DESCRIPTION OF MIND-BODY-SPIRIT CONNECTION TO IMPROVE THE HOLISTIC WELL-BEING OF NURSING STUDENTS IN ONLINE LEARNING

Introduction: The COVID-19 pandemic has an impact on the education sector, especially for students and the academic community, and has an impact on the implementation of the online learning system. The existence of online learning has become a challenge for students to adapt, manage time, and manage self-management in learning. Less than optimal student adaptability can cause students' mind-body-spirit problems. The existence of physical, mental, and mental problems in students while adapting to online learning requires a balance of mind-body-spirit in their lives. The purpose of this study was to describe the mind-body-spirit connection to improve the holistic well-being of nursing students in online learning. Method: The research method uses a descriptive survey. The research sample was taken using a total sampling technique. Respondents in the study were undergraduate and postgraduate students in Nursing Science, Faculty of Medicine, Universitas Diponegoro, year of 2020 and 2021, with a total of 395 students. The Holistic Well-being Scale (HWS) questionnaire was used to collect data. Result: The results of this study found that the average measurement of the mind-body-spirit connection picture of nursing students in online learning was 189.94, which was interpreted in the sufficient category. Nursing students still need to improve their well-being through fulfilling the right aspects of mind, body, and spirit. Conclusion:

HEALTH EDUCATION TO IMPROVE MEDICATION ADHERENCE AMONG TUBERCULOSIS PATIENTS: A SYSTEMATIC REVIEW

Introduction: Adherence to tuberculosis (TB) therapy is critical for the cure.  This paper aimed to review current evidence on the effect of health education interventions on medication adherence among patients with tuberculosis.Methods: A systematic review of this study used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Six databases were included in this study including Scopus, Ebsco, PubMed, ProQuest, Science Direct, and Google Scholar published between 2011 and 2020. This study targeted patients with TB, and health education intervention will be extracted. The Joanna Briggs Institute (JBI) Critical Appraisal tools used the level of evidence, grade of recommendation, and risk of bias assessment.Results: Eleven articles were enrolled in the study. Most of all the health education programs have satisfactory results in improving medication adherence among tuberculosis patients. There are many strategies to carry out health education, from conventional ways to the use of technology in order to find the best results to improve compliance. There are seven types of interventions, and the most widely used are individual, paper-based, audiovisual, and education with the reminder. The frequent duration of health education intervention was 1-2 months.Conclusion: An appropriate health education program can improve medication adherence in patients with tuberculosis. This strategies can implement in clinical and community settings to increase health status among tuberculosis patients

THE EFFECTIVENESS OF HEALTH COUNSELING WITH VIDEO AND LEAFLET MEDIA ON KNOWLEDGE AND ATTITUDE OF STUNTING PREVENTION ON THE MEMBERS OF THE ADOLESCENT COUNSELING AND INFORMATION CENTER (PIKR)

Introduction: Stunting is a problem that cannot be solved in one way, one of which is by improving the quality of youth. The quality of adolescent health is the key to stunting prevention. Stunting can be caused by the health quality of children and adolescents who do not get a balanced nutritional intake. Prevention can be done by providing health education. The purpose of the study was to determine the effect of health education using video media and leaflets on stunting prevention for PIK-R members.Method: The type of research is Pre Experiment Design using the one Group Pretest-Posttest design. The sample consisted of 20 PIK-R members with details of 10 subjects for group 1 with health education treatment with video media and 10 subjects for group 2 with health education treatment with leaflet media. Data analysis using Wilcoxon testResults: The results showed that there was a significant (p<0,05) effect between the level of knowledge with video (p=0,008), knowledge with leaflet (p=0,025), attitudes with video (p=0,008) and attitudes with leaflet (p=0,025) of PIK-R members before and after being given health education using video media and leaflets about stunting prevention.Conclusions: Video media is more effective in increasing the knowledge and attitudes of PIK-R members in Taban Village, Jambe District, Tangerang Regency compared to leaflet media. Adolescents are the main guard in the stunting prevention process, it is necessary to increase understanding about stunting through health education

