Mando Care Jurnal

Determinasi Readmisi Rumah Sakit pada Pasien Acute Coronary Syndrome Ruang Rawat Inap Pusat Jantung

Syahrul Syahrul — 2025-10-06

Acute Coronary Syndrome (ACS) is a heart disease caused by the disruption of blood flow to the heart, leading to oxygen deficiency. Readmission of ACS patients after hospitalization is common. This study aims to identify factors associated with readmission in ACS patients at the Integrated Heart Center, Dr. Wahidin Sudirohusodo Hospital, Makassar. This quantitative study with a cross-sectional design involved 121 patients. Data were collected using questionnaires to assess medication adherence and physical activity. The results showed that a history of hypertension, diabetes, dyslipidemia, medication adherence, and physical activity were significantly associated with readmission in ACS patients, while age, smoking history, and obesity were not. These findings emphasize the importance of education, therapy adherence, and lifestyle changes to reduce readmissions and improve healthcare quality.

Intervensi Non-Farmakologis untuk Bradikardia Simptomatik: Studi Mobilisasi Progresif dan Manajemen Energi di Ruang High Care Unit

Jurana Jurana — 2025-10-11

Symptomatic bradycardia is a condition of slowed heart rate accompanied by symptoms such as dizziness, fatigue, and activity intolerance. Non-pharmacological interventions such as progressive mobilization and energy management are believed to improve patient hemodynamics. This study aimed to analyze the effects of progressive mobilization and energy management on hemodynamic parameters in a patient with symptomatic bradycardia. A descriptive case study was conducted on a 71-year-old male patient with symptomatic bradycardia, hypertension, and other comorbidities treated in the High Care Unit (HCU) of Dr. Wahidin Sudirohusodo Hospital. Interventions were carried out over three days, including passive exercises, active exercises, sitting, and structured energy-based activity management. Parameters of blood pressure, heart rate, respiratory rate, and oxygen saturation were recorded before and after the intervention. Results showed an increase in Barthel Index score from 2 to 8, stabilization of blood pressure and heart rhythm, and improved respiration. Progressive mobilization and energy management are effective in stabilizing hemodynamics and enhancing activity tolerance in symptomatic bradycardia patients.

Hubungan Kekerasan Verbal dengan Kepercayaan Diri pada Anak Usia Sekolah di UPTD SPF SDN Cindogo 1 Kabupaten Bondowoso

Joan Franco Abrar Dzulfi Zaidhane — 2025-10-13

School-aged children are vulnerable to verbal abuse in educational settings, which can have more serious consequences than physical abuse because it damages mental health and self-confidence. Verbal abuse of school-aged children needs to be addressed immediately because it can damage self-confidence and disrupt emotional and social development at a crucial stage of character formation. A preliminary study at UPTD SPF SDN Cindogo 1 in Bondowoso Regency indicated low self-confidence among students due to verbal abuse. This study aims to analyze the relationship between verbal abuse and self-confidence in school-aged children at UPTD SPF SDN Cindogo 1 in Bondowoso Regency. This study employs a quantitative correlational cross-sectional design. The study population and sample consist of all students at UPTD SPF SDN Cindogo 1 in Bondowoso District, totaling 97 respondents, using total sampling technique. Data were collected through verbal abuse and self-confidence questionnaires, then analyzed univariately and bivariately using the Spearman Rho test with a significance level of α=0.05. It was found that 65% of students experienced moderate verbal abuse, and 35% experienced severe verbal abuse. Regarding self-confidence levels, 56% had moderate self-confidence, 29% had low self-confidence, and 15% had high self-confidence. The Spearman Rho test yielded a p-value of 0.000 (<0.05), indicating a significant relationship. The correlation coefficient obtained was -0.343, indicating a moderate, significant negative correlation between verbal abuse and self-confidence among school-aged children at UPTD SPF SDN Cindogo 1 in Bondowoso District. An increase in verbal aggression is correlated with a decrease in self-confidence. Fostering empathy and making schools safe and enjoyable places will have a positive impact on their mental and social development.

Hubungan Quarter Life Crisis dengan Tingkat Harga Diri pada Mahasiswa Fakultas Ilmu Kesehatan Universitas Muhammadiyah Jember

Rizki Ghifari Pratama — 2025-10-13

Quarter life crisis (QLC) is a developmental crisis phase in early adulthood characterized by anxiety, confusion about life direction, and social pressures, all of which can contribute to low self-esteem. Students of the Faculty of Health Sciences at Muhammadiyah University of Jember are also not exempt from this phenomenon, which may impact their psychosocial and academic well-being. This study employed a quantitative design with a cross-sectional approach to analyze the relationship between QLC and the risk of low self-esteem among these students. The study population comprised all active students totaling 553 individuals, with a sample of 232 respondents selected using purposive sampling. Data were collected using the Quarter Life Crisis Scale and Rosenberg Self Esteem Scale questionnaires, and analyzed with the Spearman Rank (Rho) test at a significance level of α = 0.05. The study revealed that most students were in the low QLC category (46%) and had moderate levels of low self-esteem risk (65%). There was a tendency for higher levels of QLC to be associated with higher risks of low self-esteem. The Spearman test showed p = 0.000 (<0.05) with a correlation coefficient of r = 0.523, indicating a significant, strong, and positive relationship between QLC and the risk of low self-esteem. There is a significant relationship between quarter life crisis and the risk of low self-esteem among students of the Faculty of Health Sciences at Muhammadiyah University of Jember. The findings of this study recommend strengthening the role of academic advisors in providing psychosocial support, as well as encouraging active parental involvement through open communication and emotional support to help students cope with Quarter Life Crisis and prevent the risk of low self-esteem.

Pengetahuan, Sikap dan Status Remaja Putri terkait Kurang Energi Kronik (KEK) di SMAN 2 Mamuju

Uswatun Hasanah — 2025-10-13

Chronic Energy Deficiency (CED) among adolescent girls is a serious concern due to its long-term implications for reproductive health. This study aims to describe the knowledge, attitudes, and nutritional status of adolescent girls regarding CED at SMAN 2 Mamuju. A descriptive survey method with a quantitative approach was employed. The sample consisted of 165 female students from grades X and XI, selected through proportional simple random sampling. Data collection was conducted using questionnaires and anthropometric measurements, including Body Mass Index for Age (BMI/Age) and Mid-Upper Arm Circumference (MUAC). The results showed that the majority of respondents had moderate knowledge (50.9%) and a positive attitude (97.6%) toward CED. Nutritional status based on BMI/Age indicated that most adolescents had good nutritional status (81.2%), whereas MUAC measurements revealed that 47.9% were at risk of CED. These findings highlight a discrepancy between knowledge and positive attitudes versus actual practices in maintaining proper nutrition among adolescent girls. Continuous, practice-based nutrition education involving schools, healthcare providers, and families is needed to reduce the prevalence of CED in this population.