THE EFFECTIVENESS OF THE HEALTHY MILLENNIAL CARD MEDIA GAME IN INCREASING YOUNG WOMEN'S KNOWLEDGE ABOUT ANEMIA PREVENTION

Background : Anemia is a global health problem that deserves attention, especially in developing countries such as Indonesia . Health education through the Healthy Millennium Card game plays an important role in raising awareness among young women about anemia prevention. Study objective : to determine the influence of health education through the media on healthy millennial card games . on the knowledge of teenage girls about prevention of anemia  Methods : The design of this study used a pre-experiment with a pre-test post-test group. The population of this study was 73 female students with a sample of 62 female students using purposive sampling technique according to the inclusion and exclusion criteria . Data collection was carried out through a knowledge questionnaire, then analyzed using the Wilcoxon Test.  The results of the study showed that before being given the healthy millennial card game , 37 female students (59.6%) had insufficient knowledge . And after the intervention, more than half of the respondents had good knowledge, namely 41 female students (66.1%) . The results of data analysis obtained a knowledge p value of 0.000 <0.05, then H1 was accepted, meaning that there was an influence of health education through the healthy millennial card game media on the knowledge of teenage girls about anemia prevention . Conclusion : These results indicate that the use of interactive educational media such as Healthy Millennial Card Games can be an effective alternative in health education programs in schools, in order to reduce the prevalence of anemia among adolescents. &nbsp

ANALYSIS OF OCCUPATIONAL SAFETY AND HEALTH RISK MANAGEMENT IN METAL INDUSTRY PRODUCTION AREAS USING THE HIRA METHOD

Background : The informal metal industry poses a high risk of hazards but often escapes oversight of Occupational Safety and Health (K3) standards. The lack of systematic risk management in these environments exposes workers to a variety of hazards, ranging from ergonomic, mechanical, physical, and chemical, all of which can potentially lead to accidents and occupational illnesses. Objective: The purpose of the research is to identify potential hazards, assess the level of risk in each production area, and formulate effective control alternatives to minimize work incidents. Methods: The research method used was descriptive quantitative with the Hazard Identification and Risk Assessment (HIRA) approach. This approach was used to analyze all activities in nine production areas through the stages of hazard identification, likelihood and severity assessment, and risk level determination. Data was collected through direct observation and worker interviews, and validated using secondary data from Job Safety Analysis (JSA) and previous incident reports. Results: The research results showed that there were 11 findings of high hazard risks, 11 moderate hazard risks and 7 low hazard risks in all production areas. Conclusion: It can be concluded that the application of the HIRA method is essential for risk management in the informal metal industry. It is recommended to implement hierarchical controls, ranging from engineering controls such as the installation of machine guards and ventilation systems, to administrative controls such as the development of stricter SOPs and regular OHS training

PHENOMENOLOGICAL STUDY: CAMPUS SECURITY EXPERIENCE OF THE MINISTRY OF HEALTH'S SURAKARTA HEALTH POLYTECHNIC AS A LAY HELPER IN PROVIDING FIRST AID & CARDIAC ARREST TREATMENT FOR ACCIDENT VICTIMS

Background: Accidents are events that can occur at anytime and anywhere, including on campus. Campus security plays a strategic role as the vanguard in maintaining security and peace, as well as providing first aid in the event of such incidents. Purpose: Aims of this study is to explore and understand in depth the experience of security officers at the Surakarta Ministry of Health Polytechnic Campus as lay helpers in providing first aid and cardiac arrest treatment for accident victims. Methods: This study used were qualitative with a phenomenological approach. Data analysis used Interpretative Phenomenological Analysis (IPA). The research participants consisted of 5 security officers. Data were collected through in-depth interviews Results: produced five main themes, namely: (1) Immediate first aid measures for victims, (2) Providing first aid according to ability, (3) Limited knowledge and skills in first aid, (4) Helping according to the dictates of conscience as a form of devotion and pride, (5) The need for routine training and coaching. The limitations include Reliance on interview data based on participants' subjective experiences, which has the potential to introduce recall bias and social-desirability bias in describing first aid skills and actions and cardiac arrest management. Conclusion: The experience of security personnel shows the importance of providing first aid skills based on ongoing training so that they are able to act quickly, appropriately, and confidently in emergencies in a health education environment

