cover
Contact Name
Rommy David Watuseke
Contact Email
ymmordivad@gmail.com
Phone
+6281356611122
Journal Mail Official
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Editorial Address
Jurusan Keperawatan Poltekkes Kemenkes Manado Jl. R.W. Monginsidi Malalayang II Manado 95263
Location
Kota manado,
Sulawesi utara
INDONESIA
Juiperdo
ISSN : 22524843     EISSN : 26559382     DOI : -
Core Subject : Health,
Jurnal Ilmiah Perawat Manado (Juiperdo), provides a forum for publishing the novel technologies and knowledge related to the nursing area. This journal encompasses original research articles, review articles, and short communications.
Articles 248 Documents
NURSE’S EXPERIENCE IN PROVIDING NURSING SERVICES ACCORDING TO COMPETENCE IN INVENTORIES PUBLIC HEALTH IN INPOSITION OF WEST MANGGARAI DISTRICTS- FLORES Kornelia Fatima Gunsim
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 9 No 02 (2021): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v9i02.1499

Abstract

ABSTRAK Kesenjangan antara kompetensi Perawat di Puskesmas Rawat Inap dengan kompetensi yang diharapkan masih perlu dianalisis lebih lanjut. Penelitian ini bertujuan untuk mengeksplorasi pengalaman kompetensi Perawat dalam memberikan pelayanan Keperawatan di Puskesmas Rawat Inap Kabupaten Manggarai Barat dengan desain penelitian desain fenomenologi hermeneutic. Pengambilan data dilakukan selama 2 minggu pada 12 -23 April 2021. Jumlah informan yang terlibat dalam FGDs dan Wawancara semiterstruktur sejumlah 28 perawat pelaksana dan 7 kepala ruang rawat inap. Data penelitian dianalisis menggunakan teknik qualitative content analysis dan cross-case analysis dengan program software nvivo 12 plus. Empat tema yang tereksplorasi terkait kompetensi pengetahuan perawat adalah Proses Keperawatan, Komunikasi, Delegasi, dan Manajer kepala ruang. Ada perbedaan kompetensi pengetahuan dalam proses keperawatan berdasarkan jenjang Pendidikan. Ada perbedaan penilaian persepsi kompetensi pengetahuan berdasarkan posisi informan. Tiga tema yang tereksplorasi terkait kompetensi sikap perawat adalah Keselamatan Pasien, Relasi, dan Tilik Diri. Tiga tema yang tereksplorasi terkait kompetensi keterampilan perawat yaitu Mandiri, Kolaborasi, dan Mentoring. Ada perbedaan kompetensi keterampilan dalam Tindakan berdasarkan jenjang jabatan fungsional. Lima tema yang tereksplorasi terkait faktor motivasi dalam peningkatan kompetensi adalah Jenjang Jabatan, Kepuasan, Kinerja, Kepercayaan dan Pengarahan. Empat Rekomendasi yaitu perlu diadakan pelatihan berkaitan dengan Proses Keperawatan dan Keselamatan Pasien, sosialisasi SOP Penilaian Kinerja dan delegasi. Kata kunci: Kompetensi, Pengetahuan, Keterampilan, sikap dan motivasi ABSTRACT The gap between the competence of nurses in inpatient health centers and the expected competencies still needs to be analyzed further. This study aims to explore the competency experience of nurses in providing nursing Services In Inventories Public Health In Inposition Of West Manggarai Districts Regency with a hermeneutic phenomenological design research design. Data collection was carried out for 2 weeks on 12-23 April 2021. The number of informants involved in FGDs and semi-structured interviews were 28 implementing nurses and 7 heads of inpatient rooms. The research data were analyzed using qualitative content analysis techniques and cross-case analysis with the nvivo 12 plus software program. Four themes that were explored related to nursing knowledge competence were Nursing Process, Communication, Delegation, and Head of Room Manager. There are differences in knowledge competence in the nursing process based on the level of education. There is a difference in the assessment of the perception of knowledge competence based on the position of the informant. Three themes that were explored related to the competence of nurses' attitudes were Patient Safety, Relationships, and Self-Check. Three themes were explored related to the competency of nurses' skills, namely Independent, Collaboration, and Mentoring. There are differences in competency skills in Action based on functional level of position. Five themes that were explored related to motivational factors in increasing competence were Position Level, Satisfaction, Performance, Trust and Direction. Four Recommendations, namely the need for training related to the Nursing Process and Patient Safety, socialization of SOP for Performance Assessment and delegation. Keywords: Competence, Knowledge, Skills, attitude and motivation
HEAD NURSE TRANSFORMATIONAL LEADERSHIP TO COMPLIANCE AND WORK MOTIVATION NATALIA HERLIN KALIGIS
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 9 No 02 (2021): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v9i02.1501

