Interest : Jurnal Ilmu Kesehatan

Combination of Core Activation and Curl-Up Exercise on Reducing Diastasis Rectus Abdominis (DRA) in Multiparous Women in Homba Rande Village

2024-09-07T14:51:05+07:00

Background: Pregnancy and childbirth cause physical changes in women, including pelvic floor muscle weakness and abdominal wall enlargement leading to the condition of Diastasis Recti Abdominis (DRA). Multiparous women are at higher risk of experiencing DRA due to repeated stretching of the abdominal wall. This study aimed to evaluate the effectiveness of combining core activation with curl-up exercises in reducing the degree of DRA in multiparous women.

Methods: This research was conducted in Desa Homba Rande and employs an experimental pretest-posttest control group design with 24 multiparous women selected using purposive sampling and divided into two groups: an intervention group (n=12) receiving a combination of core activation and curl-up exercises, and a control group (n=12) without the intervention. The 12-week intervention was conducted three times per week. Inter-recti distance was measured using a digital caliper before and after the intervention period. Data were analyzed using the Paired Sample T-Test and Independent Sample T-Test.

Results: All research samples were multiparous women aged 20-45 years, with controlled BMI, type of delivery, number of pregnancies, number of births, and physical activity score (IPAQ-SF). The paired sample t-test showed a p-value of 0.001 (p<0.05), indicating a significant improvement after intervention. The independent sample t-test showed a p-value of 0.002 (p<0.05), indicating a significant difference in post-test data between groups.

Conclusion: Core activation combined with curl-up exercises is effective in reducing DRA in multiparous women. These exercises are recommended as part of routine postpartum rehabilitation to improve core strength and function.

The Relationship between Therapeutic Communication and Patient Satisfaction with Nursing Care

2025-05-02T08:35:46+07:00

Background: Therapeutic communication is an essential approach to establishing mutual trust between nurses and patients while delivering accurate information. It is expected to enhance patients’ understanding of their illness and contribute to positive changes in their condition. Patient satisfaction reflects their evaluation of the healthcare services received, based on a comparison between expectations and actual experiences. This study aims to investigate the connection between therapeutic communication and patient satisfaction with nursing care.

Methods: This study employed a descriptive correlational design with a cross-sectional approach. The population consisted of 150 individuals, from which 66 participants were selected using purposive sampling. Data were collected using a therapeutic communication questionnaire and a patient satisfaction questionnaire. Data analysis was conducted using the Spearman Rank test.

Results: The results of the study showed that most patients in the Lidwina-Yosep Room perceived the nurses' therapeutic communication as good, and the majority expressed satisfaction with the nursing services received. Statistical analysis yielded a p-value of 0.015 (p < 0.05) and a correlation coefficient (r) of 0.298, indicating a significant and positive correlation between therapeutic communication and patient satisfaction.

Conclusion: The study found that nurses’ therapeutic communication in the Lidwina-Yosep Room at Santa Elisabeth Hospital Medan was generally effective, as perceived by most patients. It is recommended that nurses continue to develop and strengthen their therapeutic communication skills to further improve patient satisfaction.

Strategy and Role of Health Promotion in Stunting Prevention: Literature Review

2024-12-13T09:46:20+07:00

Background: Currently, Indonesia is facing health problems suffered by children under five due to malnutrition or malnutrition which causes stunting. Based on data from the Indonesian Nutrition Status Survey (SSGI), it shows that the prevalence of stunting in Indonesia in 2023 will reach 21.5%. Health Promotion is considered a collaboration of educational and environmental support to create healthy living behavior for the entire community. The purpose of this literature review is to determine the Strategy and Role of Health Promotion in Stunting Prevention.

Methods: In writing this literature review article, literature searches were conducted systematically using various scientific databases such as PubMed, ScienceDirect, and Google Scholar. The keywords used were adjusted to the research topic, including stunting, health promotion, and prevention. Inclusion criteria included articles published within the last five years (2019-2024), written in English or Indonesian, and directly addressing the topic under review. At the beginning of the article search, the authors found 65 articles, then selected according to the criteria to 24 articles, then narrowed down to 5 articles.

Results: Based on the results of several articles analyzed, show that preventive and promotive efforts are the right efforts to prevent stunting from 1000 HPK (First Day of Life). The health promotion strategy itself is divided into 3 aspects, including advocacy, social support, and community empowerment.

Conclusion: Thus, it is hoped that preventive and promotive efforts will be intensified to reduce the prevalence of stunting in Indonesia. The government supports this by launching the Healthy Indonesia Program which consists of 3 pillars, the healthy paradigm, strengthening health services, and National Health Insurance (JKN).