THE CORRELATION BETWEEN THE LEVELS OF ACTIVITIES OF DAILY LIFE WITH STRESS LEVELS AMONG STROKE PATIENTS

Introduction: A stroke resulting in loss of control functions of the brain that affects the paralysis of certain body parts, it may inhibits the activity of daily life. The objective of this study was to identify the correlation between activities of daily life with stress levels of stroke patients. Method: This study used correlational analytic. Samples were taken using simple random sampling, with 22 patients in Neurological Wards, Dr. Ramelan Navy Hospital, Surabaya.Data collection was undertaken using General Health Questionare (GHQ-12) and observation Katz Index. Data were analyzed with Spearman Rank test with significance level of 0,05. Results: Results showed that the average of stroke patient decreased partly function in activities of daily life (40,9%), the average experience of stress (59,1%). This study found that there was a significant correlation between activities of daily life with stress levels of stroke patients (ρ = 0.01). Discussion: Functional decline in activities of daily life as a result of a stroke becomes a stressor for patients. Developing positive coping, range of motion exercise and social support may help patients adapt to the conditions. Key words: activities of daily life, stres, strok

The Effectivity of Therapeutic Communication on Pre-Surgery Education of The Implementation of Phacoemulsification technique Cataract Surgery With Local Anesthesia

Surgery, whether it is elective or emergency, is a complex event that triggers stress both on the patient and the family. Not only extending the surgery wait time, postponing or cancelling the surgery could increase the severity of the cataract that may result in blindness. This research goal is to know the effectivity of therapeutic communication on the implementation of cataract surgery. This research uses Pre-Experimental design with Post Test Only Control Group approach. A population of 176 respondents will be scheduled for cataract surgery to meet the inclusion criteria. The sampling technique is using simple random sampling technique and 64 respondents are divided into control and intervention groups. The data analysis is using Paired Sample T-test statistical test. The research result shows that almost all of the respondents who continue to the surgery with a number of 30 respondents (93,8%) and the number of respondents who postpone the surgery is only 2 respondents (6,2%), while those who implements daily communication shows that 22 respondents (68,8%) continue to the surgery and the 10 respondents (34,2%) postpone the surgery. The result of Paired Sample T-test statistical test shows that P value = 0,003 < 0,05 means that there is a difference in the surgery between the intervention and the control group. The implications of this research can be applied by nurses to be more creative and innovative, professional and skilled in applying therapeutic communication when providing pre surgery cataract education

Peningkatan Keterampilan Injeksi Pasien Diabetes dengan Menggunakan Self Insulin Injection Simulation Tool (SIIST)

This study aims to identify the effectiveness of using the Self Insulin Injection Simulation Tool (SIIST) to improve insulin injection skills in Diabetes Mellitus patients. The method used is a pretest-posttest control group design. The results showed that the increase in the average skill score in the SIIST intervention group was higher than in the control group, and there was a significant difference (p-value 0.001). In conclusion, education using SIIST is effective in improving the injection skills of Diabetes Mellitus patients. Instruction using the media simulation tool makes it easier for Diabetes patients to practice self-injection correctly and correctly. &nbsp; Keywords: Diabetes, Injection, Insulin, Skills, Simulation Tool&nbsp

EDUKASI SEBAGAI UPAYA PENCEGAHAN INFEKSI PASCA SIRKUMSISI MASSAL

Tindakan sirkumsisi merupakan tindakan bedah yang meninggalkan luka setelah prosedur. Perawatan pasca sirkumsisi merupakan tahapan yang penting untuk mencegah terjadinya infeksi, masih banyak keluarga yang mempercayai mitos tentang penyembuhan luka sirkumsisiKegiatan ini diwujudkan melalui peningkatan informasi dalam wujud edukasi keluarga dan peserta. Subjek pada kegiatan ini adalah keluarga dan peserta khitan massal di masjid Al Karomah Griya Samudra Asri Kramat Jegu Taman Sidoarjo.Pengukuran tingkat pengetahuan menggunakan kuesioner dengan metode observasional analisis.Kegiatan ini dilakukan di masjid Al Karomah Griya Samudra Asri Kramat Jegu Taman Sidoarjo pada tanggal 24-25 Juni 2023, yang diikuti oleh 30 peserta yang didampingi oleh keluarga. Dari hasil observasi dan analisis didapatkan bahwa 96,67% keluarga memiliki tingkat pengetahuan baik, dan 6,67% memiliki tingkat pengetahuan cukup. Edukasi merupakan suatu upaya yang direncanakan untuk menyebarkan pesan, menanamkan keyakinan bisa melakukan suatu anjuran yang dapat meningkatkan pengetahuan. Peranan dan pengetahuan orangtua dalam tahap perawatan diperlukan untuk mempercepat proses penyembuhan luka.Keterlibatan keluarga dalam hal ini orang tua serta kerjasama yang baik dengan peserta akan meningkatkan pengetahuan serta status penyembuhan luka pasca sirkumsis