Abstract

Background: Leadership style is a person's behavior in leading a group to achieve certain goals, which can be seen from the superior’s perceptions, subordinates or the leader himself. Transformational leadership will make subordinates feel trusted, valued, loyal and respectful to their leaders, so that subordinates will be motivated to do more than expected. The head nurse, equipped with a transformational leadership style, has a positive impact, which can increase nurse compliance and work motivation. Objective: to analyze the effectiveness of the head nurse transformational leadership style on nurses' compliance to carry out the initial assessment of inpatient care and nurses work motivation in the hospital. Methode: quasi experimental with one group pre post test design. The research was conducted in June-August 2020 in the inpatient room of the Bethesda Tomohon Hospital. Sample: 8 head nurses and 55 nurses in accordance with predetermined criteria. Three data collection tools were used: (1) Observation sheet of Nurse Compliance carrying out the Initial Inpatient Assessment, (2) Nurse Work Motivation Questionnaire and (3) Head Nurse Transformational Leadership Style Questionnaire. Results: There was a significant increase in the compliance of nurses carrying out the initial assessment of hospitalization both before training (p value 0.000) and simultaneously with confounding factors (age, length of work and education p value 0.000), and work motivation (p value 0.005) after a head nurse transformational leadership training intervention was conducted. Conclusion: This means that the transformational leadership style training for the head nurse affects the compliance of nurses in carrying out the initial assessment of hospitalization. This study recommends the need for headnurse transformational leadership style training continuously as an intervention in increasing nurse compliance.
THE EFFECT OF TRAINING ON THE ROLE AND FUNCTION OF THE HEAD OF OFFICE CARING BASED ON THE IMPLEMENTATION OF STANDARD PRECAUTIONS BY THE IMPLEMENTING NURSE Deetje Sintje Supit
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 9 No 02 (2021): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v9i02.1502

Abstract

Back ground: Standard precautions were part of infection prevention and control project, that was importent thing to implementation at hospital orother public health service, that’s forquality of service patient safety measures, medical staff and family from getting infection risk.The effective ofinfection prevention and control at hospital project describe of good quality service of the hospital as well. The role of head of office as a manager was enormous for nurse in standard precautions implementation. Aimd: This research purposeful to identify effect of role and function of head of office training towards prevention and infection control implementation: standard precautions of the implementing nurses at Hospital Tomohon. Metode: Used to Quasy Experimental pre and post test design. Total sample 78 respondents divide in to two groups: 60 respondents group of intervention, 18 respondents as group of control. Sampling used purposive sampling. Result: showed guideline of head ward (0.179) and duration of work (0.031) were given effect to standard precautions implementations. Conclusion: This research was recommendation role and function head ward worshop as a methode to increase nursing care plan for quarantee quality of patient safety over at hospital.
FACTORS AFFECTING COMPLIANCE HEMODIALYSIS PATIENTS Conny Winata Berikang
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 9 No 02 (2021): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v9i02.1503

Abstract

Background: Chronic kidney failure (Chronic Kidney Disease) is a condition of decreased function of the kidneys which is categorized as severe and occurs gradually caused by abnormalities in the kidneys. Efforts to control the patient's fluid intake is an important aspect of life in patients with end-stage chronic renal failure. Adherence to patients undergoing dialysis therapy has positive benefits for these patients, patient adherence to dialysis therapy is closely related to medication adherence, which includes patient adherence to diet, fluid restriction, and making lifestyle changes. Patients with chronic kidney failure have a decreased level of compliance in terms of fluid management. Non-adherence often occurs and is carried out either intentionally or unintentionally Objective: This study was conducted to determine the factors that can affect adherence to fluid restriction in patients undergoing hemodialysis Methods: This study using the literature review method. Analysis of research journals using PIO, for journals for 2017-2021, on Proquest data, google, pubmed. The keywords used were kidney failure, hemodialysis, fluid balance, patient compliance, fluid limitation. The research journals identified were 1,256,158, filtered again and found 23 journals that match the objectives of this study. Research results: the results of the review in this study found age, forgetfulness, self-efficacy, education, family, stress, spirituality as factors that affect patient compliance. Conclusion: three factors that influence patient non-compliance are internal factors, environmental factors, and psychosocial factors. Keywords: Compliance, Internal factors, kidney failure, hemodialysis
PERSONAL PROTECTIVE EQUIPMENT (PPE) AND NURSE ANXIETY DURING THE COVID-19 PANDEMIC Juwi Athia Rahmini
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 9 No 02 (2021): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v9i02.1538

