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COPING (Community of Publishing in Nursing)
Published by Universitas Udayana
ISSN : 23031298     EISSN : 27151980     DOI : -
Core Subject : Health, Education,
Education Health Professions Nursing Public Health
COPING (Community of Publishing in Nursing) adalah E-Jurnal Keperawatan yang diterbitkan oleh Program Studi Ilmu Keperawatan, Fakultas Kedokteran Universitas Udayana. E-Jurnal keperawatan ini akan menjadi salah satu wahana pengembangan Evidence Based Nursing dalam pengembangan dan update ilmu-ilmu keperawatan dan meningkatkan kualitas asuhan keperawatan pada pasien. Jurnal ini terbit tiga kali setahun dan menerima artikel atau publikasi penelitian-penelitian di bidang keperawatan dari berbagai kalangan yang belum pernah diterbitkan. Naskah dapat ditulis dalam Bahasa Indonesia yang baik dan benar atau Bahasa Inggris. Tim Redaksi akan melakukan analisis dan memilih naskah publikasi atau artikel yang akan diterbitkan setelah mendapat hasil evaluasi dari Tim Penyunting. Tim Redaksi berhak menolak, menerima atau meminta penulis melakukan revisi pada naskah yang dikirim
Arjuna Subject : Keperawatan - Community and Home Care
Articles 611 Documents
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HUBUNGAN HEALTH LOCUS OF CONTROL DENGAN KEPATUHAN PENATALAKSANAAN DIET DM TIPE 2 DI PAGUYUBAN DM PUSKESMAS III DENPASAR UTARA Ida Ayu Putu Surya Adnyani; Desak Made Widyanthari; Kadek Saputra
Coping: Community of Publishing in Nursing Vol 3 No 3 (2015): JURNAL EDISI SEPTEMBER-DESEMBER 2015
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Diabetes Mellitus (DM) is a heterogenic abnormality group that indicated by the increase of glucose in the blood or hyperglycemia. Hyperglycemia occurs as a result of the decline of body’s ability to respond the insulin and the decrease or failure of pancreas producing insulin. Hyperglycemia affects on the increase of blood fat level and the damage of small blood vessels in long terms will cause diabetic neuropathy and abnormality of internal vital organs including heart, kidneys, brain, alimentary canal, the five senses, etc.  Compliance of dietary management is one of the important intervention in managing diabetes mellitus type 2 and health locus of control is one of the factors that may influence such obedience. This research is aimed at eliciting the relationship between health locus of control and compliance management of diabetes mellitus type 2 dietary. This research  was  non-experimental correlational with cross-sectional design. The sample was member of the society in Puskesmas III Denpasar Utara 32 respondent with purposive sampling tehnique. Fisher test used is the p value <?, ? = 0.05. The result from this research showed that there was a significant relationship between health locus of control with compliance dietary management of diabetes mellitus type 2 with p value 0,002 (<0,05). Based on the above finding, this research is expected to be served as a reference for nurses that it is very essential to observe patient health locus of control and change patient’s control in applying diabetes mellitus type 2 dietary. The conclusion of this research is that health locus of control relates with the compliance of diabetes mellitus type 2 dietary management.
