Proceedings University of Muhammadiyah Yogyakarta Undergraduate Conference

THE EFFECT OF IRON (III)-HYDROXIDE POLYMALTOSE COMPLEX ON ANEMIA: A LITERATURE STUDY

Indah Insani — 2022-06-30

Health is an important thing to be maintained in life. In the development of this era, many people, especially teenagers, do not pay attention to the intake of nutrients, iron, and protein that enter the body causing disease. One of the diseases that can be caused is anemia. According to the National Institute of Health (NIH) the cause of anemia can be caused by a lack of iron, vitamins, or chronic disease. In Indonesia, the occurence of anemia is fairly high. still quite high. To overcome anemia, iron complex compounds can be used because one of the things that causes anemia is a lack of iron in the body. This study aims to describe the application of iron (III)-hydroxide polymaltose complex as an effective compound in overcoming of iron deficiency anemia.This study was compiled from the online literature of local and international journals using secondary data that had been screened based on keywords. The results of the study concluded that iron (III)-Hydroxide Polymaltose Complex Compounds can be used to treat anemia.This literature study covers recently published (year > 2000) reports on iron (III)-Hydroxide Polymaltose Complex Compounds in overcoming the health problem of anemia.

Case Report: Permen Karet Bebas Gula (Xylitol) untuk Mengatasi Keluhan Rasa Haus Penderita Gagal Ginjal Kronis

Movit Kurniawan — 2022-06-30

Latar-Belakang– Gagal ginjal kronis (GGK) merupakan kondisi dimana terjadi gangguan pada fungsi ginjal dan tidak dapat pulih kembali. Penderita GGK harus membatasi asupan cairan untuk mencegah munculnya edema pada tubuh. Rasa haus yang berlebih pada penderita GGK muncul karena dilakukannya program pembatasan cairan. Mengunyah permen karet xylitol dapat menjadi alternatif intervensi untuk meringankan keluhan perasaan haus pada penderita GGK.

Tujuan– Studi kasus ini bertujuan untuk melihat hasil pengaplikasian permen karet xylitol untuk mengurangi keluhan rasa haus pada penderita GGK yang menjalani hemodialisis.

Metode – Penelitian memiliki metode berupa studi kasus (case study) pada satu pasien. Awal mula, dilakukan pengukuran skala rasa haus dengan numeric rating scale kemudian diberikan permen karet xylitol selama 7 hari secara rutin lalu dilakukan observasi pada hari ke-4 dan ke-7 untuk penilaian keefektifan intervensi.

Hasil – Hasil menunjukkan dengan dilakukannya intervensi pemberian permen karet xylitol, tingkat haus pasien menurun dari skala 5 menjadi skala 4 dalam waktu 7 hari pemberian intervensi.

Saran – Penderita GGK dapat memanfaatkan permen karet xylitol agar rasa haus dapat berkurang tanpa harus menambah asupan cairan.

The Relationship Between Rainy Day and Sunshine Duration with Dengue Hemorrhagic Fever Incidence in City of Yogyakarta

Alvian Aunillah — 2022-06-30

Introduction – Dengue fever is a disease that often occurs in tropical countries, including Indonesia. DHF is caused by the dengue virus from the Flaviviridae family and infects through the Aedes aegypti or Aedes albopictus mosquitoes. DHF transmission is related to the survival capacity, behavior, and habitat of mosquito as vectors, therefore it may be influenced by climatic factors such as the number of rainy days and the sunshine duration. Purpose – The aim of the study was to determine whether the number of rainy days and the sunshine duration were correlated with the incidence of dengue fever in the city of Yogyakarta. Methodology/Approach – This study uses a retrospective analytic observational method. This study was conducted by analyzing the relationship between monthly data on the number of rainy days and duration of sunshine with cases of dengue fever in the city of Yogyakarta in 2015-2019. Climatic data were obtained from the recording of the Yogyakarta Mlati Climatology Station and data on dengue cases were obtained from the records of the Yogyakarta City Health Office. The data was then analyzed by the Spearman correlation test to find the correlation between the two variables. DHF with an accumulation of 3705 cases during 2015-2019. The city has a tropical climate with an average of 8.96 rainy days and 66% of sunshine duration per month. In the Spearman correlation test, it is found that there was no relationship between DHF cases and the number of rainy days, which had a non-significant positive correlation (p = 0.056 ; r = 0.249) and there was no relationship between DHF cases and sunshine duration had a negative and insignificant correlation (p = 0.316; r = - 0.132). There is no significant relationship between the number of rainy days and the sunshine duration with the incidence of DHF in the city of Yogyakarta. There is a difference in the direction of the correlation between the two variables, namely the number of rainy days is positively correlated while the sunshine duration is negatively correlated with the incidence of DHF in Yogyakarta City. Originality/ Value/ Implication – This study proves that the factor of the number of rainy days shows a positive correlation with the number of cases of DHF, while the factor of the sunshine duration shows a negative correlation in the city of Yogyakarta.

Efektifitas Edukasi Senam Kegel dengan Media Video Terhadap Kemampuan Keluarga dalam Merawat Klien dengan Masalah Inkontinesia Urin

Anisyah Arum Lestari — 2022-06-30

Background - Incontinence can cause discomfort in terms of personal hygiene in sufferers. Urinary incontinence requires proper treatment, because if not treated immediately urinary incontinence can lead to complications. such as urinary tract infections, genital skin infections, sleep disturbances, and symptoms of skin redness. Management of this condition can be overcome through non-pharmacological therapy, one of which is by controlling the bladder and sphincter or commonly called Kegel exercises.

Purpose – This case study aims to determine the implementation of Kegel exercise education with video media on the ability of families to care for clients with urinary incontinence problems.

Methods – This study was conducted using a case study on a male with urinary incontinence. Intervention provided by educating families regarding Kegel exercise movements using video media.

Results - The results of this study found that there was an influence on the effectiveness of Kegel exercise education on the knowledge of families who cared for clients with urinary incontinence.

Suggestion – This research is expected that families are able to independently practice Kegel exercises that have been taught to help strengthen the pelvic muscles of patients with urinary incontinence

Efek Kombinasi Aromaterapi Lavender Dan Relaksasi Benson Pada Nyeri Pasien Post Operasi Sectio Caesarea: Studi Kasus

Afi Hanifah — 2022-06-30

Introduction – Sectio Caesarea (SC) deliveries in Indonesia have increased from 1997 to 2017, from 4.30% to 17%. A common problem that arises as a result of cesarean delivery is post cesarean wound pain. Non-pharmacological management with lavender aromatherapy and Benson relaxation can reduce pain without causing side effects. Objective - To determine the effectiveness of lavender aromatherapy and Benson relaxation on pain levels of postoperative SC patients. Methodology - This study is a case study with descriptive analysis reporting a 25 year old female patient after first day of SC surgery with placental calcification & oligohydramnios. The results of the assessment using the Numeric Rating Scale (NRS) obtained a pain scale of 6 and the patient complained of post-op wound pain. The patient was given nursing care for non-pharmacological therapy with a combination of lavender aromatherapy and Benson relaxation for 1 time in 2 days. Aromatherapy used is lavender essential oil in a humidifier as much as 3 drops, and placed next to the patient with a distance of 60 cm. Then inhale aromatherapy combined with Benson relaxation for 15 minutes. Pain scale was measured before and after non-pharmacological therapy was given. Results – There was a decrease in the pain scale from 6 to 3 after being given non-pharmacological therapy with a combination of lavender aromatherapy and Benson relaxation. Authenticity – This study is an original study on patients with post sectio caesarea (SC)Keywords: pain Post-SC, lavender aromatherapy, Benson relaxation

The Effect of Murottal Therapy on the Consciousness of Patients with Decrease of Consciousness: Case Report

Amirah Rahmawati — 2022-06-30

unable to meet their basic needs, such as biological, psychological, sociological, and spiritual needs. Patients with decreased consciousness who are treated at PKU Muhammadiyah Yogyakarta Hospital are often given nursing care that focuses on illness and basic needs such as personal hygiene and nutrition. Nurses almost never try to provide complementary therapies or help meet the spiritual needs of patients with reduced consciousness. These complementary therapies include dhikr therapy and Al-Qur'an murottal therapy, which can help meet the spiritual needs of patients. Al-Qur’an murottal therapy is a recommended intervention because it is not only provides a therapeutic effect for the physical but also psychological and spiritual.

Purpose – The purpose of this case study is to determine the effectiveness of Al-Qur'an therapy for patients who experience decreased consciousness.

Methodology – The method used in this study is a case report. The author took one suitable patient and managed for approximately one week. The author assessed the patient as a whole, then measured the patient's level of consciousness and before and after the intervention. The intervention was carried out for six days. Each intervention is carried out for about three hours per day with the choice of surah based on the will of the family.

Findings – The results showed that there’s no significant changes in the level of consciousness after being given murottal therapy for six days with a total duration of approximately three hours in a day, in a different section. Patient’s GCS changed from GCS E1V1M2 to E1V1M3.

