As-Shiha : JOURNAL OF MEDICAL RESEARCH

THE EFFECT OF WARM COMPRESSES ON REDUCING LABOR PAIN IN 1 ACTIVE PHASE

HILDA HUMAIRA — 2025-01-01

Labor pain is one of the most prominent aspects and often causes discomfort to the mother during the labor process, especially during the first stage of the active phase. This study aims to determine the effect of warm compresses on reducing pain intensity in mothers giving birth at TPMB Hj. Yetti Latif S. ST. The research method used was quasi- experimental with a pre-test and post-test design without a control group. A total of 15 mothers giving birth during the first active phase were selected as respondents using an accidental sampling technique. Pain intensity was measured using a numerical scale before and after the warm compress intervention. The results of the study showed a significant reduction in pain intensity after administering a warm compress, with an average reduction in pain of 3 points on a numerical scale (p<0.05). The results of the univariate analysis found that 87% of women in labor experienced a reduction in labor pain in the first stage of the active phase from severe to moderate after applying a warm compress and 13% experienced a reduction from very severe to severe pain. Bivariate analysis found a p-value (p<0.05), meaning that there was a significant relationship between the effect of warm compresses and a decrease in the intensity of labor pain in the first active phase (p=0.001). The conclusion of this research is that warm compresses are effective in reducing the intensity of labor pain in the active phase of the first stage and can be one of the non-pharmacological interventions recommended in birthing facilities. The implementation of this method is expected to increase maternal comfort during labor and minimize the need for more invasive medical interventions.

THE EFFECT OF KEGEL EXERCISE ON URINARY INCONTINENCE IN THE ELDERLY AT SABAI NAN ALUIH TRESNA WERDHA SOCIAL HOME SICINCIN

SILVIA SAVITRI — 2025-01-01

Ageing is a natural process that can cause deterioration of physiological functions, including urinary incontinence, which is the inability to control urine output in the elderly. This problem not only affects physical health, but also social and psychological. One effective non-pharmacological method to treat urinary incontinence is Kegel exercises. Kegel exercises can strengthen the pelvic floor muscles or pubococcygeal muscles so as to strengthen the urinary tract muscles. This study aims to determine the effect of Kegel exercises on urinary incontinence in the elderly at the Tresna Werdha Sabai Nan Aluih Sicincin Social Home in 2024. This study uses quantitative methods with a Quasi experimental design without a control group. A total of 16 respondents were selected using purposive sampling technique. Before Kegel exercises, 56.3% of respondents experienced severe urinary incontinence. After Kegel exercises, the results showed that 68.8% of respondents experienced moderate urinary incontinence. Analysis using the Wilcoxon statistical test resulted in a p value = 0.001 (p < 0.05), indicating a significant effect of Kegel exercises on reducing urinary incontinence. The conclusion of this study is that Kegel exercises can significantly improve the condition of urinary incontinence in the elderly, so it can be used as an effective alternative non-pharmacological intervention in the management of urinary incontinence problems in the elderly.

THE RELATIONSHIP BETWEEN ADDICTION TO PLAYING ONLINE GAMES AND THE PSYCHOSOCIAL DEVELOPMENT OF SCHOOL-AGE CHILDREN AT STATE ELEMENTARY SCHOOL 21 JALAN KERETA API IN 2024

AULIA SAFITRI — 2025-01-01

Psychosocial development in school-age children is the change and stability of emotions and social relationships that can influence cognitive and physical functioning. Factors that affect the psychosocial development of school-age children are nutrition, genetics, economics, and the environment. One of these environmental factors is playing online games with friends. This research aimed to determine the relationship between online gaming addiction and the psychosocial development of school children in State elementary school 21 Jalan Kereta Api. This type of quantitative research used a descriptive-analytical design with a cross-sectional approach. The research was conducted from 15 July to 19 July 2024 at State elementary school 21 Jalan Kereta Api. The research sample was determined to be 43 people. Sampling was done using convenience sampling. Statistical tests were conducted using univariate analysis and bivariate analysis using Chi-Square. The research results showed that half of the respondents, namely 24 (55.8%), were addicted to playing online games and the psychosocial development of school-age children was in the good category, namely 17 (39.5%). The results of this research showed that there was a relationship between addiction to online games and psychosocial development of school children with p-value = 0.012 (p-value < α 0.05) at State elementary school 21 Jalan Kereta Api in 2024. Conclusion, The less students are addicted to playing online games, the better the psychosocial development of these students. Suggestion, This research is expected to serve as a guide for teachers to recognize the signs or negative effects of online game addiction on students' psychosocial development, and for teachers to help reduce online game addiction so that they can overcome students' psychosocial development.