Correlation Between The Parenting Pattern with Confidence In Children Preschool (3-5 years) in TK IV Saraswati Denpasar 2012. Ni Made Ayu Puspita S
Coping: Community of Publishing in Nursing Vol 1 No 2 (2013): JURNAL EDISI JULI-DESEMBER 2013
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Early childhood (preschool) is a golden age for child's development. During the preschool, children learn to become more independent, and children must have confidence to become more independent. Based on an early survey result which is done at  TK Saraswati IV Denpasar, has got 25% of children have less confidence. Parenting patterns for educating children were important for shaping some of the basic attitude that will determine the development of the child's self confidence in the future. This research aims to determine the correlation of parenting parents with confidence in preschool children (3-5 years). This study using Descriptive Correlational method with Cross Sectional approach. Sample consisted of 55 preschool children (3-5 years) in group A TK IV Saraswati and taken by using a total sampling technique. The data was collected by answer the questionnaire. The results showed that most parents with good parenting (democratic) have children with high confidence that 17 people (50%), whereas parents with more authoritarian parenting had a child with average confidence is that 5 people (45.5%), and parents with more permissive parenting had a child with low confidence that 5 people (50%). Based on the correlation test results of coefficient contingency, it was found that p value is 0.004 (p <0.05) which means that Ha is accepted, it means there is a significant correlation between parenting parents with confidence in preschool children (3-5 years). It is suggested to parents to better provide a more democratic parenting by continually to build self-confidence of children. Caregivers of children should give an education to the parents for implement democratic parenting.
EFEKTIFITAS PEMBIDAIAN BACK SLAB CAST DAN SPALK TERHADAP PENURUNAN INTENSITAS NYERI PADA PASIEN FRAKTUR EKSTREMITAS BAWAH Gusti Putu Alik Wirawan; Abdul Azis; I Made Surata Witarsa
Coping: Community of Publishing in Nursing Vol 5 No 3 (2017): Desember 2017
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Nyeri adalah pengalaman sensori dan emosional yang tidak menyenangkan akibat dari kerusakan jaringan yang aktual maupun potensial. Nyeri yang disebabkan oleh trauma khususnya fraktur ekstremitas bawah masih menjadi masalah besar dengan angka kejadian sebanyak 58,9%. Saat ini ditangani dengan pembidaian spalk dan analgetika yang dirasakan masih belum optimal sehingga diperlukan alternatif pembidaian lain. Penelitian ini bertujuan untuk mengetahui efektifitas pembidaian back slab cast dan spalk terhadap penurunan intensitas nyeri pada pasien fraktur ekstremitas bawah di Triage IGD RSUP Sanglah. Metode penelitian yang digunakan adalah pre eksperimen dengan pendekatan pre dan post test group design. Penelitian ini dilaksanakan dari bulan Januari sampai Februari 2015 dengan sampel sebanyak 20 orang yaitu 10 orang dengan pembidaian back slab cast dan 10 orang dengan pembidaian spalk. Teknik pengumpulan data dalam penelitian ini melalui pengukuran skala nyeri. Hasil penelitian menunjukkan adanya perbedaan yang signifikan intensitas nyeri antara pembidaian back slab cast dan spalk dengan p- value 0,022 dengan tingkat kepercayaan 95% (?=0,05). Hal ini menunjukkan bahwa pembidaian back slab cast lebih efektif menurunkan intensitas nyeri dibandingkan dengan pembidaian spalk. Dengan demikian, back slab cast dapat dijadikan pilihan utama dalam penatalaksanaan nyeri pada pasien fraktur ekstremitas bawah. Kata kunci: nyeri, fraktur ekstremitas bawah, back slab cast dan spalk. ABSTRACT Pain is a sensory and emotional experience unpleasant consequences of damage to actual or potential tissue. Pain is caused by trauma, especially fractures of the lower limb is still a big issue, the incidence is 58.9%. Currently treated with simple splinting and analgesics but simple splinting is not optimal so alternative other splinting necessary. This study aims to determine the effectiveness of back slab cast and simple splinting to decrease pain intensity in patients with lower limb fractures in emergency department of Sanglah Hospital. This study used is pre experiment