Journal title : Nurse and Health: Jurnal Keperawatan (NHJK) Initials : NHJK Frequency : 2 issues per year (July and December) DOI : Prefix 10.36720 Print ISSN : 2088-9909 Online ISSN : 2623-2448 Editor-in-chief : Dini Prastyo Wijayanti Publisher : Politeknik Kesehatan Kerta Cendekia collaboration with PPNI Journal Of Nursing Practice is an international open access journal (e-journal) which publishes the scientific works for nurse practitioners and researchers. The scope of this journal is articles in the fields of health, public health, and nursing (basic nursing, medical surgical nursing, pediatric nursing, maternity nursing, community health nursing, family nursing, emergency nursing, psychiatric and mental health nursing, gerontological nursing, and also nursing management). The NHJK Editorial team welcome and invite researchers from around the world to submit their papers (original research article, systematic review, and case study) for publication in this journal. Submitted papers must be written in English for initial review stage by editors and further review process by minimum two reviewers. Before submission, You have to make sure that your paper is prepared using the NHJK Journal Template, has been carefully proofread and polished, and conformed to the Author guidelines. Online Submissions Already have a Username/Password for Journal Of Nursing Practice Informatics? GO TO LOGIN Need a Username/Password? GO TO REGISTRATION Forget your password? Please contact us Registration and login are required to submit items online and to check the status of current submissions.
Institute for Research and Community Service of Health Polytechnic of Kerta Cendekia, Sidoarjo
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DETERMINANTS OF SECOND-DOSE MEASLES IMMUNIZATION ACCEPTANCE AMONG TODDLERS: A SYSTEMATIC LITERATURE REVIEW
Background: Measles is a contagious disease with high morbidity and mortality rates. Globally, measles immunization coverage has reached 81% for the first dose and 71% for the second dose. In Southeast Asia, the coverage is 91% for the first dose and 85% for the second dose; however, these figures remain below the measles elimination target. Purpose: identify the factors influencing second-dose measles immunization coverage. Methods: The method used is a Systematic Literature Review with keywords formulated based on the PICO framework: Population: “children,” Exposure: “second-dose measles vaccine,” and Outcome: “associated factors,” “predictors,” or “determinants.” From a total of 1,159 articles identified, ten studies met the inclusion criteria and were analyzed further. Results: The results show that second-dose measles immunization coverage is influenced by several factors, including maternal age, education level, knowledge, utilization of maternal health services, and accessibility to healthcare facilities. Maternal health service utilization, such as antenatal care visits, delivery at health facilities, and postnatal checkups, significantly increases the likelihood of children receiving the second dose. Conversely, barriers such as long distances, limited transportation, and long waiting times remain major challenges. Conclusion: Therefore, strengthening education, integrating maternal health services with immunization programs, and expanding access in remote areas are essential to improving measles immunization coverage. These efforts provide an important foundation for formulating more effective policies to support both global and national measles elimination strategies.
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BARRIERS AND ENABLERS OF A REPORTING CULTURE: A SYSTEMATIC REVIEW OF PATIENT SAFETY INCIDENT REPORTING BY HOSPITAL HEALTHCARE WORKERS
Background: Patient safety incidents remain common in hospitals and directly affect the quality of healthcare services. Incident reporting is a key strategy for improving service quality and promoting a safety culture. An effective reporting culture requires the reduction of barriers and the strengthening of enabling factors so that healthcare workers feel safe to report incidents. Purpose: This systematic review aimed to identify barriers and supportive factors affecting the establishment of a patient safety incident reporting culture among healthcare personnel within hospital environments. Methods: A systematic review was undertaken through a comprehensive search of four databases, including ScienceDirect, ProQuest, PubMed, and. Google Scholar. The search terms were: ("patient safety" OR "adverse event") AND ("incident reporting" OR "error reporting") AND ("barriers" OR "enablers") AND ("healthcare workers") AND ("hospital" OR "healthcare"). Inclusion criteria were articles published from 2021 to 2026 and written in English, available as free full text and were selected tobe analyzed and assessed using JBI. A total of 619 records were initially identified. Following the removal of duplicates, screening of titles and abstracts, and full-text assessment according to the eligibility criteria, 15 studies were ultimately included in the review. The selection process followed PRISMA guidelines. Results: Common barriers to concerns about blame or punitive consequences, insufficient feedback, and complex reporting mechanisms. Enabling factors included leadership support, implementation of a non-punitive (just) culture, simple and anonymous reporting systems, regular training, and transparent feedback mechanisms. Conclusion: Patient safety incident reporting culture is influenced by individual, organizational, and system-related factors. Sustainable improvement requires strong leadership, non-punitive policies, simplified reporting processes, continuous training, and structured feedback systems.