Implication – One of the studies showed that after the respondent was given Al-Qur'an stimulation treatment there was a change in the GCS score where the post test results after the 6th treatment were obtained from 10 respondents, nine of whom experienced a change in the level of consciousness

Aplikasi Meremas Squishy untuk Menurunkan Nyeri Persalinan Kala I Fase Aktif pada Ibu Bersalin: Case Report

Annisa Prasetyowati — 2022-06-30

Nyeri persalinan adalah pengalaman subjektif ibu selama persalinan yang disebabkan oleh kontraksi uterus intrapartum, dilatasi dan obstruksi serviks, serta penurunan janin selama persalinan. Respon fisiologis terhadap nyeri menyebabkan peningkatan tekanan darah, nadi, respirasi, berkeringat, diameter pupil, dan tonus otot. Salah satu intervensi yang dilakukan untuk mengurangi persalinan aktif kala 1 adalah penggunaan metode Squishy yang bertujuan untuk mengurangi nyeri persalinan dan memberikan sensasi nyaman selama proses persalinan. Aplikasi metode squishy ini dilakukan dengan cara meremas squishy ketika nyeri persalinan timbul, sehingga rasa nyeri yang dirasakan dapat teralihkan. Penelitian ini merupakan case report pada 3 pasien ibu bersalin kala 1 fase aktif yang di berikan intervensi menggunakan squishy selama fase aktif persalinan. Pengukuran nyeri persalinan menggunakan numerical rating scale (NRS). Hasil intervensi menunjukan ibu bersalin fase aktif merasa nyaman dan nyeri persalinan yang dirasakan berkurang. Tingkat nyeri ibu bersalin sebelum dilakukan intervensi nyeri yang dirasakan ibu bersalin sebesar 100% dan setelah dilakukan intervensi menurun menjadi 75%. Aplikasi meremas squisy dapat mengurangi nyeri persalinan pada ibu bersalin kala 1 fase aktif.

Case Report: Foot Hydrotheraphy dengan rendaman jahe (Zingiber officinale) untuk menurunkan Hipertensi

Muhammad Taufik Nurrahman — 2022-06-30

Introduction: The Kasihan Health Center in the Bantul area is one of the puskesmas that provides services and inpatient care for COVID-19 patients, in the past year there were 2,300 positive confirmed cases of COVID-19 19. People with COVID-19 have limitations in socializing because they have to carry out isolation both independently and medically at the hospital. Forms of family support are needed in this case because family support has a positive impact on the psychosocial problems of patients who are in the recovery stage. Patients feel much better due to the provision of psychosocial treatment which includes family interventions, social skills training, and so on.

Research Objectives: To find out the form of family support for patients with a history of COVID-19.

Method: Quantitative research method with a descriptive approach. Sampling using purposive sampling technique a number of 99 respondents. The research instrument used a family support questionnaire.

Results: The results of the study found that almost all of the family support data for patients with a history of COVID-19 were included in the high support category, namely 90 respondents (90.9%).

Conclusion: The majority of respondents provide very high family support, which means that the role as a family is fulfilled and given well in four categories, namely emotional, instrumental, informational, and esteem support, so that patients feel loved and loved by their loved ones.

Penerapan Terapi Guided Imagery pada Pasien Post Operasi Laparatomy dengan Kecemasan

Amanda Sari — 2022-06-30

Introduction – laparatomy merupakan proses pembedahan dimana dilakukan sayatan pada daerah abdomen manusia, sehingga dapat menyebabkan trauma pada jaringan yang dapat menimbulkan persepsi nyeri dan respon psikologis yang menimbulkan kecemasan pada seseorang. Kecemasan biasanya terjadi pada seseorang sebelum operasi, tetapi hal ini bisa terjadi pada seseorang setelah melakukan operasi. Salah satu tindakan nonfarmakologi yang dapat dilakukan untuk mengurangi kecemasan yaitu terapi imajinasi terbimbing atau guided imagery. Terapi relaksasi guided imagery ini mengharuskan seseorang berfokus pada objek, suara atau pengalaman menarik tertentu untuk menenangkan pikiran. Purpose – Tujuan penelitian ini untuk mengetahui adakah efektivitas terapi guided imagery terhadap penurunan kecemasan pasien post operasi di rumah sakit. Methodology – Penelitian ini menggunakan metode Case Report dengan memberikan intervensi dan pengukuran kecemasan menggunakan kuesioner The Hamilton Anxiety Rating Scale (HAM-A).Findings – Hasil penelitian ini ditemukan sebelum dilakukan terapi skor kecemasan 22 dalam kategori cemas sedang dan setelah dilakukan terapi selama 4 hari di rumah sakit skor kecemasan menjadi 5 dalam kategori tidak cemas, hal ini membuktikan bahwa terapi imajinasi terbimbing efektif menurunkan kecemasan pasien post operasi.Conclusion – Pada penelitian ini diharapkan terapi guided imagery dapat menjadi pilihan non farmakologi yang efektif dan mudah dilakukan untuk mengurangi kecemasan post operasi di rumah sakit dan terapi ini dapat di aplikasikan secara mandiri.

Transition Metals Based Anti-Alzheimer

Theresia Ambarita — 2022-06-30

Alzheimer's disease (AD), a progressive neurodegenerative disease, is the most common cause of dementia. Amyloid-B protein’s accumulation in amyloid plaques, oxidative stress, tau protein phosphorylation, poor energetics, mitochondrial dysfunction, membrane lipid dysregulation, inflammation, and neurotransmitter pathway disruption, play a part in the pathophysiology of Alzheimer's disease. AD is primarily characterized by the formation of amyloid-B aggregates. Transition metal complexes have recently been produced as chemical reagents for modifying AB aggregation. Transition metal complexes have tunable features such as the metal center's oxidation and spin states, as well as its coordination structure by altering the ligand bound to the metal center. These variable properties result in the reactivity of transition metal complexes with AB species and may lead to the regulation of the AB aggregation pathway. The purpose of this study is to describe the application of transition metals as active compounds in anti-Alzheimer's disease drugs. This study was compiled from online journals using secondary data searched by keyword. The results of the study show that some transition metals have potential therapeutic effects for AD. Ru can be an AB aggregation inhibition. Fe, Cu, and Zn transition metals are necessary for human survival and involved in AD triggering. Pt, Ni, Co, and V complexes play a role as multifunctional therapeutic agents against AD. This literature review includes a recently published (year>2000) report on the role of transition metals as anti-Alzheimer's.

Manajemen Asuhan Keperawatan Kegawatdaruratan dengan Nyeri dan Resiko Perdarahan Leukemia Limfoblastik Akut

Martha Karifo — 2022-06-30

Pendahuluan – Leukemia Limfoblastik Akut (LLA) adalah penyakit kanker darah abnormal yang sering menyebabkan kematian, fenomena pasien LLA di dunia ada sekitar 74% penyebab kematian pada anak di Indonesia sendiri setiap tahunnya selalu mengalami peningkatan kasus LLA sebanyak 2,5 - 4,0 per 100.000 anak dengan perkiraan 2000-3.200 kasus masuk di IGD memiliki masalah utama terkait rasa nyeri dan resiko perdarahan.

Tujuan – studi kasus ini dilakukan untuk melakukan asuhan keperawatan gawat darurat secara langsung terkait manajemen nyeri non farmakologi dan intervensi transfusi darah pada pasien resiko perdarahan.

Metodologi – Metode yang digunakan yaitu asuhan keperawatan gawat darurat secara langsung terkait manajemen nyeri non farmakologi dan intervensi transfusi darah pada pasien resiko perdarahan selama 1x8 jam dengan pengambilan data primer peneliti mengumpulkan data secara langsung, dari pengkajian, analisa data, rencana keperawatan, implementasi yang diterapkan sampai tahap evaluasi.

Hasil – setelah dilakukan implementasi secara langsung mengenai manajemen nyeri teknik non farmakologi tarik nafas dalam dan penerapan posisi kepala lebih tinggi sekitar 45^o pasien mengungkapkan rasa nyeri berkurang dari skala 7 menjadi skala 5 dan pemberian transfusi darah 1 unit PRC meningkatkan kembali nilai Hb yang turun dari 8.9 g/dL menjadi 9.5 g/ dL.

Implikasi – efektivitas penerapan manajemen nyeri dan transfusi 1 unit PRC menghasilkan perubahan skala nyeri dari skala 7 menjadi skala 5, dan kenaikan hb dari 8.9 g/dL menjadi 9.5 g/ dL, studi kasus ini dapat diaplikasikan tenaga kesehatan lain dan dapat dikembangkan lebih lanjut untuk peneliti berikutnya.

Nursing Intervention with The Optimalisation of Progressive Muscle Relaxation (PMR) and Range of Motion (ROM) on Blood Pressure and The Functional Ability of Stroke Patient: Case Study

Novita Indriani — 2022-06-30

Introduction – Stroke is the second leading cause of death and the third leading cause of disability in the world and almost 13,7 million will have a stroke each year. Almost 2,1 million Indonesian people experiences stroke. Stroke will influence in functional ability such as hemiparesis or motoric dysfunction. Another pharmacology treatment, non-pharmacology also needed in this situation. The Progressive Muscle Relaxation (PMR) and Range of Motion (ROM) were both of non-pharmacology treatment which can improve the functional ability of stroke patient.

