Journal of Health and Cardiovascular Nursing

TOPICAL BREAST MILK IN UMBILICAL CORD CARE FOR CORD STUMP SEPARATION TIME OF UMBILICAL AND PREVENT INFECTION IN NEWBORN BABIES: CASE STUDY

2025-04-28T09:23:06+07:00

Infant mortality due to tetanus neonatorum infection is 77 per-1,000 live births. The effect of applying topical breast milk method in cord care can accelerate cord detachment and prevent infection compared to other methods. The purpose of applying topical breast milk is to accelerate cord detachment and prevent infection. The method used is a case study with the inclusion criteria of newborns of full term, normal birth weight, being inpatient with the mother and APGAR score of at least seven or more. The number of respondents in this application amounted to one baby, the time of implementation of the application was carried out three days twice a day (morning and evening), observations were made with observation sheets for signs of infection, and umbilical cord release. The results of the application after three days of treatment showed a change in the umbilical cord, the cord turned blackish in colour with a dry texture and no signs of infection. Conclusion The application of cord care using topical breast milk can accelerate the process of cord detachment and prevent infection.

KNOWLEDGE AND ATTITUDES OF BRIDES-TO-BE RELATED TO STUNTING PREVENTION

2025-05-16T09:15:03+07:00

Stunting is a condition of failure to grow due to chronic malnutrition from pregnancy to the age of five, which has an impact on the physical and cognitive development of children. The incidence of stunting in Indonesia ranges from 27.22% to 28.11%. This shows that more than a quarter of the population is stunted. This prevention should be done far before pregnancy. This study was conducted to analyse the relationship between knowledge and stunting prevention attitudes in brides-to-be in Pondok Melati District, Bekasi City. The method used in this study is cross-sectional. Data was collected through a questionnaire filled out by 150 brides-to-be using total sampling. Bivariate analysis was performed using the chi-square test. The results found that there was a significant relationship between the knowledge and attitude of the bride-to-be regarding stunting prevention with a p-value of 0.000 (p-value < 0.05). These results emphasize the importance of education about stunting for brides-to-be, especially related to nutrition before and during pregnancy and the long-term impact of stunting on children.

The RELATIONSHIP OF VENTILATOR ASSOCIATED PNEUMONIA (VAP) WITH BLOOD GAS ANALYSIS (BGA)

2025-06-24T08:28:37+07:00

Ventilator Associated Pneumonia (VAP) is a nosocomial infection that is often experienced by patients who receive mechanical ventilation for more than 48 hours. Various evidence shows that the prognosis for VAP patients is very poor and actions that can be taken to prevent VAP include monitoring the patient's condition through diagnostic examinations, namely blood gas analysis (AGD). This study aims to determine the relationship between the incidence of VAP and AGD. The research design used was correlational with a cross sectional approach. The sample for this research was 67 patient data using purposive sampling technique. The analysis used the Fisher exact test statistical test. The results of this study involved 67 respondents, with the majority of ICU patients aged between 20 and 60 years (43,3%) and most of them were men (55,2%). The most common occupation among respondents was self-employment (35,8%). VAP positive result (41,8%) and based on the results of blood gas analysis, it showed that (32.8%) patients had respiratory acidosis, (20.9%) had respiratory alkalosis, (10.4%) had metabolic acidosis, (14.9%) had metabolic alkalosis. The results of the bivariate analysis showed that there was a relationship between the ventilator associated pneumonia variable and the blood gas analysis variable with a p value of 0.00 <? (0.05). In conclusion, patients who are on a ventilator are at risk of developing VAP. Patients on ventilators need to have their Clinical Pulmonary Infection Score (CPIS) checked regularly and need to implement strict VAP prevention protocols.

