NURSING DIAGNOSIS IN PATIENTS WITH HYPOGLYCEMIA IN THEEMERGENCY DEPARTMENT

Hypoglycemia is a condition involving decreased blood glucose levels. It can cause symptoms affecting multiple systems and have serious consequences if left untreated. Nurses play a crucial role in swiftly and appropriately detecting and treating hypoglycemia in the emergency department. Research on nursing diagnoses was the first step in determining interventions for hypoglycemic patients in the emergency department of the Muhammadiyah Babat General Hospital. The study employed a descriptive retrospective design using secondary data from medical records. The study sample included 73 hypoglycemia patients admitted to the emergency room from January to December 2024, selected using consecutive sampling, and data was collected on May, 2025. The data was analyzed descriptively. The results showed that all patients experienced similar signs and symptoms: low blood glucose levels, drowsiness, decreased appetite, weakness, dizziness, strange behavior, and physical weakness. The nursing diagnosis that emerged for all patients was blood glucose level instability. These findings suggest that hypoglycemia has a consistent clinical impact and requires a structured nursing response. Decreased intracranial adaptive capacity, a diagnosis listed in the nursing pathway that is usually associated with severe hypoglycemia, was not found in this study. This may be due to limitations in neurological assessments and supporting examinations

CONFLICT MANAGEMENT STRATEGY IN AN EFFORT TO INCREASE NURSE JOB SATISFACTION AT MAWADDAH MEDIKA HOSPITAL, MOJOKERTO

Conflict is one part that often occurs in the nurse\u27s work environment. One of the conflicts that often occurs is with clients and colleagues. Prolonged conflict can disrupt a person\u27s physical and mental health and needs immediate treatment. The aim of this research is to determine the relationship between conflict management strategies and nurses\u27 job satisfaction at Mawaddah Medika Hospital, Mojokerto. The research design uses Correlation. The research sample was executive nurses who worked in the inpatient ward of Mawaddah Medika Hospital, totaling 31 respondents. The sampling technique used is proportional random sampling. The research results showed that conflict management strategies used integration strategies (compromise, collaboration and accommodation) were 71%. Statistical tests showed that there was a relationship between conflict management strategies and nurses\u27 job satisfaction with ρ=0.02 with a strong category of relationship. The relationship pattern is positive, meaning that the better the use of integrated management strategies (compromise, collaboration and accommodation), the higher the nurse\u27s job satisfaction. Efforts to improve the ability to handle conflict can be done with conflict management training, conflict handling roleplay with small group discussions

DIGITAL HEALTH INTERVENTIONS TO IMPROVE GLYCEMIC OUTCOMES IN TYPE 2 DIABETES MELLITUS: A LITERATURE REVIEW

Type 2 diabetes mellitus (T2DM) is a growing global health concern marked by persistent hyperglycemia and a high risk of complications. Despite advancements in treatment, many patients fail to achieve optimal glycemic control. Digital health interventions (DHIs) have emerged as promising tools to support self-management and improve outcomes in T2DM care. This literature review aims to evaluate the effectiveness of DHIs in enhancing glycemic control among individuals with T2DM. A literature review was conducted by searching databases such as EBSCOhost, ScienceDirect, ProQuest, and Google Scholar for full-text articles published between 2016 and 2025. Inclusion criteria focused on studies involving adult T2DM populations using mobile apps, telemedicine, or web-based platforms to support glycemic management. A total of 10 studies met the criteria and were analyzed narratively. A total of 10 studies were analyzed in this literature review to evaluate the impact of digital health interventions on glycemic control among T2DM patients. These studies comprised randomized controlled trials, quasi-experimental studies, and cohort studies conducted in various global settings. The findings consistently demonstrated that digital health interventions such as mobile applications, web-based platforms, and telemedicine systems positively affect glycemic control, primarily measured through decreased HbA1c levels. This literature review concludes that DHIs show strong potential in improving glycemic control in T2DM. The effectiveness of these interventions is influenced by user engagement, digital literacy, and integration with healthcare support

COMPARISON OF THE SENSITIVITY AND SPECIFICITY OF THE ZIEHL-NEELSEN METHOD WITH THE MOLECULAR RAPID TEST METHOD IN THE EXAMINATION OF BTA IN THE SPUTUM OF PATIENTS SUSPECTED OF PULMONARY TUBERCULOSIS

