Jurnal Kesehatan Mesencephalon with registered number ISSN 2528-2603 (online) ISSN 2252-5637 (print) is a scientific journal published by STIKes Kepanjen. Journals are registered in the CrossRef system with the Digital Object Identifier (DOI) prefix http://dx.doi.org/10.36053/mesencephalon. The publication of this journal aims to disseminate conceptual thoughts or ideas and research results that have been achieved in the field of health (Miscellaneous), Health Profession (Miscellaneous) both from research results, case studies and literature reviews. This journal is published by the Kepanjen Malang School of Health Sciences and is published twice a year, in April and October. Every article that goes to the editor will be selected through an Initial Review process by the Editorial Board. Then, the article will be sent to Mitra Bebestari/peer reviewer and will pass the next selection through the Double-Blind Preview Process. After that, the article will be returned to the author for revision. This process takes one month for minimum time. In each manuscript, Bebestari Partners/peer reviewers will be assessed from a substantial and technical aspect. The final decision on acceptance of the article will be made by the Editor in accordance with the Reviewer's comments. Jurnal Kesehatan Mesencephalon specifically focuses on key issues in the development of Health. Please read this guide carefully. Authors who wish to submit their manuscripts to the editors of the Telematics Journal must comply with the writing guidelines. If the submitted manuscript does not comply with the guidelines or is written in a different format, it will be REJECTED by the editor before further review. The editor will only accept manuscripts that meet the specified format. Indexed by: Science and Technology Index (SINTA) by Ristekdikti of the Republic of Indonesia Copernican ICI Index Crossref . Search Google Scholarship Public Knowledge Project Index (PKP) GARUDA: Digital Reference Garba by Ristekdikti - Indonesia Indonesia One Search
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THE RELATIONSHIP BETWEEN TEACHER WORKLOAD AND STRESS LEVELS AT RAUDLOTUL ULUM ISLAMIC BOARDING SCHOOL MIDDLE SCHOOL, MALANG REGENCY
Workload is a significant factor influencing teachers' psychological well-being and potentially leading to work stress, particularly in formal educational settings. Teachers are not only required to deliver learning materials but also to carry out administrative tasks, mentor students, and carry out various additional activities that can increase work pressure. This study aims to analyze the relationship between workload and stress levels among teachers at Raudlotul Ulum Islamic Boarding School Junior High School in Malang Regency. The research design used was an analytical survey with a cross-sectional approach, involving 54 respondents selected based on inclusion criteria. The results showed a significant relationship between workload and stress levels, with a positive correlation and a strong relationship strength. This means that the higher the perceived workload, the greater the level of stress experienced by teachers. This finding strengthens the theory that excessive work demands without adequate resource support can increase the risk of work stress and impact mental health and professional performance. Therefore, more balanced workload management and the provision of psychosocial support are highly recommended to maintain teacher well-being while improving the quality of education.
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ASSOCIATION BETWEEN PERCEIVED SOCIAL SUPPORT AND PSYCHOLOGICAL DISTRESS AMONG GENERATION?Z NURSING STUDENTS IN INDONESIA : A MULTI?CENTER CROSS?SECTIONAL STUDY
Generation Z nursing students are increasingly exposed to psychological stress due to the integration of advanced technologies in academic and clinical learning. Social support plays a critical role in mitigating distress. This study examines the relationship between perceived social support and psychological distress among Generation Z nursing students in Indonesia. A cross-sectional survey was conducted among 734 students from seven accredited universities across Java, using convenience sampling. Participants completed the Multidimensional Scale of Perceived Social Support (MSPSS) and the Patient Health Questionnaire-9 (PHQ-9). Spearman’s rank correlation was used to assess associations between social support and psychological distress. Approximately 42.6% of students experienced clinically relevant depression (PHQ-9 ?10). High perceived family support was associated with lower levels of psychological distress (? = -0.49, p < 0.001). No significant correlations were found between distress and support from friends or significant others. Family support significantly reduces psychological distress in Gen Z nursing students. Educational institutions should implement family-inclusive strategies to promote mental well-being amid rising technological pressures.
EMPOWERING GEN Z : ASSESSING ADOLOSCENT KNOWLEDGE OF BREAST SELF-EXAMINATION (BSE) THROUGH BLOOM’S TAXONOMY IN SUPPORT OF SDG’S
The Sustainable Development Goals in the third target aim to ensure healthy lives and promote prosperity for all people at all ages by 2030 (WHO, 2016). Within this target there are efforts to reduce the incidence of death due to non-communicable diseases, including breast cancer. The incidence of breast cancer increases with age. However, young age is also not a guarantee of being safe from breast cancer. Adolescents, as the largest age group in Indonesia's population structure, can be the focus of attention and a point of intervention for human resource development, especially for the prevention of cancer. Early detection through BSE is carried out from adolescence with increased awareness and is believed to reduce the number of deaths due to breast cancer (Pulungan, 2022).This study aims to determine the knowledge and behavior of young women in carrying out early detection of breast cancer by self-examination of the breast (BSE). The population in this study were 30 female students and the variables measured were the knowledge and behavior. The results were that 56.7% of respondents had sufficient knowledge about BSE Examinations and 66.7% of respondents' behavior regarding BSE Examinations was in the Sufficient category. The conclusion was that there was a significant increase in respondents' BSE skills after receiving education using video media and teaching aids. By providing counseling and direct breast self-examination to respondents, it is hoped that respondents can increase their knowledge and skills in practicing BSE actions in daily life.
