JURNAL VNUS (Vocational Nursing Sciences)

Analysis of Work-Related Stress Among Nurses in the Inpatient Ward of RSUD So'e: A Description of Physiological, Psychological, and Behavioral Symptoms

Violin Irene Ninef — 2024-11-20

Introduction: Work stress is a significant issue that can adversely impact both physical and mental health, particularly among healthcare professionals like nurses. It often arises from high patient demands, heavy workloads, and emergency situations requiring quick responses.

Objective: This study aims to describe the level of work stress experienced by nurses in the inpatient ward of So'e Regional General Hospital and to identify the associated symptoms.

Method: The research employed a descriptive design with a quantitative approach, utilizing a case study format. A structured questionnaire was administered to collect data, involving 115 respondents who work in the inpatient ward.

Result: The findings revealed that the majority of nurses experienced work stress categorized as mild, with only a small percentage reporting moderate or severe stress levels. Additionally, the data indicated that the prevalence of physiological, psychological, and behavioral symptoms among the respondents was generally low, suggesting that while stress is present, it may not be at a level that significantly affects their overall health.

Conclusion: This study underscores the importance of understanding work stress conditions among nurses. The results provide a foundational overview that can inform the development of targeted stress management interventions in healthcare settings. By addressing these issues, hospitals can improve nurse well-being and enhance the overall quality of healthcare services, ultimately benefiting both staff and patients.

Implementation of Pilates Exercises to Reduce Pain Scale in Low Back Pain Patient

Ade Fitriani — 2024-11-20

Introduction: Low back pain or lower back pain is pain that occurs in the waist or buttocks area which usually persists for a long time. Working as a disabled person is the dominant cause of LBP, including the profession as a nurse. LBP is the third disease that often occurs in the world, including in Indonesia. Pain is a problem caused by LBP, so it will interfere with sufferers in carrying out daily activities. Pain is a term for a complex reaction caused by physiological reactions in the nervous system.

Objective: This case study aims to reduce pain intensity in low back pain patients.

Method: This research is in the form of a case study with a descriptive method with a nursing care approach which includes assessment, nursing diagnosis, nursing care plan, nursing implementation and nursing evaluation.

Results: The results of the case study at the assessment stage showed that Ms. M with the problem that emerged was acute pain so the nursing diagnosis was obtained as acute pain related to a physiological injury agent (SDKI), with the criteria for decreased pain results (SLKI). The intervention used uses the Standard Nursing Intervention (SIKI).

Conclusion: The intervention was carried out over four meetings. By using NRS (Numeric Rating Scale) and FPS (Face Pain Scale) measurements, after carrying out Pilates exercises, a decrease in pain was obtained with the result that there was a decrease in pain intensity from initially severe pain with a pain scale of 8 (0-10) to mild pain with a scale of pain 3 (0-10).

Implementation of Benson Relaxation Intervention to Reduce Pain in Post Sectio Caesarea Patients

Elis Roslianti — 2024-11-20

Introduction: Acute pain is a physiological problem found in patients undergoing surgery, one of which is sectio caesarea. Efforts are made to overcome this problem by applying the Benson relaxation technique.

Objective: This case study seeks to provide a detailed description of the benson relaxation intervention and its effectiveness in reducing pain in patients undergoing sectio caesarea surgery.

Method: The method used is descriptive qualitative, using case study techniques to review nursing care, with reference to the SDKI and SIKI books. The focus of this case study is on an individual, Mrs. N, a 28-year-old woman who underwent sectio caesarea, diagnosed with severe pain and received treatment at Teratai 2 Room of Banjar City Hospital. The case study was conducted from May 30 to June 01, 2024 using data collection strategies of interview, observation, physical examination and documentation study.

Result: After providing nursing care to clients who underwent sectio caesarea, the symptoms found at the time of assessment included surgical scar pain precisely in the lower abdomen. The nursing problem found is acute pain associated with physical injury agents, as mentioned in the SDKI book. Appropriate interventions to relieve the pain by doing benson relaxation. When the intervention takes place, the process runs smoothly until the assessment stage. At the evaluation stage there was a decrease in the pain scale from 6 to 3 (0-10).

Conclusion: The implementation of benson relaxation proved to be very helpful in reducing post sectio caesarea pain, as evidenced by the client's subjective recognition. This finding is consistent with previous writing, making it a valuable reference for further writing. Benson relaxation intervention can be an alternative way to reduce postoperative pain, one of which is in the case of post sectio caesarea pain experienced in hospitals and health centers.

Assertive Training Intervention on Anger Control in Patients with Violent Behavior with Paranoid Schizophrenia

Asep Gunawan — 2024-11-20

Introduction: Paranoid schizophrenia is characterized by a cycle of relapses. This relapse is usually caused by bad events before they are revived with anger. Violent behavior is that and anger or rage. A problem that usually results from violent behavior is the patient's inability to control his anger. Anger management must be done to prevent unwanted things, one way to control violent behavior is through verbal interventions, namely assertiveness training. Based on WHO (2021). 35 million people have depression, 60 million have bipolar disorder, 47.5 million have dementia and 24 million have paranoid schizophrenia.

