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"ABSTRAKTeknik Distraksi: Bercerita Menurunkan Nyeri Pada Anak Usia Pra Sekolah Selama Penggunaan Infus. Rasa sakit seringkali dikaitkan dengan salah satu prosedur rumah sakit yakni pemasangan infus. Reaksi anak prasekolah yang dipasang infus menunjukkan ketakutan yang luar biasa, hal itu disebabkan karena konsep integritas tubuhnya belum berkembang dengan baik. Salah satu cara untuk mengurangi ketakutan akibat nyeri pemasangan infus pada prasekolah adalah teknik distraksi bercerita. Tujuan penelitian ini untuk mengidentifikasi perbedaan skala nyeri antara kelompok intervensi dan kelompok kontrol. Penelitian ini merupakan penelitian kuantitatif dengan metode quasy eksperimen, yang menggunakan kelompok intervensi dan kelompok kontrol. Penelitian dilakukan terhadap 46 responden usia prasekolah (3-6 tahun) yang terdiri dari 34 kelompok intervensi dan 12 kelompok kontrol dari bulan September-Desember 2017 di salah satu Rumah Sakit Swasta di wilayah Bekasi Timur. Instrumen penelitian menggunakan kuisioner data demografi dan lembar observasi skala nyeri Wong Baker Faces Pain. Teknik analisis data menggunakan Uji Independent T test.Hasil penelitian menunjukkan terdapat perbedaan respon nyeri antara kelompok intervensi dan kelompok kontrol dengan nilai p= 0,012 (< 0.05). Perawat anak sebaiknya menggunakan metode bercerita sebagai sarana asuhan keperawatan atraumatik.ABSTRACTHospital procedures, such as infusions, are often associated with pain. Preschool-aged children who are hospitalized for infusions will often exhibit a strong fearful response because their concept of body integrity has not fully developed. One way to reduce the fear of infusion pain is by using stories as a distraction technique. The purpose of this study was to identify differences in the scale of pain between members of an intervention group, to which the distraction technique was applied, and a control group, to which it was not applied. The study used quasi-experimental methods, with intervention and control groups. The study was conducted on 46 preschool aged respondents (3-6 years old), divided into a 34 member intervention group and a 12 member control group and ran from September to December 2017 in one of the private hospitals in the East Bekasi. The research employed a questionnaire to collect demographic data and used the Wong-Baker Faces Pain Scale to assess pain levels. The data analysis technique used was the independent t-test. The results showed there was a difference of pain response between the intervention and control groups with P value < 0.05. Pediatric nurses are advised to use storytelling therapy as an option for providing atraumatic care intervention."

"During exercise, levels of several hormones are acutely increased in the blood. We previously reported that pre-exercise ingestion of a specific combination of amino acids (arginine, alanine, and phenylalanine; A-mix) increases fat mobilization and ketone body synthesis by increasing secretion of adrenalin and glucagon in healthy active young men. Herein, we sought to determine whether this acute hormone response could be induced upon administration of A-mix combined with exercise in patients with obesity during periods of low-intensity exercise. We performed a randomized crossover study of eleven middle-aged men with obesity without regular exercise habits, administered either A-mix (3 g/dose) or a placebo (3 g of dextrin/dose). Thirty minutes after ingestion, each subject subsequently performed workload tests on a cycle ergometer at 40% of peak oxygen consumption for 1 h. Following oral intake of A-mix, the concentration of plasma ketone bodies was significantly increased during exercise. This was accompanied by a significant increase in the area under the concentration-time curve for glucagon. Taken together, these results indicate that pre-exercise ingestion of the A-mix supplement significantly accelerated hepatic ketone body synthesis via stimulation of glucagon secretion during exercise in men with obesity."

"Latar belakang: Swamedikasi merupakan penggunaan obat-obatan atas inisiatif diri sendiri salah satunya dengan menggunakan obat tradisional. Swamedikasi obat tradisional dilakukan oleh berbagai kalangan termasuk mahasiswa dan kemungkinan penggunaannya mengalami peningkatan selama masa pandemi COVID-19 . Salah satu faktor yang mempengaruhi swamedikasi obat tradisional yaitu persepsi individu mengenai kondisi kesehatannya. Oleh karena itu, penelitian ini ditujukan untuk menjelaskan mengenai hubungan persepsi sehat individu dengan perilaku swamedikasi menggunakan obat tradisional pada mahasiswa. Metode: Penelitian dilakukan dengan metode studi potong lintang pada mahasiswa di Universitas Indonesia. Kuesioner SF-36 digunakan untuk mengukur persepsi sehat individu dan kuesioner perilaku swamedikasi obat tradisional disebarkan ke mahasiswa program pendidikan sarjana di Universitas Indonesia. Selanjutnya data diolah dan dianalisis dengan SPSS versi 25. Hasil: Diperoleh data dari 152 responden mahasiswa di Universitas Indonesia. Secara umum mahasiswa Universitas Indonesia memiliki skor persepsi sehat yang baik. Proporsi penggunaan obat tradisional selama masa pandemi COVID-19 yaitu 62,5%. Tidak terdapat hubungan yang signifikan antara persepsi sehat dengan perilaku swamedikasi di masa pandemi COVID-19 pada mahasiswa Universitas Indonesia. Kesimpulan: Proporsi penggunaan obat tradisional pada mahasiswa Universitas Indonesia cukup tinggi, namun tidak berhubungan dengan persepsi sehat pada individu.

