Journal of Nursing Science Update (JNSU)

The Influence of Obesity on Polycystic Ovary Syndrome Rates in Women of Reproductive Age in East Java

Durrotul Qomariyah, Tita Hariyanti, Laily Yuliatun — Mon, 16 Dec 2024 00:00:00 +0000

Polycystic Ovary Syndrome (PCOS) is a hormonal disorder distinguished by irregular menstrual cycles, elevated androgen levels, and the presence of polycystic ovaries, impacting approximately 4-18% of women of reproductive age. This condition can lead to infertility, with obesity exacerbating its manifestations by elevating testosterone levels and contributing to insulin resistance. Various factors, including dietary habits and a sedentary lifestyle, play a significant role in the prevalence of obesity, particularly in Indonesia. This research aims to explore the potential relationship between obesity, physical activity, and dietary habits concerning the prevalence of PCOS among women of reproductive age in East Java. A quantitative research design has been employed, utilizing a cross-sectional approach. The study comprises two distinct groups: one consisting of women diagnosed with PCOS and another comprising healthy women. The sampling method used is purposive sampling. The research instrument includes demographic questionnaires, Body Mass Index (BMI) calculations, dietary assessments, and the Global Physical Activity Questionnaire (GPAQ). Data analysis was conducted using SPSS version 21. The findings indicated that the obesity emerged as the most significant independent factor influencing the likelihood of PCOS occurrence (p=0.000). The Exponent Beta (Exp. B) value, calculated at 31.62, reveals that women with obesity are at a 31-fold increased risk of developing PCOS compared to their non-obese counterparts. In conclusion, there is a significant association between obesity, physical activity, and dietary habits and the occurrence of PCOS among women of childbearing age in East Java

Enhance Mothers' Knowledge and Skills in Choking First Aid through Self-Directed Learning with Video Resources

Anugerah Aprioni, Asti Melani Astari, Lilik Supriati — Sat, 30 Nov 2024 00:00:00 +0000

Choking represents a life-threatening emergency that necessitates immediate intervention, making bystanders' knowledge and skills essential for practical first aid. Traditional training methods, such as PowerPoint presentations and printed materials, are widely employed; however, technological advancements have prompted the exploration of self-directed learning through video (SDL-V) as a potentially more effective approach. This study aims to evaluate the impact of SDL-V-based choking first aid training on mothers' knowledge and skills concerning toddler choking in Kalisongo village. Employing a quasi-experimental pretest-posttest design with a control group, 30 participants from the intervention and control groups were selected through simple random sampling. Knowledge and skills were assessed before and after training, and differences were analyzed using independent and paired sample T-tests. The N-Gain Score test was employed to determine the effect size. The results revealed no significant differences in knowledge and skills between the groups before training (P > 0.05). Nonetheless, significant improvements were noted within each group following the training (P < 0.05). The intervention group exhibited significantly higher levels of knowledge and skills compared to the control group after training (P < 0.05), demonstrating a high N-Gain Score (>0.70). In conclusion, SDL-V-based choking first aid training significantly enhances mothers' knowledge and skills in Kalisongo village. Healthcare professionals should consider the integration of SDL-V into public education and training programs.

Saving by Understanding The Needs of People With Disabilities During Natural Disasters: A Scoping Review

Lucky Albertus Palenewen — Thu, 28 Nov 2024 00:00:00 +0000

Natural disasters significantly increase the vulnerability of individuals with disabilities, resulting in a two to four times higher risk of death or injury compared to the general population. Research indicates they often have fewer resources, lower disaster preparedness, and are less likely to maintain household disaster kits, create evacuation plans, or participate in emergency drills. This scoping review aims to synthesize the essential needs of individuals with disabilities when confronted with natural disasters. The authors employed four databases—Wiley, ProQuest, Google Scholar, and Science Direct—to source relevant articles on the needs of individuals with disabilities in disaster scenarios. Following a quality appraisal per the PRISMA guidelines, twelve articles published between 2019 and 2024, accessible in full text and written in English, were selected from the various databases. The findings reveal that individuals with physical disabilities present diverse functional limitations that lead to distinct needs based on the type and level of disability. Among the primary necessities identified for individuals with disabilities in preparing for disasters are establishing social networks, access to pertinent information, 24-hour care services, providing evacuation equipment and tools, and education, training, and disaster response manuals. Addressing these needs is crucial for minimizing the adverse effects of natural disasters and facilitating a positive response and effective recovery for individuals with disabilities.

The Influence of Electronic Health Education Media on Enhancing Self-Management Among Individuals Afflicted with Gout Arthritis: A Comprehensive Scoping Review

Cornelia Fransiska Sandehang — Thu, 28 Nov 2024 00:00:00 +0000

Monosodium urate crystals accumulate in Gout Arthritis, resulting in joint inflammation, significant pain, and potential joint damage, which can impair mobility and lead to disability. Additionally, uncontrolled hyperuricemia may result in the formation of kidney stones and diminished kidney function. Therefore, implementing effective management and treatment strategies is crucial for enhancing self-management in individuals diagnosed with Gout Arthritis. This scoping review seeks to provide an overview of the effectiveness of various electronic health education media in improving the self-management of individuals suffering from Gout Arthritis. The study followed the PRISMA guidelines for scoping reviews and involved a comprehensive literature search across ProQuest, Science Direct, Wiley, and Google Scholar, focusing on publications from 2016 to 2022. Ten articles that met the predetermined inclusion criteria were synthesized for this review. The findings suggest that using electronic health education media can significantly enhance self-management practices and medication adherence among Gout Arthritis patients and facilitate favourable changes in uric acid levels. These insights may serve as valuable contributions to managing Gout Arthritis cases

Differences in The Effectiveness of Buerger Allen Exercise And Foot Exercises on Peripheral Perfusion in Type 2 Diabetes Mellitus

Rofiatul Jannah, Anita Fatarona, Hendra Dwi Cahyono — Thu, 28 Nov 2024 00:00:00 +0000

Background: Complications in patients with Diabetes Mellitus include microvascular complications and macrovascular complications. These complications occur due to poorly managed glucose levels over a long period, making individuals with diabetes mellitus highly susceptible to complications. One of the complications is peripheral neuropathy caused by peripheral perfusion disorders. Buerger Allen Exercise and Foot Gymnastics can prevent complications and improve peripheral circulation by assessing the value of the ankle brachial index. Purpose: To determine the difference in effectiveness between Buerger Allen Exercise and Foot Gymnastics on peripheral perfusion in type 2 diabetes mellitus patients in the working area of Patrang Community Health Center. Method: This study using quasi-experimental with pretest-posttest two-group design. The sample in the study consisted of 30 respondents with type 2 diabetes mellitus, divided into 15 groups for Buerger Allen Exercise and 15 groups for Foot Gymnastics. The intervention of Buerger Allen Exercise and Foot Gymnastics was conducted once with a duration of 20 minutes. Sample retrieval was performed using purposive sampling with random sampling technique. Results: The Buerger Allen Exercise group and Foot Gymnastics group had average values of 0.992 and 0.900, respectively. The obtained p-value (0.004) was ≤ α 0.005. Conclusion: The conclusion is that there is a difference between the Buerger Allen exercise intervention group and the foot exercise group. The Buerger Allen exercise intervention group is more effective than the foot exercise group in improving peripheral perfusion, as evidenced by the ankle-brachial index values.