NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 https://stikes-nhm.e-journal.id/NU <p>research&nbsp;<span lang="en" tabindex="0">Emergency Department, KMB Department, Maternity Department, Department of children, Department of the Soul, Community, family and gerontik departments Research oriented to the care and handling of Airway emergencies, Breathing, Circulation, Disability, Manual procedures for disaster management, evacuation, restoration of quality of life, Care and treatment of asphyxia, tetanus neonaturum, febrile seizures, Early detection of Sucide tentacles, Violence, publication of national and international journals .</span></p> <p>&nbsp;</p> NHM PRESS en-US NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 2085-5931 PENGARUH PENDIDIKAN KESEHATAN TERHADAP PENGETAHUAN DAN SIKAP REMAJA PUTRI USIA 18-24 TAHUN TENTANG PENTINGNYA TABLET FE DI WILAYAH KELURAHAN TLOGOMAS, LOWOKWARU https://stikes-nhm.e-journal.id/NU/article/view/1998 <p>Anemia occurs more often in women than men. The factor that causes anemia in adolescent girls is irregular menstrual cycles (Suparji, 2017). WHO states that globally the prevalence of anemia in women aged 15 years and over is 28%. The prevalence of anemia among children aged 5-12 in Indonesia is 26%, among women aged 13-18 it is 23%. The prevalence of anemia in adolescent girls in East Java in 2018 was included in the severe category, namely 42.1% (East Java Provincial Health Office, 2020). The research design used in this research was Pre-Experimental with One Group Pre-test and post-test design. The population used in this research was 30 young women. Samples were taken by total sampling technique. The number of respondents used in this study was 30 respondents. The results of univariate analysis of 30 respondents showed that most of them had knowledge about the importance of Fe tablets in the poor category, 22 respondents (73.3%) before the experiment (pre-test) and the majority had knowledge about the importance of Fe tablets in the sufficient category, 20 respondents (60%) after the experiment (post-test). All respondents had an attitude about the importance of Fe tablets in the poor category, 30 respondents (100%) before the experiment (pre-test) and almost all respondents had an attitude about the importance of Fe tablets in the good category, 28 respondents (100%) after experiment (post-test). There is an influence of health education on the knowledge of young women aged 18-24 years about the importance of Fe tablets in the Tlogomas Lowokwaru Village Area with a P value of 0.000. There is an influence of health education on the attitudes of young women aged 18-24 years about the importance of Fe tablets in the Tlogomas Lowokwaru Village Area with a P value of 0.000.</p> Katarina Alus Reny Retnaningsih Rosyidah Alfitri ##submission.copyrightStatement## 2024-06-07 2024-06-07 15 2 1 8 10.36089/nu.v15i2.1998 INTERVENSI VAP BUNDLE PADA NEONATUS DENGAN RESPIRATORY DISTRESS SYNDROME YANG TERPASANG VENTILATOR MEKANIK: CASE STUDY https://stikes-nhm.e-journal.id/NU/article/view/2015 <p><strong><em>Background:</em></strong><em> VAP occurs due to nosocomial infection in patients who have been intubated with a mechanical ventilator using an ETT with a duration of use ≥ 48 hours. This nosocomial pneumonia can be prevented by implementing VAP bundle interventions aimed at reducing the risk of VAP in patients. <strong>Purpose: </strong>To assess the effect of VAP bundle interventions in a neonatal patient with respiratory distress syndrome who is intubated with a mechanical ventilator. <strong>Methods:</strong> The method used in this research is a case study implementing the 5 elements of VAP bundle intervention carried out for 5 days in a neonatal patient intubated with a mechanical ventilator in the PICU-NICU room of the Regional Public Hospital of Temanggung Regency. <strong>Results:</strong> The results of this case study showed that after implementing the VAP bundle interventions for 5 days in a row, most of the clinical criteria of VAP were not found in the neonatal patient, such as HR, RR, SpO2, and temperature were stable on average and secretion production during suction was white with liquid consistency. <strong>Conclusion:</strong> The implementation of VAP bundle interventions can prevent the occurrence of VAP in neonatal patient with respiratory distress syndrome who is intubated with a mechanical ventilator.</em></p> Avinnia Sasadhara Ferika Indarwati Layli Anisah ##submission.copyrightStatement## 2024-06-07 2024-06-07 15 2 9 16 10.36089/nu.v15i2.2015 PERBEDAAN BERAT BADAN BAYI ANTARA YANG DI BERIKAN ASI EKSLUSIF DENGAN YANG TIDAK PADA USIA 0-6 BULAN DI PUSKESMAS TAJINAN KABUPATEN MALANG https://stikes-nhm.e-journal.id/NU/article/view/2022 <p>Breast milk is the first and best natural food for babies. Breast milk contains various nutrients needed in the process of growth and development of babies. However, until now there is still low understanding of mothers, families and society regarding the importance of breast milk for babies. The aim of this research is to find out Difference in weight of babies given exclusive breast milk and not given breast milk at the age of 0-6 months. This research design is cross sectional. The population in this study was 6 month old babies from November to December 2023 at the Tajinan Community Health Center, totaling 80 babies and 14 of them experienced weight gain that was not appropriate for their age. The sampling technique uses accidental sampling technique, data is collected by distributing questionnaires. This research uses the chi square test. Based on the research results, it can be seen that the majority of respondents who did not give exclusive breast milk had obese babies, 9 respondents (25.0%), while the majority of respondents who gave exclusive breast milk had normal weight babies, 12 respondents (33.3%). From data analysis between Exclusive Breastfeeding and Baby's Body Weight using the Chi Square Test, a significant value of p = 0.002 (p.value &lt; 0.05) was obtained.</p> Mutiara Nikita Sahani Widia Shofa Ilmiah Ina Indriati ##submission.copyrightStatement## 2024-06-07 2024-06-07 15 2 17 21 10.36089/nu.v15i2.2022 KOMPRES JAHE HANGAT TERHADAP INTENSITAS NYERI ARTRITIS RHEUMATOID PADA LANSIA https://stikes-nhm.e-journal.id/NU/article/view/2020 <p>Penderita Rheumatoid Artritis diseluruh dunia telah mancapai angka 355 juta jiwa, artinya 1 dari 6 orang di dunia ini menderita reumatoid artritis. Diperkirakan angka ini terus meningkat hingga tahun 2025 dengan indikasi lebih dari 25% akan mengalami kelumpuhan. Tujuan penelitian yaitu untuk mengetahui pengaruh kompres jahe hangat terhadap intensitas nyeri artritis rheumatoid pada lansia di Puskesmas Bukit Wolio Indah Kota Baubau.</p> <p>Jenis penelitian yang digunakan adalah penelitian quasi eksperimen, dengan desain penelitian one group pre-test and post- test, dimana kegiatan penelitian yang memberikan tes awal (pretest) sebelum diberikan perlakuan, setelah diberikan perlakuan barulah memberikan tes akhir (posttest). Jumlah sampel dalam penelitian ini yaitu 50 orang.</p> <p>Hasil penelitian diperoleh intensitas nyeri artritis rheumatoid sebelum diberikan kompres jahe hangat tertinggi nilai 8 yaitu 15 orang (30,0%) dan terendah nilai 6 yaitu 7 orang (14,0%), dan setelah diberikan kompres jahe tertinggi nilai 6 yaitu 16 orang (32,0%) dan terendah nilai 2 yaitu 3 orang (6,0%). Ada pengaruh kompres jahe hangat terhadap intensitas nyeri artritis rheumatoid pada lansia.</p> Musmuliadin Musmuliadin Chandra Irawan Chandra Irawan Wa Ode Yulinar ##submission.copyrightStatement## 2024-06-07 2024-06-07 15 2 22 27 10.36089/nu.v15i2.2020 HUBUNGAN PENGGUNAAN KONTRASEPSI HORMONAL DENGAN KEJADIAN HIPERTENSI PADA AKSEPTOR KB DI PMB IIN BATININGSASI, DESA SUKOSARI KABUPATEN LUMAJANG https://stikes-nhm.e-journal.id/NU/article/view/2027 <p>Hormonal contraception can affect the health of birth control acceptors and one of them affects blood pressure. Family planning acceptors who use hormonal contraceptives can cause hypertension, this is caused by hormonal balance disorders that occur when using hormonal contraceptives. The aim of this study was to determine the relationship between the use of hormonal contraception and the incidence of hypertension in family planning acceptors at PMB Iin Batiningsasi, Sukosari Village, Lumajang District. The type of research used is observational analytics with a cross sectional approach. The research population was all hormonal family planning acceptors (Pills, Injections, Implants) who were active for the period 4 January-3 March 2024 at PMB Iin Batiningsasi, Sukosari Village, Lumajang District with a sample of 51 respondents. Sampling used accidental sampling. Data was collected using questionnaires, blood pressure and stethoscopes. Analysis uses univariate analysis and bivariate analysis using the Chi-Square test. The results of the study showed that the type of hormonal contraception used was mostly injectable contraception at 58.6%, and the majority did not have hypertension at 56.9%. The test results using chi-square obtained a p-value of 0.011 &lt; 0.05. There is a relationship between the use of hormonal contraception and the incidence of hypertension in family planning acceptors in PMB Iin Batiningsasi, Sukosari Village, Lumajang District. It is hoped that family planning program users who are at high risk or who already suffer from hypertension should replace the use of hormonal contraceptives with non-hormonal contraceptive methods.