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"[ABSTRAKPengambilan darah intravena dapat menimbulkan stres pada anak, sementaramanajemen stres belum optimal dilaksanakan. Penelitian bertujuan untuk mengetahuiefektivitas posisi duduk dalam dekapan keluarga terhadap stres anak prasekolah yangdilakukan pengambilan darah intravena. Desain penelitian Randomized Clinical Trialdengan 18 responden kelompok intervensi (posisi duduk dalam dekapan keluarga) dan18 responden kelompok kontrol (posisi supine). Pengukuran stres menggunakanChildren?s Fear Scale diinterpretasi melalui hasil rekaman video. Hasil menunjukkanrerata skor stres pada kelompok intervensi lebih rendah dari kelompok kontrol (p value< 0,05) dan tidak terdapat hubungan antara karakteristik anak dengan skor stres.Penelitian ini merekomendasikan perawat menerapkan posisi duduk dalam dekapankeluarga di setiap prosedur pengambilan darah intravena.

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ABSTRACTIntravenous blood collection may cause stress in children, while stress managementwas not optimally implemented. The purpose of study is to examine the effect of chestto chest straddle position on preschoolers stress during intravenous blood collectionprocedure. Study used Randomized Clinical Trial research design, where 18respondents in intervention groups (chest to chest straddle position) and 18 respondentsin control groups (supine position). Measuring stress using the Children's Fear Scalethrough video recorded. The result showed mean scores of stress in the interventiongroup significantly lower than the control group (p value < 0,05) and there was nocorrelation between characteristics of respondent and stress. Research recommend nursemay apply chest to chest straddle position in every procedure of intravenous bloodcollection.;Intravenous blood collection may cause stress in children, while stress managementwas not optimally implemented. The purpose of study is to examine the effect of chestto chest straddle position on preschoolers stress during intravenous blood collectionprocedure. Study used Randomized Clinical Trial research design, where 18respondents in intervention groups (chest to chest straddle position) and 18 respondentsin control groups (supine position). Measuring stress using the Children's Fear Scalethrough video recorded. The result showed mean scores of stress in the interventiongroup significantly lower than the control group (p value < 0,05) and there was nocorrelation between characteristics of respondent and stress. Research recommend nursemay apply chest to chest straddle position in every procedure of intravenous bloodcollection.;Intravenous blood collection may cause stress in children, while stress managementwas not optimally implemented. The purpose of study is to examine the effect of chestto chest straddle position on preschoolers stress during intravenous blood collectionprocedure. Study used Randomized Clinical Trial research design, where 18respondents in intervention groups (chest to chest straddle position) and 18 respondentsin control groups (supine position). Measuring stress using the Children's Fear Scalethrough video recorded. The result showed mean scores of stress in the interventiongroup significantly lower than the control group (p value < 0,05) and there was nocorrelation between characteristics of respondent and stress. Research recommend nursemay apply chest to chest straddle position in every procedure of intravenous bloodcollection., Intravenous blood collection may cause stress in children, while stress managementwas not optimally implemented. The purpose of study is to examine the effect of chestto chest straddle position on preschoolers stress during intravenous blood collectionprocedure. Study used Randomized Clinical Trial research design, where 18respondents in intervention groups (chest to chest straddle position) and 18 respondentsin control groups (supine position). Measuring stress using the Children's Fear Scalethrough video recorded. The result showed mean scores of stress in the interventiongroup significantly lower than the control group (p value < 0,05) and there was nocorrelation between characteristics of respondent and stress. Research recommend nursemay apply chest to chest straddle position in every procedure of intravenous bloodcollection.]"

"Tekanan darah merupakan salah satu komponen penting tubuh. Salah satu faktor yang mempengaruhi tekanan darah adalah stres. Melalui penelitian ini dianalisis hubungan stres dengan tekanan darah pada karyawan fakultas kedokteran universitas X. Desain penelitian adalah cross-sectional dengan jumlah sampel 106. Pengumpulan data stres menggunakan kuesioner SRQ20 sedangkan tekanan darah menggunakan sfigmomanometer. Data dianalisis secara statistik dengan uji Chi square dan jika tidak memenuhi persyaratan maka digunakan uji Kolmogorov-Smirnov berdasarkan jenis variabel yang diteliti.Hasil penelitian menyatakan bahwa sebagian besar karyawan tidak mengalami gangguan stres (91,5%) dan memiliki prehipertensi (49,1%). Secara statistik menunjukkan tidak ada perbedaan proporsi peningkatan tekanan darah pada karyawan yang mengalami gangguan stres maupun tidak ada gangguan (p 1,000). Hasil ini berbeda dengan penelitian yang dilakukan oleh Poewarti R karena kuesioner yang digunakan untuk mengukur stres berbeda dengan yang digunakan penulis. Selain itu, pajanan yang diperoleh di tempat kerja subjek juga berbeda di tiap penelitian.

