Journal of Current Health Sciences

Exploring the Potential of Acupressure in Managing Chemotherapy Side Effects: A Case Study on Breast Cancer Patients in Bengkulu, Indonesia

Wed, 01 May 2024 00:00:00 +0700

Breast cancer is the most common cancer among women, with significant global mortality rates. The World Health Organization (WHO, 2012) reported that in 2011, over 508,000 women worldwide died from this disease, which accounts for the highest percentage of new cases at 43.3% and a mortality rate of 12.9%. Existing therapies, including surgery, radiotherapy, and chemotherapy, often accompany side effects such as pain, weakness, hair loss, and menstrual disorders. Acupressure, as a form of non-pharmacological therapy, has the potential to mitigate these side effects through the application on meridian points LI4, SP6, and LR3, selected for their relevance to the energy flow affecting pain and the reproductive system. This study investigates the impact of acupressure on points LI4, SP6, and LR3 concerning pain and menstrual disorders in patients with carcinoma mammae undergoing chemotherapy in Bengkulu City. Utilizing a quasi-experimental design and a two-group pretest-posttest with control approach, this study involved 30 participants divided into two groups: 15 in the control group and 15 in the intervention group, selected through purposive sampling. The findings indicated no significant differences in the reduction of pain and menstrual disorders between the groups, with a p-value showing no statistical significance. This suggests that acupressure might be more effective if applied continuously in the early stages of chemotherapy. These findings invite further research to explore the therapeutic potential of acupressure in managing breast cancer, particularly for mitigating chemotherapy side effects.

Empowering Health: Unveiling the Impact of Self-Efficacy and Lifestyle on Hypertension Management

Juli Yosa Mega — Wed, 01 May 2024 00:00:00 +0700

This study aims to investigate the significant relationship between self-efficacy and lifestyle on the prevalence of hypertension. In this context, self-efficacy is defined as an individual's belief in managing blood pressure through health behaviors, while an unhealthy lifestyle includes habits such as a high-salt diet and minimal physical activity. This research utilized a quantitative method with a descriptive correlational design and a cross-sectional approach. Out of 70 respondents, it was found that 27 individuals (38.6%) had sufficient self-efficacy, 36 individuals (51.4%) demonstrated an unhealthy lifestyle, and 37 individuals (52.9%) suffered from hypertension. Statistical analysis showed a significant relationship between self-efficacy (p-value = 0.000) and lifestyle (p-value = 0.000) with the incidence of hypertension. These results support the theory that enhancing self-efficacy and shifting towards a healthier lifestyle can reduce the risk of hypertension, providing significant contributions to the literature and practices in hypertension management.

Abstrak: Studi ini bertujuan untuk menginvestigasi hubungan yang signifikan antara self-efficacy dan gaya hidup terhadap prevalensi hipertensi. Dalam konteks ini, self-efficacy diartikan sebagai keyakinan individu dalam mengelola tekanan darah melalui perilaku kesehatan, sedangkan gaya hidup tidak sehat mencakup kebiasaan seperti diet tinggi garam dan minim aktivitas fisik. Penelitian ini menggunakan metode kuantitatif dengan desain deskriptif korelasional dan pendekatan cross-sectional. Dari total 70 responden, ditemukan bahwa 27 orang (38,6%) memiliki self-efficacy yang cukup, 36 orang (51,4%) menunjukkan gaya hidup tidak sehat, dan 37 orang (52,9%) menderita hipertensi. Analisis statistik menunjukkan hubungan yang signifikan antara self-efficacy (p-value = 0,000) dan gaya hidup (p-value = 0,000) dengan kejadian hipertensi. Hasil ini mendukung teori bahwa peningkatan self-efficacy dan perubahan ke arah gaya hidup yang lebih sehat dapat mengurangi risiko hipertensi, memberikan kontribusi penting terhadap literatur dan praktik dalam manajemen hipertensi.

Impact of Deep Breathing, Murottal, and Hypertension Exercises on Headache Management in Hypertensive Individuals

Lenny Stia Pusporini, Herna Alifiani , Imas Islamiah — Wed, 15 May 2024 00:00:00 +0700

Hypertension, characterized by an abnormal increase in blood pressure, often triggers headaches at the back of the head and neck due to vascular disturbances. This study explores the effectiveness of a holistic non-pharmacological intervention—comprising Deep Breathing Relaxation Technique, Qur'anic recitation (murottal), and Hypertension Exercise—to alleviate these headaches in hypertensive patients at Mekarjaya Community Health Center, Indonesia. Employing a quantitative approach, the research utilized a Quasi-Experimental Design with a Pretest and Posttest Control Group. The intervention group underwent IMAS therapy, an integrated approach combining the three techniques, while the control group continued only with routine medication. Conducted in December 2022 with 16 participants in each group, results from both Dependent and Independent T-tests (p < 0.05) confirmed the significant effect of the interventions. This study not only underscores the potential of such integrative therapies in managing hypertension-related headaches but also contributes to broader health care practices by offering a viable alternative to conventional medication. The findings align with and extend existing research on relaxation therapies for hypertension, suggesting substantial benefits in patient well-being and symptom management.

