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Before the patient is delivered to the operating room, the sign-in action is carried out in the reception room by the health worker before the patient is escorted to the operating table, the sign-in compliance includes identifying the patient, checking the informed consent (consent sheet), checking the surgical site marking, allergy history and supporting examination documents. Every health worker will take action on pre-operative patients in the application of health workers still do not properly identify patients during routine medical / nursing actions, patient identity is mentioned by health workers, health workers do not immediately record and report the results of sign in. This study aims to determine the relationship between sign-in compliance with the accuracy of pre-operative patient identification at Primaya Betang Pambelum Hospital, Method: This type of research is correlational using Cross sectional. The technique of determining respondents using purposive sampling using the Chi Square statistical test. The sample is patients who will undergo surgery at Primaya Betang Pambelum Hospital totaling 109 respondents. Results: The results of the Chi Square statistical test that obtained p value = 0.000 or the level of significance p < 0.05 so that there is a relationship between sign-in compliance with the accuracy of pre-operative patient identification, Conclusion: There is a relationship between sign-in compliance with the accuracy of pre-operaif patient identification as evidenced by the results of p < α with a significant level of 0.05 indicating a significant and meaningful relationship between sign-in compliance with the accuracy of patient identification at Primaya Betang Pambelum Hospital.

A disaster becomes an extraordinary event that disrupts and threatens life and livelihoods caused by nature and humans, or both. The existence of natural disasters can have both small and large impacts on the environment. The thing that can be done to reduce the consequences of disasters is that synergy from various parties is needed, one of which is the involvement of nurses. Nurses have a huge role to play in preparing and handling communities in the face of disasters.  As health workers, nurses are at the forefront of disaster management so that they can anticipate the prevention of disasters and their impacts (Doondori, A. K., & Paschalia, Y. P. 2021). Cianjur Regency is one of the areas that experienced the impact of natural disasters, namely earthquakes.  The earthquake occurred on November 21, 2022 at 13:21:10 WIB with a magnitude of 5.6 in the Cianjur area, West Java. The earthquake caused a lot of infrastructure damage and casualties. This has a great influence on the condition of the community, one of which is in terms of health biopsychosocially and spiritually. Based on the phenomenon that occurs along with the existence of the role of the nurse as a healthcare provider. Universitas Esa Unggul sent a team of health volunteers to carry out several activities for the community such as, providing comprehensive nursing services, becoming collaborators, conducting education and trauma healing. This action is considered sufficient to help patients who have health problems both who come to the post and who are in refugee tents. They feel happy because of the existence of health service facilities so that the public can consult, get education and also trauma healing.

Sub Arachnoid Block (SAB) regional anesthesia produces a sympathetic block of muscle relaxation, and a sensory block against peripheral temperature receptors thereby inhibiting the compensatory response to temperature. A factor that can cause a decrease in core temperature and disruption of the information pathways coming from the first receptor is a sympathetic blockage that causes peripheral vasodilation. This research is a non-experimental quantitative research with correlational analytical research methods and cross sectional research design. The study sample amounted to 72 respondents of spinal anesthesia patients. Sampling with consequential sampling techniques, the statistical test used is distribution frekuency. Of the 16 people who experienced high blocks, (75%) experienced shivering and (25%) did not experience shivering. Of the 36 respondents who experienced moderate blocking, (58.3%) experienced shivering and (41.7%) did not shivering. Of the 20 respondents who experienced low spinal block, (70%) did not experience shivering and (30%) experienced shivering.. In conclusion, there is the height of the anesthetic spinal block and the incidence of intraoperative shivering at the Central Surgical Installation of RSUD Jombang.

Sectio caesarea (SC) is a labor process in which the baby is removed from a mother's stomach by incision of the abdomen. Complications that often arise are nausea and vomiting. For nonpharmacological therapies include aromatherapy. Lemon aromatherapy has been widely used by women as much as 40% to relieve nausea, vomiting, and 26.5% of them have been reported as an effective way to control the symptoms of nausea, vomiting. Objective : to determine the effect of aromatherapy lemon essential oil nausea vomiting post sectio caesarea patients with spinal anesthesia at RST Slamet Riyadi Surakarta. Research Method : using quantitative research form one group pre-post test design. The study population was all secsio saesarea surgery patients with a sample of 30 respondents. The sampling technique is Purposive Sampling. Results : The effect of lemon essential oil aromatherapy on the response to nausea and vomiting in post-sectio caesarea patients with spinal anesthesia, in postoperative sectio caesarea patients with spinal anesthesia at RST Slamet Riyadi Surakarta (p <0.001 < 0.05) which means Ha is accepted and H0 is rejected.

