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Babali Nursing Research
Published by Babali Health
ISSN : 27766993     EISSN : 27215989     DOI : https://doi.org/10.37363/bnr
Core Subject : Health,
Nursing
The Babali Nursing Research provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy and research methods relevant to nursing, midwifery and other health related professions. The BNR aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The journal particularly welcomes studies that aim to evaluate and understand complex health care interventions and health policies and which employ the most rigorous designs and methods appropriate for the research question of interest. The journal also seeks to advance the quality of research by publishing methodological papers introducing or elaborating on analytic techniques, measures, and research methods.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 17 Documents
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Search results for , issue "Vol. 5 No. 4 (2024): October" : 17 Documents clear
Factors Influencing Cognitive Status in Type-2 Diabetes Mellitus Patients at Royal Prima General Hospital Medan Arianti, Rahmi; Girsang, Ermi; Sari Mutia, Maya
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54422

Abstract

Introduction: Type 2 Diabetes Mellitus (DM) is a significant global health concern. In Type 2 DM, hyperglycemia results from inadequate insulin production and the body’s reduced ability to respond to insulin, a condition known as insulin resistance. Diabetes Mellitus is often associated with cognitive decline, as observed in many patients with Type 2 DM. This study aims to analyze factors influencing cognitive status in Type 2 Diabetes Mellitus patients at Royal Prima General Hospital Medan. Methods: This descriptive quantitative study used a cross-sectional design. The study population consisted of 754 patients with Type 2 DM, with a sample of 150 selected. A mini-mental state exam was used to check the cognitive status. Data were analyzed using univariate, bivariate, and multivariate methods. Results: The findings indicate that gender, education level, blood glucose status, and duration of DM significantly influenced cognitive status in Type 2 DM patients at Royal Prima General Hospital Medan, with a p-value < 0.05 for each variable. In contrast, occupational status did not show a significant influence (p-value > 0.05). Collectively, gender, education level, occupational status, blood glucose status, and DM duration impacted cognitive status in these patients (p-value < 0.05). Conclusion: Among the variables studied, the duration of Type 2 DM was the most influential factor affecting cognitive status in patients at Royal Prima General Hospital Medan.
Application of Moxibustion Method with Acupressure and Essential Oil Aromatherapy on Pain Reduction and Cervical Dilation During the First Stage of Labour Fitria, Fitria; Ni Wayan Noviani; G.A Martha Winingsih
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54423

Abstract

Introduction: Discomfort, fear, and pain are major challenges for pregnant women during childbirth, potentially impeding the progress of labour. Many women opt for non-pharmacological methods, such as moxibustion, acupressure, and essential oil aromatherapy, to avoid medical induction due to their simplicity, accessibility, and cost-effectiveness. This study aims to evaluate the effectiveness of these combined methods in reducing pain and accelerating cervical dilation during childbirth. Method: This study employed a quantitative research design with a two-group pre-post test approach. The sample comprised 30 parturient women in the first stage of labour at the Independent Midwifery Practice within the Denpasar Health Centre’s service area, divided into intervention and control groups. Data analysis was conducted to evaluate differences in pain management between the two groups using the Wilcoxon test, while the effectiveness of cervical dilation treatment in both groups was assessed using the Mann-Whitney test. Results: The findings indicated a significant difference in pain levels (0.000 < 0.05) following the application of the moxibustion method with acupressure and essential oil aromatherapy. However, there was no significant difference in cervical dilation between the control and intervention groups post-treatment (0.902 > 0.05). Conclusion: The moxibustion method, combined with acupressure and essential oil aromatherapy, did not show a significant difference in cervical dilation between the control and intervention groups. This study has several limitations, including a relatively small sample size and a short observation period.
The Effect of Self-Management Education Based on the Health Promotion Model on Compliance Behavior of Hypertension Patients Sakinah, Siti; Dee, Theodehild M.Theresia; Tusi , Juandri S.
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54431

Abstract

Introduction: Hypertension is a condition characterized by elevated blood pressure, in which an individual's blood pressure consistently remains above normal levels. Compliance with medication, adherence to dietary restrictions, and regular blood pressure monitoring are key components in the successful treatment of hypertensive patients. One approach to improving patient compliance in managing hypertension is the implementation of Self-Management Education (SME) based on the Health Promotion Model (HPM). This study aims to examine the effect of SME on compliance behavior among hypertensive patients in the Baumata Health Center, Kupang Regency. Method: A quasi-experimental design was used in this study, with 70 participants selected through purposive sampling, divided into two groups: 35 participants in the intervention group and 35 in the control group. The instruments used included the Morisky Medication Adherence Scale (MMAS-8), a hypertension diet questionnaire, and a blood pressure monitoring questionnaire. Data were analyzed using an independent t-test for bivariate analysis and MANOVA for multivariate analysis. Results: The findings indicate a significant effect of SME on the intervention group, with a p-value of < 0.05. The SME approach, based on HPM principles, involved patient empowerment and behavioral strategies. Ongoing support also contributed to sustained progress, leading to improved compliance in medication adherence, diet, and blood pressure monitoring among hypertensive patients. Conclusion: Future research should include larger sample sizes, more precise instruments, and longer study durations to achieve more robust results regarding compliance in hypertension management.
Contraceptive Selection among Couples of Childbearing Age in the Perspective of Healthcare Workers: Original Article Prihatiningsih, Riska Dwi; Indrawan, I Wayan Agung; Setijowati, Nanik
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54433

