Comprehensive Health Care

Lifestyle Modification in the Form of Diet and Physical Activity Proven Effective in Lowering Fasting Blood Sugar Levels of Pre-Diabetes Patients

Muh.Zukri Malik — 2023-12-27

Various diabetes prevention interventions vary in effectiveness including lifestyle modification interventions. This study aims to ascertain the effectiveness of lifestyle modification interventions in the form of diet and physical activity in lowering blood sugar levels in prediabetic patients. Quasi-Experimental Pre-Post Test Design with Control Group, the treatment group was given dietary and physical activity modifications in the form of counseling and close monitoring while the control group was not given intervention. 30 pre-diabetic patients with hyperglycemia aged between 18-65 years were selected to be sampled using simple random sampling technique. Data analysis using Wilcoxon test and independent sample t-test. The findings showed significant differences in GDP levels before and after the intervention (p<0.001). Lifestyle modification interventions in the form of diet and physical activity proved effective in lowering fasting blood sugar levels of pre-diabetic patients with an average decrease of 14.93 mg / dL. It is hoped that people can apply a healthy lifestyle, especially in processing food and exercising so as to avoid diabetes mellitus.

Effect Of First Aid Training For Child Experiencing Choking On The Knowledge And Skill In Carrying Out Abdominal Thrust In Integrated Kindergarten Of Madani Palu

Hasnidar — 2023-12-30

Choking is an emergency incident or situation that often occurs in society. Choking is caused by a foreign object entering the respiratory tract. Knowledge about handling choking incident will affect people's behavior in handling choking incident and avoiding its death threat to children. One of the efforts to increase public knowledge concerning this matter is training in First Aid for Choking Incident on Children. This research is a Pre-Experimental study with a one group pretest posttest design. The population in this study is all teachers, staff, and parents or families of the students of Madani Integrated Kindergarten of Palu who were at Madani Integrated Kindergarten of Palu. In this case, the sample involved was 47 patients, who were selected using the accidental sampling method. Furthermore, hypothesis test of paired T-test was carried out using a significance level of p<0.05. Based on the research results, it was found that there was a significant effect of providing first aid training to children experiencing choking on increasing knowledge and skills in performing Abdominal Thrust at Madani Integrated Kindergarten in Palu with P Value of 0.000 (< α 0.05). Therefore, it can be concluded that there is an influence of providing first aid training to children experiencing choking on increasing knowledge and skills in performing Abdominal Thrust. It is further expected that the community, especially parents, teachers and school staff, can improve their ability to provide first aid to children experiencing choking so that deaths due to choking can be prevented.

Keywords: first aid for choking, Abdominal Thrust

The Effect Of Giving The Thought Stoping Method On The Level Of Anxiety Of Pregnant Women In Ujung Loe District

Nurlina — 2023-12-31

Background: Based on WHO data (World Health Organization) there are about 13% of pregnant women who experience anxiety disorders. In developing countries, the percentage can even reach 19.8%. Pregnant women who experience anxiety continuously will have an impact on the health of themselves and their fetuses, such as babies born with low birth weight (LBW), preterm birth, spontaneous chromosomal abortion, low APGAR scores for the occurrence of hyperemesis gravidarium, preeclampsia, and eclampsia. Objective: To determine the effect of the thought-stopping method on the anxiety level of pregnant women in Ujung Loe District in 2022. Methods: This study used a quasi-experimental research design with a quasi-experimental approach; a non-randomized re-experimental design (non-randomized pretest-posttest with control group design) was used. The sample size in this study was 40 pregnant women, of which 20 pregnant women were in the experimental group, and 20 pregnant people were in the control group. The sampling technique used is consecutive sampling. The thought-stopping method was given 2 times in 2 meetings for a week with a duration of 30 minutes for each 1 meeting. Data analysis in this study used an unpaired T-test. Results: The results of the analysis using the unpaired T statistical test obtained p value = 0.000, which means Ho is rejected, and Ha is accepted, or there is an effect of giving the thought stoping method on the anxiety level of pregnant women in Ujung Loe District in 2022. Conclusion: Pregnant women in the experimental (intervention) group experienced a decrease in anxiety, which means that there was an effect of giving the thought stopping method on the anxiety level of pregnant women in Ujung Loe District in 2022.

