Publikasi

Publikasi

Publikasi Ilmiah merupakan sarana bagi Pengajar dan Peneliti FIK UI dalam meningkatkan kualifikasi dan kompetensi akademik, sekaligus perwujudan kontribusi intelektual terhadap perkembangan keilmuan  di bidang keperawatan. Publikasi lmiah berupa publikasi jurnal ilmiah nasional dan internasional, serta seminar/konferensi nasional dan internasional.

TitleAuthorJournalLinkAbstract
Supportive care needs in predicting the quality of life among gynecological cancer patientsYati Afiyanti
Ariesta Milanti
Riska Hediya Putri
Canadian Oncology Nursing JournalSupportive care needs in predicting the quality of life among gynecological cancer patientsUnmet supportive care needs have been shown to lower the quality of life of cancer patients, including those with gynecological cancer. Therefore, we examined how the unmet supportive care needs might predict the quality of life of gynecology cancer patients undergoing therapy. We had a convenience sample of 153 patients from two major cancer hospitals in Jakarta, Indonesia, complete the SCNS-SF34 and EORTC QLQ-30. Analysis showed that unmet supportive care needs predict poorer quality of life (i.e., lower global health status and functional status, and more cancer-related symptoms). This study emphasizes the need for supportive care services in the areas of psychological, physical, and sexuality to be prioritized to improve the patients’ quality of life.
Assertive training and family psychological education therapy on adolescents self-esteem in prevention of drug use in boarding schoolIndah Ramadhan
Budi Anna Keliat
Ice Yulia Wardani
International Journal of Advanced Nursing StudiesAssertive training and family psychological education therapy on adolescents self-esteem in prevention of drug use in boarding schoolAdolescents are prone to use drugs when they have low self-esteem. Assertiveness training and family psychological education therapies are mental health nursing specialist interventions that are expected to increase adolescent self esteem so that adolescent has ability to prevent drug use. This study aims to determine the effect of assertiveness training and family psychological education therapy on adolescent self-esteem in the prevention of drug use in boarding schools. The research design was a quasi-experimental pre-post test with a control group. Sixty four adolescent students at the boarding school were selected using purposive sampling technique and cluster random sampling. The intervention group 1 only received general nursing intervention and the intervention group 2 received general nursing intervention, assertiveness training, and family psychological education therapy. The results showed that the self-esteem of adolescent students increased significantly after receiving nursing intervention and in the high self-esteem category (p = 0.017), after assertiveness training and family psychological education therapy, adolescent self-esteem in the intervention group 2 increased greater than only general nursing intervention ( P = 0, 000) with the high self-esteem category. There is the influence of assertiveness training and family psychological education therapy on adolescent self-esteem in prevention of drugs uses in a boarding school. Community health center is recommended to do nursing care in school through school health unit program either by primary care nurse or nurse specialist of mental health nursing.
Keywords: Assertiveness Training; Family Psychological Education Therapy; Self-Esteem; Drugs; Adolescent; Boarding Schools.
Changes of symptoms and the ability of anxiety patients after exercise of thought stopping and family psychoeducationSri Laela
Mustikasari
Ice Yulia Wardani
Media Keperawatan IndonesiaChanges of symptoms and the ability of anxiety patients after exercise of thought stopping and family psychoeducationPatients with degenerative disease were hospitalized may experience an anxiety psychological problem affecting the condition of the illness. The handling of this case aims to determine the change of symptom signs and ability of anxiety patients after exercise thought stopping and family psychoeducation. The design was case study with 25 participants. The analysis was performed on symptoms and abilities of patients and families before and after nursing intervention, thought stopping and family psychoeducation. The case handling on the same topic has been done before, but that distinguishes the author using Peplau's interpersonal theory approach. This makes its different and important to do. The result of the case handling shows the age of 18-60 years, female 13 people, men 12 people, Sundanese and the decreased signs of anxiety symptoms, also the increased the ability of families in caring for family members who experienced anxiety. Nursing intervention, thought stopping and family psychoeducation are recommended as nursing therapy for patients anxiety with degenerative diseases.
Keywords: anxiety, family psychoeducation, thought stopping
Mobile health application in implementation of maternity nursing care: Literature reviewLina Anisa Nasution
Rr. Tutik Sri Hariyati
Journal of Nursing CareMobile health application in implementation of maternity nursing care: Literature reviewIndonesia is a developing country with relatively high maternal mortality number. One of the influencing factors for that condition is health services at antenatal, intranatal and postnatal period has not been optimized yet. The optimization effort has been done in several countries through health service based on utilization of mobile phone technology called mobile health. The literature study aimed to present information from previous studies about implementation and benefits of mobile health in the maternity nursing care. The literature sources divided into three country categories including Western, non Western and Indonesia and consist of 30 online literatures. The implementation of mobile health in maternity nursing care showed positive impact in knowledge, motivation, and health behavior of the mother. Indonesia as developing country which can be strategic country in utilizing mobile health because of mostly Indonesian is mobile phone users. Nurse in corporation with cross sectors is supposed to develop mobile health in many strategic topics specifically in the effort of reducing the Maternal Mortality Rate (MMR) in Indonesia.
Keywords : Information technology, maternity, mobile-health, nursing care.
The policy review related to suporting families of people with mental health problems in IndonesiaHerni Susanti
Ice Yulia Wardani
Eka Malfa Sari
International Journal of Indonesian National Nurses AssociationThe policy review related to suporting families of people with mental health problems in IndonesiaGovernment policies and legislation can in fl uence the mental health of the population, including the families of people with serious mental illnesses. Recently, mental health policies in Indonesia have focused on human right of the individuals with mental illnesses, and this may explain why there has been little emphasis on supporting families in Indonesia. A policy review was conducted to identify the government guidance related to the directives for mental health services to support the families of people with serious mental illnesses in the country. A systematic review approach was undertaken for 16 relevant documents related to policies, standards, and guidelines of mental health services for the families of people with serious mental illnesses in Indonesia. The fi ndings of this policy review suggest that there are signi fi cant challenges for mental health services in Indonesia to support the families on behalf of their needs and wellbeing. The crux of the matter is that there have been policies that should be useful to professional, families and services users, yet problems to access these documents may exist. The information from the policy review can enhance the understanding about current mental health services in Indonesia. It is also a valuable source to direct an investigation about what Indonesian families want from the services. This study expects recommendations to respond to the needs which are practical and realistic based on the country’s own limitations in terms of policy support and information access.
Post-traumatic stress syndrome (PTSS) in nurses post-earthquake disaster in IndonesiaMustikasari
Junaiti Sahar
Harif Fadhillah
Anggi Pratiwi
International Journal of Indonesian National Nurses AssociationPost-traumatic stress syndrome (PTSS) in nurses post-earthquake disaster in IndonesiaPost-traumatic stress syndrome (PTSS) may be experienced by individuals who were traumatized by unpleasant experiences, such as earthquakes, which occur suddenly, and are diffi cult to predict. This study is aimed to explore PTSS experienced by nurse survivor following earthquakes in several areas in Indonesia. A qualitative study was conducted to participants with the following criteria: nurses who were actively working in the primary level health care services (health centers) and had experienced PTSS as determined by screening results. The study was conducted in regencies/cities that have experienced earthquakes in West Sumatra, North Sulawesi, Yogyakarta, East Java, and Banten. Data were collected for 3 months, between September and November 2011. Participants were recruited through purposive sampling according to the inclusion criteria for PTSS screening (experienced 2-3 years of grief). Ten participants agreed to be interviewed. Data were analyzed by thematic analysis. Two main themes emerged consisting of physical and psychological responses of nurses. Trembling and being scared have been the consistent response up to several years after the incident. The results of the study can serve as source of information for developing nursing skills in the prevention and mitigation stage of disaster, as well as for the formulation of supportive policies.
The correlation of family support and social support with the adherence to physical exercise among the older persons with hypertensionNoor Rochmah Ida Ayu Trisno Putri
Dwi Nurviyandari Kusuma Wati
Etty Rekawati
International Journal of Indonesian National Nurses AssociationThe correlation of family support and social support with the adherence to physical exercise among the older persons with hypertensionThis study is to determine the correlation of family support and social support with the adherence to physical exercise among the older persons with hypertension. It was a descriptive analytical type of quantitative research with the cross-sectional approach. Data were collected from the working area of Tugu Community Health Center, Depok involving 108 older persons with hypertension. Two questionnaires were used to measure the characteristic of the respondents (questionnaire A) and family support, social support, and adherence to physical exercise (questionnaire B). The data analysis included univariate, bivariate, and multivariate correlations. There is a signi fi cant correlation of family support and social support with the adherence to physical exercise among the older persons with hypertension. Family support has the greatest in fl uence on the adherence to physical exercise among the older persons with hypertension (β coeffi cient value: 0.381). The older persons with hypertension need a strong support from the family or closest friends to improve the adherence to hypertension treatments, one of which is physical exercise. Family support has the major infl uence on the adherence to physical exercise among the older persons so that the development of communitybased and family-based nursing strategies through the empowerment of the older persons care groups and family empowerment is essential to be carried out.
Penurunan postpartum blues dan ansietas melalui terapi thought stopping dan terapi suportif pada ibu post partum dengan bayi prematurSri Laela
Budi Anna Keliat
Mustikasari
Care: Jurnal Ilmiah Ilmu KesehatanPenurunan postpartum blues dan ansietas melalui terapi thought stopping dan terapi suportif pada ibu post partum dengan bayi prematurIbu postpartum dengan bayi prematur yang lahir secara sectio caesaria akan membutuhkan proses adaptasi yang lebih dibandingkan dengan ibu postpartum normal yang melahirkan bayi cukup bulan. Ibu postpartum dengan bayi prematur berisiko mengalami postpartum blues dan ansietas.Tujuan penelitian ini mengidentifikasi pengaruh terapi thought stopping dan terapi suportif terhadap postpartum blues dan ansietas ibu postpartum dengan bayi prematur. Desain penelitian yang digunakan quasi-experiment with control group pretest-posttest design dengan
metode consecutive sampling. Sampel dalam penelitian ini adalah ibu postpartum dengan bayi prematur yang dirawat di ruang Perina – Nicu sebanyak 62 responden, diambil melalui convenience sampling. Instrumen yang digunakan dalam penelitian ini adalah HARS dan
EPDS.Hasil penelitian menunjukkan ada penurunan postpartum blues dan ansietas secara bermakna (p-value= 0,000) pada kelompok yang mendapat tindakan keperawatan Ners, terapi thought stopping dan terapi suportif, dan lebih besar penurunan secara bermakna
dibandingkan dengan kelompok yang hanya mendapat tindakan keperawatan Ners. Terapi thought stopping dan terapi suportif mampu menurunkan postpartum blues dan ansietas ibu postpartum dengan bayi prematur dua kali lebih besar dibanding pemberian tindakan keperawatan Ners.
Kata kunci: Ansietas;postpartum blues;terapi suportif;thought stopping
Elderly care givers behavior associated with physical exercise implementation among elderly with hypertensionEtty Rekawati
Pera Putra Bungsu
Wiwin Wiarsih
International Journal of Geriatric NursingElderly care givers behavior associated with physical exercise implementation among elderly with hypertensionObjective: Aging is a natural process that will be experienced by everyone, and during the aging period there will be a decrease in body function especially in cardiovascular function so that it will cause health problems such as hypertension. Hypertension is a health problem that is generally found in the elderly and the need for appropriate treatment such as the implementation of physical exercise for the elderly and the role of the family to help the elderly overcome this problem. The purpose of this study was to determine the behavior of elderly caregivers with the implementation of physical exercise in the elderly with a hypertension health problem.
Method: This research uses descriptive correlational design. The sample size was 108 respondents. Data analysis used Chi-Square test.
Results: The results of this study indicated that the behavior of elderly caregiver affects the implementation of physical exercise in the elderly with hypertension (p-value<0.001; OR=4.781).
Conclusions: The results of this study indicate that the behavior of elderly caregivers influences the implementation of physical exercise in the elderly with hypertension. The results of this study are expected to provide input to community nurses as providers of nursing care, one of them is nursing care providers for families can work with family members as caregivers, especially in the elderly with hypertension health problems to motivate families to do effective treatment so that elderly hypertension can exercise physical according to the prescribed recommendations.
Keywords: Elderly; Elderly caregiver; Hypertension; Physical exercise.
Developing a health education game for preschoolers: What should we consider?Arbianingsih
Yeni Rustina
Tri Krianto
Dian Ayubi
Enfermería ClínicaDeveloping a health education game for preschoolers: What should we consider?Objective
To provide a comprehensive picture of what preschoolers prefer in computer game so that such game may be developed as a medium in health education. This is an important step to attract the children's attention so that the learning objectives from the educational game can be achieved.
Method
This study used descriptive qualitative approach and involved seven children aged from three to six years. Purposive sampling was used to choose participants in accordance with the inclusion criteria. Participants were also chosen on the basis of whether they had good communication skills based on evaluation by their teachers. Data were collected through interviews and observation of types and models preferred by preschoolers followed by the analysis process using the Colaizzi method.
Results
Research showed there were three characteristic features of games preferred by preschoolers: 1) main character was preferred to be a moving creature, contain elements of fantasy, and have an attractive appearance; 2) game model was favored when it involved activities and rewards, and 3) the use of bright colors, particularly primary and secondary colors.
Conclusions
To develop an appealing game for preschoolers, features such as the main character, activities in the games, and bright colors should be considered.
Keywords: Computer game; Health education; Preschool children
Chewing gum is more effective than saline-solution gargling for reducing oral mucositisKadek Cahya Utami
Happy Hayati
Allenidekania
Enfermería ClínicaChewing gum is more effective than saline-solution gargling for reducing oral mucositisObjective
This quasi-experimental study compared the effectiveness of chewing gum and gargling with a saline solution as two types of intervention to reduce oral mucositis scores.
Method
The sample consisted of 44 children who were divided into two groups, one of which chewed gum, and the other gargled with a saline solution. The Mann-Whitney U test was used to analyze the data.
Results
There was a significant difference (p = 0.001) in post-intervention oral-mucositis scores. The significant mean difference between the groups indicated that the decreased oral mucositis scores for the chewing gum group was more substantial than for the group gargling with a saline solution (p = 0.001).
Conclusions
The data showed that chewing gum is more effective than gargling with a saline solution, and it can be incorporated into the nursing protocol for treating pediatric cancer patients.
Do different positions affect the oxygen saturation and comfort level of children under five with pneumonia?Ely Mawaddah
Nani Nurhaeni
Dessie Wanda
Enfermería ClínicaDo different positions affect the oxygen saturation and comfort level of children under five with pneumonia?Objective
Children with pneumonia need a correct position to increase their oxygen saturation and comfort level. Postural changes affect the function of the human body and disease conditions. This study aimed to identify the effect of prone and semirecumbent positions on the oxygen saturation and comfort level of children under five with pneumonia.
Method
The study design was a quasi-experimental with a pre-posttest control group design. Thirty-six children with pneumonia aged 0-59 months were selected using consecutive sampling and divided into three groups: prone (n = 12), semirecumbent (n = 12), and control (n = 12). Statistical analysis was conducted using the Wilcoxon test, paired t test, and Kruskal-Wallis test.
Results
A significant difference in the oxygen saturation level was found among the three groups, particularly in the semirecumbent group. No significant difference was observed on the comfort level in all groups.
Conclusions
The semirecumbent position can be applied to improve the oxygenation status of children under five with pneumonia. Therefore, nurses should teach the family how to position the children with pneumonia during their hospitalization.
Keywords
Child; Oxygenation; Comfort; Pneumonia; Prone; Semirecumbent
The combination of nebulization and chest physiotherapy improved respiratory status in children with pneumoniaNur Eni Lestari
Nani Nurhaeni
Siti Chodidjah
Enfermería ClínicaThe combination of nebulization and chest physiotherapy improved respiratory status in children with pneumoniaObjective
There is controversy regarding the effectiveness of chest physiotherapy to solve airway obstruction problems experienced by children younger than five years of age with pneumonia. The aim of this study was to determine the effectiveness of chest physiotherapy and nebulization on the respiratory status of these children.
Method
This study was quasi-experimental with a pre- and post-test nonequivalent control group design. Thirty-four respondents selected by consecutive sampling were divided into two groups: one that received nebulization and one that received nebulization with chest physiotherapy. The independent t-test was used to analyze the effect of chest physiotherapy and nebulization on the respiratory status of children younger than age five with pneumonia.
Results
There was a significant mean difference in heart rate, respiratory rate, and oxygen saturation between the control and intervention group (p = 0.000). Despite the correlation between age and heart rate, other characteristics (nutritional status, exclusive breast-feeding, vaccination, the length of illness, and the content of nebulization medication) had no effect on heart rate, respiratory rate, and oxygen saturation.
Conclusions
The combination of nebulization and chest physiotherapy is more effective than nebulization only. It is important to reconsider the combination of nebulization and chest physiotherapy to overcome airway obstruction problems.
Keywords: Nebulization; Chest physiotherapy; Respiratory status; Pneumonia
Inhalation with bronchodilator combination effective in reducing length of hospital stay in children with pneumoniaRahma Annisa
Nani Nurhaeni
Dessie Wanda
Enfermería ClínicaInhalation with bronchodilator combination effective in reducing length of hospital stay in children with pneumoniaObjective
This study aimed to examine the correlation between inhalation therapy and length of hospital stay in children under age of five with pneumonia.
Method
This cross-sectional study included 102 consecutive patients (secondary data) with pneumonia. The patients were divided depending on the type of therapy they received: Group I used inhalation therapy with bronchodilator β-agonist + NaCl 0,9%, Group II used inhalation therapy with bronchodilator β-agonist and anticholinergic + NaCl 0,9%, Group III used inhalation therapy with NaCl 0,9%, and Group IV used no inhalation therapy.
Results
The study results showed a significant correlation between the use of inhalation therapy and the length of hospital stay (p = 0.000) after being controlled age, leucocyte count, and the type of antibiotic therapy. However, there was no significant correlation between the use of inhalation therapy and the length of hospital stay in children under the age of five with pneumonia after sex and oxygen therapy being controlled.
Conclusions
Inhalation therapy with a combination of bronchodilator β-agonist and anticholinergic + NaCl 0.9% and with bronchodilator β-agonist + NaCl 0.9% are the two most effective treatments with which to reduce the length of hospital stay in toddlers with pneumonia.
Keywords: Inhalation; Length of hospital stay; Pneumonia
Arbi Care apllication in increases preschool children's hand-washing self-efficacy among preschool childrenArbianingsih
Yossy Utario
Yeni Rustina
Tri Krianto
Dian Ayubi
Enfermería ClínicaArbi Care apllication in increases preschool children's hand-washing self-efficacy among preschool childrenObjective
This research aimed to examine the effectiveness of an Android mobile game application called Arbi Care as a means to prevent diarrhea and build self-efficacy in hand washing among preschool children.
Method
This research used a pre- and post-test control group and time series design approach. Respondents were chosen randomly from a group of four to six years children. The intervention group (n = 60) received Arbi Care intervention for 25 minutes, twice a week, for five weeks while the control group (n = 60) received standard education. Self-efficacy was measured by using questionnaire and observation. Measurement was carried out three times in the sixth, eight, and tenth week post-intervention. The data was analyzed using the GLMRM test.
Results
There was a significant increase in the average score of self-efficacy in hand washing for the intervention group versus the control group. Moreover, there were significant differences in the results of average scores in which the intervention group showed much better self-efficacy improvement over the control group during the first, second, and final post-test after the intervention was given (p < 0.001).
Conclusions
An Android-based educational game can be an effective medium to improve hand washing self-efficacy among preschool children, thus helping to prevent diarrhea.
Keywords: Educational; Game; Self-efficacyHand-washing; Preschool; Diarrhea
Spirituality in adolescents with cancerSembiring Lina Mahayati
Allenidekania
Happy Hayati
Enfermería ClínicaSpirituality in adolescents with cancerObjective
As adolescents with cancer are at risk of experiencing spiritual distress, they tend to have unique spiritual needs. Spirituality plays a significant role for adolescents with cancer as it contributes to increased comfort and calmness, and better coping mechanisms when confronted with the illness, which indirectly improves the adolescent’s quality of life. This study aimed to explore spiritual experiences in adolescents with cancer.
Method
A qualitative study using a phenomenology approach was conducted. Nine adolescents with chemotherapy-treated cancer were purposefully selected to be involved in this study. The data were analyzed using thematic analysis.
Results
This study identified six spiritual themes in adolescents with cancer: a) accepting their illness; b) believing their illness in God’s will; c) improving spiritual practices; d) expressing empathy to parents; e) maintaining relationships with significant others, and f) achieving self-actualization.
Conclusions
This study demonstrated that spirituality gave hope to adolescents by helping them to overcome existential problems related to cancer. We believe it is necessary for nurses to address the spiritual needs of adolescent with cancer as this will help these young people accept their condition with more grace and humility.
Keywords: Adolescent; Cancer; Experience; Spiritual
Impact of family empowerment model on satisfaction and children's length of stay in hospitalNani Nurhaeni
Yeni Rustina
Nur Agustini
Novi Enis Rosuliana
Enfermería ClínicaImpact of family empowerment model on satisfaction and children's length of stay in hospitalObjective
The purpose of the study was to identify the impact of family empowerment model intervention on family satisfaction and children’s length of stay in the hospital due to pneumonia.
Method
The design of the study was that of a quasi-experiment. About 83 family-child groups were divided into 42 pair in the intervention group and 41 pair in the control group; which were recruited using consecutive sampling using certain inclusion criteria. Three district hospitals in Jakarta were used in this study. A questionnaire and family empowerment instrument were developed and used to collect the data. An analysis of the data used independent and paired t-test.
Results
The results of the study showed a significant difference between the intervention and control groups in empowerment and satisfaction aspects after the intervention (p= 0.000; p= 0.000). An analysis of length of stay using the t-test indicates a significant difference between the intervention and control groups (p= 0.000).
Conclusions
The family empowerment model (FEM) intervention has a positive impact on families, as it can increase both the satisfaction and the empowerment of the family. Another important indicator of the FEM’s success is its ability to decrease the length of stay of patients.
Keywords: Family empowerment; Children under 5; Pneumonia; Length of stay; Family satisfaction
Do adolescent cancer survivors need health care and psychosocial services? An Indonesia experienceFitri Annisa
Allenidekania
Siti Chodidjah
Enfermería ClínicaDo adolescent cancer survivors need health care and psychosocial services? An Indonesia experienceObjective
Advances in childhood cancer treatment have contributed to an increased survival rate among childhood cancer patients. The increasing number of survivors means that more help is needed to support them in dealing with the physical and psychosocial problems following their cancer therapy. This study explored the needs of adolescent cancer survivors in terms of health care and psychosocial services.
Method
This qualitative research used a phenomenological approach. Eight adolescent cancer survivors were interviewed using a semi-structured format. The data were analyzed using a thematic analysis.
Results
Seven themes emerged from the study results: (i) follow-up care; (ii) education for patients and their families; (iii) compassionate health care services; (iv) psychological counseling; (v) support from families and friends; (vi) support from school; and (vii) support from social community activities.
Conclusions
These findings showed that adolescent cancer survivors in Indonesia need long term follow-up care for their physical and psychosocial needs. Nurses should play an active role in addressing the needs of adolescent cancer survivors as described in this study.
Keywords: Childhood cancer; Clinical service needs; Survivors; Psychosocial needs
Pacifier and swaddling effective in impeding premature infant's pain score and heart rateDefi Efendi
Yeni Rustina
Dewi Gayatri
Enfermería ClínicaPacifier and swaddling effective in impeding premature infant's pain score and heart rateObjective
To assess the effectiveness of pacifier and swaddling on premature infant's pain score, hearthrate, and oxygen saturation during an invasive procedure.
Method
This randomized control trial involv 30 premature infants who were randomly assigned into control (n = 15) and intervention (n = 15) groups using parallel design. Infants in the intervention group received pacifier and swaddling when they were undergoing invasive procedures. The outcome indicators of the two-day intervention were pain score, hearth rate, and oxygen saturation. The Premature Infant Pain Profile (PIPP) was used in this study to measure infants’ pain.
Results
The paired t-test results showed that the pain score and heart rate were significantly increased following the procedure in the control group (p = 0.003; p = 0.013 < 0.05); meanwhile, there was no significant increase in the intervention group (p = 0.256; p = 0.783 > 0.005). There was no significant different in oxygen saturation in the control group (p = 0.270) and in the intervention (p = 0.370) group before and after the procedure.
Conclusions
Providing pacifier and swaddling can impede the increase of premature infants’ pain score and hearth rate during an invasive procedures, therefore it can be implemented as an alternative to pain management in premature infants.
Keywords: Premature; Pacifier; Swaddling; Invasive procedure; Pain
Correlation between parent-adolescent communication and adolescents' premarital sex riskWidyatuti
Citra Hafilah Shabrina
Astuti Yuni Nursasi
Enfermería ClínicaCorrelation between parent-adolescent communication and adolescents' premarital sex riskObjective
Previous studies have indicated the parent-adolescent relationship has a correlation to adolescents’ premarital sex behavior risk. Therefore, the aim of this study was to discover the influence of parent-adolescent communication on adolescents’ risk of sexual issues.
Method
This was a quantitative study with a cross-sectional design. The population of this study consisted of students from a high school in Jakarta. A purposive sampling technique was used, which resulted in the selection of 253 students as samples. A PACS (Parent-Adolescent Communication Scale) questionnaire was applied.
Results
The results showed that 59.3% of the adolescents studied were at risk for engaging in premarital sex, while the risk for adolescents with positive communication with their parents was 56.5%. Bivariate analysis also showed a significant correlation between gender and parent-adolescent communication and the risk of adolescent premarital sex behavior (α < 0.05). This study’s result was expected, and nurses can follow up by providing health education on how to maintain good communication between parents and adolescents.
Conclusions
Communication must align with adolescents’ developmental tasks. Nurses can also create a promotion program on the topic of communication for parents and adolescents.
Keywords: Parents; Adolescents; Communication; Parent-Adolescent; Communication Scale; Premarital sex
Walking and takling activities as nursing therapy for improving quality of life among older adultsAbdurrahman Hamid
Junaiti Sahar
Dwi Nurviyandari Kusuma Wati
Enfermería ClínicaWalking and takling activities as nursing therapy for improving quality of life among older adultsObjective
The most prominent problem resulting from decreased body function in older adults is declining quality of life. Walking and talking among older adults in peer group may become a nursing therapy to improve their quality of life. The objective of this study was to identify the impact of walking and talking intervention of quality of life among community dwelling older adults in Depok, Indonesia.
Method
This study applied quasi-experimental design with 43 and 40 older adults in the intervention and control group, respectively. The participants were selected using multistage random sampling method.
Results
Based on t test, the average quality of life score of older adults improved more significantly in the intervention group than that in the control group, with p value of 0.003, its mean p value < α, respectively. An ANCOVA analysis was used to detect confounding factors. The result showed that all characteristics have a p value of > 0.05, which means there were no confounding factors warranting further investigation.
Conclusions
It was concluded that walking and talking therapy in peer group significantly increase the quality of life of older adults.
Keywords: Walking therapy; Talking therapy; Quality of Life
Reducing neglect and improving social sipport for older people following a self-help group in the poor urban community of Jakarta, IndonesiaJunaiti Sahar
Nia Made Riasmini
Dwi Nurviyandari Kusuma Wati
Enfermería ClínicaReducing neglect and improving social sipport for older people following a self-help group in the poor urban community of Jakarta, IndonesiaIncreasing age has an impact on the decline of organ function and results in increasing dependence on others, including family. Efforts must be made to increase older adult's’ independence to help them overcome naturally occurring changes and health problems. This research aims to determine the effects of the self-help groups as nursing interventions using guidelines of selfhealth monitoring and management on the incidence of neglecting and the social support of older people. A quasi-experimental design was used on a total sample of 208 people, consisting of 103 in the intervention group and 105 in the control group. An independent t-test was conducted before and after the intervention model to analyze the social support variable, and chi-square test was applied to analysis the neglect variable. The results showed the effects on the incidence of neglect of older people, and there were significant differences between and within the intervention and control groups (p < 0.05) in terms of social support. The intervention model demonstrated reduction of the incidence of neglect and an increase in social support. The results indicate that this program can be used as a guideline for health care center nurses in fostering self-help groups for older people in the community.
Keywords: Neglect; Social support; Older people; Self-monitoring; Self-intervention
The effects of chair yoga with spiritual intervention on the functional status of older adultsYoga Kertapati
Junaiti Sahar
Astuti Yuni Nursasi
Enfermería ClínicaThe effects of chair yoga with spiritual intervention on the functional status of older adultsObjective
“Functional status” is an individual’s ability to fulfill his/her needs and to perform the activities of daily life independently. Functional decline can lead to a higher level of dependency. This study aims to investigate the effects of chair yoga with spiritual intervention on the functional status of older adults.
Method
This quasi-experimental study employed a pre- and post-test design using a control group. The study involved an intervention group of 42 respondents and a control group of a further 42 respondents. The sample was selected using multistage random sampling. The data were analyzed using a t-test.
Results
The results of the study show that the mean score for the intervention group was higher after the intervention (p = 0.000). Furthermore, the mean score for functional status after the intervention was significantly higher for the intervention group than for the control group (p = 0.000).
Conclusions
It is concluded that the use of chair yoga with spiritual intervention is a useful preventive measure against functional decline in older adults. The study also suggests that this form of intervention should be considered as a complementary nursing therapeutic practice for older adults in the community.
Keywords: Older adults; Spiritual; Chair yoga; Functional status
Relationship between the levels of family burden in caring for older people with the incidence of mistreatmentEtty Rekawati
Achir Yani S. Hamid
Junaiti Sahar
Widyatuti
CAS
Enfermería ClínicaRelationship between the levels of family burden in caring for older people with the incidence of mistreatmentBackground
Caring for older people can be a burden for the family that led to mistreatment.
Objective
To determine the relationship between the levels of family burden in caring for older people with the occurrence of mistreatment incidence. Design and participants: A cross sectional study design was conducted with 135 older people who live with their family as respondents.
Setting
135 families with older people at Kelurahan/Village of Harjamukti area, Kecamatan/ District of Cimanggis, Depok city.
Method
This study applied probability sampling technique with multistage cluster sampling.
Results
Family characteristics show that almost half of older people were caring by family members (caregivers) who were aged 20-39 years, nearly all caregivers were women, family income mostly less than UMK, families mostly monosyllabic nation Betawi and caregivers mostly were their own child. Most of the families stated that no expense in caring for the older people (89.6%), but there are still families who feel the burden of caring. The highest type of mistreatmet of the older people is psychological mistreatments.
Conclusions
From the statistical test obtained by p value equals to 0.553, it was concluded there was no correlation between the incidences of any family burden with mistreatment.
Keywords: Mistreatment; Older people; FamilyBurden
The experience of older people living in an elderly residential home (Panti Sosial Tresna Werdha): A phenomenologySeptirina Rahayu
Novy HC Daulima
Yossie Susanti Eka Putri
Enfermería ClínicaThe experience of older people living in an elderly residential home (Panti Sosial Tresna Werdha): A phenomenologyObjective
The aim of this study was to gain an overview of the experiences of older people living in an elderly residential home (Panti Sosial Tresna Werdha [PSTW]).
Method
The study used qualitative method with the descriptive phenomenology approach. The participants consisted of six older people who live in institutions. Data were collected through in-depth interviews in accordance with the purpose of the research, and an analysis of the data from the interviews was performed using the analysis stage by Collaizi.
Results
Three themes emerged from this study, namely independent living needs and support systems as a reason for staying at PSTW, the adaptive response to life in PSTW, and family support as a contributing factor to remaining at PSTW.
Conclusions
Most of the elderly’s support came from their children or nephews and nieces. Receiving full emotional support from relatives through family visits was deemed necessary for the elderly, as it made them feel happy to continue the rest of their lives in the elderly care home.
Keywords: Elderly; Elderly nursing; Life of old age
The experience of adolescents having mentally ill parents with pasungAndi Buanasari
Novy HC Daulima
Ice Yulia Wardani
Enfermería ClínicaThe experience of adolescents having mentally ill parents with pasungObjective
Lack of knowledge and powerlessness make family restrains, chains or confines (pasung) the family member with mental illness. This study aimed to explore the experience of adolescents having mentally ill parents with pasung.
Method
To achieve detailed and accurate understandings of adolescents’ experiences, this study used a qualitative research design with a phenomenological approach. Purposive sampling was employed to find teenagers aged 12-19 years old who had mentally ill parents with pasung. The data were analyzed with Colaizzi's method.
Results
Parents with mental illness, specifically with physical restrain and confinement (pasung) had psychosocial impact on adolescents. Role changes often occur in the family where teenagers should be a breadwinner and caregiver for their parents. The results of this study were described in three themes: 1) changes of life due to have mentally ill parents with pasung; 2) reciprocity as the reason for taking care of the parents; 3) positive meaning of living with mentally ill parents with pasung.
Conclusions
This study concludes that psychosocial treatment for adolescents living with parents with pasung should consider the psychological and social impact as a result of taking care of their parents with pasung.
Keywords: Adolescents; Care; Changes of life; Pasung; Phenomenology
Acceptance and commitment therapy and family psycho education for clients with schizophreniaEncik Putri Ema Komala
Budi Anna Keliat
Ice Yulia Wardani
Enfermería ClínicaAcceptance and commitment therapy and family psycho education for clients with schizophreniaObjective
This study aims to determine the effectiveness of combining acceptance and commitment therapy with family psycho education on increased insight, diminished symptoms, and the client's improved ability to control violent behavior.
Method
The design of this study was a quasi-experimental pretest-posttest utilizing intervention and control groups. The intervention group consisted of 33 people, and the control group was composed of 33 people. Data was collected before and after respondents received both acceptance and commitment therapy and family psycho education.
Results
The study showed that patient insight improved significantly, the signs and symptoms of violent behavior decreased, and the client's ability to control such behavior improved with a p value < 0.05 in the intervention group after they received acceptance and commitment therapy and family psycho education. In the control group, patient insight did not improved significantly, showing a p value > 0.05. Therefore, our study recommends that acceptance and commitment therapy and family psycho education should be given to patients with schizophrenia to improve insight into their disease, decrease signs and symptoms of violent behavior and improve their ability to control violent behavior.
Keywords: Acceptance and commitment therapy; Family psycho education; Insight; Schizophrenia; Violent behavior
The effectiveness of acceptance and commitment therapy on anxiety in clients with strokeRenta Sianturi
Budi Anna Keliat
Ice Yulia Wardani
Enfermería ClínicaThe effectiveness of acceptance and commitment therapy on anxiety in clients with strokeObjective
The purpose of this study was to determine the effects of acceptance and commitment therapy on anxiety in patients with stroke, especially during the first stage of recovery.
Method
This quantitative study featured a quasi-experimental design without a control group and was conducted in the stroke ward of a public hospital. The 33 respondents were selected via consecutive sampling. The data analysis was completed using the paired t-test.
Results
The use of acceptance and commitment therapy significantly the signs and symptoms of anxiety in patients with stroke (p-value = < 0.005). Specifically, acceptance and commitment therapy effectively decreases anxiety levels from a moderate level to a mild level in clients who are recovering from stroke.
Conclusions
Acceptance and commitment therapy is a recommended treatment for reducing anxiety in stroke patients. The design of this study can be further developed to include a control group.
Keywords: Acceptance and commitment therapy; Anxiety; Family psychoeducation therapy; Self-acceptance
Effect of logo-therapy, acceptance, commitment therapy, family psychoeducation on self-stigma, and depression on housewives living with HIV/AIDSTiti Sri Suyanti
Budi Anna Keliat
Novy HC Daulima
Enfermería ClínicaEffect of logo-therapy, acceptance, commitment therapy, family psychoeducation on self-stigma, and depression on housewives living with HIV/AIDSObjective
Self-stigma in people living with HIV/AIDS is a survival mechanism to protect themselves from external stigma. Stigma and discrimination in people living with HIV/AIDS can lead to inequality in social life. This inequality can cause inferiority complex, preoccupation, and denial of diagnosis, which correlates with the onset of depression. This study aims to determine the effect of logotherapy, commitment acceptance therapy, and family psychoeducation on self-stigma and depression on housewives living with HIV/AIDS.
Method
This study used the quasi-experiment pretest–posttest design. The respondents were selected using the purposive sampling technique. The subjects were 60 housewives living with HIV/AIDS. Data were collected using Internalizes Stigma of AIDS Tools and analyzed using univariate and bivariate analyses. Equality analysis was conducted using the chi-square test and independent t test, and the effects were analyzed using paired t test.
Results
The result showed a significant decrease in self-stigma and depression (p value < 0.05) in patients receiving logotherapy, commitment acceptance therapy, and family psychoeducation.
Conclusions
A combination of logotherapy, commitment acceptance therapy, and family psychoeducation is recommended as a therapy package to overcome self-stigma and depression for people living with HIV/AIDS.
Keywords: Self-stigma; Logo therapy; Acceptance and commitment therapy; Family psychoeducation; HIV/AIDS
What does the literature suggest about what carers need from mental health services for their own wellbeing? A systematic reviewHerni Susanti
Karina Lovell
Hilary Mairs
Enfermería ClínicaWhat does the literature suggest about what carers need from mental health services for their own wellbeing? A systematic reviewObjective
The aim of this study was to examine prior studies relating to carers’ needs from mental health services for their own wellbeing.
Method
A systematic approach was adopted for the literature review. The databases searched included MEDLINE, PSycINFO, EMBASE, and CINAHL, involving the use of search terms such as carers, mental health, and needs. The search was conducted in April 2012 and updated in December 2015. In total, 40 published papers were included in the review and were subsequently assessed for quality. For the data synthesis, a thematic analysis approach was employed to integrate the quantitative and qualitative evidence relating to carers’ needs.
Results
Twenty-five of the reviewed studies were qualitative, 12 were quantitative, and 3 were mixed. Four major carer needs emerged from the synthesis: (1) holistic wellbeing of service users, (2) holistic wellbeing of carers, (3) supportive attitudes of professionals, and (4) carer involvement. All four of these needs, in fact, revolved around the carers’ ill relatives.
Conclusions
The studies reviewed suggest that while carers of people suffering from mental illness have a range of needs, they generally fail to offer straightforward information about their own needs.
Keywords: Carer; Need; Mental health service
Therapeutic group therapy improved self-efficacy of school age childrenCindy Cleodora
Mustikasari
Dewi Gayatri
Enfermería ClínicaTherapeutic group therapy improved self-efficacy of school age childrenObjective
The survival of children against disaster can be seen from their confidence in their ability (self-efficacy). Self-efficacy can help children to determine their ability against disaster as preparedness. The proper intervention to increase self-efficacy as a protective factor is a therapeutic group therapy. The aim of this research is to measure the increase of self-efficacy of school age children against earthquake and Tsunami through therapeutic group therapy.
Method
This research used quasi-experimental design with pre-post-tests with control group. The sample involved in this study is 69 children, where 35 of them are in the experimental group while the rest 34 children are in the control group consisting of school children at the IV and V graders of elementary school.
Results
The result of the research showed that the self-efficacy of school children is improved significantly after being treated with therapeutic group therapy (p value < 0,05), those who were not treated with therapeutic group therapy have no significant improvement (p value > 0,05).
Conclusions
This research is recommended to be conducted on school age children to improve their self-efficacy against disaster through health education.
Keywords: Therapeutic group therapy; Self-efficacy; School children; Disaster; Earth quake and Tsunami
Family experiences in communicating with family members experiencing social isolation after hospitalizationMega Lestari Khoirunnisa
Achir Yani S. Hamid
Novy HC Daulima
Enfermería ClínicaFamily experiences in communicating with family members experiencing social isolation after hospitalizationObjective
Social isolation is one of the negative symptoms of schizophrenia that is likely to persist after hospitalization. This study aimed to describe family experiences in communicating with post-hospitalized family members experiencing social isolation.
Method
This study used a descriptive phenomenology qualitative approach. The research sample consisted of seven participants selected by a purposive sampling method. Data were obtained through in-depth interviews with family members of people with schizophrenia who experienced social isolation after hospitalization. Data were analyzed using Colaizzi’s method.
Results
Five themes emerged in this study: a) emotional reactions towards communication changes after hospitalization; b) family coping strategies in communicating with post-hospitalized clients; c) stigma and emotional expression as factors aggravating limited social interaction; d) types of family communication used to fulfill the psychological needs of patients, and e) family involvement in communicating with socially-isolated clients after hospitalization.
Conclusions
Family communication becomes part of the adaptation of the family to caring for a family member with a chronic illness. It is recommended that nurses provide mental health education and psychological education on communication skills to family caregivers.
Keywords: Family communication; Social isolation; Stigma; Post-hospitalization
The experience of parents implementing authoritarian parenting for their school-age childrenMarice Benga Olla
Novy HC Daulima
Yossie Susanti Eka Putri
Enfermería ClínicaThe experience of parents implementing authoritarian parenting for their school-age childrenObjective
To explore families’ experiences who use an authoritarian parenting style in caring for school-age children.
Method
This was a qualitative study employing a phenomenological approach. The sampling method was to interview parents of school-age children living in the Central Maluku district in Indonesia.
Results
The findings of this study generated the following themes: (1) parents strictly controlled their children to achieve the parental values and expectations, (2) children failed to meet the parental values and expectations, and (3) problems experienced by the children were the results of the parenting style.
Conclusions
This study suggested nursing professionals provide adequate information for parents with respect to parenting styles that may facilitate the optimal growth and development of the children. Future studies pertinent to cultural factors associated with authoritarian parenting were also suggested to better understand the cultural context of this parenting style.
Keywords: Authoritarian parenting; Children; Parents
Thought stopping and supportive therapy can reduce postpartum blues and anxiety parents of premature babiesSri Laela
Budi Anna Keliat
Mustikasari
Enfermería ClínicaThought stopping and supportive therapy can reduce postpartum blues and anxiety parents of premature babiesObjective
The parents of premature baby tend to be at risk undergoing postpartum blues and anxiety. It is due to many problems faced by postpartum mother of premature baby. This research is aim to identifying influence of thought stopping and supportive therapy of postpartum blues and anxiety parents of premature babies.
Method
This is quantitative with quasi-experiment with control group pretest-posttest design and consecutive sampling method. Sample in this research are 62 postpartum mothers of premature babies in perinatal NICU (neonatal intensive care unit).
Results
The results show that there is significant decrease of postpartum blues and anxiety (p value = 0.000) in the group that was treated by using nursing intervention, thought stopping and supportive therapy and greater significant decrease than the group that was only treated by nursing intervention.
Conclusions
Thought stopping and supportive therapy are able to decrease postpartum blues and anxiety parents of premature babies.
Keywords: Anxiety; Postpartum blues; Supportive therapy; Thought stopping
Improving nurses' performance through remuneration: A literature reviewMuthmainnah
Achir Yani S. Hamid
Rr. Tutik Sri Hariyati
Enfermería ClínicaImproving nurses' performance through remuneration: A literature reviewBackground
A remuneration system greatly influences the quality of nursing care and services.
Objective
The goal of this study was to identify the effects of a remuneration system on nurses’ performance.
Design
This research used a literature review design and involved the analysis of 25 articles published in the Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, EMBASE, PsycINFO, and Global Health databases. The literature was limited to articles published in English between August 2006 and August 2015.
Results
The results of this study indicate that the improvement of remuneration systems has positive consequences in terms of nurses’ performance and subsequent quality of healthcare services. A well-managed remuneration system has the potential to increase nurses’ motivation, productivity, satisfaction, and even improve retention. In contrast, poorly managed and low remuneration contributes to a shortage of nurses due to high turnover rates.
Conclusions
Adequate remuneration has been shown to improve nurses’ performance and, consequently, improve the quality of healthcare. This literature review provides scientific evidence for decision-makers to consider the implementation of remuneration systems that include credentialing, re-credentialing, and career ladders. Future studies are suggested to investigate the development of well-managed remuneration systems for nurses.
Keywords: Remuneration; Nurses’ performance; Quality care
The association between stereotyping and interprofessional collaborative practiceVika Rachma Sari
Rr. Tutik Sri Hariyati
Achir Yani S. Hamid
Enfermería ClínicaThe association between stereotyping and interprofessional collaborative practiceObjective
This study aimed to identify the association between stereotyping and professional intercollaborative practice.
Method
This study used a cross-sectional analytical study involving physicians, nurses, pharmacists, and dietitians in a hospital in Jakarta, Indonesia, who were selected using the stratified random sampling method. Data was collected using the Student Stereotypes Rating Questionnaire (SSRQ) and the Assessment of Interprofessional Team Collaboration Scale (AITCS). The stereotyping level was analyzed based on a nine-point SSRQ, while interprofessional collaborative practice was scored based on partnership/shared decision-making, cooperation, and coordination.
Results
Stereotyping was shown to significantly correlate with interprofessional collaborative practice as measured by the SSRQ and AITCS.
Conclusions
Poor interprofessional collaborative practice in subscale partnership/decision-making was dominant. Also, low-rating stereotyping was shown to be dominant with poor interprofessional collaborative practice.
Recommendation
The research recommends that health care providers improve partnership/ decision-making skills for better interprofessional collaboration. For further research, it's recommended to explore another barrier of interprofessional collaborative practice.
Keywords: Stereotyped behavior; Interprofessional relations; Intersectoral collaboration
The relationship between nurses' job staisfaction and continuing professional developmentRr. Tutik Sri Hariyati
Satina Safril
Enfermería ClínicaThe relationship between nurses' job staisfaction and continuing professional developmentObjective
To identify the correlation between nurse's perception of the continuing professional development (CPD) and the satisfaction of nursing career ladder system (NCLS) implementation.
Method
A non-experimental survey design was used for this study. The respondents were selected using proportional random sampling technique with the total sample size of 149 nurses. Data were measured using proportion, central tendency and Pearson product-moment correlation.
Results
There was a moderate, positive correlation between the CPD and the NCLS satisfaction (R: 0.42, p= 0.0001).
Conclusions
The results of this research should be used as recommendation for improving CPD at the hospitals in Indonesia.
Keywords: Continuing professional development; Career ladder system; Nursing; Satisfaction
Improving the interpersonal competences of head nurses through Peplau's theoretical active learning approachSuhariyanto
Rr. Tutik Sri Hariyati
Titin Ungsianik
Enfermería ClínicaImproving the interpersonal competences of head nurses through Peplau's theoretical active learning approachBackground
Effective interpersonal skills are essential for head nurses in governing and managing their work units. Therefore, an active learning strategy could be the key to enhance the interpersonal competences of head nurses.
Purpose
This study aimed to investigate the effects of Peplau's theoretical approach of active learning on the improvement of head nurses’ interpersonal skills.
Method
This study used a pre-experimental design with one group having pretests and posttests, without control group. A total sample of 25 head nurses from inpatient units of a wellknown private hospital in Jakarta was involved in the study. Data were analyzed using the paired t-test.
Results
The results showed a significant increase in head nurses’ knowledge following the training to strengthen their interpersonal roles (P = .003). The results also revealed significant increases in the head nurses’ skills in playing the roles of leader (P = .006), guardian (P = .014), and teacher/speaker (P = .015). Nonetheless, the results showed no significant increases in the head nurses’ skills in playing the roles of counselor (P = .092) and stranger (P = .182).
Conclusions and recommendations
Training in strengthening the interpersonal roles of head nurses significantly increased the head nurses’ knowledge and skills. The results of the study suggested the continuation of active learning strategies to improve the interpersonal abilities of head nurses. Furthermore, these strategies could be used to build the abilities of head nurses in other managerial fields.
Keywords: Leadership; Teaching; Interpersonal; Peplau; Active learning
Factors that affect the development of nurses' competencies: A systematic reviewIchsan Rizany
Rr. Tutik Sri Hariyati
Hanny Handiyani
Enfermería ClínicaFactors that affect the development of nurses' competencies: A systematic reviewObjective
To investigate factors affecting the development of nursing competency based on a review of the literature.
Method
A systematic review was utilized. The articles were taken from the databases of Pro-Quest, ScienceDirect, SpringerLink, and Scopus. They were retrieved using the following keywords: nursing competence, nurse competencies and clinical competence. Twenty-one papers were selected.
Results
Competence development is a continuous process of improving knowledge, attitudes and skills, and is influenced by a myriad of factors. Six factors were identified that affected the development of nursing competence in our systematic review: (1) work experience, (2) type of nursing environment, (3) educational level achieved, (4) adherence to professionalism, (5) critical thinking, and (6) personal factors. Work experience and education were shown to significantly influence the development of competency of nurses.
Conclusions
Nurse managers need to support staffing competence through ongoing education, mentoring-preceptorship training, and case-reflection-discussion teaching programs.
Keywords: Competences; Nurses; Work experience; Education
Validity and reliability of the comfort assessment breast cancer instrument in breast cancer palliative careTuti Nuraini
Dewi Gayatri
Dewi Irawaty
Enfermería ClínicaValidity and reliability of the comfort assessment breast cancer instrument in breast cancer palliative careIndonesia is a developing country and most breast cancer patients present with terminal conditions, including discomfort. Comfort is a crucial component of nursing in palliative care, especially in breast cancer patients. However, this condition is difficult to assess and therefore assign as a diagnosis. Some comfort assessment tools have been developed in other countries are found not appropriate for an Indonesian context. This study is a sequence of prior qualitative research regarding a comfort assessment tool to be developed in Indonesia. This study piloted the comfort assessment tool in 55 patients with breast cancer to test if it is valid, reliable, and easy to use. This cross-sectional study was conducted at an Army hospital in Jakarta, Indonesia. The Comfort Assessment Breast Cancer Instrument measured many aspect of the patient comfort level including physical, psycho-social, cultural-spiritual, finance, and environmental comfort using a Likert scale from 1-4 and 34 items. Data were processed using statistical software. The face validity test yielded coefficient a of 0.299-0.691, while the reliability test produced a reasonably good result as well (a = 0.912). Therefore this measure should be further assessed by an expert panel and including construct validity.
Keywords: Breast cancer; Comfort assessment; Palliative; Face validity
The effective needle stick injury prevention strategies for nursing students in the clinical settings: A literature reviewHanny Handiyani
L. Meily Kurniawidjaja
Dewi Irawaty
Rita Damayanti
Enfermería ClínicaThe effective needle stick injury prevention strategies for nursing students in the clinical settings: A literature reviewObjective
Nursing students are prone to needle stick injuries (NSIs) during their practice in the hospitals. This study aimed to identify the effective NSI prevention strategies for nursing students in the clinical settings.
Method
Literature review was performed using the databases of ScienceDirect, ProQuest, MEDLINE, PsycINFO, Scopus, CINAHL, SpringerLink, JSTOR, and PubMed. The search terms of “nursing students”, “NSI incidents”, “prevention”, and “clinical settings” were entered, generating 103 articles published between 1991 and 2015.
Results
Our study demonstrated the high rates of NSIs in low- and middle (India, 91.85%). and high-income countries (Taiwan, 56.00%). Most injuries especially occurred when students opening the ampules (53.15%) and performing intravenous cannulation (44.50%). Our review identified four main strategies to prevent NSIs; education, trainings, safe needle use, and effective communication. Our study suggested the development of education and trainings curriculum and self- report system and culture, the provision of financial, material and manpower resources to support the prevention of NSIs.
Conclusions
four main strategies to prevent NSIs were education, trainings, safe needle use and effective communication.
Implications for practice
collaboration of hospitals and educational institutions is essential to develop effective NSI prevention programs.
Keywords: Needle stick injury; Nursing student; Prevention; Strategy
Mother-daugther communication about sexual and reproductive health issues in Singkawang, West Kalimantan, IndonesiaElly Nurachmah
Yati Afiyanti
Sri Yona
Rita Ismail
John Toding Padang
I Ketut Suardana
Yulia Irvan Dewit
Kelana Kusuma Dharma
Enfermería ClínicaMother-daugther communication about sexual and reproductive health issues in Singkawang, West Kalimantan, IndonesiaWhile parent-adolescent sexual and reproductive health (SRH) communication is one potential source of information for adolescents, it appears to be inadequately practiced in Indonesia. Given that female adolescents in Indonesia are faced with increased sex-related risks, it is important to understand, from parents and adolescents’ perspectives, how parents communicate about SRH to their adolescents. This study was designed to investigate parents and their female adolescent children's patterns of SRH communication in West Kalimantan, Indonesia. A total of 15 adolescent girls (ages 13-15) and 14 mothers took part in four focus group discussions. Fifteen girls, aged 13-15 and 14 mothers aged 25-45 years participated in the study, sharing their reflections on their communication about sex and reproductive health issues. The analysis technique used was thematic analysis, which is performed by refining key themes that emerge from the data. Data were collected from the focus group discussions. The four themes identified in this study are: (1) Infrequent communication on sexuality between mothers and daughters, (2) Mothers’ tendencies to avoid to discussing SRH, or feeling ashamed and that it is culturally unacceptable to talk about sexual matters, (3) Body change during puberty is the major content of the mother-daughter communications, and (4) Both mothers and daughters need adequate information about SRH. The study reveals that communication regarding sexual and reproductive issues between parents and female adolescents is limited in Indonesia. The quality of communication on general topics between parents and their female adolescents is one of the important factors related to SRH communication between them. It is essential that Indonesian parents become better informed and skilled, so that they may be involved in the sexual and reproductive health education of their female adolescent children.
Keywords: Female adolescents; Sexual and reproductive health issues; Mother-daughter communication
Pain, stress, and sleep quality in chronic wound patientsHasna Fauziyah
Dewi Gayatri
Enfermería ClínicaPain, stress, and sleep quality in chronic wound patientsChronic wounds are one impact of cancer cell growth that may cause discomforts or pain. This study aimed to identify the relationship between pain, stress, and sleep quality in cancer patients with a chronic wound. We used a cross-sectional design with 76 patients from a cancer hospital in Jakarta, Indonesia. The instruments used were the Numeric Rating Scale, the Questionnaire on Stress in Cancer Patients, Revised 23, and the Pittsburgh Sleep Quality Index. The results of this study showed that moderate-severe pain produced a higher than average amount of stress (58.86), while patients with no pain or only mild pain had a lower than average stress level (52.3). The results indicated that there was a relationship between pain before analgesic usage, pain during bandage replacement, pain that occurred at night, and stress (p = 0.003, 0.007, and 0.002, respectively; α = 0.05). Patients who had poor sleep quality experienced above average stress (56.3), while those with good sleep quality reported below average stress levels (45.6). These results indicated that there was a relationship between stress and sleep quality (p = 0.033; α = 0.05). Poor quality sleep is more common in patients with a moderate to severe pain scale rating (93.1%). However, Fisher's exact test results found that there was no relationship between pain and sleep quality (p = 0.301; α = 0.05). The results of this study concluded that stress can affect pain and sleep quality, but the pain did not have a direct effect on sleep quality in chronic wound patients.
Keywords: DiscomfortSleep qualityPainWoundCancer
Workplace violence against nurses in Indonesian emergency departmentsAnggri Noorana Zahra
Jui-Ying Feng
Enfermería ClínicaWorkplace violence against nurses in Indonesian emergency departmentsObjective
The objective of this study was to examine the experiences of violent incidents by nurses in Indonesian emergency departments.
Method
The World Health Organization's structured questionnaire on workplace violence in the health sector was modified and translated into Bahasa. The study participants were 169 nurses working in emergency departments in six hospitals in Jakarta and Bekasi, Indonesia. The gathered data were analyzed using descriptive and multivariate logistic regression.
Results
Ten percent of emergency nurses reported experiencing physical violence, perpetrated mostly by patients, whereas more than half of emergency nurses (54.6%) reported experiencing non-physical violence, with patients’ relative as the main perpetrators. A majority of nurses (55.6%) did not have encouragement to report workplace violence, and very few nurses (10.1%) had received any information or training about workplace violence.
Conclusions
The findings of this study highlighted the seriousness of violence in Indonesian emergency departments. Support from management, encouragement to report violence, and access to workplace violence training were expected to mitigate and manage violence against nurses in emergency departments.
Keywords: Emergency department; Indonesia; Nurses; Workplace violence
Women's knowledge, beliefs, and behaviors toward the prevention of human papillomavirus transmissionLela Larasati
Yati Afiyanti
Hayuni Rahmah
Ariesta Milanti
Enfermería ClínicaWomen's knowledge, beliefs, and behaviors toward the prevention of human papillomavirus transmissionObjective
To identify the relationship between women’s knowledge, beliefs, and behaviors and human papillomavirus (HPV) transmission prevention.
Method
This was a cross-sectional study with a convenience sampling technique. The samples were from 649 women of reproductive age who either were married or who had once been married. Data were analyzed using the Pearson and Spearman correlation tests.
Results
The results showed a statistically significant relationship between knowledge, beliefs and sexual behaviors, and the prevention of HPV transmission. Knowledge was the most dominant variable affecting the prevention of HPV transmission (r = 0.174) with p value < 0.001; the better the women’s knowledge, the higher the prevention effort.
Conclusions
Beliefs regarding HPV transmission, healthy sexual behavior, and knowledge of prevention could reduce the prevalence of HPV transmission and would improve women’s health in general. In addition, providing education, avoiding the risk factors, early detection, and performing a regular screening of reproductive organs are the key factors in preventing HPV transmission.
Keywords: Beliefs; Behavior; Cervical cancer prevention; Knowledge
Status disclosure and the acceptance of women living with HIVRizka Ristriyani
Imami Nur Rachmawati
Yati Afiyanti
Enfermería ClínicaStatus disclosure and the acceptance of women living with HIVObjective
This study aimed at identifying the acceptance of women living with HIV in relation to status disclosure.
Method
This cross sectional study involved 235 women with HIV positive in Public Health Centre in Jakarta, Indonesia, who were chosen with a consecutive sampling. We used a modified Acceptance of Disease and Impairments Questionnaire (ADIQ) as the instrument.
Results
The median score of acceptance was 3 (SD 0.72) in the range of 2.79 to 2.98 at 95% confidence interval. More than half of the respondent (65%) are housewives and 50% of them got infected from their spouses. It was also found that status disclosure was associated with the women acceptance towards HIV (p < 0.05)
Conclusions
The acceptance of HIV-positive women is influenced by status disclosure which can be positive or negative. This study suggests nurses to consider the grief response of the women with HIV positive to facilitate their acceptance and better adaptation to the illness.
Keywords: Acceptance related HIV; Grief; Status disclosure; Women living with HIV
The relationship of the preexisting anxiety problem with the demographic profile of cervical cancer patientsChelein Lestyani Nasution
Yati Afiyanti
Ariesta Milanti
Enfermería ClínicaThe relationship of the preexisting anxiety problem with the demographic profile of cervical cancer patientsObjective
This study identified the association of the preexisting anxiety problem in women diagnosed with cervical cancer with their demographic characteristics.
Method
This was a cross sectional study with 100 participants selected by purposive sampling method. Data were collected through Hamilton Anxiety Rating Scale (HARS) questionnaire and the medical records of participants.
Results
Work status was the only demographic characteristic which was found to be statistically significantly related to the anxiety level of the participants before they were diagnosed with cervical cancer. Participants who worked at home as housewives were found to have higher anxiety level than those worked at the institutions or industry.
Conclusions
Working women in this study were more likely to have the preexisting anxiety problem prior their cervical cancer diagnosis. This study implies the importance of promoting healthy lifestyle to manage daily stressors, considering various interrelated factors that may eventually contribute to cervical cancer development in women.
Keywords: Cervical cancer; Anxiety; Indonesia
The influence of adolescent postpartum women's psychosocial condition on mother-infant bondingAriani Fatmawati
Imami Nur Rachmawati
Tri Budiati
Enfermería ClínicaThe influence of adolescent postpartum women's psychosocial condition on mother-infant bondingObjective
To identify the correlation between the psychosocial condition of adolescent women in the postpartum period and mother-infant bonding.
Method
This study used a cross-sectional design. Using a consecutive sampling method, 103 adolescent women with a 1- to 12-week-old baby were recruited. Participants completed the postpartum bonding questionnaire to identify mother-infant bonding. This questionnaire included four dimensions: the relationship between mother and baby, baby acceptance, readiness to perform maintenance, and delivery of comfort.
Results
We identified that 45.6% of the teen mothers in this study were at risk of psychosocial problems and that 67% of them had insufficient mother-infant bonding. There was a statistically significant correlation between the psychosocial condition of adolescent postpartum women and mother-infant bonding (p = 0.000; OR = 5.143; 95%CI, 0.195 to 135.662).
Conclusions
Adolescent mothers require special attention during the perinatal period. They also require infant care education and preparation to become a successful mother. Maternity nurses play a very important role in providing education for adolescent mothers and the elderly. Maternity nursing services must be expanded to include psychosocial assessments for teen mothers throughout the pregnancy, childbirth, and postpartum periods.
Keywords: Attachment Adolescent; Bonding; Infant; Postpartum; Psychosocial
Oncology nurse reflection on the necessity of a pain assessment tool for Indonesian cancer patientsImami Nur Rachmawati
Yati Afiyanti
Enfermería ClínicaOncology nurse reflection on the necessity of a pain assessment tool for Indonesian cancer patientsObjective
The purpose of this study was to obtain an overview on nurses’ opinions and perceptions related to pain assessment and other problems experienced in evaluating pain in cancer patients.
Method
This descriptive qualitative study was part of a series of studies to develop a pain assessment tool for cancer patients in Indonesia. Data were collected by semi-structured interviews from 16 oncology nurses. A cross-case comparison of the interview responses was used to analyze the data from verbatim interview transcripts.
Results
Six themes were identified: pain as the main complaint reported by cancer patients; pain assessment using a pain scale; an awareness of the absence of nurses’ role in pain management; a lack of understanding of pain conditions; acknowledgement that a pain assessment tool should be practical and user friendly; and the need to develop a pain assessment tool. We also explored the knowledge of nurses in pain management and achieved an in-depth understanding of the nurses’ desire to seek additional knowledge related to pain assessment.
Conclusions
A pain assessment tool should be developed to assist nurses to independently interpret data about pain and allow them to select or modify interventions consistent with the patients’ needs. Pain management for cancer patients is one of the essential nurses’ responsibilities in providing comprehensive meaningful nursing care.
Keywords: Cancer pain; Oncology nursing; Pain assessment
Improving the utilization of health services among high risk pregnant women through community health nurse assistanceAsti Melani Astari
Yeni Rustina
Hadi Pratomo
Sabarinah B. Prasetyo
Enfermería ClínicaImproving the utilization of health services among high risk pregnant women through community health nurse assistanceObjective
The objective of this study was to identify the impact of implementing community health nurse assistance for high-risk pregnant women on utilization of health services.
Method
The study was quasi experimental with a control group design. The sample included high-risk pregnant women in 10 community health centers in Indonesia who were selected by consecutive sampling. The total sample included 66 women in both the intervention and the control groups. The high-risk pregnant women in the intervention group received nurses’ assistance during the third trimester and until giving birth. Before and after the intervention, the knowledge, attitudes, and behavior of the women were measured.
Results
The average scores for the knowledge, attitudes, and behavior of women in the intervention group increased. Differences were found in health care utilization between the two groups. All women in the intervention group received antenatal care during the third trimester more than once and were assisted by skilled health personnel during childbirth, while in the control group 10.6% of respondents were assisted by a paraji shaman (traditional birth attendant). All women in the intervention group accepted family planning, and the contraceptive choice varied.
Conclusions
The assistance of community health nurses improves the knowledge, attitudes, and behavior of high-risk pregnant women and positively impacts the rate of health care utilization.
