Faletehan Health Journal

The Effects of Buerger Allen Exercise Therapy and Diabetic Foot Exercises Combination on Ankle Brachial Index of Diabetic Patients

Hendri Heriyanto — 2024-03-14

Measuring foot sensitivity with the Ankle Brachial Index (ABI) can be used to identify peripheral sensitivity disorders in patients with diabetes mellitus. Poorly managed peripheral sensitivity disorders can lead to various complications, including foot amputation. Buerger Allen Exercise (BAE) and diabetic foot exercises were proved to give good effects on ABI. However, there were no studies which combine both exercises yet. This study aimed to determine the impacts of the combination of BAE therapy and diabetic foot exercises on the increase of ABI value of diabetic patients. This study used a quasi-experimental approach with pre-test and post-test. The sampling technique was purposive with the total size of 57 respondents, including 19 individuals in the BAE and foot exercise intervention group, 19 individuals in BAE group (control 1), and 19 individuals in foot exercises group (control 2). The analysis results indicated a significant difference between the intervention group’s ABI value and both control gorups (p-value 0.001). This study noted that diabetic patients at Sawah Lebar Public Health Center in Bengkulu City had a higher ABI value when BAE therapy and diabetic foot exercises were combined.

The Relationship between Knowledge and Attitudes with Nurse Behavior in Patient Discharge Planning

Sri Rahayu — 2024-03-19

Patient discharge planning is a crucial aspect of healthcare, yet the implementation in hospitals was not optimal by nursing teams. This research aimed to explore the relationship between the level of knowledge and attitude of nurses with the implementation of discharge planning in inpatient ward. The research method employed was a cross-sectional design with the total sample of 68 nurses selected through total sampling technique. The data collection was conducted through interviews and a questionnaire as the research instrument. The data analysis was performed by using chi-square test. The results of this study indicated a significant relationship between nurse knowledge (p<0.000) and attitude (p<0.000) with the implementation of discharge planning. The researcher recommended that discharge planning practices should be maintained, improved, and applied comprehensively from admission to patient discharge.

The Correlation Between Nurse Interpersonal Communication and Patient Satisfaction

Dedeh Hamdiah — 2024-03-19

Health service centers in Indonesia were growing and developed rapidly, resulting on many choices in health services that patients can entrust in carrying out their health care. Patients’ expectation when choosing health services was the ability of health staff to respond quickly to patient complaints and to deal with them in a professional manner. The research objective was to determine the relationship between nurse interpersonal communication and patient satisfaction at Pontang Community Health Center in 2023. The correlation method with a cross-sectional approach was used in this research. Of the 150 inpatients as a population, 75 respondents were involved as the samples by Solvin formula. The data collection was done by interviews, observations, and a questionnaire. The research results showed that the majority of respondents stated that the interpersonal communication of nurses was good (62.7%) and the majority of respondents stated that patient satisfaction in the inpatient unit was not satisfied (54.7%). The statistical test results by using chi-square test obtained a p-value of 0.024 (p<α), which means that there was a relationship between nurse interpersonal communication and patient satisfaction at the inpatient unit of Pontang Community Health Center. The researchers concluded that there was a need of reinforcement in inpatient nurses, such as training on interpersonal communication and service excellence.

Self-Management Education Among Patients with Diabetes Mellitus

Etlidawati Etlidawati — 2024-03-19

Diabetes self-management education (DSME) integrates four aspects of diabetes management with an emphasis on behavioral interventions that assist individuals with diabetes in adopting lifestyle changes for their self-care from the desease. DSME encompasses diets, exercises, treatments, and exercise schedules for patients with diabetes, aiming to enhance patients' ability to self-care. This study aimed to assess the effects of DSME on the self-care of patients with diabetes by using a booklet medium at Purwokerto Islamic Hospital. This quantitative research employed a quasi experimental design with a control group pre-post test design and gave a booklet media to the intervention group. This research involved 32 randomly selected respondents who were divided into control and intervention group. The statistical analysis used an independent t-test and showed a significant difference in the care of patients with diabetes (p=0.00<0.05) between the two groups. Following DSME intervention, 75% respondents in the intervention group exhibited a good self-care behavior; meanwhile, the control group was just 56%. The statistical analysis showed a difference in the self-care mean of the intervention group, which improved meaningfully (p-value 0.01); however, the control group was unmeaningful (p-value 0.06). This research showed DSME is able to improve the self-care of patients with diabetes mellitus.