Hubungan Peran Pembimbing Akademik Dengan Prestasi Belajar Mahasiswa Semester Iv Akper Hang Tuah Surabaya Ta. 2003 / 2004

Pennasalahan kompleks yang dihadapi mahasiswa dapat mengganggu aktivitas dan proses belajar yang akhimya prestasi belajar tidak optimal. Hal ini menuntut adanya Pembimbing Akademik (PA) di kampus yang memberikan pelayanan bimbingan dan konseling baik mengenai masalah akademik maupun non akademik. Peran Pembimbing Akademik mempengaruhi pemanfaatan pelayanan tersebut. Tujuan penelitian ini untuk mempelajari hubungan antara peran Pembimbing Akademik dengan prestasi belajar mahasiswa semester IV Akper Hang Tuah Surabaya TA. 2003/2004. Penelitian ini menggunakan desain Cross-Sectional. Populasinya adalah mahasiswa semester IV TA. 2003/2004 clan dosen Akper Hang Tuah Surabaya. Sampel. diambil dengan Simple Random Sampling dari mahasiswa sebesar 65 responden dan 11 responden dari dosen dengan Purposive Sampling. V ariabel independennya adalah Peran Pembimbing Akademik, variabel dependennya adalah Prestasi Belajar. Data dikumpulkan menggunakan kuesioner dan studi dokumenter, kemudian dianalisis menggunakan uji statistik korelasi Spearman Rho, dengan tingkat kemaknaan p < 0,05. Hasil penelitian menunjukkan terdapat hubungan yang bennakna antara peran pembimbing akademik dengan prestasi belajar menurut pandangan dosen (p = 0,048 dan r = +0,247), demikian juga terda.pat hubungan yang bermakna antara peran pembimbing akademik dengan prestasi belajar menurut pandangan m&hasiswa (p = 0,000 dan r = +0,774). Hal tersebut juga menunjukkan bahwa hubungan peran pembimbing akademik dan prestasi belajar menurut pandangan mahasiswa lebih kuat daripada menurut dosen. Kesimpulannya adalah peran pembimbing akademik mempunyai korelasi dengan prestasi belajar mahasiswa, bimbingan dan konseling oleh pembimbing akademik membantu menyelesaikan masalah dan meningkatkan motivasi mahesiswa dalam proses belajar sehingga menghasilkan mahasiswa berprestasi baik

Peningkatan Motivasi Untuk Sembuh Pasien Stroke Yang Dilakukan Komunikasi Terapeutik Di Ruang Saraf Rumkital Dr. Ramelan Surabaya

Motivation to recover is the core of post-stroke recovery, as it may serve as the base of the patients actions toward recovery. The objective of this study was to analyze increased motivation to recover in stroke patients undergoing therapeutic communication. This study used experiment pre-test and post-test control group design. The experiment unit was stroke patients in Neurological Wards, Dr. Ramelan Navy Hospital, Surabaya, who met the inclusion criteria. Total replication was 21 respondents, comprising 11 respondents in treatment group and 1 0 respondents in control group. The independent variable was therapeutic communication, which was provided as intervention. The dependent variable was motivation to recover and HSP70 level. Data collection was undertaken using questionnaire and observation level. Data were analyzed with paired t-test and Independent t-test with significance level of0.05. Results showed that after therapeutic communication was given for stroke patients, there was increasing motivation to recover (p = 0.001), and there was an increase in Heat Shock Proteins 70 (HSP70) level (p = 0.007). There was significant difference in the motivation to recover between stroke patients with therapeutic communication and those undergoing communication according to ward standard (p = 0.022), and there was no significant difference in HSP70 level between stroke patients undergoing therapeutic communication and those undergoing communication according to ward standard (p = 0.850). In conclusion, with therapeutic communication nurses may direct the stroke patients toward positive spirituality. Spiritual power is a source of energy that increase motivation to recover and increase the HSP70 level as the healing repair process. It is suggested to improve nurses capability in therapeutic communication with training on the use of technique and models in therapeutic communication (spirituality aspect)

HUBUNGAN KEJADIAN STUNTING DENGAN FREKUENSI DAN DURASI PENYAKIT ISPA PADA ANAK USIA TODDLER DI WILAYAH KERJA PUSKESMAS KENJERAN SURABAYA: The Relationship Between the Incidence of Stunting and the Frequency and Duration of Acute Respiratory Infection in Toddler in the Working Area of Kenjeran Health Center in Surabaya

