Lailatun Nimah

80% of the population of Situbondo Regency Coastal Village work as fishermen. Fluctuating fishing results cause businesses to be processed so that they can be stored to fill the void of fishing results and improve the community's economy. The potential processed fish products at Bahari Beach are processed into fish crackers by several micro business groups consisting of residents, but unfortunately, the process of making crackers in all micro business centers still does not meet the principles of good occupational safety and health and does not wear Personal Protection Equipment (PPE) when producing. This research aims to improve knowledge related to occupational safety and health in all groups of micro-business centers in the Pesisir Village area. The training method includes coordination with target partners, preparing the needs of tools and materials during the program, and preparing learning modules that will be used as a reference in program implementation. The work stage is filled with materials and demonstrations. Finally, the evaluation stage. The training participants consisted of 35 people consisting of residents of the Coastal Village of Besuki District, Situbondo Regency. The results showed that there was an increase in the results of the questionnaire from the pre-test and post-test after the training was given. Where the results of the training participants were very enthusiastic and able to practice making rengginang and shredded fish by the principles of occupational safety and health.

Introduction: Dialysis is a long-term treatment for chronic kidney failure. Family caregivers play a significant role in the care of patients undergoing dialysis. The quality of life (QoL) of family caregivers is related to the quality of care provided to patients undergoing dialysis. Objectives: This recent literature review aimed to synthesize the QoL experienced by caregivers of family members undergoing dialysis. Method: This literature review employed four online databases, including SCOPUS, PubMed, ScienceDirect, and Web of Science. The extracted articles were further screened on the basis of the PRISMA guidelines. In this review, articles were selected on the basis of the following eligibility criteria: double-blind peer-reviewed articles, articles written in English language and published between 1 January 2013 and January 2023. This review used thematic synthesis. Results: Four analytical themes emerged, including physical capacity, social relations, psychological state, and environment. All of these themes correspond to the dimensions of QoL. Conclusion: The QoL of family caregivers of patients undergoing dialysis must be considered . A good QoL of these caregivers will improve the balance of life and further increase the ability and quality of care they provide for family members undergoing dialysis.

Introduction: Diabetes Mellitus (DM) is a chronic disease and good self-efficacy encourages patients to carry out diabetes management in a comprehensive and consistent manner towards quality of life. The purpose of this community service activity is to provide “SeDia” (Healthy Diabetes) education and training based on structured supportive education in an effort to increase self-efficacy in people with diabetes. Method: In this study using a Community Based Research (CBR) approach, education and training on DM material, diabetic foot exercises and the introduction of mobile phone-based applications to social health partner, DM patients and families in Pantenan, Panceng, Gresik are carried out. Final evaluation of the PKM program by comparing pre-test and post-test scores on knowledge of the DKQ-24 Questionnaire (Diabetes Knowledge Questionnaire). The analysis used was univariate and bivariate analysis using SPSS. Results: There were 41 participants with an average age of 49 years and consisting of 14 social worker (34.1%), 16 DM patients (39%) and 11 families (26.9%) who participated in this activity. The measurement results on the level of knowledge p = 0.000 (p <0.05) so that there is a significant difference between before and after being given education and training in terms of increasing knowledge. Conclusion: Education and training on the five pillars of DM, simulation/practice of diabetic foot exercises and the introduction of mobile phone-based applications can increase the knowledge of social health, DM patients and their families to be able to carry out good self-efficacy.

