Jurnal Keperawatan

The effect of celery (Apium graveolens l) ethanol extract on the prevention of gastric ulcers in rats

Tue, 30 Jan 2024 00:00:00 +0700

Background: Gastric ulcer is an excoriation area of the stomach caused by the destruction of mucosal defense against the predominant factors. One of the efforts that should be made to reduce the incidence of gastric ulcers is a precautionary measure to use ethanol extract of celery (Apium graveolens L). Celery contains phenolic compounds, such as apigenin which acts as an antioxidant. Antioxidant has the potential as an agent of gastric mucosal protection against cell damage caused by excessive activation of free radicals (ROS). Objectives: This study aimed to determine the effect of celery ethanol extract in preventing gastric ulcers through a reduction of ulcer lesion length. Method: Research method Post-test Only Randomized Controlled Group Design conducted on Wistar strain rats. Experimental animals were divided into 5 groups: healthy, normal wound with induction indomethacin, and celery ethanol extract administered orally at a dose of 200 mg/kg, 300, mg/kg, and 400 mg/kg. Observations were made on the length of gastric ulcer lesions. The length of the gastric ulcer was measured using a vernier caliper and statistically analyzed by the One-way ANOVA test. Result: The result showed that the ethanol extract of celery at 300mg/kgBB was the best dose in preventing the formation of gastric ulcer by decreasing the length of the gastric ulcer. Conclusion: Based on these results, the researcher suggests comparing other various parameters regarding the effect of celery ethanol extract for the prevention of gastric ulcers.

The effectiveness of the algorithm Stroke Gadjah Mada’s (ASGM) and Guy's Hospital Stroke Score (GHSS) in determining the type of etroke emergency in the emergency room of Dr. H. Moch Ansari Saleh hospital

M. Sobirin Mohtar, Cynthia Eka F Tjomiadi, Siti Jamilah, Ahmad Apriannor — Tue, 30 Jan 2024 00:00:00 +0700

Introduction: Good stroke management depends on the speed and accuracy of the assessment system in diagnosing the type of stroke, in order to reduce mortality and morbidity. CT scan is a tool to differentiate the type of stroke, determine the location of the lesion and determine the severity of the disease. However, this tool is expensive and not all areas have it and the procedure takes quite a long time. Nurses need a diagnostic tool in the form of a simple assessment system including the Gadjah Mada Stroke Algorithm (ASGM) and Guy's Hospital Stroke Score (GHSS) which are easy, valid, reliable assessment tools in determining the type of stroke and preventing delays. Objectives: Analyzing the comparison of the ASGM and GHSS scoring systems in determining the type of stroke emergency in the Emergency room. Methods: This research method is quantitative pre-experimental design (posttest only design). The population was all stroke patients in the emergency room with 30 samples and the collection technique was accidental sampling. As for the stages, each respondent undergoes an ASGM assessment which consists of 3 components and GHSS 9 components. The statistical test used is the Paired Sample T-test, then an accuracy test is carried out by looking at the level of sensitivity and specificity. Results: Based on the results of the Paired Sample T-test, the Sig value. amounting to 0.000 <0.05, which means there is a significant difference between the ASGM and GHSS scoring systems in determining the type of emergency in stroke patients. The average difference in the duration of determining the type of emergency and nursing diagnosis in the assessment system and ASGM and GHSS is 7.6 minutes. Furthermore, it also shows lower data of 7,066 and upper data of 8,134. This shows that the duration range for determining the type of emergency using ASGM is around 7.1 – 8.1 minutes faster compared to GHSS. Based on the accuracy test, the ASGM sensitivity level is 86.66% and the specificity level is 96.66%, while the GHSS sensitivity level is 56.66% and the specificity level is 63.33%.This difference is thought to be due to ASGM having more specific assessment variables for the brain, so that detecting suspected types of stroke in the acute phase is more accurate compared to GHSS. Conclusions: The ASGM and GHSS assessment methods are effective in determining the type of emergency in stroke patients in the ERHowever, in terms of duration, determining the type of emergency and.

The effect of kegels exercises on sexual function in elderly in the east Jakarta region

Suryani Hartati Halim, Sri Laela — Tue, 30 Jan 2024 00:00:00 +0700

Introduction: Elderly people experience a decline in the function of their reproductive organs, which will affect intimate relationships with their partners, thus having an impact on physiological problems regarding sexual needs, so they are expected to be able to adapt to changes by improving their sexual function by doing Kegel exercises. Objectives: to determine the effect of Kegels exercises on sexual function in the elderly in the East Jakarta area. Methods: The research uses a quasi-experimental design with a pre-post test design without a control group, namely observations carried out before treatment and after treatment without using a control group, with a total of 27 respondents starting from May to August 2023 using the 19-item FSFI questionnaire. Results: The results showed that sexual scores increased by an average of 2 after Kegel exercises were carried out: sexual desire was 2, sexual arousal was 2.63, lubrication was 1.37, organism was 1, sexual satisfaction was 1.70, pain decreased by 1.19, p value = 0.000, and FSI score ≤ 26.55 for 21 people (77.8%) who did not experience sexual dysfunction. Conclusion: Sexual function will increase if you do light exercise such as gymnastics, namely Kegels exercises. This can also reduce sexual dysfunction.