Abstract

Latar belakang: Kecemasan dirasakan perawat adalah rasa takut yang samar-samar yang disertai oleh perasaan ketidak pastian, ketidak berdayaan, isolasi, dan ketidak amanan saat melakukan asuhan keperawatan pada masa pandemi Covid-19. Perawat dalam melaksanakan asuhan keperawatan memerlukan Alat pelindung diri sebagai penghalang terhadap penetrasi zat, partikel padat, cair, atau udara untuk melindungi diri dari cedera atau penyebaran penyakit.Tujuan: Mengetahui pengaruh penggunaan standar Alat Pelindung Diri terhadap kecemasan perawat. Metode: Penelitian ini merupakan penelitian kuantitatif dengan menggunakan design penelitian studi kausal – komparatif yaitu non-eksperimental (ex post facto). Metode sampling yang digunakan yaitu Non-probability sampling dengan pendekatan consecutive sampling dengan jumlah sampel 90 responden yang menggunakan lembar cheklist kelengkapan APD, observasi dan kuesioner Hamilton AnxietyRating Scale (HAM-A) dan data diolah dengan menggunakan uji post hoc test. Hasil: Perawat mayoritas mengalami kecemasan ringan sebanyak 27 orang (30%). Penelitian ini menunjukkan tidak ada perbedaan mean yang signifikan (p value> 0,05) yang berarti tidak terdapat pengaruh pada standar APD terhadap kecemasan perawat. Saran: Pemerintah melalui kebijakan di Rumah Sakit diharapkan melakukan intervensi dan evaluasi terhadap kecemasan perawat dan faktor yang berhubungan dengan kecemasan perawat seperti penyediaan layanan konsultasi perlu dilakukan secara efektif.
KNOWLEDGE OF ADOLESCENT GIRLS ABOUT BREAST SELF-EXAMINATION Nolla Lisa Lolowang; Welmin M.E Lumi; Amelia A. Rattoe
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 10 No 01 (2022): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v10i1.1565

Abstract

Latar Belakang: Kanker payudara adalah salah satu kanker yang paling umum terjadi pada wanita di seluruh dunia, terhitung sekitar 570.000 kematian pada tahun 2015. Perlu untuk mengetahui dan mengevaluasi pengetahuan remaja putri tentang pemeriksaan payudara sendiri sehingga dapat memberikan masukan kepada pihak yang terkait terkait penyuluhan tentang SADARI. Tujuan: Penelitian ini bertujuan memberikan gambaran pengetahuan remaja putri tentang pemeriksaan payudara sendiri (SADARI). Metode: Desain penelitian yang digunakan adalah desain deskriptif. Jumlah sampel sebanyak 101 orang. Metode sampling yang digunakan adalah total sampling. Instrumen penelitian yang digunakan adalah kuesioner pengetahuan remaja putri tentang SADARI. Hasil: Hasil penelitian menunjukkan 30 (29.4%) orang memiliki pengetahuan cukup, 71 orang (69.6%) memiliki pengetahuan baik. Kesimpulan: pengetahuan remaja putri tentang pemeriksaan payudara sendiri (SADARI) bervariasi antara baik dan cukup, sehingga perlu peran perawat dan pihak sekolah untuk bekerjasama memberikan edukasi, dukungan dan motivasi. Kata Kunci: pengatahuan, remaja putri, SADARI Introduction: Breast cancer is one of the most common cancers in women worldwide, accounting for around 570,000 deaths in 2015. It is necessary to know and evaluate the knowledge of young women about breast self-examination so that they can provide input to related parties regarding counseling about BSE. Objective: This study aims to provide an overview of the knowledge of young women about breast self-examination (BSE). Methods: The research design used is a descriptive design. The number of samples is 101 people. The sampling method used is total sampling. The research instrument used was a female adolescent knowledge questionnaire about BSE. Results: The results showed 30 (29.4%) people had sufficient knowledge, 71 people (69.6%) had good knowledge. Conclusion: knowledge of young women about breast self-examination (BSE) varies between good and sufficient, so it is necessary for nurses and schools to work together to provide education, support and motivation. Keywords: knowledge, teenage, BSE
THE EFFECT OF BIBLIOTHERAPY ON ANXIETY LEVELS IN CHILDREN AT ANNISA TANGERANG HOSPITAL Widia Sari; Siti Meilinda Cahyani; Rian Adi Pamungkas; Yayah Karyanah
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 10 No 01 (2022): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v10i1.1629

