Exploring The Correlation between Motivation, Anxiety, Stress, and Hockey Athletes’ Confidence Before Competition

Confidence is a key aspect of an athlete's performance, affecting motivation, performance, and stress management while competing. This study aimed to analyze the correlation between motivation, anxiety, and stress with the confidence of East Java hockey athletes before competition. The design of the study was cross-sectional. The population was 2024 PON hockey athletes aged 18-25 years totaling 60 athletes, namely 30 male athletes and 30 female athletes using the total sampling method. A quantitative descriptive research method was conducted with the DASS-42 questionnaire to measure anxiety and stress levels, as well as a questionnaire adopted for motivation and confidence. Of the 60 respondents, 73.3% of the athletes showed excellent motivation, while anxiety and stress ranged from normal to severe. Analysis using Spearman rank showed a significant correlation between motivation (p=0.001), anxiety (p=0.006), and stress (p=0.005) and self-confidence. Emphasize the importance of athletes' mental readiness in facing competition and the need for support and education regarding the management of psychological factors. Advice is given for coaches to strengthen mental support programs to increase athletes' confidence

Exploring Psychosocial Issues of Breast Cancer: What Coping Mechanisms Have They Used to Manage Their Stressors?

One of the most common diseases causing death in women is mammary carcinoma which is the third largest cause of death in Indonesia after heart disease and stroke. Chemotherapy and surgery are treatment methods that have been widely used. The body image of patients who have undergone mastectomy will change as they no longer have breasts. The purpose of this study was to determine how coping mechanisms were used in patients suffering from carcinoma mammae post-mastectomy. This study used a qualitative-quantitative research design. The data was obtained through semi-structured interview guides and coping mechanism questionnaires as support. The data validity test method used triangulation of sources and methods. The data analysis in the study used domain analysis. The researcher analyzed the data using domain analysis and found seven main themes emotional distress when first diagnosed with Ca mammae, body image disturbance after mastectomy, breast loss after mastectomy, the use of active coping in seeking recovery, use of healthy lifestyle planning to reduce disease risk, use of religious coping mechanisms for illness perception, use of acceptance coping mechanism in illness. Some psychosocial problems such as mental emotional disorders such as severe stress, fear, and worry about the disease are often felt by patients. However, participants use adaptive coping mechanisms to adapt to psychosocial problems through the use of active coping, religion, planning, and being able to accept deficiencies in their body image

The Effectiveness of Moxibution on Salivary Cortisol Levels in Primiparous Breastfeeding Mothers: Quasi-Experimental Study

Optimal breastfeeding practices play a crucial role in enhancing the health of infants and children. However, increased anxiety among postpartum mothers can lead to higher cortisol levels. Moxibustion is a traditional therapy that has been shown to improve blood circulation, reduce discomfort, and influence the central nervous system by stimulating specific meridian points. This study aimed to examine the effect of moxibustion on cortisol levels in breastfeeding mothers. A quasi-experimental design with pretest and posttest was used. Participants were divided into two groups: an intervention group that received moxibustion and a control group that received acupuncture. A total of 32 breastfeeding mothers from Ngaliyan Public Health Center in Semarang participated in the study, with 16 individuals in each group. Moxibustion was applied to specific meridian points (CV17, LI4, SP6, ST16, ST18, ST36, BL17, and BL18). Cortisol levels were measured using the Enzyme-Linked Immunosorbent Assay (ELISA) method, and data were analyzed using the Mann-Whitney test. The results showed no significant difference in cortisol levels between the two groups (p = 0.864). The average cortisol change was -0.063 in the intervention group and -0.113 in the control group. It was concluded that moxibustion had no significant effect on cortisol levels. Further studies are recommended to explore other factors that may influence cortisol levels in postpartum mothers

Health Education Through Illustrated Storybooks Affected the Bullying Knowledge of Primary School Students

