Jurnal Keperawatan Priority

Description of Emotional on Child Patients with Epilepsy at H. Adam Malik General Hospital Medan

2025-03-28T14:29:40+00:00

Epilepsy in children has the potential to have a significant negative impact on cognitive function, with a high risk of attention deficits and impaired executive function. Quality of life has been associated with cognitive performance, especially in verbal memory, which is one of the domains most sensitive to the negative effects of epilepsy. The purpose of this research is to know connection quality Sleep with emotional on pediatric patients with epilepsy. This study is an observational analytical study conducted at Haji Adam Malik General Hospital, Medan from August 2024 to September 2024. Calculation big sample use formula big non-experimental correlative sample based on previous studies, which produced a minimum sample size of 25 samples. The collected data was processed and analyzed univariately to describe the characteristics of the research respondents. The results showed that the subjects of the study were 6 (20.0%) children and 24 (80.0%) adolescents. Male gender 17 (68.0%) and female 8 (32.0%). Toddler age 5 (20.0%), childhood 16 (64.0), and early adolescence 4 (16.0%). Disturbed sleep quality 15 (60.0%) and undisturbed sleep quality 10 (40.0 %). Emotional disturbance 21 (84.0%) and sleep behaviour 4 (16.0%). Mean sleep duration 7.54 hours, minimum 6 hours, and maximum 10 hours. concluded that, the prevalence of sleep disorders in children with epilepsy at RSUP H. Adam Malik Medan was male 17 (68.0%), duration sleep has an average of 7.54 hours, sleep quality was disturbed there were 15 (60.0%), and disturbances emotional was disturbed by 21 (84.0%).

Cardiovascular Preventive Activities and its Associated Factors Among Female Nurses in Universiti Sains Malaysia Hospital

2025-03-07T08:07:46+00:00

Cardiovascular diseases (CVDs) are the leading cause of death globally, significantly impacting healthcare providers, including nurses. Despite their critical role in health promotion, many nurses neglect their cardiovascular preventive activities (CVPAs). This study assessed the prevalence and associated factors of good CVPAs among female nurses at Universiti Sains Malaysia (USM) Hospital. 212 registered female nurses participated in a cross-sectional study that was carried out between June and August 2015. Data on sociodemographic characteristics, work-related factors, and CVPAs were collected through a structured self-administered questionnaire. Good CVPAs were defined as adherence to dietary guidelines, regular physical activity, non-smoking, alcohol avoidance, and regular health screenings. Logistic regression analysis was used to identify factors associated with good CVPAs. Only 14.2% of nurses practiced good CVPAs. While 75.5% were physically active, only 17.9% consumed five or more servings of fruits and vegetables regularly. Nurses in medical-based departments had lower odds of practicing good CVPAs compared to those in surgical-based units (OR = 0.24, 95% CI: 0.08-0.76, p = 0.015). The prevalence of good CVPAs among female nurses at USM Hospital is low, especially regarding dietary adherence. The work department significantly influences preventive practices, suggesting the need for targeted interventions to promote cardiovascular health among nurses.

Predictors of Knowledge, Attitudes, and Practices in Diabetic Kidney Disease Prevention Among Type 2 Diabetes Mellitus Patients in Northeast Peninsular Malaysia

2025-03-07T08:05:30+00:00

Diabetic kidney disease (DKD) is a significant complication among type 2 diabetes mellitus (T2DM) patients, impacting their quality of life and healthcare resources. This study aimed to assess the knowledge, attitudes, and practices (KAP) of DKD prevention and identify their predictors among T2DM patients in Northeast Peninsular Malaysia. A cross-sectional study involving 600 T2DM patients from government health clinics in Kelantan was conducted using a validated questionnaire. Logistic regression analyses were used to determine predictors of poor KAP. Results showed that 77% of participants had poor knowledge, 58.2% had poor attitudes, and 50.78% had poor practices regarding DKD prevention. Predictors of poor knowledge included being single, widowed, or divorced, lower education, and having at least one diabetic complication. Interestingly, unemployed participants had lower odds of poor knowledge. Poor attitudes were linked to lower education and unemployment, while poor practices were predicted by ethnicity, lower education, and poor attitudes. These findings suggest that DKD prevention strategies should focus on improving education, targeting vulnerable groups, and addressing socio-demographic factors to enhance KAP among T2DM patients.

Factors Influencing Tuberculosis Infection in Children with Close Contact of Adult Pulmonary Tuberculosis Patients

2025-05-02T05:13:36+00:00

This research aims to determine the factors that influence tuberculosis infection in children with close contact with adult pulmonary tuberculosis sufferers. This research is an analytical observational study with a consecutive sampling method at the Glugur Darat Health Center in November 2024 until January 2025. Bivariate analysis using chi-square to determine whether there is a relationship between the independent and dependent variables. The type of test used is the Fisher Exact and Kruskal Wallis Test. There is no multivariate test because there are no significant variables in the bivariate test. In total, in 42 samples there were 10 children with positive Mantoux tests. Of the 23 female children there were 7 (30.4%) with positive results and of the 19 male children there were 3 (15.8%) positive results. Of the 39 children with a history of BCG immunization, there were 10 (25.6%) with tuberculosis infection. Of the 37 children with parents whose income was <UMR, 10 children (27%) had tuberculosis infection. 37 children whose parents had junior high school education, 9 people (24.3%) had tuberculosis infection. 10 children aged 1-5 years and 6-10 years, there were 2 (20%) each with tuberculosis infection. 26 children aged 11-18 years, there were 6 people (27.3%) with tuberculosis infection. There was no significant relationship between age, gender, immunization status, nutritional status, parental income and parental education level in this research.

