How Do The Community Health Nurses’ Experience in The Strategies of Non-Communicable Disease (NCD) Promotion and Prevention?

Nurses have an important task in the strategy of intervention to reduce of Non-Communicable Diseases (NCD)’ incidence. Community health nurses have tried to control the problem of NCD. However, the incidence of NCD has not decreased as expected. The promotion and prevention of non-communicable diseases are one of the efforts to control PTM. This study aims to explore the experience of nurses in implementing the strategies of NCD’ promotive and preventive. This study used a qualitative descriptive phenomenological design. A total of 16 community health nurses were selected using purposive sampling. The inclusion criteria of this study were (1) nurses who served at the community health center for a minimum of 6 months, (2) performed individual health services in the community health center and carried out family visits and services in the community. The data were analyzed using Colaizzi's approach. This research was approved by the Committee of Ethics in the Faculty of Nursing, Universitas Indonesia. This study resulted in five strategies of nurses implementing to NCD’ promotion and prevention, include (1) health education, (2) partnership with community health workers, (3) coordination, (4) stand with the community, (5) monitoring the change of behavior in the community. Nurses’ experience of NCD’s promotion and prevention in the community health center still needs improvement to achieve holistic and comprehensive health services. Nurses should be attention to the preparation of themselves before implementing the promotion and prevention, such as preparation of the topic, communication with colleagues and communities, and doing a partnership with multisectoral.

Physical Exercise Reduce Fatigue in Children With Leukemia

Fatigue is a complaint that many children with Acute lymphoblastic leukemia (ALL) feel while undergoing chemotherapy and is a multidimensional problem. The condition of fatigue that children continuously feel requires treatment from health workers. To optimize physical exercise interventions, researchers combined physical exercise with Levine theory based on four conservation principles to increase patient activity during treatment. The goal of the study was to provide physical exercise to children with ALL undergoing chemotherapy. The research method is quantitative with Quasy Experimen With Control Group Pre-Test-Post-Test Design. This study sample of ALL children aged 8-13 years who underwent maintenance phase chemotherapy. The sample was taken using consecutive sampling techniques with a total of 22 people. The data collection tool uses the Multidimensional Fatigue Scale questionnaire. The results showed that the average fatigue scale in the pre-test intervention group was 31.18 and post-test 47.64. The pre-test control group was 27.27 and post-test 39.18. The level of fatigue experienced by children decreased (p 0.000) after being given physical exercise walking 5 minutes, six times in 14 days. The involvement of health workers is expected in conducting a comprehensive assessment of fatigue symptoms, and the results of this study can be used as one of the physical exercise interventions in the management of fatigue in children with leukemia.

The Effect of Antenatal Care During Covid -19 on Complications of Pregnant

Quality Antenatal Care (ANC) services can prevent complications during pregnancy, but during the Covid-19 pandemic, there is a policy for mothers to postpone ANC visits. The purpose of the study was to find out how the influence of ANC services during the Covid-19 pandemic on the incidence of complications in pregnant women. The research method used is an analytical survey with a Cross-Sectional approach. The number of samples is 110 pregnant women respondents. The statistical test used is the Chi-Square test. The results showed that the age of pregnant women was 92.1% of healthy reproductive age, high school education level was 90.4%, some pregnancies experienced by mothers 2 were 66.7%, work as housewives were 67%. The biggest complication that occurs in pregnant women is anemia (40%). The provision of quality ANC services with 10T has a positive influence on the incidence of complications in pregnancy during the pandemic (p-value <0.05), as well as understanding of the Maternal and Child Health (MCH) book (p-value <0.05) and the anxiety felt by the mother (p-value <0.05) influences the occurrence of complications. The conclusions obtained were the effect of providing quality ANC services with 10 T, understanding of the MCH handbook on the incidence of complications during the covid-19 pandemic.