Kejadian an Gastroenteritis Akut (GEA) merupakan masalah kesehatan yang sering terjadi di Indonesia. GEA merupakan kondisi seseorang yang mengalami buang air besar dengan karakteristik cair dan frekuensi lebih dari tiga kali dalam sehari. Gastroenteritis dapat menyebabkan malnutrisi bahkan kematian. Penggantian cairan tubuh yang hilang akibat GEA dan asupan nutrisi yang tepat menjadi solusi terbaik yang dapat dilakukan. Tujuan dari kegiatan edukasi ini adalah untuk memberikan pemahaman kepada pasien dan keluarga tentang Gastroenteritis akut dan penatalaksanaan nutrisi pasien gastroenteritis akut. Kegiatan pengabdian dengan memberikan penyuluhan kepada pasien dan keluarga tentang Gastroenteritis akut dan manajemen gizi di rumah sakit pendidikan di Surabaya. Berdasarkan hasil wawancara materi yang diterima, disimpulkan adanya peningkatan wawasan pasien dan keluarga tentang Gastroenteritis dan tatalaksana yang dapat dilakukan serta adanya kesadaran pasien dan keluarga untuk meningkatkan kesehatan.

Tekanan Darah Tinggi (hipertensi) merupakan peningkatan tekanan darah di dalam arteri. Biasanya hipertensi tanpa gejala, dimana tekanan yang abnormal tinggi di dalam arteri menyebabkan meningkatnya risiko terhadap stroke, aneurisma, gagal jantung, serangan jantung dan kerusakan ginjal. Artikel ini berupaya memberikan gambaran dan penjelasan terkait program kerja pendidikan kesehatan pada pasien dan keluarga tentang hipertensi. Metode dalam penulisan artikel ini menggunakan pendekatan pre test dan post test yang bermaksud memberikan gambaran mendetail terkait program kerja pendidikan kesehatan selama pelaksanaan Praktik Keperawatan Dasar sekaligus menjelaskan langkah-langkah mulai dari sebelum pendidikan kesehatan, hingga output dari program pendidikan kesehatan tersebut. Hasil pre test dan post test menunjukkan peningkatan pemahaman materi dengan baik yang ditunjukkan dengan jawaban yang benar. Hasil wawancara yang dilakukan pasien dan keluarga merasa puas dengan pendidikan kesehatan yang dilakukan. Mereka mengatakan bahwa dulu mereka menganggap hipertensi adalah penyakit biasa yang pasti akan diderita pada usia tua.

EFEK PERUNDUNGAN MAYA TERHADAP HARGA DIRI DAN KECEMASAN REMAJA

Introduction Palliative care is a special service particularly in the cases of chronic disease. The scope of palliative care includes populations with old age, chronic diseases, and processes of facing death. The COVID-19 pandemic has changed the health system, including palliative care.The purpose of this study is to explain nursing palliative care during the COVID-19 pandemic. Method This paper is result of a literature review. The data bases used were Scopus, Springerlink, Science direct. The search is limited to publications in 2020-2022, open acces, and English language. Then selected using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) diagram and obtained 13 articles. Result Palliative care as a special care aims to reduce suffering and improve the quality of life of patient and family. Palliative care can be applied to acute hospital, community, nursing care, as well as residential care homes and hospices. The goal of palliative care is to prevent and reduce suffering in any form, including reducing pain through early identification, correct assessment, as well as treatment of pain and other problems. Many barries are felt by patients and families in accessing health services during the COVID-19 pandemic due to social restrictions. Conclusion Palliative care requires the involvement of various parties, including the government, health workers, and the community to overcome various barriers. During the COVID-19 pandemic in palliative care, special health policies are needed that are able to maintain the health status of patients so that the patient’s illness does not get worse.

Background: The compliance of COVID-19 health protocol implementation in the community is one of the steps to prevent the spread of COVID-19. Purpose: This study aimed to analyze the relationship between the support of healthcare workers and the compliance with implementing COVID-19 health protocol in society. Methods: This research used a quantitative design with a cross-sectional approach. This research was conducted on society in Mojo Village, Gubeng District, Surabaya. The number of samples was 400 respondents with the cluster sampling technique. The results were analyzed using descriptive analysis and logistic regression test with a significance value of p ≤ 0.05. Results: Statistical tests showed that there was a relationship between the support of health workers and the compliance with implementing the COVID-19 health protocol in society with a significant value of emotional support (p=0.040), informational support (p=0.003), instrumental support (0.000), and appraisal support (0.011). These results indicated that instrumental support had the most influence on the level of compliance in implementing the COVID-19 health protocol in the community. Conclusion: The compliance with implementing the COVID-19 health protocol in the community is related to the emotional support, information support, instrumental support, and appreciation support of healthcare workers.