Purpose: The purpose of this case study is to provide a nurse for patients with violent behavior with a self-efficacy training intervention for anger management. The method used is a descriptive and case study approach. The sampling technique was adopted by one patient with paranoid schizophrenia and violent behavior problems in BLUD Banjar City Hospital.

Method: a nursing process-based method using a qualitative descriptive design that includes assessment, diagnosis, intervention, implementation, and evaluation. Nursing refers to SDKI, SIKI, SLKI, and nursing assessments are documented using the SOAPIER method. A researcher conducted a thought-stopping therapeutic intervention for patients suffering from auditory hallucinations. A random sampling technique was used in this case study, ie one patient with auditory hallucinations was included. The analysis method uses interviews, observations and documentation.

Result: The results of this study in the evaluation phase showed that the patients often threw tantrums, hit the walls, kicked the doors, spoke rudely quickly and sharply. Prescribed nursing diagnosis is violent behavior refers to Indonesian Nursing Diagnosis Standards (SDKI), intervention refers to Indonesian Nursing Intervention Standards (SIKI), Indonesian Nursing Outcome Standards (SLKI), evaluation and documentation refers to SOAPIER. The intervention uses 3 strategies to implement violent behavior and the focus of the intervention is assertiveness training.

Conclusion: Providing an anger management training program for patients with violent behavior has been shown to be effective in paranoid schizophrenic patients with violent behavior problems.

Implementation of Non Pharmacological Therapy with Tomato Juice to Reduction High Blood Pressure in Elderly With Hypertension

Dedi Supriadi — 2024-11-20

Introduction: Hypertension or often called high blood pressure is a disorder of the circulatory system that causes blood pressure to increase to above the normal limit of 140/90 mmHg. Hypertension is a degenerative disease like diabetes mellitus which can attack anyone at a young or old age. Apart from that, hypertension is also a non-communicable disease but is still a global problem. The prevalence of hypertension cases in Indonesia is 63,309,620 people, while the death rate in Indonesia due to hypertension is 427,218 deaths. Patients with hypertension may benefit from non-pharmacological and pharmaceutical management interventions. Because 100 grams of tomatoes contain 100 grams of calories, 1 gram of protein, 4.2 grams of carbohydrates, 5 mg of calcium, 360 mg of potassium, 0.5 mg of iron, 40 mg of vitamin C, 1500 IU of vitamin A, 06 mg of vitamin B, and 94 g of water, tomatoes have the potential to lower blood pressure.

Objective: The aim of this case study is to carry out nursing care for elderly people with hypertension problems and to see the effect of implementing tomato juice therapy to help lower blood pressure.

Method: The method used is descriptive using a case study approach with the subject used as case study material being an elderly patient who has hypertension problems with a knowledge deficit. Patient and family data collection techniques include assessment stages, interviews, observation, physical examination, and also documentation studies.

Results: Knowledge deficit nursing diagnosis related to lack of exposure to information with diagnosis number D.0111, given tomato juice intervention for 3 days by consuming tomato juice twice a day, after the intervention was carried out, the patient's nursing problem was resolved with a marked decrease in blood pressure from 160/ 100 mmHg drops to 150/90 mmHg.

Conclusion: Providing tomato juice intervention has proven to be effective in helping reduce high blood pressure in hypertension sufferers. The benefits of this non-pharmacological therapy will be maximized if done regularly.

Implementation of Giving Date Juice to Increase Hemoglobin Levels in Patients with Anemia

Iman Masluh Aziz — 2024-11-20

Introduction: Anemia is a disease characterized by a lack of red blood cells in the blood or what can be called hemoglobin (HB) levels in the blood that are lower than normal values. The diagnosis of anemia can be made if the hemoglobin level is <12g/dl in women and <13g/dl in men.

Objective: This study was conducted to present the intervention of giving date palm juice to increase hemoglobin levels in anemia patients.

Method: The reseach design used by the author is a case study with a nursing approach where this research was carried out by collecting data starting from assessment, diagnosis, planning, implementation of activities and implementation of focused assessment. In this case study, a descriptive method was used with the main aim of problem exploration and an indepth analysis of anemia nursing was carried out to provide an overview of the case study.

Result: The nursing diagnosis of ineffective peripheral tissue perfusion is related to decreased HB. The intervention of giving date palm juice was given for 10 days with 3 tablespoons a day. After the intervention was carried out, the nursing problem of ineffective peripheral tissue perfusion for the client was resolved, indicated by the HB value which was originally below the normal range. with an HB value of 10.8 gr/dl. After being given intervention, it increased to the normal range with HB results of 11.8 gr/dl.

Conclusion: Giving date juice has proven to be useful in increasing Hemoglobin level.

