Journal of International Scholars Conference - ALLIED HEALTH https://jurnal.unai.edu/index.php/jiscah <p>ALLIED HEALTH</p> Universitas Advent Indonesia en-US Journal of International Scholars Conference - ALLIED HEALTH 2408-3291 “The Relationship between knowledge, attitude and practice for Dengue Hemorrhagic fever disease prevention among the Villagers of Moo 1 Baanklongsai, Nhongyangsue Subdistrict, Muaklek District, Saraburi Province” https://jurnal.unai.edu/index.php/jiscah/article/view/361 This research aims to identify the relationship between knowledge, attitude and practice for Dengue Hemorrhagic Fever (DHF) disease prevention among the villagers of Moo 1 Ban Klongsai, Nongyangsua Subdistrict, Muaklek District, Saraburi Province. 198 samples/ respondents were purposively selected from 406 villagers. Three questionnaires were created by the researcher, approved by 3 experts for content validity and tested the questionnaire on 30 villagers of Moo 14, Ban Panghuachang, Nongyangsua Subdistrict, Muaklek District, Saraburi Province. The first questionnaire, leave out knowledge about Dengue Hemorrhagic Fever, was tested for reliability of KR-20, giving the result of 0.73. The second and third questionnaires, attitude about DHF and practice on DHF prevention, respectively, were tested for reliability by Cronbach’s alpha coefficient, giving the values of 0.79 and 0.75 respectively. Descriptive statistics, %, , S.D. and r were employed for data analysis. General demographic data of the respondents include 1) 58.1% were female; 2) average age was 49 years old; 3) 80.8% were married; 4) 56.1% finished elementary school; 5) 43.4% were farmers and 6) average income was 58,288 Baht/month.The results showed that most respondents, 50.5%, had a high level of knowledge regarding DHF, of this, 55.6% understood that DHF was caused by a mosquito bite, 47.5% could relate the life cycle of the AE mosquito and 68.2% could relate the transmission risk of DHF. However, their knowledge of DHF prevention and protection was at a moderate level. Most of them,<br />82.8%, had positive of attitude about DHF. 95.5% of this group understood prevention of DHF and 75.3% understood both prevention and control. Both knowledge and attitude of respondents were positively related and statistical significant to practice for DHF disease prevention with the level of 0.05 (r = 0.283, p = &lt;0.001, r = 0.160, p = 0.025, respectively). Recommendation on improving the knowledge and attitude of the DHF to the community would result in better practice for DHF disease prevention. Supatcharee Makornkan Pornpan Saminpanya Ampaiwan Toomsan Poomarin Intachai Panipha Saengproa Daramas Marerngsit Copyright (c) 2016-01-01 2016-01-01 1 5 1 8 Effects Of Exposure To Health Programs, Culture, Efficacy Expectations And Environment On Health Status Among Malaysians Of Multi-Cultural Backgrounds https://jurnal.unai.edu/index.php/jiscah/article/view/362 This study determined the effects of exposure to health programs, culture, efficacy expectations and environment on health status, such as body mass index (BMI), blood pressure (BP), waist-to-hip-ratio (WHR) and resting heart rate (RHR), among Malaysians. The study utilized descriptive-correlational design. Four hundred fifty nine samples across three major geographical locations, three different cultural backgrounds such as Malays, Chinese and Indians from ages 18 and above were chosen as population using convenience sampling. Result showed that the respondents have low exposure to health programs, strong culture, strong efficacy expectations, moderate access to health care and strong social support. The respondents had overweight BMI, borderline and high WHR among males and females, respectively. Systolic blood pressure was borderline while diastolic blood pressure and resting heart rate were normal. In terms of the moderator variables, age, gender and race showed significant difference in the health status of the population; Moreover, the study further revealed that culture, specifically tradition, as well as environment, specifically access to health care delivery, are significantly related to health status. Mary Jane Botabara-Yap Miriam Razon-Estrada Copyright (c) 2016-01-01 2016-01-01 1 5 9 20 Knowledge, Health Practices, and Diabetes Mellitus II Tendency https://jurnal.unai.edu/index.php/jiscah/article/view/363 This study determined relationship of knowledge and health practices of the respondents to diabetes mellitus II tendency. It further determined the influence of the demographic and health profile to diabetes mellitus II tendency. Data from 101 respondents were analyzed using