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<![CDATA[MASSAGE COUNTER PRESSURE AND MASSAGE EFFLEURAGE EFFECTIVELY REDUCE LABOR PAIN ]]>
<![CDATA[Matilda Paseno]]>;
<![CDATA[Rosmina Situngkir]]>;
<![CDATA[Heny Pongantung]]>;
<![CDATA[Febriana Wulandari]]>;
<![CDATA[Desi Astria]]>
<![CDATA[ Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 1 (2019): JULI ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO ]]>
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DOI: 10.47718/jpd.v7i1.797
<![CDATA[Background: Untreated pain can cause death in both mother and baby because pain can cause breathing and the mother's heart rate to increase which causes blood flow and oxygen to the placenta to be disrupted. Counterpressure massage which is a strong pressure massage by putting the heel of the hand or a flat part of the hand, or also using a tennis ball. Aims: of this study was to determine the differences in the effectiveness of counterpressure massage with massage effleurage against first stage labor pain in the Special Hospital of the Mother and Child Pertiwi Makassar area. Method: This study uses a Quasi Experiment research method with a pre-test post-test control design approach. The sample selection is done by consecutive sampling technique, the number of samples is 20 respondents (10 respondents for counterpressure massage and 10 respondents for massage effleurage). Data were processed using the Mann-Whitney test. Results: From the data analysis, the results obtained p-value = 0.009. Discussion: This shows that the value of p <α, then the null hypothesis (Ho) is rejected and the alternative hypothesis (Ha) is accepted. Conclusion: counterpressure massage is more effective than massage effleurage to reduce labor pain in the first stage.]]>
<![CDATA[KNOWLEDGE OF A FAMILY AFTER EDUCATION IN HOSPITAL PRE HOSPITAL STROKE EDUCATION HANDLING AT PANCARAN HOSPITAL OF MANADO ]]>
<![CDATA[Isworo Isworo]]>;
<![CDATA[Marjes Tumurang]]>;
<![CDATA[Dorce sarimin]]>;
<![CDATA[Dwita Marasi]]>;
<![CDATA[Rolly Rondonuwu]]>
<![CDATA[ Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 1 (2019): JULI ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO ]]>
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DOI: 10.47718/jpd.v7i1.798
<![CDATA[Background: The lifestyle of Indonesian people that shifts towards an instant and fast food lifestyle affects the health of everyone, coupled with factors such as lack of physical activity, fast food consumption and the impact of stress, which can trigger factors stroke that can lead to death. Aims: This study is to determine the effect of health education on the handling of pre-hospital stroke emergencies on family knowledge. Method: This research is a pre-experimental design using a one-group pre-test-post-test design. The population in this study amounted to 120 family members and 30 samples were determined using the purposive sampling method. Respondents were given treatment in the form of health education about the handling of pre-hospital stroke emergencies. The measured variable is family knowledge before and after treatment and measured using a questionnaire that has been tested for the validity and reliability of the instrument, by processing data using editing, coding, processing, and cleaning techniques. Data analysis is presented in tabular form and tested with the Wilcoxon Signed Rank Test. Results: The Wilcoxon Signed Rank Test statistical test showed family knowledge before and after treatment with pValue = 0,000 (α = 0.05). Conclusion: health education has a significant effect on family knowledge about the handling of pre-hospital stroke emergencies. Suggestions from this research, health workers can provide health promotion in the form of providing health education or ongoing training in order to add insight to families about emergency care.]]>
<![CDATA[THE IMPORTANCE OF HEALTH EDUCATION OF IVA EXAMINATION (VISUAL ACETIC ACETIC INSPECTION) IN IMPROVING MOTHER KNOWLEDGE DETECTING EARLY CANCER SERVICES IN THE PUSKESMAS TUMINTING ]]>
<![CDATA[Cheryn Alfa]]>;
<![CDATA[Esther N Tamunu]]>;
<![CDATA[Moudy Lombogia]]>
<![CDATA[ Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 1 (2019): JULI ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO ]]>
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DOI: 10.47718/jpd.v7i1.801
<![CDATA[Background: Symptoms of cervical cancer are often not realized by women so that 70% of cases that occur are found in an advanced stage. This illustrates the still low active participation of women in screening or early detection of cervical cancer (Riksani, 2016). Aims: This study aims to determine the effect of health education on maternal knowledge about VIA examination (Visual Inspection of Acetic Acid) as early detection of cervical cancer in the working area of Tuminting Health Center. Methods: This research method uses a One-Group pre-post test Design to 36 respondents were included in the inclusion criteria by accidental sampling. The measuring instrument used was a questionnaire. Data analysis using the Wilcoxon Signed Rank Test with a significance level (α) 0.05. Result: The results of this study were obtained from a statistical test of p = 0,000, meaning that the p-value ≤0.05. Conclusion: It was concluded that Ha was accepted, meaning that there was an influence of health education on maternal knowledge about the importance of VIA examination (Visual Inspection of Acetic Acid) as an effort to detect early cervical cancer in the working area of Tuminting Puskesmas. Suggestions for further researchers to conduct a similar study with different research methods such as quasi-experiments with group control.]]>