with pre and post test two group design. The research was conducted from January to February 2015 with 20 samples, that are 10 people with a back slab cast and 10 people with simple splinting. Data collection techniques in this study by measuring the pain scale. The results showed that significant differences in pain intensity between back slab cast and simple splinting with p-value 0.022 of 95% confidence level (? = 0.05). This indicates that back slab cast more effectively reduce pain intensity compared with simple splinting. The back slab cast can be used as the main option in the management of pain in patients with lower limb fractures. Keywords: pain, lower limb fractures, back slab cast and splinting
PENGARUH TERAPI BERMAIN TERHADAP KECEMASAN ANAK YANG MENJALANI KEMOTERAPI Eka Wahyu Ningsih
Coping: Community of Publishing in Nursing Vol 3 No 1 (2015): JURNAL EDISI JANUARI-APRIL 2015
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Cancer is one of the biggest killer diseases in the world. Cancer not only affects adults but children can also be at risk for cancer. Latest cancer treatment for children includes a combination of chemotherapy, radiation and sometimes surgery. Such actions require a very long time and often cause discomfort, side effects and lead to psychological problems. Children who undergo chemotherapy also showed psychological problems such as anxiety and psychosocial distress. One of the ways to minimize anxiety is to be given a child play therapy. Play therapy is a natural way to express the self conflict that not realized by the child himself and the best way to deal with anger, fear and grief. The purpose of this study was to determine the effect of play therapy on anxiety among children undergoing chemotherapy in Pudak Ward of General Public Hospital Sanglah Denpasar. This research is a pre-experimental research design with one group pre-test and post-test design. Sample consisted of 20 pediatric cancer patients were selected by purposive sampling, administered questionnaires to measure anxiety RCMAS anxiety then given play therapy. Based on the paired t-test results, obtained significant value (p) = 0.000 which is smaller than ? = 0.05 (5%). It can be concluded that there is effect of play therapy on children’s anxiety who undergo chemotherapy in Pudak Ward of General Public Hospital Sanglah Denpasar.
The relationship between the Length of Injections Contraception Progestin (Depoprovera) with blood pressure in the acceptor of family planning in health center II South Denpasar 2012 DAEP Ardarsini
Coping: Community of Publishing in Nursing Vol 1 No 1 (2013): JURNAL EDISI JANUARI-JUNI 2013
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Contraceptive services as part of the family planning program is needed to make efforts to improve the quality of life for residents. Contraception most widely used type of progestin injections of the contraceptive injection (depoprovera). One disadvantage of the use of contraception is a change in serum lipids on long-term use, which obtained a decrease in levels of High Density Lipoprotein-cholesterol (HDL-cholesterol) that may increase the risk of increased blood pressure. This study aims to determine the relationship between duration of use of contraceptive progestin injections (depoprovera) with blood pressure in family planning acceptors. This study is a descriptive study of correlation with cross-sectional approach is performed on the 60 respondents were selected by purposive sampling. Methods of data collection is done with interviews and observations by means of a sheet of interviews as well as blood pressure gauges. The result of from this research at most responder use the contraceptive injection for 12-24 months, with as many as 28 people or 46.7% classified as pre-hypertension, the remaining 32 people or 53.3% had normal blood pressure. Based on the analysis results using Spearmen Rank correlation test (p <0.05), obtained the value p = 0.018, meaning there is a significant relationship between duration of use of contraceptive progestin injections (depoprovera) with blood pressure in family planning acceptors in health center II South Denpasar. From these results expected in the use of contraceptive progestin injections (depoprovera) are all concerned about the long-time usage and side effects, especially on blood pressure.
