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Musculoskeletal disorders (MSDs) can have a significant negative impact on quality of life, resulting in reduced ability to work, absenteeism, and possibly switching occupations. The purpose of this study was to investigate the relationship between the prevalence and severity of MSDs and the nurse characteristics (NCs) of nurses working in the Dr Soedarso Regional Hospital (DSRH) inpatient department. An analytical and descriptive cross-sectional methodology was used to examine 134 nurses from Inpatient Wards A and B. Total sampling was used to select the respondents. The level of exposure to the conditions investigated by the quick exposure check (QEC), namely, static and dynamic movements in the back, shoulders/arms, neck, and work-related stress, was significantly correlated with gender and neck (0.050), a history of education-related physical strain, such as back mobility (0.021), years of work-related strain on the neck (0.040), and work-related stress (0.033). There were no significant correlations found between age and static and dynamic movements of the back, shoulders/arms, and neck. Gender, education level, and employment duration all have a strong correlation with MSDs among DSRH inpatient nurses. [ABSTRACT FROM AUTHOR]

Labor pain is a manifestation of the contraction (shortening) of the uterine muscles. Non-pharmacological treatment in pain management, namely deep breathing relaxation and counterpressure massage is an alternative method and a new trend that can be developed. This study investigated the effectiveness of deep breathing relaxation and Counterpressure massage in alleviating labor pain during active phase I. Employing a quasi-experimental design with a two-group pre-test post-test approach, 30 postpartum mothers from June to July 2021 were consecutively sampled. Deep breathing relaxation (5 times for 3-5 minutes) and counterpressure massage (3 times for 30-90 seconds) served as the independent variables, while pain intensity during the first active phase was the dependent variable. Utilizing the Wilcoxon and Mann Whitney tests at a 5% significance level, significant reductions in pain intensity were observed after both interventions (pvalues: 0.002 for deep breathing, 0.046 for counterpressure massage). These non-pharmacological methods, enhancing endorphin release, contribute to relaxation and pain intensity reduction during labor. The findings underscore the potential of integrating deep breathing relaxation and counterpressure massage as effective approaches in non-pharmacological labor pain management. [ABSTRACT FROM AUTHOR]

Chronically elevated blood pressure was a prominent risk factor for cardiovascular diseases. The management of hypertension, especially in community settings, should combine pharmacological and non-pharmacological interventions. This study aimed to evaluate whether music-assisted progressive muscle relaxation (PMR) using Gamelan, Javanese classical music, could reduce blood pressure more effectively in hypertensive elderly individuals in Malang, Indonesia, than PMR alone. This study employed a pre-test and post-test study design with a control group. Fifty-eight respondents were randomly assigned to the intervention group (n=31) and the control group (n=27). Three respondents in the control group did not complete the study; thus, they were excluded from the analysis. The intervention group was trained and guided to perform PMR while listening to Gamelan. Meanwhile, the control group only received PMR. The intervention was conducted twice a week for 20 minutes for eight weeks. Dependent variables in this study were systolic and diastolic blood pressure, which were measured using an aneroid sphygmomanometer. Data were analyzed using descriptive statistics, paired t-tests, independent t-tests, and Mann-Whitney test. We found a significant decrease in systolic and diastolic blood pressure in both groups. A Mann-Whitney test showed that there was a significant difference in the reduction of systolic blood pressure in the intervention group compared to the control group (p=0.000). Meanwhile, the independent t-test showed that the diastolic blood pressure in the intervention group reduced more significantly than that in the control group. The efficacy of Gamelan-assisted PMR in significantly reducing both systolic and diastolic blood pressure showcases the potential of such combined interventions in managing hypertension. We recommend Gamelan-assisted PMR as a complementary therapy for the elderly with primary hypertension. [ABSTRACT FROM AUTHOR]