Discharge planning needs to be implemented from the time the patient enters the hospital until the day of discharge. Providing effective information can increase the knowledge and skills of patients and families to carry out independent care at home which is assumed to be ready for discharge so that it is hoped that rehospitalization events will not occur. This study aims to see whether there is an influence of Discharge planning model five on readiness to go home and family. The research design used a quasi experiment with a two group pre and post test using a purposive sampling approach carried out on inpatient students. The research instrument used the Readiness For Hospital Discharge Scale (RHDS) questionnaire. Data analysis used the Paired T test. The results of research on 30 respondents using the Independent T test on the average readiness to go home after (posttest) patients in the Intervention and Control groups obtained P value = 0.000 < ? (0.05) there was a difference in the average stress after (posttest) in the Intervention group with the control group. Based on this research, Discharge planning model five is able to increase patient readiness to go home and it is hoped that it can provide input to hospitals so that they can make Discharge planning model five as a method that can be given to patients when the patient is admitted until the patient wants to prepare to go home.

Hypertension is a condition where systolic blood pressure is more than 120 mmHg and diastolic pressure is more than 80 mmHg which can be measured in millimeters of mercury (mmHg). In addition to pharmacological therapy, hypertension management can also use non-pharmacological therapies, one of which is foot soak therapy in warm water. The purpose of this research is to determine effect of warm water foot soak therapy on blood pressure in patients with hypertension at Bailang Health Center Manado City. This study uses a pre-experimental method with a one-group pretest-posttest design without a comparison group. The population with the result that 165 people patients diagnosed with hypertension. The sampling process used a probability sampling technique  with the result that 15 respondents. Data collection was observations. The data were analyzed using the Wilcoxon test with a significance value (?) of 0.05. From the results of the study was that there was an effect of warm water foot soak therapy on blood pressurein patients with hypertension at Bailang Health Center Manado City with a value of p = 0.008. This p value is smaller than the value of a = 0.05. The conclusion of this study was that there was an effect of warm water foot soak therapy on blood pressurein patients with hypertension. This p value is smaller than the value of a = 0.05. It is hoped that the respondents will be able to take advantage of warm water foot soak therapy as an alternative in lowering blood pressure and this can also be done regularly.

Gout Arthritis is a disease characterized by pain that occurs repeatedly caused by deposits of monosodium urate crystals that accumulate in the joints as a result of high levels of uric acid in the blood. One of the complementary therapeutic measures is a warm red ginger compress in gout arthritis patients. The purpose of this research is to determine the Effect of Giving Warm Red Ginger Compresses to Pain in Gout Arthritis Patients in Mahawu Village, Manado. The design of this study used a pre- experimental (one-group, pre-post test design). The sample in this study was 35 respondents taken using a total sampling instrument. The study used observation sheets and SOPs for measurement using the NRS (Numeric Rating Scale). The data were then analyzed using the Wilcoxon statistical test with a significance level of = 0.05. The results of this study indicate that there is an effect of giving red ginger warm compresses to pain in gout arthritis patients with p value = 0.000 <0.05 so Ha is accepted and Ho is rejected. So it can be concluded that there is an effect of giving red ginger warm compresses to reducing pain in gout arthritis patients in Mahawu Village, Manado. The conclusion of the study is that there is an effect of warm red ginger compresses on Gout Arthritis patients in Mahawu Village, Manad.

Hydrotherapy also called hydrothermal therapy, is the use of water,in any of its forms, for the maintanance of health or the treatment of disease (Wardle, 2013). Footbath is a kind of hydrotherapy. There are many benefits of footbath hydrotherapy for patients with heart failure such as to improve and/or maintain functional ability and quality of life. The aim of this research is to identification the effectiveness of hydrotherapy for oxigen saturation of patients with heart failure. The methodology of this research is use quantitative design with one group pretest and posttest with intervention group design. This research did Maret 2023 in The Integrated Heart Centre Haji Adam Malik Medan Hospital. 16 Responden of this group. According demografi charachteristic results in intervention group found that according of age patients majority (62.5%) are older age with 56-65 years mean 55.06+ 8.71.  Second half three respondent (62,5%) is men. According to education level majority respondent is Senior High School (62.5%). More than hal of respondent (62.5%) is Heart Failure Chronic > 60 months (5 years) (Mean + SD= 31,44 + 26,63). Almost all respondents (87,5%) had a family with history heart failure too. Pre and Post Paired t-test results are significant different for oxygen saturation at intervention groups (p<0,05) (SpO2: t= -1.581, p= 0.004  ). It means the effectiveness of hydrotherapy significantly can increase spO2.  This research has found that significant different of oxigen saturation of patients with heart failure after hydrotherapy in intervention group.