EFEKTIFITAS SENAM KAKI DALAM MENINGKATKAN SIRKULASI TUNGKAI PADA PENDERITA DIABETES MELITUS Wahyu Widodo; Ahmad Muzaky
Coping: Community of Publishing in Nursing Vol 5 No 2 (2017): Agustus 2017
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Data Internatonal Diabetes Federation (IDF) tingkat prevalensi global penderita DM pada tahun 2014 sebesar 8,4 % dari populasi penduduk dunia dan diperkirakan pada tahun 2035 jumlah insiden DM akan mengalami peningkatan menjadi 55% (592 juta). Senam kaki adalah kegiatan atau latihan yang dilakukan oleh pasien diabetes melitus untuk mencegah terjadinya luka dan membantu melancarkan peredaran darah bagian kaki. Tujuan penelitian ini untuk mengetahui adakah pengaruh pendidikan kesehatan terhadap peningkatan pengetahuan dan sikap penderita diabetes mellitus tentang pencegahan luka kaki diabetik. Metode penelitian dilakukan quasi eksperimental dengan menggunakan rancangan one group pretest postest. Populasi penelitian ini adalah pasien diabetes melitus yang menjadi anggota prolanis tahun 2017 sebanyak 68 orang. Teknik pengambilan sampel pada penelitian ini adalah purposive sampling mendapatkan sampel penelitian sejumlah 29 orang. Penelitian dilakukan di Puskesmas Bragolan Purwodadi pada bulan Mei-Juli 2017. Pengambilan data dilakukan dengan menggunakan Sphygmomanometer dan stetoscope yang diukur pada kondisi pre dan post intervensi. Analisis data dilakukan dengan uji paired t test. Hasil penelitian ada perbedaan rata-rata sirkulasi darah sebelum dan setelah dilakukan senam kaki pada pasien Diabetes Melitus (p value: 0,0001). Bagi perawat hendaknya dapat membuat prosedur tetap senam kaki kepada pasien diabetes melitus secara teratur 3-5 kali seminggu sesuai dengan status kesegaran jasmani pasien karena dapat meningkatkan sirkulasi darah kaki dan dapat mencegah kaki diabetik. Kata kunci: senam kaki, diabetes, sirkulasi tungkai ABSTRACT Internatonal Diabetes Federation (IDF) data on the global prevalence rate of DM patients in 2014 amounted to 8.4% of the world population and it is estimated that in 2035 the number of incidents of DM will increase to 55% (592 million) among people. Foot exercises are activities or exercises carried out by patients with diabetes mellitus to prevent injuries and help blood circulation in the legs. The purpose of this study was to determine whether there was an effect of health education on increasing the knowledge and attitudes of people with diabetes mellitus about prevention of diabetic foot injuries. The research method was quasi-experimental using the one group pretest posttest design. The population of this study was diabetes mellitus patients who became prolanis members in 2017 as many as 68 people. The sampling technique in this study was purposive sampling getting a sample of 29 people. The study was conducted at the Bragolan Purwodadi Health Center in May-July 2017. Data was collected using a Sphygmomanometer and stethoscope measured in pre and post intervention conditions. Data analysis was performed by paired t test. The results of this study were differences in the average blood circulation before and after foot exercises in patients with Diabetes Mellitus who were treated (p value: 0,0001). For nurses, they should be able to make regular foot gymnastics procedures for patients with diabetes mellitus regularly 3-5 times a week according to the patient's physical fitness status because it can improve blood circulation of the foot and can prevent diabetic foot. Key words: foot exercise, diabetes, leg circulation
PENGARUH RELAKSASI OTOT PROGRESIF TERHADAP TINGKAT KECEMASAN PASIEN KEMOTERAPI DI RUMAH SINGGAH KANKER DENPASAR Dian Praptini
Coping: Community of Publishing in Nursing Vol 2 No 3 (2014): JURNAL EDISI SEPTEMBER-DESEMBER 2014
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Cancer is one of diseases that can affects all the group of ages. Once a person has claimed has a cancer, the client will experience unfavorable conditions, such as psychological shock, anxiety, fear, confusion, sad, panic, insecure, or feeling alone and shadowed by death. Anxiety increases when the client visualize the changes in his life in the future as an effect of illness or as a result of treatment of a disease process. Progressive muscle relaxation is one of systematic technique that is designed to help relieving the muscle tension and decrease anxiety that occurs when someone’s conscious. The purpose of this research is to know the influence of progressive muscle relaxation on the anxiety level of patients with chemotherapy in the cancer home Denpasar. This research is quasi eksperiment with pretest and posttest design with control group. Sample retrieval using total sampling of 22 people. The treatment group given the progressive muscle relaxation during the three days that is done every morning and afternoon. The data collection was using the questionnaire Hamilton Anxiety Rating Scale (HARS) with ordinal scale. Based on statistical tests Mann-Whitney U Test with a 95% level of confidence gained value p = 0.002 (p<0.05) meaning that there are influences of progressive muscle relaxation on the level of anxiety. Based on the above findings, it is recommended to recommend this exercise to the patients as one of the techniques for reducing anxiety of patients undergoing chemotherapy.
