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Health Gate
Published by Dewan Perwakilan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar
ISSN : -     EISSN : 29861098     DOI : 10.70111
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health
"Health Gate" is a media for the publication of articles on research, case report, literature review, book review, perspective, scientific news and letter to editor in the areas of health science and practice such as nursing, midwifery, public health, medicine, dentistry, pharmaceutical, environmental health, nutrition, health technology, clinical laboratories, health education, health information system, health management, and health popular.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 66 Documents
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Family Support and Diabetic Distress in Diabetes Mellitus Type-2 Patients Anita, Diyah Candra; Ilyas, Aura Risky Putri; Wantonoro, Wantonoro
Health Gate Vol 3, No 2 (2025): APRIL 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3205

Abstract

Diabetes distress can significantly impact a person's mental health and motivation to manage the disease. Family support can reduce diabetes distress by providing comfort and understanding. This study aims to determine the relationship between family support and diabetes distress in type-2 diabetes mellitus patients at PKU Muhammadiyah Gamping Hospital, Indonesia.This study adopted a descriptive correlational design with a cross-sectional design. Samples were taken by accidental sampling technique from the population of outpatients at the PKU Muhammadiyah Gamping Hospital Polyclinic, with 107 respondents. The research instrument used was a family support questionnaire and the Diabetes Distress Scale-17. Data analysis was performed using Kendall's Tau correlation test. The results showed that most respondents had good family support (88.8%) and no distress (58.9%). Kendall's Tau correlation test showed a significant relationship between family support and diabetes distress with a P value = 0.014 and a correlation coefficient = 0.229. There is a significant correlation between family support and diabetes distress in patients with type-2 diabetes mellitus at PKU Muhammadiyah Gamping Hospital. Good family support can reduce diabetes distress in patients.
Nursing Care for Patients with Vulnus Laceratum in the Emergency Unit: A Case Report Cahyaninggalih, Aldila
Health Gate Vol 3, No 2 (2025): APRIL 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3201

Abstract

Vulnus Laceratum is a disruption of the continuity of tissue so that there is a separation of tissue that was initially normal; torn wounds occur due to severe violence that severs the tissue. Vulnus Laceratum is the third most common type of injury in Indonesia, with a percentage of 23.2%. Nursing problems that often arise in patients with vulnus laceratum are acute pain, impaired skin and tissue integrity, and risk of infection. The knowledge and role of nurses are essential in the rapid treatment of vulnus laceratum patients at risk of bleeding, infection and even disability. This case study aims to analyze the application of nursing care to patients with vulnus laceratum. Nursing care methods using the SDKI, SLKI, and SIKI approaches. The results of the assessment obtained four male patients, the cause of vulnus laceratum 2 cases due to vehicle accidents, 1 case due to blunt objects, and 1 case due to sharp objects. The nursing diagnoses that appear are impaired skin and tissue integrity, acute pain, risk of ineffective cerebral perfusion, and risk of infection. Nursing interventions include wound care, wound suturing, pain management, vital sign monitoring, and infection prevention. During the implementation process, all interventions were carried out. Evaluation of nursing care with impaired skin and tissue integrity disorders resolved on the 10th and 30th days, acute pain resolved on the third day, risk of infection on the seventh day, and risk of ineffective cerebral perfusion 1 hour after implementation. The results of this case study are expected to increase knowledge and complement existing sources so that knowledge and management of vulnus laceratum are appropriate and fast.
DEVELOPMENT OF STUNTED CHILDREN AGED 2-5 YEARS AT SUKOREJO HEALTH CENTRE, BLITAR CITY Rachmawati, Dewi; Widyawati, Dwi Ajeng; Martiningsih, Wiwin
Health Gate Vol 3, No 3 (2025): July 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3301

Abstract

Stunting is one of the nutritional problems that the government focuses on because it risks disrupting child development. This study aims to the development of stunted children aged 2-5 years at the Sukorejo Community Health Centre in Blitar City. The research method used is descriptive quantitative with a population of 91 stunted children aged 2-5 years taken by purposive sampling technique conducted on 25 March to 20 April 2024 with the DDST (Denver Development Screening Test) sheet instrument with normal interpretation if there is only 1 caution on the age line, abnormal if there are 2 or more cautions on the age line, Suspect if there are more than 2 cautions or more than 1 delay. Based on the results of the analysis of the overall development of stunted children aged 2-5 years, 75 children (82%) were normal, 7 children (8%) were abnormal, and 9 children (10%) were suspect. The conclusion in this study is that most children show normal development because parents provide regular stimulus, although there are a number of children who have delays due to lack of stimulus from parents. This study provides insight for researchers, educational institutions, health centres, and parents to increase attention to the development of stunted children.
Family Nursing Care for Cerebrovascular Accident (CVA) Patients: A Case Report Prayitno, Eko
Health Gate Vol 3, No 2 (2025): APRIL 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3202