The utilization of social media for obtaining information on exclusive breastfeeding is driven by various user-friendly features that facilitate information retrieval. This study delves into understanding the correlation between mothers' engagement with social media for information and their knowledge levels regarding exclusive breastfeeding in Indonesia. Through a cross-sectional analysis involving 93 purposefully selected respondents, demographic factors such as age, education, occupation, social media usage for breastfeeding information, and knowledge levels were evaluated using a validated questionnaire. Descriptive analysis was applied to the data, and significance testing was conducted using Chi-square tests. The questionnaire underwent validity and reliability tests, confirming its robustness. Results indicated a significant association (p < 0.000) between social media usage for breastfeeding information and the knowledge levels of mothers successfully practicing exclusive breastfeeding. Mothers who achieved exclusive breastfeeding demonstrated a discernible level of knowledge about utilizing social media as an information source for breastfeeding. This study highlights the escalating role of social media in shaping mothers' understanding of exclusive breastfeeding. The findings underscore the significance of targeted interventions and educational programs through social media platforms to enhance breastfeeding practices. [ABSTRACT FROM AUTHOR]

The World Health Organization (WHO) reported that by 2030, diabetes mellitus would become the 7th leading cause of death. Diabetes mellitus is a chronic disease that causes various complications, one of which is peripheral neuropathy. Preventive efforts for peripheral neuropathy involve conducting detection examinations. The purpose of this study was to analyze nerve damage in peripheral neuropathy cases using the MNSI (Michigan Neuropathy Screening Instrument) and MDNS (Michigan Diabetic Neuropathy Score) instruments. The study employed a cross-sectional study approach with a sample of 50 people, using total sampling as the sampling technique. The independent variable in this study was nerve damage, and the dependent variable was peripheral neuropathy. Data collection in the study was carried out using the MNSI and MDNS instruments to link the dependent and independent variables. Hypothesis analysis in this study was conducted using the Spearman's rho correlation test. The study found that autonomic, sensory, and motor damage correlated with peripheral neuropathy, with a p<0.05. Examinations in the feet of diabetics were significantly related to the level of peripheral neuropathy. However, there was no evidence of a correlation between the characteristics of the respondents and the incidence of peripheral neuropathy. The results of the nerve damage examination demonstrated a correlation between different types of damage, and the MNSI and MDNS instruments proved effective in detecting peripheral neuropathy damage. Future research should focus on more indepth studies to explore the correlation of nerve damage in patients with diabetes mellitus detected at a young age and consider other variables, such as HbA1c levels, as potential risk factors for peripheral neuropathy. [ABSTRACT FROM AUTHOR]

Family is one of the closest people in helping individuals solve problems and serve as the foundation for developing coping strategies. Several factors influence coping strategies, including problem-solving skills and family support. This study aimed to explore the correlation between family support and coping strategies among female prisoners. The research employed a quantitative correlation design using a cross-sectional approach and a total sampling technique, with a sample of 33 female prisoners. The study included two variables: family support as the dependent variable and coping strategy as the independent variable. The chi-square test was used for data analysis. The results revealed that a majority of female prisoners received good family support (51.5%), and most of them used emotion-focused coping strategies (63.6%). The results indicate a significant correlation between family support and coping strategies for female prisoners, with a p-value of 0.004. It highlights the importance of family support for prisoners in developing effective coping strategies. The findings emphasize that family support plays a crucial role in enhancing coping strategies for inmates, ultimately contributing to an improved quality of life. [ABSTRACT FROM AUTHOR]

The World Health Organization (WHO) estimated that 1.28 billion adults aged 30-79 years worldwide suffered from hypertension. Dayak onion is an herbal plant found in Indonesia, particularly in Kalimantan and traditionally used to treat hypertension. The purpose of this study was to determine the effect of Dayak onion steeping water on the reduction of systolic-diastolic blood pressure and mean arterial pressure (MAP) in hypertensive patients. This study employed a quasi-experimental research design with a time series approach, utilizing a pre-post-test design with a control group. The sample included two groups (intervention and control), totaling 30 participants. The independent variable was the steeping of Dayak onion bulbs, while the dependent variables were blood pressure values and MAP. The instruments used were Standard Operating Procedures (SPO) Dayak onion herb, SPO blood pressure measurement, SPO calculation of MAP, and a digital sphygmomanometer. Data analysis was performed using paired t-tests. The results of the paired t-test statistical analysis of systolic-diastolic values and MAP in each group revealed significant findings. In the intervention group, a significant result was obtained in the pre-post test difference test, with a p<0.05 from day 1 to day 3 assessments. This suggests that Dayak onion steeping water had an effect on systolic-diastolic and MAP values in the intervention group. In contrast, the pre-post test in the control group yielded a p<0.05 for systolic values on days 2 and 3, diastolic values on days 1 and 3, and MAP values on days 1, 2, and 3. This indicates differences in systolic-diastolic and MAP values in the pre-post assessments, although these differences were not evenly distributed across every day. The study found that Dayak onion steeping water had an effect on systolic-diastolic and MAP values in the intervention group. Thus, the use of Dayak onion steeping water, containing allicin, can be considered an approach for controlling hypertension in the realm of complementary and alternative medicine, utilizing natural ingredients for herbal therapy. [ABSTRACT FROM AUTHOR]