HEALTH COACHING AS A DIABETES MANAGEMENT INTERVENTION: A SCOPING REVIEW

Background: Health coaching is considered an effective multidisciplinary intervention for managing chronic diseases, such as diabetes mellitus. There is extensive research on the health coaching topic in diabetes management. However, its implementation varies given the lack of standardized regulation as a guiding principle. Objective: This study aims to explore health coaching concepts in diabetes management. Design: This was a scoping review. Data Sources: We searched relevant studies published from 2018 to 2022 using three journal databases, including PubMed, CINAHL, and Google Scholar. Review Methods: The selection is determined using PRISMA Flow Diagram Scoping Review with inclusion criteria and analyzed on the basis of data extraction and the TIDieR checklist. Results: Nine articles were included in this study. Most of the articles revealed that health coaching was delivered by healthcare professionals to help patients living with diabetes cope with their problems. Long-term (>6 months) application of health coaching effectively reduces the HbA1c level which indicates a positive effect on self-management. Face-to-face interactions, telephone conversations, virtual meetings, and home visits are the most common strategies applied in health coaching sessions. Conclusion: Tailored health coaching is proven as an alternative intervention to support patients with diabetes in achieving their desired goals. Thus, effective health coaching must be implemented based on individual preference

THE EFFECT OF HEALTH EDUCATION USING AUDIOVISUAL MEDIA ON THE KNOWLEDGE AND ATTITUDE SCORES ABOUT PRE-HOSPITAL STROKE MANAGEMENT IN FAMILIES

ABSTRACT Background: Health education about pre-hospital stroke management in families is very important. One of the medias that can be used in providing health education about pre-hospital stroke management is the audiovisual media. Purpose: The purpose of this study was to find out the effect of health education with audiovisual media on family knowledge and attitudes about pre-hospital stroke management. Methods: This study employed a pre-experimental design with one group pre-test and post-test design. The population in the study were families who lived and cared for the elderly (caregivers). The sample in this study were 33 respondents who were selected through simple random sampling. The instrument used in this study was a questionnaire. The statistical test used to analyze the data was the Wilcoxon Rank Test. Results: The results showed that the average pre-test score of knowledge was 3.09, the median post-test score of knowledge was 6, the median pre-test score of attitudes was 28, the median post-test score of attitudes was 30, and the statistical test results obtained the p-value = 0.001. Conclusion: There is an effect of health education with audiovisual media to the knowledge and attitudes of the families about pre-hospital stroke management. The health workers, particularly those working at the public health center should consider using audiovisual as a medium to provide health education to the community.Background: Health education about pre-hospital stroke management in families is very important. One of the medias that can be used in providing health education about pre-hospital stroke management is the audiovisual media. Objectives: The purpose of this study was to find out the effect of health education with audiovisual media on family knowledge and attitudes about pre-hospital stroke management Methods: This study employed a pre-experimental design with one group pre-test and post-test design. The population in the study were families who lived and cared for the elderly (caregivers). The sample in this study were 33 respondents who were selected through simple random sampling. The instrument used in this study was a questionnaire. The statistical test used to analyze the data was the Wilcoxon Rank Test Results: The results showed that the average pre-test score of knowledge was 3.09, the median post-test score of knowledge was 6, the median pre-test score of attitudes was 28, the median post-test score of attitudes was 30, and the statistical test results obtained the p-value = 0.001 Conclusion: There is an effect of health education with audiovisual media to the knowledge and attitudes of the families about pre-hospital stroke management. The health workers, particularly those working at the public health center should consider using audiovisual as a medium to provide health education to the community