</p> Susilowati Susilowati Rifzul Maulina Ina Indriati ##submission.copyrightStatement## 2024-06-08 2024-06-08 15 2 28 33 10.36089/nu.v15i2.2027 Tingkat Pengetahuan, Persepsi dan Pengalaman Mahasiswa Stikes Hang Tuah Tanjungpinang Terhadap Penggunaan Obat Generik https://stikes-nhm.e-journal.id/NU/article/view/2028 <p>Obat generik adalah obat dengan nama resmi <em>International Non Propietary Names </em>(INN) yang ditetapkan dalam Farmakope Indonesia atau buku standar lainnya untuk zat khasiat yang dikandungnya. Rendahnya penggunaan obat generik di masyarakat dikarenakan obat generik masih dipandang sebelah mata oleh sebagian besar masyarakat. Persepsi negatif mengenai efek obat generik menyebabkan pikiran yang buruk dan mempengaruhi pengalaman kesembuhan seseorang. Penelitian ini bertujuan untuk mengetahui perbedaan tingkat pengetahuan, persepsi, dan pengalaman mahasiswa Stikes Hang Tuah Tanjungpinang terhadap penggunaan obat generik. Penelitian ini adalah penelitian analitik deskriptif dengan menggunakan <em>cross sectional study</em>. Penelitian dilakukan terhadap 248 responden. Pengambilan sampel menggunakan metode <em>probability sampling </em>dengan jenis <em>random sampling </em>dan alat ukur berupa kuesioner. Analisis data dilakukan dengan uji <em>chi-square</em>. Hasil penelitian menunjukkan adanya perbedaan bermakna baik tingkat pengetahuan, tingkat persepsi dan tingkat pengalaman terhadap penggunaan obat generik mahasiswa prodi D3 dan S1 Keperawatan Stikes Hang Tuah Tanjungpinang menunjukkan adanya perbedaan dengan nilai <em>p </em>value sebesar 0,001. Disimpulkan ada perbedaan tingkat pengetahuan, persepsi dan pengalaman terhadap penggunaan obat generik. Diharapkan kepada Institusi Pendidikan untuk dapat melakukan sosialisasi dan pembekalan pembelajaran tentang penggunaan obat generik</p> ikha rahardiantini Lili Sartika Masyitah Novia Yanti ##submission.copyrightStatement## 2024-06-18 2024-06-18 15 2 34 44 10.36089/nu.v15i2.2028 Gambaran Pengetahuan dan Kepatuhan Konsumsi Tablet Fe pada Wanita di Kecamatan Kaliwates, Jember. https://stikes-nhm.e-journal.id/NU/article/view/2033 <p>Fe consumption in adolescent women belonging to the childbearing age group has an important role in improving the quality of adolescent health. By consuming Fe it will reduce the risk of anemia in women. Anemia in women can cause complications in adolescent health such as decreased quality of work and study, decreased immunity. If anemia continues until the woman becomes pregnant, it can increase the risk of complications in the baby and mother, such as postpartum bleeding and the birth of a baby with low birth weight and premature. Therefore, researchers want to examine the knowledge and consumption of Fe tablets in the Kaliwates area in Jember Regency. The study is a descriptive study to see a picture of adolescent knowledge about Fe tablet consumption with a crossectional survey approach. The population of this study is adolescent girls in Kaliwates area in Jember Regency, data collection will be carried out in May 2024. The sample calculation in this study using g-power obtained the results of 47 samples with a drop out of 10% so that the total sample in this study was 52 people. The sampling technique of this study used a sampling quota. Data collection is carried out using google forms that are distributed randomly until the quota is met. From the study, it was found that most respondents had less knowledge, and did not consume Fe tablets appropriately. Only 15.4% of respondents took Fe tablets appropriately. At least 27 people or 51.9% of them did not take Fe tablets. This shows the low knowledge and consumption of fe tablets for adolescent women in Kaliwates area in Jember Regency.</p> Ulfia Fitriani Nafista Lailil Fatkuriyah Ainul Hidayati Umi Sukowati ##submission.copyrightStatement## 2024-06-08 2024-06-08 15 2 45 51 10.36089/nu.v15i2.2033 Hubungan Perilaku Caring Perawat dengan Kecemasan pada Klien di Ruang Zaal Interna https://stikes-nhm.e-journal.id/NU/article/view/2037 <p><em>C</em>aring behavior towards clients by providing care both verbally and non-verbally and understanding the client's psychological condition, as well as providing appropriate information to help reduce the anxiety experienced by the client. Problems that can arise from hospitals are usually in the form of anxiety, a sense of loss, and fear of actions taken by the hospital, if these problems are not resolved it will affect psychosocial development. This research is a quantitative research using a cross sectional research design. The population in this study amounted to 744 respondents. The sampling technique Accidental Sampling uses a purposive sampling method, totaling 88 respondents. The research was carried out in the internal room at Nurdin Hamzah Hospital, East Tanjung Jabung Regency. And carried out from 26 June – 26 July until July 2023. Data was obtained using a questionnaire. Data analysis was carried out using univariate and bivariate analysis using the chi square test. Based on the results of statistical tests, it shows that there is a relationship between nurses' caring behavior and anxiety in patients in the Zaal Interna Room at Nurdin Hamzah Regional Hospital, East Tanjung Jabung Regency, with the statistical test results obtaining a p-value = 0.000 (&lt;0.05). The results of the research show a relationship between nurses' caring behavior and anxiety in patients in the internal ward. Recommendations for hospitals to apply caring principles in providing nursing care to clients.</p> Gadis Ayu Nofrida Saswati Dasuki Dasuki ##submission.copyrightStatement## 2024-06-08 2024-06-08 15 2 52 60 10.36089/nu.v15i2.2037 Analisis Kejadian Diare Pada Balita di Puskesmas II Kecamatan Tungkal Ilir https://stikes-nhm.e-journal.id/NU/article/view/2038 <p>Diarrhea disease is a major problem as it can cause extraordinary events leading to death. The purpose of this study was to determine the factors associated with the incidence of diarrhea in children. This study used a descriptive analytic research method with a cross-sectional study approach conducted at Puskesmas II, Tungkal Ilir Subdistrict, Tanjung Jabung Barat District, involving 88 participants. The results of this study showed that 60 participants (68.2%) had primary education and 28 participants (31.8%) had education ≥ junior high school level. Among the mothers of children under five, 42 (47.7%) exhibited good behavior while 46 (52.3%) exhibited poor behavior. Regarding knowledge about diarrhea, 37 mothers (42%) had good knowledge and 51 (58%) had poor knowledge. Among mothers with primary education, 43 children suffered from diarrhea while 17 did not. The Chi-Square test results indicated that the incidence of diarrhea was not related to the level of education (p-value 0.740) and behavior (p-value 0.220), but it was related to knowledge (p-value 0.002). The incidence of diarrhea in children under five was not related to the level of education and behavior. There is a relationship between knowledge and the incidence of diarrhea in children under five in the Sriwijaya Subdistrict, Tungkal Ilir District, Puskesmas II Work Area.</p> Suparmi Suparmi Rina Fauziah Sondang Siahaan ##submission.copyrightStatement## 2024-06-08 2024-06-08 15 2 61 67 10.36089/nu.v15i2.2038 PENDEKATAN SISTEMATIS DALAM PENILAIAN DAN INTERVENSI KELUARGA: TINJAUAN LITERATUR TERHADAP CALGARY FAMILY ASSESSMENT AND INTERVENTION MODEL (CFAM/CFIM) https://stikes-nhm.e-journal.id/NU/article/view/2055 <p>Tinjauan literatur ini bertujuan untuk mengeksplorasi Calgary Family Assessment and Intervention Model (CFAM/CFIM) dalam hal penilaian dan intervensi keluarga. Pencarian dilakukan pada database Google Scholar, PubMed, dan ScienceDirect dengan kata kunci "Calgary Family Assessment Model", "Calgary Family Intervention Model", "penilaian keluarga", "intervensi keluarga", dan "keluarga".</p> <p>Sebanyak 10 artikel ditemukan dan dianalisis. Hasil menunjukkan bahwa CFAM/CFIM adalah model intervensi keluarga yang sistematis dan berpusat pada keluarga yang terbukti efektif dalam meningkatkan hasil bagi keluarga, termasuk peningkatan kesehatan mental, fungsi keluarga, dan kualitas hidup. CFAM menyediakan kerangka kerja yang komprehensif untuk menilai keluarga, dan CFIM menawarkan berbagai strategi intervensi yang dapat disesuaikan dengan kebutuhan individu dan keluarga.