PROCEEDING SURABAYA INTERNATIONAL HEALTH CONFERENCE 2017

INTERPROFESSIONAL COLLABORATION IN EDUCATION, RESEARCH AND PRACTICE IMPROVING THE QUALITY OF HEALTH CARE FOR A BETTER FUTURE: THE IMPLEMENTATION IN UNIVERSITAS AIRLANGGA TEACHING HOSPITAL

Nasronudin Nasronudin — 2017-07-18

Universitas Airlangga Teaching Hospital is one of twenty-four hospitals coordinated under Ministry of Research, Technology, and Higher Education, Republic of Indonesia. The areas of Interprofessional Collaboration especially in clinical practice, education, and research are very important to support the improving of quality of health care. Education program through Interprofessional Education (IPE) is a back bone of activity optimizing human resourcing and quality of health care. Research based on health services and health services based on research potentially improve the health care and services quality. Using health outcome research will improves the quality of health care. IPE is an important step in advancing health professional collaborative for many years and has been endorsed by the several faculties of Universitas Airlangga as a mechanism to improve the overall quality of health care. IPE has also become an area of focus for the Universitas Airlangga Teaching Hospital, with several groups, including authors, student competencies, and young staffs from several faculties in Universitas Airlangga. All components and elements as objectives for IPE are critical for successful implementing of IPE. IPE is an important pedagogical approach for preparing health professions students to provide patient care in a collaborative team environment. Once health care professionals begin to work together in a collaborative manner, patient care will be improved. An Interprofessional Collaborative is composed of members from different health professions who have specialized knowledge, skills, and abilities. Interprofessional Collaborative enhances the quality of patient care, reduces cost, decreases patients’ length of stay, and minimalize medical errors. Interprofessional Collaborative carries these knowledge, skill, and value into their future practice, ultimately providing interprofessional patient care as a part of a collaborative team and focusing on patient outcomes improvement. Hospital research center, together with all faculties and research institutions in Universitas Airlangga conduct researches and integrated health cares and health services through the health-life and social - science approach, based on religious morals. Carrying out through health efforts are by the approach of integrated and sustainable promotive, preventive, curative, and rehabilitative services. IPE involves educators and learners from two or more health professions and their foundational disciplines who jointly create and foster a collaborative learning environment. Priorities for the future are researchon quality and quality improvement-particularly the overuse, underuse, and misuse of health care services. A central goal of health care quality improvement is to maintain what is good about the existing health care system while focusing on the areas that need improvement. The aim of these efforts is to develop knowledge, skills, and attitudes that result in interprofessional team behaviors and competence. Universitas Airlangga Teaching Hospital will become an integrated IPE, research, clinical practice and health service center that independent, innovative, leading in the national and international levels, and the pioneer in health services and the development of live-social and health research based on religious morals.

IMPROVING HEALTH AND QUALITY OF LIFE FOR PEOPLE WITH DISABILITY

Tsan Hon Liou — 2017-07-18

Disability may be defined as negative interactions between the functional impairments of people and their environment, with problematic consequences. People with disabilities often experience difficulties in their daily lives, and are limited in their activities and social participation, and comprise 15% of the global population with a minimum estimated 1 billion. The number of people with disabilities increased every year in Taiwan from 3.8% in 2003 to 4.6% in 2011. The International Classification of Functioning, Disability, and Health (ICF) is the promulgated by the World Health Organization (WHO) in 2001 to describe health and disability at both the individual and societal level. The ICF system provides an excellent scientific approach to collecting reliable statistics on disabled populations. In 2007, Taiwan legislated a constitutional amendment known as the People with Disabilities Rights Protection Act. Since July 2012, the act has mandated that the assessment of individual eligibility for disability benefits should be based on the ICF framework. Nowadays, nearly 700,000 persons with disability get their social welfare service and benefits through the newly implemented ICF system. The specific aims of this speech were to: 1) describe the implementation process of the ICF system; 2) compare the differences between the former and present disability systems; 3) analyze the advantage of the ICF disability system for persons with disability. Proceeding of Surabaya International Health Conference

BELIEFS AND PRACTICES DURING PREGNANCY, LABOR AND DELIVERY, POSTPARTUM AND INFANT CARE OF WOMEN IN THE SECOND DISTRICT OF ILOCOS SUR, PHILIPPINES

Larguita P. Reotutar — 2017-07-18

The study determined the extent of beliefs and practices during pregnancy, labor and delivery, postpartum, and infant care of women who sought prenatal check –up, consultation, confined, and delivered at the Ilocos Sur District Hospital- Narvacan during the months of April, May and June of the Calendar Year 2016. Results of the study revealed that a marked percentage of the respondents are below 25 years old, college undergraduate, great majority are from the barangay, married , have no job, and majority have a monthly family income of 5,000 and below. The majority of the respondents are in their second pregnancy and have 2 living children. The respondents have “High” extent of beliefs. They “Agree” on the beliefs that a pregnant woman will deliver a baby boy if her fetus have fast heartbeat, a woman in labor should prohibit guest/s to stand near or at the door, and at the stairs to prevent complications in labor, must not stay under the rain; and not to take in cold drinks after giving birth so that she will not get easily chilled; and newborns must have a rosary beside them when they are left alone by the mother. They have “High” extent of practices. They do not hide their pregnancy to avoid abnormalities; do not attend wakes and funerals or look to dead to avoid fetus’ death; they walk during labor to facilitate descent of the fetal head; and let their husband bury the placenta to end labor pains and bleeding.

CONTEMPORARY NURSING EDUCATION: CHALLENGES AND OPPORTUNITIES

Lisa McKenna — 2017-07-18

Nursing has evolved significantly in recent decades and continues to develop in new many directions. Like knowledge in other fields, the knowledge underpinning nursing changes rapidly. With this comes new technologies to assist in the provision of health care which nurses need to be able to utilise effectively. Increasing focus on patient safety and quality, along with better informed consumers, means that nurses must be increasingly knowledgeable and accountable and use evidence to support their practice, as well as generate knowledge to inform nursing practice. They must have the skills to participate effectively within the interprofessional team. Issues such as globalisation of the workforce and generational change further pose new challenges in maintaining a responsive and well educated workforce. This presentation will explore these issues in the context of the need for providing contemporary nursing education in order to meet the changing health care environment and ensure optimal patient and community health outcomes. It will also introduce some of the emerging educational models in response to such changes.

TRADITIONAL TO RATIONAL AND MODERN PHYTOPHARMACA HANDAYANI

Handayani Handayani — 2017-07-18

The use of traditional/herbal medicine in both developing and developed countriestends to increase. This tendency has two significant dimensions: a. medical aspect dimension related to its widely use in global world, and b. economic aspect dimension related to the creation of added-value in economy for human being. WHO has underlined that framework for joint actions between WHO and country members is very important aiming at more significant roles of herbal medicine in health care system. Indonesian herbal medicines, called JAMU, have been widely used by Indonesian to maintain their health and to cure the diseases since many centuries ago. In the future, the development and the use of Indonesian herbal medicines must be based on the stronger scientific evidence, especially through scientific research and standardization, so they can be integrated into national health care system.Jamu, has been declared as Indonesian brand by Susilo Bambang Yudhoyono, President of the Republic of Indonesia on May 27, 2007 in Jakarta.

IMPROVING THE CAPACITY OF ADULT AGGREGATE THROUGH THE DIABETES SIGNS AND SYMPTOMS MANAGEMENT (MANDALA DM) IN SRENGSENG SAWAH

Rusdianingseh Rusdianingseh — 2017-07-18

This aim of this final assignment is provide an overview of the application of signs and symptoms management program of diabetes mellitus (Mandala DM) as a form of community nursing intervention in adults aggregate with DM. The Mandala DM program applied as nursing intervention strategy to enhance the activity and independence of adult with diabetes, their families and communities through the Self Help Group (SHG). Mandala DM program applied the integration of management theory, community as partner, family centered nursing, and preceed proceed models. The results showed that an increased in knowledge, skills, attitude and perception about DM, and decreased in blood sugar levels of 10-20 mg / dl. The improved health of adult diabetes is also indicated by the 10 families assisted. This study recommends that the Department of Health, community health centers, community nurses and community, especially the adults aggregate to use this program to control the DM.

THE CONCEPT OF NURSING IN THE PHILIPPINES FROM THE PERSPECTIVE OF NURSES IN REGION I

Francis Don L. Nero, PhD, RN — 2017-07-18

This research endeavored to describe the concept of nursing in the Philippines from the perspective of Ilocano nurses for the purpose of developing a nursing description which is based on the Filipino nurses’ perception on their nursing practice that will contribute to the richness of the concept of nursing in the Philippines. The descriptive phenomenology of qualitative research was employed. The participants of the study were the 16 practicing nurses in Region I (Ilocos Region) who were identified through purposive sampling based on the set inclusion criteria. The researcher utilized the in- depth semi-structured individual interview to gather the data and used the Collaizi’s method in data analysis. The findings of the study revealed four (4) major themes: 1) Mangtaraken or Caring, 2) Mangpasantak or Nurturing, 3) Mangipateg or Valuing, and 4) Mangsalimetmet or Preserving. Nurses in the Ilocos Region describe the concept of nursing in the Philippines as mangtaraken which described as the art, science and discipline of caring, mangpasantak which aims to nurture an individual, mangipateg which pertains to valuing the individual, family and community and mangsalimetmet which refers to the preservation of the profession, culture and knowledge generation. The findings revealed that the description of nursing is culture-based that is deeply rooted to their traits as Ilocanos.

CLINICAL EXPERIENCES: MILESTONES IN NURSING EDUCATION

Julieta T. Guinid — 2017-07-18

This is a qualitative phenomenological study aimed to explore and describe the lived clinical experiences of Levels II, III and IV nursing students of the University of Northern Philippines. Eighteen students were selected as participants through purposive sampling. Data were gathered through individual unstructured interviews and focus group discussions and analyzed following the Colaizzi’s process. Three main themes with their corresponding subthemes emerged from this study: 1) Teaching and Learning Support comprising clinical supervision, mentors and role modeling interplay with theory and practice, 2) Clinical Practice that resulted to character and values development, clinical responsibility, competency enhancement and anxiety and stress. The students likewise developed self-confidence, enjoyed and appreciated clinical practice; and 3) Interpersonal Relations centered on the attitude of staff nurses, doctors, clinical instructors, students’ emotions, and coping strategies. The participants perceived some of their Clinical instructors (CIs) as role models who helped them hone their competency skills and developed moral values. They encountered stresses that greatly affected their personal life and academic performance. To adequately prepare students for clinical practice, orientation procedures must be strengthened; the CIs should serve as role models not only in thought and in words but also in deed; pre and post conferences should be conducted regularly to promote meaningful and inspiring clinical experiences. The findings should be disseminated to the affiliating agencies and further studies be conducted on students’ clinical experiences in the community.

THE LOCAL HEALTH CARE SYSTEM OF THE PROVINCE OF ILOCOS SUR

Marlou R. Savella, DPA — 2017-07-18

Health is fundamental to life. It is in this premise that efforts are being undertaken to improve the health system of every country. The focus of the study was on the different components of the Local Health Care System and the quality of health services of selected Rural Health Units and District Hospitals in the Philippines. The study revealed that the Administrative Capability along leadership and good governance is “moderate”. Along the capability of health personnel in terms of ratio to total population, only two municipalities have the ideal number of doctors and nurses while only five municipalities have an ideal number of midwives. There is also a shortage of human resources for health, particularly doctors, in almost all the district hospitals. However, the limited number of nurses and midwives is compensated by the presence of contractual and volunteer nurses and midwives. In general, the clients expressed their satisfaction on the services provided. Suggestions were made largely on availability of free medicines, laboratory services, reduction of waiting time and improvement of facilities. Efforts should be undertaken to ensure that programs and policies are implemented and objectives are reached through improved coordination across local health systems.