RELATIONSHIP BETWEEN SOCIAL INTERACTION AND DEPRESSION LEVEL I IN THE ELDERLY AT POSYANDU ANGGREK BLIMBING MALANG
With the increasing number of elderly people, there are many problems faced by the elderly, such as decreased social, mental, psychological, and health functions. The problems faced by the elderly can also reduce their social interactions. This can cause depression in the elderly . The aim of this study was to determine the relationship between social interaction and depression levels in the elderly. The design of this study used quantitative correlation with a cross-sectional approach. The population in this study were the elderly at Posyandu Anggrek in RW 04, Blimbing District, Malang City, totaling 51 respondents. The research instrument used the social engagement index to measure the level of social interaction and the GDS 30 observation sheet to measure the level of depression in the elderly. The results of this study showed that the results of the study showed that in the elderly with poor social interaction, almost half of the elderly were not depressed, namely 14 people (44%), almost half of the elderly experienced mild depression, namely 14 people (44%) and a small number of elderly experienced severe depression, namely 4 people (12%). While in the elderly with good social interaction, a small number of elderly were not depressed, namely 2 people (11%), almost all elderly experienced mild depression, namely 16 people (84%) and a small number of elderly experienced severe depression, namely 1 person (5%) (p-value = 0.017) and there is a relationship between social interaction and the level of depression in the elderly. The elderly are expected to be more aware of the importance of maintaining active social interaction with family, friends, and society. Positive social engagement can reduce the risk of depression. Say Key : Social Interaction, Depression Level, Elderly
THE EFFECT OF AEROBIC EXERCISE ON FORCED EXPIRATORY VOLUME IN ONE SECOND (FEV?) AMONG UNIVERSITY STUDENTS
Harmful lifestyles and behaviors are emerging in society, one of which is a sedentary lifestyle or inactive behavior shown by a lack of physical activity as seen in college students. Because college students rely heavily on technology that allows them to do anything without moving much. FEV? is a parameter used to assess lung function. A decrease in FEV? can have an impact on a person's lung capacity and health. One way to improve lung function is by doing aerobic exercise. Objective: This study aims to determine the effect of aerobic exercise on Forced Expiratory In One Second (FEV?) in university students. Methods: This research is a type of quasi-experimental research with a one group pretest and posttest design. The sample of this study were students who fit the inclusion and exclusion criteria. Samples were given jogging exercises 12 times in 1 month and spirometry measurement tools to determine FEV?. Results: Based on the paired t test, the p-value = 0.000 <0.05, which means that there is an effect of aerobic exercise on FEV?. Conclusion: Based on the results of the study, it was found that there was an increase in FEV? in students after being given aerobic exercise in the form of jogging.
TECHNOLOGY-BASED MARKETING INNOVATION IN IMPROVING THE QUALITY OF HOSPITAL SERVICES
This research aims to explore the influence of technology-based marketing innovation in improving the quality of hospital services. Marketing innovations implemented include the use of mobile applications, websites and social media to increase access to information, speed up the service process and improve communication with patients. Data was collected through surveys of patients who use technology-based hospital services as well as interviews with marketing managers and hospital staff. The research results show that the application of marketing technology has a significant positive impact on patient satisfaction, by increasing ease of access to information and service efficiency. However, challenges faced include limited technological infrastructure, security of patient data, and lack of technological skills in some patients. Based on these findings, this study recommends hospitals to improve technological infrastructure, provide training for patients, and ensure better data security systems. Overall, technology-based marketing innovation plays an important role in improving the quality of hospital services and patient satisfaction.
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THE IMPACT OF ISLAMIC WORK CULTURE AND JOB SATISFACTION ON THE WORK PRODUCTIVITY OF NURSES AND MIDWIVES
An essential aspect for hospitals is the extent of productivity demonstrated by nurses and midwives in delivering quality services to patients and their families. This study aims to determine the impact of Islamic work culture and job satisfaction on work productivity at Muhammadiyah Babat General Hospital (RSUMB). The research design employed a cross-sectional method with a simple random sampling technique, yielding 62 respondents. The independent variables were Islamic work culture and job satisfaction, while the dependent variable was work productivity. The research instrument used a closed-ended questionnaire. The results indicated that most respondents assessed the Islamic work culture at RSUMB as good, amounting to 40 individuals (64.5%). More than half of the respondents reported sufficient job satisfaction, amounting to 36 individuals (58%), and the majority of respondents stated that work productivity was good, amounting to 37 individuals (60%). The multiple linear regression test results with the T-test (?=0.05) showed that the Islamic work culture variable had a p-value of 0.000, and the job satisfaction variable also had a p-value of 0.000, indicating a significant impact on work productivity. The analysis with the F-test revealed a simultaneous impact of Islamic work culture and job satisfaction on work productivity (p=0.000). The study concludes that Islamic work culture and job satisfaction significantly impact the work productivity of nurses and midwives at RSU Muhammadiyah Babat. It is hoped that employees will continuously improve their work productivity as healthcare providers to deliver the best possible services at the hospital.