ABSTRACT. Sectio Caesarea (SC) is a common and widely performed operation on pregnant women and its prevalence is increasing every year. The incidence of cesarean section in Indonesia is around 22.8% of all deliveries. Spinal anesthesia for cesarean section is very beneficial because of the simplicity of the technique, fast onset, reduced systemic toxicity but has the risk of complications that often occur after anesthesia and surgery are pain, nausea and vomiting. Objective: To analyze the comparison of the incidence of postoperative nausea and vomiting (PON-V) between fasting and non-fasting in patients with caesarean section who underwent regional anesthesia. Research Methods: Experimental research with clinical trials and including quantitative research. It will be held in March 2021 at IBS RSUD Caruban, Madiun Regency. The sampling technique was probability sampling using consecutive sampling where the sample consisted of 30 SC surgery patients who were divided into two groups, namely 15 fasting and non-fasting patients with spinal anesthesia. Data analysis using Paired Sample T Test with SPSS 22.00 for windows. Result : Post operative nausea and vomiting occurred in both groups . The difference in the incidence of PON-V in both fasting and non-fasting groups in cesarean section patients, the T test (independent T Test) showed a p value of 0.380 (p value > 0.05). Conclusion: There is no difference in the comparison of PON-V between fasting and non-fasting patients in sectio cesarean surgery patients at Caruban Hospital, Madiun Regency in 2021.  

Background: Regional anesthesia is a major factor in safety patients during labor by Sectio Caesaria (SC). The rise of spinal anesthesia as a popular technique in use made possible by the development of a small needle with a tip pencil and has become the anesthetic method of choice for elective surgery and for multiple emergency cesarean deliveries if an epidural catheter not there yet. Research method: This research is an experimental analytic observational study with a cross sectional study approach. Result: Known Asymp value. Sig. (2-tailed) of 0.734 because the value of asymp. Sig (2-tailed) > 0.05 or 0.0734 > 0.05, it can be concluded that H0 is accepted, Ha is rejected, so no. Comparison between the use of hyperbaric bupivacaine and isobaric levobupivacaine in cesarean section patients with spinal anesthesia. Conclusion: There is no comparison between the use of hyperbaric bupivacaine and isobaric levobupivacaine in cesarean section patients with spinal anesthesia.

Introduction: Chronic Kidney Disease (CKD) is a condition in which the kidneys have experienced functional or structural damage or disturbances. The condition of the kidney that has decreased function is unable to dispose of waste products through urination which can result in disruption of endocrine, fluid, electrolyte, metabolic and acid-base functions, one of the consequences of which is the occurrence of edema. The prevalence of kidney failure in Central Java reached 0.42% with a total of 96,794 sufferers. The impact of edema that is not treated will result in respiratory, cardiovascular systems, neurological systems. The purpose of this study was to see the effect of a combination of ankle pump exercise and 30° foot elevation on edema in CKD patients at the Sultan Agung Islamic Hospital in Semarang. Method: This research is a quantitative study using a pre-experimental pretest-posttest design approach. The sample is 12 respondents with purposive sampling technique. Results: The results of this study were mostly male with a total of 10 with a percentage of 83.3% with an average age of 44.50. the results of the bivariate analysis with the Marginal Homogeneity Test obtained a significant value of p = 0.001 (<0.05). Conclusion: There is an effect of a combination of ankle pump exercise and 30° foot elevation on foot edema in CKD patients.  