descriptive and inferential statistics. Results of the correlation analysis reveal that demographic profile such as education and income has a strong positive correlation but age has negative correlation to knowledge. Knowledge is strongly correlated to health practices when treated as a whole. However, when knowledge was correlated with the individual dimensions of health practices, only dietary intake emerged to be related. Age, body mass index, and waist-to-hip ratio showed a positive relationship and education indicated a negative relationship when demographic and health profiles were correlated to diabetes mellitus II tendency. However, health practices and their dimension, when correlated to diabetes mellitus II tendency, did not show any relationship. The predictors of diabetes mellitus II tendency, based on the model generated by AMOS, were age and body mass index . When the two are combined as one variable, it could explain a total of 22% of the magnitude of variance in diabetes mellitus II tendency. Eunice Carpizo Dina Galang Copyright (c) 2016-01-01 2016-01-01 1 5 21 30 Development of a Healthy, Nutritious, and Delicious Tiesa (Pouteria campechiana) Polvoron https://jurnal.unai.edu/index.php/jiscah/article/view/364 Canistel fruit also known as tiesa, has a scientific name Pouteria campechiana, is a yellow-colored tropical fruit but unlike other fruits, it is not juicy and sweet. The development of tiesa into polvoron was the main purpose of this study. Tiesa fruit was dehydrated and ground. Results showed that ground dehydrated tiesa fruit has a dark orange color and gritty texture. This was added to the classic recipe for polvoron. Three trials were conducted to standardize the procedure and ingredients. The developed tiesa polvoron is a low fat, sweet delicacy. It is a good source of calcium, phosphorus, and vitamin C. It has more fiber, niacin, and vitamin A compared to the classic polvoron. This research also determined the acceptability of tiesa polvoron in terms of appearance, aroma, flavor, and texture. The respondents of the study were 60 grade two students of Puting Kahoy Elementary School who were selected through purposive sampling. The respondents evaluated tiesa polvoron using a modified sensory evaluation form based on seven point facial hedonic scales. Frequencies and percentages were analyzed using Microsoft Excel. The study revealed that tiesa polvoron were liked very much in all the criteria. These results led to the conclusion that tiesa polvoron is healthy, nutritious, and delicious. Doreena Jean M. Padilla Olivia I. Saddul Gladys Mae R. Laborde Copyright (c) 2016-01-01 2016-01-01 1 5 31 37 Medication Adherence of Older Adults with Diabetes Mellitus Type II https://jurnal.unai.edu/index.php/jiscah/article/view/365 Older people with diabetes mellitus type II are more likely to develop hyperosmolar non-ketotic coma and have worst outcomes, like higher mortality than middle-aged people with diabetes mellitus type II. To prevent and control diabetes mellitus type II and complications for older adults by decreasing HbA1c and increase medication adherence and self-care behavior. Older adults who are unfunctional of their cognitive impact because of the process of ageing impaired cognitive behavior. To review the evidences of medication adherence in older adults with type II Diabetes Mellitus.The selection process of the articles have been done by using this data based provided by Prince of Songkla University. The data base was selected for this study are Cinanhl, Proquest, Science Direct, and PubMed. By using this data base the search terms according to PICO a total of eighty (80) have been found. From the overall thirtieth (30) relevant articles closely related to this study. Five studies were reviewed with two types of interventions for medicaiton adherence in older adult patients: Patient education (teaching), and nurse telephone call intervention. The result from this five studies the intervention successfully improved medication adherence in older adults patients. Diabetes mellitus is one of the most world wild prevalent of chronic disease, where it increasing globally to such a high levels. The management of lower blood glucose level is depend on many factors, including the management of diabetes mellitus in patient’s health education in knowledge, and practice on medication adherence. Patient’s ability to do self-care in their daily lives, and therefore patients education in knowledge, attitude, and practice on medication adherence is considered an essential element of diabetes management. Patient’s education and knowledge is an important component in