Abstract

Background: Women are susceptible to unwanted pregnancies. This makes them susceptible to risk factors such as maternal mortality, abortion, and stress. This study aims to explore health workers' perspectives on contraceptive selection among couples of childbearing in East Lombok Regency. Methods: Qualitative research design was employed with an interpretive phenomenological approach. This study was conducted in 4 Public health centers (PHCs) in East Lombok Regency, namely the Montong Betok PHC, Wanasaba PHC, Selong PHC, and Denggen PHC between May and June 2024. There were 12 participants consisting of 2 doctors, 8 midwives, and 2 nurses, recruited by purposive sampling. Data was collected using a recording device through in-depth interviews and field notes. Data were analyzed using a process based on four stages: transcribing, organizing, recognizing, and coding. Results: Eight themes emerged through data analysis, including 1) the role of health workers in contraceptive selection, 2) provider factors, 3) contraceptive availability, 4) access to contraceptive services, 5) cost of contraceptive use, 6) provision of contraceptive information by health workers, 7) social influences, and 8) fears and myths about contraception. Conclusion: Many factors influence contraceptive choice, but social influence is the most critical factor that determines whether couples of childbearing age choose and use contraception
Pediatric Cancer Parents' Salivary Alpha-Amylase (sAA) Level Utami, Kadek Cahya; Januraga, Pande Putu; Lesmana, Cokorda Bagus Jaya; Ani, Luh Seri
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54434

Abstract

Introduction: Parenting a child with cancer presents significant challenges that can increase parental stress. Without appropriate interventions, this stress may impair parents' ability to provide the best possible care for their children. To implement effective care strategies, healthcare professionals, particularly nurses, must assess the stress levels experienced by parents. One objective indicator of stress is salivary Alpha-Amylase (sAA), which can be measured using a cocorometer through saliva samples. This study aimed to assess sAA levels among parents of children with cancer. Methods: The research employed a descriptive, quantitative, cross-sectional design with a sample of 30 parents from Rumah Singgah Yayasan Peduli Kanker Anak Bali, selected through purposive sampling. The research instrument used was a NIPRO-brand cocorometer. Results: Findings revealed an average sAA level of 34.93 kIU/L, with a range from 5 kIU/L to 60 kIU/L. Higher sAA levels were observed among female respondents, those residing outside of Bali, and those caring for children under two years old. Conclusion: Continuous monitoring of parental stress using objective measures such as sAA is recommended for nurses to support optimal stress management.
Virtual Nurse for Detecting Suicide Risk Behaviors in Adolescents Tarigan, Yohanes Zenriano; Kusumaningtiyas, Dwi Prima Hanis
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54435

Abstract

Introduction: Suicide is a complex phenomenon that is intriguing to study because its causes are still not fully understood. This phenomenon often garners media attention, as the number of incidents has significantly increased. Suicidal ideation frequently occurs in teenagers, and many who seek consultation report similar thoughts or engage in self-harm. The approach to problem-solving proposed in this research is the use of a virtual nurse as an early detection service for suicide risk behavior. A Virtual Nurse is an artificial intelligence-based application or system designed to provide health services and psychological support, particularly for teenagers. The Virtual Nurse uses machine learning algorithms to analyze user behavior, speech patterns, and interactions to identify signs of suicide risk. This study aims to analyze the effectiveness of the Virtual Nurse in detecting suicide risk behavior in adolescents. Method: This research utilized a pre-experimental design with a one-shot case study approach. Results: The implementation of the virtual nurse application for the detection of suicide risk behavior in adolescents over four weeks yielded favorable outcomes for 116 students (16%), while 74 students (39%) were categorized as showing poor results and the score for using virtual nurse in detecting suicide risk was 84 points. The result was that virtual nurse were classified as good in detecting suicide risk behavior in adolescents. Conclusion: The virtual nurse is an artificial intelligence-based application or system designed to provide psychological services and support to its users, particularly teenagers.
Self-administered acupressure at the Taichong point reduces blood pressure in hypertensive patients Yasa, I Dewa Putu Gede Putra; Sukawana, I Wayan; Surasta, I Wayan; Rasdini, I Gusti Ayu Ari
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54438

Abstract

Background: Blood pressure control can be achieved through lifestyle changes, pharmacological therapy, and non-pharmacological therapy. Complementary therapies can be included in hypertension management programs and are self-administered. This study aims to analyze the effect of self-administered acupressure at the Taichong point on blood pressure in hypertensive patients. Method: The research was conducted at Puskesmas II Denpasar Utara using a pre-experimental design with 38 primary hypertensive patients. Blood pressure data were measured five minutes before and after the patients performed self-administered acupressure at the Taichong point between the first and second metatarsals. Acupressure was performed with a stick for 5 seconds, lifted for 1 second, and repeated 30 times. Result: The results showed that all respondents had stage 2 hypertension, with systolic blood pressure (SBP) ranging from 140 to 172 mmHg and diastolic blood pressure (DBP) between 90 and 102 mmHg. After the intervention, all respondents experienced a decrease in SBP and DBP, with an average reduction in SBP of 13.89 ± 5.46 mmHg and a reduction in DBP of 11.05 ± 6.32 mmHg. The analysis results showed a significant effect on blood pressure (p-value: 0.0001). Conclusion: This study concludes that self-administered acupressure at the Taichong point significantly reduces blood pressure in primary hypertensive patients.

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