EFFECTIVENESS OF PSYCHOEDUCATIONAL TRANSFORMATION MODEL FOR ADOLESCENT GIRLS WITH OBESITY
Obese adolescent girls have a higher risk of developing depression, which can significantly affect quality of life. Therefore, this study aimed to evaluate the effectiveness of Psychoeducational Transformation Model as a depression prevention strategy. A quasi-experimental method was used with a pre-posttest control group design. The sample consisted of 58 obese adolescent girls, divided into two groups, namely intervention and control. The results showed that Psychoeducational Transformation Model significantly improved the knowledge, attitudes, and actions to prevent depression in obese adolescent girls (p < 0.05). Furthermore, the intervention group showed greater improvement compared to the control. These results supported the effectiveness of the Psychoeducational Transformation Model as a depression prevention strategy. It can be concluded that the Model was effective in increasing understanding and preventing depression. In addition, the involvement of various parties in the adolescent support system is key to creating an environment that supports mental and emotional health. Keyword: Psychoeducational Transformation, Adolescent Girls, Obesity, Depression, Youth Support System
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A STUDY OF EMOTIONAL INTELLIGENCE AS A PREDICTOR OF FUTURE ORIENTATION IN NURSING STUDENTS
In their developmental stages, students are at the stage of emerging adulthood. Emerging adulthood is a developmental period where individuals are just entering adulthood, which occurs around the ages of 18 to 25. At this time, individuals must start thinking about their future orientation related to careers and what jobs they will pursue after graduating from college, as well as the need for students to have emotional intelligence to be able to collaborate, be flexible, and easily adapt to new environments. One of the factors that predicts the clarity of future orientation in students is emotional intelligence. The purpose of this research is to determine whether emotional intelligence can be a predictor of the clarity of students' future orientation. The respondents in this study are students who are actively registered as nursing program students and are at least in their 5th semester. The number of respondents in this study is 44 nursing students. The sampling technique used is a non-probability sample with purposive sampling technique. This research is a survey study with a cross sectional design. The data analysis used is multiple regression, which in its application utilizes the SPSS 25.0 program. The research results show that emotional intelligence can be a clear predictor of future orientation in nursing students. The contribution of emotional intelligence is 13.2% towards future orientation in nursing students. The results of the descriptive data analysis show that the majority of nursing students have high emotional intelligence. This contributes to the clarity of future orientation among nursing students.
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND THE QUALITY OF LIFE OF ELDERLY PEOPLE WITH HYPERTENSION AT THE ELDERLY POSYANDU IN SUMBERSEKAR VILLAGE, DAU DISTRICT, MALANG REGENCY
Support From Family is a factor that influences the quality of life in the elderly individuals people with hypertension. This study aims to determine the relationship between support from family and the quality of life in the elderly individuals people with hypertension dissease. This research is a descriptive correlational study using a cross-sectional approach. And the sample consists of 118 elderly individuals, selected using the total sampling technique. Data collection was conducted using the Family Support Scale (FSS) questionnaire for family support and the WHOQOL-BREF for the quality of life of the elderly. The results showed that the majority of the elderly had good family support, with 106 elderly individuals (89.8%) and 110 elderly individuals (93.2%) having a good quality of life. The Spearman rho statistical test (p?0.05) resulted in a p-value of 0.000, which means p?0.05, thus rejecting the null hypothesis, with a correlation coefficient value of 0.351. The statistical test results indicate there is a relationship between support from family and the quality of life in elderly individuals with hypertension diassea. This study suggests that further research should be conducted with better instruments and categories.
PSYCHOLOGICAL FACTORS AND QUALITY OF LIFE IN INFERTILE WOMEN : A SYSTEMATIC REVIEW
Infertility is a significant issue that affects various aspects of life, particularly psychological well-being. Psychological factors associated with infertility can significantly impact the quality of life. This systematic review aims to analyze these psychological factors in infertile women. Ten quantitative journals with correlational designs using the PEOS framework were selected for review. The results indicate that resilience, coping strategies, and emotional self-disclosure positively associate with the quality of life in infertile women. Conversely, anxiety, depression, stress, problem-focused coping strategies, meaning-based coping strategies, and stigma negatively correlate with quality of life. In conclusion, this systematic review underscores the importance of addressing psychological factors to improve the quality of life in infertile women. Further research is needed to develop and implement effective interventions targeting these factors, ultimately supporting women through their infertility journey and enhancing their overall well-being.
THE RELATIONSHIP OF SITTING DURATION AND NECK PAIN COMPLAINTS IN FINAL LEVEL HEALTH STUDENTS AT STIKES NGUDIA HUSADA MADURA
To meet the criteria for prospective students, students must prepare a final assignment or thesis before the end of the study session and submit it according to the specified deadline. Students have to spend a lot of time studying in front of laptops because of the demands of their final assignments. This increases the risk of musculoskeletal disease, including neck discomfort. The aim of this study was to investigate whether students' sitting duration was associated with complaints of neck pain. The research strategy used in this research is cross-sectional correlational analysis. The population of this study was 126 students in the final stages of study at STIKES Ngudia Husada Madura, with a total sample of 93 participants. A person's sitting duration acts as an independent variable in this study, while complaints of neck pain are a related variable. A questionnaire was used as a data collection tool, the results of which were analyzed using the Lambda test with a significance level of 0.05. Among the students surveyed, 74.2% (69 people) reported sitting for more than four hours. Of the students surveyed, 90.3% (or 84 people) reported experiencing neck pain. The significance threshold of lambda ? (0.05) was exceeded by the statistical test findings, which showed a p value of 0.016. Final year students at STIkes Ngudia Husada Madura reported more neck pain when they sat for long periods of time, according to the study. There is a moderate relationship between differences in sitting duration and pain complaints as indicated by a correlation coefficient of 0.472. It is hoped that STIKes Ngudia Husada Madura students will be required to always change their seating positions. Sitting for four hours in a row can cause neck pain, so get up and move as soon as possible. Apart from that, students can try to gently stretch the neck muscles to reduce the discomfort that may be the cause.