Pulmonary tuberculosis or pulmonary TB is a disease that is easilytransmitted through the air from the source of transmission, namely BTA positiveTB patients when coughing or sneezing, patients spread germs into the air in theform of sputum splashes. For this reason, an examination method that has highsensitivity and specificity is needed as a tool for early detection of Pulmonary TB.Research Objective: To study the comparison of the sensitivity and specificity ofthe Ziehl-neelsen method and the Molecular Rapid Test method in examining BTAin the sputum of TB suspected patients at the Puskesmas against the gold standardusing BTA culture.This study is an analytic observational study with a cross sectional design.The population in this study were all patients suspected of having Pulmonary TBwho came to the Kupang Health Center, Jetis Health Center, and Gedeg HealthCenter who performed microscopic and culture examinations in the laboratoryduring 2023. Sample selection used simple random sampling method with a samplesize of 60 patients. The hypothesis was proven using the Kappa test.Results: the sensitivity and specificity of the Ziehl-Neelsen method BTAexamination were 60% and 100%, while the sensitivity and specificity of theMolecular Rapid Test method examination were 100% and 100%. The results ofthe Cohen\u27s Kappa test showed that between the Ziehl-Neelsen and MolecularRapid Test methods both had high sensitivity and specificity (Kappa; 0.733).Conclusions and advice: Based on the results of the study, the molecularrapid test method has a higher sensitivity than the Ziehl-Neelsen method. Thismethod can be recommended for early detection of pulmonary T

PRODUCT DEVELOPMENT STRATEGY FOR GERIATRIC SERVICES: A CASE STUDY AT A HOSPITAL IN SURABAYA

To support customer needs and ensure smooth organizational operations, such as in hospitals, the development of service products is essential. This analysed strategies for service product development and design recommendations to enhance services and improve patient satisfaction. A descriptive observational study with a cross-sectional approach was conducted. The sample recruitment employed purposive sampling, with a total sample size of 210 patients. The independent variables were social, economic, technological, and policy factors, while the dependent variable was the strategy for service product development. The research instrument was a questionnaire designed and tested for validity and reliability by the researchers. Social factors showed that family support was low at 66.2%, knowledge of electronics and internet development was 73.8%, knowledge of geriatric services was 70.5%, physical quality was 72.8%, and hobbies were 85.3%, categorized as high. For economic factors, the recognition of needs was 80.5%, information-seeking was 75.8%, and purchasing decisions were 77.6%, all categorized as high. Several product opportunity gaps were identified from the analysis of social, economic, technological, and policy factors in the development of geriatric services. The development of day-care services and the implementation of Patient Service Representatives & Geriatric Hotline Services are significant recommendations to meet patient service needs

THE EFFECT OF DASH DIET EDUCATION USING THE PEER GROUP METHOD ON THE EATING PATTERNS OF DIABETES MELLITUS PATIENTS IN KALIBUNTU VILLAGE

The management of diabetes mellitus (DM) includes diet management as an important  component  in  maintaining  blood  sugar  stability.  The  DASH  diet helps maintain electrolyte balance and cardiovascular health through calcium, potassium,  and  magnesium  intake.  Dietary  education  using  the  peer  group method  is  useful  for  sharing  experiences,  exchanging  information,  and providing and receiving emotional support.. This study aimed to determine the effect  of  DASH  diet  education  using  the  peer  group  method  on  the  eating patterns  of  Diabetes  Mellitus  (DM)  patients.  The  research  design  was  pre- experimental  with  a  one-group  pretest-posttest  approach.  The  study population consisted of 40 respondents, with a total sampling technique, and the data were analyzed using the Wilcoxon Sign Rank Test. After receiving DASH  diet  education,  most  patients  had  good  eating  patterns.  The  study results showed that DASH diet education using the peer group method had an effect on the eating patterns of Diabetes Mellitus patients. Based on the study findings,  it  was  expected  that  community  nurses  could  use  DASH  diet education interventions to improve blood sugar levels, lipid profiles, and blood pressure in diabetes mellitus patients

The Emergency Level Algorithm Uses the National Early Warning System (News) Method for Non-Rebreathing Mask Oxygen Therapy Patients