Informed Consent in Midwifery: Bridging Legal Requirements and Patient Communication

Febra Ayudiah, Yesi Putri, Mepi Sulastri — Wed, 15 May 2024 00:00:00 +0700

This study investigates the implementation of informed consent within the realm of independent midwifery, with a specific focus on the communication processes and legal obligations encountered in Midwife Nela’s practice. Despite the pivotal role of informed consent in safeguarding patient rights and ensuring ethical medical practice, a significant challenge persists due to the inadequate patient awareness regarding their rights as stipulated under the 1945 Constitution. This issue often results in patients entrusting midwives without a comprehensive understanding of potential risks. Employing a normative juridical approach, this research synthesizes both primary and secondary data to explore how informed consent is executed and the attendant challenges. The findings reveal that Midwife Nela’s practice is characterized by a personalized approach to patient communication and clarity in the conveyance of information, which distinctly supports the establishment of legal and therapeutic relationships between midwives and patients. The study further discusses the implications of these findings for the enhancement of informed consent practices in independent midwifery across Indonesia. It underscores the necessity for midwives to not only fulfill legal standards but also engage in effective communication, thereby facilitating patient autonomy and informed decision-making. Recommendations are provided for improving health policies and practices, which aim to strengthen the legal protections for both patients and healthcare providers in the midwifery sector.

Challenges and Solutions in B3 Waste Management at RSUD X: An Analysis Based on Ministerial Regulations

Eko Adittya Permana, Hedy Hardiana — Thu, 16 May 2024 00:00:00 +0700

Hospital services provide significant benefits to the community and generate hazardous and toxic waste (B3) that poses high risks if not properly managed. B3 waste management in hospitals must comply with government regulations, such as Minister of Health Regulation No. 02 of 2023 and Minister of Health Regulation No. 07 of 2019. This study aims to analyze the effectiveness of B3 waste management policies at Hospital X and identify the factors affecting their implementation. The research employs a Realist Evaluation methodology using qualitative methods. Seventeen informants, selected through purposive sampling, including management heads, quality committee members, department heads, and field technical officers, were interviewed in-depth. The findings indicate challenges in implementing B3 waste management policies, such as a lack of trained personnel, inadequate infrastructure, and limited budget. While the policies based on Minister of Health Regulation No. 02 of 2023 and Minister of Health Regulation No. 07 of 2019 have been successfully implemented, there are still challenges that need to be addressed to achieve the desired targets. This study provides significant contributions to the development of more effective B3 waste management policies in the future.

Abstrak: Kegiatan pelayanan di rumah sakit tidak hanya memberikan manfaat besar bagi masyarakat, namun juga menghasilkan limbah B3 yang berisiko tinggi jika tidak dikelola dengan baik. Pengelolaan limbah B3 di rumah sakit perlu mengikuti kebijakan pemerintah, seperti Permenkes Nomor 02 Tahun 2023 dan Permenkes Nomor 07 Tahun 2019. Penelitian ini bertujuan untuk menganalisis efektivitas kebijakan pengelolaan limbah B3 di Rumah Sakit X dan mengidentifikasi faktor-faktor yang mempengaruhi pelaksanaannya. Penelitian menggunakan metodologi Realist Evaluation dengan metode kualitatif. Sebanyak 17 informan yang dipilih secara purposive sampling, termasuk kepala manajemen, komite mutu, kepala ruangan, dan petugas teknis lapangan, diwawancarai mendalam. Hasil penelitian menunjukkan kendala dalam implementasi kebijakan pengelolaan limbah B3, termasuk kekurangan SDM yang terlatih, infrastruktur yang tidak memadai, dan anggaran yang terbatas. Kebijakan pengelolaan limbah B3 berdasarkan Permenkes No. 02 Tahun 2023 dan Permenkes No. 07 Tahun 2019 telah berhasil diimplementasikan, namun masih terdapat tantangan yang perlu diatasi untuk mencapai target yang diharapkan. Penelitian ini memberikan kontribusi penting bagi pengembangan kebijakan pengelolaan limbah B3 yang lebih efektif di masa mendatang.