DETECTION AND CHARACTERIZATION OF ANTI-IFN-Γ AUTOANTIBODY IN PATIENTS WITH ADULT-ONSET IMMUNODEFICIENCY SYNDROME

Dyah Ika Krisnawati — 2017-07-18

Interferon (IFN)-γ, a type II IFN produced by natural killer cells, dendritic cells, and T cells, confers crucial functions for inducing immunomodulation (such as macrophage activation, antigen presentation, and helper T cell differentiation), causing antimicrobial (such as antiviral replication, microbial killing, and MHC induction), and promoting anticancer activity (such as growth inhibition, cytotoxicity, and immune priming). An emerging type of immune disorder, called adult-onset immunodeficiency syndrome, has currently reported in patients who show defects in IFN-γ signaling commonly resulted from the generation of antiIFN-γ autoantibody and partly due to mutations in IFN-γ signaling molecules. In these cases, tuberculosis and non-tuberculosis mycobacteria infection are frequently identified regarding IFN-γ is potent anti-tuberculosis cytokine. Until now, the detection of anti-IFN-γ autoantibody is not recurrently in clinical and the immunopathogenesis of anti-IFN-γ autoantibody remains unclear. This study aims to develop methods for the detection of antiIFN-γ autoantibody in patients with adult-onset immunodeficiency and plans to characterize the immunopathogenic effects of anti-IFN-γ autoantibody. Specific Aim 1 of this study is to develop methods for detecting anti-IFN-γ autoantibody. ELISA and western blot are utilized in this study. The possible binding site is next evaluated by using synthetic peptide binding assay. According to the results, we propose that the generation of anti-IFN-γ autoantibody may neutralize IFN-γ effectively. Specific Aim 2 is to perform those all functional assay to check IFN-γ-activated STAT-IRF1 signaling pathway as well as IFN-γ- mediated nitric oxide generation, cytokine/chemokine production, T cell activation, and anti- tuberculosis activity. These results provide methods for autoantibody detection and characterize the blockade effects of autoantibody on IFN-γ signaling and bioactivity.

INFLUENCE OF DISASTER PREPAREDNESS EDUCATION ON SDN PACET 1 STUDENTS’ PREPAREDNESS AGAINST DISASTER AT MOJOKERTO

Endang Soelistyowati — 2017-07-18

Regions in Indonesia is a ring of fire and Mojokerto is one area that is prone to landslides. Landslide that occurred in 2002 caused many casualties, the majority are elderly and children. Children are not all trained for disasters that need to be given education on elementary school children how to deal with a catastrophe if at any time there. Objective: This study aimed to determine the effect of the preparedness of disaster preparedness education of children, before and after education. Methods: The study design is quasi-experimental design with pre-post test design one. The sampling technique random sampling with total sample of 42 respondents while the data collection techniques by questionnaire and observation sheet. Research results show that Disaster Preparedness Education can enchance students' preparedness to deal with disasters.

PHASE OF CHEMOTHERAPY WITH NUTRITIONAL STATUS OF CHILDREN WITH LEUKEMIA AT ROOM BONA 2 DR. SOETOMO HOSPITAL

Kiaonarni Ongko Waluyo — 2017-07-18

Chemotherapy is a medical therapy using anti-cancer drugs to kill cancer cells systemically, which have contributed to the occurrence of malnutrition for various reasons. Objective: identify Chemotherapy phase relationship with the nutritional status of children with Leukemia. This type of research: analytic correlational. The study population: all children with leukemia who undergo chemotherapy in the room Bona 2 Dr. Soetomo Hospital as many as 20 children used as a sample. Dependent Variables: The nutritional status of children with Leukemia. Independent Variables: Phase of Chemotherapy. The research instrument is: Bathscale, observation sheets, the curve Z-score at WHO-NCHS. Data were analyzed using Chi Square. Children with Leukemia who undergo chemotherapy are most numerous in the Consolidated phase as much as 35%. Nutritional status of children with Leukemia after undergoing Chemotherapy most (35%) experienced less nutritional status and poor nutrition status as much as 30%. Phase of Chemotherapy have a relationship with Nutritional Status of children with Leukemia who undergo chemotherapy (p = 0.045 <0.05). Phase of Induction, half of children have poor nutritional status. Phase of Consolidation vast majority of children (57.1%) are in poor nutritional status. Phase of Maintenance whole of children has less nutritional status. Advised to healthcare workers in the Hospital should further promote the health education in order to improve the knowledge of parents, especially knowledge about providing good nutrition, so the nutritional intake of children is maintained although have nausea, vomiting when undergoing chemotherapy and child nutritional status not decline even nutritional intake is expected to improved.

DIETARY PATTERN AND ARTHRITIS GOUT RECURRENCE IN PUSKESMAS KREMBANGAN SELATAN SURABAYA

Siswari Yuniarti — 2017-07-18

Arthritis Gout is joint inflammation as manifestation of monosodium cristal accumulation colected crystal in joint area. Recurrence level of Arthritis Gout in client is different sign symptoms in every individual. Main factor causing recurrence that are dietary pattern. The research aimed to identify description of dietary pattern and recurrence cause in client with Arthritis Gout treated in Puskesmas Krembangan Selatan Surabaya. This research uses descriptive method. The popullation in this study were client who visited arthritis Gout in the community health center south krembangan surabaya. Larges sample taken 25 respondents, with a sampling technique using a Purposive Sampling. Data collection instrument used questionnaire. This research variable of dietary pattern and sign symptoms arthritis gout reccurence. Research results of dietary pattern and sign symptoms of client with Arthritis Gout recurrence cause who visited health center south krembangan surabaya. Showed that as many as 25 respondent from dietary pattern to know after client consume seafood experience severe symptom sign (75%). While eat a kind of an animal in client experience had symptom sign (44%). And then eat a kind of nabati experience mild symptom sign (34%). Many this symptom sign is a had level (44%). To experience severe symptom sign of (20%). The higher consumption eat a kind contains high purin value more big at risk Arthritis Gout in client experience recurence wether mild, intermediate and severe. Then client lose his/her self confidence concerning with the health condition.Based on the results of this researchis a expected to know must limit eat a kind for Arthritis Goutclient, routine control. This health department expected make a leaflet eat a kind graf and purin value can be consumption Arthritis Gout client.

THE ANALYSIS OF INTEREST TO TREATMENT OUTPATIENTS BACK BASED ON MANAGEMENT RESOURCE APPROACH (MAN, MONEY, MATERIAL, MACHINE, METHOD / 5M)

Ratna Wardani — 2017-07-18

Basically, management is required for all types of organizational activities where people work together within an organization to achieve common goals. The purpose of this study is to determine the influence of management resources (man, material, machine, method, money / 5M) on the interests of outpatient treatment at Putra Waspada Hospital. The design of this study was observational with cross sectional approach. The population in this study was all outpatients as many as 142 patients, using simple random sampling obtained 104 respondents as a sample. Independent variables in this study are management resources (Man, Money, Material, Machine, Method), and dependent variable is interest in rheumatic eater treatment which is measured using questionnaire and analyzed by ordinal regression with degree of significance 0,05. From the research results, 45 respondents (43%) had high interest, 47 respondents (45%) gave high appraisal of man resource, 50 respondents (48%) material, 53 respondents (51%) machine, 52 respondents (50%) method, 51 respondents (49%) money on management resources at Putra Waspada Hospital. Where is the variable of man (0,019) material (0,000) method (0.000) has a significant relationship to the interest of outpatient treatment at Putra Waspada Hospital. There is an influence of management resources on the interests of outpatient treatment at Putra Waspada Hospital, where material resources have the greatest influence.

EFFECTIVENESS OF MENEY EXTRACT (TURMERIC HONEY) TO DECREASE OF UPPER RESPIRATORY TRACT INFECTION IN AGE 4-5 YEARS IN THE COASTAL AREA SOUTH SURABAYA

Hidayatus Sya’diyah — 2017-07-18

Many toddler having a cold and cough which can heal by giving a turmeric honey extract. The purpose of research is knowing about effectiveness of turmeric and honey extract to discrease upper respiratory tract infection in age 4-5 in the coastal area south Surabaya. Research used true experimental with non equivalentcontrol group design type. The population were 32 toddler respondens. With sampel random sampling were 30 toddler respondens divided into control group and experimental group. The instrument used SOP and URTI questionary in toddler, and analized by Wilcoxon and Mannwhitney test. The Result showed experimental group obtained URTI grievance decreased in 5 days, while in control group no decrease was obtained. Wilcoxon test showed turmeric and honey extract effectived in experimental group p = 0,002, Wilcoxon test in control group showed there was p = 0,157. Mann whitney test showed contradiction in both group p = 0,001 (p< a = 0.05). Turmeric honey extract is needed by toddler who have URTI, so it can decrease URTI grievance and increase toddler immunity

DIFFERENCES OF FREQUENCY AND DEPTH OF BASIC LIFE SUPPORT (BLS) COMPRESSION BASED ON AMERICAN HEART ASSOCIATION (AHA) 2015 BETWEEN RULE OF FIVE AND RULE OF TEN TECHNIQUES IN SEMESTER VII AT STIKES MUHAMMADIYAH LAMONGAN LABORATORY

Suratmi Suratmi — 2017-07-18

Basic life support (BLS) is an emergency measure to maintain and restore the vital organs of cardiac arrest victims and stop breathing. One of the factors influencing the success of basic life support is adequate chest compression consisting of correct frequency and depth of compression. According to AHA 2015, the exact frequency is 100 - 120 times per minute and depth between 5-6 cm. One cause of ineffectiveness of frequency and depth is the calculation technique used when performing chest compression. The purpose of this study is to know the difference of frequency and depth of chest compression between calculation technique of rule of five and rule of ten. The research used Pre-experimental with static group compararison design approach. The population was 168 students and sample was 118 students taken using simple random sampling method. Data were analyzed by Chi Square test. The results showed that both of the frequency and depth of chest compression with rule of five technique is more effective, than the frequency and depth of chest compression with the rule ten technique. Chi Square test result with significance 0,00 (p <0,05). It is expected that this research will increase the students' information to understand better the implementation of basic life support

RELATIONSHIP CHANGES IN BODY IMAGE WITH ANXIETY PREGNANT WOMEN IN NGIMBANG HOSPITAL LAMONGAN

Heny Ekawati — 2017-07-18

Physiological changes in pregnant women often change their body image which can trigger anxiety. The purpose of this study was to determine the relationship of the changes in body image levels and anxiety of pregnant women. The design of this study was cross sectional method with purposive sampling. The sample used is 28 pregnant women in hospital Ngimbang Lamongan on March 2016. The data collection used Hars Scale and enclosed questionnaire analyzed using Contingency coefficient test with p <0.05. The results show that 52.6% of pregnant women with maladaptive body image changes experiencing moderate anxiety, and 22.2% of pregnant women with adaptive body image changes experiencing mild anxiety. Statistical test results obtained the value of 0.515 with a significance level was 0.018 (p <0.05) and showed that there was a relationship between body image changes and anxiety level in pregnant women. It is needed to hold information about the physiological changes and suggest pregnant women to do antenatal care regularly.

CONSUMPTION OF FE-FOLAT WITH BANANA TO THE HAEMOGLOBIN LEVELS AND SIDE EFFECTS ON PREGNANT WOMAN

Faizatul Ummah — 2017-07-18

Pregnant woman is one group anemia risk. The government policy in supplement tablet fe-folat at least 90 tablet during pregnant. Iron tablet consumption can generate side effects that annoying as nausea, vomiting, abdominal cramps, and constipation. Research purposes to know the influence of iron tablet consumption and folic acid with bananas against elevated levels of haemoglobin and side effects on gastrointestinal pregnant women. Experimental research (one group pre-postest design). Sample of 24 pregnant women with < 20 weeks of pregnancy age criteria, no KEK, pregnancy distance > 2 years, and pregnant mother age is 20-35 years. Variables that measure is pre-post Hb levels and side effects on the gastrointestinal tract, nausea, vomiting, and constipation. Hb levels were analyzed with Paired T-Test and side effects were tested by Mc Nemar (α = 0.05). Result of research, mean of Hb level of pre 11.71 gr% and post 12.66 gr% (mean increase is 0,95 gr%). Test Paired T-Tes, t = -7.489, p <0.001. Side effect at the beginning of the first week, mild nausea vomiting (58.33%), and constipation (25.00%). At the end of the second week, mild nausea vomiting, and constipation (4.16%). Mc Nemar test result of nausea vomiting p < 0.01 and constipation p> 0.05. Consumption of iron and folate tablets with bananas can increase Hb levels quickly and can reduce side effects of nausea, vomiting, and constipation. It is recommended for health workers to improve education to pregnant women to consume iron tablets using bananas.

REDUCING STRESS (CORTISOL HORMONE LEVELS) WITH STRESS MANAJEMEN OF DIABATES MELLITUS PATIENTS

Dwiharini Puspitaningsih — 2017-07-18

Stress is characterized by an increase of cortisol hormone, greatly affecting control and blood glucose levels. The purpose of this study was to identify the Effect of Stress Management on Reduction of cortisol levels of Diabetes Mellitus Patients. The study design was quasy experiment. The number of respondents in this study as many as 16 people divided into two groups which of intervention group and control group, the sampling technique using purposive sampling technique. The instrument used in the study is a questionnaire modification by researchers. After Being Given Stress Management, levels of cortisol of intervention group has decrease, but in the control group the cortisol levels has increase. The mean value of cortisol content for treatment group was -18,16 ± 19,18, while in control group the mean value of cortisol was 10,56 ± 22,18.The result of statistic analysis using independet t test obtained ρ=0,015 where ρ<0,05 indicated that there was significant difference between cortisol content between control group and treatment group given by stress management. Management of DM patients is expected to be used for individuals to learn what stress is and how to identify stressors in their own lives, acquire and practice stress coping skills and practice stress management techniques, so that patients are expected to change the behavior of maladaptive stress into adaptive.

