Effects of Health Education on Hygienic Self-Care Practices among Female Adolescent

Background: As an older child enters the stage of adolescence, several changes happen within the human body, particularly female adolescents. The researcher as a Nurse educator realized the need to include health education on hygienic self-care practices in the subjects to be taught in Junior High School. The study aimed to determine the effect of health education on the hygienic self-care practices among adolescents’ female junior high school in Yogyakarta City, Indonesia. Methods: This study used quantitative design utilized pre-experimental with one group pretest-posttest design. The researcher used health education on the hygienic self-care practices module as the intervention and self-made questionnaire as the instrument. Results: Data shows a mean score on the before health education which is 2.96 had increased after health education to a mean score of 3.68. There is a mean difference of 0.72 and a p-value of 0.000 in between the scores which indicates a significant result. The proposed health education program developed by the researcher needs to be implemented in the participating schools. Conclusion: The role in the collaboration of the school nurses and teachers are needed to the success of a health education program to their students who are in the stage of adolescence.

Knowledge and Attitudes about Nutrition related to Snacking Practices in Madrasah Tsanawiyah Students

Background: Snacks in students' social life are a means of socializing students with their friends. Students tend to consume less nutritious food. The practice of this student snack begins with the attitude of the students, which begins with the students' knowledge of nutrition. This study aims to analyze the relationship between knowledge and attitudes about nutrition on students' snacking practice. Methods: This study is a descriptive study with a cross-sectional research design. The research sample consisted of 133 students, who were students in grades 8 & 9 Mts Darul Ulum. Results: The results of the Spearman rho test, the relationship between nutritional knowledge and snacking practice (p = 0.084), the relationship between nutritional attitudes towards snacking practice (p = 0.013). Conclusion: Nutritional knowledge is not related to nutritional attitudes. Nutritional attitudes are related to snacking practices. KEYWORDS: Nutrition Knowledge; Snack Attitude; Snack Practices

Implementation of a community-based nutrition program in the community feeding center: a case study from Bantul

Background: Malnutrition among children becomes one of public issues in the population. Community-based nutrition programs provide opportunities to improve current child nutrition and in later life. Objective: To explore the implementation of a community-based nutrition program in Sedayu Subdistrict, Bantul District. Methods: A qualitative study with a single study case was conducted between March and May 2017 in the community feeding center in Argorejo Village, Sedayu Subdistrict, Bantul District. Data were collected from a focus group discussion among mothers of children under-fives, in-depth interviews to community health workers and a nutritionist, and observation during the program activities. Analysis was done by developing coding and themes on the implementation of the program. Results: Several activities were identified in the community-based nutrition program such as anthropometric measurement, nutrition counselling and education, providing healthy snacks during the program, and weekly food supplementation distribution to targeted children. Facilitators of this program included active participation from community health workers, acceptance and supports from the community, and self-subsistent food supplementation. Meanwhile, the barriers of this program were budget allocation, limited numbers and time of health workers, and lacked tools and facilities. Conclusions: Community-based nutrition program in the community feeding center is community-driven program which is from and to the community. The sustainability of this program needs a strong commitment from the government, multisectoral stakeholders, and the community.

Predominant Challenges of COVID-19 to Students’ Personal Learning Endeavors: Illustrative Case Study in a Philippine University

Background: The COVID-19 pandemic created psychological chaos, social distress, and emotional disturbances to the students worldwide which affected their pursuit to focus on their learning goals. This article examines the psychosocial, educational, and other related challenges of the current crisis which threaten the space for learning heuristics and personal well-being of university students. Methods: The study applied an illustrative case study design to describe the real-life situations of the students in from a state university in the Philippines during the early stages of a phenomenal health event in history. Results: Result indicates that COVID-19 posits detrimental effects to the students’ educational cycles and psycho-social well-being as they felt drowned, trapped, and annihilated at the arrival of COVID-19. Aside from the psychological dilemma, students also deal with emotional, virtual, social, technical, and educational-related challenges. Conclusions: The educational momentum of these particular students declined due to unprecedented educational transitions, decreased motivation for their studies, complexities experienced in the emergency online learning environments, and multiplex health and digital issues.

Differences in Counseling Using Leaflets with Videos On Perineal Wound Treatment

Background: Perineal wound needs to be treated to prevent infection, so postpartum needs counseling about perineal wound care. The perineal wound healing can be identified if the wound is dry, skin has been fused, not palpable and painless. This research aims to determine the different of counseling using leaflet with video toward perineal wound care behavior in primipara postpartumMethods: Quasi experiment with pre test and post test control group design. Pre test was conducted on the first day of the post partum, post test on the 7th day when the respondent controls the perineum wound. Instrument in this research used questionnaire regarding the behavior of perineal wound care. Samples in the research of a number of 30 people were taken in purposive sampling. Data analysis used the independent T test.Results: There were significant difference in counseling using leaflets and videos about the behavior of perineum wound care. The group that received perineal wound care counseling using video was better (p=0.015) than the leaflet group (p=0.034).Conclusions: Counseling about perineal wound care used videos more effective than leaflets.