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Introduction: Self-medication is the use of medicines on one's own initiative, one of which is using traditional medicine. Self-medication of traditional medicines is carried out by various groups including students and the possibility of their use has increased during the COVID-19 pandemic. One of the factors that influence self-medication of traditional medicine is the individual's perception of his health condition. Therefore, this study is aimed at explaining the relationship between individual health perceptions and self-medication behavior using traditional medicine in students.

Method: The research was conducted using a cross-sectional study method on students at the University of Indonesia. The SF-36 questionnaire was used to measure the individual's health perception and the traditional medicine self-medication behavior questionnaire was distributed to students of undergraduate education programs at the University of Indonesia. Furthermore, the data is processed and analyzed with SPSS version 25.

Result: Data were obtained from 152 student respondents at the University of Indonesia. In general, University of Indonesia students have a good health perception score. The proportion of traditional medicine use during the COVID-19 pandemic is 62.5%. There is no significant relationship between health perceptions and self-medication behavior during the COVID-19 pandemic in University of Indonesia students.

Conclusion: The proportion of using traditional medicine among University of Indonesia students is quite high, but it is not related to the perception of health in individuals."

"Latar belakang penelitian didorong adanya kecemasan yang signifikan secara klinis pada saat anak mendapatkan pananganan di IGD rumah sakit. Seiring perkembangan jaman, berbagai inovasi dikembangkan untuk mengurangi rasa cemas dan nyeri anak saat di IGD. Tindakan invasif penusukan vena dikenal sebagai salah satu prosedur yang paling sering dilakukan dan paling ditakuti, menyedihkan dan menyakitkan bagi anak. Tujuan penelitian untuk mengetahui dampak teknik distraksi virtual reality dalam mengatasi perilaku cemas dan nyeri terhadap prosedur penusukan vena pada anak di Zona Kuning IGD. Metode penelitian yang menggunakan quasi experiment two group pretest-posttest with control group design dengan pengambilan sampel secara purposive sampling sebanyak 42 responden Hasil penelitian menunjukkan usia didominasi dari anak usia sekolah usia sekolah (66,7%) dan remaja (47,6%) pada kelompok kontrol pada laki-laki dan responden sudah memiliki pengalaman penusukan vena. Kelompok eksperimen menunjukkan adanya penurunan perilaku cemas dan nyeri (p-value <0,001) dibandingkan kelompok kontrol; teknik distraksi virtual reality dampak dalam menurunkan perilaku cemas dan nyeri saat prosedur penusukan vena (p-value <0,001) dan nyeri anak usia sekolah mengalami penurunan rasa nyeri 4,958 kali dibandingkan anak usia pra sekolah saat prosedur penusukan vena. Disarankan teknik distraksi ini diberikan pada anak usia remaja pada anak perempuan yang telah memiliki pengalaman penusukan vena yang mengalami perilaku sangat cemas dan sangat merasakan nyeri.

Kesimpulan. Pemberian teknik distraksi virtual reality terbukti efektif dapat menurunkan perilaku cemas dan nyeri pada anak saat prosedur penusukan vena sehingga menjadi strategi manajemen nyeri akut yang efektif untuk anak-anak selama prosedur medis dari teknik distraksi lainnya. 

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Background of the study was driven by clinically significant anxiety when children received treatment in the hospital emergency room. Along with the times, various innovations were developed to reduce children's anxiety and pain while in the ER. Invasive venipuncture is known as one of the most frequently performed and most feared, distressing, and painful procedures for children.

Objective of the study was to determine the impact of virtual reality distraction techniques in overcoming anxiety and pain behavior on venous puncture procedures in children in the Yellow Zone of the Emergency Room.

Method uses a quasi-experimental two-group pretest-posttest with a control group design with purposive sampling of 42 respondents.

Results showed that the predominant age of school-age children (66.7%) and adolescents (47.6%) in the control group were boys and respondents had experienced venipuncture. The experimental group showed a decrease in anxiety and pain behavior (p-value <0.001) compared to the control group; The impact of virtual reality distraction techniques on reducing anxiety and pain behavior during the venipuncture procedure (p-value <0.001) and pain in school-age children experienced a 4,958-fold decrease in pain compared to pre-school age children during the venipuncture procedure. It is recommended that this distraction technique be given to adolescent girls who have had a venipuncture experience and are very anxious and feel very pain.

Conclusion. The provision of virtual reality distraction techniques is proven to be effective in reducing anxiety and pain behavior in children during venipuncture procedures so that it becomes an effective acute pain management strategy for children during medical procedures from other distraction techniques."