Bullying has become more prevalent not only among secondary school (SMP and SMA) students but also in primary school (SD) students. Children's physical and psychological development in primary school are the most crucial aspects. However, many primary school students face physical and psychological pressure in social interactions due to bullying. However, they are rarely reported even though they have a detrimental effect on both victims and perpetrators. Bullying is still considered normal in social interactions and is used as a joke and a way to demonstrate strength. One of the causes is primary school students’ lack of comprehension of bullying.This research aimed to determine primary school students' knowledge about bullying before and after receiving health education and analyze the impact of bullying themed illustrated storybooks on primary school students’ knowledge in Kupang to prevent bullying behaviors. The quasiexperimental approach pre-test and post-test with one group design. There were 200 primary school students involved in intervention. The Wilcoxon test results show that the average respondents’ knowledge improvement after being provided with health education about bullying using illustrated storybooks was 78.5%, with a p-value of 0.000. Therefore, it can be concluded that health education using illustrated storybook positively impacts primary school (SD) students’ bullying knowledge in Kupang. Collaboration between various parties, including parents, teachers, schools, and nurses, will continue to provide education about bullying for elementary school children as an effort to prevent bullying behavior in elementary school children

Combining Prenatal Yoga and Self-Hypnosis as Effective Intervention to Reduce Blood Pressure of Pre-Eclampsia Pregnant Women

Pre-eclampsia (PE) is a significant cause of maternal and fetal morbidity and mortality. PE requires intervention to prevent it from developing into severe pre-eclampsia or eclampsia. One of the non-pharmacological therapies for PE that has not been widely used is prenatal yoga and self-hypnosis. This research aimed to determine the effect of combining prenatal yoga and self-hypnosis on decreasing blood pressure in pregnant women with PE. The method was quasi-experimental, with a pretest-posttest and a control group design. The population was all pregnant women with PE in 5 health centers in Bangkalan district from May to August 2024. The sampling technique used simple random sampling with the Federer formula, with a total sample of 32 people, 16 in each group. The research instruments used calibrated digital tension meters and SOPs for prenatal yoga and self-hypnosis. The results of the Wilcoxon analysis test showed that prenatal yoga and self-hypnosis effectively reduced blood pressure in pregnant women with pre-eclampsia with a p-value of 0.000 (p <0.05). Yoga and self-hypnosis are effective in lowering blood pressure by increasing the physical, mental, and spiritual strength of the mother in dealing with pregnancy with PE

Enhancing Clinical Competence of New Graduate Nurses to Improve The Quality of Patient Care

Nurses are expected to be competent with the ability to perform independently and deliver safe patient care. This paper aimed to report the measures to enhance the clinical competence of new graduate nurses with the intention of improving quality of patient care in public hospitals. This research was a qualitative design with focus group discussions and individual interviews used to collect data from seven public hospitals in three districts of Northwest Province, South Africa, during the period, of September, and November 2021. Thematic data analysis was employed to analyze the collected data. The result of this research was two themes with eight sub-themes reported as follows: 1) Dealing with theory and education gaps, and 2) Identify and eliminate organizational and institutional barriers. The conclusion was a theory-practice gap can lead to a lack of confidence and incompetence which will in return hinder safe practice and quality performance. On the other hand, organizational and institutional challenges can compromise support for newly graduated nurses during their transition period. Therefore, attending to the measures to enhance new graduate nurses’ clinical competence will benefit the healthcare facilities, as it would have positive effects on patient care. It is therefore suggested that future studies may use different study methods including the different populations such as the new graduate nurses themselves, and operational managers from the other healthcare facilities such as clinics and primary healthcare centers

Educational Videos on Local Wisdom “Topeng Dance and Basa Walikan” to Motivate the New Culture Clean and Healthy Living Behavior

Environmental and behavioral factors influence health, so community empowerment is very important to achieve a healthy paradigm. The lack of clean and healthy living behavior in minimizing the risk of disease is due to lack of socialization, availability of facilities, and strong local culture. Further efforts are needed to achieve optimal results. The research aimed to determine the effectiveness of educational video local wisdom "Topeng Dance and Basa Walikan" on clean and healthy living behavior cultural motivation in preventing disease at the Mojolangu Malang Community Health Center. This was quantitative research with quasi-experimental design, pre-post test with control group design. Simple random sampling was used as the sampling technique. The population was 150 people who sought outpatient treatment at the Mojolangu Community Health Center. The get sample size software divides the sample into two groups; margin of error 5% for 110 samples. The intervention group was given five educational videos in stages over 15-30 minutes. The control group used the available brochures. The data collection used questionnaires. The data analysis used the Wilcoxon sign rank test and the Mann-Whitney test. The data analysis showed that the intervention affected the perceptions of vulnerability (p-value=0.000), Perception of Severity (p-value=0.000), Perception of Barriers (p-value=0.000), Perception of Benefits (p-value=0.000), cues to action (p-value=0.017), self-efficacy (p-value=0.000), and motivation (p-value=0.000). Meanwhile, in the control group there were no differences in pre-post-test. Health promotion needs to be increased to encourage sustainable healthy living behavior activities so that people can achieve the highest level of health