RELATIONSHIP OF EXCLUSIVE BREASTFEEDING ACTIVITIES BY ARTICLES OF ARD ARRIVAL IN CHILDREN AGE 6-24 MONTHS

Nunuk Nurhayati — 2017-07-18

One of the most common diseases in the community is ISPA (Acute Respiratory Tract Infection) which includes acute upper and lower respiratory tract infections. The disease is much in the suffering by children both in developing countries and in developed countries. Acute respiratory disease is known as cough sickness. ARI is an important health problem because it causes high infant and toddler mortality is 1 of 4 deaths that occur. One of the risk factors that increase the outbreak of ARI is the inadequate fulfillment of breast milk. Baby food is ideally breastmilk Exclusivity from birth to 6 months of age. This research type with Cross Sectional approach. The sample in this study is children aged 6- 24 months who are in the working area of Akbar Medika Clinic from January 2017 until April 2017 as many as 74 children. This research uses Simple Random sampling technique. There are 2 variables that are free variable that is giving Exclusive Breast Milk and dependent variable is ARI of ARI at child age 6-24 month. Based on Chi Square test in get p value equal to 0,002 because value of p <0,05 meaning H0 rejected it can be concluded that there is relation between action of Exclusive breastfeeding with ARI occurrence at child age 6-24 month in work area Akbar Medika Clinic Village Pond AgungPuri-Mojokerto. We as health workers should be able to help the government program to succeed the delivery of Exclusive breastfeeding for newborns - 6 months for Exclusives Breastfeeding as the best food and as a source of immunity for Indonesian children by giving HE to pregnant women and mothers to provide breastfeeding to their babies.

THE CORRELATION OF STRESS TOWARD EXAMINATION WITH GASTRITIS SYMPTOMS IN XI CLASS STUDENTS OF SENIOR HIGH SCHOOL WACHID HASYIM 2 TAMAN SIDOARJO

Denis Farida — 2017-07-18

Stress can happen to anyone, many students of XI class Wachid Hashim 2Taman Sidoarjo. The one who gained a lot of stress on the exam is the digestive system disorders. The purpose of this study is to determine the connection of stress toward exam with gastritis symptoms in XI class of senior high school Wachid Hashim 2 Taman Sidoarjo. The design of this study is Analytic, Adopted approach is a cross sectional. The population is all students in XI class WachidHayim 2 Taman Sidoarjo are120 studens .Larger sample of 92 were taken by simple random sampling technique. The independent variable was the stress before the exam, the dependent variable is a symptom of gastritis.Collecting questionnaires.Data through the data analysis used Mann Whitney test. The results of the stress level of the categories of the data Showed that 39 respondents (42.4%) experienced moderate stress, whereas symptoms of gastritis category 52 (56.5%) had symptoms of gastritis. Mann Whitney test result is obtained value p = 0,008 and α = 0,05, means p (0,008) <α (0,05) that as result result to rejected. The conclusion is the lower the level of stress in students the less risk student is experiencing symptoms of gastritis.Therefore, students should be Able to set the time in making the learning plan, and do not delay the time to learn that when an exam The students prepared and do not stress.

RELATIONSHIP OF PREVIOUS WRITING WITH NUTRITION STATUS IN BABY AGE 0 - 6 MONTHS IN POSYANDU KALANGANYAR VILLAGE SEDATI SIDOARJO

M. Wahyu Purnomo — 2017-07-18

Breast milk in addition to the needs of infants is also a human right that must be met by. There are still mothers who prefer to give early breast-feeding for more practical reasons if you have to pump the breast. Under 6 months of age, the baby's digestive system does not have an enzyme to digest the food. Supplementary feeding of breast milk can aggravate the work of baby's organs. Intestine baby also can not work perfectly so it can reaction diarrhea, colic and allergies. Methods Cross-sectional research, this study used is a partial mother and baby aged 0-6 months in Posyandu. This research with probability sampling with simple random sampling technique Data collection techniques of questionnaires and Table Categories and Thresholds of Nutrition Status. processing is done by using SPSS. The result of collecting questionnaires collected will be tested using chi-square analysis test using SPSS, with significance level (=0,05). Based on the results of analysis with Mann Whitney test using SPSS for windows known α = 0,05 and got result ρ = 0,017 where ρ <α so H to be rejected which mean there is relation between feeding of complementary of early breast milk with nutrient status at baby age 0 -6 months. 32 respondents who were not given early breastmilk substitute food as much as 5 respondents who were all (100%) good nutrition while given earlier feeding of mother breast milk almost half (40,7%) have good nutritional status and most of them (59.3%) More nutritional status.

PERSONALITY TYPE RELATIONSHIP WITH SMOKING BEHAVIOR IN ADOLESCENT IN MTsN PADEMAWU, PAMEKASAN MADURA.

Mohammad Shiddiq Suryadi — 2017-07-18

One aspect that is important in the psychosocial development of adolescents is the personality of adolescents themselves. Environment are intimately affects adolescents. Cigarette advertisements provide a strong influence. Entry limits tightened smokers, which is higher than 18 years. Indonesia experienced a population growth of 1.49 percent annually and 28 percent of them are active smokers, not only among adults, but also children and adolescents. In this study an analytical study design Correlational research with cross sectional approach, samples are used as the subject of this research consisted of 68 respondents to the determination of the number of samples using proportional random sampling technique, this study uses two variebel, the independent variable is the type of personality, as well as variable dependentnya is smoking behavior. To determine whether there is a relationship that is then used Chi square if ordinal scale data, with a nominal 95% confidence interval or the value of α = 0.05. statistical test results obtained using Chi Square value Sig (2-Tailed) = 0.000. Means There is a relationship between personality type with smoking behavior. The results of the study into consideration, especially educational institutions to junior level students understand the dangers of smoking.

EFFECT OF NURSE CARING BEHAVIOR AGAINST CLIENT SATISFACTION LEVELS IN NURSING CARE IN PAVILIUN MASKIN OF WALUYO JATI HOSPITAL KRAKSAAN PROBOLINGGO.

Dodik Hartono — 2017-07-18

Caring Behavior is an attitude, a sense of caring, respectable for others. Improved quality of nursing care is supported by the development of nursing theories, one of which is the theory according to Jean Watson Caring Behavior, so that clients are satisfied with the health services. The purpose of this research is to know is there any Influence Behavior Caring Nurses Against Client Satisfaction Levels In Nursing Care In Space Paviliun Maskin Waluyo Jati Hospital Kraksaan Probolinggo. This research use analytic design correlation with cross sectional approach. The population in this study were all nurses are there in the paviliun Maskin number of respondents and 17 patients who were treated at the Paviliun Lounge Maskin number of 33 respondents. The sampling technique used in this study sample of nurses using the technique of "Total sampling" technique and patient samples using "purposive sampling". The study was conducted on April 2017. The instrument used in this study is a questionnaire respondents level of satisfaction for the patient and nurse observation sheet for respondents. After the data collected includes data collection coding, editing and tabulating, then the data were analyzed manually and using a computer statistical test Wilxocon. The results showed most of the nurses in the room paviliun apply for poor behavior caring behavior as much as 12 respondents (70.6%), most patients were treated in the paviliun for poor say very satisfactory by 27 respondents (81.8 %). Based on the Wilcoxon Test Statistic shows that the value of the p value of 0.000 with a significance level α of 0.05. Thus, the p value is less than α (0.05) so that it can be concluded that H1 is accepted, which means there is Caring Behavior Influence Client Satisfaction Levels Against Nurses In Nursing Care In Space Paviliun Maskin Waluyo Jati Hospital Kraksaan Probolinggo. Based on this study it can be concluded that the nurse caring behaviors affect the level of client satisfaction in nursing care services. By applying the caring behavior of nurses is expected to provide excellent service to the client, so the client feels safe, comfortable and clients are satisfied with the health services.

THE INFLUENCE OF PARENT PRESENCE IN INFLECTIVE INVASIVE MEASURES OF INFUSING ON RECIPRENT ACCEPTANCE OF CHILDREN AGE PRE SCHOOL IN CHILDREN HOSPITAL ISLAM SURABAYA

Dodik Hartono — 2017-07-18

The invasive intervention in applying infusion to children is a painful experience. It is said to be the stressor for them, which makes the nurse difficult to apply the infusion. The parental accompaniment can overcome the problem that occurs when doing this in order to make children accept the infusion. The researcher tried to develop a research about the influence of the parental accompaniment in the invasive intervention of applying infusion toward the preschool children 's response in accepting infusion in the pediatric ward of Surabaya Islamic General Hospital. The design of research was cross sectional. The total populations involved in this research were 30 samples. The independent variable was the parental accompaniment, whereas the dependent one was the children's response. To find out the influence among the variables, the researcher used the rank Spearman statistical test and the SPSS for Windows with the significance level a < 0. 05. The result showed that 60% of the pre-school children's response toward the invasive intervention in applying irifusion was good, whereas 80% of the quality of parental accompaniment was good. The good quality of parents' presence illustrated that 75% of the children's response was also good. Furthermore, the research revealed that p = 0. 00. Therefore, the hypothesis of the research was accepted which meant that there was an influence of parental accompaniment in the invasive intervention of applying infusion toward the preschool children's response of acceptance in the pediatric ward of Surabaya Islamic General Hospital. Therefore, the nurse should give the children time and opportunity of being accompanied by their parents during applying infusion. They should also explain them about what they should do when accompanying their children by showing their relaxing feeling and support, as well as teaching, loving, and caring for them so that the quality of their presence increases.

THE INFLUENCE OF COUNSELING TO THE MOTHER’S KNOWLEDGE ABOUT THE GIVING SUPPORTED FOOD OF BREAST FEEDING BY BABY LED WEANING (BLW) METHODE FOR THE BABY IN AGES 6 –12 MONTH OLD

Tri Dianti Nur Wahyuningtyas — 2017-07-18

The less nutrition baby was caused by the uncorect in giving supportedfood of breast feeding. Ifthe need of nutrition didn’t fullfill, the baby nutrition disturbance will be occurwhich theconsequence of it will increase in the future. The purpose of the reseach was to find out the influence of counseling to the mother’s knowledge about the giving supported food of breast feeding by BLW methode for the baby in ages 6 – 12 month old At Posyandu Kenanga Semanding Rural Village Sumber Mulyo Village Jogoroto Sub District. This was exsperimental research design by one group pre-post test design approach. In this research the population was all the mother who had baby in ages 6 – 12 month old at PosyanduKenangaSemanding Rural Village SumberMulyo Village Jogoroto Sub District as 127 people by the sample of 32 people. The sample was taken by simple random sampling and wilcoxon test was used as statistic test. The result of research can be concluded that almost half of the respondents got knowledge about the giving supported food of breast feeding by BLW methode before they gotcounceling was less as 12 person (37%). Most of respondents got knowledge about the giving supported food of breast feeding by BLW methodeafter they got counceling was better as 13 person(41%). The Wilcoxon test in the significant level α = 0,05 got that ρ < α or0,000< 0,05 which meant there were increasing of mother’s knowledge before and after counceling about the giving supported food of breast feeding byBLW method. The conclussion, there were increasing of mother’s knowledge before and after counceling aboutthe giving supported food of breast feeding by BLW methode. The result of research was expected to the respondent be able to increase their knowledge concerning with the giving supported food of breast feeding by BLW methode by accessing information about the giving supported food of breast feeding by BLW methode, through the counseling ativities.

CORRELATION BETWEEN APLICATION OF THERAPEUTIC COMMUNICATION WITH PATIENT SATISFACTION IN EMERGENCY ROOM ISLAMIC HOSPITAL SURABAYA

Sulistyorini Sulistyorini — 2017-07-18

In nursing practice, communication is an important tool for the therapeutic relationship that can affect the quality of nursing services. Communication is very important because it can affect the level of patient satisfation with health care provided. Dissatifaction is often cause by bad communication going on with the patient. In this study using the correlation method is measuring patient satisfaction with nursing therapeutic communication. The research was conducted at the islamic hospital surabaya. Number of sample in the study of 82 patients were treated by the emergency room. Results of this study showed the results pf p = 0.000, wich means there is a significant relationship (H0 is rejected), and the statisticial results where the majority of patients are not satisfied to the conversation that they did with nurses both verbally and nonverbally. It is shown that in effective communication is still happening in the everday practice of nurses at the islamic hospital surabaya. For to solve this evidence, we need to provide nursing training for increase nurse therapeutic communication, also need continous evaluation.