Public Perspectives Regarding Covid-19 Pandemic: A Survey of Adults in Jakarta Bogor Depok Tangerang Bekasi Area

The first Covid-19 case was reported on March 2nd, 2020, in Indonesia. Then, the graphic trend of infected people has risen sharply, particularly in The Jakarta Greater Area: Jakarta, Bogor, Depok, Tangerang, Bekasi (Jabodetabek), as the epicenter. As a quantitative approach, this study aims to investigate people in Jabodetabek about their perspective on the Covid-19 Pandemic. Two hundred ninety-seven residents participated as respondents in fulfilling a self-developed questionnaire spread through online schema. Descriptive analyses were used to explain the data found. The results showed that 65.85 % of the participants have a positive perspective towards characteristics of the Covid-19, 66.13% have a positive perspective toward values, belief, and culture in the environment related to the Covid-19, 71.11% have positive awareness of infectious diseases, and 81.32% have a positive perspective towards services or policies of the government with local wisdom. In conclusion, the public perspective regarding the Covid-19 pandemic in Indonesia, especially people in the Jabodetabek, is good. However, there were still some participants who did not believe in the Covid-19 Pandemic. Increasing people awareness is needed to control Covid-19 transmission in Indonesia. Therefore, it is recommended to increase health promotion activities (rebuild trust, the precautionary principle, social distancing or physical distancing, washing hands and wearing masks), providing psychosocial support (optimism, quick response, and detection, communication with each other).

Electric Conductivity and Power of Hydrogen Value of Processed Seawater Using a Distillation Tool

Water pollution in the coastal areas of Ternate has shown a serious increase. It can be seen from the amount of garbage and the appearance of water turbidity in areas near residential areas. Based on a preliminary study, several residents behind the mountain also complained about the brackishness of their wells due to seawater intrusion. This study aims to determine the effectiveness of the distillation method on decreasing the value of electrical conductivity and power of hydrogen (pH) in seawater. This research is an experimental study with a post-test only group control design with a sample of 10 litres of liquid waste from three places, namely Muara Maliaro, Muara Pasar Sayur, Muara Pelabuhan Besar. The results of this study were processed using data processing software with paired T-test and Wilcoxon. The average value of DHL in samples 1, 2, 3 after distillation was carried out successively was 116 mhos/cm, 109.33 mhos/cm, 109.66 mhos/cm. The average pH value in samples 1, 2, 3 after distillation in all samples have shown normal values ​​with an average of 7. There is a difference in the DHL value before and after distillation with the Sig value (2-tailed), which is <0.05. There is a different pH value before and after distillation with the Sig value (2-tailed) <0.05. Distillation equipment can reduce the value of electrical conductivity and pH in seawater.

Peer Group and Positive Affirmations Affect on Physical Changes and Psychological Consequences of Menopause

Menopause is a woman's last menstrual period influenced by reproductive hormones, occurring in her fifties. Various efforts can be made to overcome the symptoms and complaints in menopausal women, including peer groups and positive affirmations. The purpose of the study was to determine the effect of the peer group model and positive affirmations on physical and psychological changes due to menopause in the work area of ​​the Pondok Rangon Community Health Center, Cipayung District, East Jakarta. This type of research is a quasi-experiment with two group pre-test post-test. The sampling technique used the purposive sampling method with a total sample of 50 respondents. The results showed that the average age of the respondents was 53.36 years, with the majority of respondents (64%) having low education, not working (86%), and most of them being multiparous (70%). The intervention group results showed a significant difference before and after treatment, both in physical changes (p-value 0.001) and psychological (p-value 0.000). The control group found no significant difference in physical changes (p-value 0.085) and psychological changes (p-value 0.174). The study concludes a decrease in physical and psychological changes in the intervention group who received peer group treatment and positive affirmations compared to the control group who did not receive treatment. Menopausal women can use the peer group model and positive affirmations to overcome the complaints of menopausal women.

Spirituality and Anxiety in Critical Care Patients' Families: A Systematic Review

The critical care room is an independent hospital with special staff and special equipment for observation, care and therapy of patients suffering from life-threatening illnesses, injuries or complications. Families in critical rooms usually experience anxiety, fear, and panic. One of the efforts to reduce anxiety is to get closer to God Almighty to increase spirituality. The review aims to obtain information about the spiritual level with anxiety in patients' families in critical care rooms at the hospital. A systematic review was carried out using the PRISMA (Prefered Reporting Items for Systematic Reviews and Meta-analysis) reporting technique with article selection using eligibility criteria. Search journals using Elsevier, PubMed, ScienceDirect, Google Scholar, Springer, and ProQuest databases from June to July 2021. Using English keywords, three journals are obtained; through Indonesian, six journals are obtained. The results of nine journals that have been analyzed by researchers as a whole are 57.5% of good family spiritual and 52.5% moderate family anxiety. This decrease in anxiety was caused by the spiritual services provided to respondents in the form of praying. The spiritual approach can be used as input for nurses to provide interventions to all patients' families in the hospital, especially those who experience anxiety.