</p> Afiq Jaya Pratama Titra Adikusuma Suparto ##submission.copyrightStatement## 2024-06-05 2024-06-05 15 2 68 73 10.36089/nu.v15i2.2055 Pengaruh Teknik Relaksasi Genggam Lima Jari dengan Murottal Al-Qur’an Terhadap Intensitas Nyeri Insisi Pada Pasien Post Sectio Caesarea: Case Report https://stikes-nhm.e-journal.id/NU/article/view/2056 <p><strong><em>Abstract</em></strong><em>. Caesarean section (SC) is a surgical delivery process where the baby is removed through an incision in the mother's stomach and uterus. Post-SC patients will experience the impact of pain, because it is caused by surgery. The nursing intervention of the five-finger handheld relaxation technique with murottal Al-Qur'an is one effort to reduce pain in post-caesarean section patients. The research method uses case reports (case repost). The research sample was 3 mothers post SC on the first day. The measurement instrument uses a numerical scale to measure the pain scale in patients. The intervention of the five-finger handheld relaxation technique with murottal Al-Qur'an was carried out for 2 days when the patient was hospitalized 1x/day and observations were made to determine the pain scale before and after the intervention. The results of the intervention showed that the pain in the three respondents before the five-finger grasp relaxation technique with Al-Qur'an murottal was carried out experienced a severe pain scale and after the intervention was carried out it decreased, namely the severe pain scale became moderate.</em></p> Adelia Viranissa Destiana Dewi Puspita Catharina Wahyu Retno Wulandari ##submission.copyrightStatement## 2024-06-07 2024-06-07 15 2 74 84 10.36089/nu.v15i2.2056 Case Report: Benign Paroxysmal Positional Vertigo (BPPV) in Hypertension https://stikes-nhm.e-journal.id/NU/article/view/2066 <p>A 58-year-old man who complained of dizziness spun around when the patient was in a sitting position, stood up and moved his head to look right and left that lasted for three days. To establish the diagnosis, we performed anamnesis with blood pressure results of 150/90mmHg, pulse 72x/ min, temperature 36.8 °C, breathing 22 x / minute. GCS 15 (E4 V5 M6). Physical examination of neurological otology yielded positive values on: <em>Bidirectional nystagmus. The diagnoses we concluded were Benign Paroxysmal Positional Vertigo </em>(BPPV) and Stage <em>I</em> JNC VII Hypertension, according to the results of the history and further examination that had been carried out. Further diagnosis and appeal, as well as treatment of both medical and non-medicated have been provided. The results of the analysis concluded that there is a close relationship between hypertension and BPPV.</p> Prita Aulia Nastaghfiruka Hanik Badriyah Kun Avriady Handoko Irfani Prajnaparamita ##submission.copyrightStatement## 2024-06-05 2024-06-05 15 2 85 90 10.36089/nu.v15i2.2066 IMPLEMENTASI BUDAYA PATIENT SAFETY DALAM MENCEGAH ADVERSE EVENTS DI RSUD KOTA KENDARI https://stikes-nhm.e-journal.id/NU/article/view/2064 <p>Insiden terjadinya kecelakaan pada pasien seperti fenomena gunung es. Kesalahan medis merupakan masalah dalam dunia kesehatan secara global sampai saat ini. Budaya keselamatan bertujuan untuk membuat asuhan pasien yang lebih aman mengingat <em>Adverse Events</em> atau Kejadian Tidak diinginkan selain berdampak pada peningkatan biaya pelayanan kesehatan dapat pula membawa rumah sakit ke area <em>blaming</em>. Tujuan penelitian ini untuk mendeskripsikan budaya <em>patient safety </em>di RSUD Kota Kendari. Penelitian ini merupakan studi deskriptif untuk melihat gambaran pelaksanaan budaya <em>patient safety</em> dalam mencegah <em>adverse event</em> di instalasi rawat inap di RSUD Kota Kendari menggunakan teknik total sampling dengan kriteria sumberdaya manusia yang ada di instalasi rawat inap meliputi tenaga pelaksana, penanggung jawab dan kepala bagian sebanyak 110 orang. Pengukuran budaya <em>patient safety</em> &nbsp;menggunakan Kuesioner <em>Hospital Survey on Patient Safety Culture</em> (HSPSC) dengan 12 dimensi budaya keselamatan pasien. Hasil penelitian menunjukkan bahwa mayoritas karakteristik responden dari segi usia dan lama bekerja sangat mendukung terciptanya budaya <em>patient safety</em>, dikarenakan sebagian besar staf dalam usia produktif (31-40 tahun) dan masa kerja yang optimal (1-5 tahun) dalam menjalankan pekerjaan. Pelaksanaan budaya keselamatan pasien oleh staf di RSUD Kota Kendari berada pada kategori Respon Positif 77,9%. Hal ini menunjukkan bahwa budaya keselamatan pasien telah dilakukan dengan baik.</p> Ida Mardhiah Afrini Yusuf Musafir Kolewora Arfiyan Sukmadi ##submission.copyrightStatement## 2024-06-07 2024-06-07 15 2 91 99 10.36089/nu.v15i2.2064 PENGARUH REBUSAN DAUN ALPUKAT TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI: SYSTEMATIC REVIEW https://stikes-nhm.e-journal.id/NU/article/view/2077 <p>Hypertension is one of the most common cardiovascular diseases and is the number 1 killer, so it needs treatment and prevention. Treating patients with natural ingredients can reduce family expenses and reduce the impact or negative effects of chemical treatments. The final results were collected as many as 13 articles that met the inclusion criteria. Various research results in this study provide a similar picture, namely a decrease in systolic and diastolic blood pressure after administering boiled avocado leaves.</p> La Ode Alifariki ##submission.copyrightStatement## 2024-06-08 2024-06-08 15 2 100 108 10.36089/nu.v15i2.2077 PENGARUH PEMBERIAN SUSU KEDELAI TERHADAP TEKANAN DARAH PADA PENDERITA HIPERTENSI: SYSTEMATIC REVIEW https://stikes-nhm.e-journal.id/NU/article/view/2078 <p>Hypertension is one of the most common cardiovascular diseases and is the number 1 killer, so it needs treatment and prevention. Treating patients with natural ingredients can reduce family expenses and reduce the impact or negative effects of chemical treatments. The final results were collected as many as 6 articles that met the inclusion criteria. Various research results in this study provide a similar picture, namely a decrease in systolic and diastolic blood pressure after giving soy milk.</p> La Ode Alifariki ##submission.copyrightStatement## 2024-06-08 2024-06-08 15 2 109 115 10.36089/nu.v15i2.2078 HUBUNGAN PENGETAHUAN, DUKUNGAN KELUARGA DAN SUMBER INFORMASI IBU DENGAN PEMBERIAN MAKANAN USIA 0-6 BULAN DI POSYANDU CILEDUG TANGERANG https://stikes-nhm.e-journal.id/NU/article/view/2081 <p><strong>Background:</strong> Feeding aged 0-6 months should only be given with breast milk, but some mothers still have difficulty fulfilling breastfeeding so mothers add it with mixed feeding or formula. Mothers who have newborns with family support have good knowledge and can provide the best food for their babies. <strong>Purpose:</strong> This study aims to analyze the relationship between mother's knowledge, family support and information sources with feeding aged 0-6 months in Posyandu Ciledug Tangerang. <strong>Methods:</strong> Correlational descriptive research design with a cross-sectional approach. The research sample was mothers who had babies aged 7-24 months as many as 108 respondents. <strong>Results:</strong> There is a relationship between knowledge and family support with feeding aged 0-6 months at Posyandu Ciledug Tangerang (p-value 0.000 and p-value 0.002 (&lt;0.05)) and there is no relationship between information sources and feeding aged 0-6 month for respondents at Posyandu Ciledug Tangerang p-value 0.522 (&gt; 0.05). <strong>Conclusion:</strong> Knowledge and family support help mothers to provide the best food aged 0-6 months at Posyandu Posyandu Ciledug Tangerang. <strong>Suggestion:</strong> Health workers at Posyandu services should be able to provide health promotion to increase family knowledge and support regarding feeding aged 0-6 months to pregnant and lactating women.</p> Apriyanti Apriyanti Tuti Asrianti Utami Ainum Jhariah Hidayah ##submission.copyrightStatement## 2024-06-08 2024-06-08 15 2 116 122 Providing Ergonomic Exercise Therapy To Reduce Joint Pain In The Elderly In Jember's Nursing Home https://stikes-nhm.e-journal.id/NU/article/view/1906 <p>Aging is a biological process where it is unavoidable, irreversible, and complex in nature which can have a negative impact on various organ systems and functions of human organs. One of them is the elderly experiencing a decrease in the musculoskeletal system. This can be marked by pain and stiffness in one or more joints. Therapy that can be done to reduce joint pain in the elderly includes physical sports activities or gymnastics which are the best alternative for dealing with joint pain in the elderly. Ergonomic exercise is one exercise that is recommended for the elderly. This study used a one group prepost test design. The population of this study was the elderly at UPT PSTW (Elderly Nursing Home) Jember. The sampling technique used was total sampling. The sample used in this study was 30 people. The intervention was carried out once a week. Pain scale measurements were carried out before and after the implementation of ergonomic exercises. Measurement of the pain scale using the Numeric Rating Scale (NRS) measuring instrument. Analysis of research data using the Paired Simple T-Test. The results of Group Activity Therapy used the Paired Simple T Test and obtained a significance value of 0.000 where the value of p &lt;0.05 indicated that there was a significant difference in pain scale between pre-intervention and post- intervention.