Abstract

ABSTRAK Hospitalisasi merupakan salah satu penyebab kecemasan pada anak usia sekolah. Umumnya terjadi peningkatan cemas pada anak akibat proses penyembuhan dan treatmen yang dijalani oleh anak. Salah satu yang didapat diberikan untuk mengurangi kecemasan pada anak usia sekolah adalah biblioterapi. Penelitian ini bertujuan untuk mengidentifikasi pengaruh biblioterapi terhadap tingkat kecemasan akibat hospitalisasi pada anak usia sekolah. Penelitian ini merupakan penelitian kuantitatif dengan desain penelitian pre eksperimen one group pre-test and post-test design. Sampel dalam penelitian ini adalah 39 responden. Hasil penelitian ini menunjukkan tingkat kecemasan sebelum dan sesudah diberikan intervensi biblioterapi dimana mean tingkat kecemasan sebelum adalah 3.95 dan setelah diberikan intervensi menjadi 1.28. Hasil uji statistic dengan paired sample t test didapat nilai p = 0,000 dengan CI 95% yang artinya ada pengaruh biblioterapi terhadap tingkat kecemasan anak di RS Annisa Tangerang. Oleh karena itu, pemberian biblioterapi direkomendasikan untuk diberikan pada anak usia sekolah yang sedang menjalani hospitalisasi. Kata kunci: Biblioterapi, kecemasan, hospitalisasi, anak usia sekolah Abstract Hospitalization can cause anxiety in school-age children. Children become increasingly anxious and this affects the healing process. For children who are hospitalized, to eliminate anxiety can be done using books as a therapeutic medium which is also called bibliotherapy. The research aims to identify the effect of bibliotherapy on anxiety levels of the effect of hospitalization on school-age children. This research is a quantitative study with a research design using the Pre-Experiment method and the research design used is a one group pre-test and post-test design with a sample of 39 respondents. The results showed the level of anxiety pre-test and post-test conducted biblioterapim intervention can be known that (mean) average level of anxiety before (pre-test) given bibliotherapy intervention of 3.95 (mean) average level of anxiety after (post -test) given biblioterpi intervention of 1.28. Hypothesis test results Paired Simple T-Test at a significance level of 95% (α = 0.05 indicates that the value of p value= 0,000) p value <α, ie 0,000 <0.05 means that Ho is rejected and Hₐ is accepted which indicates that there is an influence bibliotherapy on the anxiety level of the effect of hospitalization on school-age children in Tangerang an-nisa hospital in 2019. Suggestions are expected for hospitals to implement bibliotherapy interventions for children undergoing hospitalization. Keywords: Bibliotherapy, anxiety, hospitalization, school age children
PROFILE OF TOTAL CHOLESTEROL LEVELS IN THE ELDERLY WHO UNDERGO ERGONOMIC EXERCISES IN GORONTALO CITY Fakhriatul Falah; Fatmawati Mohammad; Yugita Achmad
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 10 No 01 (2022): JULI
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v10i1.1677

Abstract

Latar Belakang Masalah : Kolesterol banyak diderita oleh para lansia karena faktor usia yang semakin lama tubuh akan semakin malas untuk beraktivitas, sehingga kolesterol didalam tubuh akan menumpuk dihati, oleh sebab itu dibutuhkan gerak yang seimbang antara pola makan dan olahraga agar para lansia terhindar dari kolesterol berlebih. Tujuan : Mengetahui profil kadar kolesterol lansia setelah diberikan terapi senam ergonomik. Metode : Desain penelitian ini kualitatif deskriptif dengan pendekatan studi kasus untuk menggambarkan profil kolesterol total pada lansia yang menjalani senam ergonomik. Dalam studi kasus ini peneliti melakukan pemeriksaan kolesterol sebelum melakukan senam ergonomik pada hari pertama dan sesudah melakukan senam ergonomik pada hari kelima. Penerapan senam ergonomik ini dilakukan selama 3 kali dalam seminggu. Hasil : Terdapat penurunan kadar kolesterol pada informan sebelum dan sesudah dilakukan senam ergonomik selama 3 kali dalam seminggu dengan rata-rata penurunan dari 3-10 mg/dl. Kesimpulan: Senam ergonomik dapat menurunkan kadar kolesterol sehingga dapat digunakan sebagai latihan fisik alternatif bagi lansia
IMPROVING PATIENT CENTERED CARE THROUGH IMPLEMENTATION EVIDENCE BASED NURSING: A SYSTEMATIC REVIEW Salni Saharman; Rita Dewi Sunarno
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 10 No 2 (2022): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v10i2.1756