management of diabetes in medication adherence. Dwight Mahaputera Marulitua Hutapea Copyright (c) 2016-01-01 2016-01-01 1 5 38 49 Responsible Dog Ownership Program: Its Effects On Awareness, Beliefs and Quality Dog Care https://jurnal.unai.edu/index.php/jiscah/article/view/368 This study determined the effects of a responsible dog ownership program on the awareness, beliefs and quality dog care. The study utilized the quasiexperimental design using two group pretest-posttest designs. Eighty dog owners, 40 in the experimental group and 40 in the control group were utilized as participants. After the four weeks intervention and five weeks follow-up, a significant difference was found between the baseline and endline characteristics in the experimental group in terms of awareness, beliefs and quality dog care. However, no significant difference was noted in the control group. The difference in gain score was significant when the experimental and control groups were compared. The experimental group showed a significant improvement in their awareness level, beliefs and quality dog care while the control group did not improve. No significant difference in gain score in both the experimental groups were seen when profile such as age, income, educational attainment, number of owned dogs and breed of dogs were considered. Therefore, the responsible dog ownership program was effective in enhancing awareness, changing false beliefs and improving quality dog care among dog owners exposed to it. Bilen Mengitsu Edo Miriam Razon Estrada Copyright (c) 2016-01-01 2016-01-01 1 5 71 77 Service Learning of Nutrition and Dietetics Students in the Community: A Phenomenological Study https://jurnal.unai.edu/index.php/jiscah/article/view/369 The qualitative study described the shared experiences of Nutrition and Dietetics (ND) senior students of the Adventist University of the Philippines in their two-month service learning in the community. Specifically, this phenomenological study answered the following research questions: (1) What have Nutrition and Dietetics students experienced in their community exposure? (2) What are the issues and challenges the participants experienced in their community service learning? (3) How has the community exposure of the participants impacted their professional outlook? Focus group interview (FGI) was used to collect data from six participants selected through purposive sampling. The FGI was conducted by the researchers themselves in a conducive place for 53 minutes. The audio-recorded interview data were transcribed, analyzed, and interpreted. The findings revealed that the community service learning of the ND students did not only focus on applying the knowledge and skills on their specialization but also integration of faith and learning as they shared God’s love and other aspects of their learning at AUP including health and hygiene, science, livelihood, and values. The participants found it challenging how to plan meals according to the available local resources and to design programs that suit the needs of their target groups and hold them long for lectures. The participants’ actual community experience also taught them how to be flexible in handling various situations; leave their comfort zones to serve the poor and needy; interact with and respect different people of various ages, education level, and economic status; and extend their services to the community not just to comply with university requirements but to show love to the less privileged people. The participants’ service learning experience also made them realize their crucial role as ND specialists to promote proper nutrition and good health to the community people. Merlina G. Idaosos Eunice M. Aclan Ruchelle Oasan Copyright (c) 2016-01-01 2016-01-01 1 5 78 87 TOTAL QUALITY MANAGEMENT (TQM) FRAMEWORK FOR THE COLLEGE OF HEALTH SCIENCES, MARIANO MARCOS STATE UNIVERSITY https://jurnal.unai.edu/index.php/jiscah/article/view/370 This study determined the extent of practice of CHS stakeholders on TQM principles as perceived by them with the end view of evolving a content validated total quality management framework for the College of Health Sciences, Mariano Marcos State University (MMSU). The study employed the research and development (R &amp; D) model that involved the following phases: planning, development, and validation. The study found out that students, parents, alumni, faculty, administrators and non-teaching staff often practice the TQM principles along management leadership and commitment; continuous improvement; total customer satisfaction; faculty and non-teaching staff involvement; training and