Reduced Blood Glucose Levels in Diabetic Patients After Using a Combination of Progressive Muscle Relaxation (Pro-Mure) and Slow Deep Breathing Exercises (SD-Bex)

Background: One of the causes of diabetes mellitus is a person's lifestyle, namely their level of physical inactivity. So, to avoid complications, persons with diabetes mellitus require both pharmaceutical and non-pharmacological treatments to lower blood glucose values. Finding out if people with diabetes mellitus might reduce their blood glucose levels by combining a technique that involved slow deep breathing and progressive muscular relaxation was the primary goal of the research. Methods: This study is quasi-experimental because it uses a control group design with pre- and post-tests. The number of respondents is 34, and the method of sampling is purposive sampling. Twenty to twenty-five minutes of a combination of progressive muscle relaxation (Pro-Mure) and slow deep breathing exercises (SD-Bex) were administered to the experimental group, while the control group received the usual course of intervention. Values of blood glucose levels were the dependent variable. With a p-value of less than 0.05, the study used the Wilcoxon Signed Rank Test to compare outcomes before and after treatment and the Mann-Whitney test to compare the experimental group to the control group. Results: We found that the intervention group's blood glucose value was 0.001 and the control group's was 0.025. A p-value of 0.001 was found on the value of blood glucose levels between the experimental group and the control group as a result of the study utilising the Mann-Whitney test. Conclusion: Those suffering from diabetes mellitus can find relief from their symptoms by combining the techniques of Progressive Muscle Relaxation with Slow Deep Breathing. Additionally, the method is simple to apply

The Relationship Between The Response Time of The Family When Bringing The Patient to Hospital and Stroke Severity Patients

Background: Non-infectious diseases, especially strokes, are increasing in Indonesia. The problem that occurs at this time is that there are still many families who do not know or don’t know at all about the early detection of stroke attacks. The study aims to determine the relationship between family response time in bringing stroke patients to the hospital and the severity of stroke patients at H. Adam Malik General Hospital Medan. Methods: This research is an analytic observational study with a cross-sectional design. The research population is unknown with a total sample of 35 people, where the sample is taken based on a purposive sampling technique, and data collection uses the NHISS instrument. Results: The results of the study find that the median response time value was 4.00 and the SD value is 42.33, while the median stroke patient severity is 21.00 and the SD value is 14.248. Based on Spearman's rho test results, the p-value is 0.008 < α = 0.05, meaning that there is a correlation between family response time and the severity of stroke patients. The correlation coefficient value is 0.441, which means that the faster the family's response time in bringing the patient to the hospital, the lighter the stroke patient's severity. Conclusion: It is hoped that the family will be able to carry out an initial stroke assessment at home by looking at a smile that tilts to one side, half of the body is weak and speaks pelo, and immediately takes the patient to the hospital

Neo Automatic Code to Improve Quality of Cardiopulmonary Resuscitation (CPR) in Society

Background: The quality of cardiopulmonary resuscitation (CPR) in Indonesian society is poor. One solution is to give society a metronome called the Neo Automatic Code (NAC) to guide CPR when cardiac arrest patients are present. This study aims to analyze the effect of NAC on the compression depth and compression rate during CPR. Methods: A quick experimental study with a control group design, where the population is chosen by simple random sampling to distinguish between odd and even. The population is health cadres and youth with an age range of 16-56 years. The intervention group gets training 2 times to do CPR with Neo Automatic Code, and the control group gets training in CPR using standard procedure. We use a CPR manikin to measure variables. Data analyzed used Mann Whitney. Results: The Mann-Whitney test shows p = 0.001, concluding that there is a difference in the accuracy of depth and compression speed in CPR between the intervention and control groups. This means the NAC metronome can improve CPR performance in compression depth and compression rate. CPR uses a neo-automatic code metronome to ensure the user breathes regularly and helps the rescuer to constantly give compression. Conclusion: Neo automatic code can improve the quality of CPR in Indonesian society. A study about how many times training must be given to society, considering age, level of education, and kinds of jobs, is needed

Assessment of Stroke Patients' Muscle Strength Following a Combination of Mirror Therapy and ROM (Range of Motion) Exercises Based on Self-Care Theory