Abstract

Cerebrovascular Accident is a neurological deficit disease caused by bleeding or blockage with symptoms and signs according to the affected part of the brain, which can cause disability or death. The assessment found several complaints in the form of weakness of the extremities, not taking medication regularly, and the family did not know the care for family members with CVA. The nursing diagnosis in CVA patients is impaired physical mobility, ineffective family health management, and readiness to increase knowledge. The interventions determined for CVA patients are based on the previous diagnosis and theory. The implementation carried out on CVA patients is based on the previously determined interventions and is adjusted to the conditions and situations of the patient. Evaluation of CVA patients during two meetings found that the problem of ineffective family health management nursing was resolved, the problem of readiness to increase knowledge was resolved, and the problem of impaired physical mobility nursing was partially resolved due to time constraints in implementing it.
The Relationship Between Self-Esteem and Mental Health Of Adolescents riyono, Medi; Setiyorini, Erni
Health Gate Vol 3, No 3 (2025): July 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3302

Abstract

Mental health has serious consequences for the future of adolescents. Poor mental health affects routine activities, damages relationships, and hinders development and productivity. Adolescents with mental health problems have difficulty completing schoolwork. Various sources state that self-esteem is a predictor of mental health. This study aims to determine the relationship between self-esteem and mental health in adolescents. The research design was correlational with a cross-sectional approach. The population was 279 adolescents of Srengat junior high school in grade 8. A sample of 164 people was determined using a purposive sampling technique. The independent variable is self-esteem, and the dependent variable is mental health. Data collection used a questionnaire, which involved filling out a Google form—analysis using Spearman-Rho with a confidence value (α) of 0.05. The results showed that most respondents had high self-esteem, namely 59.1%, and almost all had good mental health, namely 87.2%. The Spearman Rho test results showed a p-value = 0.000 (> α = 0.05), r = 0.424, meaning that there is a relationship between self-esteem and mental health of adolescents at Srengat junior high school with moderate strength. This study concludes a significant relationship between self-esteem and adolescents’ mental health; the better the self-esteem, the better the mental health of adolescents. Schools and parents should pay more attention to adolescents by taking a personal approach in an effort to improve mental health by increasing adolescent self-esteem.
Nursing Care for Patients with Animal Bites that Transmit Rabies Wulandari, Ning Arti; Romadhon, Wimar Anugerah; Lestari, Oni Puji
Health Gate Vol 3, No 3 (2025): July 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3303

Abstract

Rabies is a disease caused by the Ribonucleic Acid (RNA) virus from the Rhabdoviridae family, a neurotropic, highly contagious, bullet-shaped virus. Analyzing an overview of case studies in providing nursing care to patients with bites from animals that transmit rabies in the emergency unit of the Kepanjenkidul Health Center, Blitar City. This case study was carried out on 4 patients who were bitten by rabies-transmitting animals, who had received nursing care in accordance with Indonesian nursing care standards and were evaluated on the 7th day after the bite. The results of the case study show that from the four cases nursing diagnoses emerged of impaired skin/tissue integrity, acute pain, risk of infection with nursing interventions including pain management, wound care, and infection prevention. All implementations were carried out in accordance with planning, the results of the evaluation on the seventh day all nursing care goals were achieved and there were no further complications. There is a need to socialize standards for management of rabid animal bites and improve coordination between health workers and related agencies to immediately carry out mitigation
Walking Exercises for Diabetes Mellitus Patients with Unstable Blood Glucose Levels: Case Report Purwanti, Lina Ema; Roissah, Dinatur; Mas’udah, Anni Fithriyatul
Health Gate Vol 3, No 3 (2025): July 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3304

