JURNAL VNUS (Vocational Nursing Sciences)

Decreased Foot Sensitivity as a Predictor of Diabetic Foot Ulcers

Wayunah, Wiwin Nur Aeni, Martin Kuncoro, Muhammad Saefulloh — Thu, 30 May 2024 00:00:00 +0000

Introduction: Diabetic foot ulcers are a complication that often occurs in people with diabetes mellitus. This complication begins with a decrease in foot sensitivity which leads to neuropathy, resulting in frequent trauma to the feet. Decreased foot sensitivity in the form of decreased sensation of heat, cold, and pain is a dangerous complaint because it has a very high risk of causing foot ulcers or neuropathic foot ulcers. Objective: This study aimed to determine the relationship between the level of foot sensitivity and the incidence of dibetic foot ulcers in diabetes mellitus patients. Method: The type of research is a descriptive correlation with a cross-sectional approach. The population, all DM pstients at Internal Medicine Clinic 1 and 2 Indramayu District Hospital. The sample was 48 people taken by accidental sampling. Data collection tools used observation sheets and 10 G monofilament, while data analysis techniques used the Chi-square test. Result: The research results obtained from 44 respondents showed that 22 respondents (%) experienced neuropathy. Of these, 21 (95.5%) had ulcers. Meanwhile, of the 26 respondents who did not have neuropathy, 21 (80.8%) did not have ulcers. The results of further analysis obtained a p-value of 0.000 and an OR value of 88.2. Conclusion: The conclusion from this study is that there is a relationship between the level of sensitivity and the incidence of diabetic foot ulcers. DM patients who experience neuropathy are 88.2 times more likely to develop ulcers than those who do not experience neuropathy. Suggestions are given to nurses to continue making efforts to prevent diabetic foot ulcers by checking the sensitivity of the patient's feet regularly, at least once a year.

The Effectiveness of Implementing Art Therapy in Reducing Anxiety Among the Elderly at The Budi Agung Social Welfare Center

Violin Irene Ninef, Maria Altin Wala, Marlince Aplonia, Kristina E T Lobho — Thu, 30 May 2024 00:00:00 +0000

Introduction: The increasing aging population raises concerns about the well-being of the elderly, with anxiety being one of the significant yet often overlooked issues. Art Therapy has been recognized as a promising approach to address anxiety, particularly in the elderly. However, research on the effectiveness of Art Therapy in reducing anxiety among the elderly remains limited, especially at the Budi Agung Social Welfare Center in Kupang. Objective: This study aims to evaluate the effectiveness of implementing Art Therapy in reducing anxiety levels among the elderly at the Budi Agung Social Welfare Center in Kupang. Method: This study employed a quantitative approach with a pre-test post-test control group experimental design. The research population comprised elderly individuals residing at the Budi Agung Social Welfare Center in Kupang. The sampling method utilized was simple random sampling, resulting in a total of 60 elderly participants divided into two groups: the intervention group (receiving Art Therapy) and the control group (without intervention). Data were collected through anxiety questionnaires and observations. Data analysis was conducted using non-parametric statistical tests, such as the Wilcoxon Signed-Rank Test and the Mann-Whitney U Test. Result: The analysis results indicated a significant decrease in anxiety levels within the intervention group following the implementation of Art Therapy (p < 0.05). There was a significant difference observed between the anxiety scores of the intervention group and the control group. Observations also revealed positive changes in the behavior and emotional expression of the elderly participants after undergoing Art Therapy. ConclusionArt Therapy has been proven effective in reducing anxiety among the elderly at the Budi Agung Kupang Social Welfare Center. The practical implication of this finding underscores the importance of integrating art therapy, such as Art Therapy, into elderly health programs to enhance their quality of life and well-being.

