Purpose Diabetic ulcers are one of the complications that often occur in patients with DM. The aim is to develop a behaviour model for diabetic ulcer prevention by integrating Lawrance Green Theory and the Theory of Planned Behaviour. Methods An explanative observational design was used with a cross-sectional approach. The population consisted of DM patients who had underwent treatment at the internal medicine clinic of Sidoarjo District Hospital. The sample size of 133 respondents was obtained through purposive sampling. The data analysis used Partial Least Square. Results Predisposing factors (knowledge), supporting factors (availability of health facilities and accessibility of health resources) and driving factors (the role of health workers and family support) significantly influence the main factors (attitudes toward behaviour, subjective norms and perceptions of self-control) with a statistical T value>1.96. The main factor influences intention (T = 48.650) and intention influences behaviour (T = 4.891). Conclusion Intention is influenced by the attitudes toward behaviour, subjective norms and self-control perceptions. Good intentions can increase the preventive behaviour related to diabetic ulcers. Increasing the diabetic ulcer prevention behaviour can be done by providing regular education to both the patients and their families about diabetic ulcers and their prevention through the appropriate management of DM, lifestyle modification and regular foot care that requires active involvement from the family and health care workers.
Background: Early marriage is being increasingly recognized globally as a fundamental violation of human rights and a major obstacle to sustainable development. Early marriage occurs globally to varying degrees, especially in developing countries. The purpose of this article was to identify the determinants and impact of early marriage in developing countries.Method: A systematic search for studies published from 2014 up to 2019 was conducted via Scopus, Proquest, Elsevier, Science Direct, Sage Journal, SpringerLink and EBSCO. A total of 10 studies met the inclusion criteria. These were independently extracted by two reviewers.Result: Education and place of residence were the most commonly studied determinants of early marriage. Only a few of them reported results concerning the age difference between the spouses, access to media information and self-efficiency. Early marriage has a relationship with both the mother's and child's health. However, the significance of these associations was often small or inconsistent.Conclusion: This review summarizes the best available evidence for local policymakers and public health practitioners so then they can consider incorporating these findings into the development of intervention protocols for the prevention of early marriage.
Aging is something that can cause health problems, both physical and mental health for the elderly. Anxiety is one of mental health experienced in the elderly. If it continues to ignored, it will have an impact to the memories or nightmares experienced by the elderly will recur, therefore the quality of the elderly's sleep will diminish. The purpose of this study was to determine the effect of Tai Chi Gymnastics on Elderly Anxiety.The study design used the One Group Pre-Post Test Design, the sample was elderly at the Posyandu Perintis Ngagel Rejo Surabaya.32 subject taken by Simple Random Sampling technique. The Independent Variable is Tai Chi Gymnastics, the dependent variable is Anxiety. Anxiety instruments were measured using the HRS-A questionnaire. Data were analyzed by the Wilcoxon test with significance ? = 0.05. The results of the study before being given Tai Chi Gymnastics were mostly (59.4%) respondents had mild anxiety. After being given Tai Chi Gymnastics most (59.4%) respondents were not experiencing anxiety (normal). Analysis of the Wilcoxon Sign Rank Test obtained p = 0,000 <? = 0.05, meaning that there is an effect of Tai Chi Gymnastics on decreasing anxiety. Conclusions from this study that Tai Chi exercise can reduce anxiety in the elderly. It is expected that nurses can provide Tai Chi gymnastics as a nurse's independent nursing intervention in the management of decreased anxiety.Keywords: Anxiety, Elderly, Tai Chi Gymnastics.ABSTRAKMenua merupakan hal yang dapat menimbulkan masalah kesehatan baik kesehatan umum maupun kesehatan jiwa bagi lansia.Kesehatan jiwa yang dialami