Background: When blood flow problems kill off some brain cells, the result is a neurological deficiency known as a stroke. There have been 507 reported cases of stroke in East Java, while the overall stroke prevalence in Indonesia has jumped from 7% to 10.9% (Riskesdas, 2020). The researchers at RSI Darus Syifa's Surabaya set out to determine how much of an impact self-care theory-based mirror therapy and range-of-motion exercises had on the muscular strength of stroke patients admitted to the inpatient unit. Methods: A true experimental with a pretest-posttest control group design was utilised in this type of research. One hundred and ten stroke patients made up the study's population. There were a total of 34 participants in this study, with 17 serving as control subjects and 17 as interventionists. Sampling was based on probability sampling using simple random sampling. The Medical Research Council (MRC) scale was utilised by the device to measure muscular strength. Mann-Whitney and the Wilcoxon Signet Rank Test were used to examine the collected data. Results: In the inpatient ward of the Darus Syifa Surabaya Hospital, stroke patients who undergo a combination of mirror therapy and range of motion exercises based on self-care theory show a significant improvement in muscle strength, according to the Mann-Whitney test (p < 0.05). Conclusion: The study found that stroke patients' muscle strength improved with a combination of mirror therapy and range of motion exercises grounded in self-care theory

How a Servant-Leadership Attitude Affects Discharge Planning Efficiency

Background: Discharge planning is one way in which leadership styles can motivate nurses to up their game and provide better care to patients. Examining how a servant leadership style affects the success of discharge planning initiatives is the primary goal of this study. Methods: The initial part of this mixed-method study involved doing qualitative research using an exploratory descriptive methodology with seven participants at Surabaya's Bhakti Dharma Husada Hospital. Research using quantitative methods and a quasi-experimental design is the second phase. Using a purposeful sampling technique, 114 nurses from the inpatient population at Bhakti Dharma Husada Hospital Surabaya participated in the study. Of this, 57 were assigned to the intervention group and 57 to the control group. Results: The first stage of the study produced a servant leadership module for the head of the room. In the second stage, based on the paired sample t-test, there was an effect after the intervention was given while entering the hospital (ρ = 0.000), during treatment (ρ = 0.000), and before leaving the hospital (ρ = 0.000). In the independent sample t-test, there was a significant difference in the post-test mean between the intervention and control groups during entering the hospital (ρ = 0.000), during treatment (ρ = 0.000), and before leaving the hospital (ρ = 0.000) on the performance results of the discharge plan. Conclusion: The ward head at Bhakti Dharma Husada Hospital Surabaya can use the servant leadership module and intervention to improve the performance of discharge planning from the time a patient enters the hospital to the time they leave

Playing Puzzles Improves School-Age Children's Handwashing Knowledge and Skills

Background: Handwashing refers to the practice of using soap and water to clean one's hands, both externally and between the fingers. Avoiding the spread of diarrhea, an infectious disease, requires regular handwashing. The goal of this research is to examine how SDN 009 Loa Janan Ilir students' handwashing knowledge and skills changed after receiving health education in the form of puzzles. Methods: A non-random control group design was used in this quasi-experimental study. The treatment group was SDN 009 Loa Janan Ilir, and the comparison group was SDN 007 Loa Janan Ilir. Each school used a sample size of 53 students. Media with a puzzle theme was provided to the treatment group, while media with a PowerPoint theme was provided to the comparison group. The data was analyzed using Wilcoxon and Mann-Whitney tests.   Results: A bivariate analysis demonstrated that both participants' knowledge and skills improved after being exposed to health education content presented in puzzle form. After receiving health education, there was a statistically significant difference in both the knowledge and competence levels of handwashing between the treatment and comparison groups (ρ-values of knowledge ρ=0.032 and ρ-values of skill ρ=0.000). Conclusion: Students at SDN 009 Loa Janan Ilir learned new information and improved their handwashing skills after obtaining health education via puzzle media, according to the results of this study

An Exploration of Knowledge, Attitudes, and Competencies of Ambulance Nurses in a Pre-Hospital Setting in the Special Region of Yogyakarta

Background: Trauma-related deaths outside of hospitals predominate over those that occur in hospital settings. Inadequate resuscitation and staff delays in treating patients were two factors that could raise the risk of death in the pre-hospital setting. For sustainable pre-hospital service quality improvement programmes, ambulance nurses’ knowledge, attitudes, and competencies were crucial. This study aims to explore the ambulance nurses’ knowledge, attitudes, and competencies in the Special Region of Yogyakarta (DIY). Methods: This research was a descriptive quantitative study using a cross-sectional design. A total of 54 respondents from Sleman, Bantul, Kulon Progo, Gunungkidul, Yogyakarta, and the DIY Public Safety Center (PSC) were included using total sampling. The research was carried out in September 2023. The Kruskal-Walsis, Man-Whitney, and Spearman rank tests were used to analyse the data. Results: The result of this study showed that the attitude score, which was 69.8 (87.25%), was the greatest score, and the competency score, which was 118.65 (78%), was the lowest. The knowledge, attitudes, and competencies of ambulance nurses variables showed an insignificant result (p-value > 0.05) based on age, gender, educational experience, nurse experience, experience working as an ambulance nurse, or quantity of training completed. Conclusion: According to this study, ambulance nurses' attitudes towards pre-hospital services obtain the greatest marks overall, although their competency in these services still needs more improvement. In conclusion, the knowledge, attitudes, and competencies of ambulance nurses in the Special Region of Yogyakarta did not differ significantly from one another