IMPLEMENTATION OF PROCEDURE MANAGEMENT Of SETS Of INSTRUMENTS BY OPERATING ROOM NURSES AT THE ISLAMIC HOSPITAL SURABAYA

Moch Fatkan — 2017-07-18

The Most Problem of the implementation of the medical instrumen set mangemen faced by nurses inthe operating room are lac of thorougnes, discipline an responsibility. Consquently, this problem causes the maintenence of instrument is not done well. The reseach was purpused to identify the implementation of the medical instrumen set mangemen faced by nurses in the operating room of surabaya Islamic General Hospital. The desight of this reseah is descriptive. The population in the reseach involved 23 people. The sample are nurse 20 responden where chosen by using simple random sampling tehnique. The variable is implementation of medical instrumen set mangemen faced by nurses befor operation, during operation and after operation in the operting room of surabaya Islamic General Hospital The information by observation technique. The analisis by descriptif statistic. The Result evaluation of test in the relation of medical instrumen set show that 70% also did it well after operation, 65% set it up well during operation and 75% also did it well after operation. The evaluation this reserch in the relation with the managemen of the medical instrument by nurses in the operation room of surabaya Islamic General hospital. The respondens set instrumen well befor operation, during operation, and also did it well after operation. The opinion of surabaya islamic Hospital make standart operational prosedur, responsibiliti of job, and education of medical instrumen set menegement.

CORRELATION BETWEEN NURSES SELF EFFICACY AND EMPLOYEE ENGAGEMENT IN THE INPATIENT ROOM OF SURABAYA ISLAMIC HOSPITAL

Imamatul Faizah — 2017-07-18

Nurse is the one of human resources giving the importantrole in the hospital. Problems in the organization related to human resource is the job dissatisfaction, decreased performance, absenteeism, tardiness, and the turnover will be achieved. Therefore, the purpose of this research was to find out the correlation between nurses self efficacy and employee engagement in the inpatient room of Surabaya Islamic hospital.The design of study was analytic correlational-cross sectional. The population involveld all nurse in the inpatient ward, totally 52 people. 46 respondents were chosen as the samples by using proportional random sampling technique. The independent variable used in this study was self efficacy and the dependent variable was the employee engagement. Questionnaire was used to collect the data which were then analyzed by using Chi-Square test with the significance level α = 0,05.The result of study showed that among 46 respondents, most of the respondents were 24 (52.2%) had a good self efficacy, and half of the respondents 23 (50%) had a good employee engagement. Moreover, the result of the statistics test showed that ρ = 0,000 < α = 0,05. So that H0 was rejected which meant that there was a correlation between self efficacy and employee engagement. The better self efficacy of the nurse make a good employee engagement. Therefore, the management of hospital should increase social support to nurse, so that,nurse have a good employee engagement and should be increase the quality of Surabaya Islamic General Hospital.

THE ROLE OF NURSES AS ADVOCATES AND COMMUNICATORS IN THE IMPLEMENTATION OF INFORMED CONSENT PREOPERATIVE IN CEMPAKA ROOM DR. ISKAK HOSPITAL TULUNGAGUNG

Retno Ayu Yuliastuti — 2017-07-18

Surgery is one of the health action. The action was likely to pose a risk to the patients. Provide information about actions to be taken minimalize risk to the patient. The information given when the patient will undergo surgery contained in the informed consent. Informed consent aims to protect health workers from the legal problems that may arise from sense of dissatisfaction of patient for acts that happen because of less information that given by health workers (Veronica, 2002). The purpose of this study is identify role of the nurse as advocate and communicator in implementation of informed consent preoperative, therefore the research conducted on 2nd to 17th January 2012 in the Cempaka Room RSUD dr. Iskak Hospital Tulungagung. Design of research is descriptive. Population in this study all nurses in the Cempaka Room dr. Iskak Hospital Tulungagung. It was used total sampling technique, so that there are 15 nurses for sample. Collecting data by questionnaire for general data and observation list on specific data. Data analysis technique by percentages. The result of research role as advocate and communicator small portion (6,7%) have a role as advocate and communicator in implementation of informed consent preoperative good, (26,7%) is quite good, almost half (40%) less, and few others (26,7%) is not good. the conclusion of the research that role of the nurses as advocate and communicator in implementation of informed consent preoperative in the Cempaka Room dr. Iskak Hospital Tulungagung is less. Therefore, nurses need to increase knowledge to better understand importance of legal aspects and implementation the role of nurses and working for institution to establish the procedure of informed consent. So that, nurses can be performed professionally, responsibly, and accountably in their roles and function. Their can improve services optimally too.

THE CORRELATION BETWEEN THE A DIET AND THE INCIDENCE OF PSEUDODEMENSIA HAPPENING TO THE SIXTH SEMESTER STUDENTS OF S1 NURSING PROGRAM OF UNIVERSITY NAHDLATUL ULAMA SURABAYA

Riska Rohmawati — 2017-07-18

Pseudodemensia is not a normal things, but it is still assumed as a common thing, which can be slowed down by overcoming the causes; one of them is a diet. Students paying less attention to diet so that a lot of students who complained of forgot and confused about what to do. Therefore, the purpose of this study was to analyze the coralation between the a diet and the incidence of Pseudodemensia happening to the sixth semester students of S1 Nursing Program of University Nahdlatul Ulama Surabaya. The methode of study was analityc. The population involved 119 students in which 91 respondents were taken as the sample by using stratified propotionate random sampling technique. The independewnt variabel was the a diet, whereas the dependent one was the incidence of Pseudodemensia. The study found that there is a meaningful coralation between the a diet and the incidence of Pseudodemensia happening (ρ = 0.00, α= 0.05).

THE EFFECTIVENESS OF ABDOMINAL STRETCHING EXERCISE ON MENSTRUAL PAIN LEVEL IN STUDENTS OF SEMESTER VIII PRODI S1 NURSING UNIVERSITY NU SURABAYA

Ratna Yunita Sari — 2017-07-18

Menstrual pain may interference daily activities. One way of non-pharmakological treatmeant to reduce menstrual pain by doing abdominal stretching exercise. The purpose of this study to find out the effectiveness of abdominal stretching exercise against menstrual pain level. Study design is Pre Experimental approaches One -group pre - post test design, the population 15 students of semester VIII who had menstrual pain and willing to become respondents. Using total sampling technique. analysis of data use the Wilcoxon signed rank test with α < 0.05. Study results showed from 15 respondents, most of them 8 (53.3 %) respondents had moderate menstrual pain level before abdominal stretching exercise was given and almost a half 7 (46.7 %) respondents had mild menstrual pain level after abdominal stretching exercise was given. Wilcoxon signed rank test got P=0.002 < α 0,05 so H0 is rejected, means abdominal stretching exercise is effective for decreasing menstrual pain levels. Abdominal stretching exercise effective in decreasing menstrual pain level. Expected nurses can participate in providing health education to perform abdominal stretching exercise as a nonpharmacological therapy in reducing menstrual pain.

ROLE OF THE FAMILY RELATIONSHIPS WITH COMPLIANCE TAKING THE DRUG IN PATIENTS OF HYPERTENSION IN THE VILLAGE OF THE SUBDISTRICT DUREN SOURCEKRUCIL PROBOLINGGO REGENCY

Qori Maryanto — 2017-07-18

Sufferers of hypertension require special handling such as keeping a diet or lifestyleand got drug therapy. In fact, sufferers often encountered had a bad drug and drank the compliance. This is due to various factors, one of which is to support the family. The purpose of this research is to know the role of the family relationships are with medication compliance in patients of hypertension in the village of the subdistrict Duren Source Probolinggo Regency Krucil. This research use analytic design correlation. The population in this study are hypertensive patients in the village a number of 36 respondents Duren Source. The sampling technique used in this study uses the technique of "purposive sampling". Research done on 09 – 21 June 2017. The instruments used in this study is a questionnaireon the role of the family and the compliance of medication of hypertension. After the data collected include data collection done coding, editing and tabulating, and then the data is analyzed using the Spearman Rank test statistics. The results showed most of the role of the family either as much as 18 respondents (54.5%), most patients obediently take medication of hypertension by as much as 25 respondents (75.8%). Based on statistical tests speraman rank is obtained that the value of ρ value 0.000 results with significant level α 0.05. Thus, the ρ value smaller than α (0.05) so that it can be concluded that there is a meaning accepted H1 relationship role of families with medication compliance in patients of hypertension in the village of the subdistrict Duren Source Probolinggo Regency Krucil. Based on this study it can be concluded that the family played an important role in the process of recovery and adjustment back every sufferer of hypertension, one of which is compliance with medication of hypertension. Therefore, the role of the family in the process of maintenance and the prevention of the occurrence of hypertension is very necessary.

THE DIFFERENT HEALING TIME OF CIRCUMCISION WITH ELECTRIC CAUTTER AND CONVENTIONAL METHOD HELD IN GENTENG – BANYUWANGI.

Hirdes Harlan Yuanto — 2017-07-18

Process of sircumsisi will affect at hurt appearance at penis. Meanwhile method of sircumsisi or of khitan which is often conducted among others is convensional method and cauter electric.This research is aimed to know difference of long healing of hurf of sircumsisi convensional method and method of electric cauter. Design is used this research use compares design. Population in this reseach is all child which is sircumsisi with convensional method and cauter electric which enter criterion of inclusion with amount of sample 20 responder. Techniques of sampling utilize Quota sampling. Appliance for the process of data collecting is observation sheet, is hereinafter analyzed with statistical test of Franc of Willcoxon with α = 0.05. result of research known that long healing of hurt at responder of sircumsisi with convensional method, at phase of homeostasis some of responder (50%), healing of its tady hurt. At inflammation phase, most responder healing of its tardy hurt (60%) and at phase phase of proliferation most responder healing of its tardy hurt (60%). Meanwhile for the healing of hurt of sircumsisi at method of electric entirety cauter (100%) in category quickly. From statistical analysis got that value ρ = 0.046 < α =0.05 with the meaning there is difference of long healing of hurt of sircumsisi conventional method and cauter electric in Region District Of getting Sub-Province of Banyuwangi Year 2015. Result of research indicate circumcision method recover quickly. Suggestion to give all old fellow and offcer of health, when doing sircumsisi to chosen method of electric cauter.

THE RELATIONSHIP BETWEEN NUTRITIONAL STATUS AND AGE AT MENARCHE IN THE FIFTH AND SIXTH-GRADE STUDENTS OF SDN PABEAN 1 SEDATI, SIDOARJO

Rahmadaniar Aditya Putri — 2017-07-18

In the last decade, age at menarche comes earlier. The factors affecting the menarche are genetics, nutritional status, and environment. Therefore, this research was purposed to find out the relationship between nutritional status and age at menarche in the fifth and sixth-grade students of SDN Pabean 1 Sedati, Sidoarjo. This analytic research was done using cross sectional approach. The population involved the students having menarche in the last two months, totally 28 people. Whilst, 26 respondents were taken as the samples by using probability sampling in which simple random sampling technique was used. The independent variable was nutritional status, whereas the dependent one was age at menarche. The instruments used in this research were questionnaire and observation sheet. Moreover, the data were analyzed by using Spearman’s Rank test with the significance level α = 0.05. The result of research showed that nearly half of the respondents (46.2%) had normal nutritional status, whereas most of them (53.8%) had menarche at normal age. Moreover, the result of Spearman’s Rank test showed that p = (0.018) < α = (0.05) so that H0 was rejected illustrating that there was a relationship between nutritional status and age at menarche. In conclusion, the higher nutritional status affects the normal age at menarche. Hence, the health workers are expected to develop cooperation with schools in order to provide reproductive health education for adolescents as well as to integrate it into the curriculum in the fifth and sixth grade.