THE EFFECT OF GIVING TOMATO JUICE ON REDUCING DYSMENORRHEA PAIN IN ADOLESCENT GIRLS AT SMPN 2 PARIAMAN

NURUL FIKRIANI — 2025-01-01

such as dizziness, fatigue, sweating, backache, headache, nausea, vomiting and diarrhea all occur before or during menstruation. Tomatoes contain lycopene, iron, potassium, calcium, vitamins A, B, D and G which function to relieve pain. The purpose of this study was to determine the effect of giving tomato juice on reducing dysmenorrhea pain in adolescent girls at SMPN 2 Pariaman. The research design used quasi-experimental. The study was conducted at SMPN 2 Pariaman on August 5-21, 2024. The study population of adolescent girls who experienced dysmenorrhea pain at SMPN 2 Pariaman amounted to 32 people. The research sample amounted to 15 people with accidental sampling data collection techniques. The research instrument was a numeric rating scale (NRS) observation sheet. The results of the study showed that there were 12 people (80%) out of 15 respondents was moderate before being given tomato juice and there were 14 respondents (93%) who experienced a decrease in mild pain levels after being given tomato juice. The results of the Wilxocon test obtained a p-value = 0.001 <α = 0.05. This means that the administration of tomato juice has an effect on reducing the intensity of pain in adolescent girls at SMPN 2 Pariaman. It can be concluded that the administration of tomato juice has an effect on reducing dysmenorrhea pain in adolescent girls at SMPN 2 Pariaman. The researcher's suggestion is that the results of the study can be used as an alternative choice of non-pharmacological therapy for adolescents who experience dysmenorrhea.

RELATIONSHIP BETWEEN KNOWLEDGE AND PERCEPTION OF NURSES WITH TRIAGE SKILLS IN THE EMERGENCY ROOM (IGD) OF HOSPITALS IN PARIAMAN CITY IN 2024

NADIA RARA MALINI — 2025-01-01

Nurses as health workers are required to improve their knowledge and provide maximum service in order to provide optimal service to patients, especially emergency services which can be assessed from the nurse's ability in terms of responsiveness, timely service, good attitude in providing service, concern and attention in providing service and can improve the quality of service. Nurses must improve their professionalism in implementing nursing care, as well as understand the assessment of primary and secondary surveys, carry out triage quickly and correctly. This study aims to determine the relationship between knowledge and perception of nurses with triage skills in the Emergency Room (IGD) of Hospitals in Pariaman City in 2024. This type of quantitative research uses a Cross Sectional Study approach. The study was conducted on September 13-20, 2024 in the Emergency Room (IGD) of the Hospital in Pariaman. The research sample was 33 people. Sampling by Total Sampling. Statistical test using Chi Square degree of significance (p value <α 0.05) The results of the study showed that more than half of the respondents had good knowledge, namely 26 23 (69.7%). The most respondents' perception was good perception, namely 16 (48.5%). More than half of the respondents had good triage skills, namely 25 (75.8%). Conclusion, There is a relationship between nurses' knowledge and perceptions with triage skills in the Emergency Room (IGD) of Hospitals in Pariaman City in 2024. Suggestion, This study is expected to be a guideline for nurses in improving triage skills in nurses in emergency services

THE EFFECT OF GIVING GREEN COCONUT WATER ON REDUCING DYSMINORHEA PAIN IN ADOLESCENT GIRLS AT SMPN 3 PARIAMAN IN 2024

DIVA DELINDA B — 2025-01-01

Introduction: Dysminorrhea pain is an imbalance of the hormone progesterone in the blood, resulting in abdominal pain caused by uterine muscle spasms. Young coconut water contains growth hormone, magnesium and calcium which can reduce muscle tension and vitamin C which is a natural anti-inflammatory substance which can help relieve pain due to menstrual cramps. Method: Quasi-experimental research design with non-randomized one group pretest and posttest design. The aim is to determine the effect before and after giving young green coconut water on dysmenorrhea pain. Sampling was taken using a proportional sampling technique with a total of 30 respondents. Results: Statistical test using data analysis using Shapiro-Wilk and Wilcoxon with significance (p<0.05) and a significant value of Pvalue 0.000, thus Ho was rejected. Conclusions and Suggestions: There is an effect of giving young green coconut water on dysmenorrhea pain in teenagers. Researchers recommend that teenagers who experience menstrual pain consume young green coconut water on the first day of menstruation