THE EFFECT OF THE COMBINATION OF WILLIAM FLEXION EXERCISE AND MYOFASCIAL RELEASE TECHNIQUE ON PAIN REDUCTION IN MYOGENIC LOW BACK PAIN PATIENTS IN TAILORS IN SAMPANG DISTRICT
Working as a tailor requires a person to sit for long periods of time in an inappropriate position, bending and lifting inappropriate weights causes lower back pain. The aim of this study was to analyze the effect of the combination of William Flexion Exercise and Myofascial Release Technique on reducing pain in sufferers of myogenic Low Back Pain in tailors. The method uses pre-experimental using "One Group Pre-test and Post-test design. research in Sampang District from June 2023 to August 2023. The population of patients who work as tailors in Sampang District is 40 people with a sample of 20 people. The Independent variable (free variable) is the provision of William flexion exercise and myofascial relaxation technique and the Dependent (related variable) is pain due to Myogenic LBP. used a research instrument in the form of a numeric rating scale (NRS) to measure pain before and after intervention. NRS is an effective tool for measuring a pain scale containing a horizontal line using a reference point numbered 0-10. Wilcoxon Rank Test Analysis (0.05). The research results show that female respondents are more dominant than male. Then, in terms of age, the highest percentage is aged 46-50 years. The statistical test results of the Wilcoxon Rank Test obtained p = 0.000 < a = 0.05. It can be concluded that the NRS values pre and post physiotherapy with the combination of William Flexion Exercise and Myofascial Release Technique experienced quite significant changes. It is recommended that to prevent pain, the tailor should reduce the curve of the lower back to a minimum while sitting. Wrong sitting positions and sitting for too long should be avoided to minimize the occurrence of pain in the lower back
THE EFFECT OF COMBINED ULTRASOUND AND SHOULDER MANIPULATION THERAPY ON THE DEGREE OF JOINT SCOPE OF MOTION IN FROZEN SHOULDER PATIENTS AT LAVALETTE HOSPITAL MALANG
Frozen shoulder is a condition in which the connective tissue around the shoulder thickens and tightens leading to loss of mobility. This condition causes a person to have difficulty moving his arms because they are stiff. The main characteristics of frozen shoulder are gradual stiffness in the shoulder joint, severe pain especially at night and limitation of motion in both active and passive capsular patterns. The aim was to determine the effect of a combination of ultrasound and shoulder manipulation therapy on the degree of scope of motion of the shoulder joint in Frozen shoulder patients at Lavalette Hospital Malang. This study used quantitative with a quasi-experimental research design one-group pretest-posttest design. The sample of this study was 17 Frozen shoulder patients at Lavalette Hospital Malang. Test statistical analysis with shapiro-wilk to describe normal p values and then test the hypothesis using t-paired tests with normal distributed data. The results showed the effect of a combination of ultrasound and shoulder manipulation therapy on the degree of scope of motion of the joints of Frozen shoulder patients at Lavalette Hospital Malang, the significant value of the normally distributed wilcoxon test p = 0.00<0.05. The results and discussion of this study can be concluded: 1. There is an effect of a combination of ultrasound and shoulder manipulation therapy on the degree of joint scope of motion in Frozen shoulder patients at Lavalette Hospital Malang 2. There are differences in LGS values of pre-intervention shoulders and post-intervention where the mean (maximum-minimum) pre-intervention values in rotational external motion are 56.88 (45-70) and post-intervention 64.00 (48-73), mean (minimum-maximum) values of preintervention abduction motion are 156.00 (145-170) and post-intervention 170.00 (170-158-170), mean values (maximum-minimum) external motion of pre-intervention rotation 60.00 (45-75) and post-intervention 73.00 (63-79).
THE RELATIONSHIP BETWEEN PARENTING STYLES AND BULLYING BEHAVIOR IN TEENAGERS AT MTS AL-MA'ARIF BOCEK KARANGPLOSO MALANG
Cases of bullying that often occur in the world of education in Indonesia are increasingly concerning, schools that should be a place to learn to acquire knowledge and form a positive personal character, turn out to be a place for the growth of bullying practices, the role of the family is very important, especially in the application of parenting, Parenting itself is an attitude or description of the behavior of parents in communicating and interacting with their children during the parenting period. This study aims to see whether there is a significant relationship between parenting styles and bullying behavior in teenagers. Method: Correlational research design with a quantitative approach. The sample in this study was 63 teenage students with a purposive sampling technique. The instrument in this study was a questionnaire on parenting and bullying behavior. Result and analysis: Analysis of the data used is the Spearman rank test, these results indicate that there is no significant relationship between parenting styles and bullying behavior with a significant value (p = 0.378), which means that it is greater than (>0.05), Discussion and Conclusion: increasing empathy for fellow friends, being able to hold back, and managing emotions well can reduce the incidence of bullying in Indonesia. Keywords: Parenting, Teenagers, Bullying
OUTPATIENT WAITING TIME: WHAT ARE THE FACTORS THAT AFFECT IT? (STUDY AT MUHAMMADIYAH BABAT GENERAL HOSPITAL)
Outpatient waiting time refers to the duration from when patients register at the registration desk until they are called for a medical examination by a doctor at the target clinic. The standard waiting time is set at ? 60 minutes. Observations at Muhammadiyah General Hospital Babat revealed that 10 respondents experienced waiting times exceeding 60 minutes. This study aims to identify the factors affecting outpatient waiting time. Utilizing a quantitative approach, the research sampled 96 respondents through simple random sampling. The independent variables included examination duration, service timeliness, and facilities and infrastructure, while the dependent variable was outpatient waiting time. Research instruments consisted of direct observation for measuring examination duration and waiting time, as well as questionnaires to assess service timeliness and the adequacy of facilities and infrastructure. The results, analyzed through multiple linear regression with T-test and F-test (?=0.05), demonstrated that the examination duration was not significant (p-value = 0.308), while both the service timeliness (p-value = 0.000) and facilities and infrastructure (p-value = 0.000) were significant. The F-test indicated a significant combined effect of the independent variables on outpatient waiting time (p-value = 0.000) with a determination coefficient of 57.5%. The study suggests improvements in service timeliness by ensuring punctuality among registration staff and healthcare providers, including doctors. Furthermore, enhancements in facilities and infrastructure, such as increasing the number of outpatient registration counters, are recommended.