Keywords: Health care; High-risk pregnant women; Community health nurse
Supportive care needs and quality of life of patients with gynecological cancer undergoing therapyRiska Hediya Putri
Yati Afiyanti
Titin Ungsianik
Ariesta Milanti
Enfermería ClínicaSupportive care needs and quality of life of patients with gynecological cancer undergoing therapyObjective
To identify the relationship of unmet supportive care needs with quality of life of patients with gynecological cancer undergoing therapy.
Method
This study used a cross-sectional design. A total of 153 patients with gynecological cancer undergoing therapy were recruited using consecutive sampling methods. The participants completed the questionnaire of Supportive Care Needs Survey to identify their supportive care needs, EORTC-QLQ 30 to assess their general quality of life, and EORTC-QLQ-CX 24 or - OV 28 to determine cancer-specific quality of life in cervical cancer and ovarian cancer, respectively.
Results
Most of the participants (96.1%) reported their unmet needs of supportive care predominantly in the physical domain (80.4%). Unmet supportive care needs were found to be statistically significantly related to quality of life in the global health, functional, and symptom domains (p value 1 = 0.003, p value 2 = <0.001, and p value 3= 0.001; r1 = -0.235, r2 = 0.306, and r3 = 0.268, respectively).
Conclusions
Patients with gynecological cancer needs various supportive care during treatment. These supportive care needs should be identified early at the time of diagnosis and continued throughout the disease and treatment trajectory to the survivorship point. Otherwise, unmet supportive care needs may lead to a low quality of life.
Keywords: Supportive care needs; Quality of life; Gynecological cancer
Family support and maternal self-efficacy of adolescent mothersJehan Puspasari
Imami Nur Rachmawati
Tri Budiati
Enfermería ClínicaFamily support and maternal self-efficacy of adolescent mothersObjective
To identify a correlation between family support and maternal self-efficacy of adolescent mothers.
Method
This cross-sectional study applied a consecutive sampling technique. The sample was 100 primiparous adolescent mothers. Instruments utilized were structured questionnaires, including a demographic questionnaire, Maternal Efficacy Questionnaire (MEQ), Postpartum Support System, Edinburgh Postnatal Depression Scale (EPDS), and Infant Characteristics Questionnaire (ICQ). The correlation of family support and maternal self-efficacy was analyzed using chi-square and logistic regression.
Results
The results showed a significant correlation between family support and maternal self-efficacy of adolescent mothers. The family support that most influenced maternal self-efficacy of adolescent mothers was family instrument support, with Wald value of 34.720.
Conclusions
Instrument support most affects maternal self-efficacy of adolescent mothers and encourages adolescents performing nurturing and mothering roles.
Keywords: Adolescent mothers; Maternal self-efficacy; Family support
Clinical care pathway strengthens interprofessional collaboration and quality of health service: A literature reviewMira Asmirajanti
Achir Yani S. Hamid
Rr. Tutik Sri Hariyati
Enfermería ClínicaClinical care pathway strengthens interprofessional collaboration and quality of health service: A literature reviewObjective
To review the effectiveness of a clinical care pathway on interprofessional collaboration and quality of health service.
Method
A review was performed of literature published from 2000 to 2015, with the following keywords: clinical pathway, care pathway, and interprofessional collaboration.
Results
Evidence depicted the positive results of nursing care for clients, health care professionals and facilities. The research results were implemented at different facilities using several research designs, from descriptive to experimental. A clinical pathway was used as a tool in various clinical situations including in emergency, elective surgery, and pre-post-surgery, as well as in common clinical cases. It was administered by the health care professionals in providing care, encompassing the comprehensive process from diagnosis to clinical audit. Health care professionals should engage in active collaboration during the implementation of a clinical care pathway. In implementing the standard of input, process, and outcome of care to clients, health care professionals should emphasize the process and outcome of care and eliminate unnecessary or inefficient treatments.
Conclusions
A clinical care pathway could reduce the average length of stay for patients, increase cost effectiveness, and, consequently, improve the quality of service. To optimize the care process, the pathway should be implemented of multidisciplinary health care team.
Keywords: Clinical pathway; Care pathway; Interprofessional collaboration
Family support in caring for older people with diabetes mellitus: A phenomenology studySiti Badriah
Junaiti Sahar
Enfermería ClínicaFamily support in caring for older people with diabetes mellitus: A phenomenology studyObjective
This study was conducted to gain a deep understanding of the experience of older people with diabetes mellitus (DM) about their family support in Tasikmalaya, Indonesia.
Method
The qualitative design was used with a phenomenological approach. Data were collected through in-depth semi-structured interviews of eight older people with DM. Ethical clearance was obtained from The Ethics Committee of the Faculty of Nursing, University of Indonesia. All the participants were provided with information about the purpose and the type of the study. Participants’ type of participation in this research was voluntary. The recorded interviews were reported anonymously. Data were analyzed using the seven steps of Colaizzi include reading the transcript, listening to the transcript, choosing keywords, categorizing grouping, creating narratives, validating, and translating findings into a complete narrative.
Results
Three themes were identified about family support toward older people with DM such as the changes in older people with DM, optimum family support and suboptimal family support.
Conclusions
The physical and psychological changes which older people with DM had experienced affect the family support they had received. Therefore, this study will give a valuable contribution to the improvement of health service for older people with DM in Indonesia.
Keywords: Diabetes mellitus; Family support; Older people
Analysis on the implementation of health improvement project (Garbage Clinical Insurance) in Indonesia: A literature reviewEfa ApriyantiEnfermería ClínicaAnalysis on the implementation of health improvement project (Garbage Clinical Insurance) in Indonesia: A literature reviewObjective
Indonesia Medika has established “Garbage Clinical Insurance” (GCI), which enables the population below the poverty line (BPL) to obtain health insurance by donating their garbage to pay the premium. The objective of this paper was to critically examine the implementation of GCI in Indonesia by reviewing the background, effects, and sustainability of this program.
Method
A literature search of studies related to GCI, other types of micro health insurance, and their applications in developing countries was conducted. Recent news (post 2014) related with the implementation of GCI was also consulted.
Results
The literature revealed that the foundation of GCI was informed by the Declaration of Alma Ata with the ideal of making health care services accessible to everyone. Unlike most health insurance, the mechanisms of GCI seem less likely to trigger moral hazard among its beneficiaries. However, as a micro insurance program, the sustainability of GCI continues to be called into question.
Conclusions
The critical analysis of the present study has highlighted the application of GCI, a micro health insurance initiative, and its relevance to Indonesia. GCI tended to work well as it was able to utilise Indonesia's social capital. However, GCI should aim to increase the benefits package available to its members in order to maintain the sustainability of the program
Keywords: Garbage Clinical Insurance; Micro health insurance; Developing country
Preventing pasung by mentally ill patients' familiesNovy HC DaulimaEnfermería ClínicaPreventing pasung by mentally ill patients' familiesPasung is a way of handling the mentally ill in the several Indonesian communities. In many cases, when the patients leave the hospital they are once again turned out by their families and returned to the pasung. This study aims to identify and explore the means of preventing mentally ill patients in the community from being subjected to pasung through a test of Daulima's Pasung Decision Questionnaire that measures a family's intention to use pasung. This study tested the content validity and reliability of Daulima's Pasung Decision Questionnaire by using the Spearman-Brown single test-single trial. The respondents were 300 people drawn from five provinces in Indonesia: West Sumatra, East Kalimantan, West Nusa Tenggara, West Java and the Special Capital Region of Jakarta. The validity and reliability results showed that the content of this instrument is valid once improvements had been made to the statement items numbers 16 and 17. It was also shown to be reliable by the consistency of the responses with an alpha value of 0.729. This means that responses to the instrument are consistent and are reliable measures of the level of intention of the mentally ill patient's family to use pasung.
Keywords: Family; Pasung; Decision making process
Penerapan tindakan keperawatan berbasis penelitian akupresur P6 dan edukasi perawat terhadap kejadian mual dan muntah pasien kanker yang menjalani kemoterapiI Gede Nyoman Ardi Supartha
Agung Waluyo
Sri Yona
Jurnal Medika UsadaPenerapan tindakan keperawatan berbasis penelitian akupresur P6 dan edukasi perawat terhadap kejadian mual dan muntah pasien kanker yang menjalani kemoterapiLatar belakang: Penatalaksanaan medis kanker dapat dibedakan menjadi dua antara lain kuratif dan perawatan paliatif. Penatalaksanaan medis kuratif erat kaitannya dengan pemberian chemotherapy, radiasi, dan obat hormonal. Sedangkan perawatan paliatif cenderung diartikan sebagai tindakan yang dilaksanakan untuk meningkatkan kualitas hidup pasien kanker. Akupresur adalah tidakan penekatan pada titik-titik strategis tubuh dengan menggunakan atau tanpa alat bantu. Salah satu titik akupresur yang dipercaya dapat mengatasi mual muntah pasca kemoterapi adalah titik Pericardium 6 (P6), yaitu titik yang terletak pada pangkal pergelangan tangan bagian dalam. Tujuan: mengatasi mual muntah akibat kemoterapi. Metode: penerapan akupresur P6 dan edukasi perawat. Hasil: Penerapan EBN penggunaan gelang akupresur P6 (Sea-BandÒ) dan edukasi perawat untuk mencegah mual muntah akibat kemoterapi dilakukan selama 5 (lima) hari terhadap 12 (dua belas) pasien kanker di lantai 4 dan 8 gedung A, RSCM. penerapan EBN gelang akupresur P6 dan edukasi perawat mengalami puncak mual muntah pada hari ke-2 dan ke-3 post kemoterapi. Pada evaluasi hari ke-5 terdapat 5 (lima) pasien yang mengalami mual muntah ringan. Kesimpulan: Penerapan EBN akupresur titik P6 dengan menggunakan gelang akupresur Sea-BandÒ mudah diterapkan, aman dan efektif dalam menurunkan keluhan mual muntah pasien kanker yang menjalani kemoterapi.
The Improvement of Caring Behavior among Nurses through Nursing Leadership Based on the Emotional IntelligentNur Izzah
Agung Waluyo
Dewi Irawaty
Mochtarudin Mansyur
Open Access Library JournalThe Improvement of Caring Behavior among Nurses through Nursing Leadership Based on the Emotional IntelligentNursing leadership based on emotional intelligence is potential to improve nurse’s caring behavior in Indonesia. The purpose of this research was to find out the effectiveness of nursing leadership based on emotional intelligence of the head nurse and its effect to the caring behavior of the associate nurses. The study occupied quasi experimental design with control group time series in two of General Hospital with equal management system in Pekalongan Regency, Central Java, Indonesia. The nurses of hospital A declared that they were ready to have training while hospital B nurses were not thus they were treated as the control group. Proportional random sampling technique was used for the in-patients department nurses of both hospitals with 44 participants from each. The statistical analysis used general linear model of repeated ANOVA to find out the difference of caring behavior on the intervention group and the control group and to gain the difference caring behavior on each measurement as well as to know the effect of their age and length of working on associate nurse’s caring behavior. The result of this study showed the score of the associate nurse’s caring behavior on intervention group was higher than the control group with the P value = 0.020. The increase of the score of associate nurse’s caring behavior on intervention group was significant with the mean before and after the intervention were 135.5 and 142.1 respectively, with the P value = 0.003. There was significant effects of the nursing leadership based on the emotional intelligent with the associate nurse’s caring behavior. The nursing leadership based on emotional intelligent was effective to improve associate nurse’s caring behavior hence it is recommended to give the training for the implementation.
Keywords: Nursing Leadership, Emotional Intelligent, Caring Behavior, Associate Nurse
Effectivity of artriphi irrigation for diabetic ulcer healing: A randomized controlled trialDewi Gayatri
Aries Asmorohadi
Debie Dahlia
AIP Conference Proceeding Effectivity of artriphi irrigation for diabetic ulcer healing: A randomized controlled trialThe healing process of diabetic ulcer is often impeded by inflammation, infection, and decreased immune state. High pressure irrigation (10-15 psi) may be used to control the infection level. This research was designed to identify the effectiveness of artrihpi irrigation device towards diabetic ulcers in public hospitals in the Central Java. This research is a randomized control trial with cross over design. Sixty four subjects were selected using block randomization technique, and were divided into control and intervention group. The intervention was given in 6 days along with wound healing evaluation in every 3 days. The results demonstrated that there was a significant difference decrease scoring healing after treatment, even though the difference scoring healing between both groups was not statistically significant. However, it means difference was found that in the intervention artrihpi the wound healing was better than the spuit. These results illustrates the artrihpi may be solution of using high pressure irrigation to help healing process diabetic ulcers.
Still hoping for a miracle: Parents' experiences in caring for their child with cancer under palliative careMercy Nafratilova
Allenidekania Dessie Wanda
Indian Journal of Palliative CareStill hoping for a miracle: Parents' experiences in caring for their child with cancer under palliative careContext: Parents' despair and feelings of grief, as well as communication and coordination that is less than adequate between the parents and the palliative team, can affect the provision of a qualified palliative care plan for children and their families. Aims: This study aims to explore the parents' experience in caring for children with cancer under palliative care condition. Setting and Design: The research applied descriptive qualitative phenomenology design. Subjects and Methods: The study was conducted at Jakarta, Bogor, and Bekasi. Parents who caring their child with cancer under palliative care were in-depth interviewed with open-ended question. Data were then analyzed using the Colaizzi method. Results: This study resulted in two themes, still hoping for a miracle of God and always being surrendered while under palliative care. Parents still hope for a miracle of God to keep having their children during palliative care. The forms of surrendering exhibited by the parents in this study are believing in God, praying to God, saying thanks to God, relying on God, and preparing to face the deaths of their children. Conclusion: This study shows that during palliative care, parents cannot be separated from their relationship with God. Therefore, nurses are vital to the continuous assessment of parents' spiritual needs and to the facilitation of need fulfillment involving family and religious figures.
Keywords: Children, palliative care, parents' experiences, spiritual
Parents' voice in managing the pain of children with cancer during palliative careRina Mariyana
Allenidekania
Nani Nurhaeni
Indian Journal of Palliative CareParents' voice in managing the pain of children with cancer during palliative careContext: Pain experienced by children can adversely affect their growth and development. Pain is a major health problem for cancer patients and remains an unresolved problem. Aim: To know how the experiences of mothers managing their children's pain during palliative care following cancer diagnosis. Background: Pain experienced by children can adversely affect their growth and development. Subject and Methods: Using qualitative methods within a descriptive phenomenological approach, in-depth interviews were conducted with parents (mostly mothers) of eight children diagnosed with cancer. The data were collected using the snowball sampling method. Results: Participants experienced in managing the pain of children with cancer. Analysis of the results identified 8 themes: the dimensions of pain experienced by children undergoing palliative care; mothers' physical and psychological responses; mothers' emotional responses; barriers encountered by mothers when taking care of their child at home; mothers' interventions to reduce their child's pain; mothers' efforts to distract their child from pain; giving encouragement when the child is in pain; and mothers' efforts and prayers to make their child comfort. Conclusion: It can be concluded that the child's pain is the main cause of mothers' stress and pressure and also affects the daily lives of mothers and children. Along with the most effective intervention, nurses need to provide mothers and children with adequate information about cancer pain.
Keywords: Cancer, caring for pain, child, Indonesia, lived experience, palliative care
Phenomenology study on nurses' experiences in understanding the comfort of children at the end-of-lifeRoro Lintang Suryani
Allenidekania
Imami Nur Rachmawati
Indian Journal of Palliative CarePhenomenology study on nurses' experiences in understanding the comfort of children at the end-of-lifeContext: Patients' need for comfort at the end of their lives is rarely fulfilled. The comfort of patients at the end of their lives, especially children, is affected by nurses' understanding of what comfort means. Aims: This research aims to explore and to understand the meaning of children's comfort at the end of their life for nurses. Setting and Design: The research applied descriptive qualitative phenomenology design. Subject and Methods: The study was conducted at Jakarta. Nurses who have experience in caring the child at the end of their life were in-depth interview with an open-ended question. Data were then analyzed using the Colaizzi method. Results: This research identified six themes: striving to reduce children's suffering, realizing what children wanted, observing the children felt comfortable in their family's acceptance of their condition, facing internal and external conflict, experiencing mixed feelings knowing the children's condition, and requiring support from all parties. Conclusion: Nurses should provide information regarding children's end of life conditions to the family, to achieve family acceptances. Eventhough it was hard situation and rose internal conflict to nurses. It was found that children also felt comfortable at the end-of-life when they did not experience any suffering, and their wishes were granted. Subsequently, the nurses did not have mixed feelings when the children died. Therefore, evaluation of the training effectiveness that has been given to the nurses should be done to fulfill the need of the child's comfort at the end-of-life.
Keywords: End-of-life comfort, meaning for nurses, palliative care
Meaning of life of adolescent survivors of domestic violence (DV)Intan Maharani Sulistyawati Batu Bara
Novy HC Daulima
Ice Yulia Wardani
Advanced Science LettersMeaning of life of adolescent survivors of domestic violence (DV)Domestic violence (DV) is a life-risk adverse situation that can lead to psychopathological disorders and affect adulthood development in the future. This study focuses on the experiences of the process of discovering the meaning of life of adolescent survivors of domestic violence who have been violated by close family member. Participants are adolescent survivors between the ages of 15 and 21 who are in or have contact with a local child center. Interviews were conducted, and a qualitative study was utilized to determine common themes of how adolescent survivors experience the meaning of life discovery process in their lives. Six themes were derived from the interviews, including physical violence and verbal violence as a form of violence that accompanied each other; violence was a response that cannot be tolerated by adolescents, the process of learning a lesson is an effort to recover victims of domestic violence; the determination of the purpose of life leading the adolescent survivors of domestic violence in the discovery of the meaning of life; the role of the close person and the spiritual value in the process of the discovery of the meaning of life, and perfection and happiness is the ultimate finale of the discovery of the meaning of life. This study may recommend the need for adolescent survivors of domestic violence to seek for recovery assistance to find the meaning of life in living a quality life.
Keywords: Adolescents; DV; Meaning of Life; Survivor
Improving diarrheal preventive behavior through therapeutic sociodramatic play in school-aged childrenLita Heni Kusumawardani
Sigit Mulyono
Poppy Fitriyani
Enfermería GlobalImproving diarrheal preventive behavior through therapeutic sociodramatic play in school-aged childrenHealthy and clean living behaviors among school-aged children are still relatively low, exposing them to the risk of experiencing health problems in the future, such as diarrhea. This school-age period is actually the earliest phase in which children can develop healthy behaviors, hence making this phase a strategic target for health improvements. School-aged children are in a period of concrete operational development and they require specific health education methods that can reflect real and interactive experiences. The aim of the study was to determine the effect of therapeutic sociodramatic play on diarrheal preventive behaviors among school-aged children (6–12 years). The study design was a quasi-experimental with pre- and post-tests design, involving 76 school-age children who were divided into intervention group and control group. Multistage random sampling was used to determine the research area and school where the research was conducted, while the research subject was selected using simple random sampling. The results showed that therapeutic sociodramatic play significantly affects knowledge (p value = 0.000), attitudes (p value = 0.000), and diarrheal prevention skills (p value = 0.001). The study recommends that therapeutic sociodramatic play could be applied in an effort to enhance healthy and clean living behaviors and to prevent diarrhea among school-aged children, and it could be integrated into school nursing services.
Collaborative model of teachers, students, and families to improve parents knowledge and skills on food dafety of elementary school studentsSigit Mulyono
Elly Nurachmah
Junaiti Sahar
Sabarinah Prasetyo
Jurnal NersCollaborative model of teachers, students, and families to improve parents knowledge and skills on food dafety of elementary school studentsIntroduction: School-age children in Indonesia are at risk of health problems due to food insecurity. Parents have a very important role in preparing safe food, both at home and for lunch at school. The aim of this study was to determine the effect of a collaboration model of teachers, students, and their families (KOGUSIGA) towards the parents’ knowledge and skills on the food safety of elementary school students.
Methods: This study applied a quasi-experiment design pre- and post-test with a control group. The subject sample used was the total sampling method, involving 206 parents. The study was conducted for over 10 weeks, supported with modules for nurses and parents, textbooks for the students and their families, and a student workbook.
Results: The results showed that the KOGUSIGA model is associated significantly with greater knowledge (p-value = 0.000; with a mean difference of 20.23) and the parent’s skills (p-value = 0.000; with a mean difference of 12.3) to do with food insecurity.
Conclusions: The KOGUSIGA model tends to improve the knowledge and skills parents significantly, in relation to the food safety of the students. It is expected that the KOGUSIGA model will be applied under the community health nursing/school health nurses’ supervision.
KEYWORDS
school age children; parents; food safety; collaboration; school health nursing
A Content Analysis Study: Concerns of Indonesian Women Infected With HIV by Husbands Who Used Intravenous DrugsRita Ismail
Joachim G. Voss
Nancy Figate Woods
Grace John-Stewart
Celia Lowe
Elly Nurachmah
Sri Yona
Toha Muhaimin
Doris Boutain
Journal of the Association of Nurses in AIDS CareA Content Analysis Study: Concerns of Indonesian Women Infected With HIV by Husbands Who Used Intravenous DrugsFew international studies document the concerns of women living with HIV (WLWH) who were infected by their intravenous drug-using husbands. Our content analysis described the concerns of this population by analyzing 12 interviews with WLWH. Three main concerns were discussed by the women: dealing with anger and being a dedicated wife, going home to one's parents as the only place to go, and being strong and staying alive for the children. Dealing with their own emotional responses to the HIV diagnosis, lacking financial resources after the husband's death, and remaining focused on staying healthy were major issues in their stories. Indonesia needs large-scale public HIV education campaigns about the risks women encounter as wives to husbands who use intravenous drugs as well as campaigns to educate husbands about their risks. Nurses need to encourage women to get tested during prenatal care to prevent infecting their children.
Keywords: HIVinjection drug use/user (IDU)Indonesiawomen
Spirituality-focused palliative care to improve indonesian breast cancer patient comfortTuti Nuraini Andrijono
Dewi Irawaty
Jahja Umar
Dewi Gayatri
Journal of the Indian Journal of Palliative CareSpirituality-focused palliative care to improve indonesian breast cancer patient comfortBackground: Palliative care is an approach that focuses on improving a patient's quality of life. This research aimed to develop a path model of the relationships between the variables of nursing care (information, emotional support, technical support, and palliative care), patient coping, family support, patient spirituality, and patient comfort expressed through physical and emotional mediators. Method: This cross-sectional study involved 308 breast cancer patients from 3 referral hospitals in Jakarta, Indonesia. A structural equation model with Kolcaba's theory was used to develop a theoretical model estimating the path or relationships between the key variables. Results: The results showed that palliative care significantly improved breast cancer patient comfort by reducing anxiety and depression. Furthermore, the study demonstrated a significant positive relationship between spirituality and emotional well-being. Conclusion: Spirituality-focused palliative care is fundamentally importance for breast cancer patients. Nurses play an essential role in providing spirituality-focused palliative care to promote comfort in breast cancer patients in Indonesia.
Keywords: Breast cancer, comfort, palliative care, spiritual
Berduka pada perempuan HIV-PositifRizka Ristriyani
Imami Nur Rachmawati
Yati Afiyanti
Jurnal Keperawatan IndonesiaBerduka pada perempuan HIV-PositifPenelitian ini bertujuan untuk mengidentifikasi intensitas respon berduka pada perempuan HIV positif. Rancangan penelitian dilaksanakan dengan potong lintang dengan metode pengambilan sampel secara consecutive sampling. Jumlah sampel penelitian sebanyak 235 perempuan HIV positif yang menjadi pasien di beberapa Puskesmas di Jakarta, Indonesia. Hasil penelitian didapatkan gambaran denial dengan nilai tengah yaitu 2,25 (SD 0,75) berada pada rentang 2,18-2,38; resistance dengan nilai tengah yaitu 1,67 (SD 0,89) berada pada rentang 1,84-2,07; sorrow dengan nilai tengah yaitu 2,67 (SD 0,93) berada pada rentang 2,26-2,52; dan acceptance dengan nilai tengah yaitu 3 (SD 0,72) berada pada rentang 2,79-2,98 pada tingkat kepercayaan 95%. Karakteristik responden menunjukkan bahwa lebih dari separuh responden adalah ibu rumah tangga (65,5%), menikah sebanyak 56,2% dan 50% responden menyatakan tertular HIV dari pasangannya. Usia termuda pada penelitian ini adalah 18 tahun dan yang tertua adalah 47 tahun. Penelitian ini menemukan bahwa sikap menyangkal perempuan HIV positif berada pada skala sedang, kemarahan pada skala ringan, kesedihan mendalam pada skala sedang, dan penerimaan pada skala mendekati penuh. Karakteristik responden seluruhnya berasal dari fasilitas kesehatan primer yang telah mendapatkan pengobatan dan konseling sehingga hal tersebut mendukung acceptance yang penuh pada responden. Namun demikian masih perlu penelitian lebih lanjut mengenai factor-faktor apa saja yang memengaruhi berduka pada perempuan HIV positif.
Kata Kunci: penerimaan, berduka, menyangkal, perempuan HIV, marah, kesedihan mendalam
Facilitated tucking effective to pain relief on the preterm infants in perinatal unit in JakartaEva Oktaviani
Yeni Rustina
Defi Efendi
Jurnal Keperawatan IndonesiaFacilitated tucking effective to pain relief on the preterm infants in perinatal unit in JakartaMost preterm infants often need to be hospitalized more than one week in intensive care, so they undergo numerous repeated painful procedures such as blood collection. The study aimed to identify the effect of facilitated tucking for pain respond that is physiological parameter and duration of crying in preterm infants during blood collection. The study design was quasi experimental with nonequivalent control group pretest-posttest design. Fourty babies were divided into two groups; the intervention group (n= 20) who received facilitated tucking during blood collection and the control group (n= 20) without facilitated tucking, with consecutive sampling technique. Statistical analyses used were General Linear Model+post hoc, Mann-Whitney, and Independent T-Test. There were significant means the difference in the heart rate, oxygen saturation, and duration of crying infants between non-intervention and intervention group. Duration of crying infants in intervention is shorter than the control group. Facilitated tucking is effective in pain reduction and crying time during blood collection. This finding implies a part of developmental care and should be attention for promoting pain management infants.
Keywords: developmental care, facilitated tucking, pain, preterm infants
Kualitas hidup pasien skizofrenia dipersepsikan melalui stigma diriIce Yulia Wardani
Fajar Apriliana Dewi
Jurnal Keperawatan IndonesiaKualitas hidup pasien skizofrenia dipersepsikan melalui stigma diriSkizofrenia merupakan sekumpulan gejala atau sindrom yang dapat menyebabkan masalah kejiwaan yang sangat serius. Stigma diri muncul akibat efek negatif penilaian orang lain terhadap pasien Skizofrenia sehingga mengakibatkan penurunan kemampuan kerja, fungsi sosial, harga diri, dan harapan. Kualitas hidup pasien Skizofrenia erat kaitannya dengan disabilitas yang dialaminya berupa perubahan kognitif dan persepsi dalam menjalani kehidupan. Penelitian ini bertujuan untuk mengidentifikasi kualitas hidup pasien skizofrenia melalui stigma diri. Desain penelitian ini adalah descriptive corelative dengan pendekatan cross sectional, sampel 92 responden yang dipilih menggunakan teknik consecutive sampling. Analisis uji statistik menggunakan correlation test. Hasil dari penelitian adalah ada hubungan antara stigma diri dengan kualitas hidup pasien Skizofrenia dengan korelasi negatif (r= -0,568, p= 0,00). Level stigma diri termasuk kedalam klasifikasi stigma tinggi dan klasifikasi kualitas hidup yang rendah. Penelitian ini merekomen-dasikan pelaksanaan intervensi keperawatan yang berorientasi pada pasien berupa pencegahan stigma negatif dan peningkatan kualitas hidup.
Keywords: kualitas hidup; skizofrenia; stigma diri
Pelatihan asuhan keperawatan peka budaya efektif meningkatkan kompetensi kultural perawatEnie Novieastari
Jajang Gunawijaya
Agustin Indracahyani
Jurnal Keperawatan IndonesiaPelatihan asuhan keperawatan peka budaya efektif meningkatkan kompetensi kultural perawatSeorang perawat dituntut untuk memiliki kompetensi kultural sehingga memiliki kepekaan terhadap kebutuhan budaya pasien. Artikel ini bertujuan untuk memberikan gambaran peningkatan kompetensi kultural perawat yang masih rendah melalui program Pelatihan Asuhan Keperawatan Peka Budaya pada Pasien dengan Gangguan Respirasi. Desain yang digunakan adalah quasi eksperimen dengan pre dan post test tanpa kelompok kontrol. Program pelatihan ini berlangsung selama 4 minggu melibatkan 93 orang perawat pelaksana dan manajer asuhan keperawatan di sebuah rumah sakit di Jakarta Timur yang dipilih secara purposif. Instrumen kompetensi kultural yang digunakan adalah instrumen yang dikembangkan oleh peneliti pada penelitian sebelumnya. Hasil pengukuran kompetensi kultural perawat sebelum dan setelah pelatihan menunjukkan perbedaan yang bermakna. Kompetensi kultural ditinjau dari aspek pengetahuan budaya memiliki nilai p< 0,001 (α= 0,05), dari sikap budaya nilai p< 0,01 (α= 0,05), dan dari aspek keterampilan budaya nilai p< 0,001 (α= 0,05). Kesimpulan yang dapat diambil adalah bahwa kegiatan Pelatihan Asuhan Keperawatan Peka Budaya efektif meningkatkan kompetensi kultural perawat dalam memberikan asuhan keperawatan. Rekomendasi untuk kegiatan selanjutnya adalah perlunya mensosialisasikan model Asuhan Keperawatan Peka Budaya yang digunakan dalam pelatihan ini kepada seluruh perawat agar dapat diterapkan kepada seluruh pasien dengan berbagai gangguan kesehatan.
Kata kunci: kompetensi budaya, pelatihan perawat, asuhan keperawatan, peka budaya
Penerapan mobile video efektif meningkatkan pengetahuan dan sikap ibu dalam menurunkan lama diare balita di wilayah puskesmas Kedaton Bandar LampungYuli Lestari
Nani Nurhaeni
Happy Hayati
Jurnal Keperawatan IndonesiaPenerapan mobile video efektif meningkatkan pengetahuan dan sikap ibu dalam menurunkan lama diare balita di wilayah puskesmas Kedaton Bandar LampungPenanganan diare yang tepat dan edukasi manajemen diare pada ibu dapat menurunkan angka kesakitan dan kematian balita karena diare. Penelitian ini bertujuan untuk menguji efektifitas edukasi video penanganan diare terhadap pengetahuan dan sikap ibu dalam penanganan diare, serta lama diare balita. Desain penelitian menggunakan pre-post test dengan kontrol group. Total sampel sejumlah 71 responden dibagi kelompok intervensi dan kontrol yang dipilih menggunakan teknik consecutive sampling. Hasil penelitian menunjukkan terdapat perbedaan bermakna antara pengetahuan dan sikap sebelum dan sesudah edukasi pada kelompok intervensi (pengetahuan: p= 0,002; sikap p= 0,008); terdapat perbedaan bermakna antara selisih skor pengetahuan dan sikap antar kelompok (pengetahuan p= 0,008; sikap p= 0,001), namun tidak ada perbedaan yang bermakna antara lama diare kelompok kontrol dengan intervensi (p= 0,796). Edukasi video efektif meningkatkan pengetahuan dan sikap, namun tidak pada variabel lama diare. Edukasi melalui audiovisual dapat dipertimbangkan sebagai asuhan keperawatan karena keefektifannya dalam meningkatkan pengetahuan dan sikap ibu menangani anak diare.
Keywords
edukasi audiovisual; lama diare; pengetahuan; sikap
Relaksasi otot progresif menurunkan stres keluarga yang merawat pasien gangguan jiwaLivana PH
Novy HC Daulima
Mustikasari
Jurnal Keperawatan IndonesiaRelaksasi otot progresif menurunkan stres keluarga yang merawat pasien gangguan jiwaGangguan jiwa merupakan penyakit tidak menular yang menjadi masalah kesehatan masyarakat, baik didunia maupun di Indonesia. Jumlah gangguan jiwa di kabupaten Kendal meningkat sehingga meningkatnya stres pada keluarga. Penelitian bertujuan untuk menilai efektifitas relaksasi otot progresif dalam menurunkan stres keluarga yang merawat pasien gangguan jiwa. Desain penilitian quasi eksperiment pre-post test with control group dengan 96 sampel secara purposive sampling, 48 kelompok intervensi dan 48 kelompok kontrol. Hasil penelitian relaksasi otot progresif sangat efektif menurunkan stres keluarga yang merawat pasien gangguan jiwa dibanding kelompok yang tidak mendapatkan perlakuan (p= 0,001). Rekomendasi penelitian relaksasi otot progresif diberikan pada keluarga pasien gangguan jiwa untuk mengatasi stres keluarga dalam merawat pasien gangguan jiwa.
Keywords
Relaksasi otot progresif; stres; keluarga klien gangguan jiwa
Terapi kelompok asertif efektif meningkatkan kemampuan asertif dan resiliensi pada remaja di SMPN PadangpanjangRosa Fitri Amalia
Budi Anna Keliat
Jurnal Keperawatan IndonesiaTerapi kelompok asertif efektif meningkatkan kemampuan asertif dan resiliensi pada remaja di SMPN PadangpanjangKurangnya kemampuan remaja dalam berperilaku asertif menyebabkan terjadinya penyimpangan perilaku seperti tidak mampu mengungkapkan keinginan dengan baik, melanggar hak orang lain dan meminta dengan paksa. Untuk mengatasi hal tersebut perlu ditingkatkan kemampuan asertif dan resiliensi pada remaja dengan terapi kelompok asertif. Tujuan penelitian untuk mengetahui pengaruh terapi kelompok asertif terhadap kemampuan asertif dan resiliensi pada remaja. Penelitian ini menggunakan desain penelitian Quasi Experimental Pre test-Pos test with control group. Kelompok intervensi dan kelompok kontrol masing-masing terdiri dari 42 orang. Terapi kelompok asertif dilakukan sebanyak 6 sesi. Hasil penelitian didapatkan terjadi peningkatan secara signifikan terhadap kemampuan asertif (p= 0,000) dan kemampuan resiliensi (p= 0,015) pada kelompok intervensi. Sedangkan pada kelompok kontrol tidak ada perbedaan secara signifikan antara hasil pre test dan post test. Selain itu ditemukan terdapat korelasi yang positif (r= 0,396) antara kemampuan asertif dengan kemampuan resiliensi. Terapi ini direkomendasikan pada pelayanan kesehatan di masyarakat khususnya kepada anak remaja.
Kata Kunci: Asertif, resiliensi, remaja, terapi kelompok asertif
Pengaruh cognitive behavior therapy (CBT) terhadap pasien dengan gagal ginjal kronik di unit hemodialisa rumah sakit husada jakartaTri Setyaningsih
Mustikasari
Tuti Nuraini
Jurnal Kesehatan HolistikPengaruh cognitive behavior therapy (CBT) terhadap pasien dengan gagal ginjal kronik di unit hemodialisa rumah sakit husada jakartaAlternative link: http://ejournal.stikesrshusada.ac.id/index.php/jkh/article/view/33
Gagal ginjal kronik (GGK) atau penyakit ginjal tahap akhir (PGTA), merupakan salah satu penyakit yang menjadi masalah besar di dunia. Selain sulit disembuhkan karena bersifat irreversible juga dapat mengakibatkan gangguan psikososil. Penelitan ini dilakukan pada 27responden, menggunakan desain quasi eksperimental pre-post test without control group. Hasil penelitian menunjukkan ada pengaruh terapi CBT yang cukup bermakna terhadap tingkat harga diri baik dari segi kognitif maupun dari segi perilaku pada pasien GGK (p value<0,000) dan peluang untuk meningkatkan harga diri dari segi perilaku dengan pemberian terapi CBT adalah sebesar 43,9 %.Kesimpulan yang didapatkan dari penelitian ini adalah terapi CBT dapat meningkatkan harga diri pasien GGK yang menjalani terapi hemodialisis di unit hemodialisa RS Husada Jakarta.
Kata Kunci : Gagal ginjal kronik, psikososial, depresi, cognitive behavior therapy.
Penerapan program perawatan spiritual untuk menurunkan depresi pada pasien leukimiaNia Rosliany
Dewi Irawaty
Riri Maria
Jurnal Kesehatan HolistikPenerapan program perawatan spiritual untuk menurunkan depresi pada pasien leukimiaAlternative link: http://ejournal.stikesrshusada.ac.id/index.php/jkh/article/view/32
Peran perawat spesialis medikal bedah adalah sebagai caregiver, researcher,dan innovatoryang diterapkan dalam mengelola kasus pasien kanker dengan pendekatan chronic illness trajectory model, penerapan evidence based nursingprogram perawatan spiritual pada pasien leukemia untuk menurunkan depresi, dan melakukan proyek inovasi tentang manajemen edukasi bagi pasien yang menjalani perawatan isolasi radioaktif Iodine 131 di Ruang Isolasi Radio Aktif (RIRA) RSK Dharmais. Konsep trajectorymerupakan salah satu teori keperawatan yang akan membantu memberdayakan pasien dan caregiverkarena memberikan perawatan yang sesuai dengan tahapan atau fase penyakit pasien serta berfokus pada perawatan paliatif. Perawatan paliatif merupakan salah satu area fokus perawat spesialis pada bidang perawatan kanker yang akan membantu meningkatkan kemandirian dan kualitas hidup pasien. Penerapan perawatan program spiritual bersifat non-ivasif, murah, aman, dan secara tehnis praktis dalam mengelola status depresi pasien. Edukasi dapat memperbaiki pemahaman pasien tentang radioterapi dan efek sampingnya sehingga dapat meningkatkan kualitas mutu pelayanan keperawatan.
Keywords: chronic illness trajectory model, program perawatan spiritual, edukasi
Penerapan symbolic modelling melalui pendekatan asuhan keperawatan keluarga dalam menurunkan kejadian cedera pada anak usia sekolahRessa Andriyani Utami
Agus Setiawan
Poppy Fitriyani
Jurnal Kesehatan HolistikPenerapan symbolic modelling melalui pendekatan asuhan keperawatan keluarga dalam menurunkan kejadian cedera pada anak usia sekolahAlternative link: http://ejournal.stikesrshusada.ac.id/index.php/jkh/article/view/23
Cedera menjadi ancaman kesehatan dunia karena 7% kematian diakibatkan oleh cedera.Hasil riset kesehatan dasar (2013) menunjukkan bahwa kejadian cedera yang terjadi di rumah sebanyak 36,5%. Faktor perilaku yang meliputi pengetahuan, sikap dan keterampilan keluarga terkait pencegahan cedera berpengaruh terhadap kejadian cedera pada anak usia sekolah. Strategi pencegahan cedera yang dilakukan adalah dengan Model Simbol menggunakan video animasi melibatkan keluarga. Penelitian ini bertujuan untuk memberikan gambaran penerapan Model Sandi (Simbol Andi) dalam pencegahan cedera pada keluarga. Desain penelitian ini adalah studi kasus. Jumlah sampel penelitian sebanyak 10 keluarga yang diambil melalui tehnik purposive sampling. Penelitian ini dilakukan selama 6 bulan. Hasil penelitian menunjukkan adanya perubahan pengetahuan, sikap dan keterampilan keluarga serta terjadi peningkatan tingkat kemandirian keluarga. Intervensi Model Sandi diharapkan dapat dijadikan salah satu pendekatan intervensi keperawatan keluarga dalam menyelesaikan permasalahan risiko cedera pada anak usia sekolah.
Kata kunci:Model Simbol, intervensi keperawatan keluarga, risiko cedera, anak usia sekolah
Faktor yang berhubungan dengan ruam popok pada bayi baru lahirAnik Rustiyaningsih
Yeni Rustina
Tuti Nuraini
Jurnal Persatuan Perawat Nasional IndonesiaFaktor yang berhubungan dengan ruam popok pada bayi baru lahirTujuan Penelitian: Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kejadian ruam popok pada bayi baru lahir di ruang perinatal sebuah rumah sakit rujukan di Jakarta, Indonesia. Metode: Penelitian ini menggunakan desain cross-sectional dengan metode survey. Sampel (n=95) dipilih menggunakan teknik consecutive sampling. Kejadian ruam popok diobservasi menggunakan instrumen DDSIS (Diaper Dermatitis Severity Index Score). Instrumen dijamin validitas isinya dengan konsultasi ahli. Uji validitas konstruk dengan statistik korelasi Pearson Product Moment. Nilai korelasi antar item tiap sub skala DDSIS yaitu eritema/kemerahan (r=0,767), papula/pustula (r=0,733) dan erosi (r=0,711) lebih besar dari r tabel (r=0,2017). Uji reliabilitas didapatkan nilai Cronbach’s Alpha sebesar 0,77. Nilai Kappa untuk uji inter-rater reliability oleh dua orang observer yaitu 0,95. Analisis multivariat yang digunakan adalah regresi logistik ganda. Hasil: Ada dua faktor yang berhubungan dengan kejadian ruam popok yaitu infeksi mikroorganisme (p-value=0,015; OR=7,6) dan lama hari rawat (p-value=0,012; OR=3,9). Faktor yang paling dominan adalah infeksi mikroorganisme. Diskusi: Bayi baru lahir dengan diagnosis penyakit infeksi dan dirawat delapan hari atau lebih memiliki risiko yang lebih tinggi terhadap kejadian ruam popok. Kesimpulan: Hasil penelitian ini mengindikasikan perlunya evaluasi kembali pelaksanaan Universal Standard Precaution di rumah sakit.
Kata kunci: ruam popok, DDSIS (Diaper Dermatitis Severity Index Score), bayi baru lahir, rumah sakit, faktor risiko
Hubungan peer dan parent attachment dengan gangguan perilaku makan pada remaja SMAMaria Yuliana
Mustikasari
Jurnal Persatuan Perawat Nasional IndonesiaHubungan peer dan parent attachment dengan gangguan perilaku makan pada remaja SMARemaja mengalami pertumbuhan dan perkembangan fisik serta psikologis yang pesat. Hal ini membuat remaja rentan mengalami masalah kesehatan, salah satunya gangguan perilaku makan. Salah satu faktor yang memengaruhi yaitu peer attachment dan parent attachment. Tujuan penelitian: untuk mengetahui adanya hubungan peer dan parent attachment dengan gangguan perilaku makan pada remaja SMA. Metode: Penelitian menggunakan desain cross sectional kepada 65 responden yang diambil berdasarkan purposive sampling. Kriteria responden penelitian yaitu remaja usia 15-17 tahun dan mengalami gangguan perilaku makan. Gangguan perilaku makan diidentifikasi menggunakan alat ukur The Eating Attitudes Test-26 (EAT-26), sedangkan attachment diukur dengan The Inventory of Peer and Parent Attachment (IPPA) yang valid dan reliabel. Penelitian ini telah dinyatakan lolos kaji etik oleh Komite Etik Penelitian Fakultas Ilmu Keperawatan Universitas Indonesia. Hasil: penelitian menunjukkan ada hubungan peer attachment dengan gangguan perilaku makan (p=0,000; r=0,459), dan ada hubungan parent attachment dengan gangguan perilaku makan (p=0,020; r=0,288). Kesimpulan: Rekomendasi adalah sekolah dapat memaksimalkan upaya membangun perilaku hidup sehat dengan mengadakan penyuluhan secara berkala berkaitan dengan berat badan ideal, perilaku makan yang baik, dan gizi seimbang
Kata Kunci: gangguan perilaku makan, parent attachment, peer attachment, remaja
Usability and satisfaction of using electronic nursing documentation, lesson-learned from new system implementation at a hospital in IndonesiaRr. Tutik Sri Hariyati
Achir Yani S. Hamid
Tris Eryando
Zainal A. Hasibuan
International Journal of Healthcare ManagemenrUsability and satisfaction of using electronic nursing documentation, lesson-learned from new system implementation at a hospital in IndonesiaElectronic health records are expected to improve the quality of care provided to hospitalized patients. Electronic documentation implementation is a course of action that requires much time and attention. The study aimed to explore and describe the usability and satisfaction of using electronic documentation. Quantitative and descriptive qualitative research methods were done through focus group interviews involving eight nurses and a questionnaire survey to 219 nurses. Satisfaction before and after the implementation of the system was compared using thematic analysis and paired t-test. The system was developed with NANDA, NIC and NOC language and named as "SIMPRO". The results yielded themes on perception about usability, positive and negative responses, barriers to and expectations for successful implementation. SIMPRO was found to increase the nurse satisfaction and usability (p = 0.001). Training on the motives for change might strengthen the nurse's motivation and facilitate the transition to a new system. The study findings implied that electronic nursing documentation was an effective way to improve nursing documentation. In addition, support from the leader and organization might affect the effectiveness of the system implementation
KEYWORDS: Satisfaction, usability, electronic documentation, nursing
The effects of the application of SIMPRO on the completeness and time efficiency of nursing documentation in the outpatient instalation at Dompet Dhuafa Hospital ParungM. Dwisatyadini
Rr. Tutik Sri Hariyati
Efy Afifah
IOP Conference Series: Materials Science and EngineeringThe effects of the application of SIMPRO on the completeness and time efficiency of nursing documentation in the outpatient instalation at Dompet Dhuafa Hospital ParungNursing documentation is clinical information that has a vital role in nursing services. The nursing process includes assessment, diagnosis, intervention, implementation, and evaluation. The purpose of this study was to determine the effects of the application of SIMPRO on the completeness and the efficiency of nursing documentation in the outpatient installation at Dompet Dhuafa Hospital Parung. This study used quantitative method with pre experimental (pre and posttest without control group) design. The mean of the documentation completeness marks before the application of SIMPRO was 1.87 (SD 0.922), and after SIMPRO was applied increased to 3.61 (0.588). This increase indicated an improvement of the nursing documentation completeness after the implementation of SIMPRO. The mean of time needed by nurses in documenting the nursing care before the application of SIMPRO was 476.13 seconds (SD 78.896). The mean of documenting time decreased more than a half after the application of SIMPRO which was 202.52 seconds (SD 196.723). SIMPRO made a nurse easier to take a decision analysis and decision support system to nursing care plan and documentation.
Optimization of team method as efficiency strategy of nurses's workload: Mini project at military hospital in JakartaHany Wihardja
Rr. Tutik Sri Hariyati
Desnita Fitri
International Journal of Medicine and Pharmaceutical Science (IJMPS)Optimization of team method as efficiency strategy of nurses's workload: Mini project at military hospital in JakartaNursing workforce and workload greatly affect the model of delivery of nursing care. The aim of this paper is to identify the process of optimizing team methods at Military Hospital in Jakarta conducted during the residency program. Project activity begins with situation analysis using Strength-Weakness-Opportunity-Threats (SWOT) analysis, problem identification through fish-bone analysis, problem priority setting, action plans making, implementation, and evaluation. The initial assessment sample involved 62 randomly selected sample nurses in 11 wards. The sample on implementation involves 21 team leader nurses at Jakarta Military Hospital. The problem that arises from the initial assessment is the implementation of team method, especially about the imbalance division of tasks between each nurse. The evaluation shows that 100% of the team leaders have good knowledge in making daily plans and team personnel division, but the implementation cannot be maximized. The recommendation is to strengthen the regulation of team method and increase the number of professional nurses to become a team leader at Jakarta Military Hospital.
Exploring the potential of civic engagement to strengthen mental health systems in Indonesia (IGNITE): a study protocolHelen Brooks
Karen James
Irmansyah
Budi Anna Keliat
Bagus Utomo
Diana Rose
Erminia Colucci
Karina Lovell
International Journal of Mental Health SystemsExploring the potential of civic engagement to strengthen mental health systems in Indonesia (IGNITE): a study protocolBackground
Indonesia has the highest rate of years of life lost to disability or early death from Schizophrenia than any other country in the world. More than 90% of people with mental illness do not get any treatment and tens of thousands of people with psychosis are illegally detained (‘pasung’) in the family home. Civic engagement, a core part of the recent World Health Organisation global strategy, has the potential to address some of these challenges through the development of person-centered models of care. The aim of the study is to develop a testable systems level, culturally appropriate, civic engagement framework for use in Jakarta and Bogor, Indonesia to strengthen local mental health services.
Methods
A mixed methods study underpinned by a realist approach will be undertaken across four phases in two study sites in Indonesia (Jakarta and Bogor). Phase 1 will explore the use of civic engagement across South East Asia by conducting a systematic review of existing evidence. By surveying 300 mental health professionals, phase 2 will identify the stakeholders, the sources of collaboration and the evidence used by professionals in decision making within local mental health systems and identify potential opportunities for civic engagement within the system. In order to explore the potential use of civic engagement within Indonesian mental health services and identify priorities for a culturally appropriate framework, phase 3 will undertake two focus groups with participants with experience of psychosis or caring for someone with psychosis (n = 20–30). Professionals and other key decision makers in a range of roles across the system at a national (n = 5) and local level (n = 10–15/site) will also take part in semi-structured interviews. Phase 4 will co-produce a civic engagement framework for use in Indonesia by synthesising evidence from phases 1–3 collaboratively with key stakeholders.
Discussion
Civic engagement is a potential way in which health services in low and middle income countries can address the burden of mental health conditions through the development of person-centred models of care. However, such approaches are underexplored in Indonesia. This study will work with local stakeholders to design a testable civic engagement framework for use in mental health services in Indonesia.
Nursing student's experience in caring children with disability: A qualitative studyErna Erawati
Budi Anna Keliat
International Journal of Indonesian Education and Teaching (IJIET)Nursing student's experience in caring children with disability: A qualitative studyCaring children with intellectual disability remains a challenge for nursing students due to unprepared feeling and lack of experience. Therefore it is important for the nursing students to increase their self-awareness in caring children with intellectual disability through their clinical placement. The aims of this study are to explore the experience of the nursing students caring children with intellectual disability. A qualitative approach using a phenomenological was applied to explore the experience of the nursing students in caring children with intellectual disability. One time semi-structured interviewed were conducted. Data were collected through personal interviews about their experience and the transcripts of these interviews were subjected categorically. Data analysis identified the emerging themes as changing perception, communication challenges, and life value in caring children with intellectual disability. Findings suggest strategies to promote competencies of the nursing students in caring children with intellectual disability.
Keywords: intellectual disability, nursing students, qualitative research
Penerapan terapi kelompok terapeutik kanak-kanak dan psikoedukasi keluarga pada anak dan orang tua terhadap perkembangan otonomi anakDeasti Nurmaguphita
Budi Anna Keliat
Yossie Susanti Eka Putri
Jurnal Ilmu Keperawatan JiwaPenerapan terapi kelompok terapeutik kanak-kanak dan psikoedukasi keluarga pada anak dan orang tua terhadap perkembangan otonomi anakPromosi kesehatan untuk anak-anak dalam masyarakat masih berfokus pada fisik, sementara stimulasi psikososial pada anak-anak masih belum maksimal. Tujuan penulisan ilmiah ini adalah untuk melaporkan hasil terapi kelompok terapeutik dan psikedukasi keluarga, otonomi dan kemampuan orangtua terhadap stimulasi anak. Studi kasus ini menggunakan Teori Promosi Kesehatan dan Adaptasi Model Stuart. Jumlah anak-anak dan orang tua yang menerima terapi ini ada 20 orang, sementara 15 dari mereka menerima psikedukasi Keluarga. Hasil terapi kelompok terapeutik menunjukkan peningkatan perkembangan anak otonom dan kemampuan orang tua untuk merangsang anak toddler mereka. Selanjutnya 15 orang tua yang menerima psikedukasi keluarga telah meningkatkan kemampuan mereka untuk merangsang anak-anak mereka, dan otonomi anak-anak mereka lebih tinggi.
Kata Kunci: Autonomi, kanak-kanak, terapi kelompok terapeutik toddler, psikedukasi keluarga
Pengaruh aplikasi tindakan keperawatan generalis: Ansietas pada pasien penyakit ginjal kronikEneng Elisnawati
Ice Yulia Wardani
Jurnal Ilmu Keperawatan JiwaPengaruh aplikasi tindakan keperawatan generalis: Ansietas pada pasien penyakit ginjal kronikPola hidup yang tidak sehat merupakan salah satu penyebab terjadinya penyakit ginjal kronik. Masyarakat perkotaan sangat rentan memiliki pola hidup tidak sehat, yang pada akhirnya dapat menyebabkan penyakit ginjal kronik. Penyakit ginjal kronik merupakan suatu keadaan dimana ginjal mengalami kerusakan yang bersifat permanen yang akan berdampak pada penurunan fungsi dari ginjal. Perubahan fisik yang terjadi pada penderita penyakit ginjal kronik terkait dengan tanda dan gejala dari keparahan penyakit yang dialami tentu akan berpengaruh pada kondisi psikososial pasien. Masalah psikososial yang muncul pada penderita penyakit ginjal kronik yang dirawat di Rumah Sakit adalah Ansietas. Karya Ilmiah Akhir ners ini bertujuan untuk menggambarkan asuhan keperawatan anisetas pada pasien yang mengalami penyakit ginjal kronik khusunya dengan teknik relaksasi. Pasien yang mampu mengatasi rasa cemasnya akan dapat meningkatkan keefektifan dari pengobatan fisik yang sedang dijalani. Sehingga, diperlukannya peran perawat dalam memberikan asuhan keperawatan psikososial agar masalah ansietas tidak menimbulkan dampak yang merugikan bagi klien.
Kata Kunci: Ansietas, Penyakit Ginjal Kronik, teknik relaksasi
Social and Spiritual Support as Correlated Determinants of Elderly Happiness in Nursing HomeRandy Refnandes
Achir Yani S. Hamid
Heppy Sasmita
The International Journal of Nursing Education, Practice and Research Social and Spiritual Support as Correlated Determinants of Elderly Happiness in Nursing HomeBackground: Some of the elderly appeared to live happily, but not a few of them experienced the opposite. Old age lived with a sequential of unhappiness lead to any discomfort due to the decline in physical function. It affected the elderly unable to carry out primary and daily activities. Purpose: The aimed of this research is to perceive the correlation social and spiritual support with the happiness of elderly in Sabai Nan Aluih Sicincin nursing home. Method: The study used descriptive correlation with cross sectional study design. The study was conducted at Tresna Werdha Sabai Nan Aluih nursing home Sicincin from 15 June to 11 July 2015. The population was 110 people with the sample of 82 respondents according required criteria. Results: The results showed the average of social support of elderly in Sabai Nan Aluih nursing home 21.23, SD=3,548. The spiritual support mean score 47.83, SD= 4,427. The mean score of happiness 63,01 with SD= 4,804. Bivariate analysis used Pearson Product Moment Correlation test, it was found that the correlation between social support and the happiness of the elderly, (p = 0,001), the spiritual correlation and the happiness of elderly (p = 0,000). Conclusion: Therefore, it is expected that the nursing home should be more concerned about the spiritual health of the respondents, by providing media such as television to watch spiritual specific TV program activities after the dawn prayer for the positive outcome expected
Akupresur efektif meningkatkan nilai ankle brachial index pada diabetisiDefrima Oka Surya
Etty Rekawati
Widyatuti
Jurnal Endurance Kajian Ilmiah Problema KesehatanAkupresur efektif meningkatkan nilai ankle brachial index pada diabetisialternative link: https://www.researchgate.net/publication/326125676_AKUPRESUR_EFEKTIF_MENINGKATKAN_NILAI_ANKLE_BRACHIAL_INDEX_PADA_DIABETISI
Penyakit vaskuler perifer merupakan komplikasi Diabetes Melitus (DM) yang menyebabkan perubahan pada dinding pembuluh darah. Perubahan pada dinding pembuluh darah menyebabkan penurunan aliran darah (perfusi) ke ekstremitas bawah yang ditandai dengan penurunan ankle brachial index (ABI). Penurunan nilai ABI adalah komplikasi yang sering terjadi pada Diabetisi. Terapi akupresur bermanfaat dalam menstimulasi aliran energi dalam tubuh sehingga memperbaiki aliran sirkulasi tubuh. Penelitian ini bertujuan untuk mengetahui pengaruh akupresur terhadap ABI Diabetisi. Desain penelitian ini adalah quasi eksperimen dengan pendekatan pre-post test design pada 64 responden. Kelompok intervensi diberikan terapi akupresur selama 7 sesi, 2 hari sekali selama 10 menit. Akupresur dilakukan pada titik akupunktur LR3, K13, SP6, SP10 dan ST36. Hasil analisis menunjukkan terdapat perbedaan nilai ABI yang signifikan antara sebelum dan sesudah diberikan terapi akupresur (p= 0,001). Disimpulkan bahwa akupresur efektif meningkatkan nilai ABI pada diabetisi. Akupresur dapat dijadikan salah satu alternatif terapi yang dapat diterapkan perawat di masyarakat untuk mencegah terjadinya komplikasi lanjut pada Diabetisi sebagai kelompok rentan.
Kata kunci: Diabetisi, ABI, akupresur
Kemampuan remaja menggunakan strategi koping dalam lingkungan yang berisiko terhadap perilaku seksual pranikahSinthia Rosanti Maelissa
Agus Setiawan
Widyatuti
Global Health ScienceKemampuan remaja menggunakan strategi koping dalam lingkungan yang berisiko terhadap perilaku seksual pranikahLingkungan remaja saat ini semakin menawarkan banyak pilihan. Gaya berpacaran yang membuka peluang untuk terjadinya perilaku seksual pranikah dikalangan remaja seakan menjadi tawaran yang menarik terlebih untuk remaja yang tinggal di kost. Tinggal di kost tanpa pengawasan langsung dari orang tua dan pemilik kost membuat remaja bebas melakukan perilaku seksual pranikah dengan pacar di kost, sehingga menjadikan kost-kostan sebagai lingkungan yang berisiko bagi remaja lainnya. Remaja yang memilih untuk tidak terpengaruh memiliki strategi koping untuk tetap bertahan dalam lingkungan yang berisiko tersebut. Penelitian ini bertujuan untuk menguraikan secara mendalam tentang strategi koping yang digunakan remaja ketika tinggal dalam lingkungan berisiko. Hasil penelitian yang didapatkan yaitu lingkungan tempat tinggal remaja berisiko terjadi perilaku seksual pranikah dikarenakan tinggal di kost tanpa pengawasan, aturan kost tidak terkontrol dan sikap masyarakat yang kurang peduli namun remaja mampu menggunakan strategi koping dengan membuat batasan pacaran, memiliki prinsip, menolak ajakan teman dan melakukan kegiatan diwaktu luang. Kemampuan partisipan menggunakan strategi koping didukung oleh keluarga yang selalu melakukan pengontrolan, memberi nasehat dan menekankan pada aturan yang menjadi norma bagi partisipan. Hasil penelitian merekomendasikan perawat komunitas dapat meningkatkan koping remaja melalui program-program kesehatan remaja di masyarakat, salah satunya layanan UKS di sekolah dan PKPR untuk remaja yang tinggal di kost.
Kata kunci: Remaja, Strategi koping, Perilaku seksual pranikah
Peningkatan kemampuan dan penuruanan tekanan darah pada agregate dewasa hipertensi sesudah mengikuti intervensi modifikasi perilaku dengan hypnocaring (moluca) di Curug, Cimanggis, DepokIndrayanti
Junaiti Sahar
Henny Permatasari
Jurnal KesehatanPeningkatan kemampuan dan penuruanan tekanan darah pada agregate dewasa hipertensi sesudah mengikuti intervensi modifikasi perilaku dengan hypnocaring (moluca) di Curug, Cimanggis, DepokLatar Belakang: Hipertensi merupakan masalah penyakit tidak menular yang terus meningkat dari tahun ketahun. Gaya hidup yang tidak sehat seperti aktivitas yang kurang, obesitas, dan komsumsi tinggi lemak dan garam menjadi faktor risiko penyebab utama hipertensi, diperlukan intervensi untuk meningkatkan kesadaran sehingga perawatan hipertensi dapat dipertahankan agar tekanan darah dapat terkontrol. Tujuan: Studi ini bertujuan untuk mengetahui perubahan kemampuan dan penurunan tekanan darah sesudah intervensi Moluca pada agregate dewasa hipertensi. Metode: Desain studi ini menggunakan evidence base practice, pengumpulan data dilakukan dengan purposive sampling dan diperoleh sampel sebesar 58 orang responden. Intervensi Moluca diberikan selama 8 sesi, dan 1 sesi dalam 1 minggu. Hasil: Hasil intervensi Moluca terdapat penurunan rerata tekanan darah sistolik 21,16 mmHg dan diastolik 12,63 mmHg. Kesimpulan: Kesimpulan intervensi Moluca efektif menurunkan tekanan darah dengan nilap p value: 0,001. Saran: Perawat komunitas perlu meningkatkan pengetahuan dan keterampilan untuk mengembangkan diri dengan mengikuti berbagai pelatihan untuk pengendalian hipertensi di masyarakat seperti intervensi keperawatan komunitas Moluca untuk meningkatkan pengendalian tekanan darah pada agregate dewasa hipertensi.
Kata kunci: Hipertensi – Moluca.
Responsive feeding-play (Resfeed-play) intervention on children aged 6-24 months with malnutritionDwi Cahya Rahmadiyah
Agus Setiawan
Poppy Fitriyani
Jurnal NersResponsive feeding-play (Resfeed-play) intervention on children aged 6-24 months with malnutritionIntroduction: Toddlers are at risk to health problems, one of which is malnutrition. One of the important determinants to toddlers’ growth is nutrition. Giving solid foods to toddlers can be done by active/responsive feeding combined with the method that best suits the stage of playing toddlers. This paper aimed to provide an overview of the intervention of Resfeed-Play as a form of community nursing intervention on 32 children aged 6-24 months with malnutrition. Implementation of the intervention Resfeed-Play was performed in families and in society in nutrition support activities.
Methods: The method was quasi-experimental with one group pre-post-test design. The inclusion sample criterion was family with toddlers who suffered from malnutrition.
Results: The results of evaluation of Resfeed-Play shows an increase in knowledge (24.2%), attitude and skills by 30.3% and 42.4%, respectively. After intervention of six months, the mean weight gain for toddler was 0.95Kg. Based on paired sample t-test, the weight gain is significant with a P value of 0.001 (P <0.05). Resfeed-Play intervention can increase body weight in toddlers and can address the problems of malnutrition in children under five.
Conclusion: Based on the results of this study, Resfeed-Play intervention is recommended to increase community empowerment through positive activities such as post-activity nutrition in order to prevent and mitigate the problem of malnutrition in toddlers.
KEYWORDS
resfeed-Play; community nursing intervention; children aged 6-24 months; complementary feeding; growth
Efektifitas pelaksanaan intervensi early self management interventions (Es-Mager) terhadap pencegahan komplikasi kaki diabetik pada agregat dewasa di Kota DepokDefrima Oka Surya
Agus Setiawan
Poppy Fitriyani
Menara IlmuEfektifitas pelaksanaan intervensi early self management interventions (Es-Mager) terhadap pencegahan komplikasi kaki diabetik pada agregat dewasa di Kota DepokPencegahan komplikasi kaki diabetik dapat dilakukan dengan perawatan kaki secara komprehensif. Asuhan keperawatan komunitas dapat menggunakan usaha promotif-preventif tanpa mengabaikan kuratif dalam mencegah terjadinya komplikasi kaki pada diabetisi.Salah satu upaya yang dapat dilakukan perawat komunitas untuk mencegah terjadinya komplikasi kaki pada diabetisi adalah dengan melakukan kegiatan preventif melalui early self management interventions (Es-Mager) Studi ini bertujuan mengetahui penurunan resiko komplikasi kaki pada diabetisi melalui intervensi Es-Mager di Curug Cimanggis Depok. Desain studi ini menggunakan kuasi eksperimen tanpa kelompok pembanding, pengumpulan data dilakukan dengan total sampling dengan jumlah sampel sebesar 42 orang diabetisi agregat dewasa. Intervensi Es-Magerdiberikan dari bulan Oktober 2016 sampai dengan April 2017. Hasil pelaksanaan intervensi ini menunjukkan terdapat penurunan resiko komplikasi kaki diabetik. Intervensi Es-Mager dapat menjadi rujukan dan acuan intervensi sebagai upaya promotif dan preventif bagi perawat komunitas untuk mencegah komplikasi kaki diabetik.