THE RELATIONSHIP BETWEEN THE LEVEL OF INDEPENDENCE AND THE QUALITY OF LIFE OF THE ELDERLY AT SABAI NAN ALUIH TRESNA WERDHA SOCIAL HOME IN SICINCIN 2024

YOLA INDRAWANI — 2025-01-01

The elderly are a group of people who enter the final phase of life characterised by a decrease in physical, cognitive and social abilities, which can affect their independence and quality of life. This study aims to determine the relationship between the level of independence with the quality of life of the elderly at Sabai Nan Aluih Tresna Werdha Social Home in Sicincin. The method used is quantitative research with descriptive correlation design and crosssectional approach. The sampling technique used quota sampling, obtained 53 samples. Data were collected through a questionnaire that measured the level of independence of the Barthel index and WHOQOL-Bref quality of life. The results showed that 50.9% of the elderly were in the mild dependence category, and 77.4% had poor quality of life. The data were analysed using bivariate analysis with fisher's exact test. The results of the bivariate analysis showed that there was no relationship between the level of independence and the quality of life of the elderly at the sabai nan aluih tresna werdha social home in Sicincin in 2024. with a p-value of 0.217> 0.10. It is hoped that the orphanage will further assist the elderly according to the level of independence in meeting their needs so that the quality of life of the elderly can be maintained properly and further increase the active involvement of the elderly in various activities held by the orphanage so that they still have a more meaningful and meaningful meaning of life.

THE RELATIONSHIP BETWEEN FAMILY AND PEER SUPPORT WITH SMOKING BEHAVIOR OF ADOLESCENT BOYS IN THE WORKING AREA OF THE SUNGAI LIMAU IN YEAR 2024

ELLA PERMAISURI — 2025-01-01

Smoking is one of the problems that has not been solved from the past until now and has hit various circles of society, both adolescents and adults, where starting from elementary school, junior high school, to high school children, parents, men. From the data of the Padang Pariaman Regency Health Office, the behavior of adolescent boys who smoke is number 3 in the Sungai Limau Health Center as many as 2,063. The purpose of this study is: To determine the relationship between family and peer support and adolescent boys' smoking behavior in the working area of the Sungai Limau Health Center in 2024. This type of analytical descriptive research with a research design using a Cross Sectional approach, This research has been carried out in the working area of the Sungai Limau Health Center from July 22 to August 06, 2024. Sampling was carried out using the Random sampling technique with a sample of 44 respondents. Data collection tools are carried out using questionnaires filled out by researchers, and data processing is carried out by a computerized system. Based on the results of the research obtained, there is a relationship between family support and adolescent boys' smoking behavior, it is known that out of 44 respondents there are moderate smoking behaviors that are quite supportive (62.9%). Based on the results of the above test, data was obtained that there was a relationship between family support and smoking behavior with a p value = 0.029 < 0.05. Based on the results of the above test, there is a meaningful relationship between peers and smoking behavior with a niali p value = 0.013 < 0.05. Respondents should pay more attention to their health to avoid various diseases such as heart, stroke, and so on.

IMPACT EXPLORATION OF CBT COUNSELING TECHNIQUES ON ACADEMIC ANXIETY: A LITERATURE REVIEW AND CLINICAL PRACTICE

LARASUCI ARINI — 2025-01-01

This study explores the therapeutic dimensions in group counseling through the lens of psychoanalytic theory, focusing on the processes of socialization and interpersonal learning. A literature review of recent sources, including journal articles, books, and relevant dissertations, was conducted. The findings indicate that group cohesion, catharsis, and socialization play crucial roles in creating a therapeutic environment that supports individuals in addressing intrapsychic conflicts. Group cohesion fosters a sense of safety, while catharsis allows individuals to express repressed emotions. Additionally, the process of socialization and the imitation of positive behaviors from other group members aid individuals in transforming maladaptive behavioral patterns. These findings underscore the importance of leveraging group dynamics in counseling interventions to support personal growth and deeper self-understanding