Introduction: Newly hospitalized patients often face some situations that have not been recognized or faced previously. Meanwhile, admission orientation can help inpatients to adapt and reduce their anxiety, but it has not been carried out optimally in some hospitals in Indonesia. Therefore, innovative media is needed to improve the efficiency and increase the willingness of nurses in carrying out admission orientation. Objective: This study aims to identify the effect of implementing website-based digital media about admission orientation on nurses’ compliance with the procedure for new patient admissions. Design and Method: This is a quantitative study with a preexperimental one-group pretest-posttest design. The sample population consists of nurses in the inpatient ward, and a total of 21 samples were then selected using the total sampling method. Subsequently, statistical analysis was carried out on the data obtained using the paired t-test. Results:The results showed that the p-value was 0.001 (< 0.05), indicating there was a significant difference between the nurse compliance level before and after implementing the webbased digital media. Furthermore, the average pretest score was 90, while the average posttest score was 94.6. Conclusions: Based on the results, there was an increase in the level of nurse compliance after the intervention. [ABSTRACT FROM AUTHOR]

Introduction: The COVID-19 pandemic has caused a major shift in the healthcare delivery system. With the limited personal protection equipment and a nursing service shortage caused ineffective nursing care delivered to COVID-19 patients. Wearing full personal protective equipment (PPE) hinders nurse-patients communication and inhibiting the achievement of treatment goals. This study aims to examine the effect of a ‘COVID Nurse Assistant’ (CNA) application on patient satisfaction in COVID-19 isolation rooms. Design and Methods: This was a comparative study with an experimental and control group design. The participants were patients confirmed positive with COVID-19 receiving care in an isolation room for at least three days and were fully conscious. The intervention used was accessing health information related to COVID-19 through a mobile-friendly application namely- ‘COVID Nurse Assistant’. The instrument used was the Patient Satisfaction Questionnaire (PSQ-18) translated into Bahasa Indonesia. In addition, an independent t-Test was used to perform statistical analysis. Results and Discussions: A total 158 respondents completed the online survey among of 219 eligible patients (72% response rate). The score in the general and financial satisfaction sub-scales reported by patients in the experimental group were significantly different from the control with p-values of 0.032 and 0.018 respectively. However, other subscales were not significantly different between the two groups. Conclusions: The implementation of the CNA online application has noteworthy implications on patient satisfaction. However, further studies examining similar system in different clinical areas would provide better information for the optimal use of technology in patient education. [ABSTRACT FROM AUTHOR]

Introduction: Patient safety is a healthcare system, which minimizes the occurrence and impact of side effects. It also helps to facilitate full recovery in patients, and efforts to improve their safety require teamwork, such as situation monitoring by nurses. Therefore, this study aims to determine the effects of TeamSTEPPS implementation by nurses on situation monitoring in hospitals. Design and Methods: A quasi-experimental pre-post test design was used with a total of 56 nurses, which were selected using the purposive sampling technique. They were then shared equally into 2 groups, namely control and intervention groups. Results: The unpaired t-test result shows that the value of |t count| was lower than the t table (0.210 < 2.005), while the pvalue was greater than α (0.835 > 0.050). This result indicates that implementing TeamSTEPPS by nurses have an insignificant effect on situation monitoring in the hospital. Conclusions: In conclusion, hospitals are advised to implement TeamSTEPPS regularly to improve teamwork, specifically in situation monitoring by nurses. [ABSTRACT FROM AUTHOR]