Background: Breast and cervical cancer remain a major cause of morbidity and mortality for women in Indonesia. Although this cancer can be detected early, women are still less active in selfdetecting breast and cervical cancer, so both cancers are found at an advanced stage. This study aimed to explore how women's knowledge, barriers, and motivations are related to early detection of breast and cervical cancer. Subjects and Method: This was a qualitative study, with focus group discussions (FGDs) and interviews with key informants. Discussions and interviews were conducted in the community within Ledok Kulon village, Bojonegoro Regency, East Java, Indonesia. Participants: FGD participants involved 20 women, 10 women underwent FDG about cervical cancer and 10 other women conducted FGD about breast cancer. Three key informants interviewed with health worker and administrator that allow triangulation of responses thereby increasing the validity of the findings. Participants were aged 20 to ≥60 years, with no history of symptoms or previous diagnosis of breast or cervical cancer. The women were interviewed in October-November 2019. The transcribed data were analyzed using content analysis. Results: Participants' knowledge about understanding, risk factors, signs and symptoms of breast and cervical cancer was still lacking. Participants attributed the cause of cervical cancer to the vaginal wound resulting in cervical cancer and signs of symptoms such as heartburn. Whereas for breast cancer participants were not know the signs and symptoms, they only said there was a lump in the breast. Barriers to screening were ashamed to be examined by health workers, afraid of testing procedures, feeling healthy and there were no signs of cancer. Screening motivation were experiencing signs and symptoms of cancer, family history of the disease and awareness of the disease/screening service. Conclusion:The study participants' knowledge of breast and cervical cancer was still lacking. To improve breast and cervical cancer screening, efforts must focus on reducing identified barriers and increasing motivation.
Circumcision is a minor surgical that will be experienced by every child, especially a Muslim child because It was related religious commandment with. Most children appear to be quite anxious about circumcision. Virtual Reality (VR) Distraction is one of the methods of Researcher to relieve anxiety level of the children during circumcision processes. Virtual Reality (VR) distraction is a type of audiovisual distraction with Google VR tool which helps children divert unpleasant stimuli and make feel relaxed in a familiar environment. The objective of this research is to measure effectiveness of VR distraction in to anxiety level of the children during circumcision. This research is quantitative research that used quasi experimental with control group design. Number of samples are 60 children which divided into 2 groups (treatment group [n=30 respondents] and control group [n=30 respondents]). Anxiety and Fear level was measured by Hamilton Anxiety Rating Scale (HAM-A) and Face Fear Scale also Pulse Oximetry (Objective fear Symptoms). The result of this research indicated that VR Distraction was effective to relieve Anxiety Level during circumcision (p value= 0.000). This research was concluded that VR Distraction is useful to relieve anxiety level of children during circumcision with guide imagery mechanism.
Hypertension is a condition which blood pressure is higher than 140/90 mmHg. Uncontrolled hypertension can cause a variety of diseases to the point of death. However, prevention of hypertension can be done early. Health Promotions aim to increase the knowledge of students in Ciamis District about prevention of hypertension. Health Promotion were carried out by explanation and discussion of 130 students in Ciamis District who were collected at WISMA GURU Ciamis on March 6, 2018. Before and after Health Promotion, participants were given a knowledge questionnaire and the results were processed using SPSS Version 16. Health Promotion instruments used flyers and power point presentation. Health Promotion of prevention of hypertension early has done successful and has a positive impact on increasing the knowledge of students and society.
Community service aims to increase family knowledge and understanding of signs and symptoms of post-circumcision wounds, teach how to care for wounds to heal quickly and provide an understanding of things that must be done and avoided in post-circumcision children. Health counseling methods provided through lectures using the help of leaflets. Community Service The optimal post-circumcision wound care method that is optimal is followed by 104 parents of children who are mass circumcised and given counseling privately to individuals when waiting for their children to be circumcised. Activities included filling in data on children who were circumcised and coming to the da'wah building of Sukanagara Village, Kec. Lakbok on December 2, 2018, which was subsequently conducted by a person's health education by 5 counselors using the help of a leaflet.