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Blood pressure is one of the important component of body that can be affected by stress. This research analyzed the correlation of stress and blood pressure among employees in Faculty of Medicine Universitas X in 2015. The study design was cross-sectional with 106 samples. Collection of data used SRQ20 questionnaire and sfigmomanometer. The data was analyzed statistically by Chi Square test and if the result did not meet the acquirement, the researcher used Kolmogorov Smirnow test based on the type of variable.

The result showed that the employees mostly did not have stress disorder (91,5%) but have prehypertension (49,1%). Statistically there was no different proportion of the increase of blood pressure between employees who had stress disorder and who did not have stress disorder (p 1,000). This result was different from the study of Poewarti R because the questionnaire used in that study was different. Besides that, the exposure from the workplace was different in each study."

"Bank darah tali pusat merupakan suatu produk jasa yang memberikan pelayanan jasa penyimpanan sel punca, yang menjadi harapan terapi bagi banyak penyakit mematikan, dari tali pusat bayi yang baru dilahirkan. Tujuan penelitian ini untuk melihat efektifitas seminar dalam membentuk sikap terhadap produk jasa bank darah tali pusat. Seminar sebagai salah satu bentuk komunikasi marketing yang dianggap dapat membentuk keyakinan dan sikap dilakukan kepada 78 mahasiswa-i akademi kebidanan, yang diharapkan dapat berperan sebagai influencer, untuk melihat proses pembentukan keyakinan dan sikap terhadap bank darah tali pusat. Penelitian ini menggunakan perspektif Elaboration Likelihood Model untuk menilai apakah sikap yang terbentuk merupakan hasil dari proses kognitif. Hasil penelitian menunjukkan bahwa seminar dapat meningkatkan keyakinan dan sikap terhadap produk. Namun pembentukan keyakinan dan sikap tersebut tidak seluruhnya terbentuk melalui proses kognitif.

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Cord blood bank is a services product that provide storage services for stem cells, which become the futures hope for many letal diseases therapy, from the umbilical cord of new born babies. The purpose of this study to see the effectiveness of seminars in shaping attitudes toward the product. Seminar as a form of marketing communications that are considered to form beliefs and attitudes conducted to 78 students from academy of obstetrics, which is expected to become an influencers, to see the process of the formation of beliefs and attitudes towards cord blood bank. The perspective of this study use Elaboration Likelihood Model to assess whether attitudes are formed in the result of cognitive processes. The results showed that the seminar can increase confidence and attitude toward the product. However, the formation of beliefs and attitudes are not entirely formed through cognitive processes."

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Latar Belakang

Seiring bertambahnya usia penduduk, penyakit kronis, khususnya hipertensi, semakin banyak terjadi di Indonesia. Aterosklerosis yang ditandai dengan penyempitan lumen pembuluh darah akibat plak lemak merupakan salah satu penyebab hipertensi. Proses stres oksidatif ini menghasilkan molekul yang dikenal sebagai malondialdehid (MDA) yang dapat diukur. Oleh karena itu, tujuan utama penelitian ini adalah untuk mengetahui hubungan antara tekanan darah dan kadar malondialdehid.

Metode

Sebanyak 90 lisat darah dari penelitian sebelumnya digunakan. Kadar malondialdehid diukur dengan menggunakan metode TBARS, dimana reaksinya menghasilkan warna merah-ungu. Intensitas pewarnaan ini sesuai dengan seberapa banyak MDA bereaksi dengan reagen. Untuk mengukurnya, spektrofotometer digunakan. Data tersebut kemudian dimasukkan ke dalam persamaan regresi sebelum dianalisis menggunakan uji non parametrik Kendall-Tau b.