TRENDS IN THE USE OF NATURAL AGENTS FOR CHRONIC WOUND CARE IN DEVELOPING COUNTRIES: A SCOPING REVIEW
Background: Chronic wounds remain a major healthcare challenge in developing countries due to limited access to advanced wound care technologies and the high cost of treatment. These limitations have encouraged the use of natural agents as affordable alternatives for chronic wound management. Natural agents such as honey, Aloe vera, propolis, virgin coconut oil, Centella asiatica, and herbal extracts have demonstrated antimicrobial, anti-inflammatory, and tissue-regenerative properties. Purpose: This scoping review aimed to map trends in the clinical use of natural agents for chronic wound care in developing countries from 2010 to 2024, including the types of agents used, therapeutic outcomes, safety, cost-effectiveness, and emerging clinical applications. Methods: This review followed the Arksey and O'Malley methodological framework and the PRISMA-ScR guidelines. A systematic search of PubMed, ScienceDirect, Scopus, and Google Scholar identified studies published between January 2010 and October 2024. Eligible studies were screened, selected, and synthesized. Results: Of 2,876 records identified, 15 studies met the inclusion criteria. The findings showed a gradual evolution in the clinical use of natural agents. Honey and Aloe vera predominated in earlier studies, while more recent research explored propolis, virgin coconut oil, olive oil–honey combinations, Centella asiatica, and plant-based hydrogels. Most studies focused on diabetic foot ulcers. Overall, natural agents accelerated wound healing, enhanced granulation tissue formation, reduced wound size and infection, and provided cost-effective alternatives to conventional wound care. Conclusion: Natural agents have evolved from conventional single-agent therapies to diverse bioactive formulations integrated with modern wound care. Current evidence supports their effectiveness, affordability, and potential role in improving chronic wound management, particularly in developing countries and other resource-limited healthcare settings.
ENDORPHINE MASSAGE INTERVENTION ON MOTHERS POST-SECTION CAESAREAN PAIN LEVEL CHANGES
Background: Cesarean delivery is a surgical intervention frequently associated with postoperative discomfort stemming from abdominal and uterine incisions. Inadequately managed pain following this procedure may hinder early mobilization, interfere with lactation, delay overall recovery, and elevate the probability of adverse outcomes such as thromboembolism and compromised maternal-infant attachment. Endorphin massage serves as a viable therapeutic modality, utilizing gentle, rhythmic tactile stimulation designed to prompt the secretion of endogenous analgesic peptides known as endorphins. This technique functions by fostering relaxation, decreasing muscular rigidity, enhancing hemodynamics, and mitigating pain perception via specific neurophysiological pathways. Purpose: The objective of this investigation was to evaluate the efficacy of endorphin massage in diminishing pain severity among postpartum women who have undergone a Cesarean section. Methods: This inquiry utilized a case study framework grounded in the examination of clinical nursing practice. The intervention comprised a 15-minute endorphin massage session administered once daily over a consecutive three-day period. Data acquisition involved patient history taking, direct observation, and clinical documentation, with post-surgical pain assessments conducted utilizing the Numeric Rating Scale (NRS), the Visual Analogue Scale (VAS), and the Indonesian Nursing Outcome Standards (SLKI) criteria. Results: The findings demonstrated that the application of endorphin massage effectively lowered pain intensity in patients recovering from Cesarean deliveries. Consequently, this technique represents a practical, non-pharmacological nursing strategy for managing post-cesarean pain. Conclusion: Administering a 15-minute endorphin massage daily for three days successfully alleviated pain intensity in post-Cesarean section individuals. Pain metrics, as evaluated by the NRS and VAS, dropped from a baseline score of 5 on the initial day to a score of 1 following the final session on day three. Additionally, nonverbal pain indicators, including facial grimacing and guarding of the abdomen post-coughing, were notably diminished. Thus, endorphin massage is recommended as an adjunctive, non-pharmacological therapy for alleviating postoperative discomfort in post-Cesarean mothers.