Pengaruh Penggunaan Extra Virgin Olive Oil Pencegahan Luka Tekan pada Pasien Berisiko dengan Skala Braden Eka Isranil Laily; Nurlela Petra Saragih; Lusiana Lusia Sirait
Coping: Community of Publishing in Nursing Vol 7 No 3 (2019): Desember 2019
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Luka tekan adalah luka akibat posisi penderita yang tidak berubah-ubah dalam jangka waktu lebih dari 6 jam ditandai dengan eritema pada kulit dibagian tubuh yang mengalami tekanan. Penelitian ini menggunakan quasi eksperimental design dengan Post-Test Only Design With Control Group, yang merupakan eksperimen yang diberikan oleh kelompok intervensi dan kelompok control menggunakan skala braden bertujuan untuk mengetahui adanya pengaruh penggunaan extra virgin olive oil untuk pencegahan luka tekan pada pasien. Hasil Analisa Paired Sampel T-Test di dapatkan nilai p=0,000 < 0,05 artinya ada pengaruh pemberian Virgin Olive Oil pencegahan luka tekan pada pasien berisiko dengan skala braden. Kata kunci: pencegahan luka tekan, skala braden, virgin olive oil ABSTRACT A pressure wound is a wound caused by the patient’s position that does not change in a period of more than 6 hours characterized by erythema on the skin in the body part that is experiencing pressure. This study uses Quasi Eksperimental Design with Post Test Only Design with Control Group, which is an experiment given by an intervention group and a control group using braden scale to determine the effect of using extra virgin olive oil for the prevention of pressure sores in patients. Results of paired sample analysis T-Test obtained p value = 0,000 < 0,05 meaning that there is an influence of giving virgin olive oil prevention of pressure sores on patients at risk with a braden scale. Keywords: prevention of pressure wounds, braden scale, virgin olive oil
Pengaruh Akupresur Titik P6 Terhadap Mual Muntah Lambat Akibat Kemoterapi Pada Anak Usia Sekolah Dengan Leukemia Limfoblasitik Akut Utami Tri Budi
Coping: Community of Publishing in Nursing Vol 2 No 2 (2014): JURNAL EDISI MEI-AGUSTUS 2014
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Acupressure is one of the complementary therapy on children who are experience delayed chemotherapy-induced nausea and vomiting. Nausea vomiting is an effect that cause stress in children. The purpose of this ressearch was to determine the effect of acupressure P6 to delayed chemotherapy-induced nausea and vomiting in school-aged children with acute lymphoblastic leukemia in sanglah hospital. This study was a pre-experimental (one-group pre-post-test design). Sample consisted of 17 school children obtained from consecutive sampling. All respondent had been given acupressure with 30 times during 3 minute, it’s replay until total time is 15 minute. Before being given acupressure 13 (76,5%) chidren with severe nausea and vomiting, 4 (23,5%) chidren with moderate nausea and vomiting, and no chidren with low nausea and vomiting. After being given acupressure 12 (70,6%) chidren with low nausea and vomiting, 5 (29,4%) chidren with moderate nausea and vomiting, and no chidren with severe nausea and vomiting. Based on the Wilcoxon Signed Rank Test, this difference was statistically significant, with p value 0,000 (p?0,05), which mean there is an influence of acupressure P6 to delayed chemotherapy-induced nausea and vomiting in school-aged children with acute lymphoblastic leukemia in Sanglah hospital. The conclusion of the research was the acupressure can be applied as a non-pharmacological therapy to reduce nausea and vomiting caused by chemotherapy in children.