education; and rewards and recognition. However, some TQM principles are not always practiced especially on rewards and recognition. Hence there is a need for a TQM framework for the College to sustain its excellent performance. Federico V. Nagtalon Copyright (c) 2016-01-01 2016-01-01 1 5 88 99 “Massage and Inhalation Aromatherapy as Alternative Medicine in Pain Management of Primary Dysmenorrhea” https://jurnal.unai.edu/index.php/jiscah/article/view/371 Many women suffering from dysmenorrhea would like to avoid pharmacological or invasive methods of pain management of their condition and this may contribute towards popular use of alternative methods such as aromatherapy. This review examined currently available evidence supporting the use of aromatherapy for pain management in dysmenorrhea. This paper aims to systematically review the existing knowledge on aromatherapy and its underlying philosophy and principles, pain-relief mechanisms as well as evidence supporting efficacy of aromatherapy for pain management in primary dysmenorrhea. Searches were performed using the Cochrane Database, CINAHL, ScienceDirect, PubMed and Google Scholars. Keywords were primary dysmenorrhea, aromatherapy, inhalation aromatherapy, massage aromatherapy, aromatherapy and nursing. There are 12 papers met the inclusion criteria. Some were excluded due to language of the publication used are non-English. It is concluded that massage and inhalation aromatherapy can be used in managing pain in dysmenorrhea and thus can be promoted as a self-care initiatives in alleviating the menstrual pain. Lyna M. N. Hutapea Copyright (c) 2016-01-01 2016-01-01 1 5 100 110 Mixed-Method Competency-Based Assessment Among Nurses In Region I, Philippines https://jurnal.unai.edu/index.php/jiscah/article/view/372 The main purpose of this paper is to determine the competency level of nurses in Region I, Philippines as perceived by immediate superiors, patients, and themselves. Mixed-method was employed in this research. There were 58 nurses, 30 immediate superiors, and 4 informant patients included in this study. Four hospitals in Region I were randomly selected as the locale of the study. The study found out that most respondents are young, female, Roman Catholic, bachelors degree only, average board passers, and beginner in the profession. The level of competencies of nurses is competent (not excellent). Smiling, health education, and more patient contact need strengthening. Furthermore, educational attainment might result to the improvement of core competencies. Finally, this study found out strong interdependence between the core competencies safe and quality nursing care and ethico-moral responsibility as perceived by both the nurses and immediate superiors. Dichotomized relationship was found on the rest of the<br />competencies. Rainier C. Moreno Lacalle Copyright (c) 2016-01-01 2016-01-01 1 5 111 117 Nursing Care Plan as Teaching Learning and as a Patient Care Tool: Patient or Paper Centered https://jurnal.unai.edu/index.php/jiscah/article/view/373 This qualitative-descriptive study was conducted to determine the use and effectiveness of Nursing<br />Care Plans among student nurses and their clinical instructors of Northern Luzon Adventist College, Artacho, Sison, Pangasinan. The participants were assigned in Ilocos Training Regional Medical Center (ITRMC), San Fernando, La Union, Region I Medical Center (RIMC), Dagupan City, and in Manaoag Community Hospital, 7-3 and 3-11 shifts. Individual interview and observation in the different clinical areas and shifts were conducted as well as projective exercise particularly sentence completion. Purposive comprehensive sampling was utilized. The findings of the study reveal that for the clinical instructors, NCPs were used to evaluate students’ performance, but they find less time for other activities due to the bulk of NCPs that has to be checked and also it resulted to boredom while checking. To the student nurses, it resulted to better patient outcome, making them feel sense of fulfillment and develop their skills in writing, thus becomes the basis in obtaining higher or lower grades. Student nurses also used NCPs as their evidence that they rendered care to patients. However, they also make use of NCPs to other patients with the same problem resulting to a non- personalized care. It has also a physical and mental effect to them especially if they don’t know how to manage their time that will mean less time to other activities. With these findings, the use of NCP as a teaching-learning tool and as a patient care tool appears not to be taking its due course in the clinical practice as