THE EFFECT OF PSYCHOEDUCATION ON ANXIETY AND STRESS LEVELS IN PROLANIS PATIENTS AT HEALTH CENTER

Introduction : Anxiety and stress are common among chronic disease patients, especially those who are in the Chronic Disease Care Program / Prolanis, namely, type-2 diabetes mellitus and hypertension. Psychoeducational therapy can reduce the level of anxiety and stress in Prolanis patients. This research aims to identify the influence of psychoeducation therapy to the anxiety and stress level in Prolanis patients at Manisrenggo I Health Center.Method : This research used a pre-experiment method with one group pre-test post-test design approach. The respondents of this research were 30 Prolanis patients taken using a purposive sampling technique. The data were collected by means of ‘depression anxiety and stress scale’ (DASS) instruments which consists of 42 items. The data collected were analyzed using Wilcoxon signed-rank test.Result : The research results showed that there was an influence from psychoeducation to the reduction of anxiety and stress in Prolanis patients at Manisrenggo I Health Center. Wilcoxon signed-rank analysis showed a significant level p = 0.05, where p-value = 0.000, therefore p < 0.05. Conclution : (1) Most of the respondents experienced anxiety and stress at a medium level during pre-test; (2) Most of the respondents experienced anxiety and stress at a low level during post-test; (3) There was an influence of psychoeducation therapy to the anxiety and stress level in Prolanis patients at Manisrenggo I Health Center.

EVALUATING PRIMARY CARE QUALITY MANAGEMENT CYCLE: A QUALITATIVE STUDY IN A WESTERN PART OF INDONESIA

Introduction: Community health centers known in Indonesia as Primary Health Care (PHC) serve as the primary care facilities in the country. It is the main engine for the success of providing care at the first line for the community. Accreditation is among efforts to enforce a comprehensive management function in primary care. The achievement of accreditation reflects the management cycle of the PHC; however, a number of these facilities are still struggling with achieving maximum accreditation standards. Limited attention and research support that identify PHC management function called for further investigation. Therefore, this study initiated to investigate and evaluate the primary care management cycle and its functionality through the lens of qualitative research.Method: We conducted 15 in-depth interviews and one focus group discussion (FGD) which was attended by eight participants. The setting was in five PHC in Banda Aceh, the capital city of Aceh province, Indonesia. The involved participants were individuals who had a direct role in the accreditation process.  The data was analyzed by using thematic analysis techniques.Result: There were three main themes and several subthemes derived from the analysis: (1) Work plan: integrative plan development, slow execution; (2) Leaders’ roles: Role’s awareness, work commitment. The results of this study evaluated the implementation of quality management in PHC. To some extent, there were potential obstacles for PHC hindering them from achieving optimal accreditation.Conclusion: These could create pathways for policy development or as a reference for related authorities/policymakers in developing a framework plan to assist the PHC in the implementation of the management cycle leading to plenary national acknowledgment

CORRELATION BETWEEN FAMILY SUPPORT AND BLOOD SUGAR CONTROL COMPLIANCE IN THE PATIENT’S DIABETES MELLITUS TYPE II

Introduction: Diabetes mellitus type II currently appears to be the world's highest disease prevalence with 424,9 million. Compliance with the control of blood sugar regularly is very important to reduce complications in patients with diabetes mellitus. To meet the problems above, there is a need for good family support. The purpose of this study is to know the correlation between family support and compliance with the control of blood sugar in patient's diabetes mellitus type II at Sleman General Hospital, Yogyakarta Province.Methods: This research is quantitative research with a cross-sectional approach. The sample of this study amounted to 55 respondents, taken using a simple random sampling technique. The instrument in this study used family support questionnaires, interviews for regularity of blood sugar control, and crosschecking it in the medical records. The spearman rank correlation test tested the data.Results: Most of the 55 respondents have good family support (50,9%), compliance with control of blood sugar is good (61,8%), and the result of the statistical test obtained a p-value of 0,000 with a coefficient correlation of 0,609.Conclusion: There is a significant correlation between family support and blood sugar control compliance in patient's diabetes mellitus type II. It's expected that the family can support to the patients in compliance with treatment to improve their quality of life