Kata kunci: Es-Mager, komplikasi kaki diabetik, perawat komunitas
Self-Management Counseling and Physical Health Status among Patients with Pulmonary TB in Bogor, IndonesiaMuhamad Jauhar
Astuti Yuni Nursasi
Wiwin Wiarsih
Nurse Media Journal of NursingSelf-Management Counseling and Physical Health Status among Patients with Pulmonary TB in Bogor, IndonesiaBackground: Patients with pulmonary TB experience physical, psychological, social, and spiritual changes, affecting their physical health status. Self-management counseling is an intervention which enhances the physical health status of patients with pulmonary TB.
Purpose: This study aimed to identify the effects of self-management counseling on physical health status in patients with pulmonary TB.
Methods: This study used a pre and post-test quasi-experimental design with a control group and took place in a hospital in Bogor. The total respondents were 60 patients who were assigned into two groups and recruited using purposive sampling. The counseling was given for four sessions in two weeks for about 60-90 minutes each session. The data were collected using the functional assessment of chronic illness therapy-tuberculosis (FACIT-TB) and analyzed using paired t-test and independent t-test.
Results: The result showed that the physical health status in the intervention group increased significantly (MD=8.0, p=0.000) compared to the control group. However, there was no influence of self-management counseling on the improvement of physical health status (MD=3.24, p=0.314).
Conclusion: Self-management counseling did not significantly increase the physical health status of pulmonary TB patients. More rigorous studies are needed to investigate the effect of self-management counseling delivered at early treatment on the improvement of physical health status. It is expected that patients can manage their TB symptoms and able to improve their physical health status.
Keywords: Outpatients; physical health status; pulmonary TB; self-management
Internet-based treatment of depression in IndonesiaYodi ChristianiThe Lancet PsychiatryInternet-based treatment of depression in IndonesiaGuided Act and Feel Indonesia (GAF-ID) has potential to help to bridge the mental health gap in Indonesia, particularly among highly educated young adults, who have high internet literacy and awareness of mental health. Incorporation of the treatment into primary mental health services could help to increase access to the treatment for the population in need. Furthermore, initial face-to-face diagnosis—and assessment of remission—by mental health professionals could address the potential problems of online diagnosis of depressive disorder. Thereafter, as suggested in the study, lay counsellors could guide treatment and support adherence. In terms of the health system, GAF-ID could help to improve early detection of depression at a primary level, thereby reducing workloads at a secondary level. Data obtained from the application could also serve as a basis for development of mental health promotion and prevention programmes in the community.
Children's HIV status and the acceptance stage of grief amongst HIV-Positive womenRizka Ristriyani
Imami Nur Rachmawati
Yati Afiyanti
Makara Journal Health ResearchChildren's HIV status and the acceptance stage of grief amongst HIV-Positive womenBackground: Women living with HIV (WLWH) commonly grieve but may pass through the grieving process until reaching the acceptance stage. We try to identify the relationship between children's HIV status and the acceptance stage of grief amongst WLWH. Method: This cross-sectional study utilised consecutive sampling of 235 HIV-positive women in Jakarta, Indonesia. The women were assessed with the Acceptance of Disease and Impairments Questionnaire (ADIQ). Results: Most of the respondents were housewives (65.5%), had been diagnosed over one year previously (74.5%), had an HIV-positive spouse (60.4%), had more than one child (51.5%) but none who were infected (73.6%) and assumed that their HIV status was caused by their spouse (50.2%). The respondents' median score of acceptance of their HIV status was relatively high (3 on a 1-4 scale). This showed a significant negative correlation between children's HIV status and the acceptance stage amongst HIV-positive women (p = 0.01). Conclusion: Mother-to-child HIV transmission may disrupt the mother's acceptance stage because of feelings of guilt and difficulty disclosing their status. Because the children's HIV status was correlated with the mother's acceptance stage, WLWH must comply with the Preventing Mother-to-Child Transmission of HIV (PMTCT) program during the perinatal period.
Keywords
children; HIV; grief; women
Makna menjadi supervisor bagi kepala ruangan di RSUD Ratu Zalecha MartapuraDewi Setya Paramitha
Yati Afiyanti
Yuliani Budiyarti
Jurnal Keperawatan STIKES Suaka InsanMakna menjadi supervisor bagi kepala ruangan di RSUD Ratu Zalecha MartapuraSupervisi di rumah sakit adalah salah satu kunci untuk tetap mempertahankan kualitas asuhan keperawatan. Kompetensi kepala ruangan dalam melaksaksanakan perannya sebagai supervisor di ruang rawat harus menitik beratkan pada pengembangan sikap professional, keterampilan klinis serta peningkatan karir staf. Oleh karena itu penelitian ini berusaha untuk mengungkap makna pengalaman yang dirasakan kepala ruangan saat berperan menjadi supervisor di ruang rawat. Studi ini menggunakan metode kualitatif fenomenologi melalui wawancara mendalam pada enam orang kepala ruangan di RSUD Ratu Zalecha Martapura. Hasil penelitian ini menunjukkan bahwa menjadi seorang supervisor bagi kepala ruangan juga berarti sebagai pengarah dalam mengembangkan pengetahuan perawat, sebagai bagian tugas dan kewajiban dalam pekerjaan dan sebagai bagian pencapaian aktualiasasi diri. Supervisor memainkan peran penting untuk mendukung pemberian asuhan keperawatan yang berkualitas. Hasil penelitian ini diharapkan agar kepala ruangan selalu berupaya menjadi role model bagi perawat pelaksana, meningkatkan pengetahuan tentang supervisi dan manajemen kepemimpinan secara berkesinambungan.
Kata Kunci: Kepala ruangan, makna, supervisor
Combination of Mother Therapeutic Touch (MTT) and Maternal Voice Stimulus (MVS) therapies stabilize sleep and physiological function in preterm infants receiving minor invasive proceduresDefi Efendi
Nining Caswini
Yeni Rustina
R. Adi Teguh Perma Iskandar
Journal of Neonatal NursingCombination of Mother Therapeutic Touch (MTT) and Maternal Voice Stimulus (MVS) therapies stabilize sleep and physiological function in preterm infants receiving minor invasive proceduresThis study examines the effectiveness of Mother Therapeutic Touch (MTT) and Maternal Voice Stimulus (MVS) therapies for improving the sleep states and physiological function of preterm infants. Eighty-four infants who received minor invasive procedures were randomly allocated into four groups: (A) MTT, (B) MVS, (C) combined MTT + MVS, and (D) routine care. Concurrently, heart rate (HR), respiratory rate (RR), and oxygen saturation were measured using the multiple regression model of the generalized estimating equation (GEE) method. The MTT group showed the most stable sleep states, although this finding was not statistically significant (p = 0.202), followed by the combined intervention group (p = 0.018). The combined intervention group had the most stable states for HR (p = 0.085), RR (p = 0.509), and oxygen saturation (p = 0.700). The combination of MTT + MVS maintained sleep and stability of physiological functions in preterm infants who received invasive procedures. Nurses should implement a combination of MTT + MVS whenever possible to improve sleep quality and stability of physiological functions in preterm infants.
Keywords
Premature, Infants, Mother therapeutic touch, Maternal voice timulus, Infant sleep, Physiological function
Sleep Positioning in Low Birth Weight Infants to Reduce Enteral Feeding IntoleranceDyah Dwi Astuti
Yeni Rustina
Fajar Tri Waluyanti
Nurscope: Jurnal Penelitian dan Pemikiran Ilmiah KeperawatanSleep Positioning in Low Birth Weight Infants to Reduce Enteral Feeding IntoleranceIntroduction: Enteral feeding intolerance is a common problem in low birth weight infants. This study aimed to analyze the effects of sleep positioning on low birth weight infants on the occurrence of enteral feeding intolerance. Methodology: This quasi experiment was applied on 20 low birth weight infants with a purposive sampling technique. The infants were grouped into control and intervention. Infants in the control group were given intervention with routine procedures; while those in the intervention group were performed prone sleep positioning after enteral feeding with the head of the bed elevated 30 degrees during the enteral feeding. Results: Independent t-test and Fisher’s Exact Test analysis showed that sleep positioning could decrease desaturation event (p value = 0.011), abdominal distension (p value = 0.017), and frequency of vomiting (p value = 0.035). Discussion: Nurses can make sleep positioning as standard operating procedures in low birth weight infants who have enteral feeding intolerance
Keywords
low birth weight, enteral feeding intolerance, sleep positioning
Arbi Care as an Educational Game to Improve Knowledge in Diarrhea Prevention among PreschoolersArbianingsih
Nur Hidayah
Huriati
A. Adriana Amal
Yeni Rustina
Tri Krianto
Dian Ayubi
Journal of Physics: Conference SeriesArbi Care as an Educational Game to Improve Knowledge in Diarrhea Prevention among PreschoolersDiarrhea is still the second highest cause of the death in children under five in the world. Innovation programs continue to be sought to reduce the number of child death due to diarrhea and help diarrhea prevention in Indonesia. This study aimed to examine the effectiveness of educational games called as Arbi Care on diarrhea prevention towards the knowledge of healthy behavior among preschoolers. This study used pre-post test control group design involving 120 participants whom fit the inclusion criteria. Participants were randomly divided into a control group of 60 participants and the intervention group consists of 60 participants. Data were analyzed using one-way MANOVA test. The results showed there were significant mean differences in knowledge of healthy behavior to prevent diarrhea between control group and intervention group. There was also a different increased inclination of mean score which is intervention group score higher than control group. Arbi Care is effective in improving the knowledge of healthy behavior to prevent diarrhea among preschoolers. Thus, Arbi Care is recommended to be the model to help prevent diarrhea in children using educational game.
Reliability and validity of the family satisfaction instrument in families of children with pneumoniaNani NurhaeniEnfermería ClínicaReliability and validity of the family satisfaction instrument in families of children with pneumoniaObjective
Family satisfaction has become an integral part of quality of care in hospitals. Thus, it is crucial to develop instruments that measure family satisfaction. The purpose of this study was to examine the validity and reliability of a family satisfaction questionnaire.
Method
This study used a survey questionnaire consisting of 26 items that identified nurses' constructs of behaviors and communication. The population surveyed were families whose children were hospitalized due to pneumonia.
Results
The results revealed that only 16 items of the instrument demonstrated evidence of acceptable constructs of reliability and validity. The study recommends further studies that add other potential constructs related to family satisfaction.
Keywords
Family satisfaction, Instrument, Reliable, Valid
Nurses challenging to terminate irrelevant treatment prior to end of life patientKrisna YettiEnfermería ClínicaNurses challenging to terminate irrelevant treatment prior to end of life patientObservations were done since 2008 in hospital, community concluded that end of life patients, and families did not understand how to respond to advance treatment. Besides, there were no similar standard of procedure applied into patients. There were some doctors told the families about patients' conditions and some did not. Moreover, some families understood that patients' condition could not be cured, but in dying process, the physicians suggested to be treated in an intensive care unit. In this situation, the families did not have any choice instead of to follow the physician suggestion. Indonesian's health care system that embrace doctor's domination over decision-making on patient treatment exists, although nurse has their own skills, function and knowledge that need to be incorporated in the treatment plan. On the other hand, nurses do not have initiatives to challenge this system in health care structure. This study refers to a Philosophical Carol Gilligan Theory, and Bakker & Zubair Qualitative Method of Philosophical Research. The results were divided into 2 groups: firstly were the nurses who were mostly women had their limitation to raise up their profession, and secondly, the basic nurses education was insufficient to encounter the doctors.
Keywords
Terminal illnessEnd of lifeDying processAdvance treatment
Chronic Heart Failure Patients' Perceptions on their Palliative Care NeedsPrima Agustia NovaEnfermería ClínicaChronic Heart Failure Patients' Perceptions on their Palliative Care NeedsObjective
The aim of this study was to investigate the perceptions of patients with chronic heart failure regarding palliative care needs.
Method
The study used a qualitative design. Five patients with chronic heart failure (New York Heart Association functional classes III or IV) were interviewed in inpatient unit at the main referral government hospital in Indonesia. Data was analyzed using content analysis.
Results
Patients reported dyspnea and fatigue as the most common signs and symptoms of chronic heart failure. Psychologically, patients experience fear and believe that the disease is the most serious illness. Declining body functions and quality of life are the reasons chronic heart failure patients need palliative care. Professional treatment, end-of-life care, information, support, and motivation are identified as the needs of patients in palliative care.
Conclusions
The findings provide valuable information for health care professionals about the needs of patients with chronic heart failure in relation to palliative care.
Keywords
Chronic heart failurePalliative care
The experience of people with mental disorders in social function adaptation after suffering from pasungRasmawati
Novy HC Daulima
Ice Yulia Wardani
Enfermería ClínicaThe experience of people with mental disorders in social function adaptation after suffering from pasungObjective
Pasung is a physical restraint or confinement of people with mental disorders performed by non-professional members of society. It can cause various effects on people with mental disorders. Pasung can affect the people adaptation to functioning socially in society following the release from pasung. The purpose of this study was to describe the experience of people with mental disorders, post-pasung, in adapting to society
Method
This was a qualitative study, using a descriptive phenomenological approach. Purposive sampling was used to select the participants. Data were obtained though in-depth interviews with seven participants, and the data were analyzed by using Colaizzi's method.
Results
Pasung has a physical and psychosocial impact on people with mental disorders in adapting to society. The results of the study can be summarized by four themes: a) withdrawal from others as an initial manifestation of release from pasung; b) biopsychosocial changes after pasung that act as an impediment to performing a social function; c) improved social function through the optimization of support systems, and d) satisfaction with life as a result of social adaptation.
Conclusions
Increased social support is needed to optimize the social function of people with mental disorders, post-pasung.
Keywords
PasungPhenomenologySocial function
Relationship between maternal knowledge of balanced nutritional guidelines and snack food selection by school-aged children at schoolNikita Dewayani
Sukihananto
Enfermería ClínicaRelationship between maternal knowledge of balanced nutritional guidelines and snack food selection by school-aged children at schoolObjective
Eating behavior of school-aged children was dominated by street foods. The aim of the present study was to examine the relationship between maternal knowledge of balanced nutritional guidelines and snack food selection by school-aged children during school hours. This also aims to describe each demographic data and level of mother's knowledge.
Method
This study conducted a descriptive correlational design. The participants were selected using simple random sampling technique, consisting of 4th and 5th grade elementary school children and their mothers in SDN Tugu 4, Depok City, Indonesia. Demographic data were also taken for each. The instruments used the Food Frequency Questionnaire and questions about the balanced nutritional guidelines. Statistical analysis conducted a univariate (descriptive) and bivariate (relationship) analysis. Bivariate analysis used independent t test and ANOVA test, using (P value < 0.05) to indicate a significant relationship.
Results
A total of 118 elementary students and their mothers participated. The results showed that there was no significant relationship between maternal knowledge of balanced nutritional guidelines and snack food behavior by children during school hours (P = 0.108). Level of knowledge of the mothers on balance nutritional guidelines was dominantly moderate (58.4%).
Conclusions
Parents no longer became a major factor influencing the child's diet. Peers have more influence on the diet of children this age. This study points to the importance of education on healthy and safe snack foods for school-aged children in collaboration with peers, parents, teachers, and food vendors at school.
Keywords
Balance nutritional guidelines, Child food preference, Mother knowledge, School snack preference
Arbi Care: an innovative educational game to increase healthy behavior in diarrhea prevention among preschoolersArbianingsih
Yeni Rustina
Tri Krianto
Dian Ayubi
Enfermería ClínicaArbi Care: an innovative educational game to increase healthy behavior in diarrhea prevention among preschoolersInnovation is needed to improve healthy behaviors of children in order to prevent diarrhea. Education through games is widely recommended as a way to change behavior in children. This study describes the process of developing an educational game to increase healthy behaviors of preschool children. This study used research and development design techniques with four stages, including: define, design, develop, and disseminate. Observation sheets were used to assess the effectiveness of the game in educating children. The process of developing this educational game included several phases: 1) exploration of the characteristics of games favored by children; 2) design of the intervention based on games preferred by children; 3) validation of the game prototype by experts and testing of the game by preschool children, and 4) revision of the game in order to obtain a game focused on diarrhea prevention that can be used as a behavioral health intervention. Results showed that in testing of the game by ten preschool were able to play and understand the message of the game 92% of the time. The results showed that the Arbi Care game can be used as a learning device to increase healthy behavior in preschool children.
Keywords
Arbi Care, Diarrhea, Educational game, Healthy behavior, Preschool
Effectiveness of Psychological Adaptation Model of Mental Health Nursing for nurse survivors experiencing post-earthquake disaster post-traumatic stress syndromeMustikasari
Anggi Pratiwi
Achir Yani S. Hamid
Harif Fadhillah
Enfermería ClínicaEffectiveness of Psychological Adaptation Model of Mental Health Nursing for nurse survivors experiencing post-earthquake disaster post-traumatic stress syndromeObjective
The study to assess the effectiveness of psychological adaptation model of mental health nursing for nurse survivors experiencing post-earthquake post-traumatic stress syndrome (PTSS).
Method
This study used a quasi-experimental pre- post-test without control group method. Respondents amounted to 42 people who have been screened for PTSS. Research took place in a district in West Java. Research instrument consisted of: 1) questionnaire for respondent's characteristics and the skills of nurses, and 2) psychological adaptation model of mental health nursing intervention in the form of modules. Data collected was analyzed using bivariate analysis namely the t test dependent.
Results
Nurse survivors experienced increased ability in areas including analysis of self-awareness, communication or interaction, coping mechanisms, and intrinsic motivation after undertaking the PTSS intervention. Women were more likely to experience PTSS than men.
Conclusions
The model can be used for nursing theory development, and as disaster management algorithms. The model is useful for training programs, in the form of certification of nurse expertise, and improve the ability of nurses to help themselves and others.
Keywords
Analysis of self-awareness, CommunicationCoping mechanisms Intrinsic motivation Psychological adaptation model
The experience of restraint-use among patients with violent behaviors in mental health hospitalMariyati
Achir Yani S. Hamid
Novy HC Daulima
Enfermería ClínicaThe experience of restraint-use among patients with violent behaviors in mental health hospitalObjective
Patients with violent behavior can harm themselves, others and environment. It can be an indicator for mental health hospital admission. Violent behaviors can be characterized by verbal and physical attacks demonstrated by the individuals intensively. Management of violent behaviors in hospital often uses restraint, but it has physical and psychological effects. This study aimed to explore experience of restraint use among patients with violent behaviors in mental health hospital.
Method
To gain deep understanding related to the patients' experiences, this study used a qualitative design with a phenomenological approach. Purposive sampling was employed to find patients who were restrained during their hospitalization. The number of participants in this study was 8 participants. The data were analyzed with Colaizzi's method.
Results
Patients with violent behavior, specifically with physical restraint during their hospital-ization had negative impacts on patients. The results of this study were described in three themes: 1) aggressive behavior as one of the main reason of restraint; 2) professional healthcare supports during the restraint use, and 3) physical and psychosocial impact of the restraint use.
Conclusions
The impact of restraint is related to human right violations and ethical dilemma. The process of decision-making for employing restraint, especially in relation to violent behavior management, requires a consideration of the rights of the patient. Every individual has the right of self-determination, liberty, security and physical integrity.
Keywords
Violent behavior, Care, Restraint impacts, Phenomenology
The influence of assertiveness training on depression level of high school students in Bengkulu, IndonesiaHetty Fuspita
Herni Susanti
Dewi Eka Putri
Enfermería ClínicaThe influence of assertiveness training on depression level of high school students in Bengkulu, IndonesiaObjective
The research identified the influence of assertiveness training against teenage depression in high scholars in Kepahiang Regency, Bengkulu, Indonesia.
Method
This study used a quasi-experiment approach with pre-test and post-test design and a control group. Eighty students were engaged through simple random sampling.
Results
The study found the frequency of depression in teenagers and considered the effect of assertiveness training. 14.10 teens were counted as depressed before assertiveness training provision, while the post-training average was 7.98 (p = .000). Assertiveness training had a significant effect on the prevalence of depression in the intervention group.
Conclusions
The study recommends schools to cooperate with health services to increase mental health programs such as building peer groups, delivering assertiveness training, and teaching stress management to prevent depression in teenagers.
Keywords
Depression, Assertiveness training, Teenagers
The life during adolescence in the perspective of ex-drug users in IndonesiaYanuar Fahrizal
Achir Yani S. Hamid
Novy HC Daulima
Enfermería ClínicaThe life during adolescence in the perspective of ex-drug users in IndonesiaObjective
Substance misuse tends to be higher among adolescents. This study explored the experience of substance misuse during adolescence.
Method
This qualitative study employed a descriptive phenomenological approach. A purposive sampling was adopted to involve 8 former drug users. Data were analyzed using Collaizi's method.
Results
This study generated the following themes: 1) smoking as an initial exposure to substance use; 2) substance use is aimed to explore self-identity; 3) lack of information and education about substance and drug use in the family and community; 4) the quality of family relationships influencing substance misuse, and 5) stigmas related to substance abuse.
Conclusions
Smoking precedes other substance use among adolescents. To be socially accepted, adolescents tend to take risky decisions. Inadequate knowledge of drugs and poor family relationships can contribute to substance abuse. Nevertheless, inadequate familial or community support to encourage drugs users in rehabilitative programs is also problematic. Moreover, drugs users are often stigmatized and socially isolated even after becoming clean.
Keywords
Substance use, Adolescents, Family relationships, Smoking, Stigmas
Family experience in treating children with chronic renal failure undergoing hemodialysis therapyDian Sari
Allenidekania
Yati Afiyanti
Enfermería ClínicaFamily experience in treating children with chronic renal failure undergoing hemodialysis therapyObjective
Children who enter phase 5 of chronic renal failure need hemodialysis as a therapy. In undergoing hemodialysis, children experience various physical and psychosocial problems. Parents, as caregivers, are required to be at their children's side to overcome these problems. This study aimed to explore the experience of families in caring for children with chronic renal failure undergoing hemodialysis therapy.
Method
This research method used a descriptive phenomenological approach with in-depth interviews of seven participants. Participants were families who had a child with chronic kidney failure undergoing hemodialysis in a top referral hospital in Jakarta for at least one month. Data were analyzed using the Colaizzi technique.
Results
Five themes were identified: a) families' response to child care; b) families' coping strategies; c) the impact of child care for families; d) family support, and e) families' perceptions of changes in children undergoing hemodialysis therapy. These five themes highlighted how hemodialysis for children affected family life.
Conclusions
Family experiences in treating children with chronic renal failure influence their life in economical, physical, psychological, intellectual, and religious ways.
Keywords
Chronic renal failure, Hemodialysis, Family experience
Does open or closed endotracheal suction affect the incidence of ventilator associated pneumonia in the intensive care unit? A systematic reviewDenissa Faradita Aryani
Judith Tanner
Enfermería ClínicaDoes open or closed endotracheal suction affect the incidence of ventilator associated pneumonia in the intensive care unit? A systematic reviewObjective
To compare closed and open endotracheal suction system in relation to ventilator-associated pneumonia in adult intensive care unit patients
Method
Systematic review.
Results
Of the 18 eligible studies identified through the search strategy, only 5 studies were included in the review. The two endotracheal suction systems show no differences in the incidence of ventilator-associated pneumonia (5 trials: odds ratio [OR], 0.92; Mantel-Haenszel [M-H], fixed; 95% confidence interval [95%CI], 0.72-1.18) or mortality rates (3 trials: OR, 0.89; M-H, fixed; 95%CI, 0.62-1.28).
Conclusions
Results from 5 studies showed that suctioning with either closed or open endotra-cheal suction did not have an effect on the incidence of ventilator-associated-pneumonia or mortality rates. Therefore, more rigorous and large-scale research is needed for further evaluation.
Keywords
Ventilator-associated pneumonia, Intensive care unit, Open endotracheal suction, Closed endotracheal suction
The influence of health training on teachers and students' knowledge of adolescent reproductive healthWidyatuti
Fajar Tri Waluyanti
Budi Mulyadi
Astuti Yuni Nursasi
Enfermería ClínicaThe influence of health training on teachers and students' knowledge of adolescent reproductive healthObjective
There are many adolescent health problems in Indonesia, particularly problems related to reproductive health. If adolescent reproductive health is not given adequate attention, this can lead to other adolescent health problems. Aside from parents, school staff also plays an important role in overcoming this health concern because educational staff is closer to adolescents than their parents. Teachers and friends can act as a resource for adolescents, providing them with reproductive health information. Therefore, the knowledge level of those at school, such as teachers and peer, about adolescent reproductive health is important. This research aims to determine the effects of adolescent reproductive health training on teacher and peer knowledge.
Method
This research used an experimental design. A purposive sampling technique was used to recruit 26 students and 24 teachers, and a pretest and posttest were administered to one group without control group and then analyzed by Wilcoxon test.
Results
The results showed that health training had a significant effect on teacher and peer knowledge with P < α (0.05).
Conclusions
It can be concluded that training on adolescent reproductive health for teachers and peers can be implemented at every school to increase their knowledge and skills and to prevent unsafety adolescent sexual behavior.
Keywords
Peer, Teacher, Reproductive health, Adolescents
Effectiveness of Lafiska exercise on risk of fall, balance, and health status in the elderlyDwi Nurviyandari Kusuma Wati
Junaiti Sahar
Etty Rekawati
Enfermería ClínicaEffectiveness of Lafiska exercise on risk of fall, balance, and health status in the elderlyThis study aims to investigate the effectiveness of Latihan Fisik Lansia “elderly physical exercise” on the balance status, risk of fall, and health status of institutionalized older adults. A quasi-experimental design was applied measuring pre-test and post-test outcomes in a control group to determine the effectiveness of the intervention in the interventional group. Eighty participants from Panti Sosial Tresna Werdha Budi Mulia 1 Cipayung were divided into an inter-ventional group with 39 older adults (70.3 ± 8.13 years) and a control group with 41 older adults (69.88 ± 8.71 years). Trained facilitators guided the exercise during 16 sessions over eight weeks, each having duration of 50 min, with a small group consisting of 10-12 participants. This study used Morse Fall Scale to measure risk of fall, Berg Balance Scale to measure balance status, and SF-12 to measure health status. Lafiska had an impact on lowering risk of fall, enhancing balance status, and enhancing health status (P value <.0001). Lafiska is a viable exercise option for older adults with independent mobility, as well as older adults with assistive devices.
Keywords
Balance status, Health status, Lafiska, Older adults, Risk of fall
Family stress experience in dealing with child victims of sexual violenceRara Anggraini
Novy HC Daulima
Ice Yulia Wardani
Enfermería ClínicaFamily stress experience in dealing with child victims of sexual violenceObjective
Stress is one of the responses experienced by families with child victims of sexual violence. The purpose of this study was to explore in depth the stress experienced by families dealing with child victims of sexual violence.
Method
This qualitative study employed the phenomenology approach. A purposive sample of six families participated in the study. Data were analyzed using Colaizzi's method.
Results
This study discussed the experience of family with children who are victims of sexual violence. This study generated the following 5 themes: 1) sexual violence and the subsequent behavior changes in children as a source of family stress; 2) Family stress as a response to changes in the family process; 3) social support as sources of the family's strengths; 4) spiritual activities for coping with stress, and 5) parenting changes as a family learning and evaluation.
Conclusions
Results suggested the development of the School Mental Health Unit to help families, and the community, identify and prevent sexual violence. In addition, the School Mental Health Unit would be a useful source for students who experience sexual violence to function well at school.
Keywords
Child, Sexual violence, Family, Stress
The experience of older people living in nursing home (Panti Wredha) in DKI Jakarta, IndonesiaJunaiti Sahar
Widyatuti
Ibnu Abas
Chaidir
Enfermería ClínicaThe experience of older people living in nursing home (Panti Wredha) in DKI Jakarta, IndonesiaInability to fulfil daily needs and natural aging process will affect both health and life satisfaction among older people. Services to older people in nursing home may be affected when cooperation between nurse, caregiver and older people are not optimal. Hence, the cooperation between them must be optimized to enhance services and maintain quality of life among the older people. The aim of this study was to develop a partner model between nurse, caregiver and older people in nursing home, Panti Wredha in Jakarta, to improve caring behavior, health status, satisfaction and quality of life of older people. This study's operational method consisted of three phases: (I) exploration phase, (II) model development phase, and (III) model trial phase to assess the model effectiveness. The first year was phase I and II. The second year was phase III model trial to assess the model effectiveness. This article will report the phase I findings. Qualitative design with a descriptive phenomenology approach was used. The population was older people living in Nursing Home (Panti Wredha) in Jakarta. The sample for phase I was selected according to some criteria until data saturation was achieved: eight older people. Data were collected using face-to-face interview to older people. Data were analyzed using Collaizi method. The result of 11 themes (older people). This result will be used further for development of model and module, and will test by readability and expert test.
Keywords
Older people, Health status, Partner, Satisfaction and quality of life
The Honourable Role of Nurse in Accompanying Patient’s Dying
Process
Krisna Yetti Malawat
Rr.Tutik Sri Hariyati
Rona Cahyantari Merduaty
Journal of Health, Medicine and NursingThe Honourable Role of Nurse in Accompanying Patient’s DyingProcess
End of life is meant as a frightening thing, thus it makes an ignorance. Another frightening moment is the pain that attaches throughout the illness. Death has also been interpreted as a lonely feeling which is done by own self and separation with the beloved one. This study used Method of Actual Problem, it is a philosophy reflective study about handling patient with chronic disease phenomenon which is predicted will going to the end of life. In this study, problems in the hospital are directly exposed, then it is synthesized to solve a fundamental problem. Analysis and synthesis of medical intervention to end of life patient to be expected can solve the problem. Ethics which is embraced by nursing profession must be received by the patient. It means that nursing profession's existence takes more control to the problem at the end of life patient. Nursing care can help the dying process of the patient become as peaceful as possible
Keywords: end of life, dying process, peaceful, nursing care, role of nursing.
Simplicity and Completeness of Nursing Process Satisfaction Using Nursing Management Information System at the Public Health Service “X” IndonesiaRr. Tutik Sri Hariyati
Nami Kobayashi
Junaiti Sahar
Tuti Nuraini
Jajang Rahmad Solihin
International Journal of Caring ScienceSimplicity and Completeness of Nursing Process Satisfaction Using Nursing Management Information System at the Public Health Service “X” IndonesiaNursing information system is an important part on nursing process. Appropriate information system will improve continuity of care and nursing care quality. Information system which is applied on Public Health Center “X” is manually operated, since that human error was possibly occurred, important data were loose and continuity of care was disturbed. This research developed computer-based nursing information system, then exploring nurse ‘satisfaction of that new system, to compare between before and after satisfaction on application computer-based information system. The number of nurses who are involved 27 people, by filling up questionnaire instrument. The result shows improvement on satisfaction of simplicity and completeness of nursing process after using computer-based nursing information system. Simplicity not statistically significant (p=0.73) and completeness of nursing process satisfaction is significant improved (p=0.019). Research result recommends for implementing nursing information system on the whole Public Health Center in Indonesia and improved nurse education for improving quality of documentation.
Key words: Nursing information system, Satisfaction, Simplicity, Public Health Center
Spiritual Coping in People Living with Stroke Rosyidah Arafat
Ratna Sitorus
Mustikasari
Abdul Majid
International Journal of Caring Science
Spiritual Coping in People Living with Stroke Background : The strength of spiritual beliefs considered can influences the ability to cope after a stroke event. However there is a paucity of literature and evidence with regard to spiritual coping in stroke patients.
Objective : This study amied to explore lived experienced of spiritual coping in partisipants who were stroke.
Methods : This qualitative study in which data collected through in-depth interview. Interviews were audiotaped, transcribed verbatim and analyzed using the Collaizi’s method.
Results : Four themes were identified : Feeling connected to God, trusting in God, seeking spiritual support, finding meaning and purpose.
Conclusion : Spiritual coping of stroke patients should be recognized, realized, and considered in nursing care. Further study is needed to explore how nurses provision of spiritual care in stroke patients.
Keywords : Background : The strength of spiritual beliefs considered can influences the ability to cope after a stroke event. However there is a paucity of literature and evidence with regard to spiritual coping in stroke patients.
Objective : This study amied to explore lived experienced of spiritual coping in partisipants who were stroke.
Methods : This qualitative study in which data collected through in-depth interview. Interviews were audiotaped, transcribed verbatim and analyzed using the Collaizi’s method.
Results : Four themes were identified : Feeling connected to God, trusting in God, seeking spiritual support, finding meaning and purpose.
Conclusion : Spiritual coping of stroke patients should be recognized, realized, and considered in nursing care. Further study is needed to explore how nurses provision of spiritual care in stroke patients.
Keywords : Spiritual care , spiritual coping, stroke patients
Penerapan Fungsi Manajemen Kepala Ruangan dalam Pengendalian Mutu KeperawatanNurdiana
Rr. Tutik Sri Hariyati
Siti Anisah
Jurnal Persatuan Perawat Nasional IndonesiaPenerapan Fungsi Manajemen Kepala Ruangan dalam Pengendalian Mutu KeperawatanTujuan: Mengidentifikasi masalah penerapan fungsi pengendalian mutu dan mengembangkan solusi pemecahan masalah di ruang rawat inap. Metode: Metode yang digunakan analisis hasil dan gap implementasi menggunakan kajian literatur. Permasalahan dianalisis menggunakan diagramfishbone. Penyelesaian masalah menggunakan tools Plan Do Study Action (PDSA). Data diambil melalui wawancara terstruktur, survei, dan observasi lapangan pada 11 responden kepala ruangan dan 88 staf perawat pada tanggal 19-27 Oktober 2017. Data dianalisis secara deskriptif dengan melihat distribusi frekuensi persepsi kepala ruangan dan staf tentang pengendalian mutu dan pelaksanaan fungsi manajemen dalam pengendalian mutu. Hasil: Fungsi pengendalian mutu keperawatan belum dilaksanakan optimal pada tahap perencanaan, pemantauan dan tindak lanjut masalah (45,45%). Implementasi penyelesaian dalam bentuk sosialisasi dan workshop yaitu panduan, prosedur, kamus dan instrumen pemantauan indikator mutu keperawatan. Hasil evaluasi menunjukkan 62% Kepala Ruangan meningkat pengetahuannya tentang pengendalian mutu dengan rata-rata skor pre-post test meningkat 1,33 poin dari 6,10 menjadi 7,43. Survei pasca implementasi menghasilkan persepsi yang baik dari 86,67% Kepala Ruangan mengenai pengendalian mutu keperawatan. Diskusi: Program pengendalian mutu merupakan salah satu fungsi utama kepala ruangan. Rumah sakit telah memiliki program pengendalian mutu yang dipersyaratkan standar akreditasi rumah sakit, namun kepatuhan penerapannya masih perlu dipertahankan. Rumah sakit dipersyaratkan untuk dapat mempertahankan kepatuhan dan kesinambungan pengendalian mutu guna mengevaluasi proses kerja secara berkelanjutan. Kesimpulan: Sosialisasi mengenai penerapan pengendalian mutu keperawatan cukup efektif meningkatkan pengetahuan kepala ruangan dan tentang program mutu yang dipersyaratkan akreditasi rumah sakit. Pimpinan rumah sakit perlu memberi pengakuan, dukungan, dan motivasi bagi kepala ruangan penerapan pengendalian mutu keperawatan di ruangan rawat.
Kata Kunci: fungsi manajemen, mutu keperawatan, pengendalian mutu, perawat manajer.
Terapi Logo dan Suportif Kelompok Menurunkan Ansietas Remaja Binaan Rutan dan LapasEfri Widianti
Mustikasari
Agung Waluyo
Jurnal Persatuan Perawat Nasional IndonesiaTerapi Logo dan Suportif Kelompok Menurunkan Ansietas Remaja Binaan Rutan dan LapasLatar belakang: Remaja yang harus menjalani masa masa hukuman akibat tindak kriminal yang pernah dilakukannya sangat rentan mengalami ansietas. Ansietas sebagai salah satu masalah psikososial dapat diatasi dengan beberapa psikoterapi diantaranya terapi logo dan terapi suportif. Tujuan: Tujuan penelitian ini untuk mengetahui pengaruh terapi logo dan terapi suportif terhadap ansietas remaja di rumah tahanan dan lembaga pemasyarakatan wilayah Jawa Barat. Metode: Desain yang digunakan dalam penelitian ini adalah quasi experiment pre-post test with control group dengan 78 responden yang merupakan hasil screening berdasarkan kriteria inklusi, terdiri dari 39 responden untuk kelompok intervensi dan 39 responden untuk kelompok kontrol. Terapi ini diberikan dalam 8 sesi yang terdiri dari terapi logo 4 sesi dan terapi suportif 4 sesi. Penelitian ini dilakukan selama 5 minggu. Instrumen yang digunakan dalam penelitian ini adalah State Trait Anxiety Scale-Trait yang telah dilakukan uji validitas dengan nilai r=0,313-0,574 dan nilai reliabilitas=0,770 pada 30 orang remaja di lapas yang terdapat di Kabupaten Garut. Data yang didapatkan dianalisis menggunakan uji independent t test, chi-square dan marginal homogenity. Hasil Penelitian: Hasil penelitian menunjukkan adanya pengaruh terapi logo dan terapi suportif terhadap penurunan tingkat ansietas remaja yang ditunjukkan dengan p Value=0.000 (a=0.05). Kesimpulan: Terapi logo dan suportif kelompok dapat menurunkan ansietas pada remaja. Rekomendasi penelitian ini ditujukan kepada Kanwil Hukum dan HAM Provinsi Jawa Barat selaku pemegang kebijakan untuk memberikan perhatian terhadap permasalahan psikologis pada warga binaan dengan mengembangkan kegiatan kegiatan kelompok serta bekerja sama dengan pihak akademik dan layanan kesehatan jiwa dalam upaya untuk mencegah dan mengatasi masalah kesehatan jiwa pada warga binaan.
Kata kunci: ansietas remaja, terapi logo, terapi suportif
Community experience in protecting early-teenagers from initiation of smoking: An Indonesian perspective
Kumboyono
Achir Yani S. Hamid
Junaiti Sahar
Saptawati
Bardosono
The Open Public Health JournalCommunity experience in protecting early-teenagers from initiation of smoking: An Indonesian perspective
Background:
Initiation of smoking habit often occurs in early teens due to the interaction of teenagers with the social environment. The community has an important role in protecting teenagers from the habit of smoking.
Objective:
The research was aimed to explore the experience of the community in protecting the early-teenagers from smoking habit from the perspective of Indonesian people.
Materials and Methods:
The qualitative study used the descriptive phenomenology approach on 100 participants (early-teenagers, parents, teachers, and school nurses) who were selected through snowball sampling method. Data collection was carried out through in-depth interviews using open-ended questions. The data were analysed manually using the data source triangulation method.
Results:
Six research topics were concluded: 1) screening of habits related to health, 2) smoking bans, 3) punishment for smoking habit, 4) smoke-free counseling, 5) evaluation of efforts done, and 6) follow-up of smoking-free programs.
Conclusion:
The results of the study indicated the importance of consistent efforts to prevent the initiation of smoking habit in early-teenagers both at school and at home. The communities around them at school and home need to have people with healthy non-smoking habit as good role models for the teens.
Keywords: Community health, Smoking prevention, Health protection, Teenager, Phenomenology, Indonesia.
Relationship Strategy Family Coping With Quality Of Life In Elderly Post StrokeDodik Limansyah
Junaiti Sahar
Sukihananto
Journal of Nursing PracticeRelationship Strategy Family Coping With Quality Of Life In Elderly Post StrokeAlternative link: https://thejnp.org/index.php/jnp/article/view/37
Background: Stroke is the highest cause of death in urban areas, one of the regions in Indonesia with stroke exceeds the national rate is the city of Pontianak.
Purpose : This study aims to determine the relationship of family coping strategies to the quality of life of elderly post-stroke in the city of Pontianak.
Methods : Analytical research design correlation with cross sectional approach. sampling in total sampling with respondents amounted to 58 respondents. The sample of this study was post-stroke elderly and family members as caregiver or primary outpatient who treated elderly with post stroke.
Result : The results of multiple linear regression analysis or anova test (f test) with p value = 0.001 (<0.05) indicating that there is a significant relationship between social support, reframing, seeking and receiving, passive income and income with the quality of life of the elderly post stroke.
Conclusion : Social support is a dominant element of coping strategy. The role of community nurses is needed to support family caregivers in providing social support to post-stroke elderly.
Potential utilization of nursing teleconsultation in improving traumatic brain injury patient’s quality of life in West Java, IndonesiaAmelia Ganefianty
Sukihananto
Online Journal of Nursing Informatics (OJNI)Potential utilization of nursing teleconsultation in improving traumatic brain injury patient’s quality of life in West Java, IndonesiaTraumatic brain injury (TBI) is a crucial public health problem that causes disability, and social and economic problems world wide. TBI patients in West Java are increasing every year which poses various problems in quality of life. Most patients receive follow-up and rehabilitation after hospitalization, but some cannot attend due to cost and transportation difficulties since they are scattered in various areas across the island. Nursing teleconsultation is the provision of nursing services that can be administered to patients electronically in remote areas. In practice, nursing teleconsultation must be supported by qualified nursing knowledge, supportive communication technologies, and strategies to protect patient confidentiality, system and information security. Innovations in nursing teleconsultation can potentially be applied in West Java to provide continuous nursing service to TBI patients without being constrained by the problems associated with distance and cost.
EFEKTIFITAS LEMBAR PEMANTAUAN INSULIN TERINTEGRASI UNTUK MENGURANGI KEJADIAN HIPOGLIKEMIA PADA PASIEN DIABETES MELLITUS TIPE 2Dikha Ayu Kurnia
Debie Dahlia
Jurnal Keperawatan IndonesiaEFEKTIFITAS LEMBAR PEMANTAUAN INSULIN TERINTEGRASI UNTUK MENGURANGI KEJADIAN HIPOGLIKEMIA PADA PASIEN DIABETES MELLITUS TIPE 2Hipoglikemia merupakan salah satu efek samping pemberian terapi insulin pada pasien Diabetes Melitus tipe 2. Penelitian ini bertujuan untuk mengembangkan dan menguji keefektifan lembar pemantauan insulin terintegrasi dalam memantau kejadian hipoglikemia pada pasien DM tipe 2 yang mendapatkan terapi insulin analog. Hasil menunjukkan rerata kejadian hipoglikemia lebih tinggi saat makan pagi (t (18)= 2,9732; p= 0,0059) dan sore (t (18)= 3.0956; p= 0,0043) setelah pemberian rapid-acting insulinmelalui pemantauan lembar insulin terintegrasi Namun, hasil penelitian ini juga menunjukkan bahwa tidak ada hubungan signifikan antara pemantauan asupan kalori, dosis insulin, dan perubahan pola tidur dengan kejadian hipoglikemia. Sehingga lembar pemantauan insulin terintegrasi tidak efektif dalam mencegah kejadian hipoglikemia. Penelitian ini merekomendasikan perawat untuk lebih memahami pengkajian hipoglikemia dalam lembar pemantauan insulin terintegrasi.
Kata Kunci: Kejadian hipoglikemia, lembar pemantauan insulin terintegrasi, pasien DM Tipe 2, terapi insulin
PENGALAMAN IBU MERAWAT ANAK USIA SEKOLAH DENGAN AUTISSiti Chodidjah
Alfani Prima Kusumasari
Jurnal Keperawatan IndonesiaPENGALAMAN IBU MERAWAT ANAK USIA SEKOLAH DENGAN AUTISAutis merupakan salah satu jenis gangguan perkembangan dimana anak mengalami gangguan dalam interaksi sosial, berkomunikasi, serta masalah perilaku dan kognitif. Hal ini membuat pengasuhan anak autis menjadi penuh tantangan. Penelitian ini merupakan penelitian kualitatif yang bertujuan untuk mengeksplorasi pengalaman ibu dalam merawat anak usia sekolah yang mengalami autis. Data didapatkan dari wawancara semi terstruktur pada 8 orang anak usia 8 sampai 15 tahun yang dipilih dengan menggunakan metode snow ball sampling. Data dianalisis dengan menggunakan pendekatan Collaizi. Stres yang dialami orang tua selama perawatan anak yaitu meliputi: mengalami stres emosional, perlu mengontrol emosi anak, mengkhawatirkan hubungan dengan sibling, mengkhawatirkan masa depan anak, menghadapi masalah keuangan, dan mengupayakan pendidikan inklusi. Penelitian ini merekomendasikan perlunya upaya mensosialisasikan autis pada komunitas agar kualitas hidup ibu dan anak penderita autis menjadi lebih baik.
Kata kunci: stress ibu yang memiliki anak autis, koping orang tua, anak autis usia sekolah
PENINGKATAN KUALITAS HIDUP LANJUT USIA (LANSIA) DI KOTA DEPOK DENGAN LATIHAN KESEIMBANGANStefanus Mendes Kiik
Junaiti Sahar
Henny Permatasari
Jurnal Keperawatan IndonesiaPENINGKATAN KUALITAS HIDUP LANJUT USIA (LANSIA) DI KOTA DEPOK DENGAN LATIHAN KESEIMBANGANKualitas hidup lansia dipengaruhi berbagai faktor seperti kesehatan fisik, kesehatan psikologis, hubungan sosial dan lingkungan. Penelitian ini bertujuan mengetahui pengaruh latihan keseimbangan terhadap kualitas hidup lansia di Kota Depok. Penelitian quasi experiment ini dilakukan pada dua kelompok; 30 lansia sebagai kelompok kontrol dan 30 lansia sebagai kelompok perlakuan. Teknik pengambilan sampel yang digunakan adalah multistage random sampling. Hasil penelitian menunjukkan bahwa latihan keseimbangan berpengaruh signifikan, meningkatkan kualitas hidup lansia (p<0,001). Hal ini disebabkan karena latihan keseimbangan dapat meningkatkan kesehatan fisik, kesehatan psikologis, hubungan sosial dan lingkungan. Latihan keseimbangan lansia dapat digunakan sebagai salah satu upaya untuk meningkatkan kualitas hidup pada lansia di komunitas. Penelitian selanjutnya dapat melakukan penelitian pada kelompok usia yang berbeda untuk mengetahui keefektifan latihan keseimbangan lansia.
Kata Kunci: lansia, latihan keseimbangan, kualitas hidup
THE EFFECTS OF COGNITIVE BEHAVIORAL THERAPY ON SMOKING BEHAVIOR AND ANXIETY IN HEADS OF FAMILY WHO SMOKEGiur Hargiana
Budi Anna Keliat
Mustikasari
Jurnal Keperawatan IndonesiaTHE EFFECTS OF COGNITIVE BEHAVIORAL THERAPY ON SMOKING BEHAVIOR AND ANXIETY IN HEADS OF FAMILY WHO SMOKEIndonesia is the fifth largest producer of cigarettes and has the third highest number of smokers in the world. This has potential biological, psychological, and social consequences. The aims of this study were to investigate the effects of Cognitive Behavioral Therapy (CBT) on smoking behavior and anxiety. Quasi-experimental non-equivalent control group pretest-posttest design was used. A total of 80 respondents were selected at random from 10 districts in proportion to the number of smokers in each district. Respondents completed questionnaires and received a course of CBT conducted over five meetings. There was a significant decrease smoking behavior and anxiety (p< 0.05) in the intervention group. Smoking behavior, nicotine dependence, and anxiety in male heads of family who smoke and who received CBT were significantly lower than in control group. The decreases in smoking behavior and anxiety were significantly correlated (p< 0.05). The study reveals, CBT can effectively change smoking habits as well as reduce anxiety.
Keyword: anxiety, smoking behavior, cognitive behavioral therapy
Integrated Health Post for Child Health (Posyandu) As A Community-Based Program in Indonesia: An Exploratory StudyAgus Setiawan
Yodi Christiani
Jurnal Keperawatan IndonesiaIntegrated Health Post for Child Health (Posyandu) As A Community-Based Program in Indonesia: An Exploratory StudyIntegrated Health Post for Child Health (Posyandu) has been endorsed since 1984 as a community-based health program in Indonesia. Despite its potential in improving child health outcomes, evidence related to its current implementation is lacking. This study aimed to explore the current implementation of posyandu in the country. Data of 638 posyandu surveyed in the 5th wave of Indonesia Family Life Survey (IFLS-5) located in urban and rural areas were analyzed, applying chi-square and independent t-test method. Posyandu surveyed run a number of activities (mean type of activities=8.1 in rural vs. 7.4 in urban areas, p<0.001), focusing on weight monitoring, supplementary food provision, and vitamin A supplementation. Approximately 38% of Community Health Workers (CHWs) has never been trained in posyandu’s management nor child health care. Financial barriers, medicine and equipment supplies, and location to conduct posyandu’s activities remained as challenges in the implementation. While posyandu has been implemented for decades, the study found that its implementation has not been optimal. Actions should be taken to improve posyandu’s implementation. These include strengthening collaboration to address the problems and improving CHWs activities.
Keywords: posyandu, child health, community-based health program
Kebutuhan Keluarga Saat Anak Dirawat di Paediatric Intensive Care Unit (PICU): Sudut Pandang Keluarga dan PerawatEfa Apriyanti
Robiyatul Adawiyah
Jurnal Keperawatan IndonesiaKebutuhan Keluarga Saat Anak Dirawat di Paediatric Intensive Care Unit (PICU): Sudut Pandang Keluarga dan PerawatStudi literatur menyebutkan bahwa kebutuhan keluarga saat mendampingi anak dirawat di PICU sangatlah kompleks dan bersifat subjektif sehingga pengkajian kuesioner dirasa belum mampu mewakili gambaran kebutuhan keluarga yang sebenarnya. Tujuan dari penelitian ini adalah untuk membandingkan persepsi perawat PICU dengan keluarga pasien PICU mengenai prioritas kebutuhan keluarga dari anak yang dirawat di ruang rawat intensif. Penelitian ini meng-gunakan mixed method approach dengan pendekatan kuantitatif menggunakan desain cross sectional di tahap pertama pengumpulan data, dilanjutkan dengan pendekatan kualitatif yang dilakukan dengan cara wawancara mendalam di tahap ke dua. Data kuantitatif diperoleh dengan menggunakan Critical Care Family Need Inventory yang telah di-modifikasi. Hasil analisis data menunjukkan tidak adanya perbedaan yang signifikan antara persepsi perawat dan keluarga dalam menilai kebutuhan keluarga pasien PICU. Hasil ini menunjukkan bahwa secara umum perawat PICU di dua rumah sakit yang menjadi sampel dalam penelitian ini lebih mampu memahami kebutuhan keluarga pasien dibandingkan dengan perawat dalam penelitian-penelitian sebelumnya.
Kata Kunci: kebutuhan keluarga pasien PICU, mixed method, persepsi perawat
Pengalaman Perawat Kepala Ruang Tentang Pelaksanaan Model Delegasi Keperawatan ’Relactor’ (MDK’R’)Vivi Yosafianti Pohan
Dewi Gayatri
Eni Hidayati
Jurnal Keperawatan IndonesiaPengalaman Perawat Kepala Ruang Tentang Pelaksanaan Model Delegasi Keperawatan ’Relactor’ (MDK’R’)Perawat kepala ruang melakukan pendelegasian keperawatan sebagai salah satu kegiatan dalam melaksanakan fungsi manajemen keperawatan. Tujuan penelitian adalah menggali pengalaman perawat kepala ruang tentang pelaksanaan Model Delegasi Keperawatan ’Relactor’ (MDK’R’), serta kendala-kendala yang dihadapi dalam pelaksanaan MDK’R’ di Rumah Sakit (RS) Roemani Semarang. Desain penelitian kualitatif dengan pendekatan fenomenologi deskriptif. Pengumpulan data dilakukan dengan wawancara dan menggunakan pedoman wawancara sebagai instrumen penelitian dan peneliti sendiri. Partisipan dalam penelitian adalah 3 orang perawat kepala ruang. Penelitian dilakukan di RS Roemani Semarang, di ruang rawat anak, ruang rawat penyakit dalam, dan Intensive Care Unit (ICU). Penelitian ini mendapatkan hasil bahwa dalam pelaksanaan MDK’R’ terdapat pengisian formulir yang belum optimal, penundaan pengisian formulir, dan ketidakpahaman cara pengisian formulir akibat belum adanya standardisasi dan kurangnya kontrol dari atasan. Kendala dalam pelaksanaan MDK’R’ pada penelitian ini akibat banyaknya pekerjaan perawat kepala ruang, kurangnya kedisiplinan, kesadaran diri rendah, dan kurangnya manajemen waktu dan prioritas pekerjaan.
Kata Kunci: Model Delegasi Keperawatan Relactor, pelaksanaan MDK’R’, pengalaman, perawat kepala ruang
Effectiveness of Relaxation Breathing Exercise on fatigue in gynecological cancer patients undergoing chemotherapyMulhaeriah
Yati Afiyanti
Engkus Kusdinar Achmad
Moh Syafar Sangkala
International Journal of Nursing SciencesEffectiveness of Relaxation Breathing Exercise on fatigue in gynecological cancer patients undergoing chemotherapyPurpose
This study aimed to determine the effectiveness of Relaxation Breathing Exercise (RBE) on fatigue in patients with gynaecological cancer undergoing chemotherapy.
Methods
We used a quasi-experiment with pre- and post-test design. Forty-two patients were consecutively sampled, 21 of whom were assigned to the group receiving RBE four times a day and 21 to the group receiving RBE twice a day. Fatigue scores were measured every day for 7 days for both groups using the Piper Fatigue Scale. Data obtained were analysed using repeated-ANOVA and independent t-test with a significant level of α < 0.01.
Results
We found a significant decrease (P < 0.01) in the mean fatigue scores of both groups (four times RBE in a day group = 3.29 ± 0.59 and twice RBE in a day group = 4.19 ± 0.61) after the completion of the intervention. However, the four times RBE a day group showed larger decrease on fatigue scores than the twice RBE a day group did (Mean Difference = 0.91; 99% CI = 0.41 to 1.41; P = 0.001).
Conclusion
Conducting RBE four times a day effectively alleviated fatigue better than RBE twice a day on gynaecological cancer patients undergoing chemotherapy.
Keywords
Relaxation breathing exercise, Gynaecologic cancer, Chemotherapy, Fatigue
PENGALAMAN IBU REMAJA PRIMIPARA MEMPEROLEH DUKUNGAN KELUARGA DALAM MEMBERIKAN ASI EKSKLUSIFRini Rahmayanti
Setyowati
Yati Afiyanti
Jurnal Kesehatan MercusuarPENGALAMAN IBU REMAJA PRIMIPARA MEMPEROLEH DUKUNGAN KELUARGA DALAM MEMBERIKAN ASI EKSKLUSIFDukungan keluarga merupakan hal penting dalam meningkatkan kepercayaan diri ibu remaja. Hal ini terkait dengan kondisi ibu remaja yang rentan dan membutuhkan bimbingan. Penelitian kualitatif ini menggunakan desain fenomenologi melalui wawancara mendalam terhadap delapan orang ibu remaja dengan tematik konten analisis. Penelitian ini menghasilkan tujuh tema yaitu ibu remaja mempunyai persepsi yang baik tentang ASI eksklusif, sebagian besar partisipan mengalami masalah fisik dan psikologis karena kurangnya pengetahuan dan dukungan, dukungan suami dan orangtua serta anggota keluarga perempuan sangat diperlukan untuk keberhasilan ASI eksklusif, bentuk dukungan keluarga yang dirasakan bermanfaat adalah dukungan instrumen, informasi, emosi dan penghargaan. Partisipan merasakan peningkatan kepercayaan diri untuk menyusui karena adanya dukungan keluarga. Beberapa partisipan merasakan kendala dalam menyusui berupa perbedaan informasi dan anjuran dari keluarga yang tidak sesuai harapan. Tetapi partisipan tetap mengikuti arahan ibu kandung untuk mempertahankan pemberian ASI eksklusif. Hasil temuan ini merekomendasikan kepada perawat maternitas untuk mengoptimalkan peran dan pengawasan terhadap ibu remaja dimulai dari masa antenatal dengan melibatkan keluarga.
Fear of cancer recurrence and social support among
Indonesian gynecological cancer survivors
Tri Wijayanti
Yati Afiyanti
Hayuni Rahmah
Ariesta Milanti
Archive of OncologyFear of cancer recurrence and social support amongIndonesian gynecological cancer survivorsBackground: Fear of cancer recurrence is a long-term psychological problem of the cancer survivors regardless of the type of cancer. A growing number of studies had addressed fear of cancer recurrence, yet they are largely focused on the breast cancer survivors of the western world countries. This study investigates the fear of cancer recurrence and its relations to social support in Indonesian gynecological cancer survivors. Methods: Gynecological cancer survivors (n = 153) in Samarinda, East Kalimantan, Indonesia completed Fear of Cancer Recurrence Inventory, Interpersonal Support Evaluation List, socio-demographic and clinically-related characteristics questionnaires. Pearson r correlation tests, t-tests, and ANOVAs were used to identify the relationships between variables, and linear regression to determine to what extent the social support may predict the survivors’ fear of recurrence. Results: Indonesian gynecological cancer survivors with higher social support were more likely to experience lower levels of fear of cancer recurrence. Whereas, having a family history of cancer was an important predictor of fear of cancer recurrence levels. Conclusion: Social support plays an essential role in predicting fear of cancer recurrence among Indonesian
gynecological cancer survivors.
Key words: Gynecological cancer; Survivors; Social Support; Fear
Ventilator-Associated Pneumonia in Patients in an Intensive Care UnitArisanti Prabandini
Tuti Herawati
UI Proceedings on Health and MedicineVentilator-Associated Pneumonia in Patients in an Intensive Care UnitObjective: Ventilator-associated pneumonia (VAP) is defined as pneumonia that occurs in patients with mechanical ventilation, such as tracheostomy or endotracheal intubation, for >2 days of treatment. VAP is the most common infection in intensive care units (ICUs) and has become the cause of mortality, major morbidity, and increased financial burden.
Methods: This retrospective study with cross-sectional approach aimed to explain VAP incidence in patients in the ICU of a district hospital from May 2016 until April 2017.
Results: The result of this study indicated that most patients who developed VAP were middle-aged adult males (45.2%) (52.4%) with late onset VAP (66.7%). The comorbidity score was low (81.0%), and the most common comorbidity was cerebrovascular injury (35.7%). Gram-negative bacteria were the most common cause of VAP (88.1%).
Conclusion: VAP incidence was high, because of the patient’s length of stay, clinician’s noncompliance with hand hygiene, poorly implemented standard operational procedure of VAP bundle care, and staff rotation. It is important for nursing managers to develop effective standard operational procedure for VAP bundle care and appropriate documentation of VAP incidence used CPIS until VAP incidence report is appropriately documented.
Keywords: VAP bundle; VAP incidence; ventilator-associated pneumonia
Coping Strategy and Its Correlation With Psychological Discomfort: Stressors Perceived by Patients with Diabetic UlcersAudi Amalia Rahmawati
Dewi Gayatri
UI Proceedings on Health and MedicineCoping Strategy and Its Correlation With Psychological Discomfort: Stressors Perceived by Patients with Diabetic UlcersObjective: Diabetic ulcers are a complication that frequently manifest in patients with diabetes. These ulcers can cause both physical and psychological discomfort in the form of stress. The aim of this study was to identify the correlation between coping strategy and stress in patients with diabetic ulcers at the RUMAT Wound Care Center.
Methods: This research was quantitative with a cross-sectional design that used purposive sampling with 93 patients. Ninety-three patients with diabetic ulcers were interviewed using the Brief COPE scale to measure coping strategies and the Perceived Stress Scale to measure stress. Data were analyzed using independent t-tests.
Results: There was a significant correlation between emotion-focused coping and stress (p = 0.003, α: 0.05), and there was no correlation between problem-focused coping and stress (p = 0.996, α: 0.05).
Conclusion: Diabetic ulcer care, performed by RUMAT Wound Care, helps control the patients’ perceived stress. Further research is needed on the psychological aspects of patients with diabetic ulcers.
Keywords: coping strategies, diabetic ulcer, stress
Positive Thinking Exercise as an Intervention for Reducing Feeling of Powerlessness in Individuals with Diabetes MellitusDevi Sahputra
Herni Susanti
UI Proceedings on Health and MedicinePositive Thinking Exercise as an Intervention for Reducing Feeling of Powerlessness in Individuals with Diabetes MellitusObjective: Individuals with diabetes mellitus can have psychosocial issues, such as feeling of powerlessness. The powerlessness experienced by patients includes a feeling of losing control and a feeling of living a meaningless life, which decreases their ability of thinking positively. Unresolved feeling of powerlessness can worsen a patient’s physical illness. Thus, the present case study aimed to analyze the effects of the nursing process used on a 70-year-old patient with diabetes mellitus for 20 years, who presented with stage 4 wound complication and developed signs and symptoms of feeling of powerlessness.
Methods: The patient was treated for 5 days, and his feeling of powerlessness was measured using powerlessness assessment tool for adults. The intervention involved positive thinking and affirmation exercises.
Results: The patient’s powerlessness score decreased significantly from 53 to 28.
Conclusion: The utilization of positive thinking exercises as a therapy for treating powerlessness among patients with diabetes mellitus is recommended.
Keywords: diabetes mellitus; powerlessness; powerlessness assessment tool (PAT) for adult; psychosocial
Family Support and Dietary Adherence in Diabetes Mellitus Type 2 Patients in a Public Health Center (Puskesmas) DepokDhea Bethari Anjani
Dewi Gayatri
UI Proceedings on Health and MedicineFamily Support and Dietary Adherence in Diabetes Mellitus Type 2 Patients in a Public Health Center (Puskesmas) DepokObjective: Diabetes is a chronic disease that affects millions of people worldwide. Therefore, diabetes mellitus (DM) patients must maintain a specific diet. One of the factors influencing patient dietary compliance behavior is family support. In this study, we aimed to determine the correlation between family support and adherence to a DM type 2 dietary program.
Methods: This cross-sectional study was conducted in April and May of 2017 at the Cisalak Pasar Public Health Center (Puskesmas) with a sample of 82 respondents. The Hensarling Diabetes Family Support Scale, Food Frequency Questionnaire, and Food Form Recall were used.
Results: The results showed that as many as 43.9% of the respondents adhered to the diet program. Additionally, 28% of respondents had proper family support. There was a significant relationship between family support and dietary adherence (p = 0.007; p > α).
Conclusion: The study results showed that family support is an important factor in DM patients’ adherence to a dietary program.
Keywords: Diabetes Mellitus Type 2, Dietary Adherence, Family Support
Family Burden with Inpatient Stroke Patients at the RSUD Budhi Asih DKI Jakarta hospitalElisa Tesyani
Tuti Herawati
UI Proceedings on Health and MedicineFamily Burden with Inpatient Stroke Patients at the RSUD Budhi Asih DKI Jakarta hospitalObjective: Stroke disability affects the care of dependents by the family. Patient dependence causes caregiver burdens, which comprise physical, psychological, and economic burdens. This study aimed to describe the burden of family caregivers when caring for their relatives in the hospital.