Hasil

Konsentrasi MDA yang sangat tinggi ditemukan pada partisipan dengan 3 penyakit kronis (4,194 nmol/ml). Penyimpangan signifikan dari normalitas ditemukan (p <0,05). Tes awal kami tidak menunjukkan hasil yang signifikan: sistolik (𝜏𝑏 = -0.036, p = 0.637), diastolik (𝜏𝑏 = -0.071, p = 0.376), dan MAP (𝜏𝑏 = -0.060, p = 0.422). Namun, analisis subkelompok pada populasi lansia “middle-old” menunjukkan hubungan positif sedang antara kadar MDA dan tekanan darah sistolik (𝜏𝑏 = 0.308, n = 25, p = 0.043).

Kesimpulan

Korelasi antara kadar MDA dan tekanan darah ditemukan. Namun, perlu diketahui karena sifat hipertensi yang kompleks, banyak faktor yang juga bisa bertanggung jawab atas tingginya konsentrasi MDA.

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Introduction

As the population ages, chronic diseases, particularly hypertension, are becoming prevalent in Indonesia. Atherosclerosis, characterized by the narrowing of blood vessel lumens due to fatty plaques, is one of the causes of hypertension. This process of oxidative stress produces a molecule known as malondialdehyde (MDA), which can be quantified. Therefore, the primary objective of this research is to investigate the correlation between hypertension and the levels of malondialdehyde.

Method

A total of 90 RBC lysate from previous research were used. Malondialdehyde levels were assessed using the TBARS method, which led to a red-purple coloration. The intensity of this coloration corresponds to the extent of MDA's reaction with the reagent. To quantify this, a spectrophotometer was utilized. The data then was incorporated into a regression equation before being analyzed using the Kendall-Tau b non-parametric test.

Results

A notably high MDA concentration was found in participants with 3 chronic diseases (4.194 nmol/ml). A significant deviation from normality were observed (p < 0.05). Our initial test did not reveal any significant results: systolic (𝜏𝑏 = -0.036, p = 0.637), diastolic (𝜏𝑏 = -0.071, p = 0.376), and MAP (𝜏𝑏 = -0.060, p = 0.422). However, subgroup analysis in middle-old population revealed moderate positive relationship between MDA levels and systolic blood pressure (𝜏𝑏 = 0.308, n = 25, p = 0.043).

Conclusion

There is indeed a correlation between MDA levels and blood pressure. However, it should be noted due complex nature of hypertension, many factors could also be responsible for high MDA concentration.

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"Latar BelakangSeiring bertambahnya usia penduduk, penyakit kronis, khususnya hipertensi, semakin banyak terjadi di Indonesia. Aterosklerosis yang ditandai dengan penyempitan lumen pembuluh darah akibat plak lemak merupakan salah satu penyebab hipertensi. Proses stres oksidatif ini menghasilkan molekul yang dikenal sebagai malondialdehid (MDA) yang dapat diukur. Oleh karena itu, tujuan utama penelitian ini adalah untuk mengetahui hubungan antara tekanan darah dan kadar malondialdehid.MetodeSebanyak 90 lisat darah dari penelitian sebelumnya digunakan. Kadar malondialdehid diukur dengan menggunakan metode TBARS, dimana reaksinya menghasilkan warna merah-ungu. Intensitas pewarnaan ini sesuai dengan seberapa banyak MDA bereaksi dengan reagen. Untuk mengukurnya, spektrofotometer digunakan. Data tersebut kemudian dimasukkan ke dalam persamaan regresi sebelum dianalisis menggunakan uji non parametrik Kendall-Tau b.HasilKonsentrasi MDA yang sangat tinggi ditemukan pada partisipan dengan 3 penyakit kronis (4,194 nmol/ml). Penyimpangan signifikan dari normalitas ditemukan (p <0,05). Tes awal kami tidak menunjukkan hasil yang signifikan: sistolik (TB = -0.036, p = 0.637), diastolik (TB = -0.071, p = 0.376), dan MAP (TB = -0.060, p = 0.422). Namun, analisis subkelompok pada populasi lansia “middle-old” menunjukkan hubungan positif sedang antara kadar MDA dan tekanan darah sistolik (TB = 0.308, n = 25, p = 0.043).KesimpulanKorelasi antara kadar MDA dan tekanan darah ditemukan. Namun, perlu diketahui karena sifat hipertensi yang kompleks, banyak faktor yang juga bisa bertanggung jawab atas tingginya konsentrasi MDA.