PENGARUH KONTRASEPSI HORMONAL DAN OBESITAS SENTRAL TERHADAP KADAR GLUKOSA DARAH PADA WANITA DEWASA Ni Luh Putu Nopita Apsari; I Wayan Sukawana; Ni Gusti Ayu Putu Triyani
Coping: Community of Publishing in Nursing Vol 6 No 3 (2018): Desember 2018
Publisher : Program Studi Sarjana Ilmu Keperawatan dan Profesi Ners, Fakultas Kedokteran, Universitas Udayana

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Abstract

Obesitas adalah suatu kondisi akumulasi lemak berlebih di jaringan adiposa. Masa akumulasi lemak berlebih dipengaruhi oleh hormon yaitu riwayat penggunaan kontrasepsi hormonal estrogen dan pada wanita dengan uterus progesteron. Progesteron mengakibatkan penurunan jumlah dan afinitas reseptor insulin terhadap glukosa sehingga kadar glukosa darah akan meningkat. Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross-sectional. Sampel besar yang digunakan adalah 40 orang dengan teknik simple random sampling. Penelitian ini dilakukan pada studi terkait riwayat penggunaan kontrasepsi hormonal dan melakukan pengukuran obesitas sentral, kadar glukosa darah puasa dan kadar glukosa darah 2 jam pasca prandial. Tes yang digunakan dalam penelitian ini adalah anacova. Ukuran rata-rata lingkar pinggang sebagai cerminan responden obesitas sentral yaitu 85,58 cm. Rata-rata kadar glukosa darah puasa responden yaitu 97,72 mg / dL dan rata-rata kadar glukosa darah dua jam PP yaitu 158,18 mg / dL. Hasil dalam penelitian ini adalah tidak ada pengaruh dengan nilai sig sebesar 0,073 untuk kadar glukosa darah puasa dan sig sebesar 0,811 untuk kadar glukosa darah 2 jam post prandial, maka dapat disimpulkan tidak ada pengaruh hormonal terhadap puasa darah kadar glukosa dan 2 jam post prandial setelah variabel obesitas sentral terkontrol. Berdasarkan hasil penelitian maka wanita dewasa di desa Jagapati tidak perlu khawatir ketika menggunakan kontrasepsi hormonal. Kata kunci: kontrasepsi hormon, obesitas sentral, kadar glukosa darah ABSTRACT Obesity is a condition of excess accumulation of fat in adiposa tissue. Excessive fat accumulation period is influenced by hormone namely estrogen hormonal contraceptive use history and in women with a uterus of progesteron. Progesteron resulted in a decrease in the number and affinity of insulin receptor against glucose so that blood glucose levels will increase. This research is research observational analytic with cross-sectional approach. Large samples used is 40 people with simple random sampling technique. This research was conducted on the study of hormonal contraceptive use history related and do measurement central obesity, fasting blood glucose levels and blood glucose levels 2 hour post prandial. The test used in this study is ancova. The average size of waist circumference as a reflection of the Central obesity respondents i.e. 85,58 cm. Average fasting blood glucose levels of respondents i.e. 97.72 mg/dL and the average blood glucose levels two hours PP i.e. 158,18 mg/dL. The results in this study is there is no influence with the value of the sig of 0,073 for fasting blood glucose levels and the sig of 0,811 for blood glucose levels 2 hour post prandial, then it can be concluded there are no hormonal influence against fasting blood glucose levels and 2 hour post prandial after Central obesity variables controlled. Based on the research results then the adult woman in the village of Jagapati need not worry when using hormonal contraceptives. Keyword: hormonal contraception, central obesity, blood glucose levels

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