The Relationship Between Activities of Visits to the Elderly Posyandu and The Elderly's Level of Independence

Aneng Yuningsih, Dara Indah KKH, Nandang Wahyu — Thu, 30 May 2024 00:00:00 +0000

Background: Posyandu for the elderly is a service for the elderly community which aims to improve health and create a happy, healthy, independent and efficient old age. For elderly people who do not actively utilize health services at the elderly posyandu, their health condition cannot be monitored properly, so that if they experience a risk of disease due to a decline in body condition and the aging process, it is feared that this could have fatal and life-threatening consequences. Objective: This research aims to find out The relationship between active visits to elderly posyandu and the level of independence of elderly people at Posbindu Waluya Purwaharja 1, Banjar City. Research Method: This research is a quantitative correlation research with a survey research design. Time approach with a retrospective method. Results: from the results of the Chi Square statistical test, a P value of 0.000 is smaller than alpha 0.05. Conclusion: There is a relationship between the activeness of elderly posyandu visits and the level of independence of elderly people at Posbindu Waluya Purwaharja 1, Banjar City. Suggestion: Elderly people are expected to have greater awareness of the importance of elderly posyandu, the need for family support and new innovations to increase the attractiveness of elderly people to come to elderly posyandu

The Implementation Of Psychosocial Rehabilitation In Adolescents Using Drugs With Inefective Coping Problems

Gumelar Zati Rahayu, Suhanda, Andan Firmansyah — Thu, 30 May 2024 00:00:00 +0000

Objective : Drug abuse in adolescents is a serious problem that affects their physical, psychological, and social health. In addition, the problem of ineffective coping has a frequent impact on drug users. Data from the National Narcotics Agency show that out of 34.7 million drug users in Indonesia, the prevalence of drug attacks in West Java is at 2.45%, with a total of 850 thousand people in the age range of 10-59 years. It is hoped that this can help adolescent drug users overcome ineffective coping problems through better selfunderstanding, managing emotions, improving social skills, and forming healthy groups. Method : This research method uses a case study design. The case study design was chosen because this study aims to gain an in-depth understanding of the application of psychosocial rehabilitation to adolescent drug users with ineffective coping problems. The implementation of this research lasted for 10 days located in Banjarsari District. Result : The results of the case study after being given psychosocial rehabilitation the client's coping becomes effective and regular, the client can assess the positive aspects that can be done. Clients are able to carry out methods of implementing psychosocial rehabilitation. Conclusion and Recommendations : By paying attention to the physical, psychological and social aspects of this process can help adolescents to overcome the problem of ineffective coping. Support from the family and encouragement from the social environment also influence the recovery process.

Case Study: Status of Nutritional Assessment of Wound Healing After Appendectomy Surgery in Appendicitis Patients

Ade Fitriani, Dadi Hamdani, Risa Lutfiatul Rohimah — Thu, 30 May 2024 00:00:00 +0000

Objective: This case study is intended to intervene and implement the nutritional status of appendicitis patients in improving the wound healing process with nausea after appendicectomy surgery.

Method: In the nursing care research process, methods were used which included assessment, nursing diagnoses, planning, implementation and evaluation which were carried out for 3 days in the Anggrek BLUD room at the Banjar City Hospital. Enforcement of nursing diagnoses refers to the Indonesian Nursing Diagnosis Standards (IDHS). Indonesian Nursing Intervention Standards (SIKI), Indonesian Nursing Outcome Standards (SLKI), and nursing evaluations are documented using the SOAPIER method.

Result: Nursing diagnosis of Deficit Nutrition related to postoperative nausea, nutritional status assessment for 3 days was carried out on the healing of surgical wounds. From the results of the data analysis, the researcher concluded that the nursing problems experienced by clients were nutritional deficits (D.0019) associated with postoperative nausea. The problem of excessive nutritional deficits for clients is partially resolved, marked by the loss of feelings of nausea when given food, being able to digest food properly, measuring the client's body mass index which is found to be normal, improving the client's nutrition is fulfilled by consuming high-calorie, high-protein foods.

Conclusion: Conclusions can be drawn in the results of the nursing procedure commencing with evaluation, identification of nursing issues, actions, execution, and assessment of nursing. Concluded the problem of nutritional deficits related to postoperative nausea with an appendectomy with an assessment of nutritional status can improve the wound healing process as indicated by the response of clients who obtain changes in nutritional status with the wound healing process. Assessment of nutritional status is proven to be able to improve the postoperative wound healing process, the benefits of assessing nutritional status by fulfilling the client's nutrition are maximally implemented if done periodically and in stages.