Jurnal Kesehatan Komunitas Indonesia

The Effectiveness of Aloe Vera in Multiple Moist Spray Products as a Hair Tonic to Reduce Students Scalp Irritation

Mochammad Agung Dhani Setiawan — 2024-08-10

Skin irritation on the scalp is often experienced by men. This happens due to the high increase in sebum production and frequent use of excessive products like pomade. For men with sensitive scalp, this causes hair problems such as dandruff. Proper hair care can help manage dandruff, including the use of a hair tonic containing aloe vera. This research aims to investigate the influence of aloe vera content on dandruff treatment. The study design employed pre-experimental research with a pre-post test group, involving a population of 23 respondents and a sample of 23 respondents selected through total sampling. Statistical analysis utilized paired t-tests with significance set at <0.05. Results from 23 respondents indicated that 19 respondents (82.6%) experienced a decrease in scores, while 4 respondents (17.4%) showed an increase. Statistical analysis revealed significant results with a p-value of 0.000 < 0.05. The conclusion drawn is that the aloe vera content in Multiple Moist Spray has a beneficial effect on treating dry dandruff. Therefore, individuals with dandruff are encouraged to be selective in choosing scalp treatments.

Successful Aging Among Community-Dwelling Older Adults in Rural Areas of Jember District

Adela Hery Prasilia Amalda — 2024-08-10

Background: Successful aging is a condition when the elderly not only live long but remain in good health so that they can be independent, and useful. Purpose: This study aims to determine the description of successful aging in the elderly at Karang Werda, Rambipuji District, Jember Regency. Methods: This study used a descriptive observational design with a cross-sectional approach and involved 213 elderly people selected by total sampling. The research instrument used the Successful Aging Scale (SAS). Data analysis used descriptive statistical tests and a chi-square test in crosstab analysis to analyze the characteristics of respondents with successful aging. Results: The success rate of aging in the elderly was mostly high. The highest indicators of successful aging were primary and secondary control, while the lowest were selection optimization and compensation. Analysis showed associations between the characteristics of age, gender, education, and smoking habits with successful aging (p-value < 0.05), while marital status, medical history, living status, employment, and income were not associated (p-value > 0.05). Conclusion: The majority of the elderly in Karang Werda, Rambipuji District, Jember Regency, showed a high level of successful aging.

Application of Progressive Muscle Relaxation Technique to Reduce Blood Glucose Levels in Elderly with Diabetes Mellitus

Ricky Aprileo Pratama Putra — 2024-08-20

Diabetes mellitus is a metabolic disease which is often found in the elderly caused by a degenerative process. Progressive muscle relaxation technique is one of the non-pharmacological therapy to decrease blood glucose levels in diabetes mellitus. This case study aimed to analyzed the effect of progressive muscle relaxation technique on problem of instability of blood glucose levels in elderly. This research design is case study. The sample of this research is one elderly who had diabetes mellitus type 2. The data collection by measuring blood glucose levels during pre-intervention in the morning and post-intervention in the afternoon. The elderly had intervention twice a day for 20 minutes and forward until 5 days. Data collected and processed by using statistical T-test dependent. The elderly with diabetes mellitus type 2 given progressive muscle relaxation technique experienced a decrease in blood glucose levels from pre to post intervention with p-value 0.005 which means it is significant. The application of progressive muscle relaxation technique given to the elderly affect to decrease blood glucose levels in the outcome of pre and post intervention.