evidence by the result of both on the clinical instructors turf as well as students perception. Cheryl Lyn A. Sanchez Copyright (c) 2016-01-01 2016-01-01 1 5 126 135 Nurses’ Competency in Caring for Muslim Patients https://jurnal.unai.edu/index.php/jiscah/article/view/374 Problem or Purpose: This study aimed to assess the extent of cultural awareness of nurses on Muslim beliefs and practices and the degree of their cultural sensitivity towards caring for people having a different culture. Methodology: A quantitative descriptive-survey design was employed among the nurses employed in two urban hospitals in Region I, Philippines using convenience sampling. The Cultural Awareness and Sensitivity instrument and the self-constructed questionnaire on awareness on Islamic beliefs and practices were employed. Results/Findings: The nurses have moderate awareness and moderate sensitivity on the health beliefs and practices of Muslim patients. Specifically, they have moderate awareness on the subscales of dietary practices, family roles and organization and communication, and death rituals. In pregnancy and childbearing practices and religious practices they have poor awareness. Conclusions/Implications to nursing practice: Nurses should be encouraged to reflect on their clinical practice and to understand the impact of religious and cultural differences in their encounters with Muslim patients. In order to develop competency in caring for Muslim patients, nurses should first acquire knowledge about the Islamic beliefs and practices. Index terms: Muslim, nurses, Philippines, nursing competency Maria Carmela L. Domocmat Copyright (c) 2016-01-01 2016-01-01 1 5 136 149 THE EFFECTIVENESS OF CEYLON CINNAMON POWDER (Cinnamomum Zeylanicum) FOR ADULT WOMEN’s BLOOD PRESSURE https://jurnal.unai.edu/index.php/jiscah/article/view/375 Introduction: This research is based on the excessive number of patients with hypertension in female adults of the age group of 26-45 years old in Desa Karyawangi. Method: The methods used in this research is pra-experimental with pre and post design. The sample used in this study are 15 adult women in RW 11 Desa Karyawangi who suffer from stage one hypertension with systolic 140-159 mmHg and diastolic 90-99 mmHg, selected through purposive sampling method. Instruments in this research are sphygmomanometer aneroid General Care, stethoscope GEA, digital Mettler Toledo PL202-S pair scales, water thermometer, and a transparent glass filled with 240 cc warm water of 42-45°C. Results: Before the respondents are given 1 gr of Ceylon Cinnamomum is powder daily for 7 days, to in average BP is 145/99 mmHg. The average blood after the treatment it become 130.67/85.33 mmHg. Discussion: There is a significant difference on the blood pressure before and after treatment of the administrateof 1 gr Ceylon Cinnamon powder with the significant test value of &lt; 0.05. Furthermore,it shown that the blood pressures value still has a significant difference before and after 1 week of interval with significant value test &lt; 0.05 it is concludes that the Ceylon Cinnamon powder has a short effect on blood pressure. Yudi Eklerianes Julians Ndoen Palupi Triwahyuni Debilly Yuan Boyoh Copyright (c) 2016-01-01 2016-01-01 1 5 150 154 Practices and Barriers of Spiritual Nursing Care Among Nurses in the Acute Care Unit: A Qualitative Study https://jurnal.unai.edu/index.php/jiscah/article/view/376 The purpose of this qualitative study was to explore the practices and barriers of spiritual nursing care among registered nurses in the acute care setting like emergency room in a private, non-sectarian hospitals in Laguna. A self constructed semi-structured questionnaire pertaining the nurses’ understanding of spiritual nursing care, their practices of spiritual nursing care and the hindrances to its practice was used to interview the participants. In analyzing the data and extracting the findings, Clark and Braun thematic analysis process was used. Based on the findings of the study, it emerged that spiritual nursing care was seemingly complex and differently understood by nurses yet they recognized that it can be emphazised by giving patients a holistic care through offering prayer, providing words of encouragement and respecting the patient’s beliefs. However, provision of spiritual nursing care in the acute care unit is inadequate and remains to be a challenging component of patient care because of lack of time, different beliefs of the patient and it’s consideration as of least priority in the acute care unit, among others. It is indicated that although there’s a shared understanding of spirituality and