Publication Search

(PONV). PONV can be caused by many factors, one of which is the length of fasting. Preanesthesia fasting about 6-8 hours before surgery is performed as an effort to minimize the incidence of aspiration of stomach contents or nausea and vomiting. Objective: Determine the relationship between the length of fasting and the incidence of nausea and vomiting in post-spinal anesthesia. Research Methods: This type of research is an observational study with a Cross-sectional research design. The population in this study is all patients who will undergo spinal anesthesia in the IBS room of RSUD Kab. Batang. Sampling in this study was using the Purposive Sampling method of 49 samples and using the Spearman Rank analysis test. The research instrument uses observation sheets. Research Results: The age of most respondents in this study was 36-40 years as many as 26 respondents (53.1%), the most gender is women 32 respondents (65.3%), and those who experienced the most fasting length of 2-6 hours with 30 respondents (61,3%), while PONV as many as 29 respondents (59.2%). Based on the results of the Spearman Rank test to determine the relationship between the length of fasting and the incidence of Post Operative Nausea and Vomiting (PONV) obtained a result of 0.007 (P0.5). The majority of respondents who did not experience PONV were 14 respondents (28.6%). Conclusion: There is a significant relationship between the length of fasting and the incidence of Post Operative Nausea and Vomiting (PONV).

Background: Pre-operation is the initial stage to prepare the patient as much as possible, more than two-thirds of patients waiting for surgery experience anxiety because it is their first time undergoing spinal anesthesia surgery. As a result of the patient's intense preoperative anxiety, there is a possibility that the operation cannot be carried out. The way to overcome anxiety is through deep breathing relaxation techniques. Objective: To determine the effect of deep breathing relaxation on anxiety in preoperative patients. Research methods: This research uses quantitative research design using Quasy Experiment, namely an experimental design carried out without randomization. This research was conducted at PKU Muhammadiyah Gombong Hospital in the operating room in February 2024. This population consisted of 42 patients in one month with a research sample of 30 respondents. This research instrument uses the APAIS questionnaire. This research technique uses purposive sampling. Results: The data that can be generated when using the deep breathing relaxation technique is 30 respondents using the pre test-post test technique. During the pre-test, those experiencing moderate anxiety amounted to 40.0%, severe anxiety amounted to 40.0%, the most severe anxiety/panic amounted to 20.0%. At the time of the post test, those experiencing mild anxiety were 66.7%, and those experiencing moderate anxiety were 33.3%. Conclusion: When the observation was carried out, there was a decrease in the level of anxiety, so that the respondent's anxiety had reduced.

The purpose of Community Service is to improve the quality of early childhood in reading the Qur'an in Lopang Village, Kembangbahu Regency and find out what obstacles are experienced in learning the Quran at TPQ Syuhadak. The method used by preparing material that will later be applied as an interactive learning method. So that it is easy to understand and remember by children. From this dedication, it can also be known what obstacles and obstacles exist in TPQ Shuhadak both internally and externally in an effort to improve the quality of reading the Quran in early childhood.  

Spinal anesthesia is a widely used anesthetic technique, particularly in surgeries involving the lower body, due to its effectiveness and safety profile. A critical component of post-spinal anesthesia recovery is the assessment of patient mobility, which can be quantitatively measured using the Bromage Score. The Bromage Score evaluates the degree of motor block, which is essential for determining when a patient can safely begin mobilizing after anesthesia. The education and implementation of the Bromage Score in hospitals are designed to enhance healthcare professionals' understanding of its significance, ensuring a more objective and systematic approach to patient recovery monitoring. This educational program involves a structured training session for healthcare workers, distribution of educational materials such as brochures and manuals, and evaluations both before and after the intervention to assess changes in knowledge and application. The results of the program indicate a significant increase in healthcare professionals’ understanding of how to apply the Bromage Score and improved quality in the monitoring of patient mobility after spinal anesthesia. The consistent and accurate implementation of the Bromage Score is crucial as it helps medical personnel determine an appropriate and safe time for patient mobilization, thus reducing the risk of complications such as falls, orthostatic hypotension, or delayed recovery. As a result, the program is recommended as a standard practice in healthcare settings to improve post-spinal anesthesia recovery outcomes and patient safety.