THE ASSOCIATION BETWEEN LEVEL OF KNOWLEDGE AND CONSUMPTION OF IFA SUPPLEMENTATION IN ADOLESCENT GIRLS: A CASE STUDY IN SIDOARJO REGENCY
Background: Anemia in adolescent girls remains a significant health problem, primarily due to iron deficiency. One preventative measure is the administration of iron supplements (TTD). However, compliance with iron supplements (TTD) among adolescent girls remains suboptimal. Knowledge is suspected to be a factor influencing consumption behavior. Purpose: This study aims to determine the relationship between the level of knowledge about iron supplements and the consumption of iron supplements in adolescent girls. Methods: This research method used a quantitative design with a cross-sectional approach. The population are adolescent girls in Sidoarjo. A sample of 106 respondents was drawn using a probability sampling technique with a multistage sampling method. Data were collected using a questionnaire and analyzed using the Chi-Square test with a significance level of 0.05. Results: The results showed that most respondents had a good level of knowledge (41.5%) and were compliant in taking iron tablets (54.7%). The Chi-square test showed a p-value of 0.001 (<0.05), indicating a significant relationship between knowledge level and iron tablet consumption. Conclusion: This study concluded that there was a relationship between knowledge about iron supplements and their consumption among adolescent girls. Increasing knowledge can be an important strategy for improving adherence to iron supplements.
DEVELOPMENT OF STANDARD OPERATING PROCEDURES FOR SPANNING PATIENTS WITH FRACTURES IN THE EMERGENCY ED OF BALIMED HOSPITAL, DENPASAR
Background: Emergency services provided to fracture patients include splinting, which is a nursing action to relax or rest (immobilize) the injured body part using a splint with the aim of reducing pain and preventing excessive bone displacement. Splinting is a technique used to immobilize or stabilize a broken limb. Immobilization can reduce pain, swelling, muscle spasms , epistaxis, and the risk of fat embolism Purpose: The aim of this study is to analyze the development of standard operating procedures for splinting in patients with fractures in the emergency room of Balimed Hospital, Denpasar. Methods: The method used was a case report with the ADDIE approach, which is an abbreviation of the stages, namely Analysis, Design, Development, Implementation, and Evaluation. Its use is for various forms of product development such as models, strategies, methods, or media. Results: The same thing as HIPPII, (2019) which informs that the steps and principles of writing an SOP are by implementing a policy review that underlies a procedure or work process, considering the procedure, when the SOP was created, searching for literature and other related information that supports the procedure, seeking input from staff and officers, writing down the equipment or facilities needed, determining who is authorized to carry out the procedure, writing down indications or contraindications and underlining risks, warnings, and other things that are needed. Conclusion: The effectiveness of the SOP that has been developed on patients and evaluating patient comfort and controlling pain due to fractures experienced.