Purpose – The purpose of this study is to optimalisation of PMR and ROM on blood pressure and the functional ability of stroke patients.

Methodology/Approach – The method used is a case study in one patient with the history of hypertension. The instruments used in this report are a sphygmomanometer to measure blood pressure and a muscle strength scale to measure muscle strength in stroke patients. On the muscle strength scale, a value of 0 indicates complete paralysis and a value of 5 indicates normal muscle strength & normal full range of motion against resistance and full gravity.

Findings – There were improvement for functional ability of motoric dysfunction in stroke patients. These finding confirm that the combination between PMR and ROM improved the motoric dysfunction in stroke patients.

Originality – This study is an original study in patients with stroke

Case Report Thaharah dan Ibadah pada Pasien yang Terpasang Kateter Post Pembedahan

Ingrit Marditantea — 2022-06-30

Latar Belakang – Dalam menentukan asuhan keperawatan, perawat perlu memperhatikan kebutuhan pasien secara holistic. Selain kebutuhan biologis, kebutuhan psikologis dan spiritual juga perlu diperhatikan. Ibadah merupakan salah satu kebutuhan spiritual yang perlu diperhatikan pada pasien hospitalisasi. Dalam pelaksanaan ibadah ada beberapa hal yang perlu diperhatikan, salah satunya adalah thaharah. Thaharah merupakan salah satu syarat pokok dalam melaksanakan ibadah karena menentukan sah atau tidaknya ibadah seseorang. Terdapat asumsi atau pendapat terkait dengan thaharah dan ibadah pada pasien yang terpasang kateter. Pasien menganggap bahwa dengan terpasangnya kateter, thaharah dan ibadah tidak akan sah dilakukan karena urine terus mengalir melewati kateter dan itu merupakan suatu najis. Kurangnya informasi pada pasien dan keluarga mengakibatkan kebutuhan spiritual dan religiusitas pasien tidak terpenuhi.

Tujuan – Studi kasus ini bertujuan untuk menganalisis hasil edukasi thaharah dan ibadah pada pasien yang terpasang kateter post pembedahan

Metodologi – Metode yang digunakan adalah case report dengan desain observasional deskriptif pada satu pasien. Pengukuran religiusitas dilakukan dengan Skala Religiusitas sebelum dan sesudah pemberian edukasi. Kemudian diberikan edukasi thaharah dan ibadah dengan demonstrasi dan redemonstrasi untuk penilaian keefektifan edukasi.

Hasil – Hasil menunjukkan dengan dilakukannya edukasi thaharah dan ibadah pada pasien yang terpasang kateter post pembedahan dengan demonstrasi dan redemonstrasi, tingkat religiusitas dan perilaku pasien dalam melakukan ibadah meningkat.

Saran – Perawat perlu meningkatkan caring terkait dengan kebutuhan spiritual dan religiusitas pasien agar kebutuhannya dapat terpenuhi. Pada pasien yang terpasang kateter post operasi perlu dilakukannya edukasi thaharah dan ibadah untuk meningkatkan religiusitas pasien.

The Treatment of In-Hospital COVID-19 Patient: A Literature Review

Ratu Maharani — 2022-06-30

COVID-19 is a disease caused by SARS-CoV-2. This virus attacks the respiratory system and was first discovered in December 2019 in Wuhan, China. This virus spread quickly until WHO declared Covid-19 a global pandemic. Since then, various guidelines on the management of Covid-19 have been published, one of which is the guideline for the management of patients with confirmed Covid-19. Treatment recommendations in various guidelines that have been published are based on expert opinion and some scientific evidence. However, no pharmacological management of COVID-19 has been conclusively agreed upon and most recommendations rely on supportive treatment. Most drugs used in national guidelines have not been well studied against Covid-19 infection due to their nature, situation and novelty. Here, we investigate further the description of the management of Covid-19 patients who are hospitalized in the hospital. The purpose of this literature review is to describe the management of inpatient Covid-19 patients at the hospital and the final results obtained from each administration of therapy. Literature study was carried out by searching literature in the form of articles and journals in national and international e-databases using the keywords management, inpatients, and Covid-19. The results showed that there were pharmacological treatments in the form of antivirals, antibiotics, vitamins and symptomatic drugs, as well as non-pharmacological treatments in the form of administering oxygen to hospitalized Covid-19 patients. Given the rapid updating of information regarding Covid-19, it is hoped that this study can facilitate information regarding the management of Covid-19.

Penerapan Kompres Kompres Es untuk Mengurangi Nyeri pada Ibu Pascapersalinan dengan Luka Episiotomi: Studi Kasus

Fitriani Yusayyirotul Jannah — 2022-06-30

Problems that often occur in postpartum women cause pain and discomfort, one of which is perineal episiotomy during labor to facilitate delivery of the baby. Injury to the perineum can affect the mother's discomfort after giving birth, interfere with activities and be at risk for infection. One of the interventions carried out is non-pharmacological pain management which can reduce pain in the perineum by using ice packs. The purpose of this study was to see the effectiveness of using ice packs in reducing pain in episiotomy wounds in postpartum women. This research is a case study on postnatal patients with episiotomy wounds. Prior to compressing the ice pack, pain levels were measured using a numerical rating scale (NRS). After the compress intervention was carried out using an ice pack with a duration of 24 hours with a span of 2 days. The results of the intervention, namely at the time of the initial measurement before the intervention, the patient's pain scale 7 was included in the severe pain category. After intervention was found using ice packs, pain in the perineal area was reduced to a scale of 3, included in the mild pain category. The use of ice packs is effective in reducing postpartum episiotomy wound pain and can be applied by health workers in the delivery room and postpartum ward. After intervention was found using ice packs, pain in the perineal area was reduced to a scale of 3, included in the mild pain category. The use of ice packs is effective in reducing postpartum episiotomy wound pain and can be applied by health workers in the delivery room and postpartum ward. After the intervention of compresses using ice packs was found, pain in the perineal area was reduced to a scale of 3 which was included in the mild pain category. The use of ice packs is effective in reducing postpartum episiotomy wound pain and can be applied by health workers in the delivery room and postpartum ward.

Potency Of Andrographolide, L-Mimosine And Asiaticoside Compound As Antiviral For Covid-19 Based On In Silico Method

Dhecella Ningrum — 2022-06-30

Introduction - COVID-19 is an infectious disease that is a global challenge, making it necessary for innovation and the development of antiviral agents in prevention and treatment efforts. Indonesia is known as a country rich in potential plants as medicine, a potential antiviral plant among them Andrographis paniculata , Mimosa pudica and Centella asiatica. The compound that have antiviral activity in each of these plants are andrographolide (Andrographis paniculata), L-mimosine (Mimosa pudica) and asiaticoside (Centella asiatica). The purpose of this study is to identify the potential of the andrographolide, l-mimosine and asiaticoside to inhibit SARS COV-2 protein and to predict the molecular drug profile which refers to lipinski's rule of 5.

Purpose - The purpose of this study was to determine the potential of Andrographis paniculata , Mimosa pudica and Centella asiatica compounds in inhibiting the SARS CoV-2 protein and to determine the prediction of drug profiles such as molecules referring to Lipinski's rule of 5.

Methodology - The methods used in this research by molecular docking and lipinski's Ro5 using PKCSM. The control compounds used are favipiravir and remdesivir.

Results - The results of the affinity of target protein bonds using molecular docking obtained the best results in NSP3 proteins with An Asiaticoside docking score of -10.1 kcal / mol stronger than favipiravir -5.3 kcal/mol and remdesivir -8.6 kcal/mol. As for the compounds L-mimosine -6.1 kcal / mol and Andrographolide -7.7 kcal / mol. The compounds of andrographolide and L-mimosine showed good results and met the 5 aspects of Lipinski's Ro5, but asiaticoside compounds did not good enough. .

Conclusion - The Research has concluded that the compound of the Andrographis paniculata , Mimosa pudica and Centella asiatica have a good potential in inhibiting SARS cov2 protein that is stronger than favipiravir and almost the same with remdesivir activity.

Effect of Hand and Foot Massage Toward Pain Level in Postpartum Mother with Sectio Caesarea: Case Report

Umi Salamah — 2022-06-30

Introduction Pain in post SC patients makes the patient disturbed and uncomfortable. This sensation makes the individual feel tormented, eventually interfering with activities, affecting sleep quality, and slowing down the wound healing process. One of the CAM methods used is hand and foot massage.

Purpose To know how the hand and foot massage can influence in pain levels in postpartum mothers after post-cesarean.