THE EFFECTS OF CUPPING THERAPY ON LEVEL OF DYSMENORRHEA IN ADOLESCENT IN RW. 06 WONOAYU GEMPOL PASURUAN

Siti Nur Hasina — 2017-07-18

Dysmenorrhea is one of the gynecological problems that interfere with daily life and the most common problems experienced by women, especially adolescent. Purpose of this study was to determine the effect of cupping therapy on the level of dysmenorrhea in adolescent in RW. 06 Wonoayu Gempol Pasuruan. This research design is pre-experimental with design one-group pre-post design and adolescent population in the village RW. 06 Wonoayu Gempol Pasuruan with dysmenorrhea as much as 17 adolescents. And a large sample of 16 adolescents were taken as the samples by using probability sampling with using simple random sampling technique. The data were analyzed using the Wilcoxon signed rank test . The results of research showed that before cupping therapy (pre-test) the majority of respondents (68.7%) stated rate of severe dysmenorrhea (7-9) and after cupping therapy (Posttest ) half of the respondents (50.0%) stated rate of dysmenorrhea is no pain (0). After the Wilcoxon signed rank test in get ρ value is 0.001 and the value of α = 0.05. The conclusion from this study that the cupping therapy can reduce the rate of adolescents dysmenorrhea in RW. 06 Wonoayu Gempol Pasuruan. In order to improve the quality of nursing care that is done independently to provide nursing interventions especially dysmenorrhea management. Nurses should be complementary techniques by means of nonpharmacological pain reduction such as cupping therapy

THE CORRELATION BETWEEN THE NURSE’S KNOWLEDGE, ATTITUDE, AND THE IMPLEMENTATION OF PATIENT SAFETY IN THE IN-PATIENT WARD OF RUMAH SAKIT ISLAM SURABAYA

Yanis Kartini — 2017-07-18

The implementation of patient safety in the hospital is not optimally done yet. One of the examples is that some nurses do not wrap the patients’ wrist with available wristbands for safety. The success of nursing care is supported by the knowledge and attitude possessed by the nurses. This study was purposed to analyze the correlation between the nurse’s knowledge, attitude, and the implementation of patient safety in the in-patient ward of Rumah Sakit Islam Surabaya (Surabaya Islamic General Hospital). This analytical observational study was done using cross sectional approach. The population involved the nurses who were on duty in Mina, Multazam, Shofa, and Marwa inpatient ward of the above stated hospital, totaling 39 people in which 36 respondents were chosen as the samples by using proportional stratified random sampling technique. The independent variable was the nurse’s knowledge and attitude, whereas the dependent variable was the implementation of patient safety. The instruments used in this study were questionnaire sheets used to measure the knowledge and attitude, whereas observation sheets were used to measure the implementation of patient safety. The data were analyzed using Chisquare statistic test with the significance level of α = 0.05. The results of this study done to 36 respondents showed that nearly all of them (91.7%) had a high level of knowledge; most of them (52.8%) had a positive attitude; and most (66.7%) implemented patient safety well. Moreover, the analysis using Chi-square statistic test resulted in ρ = 0.031 illustrating the correlation between the nurse’s knowledge and the implementation of patient safety. Whilst, another result showed that ρ = 0.018 showing the correlation between the nurse’s attitude and the implementation of patient safety. In conclusion, the higher the nurses possess the knowledge and the more positive attitude they had, the better they implement patient safety. Therefore, the hospital management needs to carry out periodic trainings for the implementation of patient safety to increase the knowledge and attitude of the nurses in Rumah Sakit Islam Surabaya.

RELATIONSHIP BETWEEN SELF EFFICACY WITH SELF ADAPTATION ON SANTRIS OF DARUSSALAM TAMBAK MADU SURABAYA ISLAMIC BOARDING SCHOOL

Khamida Khamida — 2017-07-18

Living and dwelling in a new neighborhood makes santri to do some adaptation in moslem boarding school environment. There are some santri who have barriers in adjusting and there are also students who easily make adjustments. The purpose of the study is to analyze the relationship between self efficacy with santri‟ adaptation in Darussalam moslem boarding house Tambak Madu Surabaya. Research design was cross sectional approach analysis. The population of the study was 35 santri. The sample population was 33 respondents taken by Simple Random Sampling technique. Independent variable was self efficacy of santri and dependent variable was adaptation. Instruments was questionnaires. Data were analyzed by Chi Square test with  = 0,05. The result of this research was almost (78,8%) from 33 respondents have good self efficacy and most (69,7%) santri overcome positive adaptation. Data analyzed with Chi Square test showed p = 0,000 and  = 0,05. P < which means H0 rejected, these means there was relationship between Self Efficacy with santri‟s adaptation at Darussalam Tambak Madu Surabaya Islamic boarding school. Good Self Efficacy can influence santri‟ adaptation to be better or positively. Hence, it was expected boarding school to be able to keep control of santri‟ self efficacy Santri keep on well or positively. Keywords: self efficacy, adaptation

INFLUENCE OF GADGET ON SOCIAL PERSONAL OF EARLY CHILDHOOD

Uliyatul Laili — 2017-07-18

Child growth is a dynamic and continuous process (Rohan Siyoto, 2013). The current condition in most societies is the number of families who have begun to introduce gadgets in the accompaniment of children's growth stimulation. In this case, gadgets have an impact on the growth process both socially and emotionally. The general purpose of analyzing the effect of using gadgets with Personal social early childhood. Method : This research uses analytical method with cross sectional prospective design. Sampling using accidental sampling technique. Independent variables are education, economic status and exposure of usage, while dependent variable is social personal. Data were analyzed by using chi square test. Results : The result of the research shows that there is a correlation between exposure of use with personal social with significance value 0,001 < α, while for education and economic status variable there is no relation with personal social with significance value α > 0,05. Conclusion : The conclusion of this study is the frequent exposure of children's use of gadgets affect the child's personal social.

THE INFLUENCE OF NUTRITION AND REST AGAINST THE SPENDING COLOSTROM ON POSTPARTUM MOTHERS

Yunik Windarti — 2017-07-18

Breast milk is the most perfect food for babies especially at the beginning of the birth, known as colostrom, but many still found spending colostrom obstructed so that the mother can not breastfeed exclusively. Efforts to support the discharge of colostrom has been started since the beginning of the pregnancy until the time of parturition by meeting their needs, namely including nutrition and rest. The fact that many postpartum mothers abstain food and can't set the time so it needs a break. This research aims to analyze the influence of nutrition and rest against the spending colostrom on postpartum mothers. Design of analytical research, the population was all 30 people of 2 hours to 3 days postpartum mothers in BPM Vivi, the large sample was 30 people, taken with the technique of "purposive sampling". The independent variable was nutrition and rest, while the dependent was colostrom. Data were analyzed by using Chi Square test. The results showed how postpartum mothers with good nutrition most (65%) spending colostrom well with the OR value = 16.714 (95% CI: 1.742 – 160.350), the postpartum less break most (71.4%) expenditure not smoothly with colostrom OR = 20 (95% CI: 2.037 – 196.374). Partially, there is a significant influence of the nutritional variables (p = 0,044) and rest (p = 0.030) against expenditure of colostrum. The results of the analysis of the obtained values OR from a variable nutrition 3.816 (95% CI: 1.039 – 14.006) and OR variable break 4.185 (95% CI: 1.144 – 15.309). The conclusion of this research study is getting good nutrition the postpartum mothers, the more smoothly the expenditure colostrom. Getting less rest the postpartum mothers does not smoothly spending colostrom. Health workers is expected to further enhance the IEC about the pattern breaks to bolster spending colostrom on postpartum mothers.

THE RELATIONSHIP NUTRITIONAL STATUS WITH THE MENSTRUAL CYCLE AND DISMENOREA INCIDENT IN MIDWIFERY DIPLOMA UNUSA

Esty Puji Rahayu — 2017-07-18

Menstrual cycle is the distance between the first day of menstruation with the first day of next menstruation. Dysmenorrhoea or pain during menstruation is the most common gynecological complaint experienced by adolescents as primary dysmenorrhea which associated with a normal ovulatory cycle without pelvic abnormality. The factor of menstrual cycle’s regularity is the hormone imbalance with several causes such as stress, disease, changes in routine, lifestyle and weight. Nutritional status is assessed from body mass index (BMI). After obtained the respondents who experience dysmenorrhea and then categorized based on the degrees of dysmenorrhoea and the regularity of menstrual cycle. Relationship BMI with menstrual cycle was analyzed using Chi Square test with p=0.000 (p <0.05) it means there is a relationship between BMI with menstrual cycle. The use of hormones in livestock breeding will affect adolescent growth. Teenagers who consume these foods tend to be fat and have a high body mass index. The cause of the longer cycle of menstruation is increase amount of body fat followed raising level of estrogen in the blood. The relationship of BMI with disminorea was analyzed using Spearman test, BMI had negative correlation (r=-0.114) with dysminorrhea incidence and there was no correlation between BMI and dysminorrhea (p> 0,05). The absence of a relationship can be due to BMI underweight and overweight category can experience primary dysmenorrheal.

DIFFERENCES BETWEEN MASSAGE TUI NA AND ACQUISIT POINT BL 20, BL 21 AND SP 6 IN OVERCOMING EATING DIFFICULTY

Annif Munjidah — 2017-07-18

The growth and development of children is very dependent on the fulfillment of nutrients, so the problems in the fulfillment of nutrients such as feeding difficulties in infants can cause growth disorders. Eating difficulties are often experienced by children, especially the 1-3-year age range that is also called the age of food jag, ie children only eat on foods that are liked or even difficult to eat. Nowadays, development efforts have been made to overcome the difficulty of eating on toddlers through Tui Na massage by improving blood circulation in the spleen and digestion. In addition, there are also methods through acupressure BL 20, BL 21, and SP 6. The general purpose of analyzing the differences of Tui Na massage and acupressure at point BL 20, BL 21, SP6 in overcoming feeding difficulties in infants at RW 02 Wonokromo Surabaya. The method of research for this paper is the Quasi Experimental research design. Population and sample of research are toddlers who have difficulty eating. Samples were taken using simple random sampling. The study was conducted for 3 months. Direct data collection using questionnaire and observation, then data analyzed using Mc Nemar test then continued with chi-square test. The statistical test of difference between Tui Na and Acupressure BL 20, BL 21, SP 6 on feeding difficulty was obtained by probability value 0,046, then P <0,05, it means there is difference between Tui Na massage with Acupressure BL 20, BL 21, SP 6 against Difficulty eating. Based on that, midwife is expected to apply Tui Na massage as one of effort in overcoming feeding difficulty in toddler. While midwifery education institutions are expected to equip students to apply Tui Na massage method as one of upbringing in toddlers.

EFFECTIVENESS OF TRIPLE C PARENTING TO CAREGIVERS PERSEPTIONS ABOUT EMOTIONAL INTELLEGENCE DEVELOPMENT OF CHILDREN AGED 3-5 YEARS OLD

Elly Dwi Masita — 2017-07-18

A case study conducted in April 2017 in the subdistrict of Wiyung Surabaya was found 90% of caregivers to argue that the development emotional childrenwas limited negative behaviors such as shouting to ask something, to destruct object, hitting friends while 10% consider that emotional intelligence children include of negative behaviors and positive behaviors, among others, confident, cheerful, able to adapt. The purpose of this study is to know the influence of triple C parenting (Comunication, Counseling Child) on caregivers perseptions about the development emotional intelligence of children aged 3-5 years. This type of research is quasy experiment conducted in early childhood of Surabaya city. The population of 60 respondents used purposive sampling technique with 30 control samples and 30 treatment samples. Statistical test using Mann Whitney test with p <0.05. The result of analysis test is explaining that there is significant effect of triple C parenting on caregivers perseptions about emotional intelligence of children 3-5 years old with p = 0.001. Triple C parenting effectively affects the perception of caregivers about emotional intelligence of children aged 3-5 years

RELATIONSHIP BETWEEN CHARACTERISTICS OF MIDWIFE AND SOCIAL AWARENESS IN FE TABLETS ADMINISTRATION TO PREGNANT WOMEN IN PUBLIC HEALTH CENTERS

Agus Aan Adriansyah — 2017-07-18

Coverage of Fe tablets during antenatal care visit from 2011-2013 in Public Health Centers in Surabaya was still low with an average percentage of 9.29% and 16.27%. The purpose of this study was to analyze the relationship between characteristics of a midwife and social awareness of a midwife in Fe tablets administration to pregnant women in Public Health Centers in Surabaya. This research was an analytic observational study and a cross sectional approach. The research location was in all Public Health Centers in Surabaya. The samples as many as 65 midwives were taken using multistage random cluster sampling technique from 62 Public Health Centers representing every region in Surabaya. The data obtained were analyzed by using Ordinal Logistic Regression technique. The results showed that the age and length of employment are closely related to social awareness of midwife, while educational background was not closely related to social awareness of midwife. The conclusion of this study is that characteristics of midwife are closely related to social awareness of midwife. Midwives with good social awareness generate a good performance achievement. Our suggestion is that Public Health Centers should immediately provide education and training to midwives who have less social awareness. In addition to the process of hiring a midwife, Public Health Centers should pay attention to midwives’ ability of social interaction as it relates to the responsibility of providing services to pregnant women.