Pulmonary TB is a major problem in the prevention and eradication of TB in the world. This study aims to determine the relationship between the role of the family and compliance with taking medication for elderly people suffering from pulmonary TB at the Adam Malik Haji Central General Hospital, Medan in 2021. This type of research is descriptive correlation with a cross sectional research design. The number of samples was 43 from April to June 2021. The research was conducted at RSUP. Human Rights at the MDR TB Polyclinic. Bivariate analysis used the chi-square test to determine the relationship between the role of the family and the role of nurses on medication compliance, while the multivariate analysis used medication compliance for elderly people suffering from multiple logistic pulmonary TB. Based on hypothesis testing using chi-square with a confidence level of 95%, it was found that there was a significant relationship between family role and medication adherence (p=0.01). There is a significant relationship between. Based on multivariate analysis, the variable that was most related to medication adherence in MDR TB sufferers was informational family support (p=0.01). The conclusion of this research is that there is a relationship between the supportive role of nurses and compliance with taking medication in TB sufferers.

Pregnancy can cause the body to be very susceptible to low hemoglobin levels, which during pregnancy require sufficient iron for the body. If the body loses iron, anemia will occur, because the body requires the intake of foods that contain iron. Anemia itself where the value of the hemoglobin level is less than the normal value or below the normal value. So if a pregnant woman has a hemoglobin level below the normal value, she will be prone to anemia. The risk of anemia during pregnancy can occur in the fetus because it can affect the growth and development of the fetus and baby, as well as babies born prematurely or with reduced body weight. Dates are a fruit which contains many benefits for the body, one of which is to prevent anemia. The content of the date palm itself contains nutrients for the body such as protein, vitamin A, vitamin C, thiamine, ribovalfin, nicotinic acid, and iron. To determine hemoglobin levels in pregnant women before and after giving dates. The research method used this time was preexperimental with a one-group pre-test post-test research design. While the examination using the cyanmethemoglobin method. The results of the study of hb levels before being given dates with an average result of 11.94 and after being given dates the average result was 12.65 which showed an increase in hb levels. Data analysis using the Paired Sample Test statistical test obtained the results of sig (2 tailed) of 0.207 or > 0.05. From the results of the statistical analysis of the Paired Sample Test, it can be said that Ho is accepted, which means that there is no significant effect on the administration of dates on hemoglobin levels before and after.  

Dengue Hemorrhagic Fever is still one of the disease problems in Indonesia today. The first case of DHF in Indonesia itself occurred in 1986 in the city of Surabaya, this disease continues to increase and spread throughout Indonesia, which causes all parts of Indonesia to be at risk of being infected with this disease. Dengue fever or dengue fever is an infectious disease caused by the dengue virus and is transmitted through the bite of Aedes aegypti and Aedes albopictus mosquitoes. This disease is one type of health disorder that interferes with everyone's productivity and is one of the infectious diseases that often causes outbreaks and causes death. This study aims to determine the hematocrit value in dengue hemorrhagic fever patients and what percentage of the hematocrit value in dengue hemorrhagic fever patients is in accordance with the normal value standard with descriptive research methods and examination methods using a hematology analyzer. For data analysis using the SPSS program, the K Independent Samples Test with a sig value of 0.000 was carried out on 33 blood samples obtained from dengue hemorrhagic fever patients in a regional hospital 45 kunngan purposively. The results showed that there were differences in the hematocrit value in patients with dengue hemorrhagic fever. The results of the examination of the hematocrit value of dengue hemorrhagic fever patients showed an increase in the hematocrit value of 12 people with a percentage of 36.40%, a decrease of 6 people with a percentage result of 18.20% and for normal numbers as many as 15 people with a percentage result of 45.50 %

Uric acid or urine acid is a product of purine nucleic acid catabolism. Uric acid is produced from within the body (genetic) and from outside (food consumed). Uric acid is measured to assess purine metabolism abnormalities, to confirm the diagnosis and monitoring of treatment, and to detect abnormalities in kidney function. In this situation, the results of purine metabolism (uric acid) that should be excreted out of the body through the kidneys do not occur, so that uric acid in the blood will increase over time. Kidney failure disease kidney organ function has decreased so that eventually unable to work as a filter, dispose of body electrolytes, and maintain fluid and chemical balance in the blood or urine production. This study aims to determine uric acid levels and the percentage of uric acid levels that are outside the normal range and the relationship between hemodialysis time and uric acid levels in patients with kidney failure. The research method used is the descriptive method and the examination method uses the uricase enzymatic method. For data analysis using the SPSS Bivariate test program with Spearmen's Rank test with a sig value of 0.608 which was carried out on 32 samples of serum from hemodialysis patients at random. The results of this study showed that the average uric acid level was 7.1 mg/dL, while normal uric acid levels were 2.7 mg/dL, and the highest was 10.2 mg/dL. Uric acid levels that showed normal results were 12 respondents or 37.5% and increased results were 20 respondents or 62.5%. There is no relationship between the length of hemodialysis time and uric acid levels in patients with kidney failure.