spiritual care among nurses, contextual factors, like the working area of the nurses, play a role in the type of spiritual nursing care intervention selected. Solomon Kasha Mcharo Jacqueline G. Polancos Copyright (c) 2016-01-01 2016-01-01 1 5 155 164 Mixed-Method Competency-Based Assessment Among Nurses In Region I, Philippines https://jurnal.unai.edu/index.php/jiscah/article/view/377 The main purpose of this paper is to determine the competency level of nurses in Region I, Philippines as perceived by immediate superiors, patients, and themselves. Mixed-method was employed in this research. There were 58 nurses, 30 immediate superiors, and 4 informant patients included in this study. Four hospitals in Region I were randomly selected as the locale of the study. The study found out that most respondents are young, female, Roman Catholic, bachelors degree only, average board passers, and beginner in the profession. The level of competencies of nurses is competent (not excellent). Smiling, health education, and more patient contact need strengthening. Furthermore, educational attainment might result to the improvement of core competencies. Finally, this study found out strong interdependence between the core competencies safe and quality nursing care and ethico-moral responsibility as perceived by both the nurses and immediate superiors. Dichotomized relationship was found on the rest of the<br />competencies. Rainier C. Moreno Lacalle Copyright (c) 2016-01-01 2016-01-01 1 5 118 125 Reasons Of Nurses In Pursuing Professional Advancement https://jurnal.unai.edu/index.php/jiscah/article/view/378 This study was conducted to determine why nurses in a government hospital in Laoag City, Philippines pursue professional advancement. Specifically, it attempted to identify the respondents’ socio-demographic profile and their attendance to graduate school studies, seminars, symposia, trainings and workshops using the descriptive research design. The study found that most of the respondents are young adults, females, Roman Catholic and with an average income. Each nurse handles an average of 31-40 patients for eight hours a day. Most of the respondents have not attended graduate school classes; are classified as Nurse I and attended at most five seminars, symposia, trainings and workshops at the local level; only a few have attended symposia, trainings and workshops at the regional and national levels. Most of the respondents agreed that their occupational reason in attending professional advancement is for professional growth and to be updated on trends in nursing. Personal reason includes for self-development and to learn new things and ideas. As to support system, most of them were supported by their immediate superiors and that they shoulder their own expenses in attending<br />professional advancement. Federico V. Nagtalon Precylou C. Ramos Copyright (c) 2016-01-01 2016-01-01 1 5 165 169 Correlates To Mental Health Promotion Spirituality And Life Satisfaction As A Correlates To Mental Health Promotion https://jurnal.unai.edu/index.php/jiscah/article/view/379 Mental health conditions have been burgeoning over the years, crippling 450 million across the globe. For this reason, there is an imperative need to examine the extent of promotive measures and correlates to the mental health promotion interventions. This study examined the extent of implementation of mental health promotion interventions (MHPI) among nurses and the relationship between MHPI and two selected variables: degree of spirituality and life satisfaction level. The study used quantitative descriptive-correlational design. Respondents were 304 nurses employed in hospitals and city health department of Baguio City and Benguet, Philippines who were selected using quota sampling technique. The tool consisted of self-made items, have high validity (0.91) and high reliability (0.80). Adopted questionnaire are the following: Spiritual Assessment Scale by Mary Elizabeth O’Brien and the Life Satisfaction Questionnaire by VomSaal and Dauria. Data was managed using weighted means and Pearson Product Moment Correlation aided by SPSS version 20. This study ascertains the good implementation (not excellent) of MHPI. Nurses are highly spiritual and have a good satisfaction level. Degree of spirituality and life satisfaction level of nurses are strong factors to MHPI implementation. Finally, the higher the spirituality and life satisfaction the more tendencies to promote mental health. Rainier C. Moreno Lacalle Rufina C. Abul Copyright (c) 2016-01-01 2016-01-01 1 5 170 178 THE EFFECT OF RED APPLE (Pyrus Malus) TO BLOOD PRESSURE OF GRADE ONE HYPERTENSIVE