Rahmadaniar Aditya Putri

Pada usia dini, anak membutuhkan stimulasi yang tepat melalui aktivitas bermain serta pemantauan pertumbuhan dan perkembangan secara rutin. Namun, masih banyak orang tua, khususnya di kalangan tenaga kerja Indonesia (TKI) di Malaysia, yang belum memahami pentingnya stimulasi bermain dan deteksi dini, sehingga berpotensi menimbulkan hambatan tumbuh kembang anak. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan keterampilan orang tua dalam menstimulasi tumbuh kembang anak serta melakukan deteksi dini melalui pemeriksaan antropometri. Metode kegiatan meliputi tahap persiapan, pelaksanaan penyuluhan dengan ceramah interaktif dan simulasi, pemberian leaflet, serta pemeriksaan berat badan dan tinggi badan anak. Evaluasi dilakukan dengan pre-test dan post-test untuk menilai peningkatan pengetahuan peserta. Hasil kegiatan menunjukkan adanya peningkatan signifikan pengetahuan orang tua, dari sebelumnya hanya 30% yang memahami konsep stimulasi bermain menjadi 80% setelah mengikuti penyuluhan. Selain itu, pemeriksaan antropometri menunjukkan mayoritas anak (70%) memiliki status gizi normal, meskipun masih terdapat sebagian anak dengan status gizi tidak normal. Kesimpulan pengabdian bahwa edukasi partisipatif mampu meningkatkan pengetahuan, kesadaran, dan keterampilan orang tua dalam mendukung tumbuh kembang anak usia dini.

Overweight saat ini menjadi permasalahan gizi di Indonesia hingga dunia bahkan WHO mendeklarasikan sebagai epidemik global. Hal ini dapat terjadi karena mereka sering mengalami pola makan yang abnormal. Penelitian ini bertujuan untuk mengidentifikasi hubungan pola makan dan aktivitas fisik dengan kejadian Overweight pada Anak dan Remaja. Desain penelitian menggunakan metode observasional analitik. Sampel sebanyak 39 responden dengan teknik purposive sampling. Variabel independen adalah pola makan dan aktivitas fisik sedangkan variabel dependen adalah overweight. Instrumen penelitian ini menggunakan lembar observasi, lembar kuesioner pola makan dan Pasichal Activity Question for Adolescest, timbangan digital, dan microtoice. Analisis data menggunakan Chi-square. Hasil penelitian menunjukkan bahwa sebagian besar anak dan remaja memiliki pola makan tidak teratur dan memiliki aktivitas fisik ringan. Hasil analisis data didapatkan hasil p value kurang dari alpha sehingga ada hubungan yang signifikan antara pola makan dan aktivitas fisik dengan kejadian overweight pada anak dan remaja. Pola makan yang tidak teratur dan kurangya aktivitas fisik dapat menyebabkan terjadinya overweight. Perawat dapat berperan dalam mengidentifikasi masalah yang beresiko mengalami overweight serta mengedukasi anak dan remaja tentang menjaga pola makan yang benar dengan mengkonsumsi makan yang mengandung tinggi protein, serat, dan vitamin serta mengedukasi terkait aktivitas fisik yang baik dan benar

Background: The lack of a mother's self-confidence and confidence in breastfeeding is the single biggest factor causing failure in recruiting exclusive breastfeeding. Mothers' belief in the success of exclusive breastfeeding is known as the effectiveness of breastfeeding. Purpose: The purpose of this study was to examine various variables related to the self- efficacy of exclusive breastfeeding in the Mawar room of RSI Jemursari Surabaya. Methods: This type of analysis is a cross-sectional analysis. The population of each mother is at least 120 people. Purposive sampling is used in the selection of non-probability samples with a total of 92 respondents. Observation of other people, verbal persuasion, physical and emotional condition, and breastfeeding self-efficacy are examples of independent behavioral variables. Using a questionnaire as an instrument breastfeeding scale short form questionnaire. Data analysis used the Chi-Square test and Spearman's Rank with a significance level of p=0.05. Results: The results showed that most of the respondents with good observation factors for others had a high level of breastfeeding self-efficacy (67.7%), almost all respondents with good verbal persuasion factors had a high level of breastfeeding self-efficacy (78.8 %), and most of the respondents who were in good physical and emotional condition had a high level of breastfeeding self-efficacy (62%). The results of the Chi-Square test showed that there was a relationship between the observation of other people with a result of p = 0.000 <0.05 and physical and emotional condition factors with a result of p = 0.000 <0.05 with breastfeeding self-efficacy. Spearman's rank test showed that there was a relationship between the verbal persuasion factor and the results of p = 0.000 <0.05 with breastfeeding self-efficacy for exclusive breastfeeding in the Mawar room of RSI Jemursari Surabaya. Conclusion: Observation of other people, verbal persuasion, physical condition, and emotional state are interrelated factors. Therefore, it is hoped that there will be more formal and informal education about exclusive breastfeeding, especially for new parents.