Head-up Position did not Correlated with the Recovery Time of Lower Extremity Motor Function in Spinal Anesthesia Patiens

Patients who are delayed in recovery after spinal anesthesia will be transferred to the post anesthesia care unit (PACU) which can lead to increased service costs and patient dissatisfaction. Lower extremity motor function recovery time after spinal anesthesia is the time it takes for patients to be able to move from the recovery room to the patient's original room. The purpose of this study was to determine the correlation of Head-up position to the recovery time of lower extremity motor function in spinal anesthesia patients in the recovery room. The design of the study was correlation with a “cross-sectional” approach. The population was post-spinal anesthesia patients in the recovery room who meet the criteria. The study used "purposive sampling" with 96 post-spinal anesthesia patients. The independent variable was the head-up position, while the dependent variable was the recovery time of lower extremity motor function. The analysis test used the Pearson correlation test. The results of the correlation test showed no correlation between head-up position and recovery time of lower extremity motor function in spinal anesthesia patients with p-value = 0.099 (>0.05). This was due to the longer the duration of surgery, the faster the effect of spinal anesthesia drugs will run out. It is recommended to apply the results of this study as a review of SOPs related to the intervention of giving a head-up position to post-spinal anesthesia patients in the recovery room

The Duration of Suffering from Diabetes Mellitus did not Correlate with the Occurrence of Cataract

People with diabetes mellitus are five times more likely to develop cataracts. High blood sugar levels over a long period of time can be one of the complications of cataracts. This was a correlational study with the purpose to determine the correlation between the duration of diabetes mellitus and the occurrence of cataracts in patients with diabetes mellitus at the Internal Medicine Polyclinic of Medika Utama Hospital, Blitar. The population in this study was patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Medika Utama Hospital, Blitar. The sample in this study was patients with diabetes mellitus who visited the Internal Medicine Polyclinic of Medika Utama Hospital within a period of 2 weeks, totaling 56 people. The sampling used an accidental sampling technique. The statistical test used was chi-square. The results of this study showed that the p-value was 0.449, which meant that there was no correlation between the duration of diabetes mellitus and the incidence of cataracts. Several actions that can be taken to prevent cataracts are controlling blood glucose levels by obediently taking medication and following a diet. In addition, routine eye checks are useful in preventing cataracts in people with diabetes mellitus

Colaboration Strategy on Prevention and Handling of Sexual Violence on Adolescents between Indonesian Family Planning Association

The increase in adolescent sexual activity puts adolescents at risk of experiencing sexual violence, including on campus. Several universities have made efforts to prevent and address sexual violence on campus. This study aimed to compile a Collaboration Strategy of college with Indonesian Family Planning Association with College in East Java in the prevention and handling of Sexual Violence among adolescents. The design qualitative method with a Focus Group Discussion approach. This focus group discussion was attended by prevention and handling of Sexual Violence on adolescents’ experts from Indonesian family planning association, and lecturers from 4 universities in East Java, namely from Jember University, Bina Sehat PPNI Mojokerto University, Institute of Health Science Ar-Rahmah Gempol Pasuruan and health sciences Surya Mitra Husada Kediri Kediri. The sampling technique used purposive sampling with 4 informants. Triangulation was carried out on 3 informants from Indonesian family planning association. The research instrument was the researcher himself and the Focus Group Discussion guidelines. The data analysis used data reduction, data presentation, data verification, and data validity testing. The informant's university of origin stated that it had implemented efforts to prevent and handle sexual violence against adolescents and had reported the implementation to Belmawa Information System. The obstacles faced were the limited number of expert human resources, partners, and information media. The recommendation from the Focus Group Discussion was a collaborative strategy between Universities and Indonesian family planning association in efforts to prevent and handle sexual violence against adolescents on campus