PATIENTS https://jurnal.unai.edu/index.php/jiscah/article/view/380 Red Apple (pyrus malus) is a fruit that can be used as a diet approach to stop hypertension due to its potassium and flavonoid content. These content in the red apple can lower blood pressure and inhibit the production of renin that influences the production of angiotensin and angiontensin-converting enzyme. This study aims to seek the beneficial effects of red apples on the blood pressure of Grade I Hypertension patients. The method of the study is quasi experimental with one group pretest post test design. The 15 participants were given 150 grams of red apple for 10 consecutive days. The blood pressure of each patents were taken everyday to monitor on which day there is a change on the blood pressure compared to the first day before consuming the red apple. The data were analyzed with paired sample t-test. The results show that there is a significant change in blood pressure, from an average of 143.7/94.2 mmHg before consuming the red apple to 129/89.4 mmHg after 10 days of consumption. The blood pressure, both systole and diastole, showed significant changes after the first day of consuming the red apple. Nilawati Soputri Copyright (c) 2016-01-01 2016-01-01 1 5 179 184 The Need Of The Elderly And Their Welfare In Their Old Age In Panti Werdha Bethania Lembean Airmadidi https://jurnal.unai.edu/index.php/jiscah/article/view/381 The purpose of this study was to determine the needs of the elderly and their welfare in their old age. This study was conducted in one of the elderly houses in Manado, Indonesia (Panti Werdha Bethania, Lembean). This study used qualitative with case study design. The method of data gathering was through the in-depth interviews with the elderly. There were three respondents, chosen through purposive sampling. The data gathered was analyzed through recording, reduction and coding, presentation of data, conclusion and verification. The results were: the reason why the three respondents chose to stay at the elderly house was because they were treated unpleasantly by their family members through their action and their words. The two of them were already orphans since childhood, and their condition was deteriorated because of their illness. The needs of these elderly for the emotional support from the family were through routine family visit and through a harmonious family. The findings also showed the needs of the elderly from the government, such as: free medical service and to improve the efforts to protect the health of the elderly. Various support from the community to the elderly were: visit from the church members, and through the daily needs of these elderly in the elderly house given by the local community. The recommendation derived from this study was for the health care team, the family and the government, to be more aware with the needs and care for the elderly, in the effort to increase the welfare of the elderly in their old age. Ivanna Manoppo Copyright (c) 2016-01-01 2016-01-01 1 5 185 194 RESPONSE TIME IN THE EMERGENCY ROOM OF BANDUNG ADVENTIST HOSPITAL https://jurnal.unai.edu/index.php/jiscah/article/view/382 Response time is a very important element in the emergency service of a hospital. Response time can determine the well-being of a patient. The objective of this study is to analyze the response time in the Emergency Room of Bandung Adventist Hospital. Data collection method used in this study is an analytical research using documentation in the emergency room of Bandung Adventist Hospital in the period of five months, January-May 2015. In the overall there are 3037 cases recorded, descriptive analysis showed 1775 (58%) cases according to the standard (&lt;5 minutes) and 1262 (42%) cases not according to the standard (&gt; 5 minutes). For life threatening case (red triage) there are 217 cases (174 or 80% of the cases according to the standard and 43 or 20% not according to the standard), potentially life threatening case (yellow triage) there are 1304 cases (743 or 57% according to the standard and 561 or 43 % not according to the standard), and less urgent case (green triage) there are 1516 cases (858 or 57% according to the standard and 658 or 43% not according to the standard). Statistical result on these differences using Kruskal-Wallis Anova statistical test, it showed that the difference of means in response times by triage category is significant (p = .000). Post hoc test shows that red triage differ significantly with yellow and green triages. Jonathan Hamonangan Tobing Gilny Aileen Joan Florida Hondo Copyright (c) 2016-01-01 2016-01-01 1 5 195 199 The Effect of