</p> Fahruddin Kurdi Tantut Susanto Resi Permatasari Feno Aureola Maharani ##submission.copyrightStatement## 2024-06-11 2024-06-11 15 2 123 127 10.36089/nu.v15i2.1906 FAKTOR YANG MEMPENGARUHI KEJADIAN PNEUMONIA PADA BALITA DI PUSKESMAS KOTA PALEMBANG https://stikes-nhm.e-journal.id/NU/article/view/2082 <p><em>Lung parenchymal infection caused by exposure to various bacteria, viruses, parasites and infectious fungi is known as pneumonia. The death rate caused by pneumonia reaches 2,500 toddlers every day, or around two toddlers die every minute. UNICEF reported in 2015 that according to WHO, pneumonia causes 16% of deaths, while in Indonesia it is 14%. The aim of this research is to determine the factors associated with the incidence of pneumonia in toddlers. This quantitative research uses a cross-sectional approach. This study utilized all mothers with toddlers aged between 12 and 59 months who visited Public haelth X. A total of 86 respondents were taken by chance. This study used a question and answer sheet about pneumonia, family support, exclusive breastfeeding, and basic immunization status. Validity and reliability tests of the instruments used have been carried out. For analysis using the che square test was used. Data analysis shows that out of a total of 87 respondents who suffered from pneumonia, there were 15 respondents (16.3%) and 72 respondents (83.7%) who did not have pneumonia. And the Che Square test results obtained were the variable exposure to cigarette smoke with p value = 0.025 and OR 5.1, the variable history of exclusive breastfeeding with p value = 0.045 and OR 4.5, and the variable immunization status with p value = 0.000 and OR 3. 1 so it can be concluded that there is a relationship between exposure to cigarette smoke, exclusive breastfeeding and immunization status with the incidence of </em></p> Muhammad Romadhon Ria Wulandari Yazika Rimbawati ##submission.copyrightStatement## 2024-06-11 2024-06-11 15 2 128 135 PENERAPAN TERAPI GUIDED IMAGERY TERHADAP PENURUNAN KECEMASAN DAN TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI https://stikes-nhm.e-journal.id/NU/article/view/2100 <p>Background: Hypertension is still a health problem that often occurs in the elderly. One of the factors that causes blood pressure to increase is anxiety. Anxiety can be reduced through the application of Guided imagery therapy. Guided imagery is a relaxation technique that relaxes the elderly and helps lower blood pressure. Method: The research used a case study method involving 3 elderly people. Application is carried out for 7 consecutive days with a duration of 15-20 minutes. Anxiety was measured using the HARS questionnaire. Results: The three elderly experienced a change in anxiety level with the result that 2 elderly people had a severe level of anxiety to a moderate level of anxiety and 1 elderly person went from a moderate level of anxiety to a mild level of anxiety. The three elderly also experienced changes in blood pressure with the results, The first elderly&nbsp; with previous blood pressure of 175/98 mmHg became 149/95 mmHg; The second elderly from previously 134/90 mmHg to 114/85 mmHg; and the 3rd elderly with previous blood pressure of 150/83 mmHg to 121/82 mmHg. Conclusion: Guided Imagery Therapy has an influence in reducing anxiety levels and blood pressure in hypertensive elderly.</p> Puspita Hanggit Lestari Cristina Oktavia Mia Fatma Ekasari Nur Fitri Ayu Pertiwi Nadhia Elsa Silviani ##submission.copyrightStatement## 2024-06-20 2024-06-20 15 2 136 143 10.36089/nu.v15i2.2100 ANALISIS KOMPARATIF KEBIJAKAN OPERASIONAL RUANG DIAGNOSTIK INVASIF DAN INTERVENSI NONBEDAH RS. TK. II MOH. RIDWAN MEURAKSA JAKARTA TIMUR https://stikes-nhm.e-journal.id/NU/article/view/2101 <p>Cardiovascular technical service standards are guidelines followed by cardiovascular technicians in providing health services to clients in the form of examination techniques for cardiovascular abnormalities using vascular sonography techniques, echocardiographic sonographic techniques, electrocardiography and blood pressure techniques, and cardiac catheterization techniques. The purpose of this study was to analyze the suitability of operational policies for invasive diagnostic rooms and non-surgical interventions with Law no. 36 of 2009 and also explained in the Regulation of the Minister of Health of the Republic of Indonesia No. 91 of 2014 and No. 10 of 2015 Appendix VII as the development of cardiac installations in hospitals. kindergarten. II Moh. Ridwan Meuraksa. This research method uses a comparative descriptive method with a qualitative approach in which the researcher describes the operational policies of the invasive diagnostic room and non-surgical interventions with related policies. The results of the study were obtained based on the results of observations and interviews. . Tk II Moh. Ridwan Meuraksa, referring to what is also contained in the Regulation of the Minister of Health of the Republic of Indonesia Number 91 of 2014 and Permenkes Number 10 of 2015 attachment VIII, obtained conformity to the standard of cardiovascular technical services in invasive diagnostic rooms and non-surgical interventions based on SOPs in hospitals. Tk II Moh. Ridwan Meuraksa according to Permenkes No. 91 of 2014 it was found that 81.8% of the equipment was in accordance with applicable standards in cathlab action services. It can be suggested as input material in determining standards of conformity of cardiovascular engineering service standards in invasive diagnostic rooms and non-surgical interventions to improve the standard of equipment and completeness of cathlab services in improving better servicess</p> Sarwi Astuti Prapto Rosita Nining Arini Harimat Hendarwan ##submission.copyrightStatement## 2024-06-20 2024-06-20 15 2 144 155 10.36089/nu.v15i2.2101 ANALISIS FAKTOR YANG MEMPENGARUHI PERILAKU PENCEGAHAN STUNTING BERDASARKAN TEORI PRECED PROCEED : CROSS SECTIONAL STUDY https://stikes-nhm.e-journal.id/NU/article/view/1901 <p>Balita stunting (pendek) merupakan masalah gizi utama yang dihadapi Indonesia. Salah satu faktor penyebab tingginya kejadian stunting adalah pengetahuan dan persepsi pencegahan stunting dalam masyarakat. Hasil studi pendahuluan di Desa Jaddih didapatkan 6 dari 10 responden perilaku pencegahan stunting dengan kategori kurang dan sangat kurang sebanyak 60%. Penelitian ini bertujuan menganalisa hubungan antara pengetahuan dan persepsi ibu dengan perilaku pencegahan stunting pada ibu yang memiliki bayi 0-24 bulan di Desa Jeddih.</p> <p>Metode penelitian ini menggunakan kuantitatif dengan pendekatan cross sectional. Variabel independent pengetahuan dan persepsi sedangkan variable dependent perilaku pencegahan stunting. Jumlah populasi sebanyak 178, dengan sampel 119 responden. Teknik pengambilan sampel menggunakan purposive sampling. Instrumen yang digunakan dalam penelitian ini adalah kuesioner pengetahuan, persepsi dan perilaku pencegahan stunting. Uji statistik menggunakan uji Spearman Rank.</p> <p>Hasil penelitian pengetahuan dengan perilaku menggunakan uji Spearman Rank pada responden didapatkan nilai p-value 0,000 &lt; 0,05 menunjukkan ada hubungan pengetahuan dengan perilaku pencegahan stunting. Persepsi dengan perilaku menggunkan Uji Spearman Rank pada responden didapatkan nilai p-value 0,000 &lt; 0,05 menunjukkan ada hubungan persepsi dengan perilaku pencegahan stunting.</p> <p>Saran peneliti kepada responden untuk lebih peduli dalam melakukan perilaku pencegahan stunting dengan meningkatkan kesadaran pengetahuan dan persepsi yang dimiliki.</p> Ulva Noviana M. Hasinuddin Heni Ekawati Mustofa Haris Faisal Amir ##submission.copyrightStatement## 2024-06-21 2024-06-21 15 2 156 164 10.36089/nu.v15i2.1901 HUBUNGAN RIWAYAT ANEMI PADA KEHAMILAN DENGAN KEJADIAN STUNTING PADA BALITA USIA 12-59 BULAN DI WILAYAH KERJA PUSKESMAS WONOASIH KOTA PROBOLINGGO https://stikes-nhm.e-journal.id/NU/article/view/2104 <p>Stunting is a serious health problem in Indonesia, characterized by children's height being shorter than their age standard due to chronic malnutrition. Anemia in pregnant women, often caused by iron deficiency, is a major risk factor that can affect fetal growth and development. This study aims to examine the relationship between a history of anemia in pregnancy and the incidence of stunting in toddlers aged 12-59 months in the Wonoasih Community Health Center working area, Probolinggo City. This research used a cross-sectional study design involving 16 respondents selected by purposive sampling. Data analysis was carried out using the Chi Square Test to determine the relationship between variables. The results of the study showed that of the 16 respondents, 15 of them who had a history of anemia during pregnancy had toddlers with stunting. Meanwhile, only one respondent with a normal pregnancy had a toddler with normal nutritional status. The Chi Square Test results show a p-value of 0.000, which means the null hypothesis (Ho) is rejected and the alternative hypothesis (Ha) is accepted. This shows that there is a significant relationship between a history of anemia in pregnant women and the incidence of stunting in toddlers. There is a significant relationship between a history of anemia in pregnant women and the incidence of stunting in toddlers aged 12-59 months in the Wonoasih Community Health Center working area.