Abstract

ABSTRAK Latar Belakang: Evidence- Based Practice digunakan oleh perawat sebagai pemberi pelayanan asuhan keperawatan yang baik karena pengambilan keputusan klinis berdasarkan pembuktian. Patient centered care merupakan suatu pendekatan inovatif terhadap perencanaan, pemberian, dan evaluasi atas pelayanan kesehatan yang didasarkan pada kemitraan yang saling menguntungkan antara pemberi layanan kesehatan, pasien dan keluarga. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana cara meningkatkan pelayanan patient centered care melalui penerapan Evidence Based Practice. Metode penelitian ini menggunakan sistematika review yaitu penelitian kepustakaan yang mengkaji jurnal kesehatan yang berkualitas secara kritis, yang telah disaring dengan kriteria inklusi dan menggunakan beberapa database Google Scholar,Pubmed, Science Direct dan Research Gate sebagai literasi dalam penelitian ini. Ada 250 jurnal sesuai kata kunci yang disaring menjadi 7 jurnal sesuai tema dan dianalisis yang mengkaji tentang peningkatan pelayanan patient centerd care dengan penerapan Evidence Based Practice. Hasil penelitian menunjukkan bahwa penerapan Evidence Bases Practice berpotensi meningkatkan pelayanan patient centered care. Kesimpulan: Evidence Based Practice dapat diterapkan dengan baik sehingga berpotensi meningkatkan pelayanan keperawatan patient centered care, dan dapat memberikan dukungan pada kelembagaan formal dan informal terkait dengan PCC dan EBP; serta memupuk pendekatan multidisiplin dan multiarah untuk perawatan dan komunikasi yang memfasilitasi penerapan EBP dan PCC. Kata kunci: Patient Centered Care; Evidence Based Practice;, Keperawatan, IMPROVING PATIENT CENTERED CARE SERVICES THROUGH THE IMPLEMENTATION OF EVIDENCE BASED NURSING: SYSTEMATIC REVIEW ABSTRACT Background: Evidence-Based Practice is used by nurses as providers of good nursing care because clinical decision making is based on evidence. Patient centered care is an innovative approach to the planning, delivery, and evaluation of health services based on mutually beneficial partnerships between health care providers, patients and families. The purpose of this study was to find out how to improve patient centered care services through the application of Evidence Based Practice. This research method uses a systematic review, namely literature research that examines quality health journals critically, which has been filtered with inclusion criteria and uses several databases of Google Scholar, Pubmed, Science Direct and Research Gate as literacy in this study. There are 250 journals according to keywords which are filtered into 7 journals according to themes and analyzed which examine the improvement of patient-centered care services with the application of Evidence Based Practice. The results of the study indicate that the application of Evidence Bases Practice has the potential to improve patient centered care services. Conclusion: Evidence Based Practice can be implemented properly so that it has the potential to improve patient centered care nursing services, and can provide support to formal and informal institutions related to PCC and EBP; and fostering a multidisciplinary and multidirectional approach to care and communication that facilitates the implementation of EBP and PCC. Keywords: Patient Centered Care; Evidence Based Practice; Nursing
THE ROLE OF HEALTH COUNSELING IN INCREASING STUDENTS' KNOWLEDGE ABOUT THE IMPACT OF GADGET USE Moudy Lombogia; Yanni Karundeng; Rubie Christine Lapian; Yourisna Pasambo
Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 10 No 2 (2022): DESEMBER
Publisher : POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47718/jpd.v10i2.1779

Abstract

Background: More than 100 million people in Indonesia use gadgets, both adults, teenagers, and children. In addition to the positive impact, gadgets also have many negative impacts. For teenagers, excessive use of gadgets can cause them to become forgetful of time, lazy, cyber bullying, insomnia, nomophobia, as well as tend to make teenagers become individualistic. The purpose of this study is to determine the influence of health counseling about the impact of gadget use on the knowledge of students of SMP Negeri 8 Manado. Method: The type of research is preexperimental with the form of One Group Pretest Posttest Design to compare knowledge before and after being given health counseling about the impact of using gadgets. The research population is all students of SMP Negeri 8 Manado. The sampling technique uses purposive sampling with a total sample of 46 respondents. The data analysis used is univariate analysis and bivariate analysis using the Wilcoxon Signed Rank Test. Result: The Wilcoxon test showed p-value = 0.000 (≤ 0.05). There are differences in adolescents' knowledge before and after being given counseling about the impact of using gadgets. Conclusion : Health counseling about the impact of using gadgets increases students' knowledge at SMP Negeri 8 Manado. The advice for students at SMP Negeri 8 Manado is that they are expected to be able to use gadgets more wisely so that the negative impact of gadgets can be avoided.

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