Adolescents’ unstable personalities are responsible for poor behavioral choices, which adversely affect their quality of life. Therefore, this study aimed to examine health-related behaviors, such as drinking and smoking, alongside demographic characteristics and basic health knowledge.A total of 100 adolescents aged 11 to 20 were randomly selected as respondents using a cross-sectional observational analytical method. Data collection relied on interviews, which were subjected to univariate analysis using logistic regression and Chi-Square tests.The results showed that there was a significant correlation (p-value 0.003) between smoking and reproductive health behaviors. However, no significant correlation (p-value 0.410) was found between reproductive health behaviors and alcohol consumption.In conclusion, the research uncovered a significant correlation between smoking and reproductive health behaviors. It was necessary to instill healthy lifestyle skills in adolescents early on to deter them from engaging in risky health behaviors.

Introduction: Hyperbaric oxygen therapy causes ear pain as a side effect, causing anxiety in patients which results in the length of recovery. The purpose of this study was to analyze the factors that influence the level of anxiety of patients undergoing hyperbaric oxygen therapy. Method: This study used a cross-sectional design. The sampling technique used was consecutive sampling with a total sample of 26 respondents. The independent variables in this study were age, gender, education, information, income/income, and experience, and the dependent variable measured anxiety levels. The research instrument used a questionnaire. The data were tested using the Logistics Regression Test. Results: The results of the Logistics Regression Test showed that the factors of gender (p-value = 0.001), information (p-value = 0.005), and experience (p-value = 0.000) affected the anxiety of patients undergoing hyperbaric oxygen therapy, while the age factor (p-value = 0.924) and education (p-value) =0.201), did not affect the anxiety of patients undergoing hyperbaric oxygen therapy.anxiety Conclusion: Economic factors cannot be analyzed in this study because all respondents have incomes above or equal to the regional-standard wage. The dominant factor influencing anxiety is experience. Officers are expected to always apply therapeutic communication by providing explanations about hyperbaric oxygen therapy that will be given to reduce patient anxiety.

Stress that occurs in type 2 DM patients can occur due to high levels of blood glucose, prolonged treatment and complications are experienced. Meditation Healing exercises accompanied by Mozart include a type of meditation practice that can help improve the cognitive performance, emotion, and behaviour of a person when facing stressful situations. The purpose of this research is to prove the influence of Meditation healing exercise accompanied by Mozart music in the management of stress levels of diabetes mellitus type 2. This research is Quasy research experiment using pretests method Posttest with control group design. Sampling techniques use a total sampling by picking up respondents who meet the criteria for both inclusion and exclusion with a sample number of 52 people. Instruments used to measure stress levels using the DASS (Depression Anxiety Stress Scales) Questionnaire 42. Data analysis results use T-Test with the significance of P < 0.05. Stress-level test results show significant differences between intervention groups and control groups with P-value = 0.000. MHE accompanied by Mozart has a positive impact in stress management and as one of the interventions that can be done routinely even daily, especially for people with type 2 diabetes.

Gouty arthritis is a metabolic disease caused by a buildup of monosodium urate monohydrate crystals in the joints. The accumulation of uric acid in the joints can form crystals such as needles that cause pain and inflammation, causing interference with the motion system and changes in daily activities. Pain management caused by the accumulation of gout is one of them with physical activities in the form of ergonomic exercise based on spiritual care. This study aims to identify the effect of ergonomic exercise based spiritual care on reducing pain levels in the elderly with gouty arthritis. The design of this study used quasy experimental with control group pre test and post test. The population in this study were all patients with arthritis gout as many as 56 elderly. Samples were taken using total sampling and divided into two groups: 28 intervention groups and 28 control groups. The intervention group was given treatment in the form of ergonomic exercise for 4 weeks with the media being given a module. Pain levels are measured by visual analog scale (VAS). Analysis of the data used was paired T test with a significance of p <0.05. The results of data analysis showed that the intervention group showed an average level of pain before intervention 6.5 and after the intervention showed an average level of pain 3.2 with a p-value of 0,000. Whereas the control group showed an average pain level of 6.2 and after 4 weeks the average pain level increased by 7.0 with a p-value of 0.008. The application of ergonomic exercise based on spiritual care can be given to people with arthritis gout in reducing pain. It is hoped that nurses can implement ergonomic exercise based spiritual care for reducing pain levels in elderly patients with gouty arthritis.

Patients with diabetes mellitus have a high-stress level, this is because the treatment isundertaken such as diet, blood sugar control, drug consumption, and exercise. In addition, the risk of diseasecomplications that can be experienced by patients will also increase stress. Spiritual mindfulness based on bensonrelaxation affects the formation of positive cognitive (perception) responses in the brain. A good stress perceptionwill stimulate the hypothalamus to release a series of hormones that cause modulation of the physiological barrierof the immune response by decreasing the activation of the HPA axis and increasing activation of theparasympathetic nerve through the vagal stimulation. The purpose of this study was to prove the influence of spiritualmindfulness based on Benson relaxation in reducing stress levels of type 2 diabetes mellitus. This study was aquasi-experimental study using the pretest-posttest with control group design method. Respondents in this studywere 60 type 2 DM sufferers and were taken by simple random sampling technique and divided into two groupsnamely the intervention group and the control group. Stress level data is obtained using a questionnairemeasurement tool. The intervention group was given spiritual mindfulness based on Benson relaxation for fourweeks. The results of data analysis using t-Test with a significance of p <0.05. The stress level test results showeda significant difference between the intervention group and the control group with p-value = 0,000. Mindfulnessspiritual intervention based on Benson relaxation is effective against stress levels of people with type 2 diabetes.