EFFECTIVENESS OF ENDORPHIN MASSAGE AGAINST ANXIETY THE FACE OF LABOR ON MOTHER PRIMIGRAVIDA IN THE REGION OF CLINICS JAGIR SURABAYA

R. Khairiyatul Afiyah — 2017-07-18

Most pregnant women in the society experience anxiety when facing labor, especially primigravida (a woman who is pregnant for the first time). Anxiety during labor can be manage by using Endorphin Massage. This study was purposed to find out the effectiveness of Endorphin Massage on anxiety during labor experienced by the primigravida women living around Puskesmas Jagir (community health cente) located in Surabaya. The study was PreExperimental in which the population involved the third trimester primigravida women, totaling 16 women living around the stated community health center. The samples were chosen using Non-Probability sampling by applying purposive sampling technique. The independent variable was Endorphin Massage, whereas the dependent variable was anxiety during labor. This study use HARS (Hamilton Anxiety Rating Scale) questionnaire to collect the data which were analyzed using Wilcoxon Signed Rank Test with the significance level α = 0,05. The result of study showed that among 16 respondents, 10 respondents (62,5%) without Endorphin Massage experienced mild anxiety after receiving Endorphin Massage. Moreover, the result of Wilcoxon Signed Rank Test showed that ρ= 0,001 < α = 0,05 illustrating that Endorphin Massage was effective to manage anxiety experienced by primigravida women during labor. Endorphin Massage was effective to decrease anxiety during labor. Therefore, nurse are expected to provide health education so that the primigravida women’s level of anxiety will decrease.

HEALTHCARE SEEKING BEHAVIOR’S TREND OF FAMILY PLANNING IN INDONESIA

Wiwik Afridah — 2017-07-18

Community participation in programs of Family Planning is determined by health service seeking behaviour, so the Ministry must be ensured the availability of family planning affordability, acceptability and quality of service. Hence the need to study of health service seeking behaviour’s trends of family planning as an effort to improve public access to the services of family planning. The purpose of the research is to identify the trend of knowledge, information sources and choices of health service by family planning users. Descriptive research cross-sectional design using secondary data. Research targets women and men getting married in Indonesia who become the respondents in Demographic Health Survey in 2007 and 2012. Variable trend changes in knowledge, information sources, and the choice of service of Birth Planner. Descriptive data analysis are presented using tables and graphs. Research results Demographic and Health Survey in 2007 and 2012 in Indonesia shows that participation family planning program for 10 years a modern contraceptive method used was the syringe and pill, whereas traditional methods was coitus interuptus. Source of information from television, poster and pamphlet also obtained by family planning officers, doctors and midwives. The selection of the private hospitals improved on methods of hormonal contraception, sterilization (AKDR) by midwives and enough condoms in pharmacies and stores. Increased health promotion, the role of the media and healthcare facilities that facilitate monitoring of the accuracy of understanding and related types of contraception chosen according to your needs and health condition of acceptors.

SANGKURIANG CATFISH (CLARIAS GARIEPINUS VAR) SKIN EXTRACT ACTIVITY ON FIBROBLAST AND COLLAGEN SYNTHESIS FOR SKIN BURN HEALING

2017-07-18

Burn healing of IIb degree requires a relatively longer time for healing followed by hypertrophic scar formation. Sangkuriang catfish (Clarias gariepinus var) skin extract topical contains amino acids of collagen. Collagen is the main component of skin wound healing. The aim of this research was to determine the influence of Sangkuriang catfish skin extract topical treatment on fibroblast and collagen synthesis for burn healing Methods: Sangkuriang catfish skin was extracted using HCl 2% for 48 hours and neutralized by NaOH 1 M. Twenty-eight male Rattus novergicus strain Wistar were used for this researchwere, divided into K3, P3, K10, and P10 groups. Each member of group was subjected with IIb degree burn injury on the back, then K3 and K10 groups were treated by using aquades topically twice a day whereas P3 and P10 groups tpicaly treated with Sangkuriang catfish skin extract twice a day.

THE INFLUENCE OF PLAY THERAPY IN DEVELOPING THE INTELLIGENCE OF SCHOOL AGE CHILDREN WITH MENTAL RETARDATION

Machmudah Machmudah — 2017-07-18

Mental Retardation (MR) is a heterogeneous disorder that consists of lower than average intellectual function along with the disruption of adaptive skills. Play therapy is an effective approach to train children with mild MR in studying the concept of learning. Play therapy is conducted in a special room designed as a playground, equipped with special toys to stimulate potential development of children with mild MR. This research aimed to improve the success of the potential development of intelligence in children with mild MR using WISC instrument through play therapy. The study design used quasi-experimental method (quasi-experiment) and qualitative analysis. The subjects of this study were thirteen 7–12 years old children with mild MR in extraordinary school Putra Bangsa Surabaya. The analysis approach used was statistical analysis with Wilcoxon and Kruskal Wallis approaches. A descriptive analysis was subsequently carried out to provide a snapshot of MR conditions that accompany the child including: internal factors, i.e. the phase experienced by the child during pregnancy, childbirth, breastfeeding and the stage of growth and development, and external factors i.e. the family's socioeconomic condition and children upbringing. The results showed that 7 out of 13 children with mild MR had experienced an increase in the potential development of intelligence. In terms of the relation between the therapy frequency and the children success rate, 5 of 7 mild MR children who were successful were in the category of frequent treatment of play therapy. In conclusion, play therapy can increase the potential for successful intelligence development of children with mild MR. This success is associated with treatment frequency and is supported by the presence of concomitant conditions (internal and external factors) in children.

EFFECTS OF BALANCE EXERCISE AND SOMATOSENSORY STIMULATION ON SOMATOSENSORY RESPONSE IN DIABETIC PERIPHERAL NEUROPATHY

Zahra Sativani — 2017-07-18

Somatosensory dysfunction has become the main problem in diabetic peripheral neuropathy. Balance exercise and somatosensory stimulation are exercises to improve balance and somatosensory responses. However, there is no available sufficient evidence measuring the somatosensory response after practicing balance exercise and somatosensory stimulation. This research aims to investigate the effects of balance exercise and somatosensory stimulation on somatosensory response in diabetic peripheral neuropathy. This was experimental research, 12 type II diabetes with onset > 10 years were enrolled, randomized, and divided into two groups. For three weeks, group 1, an intervention group (N = 6) practiced balance exercise and somatosensory stimulation for five days a week. Group 2, a control group (N = 6) received education for two times in three weeks. The end of the period, the intervention group showed a significant improvement in neuropathy scores (p=0.013). Balance exercise and somatosensory stimulation could improve somatosensory response in diabetic peripheral neuropathy.

ANALYSIS OF INFLUENCE FACTORS AUOTONOMOUSNESS OF HYPERTENSION ELDER BASED ON SELF CARE OREM THEORY PERSPECTIVE IN RW 03 WONOKROMO SURABAYA

2017-07-18

The elderly people who have hypertension have not realized and do not have enough ability to have hypertension treatment at home. The objective of this study was to analyze the factors that affect the independence of hypertension elderly people based on the theory perspective of "Orem Self Care" in RW 3 Wonokromo Subdistrict Surabaya. This study design was a cross sectional analytic approach. The population was Hypertension Elderly Patients and the sample was 32 respondents. The sample was collected by a probability sampling technique used simple random sampling. The research variables were age, education, job, support and independence. The data collection was done by distributing questionnaire. The statistical test used Logistic Regression which had significance level α = 0.05. The result of the study was almost half (43.8%) of the respondents, the age was 60-74 (seniors up early) and the majority (62.5%) had a primary education. The majority (68.8%) of them was working, most (71.8%) had less family support and the majority (75%) was not independent. Logistic regression of SPPS was the most dominant factor of independence from age, education, job and family support that was P = 0.002 which was P> 0.05 means that the most dominant factor of independence was family. The conclusion of this study is the family support is crucial to determine the elderly independence level, especially hypertension elderly people. It is expected that the family can pay more attention to the health condition of family members and provide support during the inspection process, the treatment of the elderly people who have hypertension.

IDENTIFYING WASTE USING VALUE STREAM MAPPING TO ACCELERATING PATIENT FLOW: A CASE STUDI IN EMERGENCY DEPARTMENT OF RSUD Dr MOEWARDI

Nurul Jannatul Firdausi — 2017-07-18

Overcrowding is a serious problem in many hospital. This condition have become global and public health problems. Spending long time to wait in ED causes queuing of patient and delaying proces of services. Emergency Department (ED one of foremost services in hospital that often faces the queuing problems. Abnormal queuing of patient causes work process very busy, appearing many problems and making medical and non medical staffs not comfortable to work. Inefficient of queuing will have impact for hospital services widely, such as quality, safety of services and hospital financial. The leader must be aware and do mitigation to increase queuing efficiency in hospital. The study aimed to understanding waste during patient treatment in emergency department until admission to inpatient unit.

THE EFFECTIVENESS DIABETIC FOOT SPA TO PERIPHERAL BLOOD CIRCULATION OF DM TYPE 2 PATIENT IN PUSKESMAS WONOKROMO SURABAYA

Puji Astuti — 2017-07-18

Diabetes mellitus type 2 is often occur and became chronic complication of vascular peripheral disease caused by decreasing peripheral blood circulation. One of therapy to improve peripheral blood circulation is diabetic foot spa, The purpose of this study is to find out the effectiveness of diabetic foot spa towards peripheral blood circulation. Design of this study is Quasy-Experiment. The population were all diabetes mellitus patients type 2 in Public Health Centre Wonokromo Surabaya. Number of sample was 46 person, divided into 2 group, that are treatment group and control group, with 23 person each group, taken by purposive sampling technique. Data analyzed by Mann-Whitney test with α=0.05. Study results on treatment group before giving diabetic foot spa majority (52.2%) of peripheral blood circulation in mild category and for control group mostly (60.9%) have blood circulation in mild category as well. After the foot spa was give to the treatment group, almost entirely (91.3%) had normal peripheral blood circulation, whereas in the control group majority (73.9%) remain mild. Analysis of Mann-Whitney test P=0.000 < α=0.05, which means diabetic foot spa is effective towards blood circulation. The more frequent perform of diabetic foot spa, the better peripheral blood circulation, it can prevent complications of diabetes mellitus.

THE EFFECTS OF ELDERLY GYMNASTICS ON THE BLOOD GLUCOSE LEVEL IN THE ELDERLY WITH DIABETES MELLITUS TYPE 2

Nety Mawarda Hatmanti — 2017-07-18

Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both. The prevalence of diabetes mellitus type 2 occurs mostly in older adults. Physical fitness is highly needed to prevent and delay the degenerative and metabolic diseases, such as diabetes mellitus. This research was purposed to analyze the effects of elderly gymnastics on the blood glucose level in the elderly suffering from diabetes mellitus type 2. The design of this research was experimental using only post-test design in which the treatment group was assigned to do gymnastics, whereas the control group received no treatment. The results of analysis using Mann-Whitney test showed that there were no effects of elderly gymnastics on the post-test value of blood glucose level in which the value of Z test = -1.903 and p = 0.287 > 0.05. In conclusion, this research finds no effects of elderly gymnastics on the blood glucose level of the elderly with diabetes mellitus type 2. This is possibly resulted from the medication program, food consumption, and psychological condition of the elderly.

THE EFFECTIVENESS OF BABY MASSAGE AGAINST APPETITE IN TODDLER NUTRITION LESS 1-3 YEARS OF AGE IN WORK AREAS THE HEALTH GROUNDS SIDOARJO

2017-07-18

A decrease appetite can result in unintentional weight loss. This may cause children suffering of malnutrition. The neglect of this conditions will develop malnutrition even worst. One of touch therapy or massage can increase the baby's appetite is baby massage that done regularly, good, and correct technique. The purpose of this study to find out the effectiveness of baby massage to the appetite of malnutrition baby age 1-3 years old in posyandu balita Taman sidoarjo. This study use Pre-Experiment design with One-group pre-post test approach with population of all mothers and her baby who have problem of appetite age 1-3 years, with amount 14 pairs of respondents. Samples were taken by Non probability sampling with Total sampling technique. Questionnaire is an instrument in this study. After data collecting, then it is processed by editing, coding, processing, cleaning, and tabulating. Data were analyzed statistically by SPSS-Version 21 with Wilcoxon Signed Rank Test with α= 0,05. Study results obtained, group of pre experiments got category of low appetite and post experiments got category of sufficient appetite. With ρ value = 0.005 value α= 0.05 means ρ <α then H0 is rejected H1 accepted. Baby massage effective to increase the appetite of malnutrition baby under five. It is expected that mothers routinely perform baby massage (baby massage) every day with a one-time frequency to increase appetite and nutritional status of children.

INTERNAL FACTORS AFFECTING LENGTH OF STAY STROKE PATIENT IN HOSPITAL

Nur Ainiyah — 2017-07-18

Stroke is a condition that occurs when blood supply to the brain is cut off due to blockage or rupture of blood vessels, resulting in the death of cells in some areas of the brain. Stroke is a serious health condition that requires rapid treatment, because stroke often causes death permanent disability and length of stay in the hospital. The purpose of this research was to analyze internal factors can affecting length of stay stroke patients at General Hospital A Pasuruan. This study used analitic observasiona to 34 respondents with consequtive sampling. This population in this study were all stroke patients enter the emergency department and treated in General Hospital A Pasuruan. Data collection was conducted 1 month by giving qustionnaires and obseravation. The results of bivariate type of stroke (p value: 0,005), sex (p value:0,028), age (p value:0,025), a history of hypertension (p value:0,017) , a history of diabetes mellitus (p value:0,028) and blood sugar levels (p value :0,015). Based on the reslut, the need for the role of nurses department emergency to prociding cpmprehensively nursing care bay considering factors that my worsen the prognisis of stroke patients that will have an impact on the length of stay stroke patient in hospital .