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Introduction

As the population ages, chronic diseases, particularly hypertension, are becoming prevalent in Indonesia. Atherosclerosis, characterized by the narrowing of blood vessel lumens due to fatty plaques, is one of the causes of hypertension. This process of oxidative stress produces a molecule known as malondialdehyde (MDA), which can be quantified. Therefore, the primary objective of this research is to investigate the correlation between hypertension and the levels of malondialdehyde.

Method

A total of 90 RBC lysate from previous research were used. Malondialdehyde levels were assessed using the TBARS method, which led to a red-purple coloration. The intensity of this coloration corresponds to the extent of MDA's reaction with the reagent. To quantify this, a spectrophotometer was utilized. The data then was incorporated into a regression equation before being analyzed using the Kendall-Tau b non-parametric test.

Results

A notably high MDA concentration was found in participants with 3 chronic diseases (4.194 nmol/ml). A significant deviation from normality were observed (p < 0.05). Our initial test did not reveal any significant results: systolic (Tb = -0.036, p = 0.637), diastolic (Tb = -0.071, p = 0.376), and MAP (Tb = -0.060, p = 0.422). However, subgroup analysis in middle-old population revealed moderate positive relationship between MDA levels and systolic blood pressure (Tb = 0.308, n = 25, p = 0.043).

Conclusion

There is indeed a correlation between MDA levels and blood pressure. However, it should be noted due complex nature of hypertension, many factors could also be responsible for high MDA concentration."

"Metode pengambilan sampel melalui Dried Blood Spot DBS terus dikembangkan. DBS memiliki banyak kelebihan seperti kemudahan penyimpanan sampel dan sampel yang dibutuhkan lebih kecil. Walau demikian, analisis dalam sampel DBS lebih sulit dilakukan karena banyaknya faktor yang mempengaruhi analisis sehingga diperlukan penyelidikan lebih lanjut. Penelitian ini bertujuan untuk melihat adanya perbedaan hasil yang diakibatkan jenis kertas, hematokrit darah, volume penotolan, pemberian baku dalam, dan suhu penyimpanan yang berbeda terhadap analisis sampel. Sampel darah dengan hematokrit tertentu yang mengandung 6-merkaptopurin 6-MP dan 6-tioguanin 6-TG pada konsentrasi 25 ng/ml dan 1000 ng/ml ditotolkan dengan volume yang berbeda pada kertas CAMAG DBS dan Perkin Elmer 226. Setelah kering, kertas dipotong dengan diameter 8 mm dan diekstraksi dengan metanol yang mengandung baku 5-fluorourasil 5-FU . Selain di dalam larutan pengekstraksi, baku dalam diberikan di dalam darah dan ditotolkan ke dalam kertas untuk dilihat perbedaan kromatogramnya. Pemisahan dilakukan dengan kolom Waters Acquity UPLC Class BEH Amide 1,7 ?m 2,1 x 100 mm dengan fase gerak berupa asam format 0,2 dalam air ndash; asam format 0,1 dalam asetonitril ndash; metanol dengan elusi gradien dan laju alir 0,2 mL/menit. Hasil penelitian ini memperlihatkan perbedaan pemberian baku dalam mempengaruhi puncak baku dalam. Perbedaan jenis kertas mempunyai korelasi.

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The collection method of dried blood spot DBS is being developed. DBS offers a number of advantages over conventional blood collection such as easier storage and smaller samples. However, the analysis of the DBS sample is more difficult due to many factors that affect the analysis so that further investigation is needed. The aim of this study was to saw the presence of differences in results because of paper type, hematocrit, blood volume, provisions of internal standard, and temperature of sample storage differences. Blood samples with specific hematocrit containing 25 and 1000 ng ml 6 mercaptopurine 6 MP and 6 thioguanine 6 TG were spotted at the different volume of blood on CAMAG DBS paper and Perkin Elmer 226. The DBS paper was punched with a diameter of 8 mm and extracted using methanol containing internal standard 5 fluorouracil 5 FU . In addition in the methanol, the internal standard was also added in the blood and spotted into the paper to see the chromatogram difference. The separation was carried out using a Waters Acquity UPLC Class BEH Amide 1.7 m 2.1 x 100 mm column with a mobile phase of 0.2 formic acid in water 0.1 formic acid in acetonitrile methanol with gradient elution at flow rate 0.2 mL minute. The results of this study indicated the differences provisions of internal standard affected the chromatogram of the internal standard. Different types of paper and blood volume affected."

