http://localhost:8080/xmlui/handle/123456789/11448 2026-04-15T02:55:04Z http://localhost:8080/xmlui/handle/123456789/11477 Title: The Effect of Therapeutic Communication on the Anxiety Level of Children Undergoing the COVID-19 Vaccination Authors: Hanif Naufal, Irfan; Mardi Harnanto, Addi; Sunarto, Sunarto; Widodo, Widodo; Sudiro, Sudiro Abstract: Background: Anxiety is often encountered in society, especially in children, when undergoing the COVID-19 vaccination. Anxiety is a factor influencing children to refuse vaccination. Therefore, nurses need to reduce this level of anxiety through the application of therapeutic communication. This research was carried out to determine the effect of therapeutic communication on children's anxiety levels during the implementation of the COVID-19 vaccination. Methods: A pre-experiment design with a one-group pretest-posttest design was used on 58 respondents who were selected using a simple random sampling technique. The research instrument used was the Zung Self-Rating Anxiety Scale (SAS/SRAS) questionnaire with a Likert scale model, and the results were analyzed using the Wilcoxon Signed Ranks Test statistical test. Results: The results of the Wilcoxon Signed Ranks Test analysis on respondents' anxiety levels showed that there was a decrease in anxiety after therapeutic communication was carried out with a p-value of 0.00 (p < 0.05), which means that therapeutic communication had a significant influence on the anxiety level of children undergoing the COVID-19 vaccination. Conclusion: Therapeutic communication can effectively reduce the anxiety level of children undergoing COVID-19 vaccination. 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11475 Title: Study of Diabetes Mellitus Management Policies Using a Systems Approach in Surge Capacity Authors: Badriah, Siti; Cahyati, Peni; Nurcahyani, Lia; Tarmansyah Iman, Arief; Ristrini, Ristrini; Budi Astuti, Athanasia Abstract: Background: The prevalence of Diabetes Mellitus (DM) in Indonesia continues to increase, even though DM control policies and programs have been implemented. According to existing policies, the family has not been involved in diabetes control. This study evaluates diabetes mellitus management policies by designing family-based community empowerment model interventions with a systems approach to surge capacity. Methods: The design of this study used a cross-sectional operational analysis conducted in Cirebon City with 26 participants. Data collection was carried out using Focus Group Discussion (FGD) and in-depth interviews using interview guidelines from the surge capacity component. Inclusion criteria were Non-Communicable Diseases program holders at the Cirebon City Health Office and Community Health Centers with the highest and lowest prevalence, and DM sufferers and their families representing each age and gender category. Data analysis was performed using open code. Results: The non-communicable disease program has not been integrated between the health office and the hospital; funds for the DM prevention program have not met the needs; there are limited human resources with multiple tasks and an excessive workload, so it is not optimal for DM health services; and there is a lack of family involvement in diabetes control, so the incidence of DM is still not usually controlled. Conclusion: Policy studies using a system approach in surge capacity have been able to dig up various information on DM control efforts in terms of policy, organizational structure, DM surveillance, information systems, integrated services, case screening, budgeting, and community empowerment 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11474 Title: Evaluation of the Program for Giving Iron Tablets to Young Women Authors: Tutu Rohimah, Yeni; Lestari Dwi Astuti, Sri; Insiyah, Insiyah; Suyanto, Suyanto Abstract: Background: Anemia due to iron deficiency is a prevalent health issue that affects many people, particularly women, from early childhood through adulthood. Bleeding can be a problem for pregnant women who have iron deficiency anemia, among other things, during pregnancy, labor, and the puerperium. Low birth weight, early birth, and problems of growth and development that result in stunting are some of the effects that anemic mothers experience while carrying their unborn children. Adolescent anemia continues up until the point at which the adolescent becomes pregnant. To treat iron-deficient anemia, the government is marketing blood replacement tablets. Pupose of study is to determine the effectiveness of iron tablets, the authors worked with the Klaten District Health Office to compare Hb and ferritin levels in pupils who had received blood tablets for 9 months versus kids who had not had blood tablets. Methods: This study used a cross-sectional research approach and is a case analysis study. The SMP Negeri I Jogonalan Klaten is the research location. Study do in June to September 2022. Respondents are 60 pupils from Klaten Public Middle School I, ages 11 to 14, participated in the survey. Of them, 30 female respondents had taken iron supplements for 9 months (40 weeks), while the remaining 30 served as controls and had not received blood supplements. After being told of the advantages of the study, participants who signed a written informed permission form and agreed to take part in it had their ferritin and hemoglobin levels checked. Results: When compared to the control group's ferritin value of 16.13% and Hb value of 6.45%, the treatment group's ferritin value was low (24.14%) and the Hb value was 10.34%. Conclusion: 20% of young women are still found to have anemia. Young women should be prevent anemia. 2023-01-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/11472 Title: Frequency of Treatment of Foot Wounds in Diabetes Melitus Patients Infected with Covid -19 Authors: Lestari Dwi Astuti, Sri; Suyanto, Suyanto; Tutu Rohimah, Yeni; Insiyah, Insiyah Abstract: Background: Frequency of Treatment of Foot Wounds in Diabetes Melitus Patients Infected with Covid -19 Objective: to assess the differences in the frequency of treatment in patients with or without arterial injuries. Purpose to assess the differences in the frequency of treatment in patients with or without arterial injuries. Methods: This type of quantitave research was comparative and descriptive to assess the difference in the frequency of treatment between those with arterial injuries and those without arterial injuries. A sample of 60 people who had been exposed to COVID-19 and had diabetic foot wounds was split into two groups: 35 people who had arterial injuries and 25 people who did not. Samples were taken using purposive sampling method Both groups of respondents recorded the frequency of wound care that had been received and analyzed it using the Chi- square test with an error degree of 0.05. Results: Patients exposed to Covid 19 showed a difference in the frequency of treating diabetic foot wounds between those who had vascular injuries and those who did not, with a P value of 0.049 0.05 and an OR of 95% CI = 2.114. Conclusion: There is a difference in the frequency of wound care for DM patients between those exposed to COVID-19 and experiencing arterial injuries and those who do not have arterial injuries. Patients who experience arterial injuries have the risk of increasing the frequency of wound care by 1.114 times compared to those who do not experience arterial injuries 2023-01-01T00:00:00Z