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Care : Jurnal Ilmiah Ilmu Kesehatan
Published by Universitas Tribhuwana Tunggadewi
ISSN : 20894503     EISSN : 25278487     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
Care : Jurnal Ilmiah Ilmu Kesehatan ISSN 2527-8487(online), ISSN 2089-4503(cetak), adalah jurnal peer-review yang menerbitkan artikel tentang praktik, teori, dan penelitian di semua bidang kesehatan dan keperawatan.Scope jurnal terdiri dari keperawatan,kesehatan,kesehatan masyarakat.
Arjuna Subject : -
Articles 483 Documents
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Gambaran Konflik Intrapersonal Perawat Scoping Review Wijaya, Indra; Dwiantoro, Luky; Dwidiyanti, Meidiana
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 12, No 1 (2024): EDITION MARCH 2024
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v12i1.5675

Abstract

Intrapersonal conflict is a condition where an individual has two desires that cannot be fulfilled simultaneously. This research aims to identify the description of intrapersonal conflict among nurses. The study design uses a scoping review method. Articles were identified using the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) method. Inclusion criteria for this review article include articles in English or Indonesian, original articles, and articles that use quantitative, qualitative, and mixed research methods published within the last 5 years. A search of articles in this review yielded 819 articles, and the review identified 4 articles that met the inclusion criteria and were subsequently analyzed. The results of the analysis indicate the description of intrapersonal conflict among nurses, namely: (1) Career-related conflicts, hindered by further study; (2) Family-related conflicts. Nurses want to contribute to the family's economy but their partner asks them to take care of the children and the house; (3) Work-family life conflicts or sleep duration; (4) Religion-related conflicts, with an example of a Muslim nurse newly employed at a hospital but facing a mandatory rule to remove the hijab. The conclusion of this review article shows various descriptions of intrapersonal conflict among nurses and suggests that research be conducted to reduce or manage these conflicts.
Screening for Postpartum Depression Risk Using Edinburgh Postnatal Depression Scale (EPDS) In Postpartum Mothers Anggarani, Ni Luh Ayu Sri; Dwina Mastryagung, Gusti Ayu; Sri Ariani, Ni Komang
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 12, No 2 (2024): EDITION JULY 2024
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v12i2.4483

Abstract

Postpartum depression seems to be one of the prior causes of stress and anxiety for women worldwide during the current COVID-19 pandemic. This percentage is quite high in Asian countries, ranging from 26 to 85%, and 50 to 70% in Indonesia. This research aims to describe the prevalence of postpartum depression risk in postpartum mothers using EPDS in Bali Mandara Public Hospital, Bali Province. With a sample size of 75 postpartum mothers, the design of this descriptive study was the cross-sectional approach of seventh to tenth-day postpartum mothers from November to December 2022. The sampling technique involved consecutive sampling. The research instrument is the EPDS questionnaire. Approximately 41.3% of postpartum mothers who gave birth in Bali Mandara Public Hospital had a high risk of experiencing postpartum depression. The respondents are 16-20 years old, have an elementary education level, work as entrepreneurs, have middle to low economic status, and have multiparity. The majority of postpartum mothers are at high risk of experiencing postpartum depression, which is why early detection is critical and must be established as the new operational standard in perinatal health services.
Efektivitas Kombinasi Pemberian Edukasi Kesehatan, Relaksasi Napas Dalam dan Relaksasi Otot Progresif terhadap Kualitas Tidur Penderita Hipertensi Nurwahidah, Nurwahidah; Susila, Wahyu Dini Candra; Bakar, Abu; Harmayetty, Harmayetty; Metrikayanto, Wahyu Dini
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 3 (2023): EDITION NOVEMBER 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i3.5271