Methodology The method used is a case report taken during practice at PKU Muhammadiyah Bantul Hospital. The case report taken by the researcher was the patient Mrs A is 28 years old G0P1A0 with 39+1 weeks of gestation for indications of premature rupture membranes and breech presentation of the baby. The patient said this was the patient's first experience of doing an SC and the first experience of feeling post-SC pain. The patient was given massage therapy with hand and foot massage on post-SC postpartum mothers, the massage therapy on hand and foot for 2x24 hours. The Hand and foot massage therapy was given to the patient three times a day, a duration of 5 minutes for hands massage and 10-15 minutes for foot massage.

Finding The level pain of a postpartum mother will decreased after hand and foot massage. The level of pain from postpartum mother will decrease from 6 to 3-4 after given foot and hand massage. This case report can be used as a CAM therapy to make pain in postpartum mothers with SC decreased.

Investigation of Moringa Leaf Compounds as Colon Anticancer Agents Using Bioinformatics and Molecular Docking Methods

Dwi Saputri — 2022-06-30

Introduction - Colon cancer is a disease that has a high mortality rate. Cancer treatments such as chemotherapy can cause severe side effects. So, it is necessary to do research on herbal plants to minimize these side effects. The bioactive compounds in Moringa leaves (Moringa oleifera L.) are known to have antioxidant and anticancer activity, so they have the potential to be used as cancer treatment. Purpose – . This study aims to determine the potential of Moringa leaves as an anticancer agent in silico.

Methodology/Approach – The in silico test used is STITCH-STRING bioinformatics and molecular docking. STITCH-STRING bioinformatics was used to determine the target protein of the test compound, and molecular docking was used to determine the binding affinity between the test compound and cancer protein. Findings – In the STITCH-STRING bioinformatics test, the potential targets for kaempferol and quercetin were TP53-ESR1 and STAT3-EGFR, respectively.test Molecular docking on cancer protein showed that quercetin compound in EGFR protein had the best binding with a docking score of -9.2 kcal/mol. This shows good results because the docking score obtained is lower than the comparison drug (Fluorouracil) which has a docking score of -4.2 kcal/mol. These results indicate that compounds in Moringa leaves (Moringa oleifera L.) have the potential to be used as anticancer agents. Originality/ Value/ Implication – Moringa leaf research using bioinformatics and molecular docking methods is still rarely done, so this research can be used as further knowledge related to the search for moringa leaf compounds that have the potential for anticancer using bioinformatics and molecular docking methods

Nursing Students’ Knowledge And Attitude Toward Covid-19

Azizah Nur Khasanah — 2022-06-30

Introduction: Coronavirus disease (COVID-19) is an infectious disease caused by a coronavirus that is transmitted from person to person and has become a worldwide pandemic outbreak. Health college students go directly to the front line in health services and play an active role in following developments in health problems such as good knowledge and good attitudes that can help prevent the spread of COVID-19.

Purpose: The purpose of this study was to determine the relationship between nursing students' knowledge and attitudes towards the prevention of COVID-19 infection.

Method: This study uses a quantitative method with correlation. Sampling used a cluster random sampling technique with a population of 218 college students from the school of nursing, Universitas Muhammadiyah Yogyakarta.

Result: The results showed that the knowledge nursing students about COVID-19 had a good category of 99 (45.4%), the attitudes of PSIK UMY nursing students regarding prevention of COVID-19 had a good category of 191 (87.6%), and the results of the Spearman Rho test were a p-value of 0.000.

Conclusion: This study proves that there is a strong relationship between students' knowledge and attitudes towards COVID-19.

Hubungan antara Faktor Iklim dengan Kejadian Demam Berdarah Dengue di Kabupaten Sumenep Jawa Timur

Ilmi Ulya — 2022-06-30

Pengantar – Demam berdarah dengue merupakan salah satu penyakit infeksi yang paling sering terjadi di daerah tropis, termasuk Indonesia. Penyakit demam berdarah dengue (DBD) disebabkan oleh virus dengue dari genus Flavivirus, famili Flaviviridae. Virus dengue menginfeksi manusia melalui gigitan nyamuk genus Aedes, terutama Ae. aegypti dan Ae. Albopictus. Penularan penyakit DBD sangat mungkin berhubungan dengan kondisi daerah nyamuk berkembang biak yang beberapa di antaranya suhu udara, kelembapan udara, dan curah hujan.

Tujuan– Penelitian bertujuan untuk mengungkap korelasi antara suhu udara, kelembapan udara, dan curah hujan dengan kejadian DBD di Kabupaten Sumenep.

Metode Penelitian– Penelitian berupa observasional analitik dengan desain cross-sectional. Data yang digunakan adalah data sekunder. Data kasus DBD tahun 2017-2021 didapatkan dari BMKG Kabupaten Sumenep dan data iklim bulanan tahun 2017-2021 didapatkan dari Dinas Kesehatan Kabupaten Sumenep. Data tersebut kemudian dianalisis dengan uji korelasi Spearman untuk mencari korelasi antara dua variabel.

Temuan – Kabupaten Sumenep merupakan salah satu daerah di Jawa Timur yang paling sering terkena DBD dengan total kasus 1188 terhitung dari tahun 2017-2021. Kabupaten ini memiliki rerata 27,78 suhu udara, 78,02% kelembapan udara, dan 112,88 curah hujan per bulannya. Pada uji korelasi Spearman didapatkan hubungan kasus DBD dengan suhu udara memiliki hubungan korelasi negatif bermakna (p = 0,00; r = - 0,485), didapatkan hubungan kasus DBD dengan kelembapan udara memiliki korelasi positif bermakna (p = 0,00; r = 0,578) dan didapatkan hubungan kasus DBD dengan curah hujan memiliki korelasi positif bermakna (p = 0,00; r = 0,508). Hal ini menunjukkan bahwa semakin tinggi suhu maka semakin rendah jumlah kasus DBD serta semakin tinggi curah hujan dan kelembapan maka semakin tinggi juga jumlah kasus DBD di Kabupaten Sumenep.

Orisinalitas/ Nilai/ Implikasi – Penelitian ini membuktikan bahwa faktor suhu menunjukkan arah korelasi negatif dengan jumlah kasus DBD, sedangkan faktor kelembapan dan curah hujan menunjukkan arah korelasi positif dengan jumlah kasus DBD di Kabupaten Sumenep.

Keywords: Suhu, Kelembapan, Curah Hujan, DBD

Gambaran Dukungan Keluarga Terhadap Pasien Riwayat Covid-19 Di Wilayah Puskesmas Kasihan 1 Bantul

Laili Nur Hidayati — 2022-06-30

Introduction: The Kasihan Health Center in the Bantul area is one of the health center sociality that provides services and inpatient care for COVID-19 patients, in the past year there were 2,300 positive confirmed cases of COVID-19 19. People with COVID-19 have limitations in sociality because they have to carry out isolation both independently and medically at the hospital. Forms of family support are needed in this case because family support has a positive impact on the psychosocial problems of patients who are in the recovery stage. Patients feel much better due to the provision of psychosocial treatment which includes family interventions, social skills training, and so on.

Research Objectives: To find out the form of family support for patients with a history of COVID-19.

Kecemasan Akibat Penggunaan Masker pada Remaja

Annisa Widyastuti — 2022-06-30

Pemakaian masker secara masif di masa pademi ditujukan untuk mengurangi penyebaran COVID-19. Beberapa jenis masker yang dianjurkan oleh WHO, yaitu masker surgical, masker kain, masker N95, dan Reusable Facepiece Respiratory.Pemakaian masker yang semakin meningkat durasi dan intensitasnya selama Pademi COVID-19 menimbulkan dampak ganguan kecemasan.Pemakaian masker dengan durasi yang lama dikaitkan dengan adanya retensi pernafasan akibat adhesi terhadap wajah yang menyebabkan keadaan hipoksia sebagai pemicu kecemasan.Kecemasan memiliki gambaran klinis berupa gejala psikologi yang ditandai dengan ketakutan,pikiran buruk,serta gejala somatik berupa nyeri otot,tinnitus,detak jantung yang kuat dan nafas yang kencang.Berdasarkan studi terdahulu,peneliti bermaksud menyelidiki lebih lanjut apakah terdapat hubungan penggunaan masker dengan kejadian kecemasan pada remaja.Tujuan dari literature review ini adalah untuk menganalisis hubungan durasi pemakaian masker dan tipe masker yang digunakan oleh remaja dengan kejadian kecemasan pada saat pademi COVID-19.Studi ini didukung oleh artikel, jurnal nasional dan internasional dari tahun 2012 hingga 2022. Hasil penelitian menunjukkan bahwa terdapat hubungan penggunaan masker dengan kejadian kecemasan pada remaja.

Penerapan Terapi Murotal Al-Qur’an Terhadap Nyeri Pasien Post ORIF: Case Report

Fadhlurrahman — 2022-06-30

Background – Open Reduction Internal Fixation (ORIF) is a surgical procedure performed to install an internal fixation device that aims to unite several fractured bones. Fracture is a disturbance of the normal continuity of a bone. Surgical action on extremity fractures with ORIF can result in the emergence of pain in patients. Al-Qur'an murotal therapy can be a solution to reduce pain levels in post ORIF patients.

Objective - This study aims to analyze the application of murotal therapy to reducing pain levels in post ORIF patients at PKU Muhammadiyah Yogyakarta Hospital.