THE EFFECTIVENESS OF TAI CHI IN REDUCING DEPRESSION LEVELS IN THE ELDERY

Background: Older adults are a group that is vulnerable to psychological changes, including depression. Depression in older adults can lead to a decline in overall well-being and increase the risk of additional health complications. One non-pharmacological intervention that can help reduce symptoms of depression is Tai Chi, which involves rhythmic movements and can improve physical and psychological balance. Objectives: The purpose of this study was to examine how Tai Chi exercises affect depression levels among elderly people living in Purbayan Village. Methods: This study used a quantitative approach with a pre-experimental design, in which one group underwent pre-test and post-test assessments. Participants were selected through random sampling based on inclusion criteria, which required elderly individuals who were able to perform daily activities independently. Data were collected using the Indonesian version of the Patient Health Questionnaire-9 (PHQ-9), which showed validity scores ranging from 0.508 to 0.907. The intervention involved Tai Chi exercises consisting of eight movements, performed independently at home for 30 minutes per session, three times a week. Results: The results showed a decrease in the average depression score of 4.9 after the Tai Chi exercise intervention. Statistical analysis using a paired t-test showed a p-value of 0.000 (< 0.05), indicating a significant effect of the intervention. Conclusion: Tai Chi exercises have been proven to reduce depression levels in older adults. This intervention has been proven effective as a non-pharmacological approach to improving mental well-being and overall quality of life among older adults. Keywords: Tai Chi, Depression, Elderly, Mental HealthLatar Belakang: Lansia merupakan kelompok yang rentan terhadap perubahan psikologis, termasuk depresi. Depresi pada lansia dapat menyebabkan penurunan kesejahteraan secara keseluruhan dan meningkatkan risiko komplikasi kesehatan tambahan. Salah satu intervensi non-farmakologis yang dapat membantu mengurangi gejala depresi adalah Tai Chi, yang melibatkan gerakan ritmis dan dapat meningkatkan keseimbangan fisik dan psikologis. Tujuan: Tujuan studi ini adalah untuk mengkaji bagaimana latihan Tai Chi mempengaruhi tingkat depresi pada lansia yang tinggal di Desa Purbayan. Metode: Studi ini menggunakan pendekatan kuantitatif dengan desain pra-eksperimental, di mana satu kelompok menjalani penilaian pra-tes dan pasca-tes. Peserta dipilih melalui sampling acak berdasarkan kriteria inklusi, yang mensyaratkan lansia yang mampu melakukan aktivitas sehari-hari secara mandiri. Data dikumpulkan menggunakan versi Indonesia dari Patient Health Questionnaire-9 (PHQ-9), yang menunjukkan skor validitas berkisar antara 0,508 hingga 0,907. Intervensi melibatkan latihan Tai Chi yang terdiri dari delapan gerakan, dilakukan secara mandiri di rumah selama 30 menit per sesi, tiga kali seminggu. Hasil: Hasil menunjukkan penurunan skor depresi rata-rata sebesar 4,9 setelah intervensi latihan Tai Chi. Analisis statistik menggunakan uji t berpasangan menunjukkan nilai p sebesar 0,000 (< 0,05), menunjukkan efek yang signifikan dari intervensi. Kesimpulan: Latihan Tai Chi telah terbukti dapat mengurangi tingkat depresi pada lansia. Intervensi ini telah terbukti efektif sebagai pendekatan non-farmakologis untuk meningkatkan kesejahteraan mental dan kualitas hidup secara keseluruhan pada lansia. Kata kunci: Tai Chi, Depresi, Lansia, Kesehatan Menta

THE APPLICATION OF THE BUERGER ALLEN EXERCISE TO THE MANAGEMENT OF PERIPHERAL PERFUSION DISORDERS IN PATIENTS WITH TYPE II DIABETES MELLITUS IN DR. SOEDARSO HOSPITAL: CASE REPORT

Background: Diabetes Mellitus, a'silent killer', causes hyperglycemia and metabolic problems. Ineffective peripheral tissue perfusion is a nursing concern that must be treated soon to avoid problems. The test measures the Ankle Brachial Index (ABI). Medical and lifestyle-based treatments for type II diabetic mellitus (DM) exist. Purpose: The Buerger Allen Exercise (BAE) approach improves limb blood flow and is being studied in type II diabetics, Pontianak’s Dr. Soedarso Hospital Murai Room Methods: Descriptive observation is used in this case report. Typhus with Type II Diabetes Mellitus case study of 38-year-old Mrs. D. Writing data was collected through head-to-toe assessment, interviews, diagnostic exams, and BAE therapy (once daily for 3 days, ± 20 minutes). Results: Mrs. D had frequent thirst, numb feet, tingling, and a fluctuating fever. HBA1C 12.08 (H), Tubex 6 positive, P-LCR: 25.7 (H), ABI value on the first day of the right foot and hand 0.85, left 0.84. Insufficient peripheral perfusion is the main nursing diagnosis. Circulation care is provided. On the third day, the right foot and hand ABI is 0.94 and the left 0.97. Conclusion: The Buerger Allen Exercise enhances the client's lower extremity hemodynamics, which improves blood circulation in peripheral circulatory problems. Type II DM patients can avoid peripheral artery disease with BAE. BAE prevents type II diabetic peripheral artery disease