MANAGEMENT OF SITZ BATH AND DECORATED PURPLE LEAVES FOR ACUTE PAIN PROBLEMS IN HEMORRHOID PATIENTS

MIFTAH PUTRI ARIYANTO — 2025-01-01

Hemorrhoids are an anorectal disease which is defined as enlargement of the hemorrhoidal veins that pass through the anus or rectum, which is caused by abnormal widening and distortion of the vascular channel, along with destructive changes in the supporting connective tissue in the anus, causing pain and discomfort. And causes bleeding after defecation. Management of sitz baths and administration of purple leaf decoction. Describe the management of acute pain: sitz baths and administering purple leaf decoction to hemorrhoid patients. The design of this research is descriptive qualitative: a case study using the nursing process. The sampling technique used in this research uses non-probability sampling with a purposive sampling approach. The samples taken were 3 subjects. The subject’s assessment data stated that pain in the anus and pain due to hemorrhoidal lumps were like being pricked with a pain scale of 4-6, felt intermittent or sometimes continuous, the subject’s expression grimaced in pain, the subject’s face looked tense, occasionally the subject held his anus, the subject could not sitting for too long and when sitting the subject often changes sitting position, there is a soft solid lump in the anus, the color of the lump is reddish. The nursing diagnosis is acute pain related to inflammation (hemorrhoids). Researchers carried out nursing actions for 7 days with 14 meetings. The last evaluation showed complaints of decreased pain, decreased grimaces, decreased anxiety. Management of sitz baths and administration of purple leaf decoction to hemorrhoid patients is effective in reducing the level of pain in hemorrhoid patients.

APPLICATION OF BALLON BLOWING THERAPY TO REDUCE SHORTNESS OF BREATH IN PATIENTS WITH INEFFECTIVE BREATHING PATTERNS

GIVA RESYINTA PUTRI — 2025-01-01

Asthma is one of the respiratory diseases that are often found in the community. Asthma symptoms are characterized by coughing, shortness of breath, shortness of breath and wheezing, making it difficult for children to sleep and do activities. The purpose of this study was to develop treatment in nursing children with respiratory system disorders: asthma with balloon blowing therapy. The subjects of the study were asthma patients. The nursing care provided was Balloon Blowing. The results of the nursing evaluation on the diagnosis of ineffective breathing patterns obtained subjective data, namely the client's mother said that her child's shortness of breath had decreased, the cough had decreased, she was sleeping soundly, and the patient said that her phlegmy cough had decreased. Objective: the patient appeared to have less shortness of breath, less phlegmy cough, and was sleeping soundly. Vital signs: blood pressure: 110/85 mmHg, pulse: 96 x / minute, temperature: 36.8 oC, respiratory rate: 24 x / minute, SpO2: 98%. The results of the nursing evaluation on the diagnosis of ineffective breathing patterns obtained subjective data: the client's mother said that her child's shortness of breath had decreased, the cough had decreased, she was sleeping soundly, and the patient said that her phlegmy cough had decreased. Objective: the patient appeared to have less shortness of breath, less phlegmy cough, and was sleeping soundly. Vital signs: blood pressure: 110/85 mmHg, pulse: 96 x/minute, temperature: 36.8 oC, respiratory rate: 24 x/minute, SpO2: 98%.

THE RELATIONSHIP BETWEEN BREASTFEEDING TECHNIQUE AND THE INCIDENCE OF NIPPLE BLISTERS IN POST PARTUM WOMEN AT PMB HJ. YETTI LATIF S.ST

ALIMAH ARDIANTI — 2025-01-01

One of the problems that often occurs in breastfeeding mothers is the lack of knowledge about breastfeeding. Problems that are often experienced by mothers such as nipple blisters, breast milk dams, breast pain, causing mothers not to breastfeed their babies. Another problem is that many husbands still have the wrong opinion, consider it trivial and just be a passive observer of the breastfeeding behavior of mothers and babies. This study aims to determine the relationship between breastfeeding techniques and the incidence of nipple blisters in postpartum women at PMB Hj. Yetti Latif S.ST in 2024. This research method uses quantitative research which is analytic in nature with a cross-sectional approach. This research was conducted in 1-29 August 2024. The population of this study were 82 postpartum mothers. The number of samples taken as many as 45 postpartum women with accidental sampling technique. Univariate and Bivariate data processing using chi-square analysis. Statistical results of the chi-square test p value 0.000. Thus, there is a relationship between breastfeeding techniques and the incidence of nipple blisters in postpartum women at PMB Hj. Yetti Latif S.ST in 2024. It is expected that breastfeeding mothers should increase their knowledge and information about proper breastfeeding techniques through various sources of information in order to reduce the number of nipple blisters. It is hoped that it can be used as a basis for further research, namely the relationship between maternal knowledge of breastfeeding techniques and the state of nipple blisters with other more specific variables, so that for further research this can be further refined