<![CDATA[IMPACT OF PATIENT SATISFACTION IN THERAPEUTIC COMMUNICATION ASPECTS AFTER IMPLEMENTATION OF CLINIC SUPERVISION BY NURSE MANAGER ]]>
<![CDATA[Grace Aneke Merentek]]>;
<![CDATA[Asnet Leo Bunga]]>;
<![CDATA[Wilhemus Hary Susilo]]>
<![CDATA[ Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 1 (2019): JULI ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO ]]>
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DOI: 10.47718/jpd.v7i1.802
<![CDATA[Background: Nursing is an activity of providing care to individuals, families, groups or communities both sick and healthy as a form of professional service where the nursing practice is a service organized by nurses in the form of nursing care. One of the tasks of the nursing manager is to coordinate through supervision/supervision. Aims: This study aims to analyze, explore the effect of training and implementation of clinical supervision on nurse-patient therapeutic communication. Methods: This study used quasi-experimental design research before and after post control group. The number of samples in this study was 100 respondent nurses and patients who were divided into 75 intervention groups who were given training and implementation of supervision and control groups of 25 respondents. Results: The study showed that the improvement in the supervision capability of the headroom clinics increased significantly (p = 0,000) after training and implementation of clinical supervision. Patient satisfaction with therapeutic communication has increased with a value (p = 0,000). Conclusion: Implementation of clinical supervision contributed to patient satisfaction and therapeutic communication of patient nurses by 17.6%, while 82.4% was influenced by other variables (quality of service, hospital products). This study further recommends the implementation of clinical supervision to be one of the models in developing the quality of nursing services.]]>
<![CDATA[EFFECTIVE PSYCHEDUCATION TO REDUCE ANXIETY AND INCREASE COMPLIANCE OF LIQUID DIETS IN CHRONIC KIDNEY DISEASE PATIENTS DURING HEMODIALYSIS ]]>
<![CDATA[Meylani Dewi Wowor]]>;
<![CDATA[Ni Luh Widani]]>;
<![CDATA[Emiliana Tjitra]]>
<![CDATA[ Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 1 (2019): JULI ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO ]]>
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DOI: 10.47718/jpd.v7i1.803
<![CDATA[Background: Chronic kidney failure (chronic renal failure) is a chronic disease that causes disruption of kidney function, so it requires kidney replacement therapy with long-term hemodialysis that must comply with fluid diets and can cause anxiety. Aims: Research to assess the effect of nursing psychoeducation on reducing anxiety levels and adherence to fluid diets in chronic renal failure patients with hemodialysis. Methods: The study was conducted in April-July 2018 in three private hospitals in Tomohon and Manado. This research is a quantitative study with a quasi-experimental pre-post test design with a control group of 112 respondents (82 in the intervention group and 30 in the control). Psychoeducation interventions are given according to the education module for 4 weeks, 2 times a week for a total of 8 meetings. Anxiety was assessed using the Beck Anxiety Inventory (BAI) questionnaire and adherence was assessed by the End Stage Renal Disease-Adherence Questionnaire (ESRD-AQ) before and after the study and weight observations at each visit. Results: Wilcoxon test results showed significant differences in anxiety levels (p <0.005) and fluid diet compliance (p <0.005) before and after the intervention. Mann Whitney test results showed no significant difference in decreasing anxiety level (p = 0.456) and increasing levels of fluid diet compliance (p = 0.495) between the intervention and control groups. The results of the ordinal logistic regression test, psychoeducation reduced anxiety levels by an OR of 6.5 times compared to the control group. The results of the binary logistic regression test, psychoeducation increased the level of adherence to the liquid diet with an OR value of 2.4 times compared to the control group. Conclusion: Psychoeducation can help reduce the level of anxiety and adherence to the fluid diet of patients with chronic renal failure with hemodialysis.]]>
<![CDATA[IMPLEMENTATION OF THE ORGANIZING FUNCTION AND SUPERVISION BY THE HEAD OF THE ROOM AT THE MOTHER AND CHILDREN'S HOSPITAL LOVE OF THE CIPUTAT STUDY PHENOMENOLOGY ]]>
<![CDATA[Maria Delviana Nurdiani]]>;
<![CDATA[Blacius Dedi]]>;
<![CDATA[Wilhemus Hary Susilo]]>
<![CDATA[ Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 2 (2019): DESEMBER ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO ]]>
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DOI: 10.47718/jpd.v7i2.804