Methods: This cross-sectional study employed the purposive sampling method, which was performed at RSUD Budhi Asih, DKI Jakarta.
The Zarit Burden Inventory, Barthel Index, Glasgow Coma Scale, and demography of the family were used to describe patient and family characteristics.
Results: The results showed that patients were predominantly male (80.8%), totally dependent (65.4%), and had a mildly impairedconsciousness level (GCS, mean=14.15). Caregivers were predominantly female (84.6%), most often the spouse (61.5%) and provided > 12 hours/day caregiving (57.7%). Respondents described caregiver burden in hospital as little/no (42.3%), mild (34.6%), and moderate (23.1%).
Conclusion: Burden for caregivers of stroke patients was most often described as no burden to moderate burden during inpatient stay at the hospital. Therefore, researchers suggest the application of nursing interventions, such as providing education and involving families in patient care.
Keywords: burden; family; stroke patient
The Relationship Between Knowledge of Aphasia, Social Support, and Stress in Family of Stroke Patient with AphasiaFadhilah Rizka Utami
Sri Yona
UI Proceedings on Health and MedicineThe Relationship Between Knowledge of Aphasia, Social Support, and Stress in Family of Stroke Patient with AphasiaObjective: Stress due to communication difficulties is affecting both stroke patients with aphasia and family member who takes on caregiver role. The stress may be affected by family’s knowledge about aphasia and social support. This study aimed to identify relationship between family's level of knowledge about aphasia, social support, and stress level in family of stroke patient with aphasia.
Methods: The study design was cross-sectional with total sample of 79 families of stroke patients with aphasia in two hospitals in Bukittinggi. Questionnaire of aphasia, The Medical Outcome Study Social Support Survey and Perceived Stress Scale were employed in this study.
Results: This study results indicated that there was a significant correlation between family's level of knowledge about aphasia and stress level (p = 0.006) and there was no significant correlation between social support and family’s level of stress (p = 0.883).
Conclusion: This study suggested the significance of stress assessment for family of stroke patient with aphasia and improving family's knowledge about aphasia in order to cope with the stress perceived.
Keywords: aphasia, knowledge, social support, stress, stroke
Relationship between Spiritual Well-Being and Hallucinations in Patients with Schizophrenia in a Mental Health HospitalMuhammad Fadly
Budi Anna Keliat
UI Proceedings on Health and MedicineRelationship between Spiritual Well-Being and Hallucinations in Patients with Schizophrenia in a Mental Health HospitalObjective: Hallucinations are considered one of the positive symptoms of schizophrenia. However, spiritual nursing intervention for patients with hallucinations has not become the standard of nursing care in a mental-hospital setting. The spiritual well-being of patients with hallucinations has never been measured and examined. This study aimed to determine the relationship between spiritual well-being and hallucination symptoms in patients with schizophrenia.
Methods: This study utilized a cross-sectional study design. A total sampling technique was used to obtain the samples and included 90 patients. This study employed the Spiritual Well-Being Scale and instruments of Hallucination Symptoms Measurement. Spearman correlation was used to analyze the data.
Results: The results suggested that there was a significant correlation between spiritual well-being and hallucinations (p-value < 0.05), in which higher levels of spiritual well-being were correlated with fewer symptoms of hallucinations.
Conclusion: The improvement of spiritual well-being is recommended to be incorporated in the nursing care of individuals with hallucinations.
Keywords: Hallucinations, schizophrenia, spiritual well-being
Disability Grades and Quality of Social Relationships among People with Leprosy in Donorojo Leprosy Rehabilitation VillageFirda Aishia
Wiwin Wiarsih
UI Proceedings on Health and MedicineDisability Grades and Quality of Social Relationships among People with Leprosy in Donorojo Leprosy Rehabilitation VillageObjective: Disabilities among people with leprosy may affect their quality of life and alter their satisfaction toward various aspects of life, including social relationships. Social relationships encompass all aspects of personal relationships, social support, and sexual activities. Thus, it important to explore the association between the degree of disability and social relationships.
Methods: This cross-sectional study involved 89 patients with leprosy who lived in the Donorojo Leprosy Rehabilitation Village.
Results: Our analysis showed that 77.5% of the respondents had grade 2 disabilities and that the average social relationship score was 69.72 of 100. Correlation between disability grades and social relationship domains was found (p = 0.032). Limitations in interaction and social participation increased with increasing disability grades.
Conclusion: Provision of facilities and assistance from the Donorojo Leprosy Rehabilitation Unit is expected to improve the quality of life of the patients with leprosy.
Keywords: disability grade; leprosy; people affected by leprosy; quality of life; social relationships
Exercise Therapy Joint Mobility (Muslim Prayer Movement/Salat) as a Nursing Intervention for Impaired Physical Mobility in ElderlyIndah Permata Putri
Dwi Nurviyandari
UI Proceedings on Health and MedicineExercise Therapy Joint Mobility (Muslim Prayer Movement/Salat) as a Nursing Intervention for Impaired Physical Mobility in ElderlyObjective: This study aimed to explain the nursing care of the elderly with impaired physical mobility through joint exercise intervention, such as performing the Muslim prayer movement or Salat.
Methods: The quasi-experimental study examined the effect of Muslim prayer movement on elderly with impaired physical mobility. Muslim prayer movements were performed for 5 weeks, once a day, and the materials used were an MP3 player, a stopwatch, and a goniometer.
Results: Evaluation using Berg Balance Test showed an increase in the score from 32 to 47.
Conclusion: This intervention can be performed by the elderly five times a day to maintain joint mobility and balance. The nurses need to provide motivation to the elderly to pray five times a day to maintain their joint function.
Keywords: Elderly, Impaired, Physical Mobility, Prayer
Adherence to dialysis therapy management in hemodialysis patientsSiti Kholilah Alawiyah A. S
Chiyar Edison
UI Proceedings on Health and MedicineAdherence to dialysis therapy management in hemodialysis patientsObjective: Patients who suffer from end stage renal disease (ESRD) must adhere to dialysis therapy management, which consists of hemodialysis attendance, prescribed medications, fluid restrictions, and proper dietary intake. Non-adherence to this management can increase the morbidity and mortality rate, which indirectly affects quality of life. This study aimed to identify the adherence to dialysis therapy management in hemodialysis patients.
Methods: This cross-sectional study involved 57 hemodialysis patients selected using a purposive sampling technique from major governmental hospitals in Jakarta city. Clinical measures and a valid, reliable End Stage Renal Disease-Adherence Questionnaire (ESRD-AQ) were used to assess the patients’ adherence (hemodialysis attendance, prescribed medications, fluid restrictions, and dietary intake).
Results: The results showed that 50.9% of respondents (n = 29) adhered to dialysis therapy management. In addition, the prevalence of hemodialysis patients’ adherence to hemodialysis attendance, prescribed medications, fluid restrictions, and dietary intake was 50.9%, 56.1%, 61.4%, and 73.7%, respectively.
Conclusion: Patients who adhered to dialysis therapy management had a good quality of life. Therefore, this study recommends developing nursing interventions to maintain and improve patient compliance to improve quality of life.
Keywords: Adherence to dialysis therapy management; end stage renal disease; hemodialysis; quality of life
Physical Disability and Self-Concept of Stroke Patients in the Budhi Asih Hospital, IndonesiaRatna Suryani Gandana
I Made Kariasa
UI Proceedings on Health and MedicinePhysical Disability and Self-Concept of Stroke Patients in the Budhi Asih Hospital, IndonesiaBackground: Disability can affect a patient’s psychological aspect including self-concept. Stroke is the primary cause of long-term disability worldwide.
Objective: The study investigated the relationship of physical disability and self-concept in stroke patients.
Method: Twenty-five stroke patients meeting the inclusion criteria were selected by total sampling at Budhi Asih Hospital and assessed with the Barthel Index and Robson self-Concept Questionnaire.
Result: Most stroke patients had a negative self-concept, but no significant association of physical disability and self-concept was found (p = 0.142).
Conclusion: The quality of nursing treatment for stroke patients would be increased by focusing not only on their physical condition but also their psychological aspect.
Keywords: Physical disability, self-concept, stroke
Relationship between Knowledge and Compliance of Patients Undergoing Chemotherapy TreatmentRini Rinelly
Riri Maria
UI Proceedings on Health and MedicineRelationship between Knowledge and Compliance of Patients Undergoing Chemotherapy TreatmentObjective: Chemotherapy is a common treatment for cancer; however, in developing countries, patient adherence rates for chemotherapy are low. Low adherence rate could be attributed to insufficient knowledge. The aim of the present study is to determine the relationship between knowledge about chemotherapy and adherence among patients undergoing chemotherapy.
Methods: This research used an analytical descriptive and cross-sectional approach and used purposive sampling to select 66 patients with cancer. We used the Leuven questionnaire for assessing patient knowledge about chemotherapy, and the adherence measurement form was used to identify the patient adherence of respondents.
Results: No significant relationship was observed between the level of knowledge and adherence (p = 0.422; α = 0.05) among patients undergoing chemotherapy.
Conclusion: Other factors appear to affect the adherence of patients undergoing chemotherapy; additional research is warranted.
Keywords: adherence; cancer; chemotherapy; hospital; knowledge
Knowledge Level and Health Promoting Lifestyle in Nursing StudentsRoma Radiah
Astuti Yuni Nursasi
UI Proceedings on Health and MedicineKnowledge Level and Health Promoting Lifestyle in Nursing StudentsObjective: Nursing students have been taught about health promoting lifestyles, which should be applied in daily life. This study aimed to identify the correlation between knowledge level and health promoting lifestyle in nursing students from the Faculty of Nursing University in Indonesia.
Methods: This cross-sectional study used a disproportionate stratified random sampling method to obtain 93 samples. Data were collected using a demographic questionnaire, a knowledge questionnaire about health promoting activities, and the Health Promoting Lifestyle Profile–II (HPLP-II) questionnaire.
Results: The results showed a high knowledge level (59.1%) and a good health promoting lifestyle (M = 2.58, SD = 0.30). However, the Chi-square test showed no correlation between knowledge level and a health promoting lifestyle (p = 0.289).
Conclusion: A health promoting lifestyle is shaped by more than just knowledge. Further research should confirm other factors that affect a health promoting lifestyle.
Keywords: health promotion; health promoting lifestyle; knowledge level; nursing students
KNOWLEDGE OF GLYCEMIC INDEX AND DIET IN PATIENTS WITH DIABETES MELLITUSSiti Noviana Sari
Yulia
UI Proceedings on Health and MedicineKNOWLEDGE OF GLYCEMIC INDEX AND DIET IN PATIENTS WITH DIABETES MELLITUSObjective: White rice, which has a high glycemic index (GI), is a staple Indonesian food. However, the dietary guidelines for diabetes mellitus (DM) guidelines recommend consuming low GI foods. Therefore, this study aimed to understand the knowledge of GI in patients with DM.
Methods: This study utilized a cross-sectional, correlation analysis method using a cluster random sampling technique. In total, 106 subjects were selected from 11 sub-districts in Depok City, and the data were analyzed using the chi-square test.
Results: No correlation was observed between the knowledge of GI and diet in patients with DM (p = 0.082, α = 0.05).
Conclusion: In addition to knowledge, many other factors affect the diet in patients with DM. However, the knowledge of GI and proper diet remain crucial and must be delivered to patients with DM.
Keywords: diabetes mellitus, diet, glycemic index
Pranayama breathing exercise as a nursing intervention to reduce blood pressure in families with hypertensionTri Mariha
Tri Widyastuti Handayani
UI Proceedings on Health and MedicinePranayama breathing exercise as a nursing intervention to reduce blood pressure in families with hypertensionObjective: Adults in urban areas are at risk of developing hypertension. This study aimed to determine the effectiveness of the Pranayama breathing exercise as a relaxation technique for reducing blood pressure in a patient with hypertension.
Methods: The patient performed a Pranayama breathing exercise as a family nursing intervention. This exercise comprised full yogic breaths (Dhiirga Swasam), respiratory breaths (Ujjayi), strong blowing breaths (Kapalabhati), alternate nasal breaths (Anuloma Viloma), and tooth breaths (Sitkari). The exercise was done 1–2 times per week for 25 minutes each session.
Results: The patient exhibited reduced blood pressure readings, from 200/120 mmHg on May 2, 2017 to 170/90 mmHg On June 7, 2017.
Conclusion: The results of this study suggested that the Pranayama breathing exercise, performed 1–2 times per week, could be an effective non-pharmacological treatment for hypertension. Family nurses should therefore use Pranayama a nursing intervention for patients with hypertension. Additional studies, involving more patients, are needed to comprehensively examine the ability of Pranayama breathing exercises for reducing blood pressure.
Keywords: adult, hypertension, Pranayama breathing exercise.
Sleep hygiene practice and sleep qualtity of junior high school studentsWige Indah Pratiwi
Kuntarti
UI Proceedings on Health and MedicineSleep hygiene practice and sleep quality of junior high school studentsObjective: Adolescents tend to have poor sleep quality, which affects their physical, psychological, cognitive, and social conditions. Sleep hygiene practices have been considered to improve sleep quality. This study aimed to determine the relationship between sleep hygiene practices and sleep quality of junior high school’s students.
Methods: Sleep hygiene practices and sleep quality were assessed using the Sleep Hygiene Index and Pittsburgh Sleep Quality Index questionnaire, respectively. This cross-sectional study with descriptive correlation enrolled 124 students using cluster random sampling.
Result: Significant correlation was observed between sleep hygiene practices and sleep quality of junior high school students (p = 0.0005). Poor sleep hygiene practices correlate with poor sleep quality in students (r = 0.362).
Conclusion: Nurses should provide counseling regarding good sleep hygiene practices to students or parents or in schools to improve adolescents sleep quality.
Keywords: Adolescents, junior high school students, sleep hygiene practices, sleep quality
RELATIONSHIP BETWEEN THE KNOWLEDGE ON SELF-EFFICACY ABOUT COUNSELING AND STOMA SITE MARKING FOR PATIENTS UNDERGOING STOMA SURGERY IN ETNsAulia Putri
Debie Dahlia
Ratna Sitorus
Riri Maria
UI Proceedings on Health and MedicineRELATIONSHIP BETWEEN THE KNOWLEDGE ON SELF-EFFICACY ABOUT COUNSELING AND STOMA SITE MARKING FOR PATIENTS UNDERGOING STOMA SURGERY IN ETNsAlternative link: https://ejournal.lucp.net/index.php/mjn/article/view/373
Stoma complications may affect physical and psychological aspects in patients’ life. The implementation of counseling and stoma site marking prior to surgery can reduce the risk of complications and improve the quality the life of the patients. Enterostomal Therapy Nurse (ETN) is a nurse graduated of an educational program called ETNEP (Enterostomal Therapy Nurse Education Program). Self-efficacy of ETNs plays vital role in application of counselling and stoma site marking. This study aimed to evaluate knowledge and self-efficacy of ETNs and to investigate the relationship between the knowledge and self-efficacy about counseling and stoma site marking in ETNs. A cross sectional design was used which involved 81 ETNs in Indonesia. The study was conducted in 2017. The data were collected by using online questionnaire in a 3-part on ETNs's demographic characteristics, knowledge of counseling and stoma site marking (27 questions) and self-efficacy (33 questions). The data collecting process designed by google form then analyzed by using Chi Square test. Findings showed that there was a statistically significant correlation between the knowledge and selfefficacy (p=0,008, OR=3,808). An increase in knowledge corresponded with an improvement in the selfefficacy about counseling and stoma site marking in ETNs. This recommended every hospitals with stoma care may improve ETNs knowledge about counseling and stoma site marking periodically.
Keywords: Counseling, ETN, Stoma site marking
PENGARUH PENDIDIKAN KESEHATAN SLEEP HYGIEN TERHADAP PENINGKATAN KUALITAS TIDUR DALAM KONTEKS ASUHAN KEPERAWATAN PADA PASIEN GGKTA DENGAN HD DI RSCM JAKARTALoritta Yemina
Agung Waluyo
Lestari Sukmarini
Journal Scientific SolutemPENGARUH PENDIDIKAN KESEHATAN SLEEP HYGIEN TERHADAP PENINGKATAN KUALITAS TIDUR DALAM KONTEKS ASUHAN KEPERAWATAN PADA PASIEN GGKTA DENGAN HD DI RSCM JAKARTAPerawat sebagai Pemberian asuhan keperawatan pada pasien Gagal Ginjal KronisTahap Akhir dengan HD berguna untuk mencegah komplikasi gangguan tidur. Penatalaksanan untuk mencegah komplikasi pada gangguan tidur non farmakologis adalah pendidikan kesehatan sleep hygiene. Tujuan pelaksanaan untuk mengidentifikasi pengaruh Pendidikan kesehatan sleep hygien terhadap peningkatan kualitas tidur dalam konteks asuhan keperawatan pada pasien GGKTA dengan HD. Pelaksanaan dilaksanakan pada tanggal 30 April sampai dengan 13 Mei 2014 di Unit Hemodialisis Lantai VIII Gedung PJT RSCM. Jumlah responden 12 orang yang dibagi dalam dua kelompok yaitu 6 orang kelompok intervensi dan 6 orang kelompok control. Pelaksanaan dievaluasi dengan menggunakan Indeks Kualitas Tidur Pittsburgh. Hasil evaluasi pada kelompok intervensi didapatkan data penurunan nilai rata-rata Indeks Kualitas Tidur Pittsburgh yang signifikan yaitu 3,8 poin. Penkes Sleep Hygien dapat diaplikasikan dan dikembangkan oleh perawat sebagai bagian dari program intervensi manajemen non farmakologis untuk menigkatkan kualitas tidur pada pasien yang menjalani hemodialisa.
EFEKTIVITAS ISOMETRIC HANDGRIP EXERCISE DAN SLOW DEEP BREATHING EXERCISE TERHADAP PERUBAHAN TEKANAN DARAH PADA PENDERITA HIPERTENSIJuli Andri
Agung Waluyo
Wati Jumaiyah
Dhea Nastashia
Jurnal Keperawatan Silampari (JKS)EFEKTIVITAS ISOMETRIC HANDGRIP EXERCISE DAN SLOW DEEP BREATHING EXERCISE TERHADAP PERUBAHAN TEKANAN DARAH PADA PENDERITA HIPERTENSIAlternative link: https://journal.ipm2kpe.or.id/index.php/JKS/article/view/382
This study aims to identify the effectiveness of isometric handgrip exercise and slow deep breathing exercise on changes in blood pressure in patients with hypertension. Quasi experimental research design with a two group pretest posttest research design on 32 respondents. The results showed that there was a change in systolic and diastolic blood pressure after an Isometric Handgrip Exercise intervention (t = 8,279, p = 0,000), (t = 6,154, p = 0,000), and changes in systolic and diastolic blood pressure after a slow deep intervention was given breathing exercise (t = 3,632, p = 0,002), (t = 4,226, p = 0,001). Conclusion, both isometric handgrip exercise and slow deep breathing exercise can significantly reduce systolic and diastolic blood pressure in hypertensive patients.
Keywords: Hypertension, Isometric Handgrip Exercise, Slow Deep Breathing Exercise, Blood Pressure
THE EFFECTIVENESS OF ROY’S ADAPTATION MODEL FOR PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING PRE-DIALYSIS IN INDONESIATri Hapsari Retno Agustiyowati
Ratna Sitorus
Agung Waluyo
Besral Besral
Jurnal NersTHE EFFECTIVENESS OF ROY’S ADAPTATION MODEL FOR PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING PRE-DIALYSIS IN INDONESIAIntroduction: Patients with chronic kidney disease (CKD) undergoing pre-dialysis requires a good self-management to control low protein intake and maintain kidney function. Adaptation to the existing stimulus through coping and adjustment mechanisms is important to maintaining good kidney function. However, few studies applied nursing theory based to guide intervention in helping the adaptation of patient CKD with their condition. The purpose of this study is to evaluate the effectiveness of Roy’s adaptation model towards physiological and psychological adaptation response among patients with CKD undergoing pre-dialysis.
Methods: This study was conducted using a quasi-experiment to patients with CKD pre-dialysis, age over 18 years old. We modified Roy’s adaptation model for patients with CKD undergoing pre-dialysis.
Results: A total of 70 subjects agreed to join the study, 38 subjects in intervention and 32 subjects in the control group. The mean of eGFR ranged from 26.3 to 26.6 mL/min/1.73 m2. We found that Roy’s adaptation model has significantly improved drinking behavior, reduce protein intake, blood creatinine, and psychosocial adaptation response after the intervention.
Conclusion: These study findings suggested that Roy’s adaptation model is effective to help patients with CKD undergoing pre-dialysis improve their behavior and maintain kidneyfunction . Model dissemination, advocacy to related units, and application in nursing care in patients with chronic kidney disease pre-dialysis are necessary.
KEYWORDS
chronic kidney disease; pre-dialysis; physiological adaptation response; psychological adaptation behavior; Roy’s adaptation model
IMPLEMENTATION OF INTERNET-BASED EMERGENCY MEDICAL SERVICE (EMS) AT OUT-OF CARDIAC ARREST HOSPITAL (OHCA): A SOLUTION TO IMPROVE CARDIAC ARREST RESPONSE TIME AND ITS POTENTIAL APPLICATION IN INDONESIAIsmail Fahmi
Elly Nurachmah
Belitung Nursing JournalIMPLEMENTATION OF INTERNET-BASED EMERGENCY MEDICAL SERVICE (EMS) AT OUT-OF CARDIAC ARREST HOSPITAL (OHCA): A SOLUTION TO IMPROVE CARDIAC ARREST RESPONSE TIME AND ITS POTENTIAL APPLICATION IN INDONESIAOut-of-Hospital Cardiac Arrest (OHCA) is a condition when heart stops beating in out of the hospital. The majority of OHCA leads to death because of the delay response. Emergency Medical Service (EMS) system is needed to take care of the patients carefully. The development of Internet-based EMS is one of the best solutions, which is not only to improve the response time, but also to help patients to get the ambulance immediately. The aim of this paper is to understand how the Internet-based EMS can be used and how it will affect the patients with OHCA. Our findings indicated that the Internet-based EMS with mobile web service is critically needed for immediate response of cardiac arrest and accident situation in pre-hospital condition. However, the Internet-based EMS development needs to involve inter-sectoral agencies, such as fire fighter, police, and National Search and Rescue (SAR) Agent.
Keywords
Out-of-hospital cardiac arrest; emergency medical service; Internet-based emergency medical service
The Effectiveness of High Fidelity Simulation Towards Knowledge and Skills in Health Education:
Literature Review
Chiyar EdisonFaletehan Health JournalThe Effectiveness of High Fidelity Simulation Towards Knowledge and Skills in Health Education:Literature ReviewHigh Fidelity Simulation (HFS) has been recently deemed an effective approach to resemble the real clinical situation so that the improvement of knowledge and skill of student are much more significant. However, there has been much debate in recent times whether this method is much more effective than conventional simulation. This literature review aimed to present the evidence supporting of the effectiveness of HFS especially in enhancing knowledge and skill of health care student. Search terms including “high fidelity simulation”, “knowledge” and “skill” were processed into CINAHL, PubMed and Bristish Nursing Index. All papers that published after 2005 and primary research were included. There were totally 9 papers included in this review, as a result of back chaining method involved in searching strategy. This review suggests that HFS is able to improve skill and knowledge of student effectively.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGANSELFMANAGEMENTPADA PASIENHEMODIALISISDI KOTA BEKASIPuji Astuti
Tuti Herawati
I Made Kariasa
Healthcare Nursing Journal FAKTOR-FAKTOR YANG BERHUBUNGAN DENGANSELFMANAGEMENTPADA PASIENHEMODIALISISDI KOTA BEKASIPenatalaksanaan gagal ginjal terminal membutuhkan modifikasi gaya hidup pasien dalam mengatur diet, membatasi cairan, rejimen medikasi, perawatan akses vaskuler dan kepatuhan menjalani hemodialisis. Pasien hemodialisis dapat mengoptimalisasikan kesehatan dirinya, mencegah komplikasi dan meminimalkan efek penyakit dengan melaksanakan self management.  Tujuan penelitian  mengetahui faktor-faktor yang berhubungan  dengan self management pasien hemodialisis. Desain penelitian adalah cross sectional dengan teknik  consecutive sampling dan jumlah sampel 100 orang. Hasil penelitian didapatkan hubungan yang bermakna antara tingkat pengetahuan, dukungan keluarga dan efikasi diri dengan SM (p value <0,05). Variabel yang paling berpengaruh adalah tingkat pengetahuan. Penelitian merekomendasikan kegiatan pendidikan kesehatan terstruktur sebagai sarana untuk untuk meningkatkan pengetahuan dan pengendalian berat badan antara waktu hemodialisis.
PENURUNAN NYERI DENGAN KOMPRES DINGIN DI LEHER BELAKANG (TENGKUK) PADA PASIEN POST HEMOROIDEKTOMI TERPASANG TAMPONRohmani
Debie Dahlia
Lestari Sukmarini
JURNAL KEPERAWATAN TROPIS PAPUAPENURUNAN NYERI DENGAN KOMPRES DINGIN DI LEHER BELAKANG (TENGKUK) PADA PASIEN POST HEMOROIDEKTOMI TERPASANG TAMPONPasien post hemoroidektomi yang terpasang tampon mengalami nyeri akibat adanya spasme internal yang disebabkan oleh regangan dan tekanan syaraf perifer dikanalis analis. Penelitian ini bertujuan mengetahui pengaruh kompres dingin di leher belakang (tengkuk) terhadap penurunan nyeri pada pasien post hemoroidektomi yang terpasang tampon. Penelitian ini menggunakan quasi experiment pre test post test design with control group dengan jumlah responden yang didapat dengan teknik concecutive sampling. Pengukuran skala nyeri menggunakan visual analog scale (VAS) dengan skor nyeri maksimal 8. Hasil uji Friedman menunjukkan adanya perbedaan rerata penurunan nyeri yang diberikan kompres dingin ditengkuk dengan p-value 0,0001. Tindakan kompres dingin lebih efektif dibandingkan dengan terapi standar dalam menurunkan skala nyeri pasien post hemoroidektomi yang terpasang tampon. Penelitian ini bertujuan untuk mengukur penurunan nyeri dengan kompres dingin di leher belakang pada pasien post hemoroidektomi terpasang tampon.
Keywords
Kompres dingin, nyeri, hemoroidektomi, tampon
Hubungan Pengetahuan HIV/AIDs, Terapi Antiretroviral, dan Infeksi Oportunistik Terhadap Kepatuhan ODHA dalam Menjalani Terapi AntiretroviralDikha Ayu Kurnia
Umi Solekhah
Faletehan Health JournalHubungan Pengetahuan HIV/AIDs, Terapi Antiretroviral, dan Infeksi Oportunistik Terhadap Kepatuhan ODHA dalam Menjalani Terapi AntiretroviralPeningkatan pravelensi Orang Dengan HIV/AIDS (ODHA) dari tahun ke tahun merupakan masalah kesehatan global yang serius. Antiretroviral (ARV) merupakan satu-satunya terapi bagi ODHA yang harus dikonsumsi seumur hidup dengan kepatuhan tinggi (95%) guna mencapai efektifitas obat. Tetapi, masalah kepatuhan menjadi masalah utama bagi ODHA. Pengetahuan merupakan salah satu faktor yang mendukung tingkat kepatuhan dalam menjalani terapi. Tujuan penelitian ini adalah untuk mengetahui hubungan antara tingkat pengetahuan HIV/AIDS, terapi ARV dan infeksioportunistik dengan tingkat kepatuhan ODHA dalam menjalani terapi antiretroviral. Penelitian menggunakanmetode cross sectional dengan jumlah sampel 50 responden yang dipilih menggunakan teknik total sampling. Hasil penelitian menunjukkan tidak terdapat hubungan bermakna antara tingkat pengetahuan dengan tingkat kepatuhan ODHA dalam menjalani terapi ARV (pvalue = 0.107 > 0.05). Hasil tersebut kontradiktif hasil penelitian sebelumnya yang menyatakan terdapat hubungan pengetahuan terapi ARV dengan tingkat kepatuhan ODHA dalam menjalani terapi ARV di rumah Sakit Padang.
Kata Kunci: HIV/AIDS, Infeksi Oportunistik, Kepatuhan, Pengetahuan, Terapi ARV
Studi Kasus: Asuhan Keperawatan Pada Klien Isolasi Sosial Pasca PasungMuhammad Fadly
Giur Hargiana
Faletehan Health JournalStudi Kasus: Asuhan Keperawatan Pada Klien Isolasi Sosial Pasca PasungIsolasi sosial merupakan keadaan dimana seorang individu mengalami penurunan bahkan sama sekali tidak mampu berinteraksi dengan orang lain di sekitarnya. Tujuanstudi kasus ini adalah untuk menganalisis tentang asuhan keperawatan isolasi sosial pasca pasungpada Tn. P dengan skizofrenia paranoid. Proses asuhan keperawatan dilakukan berdasarkan standar asuhan keperawatan generalis selama enam hari rawat pada tanggal 7-12 Mei 2018 pada Tn. P dengan usia 32 tahun dan berjenis kelamin laki-laki. Hasil didapatkanmasalah keperawatan utama adalah isolasi sosial. Implementasi keperawatan berfokus pada kemampuan klien membina hubungan saling percaya dan meningkatkan kemampuan klien berinteraksi secara bertahap. Intervensi keperawatan memberikan dampak yang positif kepada klien dilihat dengan penurunan tanda dan gejala isolasi sosial pada aspek kognitif, afektif, fisiologis dan sosial, namun belum tampak penurunan pada aspek perilaku. Faktor yang menyebabkan klien sulit membina hubungan dengan perawat yaitu faktor internal dimana klien memiliki penilaian negatif terhadap diri sendiri, orang lain dan lingkungan dan faktor eksternal dimana klien menganggap perawat sebagai stressor yang membahayakan. Rencana tindak lanjut pelayanan keperawatan diharapkan dapat dimaksimalkan baik secara individu, keluarga, kelompok dan komunitas.
Kata Kunci: isolasi sosial, skizofrenia paranoid, standar asuhan keperawatan
Improving the implementation of patient safety by nursing students using nursing instructors trained in the use of quality circles,Linda Wieke Noviyanti
Hanny Handiyani
Dewi Gayatri
BMC NursingImproving the implementation of patient safety by nursing students using nursing instructors trained in the use of quality circlesBackground
It is recognised worldwide that the skills of nursing students concerning patient safety is still not optimal. The role of clinical instructors is to instil in students the importance of patient safety. Therefore, it is important to have competent clinical instructors. Their experience can be enhanced through the application of quality circles. This study identifies the effect of quality circles on improving the safety of patients of nursing students. Patient safety is inseparable from the quality of nursing education. Existing research shows that patient safety should be emphasised at all levels of the healthcare education system. In hospitals, the ratio between nursing students and clinical instructors is disproportionately low. In Indonesia, incident data relating to patient safety involving students is not well documented, and the incidents often occur in the absence of a clinical instructor.
Methods
This study used a quasi-experimental research design with pre-test and post-test non-equivalent control groups. The aim of the project was to explore the implications of the quality circle on clinical instructors by comparing the students’ knowledge, attitudes, and practices of control and intervention groups. A questionnaire will be conducted to evaluate the implementation of patient safety and the impact of the intervention. The data were statistically analysed using independent t tests. The intervention was the implementation of quality circles that focused on patient safety issues for the use of clinical instructors to assess and guide student nurse behaviour in regard to patient safety. The authors of this study trained the clinical instructors on how to use quality circle methods to solve nursing problems especially with relevance to the patient safety issues of students.
Results
The results showed a significant increase in the behaviour of nursing students towards patient safety issues (p < 0.001; α = 0.05).
Conclusions
The implementation of quality circles has a significant effect on patient safety. Therefore, it is recommended to implement quality circles as a problem-solving technique to optimize patient safety.
Perceived family support among older persons in diabetes mellitus self-managementNiko Dima Kristianingrum
Wiwin Wiarsih
Astuti Yuni Nursasi
BMC GeriatricsPerceived family support among older persons in diabetes mellitus self-managementBackground
The aging process has functional consequences for older persons, such as degenerative processes of the pancreas resulting in diabetes mellitus. The increasing age of the population will eventually lead to increasing health problems of older persons, including diabetes mellitus. Diabetes mellitus is a chronic disease that requires long-term care through self-management. Diabetes self-management in older persons is influenced by family support as the main support system. This study aimed to explore perceived family support by older persons in diabetes mellitus self-management.
Methods
This study applied descriptive phenomenology method. The data were collected through in-depth interviews. There were nine older persons with diabetes mellitus as participants. Data consisted of in-depth interview recordings and field notes. Data were transcribed and analyzed using Colaizzi’s method.
Results
The results identified that family support as perceived by older persons included daily activity assistance, assistance with obtaining health services, food preparation, financial support, attention, guidance, and problem solving. The response to family support was pleasure as expressed by the older persons.
Conclusions
Physical and economic limitations were a significant hindrance to self-management of diabetes mellitus in older persons; therefore, they require family support to optimize their independence. The results of this study highlight the importance of family support in diabetes mellitus self-management in older persons.
The Contributing Individuals in Developing Caring Behaviors of Nursing Students: The Focus Group FindingKuntarti
Krisna Yetti
Enie Novieastari
International Journal for Human CaringThe Contributing Individuals in Developing Caring Behaviors of Nursing Students: The Focus Group FindingAlternative link: https://www.researchgate.net/publication/329139579_The_Contributing_Individuals_in_Developing_Caring_Behaviors_of_Nursing_Students_The_Focus_Group_Finding
Caring behavior as a core competence of nursing students should be developed during the educational period. This study aimed to explore nursing students’ experiences in developing their caring behavior during nursing education. The study employed focus group discussions involving seven nursing students enrolled in the 3rd, 5th, and 9th semesters, and recent graduates of the baccalaureate nursing program in Indonesian. Data were analyzed using concept analysis with Colaizzi’s model. The results showed that besides their parents, the peer group was the most significant contributor to the development of their caring behaviors, followed by lecturers, senior students, nurses, and their patients. This study recommended that the faculty engage peer groups, senior students, and lecturers in the mentoring program to cultivate a caring culture among nursing students and measure the effectiveness of the program to change nursing students’ caring behaviors.
A "Not able to live anymore": Reaction of the grieving process of the elderly dealing with chronic diseaseBahtiar
Junaiti Sahar
Wiwin Wiarsih
International Journal of Nursing and Health Services A "Not able to live anymore": Reaction of the grieving process of the elderly dealing with chronic diseaseBackground: Psychological problems have an impact on the elderly with chronic diseases thus affecting health status. Objective: The purpose of this study was to identify the response of the elderly in dealing with chronic diseases. Methods: This study uses a descriptive phenomenology method. The population in this study were elderly who lived in Makassar City and had a chronic disease. This study illustrates the experience of 13 older adults aged 60-78 years who experience chronic disease. Results: A response felt by the elderly with chronic diseases for years, a series of grieving processes. The grieving process felt by the elderly is a psychological reaction from the suffering experienced due to symptoms and complaints of chronic illness. The series of grieving process reactions that are displayed are denial, anger, bargaining, despair, and resignation. Conclusion: The old experience with denial, anger, bargaining during chronic illness is normal. Also, the elderly could experience a desperate reaction during chronic illness due to the prolonged treatment process, and resignation reaction was a sign that the elderly were aware of the disease condition which they experienced. Recommendation: nursing intervention is needed related to grieving issues that include aspects of self, physical, social and spiritual for elderly with chronic illness.
Keyword: grieving, chronic illness, elderly, family
SWOT Analysis of Nursing Clinic Professional Career Ladder System (SJKP2K) in Military Hospital JakartaBela Pertiwi
Rr Tutik Sri Hariyati
Siti Anisah
International Journal of Nursing and Health Services SWOT Analysis of Nursing Clinic Professional Career Ladder System (SJKP2K) in Military Hospital JakartaNursing managers must have a strong directing function towards the Professional Clinic Nurse Career Ladder System (SJKP2K). This is to improve the quality of nursing care that will be provided by nurses to patients. The military hospital in Jakarta already has the standard of planning, guidelines and SOP regarding the SJKP2K, but based on the authors' observations for two weeks in one of the rooms in the hospital, the results show that the SJKP2K implementation is not optimal. This problem then analyzed using the SWOT Analysis followed by scoring and weighting through an Internal Factors Evaluation (IFE) and External Factors Evaluation (EFE) matrix analysis. The sum of the scores of each matrix ​​then poured into the IE (Internal and External) matrix to determine the position of the SJKP2K strengths. The calculation result between IFE and EFE in IE matrix shows that SJKP2K is in area V, which means that SJKP2K is in hold and maintain stage so that market penetration and product development strategies are needed so that SJKP2K requires development both in quality and quantity.
Keywords: DRK, Career ladder, previlage, competency, reward
Board Game as an Educational Game Media to an Effort to Change the Attitude of Dengue Prevention in School-Aged ChildrenVivi Leona Amelia
Agus Setiawan
Sukihananto
International Journal of Nursing and Health Services Board Game as an Educational Game Media to an Effort to Change the Attitude of Dengue Prevention in School-Aged ChildrenBackground: Indonesia is the second highest country for dengue prevalence, and the cases has rapidly increased in the last 45 years. Compared to other age groups, the age group of children is the highest dengue fever prevalence. The attitude of dengue prevention is important for child which related to their skill to preventing the dengue fever by themselves. A game is one of the way to teach the children for a new information, it is also including the dengue prevention material
Objective: This study want to identify the attitude of the children about dengue prevention and develop an educational game to teach a new information about dengue prevention.
Methods: This study uses quasi-experimental design with pre and posttest with control group. The participants are a school-aged children with age 10-12 years old. With total 92 participants, and 46 for each group.
Results: The results show a significantly increasing score at children attitude of dengue prevention before and after intervention except the strategy to closing the water storage (p=0.008), the other strategy that gets a significantly increasing such as fever and fever management (p=0.000), draining the water storage (p=0.001), checking the water storage (p=0.000), recycling (p=0.000), chemistry agent (p=0.000), biology agent (p=0.000), self protection (p=0.001), immune system (0.000). There are different attitude between control and intervention groups (p=0.000).
Conclusion: The conclusion is the dengue board game can be an educational game media to give dengue prevention information to children, also can improving the attitude of dengue prevention.
Keywords: Board Game, Dengue Prevention Strategy, School-Aged Children
DETERMINANT FACTOR OF CONDOM USE AMONG MEN SEX MEN AND TRASNGENDER WOMEN IN SOUTHEAST ASIA REGION : A LITERATURE REVIEWKhumaidi
Sri Yona
International Journal of Nursing and Health Services DETERMINANT FACTOR OF CONDOM USE AMONG MEN SEX MEN AND TRASNGENDER WOMEN IN SOUTHEAST ASIA REGION : A LITERATURE REVIEWBackground : based on data from UNAIDS 2017 reported that men sex men(MSM) and other MSM (transgender women) accounted for 12 percent of new HIV infections in 2017. The Asia Pacific region is one of the regions that contributes new HIV cases from MSM and transgender women. Unprotected anal sex is a major cause of HIV transmission among MSM and transgender women. Objective: the study aimed to describe determinan factors of condom use among men sex men and transgender women in Southeast Asia region. Methods : we search literature from various relevant sources. Five databases including PubMed, PROQUEST, Plos One, Science Direct and Ebsco were included in this study. Results : several factors that contribute to condom use such as individual factors including attitudes, knowledge related to HIV, decreased sexual pleasure, substance use and gender presentation. Other factors that influence condom use are family support, peer support and experience of physical violence and sexual abuse. the type of partner and the amount of pay for sex among transgender women also influence condom use. Conclusion : several factors are noted from individual, social, family and sex partner. Further research especially intervention research, it is necessary to consider the factors that influence condom use before developing interventions for MSM and transgender women.
Keywords: Determinan factor, condom use, men sex men, transgender women
The Implementation of Electronic based Nursing Care Documentation to EFETEC; A Literature ReviewI Wayan Gede Saraswasta
Rr. Tutik Sri Hariyati
International Journal of Nursing and Health Services The Implementation of Electronic based Nursing Care Documentation to EFETEC; A Literature ReviewIn last two decades most of the tasks performed by nurses have not been directly related to patient care. Nurses spend more time on writing documentation or medical records of patients. Implementation of electronic medical record can reduce the time used for documentation or in other hand will increase the time for nurses to interact with patients then eventually can improve the quality of nursing care. Purpose of this literature review is to find out the implementation of electronic-based nursing care documentation (EHR) in improving the quality of nursing care in terms of EFETEC aspects. Method used by author is a literature review. Database used is Science Direct, PROQUEST, Scopus, Ebscho and Scholar Article with the keywords; electronic health record, EHR, Documentation in nursing, Quality of nursing care. Implementation of electronic nursing care documentation can improve the service quality. Improvement of the quality of service is reviewed with EFETEC which consists of efficient, focus for patient, effective, time discipline, equality, confidentiality. In the era of health workers 4.0 the utilization of electronic nursing care documentation requires continuous development in order to improve the quality of service for patients.
KEYWORDS: electronic health record, nursing care documentation, quality of nursing care
Improvement Legal Aspects and Completeness of Documentation using Electronic Nursing Record: A Report Study
Legal Aspect and Competteness of Nursing Electronic Documentation
Rr. Tutik Sri Hariyati
Krisna Yetti
Retno Purwandari
Efy Afifah
International Journal of Nursing and Health Services Improvement Legal Aspects and Completeness of Documentation using Electronic Nursing Record: A Report StudyLegal Aspect and Competteness of Nursing Electronic DocumentationBackground: Completeness of documentation as a legal aspect and proof a nursing activity. Nothing documentation means nothing activity.
Objective: The Purpose of research to identify the legal aspect and completeness of nursing documentation after applying electronic nursing documentation.
Methods: Report study approach and using pre and post-test with the control group. Thirty Four documentation collected using consecutive sampling on one-week observation before and after using electronic nursing information. The research compared the legal aspect and completeness of data conducted before and after the implementation of the new system.
Results: The study showed improvement of the legal aspects increased by 50% (4,40 to 8,00) and completeness documentation by 10.39% (43,00 to 49,00) after used of a system.
Conclusion: Nursing Electronic Documentation improved legal aspect, completeness nursing and enhance the quality of nursing care.
Recommendation: Electronic nursing documentation can be done to support and increase the quality of nursing.
Keywords: a legal aspect of nursing documentation, completeness of nursing documentation, electronic nursing documentation
MOBILE HEALTH APPLICATION - PREVENTING PATIENTS OF BREAST CANCER POST-TREATMENT FROM UPPER LIMB DYSFUNCTION (ULD) (Chemotherapy, Radiotherapy, and Surgery) : LITERATURE REVIEWHendra Dwi Cahyono
Rr. Tutik Sri Hariyati
International Journal of Nursing and Health Services MOBILE HEALTH APPLICATION - PREVENTING PATIENTS OF BREAST CANCER POST-TREATMENT FROM UPPER LIMB DYSFUNCTION (ULD) (Chemotherapy, Radiotherapy, and Surgery) : LITERATURE REVIEWBackground. Breast cancer is the most common cancer which attacks 2.1 million women annually. The high incidence of ULD is a negative impact that affects the quality of life of patients. m-Health Application is a tool that can facilitate the process of service or health care.
Purpose. To know the effectiveness of m-Health Application usage in preventing Upper Limb Dysfunction (ULD) by increasing physical activity of patients after breast cancer treatment.
Method. Relevant articles that were published between 2013 and 2018 were retrieved from EBSCOhost, Scopus, ScienceDirect, ProQuest, and SAGE databases, using keywords like mobile health application, breast cancer, physical activity, upper limb dysfunction.
Results. This study uses 9 literatures, including 3 journals with randomised controlled trial (RCT) design, 1 quasi-experimental journal, 1 cross-sectional journal, 1 journal using a pilot study, and 1 journal using qualitative design alongside with focus group method. Almost all literatures show positive results of mobile health application in increasing physical activity of breast cancer patients.
Conclusion. Mobile health application can significantly prevent the occurrence of ULD by increasing the practice of patients' physical activity through application features, such as video, games, SMS, telephone, e-mail, and the internet web.
Keywords mobile health application, breast cancer, physical activity, upper limb dysfunction.
Factors Predisposing Implementation of Effective Nurse Communication: a Systematic ReviewRr.Tutik Sri Hariyati
Andi Nur Indah Sari
Tuti Afriani
International Journal of Nursing and Health Services Factors Predisposing Implementation of Effective Nurse Communication: a Systematic ReviewBackground: Communication skills are essential for nurses in providing health services. Efficacious communication will impact in the quality of care and patient safety. This manuscript is to identify factors predisposing implementation of effective nurse communication.
Method: This study that data was retrieved uses systematic review design. Data was retrieved from database ProQuest, SCOPUS, EBSCO, Science-Direct, JSTOR, and Wiley-Online in the period of 2011 – 2017. The study was done for journal, article and literature review by applying the keywords nurse communication, health’s communication, effective communication of nurse.
Results: A total of 12518 studies was found from six databases. From, the number of these direct search, systematic review identifies conformity based on the title, so that it obtained 31 studies with a title that suitable for a selected discussion. The total of selected papers were 16 studies and identified Efficacious communication. Analysis result from the paper research was there were 16 papers that complement the criteria determined. Six factors are identified to have effect in an implementation of effective nurse communication: (1) intelligence and self-efficacy, (2) Communication Skills, (3) Work Experience, (4) Perceptions, (5) Socio-cultural, and (6) Organization culture.
Conclusion: Effective communication will be executed best of it has become the work culture. Nurses Leaders has an imperative role as role models in doing effective communication. Effective communication will imply to the increase of nurses service quality.
Keywords: cultures, effective communication, work experiences, nurses
Innovation in Utilizing Information Technology Systems in Improving the Quality of Nursing ServicesAhmad Dahlan Sayam
Sukihananto
International Journal of Nursing and Health Services Innovation in Utilizing Information Technology Systems in Improving the Quality of Nursing ServicesBackground: Advances in technology in the field of health are increasingly increasing, enabling everyone to use existing technology. Today, advances in information technology that allow for the development of professional nursing services, and the attention of current epidemiology and sociodemography, are very important for nurses. to become familiar with health information systems
Methods: The conceptual framework proposed was to look at the theory and empirical literature used in nursing studies and its benefits, which were reviewed from several research results from 2013 to 2018. This study used 17 journals that were reviewed against it.
Results: Several innovations in the field of information technology in the field of nursing have been developed and evaluated for its benefits. Based on what is in the literature in this article, Nurse Calling Systems (NCSS), EHR and CDSS, MDTT, computers and infusion management systems are a number of innovations that have been developed for developing technology to provide better quality services. The benefits obtained when using these innovations, namely more efficient management, more effective use of costs, improved planning programs, increased utilization of nurses. The benefits of information systems in nursing more time with, patients and less time in station nurses, reducing the use of paper nursing care automatically the same standard in care (nursing process) reduce the cost of nursing services can be measured
Conclusion: it takes several innovations in the field of nursing that have been widely applied, which are carried out on benefits that provide enormous benefits in the practice of nursing services.
So it is recommended that in the future Indonesia can implement innovations that can help improve nurse performance in Indonesia according to existing needs
Keywords: Innovation, Nursing Information System, Benefits
FISHBONE ANALYSIS METHOD OF COMMUNICATION HANDOVER IN THE EMERGENCY INSTALLATION IN JAKARTA ARMY HOSPITALDeny Gunawan
Rr Tutik Sri Hariyati
Desnita Fitri
International Journal of Nursing and Health Services FISHBONE ANALYSIS METHOD OF COMMUNICATION HANDOVER IN THE EMERGENCY INSTALLATION IN JAKARTA ARMY HOSPITALBackground: The handover and transfer of identification often experience a weakness in its implementation and become global problems at the hospital.Objective: This paper focuses on the cause of less optimal implementation of Identification Situation Background Assessment Recommendation (ISBAR) method when conducting handover of nurses among shifts at Army Hospital in Jakarta. Methods: This study employed situation study analysis with a fishbone diagram approach that includes 5M and 1E.Literature review and analysis were utilized to produce recommendation for improving the quality of the ISBAR method implementation when conducting handover of nurses among shifts. Data were obtained from the existing-secondary data, previous research data and data sources from Jakarta Military Hospitals.
Results: Data were analyzed using fishbone, data obtained for the cause was not optimal ISBAR method when nursing handover between shifts. causes the problems identified can be prioritized are no tools monitoring evaluation, there is no definitive monitoring evaluation team, monitoring evaluation implementation of nurse handover within shift, hospital has not been a paperback book about ISBAR, components in the handover format not optimal, and the nurse has not been understood properly ISBAR method.
Conclusion: The research result reveals six causes of the problem. They are: (1) the absence of evaluation monitoring tools, (2) the absence of definite evaluation monitoring team, (3) non optimal handover evaluation monitoring of nurses among shifts,(4) the absence of a pocket book on ISBAR delivery method, (5) non optimal components in the handover format, and (6) nurses’ inability to conduct ISBAR method correctly.Recommendation: propose the ISBAR method of monitoring and evaluating the handover of nurses between shifts, the establishment of an ISBAR method evaluation monitoring team to hand over nurses between shifts, a draft evaluation monitoring tool, making a pocket book about the ISBAR method, the ISBAR component in the nurse handover format, and provide education and roleplay of the ISBAR method when handover of nurses between shifts.
Keywords: Army hospital, Fishbone diagram, Handover, Installation of emergency, ISBAR
IMPROVEMENT OF KNOWLEDGE AND CARING BEHAVIOR THROUGH E-LEARNING: A LITERATURE REVIEWPutri Nilasari
Rr. Tutik Sri Hariyati
International Journal of Nursing and Health Services IMPROVEMENT OF KNOWLEDGE AND CARING BEHAVIOR THROUGH E-LEARNING: A LITERATURE REVIEWBackground: 4.0 industrial revolution raises new challenges for nurses to stay up to date on science knowledge by utilizing information technology advances. This is because science is the basis of nurses in making the best nursing care for patients.
Methods: Literature review of 25 journals from Science Direct, PROQUEST, Scopus, and Scholar Article in 2014 to 2018.
Results: Some results of the study show that the use of e-learning in providing education of nurses can increase knowledge to nurses' caring behavior in providing nursing care, and one of the e-learning devices in the hospital is a webinar.
Conclusion: E-learning provides opportunities for nurses to gain knowledge through the use of electronic systems. One of the e-learning devices in the hospital that can be used as a reference when nurses want to study is webinar. Not only nurses who work at the hospital who can get benefits from webinar, but so do nurses in other health services. Although facilities and infrastructure are inadequate in an HR hospital, but nurses can intelligently use webinar as a source to gain knowledge.
Keywords: e-learning, knowledge, caring, webinars
Retention Strategy to Minimize Nurse Turnover: A Systematic Review
Retention Strategy to Minimize Nurse Turnover
Rr.Tutik Sri Hariyati
Nurdiana
International Journal of Nursing and Health Services Retention Strategy to Minimize Nurse Turnover: A Systematic ReviewRetention Strategy to Minimize Nurse TurnoverBackground: Communication skills are essential for nurses in providing health services. Efficacious communication will impact in the quality of care and patient safety. This manuscript is to identify factors predisposing implementation of effective nurse communication.
Method: This study that data was retrieved uses systematic review design. Data was retrieved from database ProQuest, SCOPUS, EBSCO, Science-Direct, JSTOR, and Wiley-Online in the period of 2011 – 2017. The study was done for journal, article and literature review by applying the keywords nurse communication, health’s communication, effective communication of nurse.
Results: A total of 12518 studies was found from six databases. From, the number of these direct search, systematic review identifies conformity based on the title, so that it obtained 31 studies with a title that suitable for a selected discussion. The total of selected papers were 16 studies and identified Efficacious communication. Analysis result from the paper research was there were 16 papers that complement the criteria determined. Six factors are identified to have effect in an implementation of effective nurse communication: (1) intelligence and self-efficacy, (2) Communication Skills, (3) Work Experience, (4) Perceptions, (5) Socio-cultural, and (6) Organization culture.
Keywords: nursing shortage, nursing retention, turnover intention
The Utililization Of Electrocardiograph (ECG) Monitoring System For Patient With Cardiovascular Disease Based On Community: A Literature ReviewRezky Mulyana
Tuti Afriani
Jurnal Keperawatan MuhammadiyahThe Utililization Of Electrocardiograph (ECG) Monitoring System For Patient With Cardiovascular Disease Based On Community: A Literature ReviewIntroduction: Cardiovascular disease is one of diseases which the highest mortality rate in Indonesia, to solve that problem, patients with cardiovascular diseases should be monitored and controlled.
Method: The design of this manuscript uses literature review. Data was retrieved from database research journal used in Science Direct, Proquest, SpringerLink and Wiley and internet searches Online in the period of 2012-2017. Analysis result from paper research was there were 13 journals.
Results: Electrocardiogram in the community use wireless sensor, mobile and community platform used receiving, analysing, and transmitting data. The system will make easier to monitor the patient's condition for 24 hours and send data from remote and unlimited locations.
Conclutions: This monitoring system can help to detect altered electrical cardiac signal, that will automatically send alarms to server accompanied by google maps to show patient’s location. This system makes nurses easy to change diet plans, cure, and the changes. This system is very flexible, easy to use, cheap, and confidentially ensure patient. This system using online system leads to decrease individual social contacts and allow for delay in data transmission process. This study show that the implementation system can develope to reduce mortality due to heart disease.
Kata Kunci
Monitoring System; Electrocardiograph; Cardiovascular Diseases
GAMBARAN DUKUNGAN SOSIAL TERHADAP KESEJAHTERAAN EMOSIONAL, PSIKOLOGI DAN SOSIAL PADA KESEHATAN JIWA REMAJANi Made Dian Sulistiowati
Budi Anna Keliat
Besral
Abdul Wakhid
JURNAL ILMIAH PERMAS: JURNAL ILMIAH STIKES KENDALGAMBARAN DUKUNGAN SOSIAL TERHADAP KESEJAHTERAAN EMOSIONAL, PSIKOLOGI DAN SOSIAL PADA KESEHATAN JIWA REMAJAMasa remaja terjadi perubahan yang dapat menimbulkan masalah jika tidak adanya koping yang adaptif yang dimiliki remaja. Hal ini tentunya perlu diikuti dengan dukungan sistem yang baik pada remaja sehingga remaja mampu tetap memiliki kesehatan jiwa yang baik dan mampu menggunakan koping yang sesuai dalam menyelesaikan masalah yang terjadi. Penelitian ini merupakan penelitiandeskriptif korelatif dengan desaincross-sectional untuk mengetahui sejauh mana hubungan dukungan sosial terhadap kesehatan jiwa remaja melalui kesejahteraan emosional, psikologis dan sosial. Sampel sebanyak 135 siswa kelas 7 dan 8 yang berada di SMP swasta dan negeri di Kota Denpasar dan Kabupaten Gianyar yang dipilih melalui teknik stratified random sampling. Responden mengisi kuesioner tentang dukungan sosial (CASSS) dan kesehatan jiwa (MHC-SF). Hasil yang didapatkan diolah secara statistik menggunakan uji chi square. Didapatkan kesejahteraan psikologi remaja sebagian besar dipengaruhi oleh dukungan sosial teman sekelas dan sekolah, sedangkan kesejahteraan sosial remaja dipengaruhi oleh dukungan sosial orang tua, guru, teman sekelas dan sekolah (p<0.005). Adapun faktor yang paling berkontribusi dalam kesehatan jiwa remaja adalah dukungan sosial orang tua (OR : 5,2; p<0.005).Diperlukan peran serta antara orangtua, guru, teman sebaya dalam membantu remaja memahami perubahan yang terjadi pada dirinya sehingga mampu menggunakan koping adaptif ketika masalah terjadi.
Kata kunci: Kesehatan jiwa, remaja, dukungan sosial
PENGETAHUAN KELUARGA BERHUBUNGAN DENGAN PERILAKU PENCEGAHAN ISPA PADA BALITAAnnisa Fitri Lidia
Dwi Cahya Rahmadiyah
JURNAL ILMIAH PERMAS: JURNAL ILMIAH STIKES KENDALPENGETAHUAN KELUARGA BERHUBUNGAN DENGAN PERILAKU PENCEGAHAN ISPA PADA BALITAInfeksi Saluran Pernapasan Akut atau yang biasa disebut dengan ISPA merupakan penyakit yang menjadi penyebab utama morbiditas dan mortalitas penyakit menular di dunia maupun di Indonesia. ISPA paling banyak terjadi pada usia anak-anak dan balita merupakan kelompok usia yang paling rentan terhadap penyakit ini. Pengetahuan dan perilaku pencegahan yang kurang baik dari keluarga akan menimbulkan risiko terhadap balita untuk terkena penyakit ISPA. Tujuan penelitian kuantitatif ini adalah untuk mengetahui hubungan antara pengetahuan yang dimiliki oleh keluarga mengenai penyakit ISPA terhadap tindakan pencegahan ISPA pada balita di wilayah kerja Puskesmas Kecamatan Ciawi Bogor.Penelitian ini menggunakan desain cross-sectional dengan 93 sampel yang diambil menggunakan teknik Accidental sampling.Sampel penelitian adalah Ibu yang membawa balitanya berobat ke Poli MTBS Puskesmas Kecamatan Ciawi. Hasil penelitian dianalisa dengan Chi-square yang menunjukkan adanya hubungan yang signifikan antara pengetahuan dengan perilaku pencegahan ISPA yang dilakukan oleh keluarga (p value = 0,000, p < α = 0,05) dimana keluarga dengan pengetahuan baik memiliki kecenderungan 8,3 kali lebih besar untuk melakukan pencegahan yang baik terhadap penyakit ISPA.Penelitian selanjutnya direkomendasikan untuk melakukan studi mengenai pengaruh pemberian pendidikan kesehatan di Puskesmas dengan pengetahuan dan perilaku masyarakat terhadap penyakit ISPA.
Kata kunci : ISPA, pengetahuan, perilaku pencegahan
STUDI FENOMENOLOGI PENGALAMAN REMAJA PEREMPUAN YANG PUTUS SEKOLAHAisyah Safitri
Achir Yani S. Hamid
Yossie Susanti Eka Putri
Wiwin Wiarsih
Jurnal KeperawatanSTUDI FENOMENOLOGI PENGALAMAN REMAJA PEREMPUAN YANG PUTUS SEKOLAHRemaja perempuan yang putus sekolah beresiko mengalami harga diri rendah situasional, kenakalan remaja, nikah dini, hingga hilangnya generasi bangsa yang berkualitas. Tujuan penelitian untuk mendapatkan pemahaman mendalam tentang pengalaman remaja perempuan yang putus sekolah. Penelitian ini menggunakan desain fenomenologi terhadap enam partisipan di Kota Bogor. Hasil penelitian menemukan delapan tema yaitu alasan putus sekolah, pengambil keputusan berhenti sekolah, respon emosional, respon keluarga, respon lingkungan, kegiatan setelah putus sekolah, harapan masa depan dan pentingnya sekolah. Penelitian ini merekomendasikan pentingnya bekerjasama dengan berbagai pihak untuk mengembangkan program bagi remaja khususnya remaja perempuan yang putus sekolah agar terhindar dari masalah psikososial dan perilaku negatif.
Kata kunci : Fenomenologi, Remaja Perempuan, Putus Sekolah
ASUHAN KEPERAWATAN PSIKOSOSIAL: KETIDAKBERDAYAAN PADA KLIEN DENGAN GAGAL JANTUNGTarnimatul Ummah
Ice Yulia Wardani
Giur Hargiana
Jurnal KeperawatanASUHAN KEPERAWATAN PSIKOSOSIAL: KETIDAKBERDAYAAN PADA KLIEN DENGAN GAGAL JANTUNGKetidakberdayaan dapat terjadi pada individu yang menderita gagal jantung akibat tanda gejala yang dirasakan, dan menjadi permasalahan psikososial yang berpengaruh pada fungsi fisik individu dengan gagal jantung. Studi kasus ini memaparkan asuhan keperawatan psikososial ketidakberdayaan yang dilakukan pada kliendengan gagal jantung. Implementasi keperawatan yang dilakukan berupa menggali perasaan, melatih berpikir positif, mengidentifikasi aspek positif diri yang masih dapat dilakukan sesuai kemampuan, dan memilih target realistis yang dapat dicapai. Hasil studi kasusu menunjukkan bahwa intervensi keperawatan ketidakberdayaan yang optimal dengan melibatkan keluarga menunjukkan penerimaan terhadap penyakit pada kliendan menumbuhkan rasa berdaya, sehingga klien mampu menumbuhkan harapan positif dan tujuan realistis dalam hidupnya. Hubungan timbal balik antara kesehatan fisik dan psikososial kliengagal jantung perlu dipenuhi sebagai dasar pemberian asuhan keperawatan yang holistik.
Kata kunci: psikososial, ketidakberdayaan, gagal jantung.
BURNOUT DAN PERILAKU CARING PERAWAT ONKOLOGIClaudia Talenta
Ice Yulia Wardani
Jurnal KeperawatanBURNOUT DAN PERILAKU CARING PERAWAT ONKOLOGIBurnout merupakan kondisi seseorang yang mengalami stres kerja sehingga berakibat kepada kelelahan fisik, emosional, perubahan perilaku, dan penurunan pencapaian kerja. Sedangkan, perilaku caring merupakan inti dari praktik keperawatan sebagai fenomenal universal yang berpengaruh terhadap komunikasi, cara berpikir, berperasaan, dan berperilaku satu sama lain. Hasil penelitian pada 87 perawat di RS Kanker menunjukkan tidak adanya hubungan bermakna antara tingkat burnout dengan perilaku caring perawat onkologi di RS Kanker Jakarta dikarenakan hasil uji normalitas data yang tidak normal. Sekitar 50,7% perawat yang memiliki tingkat burnout tinggi tergolong berperilaku caring rendah dan 49,3% tergolong berperilaku caring rendah. Berdasarkan hasil analisis data, rumah sakit sebaiknya meningkatkan pelatihan mengenai excellent service dan patient safety, gathering antar perawat dan tenaga kesehatan, serta rotasi ruangan kerja perawat sesuai kompetensi agar dapat menurunkan tingkat burnout dan meningkatkan perilaku caring yang berdampak pada pelayanan kesehatan optimal kepada klien Kanker.
Kata Kunci: burnout, perawat, perilaku caring
AFIRMASI POSITIF SEBAGAI INTERVENSI KETIDAKBERDAYAAN PADA MASALAH KESEHATAN PERKOTAANSYSTEMIC LUPUS ERYTHEMATOSUSSalwa Muniroh
Ice Yulia Wardani
Jurnal Ilmu Keperawatan JiwaAFIRMASI POSITIF SEBAGAI INTERVENSI KETIDAKBERDAYAAN PADA MASALAH KESEHATAN PERKOTAANSYSTEMIC LUPUS ERYTHEMATOSUSKerusakan lingkungan yang terjadi di area perkotaan dapat memicu munculnya berbagai masalah kesehatan.Salah satu masalah kesehatan yang berisiko lebih tinggi terjadi di perkotaan adalah Systemic Lupus Erythematosus (SLE).SLE dapat menimbulkan masalah psikososial, salah satunya ketidakberdayaan.SLE juga dapat memengaruhi hubungan pasien dengan keluarga atau pun orang terdekatnya.Karya Ilmiah Akhir Ners ini berutjuan untuk menggambarkan asuhan keperawatan dengan masalah ketidakberdayaan pada pasien dan keluarga pasien dengan SLE.Penulis melakukan asuhan keperawatan yang berfokus pada ketidakberdayaan dan penurunan koping keluarga selama delapan hari.Hasil evaluasi menunjukkan bahwa tanda dan gejala ketidakberdayaan pada pasien sudah berkurang.Namun, kondisi penyakit Bapak S yang memburuk menyebabkan masalah tersebut muncul kembali. Di sisi lain, keluarga pasien sudah lebih mampu dalam merawat pasien.