Abstract

Controlling blood sugar levels is the key to the treatment program by reducing weight, diet, and exercise. Physical activity is one factor affecting glycemic management for Diabetes Mellitus (DM) patients. This case study aims to maintain the stability of blood sugar levels in DM patients by applying walking exercises. The design of this research is a case report with a nursing process approach carried out on Diabetes Mellitus patients with nursing problems of unstable blood sugar levels. The Bendo Community Health Center carried out nursing care for seven days. The intervention implemented is walking exercises. The case study results are presented in the form of nursing documentation. The case study results showed that the patient's blood sugar levels tended to be stable starting on the second day of the intervention. An increase in whole-body insulin sensitivity mostly explains exercise-induced glycemic control. The long-term advantages of frequent exercise on glycemic control are related to the cumulative effect of transitory gains in insulin sensitivity and glycemic control after each bout of exercise rather than structural changes in insulin sensitivity.
Relationship Between Maternal Employment and The Incidence of Stunting Monica, Laily Prima; Agustina, Ika; Noviasari, Ita
Health Gate Vol 3, No 3 (2025): July 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3305

Abstract

 Stunting cases continue to increase along with the high risk of malnutrition, increasing prevalence of malnutrition, and decreasing productivity. Several factors related to the incidence of stunting in toddlers include birth weight, history of infectious diseases and birth spacing. This research identifies the relationship between maternal employment and the incidence of stunting in children. The research design was cross-sectional, carried out on a population of mothers with toddlers, all of whom were taken as a sample of 20 people. Instruments used in collecting questionnaire data. The results of this study show that there is a significant relationship between maternal employment and the incidence of stunting, with a p value of 0.000 (p ≤ 0.05). These data imply that maternal employment plays an important role in children's nutritional attainment. Employment status is directly related to the household's ability to provide quality and sufficient food.
Differences In Emotional Mental Health Between Boys and Girls Arditya, Jefry; Mercado, Myrna
Health Gate Vol 3, No 3 (2025): July 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3306

Abstract

Emotional mental health that often occurs during adolescence is anxiety and academic stress. The aim of this research is to determine the differences in emotional mental health between male and female adolescents. The design of this research was cross sectional, taking the entire population as a sample with a total of 319 male adolescents and 319 female adolescents. research site for junior high school number 5, Blitar City, East Java, Indonesia. This research instrument uses the SDQ (Strengths and Difficulties Questionnaire). The results showed that the emotional mental health of male adolescents was 69% normal, borderline 12.2%, and abnormal 18.8%. Meanwhile, the emotional mental health of young women is 59.6% normal, borderline 19.4%, and 21% abnormal. The results of the Mann Whitney test obtained a p-value of 0.033 < 0.05, so it can be concluded that there are differences in the emotional mental health of female and male adolescents. The level of emotional mental health of adolescents is mostly in the normal category for both male and female students. Emotional mental health in adolescents is a phenomenon that must receive special attention from schools through Guidance and Counseling teachers and education through the School Health Unit.
Healthy Antenatal Risk-monitoring (HARMONY) Effectiveness of Volunteer Assistance Using a Booklet on Improving Risk Detection During Pregnancy Indriani, Ririn; Abiddin, Andi Hayyun; Susiloretni, Kun A; wahyuni, sri
Health Gate Vol 3, No 4 (2025): October 2025
Publisher : Dewan Pimpinan Daerah Persatuan Perawat Nasional Indonesia Kota Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70111/hg3404

Abstract

Early identification of pregnancy risk factors using the Maternal and Child Health (MCH) handbook and the Poedji Rochyati Score Card can be carried out by pregnant women or community health volunteers (cadres). Supporting cadres in identifying high-risk pregnancies facilitates timely detection and appropriate intervention. This study aimed to develop a pregnancy risk detection booklet based on the MCH handbook. A cluster randomized controlled trial with a pretest-posttest control group design was conducted in eight villages, involving 30 selected cadres recommended by local midwives based on their active participation. The intervention group received training and assistance using the developed booklet. The results demonstrated that cadres in the intervention group had significantly greater improvement in pregnancy risk detection skills compared to the control group, with a mean difference of 18.7 (95% CI: 15.2–22.2, p=0.001). In addition, cadre performance in antenatal care using the 10T approach improved by 15.7% (95% CI: 11.3–20.1, p=0.001) in the intervention group relative to the control. These findings suggest that the booklet is an effective tool for enhancing cadres’ competencies in early pregnancy risk screening and service delivery. Further development of the booklet with more engaging and culturally relevant content may enhance its utility and adoption in community health settings.

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