Determinants of Food Security in Rural Households: An Analysis of Dietary Diversity, Land Ownership, and Socioeconomic Factors

Fitrio Deviantony — 2024-08-16

Background: Food security is a critical issue in rural areas, influenced by various socioeconomic factors, dietary practices, and resource ownership. Understanding the determinants of food security can help in designing effective interventions to improve the well-being of rural households. Purpose: This study aims to identify and analyze the key determinants of food security among rural households, focusing on dietary diversity, land ownership, and other socioeconomic factors. Methods: The dataset used in this study includes variables such as gender, marital status, education, land ownership, food crop cultivation, meal frequency, age, food source, Food Security Index (FSI), and Household Dietary Diversity Score (HDDS). Multiple linear regression analysis was conducted to explore the relationships between these variables and the FSI. Additionally, a Random Forest Regressor model was employed to predict the FSI and to determine the importance of each feature. Results: The multiple linear regression analysis revealed that HDDS has a significant positive relationship with the FSI (p<0.001), indicating that higher dietary diversity is associated with higher food security levels. Other variables, such as education and food source, showed weaker correlations with food security. The Random Forest Regressor model achieved an R-squared value of 0.495, with feature importance analysis indicating that HDDS, food source, and age are the most influential factors in determining food security. The Mean Squared Error (MSE) of the model was 10.743. Conclusion: This research highlights the crucial role of dietary diversity and socioeconomic conditions in shaping food security outcomes in rural areas. The findings provide valuable insights for policymakers and stakeholders aiming to enhance food security and dietary quality in rural communities. Further studies are recommended to explore the complex interactions between these variables and to develop targeted interventions to improve food security.

Community Nursing Care: Unhealthy Lifestyle as A Risk Factor of Hypertension in Older Adults in Rural Areas

Marsya Nurrahmawati — 2024-08-20

Introduction: Adults-elderly habits of unhealthy lifestyles increase the risk of hypertension. The high incidence of hypertension causes indications for the diagnosis of community health deficit. Hypertension can be associated with heredity, an unhealthy lifestyle such as smoking, less consumption of vegetables and fruits, lack of physical activity, alcohol consumption and stress. Objective: to determinan the picture of community nursing care, unhealthy lifestyles health deficit problems in older adults with behavioral promotion interventions for health efforts in RW 02 Baratan Village. Method: The method use in this study was quantitative descriptive and quota sampling technique to determine the sample. Results: The research results show that implementig promotion interventions for health efforts are able to increase knowledge, atttudes, and behavior towards healthy lifestyles through education programs, exercise, and demonstrations. The Sig(2-tailed) value obtained in the knowledge category was P=0.025; attitude category P=0.000; behavior category P=0.000 where a<0.05 means there is a difference between before and after implementation. Conclusion: There has been increase in health program participation, health standars compliance, and monitoring of communty health standards.

Health System Guidance as Nursing Intervention for Ineffective Health Management in Aggregate Adults with Hypertension

Rahma Mar'atus Sholikhah — 2024-08-20

Introduction: Hypertension is a type of non-communicable disease that can significantly cause morbidity and mortality of sufferers. Adult age is a risk factor that has a great influence on hypertension. Interventions that can be given to the community are Health System Guidance to identify hypertension problems in the community and develop the ability to overcome existing health problems, namely hypertension problems. Objective: To determine the effectiveness of nursing interventions for health system guidance. Method: Descriptive and analytical research design with a sample of 50 productive age who have hypertension in the RW 08 area of Patrang Village and 5 health cadre. This research carried out implementation in the form of primary prevention (health education), secondary prevention (hypertension screening and cadre empowerment) and tertiary prevention (education and demonstration of giving star fruit juice). Data collection used respondent characteristic instruments, hypertension knowledge questionnaire, hypertension diet questionnaire, standart operating procedure for blood pressure measurement, standart operating procedure for making star fruit juice. Data analysis used paired sample t-test, wilcoxon test, and mann whitney test. Results: There was a significant difference between knowledge before health education and after health education (p = 0.000). In cadre empowerment, there was an increase in the percentage of cadre ability and the mean of cadre knowledge. In tertiary prevention, there was a significant difference between blood pressure after giving star fruit juice therapy between the intervention and control groups (p < 0.05). Conclusion: Health system guidance is effective in improving health management of hypertension.