Kata Kunci: ketidakberdayaan, koping keluarga, psikososial, Systemic Lupus Erythematosus
Penerapan Terapi Generalis, Terapi Aktivitas Kelompok Sosialisasi, dan Social Skill Training pada Pasien Isolasi SosialZakiyah Mista
Achir Yani S Hamid
Herni Susanti
JURNAL ILMIAH KEPERAWATAN INDONESIA (JIKI)Penerapan Terapi Generalis, Terapi Aktivitas Kelompok Sosialisasi, dan Social Skill Training pada Pasien Isolasi SosialIsolasi sosial merupakan salah satu gejala negatif skizofrenia. Isolasi Isolasi sosial adalah kondisi menyendiri yang dialami seseorang dan perasaan segan terhadap orang lain sebagai sesuatu yang negatif atau keadaan yang mengancam. Masalah sosial seringkali merupakan sumber utama keprihatinan keluarga dan penyedia layanan kesehatan, karena efeknya lebih menonjol daripada gejala kognitif dan persepsi. Tujuan penelitian ini untuk menggambarkan penerapan Terapi Generalis (TG), Terapi Aktivitas Kelompok Sosialisasi (TAKS), dan Social Skill Training (SST) pada pasien isolasi sosial. Metodelogi Penelitian ini adalah deskriptif kuantitatif melalui stusi kasus kepada 35 pasien di ruang Bratasena Rumah Sakit dr. H. Marzoeki Mahdi Bogor. Tanda dan Gejala isolasi sosial diidentifikasi sebelum dan setelah penerapan GT, TAKS, dan SST menggunakan instrument tanda dan gejala isolasi social yang dimodifikasi terdiri dari aspek kognitif, afektif, fisiologis, perilaku, dan social. Hasil penelitian menunjukkan ada penurunan tanda dan gejala isolasi social (75,75%), dan peningkatan kemampuan pasien dalam bersosialisasi (TG: 68,57%, TAKS: 83,90%, SST: 70,29%). Berdasarkan hasil dari penerapan ketiga terapi diatas, perlu direkomendasikan integrasi tindakan keperawatan generalis individu dan kelompok serta terapi spesialis social skill training pada pasien isolasi social agar perawatan pasien dengan isolasi sosial efektif.
Kata Kunci: skizofrenia; isolasi sosial; terapi generalis; terapi aktivitas kelompok; social skill training
Analysis of Factors Associated with The Quality of Life of Clients with Schizophrenia in Outpatient Ward in Nasional Mental Health HospitalBunga Permata Wenny
Achir Yani
Dewi Eka Putri
Elevate, The International Journal of Nursing Education, Practice and ResearchAnalysis of Factors Associated with The Quality of Life of Clients with Schizophrenia in Outpatient Ward in Nasional Mental Health HospitalBackground: The life quality of schizophrenic clients is influenced by individual factors (age, sex, educational status, employment status, marital status), disease factors (ever treated, history of substance abuse, suicide history, history of violent behavior) and family factors (living with offenders, family support and family burden). Purpose: To analyze factors related to quality of life of skizofrenia clients in outpatient installation in National Mental Health Hospital. Method: The type of this research is descriptive correlative with cross sectional approach with the number of respondents 152 people. The sampling technique used is purposive sampling. Result: The results showed that there was a significant relationship between employment status, marital status, previous care, living with care giver, family support, and family burden on the life quality of schizophrenic patients (p <0.05). Conclusion: There was no significant association between age, sex, educational status, history of substance abuse, suicide history, history of violent behavior with life quality. The most dominant factor in this study was to stay with care giver (coeffecients B = -5.577).
Differences of Correlation Factors of Depression Among The Senior Citizens who Live with Their Family and Those who Live in Nursing HomeWeddy Martin
Achir Yani
Reni Dayati
Elevate, The International Journal of Nursing Education, Practice and ResearchDifferences of Correlation Factors of Depression Among The Senior Citizens who Live with Their Family and Those who Live in Nursing HomeBackground: The number of senior citizen in Indonesia, wheter the ones who live with their family or in a nursing home, is increasing. The changes they face in their elderly life lead to depression. Depression is a common mental health problems found in the elderly. Purpose: To analyze the differences of correlation factors of depression among the senior citizens who live with their family and those who live in Nursing Home. Method: The design of the study is descriptive analytic with cross sectional approach. The subject of the study were 74 senior citizens who live with their family and also 74 senior citizen who live in nursing home. The sample was taken by using total sampling technique. Results: The statistical test showed that there was a correlation of depression factors between the depression on the senior citizens who live with their family and those who live in a nursing home. There also were differences of depression factors between depression on senior citizens who live with their family and those who live in a nursing home. Conclusions: Based on the study, Nursing Home is suggested to improve its service quality on elderly care. For families with senior citizens, it is suggested to give more attention and care to the elderly with depression and to prevent depression for the elderly with no depression.
The Influence of Thought Stopping Therapy and Family Psychoeducation Toward Anxiety Client Who Undergo Hemodialysis in DR. Achmad Mochtar HospitalYade Kurnia Saria
Budi Anna Keliat
Reni Dayati
Elevate, The International Journal of Nursing Education, Practice and ResearchThe Influence of Thought Stopping Therapy and Family Psychoeducation Toward Anxiety Client Who Undergo Hemodialysis in DR. Achmad Mochtar HospitalBackground: Clients hemodialysis who were hospitalized around 43.1% experienced anxiety conditions. This is caused by the Client renal failure undergoing hemodialysis, takes 12-15 hours of dialysis every week, or at least 3-4 hours therapies. This activity will take place continuously throughout their life. Purpose: To determine the effect of Therapy Thought Stopping and Family Psychoeducation Toward anxiety clients who undergo hemodialysis in RSAM Bukittinggi. Method: The research design is Quasi Experimental Pre and Post test with a total sample of 64 peoples. Who received Therapy Thought Stopping and Family Psychoeducation as many as 32 peoples, and Therapy Thought Stopping just as much as 32 peoples. The using HARS scale to determine the client's level of anxiety. Results: The results showed a significant decrease in anxiety condition in the intervention group who received Therapy Thought Stopping and family psychoeducation, compared with group who only get of therapy thought stopping (P value <0.05). Conclusion: Therapy Thought Stopping and Family Psychoeducation hemodialysis is recommended to clients who experience anxiety.
The Relation of Copping Strategy by Looking Social Support with Stress Level of Breast Cancer Patient who Gone Through ChemotherapySri Burhani Putri
Achir Yani Syuhaemi Hamid
Vetty Priscilla
Elevate, The International Journal of Nursing Education, Practice and ResearchThe Relation of Copping Strategy by Looking Social Support with Stress Level of Breast Cancer Patient who Gone Through ChemotherapyBackground: Breast cancer is one of the most common illness that killed woman. One of the therapy to cure breast cancer is chemotherapy. Chemotherapy has side effect either physical and psychology, that caused people who’s in chemo therapy, prone to stress. Stress effected by many factors, such as characteristic and chopping strategy that patient has been using. Purpose: To get a perspective about the relation of characteristic and chopping strategy with breast cancer patient stress, whose in chemo therapy. Method: This research using cross sectional study and taking sample by using accidental sampling method. Results: The data analyzed by using bivariat and multivariat with variable result shows that breast cancer patient stress who has chemo therapy related to age characteristic (p value = 0.00) the time since they diagnosed with cancer (p value = 0.03), how long they have chemo therapy (p value = 0.00) and chopping strategy by looking social support (p value = 0.00) looking for spiritual (p value = 0.00) with dominant variable which related to stress is chopping strategy to looking spiritual support (coefficients B = -1.139).
Relationship between Job Stress and Coping Mechanism in Psychiatric Nurse in National Mental Health HospitalDwi Happy Anggia Sari
Mustikasari
Ira Erwina
Elevate, The International Journal of Nursing Education, Practice and ResearchRelationship between Job Stress and Coping Mechanism in Psychiatric Nurse in National Mental Health HospitalBackground: Nursing has been considered one of the most stressfull professions. It also happens to nurses who work in the mental hospital. Coping mechanism known as a direct attempt to cope with the stress experienced. Purpose: To identify and explain the relationship between work stress coping mechanism in mental nurse. Method: using a cross sectional study design. Samples were examined as many as 92 people by means of sampling total sampling. Collecting data using instruments Psychiatric Nursing Occupational Stress Scale (PNOSS) and instruments The PsychNurse Methods of Coping Questionnaire (PNMCQ). For bivariate analysis using Independent T-test and for multivariate analysis using multiple linear regression test. Results: The results showed that nurses are female (81.5%), education level D3 (71.7%), married (65.2%), experienced moderate job stress (89.1%), the average age of 31 , 08 years, the average length of 52.95 months and work an average of 106.68 coping mechanisms. In the correlation analysis found a significant relationship between work stress coping mechanism in mental nurse (p = 0.000). Conclusion: The most dominant factor influencing stress coping mechanism is working. Recommended to the hospital to improve cooperation among nurses and other health care team, to clarify the duties of nurses and nursing care management stress to reduce job stress of nurses
The Adolescents Psychosocial Phenomenology of Online Gaming Addiction in Surau Gadang Sub District Nanggalo of PadangNike Puspita Alwi
Mustikasari
Elevate, The International Journal of Nursing Education, Practice and ResearchThe Adolescents Psychosocial Phenomenology of Online Gaming Addiction in Surau Gadang Sub District Nanggalo of PadangBackground: Online gaming addiction nowadays is a global problem. The most vulnerable age group to online game addiction are the adolescents. Many studies has shown that online gaming addiction gave negative impacted on adolescent psychosocial gamers. Purpose: To explore the psychosocial phenomenology of onine gaming addiction of adolescents. Method: The design of this study was a qualitative method with phenomenology approach. There are 6 participants gamer was selected by purposive sampling technique and followed by one parent as the triangulation method. Findings: There were seven themes that retrieved from this study: reason for playing; thought while playing; feeling towards online games; characteristic of online gaming addiction; psychosocial impassing; effort to escape from addict playing; gamers wishes about their addict playing. Conclusion: Reason for playing, thought while playing and feeling towards online games give contribution to online gaming addiction in adolescents and the psychosocial impassing has main issue that could be seen by parent too. It’s recommended to Indonesian psychiatric nurse to do sreenning of this addiction then collaborate with school in order to control online gaming addicton through SBMHS (School Based Mental Health Services) and give CBT to treatment the addict gamer.
The Relationship between Supervision on Nursing Care Done by the Head of Room and the Implementation of Standard Operational Procedure of Parenteral Drug AdministrationReska Handayani
Junaiti Sahar
Basmanelly
Elevate, The International Journal of Nursing Education, Practice and ResearchThe Relationship between Supervision on Nursing Care Done by the Head of Room and the Implementation of Standard Operational Procedure of Parenteral Drug AdministrationPurpose: This research aims at discovering the relationship between nursing care supervision done by chief nurse and the implementation of Standard Operational Procedure of parenteral drug giving at RSUD Solok. Method: The research method is descriptive analytic with cross sectional design. It was done from July until August 2014 by using questionnaire and observation to 96 nurses in charge. The sample was taken by using proportional sampling from each in-patient room. The data were analyzed by using chi-square and logistic regression analysis. Result: The result shows that there was a correlation between Head of Room supervision, which includes planning with p value=0,004, implementation with p value=0,001, evaluation and feed back with p value=0,012 and documentation with p value= 0,037, towards the implementation of Standard Operational Procedure of parenteral drug administration. The dominant variable of the implementation of Standard Operational Procedure of parenteral drug is supervision, with p value = 0,001 and OR=4,14. Conclusion: From the result, it can be concluded that chief nurse supervision has a meaningful correlation towards the implementation of Standard Operational Procedure of parenteral drug.
Increasing Nurses’ Job Satisfaction with Nursing RoundsErnalinda Rosya
Elly Nurachmah
Deswita
Elevate, The International Journal of Nursing Education, Practice and ResearchIncreasing Nurses’ Job Satisfaction with Nursing RoundsBackground: The nursing staff as one of a member of the healthcare providers team that determine the quality and the image of the hospital should improve their healthcare services quality. Low job satisfaction can affect the condition of anorganization that manifested in the form of labour strikes, absence and job turnover. Nursing round was activity that expected to increase the job satisfaction of nurses. Job satisfaction of nurses will have an effect on patient satisfaction and the quality of hospital healthcare services. Purpose: To identify the effect of nursing rounds on nurses’ job satisfaction. Method: Pre-experimental research using the existing design without a comparison group, the sample size was 20 people. This study used a one group pre-test and post-test design without control. The Instrument in this study was questionnaire and observation sheet. Result: The results before the nursing round on nurses’ job satisfaction level of the nurses on all sub variables was low. After the implementation of nursing round, the level of job satisfaction of the low nurses was increasing in number of sub autonomy and interaction variables. The decrease in the number of implementing nurses whose level of job satisfaction is low occurs in the sub variables of professional status and task requirements. Conclusion: So showed a significant effect on the level of nursing rounds on job satisfaction of hospitalization nurses. The optimize job satisfaction nurses and nursing rounds with assembles relevant policies.
STRES AKADEMIK DAN GEJALA GASTROINTESTINAL PADA MAHASISWA KEPERAWATANAfifah
Ice Yulia Wardani
Jurnal Keperawatan JiwaSTRES AKADEMIK DAN GEJALA GASTROINTESTINAL PADA MAHASISWA KEPERAWATANSalah satu stresor mahasiswa berkaitan dengan akademik. Respon terhadap stres akademik tersebut dapat berupa psikologis dan fisiologis. Salah satu respon fisiologis stres yaitu gejala gastrointestinal. Desain penelitian adalah cross sectional, teknik sampel menggunakan Propotionate stratified random sampling dengan melibatkan 227 mahasiswa. Analisis data menggunakan analisis univariat dan bivariat (uji chi-square). Hasil penelitian menunjukkan bahwa terdapat mahasiswa yang tingkat stresnya tinggi yaitu 44,9% dan mahasiswa yang mengalami gejala gastrointestinal berat sejumlah 33,5%. Gejala yang banyak dilaporkan yaitu dismotilitas atas diikuti dengan gejala pada usus. Hasil uji korelasi yaitu terdapat hubungan yang signifikan antara stres akademik dengan gejala gastrointestinal pada mahasiswa FIK UI (p value = 0,018; ɑ = 0,05). Hasil uji odd ratio (OR) yaitu 2,037. Hal tersebut berarti mahasiswa dengan stres akademik tingkat tinggi lebih berpeluang mengalami gejala gastrointestinal 2,037 kali dibandingkan dengan mahasiswa yang memilik tingkat stres rendah. Untuk mengurangi tingkat stres akademik seperti ujian, perlu dikembangkan kegiatan diskusi diluar waktu kuliah untuk meningkatkan persiapan.
Kata kunci: gejala gastrointestinal, mahasiswa keperawatan, stres akademik
DUKUNGAN SOSIAL DAN HUBUNGANNYA DENGAN TINGKAT DEPRESI PADA NARAPIDANA ANAKFitri Maharani Sukma
Ria Utami Panjaitan
Jurnal Keperawatan JiwaDUKUNGAN SOSIAL DAN HUBUNGANNYA DENGAN TINGKAT DEPRESI PADA NARAPIDANA ANAKDampak penahanan terhadap narapidana anak ialah rendahnya dukungan sosial. Dukungan sosial yang rendah menjadi salah satu faktor penyebab depresi pada narapidana anak. Penelitian ini bertujuan untuk mengetahui hubungan dukungan sosial dengan tingkat depresi pada narapidana anak di Lembaga Pembinaan Khusus Anak tahun 2018. Metode penelitian menggunakan desain penelitian deskriptif analitik dengan pendekatan cross sectional pada 93 narapidana anak. Instrumen pada penelitian ini ialah kuesioner Interpersonal Support Evaluation List (ISEL) untuk dukungan sosial dan Beck Depression Inventory-II (BDI-II) untuk tingkat depresi. Analisa data yang digunakan yaitu analisa univariat dan bivariat dengan uji chi-square. Jenis uji chi-square yang digunakan ialah independency test untuk menentukan ada tidaknya hubungan antara dukungan sosial dengan tingkat depresi. Hasil penelitian menunjukkan ada hubungan dukungan sosial dengan tingkat depresi pada narapidana anak di Lembaga Pembinaan Khusus Anak tahun 2018 dengan nilai p value yaitu 0,022 (p value ≤ 0,05). Meningkatkan dukungan sosial, skrining kesehatan mental, terapi kognitif, dan terapi psikoedukasi perlu dilakukan sebagai upaya untuk mempertahankan status kesehatan mental dan mencegah serta menangani depresi pada narapidana anak.
Kata kunci: Dukungan sosial, depresi, narapidana anak
PENGARUH COGNITIVE BEHAVIOUR THERAPY (CBT) TERHADAP ANSIETAS
REMAJA DI WILAYAH RAWAN BANJIR
Fajriyah Nur Afriyanti
Mustikasari
Herni Susanti
Journal of Islamic NursingPENGARUH COGNITIVE BEHAVIOUR THERAPY (CBT) TERHADAP ANSIETASREMAJA DI WILAYAH RAWAN BANJIRObjektif : Remaja cenderung beresiko mengalami ansietas yang disebabkan oleh kejadian bencana alam. Penelitian ini bertujuan untuk mengidentifikasi pengaruh cognitive behaviour therapy (CBT) terhadap tingkat ansietas remaja di wilayah banjir.
Metode: Desain peneliatian Quasi experimental with control group pretest-posttest dengan tekhik purposive sampling dan dilanjutkan cluster random sampling. Terdapat 73 sampel yaitu 37 intervensi dan 36 kontrol, dan tindakan keperawatan ners dan CBT sebanyak 4 kali pertemuan.
Hasil: hasil menujukkan bahwa ada penurunan yang signifikan dari tingkat ansietas (p-value <0,05) pada kelompok yang dirawat dengan menggunakan intervensi keperawatan ners dan CBT, serta penurunan signifikan lebih besar daripada kelompok yang hanya diintervensi dengan keperawatan ners.
Kesimpulan: CBT dapat menurunkan tingkat ansietas pada remaja di wilayah bencana banjir, sehingga dapat direkomendasikan perlunya pengembangan program kesehatan jiwa remaja berbasis keperawatan komunitas.
Kata kunci: CBT, Ansietas, Banjir, Remaja
Dukungan Informasi Keluarga Meningkatkan Self-Care Klien DM Tipe 2 Di Ambarketawang Sleman YogyakartaAgustina Rahmawati
Astuti Yuni Nursasi
Widyatuti
JURNAL KEPERAWATAN RESPATI YOGYAKARTADukungan Informasi Keluarga Meningkatkan Self-Care Klien DM Tipe 2 Di Ambarketawang Sleman YogyakartaDM tipe 2 memiliki pengaruh cukup besar terhadap seluruh aspek kehidupan klien serta memiliki risiko terjadinya berbagai komplikasi yang dapat mengancam jiwa. Self-care diyakini mampu mempertahankan dan meningkatkan status kesehatan klien DM serta mencegah terjadinya komplikasi. Selain perhatian dan kasih sayang klien DM juga membutuhkan informasi terkait penyakit DM dari lingkungan sekitarnya termasuk keluarga. Penelitian ini bertujuan untuk mengetahui hubungan dukungan informasi keluarga dengan self-care klien DM tipe 2 di Kelurahan Ambarketawang Sleman Yogyakarta. Desain penelitian menggunakan analitic correlation dengan pendekatan cross sectional. Pengumpulan data dilakukan dengan menggunakan kuesioner dukungan informasi keluarga dan self-care kepada 119 responden. Dukungan informasi keluarga memiliki hubungan kuat (r= 0.749) dan positif dengan self-care klien DM tipe 2 (p value: 0,000). Kesimpulan penelitian ini adalah peningkatan dukungan informasi keluarga dianjurkan guna meningkatkan status kesehatan klien DM.
Keywords
Dukungan keluarga; Self-care; DM tipe 2
MERAWAT LANSIA DENGAN GANGGUAN MOBILISASI MEMBENTUK NILAI SPIRITUAL DAN KULTURAL ANGGOTA KELUARGA DI SRENGSENG SAWAH JAKARTA SELATANRatna Lestari
Etty Rekawati
Wiwin Wiarsih
Jurnal Media Ilmu KesehatanMERAWAT LANSIA DENGAN GANGGUAN MOBILISASI MEMBENTUK NILAI SPIRITUAL DAN KULTURAL ANGGOTA KELUARGA DI SRENGSENG SAWAH JAKARTA SELATANAlternative link: https://ejournal.unjaya.ac.id/index.php/mik/article/view/228
Background: Mobility impairment is a chronic disease that needs long-term care. This condition will change many aspects of elders’ life that are difficult to adapt. Family members who act as a caregiver are the essential part of elders’ life.
Objective: This study aimed to explore the meaning of caregiving for elders with mobility impairment by family members.
Methods: In-depth interviews were conducted with eight family caregivers who were taking care for mobility-impaired elders. In this phenomenological qualitative study, data were then analyzed with content analysis by Colaizzi method.
Results: The essence of elderly caregiving for family was to grow both spiritual and cultural values in their lives. Looking for the Lord’s blessing; life’s tests; looking for the Lord’s fortune; and God’s training for patience were included in the spiritual value while the cultural values consisted of child obligation; responsibility; future expectation; role model for children; and filial piety.
Conclusion: Obstacles faced by family caregivers can be overcome by taking the essence of caregiving as part of spiritual and cultural values thus caring can be provided continuously and compassionately. The findings recommended the cultural aspects in caring elderly need to be investigated further using ethnography approach.
Keywords : Cultural Values, Elderly, Family Caregiver, Mobility Impairment, Spiritual Values
Barriers Faced by School Community in the Prevention of Smoking Initiation among Early AdolescentsKumboyono
Achir Yani S. Hamid Junaiti Sahar
Saptawati Bardosono
Indian Journal of Public Health Research & DevelopmentBarriers Faced by School Community in the Prevention of Smoking Initiation among Early AdolescentsBackground: Mobility impairment is a chronic disease that needs long-term care. This condition will change many aspects of elders’ life that are difficult to adapt. Family members who act as a caregiver are the essential part of elders’ life.
Objective: This study aimed to explore the meaning of caregiving for elders with mobility impairment by family members.
Methods: In-depth interviews were conducted with eight family caregivers who were taking care for mobility-impaired elders. In this phenomenological qualitative study, data were then analyzed with content analysis by Colaizzi method.
Results: The essence of elderly caregiving for family was to grow both spiritual and cultural values in their lives. Looking for the Lord’s blessing; life’s tests; looking for the Lord’s fortune; and God’s training for patience were included in the spiritual value while the cultural values consisted of child obligation; responsibility; future expectation; role model for children; and filial piety.
Conclusion: Obstacles faced by family caregivers can be overcome by taking the essence of caregiving as part of spiritual and cultural values thus caring can be provided continuously and compassionately. The findings recommended the cultural aspects in caring elderly need to be investigated further using ethnography approach.
Keywords : Cultural Values, Elderly, Family Caregiver, Mobility Impairment, Spiritual Values
DIABETES SELF-CARE EXPERIENCE ON ELDERLY WITHOUT MEDICATIONNiko Dima Kristianingrum
Wiwin Wiarsih
Astuti Yuni Nursasi
Jurnal Ilmu Keperawatan: Journal of Nursing ScienceDIABETES SELF-CARE EXPERIENCE ON ELDERLY WITHOUT MEDICATIONIncreasing of the number of elderly contributes to the increasing of prevalence of chronic degenerative diseases such as diabetes mellitus. Diabetes mellitus requires long-term care through self-care. Theaims of this study to find out the experience of elderly on diabetes self-care. The study used qualitative method of descriptive phenomenology with in-depth interviews on nine participants. Interview results were analyzed using the Colaizzi method. The results of the study identified a variety of self-care diabetes, were regulates food, exercise, and blood sugar checking. Self-care has not been done consistently so it needs diabetes self-care guidelines, diabetes self-care education, and a community health nurse program that can foster elderly with diabetes mellitus.
Keywords
elderly; self-care; diabetes mellitus; without medication
HUBUNGAN DUKUNGAN EMOSIONAL KELUARGA KLIEN DM TIPE 2 DENGAN PEMANFAATAN FASILITAS PELAYANAN KESEHATAN DI KECAMATAN TEBETMuhammad Ihsan
Dwi Cahya Rahmadiyah
Jurnal Riset Kesehatan Nasional STIKES BaliHUBUNGAN DUKUNGAN EMOSIONAL KELUARGA KLIEN DM TIPE 2 DENGAN PEMANFAATAN FASILITAS PELAYANAN KESEHATAN DI KECAMATAN TEBETAlternative link: http://ojs.itekes-bali.ac.id/index.php/jrkn/article/view/108
Dukungan keluarga diperlukan untuk memanfaatkan fasilitas pelayanan kesehatan. Salah satu dukungan keluarga yang paling mudah dilakukan oleh keluarga kepada pasien diabetes adalah dukungan emosional. Penelitian ini bertujuan diidentifikasinya hubungan dukungan emosional keluarga klien diabetes melitus tipe 2 dengan pemanfaatan fasilitas pelayanan kesehatan di Kecamatan Tebet Juni 2018. Desain dalam penelitian analitik cross sectional dengan jumlah sampel 100 klien DM tipe 2. Analisa data menggunakan korelasi Chi-Square. Hasil penelitian didapatkan hubungan antara dukungan emosional keluarga klien DM dengan pemanfaatan fasilitas pelayanan kesehatan (p value 0,004, α: 0.05). Perawat diharapkan mampu memberikan asuhan keperawatan yang optimal dan meningkatkan dukungan emosional keluarga klien dalam memanfaatkan fasilitas pelayanan kesehatan dengan pendidikan kesehatan terstruktur, mengembangkan asuhan keperawatan keluarga dengan memperhatikan konsep dukungan keluarga klien DM Tipe 2 dalam kaitannya dengan pemanfaatan fasilitas pelayanan kesehatan dan puskesmas kecamatan harus mendukung keberhasilan program PTM yang telah dicanangkan oleh pemerintah pusat agar dapat mengatasi masalah kesehatan lebih lanjut.
KEYWORDS
Dukungan emosional keluarga, fasilitas pelayanan kesehatan, DM tipe 2
APLIKASI ASUHAN KEPERAWATAN GENERALIS DAN PSIKORELIGIUS PADA KLIEN GANGGUAN SENSORI PERSEPSI: HALUSINASI PENGLIHATAN DAN PENDENGARANIrma Erviana
Giur Hargiana
Jurnal Riset Kesehatan Nasional STIKES BaliAPLIKASI ASUHAN KEPERAWATAN GENERALIS DAN PSIKORELIGIUS PADA KLIEN GANGGUAN SENSORI PERSEPSI: HALUSINASI PENGLIHATAN DAN PENDENGARANAlternative link: http://ojs.itekes-bali.ac.id/index.php/jrkn/article/view/106/0
Hallucinations are the most common problems in nursing diagnoses of mental disordes. Hallucinations are the distortions of false perceptions that occur in maladaptive neurobiological responses. Hallucinations usually appear in patients with mental disorders the result of the change in reality orientation, patients feel the stimulation that actually does not exist. In this profession program the author has the opportunity to manage directly, by providing nursing care and analyzing the final results that will be documented in the form of final scientific work ners. The care of nursing for a client a of sensory perception disorder: sight and hearing hallucinations that is a symptom of an early psychosis, the majority of this case which happened in the end of adolescenceor early adulthood , confuse is the role which have affect to the fragile personality disorder so that there is the disorder of self-concept and pulling themselves from a social environment that gradually get the teenager become too deep in fantasy and cause the emergence of hallucinations. The nursing process is performed based on generalist nursing care standard for 9 days of hospitalization, Started from the date of 2 and 10 of May 2018. Theobtained results are the main nursing problems which is perception sensory disorder: hallucinations.The Implementations that focus on controlling hallucinatory efforts by rebuking and also modalities of therapy: psychoreligious. The nursing order that is provided give good results to the clients on the mark by no longer hearing the voices that often mock clients and the diminishing intensity of dajjal’s presence that be seen by the clients.
PENGARUH STRES TERHADAP FUNGSI MEMORI PADA PASIEN DIABETES MELITUS DI KOTA DEPOKFathiya Hanisya
Dikha Ayu Kurnia
Jurnal Riset Kesehatan Nasional STIKES BaliPENGARUH STRES TERHADAP FUNGSI MEMORI PADA PASIEN DIABETES MELITUS DI KOTA DEPOKAlternative link: http://ojs.itekes-bali.ac.id/index.php/jrkn/article/view/107
Diabetes melitus merupakan penyakit kronis yang dapat mempengaruhi sisi psikologi penderitanya. Stres merupakan salah satu akibat dari penyakit kronis. Stres memiliki dampak negatif pada penderita diabetes melitus karena menyebabkan keadaan hiperglikemia. Hiperglikemia merupakan awal mula dari kerusakan fungsi kognitif, salah satunya kerusakan pada fungsi memori. Penelitian ini bertujuan mengetahui hubungan antara stres dengan fungsi memori. Desain penelitian ini adalah analitik korelatif dengan pendekatan cross sectional, menggunakan 85 responden penderita diabetes melitus di Kecamatan Sawangan Depok. Stres dinilai menggunakan Depression, Anxiety, Stress scale 42 khususnya pada subscale stres sebanyak 14 pernyataan. Sedangkan fungsi memori dinilai menggunakan digit span forward and backward. Uji analisis bivariat menggunakan uji Spearman Rank menyatakan bahwa terdapat hubungan yang bermakna antara stres dan fungsi memori pada penderita diabetes melitus di Kota Depok (p<0,05). Penelitian ini merekomendasikan kepada praktisi kesehatan untuk menekankan manajemen stres dalam tatalaksana diabetes melitus dan penilaian awal tingkat stres sebelum dilakukan pendidikan kesehatan pada penderita diabetes melitus. Kata kunci: stres, fungsi memori, diabetes melitus, depok AbstractDiabetes mellitus is a chronic disease that affect psychological side of individual with diabetes. Stress is one of the result of chronic disease. Stress has a negative impact on people with diabetes melitus because it causes a state of hyperglycemia. Hyperglycaemia is the beginning of cognitive function impairment, one of which is damage to memory function. This study aims was to determine the relationship between stress and memory function. The design of this study was correlative analytic with cross sectional approach, using 85 respondents with diabetes mellitus in Kecamatan Sawangan Depok. Stress was assessed using Depression, Anxiety, Stress scale 42 (DASS 42), especially on stress subscales consists of 14 statements. While the memory function was assessed using the forward and backward digit span. Bivariate analysis test using Spearman Rank test stated that there was a significant relationship between stress and memory function in people with diabetes mellitus in Depok City (p <0,05). This study recommends to health practitioners to emphasize stress management in the management of diabetes mellitus and early assessment of stress levels prior to health education in people with diabetes mellitus.
Keywords: stress, memory function, diabetes mellitus, depok
PERILAKU KESEHATAN ANGGOTA KELUARGA DENGAN PASIEN KANKERNurlita Dwi Hikmatia
Anggri Noorana Zahra
Jurnal Riset Kesehatan Nasional STIKES BaliPERILAKU KESEHATAN ANGGOTA KELUARGA DENGAN PASIEN KANKERAlternative link: http://ojs.itekes-bali.ac.id/index.php/jrkn/article/view/110
Pendahuluan: Kanker adalah penyakit yang berdampak pada perubahan perilaku kesehatan baik bagi pasien maupun anggota keluarga. Oleh karena itu, penting untuk mengetahui perilaku kesehatan anggota keluarga penderita kanker.
Metode: Penelitian cross-sectional ini dilakukan dengan 100 anggota keluarga pasien kanker yang berusia 18-75 tahun di RSPAD Gatot Soebroto: Klinik Bedah melalui teknik pengambilan sampel berturut-turut. Pengumpulan data menggunakan data kuesioner karakteristik dan Kuesioner Survey of Health Behavior: Family member.
Hasil: Hasil penelitian menunjukkan adanya peningkatan perilaku diet, penurunan aktivitas fisik intensitas sedang, dan perilaku penghentian merokok yang baik pada keluarga dengan pasien kanker.
Saran: Anggota keluarga pasien kanker memiliki gambaran yang baik tentang perilaku diet dan merokok. Namun, terjadi penurunan aktivitas fisik pada anggota keluarga pasien kanker setelah mengetahui anggota keluarganya terdiagnosis kanker. Rekomendasi penelitian ini terletak pada penyediaan pendidikan tentang gaya hidup sehat bagi penderita kanker dan keluarga.
Kata kunci: Kanker, perilaku kesehatan keluarga, perilaku aktivitas fisik, perilaku diet sehat, perilaku merokok.
GAMBARAN TINGKAT KEPATUHAN DAN FAKTOR – FAKTOR YANG MEMENGARUHI KEPATUHAN PERAWAT DALAM PENERAPAN BUNDLE VENTILATOR ASSOCIATED PNEUMONIAYuyun Durhayati
Denissa Faradita Aryani
Jurnal Riset Kesehatan Nasional STIKES BaliGAMBARAN TINGKAT KEPATUHAN DAN FAKTOR – FAKTOR YANG MEMENGARUHI KEPATUHAN PERAWAT DALAM PENERAPAN BUNDLE VENTILATOR ASSOCIATED PNEUMONIAAlternative link: http://ojs.itekes-bali.ac.id/index.php/jrkn/article/download/116
Pendahuluan: Ventilator associated pneumonia (VAP) adalah yang sering terjadi di rumah sakit terutaman di ruang intensif. VAP merupakah infeksi saluran pernapasan bawah yang mengenai parenkim paru setelah pemakaian ventilasi mekanik lebih dari 48 jam. Kejadian VAP dapat ditekan dengan pelaksanaan bundle VAP. Tujuan penelitian ini untuk mengetahui tingkat kepatuhan dan faktor-faktor yang mempengaruhinya. Metodelogi: Metode penelitian adalah deskriptif analitik dengan desain crosssectional dengan sampel sebanyak 45 perawat ICU. Alat ukur yang digunakan adalah VAP Bundle Checklist dari Institute for healthcare improvement (IHI) 2012 dan adaptasi PRECEDE model. Hasil: Hasil penelitian ini menunjukkan bahwa tingkat kepatuhan perawat terhadap bundle VAP adalah tinggi (75,9%). Analisa dengan Chi square menunjukkan bahwa tidak ada hubungan antara faktor predisposisi, pemungkin dan penguat terhadap kepatuhan (nilai p 0,473). Diskusi: Rekomendasi dari penelitian ini adalah perawat harus meningkatkan pengetahuan dan motivasi terkait dengan implementasi bundle VAP.
Kata kunci: Faktor kepatuhan, Kepatuhan perawat, Bundle VAP, Ventilator associated pneumonia
HUBUNGAN TINGKAT PENGETAHUAN TENTANG MANAJEMEN CAIRAN DENGAN KEPATUHAN PEMBATASAN CAIRAN PADA PASIEN GAGAL GINJAL TERMINAL DI RSAU DR. ESNAWAN ANTARIKSA JAKARTA TIMURLevy Wayiqrat
Chiyar Edison
Jurnal Riset Kesehatan Nasional STIKES BaliHUBUNGAN TINGKAT PENGETAHUAN TENTANG MANAJEMEN CAIRAN DENGAN KEPATUHAN PEMBATASAN CAIRAN PADA PASIEN GAGAL GINJAL TERMINAL DI RSAU DR. ESNAWAN ANTARIKSA JAKARTA TIMURAlternative link: http://ojs.itekes-bali.ac.id/index.php/jrkn/article/view/113
Latar Belakang. Kepatuhan pembatasan cairan merupakan permasalahan yang akan terus dihadapi pasien GGT. Ketidakpatuhan pembatasan cairan dapat menyebabkan kegagalan terapi, menurunnya kualitas hidup pasien, bahkan meningkatnya angka morbiditas dan mortalitas. Tujuan. Untuk mengidentifikasi hubungan tingkat pengetahuan tentang manajemen cairan dengan kepatuhan pembatasan asupan cairan pasien GGT dengan hemodialisis di RSAU dr. Esnawan Antariksa. Metode.Desain penelitian adalah Cross Sectional dengan jumlah sampel 91 responden dengan consecutive sampling. Pengumpulan data kepatuhan dengan cara pengisian kuesioner dan pengamatan IDWG (Interdialytic Weight Gain). Hasil. Analisis hasil penelitian menggunakan Chi-Square (bivariat) dengan α=0,05, didapatkan tidak adanya hubungan yang signifikan antara tingkat pengetahuan tentang manajemen cairan dengan kepatuhan pembatasan asupan cairan (p value 0,88>α). Kesimpulan. Tidak ada hubungan antara pengetahuan dengan kepatuhan pembatasan asupan cairan.
Kata Kunci: Cairan, GGT, Hemodialisis, Kepatuhan, Pengetahuan
SOCIAL AND CULTURAL ISSUES OF INDONESIAN MIGRANT NURSES IN JAPANYoko Ishikawa
Setyowati
The Malaysian Journal of NursingSOCIAL AND CULTURAL ISSUES OF INDONESIAN MIGRANT NURSES IN JAPANAlternative link: https://ejournal.lucp.net/index.php/mjn/article/view/327
Cooperation with IENs (Internationally Educated Nurses) is increasingly important given the aging society and low birth rate in Japan. This study focuses on lived experiences of Indonesian nurses in Japan. Objectives of this study were to clarify their experiences and views in terms of the scope of nursing and cultural adaptation, and to examine whether cultural barriers are among the reasons nurses return to their home country. The study was based upon in-depth interviews with Indonesian nurses who had worked in Japan. Fourteen Indonesian nurses participated in the study. Indonesian nurses viewed Japanese work culture as hardworking, requiring excessive punctuality, having too many rules, and maintaining hierarchy between junior and senior nurses. Collaboration with doctors, integrated elderly care, and touching emerged as differences in the nursing practice. Indonesian nurses hesitated to touch patients as they did in Indonesia due to cultural differences. Religious practice among Muslims and family priority were reasons to return to Indonesia. To utilize IEN's skills, not only must the migrants learn Japanese culture and values, but it will be necessary for Japanese employers and staff to understand the values of the IENs.
KEYWORDS: Internationally Educated Nurses (IENs), Deskilling, Indonesia
THE APPLICATION OF NURSING THEORY “SELF CARE OREM” IN NURSING CARE OF MULTIPAROUS PREGNANCY WITH ANAEMIA: A CASE REPORTSiti Nurbayanti Awaliyah
Setyowati
Tri Budiati
Journal of Maternity Care and Reproductive HealthTHE APPLICATION OF NURSING THEORY “SELF CARE OREM” IN NURSING CARE OF MULTIPAROUS PREGNANCY WITH ANAEMIA: A CASE REPORTAnemia in pregnancy is a major concern of health problem during pregnancy, as it is associated with the increase of maternal and infant morbidity and mortality cases. Multiparous pregnant women have a higher risk of anemic during their pregnancies. The nurse specialist of maternity has the crucial roles to help multiparous pregnant women with anemia in filling their basic needs due to various nursing problems. Methodology in this article used the case studies approach on seven multiparous pregnant women with anemia. Several nursing issues emerged are the risk of injury both to the mother and to the fetus, dizziness, limited activities and limited knowledge of anemia. The self-care theory focused on an individuals’ ability to fill their self-needs by paying attention to the level of dependent care. The application of self-care theory is suitable for multiparous pregnant women with anemia as it helps them to be independent patients. Nurses may use the Orem framework as a guide in conducting the nursing process.
Keywords: anemia, multiparous pregnant women, self-care
EFEKTIVITAS ASUHAN KEPERAWATAN PADA ANAK KANKER YANG MENGALAMI GANGGUAN NUTRISI DENGAN MENGGUNAKAN TEORI LEVINENuraini Hakim
Allenidekania
Happy Hayati
Jurnal Ilmiah Keperawatan AltruistikEFEKTIVITAS ASUHAN KEPERAWATAN PADA ANAK KANKER YANG MENGALAMI GANGGUAN NUTRISI DENGAN MENGGUNAKAN TEORI LEVINEKanker merupakan penyakit nomor dua di Dunia yang menyebabkan kematian pada anak. Kanker juga dapat menyebabkan gangguan nutrisi pada anak. Tujuan dari penulisan karya ilmiah akhir ini adalah menggambarkan aplikasi model konservasi Levine dalam melakukan asuhan keperawatan pada anak dengan kanker yang mengalami masalah ketidakseimbangan nutrisi kurang dari kebutuhan tubuh. Optimalisasi asuhan keperawatan dapat dilakukan dengan mengaplikasikan teori dan model keperawatan. Pendekatan model konservasi Levine menggunakan empat prinsip konservasi yaitu konservasi energi, integritas struktural, integritas personal, dan sosial. Empat prinsip konservasi tersebut diaplikasikan ke dalam proses keperawatan yang dimulai dengan pengkajian, trophicognosis, hipotesis, intervensi, dan evaluasi. Metode karya tulis ilmiah ini mengggunakan studi kasus yang dilakukan pada lima kasus kelolaan yang memiliki diagnosa medis kanker. Hasil yang didapat yaitu terdapat masalah keperawatan gangguan nutrisi kurang dari kebutuhan tubuh, dan setelah dilakukan aplikasi asuhan keperawatan menggunakan teori Levine didapatkan evaluasi masalah dapat teratasi sebagian, yaitu ditandai dengan mual berkurang dan asupan makan meningkat. Perawat dapat menggunakan Model konservasi Levine dalam merawat anak dengan kanker agar terjadi konservasi energi yang optimal sehingga dapat mengatasi masalah nutrisi dan meningkatkan kualitas hidup anak.
APLIKASI MODEL NEED FOR HELP WIEDENBACH PADA IBU DENGAN PERDARAHAN POST PARTUMRetno Winarti
Setyowati
Tri Budiati
Jurnal Ilmiah Keperawatan AltruistikAPLIKASI MODEL NEED FOR HELP WIEDENBACH PADA IBU DENGAN PERDARAHAN POST PARTUMPerawat spesialis maternitas berperan dalam menurunkan Angka Kematian Ibu (AKI) akibat komplikasi kehamilan dan persalinan. Salah satu peran perawat adalah memberikan asuhan keperawatan yang komprehensif dengan mengidentifikasi dan mengatasi masalah pasien perdarahan post partum dengan pedekatan teori keperawatan. Penerapan model need for help Wiedenbach dilaksanakan untuk mefasilitasi ibu untuk mengatasi masalah kegawatan akibat perdarahan yang dialami. Lima kasus kelolaan pasien memiliki masalah yang berbeda beda sesuai hasil pengkajian model need for help Wiedenbach. Kasus yang dilaporkan adalah pasien perdarahan post partum akibat retensio plasenta dengan keluhan perdarahan aktif, lemas, pusing. Masalah keperawatan yang ditemukan adalah perdarahan, kurang volume cairan, resiko gangguan perfusi jaringan, kecemasan. Intervensi keperawatan yang dilakukan adalah untuk mengatasi masalah kegawatan dengan menghentikan perdarahan dan resusitasi cairan. Evaluasi yang didapatkan adalah perdarahan teratasi, pasien selamat dari ancaman kematian.
DAMPAK FISIOTERAPI DADA TERHADAP STATUS PERNAPASAN ANAK BALITA PNEUMONIA DI RSUD KOJA DAN RSUD PASAR REBO JAKARTARosa Melati
Nani Nurhaeni
Siti Chodidjah
Jurnal Ilmiah Keperawatan AltruistikDAMPAK FISIOTERAPI DADA TERHADAP STATUS PERNAPASAN ANAK BALITA PNEUMONIA DI RSUD KOJA DAN RSUD PASAR REBO JAKARTAManifestasi pneumonia pada anak antara lain adanya peningkatan produksi sputum yang kental dan sulit dikeluarkan. Salah satu terapi supportif yang diberikan adalah fisioterapi dada. Fisioterapi dada diberikan untuk mengalirkan dan mengeluarkan sekresi yang ada di saluran pernapasan. Tujuan dari penelitian ini adalah mengetahui dampak fisioterapi dada terhadap status pernapasan denyut nadi/ HR dan saturasi oksigen/ SaO2 anak balita pneumonia. Desain penelitian yang digunakan adalah kuasi eksperimen dengan pre test dan post test without control. Metode sampling consecutif sampling, dengan 35 jumlah responden di RSUD Koja dan RSUD Pasar Rebo Jakarta. Hasil analisis penelitian menunjukkan adanya perbedaan sebelum dan sesudah intervensi pada HR dan SaO2 dengan signifikansi P = 0.001. Hasil penelitian ini merekomendasikan penelitian selanjutnya untuk menggunakan sampel lebih banyak lagi dan menggunakan desain time series pada fisioterapi dada.
Kepuasan Orang Tua terhadap Pelayanan Keperawatan di ruang PerinatologiErna Julianti
Fajar Tri Waluyanti
Allenidekania
Al - Asalmiya Nursing: Jurnal Ilmu Keperawatan (Journal of Nursing Sciences)Kepuasan Orang Tua terhadap Pelayanan Keperawatan di ruang PerinatologiKepuasan orang tua bayi prematur sangat penting sebagai salah satu langkah dasar dalam menentukan kualitas pelayanan keperawatan. Penelitian ini bertujuan untuk mengidentifikasi gambaran kepuasan orang tua terhadap pelayanna keperawatan bayi prematur di ruang perinatologi Rumah Sakit Jakarta. Teknik consecutive sampling dilakukan untuk memilih 59 orang tua bayi prematur. Analisis menggunakan distribusi mean dan standar deviasi. Hasil penelitian rata-rata kepuasan orang tua sebesar 280,07 dan domain kepuasan yang paling tinggi adalah pelayanan dan perawatan . Bagi pelayanan keperawatan dapat menjadi evaluasi terhadap kinerja perawat untuk meningkatkan kualitas perawatan bayi prematur serta kepuasan orang tua.
Experience and Supporting Needs of Family with Children with Thalassemia β MayorTiti Sulastri
Djajadiman Gatot
Yeni Rustina
Ede Surya Darmawan
PROCEEDING 1ST. INTERNATIONAL CONFERENCE HEALTH POLYTECHNIC OF MINISTRY OF HEALTH IN KUPANGExperience and Supporting Needs of Family with Children with Thalassemia β MayorConcept of Well-being and sick explained that human being is in health condition in one point and sick in another point. However, once people get sick, people will do any treatment, as visiting hospital, either inpatient or outpatient. Thalassemia is the most common hereditary blood disorder in thalassemia belt, which known as a malaria endemic area as well, include Indonesia. One of the chronic illness impacts, including thalassemia, toward family is guilty feeling (children or parents) which affect to children lack of self-care, distressful, physical disorder, powerless, and helplessness. Parents of school-age children with thalassemia β mayor show varied respond toward this circumstance. This qualitative method research with phenomenology descriptive approach aims to explore parents’ experience on taking care of school-age children with thalassemia β mayor. By using descriptive phenomenology, the study observes every problem through place it on natural circumstance. Data were collected through in-depth interview. 5 participants were recruited purposively, included 4 mothers and 1 father, with range in age from 38 – 54, elementary to university educational background and come from Sunda, Java and Betawi tribe. The study identified 7 themes consists of 5 themes described parents’ experience on take care of children with thalassemia β mayor and 2 themes described family support needs on taking care their thalassemic children.
EFIKASI DIRI PERAWAT TERHADAP PENERAPAN ASUHAN PERKEMBANGAN (DEVELOPMENTAL CARE)Armina
Happy Hayati
Nani Nurhaeni
Jurnal Akademika Baiturrahim JambiEFIKASI DIRI PERAWAT TERHADAP PENERAPAN ASUHAN PERKEMBANGAN (DEVELOPMENTAL CARE)Bayi prematur membutuhkan asuhan perkembangan (Developmental Care) yang adekuat. Ruang perawatan neonatus di beberapa rumah sakit di Indonesia sudah banyak disosialisasikan mengenai penerapan Developmental care namun masih banyak perawat yang belum menerapkan dikarenakan kurangnya keyakinan perawat (efikasi diri kurang). Penelitian ini bertujuan untuk mengidentifikasi hubungan antara faktor efikasi diri dengan penerapan asuhan perkembangan oleh perawat di ruang rawat neonatus. Penelitian ini menggunakan desain cross sectional study dengan jumlah sampel sebanyak 82 perawat di ruang perawatan neonatus level I, II, III di dua rumah sakit yaitu di RSAB Harapan Kita dan RSPAD Gatot Subroto. Instrumen yang digunakan adalah kuesioner efikasi diri dan instrumen terjemahan Indonesia Universedevelomental care(UDC). Data penelitian ini dianalisis menggunakan analisis bivariat dengan uji T independent. Hasil analisis bivariat menunjukkan bahwa ada hubungan antara penerapan asuhan perkembangan dengan efikasi diri perawat neonatus dengan nilai p=0,017. Peneliti menyarankan institusi pelayanan keperawatan untuk dapat memfasilitasi pelatihan untuk meningkatkan kemampuan dan keyakinan diri perawat di ruang neonatus.
Kata kunci: asuhan perkembangan, efikasi diri, perawat.
Factors Affecting Antiretroviral Therapy Adherence in Individuals with HIV in Kaimana District of Papua BaratChinta Novianti Mufara
Sri Yona
UI Proceedings on Health and MedicineFactors Affecting Antiretroviral Therapy Adherence in Individuals with HIV in Kaimana District of Papua BaratObjective: The present study aimed to identify factors affecting the adherence of individuals with human immunodeficiency virus-acquired immunodeficiency syndrome (HIV-AIDS) to antiretroviral therapy (ART) in Kaimana Hospital.
Methods: The study design was descriptive correlational with a cross-sectional approach. Consecutive sampling was employed to obtain 81 respondents. Data were analyzed using chi-square and multivariate logistic regression analyses.
Results: The results suggested that most respondents (74.1%) exhibited low medication adherence. The most significant factors that affect adherence were knowledge on HIV [odds ratio (OR) 10.748, p = 0.001], time since HIV diagnosis (OR 0.173, p = 0.018), alcohol consumption of 1–2 glasses/day (OR 0.184, p = 0.033), alcohol consumption of >2 glasses/day (OR 0.077, p = 0.027), and alcohol consumption of 0–1 glass/day (p = 0.040).
Conclusion: Patients with HIV-AIDS having better knowledge on HIV-AIDS and their own health condition had higher ART adherence. Moreover, patients with higher alcohol consumption with longer time since HIV diagnosis had lower medication adherence. The study result suggested improving the administration of antiretroviral regimen and increasing the knowledge of individuals with HIV-AIDS regarding their own health status as measures to improve adherence.
Characteristics and HIV Knowledge Level of Undergraduate Students of the Regular Bachelor Degree Program Faculty of Nursing Universitas IndonesiaHaruka Ayu Suhita
Riri Maria
UI Proceedings on Health and MedicineCharacteristics and HIV Knowledge Level of Undergraduate Students of the Regular Bachelor Degree Program Faculty of Nursing Universitas IndonesiaObjective: HIV remains one of the critical health issues causing a major health concern worldwide, including in Indonesia. Problems related to HIV are inextricable from the role of health workers, particularly nurses, in Indonesia. Nursing students as future nurses need to have an adequate knowledge about HIV to provide maximum health care. This analytical descriptive research with a cross-sectional approach using chi-square test aimed to determine the relationship between student characteristics and their HIV knowledge levels.
Methods: In this study, a total of 142 students were included, and the HIV Knowledge Questionnaire-18 was used to determine their HIV knowledge levels.
Results: A significant relationship was observed between the year of the nursing program attended and the information obtained regarding the knowledge level (p = 0.000; 0.000; α = 0.05). Meanwhile, no significant relationship was found between ethnicity and a student’s knowledge level (p = 0.505; α = 0.05).
Conclusion: This study is recommended for educational institutions to recognize the need for early education on HIV.
Keywords: Characteristic, HIV, knowledge level, nursing student
Comparison of Clean and Healthy Living Behavior of Islamic Boarding School (IBS) Students with and without IBS Health Post accessSari Rahmawati
Sigit Mulyono
UI Proceedings on Health and MedicineComparison of Clean and Healthy Living Behavior of Islamic Boarding School (IBS) Students with and without IBS Health Post accessObjective: This study aimed to compare the knowledge, attitude, and behavior toward clean and healthy living behavior (CHLB) among Islamic Boarding School (IBS) students using eight indicators provided by the Ministry of Health in relation to the availability of a health post in Bogor, West Java, Indonesia.
Methods: This study used a comparative descriptive method with stratified random sampling technique. Approximately 138 students participated in this study.
Results: The result of this study showed no difference in the knowledge (p = 0,137; α = 0.05) but showed differences in the attitude (p = 0.007; α = 0.05) and behavior (p = 0.000; α = 0.05) of IBS students with access to and without access to health post toward CHLB.
Conclusion: The result of the data analysis can be used by IBS to enhance the performance of the IBS health post and later work with the community health center for health promotion programs.
Keywords: attitude, behavior, clean and healthy living behavior, Islamic boarding school health post, knowledge, student
Health Behaviors of Family members of Patients with CancerNurlita Dwi Hikmatia
Anggri Noorana Zahra
UI Proceedings on Health and MedicineHealth Behaviors of Family members of Patients with CancerObjective: This study aimed to determine the health behaviors of family members of patients with cancer.
Methods: This cross-sectional study collected data from 100 respondents (age, 18−75 years) at the RSPAD Gatot Soebroto surgical clinic using a questionnaire survey. The respondents were identified through consecutive sampling technique to collect data regarding the health behaviors of the family members of patients with cancer.
Results: The results of univariate analysis showed increased dietary behavior, decreased moderate physical activity, and good smoking cessation.
Conclusion: The family members of patients with cancer exhibit good dietary behavior and smoking cessation. However, the decrease in physical activities of family members of patients with cancer after the diagnosis of cancer was not significant.
Keywords: cancer; dietary behavior; physical activity; smoking behavior
Correlation between the Diabetic Ulcer Patients’ Comfort Level and Family Support: A Descriptive, Cross-Sectional StudyNiken Ika Wati
Dewi Gayatri
UI Proceedings on Health and MedicineCorrelation between the Diabetic Ulcer Patients’ Comfort Level and Family Support: A Descriptive, Cross-Sectional StudyObjective: This study aims to investigate the correlation between family support and the diabetic ulcer patients’ comfort level.
Methods: In this descriptive, cross-sectional study, we enrolled 84 diabetic ulcer patients in the nursing practice in the Jabodetabek area using a consecutive sampling collection method.
Results: The P value obtained from statistical analysis using the chi-square test was higher than 0.05, and the P value exhibiting the correlation between family support and the comfort level was 0.129.
Conclusion: This study established no correlation between family support and the comfort level of patients with diabetic ulcers in the nursing practice in Jabodetabek. Hence, this study recommends further identifying the factors affecting diabetic ulcer patients’ comfort level so that families could provide comfort to those patients.
Keywords: family support; comfort; diabetic ulcers
Knowledge and practices of ergonomic working positions among industrial workersHilda Fauziyah
Tri Widyastuti Handayani
UI Proceedings on Health and MedicineKnowledge and practices of ergonomic working positions among industrial workersObjective: Industrial workers encounter several ergonomic hazards, giving rise to the risk of work-related injuries and diseases. Thus, they should be knowledgeable about and apply ergonomic working positions. This study explored the knowledge and practices of ergonomic working positions among workers.
Methods: This cross-sectional study included 150 workers. A questionnaire was used for data collection, comprising three sections: workers’ characteristics, knowledge, and practices of ergonomic working positions.
Results: The mean score of workers’ knowledge was relatively high, but the mean score of practices of ergonomic working positions was low. The study showed a strong, linear, and significant relationship between knowledge and practices of ergonomic working positions. Additionally, knowledge contributed 43.2% to the practices of ergonomic working positions. The average score of workers’ knowledge was relatively high, whereas the average score of practices was quite low. A strong, linear, significant association was found between knowledge and practices of ergonomic working positions. Furthermore, knowledge contributed 43.2% to the practices of ergonomic working positions.
Conclusion: The results indicated the essential role of knowledge to improve the practices of ergonomic working positions among workers and recommended the provision of policy and workplace environment that supports ergonomic positions for workers. Further, this study recommended occupational health nurses to develop and implement programs for health promotion, work-related injury and disease prevention, treatment, follow-up, and referrals.
Anxiety level and academic procrastination among clinical nursing students in the faculty of nursing of universitas indonesiaNurmala Sari
Herni Susanti
UI Proceedings on Health and MedicineAnxiety level and academic procrastination among clinical nursing students in the faculty of nursing of universitas indonesiaObjective: Students commonly manage anxiety through avoidance behaviors, including procrastination. This study aimed to identify the relationship between anxiety levels and academic procrastination among clinical nursing students in the Faculty of Nursing of Universitas Indonesia.
Methods: This cross-sectional study included 116 clinical nursing students. Pearson’s chi-squared test was employed to examine the relationship between anxiety and academic procrastination.
Results: The results revealed a highly significant relationship between the anxiety level and academic procrastination among clinical nursing students (p < 0.005).
Conclusion: Our study demonstrated a relationship between anxiety and procrastination among nursing students. We suggest that nursing educational institutions and academic hospitals provide counseling services for students facing anxiety. This will allow students to learn adaptive coping strategies and time management skills. Peer support groups may also be needed to help students share and identify their preferred coping strategies based on the experiences of their peers. Our findings also indicated a need for further studies to explore factors affecting anxiety and academic procrastination among students.
Keywords: academic procrastination, anxiety, nursing students
The effects of a therapeutic patient education program on the self-care of a patient undergoing hemodialysisPipit Lestari
Yulia Yulia
UI Proceedings on Health and MedicineThe effects of a therapeutic patient education program on the self-care of a patient undergoing hemodialysisObjective: Hemodialysis (HD) can increase risks of health problems, such as fluid and electrolyte imbalances, malnutrition, and sepsis. Self-care is essential to help patients in maintaining fluid balances, enhancing compliance with treatment regimens, and managing psychological problems resulting from HD. Therapeutic patient education (TPE) programs represent an effective nursing intervention to improve patient self-care.
Methods: This is a case report analyzing effects of TPE on self-care in a patient lacking self-care and undergoing HD. The TPE program consisted of five sessions: assessment, motivation, awareness, education and training, and evaluation. The self-care agency scale (SCAS) was used for patient assessment, and program materials were adjusted according to patient needs identified during assessment. Evaluation focused on improving patient knowledge, SCAS score, and interdialytic weight gain (IDWG).
Results: The TPE program increased the patient’s SCAS score by 26%, an IDWG score improvement within the desired limit of 3%–5% of his dry weight was observed, and he was more knowledgeable about each education topic.
Conclusion: TPE is an effective method for increasing the self-care of patients undergoing HD. Our findings suggest that nurses should use TPE programs to improve self-care, enhance treatment compliance, and improve psychosocial well-being among end-stage renal disease (ESRD) patients undergoing HD. Quasi-experimental studies to explore effects of TPE programs on self-care among ESRD patients undergoing HD are required.
Keywords: ESRD, Hemodialysis, IDWG, Indonesia, Nursing Care, Self-care, Therapeutic Patient Education
PEMENUHAN KEBUTUHAN DASAR PADA LANSIA MENINGKATKAN KUALITAS HIDUP DI JAKARTA SELATANYusriana
Etty Rekawati
Dwi Nurviyandari
JURNAL KESEHATAN MERCUSUARPEMENUHAN KEBUTUHAN DASAR PADA LANSIA MENINGKATKAN KUALITAS HIDUP DI JAKARTA SELATANPenurunan fungsi dan kemampuan tubuh lansia membuat pemenuhan kebutuhan dasar menjadi tidak adekuat, sehingga menyebabkan penurunan kualitas hidup. Kelemahan fisik yang dialami lansia menyebabkan keterbatasan, maka persepsi terhadap kesehatan juga akan menurun. Tujuan penelitian ini adalah mengidentifikasi hubungan pemenuhan kebutuhan dasar dengan kualitas hidup lansia di Kelurahan Srengseng Sawah Kecamatan Jagakarsa Jakarta Selatan. Desain penelitian ini menggunakan pendekatan cross sectional study dengan jumlah sampel 111. Pengambilan sampel dilakukan dengn cara purposive sampling. Analisis bivariat dengan menggunakan uji spearman rank, sedangkan untuk analisis multivariat menggunakan uji regresi linear ganda terhadap konfounding yaitu karaktersitik lansia. Didapatkan hasil karakteristik umur (median=67,00), jenis kelamin perempuan (75,7%) dan pendapatan rendah (71,2%) merupakan konfounding dengan masing-masing nilai untuk umur p=0,00, jenis kelamin p=0,057, dan pendapatan p=0,130. Pemenuhan kebutuhan dasar dengan kualitas hidup mempunyai hubungan yang signifikan. Disarankan agar perawat dalam meningkatkan kualitas hidup lansia yang mengalami kelamahan atau kemunduran secara fisik sehingga tidak mampu dalam pemenuhan kebutuhan dasar adalah dengan cara menurunkan dan mengatasi gejala yang dialami lansia serta peningkatkan persepsi positif terhadap lansia.
Kata Kunci: Pemenuhan Kebutuhan Dasar, Kualitas Hidup, Lansia.
Studi Fenomenologi Pengalaman Orang Dengan HIV/AIDS Dalam Mencegah Penularan HIVMarthilda Suprayitna
Agus Setiawan
Rohman Azzam
JOURNAL CENTER OF RESEARCH PUBLICATION IN MIDWIFERY AND NURSING Studi Fenomenologi Pengalaman Orang Dengan HIV/AIDS Dalam Mencegah Penularan HIVAngka kejadian HIV di Kota Mataram meningkat dalam 5 tahum terakhir. Upaya yang telah dilakukan oleh Pemerintah setempat terkait penanggulangan HIV/AIDS yang sudah dilaksanakan selama ini seperti melakukan pencegahan – pencegahan pada lingkungan agar tidak terkena penularan virus HIV/AIDS melalui kampanye dan penyuluhan tentang penggunaan kondom dan melakukan pengobatan untuk mereka yang sudah positif HIV/AIDS. Tujuan penelitian ini untuk mengeksplorasi pengalaman orang dengan HIV/AIDS dalam mencegah penularan HIV. Metodologi yang digunakan adalah fenomenologi dengan jumlah partisipan sebanyak 6 orang, data dikumpulkan melalui wawancara mendalam. Wawancara direkam dan kemudian dibuat dalam bentuk verbatim. Hasil penelitian mengungkapkan variasi berbagai pengalaman orang dengan HIV/AIDS dalam mencegah penularan. Lima tema didapatkan dalam penelitian ini meliputi partisipan terdiagnosis HIV/AIDS, upaya partisipan dalam pencegahan penularan, hambatan partisipan serta motivasi partisipan dalam pencegahan penularan HIV/AIDS, dan dukungan yang diterima partisipan dalam upaya pencegahan penularan HIV. Berdasarkan temuan hasil tema tersebut disarankan agar perawat membantu upaya promosi kesehatan, partisipan mendapatkan dukungan dan motivasi untuk meningkatkan perilaku pencegahan penularan HIV/AIDS.