Abstract

Hypertension stands as a perilous non-communicable disease, often leading to emotional instability among affected individuals. Symptoms like irritability, sleeplessness, and stress are commonly experienced by those with hypertension. Sleep quality is notably disrupted, with patients frequently experiencing discomfort and worry, often manifested as headaches, leading to disturbed sleep patterns. A multi-pronged approach is crucial for optimal results. Non-pharmacological interventions, combining health education with stress management techniques like progressive muscle relaxation (PMR) and deep breathing exercises, prove beneficial. This study aimed to evaluate the effectiveness of this combined approach on the sleep quality of hypertensive patients, utilizing a quantitative pre-experimental one-group pretest-posttest research design. The non-probability sampling technique employed accidental sampling, involving 17 hypertensive patients meeting specific criteria. The Wilcoxon Signed Ranks test yielded a significant result (p-value) of 0.000 ≤ 0.05. The combined intervention of health education, deep breath relaxation, and progressive muscle relaxation exhibited a positive impact on improving sleep quality among hypertensive patients. Further qualitative research is warranted to explore the experiences of hypertensive patients engaging in routine deep breath relaxation and progressive muscle relaxation therapies.
Uji Aktivitas Antibakteri Ekstra Virgin Olive Oil (EVOO) Terhadap Streptococcus Agalactiae Rahmawati, Wenny; Retnaningrum, Dwi Norma
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 3 (2023): EDITION NOVEMBER 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i3.4623

Abstract

Streptococcus agalactiae is a pathogen known to frequently cause infections in both mothers and children. It can lead to complications such as premature birth, premature rupture of membranes, postpartum infections, pneumonia, meningitis, and sepsis. Current treatment for Streptococcus agalactiae often involves antibiotics, which can contribute to antibiotic resistance. Given the increasing concern about antibiotic resistance, the development of herbal antibacterials is gaining momentum, with extra virgin olive oil (EVOO) being one such area of interest. EVOO contains oleuropein, flavonoids, and essential oils, all of which possess antibacterial properties. The objective of this research is to demonstrate the antibacterial activity of extra virgin olive oil (EVOO). The study employed a true experimental design with a post-test-only control group, using the disc diffusion method to measure bacterial inhibition zones. The results revealed the largest inhibition zone, measuring 15.9 mm, with a 3 ml dose of EVOO. The correlation test indicated a significant value of 0.000, with a coefficient of -726, suggesting that an increase in EVOO dose results in a reduction in the Streptococcus agalactiae bacterial population. Based on these findings, it can be concluded that extra virgin olive oil (EVOO) exhibits potent antibacterial activity against Streptococcus agalactiae. 
The Dhikir and Prayer Therapy on Reducing Blood Pressure in Hypertension Patients: Systematic Literature Review Sopiah, Popi; Nuryani, Reni; Sukaesih, Nunung Siti; Lindasari, Sri Wulan; Assyfa, Nurul
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 12, No 2 (2024): EDITION JULY 2024
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v12i2.5234

Abstract

Hypertension can lead to a variety of consequences, including death. Alternative therapies, such as Dhikr and prayer therapy, have emerged as a response to the negative effects of medications used to treat hypertension. The therapy of Dhikr and prayer worked by inhibiting sympathetic nerve dominance and activating parasympathetic nerves, resulting in a soothing effect. The goal of this paper was to conduct a literature search to determine the effectiveness of Dhikr therapy and prayer in lowering blood pressure in hypertension patients. The method involved investigating evidence published in electronic data from Google Scholar and Semantic Scholar. Using Publish or Perish, we searched for data from 2018 to 2023 using the terms "Dhikr therapy," "prayer therapy," and "hypertension." Using the Prisma Strategy flow chart, 11 relevant journals were eligible out of 352. The results showed that when a person recites Dhikr by focusing on words or sentences of prayer that are repeated with a regular rhythm, accompanied by an attitude of surrender to God, the individual will experience relaxation. This relaxed state could control the nervous system, which is responsible for regulating blood pressure in hypertensive patients leading to a decrease in blood pressure. Dhikr and prayer therapy are effective in reducing blood pressure in hypertensive patients. Recommendations suggest that Dhikr and prayer therapy can be applied as an alternative treatment for hypertension.
Hubungan Antara Kadar Hormon Dengan Perdarahan Di Luar Siklus Menstruasi Pada Wanita Usia Subur ningsih, sri mudayati; Suryandari, endang sri dewi hastuti
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 12, No 1 (2024): EDITION MARCH 2024
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v12i1.5700