MOTIVATION AND PROSOCIAL BEHAVIOR OF DISASTER VOLUNTEERS IN CARRYING OUT HUMANITARIAN ACTIONS
The number of disaster events in Indonesia, especially in Malang Regency, motivates people to move to become disaster volunteers. The motivation of these volunteers needs to be considered to increase community awareness of the threat of disasters around them. The purpose of this study was to determine the influence of volunteer motivation on prosocial behavior in disaster management in Malang Regency. The respondents in this study were volunteers who were members of disaster management in Malang Regency in the range between May and December 2021, totaling 46 people. The sampling technique uses random sampling technique. Data collection used the Volunteer Motivation Questionnaire and Prosocial Tandencies Measure Questionnaire instruments. The data is presented with a table and by description then a rho spearman test is carried out. The results of this study showed that the correlation value between volunteer motivation and prosocial behavior was 0.581, which means that the level of strength between volunteer motivation and prosocial behavior is very strong. And the significance value or sig (2-tailed) of 0.000 which is less than 0.05 means that there is a significant relationship between volunteer motivation and volunteer prosocial behavior. There are several motiviations of a person, namely internal motivation and external motivation. With the motivation of some of these aspects, a volunteer will be encouraged to behave prosocially. Based on the results of this study, researchers suggest improving the activities of disaster management volunteers, such as providing training on disaster management, discussing experiences between volunteers and involving volunteers in social activities.
The Effect of Infrared (IR) and Mirror Exercise on Increasing Muscle Strength and Functional Ability in Bell's Palsy Cases
Bell's Palsy is an acute, ipsilateral facial nerve (VII) paralysis. Bell's palsy is also caused by swelling and pressure on the nerve in the stylomastoid foramen which causes damage to the facial nerve. Problems that sufferers often experience after realizing facial muscle weakness from a physiotherapy perspective include facial asymmetry, a feeling of stiffness and thickness on the affected side of the face and decreased facial muscles. force on the affected side has the potential for spasm and tissue adhesions, as well as potential irritation to the affected side of the eye. The population of this study consisted of 30 respondents. Special examination for Bell's palsy sufferers using the Ugo Fisch scale and a treatment program using infrared (IR) and mirror exercise methods. This action aims to increase facial muscle strength, reduce muscle spasm, increase functional activity of facial muscles, and increase functional activity. The sample for this research consisted of 20 respondents. From the results of the hypothesis test, a p-value of 0.000 (alpha < 0.05) is obtained as a critical limit, which means that H0 is rejected and Ha is accepted. So, the results of this therapy show a significant increase in facial muscle strength and functional ability between before and after therapy. Based on these results, the intervention given in the form of infrared (IR) and mirror exercise was effective in increasing muscle strength and functional ability as well as improving the participants' nerves.
Corelationship Between Contractor Safety Management And Safety Leadership : Systematic Review
The presence of effective safety leadership significantly impacts how workers perceive the significance of safety in the workplace. Safety environment is to the collective attitudes of employees regarding an organization's safety-related policies, practices, and procedures that indicate the importance placed on safety (Omidi et all., 2022; Omidi et all., 2021; Zohar and Luria, 2010). The contractors are responsible for upholding two specific types of safety leadership, with a particular emphasis on transformational leadership. This study use the literature review according to PRISMA guidelines. The necessity of safety leadership in construction projects, particularly in the context of contractor safety management. Safety leadership is considered as a vital aspect in persuading workers to adopt safe behaviors, decreasing accidents, and increasing overall safety performance. The studies show the positive influence of safety leadership on safety compliance, engagement, and safety outcomes, and the need of addressing the safety leadership styles of all stakeholders engaged in a construction project, including owners, contractors, and subcontractors.