DUKUNGAN SOSIAL DAN KUALITAS HIDUP FISIK PEREMPUAN KORBAN KEKERASAN DALAM RUMAH TANGGAChristy N M Hitijahubessy
Yati Affiyanti
Tri Budiati
Jurnal Kesehatan TerpaduDUKUNGAN SOSIAL DAN KUALITAS HIDUP FISIK PEREMPUAN KORBAN KEKERASAN DALAM RUMAH TANGGAKekerasan terhadap perempuan umumnyamerupakanfenomena sosial yang sangat memprihatinkan diseluruh dunia, sehingga WHO telah menetapkannya sebagai epidemi global. Kekerasan terhadap perempuan dalam lingkup rumah tangga baik yang terjadi di perkotaan maupun pedesaan, selalu menempatkan perempuan pada posisi yang rentan yang berdampak pada kurangnya rasa percaya diri serta menghambat perempuan untuk memberdayakan diri. Pentingnya dukungan sosial sangatmembantu perempuan korban kekerasan dalam rumah tangga untuk meningkatkan kualitas hidupnya. Penelitian ini bertujuan untuk mengidentifikasidukungan sosial untuk meningkatkan kualitas hidup fisik perempuan korban kekerasan dalam rumah tangga. Desain penelitian ini yaitu cross-sectional. Sampel penelitian berjumlah 243 perempuan korban kekerasan dalam rumah tangga, berusia 19-49 tahun. Penilaian dukungan sosial menggunakan kuesioner Multidimensional Scale of Perceived Social(MSPSS), sedangkan penilaian terhadap kualitas hidup fisik menggunakan kuesioner World Health Organization Quality of Life(WHOQOL) Brefversi bahasa Indonesia. Hasil analisis menunjukan bahwa terdapat hubungansangat kuat, arah hubungan positif antara dukungan sosial dengan kulitas hidup fisik dipengaruhi (R=0,994, p=0,000). Dukungan sosial dapat djadikan salah satu intervensi untuk meningkatkan kualitas hidup fisik perempuan korban kekerasan dalam rumah tanggamelalui program pendampingan dan konseling.
Kata kunci: Dukungan sosial, kualitas hidup fisik, perempuan korbanKDRT
Development of handover concept in ICU/ICCU IBNU sina yarsi Islamic hospital bukittinggiWiwit Febrina
Yati Afiyanti
Nelwati
Nursing & Care Open Access JournalDevelopment of handover concept in ICU/ICCU IBNU sina yarsi Islamic hospital bukittinggiHandover is professional responsibility diversion and accountability for some or all aspect of patients care or group of patients that can help to save patient. ICU/ICCU IbnuSinaYarsi Islamic Hospital Bukittinggi only have SPO draft, sohand over process and the factors that influencestill needed to in depth exploration to found various concepts that underlie hand over process. The purpose of this study is to develop patient handover concept. This research used qualitative method with grounded theory approach. This research has found a concept, which is “incompatibility in practice of patient handover effectively”. From this study, hospital through nursing department should increase quality of nursing care especially patient safety related increase effectively communication through patient hand over activities and revise SPO draft based on the standards that should be applied in ICU and to authorized SPO of patient handover and socialized to the nurse.
Keywords: patient handover, communication, patient safety, hand off, shift changed
ASUHAN KEPERAWATAN GESTATIONAL DIABETES MELLITUS DENGAN APLIKASI TEORI SELF CARE OREMEka Riyanti
Setyowati
Yati Afiyanti
Proceeding of The 8th University Research Colloquium 2018: Bidang MIPA dan KesehatanASUHAN KEPERAWATAN GESTATIONAL DIABETES MELLITUS DENGAN APLIKASI TEORI SELF CARE OREMAngka kematian ibu merupakan cerminan mortalitas ibu pada masa kehamilan, persalinan dan nifas. Fokus penanganan ibu hamil dengan GDM adalah untuk menurunkan angka kesakitan maternal, kesakitan dan kematian perinatal. Asuhan keperawatan yang optimal diberikan pada ibu gestational diabetes militus untuk memandirikan klien dalam merawat diri dan meminimalkan terjadinya komplikasi pada ibu dan janinnya. Komplikasi dapat dicegah dengan mempertahankan keadaan normoglikemia selama kehamilan. Ners spesialis keperawatan maternitas diharapkan mampu memandirikan ibu hamil dengan GDM untuk melakukan perawatan terhadap diri sendiri agar tidak terjadi masalah kesehatan pada ibu dan janinnya. Tujuan umum dari penulisan ini adalah memberikan gambaran pada kasus ibu hamil dengan GDM dengan penerapan teori self care Orem. Metode penelitian Studi kasus. Aplikasi self care Orem (tahap Supportive educative) membuat Ibu GDM mampu melakukan perawatan diri untuk menjaga kesehatan ibu dan janinnya selama kehamilannya. Perawatan diri tersebut meliputi penatalaksanaan nutrisi, pemberian insulin, pemantauan glukosa darah, dan olah raga.
Hubungan Kadar HbA1c dan Kualitas Tidur pada Pasien Diabetes Melitus Tipe 2Anggri Noorana Zahra
Misella Elvira Farida
Jurnal Persatuan Perawat Nasional IndonesiaHubungan Kadar HbA1c dan Kualitas Tidur pada Pasien Diabetes Melitus Tipe 2Kualitas tidur yang buruk pada pasien diabetes melitus tipe 2 akan berdampak pada kualitas hidupnya. Kualitas tidur yang buruk disebabkan oleh komplikasi diabetes melitus yang diakibatkan oleh status kontrol gula darah yang buruk. Kadar HbA1c dapat menggambarkan status kontrol gula darah pasien dalam tiga bulan terakhir. Tujuan: Penelitian ini bertujuan untuk mengidentifikasi hubungan kadar HbA1c dengan kualitas tidur pada pasien diabetes melitus tipe 2. Metode: Penelitian ini menggunakan metode cross sectional. Responden adalah pasien diabetes melitus tipe 2 sebanyak 110 orang yang dipilih dengan teknik consecutive sampling. Lokasi penelitian di Poli Endokrin RSUPN Dr. Cipto Mangunkusumo. Data kadar HbA1c diperoleh dari hasil pemeriksaan HbA1c responden dalam tiga bulan terakhir dan kualitas tidur diukur dengan Pittsburgh Sleep Quality Index (PSQI). Analisis data menggunakan uji deskriptif dan analisis bivariat dengan menggunakan chi square. Hasil penelitian: Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara kadar HbA1c dengan kualitas tidur responden (p=0,000) dimana responden dengan kadar HbA1c pada kategori diabetes memiliki peluang 45 kali untuk memiliki kualitas tidur yang buruk dibandingkan responden dengan kadar HbA1c pada kategori normal. Diskusi: Kontrol gula darah yang buruk dapat menyebabkan penderita diabetes menderita neuropati diabetik yang menyebabkan nyeri pada kaki dan osmotik diabetes yang dapat menyebabkan nokturia. Hal tersebut dapat menurunkan kualitas tidur pasien diabetes. Kesimpulan: Penelitian ini merekomendasikan kepada perawat agar memberikan intervensi yang tepat dalam penatalaksanaan diabetes melitus sehingga pasien dapat mempertahankan status kontrol gula darah yang baik dan mendapatkan kualitas tidur yang baik.
Kata kunci: diabetes melitus tipe 2, kadar HbA1c, kualitas tidur, Pittsburgh Sleep Quality Index.
Perilaku Pengguna Media Sosial dengan Perilaku Seksual Pranikah ada Remaja SMARedy Fadillah
Widyatuti
Jurnal Ners Widya HusadaPerilaku Pengguna Media Sosial dengan Perilaku Seksual Pranikah ada Remaja SMAPerilaku seksual pranikah merupakan salah satu permasalahan yang dialami oleh remaja. Penelitian ini bertujuan mengidentifikasi hubungan pengguna media sosial dengan perilaku seksual pranikah pada remaja. Metode yang digunakan cross sectional dengan teknik cluster random sampling. Jumlah responden penelitian sebanyak 322 siswa pada Sekolah Menengah Atas. Kuesioner yang digunakan merupakan modifikasi dari Social Network Site Questionare yang berjumlah 14 pertanyaan dan 25 pertanyaan tentang perilaku seksual pranikah. Uji statistik menggunakan Chi Square dengan signifikansi (α ≤ 0,050) menunjukkan adanya hubungan yang bermakna antara pengguna media sosial dengan perilaku seksual pranikah pada remaja di Sekolah Menengah Atas (p=0,027); dan nilai koefisien korelasi (r=1,683). Disarankan agar perawat di tatanan komunitas dan institusi pendidikan bekerja sama untuk memberikan edukasi kesehatan terkait kesehatan reproduksi remaja kepada remaja di tingkat Sekolah Menengah Atas pada khususnya, serta memaksimalkan kembali program PKPR (Pelayanan Kesehatan Peduli Remaja).
Kata kunci: media sosial, perilaku seksual pranikah, remaja
THE RELATIONSHIP BETWEEN SELF-ESTEEM, FAMILYRELATIONSHIPS AND SOCIAL SUPPORT AS THE PROTECTIVEFACTORS AND ADOLESCENT MENTAL HEALTHRike Triana
Budi Anna Keliat
Ni Made Dian Sulistiowati
Humanities and Social Sciences ReviewsTHE RELATIONSHIP BETWEEN SELF-ESTEEM, FAMILYRELATIONSHIPS AND SOCIAL SUPPORT AS THE PROTECTIVEFACTORS AND ADOLESCENT MENTAL HEALTHPurpose : Mental disorders begin to occur at the age of 10-29 years about 10-20 %. Protective factors to prevent mental disorders in adolescents were self-esteem, family relationships and social support. The purpose of this study was to determine the relationship between the protective factors of self-esteem, family relationships, and social support and adolescent mental health.
Methodology: This research employs a correlative design. The subjects were 452 students in 8 grade (aged < 15 years old) that chosen by a purposive sampling technique. Data were collected by five questionnaires: demographic data, Rossenberg Self-Esteem Scale, Family Relation Index, Child and Adolescent Social Support Scale, Mental Health Continuum Short Form.
Main Findings: The results show that the protective factors of self-esteem, family relationships, and social support have a positive and significant influence on adolescent mental health (p < 0,05).
Applications: These findings showed the important role of protective factors (self-esteem, family relationships, social support) to adolescent mental health. Schools, parents and mental health nurses need to develop programs to promote mental health by improving the protective factors of self-esteem, family relationships, and social support.
Novelty/Originality: There are no studies involving comprehensive protective factors include individuals, families and communities on adolescent mental health.
Keywords
adolescents, mental health, self esteem, family relationship, social support
The Ratu's Model: A prevention model of postpartum depressionRatu Kusuma
Budi Anna Keliat
Yati Afiyanti
Evi Martha
Enfermería ClínicaThe Ratu's Model: A prevention model of postpartum depressionIntroduction
The Ratu's Model is a nursing model to prevent postpartum depression, is a product of Ratu's dissertation. Depression is one of the common psychological problem experienced by postpartum women. The number is estimated to reach 20% in Indonesia, 15–20% in the Riau Province, and must to be pressed to 1%.
Objectives
This study aims to identify the effectiveness of Ratu's Model to prevent postpartum depression.
Method
Quasi-experiment research alongside with pre–post test analysis of the control group, number of the respondents was undergone among 54 women pregnant and the spouses in each intervention and control group. Educational intervention was given toward intervention group for 3 times, with 3 times monitoring, and 3 times measurement.
Result
A significant correlation between Ratu's Model with lowered postpartum depression incidence.
Conclusion
The Ratu's Model is effective lowering the incidence of postpartum depression.
Keywords
Ratu's model, Postpartum depression, Depression prevention
Remuneration Satisfaction to Improve Work Motivation of Nurses: A Cross-Sectional,
Descriptive Analysis Study
Muthmainnah
Krisna Yetti
Dewi Gayatri
Kuntarti
Journal of International Dental and Medical ResearchRemuneration Satisfaction to Improve Work Motivation of Nurses: A Cross-Sectional,Descriptive Analysis StudyAdequate remuneration is an effort to attain nurses' retention and enhance the work motivation, which, in turn, can exert a positive impact on the nurses' performance, enabling them to deliver quality services. This study aims to determine the correlation between the remuneration satisfaction and motivation of nurses in the hospital setting. We conducted a descriptive, quantitative study using the cross-sectional approach on 74 nurses, who were enrolled using the total sampling method, at one hospital in Depok (West Java, Indonesia). Although the remuneration satisfaction was measured using a questionnaire developed by us, the work motivation was measured using the Herzberg questionnaire. A significant correlation was observed between the remuneration satisfaction and work motivation (P=.019; =0.05). Nurses satisfied with the remuneration had 3 times the chance of displaying high work motivation. This study recommends hospitals to apply the remuneration system based on the Minister of Health Decree Number 652 of 2010.
Keywords: Remuneration, satisfaction, work, motivation, nurse
Experience of Domestic Violence Survivor Women in Searching
Their Life Purpose and Self-Resilience
Laura Khattrine Noviyanti
Achir Yani S. Hamid
Novy HC Daulima
Journal of International Dental and Medical ResearchExperience of Domestic Violence Survivor Women in SearchingTheir Life Purpose and Self-Resilience
Victims of intimate partner violence (IPV) often experience several psychological disorders, such as anxiety, low self-esteem, and depression, driving them to a point where they lose their life purpose. Resilience implies the ability of victimized women to adapt to their stressful situations or recover by regaining the balance among their physiological, psychological, and social aspects of life. Those who attain self-resilience are called survivors—a phenomenon that has been scarcely investigated regarding the discovery of life purpose and self-resilience of women who are survivors of IPV in Central Java. Thus, this study aims to gain insight into the experience of IPV survivors in discovering their life purpose and self-resilience. We conducted qualitative research on six IPV survivors and determined four themes—self-reliance and bravery marking the beginning of life recovery, support from the closest person who provides strength, coping strategies used for the survival, and learning from experience to reinforce future goals. This study recommends mental health nurses to act as counselors for IPV survivors to support them in their recovery phase to enhance the mental health of patients.
Keywords: IPV, women.
Fear of Recurrence Predictors among Indonesian Gynecological Cancer SurvivorsIra Sukyati
Yati Afiyanti
Hayuni Rahmah
Ariesta Milanti
Journal of International Dental and Medical ResearchFear of Recurrence Predictors among Indonesian Gynecological Cancer SurvivorsFear of cancer recurrence (FCR) is the most common psychological issue amongst gynecological cancer survivors, and yet it remains unexplored, especially in developing countries such as Indonesia. Hence, this study aimed to identify the predictive factors of FCR among gynecological cancer survivors in Indonesia. A descriptive cross-sectional design was used. Women diagnosed with gynecological cancer, who had completed primary treatment were recruited from a referral hospital in Jakarta, Indonesia. Data were collected using a demographic and disease-related questionnaire and the Fear of Cancer Recurrence Inventory. Pearson's correlations test, t-test, and linear regression analysis were performed. A total of 114 women participated in this study. Age was the strongest predictor of FCR in the domains of severity, psychological distress, insights, and reassurance. Marital status and type of treatment strongly predicted the FCR domains of functional impairment and coping strategies, respectively (P < .05). The findings of this study indicate the importance of patient characteristics while addressing the issue of FCR among gynecological cancer survivors. Further studies aimed at understanding FCR among gynecological cancer survivors may provide insight into the aspects of this condition that necessitate more attention.
Keywords: Fear of recurrence, gynecological cancer survivor, fear of cancer recurrence inventory, survivorship.
Difficulties in Performing Prayers as a Muslim Transgender IndividualChaterina Janes Pratiwi
Agung Waluyo
Sri Yona
Herni Susanti
Journal of International Dental and Medical ResearchDifficulties in Performing Prayers as a Muslim Transgender IndividualThe number of transgender individuals living with human immunodeficiency virus (HIV) in Indonesia is increasing. As human beings, transgender individuals have needs, including spiritual and religious needs. The purpose of this study is to explore transgender individuals’ experiences when praying as Muslims. This qualitative study uses a phenomenological approach. We recruited 15 transgender Muslims living with HIV. Answers obtained during the course of in-depth interviews revealed the following trends: (1) Constraints encountered when attempting to pray as transgender individuals among the Muslim community; (2) transgender women perceive that they are men while praying; and (3) hospital nurses do not provide spiritual guidance. Nurses should provide for the spiritual needs of transgender individuals.
Keywords: Prayers, Islam, transgender, HIV.
Early Therapeutic Interventions for Low Self-esteem among Adolescents with Early Prodromal Signs of PsychosisNurilla Safitri Damanik
Budi Anna Keliat
Herni Susanti
Journal of International Dental and Medical ResearchEarly Therapeutic Interventions for Low Self-esteem among Adolescents with Early Prodromal Signs of PsychosisLow self-esteem is an early prodromal sign of psychosis in adolescents. Early intervention is
needed to prevent psychosis among this age group. Thus far, no studies have investigated the effects of group cognitive-behavioral therapy (CBT) and family psychoeducation (FPE) on the selfesteem of adolescents in Indonesia. The present study aimed to explore the influence of CBT and FPE on the self-esteem of adolescents with early prodromal signs of psychosis. An experimental study was conducted. Of the 79 participants selected after screening using the prodromal questionnaire and Rosenberg’s self-esteem scale questionnaire, 39 were further classified into the intervention group and 40 into the control group using the random sampling technique. The analysis was performed using the paired t-test and analysis of variance. Results revealed that the RSES score of the CBT and FPE groups was significantly higher than that of the control group (p <.05). CBT and FPE, which are considered early therapeutic interventions, are recommended to increase the self-esteem of adolescents with early prodromal signs of psychosis.
Keywords: Adolescents, psychosis.
Body Image, Social Support, Effects of Chemotherapy, and Sexual Desire
in Breast Cancer Patients
Muthia Octaviana Widianti
Sri Yona
Masfuri
Agung Waluyo
Journal of International Dental and Medical ResearchBody Image, Social Support, Effects of Chemotherapy, and Sexual Desirein Breast Cancer PatientsThe number of patients with breast cancer in the world, including Indonesia, is high. Breast
cancer survivors experience numerous physical, psychological, and social changes, which affect their sexual desire. Sexual desire is intimately linked with body image, social support, and side effects of chemotherapy. This study aimed to investigate the correlations of body image, social support, and side effects of chemotherapy with sexual desire. This cross-sectional study included 110 consecutive patients undergoing chemotherapy at public and private hospitals in Semarang and in a public hospital in Jakarta. The results demonstrated significant correlations between sexual desire and body image (P=.000), social support (P=.000), and side effects of chemotherapy (P=.003). The results of multivariate analysis showed that among the factors investigated, body image had the greatest effect on sexual desire. To address issues related to this decrease in sexual desire among patients with breast cancer, nurses should evaluate body image, social support, and side effects of chemotherapy soon after patients with breast cancer have undergone chemotherapy.
Keywords: Breast cancer, body image, social support, chemotherapy effects, sexual desire.
Optimizing the use of digital sensors (non-invasive) for early detection of risk factors for recurrent stroke to improve quality of care: A systematic review [version 1; peer review: awaiting peer review]I Made Kariasa
Elly Nurachmah
Setyowati
Raldi Artono Koestoer
F1000 ResearchOptimizing the use of digital sensors (non-invasive) for early detection of risk factors for recurrent stroke to improve quality of care: A systematic review [version 1; peer review: awaiting peer review]Background: Improving awareness in patients with stroke to detect risk factors of recurrent stroke has recently become a major challenge for all health professionals in preventing recurrence among stroke survivors. Utilization of advanced technology, such as digital sensors, (a non-invasive device) is among the breakthroughs in detecting the risk of disease and promotes more effective prevention and improves quality of care. This study aims to conduct a systematic review on studies addressing early detection of the risk factors of recurrent stroke through the utilization of digital sensors.
Methods: A literature search was carried out on articles published between 2011 - 2018 on EBSCO, Elsevier, Science Direct, ProQuest, Springer link, PubMed, MEDLINE, PLoS, and the Journal of Community Nursing. The search identified quantitative research studies on the utilization of digital sensors in cases of hypertension, diabetes mellitus, hypercholesterolemia, and cardiac disorders that contributed to stroke recurrence. Each study’s bias was assessed using Review Manager 5.
Results: Ten articles were analyzed through data extraction. Robust assessment of independent risk factors which provoke recurrent stroke such as hypertension, diabetes mellitus, hypercholesterolemia, and heart diseases could lead to conservation of health resources. It is very important to monitor these factors. With the development of technology, the potential use of non-invasive monitoring for hypertension, diabetes mellitus, hypercholesterolemia, and heart diseases as risk factors for recurrent stroke events is considered effective because it is easy, simple, low cost, sensitive, and does not cause additional suffering for patients.
Conclusion: A practical and non-invasive method for early detection and monitoring of risk factors may reduce the risk of stroke recurrence among stroke survivors.
Keywords: Digital sensor, quality of care, risk factors, recurrent stroke.
Effectiveness of balance exercise among older adults in Depok City, IndonesiaStefanus Mendes Kiik
Junaiti Sahar
Henny Permatasari
Enfermería ClínicaEffectiveness of balance exercise among older adults in Depok City, IndonesiaObjective
Falls are a serious problem for older adults. Balance impairment is one of the most significant reasons why adults fall from a standing position. This study aims to investigate the effect of an eight-week postural balance exercise intended to reduce the risk of falls among older adults in a community in Depok City, Indonesia.
Method
This quasi-experimental study employed a pre- and post-test design using a control group. The study involved an intervention group of 30 respondents and a control group of a further 30 respondents. The sample was selected using multistage random sampling. The data were analyzed using a t-test.
Results
The balance exercise significantly affected the respondents’ postural balance and reduced their risk of falling. There were significant differences between the two groups (intervention group and control group) in postural balance (p < .001) and the risk of suffering a fall (p = .023).
Conclusion
Balance exercises can be utilized as one of the preventive efforts to maintain postural balance and reduce the risk of falls among older adults. Future studies may consider the variation of age to more accurately determine the effectiveness of this balance exercise.
Keywords
Accidental falls; Adult; Exercise therapy; Indonesia; Postural balance; Risk
Nurse’s Competence in Supporting the Spiritual-
Religious Needs of Patients in Indonesia
Supriyanto
Achir Yani S. Hamid
Dede Rosyada
Muctarudin Mansyur
Ferry Efendi
Indian Journal of Public Health Research & DevelopmentNurse’s Competence in Supporting the Spiritual-Religious Needs of Patients in IndonesiaIntroduction
The fulfilment of religious ritual needs is a form of spiritual nursing intervention. The main Islamic ritual is the fardhu prayer, which should not be abandoned despite illness and hospitalisation. The purpose of this study was to find out the nurse's constraints relating to help to meet the need of conducting fardhu prayers for hospitalised patients from their experience of providing nursing care to patients.
Method
This study was a qualitative, using the phenomenology approach, focusing on 8 associate nurses, 3 nurse managers and 1 participant, who was the Head of the Spiritual Counselling division. Data collection was done through a Focus Group Discussion and the data analysis used the Colaizzi method.
Results
The results of the study yielded four main themes: the competence of nursing services for fardhu prayer, the availability of facilities, the perception of constraint on the patient, and limited support.
Discussions
The nurses’ competency at fulfilling the spiritual needs of patients in Indonesia should be developed and fostered in order to accommodate the health needs of Indonesian society as a whole.
Keywords
Fardhu prayer, Muslim spiritual nursing service, Islamic religious ritual.
Family's experience in caring for clients with suicidal risk in indonesiaRenny Nova
Achir Yani S. Hamid
Novy HC Daulima
Enfermeria GlobalFamily's experience in caring for clients with suicidal risk in indonesiaSuicide is one of the psychiatric emergencies that require comprehensive care because individuals are at risk of endangering themselves, others and the surrounding. Suicide in Indonesia is increasing. Families have a major role in caring for clients and preventing suicide but family burdens have not been studied profoundly. The aim of the study was to get an overview of family experience of caring for clients with suicide risk. The research design was qualitative with descriptive phenomenology approach involving six participants. Data was collected by in depth interview and analyzed using Colaizzi method. The results of the study found five themes; suicide attempts is a complex burden for families, behavioral changes as a suicide sign, concern as a form of family and community support, family perceptions about the causes and consequences of attempted suicide and coping strategies of families overcoming the impact of attempted suicide. The results of the study recommend that the family as the front social unit of suicide prevention can be more sensitive to changes in the behavior of clients and nurses as counselors can provide interventions to improve the mental health status of clients and families such as health education, family psycoeducation therapy, stress management and self help group. The conclusion that can be drawn from the five themes above is the burden of the family who provide caring for the client with the risk of suicide is heavier when the family is unable to recognize the client's suicide signs so there is a need for a support system and constructive coping.
Keywords: client with suicidal risk; family experience
Pulmonary tuberculosis prevention behavior improvement and structured-health education in Bogor regencyVerra Widhi Astuti
Astuti Yuni Nursasi
Sukihananto
Enfermeria GlobalPulmonary tuberculosis prevention behavior improvement and structured-health education in Bogor regencyPulmonary Tuberculosis (pulmonary TB) is a common infectious disease in the world, including in Indonesia. It is very easily transmitted through sputum splashes. It encourages development of interventions in order to control the transmission of TB, such as structured health education.
The aims of this study were to determine the effect of structured health education intervention on the prevention behavior of pulmonary TB in Bogor regency, Indonesia.
This study used quasi-experimental design with pre- and post-test design, involving 82 adults age community member who were devided into intervention and control group. The study was conducted in districts with high TB prevalence selected by purposive sampling, while the research subject was selected using simple random sampling.
The results showed that structured education significantly affects knowledge (p value = 0,000), attitude (p value = 0,000), and skill prevention of pulmonary TB transmission (p value = 0,000). Structured health could applied as an alternative choice of community nursing interventions that can be given to people at risk of pulmonary TB.
Keywords: nursing intervention, pulmonary TB, structure health education, prevention of transmission
Gaining a “normal life”: HIV-positive Indonesian female injection drug users in drug recoverySri Yona
Rita Ismali
Elly Nurachmah
Judith Levy
Kathleen Norr
Journal of Ethnicity in Substance AbuseGaining a “normal life”: HIV-positive Indonesian female injection drug users in drug recoveryThe number of female injection drug users in Indonesia is rapidly increasing. This study explores the experiences of women living with HIV in recovery from heroin injection. Using a ground theory approach, 22 women former drug users in Jakarta participated in this study. Six themes emerged: the challenges of quitting, the role of self-motivation, the utility of methadone treatment, the importance of partner and family support, the transformation of “self” and situation, and the rewards of a normal life if successful. These women’s accounts point to the personal and cultural challenges that they faced as women, wives, and mothers.
Keywords: Indonesian female drug users, women in drug recovery, HIV
Evaluating the acceptability of a co-produced and co-delivered mental health public engagement festival: Mental Health Matters, Jakarta, IndonesiaHelen Brooks
Irmansyah
Herni Susanti
Bagus Utomo
benny Prawira
Livia Iskandar
Erminia Colucci
Budi Anna Keliat
Karen James
Penny Bee
Vicky Bell
Karina Lovell
BMC Research Involvement and EngagementEvaluating the acceptability of a co-produced and co-delivered mental health public engagement festival: Mental Health Matters, Jakarta, IndonesiaBackground
Public engagement events are an important early strategy in developing a meaningful research agenda, which is more impactful and beneficial to the population. Evidence indicates the potential of such activities to promote mental health literacy. However, this has not yet been explored in Indonesia.
Aim
This paper describes a mental health public engagement festival carried out in Indonesia in November 2018 and uses evaluation data to consider the acceptability and use of such activities in Indonesia in the future.
Method
Evaluation data was collected from 324 of the 737 people who attended a six-day mental health festival comprising 18 events including public lectures, film screenings, arts activities, exercise classes and panel discussions. Attendees were asked to evaluate the festival in terms of its quality, benefits and areas for improvement. Descriptive statistics were used to analyse the evaluation data. 87 service users, carers, academics and professionals also engaged in a research prioritisation exercise to collaboratively determine mental health research priorities for Indonesia.
Results
Participants evaluated the festival extremely positively with a significant majority (92%) rating the quality of the festival as good or excellent. Attendees reported an increase in their understanding of mental health issues and identified intended behaviour change including an increased propensity for future engagement with mental health research. Key strengths of the festival included the central role of patients, carers and the local community in the design and delivery of the festival which promoted emotional engagement and development of shared understanding and the use of international experts which in attendees’ opinion further enhanced the credibility of festival activities.
Conclusion
This manuscript indicates that a co-produced mental health public engagement festival is a potentially acceptable way to increase awareness of mental health in Indonesian populations. Future festivals should be larger in scope and target men, older people and the general public to maximise benefit and incorporate rigorous evaluation of effectiveness.
The knowledge, ability, and skills of primary health care providers in SEANERN countries: A multi-national cross-sectional studyShizheng Du
Yuling Cao
Tong Zhou
Agus Setiawan
Myat Thandar
Virya Koy
Mohd Said Bin Nurumal
Hong Anh
Wipada Kunaviktikul
Yan Hu
BMC Health Services ResearchThe knowledge, ability, and skills of primary health care providers in SEANERN countries: A multi-national cross-sectional studyBackground
Primary health care (PHC) is usually the initial point of contact for individuals seeking to access health care and providers of PHC play a crucial role in the healthcare model. However, few studies have assessed the knowledge, ability, and skills (capacity) of PHC providers in delivering care. This study aimed to identify the capacity of PHC providers in countries of the Southeast and East Asian Nursing Education and Research Network (SEANERN).
Methods
A multi-national cross-sectional survey was performed among SEANERN countries. A 1–5 Likert scale was used to measure eight components of knowledge, ability, and skill of PHC providers. Descriptive statistics were employed, and radar charts were used to depict the levels of the three dimensions (knowledge, skill and ability) and eight components.
Results
Totally, 606 valid questionnaires from PHC providers were returned from seven countries of SEANERN (China, Myanmar, Indonesia, Thailand, Vietnam, Cambodia, and Malaysia), with a responsive rate of 97.6% (606/621). For the three dimensions the ranges of total mean scores were distributed as follows: knowledge dimension: 2.78~3.11; skill dimension: 2.66~3.16; ability dimension: 2.67~3.06. Furthermore, radar charts revealed that the transition of PHC provider’s knowledge into skill and from skill into ability decreased gradually. Their competencies in four areas, including safe water and sanitation, nutritional promotion, endemic diseases prevention, and essential provision of drugs, were especially low.
Conclusions
The general capacity perceived by PHC providers themselves seems relatively low and imbalanced. To address the problem, SEANERN, through the collaboration of the members, can facilitate the appropriate education and training of PHC providers by developing feasible, practical and culturally appropriate training plans.
Evaluation of nursing care behavior Culture Program’s Implementation at Dharmais Cancer HospitalTuti Nuraini
Enie Novieastari
Krisna Yetti
ASEAN Journal of Community EngagementEvaluation of nursing care behavior Culture Program’s Implementation at Dharmais Cancer HospitalThe concept of caring is used by nurses in providing nursing care. However, there are factors that influence nurses’ caring attitudes, such as job stress and dehumanization, which make nurse caring behavior decrease. Our program offers a solution to build a caring culture for cancer nurses. The activities carried out were the socialization of the caring culture to nurses, training for the head nurse as a change agent who guided nurses, assignment from the head of the hospital to the head nurse, and a guidance program for the head nurse as a champion to nurses. After the activity was finished, we evaluated the implementation of caring culture by focus group discussion for the head nurse. As a result, eight themes were obtained: observation guidance about caring behavior to help champions monitor and increase the nurses’ caring attitudes, training about caring to help nurses change their caring attitude, excessive workload makes nurses display less-caring behavior, Whatsapp application helps socialize caring culture, spiritual power from the inside fosters caring behavior, support from hospital leaders for caring behavior, needs for caring behavior training and therapeutic communication for all health care providers and administrative staff, needs for caring behavior standard operating procedures (SOP) and guidance from senior nurses. The number of nurses who behave caring well also increase by 38% after intervention (p = 0.021). The result of FGD can be suggestions for the hospital of ways to improve the caring culture.
Keywords: caring culture, oncology nurse, training, champion, Focus Group Discussion (FGD)
Expectations of survivors towards disaster nurses in Indonesia: A qualitative studyHerni Susanti
Achir Yani S. Hamid
Sigit Mulyono
Arcellia Farosyah Putri
Yudi Ariesta Chandra
International Journal of Nursing SciencesExpectations of survivors towards disaster nurses in Indonesia: A qualitative studyObjective
This study aims to explore the expectations of survivors towards disaster nurses.
Methods
The study used qualitative content analysis. Data were collected in 2017 through three focus group discussions with 21 survivors and in-depth interviews with three community leaders; the respondents had experienced one of the following events: a) an earthquake in Padang 2009, b) a volcanic eruption in Yogyakarta 2010, and c) flooding in Jakarta 2014.
Results
Four themes represented survivors’ expectations of what nurses can do in responding to a disaster, including: a) provision of direct nursing care, b) provision of information of health service access, c) provision of resources through cross-sector coordination, and d) disaster preparedness activities for the community.
Conclusions
This study suggests the importance of disaster nurses having the competency to update information regarding healthcare access, particularly the utilization of health insurance and providing culturally competent care to the survivors. Disaster nurses are also expected to be able to train the community and families about preparedness-related activities. Besides, these disaster nurses should improve their competency in disaster risk reduction. More broadly, such nurses should have the ability to advocate and coordinate with the local government and other stakeholders regarding access to healthcare services and continuous rapid assessment, so that survivors receive immediate and appropriate treatment.
Keywords
Disasters; Focus groups; Health services accessibility; Indonesia; Nurses; Professional competence; Survivors
The relationship between social support and emotional status among patients with chronic obstructive pulmonary diseaseDede Fatimah
Shanti Farida Rachmi
Agustin Indracahyani
Enfermería Clínica
The relationship between social support and emotional status among patients with chronic obstructive pulmonary diseaseThis study intended to evaluate the relationship between social support and emotional status among patients with chronic obstructive pulmonary disease (COPD).
Method
The study used a cross-sectional method with a consecutive sampling technique at three public hospitals in DKI Jakarta. Data from 200 samples were processed using Chi-Square statistical tests. Data were obtained through questionnaires.
Result
The results of the analysis of the relationship between social support and emotional status in COPD patients showed that there was no relationship between social support with emotional status (depression) (p = 0.921), emotional status (anxiety) (p = 0.184), and emotional status (stress) (p = 0.795).
Conclusion
Many factors affected emotional status in COPD patients. This study has not been able to prove the relationship between social support and emotional status among patients with COPD.
Keywords
COPD; Emotional status; Social support
Associated factors of post-hemodialysis recovery time in kidney failure patientsGusti Ayu Ary Antari
Lestari Sukmarini
Muhamad Adam
Enfermería Clínica
Associated factors of post-hemodialysis recovery time in kidney failure patientsObjective
To identify the factors related to post-hemodialysis recovery time in kidney failure patients.
Method
This study used a descriptive correlation design with a cross-sectional method. The samples in the study were 185 hemodialysis patients at Sanglah Central Hospital, Denpasar, who were recruited through a consecutive sampling technique. Data were analyzed using multiple linear regressions.
Results
The results of the study showed that the mean recovery time was 578.41 ± 402.27 min. Post-hemodialysis recovery time was found to be significantly related to the hemodialysis schedule (p = 0.029), comorbid diseases (p = 0.046), the number of acute complications (p = 0.001), and depression (p = 0.004). The results of multivariate analysis showed that the number of acute complications during hemodialysis was the most dominant factor related to recovery time (β = 0.747).
Conclusion
Gender, upper-arm circumference, hemodialysis schedule, sodium dialysate concentration, intradialytic weight loss, comorbid diseases, and the number of acute complications were found to be significant correlated with post-hemodialysis recovery time.
Keywords
Hemodialysis; Kidney failure; Post-hemodialysis recovery time
How does organizational culture influence care coordination in hospitals? A systematic reviewTisan Meily Runtu
Enie Novieastari
Hanny Handayani
Enfermería Clínica
How does organizational culture influence care coordination in hospitals? A systematic reviewObjective
This research to review the attributes of the organizational culture that may influence care coordination and to identify which organizational culture type that may enhance care coordination.
Methods
We conducted a systematic review published in Science Direct, Proquest and Scopus. The inclusion criteria were quantitative and qualitative studies with respect to organizational culture and care coordination in hospitals, published in the English language between January 2006 and July 2017. PRISMA-P 2015 checklist was utilized to analyze and report this review.
Results
359 articles generated, 66 articles were reviewed. Our review found that organizational culture generally falls into four categories: hierarchy, clan, adhocracy, and market. Our review, furthermore, indicated that the following organizational culture attributes influenced care coordination: relationships and communication within the team, teamwork, success criteria, conflict management, and the authority and autonomy.
Conclusion
Our review suggested hospital managers adapt clan culture to improve care coordination in their hospitals.
Keywords
Interprofessional collaboration; Care coordination; Organizational culture
The impacts of career ladder system for nurses in hospitalBela Pertiwi
Rr. Tutik Sri Hariyati
Enfermería Clínica
The impacts of career ladder system for nurses in hospitalObjective
To examine the impacts of the career ladder programme on nurses’ job satisfaction.
Method
We did a systematic review of the literature from 2008 to 2018. Data were collected from five databases (EBSCO, ProQuest, SAGE Journals, and Science Direct), using the keywords of nursing career ladder, job satisfaction, and clinical ladder.
Results
Sixteen articles were included in the review. The results showed the impacts of the career ladder system for the nurses in hospital were: (1) career advancement, (2) development of mentorship, (3) establishing an effective reward system, (4) skill and education development, and (5) awareness of duty. Development of mentorship and career advancement were shown to influence the development of nurse competency significantly.
Conclusions
Mentorship and career advancement had the largest impact on the nurses’ career ladder implementation. Nurse managers have a substantial role in improving the implementation of the career ladder in order to enhance nurses’ satisfaction.
Keywords
Career ladder; Mentorship; Nurse satisfaction; Reward system
Analysis of participants’ characteristics and risk factors for stroke recurrenceI. Made Kariasa
Elly Nurachmah
Setyowati
Raldi Artono Koestoer
Enfermería Clínica
Analysis of participants’ characteristics and risk factors for stroke recurrenceObjective
This preliminary study aimed to identify risk factors contributing to recurrent stroke.
Method
The study design was a descriptive analytic with a cross-sectional approach. The study involved post-stroke patients admitted to inpatient and outpatient of a neurology department. Ninety-eight participants were selected through consecutive sampling.
Results
The study results suggested that patients with a bachelor's degree (2%) had a lower risk of recurrent stroke, while housewives (32.7%), patients with ischemic stroke (63.3%), and patients with a second incidence of stroke (78.6%) had a higher risk for recurrent stroke. Risk factors for stroke included modifiable factors such as hypertension, cardiovascular disease, hypercholesterolemia, obesity, diabetes mellitus, smoking habit, alcohol abuse, stroke history, and use of contraceptive pills; and non-modifiable factors such as age, sex, ethnicity, and genetics. The results revealed that hypertension (86.7%), as a modifiable risk factor, posed the highest risk for recurrent stroke. Being of Javanese ethnicity (60.2%) was indicated as the non-modifiable risk factor with the highest risk of recurrent stroke.
Conclusion
Risk factors are firmly associated with stroke recurrence. It is necessary to investigate stroke patients’ self-screening further to manage modifiable factors.
Keywords
Recurrent stroke; Risk factors; Participants’ characteristic
The correlation between infant and toddler feeding practices by working mothers and the nutritional statusAnita Dewi Permatasari
Fajar Tri Waluyanti
Enfermería Clínica
The correlation between infant and toddler feeding practices by working mothers and the nutritional statusObjective
This study aims to determine the correlation between infant and toddler feeding practices in working mothers with the nutritional status of children aged 6–23 months in Depok City.
Method
This study applied cross-sectional design and cluster sampling technique. The study population was 8772 with a sample of 223 selected respondents. Feeding practices measured by the Guidelines for the Integrated Childhood Illness Management Chart from the Indonesian Ministry of Health, while nutritional status was measured by calculating children's weight-for-height.
Results
The results indicated that most feeding practices were inappropriate (98.9%) with normal nutritional status in children (80.8%). The results of the statistical analysis showed that there was no significant relationship between feeding practices and nutritional status in infant and toddlers (p = 0.923).
Conclusion
The results indicate there were other parameters to determine nutritional status, so further analysis needs to be done.
Keywords
Working mother; Feeding practices; Nutritional status
Experiences of palliative care nurses in providing home-based care for patient with advanced cancerMarlon Sijabat
Debie Dahlia
Agung Waluyo
Enfermería Clínica
Experiences of palliative care nurses in providing home-based care for patient with advanced cancerObjective
The main concern of caring for an advanced cancer patient is to fulfill the physical, psychological, social, and spiritual needs to reduce the patient's suffering for a dignified death. The purpose of palliative care is to provide comfort and appropriate palliative care nursing. The courage and dedication to fulfill the complex needs for a dying patient become a unique experience for palliative care nurses.
Method
Such experience was explored by using a descriptive phenomenological approach. Eight palliative care nurses were involved as the participants. The findings from the interview were analyzed by using Colaizzi method.
Results
The analysis resulted six themes: palliative care given after the primary job in hospital, family's assumption of palliative care nurse as a caregiver, palliative care nurse concerned more on patient's physical needs, palliative care nurse more dominant in collaborating to overcome the pain, providing care for imminent death in accordance with predefined standards, and challenges in decision making regarding to palliative care.
Conclusions
It is suggested to improve the services to become a palliative care nurse specialist, to improve knowledge and training of palliative care nurse, and to manage the policy of palliative care nurse in National Health Service system.
Keywords
Nurse experience; Home-based terminal palliative care; Palliative nurse
The influence of coping skills training and family health education on self-esteem among adolescents in substance abuse preventionNita Sukamti
Budi Anna Keliat
Ice Yulia Wardani
Enfermería Clínica
The influence of coping skills training and family health education on self-esteem among adolescents in substance abuse preventionObjective
Substance abuse is one of the most serious problems in Indonesia and is highly prevalent among adolescents. Therefore, psychotherapy is needed in preventing substance abuse for adolescents. This study aims to analyze the influence of coping skills training and family health education on self-esteem in a sample of 87 young people.
Method
The sample was divided into two groups using simple random sampling. ANOVA was used to determine differences between the control group and those receiving coping skills training and family health education.
Results
Self-esteem improved significantly in the group that received the experimental training (F(1.85) = 44.70, p < 0.001). Some practical implications can be deduced for psychiatric nurses to implemented coping skill training and family health education as a standard treatment in substance abuse prevention among adolescents.
Keywords
Coping skill training; Family health education; Self-esteem; Adolescents; Substance abuse prevention
Board game as an educational media for dengue prevention
knowledge for school-aged children
Vivi Leona Amelia
Agus Setiawan
Sukihananto
Enfermeria GlobalBoard game as an educational media for dengue preventionknowledge for school-aged children Vivi Leona AmeliaIndonesia is one of the endemic countries for dengue fever, and for the incidents are increasing year by year. Children are the risk population to dengue incidents than the others age groups. Part of the dengue prevention is increasing the knowledge, and also the children’s knowledge. The use of the game is the enjoyable way for learning in children.
Aim: The aim of the study was to know children's basic knowledge about dengue prevention and develop an educational media for children. This study uses a quasi-experimental design with pre and post-test and using a control group.
Method: The participants are a school-aged children between the ages of 10-12 years old with total 92 participants who were divided into intervention group and control group.
Results: The results showed that there are a significantly increasing score at children basic knowledge at intervention group about dengue fever sign and symptom (p=0,001); prevention strategy based on Indonesia Health Ministry guidelines (p=0,001); chemistry agent (p=0,000); biology agent (p=0,000); self-protection (p=0,001); and immune system (p=0,001). There are difference knowledge between intervention and control groups (p=0,000).
Conclusion: The conclusion of the study is board game can be designed to be an educational media to give a health education about dengue prevention strategy to the children.
Keywords: Board game, dengue prevention strategy, educational media
Evaluation of impact self-management counseling on health-seeking behavior's self-efficacy pulmonary tuberculosis outpatientsMuhamad Jauhar
Astuti Yuni Nursasi
Wiwin Wiarsih
Enfermería Clínica
Evaluation of impact self-management counseling on health-seeking behavior's self-efficacy pulmonary tuberculosis outpatientsObjective
The study was to determine the influence of self-management counseling on self-efficacy in relation to the health-seeking behavior of patients with pulmonary TB at top referral hospital in West Java.
Method
A quasi-experimental design, involving a pre- and post-assessment, was applied. Purposive sampling was used to select an intervention (n = 30) and control group (n = 30).
Results
Self-management counseling was associated with an improvement in self-efficacy in relation to the health-seeking behavior and treatment adherence of patients with pulmonary TB (a mean increase in self-efficacy of 6.60 point) (p-value = 0.001).
Conclusion
Self-management counseling significantly increased self-efficacy in relation to the health-seeking behavior and treatment adherence of pulmonary TB patients. Self-management counseling is recommended as a nursing intervention for pulmonary TB patients, especially in the early phase of treatment (i.e., the first 1–2 months) during the administration of medication at primary and secondary healthcare facilities.
Keywords
Pulmonary TB; Outpatients; Self-efficacy; Self-management; Counseling; Nursing
The lived experience of colorectal cancer patients with undernutrition in meeting their nutritional needsDikha Ayu Kurnia
Yulia
Agung Waluyo
Agustin Indrachayani
Enfermería Clínica
The lived experience of colorectal cancer patients with undernutrition in meeting their nutritional needsObjective
This study aimed to explore the lived experience of colorectal cancer patients with undernutrition in meeting their nutritional needs.
Method
We employed a phenomenological approach involving seven colorectal patients with undernutrition selected using purposive sampling method. We employed in-depth interviews to collect data and Colaizzi's content analysis to analyze data.
Results
We identified the following six themes: (1) cancer is the cause of weight loss, (2) preferred foods have potential to cause cancers; (3) concerns regarding digestive issues; (4) pathological response toward foods; (5) delayed meal times; and (6) suicidal thoughts outside the context of the disease.
Conclusions
It is important for nurses to provide patient education and design teaching instructions for patients in meeting their nutritional needs by considering barriers experienced by patients. Nurses along with dietitians and physicians may also develop guidelines to address undernutrition for colorectal cancer patients.
Keywords
Colorectal cancer patients; Experience; Nutritional needs; Undernutrition
History of violence performed by family on people with mental illness following hospitalizationKristianus Triyaspodo
Novy Helena Catharina Daulima
Ice Yulia Wardani
Enfermería Clínica
History of violence performed by family on people with mental illness following hospitalizationObjective
Violence experienced by people with mental illness may result in serious psychological effect. The impact may cause relapse among them which raises the case prevalence. This study aimed to identify the description of the history of violence performed by family on people with mental illness following hospitalization.
Method
The study design was qualitative with a descriptive phenomenological approach.
Results
The result identified six themes, which included family's knowledge deficiency as the cause of violence experienced by people with mental illness, main caregiver as perpetrator of violence on people with mental illness, physical abuse as the common type of violence experienced by people with mental illness, helplessness as the impact of violence, distraction as coping mechanism, and expectation of people with mental illness to be relieved from violence.
Conclusions
The study result suggested that all psychiatric nurses provide cognitive therapy for the victim of abuse and family psycho-education therapy for the abuser to prevent the recurring of abuse on people with mental illness.
Keywords
Family; Mental illness; Violence
The self-esteem of gay men with HIV/AIDS in social adaptationYayu Handayani
Herni Susanti
Mustikasari
Enfermería Clínica
The self-esteem of gay men with HIV/AIDS in social adaptationObjective
The stigma and discrimination experienced by gay men with HIV/AIDS may lead to various psychosocial problems, one of which is low self-esteem. This condition might affect their attempts to adapt to the social environment. The objective of this study was to investigate self-esteem among gay men with HIV/AIDS in social adaptation.
Method
This study had a descriptive qualitative design and employed snowball sampling to recruit nine participants. The data were analyzed using thematic analysis.
Results
We identified three themes in this study: (1) self-esteem of gay men with HIV/AIDS, (2) the influence of self-esteem on social adaptation, and (3) coping mechanisms for social adaptation.
Conclusion
In the social domain, stigma and negative perceptions within the society affect the participants’ self-esteem. This paper provides suggestions for non-governmental organizations and health services to assist gay men with HIV/AIDS in overcoming low self-esteem.
Keywords
Self-esteem; Gay; HIV/AIDS; Social adaptation
The correlation between sleep quality and levels of stress among students in Universitas IndonesiaKusuma Herawati
Dewi Gayatri
Enfermería Clínica
The correlation between sleep quality and levels of stress among students in Universitas IndonesiaObjective
This study estimated the prevalence of and the correlation between sleep quality and levels of stress among college students.
Method
Design of this study is analytical with the cross-sectional approach. There are 450 college students who participated and chosen by a stratified random sampling technique in the University of Indonesia. A self-administrated questionnaire is distributed to assess sleep quality used the Pittsburgh Sleep Quality Index (PSQI), and the stress level by used the Perceived Stress Scale (PSS). The study samples came from three clusters are health, science and technology, and social humanities.
Result
The result is analyzed using Chi-square test and showed a significant relationship between sleep quality and level of stress among Students of the University of Indonesia (p = 0.001; α = 0.05). Students are with poor sleep quality 4.7 times more likely to have higher stress than students who have a good sleep quality.
Conclusion
The results showed that poor sleep quality most widely owned by a grove social humanities have strong relationship with cluster and stress level. Students with poor sleep quality 4.7 times more likely to have higher stress than students who have a good sleep quality. Stress experienced due to poor sleep quality ratings. This research recommend to applied stress management in order to increase sleep quality.
Keywords
College student; Levels of stress; Sleep quality
Relationship between severity and quality of life in chronic obstructive pulmonary disease patients at hospitals’ outpatient units in JakartaDevi Nurwidhiyasari
Shanti Farida Rachmi
Agustin Indracahyani
Tuti Nuraini
Enfermería Clínica
Relationship between severity and quality of life in chronic obstructive pulmonary disease patients at hospitals’ outpatient units in JakartaObjective
The aim of this study was to assess the quality of life associated with the health of patients with COPD.
Method
The design of this study used a cross-sectional with convenience sampling method in 200 stable COPD patients, who had suffered COPD for more than 3 months but who did not have stage 3 or stage 4 chronic heart failure, at three Hospital in DKI Jakarta. Groups A to D were divided based on the COPD Assessment Test (CAT), the exacerbation category using the recommendation from GOLD, and the quality of life questionnaire using the St. George's Respiratory Questionnaire (SGRQ).
Results
The chi-square analysis showed that p = 0.000 (p < 0.05), indicating that there was a difference of proportion between Group A, Group B, Group C, and Group D, which means that there is relationship between the ABCD Groupings classification on the quality of life.
Conclusions
This study shows that there is a relationship between severity using ABCD Groupings Classification and the quality of life for COPD patients.
Keywords
Chronic obstructive pulmonary disease (COPD); Health-related quality of life (HRQOL); Classification of ABCD Groupings; GOLD
Prevention behavior for NSI among nursing students and nurses in Indonesia: A comparative studyTres Silowati
Hanny Handiyani
Shanti Farida Rachmi
Enfermería Clínica
Prevention behavior for NSI among nursing students and nurses in Indonesia: A comparative studyObjective
This study analyzes the different rate of incidence and prevention behavior for needlestick injuries (NSIs).
Method
This is a quantitative study using a cross-sectional design. Respondents were selected using a stratified sampling method. The total number of respondents taking part in this research is 258, consisting of 51 academic nursing students, 70 clinical nursing students, and 137 in-service nurses who were selected randomly.
Result
A Kruskal–Wallis test indicates that there is no significant difference (p 0.162). Beliefs and values influence the practice of breastfeeding, but a chi-squared test indicates that there is a significant difference in the NSI (p < 0.001) in the prevalence of NSI among academic nursing students, clinical nursing students, and in-service nurses.
Conclusion
NSIs among nursing students and nursing staff can be minimized by adopting safer practices when handling hypodermic syringes. Supervision must be conducted to make sure that nursing students and nurses adopt safer behaviors.
Keywords
Behavior; NSI; Nurse; Nursing students
The fight against stigma in the recovery process of post-pasung mentally ill patientsIda Ayu Putri Wulandari
Novy Helena Catharina Daulima
Ice Yulia Wardani
Enfermería Clínica
The fight against stigma in the recovery process of post-pasung mentally ill patientsObjective
To identify the resistance against stigma as part of the recovery process in post-pasung mentally ill patients.
Method
A descriptive phenomenology approach was used in this qualitative research. The 12 participants in the sample were selected using the purposive sampling method. The data collected through in-depth interviews with post-pasung mentally ill patients. The Colaizzi method was used to analyze the data.
Results
Four themes emerged from the data analysis: the reluctance to be confined again; the demand to interact with other people; the sense of discrimination by being stigmatized, and the desire not to differentiated from others.
Conclusion
The freedom from stigma could begin with how mentally ill patients perceive their acceptance by society. Based on the results, optimized community mental health nursing for mentally ill patients in their neighborhoods is urgently required.
Keywords
Stigma; Mental illness; Pasung; Recovery
Sleep quality and the affecting factors in patients with diabetic ulcerAnnisa Haveleia
Dewi Gayatri
Enfermería Clínica
Sleep quality and the affecting factors in patients with diabetic ulcerObjective
Identify sleep quality and related factors in patients with diabetic ulcer.
Method
This research design used cross sectional study with a sample of 97 diabetic ulcer patients in a clinic wound care. The research instruments consist of Perceived Stress Scale (PSS) to assess the stress level, and the Pittsburgh Sleep Quality Index (PSQI). Questionnaire to identify the sleep quality.
Results
The results showed that there was a significant difference between subjective sleep quality and sleep quality measured using PSQI (p: 0.001). Factors that affected sleep quality were income (p: 0.014), stress levels (p: 0.001), medications (p: 0.026), pain levels (p: 0.048), and diet (p: 0.009).
Conclusion
The results of this study indicate that the importance of conducting sleep quality assessment with the associated factors is to overcome the sleep problems in diabetic patients.
Keywords
Sleep quality; Numeric Rating Scale; Perceived Stress Scale; The Pittsburgh Sleep Quality Index; Diabetic ulcers
Family experience in providing support and the achieving of post-stroke late adulthood developmentYusrini
Herni Susanti
Ice Yulia Wardani
Nurlaila Fitriani
Enfermería Clínica
Family experience in providing support and the achieving of post-stroke late adulthood developmentObjectives
Supporting the achievement of post-stroke late adulthood development is a unique experience that impacts heavily on families. The purpose of this study was to provide an overview of family experience in providing support post-stroke to a family member and enabling them to achieve late adulthood development and then to interpret this.
Method
The research used a qualitative design with a descriptive phenomenology approach. The participants were 14 caregivers of the elderly.
Results
The results (1) the impact of the bio-psycho-socio-spiritual on the elderly post-stroke survivor, (2) how the family fulfills the needs of the post-stroke elderly person, (3) the impact of the post-stroke period on the elderly by family members, (4) the achievement of post-stroke late adulthood development by family members, and (5) the meaning of providing care for the post-stroke elderly survivor.
Conclusions
This research identified 5 themes and recommendations are that psychoeducation for the carers of stroke survivors should be improved.
Keywords
Family; Late adulthood development; Post-stroke
Factors related to insomnia among end-stage renal disease patients on hemodialysis in Jakarta, IndonesiaIndri Lufiyani
Anggri Noorana Zahra
Sri Yona
Enfermería Clínica
Factors related to insomnia among end-stage renal disease patients on hemodialysis in Jakarta, IndonesiaObjective
Insomnia is the most frequent sleep disorder experienced by patients with end-stage renal disease (ESRD). Sleep disorder is not only related with the decrease in the quality of life ESRD patients but are associated with health risk problems for ESRD. The purpose of this study was to examine the prevalence and factors related to insomnia in hemodialysis patients.
Method
A total of 125 ESRD patients undergoing hemodialysis twice a week for at least had dialysis for one month at hospitals in East Jakarta, Indonesia were recruited in this study. The Insomnia Severity Index (ISI) questionnaire was used to assess the incidence of insomnia, the Numeric Visual Scale used to measure the level of depression. The gathered data were analyzed using descriptive and bivariate analysis.
Results
More than a half (56%) of patients experiencing insomnia. The finding showed that two factors, the depression (p-value = 0.001) and the duration of hemodialysis (p-value = 0.042), were statistically significant.
Conclusions
The prevalence of insomnia in this study tends to increase from previous studies. Depression is a common problem in hemodialysis (HD) patients and is associated with insomnia. Intervention to decrease depression level is needed to improve the quality of sleep ERSP patient on HD.
Keywords
ESRD; Insomnia; Depression; Duration of hemodialysis
Body image related to quality of life diabetic ulcer patientsLia Nurhikmah
Dewi Gayatri
Tuti Nuraini
Enfermería Clínica
Body image related to quality of life diabetic ulcer patientsObjective
Identify the relationship between body image with the quality of life of diabetic ulcer patients.
Method
This research design used a cross-sectional study in 97 diabetic ulcer patients at a wound care clinic in Jakarta, Indonesia was selected using consecutive sampling. Data were collected using the body image questionnaire to assess the body image and Short Form 36 (SF 36) questionnaire to assess the quality of life.
Result
The result showed that there was a significant relationship between body image with the quality of life diabetic ulcer patients (p-value = 0.001, α = 0.05). Beside of the body image, the factors affecting the quality of life diabetic ulcer patients were social, economic status (p = 0.007), grade of diabetic ulcer (p = 0.001), pain (p = 0.001) and odor (p = 0.002).
Conclusion
Body image assessment of diabetic ulcer patients is important as a basis for identifying body image to improve the quality of life by providing comprehensive nursing care. For further research is expected to discuss the relationship between body image with the quality of life in patients with other types of wound such as patients with wound cancer and amputation patients.
Keywords
Body image; Quality of life; Diabetic ulcer
On home-based care decision making: The will of the family of palliative cancer patientsBoby Febri Krisdiyanto
Debie Dahlia
Agung Waluyo
Enfermería Clínica
On home-based care decision making: The will of the family of palliative cancer patientsObjective
Home-based palliative care has been suggested to be a beneficial model of care. Whether it is a desirable option of the family and patients is arguable. This study, therefore, aimed to explore the experience of the family the palliative cancer patients in their decision-making process of taking care of the patients at home.
Methods
This study was a qualitative study using descriptive phenomenology approach. Data were obtained through in-depth interviews with 10 family member of the palliative cancer patients.
Results
Three themes emerged in this study: (1) family's limited knowledge and skill to take care of the palliative cancer patients at home, (2) family wish the patients to stay being treated in the hospitals, (3) family depends on the hospital for palliative cancer patients.
Conclusions
Nurses should evaluate family preference, readiness, and capabilities in taking care of palliative cancer patients at home. Nurses should collaborate with the health care providers in assisting the family in their decision making to keep the palliative care patients at the hospital or take them home.
Keywords
Decision making; Family; Home care; Palliative care
Quality level of nursing work life and improvement interventions: Systematic reviewFebrina Viselita
Hanny Handiyani
Hening Pujasari
Enfermería Clínica
Quality level of nursing work life and improvement interventions: Systematic reviewObjective
To identify the quality level of nursing work life and interventions for improvement.
Method
A systematic review was conducted. Literature was gathered from several databases – Science Direct, Pro-Quest, EBSCO, Google Scholar, Scopus, Wiley Online, and Emerald Insight – using the following keywords: “quality of work life (QWL) and nurse”, “quality of nursing work life (QNWL)”, “quality of work life (QWL) and nurse and intervention”, and “quality of nursing work life (QNWL) and intervention”.
Results
Our study demonstrated that studies of QNWL level from eight countries are low (28.6%), moderate (52.4%), and high (19%). Interventions for QNWL improvement include long-term care (LTC) team talks, empowerment models, integrating focus groups and round-table brainstorming, positive thinking training, stress inoculation programs, and participative teamwork and transactive memory improvement programs.
Conclusions
Quality of nursing work life is mostly at a moderate level and needs improvement interventions.
Keywords
Improvement; Intervention; Nurse; Quality of nursing work life; Quality of work life
Characteristics affecting sleep quality of COPD patientsAlyanisa Ulfathinah
Shanti Farida Rachmi
Agustin Indracahyani
Enfermería Clínica
Characteristics affecting sleep quality of COPD patientsObjective
This study aimed to identify characteristics affecting the poor sleep quality of COPD patients.
Method
This quantitative study used a cross-sectional approach, involving 200 COPD patients from three referral hospitals in Jakarta, Indonesia. We employed COPD Assesment Test (CAT) and Pittsburgh Sleep Quality Index (PSQI) to collect data.
Results
The study revealed that patients with poor sleep quality (66%) were nearly two times more than those with good sleep quality (34%). Sleep duration value was the highest, showing that this component was the main problem among COPD patients. Poor sleep quality is relatively higher among married males, aged equal to or more than 62 years old, with lower educational level, family earnings below national minimum salary, etc.
Conclusion
Patients with moderate to severe dyspnea were 2.28 times were more likely to have poor sleep quality (p = .016; OR = 2.28).
Keywords
Characteristics; COPD; Respiratory; Sleep quality
Managing family burden through combined family psychoeducation and care decision without pasung therapiesApri Rahma Dewi
Novy Helena Catharina Daulima
Ice Yulia Wardani
Enfermería Clínica
Managing family burden through combined family psychoeducation and care decision without pasung therapiesObjective
This research aimed to measure the effects of providing family psychoeducation (FPE) therapy and care decisions without pasung (CDWP) to families of mentally ill patients.
Method
This research used quasi-experimental pretest–posttest design with a control group consisting of 72 families divided into two groups using the purposive sampling technique. The intervention groups were given FPE and CDWP. The measurements were conducted three times using the Zarit Burden Interview.
Result
The study demonstrated that family burden was significantly lower among those who received the combination of the two therapies compared to only family psychoeducation (p < 0.05). Those therapies decreased the family burden into the low category.
Conclusion
The combination of these therapies provides an effective method for overcoming the burden on families who are treating family members with mental illness.
Keywords
Family burden; Family psychoeducation; Schizophrenia
A multimodal approach as a strategy to improve hand hygiene compliance: A literature reviewNurul Jamil
Hanny Handiyani
Hening Pujasari
Enfermería Clínica
A multimodal approach as a strategy to improve hand hygiene compliance: A literature reviewObjective
This study aimed to identify the effectiveness of using a multimodal approach to improve hand hygiene compliance among nurses. This research identifies how far the effectiveness of this method and its barriers.
Method
We used the following databases to find full-text articles; Springer Link, Science Direct, and The Wiley Library. We used a “multimodal approach,” “hand hygiene,” “compliance,” and “infection control” as keywords. This article is a literature review.
Results
Based on the articles reviewed, a multimodal approach is effective in improving hand hygiene compliance, but the range of compliance differ among countries. Commonly used approaches include the educational approach, which is particularly effective in improving hand hygiene compliance. Potential barriers complicate the process, including work culture, nurse beliefs, and organizational climate.
Conclusion
Hand hygiene compliance can be improved using a multimodal approach. Improving hand hygiene compliance is proven to decrease hospital-acquired infections. To overcome barriers that complicate this health campaign and to optimize all strategies, research and development must be continuously conducted.
Keywords
Compliance; Hand hygiene; Infection control; Multimodal approach
The impact of discomfort: Physical and psychological to social interaction in diabetic ulcer patients in Jakarta – IndonesiaMarinda Navy Septiana
Dewi Gayatri
Enfermería Clínica
The impact of discomfort: Physical and psychological to social interaction in diabetic ulcer patients in Jakarta – IndonesiaObjective
Identify the correlation of discomfort physical and psychological to social interaction on diabetic ulcer patients.