Level of Anxiety with COVID-19 Vaccine Screening Results in Jember Regency

Alfid Tri Afandi — 2024-08-20

Anxiety can decrease concentration, so it can be dangerous if it happens to someone who is going to do work that could pose a risk of injury. This research aims to identify anxiety levels, identify vaccine screening results COVID-19, and analyze the relationship between anxiety levels and vaccine screening results COVID-19. The independent variable in this study was the level of anxiety, while the dependent variable was the results of vaccine screening for COVID-19. This research had 115 respondents using a sampling technique, namely consecutive sampling. This research design uses a cross-sectional correlation type approach. Use bivariate statistical tests. The results of this study were that most of the vaccine participants' anxiety levels were high, COVID-19 was mild anxiety 54.8%, most respondents had vaccine screening results for COVID-19, namely passing the screening at 92.2%, and there is a relationship between the level of anxiety and the results of the vaccine screening COVID-19 with a value of p=0.000 (p<0.05). It is hoped that this research can provide input and additional information for nursing education regarding people's anxiety levels.

Correlation Between Spirituality and The Level of Psychological Well-Being in the Elderly at Banyuwangi Nursing Home

Niken Aprilia — 2024-08-20

Background: Elderly in nursing homes face various problems such as a decline in body condition and health due to the aging process which has an impact on psychological well- being. Problems in psychological well-being can be addressed through spirituality, which functions as a coping mechanism. Purpose: This study aims to analyze the relationship between spirituality and the level of psychological well-being in elderly at nursing home in Banyuwangi. Methods: This study is a quantitative study, correlational study design with a cross sectional approach. The sample in this study consisted of 42 respondents selected using a total sampling according to inclusion and exclusion criteria. This study used the Daily Spiritual Experience Scale (DSES) questionnaire and the Psychological Well-Being Scale (PWBS) questionnaire. Results: Descriptive analysis showed that the majority of elderly at nursing home in Banyuwangi had a high level of spirituality (50.0%) and a high level of psychological well-being (38.1%). Based on the Kendall's Tau b correlation test, the p-value was 0.001, indicating there is relationship between spirituality and the level of psychological well-being in the elderly at nursing home in Banyuwangi. The results of the r-value was +0.487, show there is a positive correlation which means the higher the level of spirituality in the elderly, the higher the level of psychological well-being. Conclussion: spirituality has an important role in improving the psychological well-being of the elderly, so efforts can be made to improve the psychological well-being in the elderly by increasing spirituality in the elderly.

Effectiveness of Compression Therapy on Lower Extremity Oedema in Heart Failure Patients: A Case Study

Irdina Batrisyia — 2024-08-20

Background: Heart Failure is a condition that the heart can not pump enough blood to meet the circulatory needs used in the body's metabolic processes. Patients with heart failure disease may experience swelling (oedema) in certain parts of the body, especially the lower extremities. Oedema that is not treated will exacerbate damage to the circulatory system. One of the treatments for lower extremity oedema in heart failure patients can be done by giving compression therapy. Purpose: The purpose of this study is to determine the effectiveness of compression therapy on lower extremity oedema in heart failure patients. Method: This research is a case study that managed one patient with heart failure disease who has lower extremity oedema. Data collection was carried out by observation, interview and provision of interventions carried out for 4 days using moderate pressure (20-30 mmHg). This research use compression stocking for 18 hours within 24 hours. Compression therapy is given once a day that the stocking is used at 14.00 WIB and removed at 08.00 WIB on the following day. The instrument used in this study was the pitting oedema observation sheet. Result: The results of this study were a decrease in the degree of pitting oedema in patients from a value of +3 with a depth of 5 mm in a return time of 65 seconds to a value of +1 with a depth of 1 mm in a return time of 2 seconds. Conclusion: Compression therapy is effective in reducing the degree of pitting oedema in patients with heart failure. Compression therapy has optimal effectiveness on the third day of intervention. Therefore, this therapy is highly recommended to be applied in the inpatient room, especially in patients with heart failure who have oedema in lower extremity.