Nurse and Holistic Care

ADOLESCENTS’ KNOWLEDGE ABOUT STRESS AND DEPRESSION QUESTIONNAIRE (AKSDQ): VALIDITY AND RELIABILITY TEST

Kusuma Wijaya Ridi Putra — 2023-12-30

Background: Adolescence is a period of growth that is very vulnerable to stress. This is due to the relatively high demands on adolescents, both in the field of education and daily life.

Objective: The purpose of this study was to analyze the results of the validity and reliability tests of the Adolescents' Knowledge about Stress and Depression Questionnaire (AKSDQ).

Methods: This study used a descriptive analysis research design with a cross-sectional approach. The research was carried out in August 2023 at Senior High School Darul Ulum 3 Peterongan Jombang. The instrument used in this study was the Adolescents' Knowledge about Stress and Depression Questionnaire (AKSDQ). This questionnaire consists of 10 items with 7 items in the form of positive statements and 3 items in the form of negative statements. This questionnaire uses the true and false statement method. Data analysis was carried out in this study using SPSS 21. The data analysis presented is the mean, standard deviation, Item-Content Validity Index (I-CVI), and Kuder-Richardson.

Result: Based on the research results, it was found that the Adolescents' Knowledge about Stress and Depression Questionnaire (AKSDQ) had a good enough reliability value marked by a KR-20 value of .601. In addition, the results of the validity test using the Item-Content Validity Index (I-CVI) method showed that the Mean I-CVI is 0.90.

Conclusion: The results of this study indicated that the Adolescents' Knowledge about Stress and Depression Questionnaire (AKSDQ) can be used in a study to assess the level of knowledge of adolescents related to stress and depression.

COMPARISON OF BODY WEIGTH INFANTS AGED 6 TO 12 MONTHS IN EXCLUSIVE AND NON-EXCLUSIVE BREASFEEDING

Agus Sulistyowati — 2023-12-30

Background: Breast milk is an adequate food for babies in the process of growth and development because its content such as nutrients and protective factors play a role increasing the speed of metabolism and growth thus as to reduce infant morbidity and mortality.

Objective: The purpose of this study was to compare the body weight of infants aged 6-12 months between exclusive and non-exclusive breastfeeding.

Methods: The method used that descriptive-comparative research design. Samples in the study were taken using the Total Sampling method. It was 70 respondents divided into two groups namely exclusive breastfeeding and non-exclusive breastfeeding. The data were taken using a Kartu Menuju Sehat (KMS, Standard Growth Charts) and analyzed using the Chi-Square test with a meaning level of 5% (α=0.05).

Result: There were 21 (60%) infants with normal body weight that received exclusive breastfeeding and 19 (54.2%) infants with more body weight that received non-exclusive breastfeeding. The results of the hypothesis test using Chi-Square obtained a p-value of 0.006 (P<0.05).

Conclusion: The early days of life are very important for infants regarding to their nutrition. Breastfeeding mother need support from the family thus the infants could get exclusive breastfeeding.

ANALYSIS OF TUBERCULOSIS FAMILY NURSING CARE WITH THE APPLICATION OF EFFECTIVE COUGH AND CHEST PHYSIOTHERAPY TO OVERCOME IN AFFECTIVE RESPIRATORY CLEAR IN BANYU URIP SURABAYA

Nanang Nurrachmat Setiadi — 2023-12-30

Background: In tuberculosis, excessive secretion production can cause airway obstruction, resulting in the problem of ineffective airway clearance. One of the nursing interventions that can be applied to clear sputum in the airways is chest physiotherapy and effective coughing techniques. Effective cough techniques and chest physiotherapy to make things easier expelling sputum so that the breathing process can run well so that it meets the body's oxygen needs.

Objective: The aim of the research was to determine the application of effective coughing and chest physiotherapy to reduce the ineffectiveness of airway clearance in tuberculosis clients carried out independently.

Methods: This research method uses a descriptive method with a case study approach. The instrument used is an observation sheet. The number of respondents included one tuberculosis family with a nursing diagnosis of ineffective airway clearance.

Result: The results of applying effective cough techniques and chest physiotherapy given twice per day for three days with a duration of 10 to 15 minutes for each appointment showed that complaints of coughing and shortness of breath were reduced and it was easier to expel phlegm.

Conclusion: The application of effective coughing techniques and chest physiotherapy has proven effective in reducing ineffective airway clearance in tuberculosis clients. Effective cough techniques and chest physiotherapy can be used as alternative measures to overcome ineffective airway clearance.