Infectious diseases (ARI/Acute Respiratory Infection) that repeatedly cause children's health to increase in the pattern of children's appetite which can lead to less nutritional status of children. This study was to analyze the relationship between the incidence of stunting and the frequency and duration of ARI in children under&nbsp; five in the Kenjeran Health Center Surabaya Working Area. Analytical research design with cross sectional design in 4 villages between Kenjeran Village, Bulak Village, Kedung Cowek Village, and Sukolilo Village. Data retrieval is done by questionnaire sheet and observation using microtoise, sample technique uses Sampling Probability by using Stratified Random Sampling as many as 152 children. The results of research on children under five who experience the incidence of stunting with the frequency and duration of ARI indicate children who experience stunting and longer frequency. The Rho Spearmen Test showed differences in the incidence of stunting with the frequency of ARI frequency p = 0.001 (p&lt;? = 0, 05), the duration of ARI p = 0.001 (p&lt;? = 0.05). The implication of this study is that stunting is related to the frequency and duration of ARI, so that posyandu activities can add counseling about children's health that requires the treatment of ARI in children under five in the Kenjeran Health Center Surabaya. Keywords: Stunting incidence, frequency, duration, ARI/Acute Respiratory Infection ABSTRAK Penyakit infeksi (ISPA) yang berulang menyebabkan kondisi kesehatan anak menurun sehingga berdampak pada pola nafsu makan anak yang dapat menyebabkan status gizi anak kurang. Penelitian ini bertujuan untuk menganalisis hubungan kejadian stunting dengan frekuensi dan durasi penyakit diare dan ISPA pada anak usia toddler di Wilayah Kerja Puskesmas Kenjeran Surabaya. Desain penelitian analitik korelasi dengan pendekatan cross sectional pada 4 Kelurahan antara lain Kelurahan Kenjeran, Kelurahan Bulak, Kelurahan Kedung Cowek, dan Kelurahan Sukolilo. Pengambilan data dilakukan dengan lembar kuisioner dan observasi menggunakan microtoise, teknik sampel menggunakan Probability Sampling dengan menggunakan Stratified Random Sampling sebanyak 152 anak. Hasil penelitian bahwa anak toddler yang mengalami kejadian stunting dengan frekuensi dan durasi penyakit ISPA menunjukkan anak yang stunting memiliki frekuensi dan durasi lebih lama. Uji Spearmen Rho menunjukkan adanya hubungan kejadian stunting dengan frekuensi ISPA p=0.001 (?=0.05), durasi ISPA p=0.001 (?=0.05). Implikasi penelitian ini adalah kejadian stunting berhubungan dengan frekuensi dan durasi penyakit ISPA, sehingga kegiatan posyandu dapat menambahkan penyuluhan tentang kesehatan anak terutama penanganan pertama&nbsp; penyakit ISPA pada anak toddler di Wilayah Kerja Puskesmas Kenjeran Surabaya. Kata kunci:&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Kejadian Stunting, Frekuensi, Durasi, Penyakit ISP

LEMON AROMATHERAPY AS AN ALTERNATIVE TO REDUCE THE INTENSITY OF CHEMOTHERAPY-RELATED NAUSEA AND VOMITING EXPERIENCED BY THE BREAST CANCER PATIENTS

ABSTRACT Introduction : The mechanism of breast cancer is the cells growing and breeding become appear abnormal tissue of breast. One of the common treatments for it is chemotherapy using cytotoxic drugs. However, chemotherapy may cause nausea and vomiting as its side effects. Lemon aromatherapy is a complementary therapy in patients with breast cancer who experience nausea or vomiting. The study’s purpose was to know the effect of lemon aromatherapy on the intensity of nausea and vomiting experienced by the breast cancer patients as an effect of chemoterapy in the Chemo Center Room of RSAL Dr. Ramelan Surabaya. Material and Methods : The study was the pre-experimental design with pre-post test without control group. There are two variables, lemon aromatherapy is independent, and the intensity of nausea and vomiting is dependent. The sampling technique was nonprobability purposive sampling, with 34 breast cancer patients taken as the sample. A questionnaire was the instrument for collecting the data. The Data collected were analyzed using the Wilcoxon Test (α = 0,05). Results : The study’s result indicated that the lemon aromatherapy was effectively to decrease of the intensity of nausea and vomiting exeperienced by the respondents, with the value of Wilcoxon test p &lt; 0.001. Conclusion : Lemon aromatherapy stimulates the raphe nucleus to produce serotonin. Which function to generate a sense of comfort and calm. For that reason, it can be used as an alternative for taking care of nausea and vomiting experienced by patients with breast cancer as the side effect of chemotherapy. Keywords:&nbsp; Lemon Aromatherapy, Nausea, Vomiting, Chemotherapy &nbsp