Therapeutic Group Therapy and Token Economy Therapy to Preschool-Age Developmental Task of Preschool Age Children in Kelurahan Campaka Bandung West Java https://jurnal.unai.edu/index.php/jiscah/article/view/383 Child stimulation development services in Campaka District was not available yet. The aims of this research is to know the effect of therapeutic group therapy and token economy to developmental aspects and developmental task of preschoolers: initiative. This research uses quasi-experimental with control group. Respondents in this study were 50 pairs of mother and school-age children which is taken using consecutive sampling technique. There were 24 pairs who received therapeutic group therapy and token economy and 26 pairs who did not receive therapy. Independent t-test and paired t-test were used for analysis. The result showed developmental aspects and developmental of initiative in preschoolerswas significantly higher in the group receiving therapeutic group therapy and token economy than the group who did not receive therapy(p-value &lt; 0.05). Developmental aspects has a significant relationship to development of initiative in preschoolers. Therapeutic group therapy and token economy can be one therapeutic option to improve develompental aspects and developmental task of preschoolers. Denny Paul Ricky Copyright (c) 2016-01-01 2016-01-01 1 5 200 203 Effects Of Exposure To Health Programs, Culture, Efficacy Expectations And Environment On Health Status Among Malaysians Of Multi-Cultural Backgrounds https://jurnal.unai.edu/index.php/jiscah/article/view/384 This study determined the effects of exposure to health programs, culture, efficacy expectations and environment on health status, such as body mass index (BMI), blood pressure (BP), waist-to-hip-ratio (WHR) and resting heart rate (RHR), among Malaysians. The study utilized descriptive-correlational design. Four hundred fifty nine samples across three major geographical locations, three different cultural backgrounds such as Malays, Chinese and Indians from ages 18 and above were chosen as population using convenience sampling. Result showed that the respondents have low exposure to health programs, strong culture, strong efficacy expectations, moderate access to health care and strong social support. The respondents had overweight BMI, borderline and high WHR among males and females, respectively. Systolic blood pressure was borderline while diastolic blood pressure and resting heart rate were normal. In terms of the moderator variables, age, gender and race showed significant difference in the health status of the population; Moreover, the study further revealed that culture, specifically tradition, as well as environment, specifically access to health care delivery, are significantly related to health Mary Jane Botabara-Yap Miriam Razon Estrada Copyright (c) 2016-01-01 2016-01-01 1 5 50 61 Effects of Laughter on Quality and Hours of Sleep and Blood Pressure among Elderly in Indonesia https://jurnal.unai.edu/index.php/jiscah/article/view/385 The study aimed to determine the effects of laughter on quality and hours of sleep, systolic and diastolic blood pressure among the elderly and made use of a quasi-experimental interrupted time-series design. Forty participants were selected through purposive sampling, 20 were randomly assigned to experimental group and 20 to control group. Findings revealed that in the control group the baseline mean for quality of sleep and post intervention was average. In the experimental group, the baseline mean for quality of sleep and first week post intervention was average, while in the second week post intervention was good. The hours of sleep was highest in the experimental group on the second week post intervention. The mean of systolic and diastolic was lowest in the experimental group on the second week post intervention. There was a significant difference in the experimental group in the quality of sleep, hours of sleep, and systolic blood pressure between baseline and second week post intervention, but no significant difference in the diastolic blood pressure. There was a significant difference in the pattern of change across the three time period in quality of sleep, hours of sleep, and systolic blood pressure between control and experimental group, while no significant difference in the diastolic blood pressure. Gender and educational attainment made no significant difference in the quality of sleep, hours of sleep, and systolic blood pressure, while there was a significant difference in diastolic blood pressure. Richard Kasenda Susy A Jael Copyright (c) 2016-01-01 2016-01-01 1 5 62 70