The Influence of BagaPule Therapy on Reducing Headaches in Elders with Hypertension

Iskandar Iskandar — 2024-03-20

Headache is a problem complained by 20% of hypertensive patients. The pain can cause various effects ranging from mild discomfort to disrupting quality of life. BagaPule therapy is a combination of warm compress and massage on the gate of consciousness points, one of the non-pharmacological ways to reduce headaches. Hypertensive patients will feel a warm sensation in the neck to the head area after applying warm compresses. This study aimed to examine the influence of BagaPule therapy administration to reduce headaches in elderly patients with hypertension in Lhok Bengkuang, Aceh. The research design used in this study was quasi-experimental with equivalent control group design. The participants of this study were all elders suffering from hypertension, with the total of 36 participants selected by using simple random sampling technique. The statistical analysis was conducted by using Wilcoxon and Mann-Whitney test. The results of univariate analysis in the control group showed that the majority of elderly headache levels were categorized as moderate with 12 respondents (48%) and the intervention group showed that the majority of elderly headache levels were categorized as moderate with 14 respondents (51.9%). The bivariate analysis results showed that there was an influence of BagaPule therapy on reducing headaches in elderly patients with hypertension (p-value 0.032). BagaPule therapy was highly positive to reduce pain and can be recommended as an innovation in complementary health.

The Effectiveness of Islamic Mindfulness on Nausea Intensity In Patients with Tuberculosis

Sajodin Sajodin — 2024-03-20

Side effects of tuberculosis (TB) treatment with anti-tuberculosis drugs (ATDs) often include nausea. To address this symptom, an Islamic mindfulness approach is needed. Therefore, this study aimed to assess the effectiveness of Islamic mindfulness in reducing nausea intensity among TB patients undergoing ATD therapy. The research followed a quasi-experimental design with a pre-post test control group design. The study included TB patients experiencing nausea symptoms during ATD therapy. The sample of 38 participants was selected through consecutive sampling, which 19 individuals assigned to the intervention group receiving an Islamic mindfulness program consisting of meditation exercises and Islamic reflection, while the remaining 19 individuals formed the control group receiving standard care. Nausea intensity was measured using the Index Nausea Vomiting and Retching (INVR) scale before and after the intervention. The results demonstrated that the intervention group experienced a significantly greater reduction in nausea intensity compared to the control group (p<0.0001), with a Cohen's-d effect size of 2.04. Over 98.0% of patients in the intervention group showed a reduction in nausea intensity surpassing the control group's average. In conclusion, this study indicated that Islamic mindfulness is effective in alleviating nausea intensity among TB patients undergoing ATD therapy.

Determinants of Family Behavior in Training Range of Motion for Post-Stroke Patients

Kissy Annida Puruhita — 2024-03-21

Stroke is a non-traumatic circulatory disorder that results in insufficient blood and oxygen supply to the brain. Stroke patients often experience long-term basic functional impairments. Families can play a direct caregiving role for post-stroke patients, including range of motion (ROM) exercises. The purpose of this study was to identify the determinants of family behavior in training ROM for post-stroke patients. This research was an analytical survey with a cross-sectional approach. The sample consisted of 76 family members who cared for stroke patients in the last 3 months at Lily Room of Dr. R. Goeteng Taroenadibrata Regional General Hospital, Purbalingga. The research instrument was a questionnaire. The study results indicated a strong correlation between knowledge (p-value 0.007, OR 6.9), attitude (p-value 0.000, OR 11.1), self-efficacy (p-value 0.001, OR 0.16) and social support (p-value 0.000, OR 0.02) with behavior in training ROM for post-stroke patients. Healthcare professionals should educate family members about factors influencing behavior in training ROM for post-stroke patients at home to ensure optimal recovery for the patients.