THE RELATIONSHIP BETWEEN HYPERTENSION AND STROKE IN THE ELDERLY IN TAMAN BODHI ASRI MEDAN

2025-06-16T07:50:35+07:00

Hypertension is one of the factors of stroke. the number of people with hypertension in the elderly is very high. The purpose of the research was determine the relationship between hypertension and the people who get stroke in the elderly at Taman Bodhi Asri Medan, Kecamatan Medan Sunggal in 2024. The method of the research was an analytic survey using a cross – sectional design. The population of the research were all hypertension and stroke as many as 46 people. The technique of sampling used by total sampling with 46 elder people who affected by hypertension and stroke. Data was collected by looking at medical records. The statistical test was used by Fisher’s Exact Test. The result of the study obtained in grade 1 of hypertension (140/90 – 159/99 mmHg) were 36 people (78,3), grade 2 of hypertension (160/100 – 179/109) were 10 people (21,7%). There were 17 people (37%) who had a stroke and 29 people (37%) who did not have a stroke. The result obtained by using Fisher’s Exact test showed that the hypertension in grade 2 correlated with stroke’s patients, have 8 people (80%) with p value 0,003 and having an old ratio = 10,106. This is because of hypertension in grade 2 is 10,106 times more possible to get a stroke. It was concluded that the higher of hypertension’s degree, will get the stroke faster. Therefore, this study is expected that one who with hypertension must be careful. Do not let the degree of hypertension increase because it will be 10.106 times to get a stroke.

THE RELATIONSHIP BETWEEN SELF AWARENESS AND QUALITY OF LIFE IN MENOPAUSE WOMEN

2025-06-16T07:52:02+07:00

Women experiencing menopause commonly face both physical and psychological complaints that can disrupt their daily lives. These complaints may reduce the quality of life during menopause. One factor that can influence the quality of life is self-awareness. For menopausal women, self-awareness can help manage personal strengths, weaknesses, motivations, and values. This study aims to analyze self-awareness among menopausal women. It is a quantitative study using a descriptive-correlational method with a cross-sectional approach. The sample consisted of 91 respondents selected through purposive sampling based on inclusion criteria. Bivariate analysis was conducted using the chi-square test. The results showed that self awareness data analysis was categorized as high as 51 respondents (56.0%) and most respondents had a good quality of life as many as 47 respondents (51.6%). Bivariate analysis revealed a significant relationship between self-awareness and quality of life in menopausal women, with a p-value of 0.000 (<0.1). The quality of life and its domains improved with higher self-awareness. Women with high self-awareness tended to have a better quality of life compared to those with low self-awareness in facing menopausal changes. Therefore, increasing self-awareness is essential to support a better quality of life during menopause.

THE RELATIONSHIP BETWEEN MEDICATION TIMELINESS AND FLUID CONSUMPTION ON RECURRENCE OF HEART FAILURE PATIENTS

2025-06-13T11:26:24+07:00

Heart failure is a condition when the heart is unable to pump blood optimally, resulting in the distribution of oxygen and nutrients throughout the body. Recurrence often occurs in patients with a history of heart failure, especially due to non-compliance in taking medication and uncontrolled fluid intake. This study aims to analyze the relationship between the timeliness of taking medication and fluid consumption on recurrence in patients with heart failure. The design used was quantitative with a retrospective cross-sectional approach, involving 93 respondents who underwent re-hospitalization at one of the hospitals in Depok City, West Java. The sampling technique used consecutive sampling. Data were collected through three variables that had been tested for validity and reliability, including demographic characteristics, recurrence history, medication compliance, and fluid consumption. Data were analyzed using the Gamma and Somers'd correlation tests with the help of SPSS. The results showed a significant association between medication adherence and relapse (p < 0.05), while fluid consumption did not show a significant association (p > 0.05). These findings suggest the importance of medication adherence education as part of nursing interventions to prevent recurrence in heart failure patients. Fluid consumption requires further study in future research.

OCCUPATIONAL THERAPHY DEPICTION IN PATIENTS WITH HALLUCINATIONS: LITERATURE REVIEW

2025-06-24T08:47:16+07:00

Hallucinations are one of the most common sensory perception disorders in patients with mental disorders, particularly schizophrenia. One non-pharmacological therapy that can be used to reduce hallucination symptoms is occupational drawing therapy. This study aims to analyze the effectiveness of occupational drawing therapy in reducing hallucination signs and symptoms through a literature review method. Literature searches were conducted using the Google Scholar database with relevant keywords and article selection was based on inclusion and exclusion criteria. The results show that occupational drawing therapy significantly reduces hallucination symptoms in patients, both in terms of symptom intensity reduction and changes in patient conditions. This therapy helps patients express emotions, distraction from hallucinations, and improve self-control. Therefore, occupational drawing therapy can be considered an effective non-pharmacological intervention for managing patients with hallucinations.