the CBT effect on withdrawal symptoms in both qualitative and quantitative methods on female inmates. This research uses a case study design. Data were conducted using Amphetamine Withdrawal Questionnaire (AWQ) before and after CBT intervention. Data were analyzed using univariate analysis presented as distribution frequency on both before and after the intervention and discussed with single case analysis. The result showed that CBT affects reducing withdrawal syndrome symptoms severity after 4 weeks and 4 session intervention. CBT affects decreasing withdrawal syndrome severity level. Based on these findings, the correctional nurse needs to develop comprehensive nursing care by providing CBT on a rehabilitation program to decrease female inmates’ withdrawal syndrome severity level.

The effect of emotional ventilation on the psychosocial development of school age children during the Covid-19 Pandemic

The World Health Organization has officially declared the coronavirus as a pandemic The impact of the pandemic is also experienced by children. Children experience major changes in their lives, one of which is child psychosocial. Psychosocial support needs for the children. This study aims to determine the effect of emotional ventilation on the psychosocial development of school-age children during the Covid-19 pandemic. This research design is a quasi-experiment with a one-group pretest and posttest design approach. Respondents were 43 school-age children. Psychosocial development was assessed using the Strengths and Difficulties Questionnaire (SDQ). Emotional ventilation is done once a week and twice a week. a week after the second intervention, a post-test was performed. The results showed that before the intervention prosocial behaviour, emotional problems and hyperactivity were mostly normal, behavioural problems and relationship problems with peers before the intervention showed mostly abnormal. After prosocial behaviour intervention, emotional problems, behavioural problems and hyperactivity were mostly normal and only peer relationship problems were still mostly abnormal. There are differences between emotional problems, behavioural problems, hyperactivity before and after emotional ventilation with a p-value ≤ 0.05.