The Role of Physical Activity and Sociodemographic Factors in Enhancing Elderly Well-being: A Literature Review

Adil Candra — 2024-04-17

The increasing population of the elderly presents new challenges concerning quality of life. The depiction of elderly physical activity is influenced by their level of well-being. This study aimed to examine the depiction of factors influencing physical activity and independence among the elderly, which impact optimal elderly quality of life. Three journal databases, namely Scopus, Science Direct, and ProQuest were utilized for the period spanning from 2002 to 2022. The search yielded six articles meeting the inclusion criteria. Findings from the literature review indicated that elderly physical activity is associated with various aspects of their well-being, such as prosperity, social relationships, physical and mental health. Socio-demographic factors, such as gender, age, assets, and income were also linked to the elderly's activity profiles. Another finding suggested the necessity for the development and implementation of technology in the planning and management of recreational and health activities for the elderly. It can enhance various aspects of elderly well-being, including physical work capacity, emotional status, somatic health, and cognitive function. In conclusion, physical activity plays a crucial role in enhancing overall elderly well-being, while socio-demographic factors and social environments also significantly influence elderly activity profiles and well-being.

Spirituality and Mental Health in Covid-19 Survivors

Sri Wulan Lindasari — 2024-04-17

The COVID-19 pandemic can affect not only the physical but also mental health of the survivors. Particularly, mental health problems may influence their emotional, cognitive, physical, and social aspects. Meanwhile, one of the factors that closely relate to the problems is spirituality. This study aimed to determine the relationship between spirituality and mental health in COVID-19 survivors. The type of the research was descriptive correlation. The research respondents totaled 100 COVID-19 survivors. The sampling technique used simple random sampling. To collect the data, The Daily Spiritual Experience Scale (DSES) was utilized to measure spirituality and The Mental Health Continuum-Short Form (MHC-SF) to measure mental health. The results showed that the majority of respondents had a high level of spirituality (52%) and a good mental health (64%). The chi-square test results obtained a P value of 0.003, which means there was a significant relationship between spirituality and mental health in COVID-19 survivors. This research showed that the higher the spirituality, the better the mental health of COVID-19 survivors.

The Influence of Health Education through Klik KB Media on the Interest of Intrauterine Device Acceptors during Pandemic

Is Susiloningtyas — 2024-03-08

COVID-19 pandemic impacted on family planning drop-outs and an increase in pregnancies. The use of intrauterine contraceptive device (IUD) is 99.4% effective in controlling the population; however, public interest in IUDs is low. This low interest can be overcome by providing education using Klik KB application. This research aimed to determine the impact of health education through Klik KB on the interest of IUD acceptors during the pandemic. The research type was quasi-experimental with a one-group pretest posttest design. The research was conducted from December to March 2022 with the population of 311 people and the sample of 31 people. The sampling technique was purposive sampling with inclusion and exclusion criteria. The data collection was carried out by distributing a questionnaire and providing an intervention. The data analysis used a frequency distribution table and Wilcoxon test. The research results showed that before providing health education using Klik KB, the majority of the respondents had moderate interest and after providing health education, the respondents’ interest became high. Providing health education using Klik KB application media has an influence on the acceptor’s interest on IUD at Pemalang District Health Center with a p value of 0.000. Midwives and National Population and Family Planning Board (Ina. BKKBN) are required to carry out more comprehensive outreach to the public using Klik KB application media.

Relationship Between History of Anemia and Chronic Energy Deficiency (CED) in Pregnant Women with Stunting Incidence

Iin Setiawati — 2024-03-08

In December 2018, the number of stunting cases in NTB was approximately 37.2% (around 150.000 children under five years). of 10 districts/cities in NTB, most cases of stunting were found in Sumbawa Regency, reaching 41.8%. The aim of this study was to analyze the relationship between history of chronic energy deficiency (CED) and anemia in pregnant women with stunting incidence. This research used analytical design with a cross-sectional approach. The sample size was 124 mothers who had child under five years at Palibelo Health Center, selected by using simple random sampling technique. The data collection used maternal child health (MCH) handbooks and observational sheets. The data was tested statistically by using chi-square test. The result showed that there was a correlation between a history of anemia and incidence of stunting (p value 0.000), yet there was no relationship between history of anemia and incidence of stunting (p value 0.605). The researchers suggested parents to be able to care for and provide various foods to their child to help in dealing with stunting incidents.