The mixed gas pressure theory states that if the pressure of one gas in a gas mixture increases, the partial pressure of the other gas will decrease. Increasing the oxygen concentration in the non-rebreathing mask will reduce the partial pressure of CO2, so that it can reduce PaCO2 and maintain a high PaO2. Researchers want to know the level of emergency by looking at the effectiveness of administering O2 on hemodynamic status using the NEWS (National Early Warning System) method, where currently only O2 saturation and arterial blood gas analysis values ​​are often used to evaluate, without any scoring, with an action algorithm according to the emergency level scoring report. This research is a quasi-experimental one-group pre-post-test design with a one-shot pretest and posttest design on all patients who have respiratory complaints with NEWS score values ​​in the moderate and severe categories in the ICU of Dr. Hospital. Slamet Martodirjo Pamekasan. Sampling uses non-probability purposive sampling. Because the population of this study is infinite, the target sample size is 20 respondents. The emergence of patients in the ICU after receiving the second 6-hour phase of O2 NRM therapy intervention was found by most respondents (55%) in the mild category, and only 20% in the severe category. This means that the number of patients in the critical or high category is much less than after the first 2 hours of therapy, namely 65% ​​to 20% and most of them are already in the mild category after the second 6 hours of O2 therapy. This study concludes that O2 NRM therapy has a significant effect on reducing the level of emergency for the first 2 hours and evaluation for the second 6 hours, resulting in a different emergency algorithm (reducing the level of emergency) for the two evaluation phases with different levels of emergency

A DESCRIPTIVE STUDY ON TRIGLYCERIDE AND BLOOD GLUCOSE LEVELS IN THE ELDERLY POPULATION

Penyakit degeneratif merupakan penyakit yang terjadi karena penurunan fungsi organ tubuh akibat bertambahnya usia serta penyakit tersebut dapat berlangsung lama atau kronis. Penyakit degeneratif menjadi masalah besar di seluruh dunia karena ada kecenderungan peningkatan kelompok usia lanjut (lansia). Prevalensi penyakit degeneratif di Indonesia juga terus meningkat sejalan dengan peningkatan usia harapan hidup. penyakit jantung dan diabetes melitus merupakan penyakit degeneratif yang kejadiannya terus meningka

THE EFFECT OF TEPID SPONGE THERAPY ON REDUCING JOINT PAININ GOUT ARTHRITIS AT GENERAL CENDEKIA HUSADA CLINIC

Gout arthritis is a form of inflammatory arthritis characterized by acute joint pain, swelling, and redness due to the accumulation of uric acid crystals in the joints. Non-pharmacological pain management, such as tepid sponge therapy (warm compresses), is starting to be considered as a safe and easy alternative. This therapy is thought to increase vasodilation, improve blood circulation, and help reduce pain levels. The aim was to determine the effect of tepid sponge therapy on reducing joint pain levels in gout arthritis patients. The method used was This study used a quantitative design with a pre-experimental one-group pretest-posttest approach. A total of 66 respondents diagnosed with gout arthritis and experiencing mild to moderate joint pain were selected using a purposive sampling technique. Pain levels were measured using a Numerical Rating Scale (NRS) before and after the intervention. Tepid sponge therapy was performed for 15 minutes on the painful joint area, twice a day for 3 consecutive days. Data analysis used a WilcoxonTest. Results: There was a significant reduction in pain levels after tepid sponge therapy. The results of wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant effect of tepid sponge therapy on reducing joint pain in gouty arthritis. The conclusion is that tepid sponge therapy is effective in reducing joint pain in gouty arthritis sufferers. This intervention can be used as a simple and effective non-pharmacological treatment alternative to reduce joint pain

THE EFFECT OF RHEUMATIC GYMNASTIC AND SHALAWAT NARIYAH ON THE PAIN LEVEL OF GOUT ARTHRITIS PATIENTS

Uric acid levels in the blood exceeding normal limits can cause a buildup in the joints and organs. This buildup causes the joints to feel sore, painful and inflamed. This study aimed to determine the effect of Rheumatic Gymnastics and Shalawat Nariyah on the pain level of patients with gout arthritis. This study used a pre-experimental one-group pre-posttest design. A total of 34 respondents were obtained by total sampling. The instrument was the Numeric Rating Scale. The results showed that before being given the intervention, 23 people (67.6%) experienced moderate pain, while after being given the intervention, 19 people (55.9%) experienced mild pain. The hypothesis was tested using the Wilcoxon test with the results (P = 0.000 ≤ α 0.05), meaning that Rheumatic Gymnastics and Shalawat Nariyah had an effect on pain levels in patients with gout arthritis. Rheumatic Gymnastics and Shalawat Nariyah can stimulate an increase in the release of endorphin hormones and cause a relaxing effect on reducing pain in patients with gout arthritis