Methods - The method in this study uses a case report. The design in this study used descriptive based on the application of murotal therapy to reduce pain.

Results – The results of this study prove that Al-Qur'an murotal therapy is effective for reducing pain in post ORIF patients.

Suggestion – Post ORIF patients can apply effective Al-Qur'an murotal therapy to reduce pain in post ORIF patients.

The Relationship of Physical Activity Level and Stress Levels in Pregnant Mothers

Choirul Amin — 2022-06-30

Introduction many expectant mothers are unaware of the best physical activities to engage in to reduce stressful situations. Stress situations have an impact on pregnant women's and unborn children's health. Purpose of this study was to examine the connection between pregnant women's levels of physical activity and stress in the Banguntapan 1 Public Health Center workplace. Methodology this study employed a cross-sectional study design and a quantitative methodology. At Banguntapan Health Center 1, a purposive sampling was conducted on 78 pregnant women.

Findings according to the study's findings, there was no correlation between pregnant women's levels of stress and physical activity (p value = 0.296). Implication the majority of pregnant women had heavy physical activity because most pregnant women carried out daily activities such as before pregnancy such as carrying out daily activities such as before pregnancy and were still actively working or selling to meet their daily needs.

Acne Akibat Penggunaan Masker pada Remaja: literature review

Ria Lestari — 2022-06-30

mencegah penularan COVID-19. Masker terdiri dari beberapa jenis, yaitu masker kain, masker bedah tiga lapis (Surgical Mask 3 Ply), masker N95, dan Reusable Facepiece Respiratory. Penggunaan masker dalam jangka waktu yang lama dapat menimbulkan acne, dermatitis, kemerahan dan pigmentasi pada wajah. Penggunaan masker yang lama dapat menciptakan kondisi kulit yang lembab dan tekanan lokal pada kulit sehingga menimbulkan oklusi duktus pilosebaseus. Peningkatan kelembaban dan keringat dapat menyebabkan peradangan pada keratinosit epidermal dan folikel pilosebaseus yang berujung pada terjadinya acne. Acne ditandai dengan komedo, papul, pustul, nodul dan dapat disertai rasa gatal. Kami ingin menyelidiki lebih lanjut apakah terdapat hubungan penggunaan masker dengan kejadian acne pada remaja. Tujuan dari literature review ini adalah untuk mengkaji pengaruh penggunaan masker dengan kejadian acne pada remaja. Studi ini didukung oleh artikel, jurnal nasional dan internasional dari tahun 2006 hingga 2022. Hasil penelitian menunjukkan bahwa terdapat hubungan penggunaan masker dengan kejadian acne pada remaja.

Terapi Dzikir untuk Pengendalian Diri Pasien Penyalahgunaan Narkoba Berbasis Asuhan Keperawatan

Ririn Andrea — 2022-06-30

Introduction – Ketergantungan zat akan menyebabkan seseorang mengalami kondisi parah. Seseorang yang mengalami ketergantungan obat akan memiliki dampak terhadap pola pikir dalam nilai, agama dan norma. Hal tersebut akan berpengaruh terhadap emosi pasien penyalahgunaan NAPZA yaitu marah, sedih, kecewa sampai putus asa. Sehingga perasaan seseorang tersebut akan mendapat ketenangan melalui terapi spiritual yaitu dzikir. Dzikir akan membantu seseorang menjadi lebih tenang dan merasa dalam lindungan-Nya serta menumbuhkan rasa percaya diri, aman dan tentram.

Purpose – Penelitian ini bertujuan untuk mengetahui efektivitas terapi dzikir terhadap kontrol diri pasien penyalahgunaan napza.

Methodology – Metode dalam penelitian ini adalah studi kasus pada pasien penyalahgunaan NAPZA. Satu pasien pengguna NAPZA terlibat dalam penelitian ini. Kegiatan dilakukan dengan melakukan pengkajian, implementasi dan evaluasi.

Finding – Pasien seorang wanita berusia 16 tahun kecanduan NAPZA. Kegiatan penelitian ini yaitu memberikan terapi dzikir. Pasien diminta untuk melakukan dzikir menggunakan tasbih digital. Hasil penelitian ini menemukan setelah dilakukan monitoring selama 8 hari terdapat perubahan yang signifikan terhadap kontrol diri pasien penyalahgunaan NAPZA.

Originality/Value/Implication – Studi kasus ini dapat dilakukan pada pasien penyalahgunaan NAPZA terhadap kontrol diri dengan alat yang digunakan yaitu tasbih digital dalam implementasi penerapan spritual.

Nursing Intervention with The Optimalisation of Progressive Muscle Relaxation (PMR) and Range of Motion (ROM) on Blood Pressure and The Functional Ability of Stroke Patient: Case Study

Novita Indriani — 2022-06-30

Purpose – The purpose of this study is to optimalisation of PMR and ROM on blood pressure and the functional ability of stroke patients.

Originality – This study is an original study in patients with stroke.

Hubungan Imunisasi Lengkap Dengan Pertumbuhan Balita Selama Pandemi Covid-19 Di Puskesmas Gombong I

Vera Amelia Santoso — 2022-06-30

Cakupan global imunisasi menurun dari 86% pada 2019 menjadi 83% pada 2020. Diperkirakan 23 juta anak di bawah usia satu tahun tidak menerima imunisasi dasar yang merupakan angka tertinggi sejak tahun 2009. Pada 2020, angka anak yang tidak menerima vaksin meningkat 3,4 juta (WHO, 2021). Imunisasi dasar lengkap biasanya membantu bayi mengalami pertumbuhan yang baik. Fungsi kekebalan tubuh saling berhubungan erat satu sama lain dan pada akhirnya akan memengaruhi pertumbuhan berupa status gizi pada bayi (Wahyuni and Prasetya, 2020). Tujuan dari dilakukannya penelitian ini adalah untuk mengetahui cakupan imunisasi dasar lengkap di posyandu wilayah Puskesmas Gombong I sebelum dan selama pandemi covid-19 dan hubungannya dengan pertumbuhan balita. Rancangan penelitian ini menggunakan desain penelitian observasional analitik dengan pendekatan cross sectional. Sampel diambil dengan menggunakan teknik total sampling. Data diambil melalui pencatatan cakupan imunisasi dan pertumbuhan balita pada Kartu Menuju Sehat (KMS). Penelitian ini mempunyai hipotesis bahwa terdapat penurunan cakupan imunisasi dasar pada balita di puskesmas wilayah Puskesmas Gombong I akibat dari pandemi covid-19 dan imunisasi dasar cukup mempengaruhi pertumbuhan pada balita. Penelitian ini diharapkan dapat memberikan informasi berupa data yang valid mengenai hubungan imunisasi dasar lengkap dengan pertumbuhan balita juga realita cakupan imunisasi dasar selama pandemi covid-19 dan perbandingannya dengan sebelum masa pandemi covid-19. Data tersebut diharapkan kemudian akan dapat memberikan manfaat bagi masyarakat agar dapat berpartisipasi dalam meningkatkan cakupan imunisasi dasar di lingkungan sekitar tempat penelitian.

Case Report: Kombinasi Hidroterapi Dan Serai Untuk Menurunkan Nyeri Pada Lansia

Agista Wulan Aviani — 2022-06-30

Background – Joint pain is a serious problem experienced by some of the elderly which can interfere with the psychology of the elderly, such as depression, dementia, social isolation to greater functional impairment Pain is often felt by the elderly but pain is not part of aging. Non-pharmacological pain management efforts are urgently needed to reduce complaints of pain experienced by the elderly, one of which is by using a combination of hydrotherapy and lemongrass.

Objective – This case study aims to analyze the implementation of independent nursing in the form of a combination of hydrotherapy and lemongrass in reducing pain levels in the elderly.

Method – The method used is a case study on an elderly with complaints of chronic joint pain in the lower extremities. The instrument used is a numerical rating scale to measure the level of pain before and after therapy. The intervention was carried out for seven days routinely in the morning and evening.

Results – Non-pharmacological interventions through a combination of hydrotherapy and lemon grass can reduce pain levels in the elderly from a scale of seven to five.

Suggestion – Elderly who experience pain can take advantage of a combination of hydrotherapy and lemon grass to reduce pain in their bodies.

Keywords: Pain, Elderly, Hydrotherapy, Lemongrass

Nutrition Advocacy Through Strengthening Local Food in Pregnant Women in Stunting Prevention

Titih Huriah — 2022-06-30

Introduction: The prevalence of stunting under five in Indonesia is included in the country with the third highest prevalence in the Southeast Asia region or the South-East Asia Regional (SEAR). The average prevalence of stunting under five in Indonesia in 2005-2017 was 36.4%. One of the causes of stunting in toddlers is inadequate nutritional intake during pregnancy. One of the interventions that can be done is to provide nutrition advocacy related to local food for pregnant women.

Purpose: The purpose of this case study was conducted to describe the nutritional status of pregnant women.