The causes of maternal death were bleeding (28%), infection (11%), eclampsia (24%), and obstructed or prolonged labor (5%). One of the causes of bleeding as a cause of AKI is perineal rupture. Perineal rupture is influenced by several factors, including: Maternal factors include maternal age, parity, pregnancy spacing, inappropriate delivery methods. Compliance with menstrual guidance is very necessary for the success of the birthing process to prevent perineal rupture. The aim of this study was to determine the relationship between maternal compliance with counseling and perineal rupture at Batara Siang Regional Hospital. The method used was analytical observational with a cross sectional approach, the sampling technique was purposive sampling with a total sample of 32 mothers giving birth. Results: There is a significant relationship between compliance with gentle guidance and the incidence of perineal rupture in mothers giving birth, seen from the results of non-parametric statistical analysis using the Spearman rank test and using SPSS 16 to obtain a significance or sign value. (2-failed) of 0.001.

Chronic Kidney Diseases (CKD) is a disease condition where there is a decrease in kidney function, no longer able to carry out its function of filtering the blood, removing toxins and unable to remove waste products from the blood effectively, characterized by the presence of protein in the urine and a decrease in the glomerular filtration rate. Hemodialysis is a kidney replacement therapy method that is often used to manage CKD. The prevalence of CKD in Indonesia continues to increase every year with some patients undergoing hemodialysis. CKD patients undergoing HD are susceptible to anemia. Anemia in CKD patients can be caused by blood loss during dialysis procedures, and disturbances in iron metabolism. The aim of the study was to analyze changes in hemoglobin levels in CKD patients after undergoing hemodialysis. The research was carried out in a descriptive observational manner through an initial screening stage, an examination stage by measuring hemoglobin levels before and after the hemodialysis session and readings using a Mindray BC-5830. The examination results showed that the hemoglobin levels of CKD patients increased after undergoing HD. Hemoglobin levels in male CKD patients were higher than female patients both before and after undergoing HD. The conclusion of this study is that HD has an effect on increasing hemoglobin levels in CKD patients, both female and male patients.    

Trauma capitis is a form of penetration or rapid movement, and impact of the brain within the skull which results in changes in mental status. Traumatic capitis is one of the causes of child death. Often referred to as the silent. The aim of this research is to obtain a real picture in applying nursing care to clients An.''F'' with cases of neurological system disorders: trauma capitis. This research was carried out in the ICU room at Labuang Baji Hospital, Makassar for 3 days starting from 19-21 April 2023. Data collection techniques were carried out using interview techniques, observation and physical examination. The results of this study were an assessment of pain in the head, pain that felt like stabbing, pain scale 8 (severity 0-10), lasted for 3 minutes, bleeding on the right side of the head. In nursing diagnoses, there are 5 diagnoses found in cases of acute pain related to physical comfort, ineffective breathing patterns related to changes in the depth of breathing patterns, risk of infection related to bleeding in the brain, nutritional imbalances less than body requirements related to lack of appetite, impaired mobility physical related to difficulty turning positions. In implementing the action plan for patient An "F", nursing problems arise to reduce and prevent problems in patients by paying attention to the patient's condition. The implementation of nursing for patient An "F" is adjusted to the action plan that has been determined so that the nursing problems faced by the patient can be overcome or prevented. After providing nursing care for the five diagnoses, all diagnoses were resolved.

Micro, Small, and Medium Enterprises (MSMEs) in Sijeruk village, Banjarmangu district, Banjarnegara regency have shown significant development. However, there remain several challenges faced by UMKM entrepreneurs, including limited marketing outreach, financial reports intertwined with household finances, and inadequate innovation in product development and packaging. This community service initiative aims to address these issues effectively.