Relieve Labor Pain With Hypno Prenatal and Prenatal Yoga

Pregnancy and childbirth are physiological processes that every woman will go through. The intensity of pain experienced by women during labor varies, but it can be exacerbated by fear, tension, and anxiety. Hypnosis techniques have been proposed as a means of overcoming anxiety and fear. Compared to women who receive relaxation training or supportive counselling, hypnosis reduces pain intensity, shortens delivery time, and reduces the number of women who stay in the hospital for more than two days after their baby is born. Yoga during pregnancy, like hypnosis, has been shown to reduce pain intensity during the first stage of labor. This research aimed to see how prenatal hypnosis and prenatal yoga affected labor pain in women giving birth at the Independent Practice of Midwife Meli Rosita Palembang. This study employs an experimental research design with a Static Group Comparison strategy. The sample in this study consisted of 60 pregnant women divided into two groups: those who received hypnosis and prenatal yoga interventions and those who did not. Questionnaires, checklists, and tutorials on implementing prenatal hypnosis and prenatal yoga were used as instruments. Prenatal hypnosis and prenatal yoga significantly affected labor pain in Maternal Maternity at Meli Rosita's Independent Midwife Practice (p-value 0.000). The intervention group had a pain scale average of 2.70, while the control group had a pain scale average of 4.33. As a result, a combination of prenatal hypnosis and prenatal yoga can alleviate labor pain.

The Characteristics of Premarital Couple Related to Couple’s Knowledge of Healthy Pregnancy Preparation

A well-planned pregnancy procedure will benefit the fetus's health and the mother's physical and psychological adaption to pregnancy. Unwanted pregnancies and on-time pregnancies in a woman might be classified as situations of unmet need. Along with pregnancy, this influence on the mother's unpreparedness to conceive can even lead to the decision to undergo an unsafe abortion. This study aimed to elicit data on the features of premarital couples' preparation for a safe pregnancy and their association with knowledge about pregnancy preparation. The study used a cross-sectional design and purposive sampling to examine 57 premarital couples and then utilizing the chi-square to analyze data. The study's findings indicate that respondents will marry at a high risk of pregnancy. There are still some couples who lack adequate knowledge about pregnancy preparation and have not received adequate counseling. There is a significant relationship between the bride and groom's ages and their level of knowledge about preparing for a healthy pregnancy (p-value 0.000), level of education and level of knowledge (p-value 0.000), perspective and level of knowledge (p-value 0.000), and history of exposure to information and level of knowledge (p-value 0.000). Increased marriage age, greater education level, and provision of relevant information will assist married couples in supporting increased knowledge that is more adequate for pregnancy preparation.

Low Phosphorus and Protein-Based Snack Bar Processed Products of Brown Rice for Sufferers Chronic Kidney Disease

Chronic kidney disease (CKD) causes metabolic disorders such as hyperphosphatemia. Limiting phosphorus and protein intake is one option, but egg whites and brown rice snack bars are another. This study aimed to compare CKD patients' mean blood urea levels before and after intervention at Prabumulih City Hospital in South Sumatra. This study employs a two-stage quasy design. The first stage of making snack bars was organoleptic tests with Friedman test analysis. In Phase II, patients are given snack bars, and their blood urea levels are measured using t-dependent tests. Purposive sampling was used to select CKD patients from a group of up to 13. The best formula for the brown rice snack bar was formula 3 with 225 kcal energy, 3.46 g protein, 12.68 g fat, 24.26g carbohydrate, 38.92 g phosphorus, and a Phosphorus-Protein ratio of 11.24 mg/g. The mean blood urea levels of CKD patients differed statistically (p-value 0.000). With its low protein and low phosphorus-to-protein ratio, the snack bar's formula can lower blood urea levels in CKD patients. So this snack bar can be used as CKD diet food.