THE EFFECTS OF PROGRESSIVE MUSCLE RELAXATION ON THE LEVEL OF ANXIETY EXPERIENCED BY THE PRIMIGRAVID WOMEN IN THE THIRD TRIMESTER IN BPM IKA MARDIYANTI PRAMBON SIDOARJO

Ika Mardiyanti — 2017-07-18

Besides the psychological problem that leads to anxiety, the common problem often occurs in pregnant women is the physical problem dealing with discomfort resulting from the changes in the body shape and posture. This psychological burden is often experienced by the pregnant women, especially the primigravid women in the third trimester. The treatment for anxiety can be done by giving pharmacological and non-pharmacological therapy. One of the non-pharmacological therapies is progressive muscle relaxation, the systematic technique to achieve a state of relaxation. Therefore, this study was purposed to analyze the effects of progressive muscle relaxation on the level of anxiety experienced by the primigravid women in the third trimester. This quasi-experimental study was done using one group pretest-posttest design. The study conducted in BPM Ika Mardiyanti involved 32 pregnant women chosen by using accidental sampling technique. The instrument used to measure the level of anxiety was Zung Self-Rating Anxiety Scale (ZSAS). Moreover, the non-parametric test using Wilcoxon signed rank test with the significance level of α = 0.05 was used to analyze the collected data. Each pregnant woman received the intervention by performing progressive muscle relaxation once a day for 10 minutes done on 3 consecutive days. The results of statistical analysis using Wilcoxon signed rank test showed that p value was 0.000 (p value < 0.05) illustrating that progressive muscle relaxation therapy was effective on the level of anxiety experience by the primigravid women in the third trimester in BPM Ika Mardiyanti, Prambon, Sidoarjo.

THE EFFECTIVITY OF PARE TEA TO REDUCE THE BLOOD GLUCOSE LEVEL OF THEELDERLY PEOPLE WITH DIABETES MELLITUS IN REKSO WERDOINTEGRATED HEALTH POST (POSYANDU) OF WONOKROMO SUBDISTRICT SUROBOYO

Firdaus Firdaus — 2017-07-18

Diabetes can spread throughout the ages, from children to the elderly. The benefit of pare for diabetes can effectively decrease blood sugar level. The purpose of this study was to determine the effectiveness of giving Pare tea on the decrease of blood sugar level in the elderly Integrated Health Post (Posyandu) of ReksoWerdo RW 03 WonokromoSubdistrict Surabaya. The study design was a Quasy-Experiment, with its population of all diabetes mellitus patients in ReksoWerdo Integrated Health Post (Posyandu), RW 3, WonokromoSubdistrict Surabaya. The sample was 19 people, divided into 2 groups: 10 treated group and 9 control group that were taken by probability sampling of simple random sampling technique. The independent variable was giving pare tea (Tere), and the dependent variable was blood sugar level. The data collection instrument was the observation sheet. The data processing included editing, coding, processing, cleaning, and tabulating. The data were analyzed by using Mann-Whitney test with α <0.05. The result showed that most of the treatment group experienced a decrease in blood sugar levels, while for the control group that did not drink pare tea, half of the respondents experienced an increase in blood sugar levels. The result of the analysis using Mann-Whitney Test obtained ρ = 0.001 <α (0.05), so H0 was rejected, it means that Pare Tea (TERE) was effective to decreaseblood sugar level. Pare Tea (TERE) was effective to decrease blood sugar level, so it is suggested for the respondents to consume pare tea to prevent continual diabetes.

RELATIONSHIP BETWEEN SELF-CONCEPT AND THE INTENSITY OF CYBER BULLYING IN CLASS XI OF DHARMA WANITA SENIOR HIGH SCHOOL SURABAYA

Nur Hidaayah — 2017-07-18

Most of the students in class XI of Dharma Wanita Senior High School Surabaya are still cyber bullying to peers. The aim of the study is to analyze the relationship between self-concept and the intensity of cyber bullying in class XI of Dharma Wanita Senior High School Surabaya. The study design used a cross sectional analytic, with the population of 110 respondents, and the sample was taken by stratified random sampling as 48 respondents. The independent variable was self-concept and the dependent variable was the intensity of cyber bullying. The instrument used was questionnaire and interview. It was analyzed by using Rank Spearman statistical test with the significance level α = 0.05. The result showed that the students’ self-concept, the majority (56.3%) had a negative selfconcept, and almost entirely (92.6%) did cyber bullying in constantly intensity. Rank Spearman statistical test result was obtained that ρ = 0.00 <α = 0.05, which meant that H0 was rejected, it meant that there was a relationship between self-concept and the intensity of cyber bullying in the students. The conclusion of this study is the students of class XI mostly have a negative self-concept and almost entirely do cyber bullying in the constantly intensity. It is expected that the students are able to improve their own self-concept, so the intensity of cyber bullying can be reduced

THE RELATIONSHIP OF STRESS WITH THE LEVELS OF CORTISOL TB SUFFERERS

Chilayatiz Zahroh — 2017-07-18

Stress is a natural thing, but in people with TB should be minimized in order to the sufferer does not decrease the immunity. This research aims to know the relationship of stress with the levels of cortisol in TB sufferers in Puskesmas Tambelangan Sampang Madura. This research method was analytic. The taking of the sample with the total sampling techniques, obtained 13 respondents. Variable of this research were levels of stress and cortisol levels of TB sufferers. The level of stress was measured by the questionnaire and cortisol levels measured by examination of a blood sample. The data were analyzed using theWilcoxon signed rank test test. Majority of respondents experience medium stress, and cortisol levels was in the normal range. The Wilcoxon sign rank test showed the value of ρ count > ρ table; indicates that there was relationship of stress with the levels of cortisol TB sufferers. Stress will increase hormone cortisol and suppress the immune system. Therefore sufferers TB should be able to manage stress so that the immune system of the body getting stronger in the fight against TB germs.

THE DECREASE OF DEPRESSION LEVEL IN ELDERLY WITH COOKING GROUP THERAPY AS MODALITY THERAPY IN PANTI WERDHA SURABAYA

Dhian Satya Rachmawati — 2017-07-18

Elderly who live in homes or institutions tend to be more at risk of depression. Elderly in nursing have symptoms of depression such as doesn’t have motivation for life and often bored because there is no activity. One way to reduce the level of depression in the elderly used occupational therapy. Occupational therapy cooking group is one of the occupational therapy that uses the process of cooking to serve the food as a therapy method. This study aimed to analyze the effect of occupational therapy : cooking group as modality therapy to decrease of depression in Nursing Home for Elderly in Surabaya. This study design used pre-made with the experimental one-group pre-post test in the treatment group pretest and posttest. Variable independent is cooking occupational therapy group and variable dependent is depression. The population in this study is the elderly who have mild depression. With a sample of 30 elderly people selected by probability sampling using simple random sampling technique. The research instrument used questionnaire GDS 30. Data were analyzed using the Wilcoxon Signed Rank Test. The results showed that the effect of occupational therapy group cooking terhadapt level of depression in the elderly. Results Wilcoxon Signed Rank test p = 0.001 (p 0.001 <α 0:05), meaning that there are significant in the treatment group. The implication of this research is occupational therapy cooking group on the level of depression in the elderly effect, so it needs the support of the institutions to increase the cooking occupational therapy group, so as to minimize the level of depression in the elderly.

CORRELATION BETWEEN DIETARY INTAKE WITH PROTEIN ENERGY MALNUTRITION OF CHILD 1-5 YEARS OLD IN POSYANDU KENANGA 3 BULAK BANTENG SURABAYA

Astrida Budiarti — 2017-07-18

Protein energy malnutrition is a state where low consumption of energy and protein in the daily diet. Composition of the dietary intake is the frequency and amount of food consumed by a person at any given time. Dietary intake is one of the significant factors affecting the incidence of protein energy malnutrition. This study aims to determine the correlation between dietaty intake with protein energy malnutrition of child 1-5 years old in posyandu kenanga 3 bulak banteng surabaya. The design of this study was non-experimental namely Case Control. Researchers using sampling techniques with simple random sampling and obtained 36 respondents who meet the inclusion and exclusion criteria. Implementation research on diet performed 3 times a week to meet the testing criteria diet. The research instrument used was a diet questionnaire namely food recall and food frequency. In this study, data analyzed Coefficient Test Kontingency with a significance level of p <0.05. Through Kontingency coefficienttest, there is a relationship between diet with the incidence of protein energy malnutrition with the results of p = 0.00. From these results it can be concluded that there is a correlation between dietaty intake with protein energy malnutrition of child 1-5 years old in posyandu kenanga 3 bulak banteng surabaya. So the toddler diet should be increased by adding extension posyandu about good food intake for sake improving the quality child life.

STRESS IN PATIENTS WITH DIABETES MELLITUS

Christina Yuliastuti — 2017-07-18

Stress is a trigger increased blood glucose levels that sought to reduce, by knowing the causes of stress. The objective of this study was to identify stress levels in patients with diabets mellitus. This study used descriptive research design with the variable was stress level. Samples were taken using simple random sampling, with 34 patients with Diabetes mellitus in Dr. Ramelan Navy Hospital, Surabaya. Data collection was undertaken using questionnaire (Problem Areas in Diabetes), glucometers and observation sheet (blood glucose and diabetic foot ulcers). Data were then analyzed descriptively. The results showed that most of the respondents had diabetes-related distress, as many as 25 patients (73,5%) (mean+ SD 50,15 + 13,057). Most respondents experience distress caused by worrying about the threat of more severe disease (hyperglycemia and diabetic foot ulcers) and negative perceptions such as feeling depressed and desperate when thinking about illness and treatment (diet and medication). Positive perceptions are needed to improve motivation in performing the treatment.

THE CORRELATION BETWEEN GESTATIONAL AGE AND THE INCIDENCE OF PHYSIOLOGICAL NEONATES JAUNDICE IN RSUD DR. MOHAMAD SOEWANDHI SURABAYA

Dwi Ernawati — 2017-07-18

Neonates jaundice that occurs in newborns can be physiological and pathological. The phenomenon that occurs is that many babies are born less than months and have physiologic neonates jaundice. The purpose of this research is to analyze the correlation between gestational age and the incidence of physiological neonates jaundice in RSUD Dr. Moh Soewandhie Surabaya. The research design was observational analytic study with cross sectional approach with variable of gestational age and the incidence of physiological neonates jaundice. The population of this study amounted to 40 neonates used nonprobability sampling technique with purposive sampling approach in June- August 2016 at Dr. Moh. Soewandhi Hospital Surabaya. This research used questionnaire and observation sheet instrument with Spearman Rho statistic test with significance test ρ = 0,05.The result of research with Spearman Rho test showed that ρ = 0,001 which means there is gestational age related to the incidence of physiological neonates jaundice in RSUD Dr. Moh Soewandhie Hospital Surabaya.The implication of this research is the gestational age related to the incidence of physiological neonates jaundice in RSUD Dr. Moh Soewandhie Hospital Surabaya to be able to improve Ante Natal Care Service and mother awareness improvement for Ante Natal Care during pregnancy to reduce physiological neonates jaundice.

THE EFFECT OF BRAIN GYM ON COGNITIVE FUNCTION OF THE ELDERLY IN SURABAYA

Dini Mei W — 2017-07-18

The problem happened at the elderly people are cognitive impairment. Those could be solved by "Brain Gym." This researched is to know-how "Brain Gym" will be effective for the elderly. This researched using Quasi-Experiments with non equivalent control group approach. Simple random sampling is used to the make the accurate elderly population. Mini Mental State Examination (MMSE) is used to collect the population sampling. The 66 people divided into 2 groups: 33 people of control groups, 33 people of of intervention group. Those data were been Analyzed by Wilcoxon signed rank test and the Mann Whitney U-test. Wilcoxon is use to Analyzed MMSE both of before-after-control groups and intervention group. Mann Whitney U-test is use to Analyzed MMSE post-intervention, intervention group and control groups. The result of Wilcoxon test of MMSE intervention group are P = 0.046 <α = 0.05, control group P = 0.480> α = 0.05. Mann Whitney U-test are Z -3591. Asymp.Sig (2-tailed) 0.000> 0.05. The conclusion: the intervention group with Brain Gym acre effect to repair the cognitive function than the control groups without Brain Gym.The writer recommended to solve the problem of elderly's cognitive impairment with Brain Gym Methode, three times a week.