Learning media has an important role in increasing students’ understanding and retention, attracting their attention, and supporting various learning styles. In the context of Vocational High Schools (SMK), where students tend to be more interested in practical learning, developing relevant and interesting learning media is crucial, especially for Indonesian language subjects. This article discusses the importance of training for vocational school teachers in creating effective learning media. This training aims to increase the understanding of vocational school teachers in Karangpucung sub-district about the concept of learning media, equip them with technical skills in making media, and integrate information and communication technology (ICT) in the learning process. Through stages that include theory, practice and feedback, this training is expected to increase teacher creativity and student learning motivation. Overall, this training contributes to improving the quality of Indonesian language learning in vocational schools, creating a more dynamic and effective learning environment.

Character education strengthening occurs not only theoretically in the classroom but also through habituation in daily life. Using drama as a method for character education can be effective because drama is closely linked to character development. This article aims to discuss the affirmation of drama appreciation learning in relation to the importance of character education for fourth-semester students at STKIP Darussalam Cilacap. The researcher applies a literature review methodology, focusing on the use of texts and library literature as primary sources. The results indicate that regular drama appreciation learning activities have a positive impact on students' development. The findings highlight the significant contribution of drama appreciation learning to character education at STKIP Darussalam. It teaches students moral values, ethics, and responsibilities. Additionally, interaction during drama activities plays a key role in enhancing students' tolerance towards differing opinions, backgrounds, and cultures, creating a holistic educational environment. The presence of drama as an art form, both at the elementary school level and as part of higher education curricula, should impact by reflecting the reinforcement of character education in the digital era, which increasingly overlooks essential foundational aspects of life, such as efforts to build good personal and moral character. 

Background: Stroke is a major cause of disability in adults, where four million Americans experience neurological deficits due to stroke, two-thirds of these deficits are moderate to severe. This disease has become a worldwide health problem and is increasingly important, with two-thirds of strokes now occurring in developing countries. Stroke sufferers themselves will experience a psychological response, namely anxiety because in addition to being a life threat, patients will feel anxious about their future. The purpose of this study was to determine the description of the level of anxiety in stroke patients in the Belibis Room of Wangaya Hospital Denpasar. Methode: The type of design used is descriptive design. Data collection was carried out by the researchers themselves using a standard questionnaire sheet, the Hamilton Anxiety Rating Scale (HARS), with the number of respondents 30 people who were Stroke patients in the Belibis room of Wangaya Hospital Denpasar. Result: The results of this study indicate that the majority of stroke patients in the Belibis room of Wangaya Hospital Denpasar experienced moderate anxiety, namely as many as 17 (56.7%) respondents, mild anxiety as many as 6 (20%) respondents, severe anxiety as many as 6 (20%) respondents, panic 0%, and only 1 (3.3%) respondents who did not experience anxiety. Conclusion: Individuals who experience anxiety are mostly aged over 50 years, female sex, high school education, and have private jobs. It is expected that families can provide motivation and positive encouragement to patients.Keywords: Anxiety Level; Stroke Patients

Background: The prevalence of isolated systolic hypertension (HST) is expected to occur approximately 25% in the age group of 60-90 years, and found as much as 59.1% in males and 61.9% in females. This research aims to determine the factors related to the incidence of hypertension in the elderly. Methods: This study uses a descriptive analytical design with the Cross Sectional approach. The research samples used are seniors aged ? 60 years and older with Consecutive Sampling technique in the working area of Puskesmas III North Denpasar. Data retrieval takes place from April to May 2012 by filling out questionnaires, measuring weight, height and blood pressure. The Data obtained is analyzed univariate and bivariate using Chi-Square test. Results: Based on the analysis gained that the factors associated with the occurrence of hypertension in the elderly are The age factor (OR: 10,833; 95% CI: 1,961-59,834), Gender factor (OR: 7,467; 95% CI: 1,400-39,837), Genetic factor (OR: 10,083; 95% CI: 1,658-61,330), Activity factors (OR: 0,095; 95% CI: 0,017-0,529), and the habit of drinking coffee (OR: 15,556; 95% CI: 2,586-93,571). Conclusion: Age, gender, genetic, activity and coffee habits are factors related to hypertension in the elderly. Expected parties are more promoting health programs in the elderly, especially on hypertensive diseasesKeywords: hypertension; elderly; activities; drinking coffee