Method
This research design used Cross-sectional design was applied in this study with 69 samples that had been recruited from a clinic of wound care in Jakarta, Indonesia. The instruments used in this research were Bates–Jensen Wound Assessment Tool (BWAT) and The Rand Social Health Battery.
Results
Data statistics analyzed using independent t-test showed that wound degree had no significant relationship with social interaction (p = 0.448, α = 0.05). However, this study concludes that the related factor of social interaction is odor (p = 0.009), psychology (p = 0.010) and stress (p = 0.005).
Conclusion
This study recommended the importance of paying attention to the psychological comfort of physical discomfort to increase the social comfort of diabetic ulcer patients.
Keywords
Bates–Jensen Wound Assessment Tool; Diabetic ulcer; Psychology; Social interaction; The Rand Social Health Battery
Assertive communication training and associate nurses’ knowledge and motivation: A quasi experimentVenny Ardita
Enie Novieastari
Dewi Gayatri
Enfermería Clínica
Assertive communication training and associate nurses’ knowledge and motivation: A quasi experimentObjective
This study aimed to identify improvement in knowledge and motivation in associate nurses through assertive communication training in Southeast Sulawesi, Indonesia.
Method
The study used a quasi-experimental pre-test–post-test design with an intervention group and a control group approach.
Result
The assertive communication knowledge analysis results revealed a significant difference in the posttest 1 score (p = 0.045). However, there was no significant difference in the posttest 2 score (p = 0.390). The work motivation analysis revealed a significant difference in the post-test 1 score (p = 0.009). However, there was no significant difference in the posttest 2 score (p = 0.068). There was a significant difference in knowledge between the pretest and posttest 1 in both study groups (p < 0.05).
Conclusion
The study's findings may serve as a reference for health organizations to cooperate with competent third parties organize assertive communication training for nurses.
Keywords
Assertive communication; Associate nurse; Knowledge; Training; Work motivation
Instrument development and validation: Assessment of self efficacy for mobilizationLina Erlina
Agung Waluyo
Dewi Irawaty
Jahja Umar
Dewi Gayatri
Enfermería Clínica
Instrument development and validation: Assessment of self efficacy for mobilizationObjective
This study was aimed at developing and testing an instrument that can be used to evaluate self-efficacy for mobilization.
Method
Phase 1 was a qualitative study carried out through interviews. Phase 2 involved determining the content validity and testing the instrument legibility. Phase 3 involved ascertaining construct validity through a first order confirmatory factor analysis.
Results
In phase 1, seven themes were identified and used as bases for establishing the indicators of each self-efficacy dimension. In phase 2, a content validity 0.75–1 was obtained. In phase 3, valid items that measure the level, strength, and generality dimensions have four, six, and seven items, respectively.
Conclusion
The end product of the study was a concise and valid instrument that measures the self-efficacy of the patient for mobilization during hospitalization.
Keywords
Instrument; Self-efficacy; Mobilization
Families’ experience caring for mentally ill patients with re-pasungHelly M. Katuuk
Novy H.C. Daulima
Ice Yulia Wardani
Enfermería Clínica
Families’ experience caring for mentally ill patients with re-pasungObjective
Mentally ill patients tend to endanger themselves and their surroundings. Often times, this fact allows their families to decide whether to apply repeated pasung in the patients’ treatment. The objective of this research was to determine the experiences of mental health patients’ families in treating the patients using repeated pasung.
Method
This research used a qualitative design under a phenomenological research approach. The participants were family member caregivers aged 25–82 years old. The data were analyzed using the Colaizzi method.
Results
Caregivers who treated their mentally ill family members using repeated pasung experienced helplessness and prioritized safety. The results of this study can be described by 3 themes, namely: (1) the helpless feelings of the families in maintaining an adaptive state for post-pasung mentally ill patients; (2) a sense of security as the priority for suppressing the guilt; and (3) the care of mentally ill patients using repeated pasung: the reduction in the pasung's intensity and the fulfillment of basic needs.
Conclusions
Repeated pasung conducted by family members is defined as an effort to create a secure environment for patients with mental health problems.
Keywords
Family; Caring; Re-pasung; Mentally ill patients
Developing Shinta's Early Deterioration Detection by using Fuzzy Logic Algorithm in IndonesiaShintha Silaswati
Junaiti Sahar
Nina Kemala Sari
Saptawati Bardosono
Bino Christanto
Enfermería Clínica
Developing Shinta's Early Deterioration Detection by using Fuzzy Logic Algorithm in IndonesiaObjective
To design an application that detects health deterioration in elderly (System for Health Aging Instrument Automation) Shinta's Early Deterioration Detection (SEDD) by using Fuzzy Logic Algorithm (FLA) for smartphone and android.
Method
The study design was experimental with simple random sampling method involving 130 data. Fuzzification, inference, and defuzzification are a process to formulate a mapping of independent variables processed into a groundwork, which decides dependent variables (output) by using fuzzy logic.
Results
Prototype or android-based Shinta's Early Deterioration Detection model facilitates detection of health deterioration in older people who are admitted in hospital in Indonesia with accuracy value α 96.85% and effectiveness value β 36.5 s.
Conclusion
SEDD is able to evaluate health deterioration in elderly patient at the moment of admission in ward. Nurse may make a clinical decision immediately. It may reduce the risk for disability and mortality as well.
Keywords
Elderly deterioration detection; Fuzzy Logic algorithm; Indonesia's instrument
The experience of family members helping young adult drug abusers achieve developmentally-appropriate levels of intimacyYanti Girsang
Herni Susanti
Ria Utami Panjaitan
Enfermería Clínica
The experience of family members helping young adult drug abusers achieve developmentally-appropriate levels of intimacyObjective
To explore the experience of family members in helping the young adult drug abusers.
Method
The study used a descriptive phenomenology approach and included eleven participants. Data were collected through in-depth interviews and analyzed using the Colaizzi approach.
Results
The results revealed four themes: universal young adult developmental tasks, internal and external factors that hinder the development of young adult drug abusers, family members as the main companions of young adult drug abusers, and the elaborate burdens experienced by families of young adult drug abusers.
Conclusions
The results of the study highlight the importance of a nurse-led family psycho-education for the families of young adult drug abusers.
Keywords
Intimacy; Family experience; Drug abuser; Young adult
The effectiveness of HIV elective class on attitudes nursing students toward gay & HIV clients in IndonesiaVita Fatimah
Herni Susanti
Enfermería Clínica
The effectiveness of HIV elective class on attitudes nursing students toward gay & HIV clients in IndonesiaObjective
This study aims to determine the differences in the level of attitudes toward gay and HIV/AIDS among nursing students did or did not choose to take HIV elective class.
Method
The research was conducted using comparative descriptive design. Research respondents consisted of nursing faculty students of Universitas Indonesia with a total sample of 266 students.
Result
The results showed that there were no differences in attitudes toward HIV clients (p-value = 0.298). Additionally, there were differences in attitudes toward gay (p-value = 0.001).
Conclusion
The results of this study suggest the need for an evaluation of educational curricula and teaching methods to improve effectiveness in learning. In addition, there needs to be a greater psychosocial discussion about reducing negative attitudes among nursing students toward clients who are gay and/or who have HIV/AIDS.
Keywords
HIV/AIDS; Gay; Nursing students; Attitude
Pampering older people with diabetes in Sundanese culture: A qualitative studySiti Badriah
Junaiti Sahar
Jajang Gunawijaya
Sabarinah Prasetyo
Enfermería Clínica
Pampering older people with diabetes in Sundanese culture: A qualitative studyObjective
The purpose of this study is to determine Sundanese family habits in caring for older people with diabetes in Tasikmalaya, West Java, Indonesia.
Method
This study using a qualitative phenomenological method, via in-depth interviews, in which the saturation point was reached at the ten participants. The ethical principles of autonomy, beneficence, maleficence, and justice were applied.
Results
This study identified two main topics: first, family ability to perform family health tasks and second, the different types of family cultures that influence taking care of the health of older people, which were reflected through several sub-topics, namely, pampering the parents, doing everything they asked, and controlling all their activities. The habits of pampering and assenting to the wishes of older people with diabetes are highly risky, as, when they are food-related, they can increase blood glucose.
Conclusion
The findings of this study reveal that the family habits which highly risky to increase blood glucose older people must be changed through negotiation efforts and cultural restructuring, such that the treatments provided are in accordance with the diabetes management pattern. The results of the present study are useful in improving health services for older people with diabetes in the multicultural country of Indonesia.
Keywords
Diabetes; Sundanese culture; Older people
Photovoice interactive media improves the personal hygiene of teenage students at pesantren school in TangerangSamsuni
Sigit Mulyono
Wiwin Wiarsih
Lita Heni Kusumawardani
Enfermería Clínica
Photovoice interactive media improves the personal hygiene of teenage students at pesantren school in TangerangObjective
Teenagers’ personal hygiene behaviors at pesantren schools, which are Muslim schools in Indonesia operated by religious leaders, found to be low, putting them at risk for hygiene-related diseases, such as skin diseases. Teenagers are excited to learn new things, especially operational and technical things, about health education methods that reflect experience and are interactive and tangible as well. This research aimed to determine the effect of education using the photovoice method on the personal hygiene behavior of teenagers (10–19 years old).
Method
The study used quasi-experiments with a treatment group of 38 teenagers and a control group of 40 teenagers.
Results
Using t-tests, the results showed an increase in the mean value of the behavior in the treatment group that was higher than in the control group, with each p-value <0.05. Education using photovoice interactive media significantly increased the teenagers’ personal hygiene behavior.
Conclusion
The photovoice technique is recommended for educating teenagers who have problems with personal hygiene.
Keywords
Photovoice interactive media; Personal hygiene; Teenager
Analysis of the factors affecting the hospital readmission incidence of hemodialysis patients in Bandar Lampung, IndonesiaSinta Wijayanti
Krisna Yetti
Masfuri
Enfermería Clínica
Analysis of the factors affecting the hospital readmission incidence of hemodialysis patients in Bandar Lampung, IndonesiaObjective
The aim of this study was to identify the factors associated with the hospital readmission incidence of hemodialysis patients (HD) in Bandar Lampung, Indonesia.
Method
This study used a cross-sectional retrospective study which involved 111 respondents that acquired through consecutive sampling from May 19 to June 1, 2018. The data was obtained using a questionnaire and data collection sheets.
Results
There were significant correlations between the hospital readmission incidence and hemodialysis adherence (p = 0.002), anemia (p = 0.048), and social support (p = 0.034). Moreover the median number of hospital readmissions was 2, with a minimum of 2 and a maximum of 8 readmission incidence.
Conclusion
Hemodialysis adherence, social support, and anemia in hemodialysis patients were manageable factors that could affect the hospital readmission incidence. Nurse should pay attention in improving the level of care. Nursing interventions need to be developed to improve those factors related to the readmission incidence of hemodialysis patients.
Keywords
Adherence; Anemia; Hemodialysis; Readmission; Social support
Development and validation of an instrument measuring deterioration in social and spiritual aspects among elderly patients in Indonesia hospitalsShintha Silaswati
Junaiti Sahar
Nina Kemala Sari
Saptawati Bardosono
Jahja Uma
Enfermería Clínica
Development and validation of an instrument measuring deterioration in social and spiritual aspects among elderly patients in Indonesia hospitalsObjective
This study to develop a valid instrument in measuring the occurrence of deterioration in social and spiritual aspects of health among the elderly's patients.
Method
Using cross-sectional data of 130 respondents aged 60 and above, a Confirmatory Factor Analysis method (CFA) were performed to analyze the unidimensionality and significance of all items in the instrument.
Result
It was found that 10 of the initially 18 items measuring social aspects fix the unidimensional model CFA (RMSEA = 0.036 and CFI 0.995 all factors loadings coefficient were significant).
Conclusion
A set of instrument consisting of 10 items measuring social and spiritual aspects of health deterioration among the elderly patient has been proven to be valid and can be used in nursing practice. However, a technical manual for administers, scoring, and interpretation of the result are currently under development processes.
Keywords
Health deterioration; Measuring instrument; Social and spiritual aspects; Elderly
Improving documentation of patient progress note through role empowerment of head nurse by Orlando theory approachDwi Nopriyanto
Rr. Tutik Sri Hariyati
Titin Ungsianik
Enfermería Clínica
Improving documentation of patient progress note through role empowerment of head nurse by Orlando theory approachObjective
This study aimed to identify the effect of role empowerment of head nurse by Orlando theory approach on the implementation of progress note documentation.
Method
This study used pilot study approach in which the research process started from developing module of role empowerment of head nurse, implementing of role empowerment of head nurse on in patient ward and then followed by evaluating head nurse competencies through the use of observation sheet and patient progress note. Pre-experiment design with one group pretest–posttest without control was used to evaluate the effectiveness of the intervention, and 115 progress notes were selected through cluster sampling technique which then analyzed by Wilcoxon, Spearman and Kruskal–Wallis test.
Results
There was a significant quality improvement of the implementation of progress note recording following the intervention of head nurses’ role empowerment by Orlando theory approach (p = 0.0001; α = 0.025).
Conclusions
Nurse Staff competencies in documenting progress note were improved significantly through the role empowerment of head nurse by Orlando theory approach. Development of policy, supervision, evaluation, and monitoring by nurse manager are necessary, as well as organizing a workshop on the application of head nurse's role as manager and implementation of progress note documentation.
Keywords
Patient progress note; The role of head nurse; Role empowerment; Orlando theory
Construct and criterion validity of the Comfort Assessment Breast Cancer InstrumentTuti Nuraini, Andrijono
Dewi Irawaty
Jahja Umar
Dewi Gayatri
Enfermería Clínica
Construct and criterion validity of the Comfort Assessment Breast Cancer InstrumentObjective
To examine the validity of the Comfort Assessment Breast Cancer Instrument (CABCI) and compare the results of CABCI with that of salivary cortisol examination.
Method
For assessing construct validity, second-order confirmatory factor analysis (CFA) was performed with M-Plus, and for assessing criterion validity, salivary cortisol examination was performed.
Results
The results of CFA indicated that the model was a good fit (X2 = 283.654, df = 10, p = 0.000, RMSEA = 0.000, p RMSEA ≤0.05 = 0.797, CFI = 1.000), and the 33 items of CABCI were found to be statistically significant (t > 1.96; p < .05). A significant correlation was found between patient discomfort and salivary cortisol level (r = 0.416; p = .016).
Conclusion
The study proves the construct and criterion validity of CABCI, and therefore indicates its validity for predicting discomfort in breast cancer patients.
Keywords
Breast cancer; Comfort assessment; Criterion validity; Cortisol
Head nurse strategy for increasing nurse retention: A factor analysisNurdiana
Rr. Tutik Sri Hariyati
Dewi Gayatri
Enfermería Clínica
Head nurse strategy for increasing nurse retention: A factor analysisRevisi link: https://www.sciencedirect.com/science/article/abs/pii/S1130862119302086
Objective
The purpose of this study was to identify factors that may influence strategies for increasing nurse retention.
Method
This research is descriptive research using a cross-sectional approach. The study used a total sampling of a head nurse who works in a general hospital in Jakarta. The instrument used was a modification of the nurse's retention strategy instrument developed by Al-Zayyer (2003).
Results
The results showed that there is a significant relationship between retention strategy and organizational structure, leadership support, planning function, staffing function, and controlling function (p = 0.002–0.044, α < 0.05). The most dominant factors that influenced retention were leadership support (p = 0.032, OR = 2.817, 95% CI) and staffing function (p = 0.042; OR = 2.714, 95% CI).
Conclusions
Nurse retention strategies employed by the head nurse need strong support from hospital management to achieve success in improving nurse retention international databases.
Keywords
Nurse manager; Nurse retention; Nurse retention strategy
The relationship between family acceptance and quality of life and self esteem of PLWH MSM in Medan, North Sumatera, IndonesiaI. Nyoman Arya Maha Putra
Agung Waluyo
Sri Yona
Enfermería Clínica
The relationship between family acceptance and quality of life and self esteem of PLWH MSM in Medan, North Sumatera, IndonesiaObjective
To identify the correlation between family acceptance and quality of life and self-esteem of People Living with HIV Men Who Have Sex With Men (PLWH MSM) in Medan.
Method
This cross-sectional study applied a purposive sampling technique and involved 175 PLWH MSM from H. Adam Malik Public Central Hospital, Medan Pringadi Hospital, Padang Bulan, and Teladan Public Health Centers. The research instruments used are the Perceived Acceptance Scale (PAS), WHOQOL-BREF, and the Rosenberg Self-Esteem Scale. This research has passed the ethical test of the Faculty of Nursing Universitas Indonesia with number 157/UN2/F12.D/HKP.02.04/2018.
Results
Bivariate analysis found that family acceptance was related to quality of life and self-esteem (p = 0.006, α = 0.05; p < 0.001, α = 0.05). Family acceptance has a positive relation with QOL and self-esteem. These results show that high family acceptance is associated with good QOL and high self-esteem.
Conclusions
Family acceptance is correlated with quality of life and self-esteem. If family acceptance is promoted by especially nursing, quality of life and self-esteem can play an optimum role in decreasing risky sexual behaviors.
Keywords
Family acceptance; Quality of life; Self-esteem
Unmet supportive care needs of Indonesian gynecological cancer survivorsYati Afiyanti
Dewi Gayatri
Besral
Haryani
Enfermería Clínica
Unmet supportive care needs of Indonesian gynecological cancer survivorsObjective
This study aimed to assess the unmet supportive care needs of gynecological cancer patients in Indonesia.
Method
A quantitative descriptive cross-sectional study using survey was used. We recruited 298 gynecological cancer survivors from three hospitals in different provinces in Indonesia, i.e., Soetomo Hospital in East Java; Sardjito Hospital in Yogyakarta; and Dharmais Cancer Hospital in Jakarta. Demographic and clinical characteristic and the Cancer Survivor Unmet Needs (CaSUN) questionnaires were given to measure supportive care needs (i.e. comprehensive care need, existential need, quality of life need, relationship need, and informational need). Descriptive statistics including frequency, percentage, and mean were used to analyze the demographic and clinical characteristics and unmet supportive care needs of participants.
Results
98% of the survivors reported at least one supportive care need. The highest percentage of unmet supportive care need was an informational need (37.8%) followed by comprehensive care need (37.3%), quality of life need (36.1%), existential need (31.5%), and relationship need (23.9%). However, the highest mean of unmet needs was existential survivorship need 6.4 (5.7).
Conclusions
Gynecological cancer survivors in Indonesia marked various unmet needs. Nurses should identify the supportive care needs of the women diagnosed with gynecological cancer early in cancer trajectory and also at the critical points of cancer care such as after including primary treatment.
Keywords
Unmet needs; Supportive care need; Gynecological cancer survivors
Analysis of workload and occupational commitment: Their relationship to the caring behaviors of nurses in a hospitalRina Fitriani
Krisna Yetti
Kuntarti
Enfermería Clínica
Analysis of workload and occupational commitment: Their relationship to the caring behaviors of nurses in a hospitalObjective
To describe the caring behavior of nurses at X Hospital in Indonesia as associated with their workload and the commitment of the nurses in providing nursing care. To be done by analyzing their workload over 24 h.
Method
The research design was observational analysis using a cross-sectional approach and conducted with 47 nurses who served in outpatient and inpatient units and were selected by a consecutive sampling technique. Each nurse was observed by using work sampling at 10-min intervals for 24 h over 5 working days. The occupational commitment and nurses’ caring behavior were assessed with CNPI-23. This assessed the frequency with which nurses conducted nursing treatments that reflected caring behaviors.
Results
Observational results indicated that nurses’ workloads have not yet reached heavy workload value (72.72% less than 80%) because nurses do more non-productive activities. This reduces the frequency with which the nurses conduct nursing treatments that reflect caring behavior, with a CNPI score of 54.62 (range score 23–115). The results showed that there is a relationship between workload and caring behavior through comfort care (p = 0.03), and a correlation between occupational commitment and caring behavior through clinical care (p = 0.01).
Conclusion
Caring behavior is not fully reflected in the care given by nurses. The increased workloads and decreased commitment of nurses in achieving organizational goals can affect the caring behavior of nurses. This, in turn, will affect the patients’ satisfaction with the health service.
Keywords
Caring Nurse-Patient Interaction; (CNPI)-23; Caring behavior; Occupational commitment; Workload
Preparing pregnancy through Preconception Education TrainingIka Fauziah Priani
Yati Afiyanti
Wiwit Kurniawati
Enfermería ClínicaPreparing pregnancy through Preconception Education TrainingObjective
This study aimed to identify the effectiveness of preconception education on unmarried women in preparing for pregnancy.
Method
A quasi-experimental pre and posttest with control group study included 92 unmarried women in West Java, Indonesia, which were selected by consecutive sampling. Each respondent in the intervention group was provided a preconception education consisting of preconception physical health, nutrition, and lifestyle topic with a booklet.
Results
This study indicated a significant difference in post-intervention scores, with the intervention group scoring higher than the control group in overall preconception health knowledge such as physical health (p < 0.001), nutrition (p < 0.001), and lifestyle (p < 0.001). In terms of intra-group score analysis between pre and post intervention, there were significant changes within the intervention group in the knowledge of physical health (p < 0.001), nutrition (p < 0.001), and lifestyle (p < 0.001). The most significant changes in knowledge occur in preconception nutrition (53.5%) followed by preconception lifestyle (20.1%) and preconception physical health (11.8%). Within the control group, there was no significant change from pre and post intervention in scores for overall preconception health knowledge.
Conclusion
This study recommended to use this preconception education to increase the knowledge related to preconception health of the unmarried women whether they plan to have a child soon or postpone the pregnancy after marriage.
Keywords
Preconception health; Preconception education; Preconception care
Nurses’ understanding and perception of career ladder system are related to work motivation: A multicenter cross-sectional study in Aceh, IndonesiaMela Filani
Enie Novieastari
Tuti Nuraini
Enfermería ClínicaNurses’ understanding and perception of career ladder system are related to work motivation: A multicenter cross-sectional study in Aceh, IndonesiaRevisi link: https://www.sciencedirect.com/science/article/abs/pii/S1130862119301780
Objective
To analyze the relationship of nurses’ understanding and perception about the career ladder system with the work motivation.
Method
Using a cross-sectional design, this study was done in three hospitals in Aceh province, Indonesia. A total of 352 nurses recruited through a simple random sampling method filled out the questionnaires. Univariate analysis, Pearson correlation test, and linear regression were performed for data analysis.
Results
There was a significant relationship between understanding and perception of the career ladder system and the work motivation of the nurses (p = 0.0001, α = 0.05). The most dominant factor influencing the nurses’ work motivation was the perception of the career ladder.
Conclusions
Nurses having positive view on their career ladder system are more likely to have better work motivation. Education on the career ladder system in nursing can be a motivation reinforcement strategy for the nurse managers and the hospitals.
Keywords
Career ladder system; Nurses’ work motivation; Nursing management
The experiences of spirituality during pregnancy and child birth in Indonesian muslim womenMuthia Mutmainnah
Yati Afiyanti
Enfermería ClínicaThe experiences of spirituality during pregnancy and child birth in Indonesian muslim womenObjective
To understand the experience of spirituality in pregnancy and labor from the perspective of Indonesian Muslim women.
Method
This study used a qualitative descriptive design and analysis to explore the meaning and experiences of spirituality in pregnancy. Seven Indonesian Muslim women who had a baby under one-year-old participated in this study.
Results
This study found 5 themes related to the Muslim women's experience of spirituality during pregnancy: (1) Submission to God makes it easier for mothers to endure pregnancy and childbirth; (2) Meaning-making through spiritual stories enhances confidence, motivation, and persistence during pregnancy and childbirth; (3) Remembrance of God is a way of self-control, overcoming anxiety and labor pains; (4) Faith in God's help raises self-confidence during labor and delivery; and (5) Faith and close relationship with God can overcome the challenge of pregnancy and childbirth.
Conclusion
Spirituality strongly affects Indonesian Muslim women's behavior in caring for their pregnancy. This study offers insights into the experiences of Indonesian Muslim women in living their spiritual values during pregnancy and labor. Nurses should be sensitive to the spirituality of the women and integrate this element in providing maternal nursing care.
Keywords
Spirituality; Pregnancy; Indonesian muslim women
The relationship between caring preceptor, self-efficacy, job satisfaction, and new nurse performanceMoh Heri Kurniawan
Rr. Tutik Sri Hariyati
Efy Afifah
Enfermería ClínicaThe relationship between caring preceptor, self-efficacy, job satisfaction, and new nurse performanceObjective
It is not uncommon for new nurses to experience dissatisfaction and underperformance in their professional practice as a nurse in their first year on the job. In this transitional phase, new nurses need a preceptor to guide them. The provision of preceptor guidance with caring value and support for new nurse self-efficacy is a critical element that new nurses require. This study aimed to analyze the relationship between caring preceptor, self-efficacy, job satisfaction, and the performance of new nurses.
Method
The research method used a cross-sectional design based on a sample set of 123 new nurses selected using the total population sampling method. Data were analyzed using correlation testing and multiple linear regression.
Results
The results showed that there was a strong correlation between a caring preceptor and job satisfaction (r = 0.522, p = 0.0001) and new nurse performance (r = 0.572, p = 0.0001). There was a moderate correlation between self-efficacy with job satisfaction (r = 0.371, p = 0.0001) and new nurse performance (r = 0.240, p = 0.008).
Conclusion
For new nurses, the presence of a caring preceptor and self-efficacy are predictors of job satisfaction and performance. The preceptor had to care, which contributed to increasing the self-efficacy of new nurses.
Keywords
Caring preceptor; Job satisfaction; New nurses; Performance; Self-efficacy
Sexual self-efficacy: Affection, sexual communication, and self-acceptance as significant factors related to sexual function on menopausal women in IndonesiaNur’aini
Yati Afiyanti
Setyowati
Enfermería ClínicaSexual self-efficacy: Affection, sexual communication, and self-acceptance as significant factors related to sexual function on menopausal women in IndonesiaObjective
This study aims to analyze the relationship of sexual self-efficacy: affection, sexual communication, and self-acceptance and sexual function on menopausal women in Indonesia.
Method
An analytical, descriptive design with a cross-sectional approach was used in this study. We recruited 360 menopausal women in a suburban area in Depok Indonesia using consecutive sampling method. Measurements were made using the Sexual Self-efficacy Scale for Female Functioning (SSES-F), Female Sexual Function Index (FSFI), and the demographic data questionnaires.
Results
Most of the menopausal women have sexual dysfunction with the average score of FSFI 19.34 and decreased self-efficacy score with the average score of 31.91. There is a significant relationship between sexual self-efficacy: affection, sexual communication, and self-acceptance and sexual function in menopausal women (p-value <0.001).
Conclusion
This study result implies the importance of assessing sexual self-efficacy needs as a part of the sexuality assessment in menopausal women. Therefore, improving sexual self-efficacy is of high importance to address the sexual dysfunction in menopausal women in Indonesia.
Keywords
Sexual self-efficacy; Sexual function; Menopause
Assertiveness training and family psychoeducational therapies on adolescents mental resilience in the prevention of drug use in boarding schoolsIndah Ramadhan
Budi Anna Keliat
Ice Yulia Wardani
Enfermería ClínicaAssertiveness training and family psychoeducational therapies on adolescents mental resilience in the prevention of drug use in boarding schoolsObjective
This study aims to determine the effect of assertiveness training and family psychoeducational therapies on adolescent mental resilience in the prevention of drug use in boarding schools.
Method
The research design was quasi-experimental pre–posttest with a control group. Sixty-four adolescent students at the Boarding school were selected using purposive sampling technique and cluster random sampling. The intervention group 1 only received general nursing intervention, and the intervention group 2 received general nursing intervention, assertiveness training, and family psychoeducational therapies.
Results
The results showed that the mental resilience of adolescent students increased significantly after receiving nursing intervention and in the high mental resilience category (p = 0.017), after assertiveness training and family psychoeducational therapies, adolescent mental resilience in the intervention group 2 increased greater than only general nursing intervention (p = 0.000) with the change of high mental resilience category becomes very high mental resilience.
Conclusions
There is an influence of assertiveness training and family psychoeducational therapies on adolescent mental resilience in the prevention of drugs used in Boarding school.
Keywords
Assertiveness training; Family psychoeducational therapies; Mental resilience; Drugs; Adolescent; A Boarding school
The relationship between HIV stigma and adherence to antiretroviral (ARV) drug therapy among women with HIV in Lampung, IndonesiaFirhan Nurfalah
Sri Yona
Agung Waluyo
Enfermería ClínicaThe relationship between HIV stigma and adherence to antiretroviral (ARV) drug therapy among women with HIV in Lampung, IndonesiaObjective
The aim of our study was to examine the relationship between HIV stigma and adherence to antiretroviral (ARV) therapy among women with HIV.
Method
120 women with HIV involved in this cross-sectional study. The participant were outpatients at the Voluntary Counseling and Testing (VCT) Abdul Moeloek Hospital in Lampung, Indonesia.
Results
We examined data from 120 patients. Through chi-squared tests, a statistically significant correlation between HIV stigma and adherence to ARV therapy was revealed (p-value = 0.045; OR 2.274) women with low levels of stigma toward HIV demonstrated adherence to ARV treatment that was 2.27 times greater than that of women with high levels of stigma toward HIV.
Conclusions
One way to increase adherence to ARV therapy in women with HIV is by minimizing its stigma. This can be done by increasing their self-confidence and not differentiating between people living with HIV and others in the provision of health services.
Keywords
Adherence to ARV; Stigma; Women with HIV
Self-efficacy and organizing competency of head nurse dominant factors determining of nursing job satisfaction implemented in two hospitals in Riau ProvinceRika Widyana
Hanny Handiyani
Kuntarti
Enfermería ClínicaSelf-efficacy and organizing competency of head nurse dominant factors determining of nursing job satisfaction implemented in two hospitals in Riau ProvinceIntroduction
Lack of managerial competency of a head nurse can decrease nurse job satisfaction, which will impact overall nursing quality and patient care quality.
Objective
The purpose of this study is to identify the relationship between the managerial competencies of the head nurses it relates to the respective job satisfaction of the nurse team.
Method
The research design uses a cross-sectional approach involving 107 nurse participants at two hospitals in the Riau Province. These nurses were selected with proportioned stratified random sampling. The inclusion criteria in this study include: nurses who work within a period of more than 1 year, nurses who are not in a vacation period and nurses who were willing to participate in this study.
Results
Chi-square test results indicate that there is a relationship between the managerial competency of the head nurse and their nurses’ job satisfaction (p = 0.001; OR = 0.193). These results indicate that the factor most related to job satisfaction is head nurse competency. Particularly, these managerial competences include the ability of the head nurse to organize, be self-effacing, and efficient.
Conclusion
This study recommends improving the managerial capability of the ward manager, especially with regard to improving organization and self-efficacy skills. Implementing programs to assist with skill improvement is likely to improve the job satisfaction of nurses.
Keywords
Job satisfaction; Managerial competency; Organizing; Self-efficacy; Head nurse
Elderly care givers behavior associated with physical exercise implementation among elderly with hypertensionPera Putra Bungsu
Etty Rekawati
Wiwin Wiarsih
Enfermería ClínicaElderly care givers behavior associated with physical exercise implementation among elderly with hypertensionObjective
Aging is a natural process that will be experienced by everyone, and during the aging period there will be a decrease in body function especially in cardiovascular function so that it will cause health problems such as hypertension. Hypertension is a health problem that is generally found in the elderly and the need for appropriate treatment such as the implementation of physical exercise for the elderly and the role of the family to help the elderly overcome this problem. The purpose of this study was to determine the behavior of elderly caregivers with the implementation of physical exercise in the elderly with a hypertension health problem.
Method
This research uses descriptive correlational design. The sample size was 108 respondents. Data analysis used Chi-Square test.
Results
The results of this study indicated that the behavior of elderly caregiver affects the implementation of physical exercise in the elderly with hypertension (p-value < 0.001; OR = 4.781).
Conclusions
The results of this study indicate that the behavior of elderly caregivers influences the implementation of physical exercise in the elderly with hypertension. The results of this study are expected to provide input to community nurses as providers of nursing care, one of them is nursing care providers for families can work with family members as caregivers, especially in the elderly with hypertension health problems to motivate families to do effective treatment so that elderly hypertension can exercise physical according to the prescribed recommendations.
Keywords
Elderly; Physical exercise; Hypertension; Elderly caregiver
Following the cultural norms as an effort to protect the mother and the baby during the perinatal period: An ethnographic study of women's food choicesVella Yovinna Tobing
Yati Afiyanti
Imami Nur Rachmawati
Enfermería Clínica
Following the cultural norms as an effort to protect the mother and the baby during the perinatal period: An ethnographic study of women's food choicesObjective
An ethnographical approach was applied to explore cultural practices that influence women's consumption behavior in the perinatal period in Pulau Godang Kari, a village in Riau, Indonesia.
Methods
This study involved 27 participants consisting of pregnant women, breastfeeding mothers, family members, a traditional birth attendant, a midwife, and community leaders. This study used observation, focus group discussion, and interviews and applied thematic data analysis.
Results
The findings identified some rules and taboos about food consumed during the perinatal period. There are “good” and “bad” foods to consume, as well as the prescribed time for restriction and amount of food intake. Pregnant women choose to conform to the beliefs to protect themselves and the baby.
Conclusions
Culture has a strong influence on food choice decision-making. These findings highlight that family participation in perinatal care is essential to address.
Keywords
Food choices; Traditional food restrictions; Cultural practices; Nutrition; Perinatal period
HIV testing of housewives with HIV in Lampung, Indonesia: A qualitative studyYeni Fuspita
Sri Yona
Agung Waluyo
Enfermería Clínica
HIV testing of housewives with HIV in Lampung, Indonesia: A qualitative studyObjective
This study aimed to explore the experiences of housewives with HIV in Lampung, Indonesia, while undergoing HIV testing.
Method
It used a phenomenological approach and purposive sampling as the participant selection technique. In total, 16 housewives with HIV were interviewed at the Voluntary Counseling Test (VCT) Clinic in Lampung, Indonesia. Data were analyzed using Colaizzi's method.
Results
Our findings suggest that specific education on HIV and the importance of testing for it should be provided to housewives, who are often perceived as a group at low risk of contracting HIV.
Conclusions
This will ultimately contribute to their awareness regarding undergoing HIV testing on their own. In addition, enhanced counseling services must be offered by healthcare facilities in order to motivate housewives to undergo HIV testing, reduce HIV stigma, and empower their roles as mothers.
Keywords
HIV testing; Housewives
The effectiveness of discharge planning stroke patient due to hypertension to improve patient satisfaction and independenceSedia Simbolon
Achir Yani S. Hamid
Mustikasari
Besral
Enfermería Clínica
The effectiveness of discharge planning stroke patient due to hypertension to improve patient satisfaction and independenceObjective
To find out how important discharge planning program influence of satisfaction and independency stroke patients due to hypertension. Discharge planning is important for continuity of care and treatment during the patient hospitalized and after going home.
Method
This study Quasi-experimental method was used, pre and post-test for control group and intervention group with 160 respondent, 33 respondent pre and post 33 respondent for control group, and 33 respondent pre and 37 respondent post for intervention group, then 24 respondent observed start from hospitalized until discharge from hospital for patient independency.
Results
The result of the study show that the satisfaction compares between control group meaningless significant, but satisfaction compare pre and post-test between intervention group very strong significant, but while comparing between control and intervention group, it does not significant. Meanwhile, patient independency strong significant while discharge planning programs applied.
Conclusions
It is concluded that discharge planning is necessary to be implemented for stroke patient and used by the healthcare team to perform the care and treatment.
Keywords
Effectivity; Discharge planning; Patient; Satisfaction; Stroke
The influence culture and maternal care on exclusive breastfeeding practice in post caesarean section mothersTri Budiati
Setyowati
Enfermería Clínica
The influence culture and maternal care on exclusive breastfeeding practice in post caesarean section mothersObjective
The purpose of this study is to identify the influence of socio-cultural factors on the exclusive breastfeeding practice among post-caesarean section mothers on Cibinong West Java region.
Method
This study used a mixed quantitative survey method and qualitative phenomenological approach.
Result
Postpartum caesarean mothers had a good understanding and knowledge of exclusive breastfeeding (84%), but only 23.3% of postpartum caesarean mothers were doing exclusive breastfeeding. There were five themes identified from the qualitative study namely: the practice of breastfeeding, factors that influence mothers in giving breast milk, beliefs and values influencing the breastfeeding practice, experience of breastfeeding, and the mother's return to work and community beliefs.
Conclusion
Exclusive breastfeeding remains low in that city especially in post-caesarean mothers who are influenced by culture, values, and due to the mother having to return to work. They need support to provide exclusive breastfeeding.
Keywords
Barriers to exclusive breastfeeding; Post-caesarean section mothers; Social culture
Kegel's exercise to improve sexual self-efficacy in primiparous womenNolla Lisa Lolowang
Yati Afiyanti
Titin Ungsianik
Enfermería Clínica
Kegel's exercise to improve sexual self-efficacy in primiparous womenObjective
Sexuality is one of the crucial aspects of an individual's quality of life. Women, especially primiparous women could have concerns about sexuality which interrupt their sexual self-efficacy in the postpartum period. This study aimed to identify the effect of Kegel's exercise on sexual self-efficacy in primiparous women.
Method
This quasi-experimental study with one group time series design involved 32 primiparous women as respondent. Sexual self-efficacy was measured in three times: before intervention, the first three weeks after intervention, and the second three weeks after intervention.
Results
Kegel's exercise for six weeks was associated with significant improvement of the sexual self-efficacy of primiparous women (p = 0.001; CI 95% 10.53–14.18).
Conclusion
Kegel's exercise increases pelvic floor muscle strength which is linked with the improvement of sexual self-efficacy of primiparous women. The women may encourage to perform Kegel's exercise to address sexual concerns in the postpartum period.
Keywords
Sexual self-efficacy; Primiparous women; Kegel's exercise
HIV-related stigma, knowledge about HIV, HIV risk behavior and HIV testing motivation among women in Lampung, IndonesiaNoverita Irmayati
Sri Yona
Agung Waluyo
Enfermería Clínica
HIV-related stigma, knowledge about HIV, HIV risk behavior and HIV testing motivation among women in Lampung, IndonesiaRevisi link: https://www.sciencedirect.com/science/article/abs/pii/S1130862119302050
Objective
This study aims to identify factors that influence HIV testing motivation among women at the Dr. H. Abdul Moeloek General Hospitalin Lampung, Indonesia.
Method
A cross-sectional method was used in this study that employed a consecutive sampling technique involving 120 women with HIV. The participants were outpatients at the Voluntary Counseling and Testing (VCT) Dr. H. Abdul Moeloek General Hospital. This study utilized three instruments: the Berger HIV Stigma Scale, HIV Knowledge Questionnaire (HIV-KQ-18) and Safe Sex Behavior Questionnaire (SSBQ).
Results
The study examined factors that influence HIV testing motivation among women: HIV-related stigma, knowledge about HIV and HIV risk behavior. The results of the analysis showed that there is a significant relationship among the HIV-related stigma variable (p = 0.019, OR = 2.727), knowledge about HIV variable (p = 0.011, OR = 3.750) and HIV risk behavior variable (p = 0.041, OR = 2.381). The most dominant factor influencing HIV testing motivation is HIV risk behavior (p = 0.016, ά = 0.05 at 95% CI and OR = 3.217). This indicates that Women Living With HIV (WLWH) who engage in risk HIV behavior demonstrate 3.2 times to HIV testing motivation.
Conclusion
HIV-related stigma, knowledge about HIV and HIV risk behavior influence HIV testing motivation for women.
Recommendation
Our findings have implications for nursing and healthcare practice as well as research, especially in supporting HIV testing for women who are at risk for HIV. Nurses should focus their attention on motivating women with a high risk of HIV to undergo early HIV testing.
Keywords
HIV risk behavior; Knowledge about HIV; The motivation of HIV testing; Stigma; Women with HIV
Patient assessment responses in nursing practice to enhance patient safety: A systematic reviewMoh Heri Kurniawan
Rr Tutik Sri Hariyati
Enfermería Clínica
Patient assessment responses in nursing practice to enhance patient safety: A systematic reviewObjective
Patients in the hospital should be treated promptly. It will improve the quality of services and patient safety. The objective of this paper is to investigate factors affecting patient assessment response in nursing practice based on a review of the literature.
Method
A systematic review was utilized. The article was conducted using online databases, reference lists of key articles, and expert advice. Multiple keyword combinations were used. All relevant studies were subsequently appraised for rigorous and quality.
Results
Eleven articles were critically appraised. The results show that there are six factors that affect patient assessment responses: (1) high specific competences; (2) clinical experiences; (3) patient safety culture; (4) education level; (5) team collaboration; and (6) medical systems. High specific competence of nurse is significant affected the patient assessment response.
Conclusion
Factors that enhancing nurse's assessment response should be special attention in health care services. Nurses manager have a substantial role in enhancing response assessment of nurses’ practitioner.
Keywords
Assessment response; Nursing practice; Patient assessment; Patient safety; Systematic review
The Item Development of Maternal Blues Suryani (MBS) Scale in the antepartum period through bonding attachment that predicting postpartum bluesSuryani Manurung
Setyowati
Adriana Soekandar Ginanjar
Tri Edhi Budi Soesilo
Dwi Tyastuti
Enfermería Clínica
The Item Development of Maternal Blues Suryani (MBS) Scale in the antepartum period through bonding attachment that predicting postpartum bluesObjective
This study aims to develop the maternal blues scale of the antepartum period through bonding attachment, and the closeness of the mother to the fetus.
Methods
Design of the development items of maternal blues scale is cross-sectional. The number of research samples is 450.
Results
The number of statements had produced from the maternal blues scale through absolute measurements, incremental appropriateness measurements, construct validity (CR), and variant extraction (VE) were 24 items had been declared valid and reliable. The maternal blues suryani model's (MBS) scale has been grouped into two variables; internal variables (maternal roles and tasks) eight items and external (cultural, social support) 16 items.
Conclusions
The MBS scale through bonding attachments had been valid and reliable to predict postpartum blues.
Keywords
Development items; Bonding attachment; Antepartum; Postpartum blues
Family's support for adolescent victims of bullyingSoimah
Achir Yani S. Hamid
Novy H.C. Daulima
Enfermería Clínica
Family's support for adolescent victims of bullyingObjective
Victims of adolescent bullying commonly experienced anxiety, low self-esteem, declining academic performance, and depression. Family support is very important in overcoming these impacts of bullying. The study aimed to get an overview of the family experience of providing support for victims of adolescent bullying.
Method
The research design was qualitative with descriptive phenomenology approach involving eight participants. Data were analyzed using Colaizzi method.
Results
The results of the study found five themes; sadness and anger as an early response to bullying, providing advice and motivation is a form of family support for victims of bullying, family support strategies as an effort to speed up the recovery process of bullying victims, relationship with others is the source of support to help to overcome the impact of bullying, psychological resilience as a result of family support on victims of bullying.
Conclusions
Based on the findings of this study, the researcher recommends the importance of mental health nurses to play a role as an educator of the family, so that the family can optimize their support for the bullied adolescent.
Keywords
Adolescent; Bullying; Family support
Students’ ability in delivering transcultural nursing linked to their place of origin: A cross-sectional studyNur’ainun
Enie Novieastari
Enfermería Clínica
Students’ ability in delivering transcultural nursing linked to their place of origin: A cross-sectional studyObjectives
This study aimed to identify the influence of each student's place of origin in delivering transcultural nursing.
Method
The study used a cross-sectional research design and quota sampling technique. A total of 98 nursing students at the apprenticeship semester from either extension or regular programs were involved in the study.
Results
The majority of the students has Javanese cultural background and come from different regions of Indonesia. Students from different regions were capable of applying transcultural nursing skills within the good ability category (72.4%). However, there was no relationship between their place of origin and their ability to apply transcultural nursing (p value = 0.388).
Conclusion
There was no relationship between students’ place of origin and the skill of transcultural nursing application. This study recommends further research on the difference of student cultural competency in delivering nursing care based on their place of origin.
Keywords
Application of transcultural nursing; Nursing students; Place of origin
Identifying causal risk factors for stunting in children under five years of age in South Jakarta, IndonesiaRessa Andriyani Utami
Agus Setiawan
Poppy Fitriyani
Enfermería Clínica
Identifying causal risk factors for stunting in children under five years of age in South Jakarta, IndonesiaObjectives
To identify correlations between family characteristics, nutritional parenting, and stunting in children under five in South Jakarta.
Method
This study used an observational, descriptive research design and a community-based cross-sectional approach. A total of 192 samples were included in the study, selected using the cluster sampling technique. Family Characteristics and Nutritional Parenting Tools contain the types of questions that were used to collect the data. A correlation data analysis was conducted using an independent t-test, chi-square, and multiple logistic regression prediction modeling.
Results
The results of the research showed a significant correlation between family characteristics and nutritional parenting with the occurrence of stunting in children under five in South Jakarta. Families whose incomes were below the regional minimum wage had a 6.625 times greater chance of observing stunting in children under five compared to families whose incomes were above the regional minimum wage with Wald value of 28.148.
Conclusions
Socioeconomic factors, especially household income, are the factors that are most responsible for influencing the incidence of stunting in children under five. Multisector and integrated programs are needed to increase household income, knowledge, and family skills to reduce the incidence of stunting in children under five.
Keywords
Children under five; Nutritional parenting; Socio-economics; Stunting
Relationship between hypertension with quality of life of hemodialysis patientsYuanita PanmaEnfermería Clínica
Relationship between hypertension with quality of life of hemodialysis patientsObjective
This study aimed to examine the association between hypertension, hemoglobin level, and nutrition status with quality of life of hemodialysis patients in Indonesia.
Method
This study designed was an analytic correlational study of 119 Indonesian hemodialysis patients.
Result
The average age was 54.95 years and mean length of hemodialysis of 32.67 months. The mean score for QoL was 62.51, and the mean score of the hemoglobin level was 7.58 g/dl. The results revealed a significant relationship between hypertension and quality of life (p = 0.005). There was no a significant relationship between quality of life and hemoglobin level (p = 0.336) and nutrition status (p = 0.099).
Conclusion
Based on the findings of this study, good controlling of hypertension in hemodialysis patients is important to improve the quality of life.
Keywords
Quality of life; Hemodialysis; Hypertension; Nutrition status; Hemoglobin level
Educational background and clinical nursing tasks performed by nurses in Indonesian hospitalsMasfuri
Agung Waluyo
Yati Afiyanti
Achir Yani S. Hamid
Enfermería Clínica
Educational background and clinical nursing tasks performed by nurses in Indonesian hospitalsObjective
This study aimed to describe the differences in clinical task performance between nurses with a 3-year diploma, 4-year bachelor of nursing degree, and master/specialist nursing degree in Indonesian hospitals. The study employed a cross-sectional design.
Method
An online questionnaire was developed for this study and administered to 904 nurses but completed by only 410 nurses from 95 hospitals in 19 of the 34 provinces of Indonesia (55.9%). The questionnaire detailed 158 clinical tasks about patient education, collaboration, management of patient care, observation, and therapy.
Results
In general, master/specialist nurses performed more tasks in the patient care management category. Moreover, nurses with a 3-year diploma performed significantly more tasks than did those with a 4-year bachelor of nursing in all clinical tasks (p < 0.05), except in the patient care management category (p = 0.68).
Conclusion
Hospital management could play a role in strengthening the performance of patient care management of nurses with bachelor's degrees, which may have a positive impact on patient outcomes. Further study is needed to explore the non-clinical nursing tasks performed by those with different education levels, which may affect their performance of clinical tasks.
Keywords
Cost–benefit analysis; Education; Indonesia; Hospitals; Nursing
Sensuality, communication, and self-acceptance as significant factors related to sexual function in infertile women in Jakarta, IndonesiaSusanaria Alkai
Yati Afiyanti
Budi Wiweko
Enfermería Clínica
Sensuality, communication, and self-acceptance as significant factors related to sexual function in infertile women in Jakarta, IndonesiaObjective
This study aimed to identify the relationships of the sexual self-efficacy with the sexual function in infertile women.
Method
This cross-sectional study involved 105 women with infertility who participated in the study by completing the questionnaires of Sexual Self-Efficacy for female and Female Sexual Function Index.
Results
The results show the significant relationships of the sensuality, communication, and self-acceptance with the sexual function of the women with infertility (p-value = 0.021, 0.037, 0.018, respectively).
Conclusions
These relationships partially reflect the complex and unique situation of the women with infertility in their life span. Nurses should always apply the caring principles and therapeutic communication while interacting with the women with an infertility problem.
Keywords
Infertility; Sexual function; Sexual self-efficacy; Social-culture
Men's preconception health behavior: A qualitative studyNeni Fidya Santi
Yati Afiyanti
Wiwit Kurniawati
Enfermería Clínica
Men's preconception health behavior: A qualitative studyObjective
This study aims to reveal the meaning of preconception health behavior from the men's perspective in Indonesia.
Method
We used a phenomenology interpretative approach in this study. We collected the data through in-depth interviews with eleven married men.
Results
We found two themes: (1) physical health-related behavior and (2) reproductive health-related behavior.
Conclusion
Our study findings offer an understanding of the men's perspective regarding preconception period for the nurses and health care professionals. Therefore, improving the understanding of men's preconception health behavior is of high importance to address their participation in reproductive health.
Keywords
Preconception health behavior; Men's perspective; Reproductive health
Description of an effective manager in nursing: A systematic reviewMeylona V. Zendrato
Rr. Tutik Sri Hariyati
Tuti Afriani
Enfermería Clínica
Description of an effective manager in nursing: A systematic reviewObjective
The study was to describe and previous analysis study with an effective manager in nursing.
Method
This manuscript uses systematic review design. The database is obtained from online database EBSCO, Science-Direct, JSTOR, BMC, ProQuest, Sage-Journal, and Springer=Link from 2012 to 2017. The selections are based on inclusion criteria that have been foreordained.
Results
A total of 11,917 studies was found from six databases. From, the number of these direct search, systematic review identifies conformity based on the title, so that it obtained 23 studies with a title that suitable for the selected discussion. The number of resources that had been studied was as many as 9 kinds of literature by classifying 4 factors that exemplify effective managers in nursing in terms of communication skills, leadership, work duration as well as experience and education.
Conclusion
The nursing manager can be portrayed as effective if they possess adequate. Effective communication skills with all level of organizations, positive leadership, ethics awareness. An effective manager must be supported by continuous skills through professional working experience and education. These factors need to be developed as an effective of management. The implications for nursing management must create effective managers who produce quality nursing services to patients.
Keywords
Nurse executive; Manager; Effective manager; Description
Understanding the protective factors (self-esteem, family relationships, social support) and adolescents’ mental health in JakartaRike Triana
Budi Anna Keliat
Ice Yulia Wardani
Ni Made Dian Sulistiowati
Maria Ayu Veronika
Enfermería Clínica
Understanding the protective factors (self-esteem, family relationships, social support) and adolescents’ mental health in JakartaObjective
Mental health problems may occur in teenage years, thus it is important for adolescents to understand how to maintain mental health.
Method
This was a correlative descriptive study to examine mental health and adolescent protective factors (self esteem, family relationships, and social support). There were 452 eighth grade students under 15 years old at junior high schools who participated in this study. The respondents were selected with purposive sampling technique. Respondents filled a questionnaire about self esteem, family relationships, social support, and youth mental health.
Results
The results show the majority of respondents have moderate self esteem, good family relationships, and adequate social support from parents, teachers, classmates, and peers, but they obtain lack social support from school (such as school administrator and anyone, except teachers and their friends).
Conclusions
Promotion of adolescent mental health is recommended for schools. Adolescent protective factors could be improved to achieve optimal adolescent mental health.
Keywords
Adolescent; Mental health; Self-esteem; Family relationships; Social supports
Differences in cultural competence between nursing students in academic and professional programsNita Fathiani Rahma
Enie Novieastari
Enfermería Clínica
Differences in cultural competence between nursing students in academic and professional programsObjective
Multicultural phenomena require nursing students to have cultural competence. Nursing students who are culturally competent can understand more about patients’ issues with regard to cultural diversity and equality when delivering culturally sensitive care. This study aims to identify cultural competence across educational levels.
Methods
This study involves 164 students of a second-semester professional program and an eighth-semester academic program. This study employs a cross-sectional design and a stratified random-sampling technique. The questionnaire used is modified from related concepts and theories of culture care and cultural competence.
Results
The results show that the average cultural-competence scores of second-semester professional students and eighth-semester academic students are 60.0 and 59.0, respectively (p = 0.283; alpha = 0.05).
Conclusions
Based on the results of the statistical tests, there was no significant statistical difference in cultural competence between second-semester professional students and eight-semester academic students. Further research is needed to examine the factors affecting cultural competence of students.
Keywords
Transcultural nursing; Cultural competence; Nursing students
Motivation as a factor affecting nurse performance in Regional General Hospitals: A factors analysisNi Putu Ika Novita Gunawan
Rr. Tutik Sri Hariyati
Dewi Gayatri
Enfermería Clínica
Motivation as a factor affecting nurse performance in Regional General Hospitals: A factors analysisObjective
Nurse performance is vital to quality patient care outcomes. Improvements in patient safety can be achieved by improving nurse performance. The purpose of this study is to analyze the factor affecting the performance of nurses working in Hospitals.
Method
The study design using a cross-sectional approach was conducted on 200 nurses. The study participants selected using stratification random sampling method. The data were collected using structured questionnaires filled by nurses and conducted multivariable logistic regression analysis.
Result
This research shows that factors related to the performance of nurses are work motivation, nurse's perception of the application of team method, length of work and education level (p < 0.05).
Conclusion
The hospital management needs to improve the motivation of nurses by holding regular meetings to improve interpersonal relationships and giving stimulus for nurses career program so that nurses will be motivated to improve their competence and will affect the performance of nurses.
Keywords
Motivation; Nurse performance; Team nursing care method
The perception discrepancy of nurse turnover in hospitalTinuk Ervariawati
Krisna Yetti
Enie Novieastari
Kuntarti
Enfermería Clínica
The perception discrepancy of nurse turnover in hospitalObjective
The objective of this study was to explore the meaning of turnover under the perception of nurses, managers, and institutional director and board.
Method
The design used in this study was qualitative with case study approach. The data were collected from three participant groups: (1) nurses left hospital X in Bogor, West Java, Indonesia through an in-depth interview; (2) managers through Focus Group Discussion (FGD); and (3) institutional director and board through an in-depth interview. The total participant was 17, consisting of 6 nurses, 6 managers, and 5 institutional directors and board. Colaiizi's method was applied for the analysis.
Results
This study resulted in 10 themes, consisting of three themes from nurse participants, one theme from manager participants, three themes from the institutional director and board, two themes from nurses and managers, and one theme from the manager and institutional director and board. The themes were as follows: (1) the existence of nurse regulation and management; (2) the lack of optimal regulation socialization; (3) the cause of voluntary turnover; (4) the workload increase as the impact of turnover; (5) the nurses’ perception and expectation to hospital management; (6) the internal and external factors that influence nurse turnover; (7) the implementation of vision, mission, and policy from the institution; (8) the requirement and expected nurse competence; (9) the vigilance of turnover and its consequences; (10) the material and non-material effort and innovation.
Conclusion
There were some similarities and differences of themes identified about nurse turnover based on the perception of nurses, managers, and institutional director and board. The result of this study suggested that equalizing perception is necessary to build togetherness among co-workers.
Keywords
Nurse perception; Manager; Institutional director and board; Nurse turnover
Determining factors of dementia in elderly individuals residing in the special capital region of JakartaRaden Siti Maryam
Junaiti Sahar
Enfermería ClínicaDetermining factors of dementia in elderly individuals residing in the special capital region of JakartaObjective
Dementia is one of the major causes of disability and dependency in elderly individuals around the world, affecting their physical, psychological, social, and economic well-being as well as that of their caretakers and families. Early understanding of the risk factors of dementia is crucial to preventing the disease. This study aimed to identify the factors influencing the incidence of dementia.
Method
This study was a non-experimental research study with a cross-sectional approach. The population consisted of elderly individuals within the special capital region of Jakarta, and a sample of 106 subjects was acquired through multistage random sampling.
Result
A meaningful correlation was found between age, Instrumental Activity Daily Living, and a history of high cholesterol with the incidence of dementia (p = 0.039, p = 0.041, and p = 0.042). The history of high cholesterol was the most significant risk factor (p = 0.042 and odds ratio = 3.2).
Conclusion
A history of high cholesterol is a major risk factor for dementia. Thus, elderly individuals could enhance their quality of life by reducing their intake of high cholesterol foods, having regular cholesterol screenings, and doing physical exercise.
Keywords
Dementia; Dementia risk factors; Elderly; Hypercholesterolemia
Correlation between implementation case reflection discussion based on the Graham Gibbs Cycle and nurses’ critical thinking skillsPrima Ardian
Rr Tutik Sri Hariyati
Efy Afifah
Enfermería ClínicaCorrelation between implementation case reflection discussion based on the Graham Gibbs Cycle and nurses’ critical thinking skillsObjective
The purpose of the study is to analyze the correlation between an implementation case reflection discussion (CRD) based on the Graham Gibbs Cycle, and nurses’ critical thinking skills. This research studied was evaluated CRD implementation with sample size 85 nurses and choosing used cluster sampling technique approach.
Method
The data were analyzed by paired t-tests. The research results showed that an implementation case reflection discussion based on the Graham Gibbs Cycle improved nurses’ critical thinking skill significantly (p = 0.001).
Results
Demonstrate a significant increase in the nurses’ ability to think critically as well as components of engagement, cognitive maturity and innovativeness after implementing CRD based on Graham Gibbs Cycle (p < 0.05).
Conclusion
Case reflection discussion (CRD) based on the Graham Gibbs Cycle increased nurses’ critical thinking skills. This research implication thrusts the importance of ascending nurses’ education levels, as evidence-based nursing, study material and nurses’ theoretical development, monitoring, and evaluation from nursing managements.
Keywords
Critical thinking; Nurse’ ability; Case reflection discussion; Graham Gibbs Cycles
Effective orientation programs for new graduate nurses: A systematic reviewRetno Indah Pertiwi
Rr. Tutik Sri Hariyati
Enfermería ClínicaEffective orientation programs for new graduate nurses: A systematic reviewObjective
To determine the most effective orientation program for new graduate nurses (NGNs) in hospital settings.
Method
A systematic review of existing literature was conducted following a search of the electronic databases Science Direct, PubMed, EBSCOhost, ProQuest, and Wiley Online (2008–2018). Searches utilized the following keywords nurse orientation, new nurse orientation, practical orientation, nurse transition, and nurse transition program.
Results
A total of fourteen studies met our review criteria. Evidence from these studies showed that current orientation protocols consist of preceptorship, classes, and simulations of patient care. The most efficacious orientations had well-established goals and utilized proven learning materials, support systems such as preceptorship and mentorship, learning methods, and evaluation instruments within the organization.
Conclusion
Well-designed orientation programs will result in positive effects on NGNs and patient care in the hospital.
Keywords
Newly graduated nurse; Nurse orientation program; Nurse transition program
Family acceptance, peer support, and HIV serostatus disclosure of MSM-PLWHA in Medan, IndonesiaRiski Ari Fitriyani
Agung Waluyo
Enfermería ClínicaFamily acceptance, peer support, and HIV serostatus disclosure of MSM-PLWHA in Medan, IndonesiaObjective
This study was conducted to determine the correlation between family acceptance and HIV serostatus disclosure, and the correlation between peer support and HIV serostatus disclosure.
Methods
This was a quantitative study with a cross-sectional design involving 176 MSM-PLWHA (Men who have sex with men-people living with HIV and AIDS). Instruments used in this study is Brief Scale of HIV disclosure, perceived acceptance scale, and peer group caring interaction scale.
Results
The analysis showed a significant correlation between peer support and HIV serostatus disclosure (p-value 0.011), but there was no significant correlation between family acceptance and HIV serostatus disclosure (p-value 0.979).
Conclusion
Peer support affects HIV serostatus disclosure in MSM-PLWHA. Peer group interventions need to be improved. Providing systematic peer group support for MSM-PLWHA and integrating intervention with peer support might need to be done for the next care plan for MSM-PLWHA in Medan, Indonesia.
Keywords
HIV; MSM; Disclosure; Acceptance; Support
Mothers’ experience in caregiving for stimulant and hallucinogen drug-abusing adolescentWahyudi Mulyaningrat
Achir Yani S. Hamid
Novy H.C. Daulima
Enfermería ClínicaMothers’ experience in caregiving for stimulant and hallucinogen drug-abusing adolescentObjective
Substance abuse reaches the youth market (adolescents) even further in these past years. Impact of drug abuse covers wide aspects, particularly from stimulant and hallucinogen type of drugs. The role of parents, especially mother, is pivotal in caregiving for substance-abusing adolescents. Mothers are the closest people to their children, so the role of caregiving is particularly associated with them. The mother's experience has not been explored in-depth, so this study aimed to identify the description of a mother's experience in providing care for stimulant and hallucinogen drug-abusing adolescent.
Method
The study design was qualitative with a phenomenological approach involving eight participants. Data were collected by in-depth interview and analyzed using Colaizzi method.
Results
The study result identified six themes, including grieving response of mother of drug abusing adolescent, closest person's support provides motivation and strength for mother, seeking and maintaining recovery as mother's effort in providing care for substance-abusing adolescent, adolescent's behavior cause drug abuse becomes mothers’ burden, adolescent's behavior as the effect of drug abuse influences mothers’ psychological condition, and burden perceived by mother as a result of drug abuse by adolescents.
Conclusions
The study result recommended that mother, as the closest person, plays a crucial role in seeking and maintaining recuperation of drug-abusing adolescent and as main focus of intervention due to substance abuse by the adolescent.
Keywords
Adolescent; Drug abuse; Hallucinogen; Mother experience; Stimulant
Prenatal distress and increased psychosocial risks in the postpartum period among Indonesian womenMonna Maharani Hidayat
Imami Nur Rachmawati
Dewi Gayatri
Enfermería ClínicaPrenatal distress and increased psychosocial risks in the postpartum period among Indonesian womenObjective
This study aimed to identify the relationship between prenatal distress and postpartum psychosocial conditions in Indonesia.
Method
This cross-sectional study involved 162 pregnant women in Cianjur, West Java, Indonesia, selected by two stages of cluster sampling. We used Indonesian versions of the Prenatal Distress Questionnaire (PDQ) and Postnatal Risk Questionnaire (PNRQ) as research instruments.
Results
The results showed more than a quarter of pregnant women (34%) experience high prenatal distress and are at risk of postpartum psychosocial conditions (27%). It was also found that prenatal distress was associated with postpartum psychosocial conditions (p < 0.05, OR 3.36, 95% CI 1.63–6.92).
Conclusions
Postpartum psychosocial conditions are influenced by prenatal distress. This study suggests screening for prenatal distress in mothers from early pregnancy. Awareness of psychosocial state during the prenatal period is essential for preventing problems in the postpartum period.
Keywords
Postpartum maternal; Prenatal distress; Psychosocial risk
Outpatient nursing care implementations in Indonesian regional public hospitalsMeylona Verawaty Zendrato
Rr. Tutik Sri Hariyati
Efy Afifah
Enfermería ClínicaOutpatient nursing care implementations in Indonesian regional public hospitalsObjective
This study aimed to describe the nursing care implementations in the outpatient installations of several hospitals.
Method
A descriptive study design was used with purposive random sampling. A total of 292 patients were included based on the following criteria: treated at the internal, neurological, ear, nose, and throat, pulmonary, surgical, skin, sex, and heart disease polyclinics, able to read and write, and attended more than one visit. This study was conducted in three central referral hospitals in the Bogor, Depok, and Jakarta areas of Indonesia.