ANALYSIS OF NURSING CARE WITH THE APPLICATION OF THERMOTHERAPY TO OVERCOME PAIN ACUTE PROBLEMS AMONG ACUTE CORONARY SYNDROME PATIENTS AT ICU RSI JEMURSARI SURABAYA

Riris Dwi Handhayani — 2023-12-30

Background: Acute Coronary Syndrome (SKA) includes a heart emergency disease with clinical manifestations in the form of feelings of discomfort or chest pain.

Objective: The purpose of this study was to analyze the application of thermotherapy in acute coronary syndrome patients to overcome acute pain problems in ICU RSI Surabaya Jemursari.

Methods: This research uses a descriptive method of case studies. The subjects used were 1 patient with acute coronary syndrome who had acute pain nursing problems. Thermotherapy is given for 3 days every 15-20 minutes repeated twice a day or every 12 hours. Data were collected by direct interviews with patients and families, observation and physical examination. Data collection methods include assessment, diagnosis, intervention, implementation and evaluation.

Result: After nursing care for 3 days with the application of thermotherapy, namely placing a compress bag containing warm water with a temperature of 50 ° C wrapped with a cloth to be attached to the back / posterior, and attaching a warm compress cloth to the patient's chest area for 15-20 minutes repeated 2x or per 12 hours making the pain felt by the patient can decrease until it does not feel evidenced by complaints of decreased pain, Grimacing decreases, restlessness decreases, difficulty sleeping decreases, pulse frequency improves, breathing patterns improve.

Conclusion: The application of thermotherapy has proven effective in reducing acute pain in the chest in patients with acute coronary syndrome. For health services, this research can be applied in nursing services professionally in improving nursing care comprehensively, making thermotherapy one of the non-pharmacological therapies to overcome acute pain.

ANALYSIS OF NURSING CARE FOR PREGNANT WOMEN WITH THE IMPLEMENTATION OF FE TABLET EDUCATION THROUGH METHOD AUDIOVISUALS TO OVERCOME THE DEFICIT KNOWLEDGE OF ANEMIA

Sabila Rohmatul Ula Alistia — 2023-12-30

Background: Anemia is a micronutrient problem in the form of a condition of deficient levels of hemoglobin (Hb) in the blood caused by low intake of iron which is needed for the formation of Hb. Not consuming Fe tablets in pregnant women is the most common cause of anemia in pregnant women.

Objective: The aim is to analyze nursing care for pregnant women by implementing Fe tablet education through audiovisual methods to overcome anemia knowledge deficits.

Methods: This research design uses descriptive in the form of a case study in the nature of nursing care including nursing assessment, nursing diagnosis, nursing intervention, nursing implementation and nursing evaluation. The research was carried out at the RSI Jemursari Surabaya. The time for taking this case study research was carried out by the researcher at January 10 to 12, 2023. Research was carried out for 3 days.

Result: The results of the research after implementing Fe tablet education via audiovisual media on anemia in pregnant women 3 times in 3 days with an implementation time of 15 minutes showed that the patient's level of knowledge increased from scale 2 (moderately decreased) to scale 3 (moderate).

Conclusion: The conclusions from the case study show that the application of Fe tablet education via audiovisual is effective as a nursing intervention for anemia problems in pregnant women.

APPLICATION OF SIMPLE INHALATION THERAPY IN PULMONARY TB PATIENTS TO OVERCOME THE INEFECTIVENESS OF BREATH WAY CLEANING

Dini Firdiana Putri — 2023-12-30

Background: Inadequate airway clearance is one of the nursing issues that arises during the pulmonary tuberculosis disease process. If untreated, ineffective airway clearance can result in hypoxemia, decreased consciousness, and even cell death.

Objective: The purpose of this study is to see that simple inhalation therapy can help pulmonary tuberculosis patients at the Banyu Urip Community Health Center to overcome ineffective airway clearance.

Methods: The research methodology combines a case study approach with a family nursing process approach, with one case as the unit of analysis, Mrs. K, a pulmonary tuberculosis patient who get treatment at the Banyu Urip Community Health Center working area. Data was gathered through interviews, physical examinations, supporting examinations, and a literature review. In the study, 350 ml of hot water steam and 5 drops of eucalyptus oil were applied twice a day for three days, for 10-15 minutes.

Result: The research results of simple inhalation therapy proved to have a positive effect on Mrs. K, as evidenced by a reduction in verbal complaints, including ease in driving out secretions, respiratory frequency was within normal limits, and breathing became easier, because the cineol content of eucalyptus oil has mucolytic, bronchodilator, and anti-inflammatory functions.

Conclusion: To overcome airway ineffectiveness and improve health status, simple inhalation therapy combined with eucalyptus oil can be used as an alternative. Non-pharmacological techniques that are simple, easy to use but provide numerous benefits in health care facilities, such as simple inhalation therapy, are expected of health care workers.