Effect of Wet Cupping Therapy on Reducing Pain in Patients with Low Back Pain in Bonto Bangun Work Area

Safruddin Yahya — 2023-12-31

Data from Public Health Center Bonto Bangun Bulukumba found that there were 93 patients experiencing LBP complaints from 2020, while in 2021 there were 71 patients and in 2022 from January to March there were 37 patients. Judging from the prevalence, from 2020-2022 it has indeed decreased but not yet resolved perfectly. Cupping therapy is a therapy recommended by the Prophet in which blood is extracted using a cup and a suction cup in the skin area which is incised 1 cm wide and 4 mm deep, so that it penetrates the epidermal layer of the skin, and because of the difference in pressure, the blood is pulled out of the peripheral blood vessels as much as 50-300 ml in 5 minutes and will cause a red or black rash. This series of therapies will eventually lead to healing as predicted by the Prophet Muhammad in his hadith with the permission of Allah ta'ala Research Objectives: To know the effect of wet cupping therapy on reducing pain in sufferers of Low Back Pain in the working area of Bonto Bangun, Bulukumba. The research design is true experimental. The sample is 16 people in the treatment group, and 16 people in the control group. The sampling technique is Simple Random sampling. The research was carried out in July 2022 in Bonto Bangun District, Bulukumba Regency. The results of the study are the pain scale before carrying out wet cupping therapy in the treatment group with a scale of 4.50 and the control group with a scale of 5.50. There was a difference in the pain scale after carrying out wet cupping therapy, namely in the treatment group it was 3.00 while in the control group it was 6.00. The results of the mean withney test obtained a value of p = 0.01 (smaller than the value of a = 0.05). There is a significant difference in pain scale between before and after doing wet cupping therapy. It is better for agencies to carry out routine wet cupping therapy programs and facilitate more LBP patients

Validity And Reliability Of The Self Administered MemTrax Test In Students

Rizki Amelia Sinensis — 2023-12-30

Background: Students have serious challenges when they enter their first year at university. Stress can cause impaired cognitive function. The large number of activities, school time and technology have an influence on sleep activities which intersect with sleep physiology. The MemTrax test is an online computerized test with measure memory performance. The aim of this research is to determine the validity of the self administered MemTrax Test in measuring RT and PC compared to the standard MemTrax Test and to determine the reliability of the self administered MemTrax Test in measuring RT and PC.

Method: This research is an observational study by testing the construct validity and reliability of the MemTrax Mandiri Test. The sample in this study was 54 students aged 19-24 years who were the validity sample, and 41 students aged 18-25 years who were the reliability sample. Validity data analysis used correlation analysis between the RT and PC of the MemTrax Test and the self administered MemTrax Test. Reliability analysis uses test retest reliability using the Intraclass Correlation Coefficient.

Results: The RT results of the self administered MemTrax Test with the MemTrax Test have a significant relationship with a significance value of 0.00 and a strong correlation strength value of 0.658, and the value is not correlated with PC. For reliability, it was found that the reaction time results of the self administered MemTrax Test had a moderate reliability value, namely 0.646, while the reliability value for percent correct for the self administered MemTrax Test had a low value, namely 0.585.

Conclusion: The self administered MemTrax test is not valid, this is proven by the RT results which are correlated, but the PC is not correlated. The self administered MemTrax test is not yet reliable, as evidenced by the results of moderately correlated RT and weakly correlated PC, so the self administered MemTrax test cannot be used as a cognitive function examination tool at this time.