COMPREHENSIVE RESEARCH REPORT AND ANNOTATED TRANSLATION: APPLICATION OF INSPIRATORY MUSCLE TRAINING ON DYSPNEA SCALE AND IMPACT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD)
Background: Chronic Obstructive Pulmonary Disease (COPD) is a debilitating lung condition characterized by persistent respiratory difficulties, with dyspnea (shortness of breath) acting as the primary symptom that severely compromises patients' quality of life. Inspiratory Muscle Training (IMT) represents a targeted intervention designed to enhance the strength of respiratory muscles and alleviate dyspnea symptoms in individuals suffering from COPD. Purpose: The primary objective of this study is to analyze the effect of IMT on the impact of COPD and the dyspnea scale. Methods: The research employed a quasi-experimental design utilizing two distinct groups: an intervention group and a control group. The study population consisted of 80 COPD patients admitted to the internal medicine ward of a general hospital. Data collection utilized the COPD Assessment Test (CAT) and the Modified Medical Research Council (mMRC) dyspnea scale to quantify the impact of COPD and the severity of breathlessness. Patients in the intervention group received IMT sessions twice a day for one day, administered consecutively for three days, with each session lasting approximately 10–20 minutes. Results: The Friedman test was utilized to evaluate the statistical significance of differences in COPD impact and dyspnea scales across three specific measurement points: baseline (initial), day 2, and day 3. The findings demonstrated a significant reduction in both the impact of COPD and the dyspnea scale within the intervention group (p = 0.001). Conversely, the control group exhibited changes only in the dyspnea scale (p = 0.037), with no significant improvement in the overall impact of COPD. Conclusion: The study concludes that IMT is proven effective in increasing respiratory muscle strength, improving pulmonary ventilation, and reducing symptoms of shortness of breath in COPD patients. Furthermore, the role of nurses in the implementation of IMT is identified as critical for maximizing the therapeutic benefits, thereby reducing the impact of COPD and dyspnea. Keywords: COPD, Dyspnea, Impact of COPD, Inspiratory Muscle Training, Nursing Intervention.
REDUCING MOTHERS' ANXIETY PRE-NORMAL LABOR WITH SOUND HEALING THERAPY
Background: Normal childbirth often causes anxiety that can have a negative impact on the mother's physical and psychological condition. Purpose: One non-pharmacological effort that is starting to be used to reduce anxiety is sound healing therapy which utilizes soothing sound frequencies to create relaxation. Methods: This study is a Pre-Experimental study with the one group pretest posttest design. The study was conducted at the Independent Practice of Midwife Rusni Dewi in Padangsidimpuan City. The study population was 30 people, and all of them were used as samples (total sampling). Results: Data analysis was carried out univariately and bivariately using paired sample t-test at a 95% confidence level (α = 0.05). The results showed that most mothers before normal delivery at the Independent Practice of Midwife Rusni Dewi in Padangsidimpuan City experienced a decrease in anxiety from the severe category (70.0%; mean 30.13 ± 6.056) before therapy to the mild category (43.3%; mean 18.63 ± 4.860) after being given sound healing therapy. Statistical testing results showed that sound healing therapy was effective with an intervention duration of 20–40 minutes (a standard 30-minute session), administered twice weekly for four weeks (8 sessions) from 36 weeks of gestation until delivery, reducing maternal anxiety before normal labor. Conclusion: Midwives are recommended to utilize sound healing therapy as a supportive non-pharmacological method to provide emotional comfort to mothers approaching labor, and further research with larger sample sizes is encouraged to strengthen the scientific evidence.