FEEDING RESPONSE NEONATES BASED ON GESTATIONAL AGE, HYPOGLYCEMIA, HYPERBILIRUBNEMIA AND INFECTION IN SURABAYA

Qori’ Ila Saidah — 2017-07-18

Nutrition was important rule to maintain health status and growth and development support. The variety of neonatal condition has contibution to neonatal feeding and feeding process in neonates. Hypoglikemia, hyperbilirubinemia, prematurity and infection have influence to respon if feeding in neonates. The aim of this study was to describe evidence of poor feeding in neonates. This research was use case control design. The population ware all of the neonates in NICU. The samples are 21 respondents taken by total sampling technique. Instrument was observation sheet. The results showed poor feeding in naonates happen in all neonates with hypoglikemia, hyperbilirubinemia, prematurity and infection in variety degree. The most number of baby with poor feeding showed by premature and infection baby. Poor feeding in premature baby caused by prematurity of gastrointestinal organ. Gestasional age contribute in rooting and sucking reflect. Infection has strong influence to poor feeding in neontes. Recommendation of this research was feeding process in neonate with prematurity and infection should given in careful way.

THE EVENT OF MATERNITY BLUES BEEN REVIEWED FROM PARITAS IBU NIFAS IN BPM NANIK CHOLID SIDOARJO

2017-07-18

Childbirthis an event important because make a woman serves whole in his life .Some woman successfully settled in , but there are others not successful conform and has postpartum blues .Research aims to understand the incident maternity blues in terms of parity mother parturition in BpmNanikCholidSidoarjo .The kind of research used is analytic with the approach cross sectional .Population s 35 mother parturition age 1-10 day .Sample of 32 respondents , taken using a technique simple random sampling .The independent variable is of parity , dependent variable is the incident maternity blues .Data collection use questionnaire . Data processing of editing , scoring , coding and tabulation .Analysis data using statistical tests Mann Whitney with the interpretation rate of α = 0,05.The results of research showing most ( 68.8 %) respondents of primipara, most ( 75 % ) happened maternity blues. = 0,023 < α (0,05) Means there is a connection between the parity with the maternity blues on the puerperium age 1-10 day at the BPM NanikCholid Surabaya.From the research known that primipara more vulnerable to maternity blues than multipara, it is expected of health workers increase counseling to prepare mentally mom was starting pregnant until puerperium to avoid maternity blues.

ENVIRONMENTAL HEALTH MANAGEMENT OF CEMENT INDUSTRY

Muslikha Nourma Rhomadhoni — 2017-07-18

Increased development in Indonesia in line with the needs of raw materials for the construction of a building. Operational cement industry is done to meet the need for building materials such as cement. This will be directly proportional to the waste produced by the cement company. This study aims to examine the environmental management aspects of the Cement Company.This study uses qualitative research that is an analytic survey. Potential impacts that arise in the cement industry are: wastewater, noise, and dust. Sources of waste water When the operation comes from the MCK employees. The quality of the waste water showed that the BOD content of 14 mg / L and COD was 35 mg / L. These results on the parameters of BOD and COD have met the quality standards of East Java Governor Decree no. 12 of 2013. Garbage generated is generally waste result of office activity and cement packing of cement damaged or returned by consumer. For B3 waste or B3 waste, cement indsutry has made storage or TPS B3, and in the process of obtaining Permit for temporary storage of B3 Waste. Operational air pollution management uses a bag filter controller that serves as a cement dust prevention so as not to fly anywhere. In addition, there is also a Dust Collector as a dust collector assisted blower in suctioning dust on each production machine that has the potential to produce cement dust. the noise levels occurring at some point do not meet the Permenaker's quality standard. 13 / Menaker / X / 2011. Noise comes from the activities of production machines and packing machines. Waste management cement industry results is: Management and monitoring of wastewater and clean water has meets environmental quality standards, Solid Waste Management and Monitoring differentiated between organic and inorganic waste, Air Pollution Management and Monitoring : Results The ambient air quality in second semester (operational activities) is better than the ambient air quality in first semester (construction activity). The results of ambient air quality in first semester and second semester are still below the quality standard. Chimney emission quality results under environmental quality standards. Noise Management and Monitoring still exceeds the quality standard so that it is necessary to increase noise management effort arising from cement industry operational activities.

CORRELATION OF DAYS OF FEVER AND THE NUMBER OF TROMBOSITES ON SECONDARY AND PRIMARY DENGUE HEMORRHAGIC FEVER INFECTION

Rahayu Anggraini — 2017-07-18

Dengue Hemorrhagic Fever (DHF) is caused by four variants of the Dengue Hemorrhagic Fever (DHF) virus of the Flaviviridae family (DENV-1, DENV-2, DENV-3, and DENV-4). These four variants are indistinguishable clinically. The occurrence of platelet deterioration is sometimes not accompanied by positive IgG and IgM DHF results, nor can they be negative. In DHF sufferers, platelet decline will decrease steadily during the 3rd to 6th day and will increase on the 7th day. This research is retrospective analytical with cross sectional approach. The samples were 15 patients of Secondary DHF and 15 Primary DHF who have fulfilled the inclusion criteria. The day of fever when the patient came to the Poli Internal Medicine Dr. Soetomo Hospital is known from the patient's history, while the results of IgG and IgM DHF examination and platelet count are performed in KLINIKA Surabaya laboratory. The result of this study used correlation parametric test (Pearson's test), to know the relationship of day of fever and platelet count in Secondary and Primary DHF patients with α = 0,05. Result of day of fever with p = .659 (p>0.05). The result of thrombocyte count with Pearson's test (p= .042) (p<0.05) showed a correlation of platelet count between Secondary and Primary DHF patients. It was concluded that there was a significant correlation the number of platelets between Secondary and Primary DHF.

PAIN ADAPTATION RELATIONSHIP IN FIRST STAGE OF THE LABOR WITH RELAXATION TECHNIQUE IN BPM BASHORI SURABAYA

Nur Masruroh — 2017-07-18

Many women in the labor process can not adapt to the pain, because she has not experienced for the birth process, the mother also can not control her emotions because too tired. It will cause other problems during the birth process. Intervention to relieve labor pain one of them is to use relaxation techniques breathing. This study aims to know relationship relaxation techniques breathing with pain adaptation response in first stage of the labor in the BPM Bashori . Analytic survey research design with cross sectional method. Women in labot process population totaled 33 respondents, with a large sample of 30 respondents with Non-Probability Sampling technique accidental sampling type. The independent variable is the Relaxation Breathing Techniques and the dependent variable is the Pain Adaptation Response. Data were collected using the observation sheet. Analyzed using the Fisher Exact test with significance level α = 0.05 to determine the relationship between two variables. Almost all respondents doing breathing relaxation techniques (90%) and almost all respondents can adapt to the pain (86.7%). The final conclusion is, using relaxation techniques can reduce pain,can improve the quality of health care services on techniques reduce pain during labor to prepare the patient in her labor process with no pain.

EFFECTS OF COFFEE ON PREVENTION OF OXIDATIVE STRESS AND INFLAMMATION INDUCED BY CIGARETE SMOKE IN MALE RATS

M. Khafid — 2017-07-18

Free radicals in cigarette smoke are known to cause oxidative stress. Free radical activity can be inhibited by antioxidants such as chlorogenic acid inside the coffee. The purpose of this study was analyzes whether the administration of coffee may help prevent oxidative stress and inflammation in male rats (Rattus norvegicus) exposed by cigarette smoke. The research design was posttest only control group design. The total sample size of 5 group was 30 male rats (Rattus norvegicus) weighing 200-250 grams. The Independent variables were cigarette smoke and coffee, while the dependent variables were MDA and TNF-α. Normality test data by Shapiro Wilks was esed (α = 0.05) and homogeneity by Levene test was used(α = 0.05). Test different between groups by Brown Forsyte (α = 0.05) and continued with Games Howell test (α = 0.05). Test results of Brown Forsyte on MDA showed significant difference between groups (p = 0.001), and Games Howell test result showed there were significant differences between the levels of MDA between group (non white + coffee) with a control group, a group (cigarette + coffee) with the (non white + coffee). TNF-α showed a significant difference (p = 0.000) levels as well. TNF between groups and by using test Games Howel there are significant differences between the control group and group exposed by mild/white cigarettes, while the (cigarette + coffee) differ significantly from the cigarette group and white/mild cigarettes group. To sum up, the provision of coffee in a dose of 1.35 mg / g bw / day has not been able to prevent oxidative stress, but it can prevent the inflammation caused by cigarette smoke expossure.

THE INFLUENCE PSYCHOEDUCATION ON MENSTRUAL CARE TOWARDS MENSTRUAL PERSONAL HYGIENE ON FEMALE TEENAGERS WITH MENTAL RETARDATION

Nurul Kamariyah — 2017-07-18

Cognitive obstacle experienced by female teenagers with mental retardation and limited information about health reproduction made them hard to take care themselves whenever they got menstruation. That is why they need simple health education about menstruation care. This is a pre experiment study with no control group. Samples on this study were 26 female teenagers with mental retardation who had experienced menstruation. The sampling method used total sampling. The paired t-test showed significance value at 0.000 (p<0.05). there was an effect health education about menstruation care with personal hygiene on female teenagers with mental retardation at SLB Putra Bangsa. Surabaya

RELATIONSHIP OF ENERGY AND NUTRIENTS ADEQUACY ON NUTRITIONAL STATUS OF FOOTBALL PLAYERS AGED 9-12 YEARS

Nur Amin — 2017-07-18

Accomplishment of nutrient need indigenous to food is primary factor that constitute optimizing athlete performance. Nutrient intake can provide energy for the athlete’s body during the competition and also required for rapid recovery during the rest periods. The aim of this study was to analyze the relationship of energy and nutrient intake on nutritional status of football player aged 9-12 years old in Sinar Harapan Football School (FS), Tulangan, Sidoarjo. This correlation descriptive study using cross sectional design on 21 major players of football team from Sinar Harapan FS, Tulangan, Sidoarjo (there was one subject resigned because of illness and one other person was dropped out because did not follow 24-hours recall twice). Subjects were measured their body weight and height to estimate Body Mass Index (BMI) for age as an indicator of nutritional status. Subject also measured their intake as well as the percentage of energy and nutrients (carbohydrate, protein, and fat) adequacy using multiple 24-hours recall (three days nonconsecutive). The resulting indicates that the percentage of energy and fat adequacy of football players of Sinar Harapan FS, Tulangan, Sidoarjo are associated with BMI for age significantly (r=0.623; p=0.004 and r=0.609; p=0.006). It can be concluded that the football players of Sinar Harapan FS, Tulangan, Sidoarjo whose energy and fat intake meets the daily needs then their optimal BMI for age can be achieved.

CORRELATION OF EQUALIZATION TECHNICAL TO BAROTRAUMA EVENTS IN TRADITIONAL DIVERS VILLAGE KEDUNG COWEK, DISTRICT BULAK, KENJERAN, SURABAYA

Diyah Arini — 2017-07-18

Barotrauma is the most common problem in traditional divers, due to pressure differences. Pressure can be equated doing of equalization technique. The purpose of this study was to analyze the relationship of the technique of equalization to the incidence of barotrauma on traditional divers.The research design was analytic with Cross Sectional approach. Sample size 35 respondents, sample technique use probability sampling (simple random sampling). Data were collected use questionnaires and observation sheets. Data were analyzed using Spearman Rho test. The result of this study use the technique of equalization performed by traditional divers using toynbee equalization technique, and the incidence of barotrauma on the traditional diver in the diver not equalize according to the procedure. In prove with the results of spearman rho test shows the value p = 0.029 (p <α = 0.05).The implications of this research require the support of the traditional divers as the coordinator for traditional divers to change the traditional divers behavior in performing diving procedures.

BODY MASS INDEX APPLICATION

Permadina Kanah Arieska — 2017-07-18

Body Mass Index (BMI) is a measure of body fat based on height. BMI is a measurement of body weight based on height and weight. Although BMI does not actually "measure" the percentage of body fat, it is a useful tool to estimate a healthy body weight based on height. Due to its ease of measurement and calculation, it is the most widely used diagnostic indicator to identify a person's optimal weight depending on his height. BMI "number" will inform someone if they were underweight, normal weight, overweight, or obese. However, due to the wide variety of body types, the distribution of muscle and bone mass, etc., it is not appropriate to use this as the only or final indication for diagnosis. Ideal Weight Application (IWa) is a BMI Application which can make someone to know their body fat easier. IW Apps is application based on Adobe Flash which can run in Perconal Computer. The purpose of this application is to help someone being success in their diet program.