Keywords: Online memory test, Self administered memory test, Cognitive Function, Reaction Time, Percent Correct

The Identification of Nurses’ Behaviour Toward Evidence-Based Nursing

Rani Lisa Indra — 2023-12-29

Evidence-based nursing is an effort to improve the quality of nursing care by applying research results in carrying out patient care. This is an important issue in efforts to improve the quality of nursing care but its implementation is still very limited. This study aims to identify nurses' behavior (knowledge, attitude, practice) towards evidence-based nursing in one of the government hospitals in Riau Province. This type of research is descriptive with the sample is nurses who served in the surgical inpatient room in one of the government hospitals in Pekanbaru City with a total of 49 people. Data were collected using The Indonesian Version of Evidence-Based Practice Questionnaire. Data were analyzed univariately with frequency distribution and central tendency. The results showed that 75.5% of nurses were female, 76.5% had a nurse education level, 69.4% had no research experience, 57.1% had never attended a seminar/training on EBN. The average knowledge, attitude and practice towards EBN are 75.96; 21.90; and 30.65, respectively. Nurses' behavior towards EBN tends to be good. It is expected that further collaboration between academic nurses and practitioners in implementing EBN and providing continuing education or training related to EBN can improve the knowledge and practice of EBN by nurses.

KEYWORDS: Attitude; behavior; evidence-based nursing; knowledge; practice

Amirullah Phenomenological Study of Quality of Life in Chronic Kidney Failure Patients Undergoing Hemodialysis

Amirullah — 2023-12-30

Background: Chronic Kidney Failure is a very serious health problem because it can affect morbidity, mortality and socio-economic conditions in society. One of the treatments for patients suffering from chronic kidney failure is hemodialysis. This therapy has various complications and requires patient compliance in undergoing therapy, this will have a physiological and psychological stressor impact on patients undergoing therapy which can then affect the quality of life of patients suffering from chronic kidney failure. Objective: To explore the quality of life of participants suffering from chronic kidney failure undergoing hemodialysis at H. Andi Sultan Daeng Radja Bulukumba Regional Hospital. Research Method: This research uses a qualitative design with a phenomenological study approach. Phenomenological research sample size is around 6-10 participants. So in this research, 10 participants were selected according to the criteria and recorded during in-depth interviews using a semi-structured interview guide, then interview transcripts were made and then analyzed using thematic analysis. Research Results: The research results identified eight main themes, namely: (1) Physical activity (2) Satisfaction with physical fitness during hemodialysis (3) Perception of conditions experienced during hemodialysis (4) Quality of sleep during hemodialysis therapy (5) Personal adaptation regarding physical changes (6) Social relationships (7) Changes in economic status during hemodialysis therapy (8) Spiritual response. Conclusions and suggestions: There are 8 themes obtained in this research. It is hoped that chronic kidney failure sufferers who undergo hemodialysis therapy will remain enthusiastic and increase their motivation to live, so that their quality of life will improve.

Monofilament test and Ankle Brachial Index examination as early detection of Peripheral Arterial Disease at the Makassar City Health Center

Syaiful — 2023-12-30

The increase in the number of diabetics is influenced by factors of age, overweight, ignorance and unhealthy lifestyles. The most common complication is diabetic foot ulcer with an incidence rate of 15%. Some things that need to be considered in everyday life to prevent diabetic foot injuries are diet (nutritional therapy), exercise (exercise), pharmacological therapy, and education. The purpose of this study was to detect early the incidence of neuropathy using the monofilament test and the incidence of peripheral arterial disease using ABI. The research method used was descriptive research with a quantitative approach, descriptive research was used to assess the incidence of Peripheral Arterial Disease cases using the Monofilament Test and ABI (Ankle Brachial Index) examination, with a total of 50 respondents with diabetes mellitus. The results showed that 47 respondents (94%) at the time of the monofilament test showed normal results or did not experience neuropathy, while there was 1 respondent who was included in the category of suspected neuropathy, and there were 2 respondents or around 4% who had been detected suffering from neuropathy. The results of the Ancle Brachial Index examination showed that 8 respondents or around 16% were identified as having Peripheral Arterial Disease, and 42 respondents or around 84% were not detected as having Peripheral Arterial Disease. The conclusion is the low number of people with neuropathy and Peripheral arterial disease because DM sufferers have a DM exercise routine 2x a week, this will help improve blood flow and prevent an increase in blood glucose level.