"[ABSTRAKPengambilan darah vena merupakan prosedur yang menimbulkan nyeri pada bayiberat lahir rendah. Penelitian ini bertujuan mengidentifikasi perbandingan antaraPerawatan Metode Kanguru dan pemberian empeng terhadap respon nyeri selamapengambilan darah vena. Desain penelitian adalah eksperimen acak terkontrolpada 21 bayi berat lahir rendah dengan teknik consecutive sampling. Penilaianrespon nyeri menggunakan instrumen Premature Infant Pain Profile. Analisis uji tindependen menunjukkan bahwa terdapat perbedaan bermakna rerata respon nyeripada kelompok Perawatan Metode Kanguru (rerata = 8,94) dan pemberianempeng (rerata = 5,08) dengan p value = 0,005. Pemberian empeng dapatdijadikan sebagai intervensi keperawatan dalam asuhan atraumatik saat prosedurinvasif minor.

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ABSTRACTVenous blood collection is the procedures which cause pain on low birth weightinfants. This study aimed to identify the comparison between Kangaroo MotherCare and pacifier for pain response during venous blood collection. The researchdesign was randomized controlled trial on 21 low birth weight infants withconsecutive sampling. Pain response was assessed by Premature Infant PainProfile instrument. Independent t-test analysis showed that there were significantdifferences in mean pain response between Kangaroo Mother Care group (mean= 8.94) and pacifier group (mean = 5.08) with p value = 0.005. Pacifier can beused as a nursing intervention in atraumatic care with minor painful procedures, Venous blood collection is the procedures which cause pain on low birth weightinfants. This study aimed to identify the comparison between Kangaroo MotherCare and pacifier for pain response during venous blood collection. The researchdesign was randomized controlled trial on 21 low birth weight infants withconsecutive sampling. Pain response was assessed by Premature Infant PainProfile instrument. Independent t-test analysis showed that there were significantdifferences in mean pain response between Kangaroo Mother Care group (mean= 8.94) and pacifier group (mean = 5.08) with p value = 0.005. Pacifier can beused as a nursing intervention in atraumatic care with minor painful procedures]"

"Pendahuluan. Stress pembedahan merupakan faktor yang dapat mempengaruhi keluaran pasca pembedahan ortopedi, khususnya pada populasi diabetes mellitus tipe dua dimana regulasi glukosa sangat penting baik sebelum maupun pasca bedah. Kadar glukosa dan C-reactive protein merupakan biomarker yang akan meningkat bila terjadi stress pembedahan. Penelitian ini bertujuan untuk membandingkan kadar rerata glukosa dan C-reactive protein pada subjek penelitian dengan diberikan lidokain intravena dan kontrol pada operasi ortopedi.Metode. Penelitian ini merupakan uji klinis acak tersamar yang mengikutsertakan 42 pasien yang menjalani pembedahan ortopedi. Sampel dilakukan pengelompokan dengan metode randomisasi menjadi dua kelompok. Kelompok pertama adalah pasien yang diberikan lidokain intravena selama pembedahan dalam anestesia umum. Kelompok kedua adalah pasien dalam anestesia umum tanpa lidokain. Pada kedua kelompok dilakukan dua kali pemeriksaan sampel glukosa dan C-reactive protein pada sebelum operasi dan sesudah operasi. Kedua kelompok dilakukan uji hipotesis untuk melihat perbedaan rerata glukosa dan C-reactive protein dengan analisa statistik menggunakan software SPSS.Hasil. Tidak terdapat perbedaan bermakna antara rerata kadar glukosa dan C-reactive protein antara kelompok pasien dengan lidokain intravena dan kontrol. Rerata kadar glukosa pasca pembedahan lebih rendah pada kelompok lidokain dibandingkan kelompok kontrol, namun tidak berbeda bermakna (p>0.05). Tidak terdapat perbedaan rerata C-reactive protein pada kelompok lidokain dan kelompok kontrol (p>0.05).Kesimpulan. Tidak terdapat perbedaan kadar glukosa dan C-reactive protein yang bermakna antara kelompok lidokain dan kelompok kontrol pada operasi ortopedi dalam anestesia umum pada populasi dengan diabetes mellitus tipe dua.

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Introduction. Surgical stress is a factor that can influence orthopaedic postoperative outcomes, particularly in the type two diabetes mellitus population where blood sugar regulation is critical both before and after surgery. Blood sugar levels and C-reactive protein are biomarkers that will increase in the event of surgical stress. This study aimed to compare the average levels of blood sugar and C-reactive protein in study subjects with intravenous lidocaine and control in orthopaedic surgery.