The Relationship Between Parent-Adolescent Communication and Adolescents' Self-Protection Skills Against Sexual Violence in Medan City

2025-05-02T05:12:44+00:00

Sexual violence is a forced sexual act without consent and has consequences for health problems, namely reproductive health, physical health, and mental health, which can be felt in the short and long term. It has become a global issue that requires immediate attention. This study aims to analyze the relationship between parent-adolescent communication and adolescents' ability to protect themselves against sexual violence in Medan City. The research employs a quantitative approach using a descriptive correlation method, involving 52 respondents-students in grades X and XI at MAS Al-Jamiyatul Washliyah school in Medan City-selected through purposive sampling. The Chi-Square test was utilized for data analysis. Research data collection was carried out by distributing questionnaires using the google form application in May 2024, and computerized data processing using SPSS with univariate and bivariate data analysis. The findings revealed that 73.1% of respondents exhibited good parent-adolescent communication, 98.1% demonstrated effective self-protection skills, and 94.2% were considered at low risk of sexual violence. The results of the Chi-Square test indicated a significant relationship between parent-adolescent communication and the incidence of sexual violence, with a p-value of 0.003 (α = 0.05). However, there was no significant relationship found between adolescents' self-protection skills and the risk of sexual violence, as indicated by a p-value of 0.803 (α = 0.05). In conclusion, both parent-adolescent communication and self-protection skills are essential preventive measures against sexual violence. It is expected that schools can provide education related to the importance of parent-adolescent communication to prevent sexual violence.

The Effect of Siamese Oranges on Distress, Pulse, Blood Pressure

2025-05-02T05:43:20+00:00

Distress is one of the daily psychological complaints of modern society that cannot be avoided. Distress can attack students who are in the learning process, especially first-year students. The level of distress in first-year students is relatively high due to adjustment to the new environment, lack of adaptability and many demands that must be done such as completing assignments. High distress can be reduced by giving aromatherapy. One of them is aromatherapy produced by Siamese oranges. Siamese oranges have many benefits, one of which is obtained from their skin which can emit aromatherapy that can provide a sense of calm and relieve anxiety. The aim was to determine the effect of siamese oranges on distress, pulse, blood pressure in Level 1 Nursing Students of Health Polytechnic of Pangkal Pinang. The research design used was a quasi-experimental one group pretest and posttest. The sample was 74 people with a total sampling technique. The variables were Distress with the Kessler Psychological Distress Scale, Pulse and BP. This study showed that before the intervention the average distress was 3.5, pulse 81.43 times/minute, SBP 109 mmHg, DBP 75.47 mmHg and after the intervention the average distress was 2.16, pulse 83.07, SBP 106.49 mmHg, and DBP 73.38 mmHg and there was an effect of tangerine on distress (0.000), pulse (0,043), and BP (0,000) in Level 1 students of the Ministry of Health Polytechnic of Pangkal Pinang. Tangerine produces aromatherapy that can affect the reduction of distress, pulse and blood pressure.

Overview of Adolescents' Perceptions of Bullying

2025-05-18T07:42:07+00:00

Bullying behavior continues to increase from year to year, one of which occurs among Indonesian students. Most bullying behavior is found at the senior high school level. Adolescent perceptions of bullying play an important role in efforts to prevent and handle this problem. The purpose of this study was to determine the description of students' perceptions towards bullying behaviour that they do at school. The type of research used is quantitative research with a descriptive design involving 73 students using probability sampling techniques with the type of systematic sampling. Data were collected through questionnaires and processed with descriptive statistics. The results showed that the majority of adolescents had good perceptions of bullying, namely 62 respondents (84.9%), and sufficient perceptions, as many as 11 respondents (15.1%). The majority of respondents have good perceptions, so that adolescents are expected to maintain and increase their understanding that bullying is an action that is not commendable, so that the prevention of bullying can increase.

The Relationship Between Breast Care and Breast Milk Production Among Postpartum Mothers

2025-06-15T15:45:26+00:00

The postpartum period plays a critical role in establishing successful breastfeeding. Adequate breast milk production is essential to meet the nutritional needs of infants, particularly during the first 1,000 Days of Life (HPK), a window that significantly impacts a child's growth and development. Among the various factors that influence lactation, consistent and proper breast care practices by postpartum mothers are believed to support milk production. This study employed an analytical observational design using a cross-sectional approach. A total of 32 postpartum mothers at Klinik Pratama Hugo Hasena were selected through a total sampling technique. Data on breast care practices and breast milk production were collected using structured questionnaires and analyzed using the chi-square statistical test. The findings revealed that the majority of mothers (81.3%) performed breast care routinely, and the same proportion (81.3%) reported sufficient breast milk production. Statistical analysis showed a significant relationship between breast care and breast milk production (p = 0.000). The study concludes that breast care has a significant association with breast milk production among postpartum mothers. These results highlight the importance of educating and empowering mothers on proper breast care techniques as part of postnatal support to promote successful breastfeeding. Healthcare providers are encouraged to enhance postpartum education programs, particularly focusing on the role of breast care in supporting optimal lactation and infant health during the critical early stages of life.