<![CDATA[Background: The implementation of the organizing and supervision function by the Head of the room in several medical wards has not been optimal yet. The head of the room claimed that 90% of staff have never been given nursing care audits and 80% of staff have never been given nursing supervision. There are 90% nurses and midwives who do not know the structure and organization of nursing, 60% nurses and midwives do not know their job description and responsibility, and 62,5% of nurses and midwives do not know about nursing care methods which are applied in providing services (Residency Results 2018). Aims: This study to know-how experience of the head nurse to implementation organizing and supervision function. Methods: The method of research is qualitative which is used descriptive phenomenology design and the data analysis method is using phenomenological Colaizzi (Polit and Beck, 2012). Result : The research was supported by 6 participants, there are 9 main parts: providing guidance to nursing staff, making priority schedules for operations implementation, resolving existing problems with situational and flexible management, self-evaluation and jointly finding solutions in organizing staff, ability to carry out the duties as ahead of the room, cooperation with nursing managers in order to improve service,. SPO used in the room can facilitate the head of space and staff in carrying out actions. Conclusion: there is a new job desk socialization time, HR Requests that have not been fulfilled yet.]]>
<![CDATA[IMPACT OF CLINICAL NURSING COMPETENCIES DOCUMENTING NURSING CARE AFTER THE MANAGER'S CLINICAL SUPERVISION TRAINING ]]>
<![CDATA[Chaterine Diana Pusung]]>;
<![CDATA[Emiliana Taringan]]>;
<![CDATA[Wilhemus Hary Susilo]]>
<![CDATA[ Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 2 (2019): DESEMBER ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO ]]>
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DOI: 10.47718/jpd.v7i2.805
<![CDATA[Background. Supervision is an activity of assisting, guidance, teaching, supporting someone in completing their work under policies and procedures, how to develop new skills and a broader understanding of their work so they can do it better. Aims: This study aims to determine the effect of supervising head clinic training on the competence of implementing nurses in documenting nursing care at Hospital X North Sulawesi. Methods: involving 178 respondents divided by 134 respondents in the intervention group and 44 respondents in the control group by purposive sampling technique. Result: The results of the structural model match test showed that there was a significant influence of head nurse clinic supervision training on the level of headroom clinic supervision ability significantly with a value of t = 49.12; there is a significant influence of the ability of head nurse clinical supervision to the interpersonal headroom relationship significantly with t value = 2.75; there is an influence of the level of education and length of work on the competence of implementing nurses in documenting nursing care significantly with a value of t => 2; Simultaneously there was the contribution of the head nurse clinic supervision training, the level of headroom clinical supervision ability to the interpersonal relationship of the room head with a value of R2 = 16%; Simultaneously there are contributions of the chief room clinical supervision training, the level of head nurse clinical supervision ability, the interpersonal relationship of the head nurse with the implementing nurse, age, education level, length of work to nurse competence in documenting nursing care values with R2 = 61%. Conclusion: The nursing care documentation program through IT is one of the techniques to improve the quality of nursing care services.]]>
<![CDATA[THE IMPACT OF LASALLIAN HEALTH EDUCATION ON IMPROVING WOMEN BEHAVIOR WITH HIGH CHOLESTEROL LEVELS ]]>
<![CDATA[Isaura Isabela Lontaan]]>;
<![CDATA[Annastasia S. Lamonge]]>;
<![CDATA[Indriani Yauri]]>
<![CDATA[ Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 2 (2019): DESEMBER ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO ]]>
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DOI: 10.47718/jpd.v7i2.807
<![CDATA[Background: High cholesterol is one of the causes of coronary heart disease and stroke. Diet and activity patterns are the two main factors that can lead to high cholesterol levels in the blood. Therefore, it needs good knowledge, skills, and motivation that is strong enough, to be able to effectively prevent high cholesterol occurrence. The purpose of this study is to identify the effectiveness of Lasallian health education on improving women's behavior with high cholesterol levels in the village Poigar II South Minahasa regency. Methods. The research design is a Quasi Experiment using Pre Test Post Test Design with Control Group. The numbers of participants were 32 people with a purposive sampling technique of sampling. Data were collected by questionnaires and analyzed using the Wilcoxon test and Mann Whitney tests. Results. Research shows the effect of Lasallian health education on improving women's behavior with high cholesterol levels with significant values p-Value = 0.001 (p-value < α 0.05). Discussion: This method can help respondents to open up and share experiences so that sharing can be a motivation for each respondent in terms of changing behavior for the better. If there is a good experience that was told by the respondent that can be done, it can be taken and if the experience about the bad behavior can be issued. Conclusion: It can be concluded that there is an effect of Lasallian health education on the improvement of women 's behavior. So that the advice given in this study is so this can be useful for the society, especially women patients to be able to acquire the knowledge, skills, and motivation.]]>