Pendahuluan: Keluarga sebagai caregiver penderita ODGJ mengalami beban berupa gangguan fisik, emosional dan finansial karena perilaku abnormal pasien, disfungsi sosial serta ketidakmampuan untuk menghidupi dirinya sendiri. Akibat beban yang mereka alami, caregiver ODGJ menunjukkan gejala stress dan kecemasan yang tinggi hingga mempengaruhi pola interaksi. Metode: Rancangan penelitian ini adalah cross sectional . Sampel sejumlah 123 caregiver keluarga penderita ODGJ yang berkunjung di Poliklinik kesehatan jiwa RSJ Menur Surabaya dan didapatkan dengan menggunakan teknik konsekuetive sampling. Data diperoleh dari kuesioner Zarit Caregiver Burden Questionaire dan kuesioner pola interaksi kemudian dianalisis dengan uji statistik korelasi Spearman Rho. Hasil: Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara beban pengasuhan dengan pola interaksi (p=0,032) pada nilai signifikansi < 0,05. Koefisien korelasi r=-0,194. Hal ini menunjukkan bahwa terdapat hubungan yang rendah dengan arah negatif, sehingga semakin tinggi beban pengasuhan yang dirasakan semakin rendah pola interaksi yang dialami oleh caregiver keluarga penderita ODGJ. Kesimpulan : Terdapat hubungan yang rendah dan bermakna antara beban pengasuhan dengan pola interaksi caregiver keluarga penderita ODGJ dengan arah negatif, yang berarti semakin tinggi beban pengasuhan yang dirasakan oleh caregiver, maka pola interaksinya semakin rendah. ABSTRACTIntroduction: Families as caregivers their family with mental disorder experience the burden of physical, emotional and financial disturbances due to the patient's abnormal behavior, social dysfunction and inability to support themselves. Due to the burden they experience, caregivers show symptoms of high stress and anxiety to affect patterns of interaction.Method: The design of this study was cross sectional. A sample of 123 family sufferers of mental disorder member who visited the mental health polyclinic at the Menur General Hospital in Surabaya was obtained using a consistent sampling technique. Data were obtained from the Zarit Caregiver Burden Questionaire and the interaction pattern questionnaire was then analyzed using the Spearman Rho correlation test.Results: The results showed that there was a significant relationship between the burden of caregiving with interaction patterns (p = 0.032) at a significance value <0.05. The correlation coefficient r = -0,194. This shows that there is a low relationship with a negative direction, so that the higher the burden of caregiving is felt the lower the interaction patterns experienced by family caregivers of people with mental disorder.Conclusion: There is a significant relationship between caregiving burden with the negative caregiver interaction patterns of mental disorder sufferers' families, which means that the higher the caregiver burden felt by caregivers, the lower the interaction patterns.

The study aimed to explain the most important factors in the incidence of positive acid-resistant pulmonary tuberculosis. This study used a cross-sectional approach. The sample was 68, consisting of 34 AFB (Acid Fast Bacilli) positive and 34 AFB negative, determined by initial examination. Data was collected via questionnaires and analysed by univariate (frequency distribution) and bivariate using Chi Square test with significance number <0.05. The most influential BCG immunization status, education, smoking, occupation, knowledge, nutritional status, occupancy density, income and gender, indicate the relationship but the risk is neutral, while age and comorbidities have no significant associated risk. The risk factors contributing to positive AFB in Perak Timur and Tanah Kali Kedinding areas were BCG immunization status, education, smoking habit, occupation, knowledge, nutrition status and occupancy density.