THE USE OF SOAKING WARM WATER FOR BLOOD PRESSURE REDUCTION IN ELDERLY HYPERTENSIVE PATIENTS

Introduction: According to a survey conducted by the Indonesian Gerontology Doctor Association in 2022, 37.8% of the elderly population in Indonesia have a history of hypertension. In addition to medication therapy, hypertension can be controlled through non-pharmacological therapy, including to soak the feet in warm water. The purpose of this study is to investigate the use of soaking the feet in warm water to reduce blood pressure in elderly hypertensive patients in Jatikalang, Prambon District.Method: This pre-experimental study uses a one-group of pre-test post-test strategy. The population for this study consists of 46 elderly hypertensive patients. The technique of sampling is purposive, resulting in a sample size of 42 elderly patients. The instruments used are a questionnaire and an observation sheet. Data analysis was by the Wilcoxon test.Results: The systolic blood pressure before soaking the feet in warm water was 140.98 mmHg, and the diastolicof  blood pressure was 83.29 mmHg. The results of the analytical test yielded 0.000 (a p-value) for systolic blood pressure, and 0.000 for blood pressure of diastolic.Conclusions: Soaking the feet in warm water has an effect on reducing blood pressure of elderly hypertensive patients. It is hoped that this therapy can be used as an additional treatment for hypertension patients, allowing the community to perform it at home for 15 minutes daily, to lower blood pressure at a low cost.Keywords: Soaking Feet in Warm Water, Blood Pressure, Elderl

UNDERSTANDING THE LIVED EXPERIENCES OF SYSTEMS PLUS COLLEGE FOUNDATION OF NURSING STUDENTS IN CARING OF GERIATRIC CLIENTS: A DESCRIPTIVE-PHENOMENOLOGICAL STUDY

Objective: The study aimed to explore, analyze and reflect on the lived experiences of Systems Plus College Foundation (SPCF) College of Nursing Students in caring of geriatric clients. Method: Descriptive-phenomenological method was employed with five (5) participants captured via convenience sampling with experience in caring of geriatric clients. Semi-structured aide memoire was used and Collaizzi’s phenomenological inquiry was employed in analyzing the data. Results: It showed that nursing students make a balance between the theory and practice and emphasized the active listening and therapeutic communication as essentials for taking care of geriatric clients. Conclusion: The study surfaced that student-nurses done their best to manage their fear and anxiety and be positive in taking care of geriatric clients

HEALTHY LIFESTYLE BEHAVIOR PRACTICES AND PROFESSIONAL QUALITY OF LIFE OF NURSES IN TERTIARY HOSPITAL

Introduction:The COVID-19 pandemic juxtaposes the different aspects of life in the world. It mainly affects all the fields including the nursing profession and it turns out that this also affects their work-life balance leading to disproportion of the health lifestyle behaviors (HLB) of our nurses. Moreso, studies were conducted about Professional Quality of life (ProQOL) in different variables influences like mental health, empathy, resilience, stress, and caring behaviors but not with HLB. The study aimed to determine the relationship between healthy lifestyle behaviors and professional quality of life of nurses in a tertiary hospital situated in Pampanga. Method: A descriptive-correlational design was used and it employed a purposive sampling technique to gather the participants under the following inclusion criteria: 1) a registered nurse, 2) currently working in tertiary hospital which serves as the study locale, 3) regardless of the age, clinical area and position, and 3) willing to participate. It utilized standardized tools namely: 1) Health Promoting Lifestyle Profile (HPLP II) by Walker, Sechrist, & Pender (1995) and Professional Quality of Life Measure (ProQOL) created by Stamm (2009). Spearman rho was used for its treatment. Result: It revealed that there is a significant relationship between the healthy lifestyle and professional quality of life of the respondents (rs= .245, p value=.036).Conclusion: It was found that healthy lifestyle behaviors are have a direct relationship with professional quality of life among nurses. As they improve their healthy lifestyle behavior practices, it also improves their professional quality of life

THE CORRELATION BETWEEN BODY IMAGE AND COSMETIC CONSUMPTIVE BEHAVIOR IN NURSING STUDENTS AT PEKANBARU

Introduction: The increasing use of cosmetic products opens up opportunities for female college students to buy cosmetics. Excessive purchases of beauty tools for female students due to dissatisfaction about their body shape, so female students tend to beautify themselves by buying products that can highlight physical shapes that are considered attractive. The purpose of this study is to analyze the correlation between body image and cosmetic consumptive behavior in nursing students in Pekanbaru. Method: This study is quantitative research with a cross-sectional design. This research was conducted at one of the nursing education institutions in Pekanbaru The sampling technique uses probability sampling technique with stratified random sampling type with a total of 219 respondents. Instruments used the MBSRQ-AS (Multidimensional Body Self Relation Questionnaire-Appearance Scales) questionnaire and the cosmetic consumptive behavior questionnaire. The statistical test used is chi-square.  Results: The results of this study concluded body image was negative as many as 116 respondents (53%) and had consumptive behavior as many as 126 respondents (57.5%). Conclusions: That there was a significant correlation between body image and cosmetic consumptive behavior in nursing students at Pekanbaru with p value = 0.000