नर्सिंग में उन्नत अभ्यास जर्नल

Elderly had high risk in Osteoarthritis disease. OA disease in elderly mostly undetected, as knee pain emerged in early symptoms did not inflict severe pain. Knee pain treatment divided in two forms, pharmacologic treatment and non-pharmacologic treatment. Non-pharmacology treatment was believed safe for elderly, as Elderly had many health problems and needed to limit drugs consumption. Knee exercise could be alternative for Elderly in treated knee pain and prevented more severe symptoms. This study aimed to identify the effectiveness of knee exercise in reduces knee pain on elderly. This study used quasi experiment method with pre and post-test approach. The sample was recruited from all elderly with knee pain at Kiaracondong district (n=60). The respondent divided into two groups: experimental group and control group. Data were collected using Numeric Rating Scale for measure knee pain before the treatment and after the treatment. Respondent in experimental group received knee exercise for 10 minutes. Respondent in control group received information flyer about knee pain. This study was conducted in 14 days. Data were analyzed using univariate and bivariate method. The result showed that there was significant effect from knee exercise in reduce knee pain (p value 0.000). Knee exercise would increase proteoglycan secretion and conducted to more healthy joints. Furthermore, exercise could increase muscle strength with the result that could support body weight. Knee exercise treatment could be alternative for elderly in avoid more severe knee pain. Knee exercise could be applied everyday as exercise program for elderly.

Smoking is a very much problem today, especially among productive ages, especially adolescents The purpose of the study is to Develop a model book that suits adolescents at the elementary and middle school level, Provide an understanding and analysis of the importance of smoking and drug prevention in adolescents through training in teachers, and health workers, Applying as a learning book in the classroom, there is legality as a learning book in children in school and out of school. The research output is the Model Book; there is a policy on the application of model books in schools, reputable International Journals or accredited national journals and IPR. This research method is carried out using the type of research "Research and Development", which is meant by the development research model. The design formulation used to test the effectiveness of the model book is to use research design "Intact Group Comparison", and Pre-experiment. The results of the study after training were carried out, the attitude score of health cadres increased with an average score of 13.25 (95% CI: 12.93-13.56) with a standard deviation of 0.93. The lowest score is 12.00 and the highest is 15.00. The results of the analysis with the Wilcoxon test p=0.000, because the value of p <0.05, it can be concluded that there is a difference in the teacher's knowledge score before and after smoking and drug prevention training is carried out in adolescents. Based on the calculation results of the N-gain score test, it shows that the average N-gain score of knowledge is 70.57 or 70.6% with a minimum score of 38.46 and the highest of 85.71. So training is quite effective in increasing the knowledge of teachers about the prevention of smoking and drugs in adolescents. In conclusion there are differences in the knowledge of teachers and health cadres about cigarettes and drugs, about the dangers and impacts on adolescents before and after being given training and model development, and there are differences/changes in the attitudes of teachers and health cadres about cigarettes and drugs, about the dangers and impacts on adolescents before and after being given training and model development.