Latar belakang : Rokok sudah sangat terkenal dan tidak asing lagi bagi seluruh kalangan, hampir seluruh kalangan baik orang dewasa, remaja bahkan anak-anak pasti sebagian besar pernah mengisap batang rokok. Sebagian besar perokok sudah mengetahui dampak dan bahaya dari rokok itu sendiri, bahkan disetiap bungkus rokok sudah menyebutkan bahaya rokok itu sendiri, namun sebagian orang-orang tetap tidak menghiraukannya. Proses penyuluhan kesehatan dalam mencapai tujuan melalui perubahan perilaku remaja yang dipengaruhi oleh beberapa faktor diantaranya yaitu materi atau pesan yang disampaikan alat peraga, metode dari petugas atau pendidik yang melakukan promosi kesehatan serta bahasa yang digunakan. Tujuan: Tujuan penelitian ini untuk mengetahui efektifitas penggunaan media leaflet bahasa daerah dan video bahasa daerah terhadap pengetahuan remaja tentang bahaya rokok. Metode : Jenis penelitian ini adalah Quasi Eksperimen dengan rancangan penelitian Pretest and Posttest two Group Design dengan menggunakan media leaflet bahasa daerah dan video bahasa daerah sebagai bentuk edukasi pada 120 remaja. Pengukuran pengetahuan pre-test dan post-test menggunakan kuesioner kemudian dilakukan analisis dengan uji wicoxon. Hasil : Ada perbedaan pengaruh antara kelompok leaflet bahasa daerah dan video bahasa daerah, dimana nilai p = 0.000 ≤ α = 0,05, diketahui mean sesudah penyuluhan menggunakan media leaflet bahasa daerah sebesar 1,98 sedangkan nilai mean sesudah penyuluhan media video bahasa daerah sebesar 2,32. Kesimpulan : Kedua penggunaan media leaflet bahasa daerah dan video bahasa daerah sama efektif dalam meningkatkan pengetahuan remaja tentang bahaya merokok.
Introduction: Instilling awareness to maintain a clean environment can be instilled from an early age. The application or delivery of health promotion can use game media because students can more easily understand, not experience boredom in delivering the material. Health education media that can be applied to school children are like the snake and ladder game. Objective: To implement snake and ladder games on increasing students' knowledge in disposing of waste. Method: Health promotion research is used in PHBS education methods and demonstrations of disposing of waste according to its type with game media in the form of snakes and ladders. This Health Promotion was carried out with 8 students who were at SDN 3 Linggasari, Ciamis District, Ciamis Regency with a total of 25 children as respondents and accompanied by a homeroom teacher. Health Promotion is carried out through 4 stages, namely 1) selection of targets and places, 2) preparation of facilities and infrastructure, 3) implementation of activities, 4) evaluation. Result: The implementation of health promotion for students of SDN 3 Linggasari Ciamis on Clean and Healthy Living Behavior about Disposing of garbage according to its type produced less significant results because previously students of SDN 3 Linggasari Ciamis rarely applied it so that there were still students who could not distinguish between organic and non-organic types of waste, and dispose of waste improperly. Conclusion: This activity can increase children's knowledge about the purpose of disposing of waste, the benefits of disposing of waste in its place, the positive and negative impacts of throwing garbage in its place, as well as steps for disposing of waste correctly. In its implementation in the field, teachers and children at SDN 3 Linggasari Ciamis gave a positive response and high enthusiasm in participating in counseling and simulations of disposing of waste according to its type.
Introduction: Play therapy is a form of counseling or psychotherapy using games. There are many kinds of game media that train fine motor skills, one of which is assembling the shapes of numbers and letters using playdough media. Playdough media is a toy dough or plasticine toy made of clay (flour), as a learning aid that is easy to shape and very good at training hand and eye coordination in early childhood. Objective: The purpose of this play therapy activity is to improve children's fine motor skills through play therapy using playdough media. Method: This service method is collaborative, with a play therapy approach involving writers and classroom teachers. Data was collected by observing, interviewing, and documenting preschool children in grades A1 and B1 at Angkasa Kindergarten, Langensari District, Banjar City. Result: The results of this activity showed that all participants during the play therapy activity were able to form numbers and letters with their fingers according to the instructions, using playdough media and the children were very enthusiastic and felt happy in doing this play therapy activity. Conclusion: Based on the evaluation of the KPSP questionnaire from this activity, it can be concluded that overall children aged (4-6 years) in TK Angkasa Langensari have fine motor categories that are in accordance with their age development.
Rheumatoid arthritis is an autoimmune disease that many elderly people suffer from. This disease causes chronic systemic inflammation that can affect tissues and organs, especially attacking the flexible (synovial) joints and causing pain, eventually causing damage to the inside of the joints and will interfere with the patient's activities / work. Ginger compress is a traditional medicine or alternative therapy to reduce rheumatoid arthritis pain. This case study aims to present the results of implementing the evidence-based nursing hot ginger compress to reduce pain scale in rheumatoid arthtritis patient. Physical examination was performed using the head to toe method in typoid patients. The North American Nursing Diagnosis Association (NANDA) is used to determine nursing diagnoses. Meanwhile, nursing intervention refers to the Nursing Intervention Classification (NIC) and the Nursing Outcomes Classification (NOC). The intervention was carried out in five stages of implementing evidence-based nursing in nursing practice, with complementary therapy in the form of ginger warm compresses and progressive application of 1 week for patients with rheumatoid arthritis. Performed pretest and posttest after being given the intervention every day. The result, giving ginger warm compress intervention for 7 days showed a reduction in the patient's pain scale from a pain scale of 4-5 to a pain scale of 1-2. EBN implementation of ginger warm compress therapy is very influential in reducing the intensity of joint pain in rheumatoid arthritis patients.
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