Abstract

Bleeding disorders outside the menstrual cycle are reproductive system disorders commonly experienced by women during their reproductive years. These disorders are characterized by changes in menstrual periods, including alterations in cycle length, duration of menstruation, or volume of bleeding, with a worldwide prevalence ranging from 3% to 30%. Hormonal factors are often implicated as causes of bleeding disorders outside the menstrual cycle. Preliminary findings from a study conducted at RSIA Puri revealed that three female patients seeking treatment experienced bleeding disorders outside the menstrual cycle, with two of them exhibiting low estrogen levels (below 20 pg/ml) upon examination. The purpose of this study was to analyze the relationship between hormone levels, particularly estrogen, and bleeding outside the menstrual cycle in women of childbearing age at RSIA Puri Malang. The research employed a quantitative analysis through a cross-sectional approach. Primary and secondary data were obtained from laboratory examinations of estrogen levels in blood serum on the third day of menstruation. The sample consisted of 34 mothers who met the criteria of experiencing menstrual disorders and visited RSIA Puri Malang, and who willingly participated as respondents, selected through quota sampling. Data analysis was conducted using the Chi-square test, and the results revealed a significant relationship between estrogen levels and bleeding outside the menstrual cycle, or metrorrhagia (p-value = 0.018; OR = 0.107). This suggests that estrogen hormone regulation plays a crucial role in preventing menstrual irregularities. In conclusion, maintaining optimal estrogen hormone levels is essential for preventing and managing menstrual irregularities and bleeding disorders outside the menstrual cycle.    
Implementasi Ceklist Handover Untuk Meningkatkan Transfer Informasi Dalam Handover Intraoperatif : Literature Review Kurnia, Esti Eva; Nursalam, Nursalam; Junait, Junait
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 12, No 1 (2024): EDITION MARCH 2024
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v12i1.4880

Abstract

Communication failures in information transfer during intraoperative handover can pose a risk to patient safety incidents. One of the factors influencing the success of intraoperative handover is the existence of a structured handover checklist. This study aimed to explain the implementation of a structured intraoperative handover checklist to improve information transfer during intraoperative handovers. The design employed was a literature review. Articles were selected from databases including ScienceDirect, Scopus, PubMed, and Springer Link. The criteria for article selection included publication between 2017 and 2022, full text in English, and the use of keywords such as 'intraoperative handover,' 'handover checklist,' and 'information transfer.' The PRISMA flowchart stages were utilized to filter appropriate articles. The critical assessment of article quality employed The Joanna Briggs Critical Appraisal Tools 2020 and Mix Methods Appraisal Tool 2018. The results of the review of 8 articles indicated that a lack of good coordination during intraoperative handovers often occurs due to the absence of structured guidelines regarding handover content. The application of an intraoperative handover checklist has been shown to increase the completeness of data transfers and reduce the percentage of information omission during the handover process. The implementation of structured intraoperative handovers has a positive influence on improving the quality of communication between surgical teams and reducing incomplete information conveyed. A structured intraoperative handover checklist is needed as a guide to reduce the number of errors in information transfer, thus enhancing patient safety.
Stress Levels, Hyperglycemia, and Long Suffering from Diabetes Relationship with Diabetic Neuropathy Pain Lase, Wahyu Ningsih; Laoli, Hadirat Candra
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 12, No 2 (2024): EDITION JULY 2024
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v12i2.5945