THE INFLUENCE OF JOB ENVIRONMENT ON EMPLOYEE PERFORMANCE AT WAVA HUSADA HOSPITAL AND HASTA HUSADA HOSPITAL
The problems that exist in hospitals are related to the job environment. Employees need to have sufficient facilities to support daily work in order to improve employee performance. The purpose of this research is to analyze the influence of the job environment on employee performance. The method used in this research is quantitative using a cross sectional research design. And the population in this study were non-doctor employees at Wava Husada Kepanjen Hospital, totaling 300 employees and Hasta Husada Kepanjen Hospital, totaling 154 employees. Data collection used a questionnaire with a sample selection of 141. The sampling technique used was a probability sampling method with a simple random sampling technique, meaning that all members of the population were assumed to have the same opportunity to be selected as the research sample. The research results processed using the SPSS program with the t test (partial) show that the work environment has a significant effect on employee performance with a t value of 7.254 > t table 1.989 with a significance level (Sig.) 0.000 <0.05. Thus, the Job Environment has a positive and significant effect on Employee Performance. This shows that improving the Job Environment will result in increased Employee Performance and be used as a benchmark for employee performance
Differences in Effectiveness Between Measuring Cuff ETT Using a Syringe and Cuff Inflator on Oxygen Saturation in Pneumonia Patients in the ICU
Inaccuracy of ETT cuff pressure in intubated pneumonia patients will affect changes in oxygen saturation, so it is necessary to measure ETT cuff pressure using appropriate techniques. This study aims to analyze the difference in effectiveness between ETT cuff measurements using a syringe and an inflator cuff on oxygen saturation values in pneumonia patients. Comparative observational design with a cross sectional approach . There were 30 respondents using a total sampling technique, which were then distributed into 2 groups, namely the cuff inflator group and the syringe group with 15 patients each. Data were collected using observation sheets for ETT cuff measurements and oxygen saturation . The results of the Pearson statistical test analysis on ETT cuff measurements measured using a cuff inflator (p=0.01) and a syringe (p=0.004), both showed a p value <0.05, which means there is a significant correlation with the oxygen saturation value. The results of the difference test using the independent t test for the saturation value carried out by measuring the ETT cuff using a cuff inflator using a syringe showed that p=0.854 (>0.05 ) which means there is no difference. The conclusion of this research is that there is no difference between the saturation values of respondents who were measured using the ETT cuff using a cuff inflator and using a syringe. It is recommended that nurses increase their role in observing and maintaining ETT cuff pressure within the ideal range by using a cuff inflator or using a syringe at the service point.
Waiting Time in Outpatient Care: How Does the Management Element Related?
The waiting time for outpatient registration at dr. Soegiri Hospital of Lamongan indicated that 19 out of 30 respondents or 63.3% did not comply with the standard (?60 minutes). This study aimed to determine the relationship between management elements (man, method, information and time) and waiting time at outpatient registration at dr. Soegiri Hospital of Lamongan. This study used a cross sectional method with an observational analytic design. With an accidental sampling technique, it obtained 100 respondents. The independent variables were management elements including man, method, information and time, while the dependent variable was the waiting time for outpatient registration. The data about management elements were collected using a closed questionnaire, while the data about waiting time used an open questionnaire. The research showed that 51% of the management elements were competent, 77% registered method through offline, 59% informative, 58% fast time, and more than half of the patients stated that the waiting time was inappropriate as many as 77 respondents (77%). This study used the Chi Square test with a value of ? = 0.05. Regarding the management element, it obtained man p = 0.000, method p = 0.001, information p = 0.000, and time p = 0.006, meaning that there was a relationship between management elements of man method and information and waiting time at outpatient registration at Soegiri Hospital of Lamongan. It is hoped that the outpatient unit will further speed up the waiting time at outpatient registration by increasing the competence of registration officers by taking courses, participating in various trainings, and taking competency certification tests.
The Comparison Close Kinetic Chain Exercise And Open Kinetic Chain Exercise After Infra Red To Increasing Functional Ability In Primary Osteoarthritis Genu At Bhayangkara Kediri Hospital
Osteoarthritis is a degenerative health disorder characterized by stiffness and inflammation of the joints, characterized by damage to the cartilage, which can cause pain in the joints of the hands, neck, back, lower body, back and often the knee joints. Pain in genuine osteoarthritis can last a long time causing limitations in the ability to function functional activities. One non-pharmacological method is kinetic chain exercise. This study aims to determine the comparison of close kinetic chain exercise and open kinetic chain exercise after giving infrared to increase functional ability in conditions of primary genu osteoarthritis. This research uses a quasi experimental design with a pre and post test two group design approach. The sample for this research was 30 respondents. 15 respondents were treated with close kinetic chain exercise after giving infrared and 15 respondents were treated with open kinetic chain exercise after giving infrared. There is an effect of close kinetic chain exercise after administering infrared on increasing functional ability in primary genu osteoarthritis conditions at Bhayangkara Kediri Hospitalwith a significance of 0.001< ? (?=0.05).There is an effect of open kinetic chain exercise after administering infrared on improving functional abilities in primary genu osteoarthritis conditions at Bhayangkara Kediri Hospital with a significance of 0.006< ? (?=0.05).There is a difference in the effect of close kinetic chain exercise after giving infrared and open kinetic chain exercise after giving infrared on increasing functional ability in primary genu osteoarthritis conditions at Bhayangkara Kediri Hospital with a significance value of 0.035< ? (?=0.05). Close kinetic chain exercise after giving infra red is more effective than open kinetic chain exercise after giving infra red in improving the ability of primary genu osteoarthritis conditions at Bhayangkara Kediri Hospital in 2023.