ANALYSIS OF FACTORS RELATING TO NURSES' COMPLIANCE IN THE IMPLEMENTATION OF SURGICAL SAFETY CHECKLIST IN WEST KALIMANTAN

Background: Hospitals as health institutions play an important role in providing optimal health services, including surgical procedures, which are susceptible to the risk of complications and death. The World Health Organization (WHO) has promoted the Surgical Safety Checklist (SSC) as a tool to improve patient safety and reduce post-operative complications, with implementation proven to be effective in reducing mortality and morbidity. However, in several hospitals in West Kalimantan, the level of compliance with SSC is still not optimal, with implementation only reaching around 50-52%. Several factors that influence this compliance include teamwork, motivation, attitudes, perceptions, knowledge, and nurse training Objectives: The aim of this study aims to analyze the factors that are related and most dominant to nurse compliance in implementing SSC in hospitals in West Kalimantan Province Methods: This type of research is quantitative correlational with a cross-sectional approach. The research was conducted at three hospitals in West Kalimantan province in 2024 using a total sampling technique, namely 105 operating room nurse respondents. The chi-square test and logistic regression were used to analyze this data. Results: Based on the research results, it is known that there is a relationship between teamwork p=0.009, perception p=0.004, attitudeattitude p=0.005, knowledge p=0.001, motivation p=0.002, training 0.001, age p=0.008, education p=0.007, with compliance with SSC implementation while gender p=0.491 has no relationship with compliance with SSC implementation. The most dominant factor is Teamwork OR=21.64, which means nurses with good teamwork will be 21.64 times more likely to comply compared to those with poor teamwork. Conclusion: It was concluded that the factors related to nurse compliance in implementing SSC were teamwork, perception, attitudeattitude, knowledge, motivation, training, age, and education. There is no influence on the gender factor. The most dominant factor is teamwork.   Keywords: Perioperative, Surgical Incidents, SSC, Complianc

ANALYSIS OF FACTORS INFLUENCING THE IMPLEMENTATION OF NURSING SUPERVISION BY THE HEAD OF THE ROOM: A SCOPING REVIEW

Background: Supervision in several hospitals until now is still not optimal by the head of the room so that the direction function in nursing management does not run optimally which affects the quality of nursing care. This study aims to find factors that influence the implementation of supervision by the head of the room. Objective: This research uses the Scoping review method Data Sources: In the search using data sources from Google Scholar, Scient Direct and Pubmed. The search uses the keywords "nursing supervision" AND "faktors" AND "nurse management". Articles are filtered from the years "2018-2024", "free full text". Of all the articles found, there are 8 articles obtained for analysis. Review Methods: The review method uses a Scoping Review using the PRISMA diagram, and synthesis is carried out by removing the exclusion criteria. Results : The results of the study showed that from the 8 articles obtained, there were 4 factors that influenced trust and good relationships, supervisor workload, shared understanding of the implementation of supervision and supervisor competence. Conclusion: The results show that the supervision by the head of the room is less than optimal due to these factors. So it can be a recommendation for hospital institutions to make efforts to improve the nursing management function, especially the direction function in the form of supervision. &nbsp

THE EFFECT OF TELENURSING IMPLEMENTATION ON THE QUALITY OF LIFE (QoL) OF PATIENTS WITH CHRONIC DISEASES: A SYSTEMATIC REVIEW

Background:There are still differences in access to health services in Indonesia in the current digital era because conditions show that rural residents, especially those living in border areas, experience obstacles in obtaining health services and the prevalence of chronic diseases has increased, with hypertension rising from 25.8% to 34.1%, diabetes mellitus rising from 6.9% to 8.5%, stroke prevalence rising from 7% to 10.9%, and chronic kidney disease rising from 2% to 3.8%. Purpose:The purpose  is to determine the effect of telenursing implementation on the quality of life of patients with chronic diseases. Methods:The method applied is a systematic review referring to the PRISMA guidelines, articles for the last 5 years, subject area, nursing, relevance, article types, and were selected to be analyzed and assessed using JBI. Results:The research findings indicate that nine studies were taken from 1,373 publications. Publications were taken from the period 2021 to 2025. Research articles were searched through academic electronic databases (Scopus, Pubmed, and Google Scholar). The implementation of telenursing has positive implications for the quality of life of patients with chronic diseases. Conclusion:Telenursing  has shown positive results in improving  the hope of improving the quality of life of patients with chronic illnesses. The variety of media and applications used in the implementation of telenursing also contributes to its success. It is hoped that further research will further examine the factors influencing the implementation of telenursing and  also research can be conducted on the same media