AACENDIKIA: Journal of Nursing

Analysis of Family Support with Diabetes Self-Management in Type II Diabetes Mellitus Patients

Seprinus Patoding, Fadli Fadli, Hartono Hartono — Tue, 31 Dec 2024 00:00:00 +0000

Family support is crucial in changing the condition of patients with diabetes mellitus. If a patient lacks family support, it will affect their self-management. Diabetes self-management refers to the knowledge of properly managing diabetes mellitus (DM) by controlling the disease through problem-solving skills development and increasing patients' self-confidence to reduce the impact of diabetes. The aim of this study is to determine the relationship between emotional, instrumental, appreciation, and informational support with diabetes self-management in patients with type 2 DM in the working area of Wara Barat Public Health Center, Palopo City, in 2024. This research is a quantitative study with a descriptive-analytical research design using a cross-sectional approach. The sample size consists of 65 respondents selected through purposive sampling. The research instrument includes the HDFSS family support questionnaire and the DMSQ diabetes self-management questionnaire. Based on the chi-square test results, the p-value was found to be <0 (α<0.05), indicating a relationship between family support—viewed from four dimensions: emotional, instrumental, informational, and appreciation—and diabetes self-management in type 2 DM patients in the working area of Wara Barat Public Health Center, Palopo City, in 2024. It is recommended that families of type 2 DM patients who still lack sufficient family support better understand the self-management needs of the patients.

Implementation of Hypovolemia Management with Hypovolemia Nursing Problems in Open Fracture Patients

Leni Rosita, Arif Hibahtulloh — Tue, 31 Dec 2024 00:00:00 +0000

Fracture is a disruption of bone continuity that causes tissue and blood vessel damage, resulting in bleeding around the fracture and soft tissue, which can cause hypovolemia. The most effective way to overcome this problem is with hypovolemia management. The purpose of this study was to determine the application of hypovolemia management in open fracture patients who experience hypovolemia. The method used in this compilation is a descriptive type of compilation. Qualitative compilation is a compilation of research that is descriptive in nature and tends to use analysis with the study subjects in this case being 2 patients who experienced open fracture health problems with hypovolemia nursing problems with patient criteria: Patients with open fractures, experiencing hypovolemia nursing problems, and willing to undergo hypovolemia management. Data collection according to the assessment format, focused on subjective and objective data to facilitate data collection regarding the application of hypovolemia management in fracture patients. The diagnosis made was hypovolemia related to active fluid loss, with hypovolemia management intervention. The conclusion of the case study showed that the condition of the two patients began to improve after hypovolemia management was carried out.

Cost-Minimization Analysis of Antibiotic Therapy in Pneumonia Patients

Nurlailis Sa'adah Lailis — Tue, 31 Dec 2024 00:00:00 +0000

Pneumonia, a severe lung infection caused by various pathogens, poses a significant global health challenge and is associated with high mortality rates. In the Special Region of Yogyakarta, respiratory infections are a leading cause of illness. This study aims to identify patient characteristics and evaluate antibiotic therapies and cost-efficiency at RSUD Yogyakarta in 2023. Utilizing a descriptive observational design and Cost Minimization Analysis (CMA), the study found that ceftriaxone injection is the most cost-effective single antibiotic therapy (Rp5,858,567), while the combination of Mei Act Capsules + fosmycin injection is the most economical combination therapy (Rp2,832,524). These findings highlight the importance of selecting antibiotic therapies that are not only effective but also cost-efficient, in order to enhance pneumonia treatment quality while reducing financial burdens.

Pregnant Women's Knowledge About Anemia

Yuningsih — Tue, 31 Dec 2024 00:00:00 +0000

Anemia in pregnant women is a condition characterized by hemoglobin levels below normal limits, which is less than 11 g/dL in the first and third trimesters, and less than 10.5 g/dL in the second trimester. This condition can increase the risk of pregnancy and childbirth complications. Pregnant women's knowledge about anemia is an important factor in efforts to prevent and treat anemia during pregnancy. This study aims to describe the level of knowledge of pregnant women about anemia in the Kelapa Dua Health Center work area, Tangerang Regency. The research method used was an analytical survey with a cross-sectional study approach. The study sample consisted of 20 pregnant women selected based on predetermined inclusion criteria. Data were collected through a questionnaire containing questions related to knowledge about anemia and hemoglobin level examination. The results showed that the majority of respondents were under 20 years old (65%) and had a bachelor's degree (55%). Based on the results of data analysis, 75% of pregnant women had sufficient knowledge about anemia, while 25% had insufficient knowledge. The prevalence of anemia in this study was 15%, with 3 out of 20 pregnant women experiencing anemia. Statistical analysis shows a significant relationship between the level of knowledge of pregnant women and the incidence of anemia (p-value <0.01). So it is concluded that the level of knowledge of pregnant women about anemia plays an important role in preventing and reducing the risk of anemia during pregnancy.

The Effect of Using the Nesting Method and Prone Position on Changes in Oxygenation Status in Low Birth Weight Babies

Melti Suriya — Tue, 31 Dec 2024 00:00:00 +0000

Low birth weight babies is a public health problem because it is one of the causes of the high infant mortality rate (AKB). Prematurity is the 2nd cause of death in babies aged 0 - 6 days, which is caused by immaturity of almost all organs of the baby's body. Babies with BBLR are one of the risk factors that have various complications. Low birth weight babies who are quite large and susceptible to impaired vital functions that can affect the growth and development of the baby require proper treatment. The use of nesting is one of the recommended treatments for BBLR. This study aims to determine the effect of the use of nesting and prone position in premature infants on changes in oxygen saturation at Bhakti Husada Purwakarta Hospital in 2024. This study is a quantitative research using the quasi-experiment design method type one group pretest-posttest with a total of 15 respondents in the BBLR in the control group and 15 respondents in the intervention group. The conclusion of this study is that there is an effect of nesting and prone position on changes in oxygen saturation in BBLR. There was no significant effect of nesting on pulse frequency and BBLR breath rate. The use of nesting and prone positions can be used as a form of nursing intervention.