The Effect Of Quadricepts Strengthening Exercise On Increasing Muscle Strength And Decreasing Pain Intensity In Genu Osteoarthritis Patients At Bhayangkara Kediri Hospital
Osteoarthritis is a joint deformity, often found in progressive degeneration of the articular cartilage, resulting in loss of joint space. Genu osteoarthritis patients complain of pain, limited movement, and a decrease in their functional activities. Patients with severe complaints use mobility aids for walking activities. This research uses a quasiexperimental design with one group pre and post test design approach. The sample for this research was 30 respondents. The sampling technique for this research is purposive sampling, which is a sample selection technique by selecting samples among a number of populations that are in accordance with what the researcher desires. There is an effect of quadriceps strengthening exercise on increasing muscle strength and reducing pain intensity in osteoarthritis genu patients at Bhayangkara Kediri Hospital in 2023. The average muscle strength of genu osteoarthritis patients before quadriceps strengthening exercise was 3.533 and the average pain intensity of genu osteoarthritis patients before quadriceps strengthening exercise was 4.8. The average muscle strength of genu osteoarthritis patients after quadriceps strengthening exercise was 4.6 and the average pain intensity of genu osteoarthritis patients after quadriceps strengthening exercise was 3.05. There is an effect of quadriceps strengthening exercise on increasing muscle strength with P-value 0,000<0,05 and effect of quadriceps strengthening exercise on reducing pain intensity in osteoarthritis genu patients signification p value 0,000<0,05.
EFFECT OF ULTRASOUND THERAPY AND MUSCLE ENERGY TECHNIQUE ON CHANGING THE ROM IN THE CASE GENU OSTEOARTHRITIS AT IMMANUEL HOSPITAL BANDUNG
Osteoarthritis is a chronic condition that develops slowly, characterized by weakening and wear of the cartilage itself and the formation of new bone on the joint surfaces. In cases of knee osteoarthritis, the clinical diagnosis is generally made in individuals aged 45 years and over or in older people who experience pain in the knee area related to activity and stiffness in the knee joint. The aim of this study was to evaluate the impact of providing Ultrasound Therapy and Muscle Energy Technique on changes in Range of Motion (ROM) in cases of Osteoarthritis Genu at the medical rehabilitation clinic at Immanuel Hospital Bandung.This research uses a quasi-experimental design with the design used is One-Group Pretest-Posttest. This study used 20 Osteorthritis Genu patients, using the Shapiro Wilk Test normality test method and using Paired Sample T-test analysis. Based on the research results, it can be concluded: 1. The average ROM value before being given Ultrasound Therapy and Muscle Energy Technique was 120, with a minimum value of 110 and a maximum value of 128 and a standard deviation value of 4.42. 2. The average ROM value after being given Ultrasound Therapy and Muscle Energy Technique was 123.05, with a minimum value of 113 and a maximum value of 132 and a standard deviation value of 4.39. 3. There is an effect of giving Ultrasound Therapy and Muscle Energy Technique on changes in ROM values, it can be shown that the significance value of the Paired sample t-test is 0.000.
THE EFFECT OF ADMINISTERING TENS COMBINED WITH ISOMETRIC EXERCISES ON PAIN VALUES AMONG PATIENTS WITH KNEE OSTEOARTHRITIS AT THE IHC LAVALETTE HOSPITAL MALANG
Osteoarthritis causes changes within the digestion system of joint cartilage. These changes are within the shape of an increment within the action of chemicals that damage the macromolecules of the joint cartilage network, went with by a diminish within the blend of collagen and proteoglycans. This causes a decrease in proteoglycan levels, changes in the properties of collagen and reduced water content in joint cartilage causing pain in the knee. In this research, researchers used quantitative research methods or tested directly. The inquire about plan utilized by analysts is one bunch pretest-posttest plan. Within the One-Group Pretest-Posttest Plan the subordinate variable is measured as one bunch some time recently (pretest) and after (posttest) a treatment is given. The sample used in this study was 15 respondents who were given a combination of Transcutaneous Electrical Nerve Stimulation and isometric exercises. P value = 0.001 < 0.05 Conclusion: H0 is rejected. H1 is accepted. There's a noteworthy impact of giving a combination of Transcutaneous Electrical Nerve Incitement and isometric works out on torment scores in patients with knee osteoarthritis at Lavalette Hospital, Malang.