Methods. The study was a randomized clinical trial that included 42 patients undergoing orthopaedic surgery. Samples were grouped by randomization method into two groups. The first group were patients who were given lidocaine intravenously during surgery under general anaesthesia. The second group is patients under general anaesthesia without lidocaine. In both groups, two blood sugar and c-reactive protein samples were examined before surgery and after surgery. Both groups tested the hypothesis to see the difference in average blood sugar and C-reactive protein with statistical analysis using SPSS software.

Results. There were no significant differences between mean blood sugar levels and C-reactive protein between the intravenous and control lidocaine groups. Average postoperative blood sugar levels were lower in the lidocaine group than in the control group, but not significantly different (p>0.05). There was no difference in mean C-reactive protein in the lidocaine group and the control group (p>0.05).

Conclusions. There were no significant differences in blood sugar and C-reactive protein levels between the lidocaine group and the control group in orthopaedic surgery under general anaesthesia in the population with type two diabetes mellitus."

"Latar Belakang: Bekerja di lingkungan offshore berpotensi menimbulkan stres kerja. Menurut penelitian sebelumnya stres kerja dapat meningkatkan kadar glukosa darah, Penelitian ini bertujuan mengidentifikasi adanya hubungan antara kadar glukosa darah puasa tinggi dan DM dengan stres kerja serta faktor risiko lainnya pada pekerja offshore. Metode: Penelitian ini menggunakan desain cross sectional dengan 156 orang responden. Variabel yang diteliti adalah usia, indeks massa tubuh, lingkar perut, dislipidemia,tekanan darah, jabatan pekerjaan, masa kerja, dan stres kerja. Data diperoleh dari penilaian tingkat stress melalui Survei Diagnostik stres dan hasil medical check up tahun 2017. Analisis data menggunakan univariat, bivariat, dan multivariat dengan regresi logistik. Hasil: Prevalensi glukosa darah puasa tinggi dan diabetes mellitus sebesar 12.2 . Berdasarkan uji Fisher terdapat hubungan yang bermakna antara usia, dislipidemia, jabatan pekerjaan dan masa kerja dengan kadar glukosa darah puasa tinggi dan Diabetes Mellitus , namun pada analisis multivariat hanya faktor jabatan pekerjaaan supervisor merupakan yang paling dominan mempengaruhi dgn OR=7,051 95 CI 1,963-25,325. Tidak ditemukan adanya hubungan antara hasil SDS dengan kadar glukosa darah tinggi dan DM. Kesimpulan dan saran: Faktor risiko paling dominan terhadap glukosa darah puasa tinggi dan diabetes mellitus adalah faktor jabatan pekerjaan oleh karena itu perlu dilakukan hal-hal sebagai berikut, yaitu skrining hasil MCU untuk pekerja khususnya jabatan supervisor, melakukan pemeriksaan berkala kadar glukosa darah, memperbanyak aktivitas fisik ketika bekerja dilapangan serta program peningkatan kesadaran kesehatan, terutama mengenai pencegahan penyakit Diabetes Mellitus.

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Background: Working in offshore environments where workers are placed in remote locations will potentially cause work stress. According to previous researches, work stress can increase blood glucose levels. This study aims to prove Relation of High Fasting Blood Glucose level and DM with Job Stress and Other Risk Factors In Offshore Workers.

Method: This study used cross sectional design with total 156 respondents. The studied variables were age, body mass index, abdominal circumference, dyslipidemia, and blood pressure as well as job risk, job position, working period, and work stress. The tools used to evaluate the stress level were Stress Diagnostic Survey and results of periodic Medical Check up in 2017. The analysis of research data used univariate, bivariate and multivariate analysis with logistic regression.

Study Results: The prevalence of high fasting blood glucose anad Diabetes Meliitus is 12,2 . Using Fisher statistic test, an association was found between age, dyslipidemia, job position,woking period and high fasting blood glucose or diabetes mellitus. But multivariate analyses showed that only job title supervisor is the most dominant influential factor Oradj 7,051 95 CI 1,963 25,325. There was no correlation between SDS results with high fasting blood glucose level and DM.