Background: Toilet training is an attempt to train children to be able to control bowel movements. In Indonesia, it was found that 16% of children aged 6 years were still unable to do toilet training independently. One of the important factors in the success of children in doing toilet training is the parenting style applied by parents in educating children at home. Objective: to find out the relationship between parenting style and toilet training ability in pre-school aged children in Kutuh Kelod Banjar Ubud. Method: This study used an observational analysis design with a cross sectional approach. The study population was pre-school age children in Banjar Kutuh Kelod Ubud with sampling techniques using purposive samling. The instrument of this study used the observation sheet toilet training ability and parenting questionnaire. Analysis of toilet training capabilities with parenting using the Spearmans Rho test. Results: The study showed that most of the parents' parenting styles were democratic as many as 24 people (40%). The results of the Spearmans Rho test were parenting and toilet training abilities with a value of p = 0,000. Conclusion: This study found that there was a significant relationship between parenting care and toilet training abilities of preschoolers.Keywords: Parenting; toilet training; pre-school children

Background: Diabetes Mellitus is a disease with high levels of glucose (simple sugar) in the high blood because the body can not release or use insulin adequately. One complication that is feared by people with Diabetes is Diabetic Foot or Diabetic Gangrene. This research aims to determine the behavior of patients with diabetes mellitus in the prevention of diabetic foot in room of Sahadeva and Nakula Sanjiwani Gianyar District Hospital. Methods: Types of research used in this research is descriptive survey approach. Sample of the study are 40 patients with diabetes mellitus hospitalized in the room of Sahadeva and Nakula Sanjiwani Gianyar District Hospital using consecutive sampling technique. Data is collected in the period March to May 2012 by filling out a questionnaire about behavioral prevention of diabetic foot. Results: The results of data analysis showed that the behavior of patients with Diabetes Mellitus in the prevention of Diabetic Foot based on education level, age, gender and occupation. From the 40 respondents there were: 55% of the level of knowledge good, 80% good attitude, 70% good actions and 67,5% good actions in the category of good behavior. Conclusion: It can be concluded that the behavior of patients with Diabetes Mellitus in the prevention of Diabetic Foot is in a good category with the factors assessed including knowledge, attitudes, and actions.Keywords : Diabetes mellitus; diabetic foot; behavioral

Introduction :Tubercolosis (TB) diseases is one of the most public health problems in Indonesia. Indonesia known as a the third highest of TB cases in the world after India and China. In 2010, the Ministry of Health In Indonesia reported that patient with TB in worldwide about 5,8 % cases was found in Indonesia. In Indonesia, TB drugs treatments called the OAT Program. The study about the interpersonal factors who can be related to the compliance of patient with TB determined how important the role of doctors and other health professionals to do verbal and non verbal communication with patients. The aim of this study was to describe complianced of patient with TB in OAT program at Sanjiwani general hospital, Gianyar. Method : This was observational descriptive study. Data were collected through questionnaires. The total of patient with TB who participated in this research were 78 collected by consecutive sampling technique. Result :Based on the research, the complianced of patient with TB in OAT program showed that 38 respondent (48,71%) had complianced with the OAT program and 40 respondent (51,28 %) didn’t have compliance with the OAT program. Conclusion :Most of the patient with TB in Sanjiwani general hospital didn’t have compliance with OAT program.Key words: Compliance; OAT program; Tubercolosis.

The informed consent form that not properly recorded, difficult to read, became a problem that occurs in the inpatient registration unit, so it was better to do it by typing to made it clearer and easier to read. the use of electronic informed consent forms provides easy distribution so that it can save time and costs. the use of electronic informed consent forms made it easier for officers in digital archiving on computers so they didn't save a lot of files. The aim of the study was to recommended that UPTD Puskesmas Baron made an informed consent information system interface design accorded to user needs, based on interface design, color, and input. This study used observations at the UPTD Puskesmas Baron, by observing 2 inpatient registration officers, conducting interviews with 2 inpatient registration officers. The result of this study was the informed consent form at the UPTD Puskesmas Baron was manual which was used as an approval for action in inpatient registration, that approval of action must be carried out by Permenkes No. which it must be exist with the suitability of the officer. This research has suggested implementation, socialization and training for the application of electronic informed consent forms.