</p> Dwi Yani Rohkmah Raden Maria Veronika Widiatrilupi Reny Retnaningsih ##submission.copyrightStatement## 2024-06-21 2024-06-21 15 2 165 170 10.36089/nu.v15i2.2104 PENERAPAN TERAPI SENTUHAN UNTUK MENGATASI HIPERTERMI PADA ANAK DENGAN DENGUE HAEMORAGIC FEVER (DHF) DI RUANG ANGGREK RS BHAKTI WIRA TAMTAMA SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2102 <p><strong>Background:</strong> Dengue Hemorrhagic Fever (DHF) is a contagious infection caused by the dengue virus and is transmitted through the bite of Aedes aegypti and Aedes albopictus mosquitoes which can trigger fever or hyperthermia. Dengue Haemorrhagic Fever (DHF) is still a global public health problem, especially in tropical and subtropical regions, including Indonesia, one of the dengue endemic countries.&nbsp; The dengue mortality rate in Central Java has increased from 2018 to 2021. The data in 2021 reached 2.7 percent. <strong>Objective:</strong> to describe the application of touch therapy to treat hyperthermia in children by providing touch therapy to reduce the body temperature of children with Dengue Haemorrhagic Fever (DHF). ). <strong>Method:</strong> using a descriptive method by describing nursing care for DHF children in the Anggrek room of RST Bhakti Wira Tamtama Semarang, using pre-test and post-test. The research was conducted on 11 – 13 December 2023. <strong>Results:</strong> After the Touch Therapy intervention was carried out, the results showed a decrease in body temperature in DHF children.&nbsp; Conclusion: Touch Therapy can treat hyperthermia in children with DHF. <strong>Suggestion:</strong> It is hoped that Touch Therapy can be used as an independent nursing intervention in reducing children's body temperature in DHF patients.</p> Nurul Khusna Witri Hastuti ##submission.copyrightStatement## 2024-06-21 2024-06-21 15 2 171 179 10.36089/nu.v15i2.2102 PENERAPAN EDUKASI PEMBERIAN CAIRAN (ORALIT) UNTUK MENGATASI DEHIDRASI PADA PASIEN ANAK DENGAN GEDS (GASTROENTRITIS DIARE SEDANG) DI RUANG ANGGREK RS BHAKTI WIRA TAMTAMA SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2103 <p><strong><em>Background:</em></strong><em> Diarrhea is an infectious disease that must be treated immediately. If it is not treated immediately it can cause death, because if treated too late then diarrhea sufferers will lack body fluids (Rendang Indriyani and Putra 2020). According to data (World Health Organization, 2019) diarrhea is an environmentally based and environmentally friendly disease. occurs in almost all geographical areas of the world. Every year there are around 1.7 billion cases of diarrhea with a death rate of 760,000 people. <strong>Objective:</strong> Aims to determine the educational benefits of administering electrolyte fluids (ORALIT) to treat dehydration in pediatric patients with GEDS (Moderate Diarrhea Gastroenteritis) in the Orchid Room at Bhakti Wira Tamtama Hospital, Semarang. <strong>Methods:</strong> The type of analysis that is used is quantitative analysis using a quasi-experimental one-group design for the pretest and posttest. It is the 30th week of the first trimester of the Islamic calendar. Purposive sampling is the method of sampling that is used.. <strong>Results:</strong> There is an effect of giving lemon aromatherapy to Emesis Gravidarum in First Trimester Pregnant Women. <strong>Conclusion:</strong> Lemon aromatherapy can reduce Emesis Gravidarum in first trimester pregnant women. <strong>Suggestion:</strong> Giving Lemon Aromatherapy to first trimester pregnant women.</em></p> Rizkyani Awalina Putri Witri Hastuti ##submission.copyrightStatement## 2024-06-21 2024-06-21 15 2 180 184 10.36089/nu.v15i2.2103 PENERAPAN PIJAT OKSITOSIN UNTUK MENGATASI MASALAH KEPERAWATAN MENYUSUI TIDAK EFEKTIF PADA PASIEN POST SECTIO CAESAR DI RUANG OBSETRI RSUP DR.KARIADI SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2107 <p><strong>Background: </strong>Caesarean Section (CS) is an action carried out to give birth to a baby through surgery on the abdomen and uterine wall. The obstacles to breastfeeding that occur in postpartum caesarean section mothers are caused by postoperative pain that disturbs the mother's comfort and can inhibit the work of the posterior putative gland nerves that produce the hormone oxytocin which plays a role in the lactation process. Oxytocin massage is one of the solutions applied to overcome the lack of smooth breast milk. In addition, it is interpreted as a massage on the spine to the fifth-sixth costae bone to stimulate the oxytocin and prolific hormones after giving birth, the function of this massage is to increase the oxytocin hormone which can make the mother calm, so that breast milk will automatically come out <strong>Objective:</strong> to provide nursing care to post-Cesarean section clients with ineffective breastfeeding nursing problems by administering oxytocin massage.<strong>Method : </strong>using descriptive methods, namely case studies used on a group of objects <strong>Results:</strong> he problem of ineffective breastfeeding nursing experienced by Mrs. M and Mrs. C After oxytocin massage was performed, there was a change or increase in breast milk production in Mrs. M and Mrs. C. <strong>Suggestion:</strong> It is expected to be able to develop capabilities in the field of maternity health with non-pharmacological therapy, namely oxytoin massage in providing nursing care to postpartum mothers with ineffective breastfeeding problems.</p> Novi Setyorini Witri Hastuti ##submission.copyrightStatement## 2024-06-21 2024-06-21 15 2 185 190 10.36089/nu.v15i2.2107 PENGARUH FISIOTERAPI DADA TERHADAP PENGELUARAN SPUTUM PADA PASIEN ASMA BRONKHIAL DI RSD KRMT WONGSONEGORO SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2114 <p><strong>Latar Belakang:</strong> Asma mengganggu jalan napas akibat adanya inflamasi dan pembengkakan dinding dalam saluran napas sehingga menjadi sangat sensitif terhadap masuknya benda asing yang menimbulkan reaksi berlebihan. Akibatnya saluran nafas menyempit dan jumlah udara yang masuk dalam paru-paru berkurang. Hal ini menyebabkan timbulnya napas berbunyi (wheezing), batuk-batuk, dada sesak, dan gangguan bernapas terutama pada malam hari dan dini hari. fisioterapi dada merupakan tindakan keperawatan yang dilakukan untuk membersihkan paru-paru dari sekret. Penelitian ini dilakukan pada pasien dengan &nbsp;<em>asma bronkhial</em>. Sputum merupakan materi yang di ekspetorasi dari saluran nafas bawah oleh batuk, yang tercampur bersama ludah. fisioterapi dada dilakukan untuk membersihkan paru-paru dari sekret.<strong>Tujuan:</strong> Studi kasus ini bertujuan untuk untuk mengetahui pengaruh fisioterapi dada terhadap pengeluaran sputum dengan pasien <em>asma bronkhial</em> di RSD KRMT Wongsonegoro Semarang. <strong>Metode Penelitian:</strong> menggunakan metode deskriptif kasus pendekatan proses keperawatan meliputi pengkajian, diagnosa keperawatan, intervensi keperawatan, implementasi dan evaluasi. Subjek studi kasus berjumlah 2 pasien lansia pada pasien <em>asma bronkhial </em>dengan fisioterapi dada pengeluaran sputum pasien <em>asma bronkhial</em> RSD K.R.M.T Wongsonegoro Semarang. <strong>Hasil Penelitian:</strong> Setelah dilakukan fisioterapi dada selama 3 hari didapatkan hasil peningkatan pengeluaran sputum rata-rata <u>+</u> 5,5 ml. <strong>Kesimpulan:</strong> fisioterapi dada berpengaruh terhadap pengeluaran sputum pada pasien <em>asma bronkhial</em></p> Yulita Indraswari Sonhaji Sonhaji ##submission.copyrightStatement## 2024-06-24 2024-06-24 15 2 191 196 10.36089/nu.v15i2.2114 PENGARUH TERAPI RELAKSASI BENSON TERHADAP POLA TIDUR DENGAN PASIEN CONGESTIVE HEART FAILURE (CHF) DI RSD KRMT WONGSONEGORO https://stikes-nhm.e-journal.id/NU/article/view/2113 <p><strong>Latar Belakang:</strong> Kegagalan sistem kardiovaskuler atau yang umumnya dikenal dengan istilah gagal jantung adalah kondisi medis di mana jantung tidak dapat memompa cukup darah ke seluruh tubuh sehingga jaringan tubuh membutuhkan oksigen dan nutrisi tidak terpenuhi dengan baik. Gagal jantung dapat dibagi menjadi gagal jantung kiri dan gagal jantung kanan. Penyebab gagal jantung digolongkan berdasarkan sisi dominan jantung yang mengalami kegagalan. Istirahat total dalam posisi semi fowler dapat mengurangi keluhan yang dialami pasien gagal jantung diantaranya, sesak nafas dan kesulitan tidur, pengaruh antara sudut posisi tidur terhadap kualitas tidur pasien gagal jantung. Relaksasi benson ini suatu metode nonfarmakologis yang melibatkan kemampuan pikiran yang dapat menyembuhkan sistem tubuh. Relaksasi benson dapat mengurangi respon yang berlebihan terkait respon fight or flight dan membuat individu menjadi merasa rileks. <strong>Tujuan:</strong> Studi kasus ini bertujuan untuk untuk mengetahui pengaruh relaksasi benson terhadap pola tidur dengan pasien <em>congestive heart failure</em> di RSD KRMT Wongsonegoro Semarang. <strong>Metode Penelitian:</strong> menggunakan metode deskriptif kasus pendekatan proses keperawatan meliputi pengkajian, diagnosa keperawatan, intervensi keperawatan, implementasi dan evaluasi. Subjek studi kasus berjumlah 2 pasien lansia pada pasien <em>congestive heart failure</em> dengan relaksasi benson terhadap kualitas tidur pasien <em>congestive heart failure</em> RSD K.R.M.T Wongsonegoro Semarang. <strong>Hasil Penelitian:</strong> Setelah dilakukan relaksasi benson selama 3 hari didapatkan hasil peningkatan kualitas tidur rata-rata 4,5. <strong>Kesimpulan:</strong> relaksasi benson dapat meningkatan kualitas tidur pada pasien <em>congestive heart failure</em>.