THE EFFECTIVENESS OF HEALTH EDUCATION THROUGH E-FILES MULTIMEDIA AND FACE-TO-FACE CLASSROOM LEARNING ON ADOLESCENTS’ REPRODUCTIVE HEALTH KNOWLEDGE AMONG SEVENTH-GRADE STUDENTS AT SMPN 1 KRAMATWATU, SERANG, BANTEN
Background : Adolescence is a transitional period between childhood and adulthood. During this time, many changes occur in adolescents, including physical changes, puberty, and behavior. Globally, health issues among adolescents are primarily driven by risky behaviors such as unhealthy dating, smoking, alcohol consumption, and drug use, which have become major concerns worldwide. This research aims to prove the influence of Health Education through Multimedia E-Files and Face-to-Face Learning in the Classroom on Adolescent Reproductive Health Knowledge. Methods: The research design is a Quasi-Experimental Design with a pretest-posttest control group design. The sample consists of seventh-grade students from SMP Negeri 1 Kramatwatu, with 45 respondents in the control group and 45 respondents in the experimental group, using probability sampling with proportional random sampling method. Data analysis was conducted using Wilcoxon and Mann-Whitney tests. Results: Indicate an effect of reproductive health education through E-File Multimedia media on adolescents' reproductive health knowledge. The average N-Gain Score in the control group was 31.33, while in the experimental group, it was 59.34. Conclusion : Future research is expected to implement different interventions regarding the TRIAD KRR in adolescents and enhance the effectiveness of other media or expand this research with different variables to provide the latest innovations in health education.
APPLICATION OF THE HIRARC METHOD TO ASSESS HOME ENVIRONMENTAL HAZARDS AMONG ELDERLY: THE ROLE OF FUNCTIONAL INDEPENDENCE AND NUTRITIONAL STATUS
Background: The increasing elderly population is associated with an increased risk of injury due to declining physical function and hazards within the home environment. Home safety is influenced by both environmental and individual factors, including independence level and nutritional status. The Hazard Identification, Risk Assessment, and Risk Control (HIRARC) method can be used to identify and assess home environmental hazards systematically Purpose: This study aimed to analyze the relationship between independence level and nutritional status with home environmental hazard levels among older adults based on the HIRARC method. Methods: A cross-sectional analytical study was conducted among 30 alderly selected through total sampling. Independence level was measured using the Barthel Index, nutritional status was assessed using Body Mass Index (BMI), and home environmental hazards were evaluated using the HIRARC method. Data were analyzed using descriptive statistics and Spearman rank correlation tests with a significance level of 0.05. Results: Most respondents were female (56.7%) and aged 60–69 years (66.7%). Nearly half had normal nutritional status (46.7%) and were categorized as independent (46.7%). Home hazard assessment indicated that 53.3% of homes were at moderate risk. The most common hazards were slippery bathroom floors (60.0%), inadequate lighting (46.7%), and the absence of handrails (40.0%). Significant relationships were found between independence level and home environmental hazards (p=0.004), between nutritional status and home environmental hazards (p=0.028) Conclusion: Independence level and nutritional status are significantly associated with home environmental hazard levels among elderly. Improving home safety, maintaining functional independence, and promoting optimal nutritional status are important strategies to prevent injuries and support healthy aging
THE EFFECT OF MINDFULNESS INTERVENTION ON BURNOUT IN NURSES
Background: Burnout among nurses is a significant issue due to high work demands, emotional burdens, and limited resources in hospitals, including private hospitals like Bhakti Rahayu Tabanan. This condition is characterized by emotional exhaustion, depersonalization of patients, and a decreased sense of personal accomplishment, which impacts the quality of nursing care. Several studies over the past five years have shown that mindfulness interventions can reduce burnout and stress levels in healthcare workers, including nurses, whether through face-to-face programs, guided meditation, or mobile applications. Mindfulness helps nurses recognize and accept current experiences without judgment, enabling them to manage work stress more adaptively. Purpose: This study aims to analyze the effect of mindfulness interventions on nurse burnout levels at Bhakti Rahayu Tabanan Hospital. Methods: The planned design is a quasi ‑-experimental study with an intervention and control group. Burnout will be measured using standardized questionnaires (e.g., the Maslach Burnout Inventory) before and after the intervention. The mindfulness intervention will be implemented in several structured sessions over