pada lansia yaitu salah satunya adalah kecemasan. Apabila terus menerus dibiarkan, akan berdampak yaitu ingatan atau mimpi buruk yang dialami lansia akan terulang kembali dan kualitas tidur lansia menjadi berkurang. Tujuan dari penelitian ini adalah untuk mengetahui Pengaruh Senam Tai Chi Terhadap Kecemasan Lansia.Desain penelitian menggunakan One Group Pre- Post Test Design, sampel adalah lansia di Posyandu Perintis Ngagel Rejo Surabaya sebesar 32 Orang yang diambil dengan teknik Simple Random Sampling. Variabel Independen adalah Senam Tai Chi, variabel dependen adalah Kecemasan.Instrumen Kecemasan diukur menggunakan kuesioner HRS-A. Data dianalisis dengan uji Wilcoxon dengan kemaknaan?= 0,05.Hasil penelitian sebelum diberikan Senam Tai Chi sebagian besar (59,4 %) responden mempunyai kecemasan ringan. Setelah diberikan Senam Tai Chi sebagian besar (59,4 %) responden tidak cemas (normal). Analisa uji Wilcoxon Sign Rank Test didapatkan p=0,000< ? =0,05, artinya ada pengaruh Senam Tai Chi terhadap penurunan kecemasan.Simpulan dari penelitian ini bahwa senam Tai Chi dapat menurunkan kecemasan pada lansia.Diharapkan perawat dapat memberikan senam Tai Chi sebagai intervensi keperawatan mandiri perawat dalam penatalaksanaan penurunan kecemasan.Kata Kunci :Kecemasan, Lansia, Senam Tai Chi.
ABSTRACT Background : Tuberculosis is a contagious disease that is spread throughout the world and is a public health problem due to high morbidity and mortality. Along with the increasing prevalence of Tuberculosis events. Objective: To determine the self efficacy picture and knowledge of Tuberculosis clients in Bangil General Hospital. Method: Descriptive research with cross sectional approach. The research sample of 70 respondents with purposive sampling which inclusion and exclusion criteria. The instrument uses a questionnaire. Results: The results showed that tuberculosis clients had good self efficacy as many as 41 people (58.6%),%), quite as many as 20 people (28.6%) and the rest had less self efficacy as many as 9 people (12.9%) . and have good knowledge as many as 36 people (51.4%). Tuberculosis clients also have good knowledge as many as 36 people (51.4%), quite as many as 24 people (34.3%) and the rest have less knowledge as many as 10 people (14.3%). Conclusion: Clients' beliefs about self-care management can increase and be able to generate enthusiasm to seek knowledge, positive attitudes and self-management skills to improve and the client's health behavior in general. Client knowledge by providing information and understanding through a module media to the Tuberculosis client regarding Tuberculosis disease so as to increase the client's knowledge regarding management of her care. Keywords: Self efficacy, Knowledge, Tuberculosis
Background: The paradigm change that there is no difference between men and women demands equal rights between women and men. Many mothers work as career women, so many women replace breastfeeding with formula milk. Based on indonesian government regulations No. 33 of 2012, a mother is obliged to give exclusive breastfeeding to her baby. Purpose: This study aimed to determine the relationship between self-efficacy of working mothers in breastfeeding and infant growth. Method: The type of correlational analytic research is a cross-sectional approach. The population and sample of working mothers who have babies aged 0-6 months on May 9 to June 6, 2018, at PT Mufasufu Sejati Jaya Lestari MPS Ploso are 30 respondents with a total sampling technique. Independent variable Self Efficacy for working mothers in breastfeeding, the dependent variable for infant growth. The growth instrument uses a standard table of body weight/body length from the Ministry of Health and a Self Efficacy questionnaire for mothers to provide breastfeeding. Data analysis using chisquare.ResultsThe results of the Chi-Square test analysis at the significance level of α = 0.05 found that ρ <α or 0.048 <0.05, there is a relationship between self-efficacy of mothers working in breastfeeding and growth in infants. Conclusion: The head of the agency/company must provide nursing mothers with exclusive breastfeeding by providing a lactation corner so that the mother can milk the milk and store it in the freezer in the refrigerator and take it home to give to the baby while the mother is working so that the baby continues to get milk without formula milk.
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