Conclusion and Suggestion: The employee's job function is the most dominant factor in high fasting blood glucose Diabetes Mellitus, therefore it is important to conduct several activities such as screening on MCU record, particularly on Supervisors conducting routing blood glucose check increasing physical activities at work and carrying out the health awareness program, especially awareness on DM prevention. "

"Klien dewasa dengan hipertensi di tatanan komunitas berisiko untuk terpapar stresor dari berbagai sumber yang dapat memperparah penyakitnya, termasuk stresor psikologis. Di sisi lain, mereka juga memiliki kecenderungan untuk tidak patuh berkunjung ke layanan kesehatan guna melakukan pengontrolan kondisinya. Manajemen hipertensi yang tepat perlu dilakukan agar klien dapat terhindar dari komplikasi. Inovasi Aktif Konsultasi dan Verifikasi Kondisi Hipertensi serta Terapi Psikodinamika (AKU INVESTASI) dapat menjadi salah satu intervensi yang dapat membantu klien untuk mengelola stres yang dirasakan serta memfasilitasi klien untuk dapat konsultasi dan self-report mengenai kondisinya kepada perawat komunitas. Instrumen Perceived Stress Scale (PSS) digunakan untuk mengukur tingkat stres sedangkan pengukuran tekanan darah dilakukan menggunakan sphygmomanometer. Intervensi AKU INVESTASI dilakukan dengan dua metode, yaitu metode offline dan online. Metode offline dilakukan dengan berfokus pada pengelolaan stres dengan terapi psikodinamika. Sedangkan, metode online dilakukan dengan berfokus pada pendayagunaan website yang memfasilitasi telenursing. Intervensi dilakukan antara tanggal 16 Desember 2021 hingga 19 Mei 2022. Terapi psikodinamika diimplementasikan selama 6 sesi dalam waktu 6 minggu (sesi offline) pada 33 klien hipertensi. Sedangkan untuk sesi online dilakukan selama kurang lebih 5 minggu (uji coba prototipe) terhadap 8 klien dewasa dengan hipertensi. Hasil implementasi terapi psikodinamika offline menunjukkan: 1) terdapat penurunan rata-rata tekanan darah dari yang tadinya 156/86 mmHg menjadi 151/83 mmHg (penurunan sistole=5 dan diastole=3); 2) penurunan skor tingkat stres dari yang tadinya rata-rata=14 (stres sedang) menjadi 12 (stres ringan). Pada intervensi uji coba prototipe website AKU INVESTASI, terjadi penurunan rata-rata tekanan darah sebesar 5 mmHg dan penurunan skor stres 2 poin. Terapi psikologis perlu dilakukan secara berkelanjutan pada klien dewasa dengan hipertensi yang dipandu oleh perawat komunitas dengan memerhatikan kebutuhan dan tingkat stres klien.

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Adult clients with hypertension in community settings are at risk for exposure to stressors from various sources that can exacerbate their disease, including psychological stressors. On the other hand, they also have a tendency to disobey visiting health services to control their condition. Proper management of hypertension needs to be implemented so that clients can avoid complications. Active Innovation Consultation and Verification of Hypertension Conditions and Psychodynamic Therapy (AKU INVESTASI) can be the intervention that can help clients to manage their perceived stress and facilitate clients to be able to consult and self-report about their

condition to community nurses. The Perceived Stress Scale (PSS) instrument was used to measure stress levels, while blood pressure was measured using a sphygmomanometer. The AKU INVESTASI intervention was carried out with two methods, namely offline and online methods. The offline method was conducted by focusing on stress management with psychodynamic

therapy. Meanwhile, the online method was carried out by focusing on the utilization of websites that facilitate telenursing. The intervention was carried out between December 16, 2021 to May 19, 2022. Psychodynamic therapy was implemented for 6 sessions within 6 weeks (offline sessions) on 33 hypertensive clients. Meanwhile, online sessions were conducted for

approximately 5 weeks (prototype trial) on 8 adult clients with hypertension. The results of the implementation of offline psychodynamic therapy showed: 1) there was a decrease in the average

blood pressure from 156/86 mmHg to 151/83 mmHg (a decrease in systolic = 5 and diastolic = 3); 2) a decrease in the stress level score from the average = 14 (moderate stress) to 12 (mild stress). In the trial intervention of the AKU INVESTASI website prototype, there was an average decrease in blood pressure of 5 mmHg and a decrease in stress score of 2 points. Psychological therapy needs to be carried out continuously on adult clients with hypertension guided by community nurses by paying attention to the needs and stress levels of the client."