Method: The method used is a case report. Overview of cases of G5P4A0 pregnant women. Currently the client is 20 weeks pregnant G5P4A0 5th pregnancy. The client has a history of the first pregnancy giving birth normally, the second pregnancy the client gave birth by SC because the womb had exceeded the HPL and was accelerated because there was no development for childbirth, the third pregnancy gave birth by SC because the distance between the first and second SC was only 23 months, the fourth pregnancy was done by SC because he has a history of SC 2 times, and the client is currently pregnant at high risk because he has a history of SC 3 times. The client had a history of giving birth to her first child with a baby weighing 1.8 kg and died after 3 hours of birth due to congenital abnormalities. At 20 weeks' gestation, the client's weight was 69 kg, TB was 154 cm and the weight before pregnancy was 65 kg. During this pregnancy the client does not do any diet or food restrictions, the client eats 2-3 times/day. The food that is often consumed by the family is side dishes and vegetables. Clients often consume fast food. The action taken is advocating local food nutrition for pregnant women.

Results: Before the intervention was carried out the client said that he did not know about stunting prevention with local food. The results of the implementation given to the client were in the form of nutrition advocacy in the form of strengthening local food for pregnant women. The results obtained by the client were that they enthusiastically listened when they were given education and the client said that they now know and understand what local food is good for pregnant women. Education conducted for clients using audio-visual in the form of video and poster media aims to provide an understanding of the material so that it can increase the client's knowledge about the nutrition of pregnant women and can change the client's behavior in maintaining her pregnancy.

Level Of Knowledge, Attitude, And Practice Of Personal Hygiene Were Not Correlated With Pediculosis Capitis

Zakiah Azizah — 2022-06-30

Introduction – Pediculosis capitis is the most common ectoparasitosis in the world, transmitted by direct contact. Pediculosis capitis is more common in girls and has a high prevalence in command environment. The results of research on personal hygiene as a risk factor for pediculosis capitis are still inconsistent.

Purpose – This study aims to analyze the relationship between the level of knowledge, attitude, and practice of personal hygiene with the incidence of pediculosis capitis in Islamic boarding schools.

Methodology/Approach – This research is an analytic observational with a cross sectional design. The research was conducted at Pesantren X in Magelang and was carried out after obtaining research ethic approval. Respondents are female students, taken by total population sampling. Data on the level of knowledge, attitudes, and personal hygiene practices were obtained through a questionnaire, while the diagnosis of pediculosis was obtained by examining the hair and scalp directly. Data scores of Knowledge, Attitudes, and Personal Hygiene Practices were categorized into good, medium, and low. Data were analyzed using chi-square to determine the relationship between the level of knowledge, attitudes, and personal hygiene practices with the incidence of pediculosis capitis.

Findings – There were 78 research respondents who met the inclusion criteria. The results showed that 52 students (66.67%) suffered from pediculosis capitis. Regarding personal hygiene, as many as 60 people (76.92%) have good knowledge, 43 (55.13%) are good and 59 (75.64%) have good practices. The results of statistical analysis showed that there was no relationship between the level of knowledge (p = 0.08), attitude (p = 0.52) and practice (p = 0.70) of personal hygiene with the incidence of pediculosis capitis. It was concluded that knowledge, attitude and practice of personal hygiene in Pondok Pesantren X was not a risk factor for the incidence of pediculosis capitis.

Implication – Knowledge, attitudes, and personal hygiene practices cannot be used to prevent the occurrence of pediculosis capitis in Islamic boarding school students X.

Faktor Risiko Penggunaan Ventilator Pada Pasien Covid-19 Di Ruang Icu: Literature Review

Annisa Hilalriah — 2022-06-30

placed great pressure on critical care resources. Identification of patients at high risk for clinical deterioration is critical to ensure access to intensive care for severe conditions in a timely manner. According to (Hajjar et al., 2021), it is stated that in cases of severe respiratory failure, as often seen in ARDS associated with SARS-CoV-2, severe hypoxemia can cause a persistent increase in respiratory effort, with consequent induced lung injury. itself (P-SIL). In addition, other factors such as fluid overload or myocardial injury caused by SARS-CoV-2 can also play an important role in exacerbating the condition through pulmonary congestion. Critical care support optimized by facilitating Covid-19 patients to use ventilators is the best strategy to increase patient survival (Shang et al., 2020).

Research Objectives: To determine the risk factors that influence the use of ventilators in COVID-19 patients in the ICU.

Research Method: This research uses the literature review method using the Google Scholar, Pubmed, and ProQuest with a time limit for searching articles for 2019-2021, full free text in English and Indonesian and using predefined keywords.

Results: The results of this literature review show that there are 3 risk factors that affect the use of ventilators in Covid-19 patients in the ICU, including sociodemographic factors (age, sex, BMI), comorbid factors (two or more co-morbidities), such as diabetes mellitus, hypertension, COPD, cardiovascular, cerebrovascular, and obesity, and lifestyle factors (smoking).

Conclusion: The use of ventilators in Covid-19 patients is often used in developed countries as the best strategy to increase patient survival by taking into account the severity of the patient's condition, especially those with respiratory system disorders. In the use of the ventilator there are 3 main factors that must be considered, sociodemographic factors, comorbidity factors, examination results factors, and lifestyle factors.

Effect of Exclusive Breatfeeding on The Incidence of Acute Respiratory Infections

Husnul Muthoharoh — 2022-06-30

Introduction – Acute Respiratory Infection (ARI) is a respiratory infection where the cause is a virus or bacteria that lasts for 14 days. One of the efforts to prevent ARI in infants is to provide exclusive breastfeeding, because breast milk contains elements of specific and non-specific immunity that can protect newborns from respiratory infections.

Purpose – The aim of the study was to determine the effect of exclusive breastfeeding with the incidence of Acute Respiratory Infection (ARI) in infants aged 7-24 months in the Community Health Center Ujung Pangkah Gresik.

Methodology/Approach – The research design used was observational analytic with a cross sectional approach. The population in this study were all infants aged 7-24 months. The number of sample 60 babies taken with the sampling technique using purposive sampling method. The study used a questionnaire with a closed ended item type of questionnaire. Data analysis used univariate and bivariate analysis using Chi Square.

Findings – The results showed that 33 respondents (55 percent) had ARI and 27 respondents (45 percent) did not. Respondents who did not give exclusive breastfeeding were 28 respondents (46.7 percent), giving exclusive breastfeeding were 32 respondents (53,3 percent). This shows that the proportion of children under five who are not exclusively breastfed and has ARI is higher than the proportion of infants who are exclusively breastfed and have ARI. The results of statistical calculations obtained p-value = 0.000 (p-value <0,05), so there is a relationship between exclusive breastfeeding and the incidence of ARI in toddlers at the Ujung Pangkah Health Center.

Originality/ Value/ Implication – This research is the result of my own work and has never been published at all.

Hubungan Antara Status Gizi dengan Siklus Menstruasi dan Dismenorea Pada Remaja Putri

Ni Made Risma Dewi — 2022-06-30

Background: Nutritional status will affect the formation of hormones involved in the menstrual process such as FSH, LH, estrogen and progesterone hormones. Adolescents with less or more nutrition will have an impact on reproductive disorders including the menstrual cycle and also dysmenorrhea.

Aims: Knowing the relationship between Nutritional Status with Menstrual Cycle and Dysmenorrhea

Methods: This research uses analytic observational method with cross sectional approach. The population of this research is all students of Madrasah Aliyah Negeri 02 Yogyakarta class X, XI academic year 2021/2022, with a sample of 72 people. Inclusion criteria are students aged 15-18. Exclusion criteria were experiencing reproductive disease and smoking. The sampling technique is probability sampling by means of simple random sampling.

Results: The results showed that 36 female students (50.0%) had normal nutritional status, 42 female students (58.3%) experienced normal menstrual cycles, and 53 female students (73.6%) experienced dysmenorrhea. Statistically with the Spearman Rank test, it was found that nutritional status had a relationship with the menstrual cycle, P value = 0.003 (p <0.05), then the results also showed that nutritional status did not have a correlation with dysmenorrhoea which showed P value = 0.25 (p>0 ,05).

Conclusion: There is a relationship between nutritional status and menstrual cycle in Adolescent Girls at Madrasah Aliyah Negeri 02 Yogyakarta. There is no relationship between nutritional status and dysmenorrhea in Adolescent Girls at Madrasah Aliyah Negeri 02 Yogyakarta.