ANALYSIS OF EATING BEHAVIOR IN CONSTIPATION WITH LAWRENCE GREEN THEORY APPROACH
Abstract:Constipation is an obstruction of defecation from normal habits where there is infrequent defecation, the amount of stool is less, the consistency is hard and dry. One of the factors that cause constipation is the lack of knowledge and attitudes in carrying out dietary behavior and the lack of support from the family. The purpose of this study was to analyze dietary behavior in the incidence of constipation. The design of this research is Analytical Observation with Cross Sectional approach. Samples were taken using the purposive sampling technique in accordance with the inclusion and exclusion criteria of dietary behavior at MTs Al-Hidayah, Wajak Village, Wajak District, Malang Regency, with a total of 114 respondents. Collecting data in this study using a questionnaire sheet. The statistical test used is linear regression analysis test. The results showed that there was an influence between knowledge and p-value results of 0.007 < (0.05) with a coefficient of 0.673, attitude p-value <0.001 with a coefficient of 0.432, and family support p-value <0.001 with a coefficient of 0.358 on behavior. dietary habit. Based on the results of the analytical test, it can be concluded that there is an influence between knowledge, attitudes and family support on dietary behavior. So it is necessary to increase knowledge, attitudes and family support in dietary behavior to prevent constipation Keywords: Knowledge, Attitude, Family Support, dietary behavior Abstrak :Konstipasi merupakan terhambatnya defekasi dari kebiasaan normal dimana terjadi defekasi yang jarang, jumlah feses yang kurang, konsistensinya yang keras dan kering. Salah satu faktor penyebab terjadinya konstipasi adalah kurangnya pengetahuan dan sikap dalam melakukan perilaku pola makan serta kurangnya dukungan dari keluarga. Tujuan dalam penelitian ini untuk menganalisis perilaku pola makan pada kejadiankonstipasi.Desain penelitian ini yaitu Observasional Analitikdengan pendekatan Cross Sectional. Sampel yang diambil menggunakan teknik Purposive Samplingsesuai dengan kriteria inklusi dan eksklusi dari perilaku pola makan di MTs Al-Hidayah Desa Wajak Kecamatan Wajak Kabupaten Malang dengan jumlah 114 responden. Pengambilan data dalam penelitian ini menggunakan lembar kuesioner. Uji statistik yang digunakan yaitu uji analisis regresi linear.Hasil penelitian menunjukkan bahwa adanya pengaruh antara pengetahuan dengan hasil p-value 0,007<(0,05)dengan hasil koefisien 0,673, sikap p-value<0,001 dengan hasil koefisien 0,432, dan dukungan keluarga p-value<0,001 dengan hasil koefisien 0,358 terhadap perilaku pola makan. Berdasarkan hasil dari uji analistik dapat disimpulkan bahwa ada pengaruh antara pengetahuan, sikap dan dukungan keluarga terhadap perilaku pola makan. Sehingga diperlukan adanya peningkatan terhadap pengetahuan, sikap dan dukungan keluarga dalam perilaku pola makan untuk mencegah terjadinya konstipasi. Kata kunci : Pengetahuan, Sikap, Dukungan Keluarga, Perilaku Pola makan
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EFFECTIVENESS OF USE DIALIZER REUSE ON UREA REDUCTION RATIO IN HEMODIALYSIS PATIENTS AT KARSA HUSADA BATU HOSPITAL
Chronic Kidney Disease (CKD) is an end-stage disease of the kidneys, the causes are multiple, can cause to uremia and cannot be renewed. Hemodialysis is a therapy for renal kidney disease. One of the appraisal adequacy of hemodialysis therapy is to use the URR (Urea Reduction Ratio) that assessment by measuring urea before and after hemodialysis therapy. Hemodialysis therapy uses a dialyser that can be used repeatedly in the same patient. The use of dialysers at Karsa Husada Batu Hospital can be used up to 7 times reuse. The research objective was to determine the effectiveness of using a reuse dialyzer to URR. This research design uses comparative descriptive appraisal is a difference between reuse to 1,3,5,7 and using a cross-sectional approach. Sampling using purposive sampling with a sample size of 26 respondents. The different test was used Kruskal Wallis by assessing the URR at the dializer in 1,3,5,7 reuse. Significance of 0.802 (p&gt; 0.05) was obtained, which means that there is no significant difference in the URR value of chronic renal disease patients with hemodialysis therapy using dialyzer reuse to 1,3,5,7. For the URR assessment, it has decreased and increased but is still in normal limits. The dializer reuse up to seven can still be said to be effective in accordance with the guidelines for the management of End-Stage Renal Disease. It is hoped that there will be studies investigating the factors that affect the total volume dilation of dialyser reuse. Keywords : Hemodialysis, Dialyzer Reuse , Urea Reduction Ratio
EFFECTIVENESS OF BLENDED LEARNING BASIC LIFE SUPPORT (BLS) TRAINING ON KNOWLEDGE OF NURSING STUDENTS
Cardiac arrest is a sudden loss of heart function, the time of its occurrence is unpredictable and very quickly. Cardiac arrest events require a Chain Of Survival action, one of them is ability to do Basic Life Support (BLS) Skill. The number of nursing students were quite large, most of their time was spent in the community, giving them the opportunity to act as first responders in OHCA cases in the community. The purpose of this study was to determine the effect of BLS training on increasing knowledge first aid in cardiac arrest. The research design was pre-experimental with a sample consist of 229 students using a total sampling technique. The variables studied were knowledge before and after BLS training. Knowledge was assessed using a questionnaire. Statistical test using Wilcoxon Sign Rank Test. The results showed that the average pretest was 43.41 and the post-test average was 77.24. The value of p = 0.000 (<0.05) which means that there is an effect of Basic Life Support (BLS) training on knowledge of cardiac arrest first aid. Several factors behind the results were exposure to initial information, module provision and video and simulation methods. The research expected to be developed by providing a control group and cross sectional design. Keywords: Basic Life Support, Cardiac Arrest, Student
PATIENT IDENTIFICATION RELATED TO PATIENT SATISFACTION
Patient identification is an effort to find out the patient's identity through the ID number (KTP/ SIM/Student Card/Student Card) and date of birth to facilitate the provision of services to patients. The purpose of the study was to determine the relationship between the correct implementation of patient identification and patient satisfaction in Room 27. The research design used a correlative study with a cross sectional approach. The population of this study were all patients in room 27 who met the inclusion criteria and exclusion criteria with a total sample of 123 respondents. The results showed that most of the patients identified well and expressed satisfaction 101 respondents (82.11%), patients who were identified as good and stated dissatisfied 10 respondents (8.1%) and patients who were identified quite well and were not satisfied 12 respondents (9.75%). The statistical test used the chi-square test (x²) at a significance level of 95% (? = 0.05). The results obtained p-value = 0.000 with a level of significance <0.05. The conclusion is that there is a significant relationship between correct patient identification and patient satisfaction. Suggestions for hospitals to carry out patient safety training activities for health workers to improve quality in order to reduce the number of unexpected events (KTD).