Abstract

Diabetes mellitus often causes death in sufferers, making prevention and treatment are necessary to address its various chronic issues. This study examines the relationship between stress levels, hyperglycemia, and long suffering from diabetes with diabetic neuropathy pain. It employs a correlational analysis using a cross sectional design conducted between August 2023 and 2024. The population was all diabetes mellitus patients in the UPTD area of the North Gunungsitoli Health Centerw with a sample of 103 individuals selected through proportional stratified random sampling. The research instrument was a questionnaire covering each independent and dependent variable: stress level (15 items), hyperglycemia (15 items), long-term diabetes (10 items), and neuropathy pain (10 items). Data collection included both primary and secondary data from respondents and the Gunungsitoli City Office. The data were analyzed using univariate, bivariate, and multivariate tests, with bivariate analysis conducted using spearman rank correlation and multivariate analysis using logistic regression. The results indicated a positive and significant relationship between independent and the dependent variable, with values for stress levels (p=0.000), hyperglycemia (p=0.003), and long suffering from diabetes (p=0.002). Thus, it can be concluded that the knowledge and awareness of people with diabetes mellitus are crucial for their ability to engage in healthy physical activity, regulate their diet, consistently take medication, and manage blood glucose levels.
Pengembangan Model Edukasi Telehealth terhadap Pencegahan Perilaku Seksual Pranikah pada Remaja: Literatur Review Harini, Ririn; Susanti, Henny Dwi; Juwitasari, Juwitasari; Handayani, Tri Lestari
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 3 (2023): EDITION NOVEMBER 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i3.4817

Abstract

Pre-marital sexual behavior in adolescents can influence developmental tasks and increase risky behaviors such as unwanted pregnancies and sexually transmitted infections. Social media, gadget influence, and inappropriate peer selection play a role in these occurrences. Peer education models through counselling centers in schools are crucial in providing insights and experiences for better and healthier behavior. Telehealth models serve as an educational method that can reduce pre-marital sexual behavior by providing information on reproductive health and preventing pre-marital sexual behavior. The research method used was a comprehensive literature review. A total of 11 articles meeting inclusion criteria were found, utilizing educational media through m-health, WhatsApp groups, videos, and leaflets. Data gathered included insights into sexual diseases, positive attitudes towards change, adolescent knowledge and interests, education level, gender, self-efficacy, general health status, socioeconomic status, living conditions, healthcare facilities, and marital status. Clinical practice implications through peer education can enhance adolescent knowledge, thus potentially reducing premarital sexual relationships and unwanted pregnancies among adolescents. Based on the literature study, the telehealth education model can be further developed using other theoretical models to make its implementation more comprehensive.
Systematic Review: Teknologi Needle Free Jet Injection Insulin (NFJI) Efektif Mengontrol Konsentrasi Glukosa Pada Penderita Diabetes Melitus Tipe 2 Syahrizal, Rofi; Bakar, Abu; Harmayetty, Harmayetty; Puspita Sari, Anna Juwita
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 11, No 3 (2023): EDITION NOVEMBER 2023
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v11i3.4651

Abstract

Needle-free jet injection (NFJI) is a needleless method for insulin delivery in type 2 diabetes mellitus (T2DM) patients. This study evaluates NFJI's effectiveness in controlling blood glucose. In this study, we conducted a systematic review following the PRISMA guidelines, searching six databases (EBSCO Host, ProQuest, PubMed, ScienceDirect, Scopus, and Web of Science). The search yielded a total of 379 articles. We used the following keywords: "Jet injection," "Injection Ject," "Needle-Free Injection," "Insulin," "Diabetes Mellitus Type 2," "Diabetes Type 2," "Type 2 Diabetes," and "Blood Glucose" to identify relevant studies. The aim was to investigate the effectiveness of insulin jet NFJI in controlling blood glucose levels in T2DM patients. We assessed the risk of bias using the Joanna Briggs Institute (JBI) critical appraisal tools checklist. Out of the 379 articles identified, only seven met the inclusion criteria. Among these, six articles employed the Randomized Controlled Trial (RCT) method, while one article used a quasi-experimental design. Respondents in the study consisted of T2DM patients who were divided into two research groups: the intervention group and the control group. The results indicated a significant difference in blood glucose control values between the two groups. NFJI insulin method significantly improves glucose control. It offers advantages like painless, scar-free, low drug preparation, reusability, ease of use, and minimal disease transmission. Recommended for long-term T2DM treatment. 

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