Hubungan Antara Penurunan Hasil Hitung Limfosit Absolut dengan Keparahan Pasien COVID-19

Aida Nisa — 2022-06-30

Coronavirus disease 2019 (COVID-19) adalah penyakit infeksi pada saluran pernafasan yang disebabkan oleh Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) adalah virus yang menyerang saluran pernafasan penyakit infeksi. Pada tanggal 30 Januari 2020 WHO menetapkan COVID-19 sebagai pandemic dengan angka kematian yang signifikan sehingga penting untuk membedakan kasus berat dan tidak berat. Penulis melakukan penelitian untuk mengevaluasi dan untuk mengetahui korelasi hasil pemeriksaan laboratorium terutama hitung limfosit absolut dengan tingkat keparahan penyakit pada pasien COVID-19. Virus SARS-CoV-2 adalah coronavirus jenis baru, sehingga memerlukan pemahaman lebih lanjut terkait hasi tes laboratorium untuk mendiagnosis penyakit dan menentukan tatalaksana yang sesuai dari seseorang yang terinfeksi COVID-19. Menurut penelitian hasil hitung limfosit pada pasien COVID-19mengalami penurunan. Kondisi limfositopenia memiliki resiko yang besar untuk terjadi cedera ginjal akut (AKI), penanda kegagalan organ serta limfositopenia sering ditemukan pada pasien yang dirawat di intensive care unit (ICU). Studi pustaka ini bertujuan untuk mengkaji hasil hitung limfosit pada pasien yang terkonfirmasi positif COVID-19. Studi pustaka dilakukan dengan mencari litteratur berupa artikel dan jurnal di e-database nasional maupun internasional menggunakan kata kunci COVID-19, pemeriksaan laboratorium, dan limfosit serta dikaji menggunakan narrative methods. Hasil dari studi menunjukan bahwa terdapat penurunan limfosit absolut pada pasien COVID-19.

Adolescents’ Perception of Risky Sexual Behavior: Risk Factor in Rural Area

Yassirli Amrina — 2022-06-30

Introduction – Every adolescent will increase their libido so they are always looking for more information about sex that can cause deviations, one of which is risky sexual behavior. Risky sexual behavior can cause physical, psychological and social impacts. To prevent risky sexual behavior in adolescents, it is necessary to explore adolescent perceptions of the factors that affect risky sexual behavior.

Purpose – This research aims to explore adolescent perceptions of factors that affect risky sexual behavior.

Methodology/Approach – This research uses aqualitative research with a phenomenological approach. Data were collected by in-depth interviews with 9 informants with an age range of 12-15 years in the Kalirandu Hamlet determined by purposive sampling. Validity test of the data using member check, thick description, dependability, and peer debriefing. Data analysis using software open code 4.03. This research is ethically worthy with the number NO.330/EC-KEPK FKIK UMY/XII/2021.

Findings – The results showed that adolescents' perceptions of factors affect risky sexual behavior were divided into two, namely internal factors and external factors. Internal factors that influence risky sexual behavior are libido, gender, motivation to get pleasure, knowledge, attitudes, mutual liking, and curiosity, while external factors are lack of attention from parents, lack of sexual education from parents, religion, culture and resources. Information.

Originality/ Value/ Implication –Risky sexual behavior is a problem that can cause various negative impacts for adolescents. Therefore, it is important for adolescents to know the factors that influence risky sexual behavior so that adolescents can avoid risky sexual behavior.

Pencegahan Ulkus Diabetikum Dengan Buerger Allen Exercise Dan Senam Kaki Diabetes Pada Pasien Diabetes Mellitus Di Rs Pku Muhammadiyah Gamping

Ayu Mutmainah — 2022-06-30

Diabetes mellitus adalah penyakit multifaktorial yang disebabkan oleh gangguan pada sistem endokrin yang bersifat kronis. Diabetes mellitus ditandai dengan kadar glukosa darah yang tinggi (hiperglikemia) yang dihubungkan dengan gangguan sekresi insulin. Kejadian diabetes mellitus terus meningkat dalam beberapa dekade terakhir yang diikuti oleh prevalensi obesitas serta gaya hidup yang tidak sehat. Meningkatnya prevalensi penderita diabetes melitus akan menambah angka kejadian komplikasi baik pada tingkatan sel maupun anatomic seperti penyakit arteri perifer yang dapat berisiko berkembang menjadi ulkus diabetikum akibat kadar gula darah yang tinggi dan sirkulasi darah yang buruk pada perifer kaki. Untuk mencegah hal tersebut, salah satu pilar penatalaksanaan diabetes adalah latihan fisik yaitu dengan buerger allen exercise dan senam kaki diabetes. Intervensi keperawatan yang dilakukan adalah dengan memberikan dan mengajarkan buerger allen exercise dan senam kaki diabetes dimana sebelumnya telah dilakukan pemeriksaan nilai ABI (ankle brachial index) terlebih dahulu pada hari pertama dilakukannya intervensi dan di hari terakhir dilakukannya intervensi (nilai pre dan post ABI). Tujuan studi kasus ini adalah untuk mengetahui nilai rata-rata perubahan kadar glukosa darah sewaktu dan nilai ankle brachial index pada pasien setelah diberikan intervensi. Metode yang digunakan dalam penulisan adalah case report yang dilakukan selama 4 hari dengan total 7 pertemuan. Hasil karya ilmiah ini menunjukkan bahwa klien mengalami perubahan rata-rata kadar glukosa darah sewaktu dan peningkatan nilai ankle brachial index setelah diberikan intervensi. Kesimpulan dari karya ilmiah ini bahwa pasien yang mempunyai penyakit diabetes mellitus sangat dianjurkan untuk melakukan aktivitas fisik senam seperti buerger allen exercise dan senam kaki diabetes di rumah guna mengurangi terjadinya risiko komplikasi ulkus diabetikum pada pasien.

Pengaruh Hydrotherapy dalam Asuhan Keperawatan Pasien dengan Nyeri Arthritis

Rahmi Pratiwi Munarji — 2022-06-30

Introduction – Arthritis is an inflammatory and painful process that occurs around the joints of the body. The cause of the disease can be due to several factors, namely trauma, burden on the joints, age, gender, history of disease, obesity, and excessive strenuous activity behaviour. This behaviour if it lasts a long time will cause pain and discomfort and can interfere with daily activities. So that efforts are needed to reduce the pain felt by patients through hydrotherapy.

Purpose - To determine the effect of hydrotherapy on reducing pain in patients with arthritis.

Methodology - patient arthritis. Activities carried out by conducting assessment, implementation, and evaluation of nursing.

Finding – Mrs. S, a 41-year-old woman, was diagnosed arthritis with complaints of leg pain for more than 3 months. Mrs’s is not currently taking painkillers. The research activities are education and hydrotherapy using warm water (^40oC) once a day for 15 minutes. After 3 days the pain in the legs decreased from a scale of 5 to 3. It can be concluded that hydrotherapy has been proven to be able to reduce the patient's joint pain.

Originally/Value/Implication - This therapy can be applied to reduce pain and discomfort in the feet of arthritis, but the use of therapy can have a better impact if additional therapy time is added so as to increase the effectiveness of therapy

Pengaruh Self Help Group (SHG) Terhadap Tingkat Kecemasan Mahasiswa Profesi Ners Yang Terkonfirmasi Positif Covid-19

Friska Aprilia — 2022-06-30

Introduction – During the Corona Virus (Covid-19) pandemic whose cases are still up and down until now in March 2022, the prevalence of victims who were confirmed positive for Covid in Indonesia was around 5,948,610 and 153,411 victims who died. The Covid-19 incident which continues to increase every day has made health workers as frontline workers even more depressed due to increased workloads, increased anxiety about one's own health and fear of infecting others.

Purpose – This study aims to determine the effect of Self Help Group (SHG) on anxiety levels in nursing professional students who are confirmed positive for COVID-19.

Methodology/Approach – This study uses a quasi-experimental methods pre-test and post-test without control group, meaning that data collection is carried out before and after the intervention by giving a Self Help Group. The instrument used is HARS (Hamilton Anxiety Rating Scale) to measure the level of anxiety. Self Help Group is conducted four times a month, once a week with a total of 11 respondents.

Findings intervention Self Help Group on a regular basis, in 11 nursing professional students there was a decrease in the level of anxiety. Anxiety experienced by students before being given the intervention was Very Severe Anxiety (46%), Severe Anxiety (18%), Mild Anxiety (18%), and No Anxiety (18%). After the intervention, there was a change in the level of anxiety with the results of Very Severe Anxiety (0%), Severe Anxiety (18%), Mild Anxiety (9%), and No Anxiety (73%).

Originality/ Value/ Implication – Self Help Group has proven to be an effective intervention to reduce anxiety levels in nursing professional students who are confirmed positive for COVID-19.

Pemberian Terapi Thought Stopping terhadap Tingkat Kecemasan Pasien Pre Operative Sectio Caesarea Syifa Ayu Amilia Hastin1, Lisa Musharyanti2

Syifa Hastin — 2022-06-30

Pendahuluan – Periode pre-operative merupakan salah satu peristiwa yang mengkhawatirkan bagi sebagian besar pasien bedah. Kecemasan pasien pre operative sectio caesarea jika tidak segera diatasi dapat menimbulkan kesulitan dalam proses pembedahan, membahayakan keselamatan ibu dan bayi, dan dapat meningkatkan biaya perawatan. Salah satu intervensi keperawatan yang dapat diaplikasikan guna mengurangi kecemasan adalah terapi thought stopping. Terapi ini menekankan pada kemampuan seseorang untuk mengontrol dirinya dengan menghentikan pikiran negatifnya dan mengubahnya menjadi pikiran positif.