</p> Iin Werdining Rahayu Sonhaji Sonhaji ##submission.copyrightStatement## 2024-06-24 2024-06-24 15 2 197 204 10.36089/nu.v15i2.2113 PENERAPAN PIJAT KAKI TERHADAP EDEMA KAKI PADA PASIEN LANSIA DENGAN CONGESTIVE HEART FAILURE DI RSD KRMT WONGSONEGORO SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2111 <p><strong>Latar Belakang :</strong>&nbsp; Gagal jantung kongestif atau <em>Congestive Heart Failure</em> (CHF) merupakan kondisi dimana jantung memompa darah tidak adekuat sehingga kebutuhan tubuh seperti nutrisi dan oksigen tidak terpenuhi secara menyeluruh. Terjadinya gagal jantung diawali dengan adanya kerusakan pada jantung atau miokardium, diikuti penurunan curah jantung. Bila kebutuhan metabolisme tidak terpenuhi, maka jantung akan memberikan respon mekanisme kompensasi untuk mempertahankan fungsi jantung agar tetap dapat memompa darah secara adekuat. Edema kaki didefinisikan sebagai akumulasi cairan di kaki dan tungkai yang di akibatkan oleh ekspansi volume interstisial atau peningkatan volume ekstraseluler dan akan menyebabkan penurunan fungsi kesehatan dan kualitas hidup (HR-QOL), ketidaknyamanan, perubahan postur tubuh, menurunkan mobilitas dan meningkatkan resiko jatuh, gangguan sensasi di kaki dan dengan dilakukan pijat kaki dapat menurunkan edema kaki. Pijat kaki merupakan gerakan sederhana yang berirama memijat kulit bagian telapak kaki untuk menstimulasi aliran getah bening ke sistem sirkulasi darah, dengan serangkaian eknik, metode dan alat pijat <strong>Tujuan:</strong> Studi kasus ini bertujuan untuk untuk mengetahui pengaruh penerapan pijat kaki terhadap edema kaki pada pasien lansia dengan congestive heart failure di RSD KRMT Wongsonegoro Semarang. <strong>Metode Penelitian:</strong> menggunakan metode deskriptif kasus pendekatan proses keperawatan meliputi pengkajian, diagnosa keperawatan, intervensi keperawatan, implementasi dan evaluasi. Subjek studi kasus berjumlah 2 pasien lansia pada pasien congestive heart failure dengan dilakukan pijat kaki terhadap edema kaki pada pasien congestive heart failure RSD K.R.M.T Wongsonegoro Semarang. <strong>Hasil Penelitian:</strong> Setelah dilakukan pijat kaki selama 3 hari didapatkan hasil penurunan edema kaki rata-rata 1,6 – 2,3. <strong>Kesimpulan :</strong> pijat kaki dapat menurunkan edema kaki pada pasien congestive heart failure.</p> Agus Listiyaningsih Sonhaji Sonhaji ##submission.copyrightStatement## 2024-06-24 2024-06-24 15 2 205 211 10.36089/nu.v15i2.2111 PENGARUH TERAPI PROGRESSIVE MUSCLE RELAXATION TERHADAP TEKANAN DARAH PADA LANSIA DENGAN HIPERTENSI DI RSD KRMT WONGSONEGORO SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2112 <p><strong>Latar Belakang :</strong>&nbsp; Tekanan darah merupakan kekuatan yang diperlukan agar darah dapat mengalir didalam pembuluh darah dan beredar ke seluruh jaringan tubuh untuk mengangkut oksigen dan nutrisi dan sisa metabolisme. Peningkatan atau penurunan tekanan darah akan mempengaruhi homeostatsis di dalam tubuh. Pembuluh darah yang mengalami sumbatan, dapat mengakibatkan terganggunya sirkulasi sehingga kerja jantung semakin berat dan tekanan darah akan meningkat. Terapi Relaksasi <em>Progressive Muscle Relaxation</em>&nbsp;(PMR) merupakan suatu terapi relaksasi yang diberikan kepada klien dengan peregangkan otot-otot tertentu. Teknik relaksasi otot progresif memusatkan perhatian pada suatu aktivitas otot dengan mengidentifikasi otot yang tegang kemudian menurunkan ketegangan dengan melakukan teknik relaksasi untuk mendapatkan perasaan relaksasi.<strong>Tujuan:</strong> Studi kasus ini bertujuan untuk untuk mengetahui pengaruh progressive muscle relaxation terhadap tekanan darah pada pasien lansia dengan hipertensi di RSD KRMT Wongsonegoro Semarang. <strong>Metode Penelitian:</strong> menggunakan metode deskriptif kasus pendekatan proses keperawatan meliputi pengkajian, diagnosa keperawatan, intervensi keperawatan, implementasi dan evaluasi. Subjek studi kasus berjumlah 2 pasien lansia pada pasien hipertensi dengan dilakukan terapi progressive muscle relaxation terhadap tekanan darah pada pasien hipertensi di RSD K.R.M.T Wongsonegoro Semarang. <strong>Hasil Penelitian:</strong> Setelah dilakukan terapi progressive muscle relaxation selama 3 hari didapatkan hasil penurunan dengan rata-rata tekanan darah sistolik 11,7 mmHg dan tekanan darah diastolik 8,3 mmHg. <strong>Kesimpulan :</strong> terapi progressive muscle relaxation dapat menurunkan tekanan darah pada pasien hiperetensi.</p> Anik Ernawati Sonhaji Sonhaji ##submission.copyrightStatement## 2024-06-24 2024-06-24 15 2 212 218 10.36089/nu.v15i2.2112 PENGARUH MIROR THERAPY TERHADAP KEKUATAN OTOT PADA PASIEN STROKE NON HEMORAGIC DI RSD KRMT WONGSONEGORO SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2110 <p><strong>Latar Belakang :</strong> &nbsp;Stroke merupakan suatu kondisi yang terjadi defisit neurologis yang terjadi ketika sebagian sel sel yang berada pada otak mengalami kematian akibat gangguan aliran darah karena sumbatan atau pecahnya pembuluh darah yang ada di otak. Kekuatan otot merupakan jumlah ketegangan atau <em>resistensi</em> terhadap gerakan pada otot untuk membantu menahan tubuh tetap tegak ketika duduk atau berdiri. Latihan dengan miror therapy merupakan bentuk rehabilitasi / latihan yang mengandalkan dan melatih pembayangan / imajinasi motorik pasien, dimana cermin akan memberikan stimulasi visual kepada otak (saraf motorik serebral yaitu ipsilateral atau kontralateral untuk pergerakan anggota tubuh yang hemiparesis) melalui observasi dari pergerakan tubuh yang akan cenderung ditiru seperti cermin oleh bagian tubuh yang mengalami gangguan. <strong>Tujuan:</strong> Studi kasus ini bertujuan untuk untuk mengetahui pengaruh miror therapy terhadap peran keluarga dalam penyembuhan pasien stroke non hemoragic di RSD KRMT Wongsonegoro Semarang. <strong>Metode Penelitian :</strong> menggunakan metode deskriptif kasus pendekatan proses keperawatan meliputi pengkajian, diagnosa keperawatan, intervensi keperawatan, implementasi dan evaluasi. Subjek studi kasus berjumlah 2 pasien lansia pada pasien stroke non hemoragic dengan miror therapy terhadap kekuatan otot pada pasien stroke non hemoragic RSD K.R.M.T Wongsonegoro Semarang. <strong>Hasil Penelitian:</strong> Setelah dilakukan miror therapy selama 3 hari didapatkan hasil peningkatan kekuatan otot rata-rata 3,33. <strong>Kesimpulan :</strong> miror therapy dapat meningkatan kekuatan otot pada pasien stroke non hemoragic.</p> Sri Sayekti Sonhaji Sonhaji ##submission.copyrightStatement## 2024-06-24 2024-06-24 15 2 219 224 10.36089/nu.v15i2.2110 Analisis Tingkat Pengetahuan dan Rasionalitas Swamedikasi pada Pasien Diare di Apotek Anna Farma https://stikes-nhm.e-journal.id/NU/article/view/2115 <p>Pengobatan sendiri <em>(self medication)</em> adalah upaya inisiatif dari individu untuk mengurangi keluhan atau manifestasi penyakit secara mandiri sebelum berkonsultasi dengan fasilitas kesehatan atau penyedia layanan kesehatan. Tujuan penelitian ini untuk mengevaluasi tingkat pengetahuan pasien dengan keluhan diare terhadap swamedikasi dan rasionalisasi obat di Apotek Anna Medika. Jenis penelitian yang digunakan yaitu penelitian deskriptif dengan design <em>cross sectional</em> menggunakan kuesioner. Populasi pada penelitian ini pasien dengan keluhan diare di Apotek Anna Medika dari bulan januari-April 2024. Metode pengambilan sampel yang digunakan yaitu <em>randomized sampling </em>dan didapat hasil sebanyak 45 responden. Hasil penelitian menunjukkan bahwa tingkat pengetahuan pasien dengan keluhan diare terhadap swamedikasi dan rasionalisasi obat di Apotek Anna Medika termasuk dalam tingkat pengetahuan swamedikasi kategori sedang (47%) dan (62%) kategori Rasional.</p> M. Shofwan Haris Dianita Rahayu Puspitasari Finni Sulistinawati ##submission.copyrightStatement## 2024-06-25 2024-06-25 15 2 225 230 10.36089/nu.v15i2.2115 PENERAPAN TERAPI MUROTTAL UNTUK MENGATASI NYERI PADA PASIEN POST SECTIO CAESAREA DI RS BHAKTI WIRA TAMTAMA SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2117 <p><strong>Background</strong>: Sectio Caesarea (SC) is a way to deliver a fetus by making an incision in the uterine wall through the front wall of the abdomen. Sectio Caesarea is carried out to prevent the death of the fetus or mother due to dangers or complications that would occur if the mother gave birth vaginally. One of the distraction techniques for pain relief is Murottal Al-Quran therapy. One of the distraction techniques for pain relief is Murottal Al-Quran therapy. Murottal therapy can reduce pain, because it has a distraction <strong>effect </strong>in inhibiting pain perception. Objective: to describe the application of Murottal therapy to treat pain in post-section caesarean patients at Bhakti Wira Tamtama Hospital, Semarang. <strong>Method</strong>: using a descriptive method by describing nursing care for Post Sectio Caesarea Patients in the Dhalia Room RST Bhakti Wira Tamtama Semarang, using pre-test and post-test. The research was conducted on 21 – 23 December 2023. Results: After carrying out the Murottal Therapy intervention to treat pain, the results showed a reduction in pain in post-section caesarean patients.