<![CDATA[THE IMPACT OF LEADERSHIP TRAINING THAT SERVES BY NURSING MANAGERS TOWARDS WORK MOTIVATION AND CLINICAL CARE PERFORMANCE ]]>
<![CDATA[Junytha Ranny Rondonuwu]]>;
<![CDATA[Asnet Leo Bunga]]>;
<![CDATA[Wilhemus Hary Susilo]]>
<![CDATA[ Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 2 (2019): DESEMBER ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO ]]>
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DOI: 10.47718/jpd.v7i2.810
<![CDATA[Background: Servant Leadership is more focused on solving problems experienced by implementing nurses. The head of the room must have empathy to help them in a better direction. Aims: a study to analyze the effect of leadership training that serves the head of space on work motivation and performance of implementing nurses at GMIM General Hospital Bethesda Tomohon. Method: a quasi-experimental none equivalent pre-post test with Structural Equation Model (SEM) analysis. The number of respondents was 149 implementing nurses, in the inpatient room. Results: Research in the intervention group showed that there was an influence on the ability of the headroom, performance, and motivation of implementing nurses before and after training (p-value = 0.000). There is an influence of the level of the ability of the head of the room, work motivation, the performance of implementing nurses (p-value = 0.000) in the intervention and control groups. Structural Model test results of leadership abilities that serve significantly to the work motivation of implementing nurses with a value of t = 8.19. The effect of the level of ability of the head of space using leadership that serves significantly to the performance of implementing nurses (t = 8.13). Gender (t = 3.73), education (t = 2.81) were significant on the performance of the implementing nurses. There was a simultaneous contribution (R239%) between headroom training, age, sex, length of work on motivation and performance of implementing nurses. Conclusion: The implementation of leadership training that serves the head of the room can increase the level of knowledge of the head of the room in motivating the work and performance of implementing nurses in GMIM General Hospital Bethesda Tomohon. Suggestion: Further research on the effect of leadership training that serves long space heads and a large sample to assess behavioral changes in room heads and implementing nurses]]>
<![CDATA[CHANGES IN STRESS LEVELS IN PATIENTS FOR AGE HYPERTENSION AFTER GETTING MUSIC THERAPY ]]>
<![CDATA[Verronica R. Daromes]]>;
<![CDATA[Maria Terok]]>;
<![CDATA[Femmy Lumi]]>
<![CDATA[ Jurnal Ilmiah Perawat Manado (Juiperdo) Vol 7 No 2 (2019): DESEMBER ]]>
Publisher : <![CDATA[POLITEKNIK KESEHATAN KEMENTERIAN KESEHATAN MANADO ]]>
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DOI: 10.47718/jpd.v7i2.811
<![CDATA[Background: Stress is the response of the body and mind to everything that disturbs a person's balance. Stress can also be experienced by anyone without knowing the age limit and has a long-term effect, it also results in to increase in disease conditions one of which is hypertension in every stage of human life, especially in the elderly (Elderly). One of non-pharmacological method that can reduce blood pressure is by providing music therapy. Aims: This study to determine music therapy for changes in stress levels in elderly hypertensive patients. The design of this study is analytic operational using the cross-sectional approach. Methods: was analytic correlation using a cross-sectional approach. The population in this study amounted to 214 people. A sample of 21 respondents was obtained using a purposive sampling technique, and data were collected using the DASS (Depression Anxiety Stress Scale) questionnaire and a blood pressure measurement tool for sphygmomanometers. Result: Chi-Square analysis with an alternative test is the Exact Test using SPSS. The results of the study stress levels in elderly hypertensive patients are in the mild category that is 81%. This shows that there is a significant relationship between stress levels and hypertension in elderly hypertension patients with significance level α = 0.05 or 95% value ρ = 0.012 <α = 0.05. Conclusion: The conclusion is the relationship of music therapy to changes in stress levels in elderly hypertensive patients in the working area of the Tateli Health Center in Mandolang District. Suggestions for future researchers This study can be used as a reference to increase knowledge in carrying out nursing care in hypertensive patients, especially it is recommended that you use an audiometry device in order to know the level of hearing.]]>