Perfusion, Extent, Depth, Infection and Sensation (PEDIS) classification system to assess the severity of Diabetic Foot Wounds in the Homecare setting

Sintawati majid — 2023-12-31

Introduction: The prevalence of diabetic foot ulcers in Indonesia is twice the global prevalence. An initial assessment of the severity of the wound is necessary to recognize early signs of skin damage and provide the right decision to begin wound treatment. The purpose of this research was to use the PEDIS classification system to assess the severity of diabetic foot Ulcers in the homecare setting. Methods: This was a quantitative descriptive study on diabetic foot ulcers patients in independent practice and homecare in Makassar City in July–October 2023. Data were collected using the PEDIS classification observation sheet which consists of perfusion measured using vascular doppler to assess peripheral artery disease in the form of a combination of waves and ABI values, extended uses the length x width, depth of skin layers involved, infection assess signs and symptoms of infection and sensation using monofilament test 10g at three points of plantar neuropathy of the foot. Results: 36 samples were found during the research period. The general severity of the injury was grade 2. Almost all patients were non- peripheral artery disease. The wound extenth was >3 cm2, and the depth of skin involved includes superficial, tendon and bone, the level of infection was limited to local infection. Almost all patients were found to experience loss of sensation in the feet. Conclusions: The PEDIS classification system can be used to assess the severity of diabetic foot ulcers in a homecare setting. However, it must be carried out by trained personnel.

Keywords: degree of severity; diabetic foot ulcers; home care setting.

Body Mass Index Status; Underweight In Active TB Patients at H. Andi Sulthan Daeng Radja's Hospital

Andi Tenriola — 2023-12-31

Tuberculosis (TB) is a serious public health problem causing increasing morbidity and mortality rates and is of global concern. In tuberculosis (TB) sufferers experience poor nutrition which can reduce a person's immune system so that the disease can easily occur, a lack of protein as well as calories and iron can increase the risk of pulmonary tuberculosis. Objective: To determine the body mass index (BMI) of Tuberculosis (TB) sufferers at H. Andi Hospital. Sultan Daeng Radja Bulukumba Method: This research uses a quantitative type of research using a cross-sectional research design. The number of respondents was 99 people, with a sampling technique using total sampling. This research uses univariate analysis to analyze the data. Results: The body mass index of patients suffering from tuberculosis, found 57 (57.6%) respondents who had a low BMI, in the normal category there were 34 (34.3%) respondents, while in the overweight category, there were 8 respondents with a presentation of (8.1 %). Conclusions and Suggestions: The body mass index of patients suffering from tuberculosis is more likely to be underweight. Tuberculosis patients are expected to be more regular in taking medication so that therapy goals can be achieved as well as regulating diet and improving nutritional status which can influence recovery so that it can improve the patient's body mass index.

Keywords: BMI; Tuberculosis; Body Mass Index; Underweight; TB

Effect Of Relaxation Education Acupressure For Increasing Knowledge Nurse At H. Andi Sulthan Daeng Radja Bulukumba Hospital

Nadia Alfira — 2023-12-31

Background : _ Knowledge is results from know somebody to object through the senses he has ie senses hearing , senses smell , senses sight , senses smell , and senses touch . Knowledge is something known _ related with the learning process . Learning process This influenced a number of factor from in , like motivation and factors outside form means available information , as well circumstances social culture .

Research purposes : He knows influence giving education relaxation acupressure to enhancement knowledge nurse at H. Andi Sulthan Daeng Radja Bulukumba Regional Hospital.

Research method : Research design used _ in study This is design pre-experimental with big the sample is 39 people with use technique taking sample that is consecutive sampling .

Results: Research results This using statistical tests Wilcoxon test _ show that before given education technique relaxation acupressure obtained category Enough as much as 17.9% and less as much as 82.1%. whereas after given education technique relaxation acupressure obtained category Good as much as 94.9% and sufficient as much as 5.1%. Based on pre-test and post -test results show exists difference knowledge nurse before and after given education relaxation acupressure .

Conclusions and suggestions: On research This can be concluded that knowledge nurse before given education technique relaxation acupressure obtained that nurse more Lots own knowledge lack , knowledge nurse after given education technique relaxation acupressure obtained that nurse more Lots own knowledge OK , and there is difference knowledge nurse before and after given education relaxation acupressure . As for suggestions in study This for nurses to further increase their knowledge of acupressure relaxation techniques with existing education or learning, so that nurses in this case can share their knowledge with patients, families and other nurses.