&nbsp; <strong>Conclusion</strong>: Murottal Therapy for Treating Pain can overcome the Pain of Post Sectio Caesarea Patients<strong>. Suggestion</strong>: It is hoped that Murottal Therapy to Overcome Pain can be used as an independent nursing intervention in reducing the pain of Post Sectio Caesarea Patients.</p> Nike Susilowati Susilowati Witri Hastuti ##submission.copyrightStatement## 2024-06-25 2024-06-25 15 2 231 242 10.36089/nu.v15i2.2117 PENERAPAN TEKNIK RELAKSASI NAFAS DALAM DENGAN AROMA TERAPI LAVENDER PADA IBU POST SECTIO CAESAREA DI RS BHAKTI WIRA TAMTAMA SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/10.36089%2Fnu.v15i2.2119 <table width="636"> <tbody> <tr> <td width="353"> <p><strong>Latar belakang:</strong> &nbsp;<em>Sectio Caesarea (SC)</em> adalah tindakan bedah untuk mengeluarkan janin dengan membuka dinding perut dan dinding Rahim. Salah satu dampak yang paling utama dirasakan oleh pasien sectio caesarea adalah nyeri. Nyeri yang timbul berasal dari abdomen akibat insisi yang dilakukan untuk mengeluarkan bayi. Penanganan nyeri pada ibu post sectio caesarea dapat dilakukan dengan menggunakan terapi farmakologic dan terapi non farmakologi.&nbsp; Metode non farmakologi yang sesuai agar dapat menurunkan intensitas nyeri yaitu dengan melatih pasien untuk melakukan relaksasi Selain teknik relaksasi nafas dalam, terapi non farmakologi yang dapat diberikan untuk meredakan nyeri adalah dengan memberikan aromaterapi<em>. </em>Salah satu aroma yang dapat digunakan untuk mengurangi nyeri untuk relaksasi adalah aroma bunga lavender. Kandungan utama dari bunga Lavender adalah linalyl asetat dan linalool. Linalool adalah kandungan aktif utama yang berperan pada efek anti cemas (relaksasi) <strong>Tujuan</strong>: untuk menggambarkan Penerapan Teknik Relaksasi Nafas Dalam Dengan Aroma Terapi Lavender Pada Ibu Post Sectio Caesarea di RS Bhakti Wira Tamtama Semarang. <strong>Metode :</strong> menggunakan metode deskriptif dengan menggambarkan asuhan keperawatan pada Ibu Post Sectio Caesarea di ruang Dhalia RST Bhakti Wira Tamtama Semarang, dengan menggunakan pre-test dan post-test. Penelitian dilakukan pada tanggal 6 – 8 Desember 2023. <strong>Hasil: </strong>&nbsp;Setelah dilakukan intervensi Teknik Relaksasi Nafas Dalam Dengan Aroma Terapi Lavender didapatkan hasil adanya penurunan nyeri Ibu <em>Post Sectio Caesarea. </em><strong>Kesimpulan</strong> Teknik Relaksasi Nafas Dalam Dengan Aroma Terapi Lavender dapat mengatasi nyeri Ibu <em>Post Sectio Caesarea</em>&nbsp; . Saran : diharapkan Teknik Relaksasi Nafas Dalam Dengan Aroma Terapi Lavender dapat dijadikan sebagai intervensi mandiri keperawatan dalam menurunkan nyeri Ibu <em>Post Sectio Caesarea</em>&nbsp; .</p> <p>&nbsp;</p> <p>&nbsp;</p> </td> </tr> </tbody> </table> Dyah Noeris Sorayya Witri Hastuti ##submission.copyrightStatement## 2024-06-25 2024-06-25 15 2 243 252 10.36089/nu.v15i2.2119 PENGARUH PENYULUHAN KESIAPSIAGAAN BENCANA BANJIR TERHADAP PENGETAHUAN KELUARGA DI KELURAHAN TUMINTING KOTA MANADO https://stikes-nhm.e-journal.id/NU/article/view/2124 <p>Abstract - preparedness is largely determined by the influence of flood disaster counseling on family knowledge in dealing with flood disasters. This study aims to determine the preparedness and knowledge of families in the Tuminting Subdistrict, Manado City which will be conducted in April 2023. The research method is Pre-Experimental with the One-group pre-post technique as many as 64 respondents from the community affected and at high risk of flooding in the Tuminting sub-district. Manado City. The instrument used is a questionnaire. The dependent variable is flood disaster preparedness and the independent variable is family knowledge. The results of the study showed that there was a significant relationship between preparedness and knowledge of community families with the Wilcoxon test, the results were p = 0. &lt;0.05, the conclusion that Ha was accepted, H0 was rejected.&nbsp; Preparedness is very important because preparedness is an action taken to prepare oneself to reduce or avoid the impact of a disaster. The more health education counseling about disasters, especially flood disasters, will make the community understand moe about preparedness for flood disasters.</p> Irwan Eembang Walanda Margareta Bangkut Riskawati Hilipito ##submission.copyrightStatement## 2024-06-27 2024-06-27 15 2 253 258 10.36089/nu.v15i2.2124 PENERAPAN MASSAGE EFFLURAGE PADA PERAWATAN IBU POST PARTUM UNTUK MENGATASI MASALAH MENYUSUI TIDAK EFEKTIF DI RUANG DAHLIA RUMAH SAKIT BHAKTI WIRATAMTAMA SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2131 <p><strong>Background:</strong> Mother's milk is the best nutritional intake that can meet all the growth and development needs of babies up to 6 months of age. Breastfeeding can provide benefits from various aspects. These various aspects include nutritional aspects, immunological aspects, psychological aspects, intelligence aspects, neurological aspects, economic aspects, and delaying pregnancy. However, during the breastfeeding process, problems are often found in the production or ejection of breast milk. One non-pharmacological therapy that can help increase the flow of breast milk and overcome the problem of ineffective breastfeeding is effleurage massage. Effleurage massage can stimulate the release of oxytocin which plays a role in the breastfeeding process. <strong>Method:</strong> Writing instruments used are observation sheets, nursing care reports, SOP procedures. <strong>Result:</strong> the problem of ineffective breastfeeding can be resolved after effleurage massage therapy, which was marked by an increase in breast milk production until the second to third day of intervention only started to see breast milk droplets coming out after the efflurage massage.</p> Siti Fatimah Indah Wulaningsih ##submission.copyrightStatement## 2024-06-30 2024-06-30 15 2 259 264 10.36089/nu.v15i2.2131 PEMBERIAN TERAPI MUSIK KLASIK UNTUK MENURUNKAN INTENSITAS NYERI PADA PASIEN POST SECTIO CAESAREA (SC) DI RUANG DAHLIA RST BHAKTI WIRA TAMTAMA SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2133 <p><strong>Background:</strong> Sectio Caesarea (SC) is a way to deliver a fetus by making an incision in the uterine wall through the front wall of the abdomen. Mothers who undergo SC surgery will feel pain in the area of ​​the incision wound and will gradually recover over 6 weeks, while for recovery the problem of numbness, soreness or itching around the wound can last up to 6 months. One distraction technique for pain relief is classical music therapy. Classical music therapy can provide calm with soft strains that are in harmony with the pulse, thereby causing a distraction effect on thoughts about pain <strong>Objective: </strong>To describe the application of is classical music therapy to treat pain in post sectio caesarea patients in the Dahlia Room RST Bhakti Wira Tamtama Semarang. <strong>Method:</strong> Using a descriptive method by describing nursing care for post sectio caesarea patients in the Dahlia Room RST Bhakti Wira Tamtama Semarang, using pre-test and post-test. The research was conducted on 21-23 November 202. <strong>Results:</strong> After carrying out the classical music therapy intervention to treat pain, the result showed a reduction in pain in post sectio caesarea patients.&nbsp; <strong>Conclusion: </strong>Clients are able to overcome pain by providing classical music therapy. Pain is reduced from severe to mild, optimized with pharmacological pain management using analgesics as indicated. <strong>Suggestion:</strong> It is hoped that patients and families can carry out routine treatment and therapy programs.</p> ni'amatun aprilia Indah Wulaningsih ##submission.copyrightStatement## 2024-06-30 2024-06-30 15 2 265 271 10.36089/nu.v15i2.2133 PEMBERIAN TERAPI BENSON DAN SLOW DEEP BREATHING UNTUK MENURUNKAN INTENSITAS NYERI PADA PASIEN POSTPARTUM DI RUANG DAHLIA RST BHAKTI WIRA TAMTAMA SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2134 <p>Background: Postpartum or the postpartum period is the period after the placenta is born and ends when the uterine organs return to their pre-pregnancy state. The postpartum period or puerpurium starts from 1 hour after the birth of the placenta to 6 weeksab (42 days) after that. There are 3 stages of the postpartum period, namely: early puerperium, intermedial puerperium and remote puerperium.One distraction technique for pain relief is benson and slow deep breathing therapy. Classical music therapy can provide calm with soft strains that are in harmony with the pulse, therepy causing a distraction effect on thoughts about pain Objective: To describe the application of is benson and slow deep breathing therapy to treat pain in postpartum patients in the Dahlia Room RST Bhakti Wira Tamtama Semarang. Method: Using a descriptive method by describing nursing care for postpartum patients in the Dahlia Room RST Bhakti Wira Tamtama Semarang, using pre-test and post-test. The research was conducted on 05-07 December 2023. Results: After carrying out the benson and slow deep breathing therapy intervention to treat pain, the result showed a reduction in pain in postpartum patients. Conclusion: Clients are able to overcome pain by providing benson and slow deep breathing therapy. Pain is reduced from severe to mild, optimized with pharmacological pain management using analgesics as indicated. Suggestion: It is hoped that patients and families can carry out routine treatment and therapy programs.