Tujuan – Case report ini bertujuan untuk mengimplementasikan terapi thought stopping pada pasien pre-operative sectio caesarea, mengetahui tingkat kecemasan pasien, pola pikir pasien tentang penyebab kecemasan, dan persepsi tentang terapi thought stopping di Rumah Sakit Universitas Islam Indonesia.

Metode – Penulisan ini menggunakan metode case report dengan pendekatan proses keperawatan. Case report ini berfokus pada satu diagnosis keperawatan yaitu ansietas. Sasaran dalam case report ini adalah ibu hamil yang akan menjalani operasi sectio caesarea. Pelaksanaan terapi thought stopping dilakukan selama 3 hari, dengan 3 kali pertemuan.

Hasil – Terjadi penurunan skor kecemasan dengan instrumen Hamilton Anxiety Rating Scale (HARS) setelah pemberian terapi thought stopping, skor awal 25 dan skor akhir 18. Menurut pasien, hal yang menyebabkan kecemasan sebelum operasi menurut pasien yaitu ketakutan akan rasa sakit setelah operasi, khawatir kondisi anaknya karena melewati perkiraan lahir, dan cemas kalau kehamilan berikutnya dilakukan dengan operasi. Melalui hasil tersebut, pasien setuju jika terapi thought stopping dapat diaplikasikan guna menurunkan kecemasan.

Kesimpulan – Terapi thought stopping dapat digunakan sebagai psikoterapi untuk mengurangi kecemasan pasien pre-operative sectio caesarea. Sehingga terapi thought stopping dapat dijadikan sebagai terapi tambahan guna memberikan pelayanan keperawatan yang holistik.

Corona Virus Disease (Covid-19) Social Impact Analysis In Bekasi City

Muhammad Fadhillah — 2022-06-30

The COVID-19 pandemic has had a tremendous impact around the world. The impact that occurs is not only in the economic field, but also in the social field. Research on the social impact of COVID-19 can assist in formulating the necessary policies more effectively. This study uses qualitative research methods with primary data collection by survey and secondary data collection through the relevant agencies. The results of this study explain the analysis of social impacts arising from the COVID-19 Pandemic as seen from the impact on individuals, workers, poverty, families, security, and society. Based on the survey results, COVID-19 against individuals, in a response of shock, disbelief and frustration. The Covid-19 pandemic in the city of Bekasi forced restrictions on activities outside the home to stop the economy and lead to layoffs, a decrease in income which led to the potential for new poor people to be born, conflicts in the family and an increase in crime. However, in the community structure of Bekasi City, this outbreak can also shape mutual cooperation behavior in caring for the prevention of the spread of COVID-19.

The Effect of Binahong (Anredera Cordifolia) Leaf Extract Intranasal Administration on the Safety of Olfactorius Nerves Wistar Rats

Ichsanul Farhan — 2022-06-30

Introduction – Binahong plant (Anredera cordifolia) is reported to contain bioactive compounds that are useful for treating several diseases. One of the effects thatcan be used is anti-inflammatory, so it has potential as an alternative to treat chronic inflammation of the nose, but which has not yet been done researched of safety against the olfactory nerve.

Purpose – This study aims to determine the toxic effect of the ethanolic extract of Binahong (Anredera cordifolia) leaves on the safety of the olfactory nerves of Wistar rats.

Methodology/Approach – This research is an experimental research using pre and post control group design. The samples used were 30 female Wistar rats aged 3 months which were divided into 6 groups. Group 1 was used as a normal control without treatment. Groups 2, 3, 4, 5 and 6 were treated with a nasal spray of Binahong leaf extract with concentrations of 5%, 10%, 25%, 50% and 75%, respectively. Before and after treatment, the rats were tested for smell by putting them in an empty cage that was fed under the bed and assessing the length of time the rats found food. The data obtained were tested using the t-test (t-test) to see the difference in the mean.

Findings – This study showed that there was an effect of Binahong leaf extract (Anredera cordifolia) in reducing the average olfactory time of Wistar rats (241 seconds vs 316 seconds) but it was not statistically significant and no anosmia was found.

Originality/ Value/ Implication – The results of this study provide new insights into the use of intranasal Binahong.

Hubungan Anemia, Hipertensi, dan Tingkat Pendidikan Ibu dengan Berat Bayi Lahir Rendah Cukup Bulan di RS PKU Gombong

Farhan Nur Izza — 2022-06-30

BBLR sendiri adalah indikator Kesehatan Masyarakat yang sangat berharga lebih tepatnya ke arah Kesehatan maternal, nutrisi, pelayanan kesehatan, dan kemiskinan. Secara Global dapat diestimasi sekitar 15-20% dari semua kelahiran atau lebih dari 20 juta kelahiran/tahun. Sementara di Indonesia pada tahun 2018 BBLR mempunyai prevalensi sebanyak 6.2% menurut Riset Kesehatan Dasar. Untuk Kabupaten Kebumen sendiri menurut Badan pusat statitistik Provinsi Jawa Tengah mempunyai angka BBLR sebanyak 943 kasus pada tahun 2018 meningkat menjadi 986 pada tahun 2019 dan semakin bertambah mencapai angka 1003 kasus pada tahun 2020. Studi ini dilakukan untuk mengetahui hubungan antara Anemia, Hipertensi, dan Pendidikan Ibu dengan kejadian BBLR cukup bulan di RS PKU Muhammadiyah Gombong. Studi ini juga diharapkan dapat memberi manfaat dalam bentuk sumber informasi mengenai hubungan Anemia, Hipertensi, Pendidikan Ibu dengan BBLR Penelitian ini adalah penelitian kuantitatif dengan desain penelitian observational analytic cross-sectional. Studi ini tidak akan mengintervensi dan hanya akan mengobservasi dan menganalisis. Penelitian ini mempunyai hipotesis bahwa terdapat hubungan signifikan antara Hipertensi, Anemia, dan Pendidikan Ibu terhadap kejadian BBLR. Studi ini penting dilakukan di daerah yang mempunyai tingkat BBLR yang cukup tinggi seperti Kebumen supaya kejadian tersebut dapat dihindari.

Efektifitas Pursed Lip Breathing Exercise Dan Posisi Fowler Pada Pasien Asthma: Studi Kasus

Asfira Niken Fitriawanda — 2022-06-30

Asthma is a chronic inflammatory disorder causing hyperresponsiveness in the airways which refers to recurrent episodes such as dyspnea, coughing, wheezing and chest tightness that can affect all age groups. Symptoms that appear are related to the extent of inflammation so that they are reversible with or without treatment which can cause asthma sufferers to have more sensitive airways and a decrease in vital capacity in the lungs characterized by an increase in functional residuals and residual lung volume so that oxygen levels in the blood reduced which causes a decrease in oxygen saturation levels in asthmatic patients. This case study aims to determine the effectiveness of pursed lip breathing and Fowler's position adjustment in increasing the oxygen saturation of asthmatic patients. The method in this study used a case study in asthmatic patients by giving pursed lip breathing and Fowler's position (90°). Pursed lip breathingis a breathing exercise with a shorter inspiratory phase than the expiratory phase. Pursed lip breathing is performed by inhaling through the nose by counting one to three and then exhaling slowly through pursed lips as if blowing out a candle, counting one to seven, each time you inhale, give a 2 second pause to start over. The results of the intervention showed that giving pursed lip breathing and semi-Fowler's position was effective in increasing oxygen levels in the body marked by a significant increase in oxygen saturation, namely 96-100%. Exercises Pursed lip breathing and semi-Fowler's position can increase oxygen saturation and reduce shortness of breath in people with asthma.

Keywords: asthma, pursed lip breathing, Fowler's position

Effect of Insertion Time on Yield Of Edamame Soybean in Renek Cassava Intercropping

Difa Nabila Marka — 2022-06-30

Overlapping is one way to optimize agricultural land. Apart from commodities, what needs to be considered in the intercropping system is the planting time. In this study, a combination of legume and non-legume plants had a shorter lifespan compared to other types, namely Edamame soybeans and Renek cassava. In this combination of plants, it is necessary to determine the right planting time at one time of planting. The purpose of this study was to determine the most appropriate insertion time for Edamame soybeans for Edamame soybean yields and to examine the potential utilization of land in the intercropping system of Edamame soybeans with Renek cassava arrangement consisting of four treatments, namely Edamame soybean monoculture, Edamame Soybeans were inserted into Renek cassava aged 0 Days After Planting (HST), 2 Weeks After Planting (MST), and 4 MST. In each treatment there were 3 replications, 3 sample plants, and 4 sacrificial plants. Parameters observed were number of leaves, plant dry weight, Edamame soybean yield, and Land Equivalence Value. data were analyzed using analysis of variance with a of 5% and then continued with duncan's multiple range test (DMRT) if significantly different. the results showed that there was a significant effect on the yield of Edamame soybean area per unit area. and it was found that the best treatment eas Edamame was Edamame soybeab which was inserted into renek cassava aged 2 MST which produced pods per unit area of 9.73 ton/ha with an NKL of 1.85.