Spiritual emotional freedom technique and level anxiety among people with pre-percutaneous coronary intervention

Inggriane Puspita Dewi, Izzaniar Purwanti, Perla Yualita — Tue, 30 Jan 2024 00:00:00 +0700

Introductions: Percutaneous Coronary Intervention is a low-risk diagnostic procedure, but many patients experience a high level of anxiety. Objectives: The purpose of the study was to determine the effect of SEFT on the anxiety level among people with Pre- Percutaneous Coronary Intervention. Methods: The research design used a quasi-experiment with a pretest-posttest design with a control group design. The number of samples used G-Power with nonprobability sampling was as many as 18 people in each group (a total of 36 people). The inclusion criteria are elective inpatients, patients diagnosed with CAD who have anxiety and are able to communicate, patients indicated as primary care, and patients with complications and panic are excluded, SEFT consists of set-up, tune-in, and tapping given one hour before cardiac catheterization for 15–25 minutes with two repetitions. Questionnaires for measuring anxiety levels before and after therapy using the Hamilton Scale for Anxiety (HARS) with validity (r count 0.57–0.97) and reliability (0.93–0.97). The analysis used Mann-Whitney. Results: The short version of SEFT in the control group (p-value 0.001) and the long version of SEFT in the intervention group (p-value <0.001) were proven to have an effect on reducing anxiety scores. there was no difference in the mean anxiety scores between the groups given the long version and the short version of the SEFT intervention (p-value 0,053). Conclusion: The conclusion of the study showed the effect of SEFT therapy on the anxiety of cardiac pre-catheterization patients. SEFT can be a complementary nursing therapy to reduce anxiety.

The effect of kegel exercises on urinary incontinence in menopausal women in the Banyuwangi Hindu elderly community

Diana Kusumawati, Indah Christiana, Ni Kadek Widhi Candra Dewi — Tue, 30 Jan 2024 00:00:00 +0700

Introduction: Urinary incontinence refers to an individual's inability to restrain or control the discharge of urine due to weakness of the pelvic floor muscles and bladder muscles that are unable to control urine. This causes contamination of skin diseases in the genital area, quality of sleep, and decubitus. Prevention efforts can be provided with non-pharmacological therapy by doing Kegel exercises to stretch the pelvic floor muscles. The mechanism of action strengthens the capacity of the bladder sphincter. Objectives: This study aimed to determine the effect of Kegel exercises on urinary incontinence in postmenopausal women in the Banyuwangi Hindu elderly community in 2023. Methods: This research employed a pre-experimental research design with a one-group pre-test post-test research design of 18 respondents using a purposive sampling technique. Statistical analysis using the Wilcoxon test. Results: The study's results before the intervention were those who experienced urinary incontinence in the elderly with a minimum value of 13, a median value of 17.50, and a maximum value of 22. After the intervention, those experiencing urinary incontinence had a minimum value of 4, a median value of 7.44, and a maximum value of 12. The findings of this research, analyzed using the Wilcoxon Test with SPSS, yielded a significance value of p = 0.000, which is less than 0.05. This indicates that Kegel Exercise has an impact on Urinary Incontinence in Menopausal Women in the Banyuwangi Hindu Elderly Community in 2023. Conclusions: Kegel exercises contract, increase muscle tone, improve healing by up to 50%, and form a supporting structure for the pelvis, vagina, urethra, and rectum to affect the inability to urinate under control.

Differences in maternal role attainment in stunting prevention in rural and urban areas of Jember regency

Dwi Indah Lestari, Ayesie Natasa Zulka, Muhammad Zainullah — Wed, 31 Jan 2024 00:00:00 +0700

Introduction: The sociodemographic conditions of Jember Regency can shaped the role attainment of mothers in preventing stunting. The Maternal Role Attainment theory, explains that the mother's role attainment was influenced by 3 factors, namely the macrosystem, mesosystem and microsystem. Objectives: The purpose of this study was to analyze differences in maternal role attainment in rural and urban areas of Jember Regency. Methods: The research design used was descriptive analytical with a cross sectional approach. Total sample of 215 mothers who met the inclusion criteria was selected using the multistage random sampling technique. Data were analyzed using Mann Withney U Test with α = 0.05. Results: there was a difference between the role attainment of mothers in rural and urban areas (0.032<0.05). Conclusions: Based on the theory of maternal role attainment, differences in maternal role attainment in rural and urban areas were influenced by macrosystems, mesosystems, and microsystems as well as components of the mother's self. Further research can analyze the determinant factors in the differences in role attainment.

The phenomenon symptoms experienced of long covid-19 by students’ survivor after confirmed covid-19

Tue, 30 Jan 2024 00:00:00 +0700

Introduction: COVID-19 survivors often experience symptoms of recurrence or symptoms similar to those when confirmed positive. COVID-19 also has an impact on the physical, psychological, and spiritual health aspects of its survivors. This research aims to determine the health status of COVID-19 survivors after confirmation. Objectives: This research aims to determine the health status of COVID-19 survivors after confirmation. Methods: This quantitative descriptive research was conducted on 65 nursing students in Malang who were selected using the Accidental Sampling technique. Data was collected by providing an online questionnaire via Google Forms. The instruments used in this research were the post-COVID-19 Recovery Clinic Baseline Questionnaire, DASS-21, and the Spiritual Attitude and Involvement List (SAIL). The data was analyzed using Descriptive Analysis. Results: Research shows that the most common physical signs and symptoms during confirmed COVID-19 are loss of taste and smell, fever, shortness of breath, cough, and fatigue. Meanwhile, the symptoms still felt after recovery are changes in the color of the fingers, rashes, diarrhea, and hoarseness. Cough without phlegm and mucus occurred in 43.1%, and shortness of breath was experienced by 42.9% of respondents in the moderate category. Fatigue in the moderate category was felt by 58.3% of respondents. The results of psychological status showed that depression symptoms in the moderate and very severe category were 46.2%, anxiety in the very severe category was 75.4%, and stress symptoms in the very severe category were 38.5%. Regarding spiritual status, the majority are in the sufficient category, namely 68%. Conclusions: Some of the physical signs and symptoms, psychological changes, and spiritual status at the time of confirmation of COVID-19 are still felt even though they have been declared hostile to COVID-19.