four weeks, consisting of mindfulness exercises focused on breathing, bodily sensations, and emotional acceptance, along with independent home practice. Results: From the results of the Mann-Whitney test conducted on the results of the post-test test of emotional exhaustion between the control and intervention groups, a significance value of 0.011 <0.05 was obtained, depersonalization between the control and intervention groups obtained a significance value of 0.005 <0.05, and the Decrease in Achievement between the control and intervention groups obtained a significance value of 0.018 <0.05 can be interpreted that there is a difference in intent between the intervention group and the control group. The results of the Wilcoxon test conducted on the comparison of the results of the Pre vs Post test of the emotional exhaustion sample obtained a significance value of 0.000 <0.05, depersonalization obtained a significance value of 0.044 <0.05 and Self-Achievement obtained a significance value of 0.005 <0.05 can be interpreted that there is a change in purpose between the intervention group and the control group, it can be interpreted that the mindfulness intervention in nurses has an impact on the emotional exhaustion of nurses. Conclusion: Based on research results, mindfulness interventions have been shown to significantly reduce burnout levels in nurses. The application of mindfulness helps nurses increase self-awareness, manage work stress, and improve emotional regulation, thereby reducing emotional exhaustion, depersonalization, and increasing a sense of accomplishment. Therefore, mindfulness can be used as an effective intervention strategy to maintain mental health and improve nurse performance in the workplace.
THE EFFECT OF HEALTH EDUCATION USING ANIMATED VIDEO ON KNOWLEDGE OF DIABETES MELLITUS PREVENTION IN SCHOOL-AGE CHILDREN
Background: Diabetes mellitus (DM) among school-age children demonstrates a concerning upward trend in Indonesia. The limited understanding of adolescents regarding DM prevention necessitates effective educational strategies tailored to their developmental characteristics. Purpose: This study aims to evaluate the effectiveness of animated video–based education on school students’ knowledge of diabetes mellitus. Methods: A quasi-experimental design with a pretest–posttest control group approach was employed at SMPN 10, Gorontalo City. A total of 58 students were recruited through purposive sampling (intervention group n=29; control group n=29). The intervention group received health education via an animated video, while the control group received only a conventional lecture. Knowledge was assessed using a validated 10-item multiple-choice questionnaire. Data were analyzed using the paired sample t-test, the wilcoxon signed-rank test, and the independent sample t-test. Results: A statistically significant difference in knowledge gain was observed between the intervention group (33.45±9.24) and the control group (4.21±2.64) (p=0.000). Conclusion: Health education delivered via animated video was more effective than conventional lectures in improving knowledge of DM prevention among school-age adolescents.
KNOWLEDGE OF WARNING SIGNS OF HYPERTENSION CRISIS AND EMERGENCY HELP SEEKING BEHAVIOR AMONG PRODUCTIVE AGE ADULTS
Background: Hypertensive crisis is an emergency condition that has the potential to cause damage to target organs and death if not treated quickly and appropriately. The low level of knowledge of the productive age community about the danger signs of a hypertension crisis can contribute to delays in seeking emergency medical attention. Purpose of this study is to determine the level of knowledge of productive age regarding the danger signs of a hypertensive crisis and emergency medical assistance seeking behavior. Methods: This study used a quantitative design with a cross-sectional approach conducted in Kelurahan Pakis, Sawahan, Surabaya, with a sample of 196 respondents selected using a simple random sampling technique. Data was collected using a structured questionnaire that has been tested for validity and reliability. Data analysis was carried out univariate and bivariate using the Chi-square test with a significance level of p < 0.05. Results: The results showed that most of the respondents had a good level of knowledge (36.7%), followed by the categories of sufficient (34.7%) and insufficient (28.6%). Emergency medical assistance seeking behavior was classified as good in 53.1% of respondents, but there were still 46.9% with inappropriate behavior. The results of the bivariate analysis showed a significant relationship between knowledge level and emergency medical assistance seeking behavior (p = 0.001). These findings show that knowledge level has an important role in shaping medical attention seeking behavior in hypertensive emergency conditions. Conclusion: Comprehensive interventions are expected to lower the risk of treatment delays and more severe complications.