Knowledge, Attitudes, and Practices Towards COVID-19 among North Sulawesi Indonesia Residents

Background: Coronavirus Disease 2019 (COVID-19) was declared a global pandemic by WHO. To prevent theCOVID-19 transmission is depend on community compliance with health protocols. Public compliance in implementing health protocols during the new normal period is closely related to the Knowledge, Attitudes, and Practices (KAP) about COVID-19.Method: A cross-sectional online survey was used to survey the people of North Sulawesi Indonesia. Data were collected from September 17 to September 30, 2020, with 705 respondents (Mean age: 23.8 ± 8.7 years; 70.8 % females).Result:From 705 respondents, 23% of them knew the cause of COVID-19, 31.5% knew the symptoms of COVID-19 and 31.5% understood the definition of new normal. However, 50.4% of respondents were not aware of an information site related to COVID-19 provided by the government and only 28.9% of respondents knew about preventions of COVID-19 related to washing hands with soap. Overall, there were 29.2% of respondents had poor knowledge about COVID-19. The majority of respondents hadpositive attitudes and good behaviors regarding the symptoms and prevention of COVID-19. The demographic factor significantly related to the level of knowledge is gender (POR: 1.8; 95% CI = 0.75-0.90, P <0.001).Conclusion: The majority of respondents had good knowledge, positive attitudes, and good practices toward the prevention of COVID-19. However, the knowledge of certain topics was still inadequate

Risk Factors for the Incidence of Computer Vision Syndrome (CVS) in Lecturers During the Online Learning Period

Background: The online learning process during the Covid 19 pandemic has increased the incidence of Computer Vision Syndrome (CVS). The results of the study showed that there were 15% of lecturers at Widya Husada University Semarang experienced CVS. The purpose of the study was to analyze CVS risk factors among lecturers during the online learning period.Methods: The study was conducted using a case-control design. The research sample was lecturers at Widya Husada University as many as 60 people consisting of 30 people each in the case and control groups. A questionnaire with google forms was used for data collection. The data analysis used was univariate, chi-square for bivariate analysis and multiple logistic regression for multivariate analysis.Results: There are 5 variables that are significantly proven as risk factors for CVS, namely: 1) long working with computers (OR = 18.693; 95% CI = 1.487 – 234.955); 2) duration of computer use continuously (OR = 54,281; 95% CI = 2,523 – 1167,92); 3) length of rest after using the computer (OR = 31.060; 95% CI = 1.884 – 512.062); 4) distance from eyesight to monitor (OR = 34.640; 95% CI = 2.263 – 530.240); and 5) the position of the top of the monitor with respect to the horizontal eye level (OR = 17.555; 95% CI = 1.778 -173.296). Lecturers who have these 5 risk factors together will have a probability of experiencing CVS by 83%. Conclusion: Exposure to computer monitors experienced by lecturers during online learning will increase the risk of CVS events. There needs to be an effort to modify risk factors so that CVS events among lecturers during online learning can be prevented.

Improvement of Knowledge and Attitudes on Tuberculosis Patients with Poster Calendar and Leaflet

Background: Leaflet and poster calendars are one medium to provide health education to patients with pulmonary tuberculosis on the treatment of pulmonary Tuberculosis. The purpose of this research for media want to effectivity leaflet and poster calendars on health promotion to improve the knowledge and attitudes of pulmonary tuberculosis treatment at the Martubung Public Health Center. Methods: Research is a quasi-experimental design with pre-test and post-test group. The population in this study were all patients with pulmonary tuberculosis treatment in Martubung Public Health Center and analyzed with the wilcoxon test. Results: The results of the study using the wilcoxon test showed that the leaflet could increase the pretest value of 10 knowledge to 11.03 (p <0.001) and the attitude of having a pretest value of 41.77 to 45.7 (p <0.001). The wilcoxon test results show that the poster calendar can increase the pretest knowledge value from 8.7 to 11.97 (p <0.001) and the pretest attitude value from 43.7 to 50.27 (p <0.001). Conclusions: The media are most effective in improving knowledge and attitudes about the treatment of patients with pulmonary tuberculosis disease in Martubung Public Health Center is media poster calendar from the average value based on the pre-test and post-test conducted.

Determinant of Voice Handicap Index Degree as Dysphonia Patients’ Quality of Life Indicator

Background: Dysphonia will interfere with communication which will have an impact on social life such as depression, disrupt activities, work and can affect the quality of life. Dysphonia risk factors such as age, sex, duration of illness and etiology will affect the course of it. The purpose of this study was to identify risk factors for with the degree of Voice Handicap Index (VHI) as an indicator of dysphonia patients.Methods: Analytical descriptive study with cross-sectional design in dysphonia patients, the sample was determined as many as 62 who met the inclusion criteria. Quality of life was assessed by the VHI questionnaire. VHI degrees are classified into mild and moderate-severe. Data analysis using chi-square test and multivariate logistic regression. Results:Thirty-two (51.6%) subjects were women. Mean age was 47.26 +12.2. The most common causes of dysphonia (85.5%) were due to organic disorders and laryngopharyngeal reflux (LPR) is the most common cause (37.1%) of all organic dysphonia disorders. Analysis of risk factors for age, gender, etiology of dysphonia and duration of illness with VHI degree were p = 0.282, p =0.76, p= 0.067, p= 0.001, respectively. Duration of illness ≥2 weeks has a 38.3x risk to severity VHI compared to <2 weeks. Conclusion: The duration of illness is a determinan related to of the degree of VHI that quality of life indicator in dysphonia patients. Key Words: Risk factors, Dysphonia, Voice Handicap Index

Assessment of Occupational Stress on Health Workers in Maternal and Infant Hospitals

Background: Stress is a distortion of the body and mind caused by changes and demands of life. During the Covid 19 pandemic it was shown that the highest levels of stress occurred in health workers, nurses and teachers. Excessive amounts of stress can have harmful effects on the body, mind and psychology. The purpose of this study was to determine the description of the occurrence of work stress on health workers in the inpatient room at Hospital. Methods: The study used a cross sectional design, with a sample of 42 health workers. The sampling technique uses total side method with univariate data analysis. Results: Results with the highest proportion were health workers who experienced work stress as many as 24 respondents (57.1%) which were more dominantly influenced by factors of high workload variation of 31 respondents (73.8%). Conclusions: The hospital is expected to be more aware of the workload and working hours of health workers in order to minimize the risk of work stress.