Background: Mental health is a picture of positive characteristics with harmony and psychological balance that reflects the maturity of his personality. Meanwhile, mental disorders are behavioral patterns that clinically occur in individuals related to distress or disability or are accompanied by a significantly increased risk of death, illness, disability, or loss of independence. According to WHO (World Health Organization) the prevalence of mental disorders in the world is around 450 million people. The high rate of recurrence in people with mental disorders requires us to be more active in knowing the causes. The purpose of this study is to find out an in-depth description of the biological causal factors of a person experiencing mental disorders. This research method uses descriptive qualitative research. Samples were taken randomly with the criteria of someone with a Mental Disorder (ODGJ). The population of this study were mental patients who were treated at RSJD Dr. Amino Gondhohutomo Semarang. The research instrument used a mental disorder predisposition questionnaire. The questionnaire has construct validity and reliability and has been used during Residencies I to III. The results of this study showed that of the 106 respondents who had biological predisposing factors, a history of mental disorders was 39%, followed by a history of drug withdrawal of 38.1%, and the lowest was nutritional disorders.

Dysmenorrhea is a physical disorder in women who are menstruating in the form of abdominal pain/cramping disorders. Benson relaxation is the development of a deep breathing relaxation method involving the patient's belief factor that can create a calm environment so that it can help patients achieve higher health and well-being conditions. This study aims to describe and analyze the application of Benson's relaxation technique in reducing the pain scale of dysmenorrhea in nursing students. The type of research used is descriptive with a case study approach. The subjects used were 2 people with criteria, namely students of STIKES Kesdam IV/Diponegoro Semarang, female students with dysmenorrhea pain, and female students who were willing to be given Benson relaxation measures. Pain measurement using the Numerical Rating Scale (NRS). Benson's relaxation intervention was carried out for 3 consecutive days. The results of the analysis showed that subject I experienced a decrease in the pain scale from the results of a scale of 4 (moderate) to II (mild), subject II from a scale of 3 (mild) to 0 (no pain). The results of the case study concluded that there was a decrease in the pain scale in female students with dysmenorrhea pain. Benson relaxation is recommended as a nursing intervention in pain management in female students who experience dysmenorrhea pain because it can reduce the pain scale significantly and is easy to do

A nurse is someone who works and provides excellent and quality service 24 hours a day, so a nurse must be in good physical condition. The condition of the body which should be in the rest phase must be conditioned on working conditions which can result in work stress and end in work fatigue. Work fatigue is a tired condition felt by a person which is also characterized by a decrease in work productivity. Workload is the volume of work of nurses in a hospital unit. This study aims to determine the relationship between nurse characteristics and workload with work fatigue in inpatient rooms at the Tanjungpinang City Regional Hospital. The design of this research is cross sectional. The sample in this study was 86 patients treated at the Tanjungpinang City Regional Hospital using a total sampling technique and the data were analyzed using the chi square test. The results show that there is a relationship between workload and the level of fatigue in inpatient nurses at Tanjungpinang City Regional Hospital with a p value of 0.000. It is recommended that nurses should carry out Benson therapy after providing nursing care so that the level of fatigue can be reduced, understand the work and duties of nursing so that nurses can carry out their duties according to applicable regulations, and make the best use of rest time.

Acquired Immunodeficiency Syndrome (AIDS) is a collection of symptoms that arise due to an acquired decline in the body's immune system, caused by infection with the Human Immunodeficiency Virus (HIV). Indonesia experienced an increase in 2020, the cumulative number in Indonesia reached 911,877 HIV/AIDS cases. The cumulative number of HIV/AIDS cases in the Riau Islands reported through the SIHA report up to December 2020 was 11,436 cases. In 2021 in Tanjungpinang City, 11,356 blood samples were screened for HIV and 100 samples were found to be HIV positive. Of the 100 people who are HIV positive, 58 people have reached the AIDS stage. The aim of this research has been carried out and it is known that there is a relationship between self-efficacy and medication adherence in HIV/AIDS patients at the Tanjungpinang City Regional Hospital. This research method uses quantitative descriptive with a cross sectional approach. Data were processed using the Chi-square test. The results showed that univariate data for the high self-efficacy variable was 74.5% and low self-efficacy was 25.5%. for the medication adherence variable, the high category was 74.5% and the low category was 25.5%. The conclusion is that there is a relationship between self-efficacy and adherence to taking medication in HIV/AIDS patients at the Tanjungpinang City Regional Hospital. Recommendation: Nurses and health workers can provide more intensive education to HIV/AIDS patients about the importance of self-efficacy in undergoing treatment.