The THE EFFECTIVENESS OF A FAMILY-CENTERED AUDIOVISUAL EDUCATION INTERVENTION ON DELIRIUM KNOWLEDGE AND PREVENTION IN INTENSIVE CARE UNITS: A QUASI-EXPERIMENTAL STUDY
Background: Family involvement is essential in the care of critically ill patients, particularly in preventing and managing conditions such as delirium. However, limited knowledge among family caregivers often hinders effective participation. Audiovisual-based health education has emerged as a promising strategy to enhance understanding through engaging and accessible learning modalities. Objective: This study aimed to examine the effectiveness of audiovisual-based health education in improving knowledge among family caregivers of intensive care unit (ICU) patients. Methods: A quasi-experimental study with a pre-test–post-test control group design was conducted involving 72 participants. Respondents were assigned to either an intervention group receiving audiovisual-based education or a control group receiving standard care. Knowledge levels were measured using a structured questionnaire before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test for within-group comparisons and the Mann–Whitney U test for between-group differences. Results: The intervention group demonstrated a significant increase in knowledge scores from 7.86 ± 2.55 to 16.19 ± 3.46 (Z = 4.949, p < 0.001), indicating a large effect size (r = 0.70). In contrast, the control group showed a non-significant improvement from 4.56 ± 1.78 to 6.28 ± 2.19 (Z = 1.732, p > 0.05). Between-group analysis revealed a significantly greater improvement in the intervention group (Δ = 8.33) compared to the control group (Δ = 1.72) (Z = 7.062, p < 0.001; r = 0.99). Conclusion: Audiovisual-based health education is highly effective in improving caregiver knowledge and represents a practical, scalable strategy for enhancing family engagement in ICU care. Keywords: audiovisual education; knowledge; family caregivers; ICU; delirium
THE EFFECT OF COMBINATION THERAPY OF STRAIGHT LEG RAISING EXERCISE AND RESISTED ACTIVE MOVEMENT ON PAIN RELIEF IN OSTEOARTHRITIS PATIENTS
Background: Osteoarthritis is a degenerative joint disease that frequently causes chronic pain, decreased mobility, and reduced quality of life. Non-pharmacological management through exercise therapy is recommended to reduce pain and improve joint function. Purpose: To determine the effect of a combination of Straight Leg Raising Exercise and Resisted Active Movement on pain intensity among osteoarthritis patients. Methods: This study used a quasi-experimental design with a pretest-posttest control group approach. A total of 60 respondents were selected using purposive sampling and divided into intervention and control groups, each consisting of 30 respondents. The intervention group received a combination of Straight Leg Raising Exercise and Resisted Active Movement, while the control group received Range of Motion exercises. Pain intensity was measured using the Numeric Rating Scale . Data were analyzed using Wilcoxon and Mann-Whitney tests. Results: The average pain score in the intervention group decreased from 4.57 to 2.83, while in the control group it decreased from 4.43 to 3.23. Wilcoxon test showed significant differences before and after intervention in both groups (p=0.000). Mann-Whitney test showed a significant difference in pain reduction between groups (p=0.001). The median reduction in pain score was 2.00 in the intervention group and 1.00 in the control group. Conclusion: The combination of Straight Leg Raising Exercise and Resisted Active Movement significantly reduced pain intensity among osteoarthritis patients and was more effective than Range of Motion exercises.