</p> <p>&nbsp;</p> Amelia Devin Krisnawati Indah Wulaningsih ##submission.copyrightStatement## 2024-06-30 2024-06-30 15 2 272 279 10.36089/nu.v15i2.2134 PEMBERIAN EDUKASI PRAKTEK INISIASI MENYUSUI DINI (IMD) TERHADAP KEBERLANGSUNGAN PEMBERIAN ASI EKSKLUSIF PADA IBU BARU MELAHIRKAN DI RUANG OBSTETRI RSUP DR. KARIADI SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2135 <p><strong>Background:</strong> Efforts that can be made to support the success of exclusive breastfeeding include early initiation of breastfeeding. Factors that can influence the implementation of Early Breastfeeding Initiation are the level of knowledge of the baby's mother, lack of family attitudes and support in implementing, and health workers who do not communicate the importance of early breastfeeding initiation. <strong>Purpose:</strong> to determine the benefits of providing education on the practice of Early Breastfeeding Initiation on the continuation of exclusive breastfeeding for new mothers in the Obstetrics Room at RSUP. Dr. Kariadi Semarang. <strong>Method:</strong> This type of research uses descriptive case studies. The subjects of this writing are patients who experienced postpartum casarea, with a focus on the study of providing education on early initiation of breastfeeding on the continuation of exclusive breastfeeding. Instruments used were leaflets regarding early initiation of breastfeeding and exclusive breastfeeding. <strong>Results:</strong> Two respondents were primiparous mothers and had no experience in breastfeeding. Evaluation obtained was that both respondents understood and comprehended the information provided. <strong>Conclusion:</strong>&nbsp; It is proven that there is an increase in knowledge regarding the practice of early initiation of breastfeeding after being given education using leaflets regarding early initiation of breastfeeding and exclusive breastfeeding</p> Nikmatunazilah Nikmatunazilah Indah Wulaningsih ##submission.copyrightStatement## 2024-06-30 2024-06-30 15 2 280 287 10.36089/nu.v15i2.2135 ASUHAN KEPERAWATAN PADA NY. V DALAM PEMBERIAN EDUKASI PIJAT OKETANI TERHADAP PENINGKATAN PRODUKSI ASI IBU POST SECTIO CAESAREA DIRUANG OBSTETRI RSUP Dr. KARIADI SEMARANG https://stikes-nhm.e-journal.id/NU/article/view/2136 <p><strong>Background:</strong> Sectio cesarea comes from the Latin word "Caedere" which means to cut. Sectio cesarean is a way to deliver a fetus, by making an incision in the uterine wall through the front wall of the abdomen or vagina. Sectio cesarea or caesarean birth is giving birth to a fetus through an incision in the abdominal wall (laparotomy) and uterine wall (hysterectomy). This definition does not include delivery of the fetus from the abdominal cavity in cases of uterine rupture or abdominal pregnancy (Maryunani, 2014). Sectio Caesarea is a method of delivery through an incision in the mother's uterine wall to remove the fetus provided that the uterine wall is intact and the fetus weighs more than 500 grams (Lubis, 2018).</p> <p>. <strong>Objective:</strong> describes the application of oketani massage to increase breast milk production. <strong>Method:</strong> using descriptive methods by describing nursing care for mothers post caesarean section to increase breast milk production. The research was conducted on January 14 2024. <strong>Results:</strong> After conducting educational intervention on the application of Oketani massage, the results can increase breast milk production. Suggestion: It is hoped that Oketano massage can be used as an independent nursing intervention to increase breast milk production.</p> Andini Larasati Indah Wulaningsih ##submission.copyrightStatement## 2024-06-30 2024-06-30 15 2 288 293 10.36089/nu.v15i2.2136 Penerapan Range Of Motion (ROM) Pasif Dalam Gangguan Mobilitas Fisik Pada Pasien Stroke Non Hemoragik https://stikes-nhm.e-journal.id/NU/article/view/2138 <p><strong>Latar belakang:</strong> Stroke merupakan salah satu penyakit yang mengenai sistem persyarafan. Stroke terjadi ketika pasokan darah ke otak mengalami gangguan, akibat sebagian sel-sel otak mengalami kematian karena sumbatan atau pecahnya pembuluh darah menuju otak (Andriani et al. 2022). Stroke Non Hemoragik disebabkan oleh adanya penyumbatan dalam pembuluh darah yang menyebabkan berkurangnya suplai darah ke otak.<strong>Tujuan</strong>: melakukan Asuhan Keperawatan Pada pasien stroke dengan pemberian terapi&nbsp; ROM (Range Of Motion) Pasif Dalam Gangguan Mobilitas Fisik&nbsp; di RSUP Dr. Kariadi Semarang. <strong>Metode:</strong> Peneliti menerapkan metode pengumpulan data yaitu melakukan studi pendahuluan, melaksanakan kontrak waktu dengan perawat, pasien dan keluarga, menjelaskan tentang teknik ROM pasif. Subyek dalam studi kasus ini yaitu dua pasien yang memiliki kasus stroke <strong>Hasil</strong><strong>: </strong>Pada studi kasus ini pelaksanaan keperawatan hanya berfokus pada satu masalah keperawatan yaitu masalah hambatan mobilitas fisik dan berfokus pada tindakan ROM pasif. <strong>Kesimpulan:</strong> Penerapan teknik ROM pasif pada pasien Tn.H dilakukan&nbsp; diekstermitas bagian kanan, penerapan teknik ROM pasif pada pasien Tn.S dilakukan diekstermitas bagian kiri yang hasilnya terdapat peningkatan kekuatan otot pasien Tn.H dan Tn.S.</p> <p>&nbsp;</p> Dian Ayu Puspitasari Julvainda Eka P.U ##submission.copyrightStatement## 2024-06-30 2024-06-30 15 2 294 300 10.36089/nu.v15i2.2138 Perbedaan Tingkat Pengetahuan dan Sikap Masyarakat sebelum dan sesudah diberikan modul tentang pertolongan pertama luka bakar di rural area https://stikes-nhm.e-journal.id/NU/article/view/2137 <p><strong>Latar Belakang</strong>: Luka bakar merupakan suatu trauma yang terjadi sebagai akibat dari aktivitas manusia dalam rumah tangga, industri, traffic accident, maupun bencana alam. Pengetahuan dan sikap masyarakat banyak yang belum mengetahui cara penanganan luka bakar khusunya di rural area. Rural area atau pedesaan merupakan suatu masyarakat yang tinggal di suatu pedesaan yang penduduknya masih terbilang sulit dijangkau dan jauh dari perkotaan, sehingga tidak sedikit warga yang masih menggunakan pasta gigi, mentega, minyak, dan masih banyak lagi anggapan dan kepercayaan yang selama ini diyakiti oleh warga. Penanganan luka bakar harus dilakukan dengan tepat dan benar, untuk meningkatkan pengetahuan dan sikap masyarakat yaitu menggunakan modul tentang pertolongan pertama luka bakar. Pengetahuan dan sikap masyarakat merupakan faktor utama yang dapat menentukan keselamatan seseorang yang tengah mengalami luka bakar, akan tetapi jika melihat fakta dilapangan pada masyarakat di Rural area, menunjukan bahwa masih banyak masyarakat yang belum mengetahui cara dalam pertolongan pertama luka bakar. <strong>Metode</strong>: Penelitian ini Penelitian ini menggunakan metode kuantitatif dengan pendekatan Pre eksperimental design one group prettest-posttest. Penelitian ini dilakukan pada bulan januari 2024, lokasi penelitian Dusun Krajan Rt.01/Rw.05 Desa karangbayat sumberbaru jember dengan jumlah populasi 44 , sampel pada penelitian ini menggunakan teknik total sampling yaitu 44 sampel. Intrumen yang digunakan pada penelitian ini yaitu menggunakan kuesioner. <strong>Hasil</strong>: berdasarkan hasil uji Wilcoxon tingkat pengetahuan p-value = 0,000 &lt; 0,05 dan hasil uji sikap p-value = 0,000 &lt; 0,05. <strong>Kesimpulan</strong>: Terdapat perbedaan tingkat pengetahuan dan sikap masyarakat sebelum dan sesudah diberikan modul tentang pertolongan pertama luka bakar di Rural area.</p> Hasiseh Hasiseh Feri Ekaprasetia Rida Darotin ##submission.copyrightStatement## 2024-06-30 2024-06-30 15 2 301 312 10.36089/nu.v15i2.2137 Efektifitas Model Pembelajaran Mandiri Terhadap Peningkatan Pengetahuan Tentang Pertolongan Pertama Pada Anggota Palang Merah Remaja Wira https://stikes-nhm.e-journal.id/NU/article/view/2140 <p>Palang Merah Remaja (PMR) Wira adalah generasi muda yang menjadi salah satu kader kesehatan yang dikembangkan melalui Palang Merah Indonesia (PMI). Mereka harus dilatih dan dibekali ilmu pengetahuan tentang pertolongan pertama sebelum melaksanakan peran dan fungsinya dalam kegiatan Tri Bhakti, karena mereka merupakan bagian dari masyarakat yang bisa saja menjadi penolong pertama pada kejadian kewatdaruratan. Tujuan penelitian ini untuk menganalisis efektifitas metode pembelajaran mandiri terhadap peningkatan pengetahuan tentang pertolongan pertama pada PMR Wira. Penelitian ini merupakan jenis penelitian pra-eksperimental dengan desain penelitian <em>the one group pretest-posttest.</em> Sample penelitiannya sebanyak 21 orang yang didapatkan melalui <em>convenience sampling</em>. Hasil dari penelitian ini adalah nilai p = 0,000 dapat disimpulkan bahwa metode belajar mandiri efektif digunakan untuk meningkatkan pengetahuan tentang pertolongan pertama pada anggota PMR Wira.</p> Kristina Pae Ni Putu Wulan Purnama Sari ##submission.copyrightStatement## 2024-06-30 2024-06-30 15 2 313 322 10.36089/nu.v15i2.2140