This fixation tool made aiming to reduce the movement of the patient toddler at the time of the thorax projection radiographs Antero Posterior supine and parents or relatives of patients do not need to hold patients toddler at the time of examination that is not exposed to X-ray radiation. This study used an experimental method, which aims to create a fixation device in the AP projection thoracic radiographs supine in infants that can support the process of examination of the thorax radiography in young children, so as to provide optimal results radiographs. While the data collection methods used were observation, interviews and questionnaires which aims to determine the effectiveness of fixation devices that have made the author. Based on observations, interviews and questionnaires conducted by the author, showed that the use of fixation devices have been quite effective in supporting the process of projection thoracic radiographs AP supine in infants and can produce optimal radiograph thorax

Hospitals in guaranteeing good service quality and patient safety must be proven through accreditation. Accreditation is carried out by submitting an application to the Hospital Accreditation Commission (KARS). Hospital Accreditation is a way of monitoring the implementation of measuring hospital performance indicators. The purpose of writing this scientific article is to find out the importance of improving the quality of hospitals, especially for hospital structures and health workers. The method in this scientific article is to compare cases from several hospital studies that apply the accreditation process and the literature collected at the editing (re-examination) stage. The data is then processed and analyzed and conclusions drawn. The findings from the study of the application of hospitals in the importance of holding accreditation are to improve the quality of hospital services, improve hospital patient safety, increase protection for patients, the public, human resources for hospitals and hospitals as institutions and support government programs in the health sector. It can be concluded that the importance of hospitals carrying out accreditation is to ensure good service quality and patient safety must be proven through accreditation. Accreditation is carried out by submitting an application to the Hospital Accreditation Commission (KARS). Suggestions made for hospital agencies, namely hospitals that have obtained national accreditation status are required to make strategic improvement plans in accordance with the surveyor's recommendations to meet hospital service standards that have not been achieved.

The hospital as a health service institution that organizes individual health services in a complete manner that provides inpatient, outpatient and emergency services. Efforts to improve health services as an agreement on setting long-term goals and visions which then become a common reference in achieving the goals that have been set. The purpose of this theoretical review is to find out how to improve health services in hospitals. The method used is a theoretical review by analyzing and comparing existing theories. The results of this theoretical review are by increasing efforts such as providing adequate infrastructure facilities including from a physical perspective, besides being efficient, fair, timely, secure, integrated, focused, reliable and effective. It can be concluded that efforts to improve the quality of health services as a process of meeting the needs and life expectancy of patients, both internally and externally. Quality can also be associated as a gradual and continuous improvement process. In general, the quality of health services focuses on the concept that health services have three main foundations, namely quality, access and cost.

The roles and functions of quality management, known as total management quality, can be interpreted as a system that helps an organization, hospital, or business entity to oversee every activity and duties and responsibilities needed to maintain the quality or quality of service. Efforts to improve the quality of health services are the most important step to increase the competitiveness of Indonesian businesses in the health sector. The purpose of this theoretical review study is to find out how the role and function of the quality of health services in hospitals. The method used is a theoretical review by analyzing and comparing existing theories. The results of this theoretical review study are the role and function of quality as an effort that is carried out continuously, systematically, objectively, and integratedly in determining problems and causes of health service quality problems based on predetermined standards with effectiveness, efficiency, protection and acceptance of health services. It can be concluded that service quality and good quality will greatly influence health services in hospitals. Patients getting comprehensive health services will increase patient satisfaction in the treatment program so that the quality of health services will increase. Hospitals also need to improve the quality of quality health services. Quality also has a function as a reference or benchmark in managing the quality provided by a hospital. So that in its implementation it is necessary to carry out monitoring and evaluation.

Helminthiasis infection is one of the diseases that still occurs in the surrounding community. One type of helminthiasis disease that results in infection is the STH worm. Nutritional status problems are commonly encountered in various provinces of Indonesia which results in the quality of oneself for the future will be affected. The purpose of this study was to determine the relationship between helminthiasis infections and nutritional status in toddlers based on anthropometric measurements using weight and height indices. The type of research used is descriptive with a Cross sectional research design. Data that has been collected from 62 patients was described to link STH infection with Nutritional Status in Toddlers. The results of the study stated that there was no relationship between Soil Transmitted Helminth infection and gisi status in toddlers in Tesabela Village, West Kupang District with chis-quare test results, obtained a value of P=0.953 (P>a0.05).