EFFECTIVENESS OF GIVING BEET EXTRACTS (Beta vulgaris) ON INCREASING HEMOGLOBIN (Hb) IN PREGNANT WOMEN TRIMESTER III WITH ANEMIA IN THE CITY OF BENGKULU
Background: Anemia in pregnancy occurs due to physiological changes during pregnancy. Pregnant women are advised to take Fe tablets during pregnancy, and to support their absorption, they are recommended to consume vitamin C. Beetroot extract contains vitamin C, iron, and zinc. Purpose: This study aims to determine the effectiveness of administering beetroot extract (Beta vulgaris) in increasing hemoglobin (Hb) in third-trimester pregnant women with anemia in Bengkulu City. Methods: The research sample consisted of 20 respondents, with 10 respondents each in the intervention and control groups. The research method used a quasi-experimental design with a two-group pretest-posttest design. Sampling used an accidental sampling technique. Data analysis used the Wilcoxon test and paired sample t-test. Before the intervention was given, the average Hb level was 9,6 gr/dL, and after beetroot extract was administered, the average Hb level increased to 10,3 gr/dL. The average difference between the two groups was 0,82. Results: The results of the bivariate analysis showed that the p-value = 0.041 < α = 0.05, so it can be concluded that administering beetroot extract (Beta vulgaris) is more effective than the control group in increasing hemoglobin (Hb) in third-trimester pregnant women in Bengkulu City. Conslusion: Therefore, it can be an option for pregnant women in preventing and treating anemia.
THE EFFECTIVENESS OF TERA EXERCISE ON BLOOD SUGAR LEVELS IN TYPE 2 DM SUFFERERS
Background: Blood sugar levels in type 2 DM sufferers tend to increase mildly but progressively because they are low self-care management in people with type 2 DM. One non-pharmacological therapy that can help blood sugar levels remain stable is tera exercise. Purpose: This study aimed to analyze the effectiveness of tera exercise on blood sugar levels in type 2 DM sufferers at the Wonokromo Community Health Center. Methods: The design of this study is RCT (Randomized Controlled Trial). The number of samples for each group was 24 in the control group and 24 in the intervention group. The study was conducted at the Wonokromo Community Health Center from July – 4 August times, every Tuesday and Friday for 2 weeks, with a duration of 45 minutes, using the technique of Simple Random Sampling. The independent variable in this study is physical exercise, and the dependent variable is blood sugar levels. The instrument in this study was the tera gymnastics SOP and blood sugar level observation sheet. The statistical test used is paired t-test and independent t-test with a significance level of α = 0.05. Results: The test result obtained a p-value of 0.000, which means that there is a significant difference in blood sugar levels before and after participating in tera exercise activities. Test results independent t-test A significant value was obtained of 0.034 (p < 0.05), which means tera exercise influences the blood sugar levels of type 2 DM patients at the Wonokromo Community Health Center Conclusion: Tera exercise effectively reduces blood sugar levels in type 2 DM sufferers at the Wonokromo Community Health Center. The term exercise is hoped to be used as an independent intervention in the elderly posyandu program at the Wonokromo Community Health Center
The Effectiveness of Tai Chi on Stress Levels in Older Adults
Background: Stress is one of the most common psychological problems among older adults and contributes to various health disorders, such as hypertension, sleep disturbances, cognitive decline, and an increased risk of mortality. Chronic stress in older adults is also known to be closely associated with a decline in psychological well-being and quality of life. In addition, stress can exacerbate the degenerative diseases commonly experienced by older adults. Research shows that stress contributes to the onset of chronic diseases such as hypertension in older adults, making it a complex and multidimensional health issue Purpose: To analyze the effectiveness of Tai Chi exercises on stress levels in older adults Methods: A pre-experimental, single-group pretest-posttest design was conducted on 28 older adults using the PSS-10. The Tai Chi intervention consisted of 40-minute sessions, three times per week for 21 days. Analysis was performed using a paired t-test based on the study results Results: The mean stress score decreased from 15.96 ± 5.71 to 12.46 ± 3.47. The paired t-test revealed a statistically significant difference (t = 4.274; p < 0.000). Conclusion: Tai Chi is effective in reducing stress levels in the elderly and should be considered as a community nursing intervention.