Effects of Joint Gymnastics Exercise Intervention on Improving Functional Ability of the Elderly

Background: The elderly experience changes in the musculoskeletal system in the form of joint disorders that attack the joints and supporting tissue structures around the joints causing pain, loss of physical function, and disability. This requires management to reduce joint pain and improve muscle movement, function, strength, and endurance using joint gymnastics/rheumatism. The purpose of this study was to improve the ability of physical functioning in the elderly. Methods: Quasi-experimental research with pre-post test design. The number of samples was 42 elderly people. This study measured the ability of physical function in the elderly. The research instrument used the KOOS (Knee injury and Osteoarthritis Outcome Score) questionnaire. Data were analyzed using the Wilcoxon signed ranks test. Results: Research shows the majority of respondents are > 59 years old, and the majority are women (62.2%). There was an increase in knowledge with an increase in score of 2.19 and functional ability with an increase of 21.71 which was described in 4 sections, namely for pain score increased by 7.59, sign and symptom score increased by 7.09, ADL score increased by 2.76 and quality of life score increased by 4.26.  There was a significant effect (p = 0.000) of joint gymnastics training interventions on improving knowledge and functional abilities. Conclusion: There is an effect of joint gymnastics exercise interventions on improving knowledge and functional abilities.  Suggestion: the application of joint gymnastics exercises is needed as an additional intervention in the community and to improve functional ability in the elderly

Factors Influencing Patient Satisfaction with Nursing Services in the Private Inpatient Health

Background: Quality health services are every patient's hope, and understanding the factors that influence patient satisfaction with health services at private hospitals in Surakarta is important to improve the patient experience and overall quality of care. This research will provide valuable insights for hospital management and nursing staff in designing more effective interventions to improve services provided and patient satisfaction. This study aims to determine the factors that influence patient satisfaction with nursing services in inpatient rooms at private hospitals in Surakarta. Method: This research uses a quantitative approach with a cross-sectional design. The research sample consisted of 90 patients treated in inpatient wards who met the specified inclusion criteria. Data was collected using a structured questionnaire that measures the quality of nursing services and patient satisfaction. Data analysis was carried out using the multiple linear regression method to determine the influence of each variable on overall patient satisfaction. Results: Hospital nursing services in Surakarta have a significant effect on patient satisfaction with p<0.05, from the five dimensions, namely reliability, physical evidence, empathy, responsiveness, and assurance. All sizes have a significant effect (p<0.05) on the level of satisfaction. This occurs when patients have a good (fairly good) perception of hospital nursing services in Surakarta. Conclusion: The five dimensions of hospital nursing services in Surakarta, consisting of reliability, concrete evidence, empathy, responsiveness, and assurance, have a major impact on patient satisfaction in hospitals in Surakarta. Thus, it follows that patient satisfaction can be raised by hospitals providing high-quality nursing care

The Impact of Sticking Pictures to Promote Dengue Fever Prevention on Fifth-Graders’ Knowledge and Attitude

Background: Dengue fever is an acute mosquito-borne infection caused by the dengue viruses and has become a growing public health concern globally. One of the causes is the lack of knowledge about the 3M Plus campaign, especially among children in the school-age group. The objective of this research is to identify the impact of sticking pictures as health promotion media to prevent dengue fever on elementary school fifth-graders’ knowledge and attitude. Methods: This research uses a pre-experimental type with a one-group pre-test and post-test design. The population of this research consisted of all fifth-grade students, followed by 39 persons chosen utilizing proportional random sampling and simple random sampling techniques. The primary data for this research were collected through the distribution and completion of close-ended questionnaires. The data analysis method was carried out using the Wilcoxon signed-ranks test. Results: The results show that there is a significant impact of the use of sticking pictures as health promotion media on elementary school fifth-graders’ knowledge (p = 0.01) and attitude (p = 0.01) towards dengue fever prevention after they were given sticking pictures. Conclusion: The use of health promotion media with sticking pictures affects elementary school fifth-graders’ increasing knowledge and attitude about DHF. The implication of this finding is that educators should consider integrating sticking pictures as health promotion media into their teaching methods to enhance students’ knowledge and attitude towards dengue fever prevention