The Effect of Oxytocin Massage in the Active Phase of 1 Period On the Length of Labor

Yulia Ernida — 2024-11-20

Introduction: Prolonged labor is one of the causes of maternal and fetal death; in the mother there will be infection, dehydration, exhaustion, and postpartum hemorrhage, while in the fetus there will be infection, injury, and asphyxia. This is one of the causes of prolonged labor; in the labor process, inadequate conditions will trigger prolonged labor. Oxytocin massage during labor will produce good uterine contractions so that it can speed up the labor process.

Objective: The aim of this study was to describe the effect of oxytocin massage during the active phase of the first stage of labor on the length of labor.

Method: This study is an experimental study with a case control. The population is all inpartu mothers who gave birth at the Independent Midwife Practice Place (TPMB) located in Bireuen Regency. The sampling technique used purposive sampling with inclusion criteria: being in the active phase of stage I, accompanied by a husband or family during the labor process, willing to do oxytocin massage for at least 15 minutes in the active phase of stage I. The number of samples was 30, which were divided into 2 groups, namely: 15 respondents were given treatment in the form of oxytocin massage in the active phase of stage 1 by their husband or family for 15 minutes in the mother's left side sleeping position (experimental group) and 15 respondents as control cases (case control).

Result: The results of the Independent Sample T-Test Sig. (2-tailed) statistical test were 0.000, which is <0.05, so it can be concluded that there is an effect of oxytocin massage in the active phase of the first stage on the length of labor.

Conclusion: It is hoped that related parties such as health workers and families can increase the provision of oxytocin massage to mothers in labor so that it can speed up the labor process.

The Relationship Between Knowledge And Attitude Of Adolescent Girls With Personal Hygiene Behavior During Menstruation

Niar Niar — 2024-11-20

Introduction: Personal hygiene is an effort in maintaining and caring for the cleanliness of all members of the body including reproductive organs. During menstruation, the blood vessels in the uterus are easily injured, therefore personal hygiene is very important to be carried out in order to be free from reproductive organ dysfunction. (Sri Ninta, 2023).

Objective: To determine the relationship between knowledge and attitude of adolescent girls with personal hygiene behavior during menstruation at Mts Fathul Amin Matakali.

Method: The type of research used is quantitative research with the research design that the author makes is an Analytical Survey using a Cross Sectional study approach. The population in this study were all adolescent girls of Mts Fathul Amin Matakali who had experienced menstruation as many as 50 female students. the sampling technique used was non probability with the type of sampling, namely total sampling. The research instrument is a questionnaire. This research questionnaire sheet consists of questions regarding knowledge, attitudes with personal hygiene behavior during menstruation which are distributed directly by researchers to respondents or by interviews between researchers and respondents. Data analysis using Chi Square analysis.

Result: There is a relationship between knowledge and personal hygiene behavior in adolescent girls at Mts Fathul Amin Matakali with a p-value = 0.004 (<0.05). There is a relationship between attitude and personal hygiene behavior in adolescent girls at Mts Fathul Amin Matakali with a p-value = 0.000 (<0.05).

Conclusion: Knowledge and attitude show that there is a relationship with personal hygiene behavior during menstruation at Mts Fathul Amin Matakali. Mts Fathul Amin Matakali can utilize print media such as posters, leaflets, or school magazines to increase the exposure of female students to information about personal hygiene during menstruation.

The Relationship Between the Provision of Complementary Feeding (MP-ASI) and Nutritional Status in Children Aged 6-24 Months at The Sikumana Health Center Kupang

Syahrir Syahrir — 2024-11-20

Introduction: The provision of Complementary Feeding (MP-ASI) for children is a critical stage in growth and development, especially between the ages of 6-24 months. During this period, children transition from exclusive breastfeeding to other foods that support their nutritional needs. Inadequate MP-ASI can lead to nutritional problems that affect children's health and development. This study aims to examine the relationship between the provision of MP-ASI and nutritional status in children aged 6-24 months at the Sikumana Health Center in Kupang. Objective: This study aims to evaluate the impact of MP-ASI on the nutritional status of children aged 6-24 months and to assess whether the type and timing of MP-ASI affect children's nutritional status. Method: This research used a descriptive analytic design with a cross-sectional approach. The study population consisted of children aged 6-24 months visiting the Sikumana Health Center. A total of 100 children were selected using simple random sampling. Data was collected through questionnaires, measurements of weight and height, and observations of MP-ASI practices. Descriptive statistics were used for data analysis, and the relationship between MP-ASI provision and nutritional status was analyzed using chi-square tests. Results: The majority of children (70%) who received adequate and timely MP-ASI had good nutritional status. Children who did not receive adequate or timely MP-ASI showed higher rates of malnutrition. Chi-square analysis showed a significant relationship between MP-ASI provision and nutritional status (p<0.05). Conclusion: The study concluded that appropriate MP-ASI provision is related to children's nutritional status. These findings are important for nursing practice, emphasizing the importance of educating about proper MP-ASI in primary healthcare settings.