The Relationship of Knowledge and Attitudes about Antenatal Care (ANC) with ANC Visit

Atika Zahria Arisanti — 2024-04-02

Pregnant women at Mijen II Community Health Center, Demak Regency did not regularly attend antenatal care (ANC); although, they knew that ANC visits during pregnancy are important. Coverage of ANC visits by pregnant women to health workers is based on the standards of Health Ministry which have been set at a minimum of 6 times. The aim of the research was to determine the relationship between pregnant women's knowledge and attitudes about ANC and ANC visits. The type of research used was quantitative with cross-sectional design. The samples of this study were 39 respondents selected by using purposive sampling technique. Chi Square test was used to analyze the research data. The results of data analysis showed that there was no relationship between knowledge of pregnant women (p-value 0.176) and attitudes of pregnant women (p-value 0.060) with ANC visits. The results of survey with interviews to pregnant women showed that 80% of pregnant women did not do ANC regularly for reasons of being lazy, working, having no complaints, and having a poor economy. Health workers, especially midwives, were expected to further increase the screening of pregnant women, so they can achieve the target of 100% ANC visits by health workers. The screening should not only be done by waiting for mothers’ visit at community health center or integrated service post but by making home visits.

Factors Influencing the Incidence of Stunting in Children under Two Years

Lani Febriani — 2024-03-14

This research aimed to identify the factors influencing stunting in children under two years in Bangendung Village, Cilegon Sub-district in 2023. The research method employed was a case control design with purposive sampling. The population of this study consisted of 54 mothers; 27 of them had stunted children under two years and 27 had non-stunted children under two years. The data collection used a questionnaire; the data analysis used chi-square test. The research results indicated that exclusive breastfeeding had a significant relationship with stunting in children under two years (p-value 0.003). Meanwhile, knowledge about exclusive breastfeeding, knowledge about complementary feeding, access to clean water, and family income do not have significant relationships with stunting in children under two years (with respective p-values of 1.000, 1.000, 0.726, and 1.000). Efforts by government and healthcare workers to educate the community, especially mothers, were carried out through the provision of information such as flyers, banners, and tutorial videos on proper exclusive breastfeeding and complementary feeding practices, disseminated in every integrated health post and auxiliary health center in Cilegon Subdistrict, Cilegon city.

The Relationship between Work Position and Complaints of Lower Back Pain among Tailors

Annissa Annissa — 2024-03-21

Lower back pain is a common health problem encountered worldwide, leading to a decreased productivity and spinal function capacity. The prevalence of lower back pain varies annually with incidence rates ranging from 15 to 45%. This study aimed to identify the relationship between complaints of lower back pain, years of service, length of service, work position, stretching, and exercise habits. The research design utilized a cross-sectional approach. The study population consisted of all tailors at Pasar Raya Block F, totaling 35 tailors with the sample size of 35 individuals selected by using total sampling method. The data were analyzed by using univariate and bivariate analysis through chi-square test. The results indicated a correlation between work position (p value 0.000) and complaints of lower back pain. Whereas, no correlation was found between years of service (p value 0.565), length of service (p value 0.090), stretching (p value 0.070), and exercise habits (p value 0.712) with complaints of lower back pain. Tailors were encouraged to improve their work positions during their daily activities. Further research may explore other factors, such as the addition of seat cushions and body mass index (BMI) that may be associated with complaints of lower back pain among tailors.

The Effects of Stress on Glucose Level of Hyperglicemic Sufferers

Ida Yohana — 2024-03-21

DM sufferers must change their lifestyle to remain blood glucose in their body balanced. The changes can make them vulnerable to stress. The purpose of this study was to determine the effects of stress on blood glucose levels of hyperglycemic patients at Kunciran Baru Health Center area, Tangerang City in 2023. The research method used was quantitative with a nested case control research design. The samples used were 89 respondents who were selected by simple random sampling technique. Stress was measured using the Stress Self-Rating Questionnaire-20. The data were analyzed by T-test. The results showed an increase in the average of blood glucose levels from 2022 (mean 197.97; SD 87.96) to 2023 (mean 232.55; SD 93.04). Most respondents were not stressed (57.3%), the average blood glucose level of the stress group respondents was 274.26 (SD: 97.02), while the average blood glucose level of the non-stressed group was 201.47 (SD: 77.22). The results of the analysis showed a significant difference in blood glucose levels of the two groups of respondents (p value<0.001). The results of this study corroborated previous studies that showed stress as a factor that can affect blood glucose levels of DM sufferers and the stress management ability is important to have in order to maintain normal blood glucose levels.