Results
The outpatient care implementation was not optimal in the three regional public hospitals (56.8%). The nurses minimally performed the outpatient nursing processes, namely diagnosis enforcement (63.7%) and implementation (62%).
Conclusion
The implementation of care that is not optimal can result in a decrease in patient satisfaction and safety. The support of hospital management is needed to facilitate the availability of adequate nursing resources (both quantity and quality) and to provide equipment, facilities, and logistics to optimize nursing care.
Keywords
Nursing care; Outpatient; General hospital area of Indonesia
Relationship of age, gender, hypertension history, and vulnerability perception with physical exercise compliance in elderlyNoor Rochmah Ida Ayu Trisno Putri
Etty Rekawati
Dwi Nurviyandari Kusuma Wati
Enfermería ClínicaRelationship of age, gender, hypertension history, and vulnerability perception with physical exercise compliance in elderlyObjective
The purpose of this study was to determine the relationship between the history of hypertension and the perception of susceptibility with the level of adherence to physical exercise in the elderly who experienced hypertension.
Methods
The study used a cross-sectional design. A total of 108 elderly people who had hypertension were selected using purposive sampling technique. Chi-square was used to analyze the data.
Results
The results showed a significant relationship between family history (p-value = 0.037), the perception of susceptibility (p-value = 0.018) to physical exercise adherence in the elderly with hypertension, while age and sex did not have a significant relationship.
Conclusions
Screening and developing community-based nursing strategies, providing health information early, and innovations in the development of physical training need to be done to motivate the elderly to do physical exercise.
Keywords
Hypertension; Elderly; Physical exercise compliance
“Establishing healthy family and offspring on prospective bridegroom”: A qualitative analysisWiwit Kurniawati
Yati Afiyanti
Enfermería Clínica“Establishing healthy family and offspring on prospective bridegroom”: A qualitative analysisObjective
Prospective bridegroom needs to prepare several things related to preconception health to gain a healthy pregnancy so that the baby born can be healthy, and the mother can give birth safely.
Method
The use of qualitative study with focus group method aims to observe the prospective bridegroom preparation in establishing good healthy family and offspring.
Results
Six themes are identified through this study, such as: (1) Physiological health preparation; (2) psychological preparation; (3) economic preparation; (4) social preparation; (5) childbirth preparation; (6) getting healthcare.
Conclusion
The result of this study suggests nurses apply the proper intervention to support preconception care.
Keywords
Prospective bridegroom; Preconception planning; Reproduction preparation
The competency of clinical instructors as it relates to the caring behavior of new nursesTri Widiyaningsih
Krisna Yetti
Kuntarti
Enfermería ClínicaThe competency of clinical instructors as it relates to the caring behavior of new nursesObjective
This research aimed to identify the relation between clinical instructors and the caring behavior and commitment of new nurses in a hospital.
Method
Using a correlation descriptive research design, this study employed a cross-sectional approach with 104 new nurses of a hospital in South Jakarta. The measurement instruments regarding the clinical instructors’ competence, a caring behavior inventory (CBI)-24, and a commitment questionnaire by Allen and Meyer.
Results
The result of a t-independent test reveals that (1) clinical instructors’ competency is related to the new nurses’ caring behavior (p < 0.001; α = 0.05) and (2) the result of the chi-square shows no relation between clinical instructors’ competency and the new nurses’ commitment (p = 0.844).
Conclusion
Personal characteristics are the factors that are most related to the caring behavior of new nurses. Clinical tutoring teaching skill is the factor that is most related to a new nurse's commitment.
Keywords
Personal characteristics; Clinical instructors’ competency; Caring behavior; New nurses
Caring efficacy to improve nurses’ caring behaviorSanti Surbakti
Enie Novieastari
Tuti Nuraini
Enfermería ClínicaCaring efficacy to improve nurses’ caring behaviorObjective
This study aimed to assess how caring efficacy training influences the nurses’ caring behavior of two hospitals in Riau province, Indonesia.
Method
A quasi-experimental, pre–posttest with control group design was used in this study. 50 nurses of X hospital were assigned in the intervention group while another cohort of 50 nurses from Y hospital was allocated for the control group. Both groups had a baseline measurement of caring behavior. A training on caring efficacy was given followed by evaluation at two-time points for the intervention group.
Results
There was a significant difference between the caring behavior of the nurses in the intervention and control group after the caring efficacy training (p-value = 0.0001). In addition, knowledge was found to be linked with the caring behavior of the nurses (r = 0.20, p = 0.04).
Conclusions
Caring efficacy training is likely to be associated with the nurses’ caring behavior and knowledge.
Keywords
Caring; Caring efficacy; Caring behavior; Nursing
Perceptions of self-care readiness among STEMI patients following primary PCITuti Herawati
Budi Anna Keliat
Agung Waluyo
Enfermería ClínicaPerceptions of self-care readiness among STEMI patients following primary PCIObjective
This study aimed to explore the perceptions of STEMI patients after Percutaneous primary intervention regarding their readiness to conduct and maintain self-care.
Method
The study used a qualitative design. Fifteen STEMI patients after Percutaneous primary intervention and nine partners of them were interviewed in the inpatient unit at the main referral government cardiac center in Indonesia. Data were analyzed using content analysis.
Results
The results showed there is an inability to recognize and manage ischemic symptoms immediately. Patients had physical problems following primary PCI such as cough, chest tightness, chest pain, bloating and get tired easily—psychological problems experienced by the patient and his partner at the acute and recovery phase.
Conclusion
The findings provide for health care professionals in developing self-care ability among STEMI patients at first attack following primary PCI by considering the influenced factors
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Keywords
Primary PCI; Self-care ability; STEMI patients
Women's efforts to solve postpartum problems based on the culture of South SumateraSetyowati
Rosnani
Enfermería ClínicaWomen's efforts to solve postpartum problems based on the culture of South SumateraObjective
This study aims to explore the cultural patterns, habits, and behavior of mothers in overcoming postpartum problems.
Method
The study was of a qualitative design with an ethnography approach. A purposive sampling technique was used, and data were obtained from seven participants who identified with Palembang culture.
Result
The themes which emerged were: (1) Tiredness, drowsiness, and perineal pain were part of the physical problems of postpartum mothers. (2) Sadness and lack of attention were feelings that occur in postpartum mothers. (3) Traditional practices help with breastfeeding problems and perineal pain. (4) Some traditional interventions help mothers reduce physical problems. (5) Postpartum maternal needs are obtained from the family and community through traditional interventions. (6) The expectation of postpartum mothers is the support of husbands, families and health workers.
Conclusion
Mothers’ efforts to solve postpartum problems cannot be separated from habit and the family's culture. Health workers need to facilitate maternal care with a family culture approach.
Keywords
Health problems; Postpartum; Culture
Supporting factors of the implementation of clinical pathway approach in nursing careMira Asmirajanti
Achir Yani S. Hamid
Rr. Tutik Sri Hariyati
Enfermería ClínicaSupporting factors of the implementation of clinical pathway approach in nursing careObjective
This study aimed to identify the supporting factors and the nurses’ expectation related to the implementation of clinical pathway in nursing care at the hospital.
Methods
A quantitative, cross-sectional, descriptive study was conducted at a medical-surgical unit of a hospital in Jakarta Indonesia. Participants were 100 nurses with minimal one-year work experience, selected using proportional purposive sampling method. Data were collected using a questionnaire and were analyzed descriptively.
Results
The nursing care management factor was found to be of highest performance (90%), while the rest showed inadequate performances (24%, 14%, 39%, and 41%, respectively). Meanwhile, nurses expected to have improved nursing care information system (50%) and reward system (60%) to support the clinical pathway in nursing care.
Conclusions
Most of the supporting factors in the implementation of clinical pathway in nursing care were still suboptimal. Nurses’ expectations on this issue indicate that there will be an improvement.
Keywords
Supporting factors; Nursing care; Nurses’ expectation; Clinical pathway
Sexual function improvement of the menopausal women in South Sumatra, Indonesia after ‘Mentari’ health educationLisda Maria
Setyowati
Dewi Gayatri
Enfermería ClínicaSexual function improvement of the menopausal women in South Sumatra, Indonesia after ‘Mentari’ health educationObjective
The onset of menopause declines the sexual activity, that may contribute to divorce among married couples. This study aimed to identify the effect of “Mentari” health education on sexual function among menopausal women in South Sumatra, Indonesia.
Method
A quasi experimental pre–post tests with control group design was used in this study. A total of 64 menopausal women participated in the study (32 participants in each groups). We used Female Sexual Functioning Index (FSFI) questionnaire to assess the participants’ sexual function.
Results
The participants reported improvement in their sexual function within the domains of sexual desire, arousal, lubrication, orgasm, satisfaction, and pain during sexual intercourse after taking part in the “Mentari” health education. These changes were found to have a significant difference compared with the control group (p < 0.05).
Conclusion
“Mentari” health education may help improve the sexual function of the women having menopause. This health education can be provided by the nurses to this group of women.
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Keywords
Health education; Sexual function; Menopause
Factors relating to nurse satisfaction with communication during the bedside handoverRina Karmila
Hanny Handiyani
Shanti Farida Rachmi
Enfermería ClínicaFactors relating to nurse satisfaction with communication during the bedside handoverObjective
This study is to describe the factors related to nurse satisfaction with communication during the bedside handover in the hospitals in Banda Aceh.
Method
This research used a descriptive correlation design with a cross-sectional approach. The data retrieval instruments used based on the General Self-Efficacy Scale instrument, the Handover Evaluation Scale (HES), and the Ferguson questionnaire.
Results
The results showed that there was a significant relationship between communication during the bedside handover, as perceived by the nurse, and nurse satisfaction (p = 0.001; r = 0.829), and showed that significant relationships between age, length of employment, self-efficacy, a nurse's job satisfaction.
Conclusion
The most dominant factors related to nursing satisfaction during the bedside handover were communication during the bedside handover variables. This study can be used as an evidence base regarding nurse satisfaction with communication during the bedside handover process to improve the quality of care and patient safety.
Keywords
Bedside handover; Effective communication; Nurse manager; Nurse satisfaction
Self-efficacy, depression, and adherence to antiretroviral therapy (ART) among Indonesian women with HIVSandra Andini
Sri Yona
Agung Waluyo
Enfermería ClínicaSelf-efficacy, depression, and adherence to antiretroviral therapy (ART) among Indonesian women with HIVObjective
This study aimed at investigating the relationship between self-efficacy, depression, and adherence to antiretroviral therapy (ART) in Indonesian women with HIV.
Method
This study employed a cross-sectional research design. The participants were 120 women with HIV aged 18–60 years on self-administered ART regimens.
Results
This study shows a significant relationship between self-efficacy and adherence to ART (p-value = 0.004; OR 2.330). Women are living with HIV with high self-efficacy adherence to following their ART 2.33 times more often than those with low self-efficacy. It is shown that a significant relationship exists between depression and adherence to ART (p-value = 0.001; OR 3.647). Depressed HIV women took ART medication 3.64 times less often than who did not have depression.
Conclusion
It is recommended to increase the level adherence rate by improving self-efficacy and reduce depression.
Keywords
Adherence; Depression; Self-efficacy; Women; HIV
The relationship between stigma, religiosity, and the quality of life of HIV-positive MSM in Medan, IndonesiaNi Luh Jayanthi Desyani
Agung Waluyo
Sri Yona
Enfermería ClínicaThe relationship between stigma, religiosity, and the quality of life of HIV-positive MSM in Medan, IndonesiaObjective
This study aims to determine the relationship between stigma, religiosity, and the quality of life of HIV-positive men who have sex with men (MSM) in Medan.
Methods
This is an analytical observational study with a cross-sectional approach. Data in demographics, stigma, religiosity, and quality of life were obtained directly from the participants. Data were taken from April to May 2018. There were 175 subjects who met the criteria which; (i) HIV-positive MSM; (ii) aged ≥ 18 y.o.; and (iii) able to read and write.
Results
Bivariate analysis found that there is a negative relationship between stigma and quality of life (p-value = 0.007), and there is a positive relationship between religiosity and quality of life (p-value = 0.000).
Conclusion
These findings suggest that stigma is an indicator of poor quality of life, while higher religiosity is associated with better quality of life. An interdisciplinary approach is needed in health care planning and social services, to improve the quality of life of HIV-positive MSM.
Keywords
Quality of life; Stigma; Religiosity; MSM
Prevalence of burnout syndrome among nurses in general hospitals in provincial East Java: Cross-sectional studyKuswantoro Rusca Putra
Setyowati
Enfermería ClínicaPrevalence of burnout syndrome among nurses in general hospitals in provincial East Java: Cross-sectional studyIntroduction
Burnout is a psychological response that is emotional and related to chronic stress experienced by workers in service organizations who interact directly with service users.
Objective
To identify the prevalence of burnout syndrome among nurses in general hospitals and establish associations with socio-demographic factors.
Method
The research design used was descriptive exploratory with a cross-sectional approach using a sample of 485 nurses in medical and surgical units in three general hospitals in the East Java province. Data was collected in 2018 using a self-reported questionnaire from the Maslach Burnout Inventory-Human Service Survey (MBI-HSS) that was applied to identify burnout syndrome and a socio-demographic questionnaire was used to evaluate respondents’ demographics.
Results
A high level of burnout was recognized in 34.8% of the respondents in the area of emotional exhaustion (EE), 24.3% in the area of depersonalization (DP) and 24.5% in the area of reduced personal accomplishment (RPA). Correlation analysis showed that marital status and work experience were related to EE (p < 0.05); employment status and age were linked to DP (p < 0.05); and marital status was related to RPA (p < 0.05).
Conclusion
The prevalence of nurses who experience burnout syndromes is high. Therefore, the hospital management needs to identify sociodemographic characteristics which will improve the working environment, recruitment and retention systems and the provision of effective health services.
Keywords
Nurses’ burnout syndrome; General hospital; Medical and surgical units
The voice of Indonesian gay men who want to have heterosexual orientationNanang Khosim Azhari
Herni Susanti
Ice Yulia Wardani
Enfermería ClínicaThe voice of Indonesian gay men who want to have heterosexual orientationObjective
Some homosexuals have a strong desire to change their sexual orientation to a heterosexual one. This study attempted to understand the Indonesian gay men's motivations to change their sexual orientation.
Method
Using a qualitative study desain and a snowball sampling approach, we carried out in-depth interviews with six young adult gay men living in two main cities in Indonesia.
Results
We identified three major themes: (1) motivations to change sexual orientation, (2) strategies to change sexual orientation, and (3) internal and external factors related to sexual orientation change.
Conclusions
This study recommends a comprehensive support from mental health services to help individuals address the sexual orientation matters.
Keywords
Homosexual; Heterosexual; Indonesia; Motivation; Sexual orientation
The experience of caring for an advanced lung cancer spouse: Vulnerable journey of caregivingYulia Sihombing
Agung Waluyo
Sri Yona
Enfermería ClínicaThe experience of caring for an advanced lung cancer spouse: Vulnerable journey of caregivingObjective
The aim of this study is to gain a deep understanding of the experience of carrying the role of spousal caregiver of an advanced lung cancer partner during treatment in hospital.
Methods
A qualitative, descriptive phenomenology approach was applied to nine participants, who were chosen based on being in a vulnerable group: female, male, and elderly caregivers. Data collection was done using in-depth interviews. Colaizzi's method was applied in data analysis.
Results
The findings revealed three themes shared from the participants’ perspectives and experiences about the caregiver role: changing roles in the family, sincerity in caring for an ill partner, and changes in closeness with the spouse.
Conclusion
Spousal caregivers have an important role in patient treatment and also need interventions to enable them to perform and adjust to the caregiver role.
Keywords
Advanced lung cancer; Caregiver; Spousal
Intrapartum care satisfaction at three levels of healthcare facilities in JakartaMarilin Diah Astuti
Imami Nur Rachmawati
Hayuni Rahmah
Enfermería ClínicaIntrapartum care satisfaction at three levels of healthcare facilities in JakartaObjective
To identify maternal satisfaction with childbirth delivery services at three levels of healthcare facilities in Jakarta, Indonesia.
Method
151 postpartum mothers in Jakarta were selected according to the proportion of childbirth deliveries at three levels of healthcare facilities. The instruments used were a respondent's characteristics questionnaire; the Childbirth Expectation Questionnaire (Indonesian version); a social support questionnaire, which was a modification of the Indonesian version of the Postpartum Support System and Family Coping Questionnaire; and the Indonesian version of the Satisfaction with Intrapartum Care.
Results
The majority of respondents expressed their satisfaction with the childbirth delivery services at the three levels of healthcare facilities. The most influential factor for satisfaction with the childbirth delivery service at the level 1 healthcare facility was the expectation of labour (odds ratio [OR] 49.15; 95% confidence interval [CI]: 2.29–105.45). The factor that most influenced satisfaction with the childbirth delivery service at the level II and level III healthcare facilities was social support (OR 16.55; 95% CI: 1.09–251.98 and OR 56.2; 95% CI: 3.41–927.7, respectively).
Conclusions
The pattern of satisfaction with intrapartum care did not differ significantly between the three levels of healthcare facilities (p > 0.05).
Keywords
Healthcare facility; Primary health care; Satisfaction with intrapartum care
Factors that influence the implementation of patient's safety culture by ward nurses in district general hospitalIda Faridah
Setyowati
Enfermería ClínicaFactors that influence the implementation of patient's safety culture by ward nurses in district general hospitalObjective
This study aims to determine the influencing factors of patient safety culture implementation by ward nurses in the hospital.
Method
This research used descriptive correlation with cross-sectional approach. The study population was 205 respondents. Data obtained by distributing valid and reliable questionnaires. Univariate and bivariate data were analyzed using chi-square test.
Results
The results showed that 60.5% of nurses had good patient safety knowledge. A total of 57.5% of nurses had high motivation and stated that leader behaviors supported patient safety implementation (54.6%). In another hand, 51.2% of nurses said they had implemented patient safety culture. In the next analysis, there was a significant relationship between nurses’ knowledge, the motivation of patient safety, and the behavior leaders with its implementation of patient safety culture (p < 0.05).
Conclusions
This study shows the individual factors influence the implementation of patient's safety culture in hospital.
Keywords
Knowledge and motivation; Leadership behavior; Patient safety culture; Ward nurses
The factors affecting the quality of life of kidney transplantation patients at the Cipto Mangunkusumo General Hospital in Jakarta, IndonesiaMegawati
Krisna Yetti
Lestari Sukmarini
Enfermería ClínicaThe factors affecting the quality of life of kidney transplantation patients at the Cipto Mangunkusumo General Hospital in Jakarta, IndonesiaObjective
The purpose of this study was to determine the quality of life (QoL) patients with kidney transplantation and the influencing factors.
Methods
This cross-sectional study used a purposive sampling data collection method that involved 110 patients who met the inclusion criteria. The QoL were measured using the abbreviated form of the World Health Organization's Quality of Life questionnaire. The data was analyzed using proportions, the chi-squared test, and a multiple logistic regression analysis.
Results
The QoLs of the kidney transplant patients at the Cipto Mangunkusumo General Hospital in Jakarta, Indonesia were generally good (71.8%). The factors affecting the patients’ QoLs were the age (p = 0.002), educational level (p = 0.001), employment status (p = 0.010), family support (p = 0.024), and Immunosuppressant medication adherence (p = 0.009). The dominant factor affecting the QoL was the educational level (odds ratio = 11.490).
Conclusion
The patients’ QoLs were influenced by their ages, educational levels, employment statuses, family support, and immunosuppressant medication adherence.
Keywords
Kidney transplantation; Quality of life; Level of education
“Sehati” health education to improve physical and psychological adaptation of the postpartum women having pre-eclampsiaEndah Ekawati
Setyowati
Tri Budiati
Enfermería Clínica“Sehati” health education to improve physical and psychological adaptation of the postpartum women having pre-eclampsiaObjective
This study aimed to determine the influence of “Sehati” Health Education on physical and psychological adaptation of pre-eclamptic postpartum women.
Method
We used a quasi-experimental pre- and post-test with control group study design. We recruited 60 postpartum mothers in Banyumas and Purbalingga, Indonesia, selected with consecutive sampling. “Sehati” health education and home visits were provided for the intervention group. Data were collected using the Postpartum Specific Anxiety Scale (PSAS) and Multidimensional Scale of Perceived Social Support (MSPSS) questionnaires.
Results
There were significant differences in physical and psychological adaptation before and after the health education (p = 0.039; p = 0.007, respectively) in the intervention group. There were also significant physiological and psychological adaptation differences between groups after the intervention (p = 0.018; p = 0.004). The results of logistic regression analysis demonstrated that “Sehati” health education had a dominant effect on postpartum physiological adaptation with an OR score: 5.114 (95% CI: 1.498–17.465) and on postpartum psychological adaptation with an OR score: 6.671 (95% CI: 1.890–19.043).
Conclusion
“Sehati” health education influenced the physiological and psychological adaptability of pre-eclamptic postpartum women. It could be provided as a nursing intervention to assist postpartum women with pre-eclampsia.
Keywords
Health education; Pre-eclampsia; Postpartum; Physical and psychological adaptation
The relationship between family's informational support and self-efficacy of pulmonary tuberculosis clientMaula Mar’atus Solikhah
Astuti Yuni Nursasi
Wiwin Wiarsih
Enfermería ClínicaThe relationship between family's informational support and self-efficacy of pulmonary tuberculosis clientObjective
This study purposed to determine the relationship of informational support from family with self-efficacy of tuberculosis clients.
Method
It applied cross sectional design to 99 tuberculosis clients as purposive samples at one Public Health Center in South Jakarta. The result showed that there was a relationship between informational support and self-efficacy (p value 0.002, α 0.05).
Results
The TBC clients with less family support were at risk of 4.047 times of low self-efficacy compared to clients with good family supports (95% CI OR: 1.721; 9.519).
Conclusion
The study concluded that informational support is important for tuberculosis treatment. This study recommends empowering family in providing informational support to increase the self-efficacy among tuberculosis clients.
Keywords
Pulmonary tuberculosis; Informational support; Self-efficacy; Tuberculosis nursing care
Correlation of family acceptance and peer support group toward sexual behavior risk on MSM with HIV/AIDS in Medan, IndonesiaEdianto
Agung Waluyo
Sri Yona
Enfermería ClínicaCorrelation of family acceptance and peer support group toward sexual behavior risk on MSM with HIV/AIDS in Medan, IndonesiaObjectives
This research aims to determine the relationship of family acceptance and peer group support toward sexual behavior risk and the sociodemographic factors that influence it.
Method
The study uses cross-sectional design, which involves 180 MSM (men who have sex with men) with HIV/AIDS as respondents, using a consecutive sampling technique.
Results
The results show that most respondents have high family acceptance (52.8%) and good peer support (56.1%); 56.7% of respondents have high sexual behavior risk. The chi-squared test determined a significant relationship between family acceptance and peer support with sexual behavior risk (p < 0.001 and p < 0.001; α = 0.05).
Conclusion
Nursing interventions that encourage family members to always accept the condition of patients-specifically MSM-with HIV/AIDS are necessary to prevent sexual behavior risk.
Keywords
Family acceptance; Peer group support; Sexual behavior risk; MSM with HIV/AIDS
Nurses’ perception and nursing satisfaction using “The Corner Competency System”Rr. Tutik Sri Hariyati
Hanny Handiyani
Bejo Utomo
Shanti Farida Rahmi
Hidayat Djadjuli
Enfermería ClínicaNurses’ perception and nursing satisfaction using “The Corner Competency System”Objective
This study was to evaluate a Nurses’ perception and nurse satisfaction as a result of the implemented of the Corner Competency System.
Method
This study was developed a prototyping corner system for nursing learning media. This research used a pre-experimental without control design in which 66 nurses were asked to express their perceptions toward the learning method; it then analyzed the responses by dependent t-test.
Result
Positive perception improvement after implementation of the system and the average improvement between 0.06 and 0.8. Satisfaction before implementation was 64.32, and after using system was 72.92 (SD: 11.05, p = 0.001).
Conclusion
Many nurses have positive perception and felt more satisfied using Corner System that supported the blended model by the online learning and face to face approach. It is suggested that management improve its competency process by using an innovation model not only through the conventional face-to-face method but also through e-Learning methods.
Keywords
Continuing Nurse Education; “The Corner Competency System”; Online learning; Satisfaction; Nursing perception
Whether Clinical Nurses (PK) III placement in the outpatient unit is in accordance with its functions and responsibilities?Syifa Humairoh
Krisna Yetti
Shanti Farida Rachmi
Enfermería ClínicaWhether Clinical Nurses (PK) III placement in the outpatient unit is in accordance with its functions and responsibilities?Objective
Most Clinical Nurses (PK) III are commonly assigned in the Outpatient Unit, but the assigning of nurses in each unit has not yet been in line with their skill and detail of their authority as a clinical nurse.
Method
This study used employed qualitative design with a phenomenological approach. It focused on the description of the importance and significance of PKs III experience in the Outpatient Unit. The participants were 10 PKs III in the Outpatient Unit aged 36–52.
Results
This study results in five themes which describe the experience of PKs III in undergoing a career path in the Outpatient Unit which are formed from eleven categories.
Conclusion
PKs III in the outpatient unit does not function according to their responsibilities. Unless it is taken care of seriously, the losses arising from this phenomenon will be repeated.
Keywords
Clinical Nurse III; Competent nurse; Outpatient unit
Strengthening resilience in families of street adolescents with embedding spiritual valuesReni Chairani
Achir Yani S. Hamid
Junaiti Sahar
Elly Nurachmah
Tri Edhi Budhi
Enfermería ClínicaStrengthening resilience in families of street adolescents with embedding spiritual valuesAbstract
The problems that occur in street adolescents inflict heavy burdens upon the family, which the family should be able to withstand.
Objective
This study aims to identify the families’ experiences of strengthening their resilience in helping street adolescents to adapt as they grow and develop.
Method
This qualitative study took a phenomenological approach of recruiting six participants after saturating the data.
Results
The study showed that the main reason why adolescents had occupations in the street was to assist their families financially. Other reasons were the influence of friends and imitating the parents’ previous jobs. The families’ anxieties over their adolescents’ safety were psychological responses that emerged later. Investment in spiritual values became a coping source for these families.
Conclusions
The families’ acceptance of their fears did not occur because of their powerlessness but rather indicated their resilience in facing the situation.
Keywords
Families of street adolescents; Spirituality; Family resilience
Illness acceptance and quality of life among end state renal disease patients undergoing hemodialysisCut Sarida Pompey
Muhamad Nur Ridwan
Anggri Noorana Zahra
Sri Yona
Enfermería ClínicaIllness acceptance and quality of life among end state renal disease patients undergoing hemodialysisObjective
End-stage renal disease (ESRD) has changed in patients’ physical, mental, and social activities. ESRD patients undergoing hemodialysis may adapt their chronic condition by building illness acceptance, and it may influence their quality of life. The aim of the study is to explore illness acceptance, quality of life, and the correlation between illness acceptance and quality of life among ESRD patients undergoing hemodialysis.
Method
The study was cross-sectional design with the consecutive sampling of 114 ESRD patients undergoing hemodialysis. Data were collected by the completion questionnaire of sociodemographic, Acceptance of Illness Scale and WHO Quality of Life-BREF.
Results
The mean score of illness acceptance of participants was M (SD) = 24.71 (6.19) and more than half participants (50.9%) had moderate illness acceptance. The mean score of total quality of life was 82.54 (SD = 11.63). The psychological domain was the highest mean score, and physical health was the lowest mean score among participants. There was a weak positive correlation between illness acceptance and quality of life among ESRD patients undergoing hemodialysis (r = .256, p < .05).
Conclusion
This study shows that higher illness acceptance contributes to higher quality of life. Physical health domain of quality of life ESRD patients is needed for improvement.
Keywords
Illness acceptance; Quality of life; Hemodialysis; ESRD patients
Barriers for nurses provided nursing care for gay clients living with HIV/AIDS in IndonesiaKurniawan
Herni Susanti
Mustikasari
Enfermería ClínicaBarriers for nurses provided nursing care for gay clients living with HIV/AIDS in IndonesiaObjective
This study aims to explore the barriers Indonesian nurses face when providing care for gay clients with HIV/AIDS.
Method
This study uses a descriptive qualitative approach by utilizing a purposive sampling technique. The research was carried out in two leading hospitals in Jakarta, with one government and one private hospital included. The research data were analyzed using a thematic analysis.
Results
The contents of this research resulted in three main themes: client-based barriers to nursing care, family-based barriers to nursing care, and care constraints that are derived from the nurses themselves.
Conclusion
Nurses need to be open, to involve clients and families to discuss problems encountered. Also, nurses need to be equipped with specific knowledge and skills of how to handle gay clients through trainings especially related to sexuality knowledge and communication skills.
Keywords
Gay; HIV/AIDS; Barriers; Nurse; Client; Nursing care
Caring behavior of nurses is linked to the implementation of bedside handover between shiftsMellawani
Krisna Yetti
Tuti Nuraini
Enfermería ClínicaCaring behavior of nurses is linked to the implementation of bedside handover between shiftsObjective
This study examined the relationship of nurses’ caring behavior with the implementation of bedside handover between shifts.
Methods
A descriptive cross-sectional design was used in this study. A total of 153 nurses in three hospitals in Kepulauan Bangka Belitung Province, Indonesia took part in the study and filled out the Handover Evaluation Scale (HES) and Measuring of Nurses’ Caring Behavior (MNCB) questionnaires. Data were analyzed by performing Pearson correlation test.
Results
There was a statistically significant relationship between the nurses’ caring behavior and bedside handover implementation (p = 0.000, r = 0.537).
Conclusion
Nurses’ caring behavior is linked with the implementation of the bedside handover. Nurse managers are expected to improve the caring behavior of nurses and the implementation of bedside handovers by designing a supportive environment, providing periodic supervision, and conducting the evaluation.
Keywords
Bedside handover; Caring nurse behavior
Learning culture of nurse about patient safety in hospital: A qualitative studyMuliyadi
Budi Anna Keliat
Mustikasari
Rr. Tutik Sri Hariyati
Enfermería ClínicaLearning culture of nurse about patient safety in hospital: A qualitative studyObjectives
This study aims to critically appraise and synthesize nurses’ learning culture of patient safety in the hospital.
Methods
A qualitative phenomenological approach was followed. The purposeful sampling method was employed. Eleven participants met the criteria's including seven staff nurses, one nurse team leader, one head nurse in the ward, one patient safety team and one head nurse. Data were collected using in-depth interview protocol and analyzed using Colaizzi's method.
Results
Four main themes described the nurses’ learning culture of patient safety in the hospital: (1) the stages of developing a learning culture with categories awareness, preparedness, implementation and maintenance; (2) learning activities with categories training; group learning through discussion and reflection of cases; individual learning; (3) learning culture support with categories managers, peers, and individuals; (4) learning focus with categories patient safety goals and culture.
Conclusion
The learning culture of nurses was developed through 4 stages with a variation of learning methods with the focus on goals and safety culture through the support of managers, groups, and individuals.
Keywords
Hospital; Learning culture; Nurse; Patient safety
The expectations of gay with HIV/AIDS regarding nurses in IndonesiaMalianti Silalahi
Herni Susanti
Ria Utami Panjaitan
Enfermería ClínicaThe expectations of gay with HIV/AIDS regarding nurses in IndonesiaObjective
There has been a lack of literature available to nurses on care provision to gay individuals with HIV/AIDS. Research nurses’ interaction with gay patients with HIV/AIDS is important for providing and improving such nursing care.
Method
This study used a qualitative descriptive design. Data was collected using depth interviews from 14 participants gay with HIV/AIDS in Indonesia, which were analyzed using thematic approach.
Research results
This research yielded three themes: (1) nurses’ acceptance of gay with HIV/AIDS; (2) extensive knowledge among nurses about gay and HIV/AIDS; and (3) communication nurses are warm and without barrier.
Conclusion
Attitudes, knowledge, and communication are key issues impacting the nursing care of gay with HIV/AIDS. Attitude and other non-verbal communication should be considered by nurses when providing care. Value of culture should be considered by nurse when providing care for gay patient.
Keywords
Nurses; Gay; HIV/AIDS; Attitude; Knowledge; Communication
Impact of hospital accreditation on quality of care: A literature reviewImelda Avia
Rr. Tutik Sri Hariyati
Enfermería ClínicaImpact of hospital accreditation on quality of care: A literature reviewObjective
To review and analyze the impact of hospital accreditation on quality of care.
Method
We reviewed articles of the hospital accreditation impact on quality of care which had been published in English and Indonesian from 2008 to 2018. Comprehensive searches were conducted in the online databases of ProQuest, CINAHL and ScienceDirect.
Results
A total of 11 articles were reviewed. We found that the hospital accreditation impacted the quality of care through improved quality of management (81.81%), improved employee participation (27.27%), and improved quality of results (54.54%). The articles studied nurses and other health workers with consideration on their work experience, education, and age.
Conclusions
Hospital accreditation has positive impact in improving the quality of services provided in the hospitals. The greatest impact was reflected by the hospitals that had been accredited by the Joint Commission International. The perceptions on which the studies were based came from various health care personnel and were not limited to professional nurses. Therefore, further research is needed to understand the impact of accreditation on the quality of care from the nurses’ perception.
Keywords
Impact of accreditation; Hospital; Quality of care
Utilization of interactive educational media in improving self efficacy of lung tuberculosis patients: Systematic literature reviewBahtiar
Astuti Yuni Nursasi
Enfermería ClínicaUtilization of interactive educational media in improving self efficacy of lung tuberculosis patients: Systematic literature reviewObjective
This article aims to identify and assess the utilization of interactive educational media in improving self-efficacy of pulmonary tuberculosis patients.
Method
A comprehensive search strategy by systematic literature review that searches research articles in database research journals, internet searches, and article reviews. The search database used in MEDLINE, CINAHL, Pubmed, Cochrane library, Proquest PsycINFO, and Science Direct.
Results
The use of interactive educational media on clients with Tuberculosis problems has been widely applied. Application of interactive educational media found that the interventions are to encourage the client to overcome the existing obstacles such as loss of client's privacy, stigma from family and society, transportation problem, and the burden of conventional therapy.
Conclusions
Innovative strategies are needed in an effort to improve self-efficacy. The number of media can be a reference for health workers in implementing a tuberculosis treatment program that will enhance client self-efficacy.
Keywords
Pulmonary tuberculosis; Self-efficacy; Educative media; Interactive media; Interactive technology
The implementation of patient safety culture in nursing practiceDeny Gunawan
Rr. Tutik Sri Hariyati
Enfermería ClínicaThe implementation of patient safety culture in nursing practiceObjective
To summarize the implementation of patient safety culture in nursing practice at the hospitals.
Method
We did a literature review of the peer-reviewed articles published between 2009 until 2018 from four online databases: Emerald Insight, EBSCO, ScienceDirect, and Wiley Online, using the keywords “patient safety culture”, “nurse,” and “hospital.” For the selection of articles, we used the PRISMA Groove Model with a three-step procedure (i.e. reviewing the titles, abstracts, and full contents of the articles). Selected articles were analyzed based on the 12 dimensions of patient safety culture as proposed by Agency for Healthcare Research and Quality (AHRQ).
Results
11 articles were included in the final review. We categorized the results into three categories: strengths, weaknesses, and predictors of the patient safety culture of the nursing practice. The strengths consisted of four dimensions: (1) teamwork within units, (2) organizational learning and continuous improvement, (3) the support of the hospital management to the safety of patient, and (4) frequency of events reported. On the other side, weaknesses included: (1) assumptions about the safety of the patient as a whole, (2) handover and transfer, (3) open communication, (4) staffing, (5) nonpunitive response to errors, and (6) teamwork across hospital units. Lastly, the predictors of the patient safety culture were: (1) feedback and communication about errors and (2) supervisor/manager hopes and actions that promote safety.
Conclusion
Our findings can inform the hospital management to enhance the patient safety culture among nurses. It can also inform the strategy to manage the potential threats and opportunity of the patient safety implementation at the hospital.
Keywords
Culture; Nursing management; Patient safety; Hospital
The effect of culture-based interventions on satisfaction and quality of life of elderly at social welfare institution in West SumateraRika Sabri
Achir Yani S. Hamid
Junaiti Sahar
Besral
Enfermería ClínicaThe effect of culture-based interventions on satisfaction and quality of life of elderly at social welfare institution in West SumateraIntroduction
Life satisfaction and quality of life of elderly people are still major issues in elderly residential care homes in West Sumatra. It is mainly caused by the low quality of services provided for the elderly in the care homes. Interventions are needed to overcome this problem by means of the role of nurses as advocacy with a cultural approach.
Objective
To examine the effect of culture-based interventions on satisfaction and quality of life in elderly people from Minang culture background.
Method
This research used quasi-experimental design, or pre–post intervention design, with a total sample of 76 elderly people. They were divided into 38 people for each intervention and each control group. Data were analyzed using general linear model-repeated measures.
Results
There was the difference in life satisfaction and quality of life of the elderly in the PSTW (state-run nursing homes) before and after the intervention both in the intervention group and the control group (p < 0.000).
Conclusions
Culture-based interventions were effective to increase the satisfaction and quality of life of Minang elderly people.
Keywords
Minang elderly people; Minang culture; Life of satisfaction; Quality of life
“Family support for the older person”: Assessing the perception of the older person as care recipient through the implementation of the cordial older family nursing modelEtty Rekawati
Ni Luh Putu Dian Yunita Sari
Rizkiyani Istifada
Enfermería Clínica“Family support for the older person”: Assessing the perception of the older person as care recipient through the implementation of the cordial older family nursing modelObjective
To establish the perception of the older person as care recipients through the Cordial Older Family Nursing Model.
Method
This study used a qualitative phenomenological approach and in-depth interviews. A total of 18 participants between 65 and 85 years old from the work area of the Community Health Center in Harjamukti, Depok.
Results
The finding of this study highlighted five focal themes: (1) the various types of complaints made by the older person, (2) their ability to conduct daily activities, (3) the family support provided to them, (4) the grandchildren and in-laws who are being treated like the older person's own children, and (5) the expectations of old age among the older person.
Conclusions
Family support for the older person is proven to be a dominant theme among the participants. The evidence indicates older people acknowledge the positive impacts of the Cordial Older Family Nursing Model.
Keywords
Perception of the older person; The Cordial Older Family Nursing Model; Geriatric family
Improving mentor's competencies in nursing mentorship program through role empowerment by Swanson's theory of caringDewi Kusumaningsih
Rr. Tutik Sri Hariyati
Hanny Handiyani
Enfermería ClínicaImproving mentor's competencies in nursing mentorship program through role empowerment by Swanson's theory of caringObjective
This study aimed to identify the impact of role empowerment of mentor by Swanson's theory approach on mentor's competency in the mentorship program.
Method
Pilot study approach was used in this study. Pre-experiment design with one group pretest–posttest without control was used to evaluate the effectiveness of the intervention and 12 mentors were selected through a total sampling method and 36 mentoring programs were selected by total activities on time interventions. Paired t-test, Pearson correlation, Wilcoxon, and Spearman test were applied to analyze the data.
Result
There was a significant improvement in mentors’ knowledge, behavior, and skill prior to and following the intervention (p = 0.0001; α = 0.05). Mentor's skill was the competency with the lowest improvement (78.96%) compared to the competency of knowledge (85.4%) and behavior (84.65%).
Conclusion
Role empowerment of mentor by Swanson's theory of caring approach was effective in improving mentor's competencies in mentorship.
Keywords
Caring Swanson's theory; Competency of mentor; Mentorship program
Determinant of fluid adherence among hemodialysis patients in Malang, IndonesiaChairul Huda Al Husna
Krisna Yetti
Lestari Sukmarini
Enfermería ClínicaDeterminant of fluid adherence among hemodialysis patients in Malang, IndonesiaObjective
To analyze the factors related to fluid adherence among hemodialysis (HD) patients in a hospital in Malang.
Methods
The study used a cross-sectional design with a consecutive sampling technique. The sample comprised 98 respondents. The study was conducted in the HD Unit May 23–26, 2018. The data were collected by use of the characteristics of the respondent questionnaire, personality questionnaire, health locus of control questionnaire, family support questionnaire, and fluid adherence questionnaire. The Pearson correlation coefficient and the Spearman's rank correlation coefficient were calculated, and multivariate linear regression analysis was performed.
Results
The results showed that the factors related to fluid adherence were age (p = 0.001), complications (p = 0.017), agreeableness (p = 0.013), and family support (p = 0.001). The results of the multivariate analysis showed that the most dominant factor influencing fluid adherence was age (r = 0.255).
Conclusion
The results indicated that appropriate health education that involves the family was an important component in improving fluid adherence.
Keywords
Fluid adherence; Hemodialysis; Hemodialysis patients; Personality; Family support
Women's experience of domestic violence in MalukuFransina Tubalawony
Novy H.C. Daulima
Herni Susanti
Enfermería ClínicaWomen's experience of domestic violence in MalukuObjective
The purpose of this research was to explore women's experience of domestic violence in Maluku.
Method
A qualitative methodology with a phenomenological approach was used in this study. There were eight participants.
Results
The research has found five themes including the changing behavior of husbands, the causes of domestic violence, the forms of domestic violence involving husbands, the impact of domestic violence on self-concept, and strengthening self-potential.
Conclusions
The result of this research recommends mental health nurses should counsel women who experienced domestic violence during the recovery stage to enhance the women's mental health.
Keywords
Intimate partner violence (IPV); Women's experience
The relationship between stigma, family acceptance, peer support and stress level among HIV-positive men who have sex with men (MSM) in Medan, North Sumatera, IndonesiaFallon Victoryna
Sri Yona
Agung Waluyo
Enfermería ClínicaThe relationship between stigma, family acceptance, peer support and stress level among HIV-positive men who have sex with men (MSM) in Medan, North Sumatera, IndonesiaObjective
This present study investigates the level of stress and its relationship with stigma, family acceptance, and peer support among 176 HIV-positive MSM in Medan, Indonesia.
Method
This cross-sectional study with chi-square analysis was conducted April 2018 through May 2018 in Medan. The sample of this study were general HIV patients who identified themselves as MSM, were >18 years old, and were able to read and write in Indonesian. Data collection was conducted at Dr. H. Adam Malik Medan Hospital, Pirngadi General Hospital, Padang Bulan, and Teladan Kota Medan Health Center.
Results
Findings show that 55.1% of the participants had severe stress. The results of this statistic showed that only stigma was positively associated with stress (p = 0.049).
Conclusions
The results suggested that there is a need to reduce HIV stigma in reducing stress levels among HIV-positive MSM. Specific intervention should be designed for this population and integrated into programs to reduce stress levels.
Keywords
Stress; Stigma; Peer support; Family acceptance; MSM; HIV
Emotional reactions and coping strategies of carers of people with serious mental illnesses: A focus group studyHerni Susanti
Karina Lovell
Hilary Mairs
Enfermería ClínicaEmotional reactions and coping strategies of carers of people with serious mental illnesses: A focus group studyRevisi link: https://www.sciencedirect.com/science/article/abs/pii/S1130862119301305
Objective
This study aimed to explore the perception of caring for individuals with serious mental illnesses from the perspectives of carers and service users.
Method
This was a qualitative research employing nine focus groups. A total of 46 participants involved in the study, consisted of seven groups of carers (n = 33) and two groups of service users (n = 13). The entire participants were recruited from two government mental health hospitals in Indonesia. The data were analysed by using framework analysis.
Results
Both service user and carer participants perceived that caring for individuals with serious mental illnesses with regard to emotional reactions and coping strategies in undertaking caregiving role.
Conclusion
The study suggests that taking care of individuals with serious mental illnesses was not just a burden but that it could also be rewarding. In addition, the cultural beliefs have guided the carers for seeking help from traditional healers instead of medical professionals especially in the initial phase of the relatives’ illness. The finding recommends to an application of culturally-based approaches in order to deliver effective professional support for the carers.
Keywords
Serious mental illness; Carer; Service user; Coping; Focus groups
Perceptions of family caregivers on the implementation of the cordial older family nursing model: A qualitative studyEtty Rekawati
Rizkiyani Istifada
Ni Luh Putu Dian Yunita Sari
Enfermería ClínicaPerceptions of family caregivers on the implementation of the cordial older family nursing model: A qualitative studyObjectives
This study aims to understand the perceptions of family members as caregivers on the implementation of the cordial older family nursing model.
Method
This study used a qualitative phenomenological study with an in-depth interview. A total of 18 Participants were selected using a purposive sampling technique. The data from the participants was acquired through semi-structured interviews. Subsequently, the data were analyzed using the Colaizzi method. This study has obtained approval from the research ethics committee.
Results
This study highlighted five focal themes, include (1) expressed emotions among caregivers, (2) caregivers of the older persons, (3) the impact of the cordial older family nursing model, (4) caregivers’ expression of gratitude toward the older persons, and (5) barriers to providing nursing through the cordial older family nursing model.
Conclusion
Family caregivers have some issues concerning how to provide care to older persons in wide-ranging activities. Post implementation of the cordial older family nursing model revealed that family caregivers showed positive values and attitudes such as emotional expression, types and means of care, and appreciation of the older persons.
Keywords
Indonesia; Family; Elderly people; Geriatric family nursing model; Caregivers
The determinant factor of nurse's hand hygiene adherence in IndonesiaHanny Handiyani
Mitsuhiro Ikegawa
Rr. Tutik Sri Hariyati
Mika Ito
Firman Amirulloh
Enfermería ClínicaThe determinant factor of nurse's hand hygiene adherence in IndonesiaObjective
The general objective of this research is to describe the determinant factors of hand hygiene adherence in the inpatient ward settings.
Method
This research has been done with quantitative method with cross-sectional approach. Research data were obtained from the questionnaire and observation forms of hand hygiene adherence. Respondents are nurses from 10 public regional hospitals in DKI Jakarta. The sample size for questionnaire was 457 nurses with incidental sampling and the total of observation was 2437 opportunities in terms of hand hygiene implementation.
Results
The analysis result of nurse's hand hygiene adherence with a questionnaire instrument is 51.2% while the nurse's hand hygiene adherence with observation instrument is 20.4%. The dominant factors in doing hand hygiene are the nurse's gender, the nurse's attitude, and the head of ward's support (R2 = 0.123). The observation of hand hygiene stated that the dominant determinant were age and nurse education (R2 = 0.046).
Conclusion
Education, age, gender and nurse attitude were internal significant determent and the most external determinant was the head of ward's support. Other studies are related to other causes of hand hygiene compliance need to be investigated to find the biggest causes of noncompliance. Thus, appropriate interventions can be established to improve nurses’ compliance with hand hygiene.
Keywords
Hand hygiene adherence; Nurse's attitude; Nurse education; The head of ward's support
Maternal age as a main factor influencing prenatal distress in Indonesian PrimigravidaIke Puspasari Ayu
Imami Nur Rachmawati
Titin Ungsianik
Enfermería ClínicaMaternal age as a main factor influencing prenatal distress in Indonesian PrimigravidaObjectives
Pregnancy is a maturation crisis, especially for primigravida, which affects both mother and fetus well-being. This study aimed to identify prenatal distress in primigravida and its relationship with maternal age, educational background, income level, gestational age, social support, previous traumatic experiences, satisfaction with paternal support, and pregnancy planning.
Methods
This cross-sectional study involved 214 primigravidas in Serang City, Banten Province, Indonesia. Translated instruments, such as a socio-demographic questionnaire, PTSD Symptom Scale (PSS), the Multidimensional scale of perceived social support (MSPSS), London Measure of Unplanned Pregnancy Instrument (LMUP), Marital Adjustment Test (MAT), and Prenatal Distress Questionnaire (PDQ), were applied.
Results
The results revealed that most respondents experienced severe distress (55.6%). Maternal age is the most dominant factor influencing prenatal distress in primigravida (OR = 10.31; 95% CI: 4.7–22.6).
Conclusions
The younger the mother, the greater the extent of the psychosocial problems. A higher maternal age is assumed to be associated with greater adaptation to the changes occurring during pregnancy. Healthcare providers should be aware that pregnancy can lead to distress, especially in young primigravidas. Programs to maintain mental health during pregnancy should be implemented.
Keywords
Prenatal distress; Primigravida; Satisfaction with paternal support young mother
Improved functional status and quality of life among the public institutionalized elderly in JakartaJunaiti Sahar
Etty Rekawati
Dwi Nurviyandari Kusuma Wati
Utami Rachmawati
Enfermería ClínicaImproved functional status and quality of life among the public institutionalized elderly in JakartaObjective
A nurse, caregiver, and elderly partnership are essential in aged care institutions to maintain a functional status and quality of life for the elderly. However, there are insufficient aged care institutions that can provide thorough care service due to the limitations of the aged care service system teams. This study aimed to determine the effectiveness of the nurse, caregiver, and elderly partnership model (MiRaDaSia) on the functional status and quality of life of the elderly living in public aged care institutions in Jakarta, Indonesia.
Method
This quasi-experimental design included 102 participants in an intervention group and 102 participants in a control group. Samples were taken with multistage random sampling, the World Health Organization Quality of Life-BREF, and Barthel Index were used to measure elderly patient quality of life and functional status, and McNemar's test and repeated measurements were used to analyze the results.
Results
The results showed improving functional status and quality of life after 12 weeks of the intervention.
Conclusions
We can conclude that the MiRaDaSia model is significantly effective in improving the functional status and quality of life of the institutionalized elderly. The use of this model allowed the aged care service system members to take part based on their roles and competencies optimally. Finally, this model can be used as a model of care in other aged care institutions in Indonesia and as a training reference for future nurses to be assigned in that setting.
Keywords
MiRaDaSia; Functional status; Quality of life; Nursing intervention
“AeRop exercise” can improve the sleep quality of Indonesian pediatric cancer patientsKhoirunnisa
Happy Hayati
Yati Afiyanti
Allenidekania
Enfermería Clínica“AeRop exercise” can improve the sleep quality of Indonesian pediatric cancer patientsObjective
This study identified the associations between the AeRop exercise (Indonesian abbreviation of a technique combining aerobic exercise with progressive muscle relaxation) and the sleep quality and fatigue of pediatric cancer patients undergoing chemotherapy.
Method
This quasi-experimental with control group study evaluated the AeRop exercise in 64 children with cancer undergoing chemotherapy who were recruited through a consecutive sampling method. They were assigned to intervention and control groups. Their fatigue and sleep problems were measured on day 1 and day 5 using Allen's Fatigue in Childhood Fatigue Scale and Sleep Disturbance Scale for Children. The data were analyzed using univariate analyses, dependent t-tests, and independent t-tests.
Results
There was a statistically significant difference in the sleep problems between the two groups after the AeRop exercise. However, the fatigue levels between the groups were only found to be slightly different (p = 0.05).
Conclusion
The AeRop exercise was associated with lesser sleep problems in the pediatric patients undergoing chemotherapy. This type of light exercise can be implemented as a nursing intervention in order to improve sleep in children with cancer.
Keywords
Children; Cancer; Fatigue; Exercise; Sleep
Assessing the relationship between knowledge of antiretroviral therapy and stigma regarding adherence to ART among men who have sex with menIna Martiana
Agung Waluyo
Sri Yona
Enfermería ClínicaAssessing the relationship between knowledge of antiretroviral therapy and stigma regarding adherence to ART among men who have sex with menObjective
This study aimed to assess the relationship between knowledge of antiretroviral therapy (ART) and stigma regarding adherence to ART.
Method
This cross-sectional study used a purposive sampling technique and involved 175 men who have sex with men (MSM), all of whom have HIV/AIDS. Levels of knowledge, stigma, and adherence were measured using the ART knowledge instrument, the Berger HIV Stigma Scale, and the Medication Adherence Questionnaire (MAQ), respectively.
Results
Most of the respondents had a high level of ART knowledge (76.6%), HIV-related stigma (51.4%), and non-adherence to ART (52%). The study showed a statistically significant negative correlation between stigma and adherence to ART (p = 0.043; α = 0.05). In addition, ART knowledge correlated positively with adherence to ART (p = 0.010; α = 0.05). Regression analysis showed that ART knowledge is an important factor influencing ART adherence (OR = 2.817).
Conclusions
It was found that as the level of ART knowledge increased, self-motivation and attitudes toward adherence to treatment increased.
Keywords
HIV; Antiretroviral; Adherence; Stigma; Knowledge
Adolescent–parent communication about sexual and reproductive health among junior high school students in five areas with the highest prevalence of HIV in Indonesia: A qualitative studyElly Nurachmah
Sri Yona
Rita Ismail
Yati Afiyanti
Syamilatul Khariroh
I Ketut Surdana
Siti Sabariah
Muhammad Haris Faisal
John Toding
Enfermería ClínicaAdolescent–parent communication about sexual and reproductive health among junior high school students in five areas with the highest prevalence of HIV in Indonesia: A qualitative studyObjective
To explore female adolescents’ perceptions of their communication with their mothers on the topics of sexuality and reproductive health.
Method
A qualitative methodology was used for this study. Data were obtained via focus-group discussions involving 78 female junior high school students, aged 11–15 years. The data were analyzed using content analysis. This study was conducted in Papua, Bali, Jakarta, Riau, and Pontianak.
Result
Several themes: (1) knowledge of sexuality and reproductive health, (2) mothers as primary sources of information about reproductive health, (3) factors facilitating communication between adolescents girls and their mothers with mothers, and (4) problems faced by adolescent girls when discussing SRH.
Conclusion
Although mothers and daughters communicate freely about many topics; however, discussions of SRH occur infrequently. Parent-based approaches could be effective strategies, especially in terms of improving communication with daughters.
Keywords
Adolescents; Sexual reproductive health; Indonesia; HIV/AIDS
Women's experiences of the prenatal group class in IndonesiaDesrinah Harahap
Yati Afiyanti
Enfermería ClínicaWomen's experiences of the prenatal group class in IndonesiaObjective
This study sought to understand the meaning of women's experiences of participating in a prenatal group class led by a maternity nurse specialist in Bekasi, West Java, Indonesia.
Method
We used a phenomenological approach and recruited seven postpartum mothers at a nurse-led maternity clinic. Data were collected through in-depth interviews and were analyzed using Creswell's systematic coding process.
Results
Six themes were found in this study: (1) reasons to join prenatal class, (2) having more preparation compared to former pregnancy, (3) having broader and detailed information, (4) benefitting from the prenatal yoga exercise, (5) having positive birth experience, and (6) receiving better support from the husband.
Conclusions
The experiences of women participating in the prenatal group class reflect the importance of the prenatal health promotion done by the nurses. This study also implies the needs of pregnant women to receive more comprehensive antenatal education than what they normally obtain from standard care.
Keywords
Group prenatal class; Phenomenological; Pregnant women's experience; Maternity nursing; Indonesia
The relationship between the level of knowledge regarding fast food and the dietary habits among adolescents in Jakarta, IndonesiaDiah Ayu Fatikhani
Agus Setiawan
Enfermería ClínicaThe relationship between the level of knowledge regarding fast food and the dietary habits among adolescents in Jakarta, IndonesiaObjective
This study analyses the relationship between the level of knowledge about junk food and the dietary habits among adolescents.
Method
As a descriptive correlative study, this research used a cross-sectional design. A total of 190 students in Grades 7 and 8 in a junior high school in Jakarta were recruited using a stratified random sampling technique. The study instrument was a questionnaire that contained 10 questions about the adolescents’ knowledge level regarding junk food and 20 statements about their dietary habits.
Results
The chi-square analysis shows that there is no correlation between the knowledge level regarding junk food and the dietary habits of adolescents at the school (p 0.543; α 0.05).
Conclusion
This research is expected to provide information to community nurses, parents, especially those who have teenagers, and to the community.
Keywords
Adolescent; Dietary habit; Fast food
Dissatisfaction with the husband support increases childbirth fear among Indonesian primigravidaLina Ayu Marcelina
Imami Nur Rachmawati, Titin Ungsianik
Enfermería ClínicaDissatisfaction with the husband support increases childbirth fear among Indonesian primigravidaObjective
To investigate the predictors of childbirth fear among Indonesian primigravida.
Method
This cross-sectional study involved 126 third trimester primigravidas in Bekasi city, Indonesia through a cluster sampling. We used the Indonesian version of Marital Adjustment Test (MAT), Perceived Stress Scale (PSS), Pregnancy-Related Anxiety Questionnaire (PRAQ-R2), and Wijma Delivery Experience/Expectancy Questionnaire (WDEQ-A).
Results
Severe childbirth fear was reported by 45.2% women. The women's satisfaction of the husband support (OR 11.96, 95% CI 4.3–33.1) and anxiety (OR 3.37, 95% CI 1.4–7.9) were found as the predictors of childbirth fear. However, knowledge regarding childbirth and stress were identified as two factors significantly related to childbirth fear (p < .005).
Conclusion
The lower satisfaction of the husband support increased the probability of childbirth fear. It is recommended for health care providers to facilitate husbands throughout antenatal care to support his wife in preventing childbirth fear.
Keywords
Anxiety; Childbirth fear; Primigravida; Satisfaction on husband support
Executive function in breast cancer survivors and the influencing factorsHilman Syarif
Agung Waluyo
Yati Afiyanti
Muchtaruddin Mansyur
Enfermería ClínicaExecutive function in breast cancer survivors and the influencing factorsObjective
The objective of this study was to analyze executive function (EF) in postchemotherapy breast cancer survivors and factors that influence it.
Method
This cross-sectional study was conducted in 2 hospitals in Jakarta and Bandung, Indonesia. Respondents consisted of 82 breast cancer survivors who had completed 6 cycles of chemotherapy, 81 nonchemotherapy breast cancer survivors, and 80 noncancer female patients, who were determined by consecutive sampling. Data collection tools included patient care documentation, Trail Making Test B, Pittsburgh Sleep Quality Index, Perceived Stress Scale, and Piper Fatigue Scale. Data analysis was done using multiple logistic regression.
Results
The mean age of the respondents was 43.06 ± 8.18 years, the mean score of stress was 13.12 ± 5.55, 81.1% of respondents had <12 years of education, 81.1% were not using hormonal therapy, 51.4% were in menopause, 62.6% did not have anemia, 51% had poor sleep quality, and 47.32% experienced mild fatigue. Furthermore, 86.6% of postchemotherapy breast cancer survivors had experienced EF impairment. Variables that had significant relationships with EF impairment were age, stress, length of education, classification of respondents, type of chemotherapy, hormonal therapy usage, menopausal status, hemoglobin level, and sleep quality.
Conclusions
It was concluded that most influencing variables that disrupt EF are chemotherapy type, age, and stress (OR 18.089, 1.138, and 1.104, respectively).
Keywords
Breast cancer survivor; Chemotherapy; Executive function
Experience of nurses who sit between two chairs: Study and work in Jakarta, IndonesiaAndi Amalia Wildani
Hanny Handiyani
Hening Pujasari
Enfermería ClínicaExperience of nurses who sit between two chairs: Study and work in Jakarta, IndonesiaObjective
The purpose of this study was to explore the experience of nurses attending formal education while actively working.
Method
The study used a qualitative method with a phenomenology approach. The participants consisted of 15 nurses attending formal education (Bachelor of Nursing, Nursing Professional designation, Master of Nursing, and Nursing Specialist) while actively working in one general hospital in Jakarta, Indonesia. Participants were selected using the purposive sampling technique. The data were collected with in-depth interviews and analyzed using Colaizzi's method.
Results
Four main themes from this study emerged, including (1) becoming a professional nurse, (2) self-funding for school costs, (3) feeling guilty about nursing assignments, and (4) lack of rest time.
Conclusions
This study concludes that nurses are attending formal education while actively working face various challenges and also have an impact on the safety of nurses and patients.
Keywords
Actively working; Formal education; Nurse
Correlations between adolescents’ perceptions of family health tasks and adolescents’ smoking behaviors in IndonesiaLa Syam Abidin
Poppy Fitriyani
Agus Setiawan
Enfermería ClínicaCorrelations between adolescents’ perceptions of family health tasks and adolescents’ smoking behaviors in IndonesiaObjective
This study was designed to analyze the relationships between adolescents’ perceptions of the implementation of family health duties and their smoking behaviors in Depok, Indonesia.
Methods
A quantitative, observational, cross-sectional analysis was carried out in one urban village. The sample of 310 adolescents was selected by using the stratified random sampling technique. The instrument (questionnaire) used in this study was developed by the researcher based on a literature review to measure the family health tasks and assess the smoking behaviors with the characteristics of the respondents.
Results
In total, 59.4% of the respondents were smokers, and 52.6% of the families could not carry out the health tasks. A chi-squared analysis (p = 0.043, odds ratio = 1.645) and multiple logistic regression analysis determined that the overall implementation of the family health tasks was most dominantly correlated with non-smoking behavior (OR = 2.627).
Conclusion
The families who could not implement all of the family health tasks tended to have adolescents who smoked.
Keywords
Adolescents; Family health tasks; Perception; Smoking
Patient safety culture and nurses’ attitude on incident reporting in IndonesiaAnastasia Sari Kusumawati
Hanny Handiyani
Shanti Farida Rachmi
Enfermería ClínicaPatient safety culture and nurses’ attitude on incident reporting in IndonesiaObjective
This study intended to evaluate the relationship between patient safety culture and nurses’ attitudes towards incident reporting.
Method
This cross-sectional study used cluster sampling at three public hospitals in Daerah Istimewa Yogyakarta (DIY) districts and continued with proportionate stratified random sampling on 400 nurses, including the head nurse, primary nurse/team leader, and charge nurse. Data were obtained through questionnaires.
Result
There was a strong and significant relationship between patient safety culture and nurses’ attitudes toward incident reporting (r = 0.838; p = 0.005).
Conclusion
Patient safety culture has an important role in nurses’ attitudes toward incident reporting. Hence, efforts to strengthen the patient safety culture could also improve nurses’ attitudes toward incident reporting.
Keywords
Blaming culture; Incident reporting; Nurse attitudes; Patient safety culture; Reporting attitudes; Staffing
Pressure to eat is the most determinant factor of stunting in children under 5 years of age in Kerinci region, IndonesiaAtika Dranesia
Dessie Wanda
Happy Hayati
Enfermería ClínicaPressure to eat is the most determinant factor of stunting in children under 5 years of age in Kerinci region, IndonesiaRevisi link: https://www.sciencedirect.com/science/article/abs/pii/S1130862119301044
Objective
This multivariate study was conducted to identify the determining factors of the stunting incidence in the Kerinci region.
Method
The study design was cross-sectional. The sample comprised 290 children selected by the cluster random sampling method. Data analysis was conducted through chi-square, Mann–Whitney, and logistic regression.
Results
The prevalence of stunting in the Kerinci region was 46.9%. Bivariate analysis showed a relationship between the incidence of stunting and gender (p = 0.019), history of exclusive breastfeeding (p = 0.038), eating restriction (p = 0.038), pressure to eat (p = 0.009), and desire to drink (p = 0.049). Somewhat similarly, the results of multivariate logistic regression analysis showed that the factors related to the incidence of stunting in children under five were gender, history of exclusive breastfeeding, economic status, eating restriction, and pressure to eat. That said, the factor most associated with the incidence of stunting was the pressure to eat.
Conclusion
The provision of a nursing care plan for reducing stunting in children can be accomplished by increasing exclusive breastfeeding efforts as well as by focusing on the feeding efforts of parents and improving good eating behaviors in children.
Keywords
Child feeding; Child eating behaviors; Malnutrition; Nutrition; Stunting
The effect of multimedia-based nutrition education on parents’ knowledge and body weight change in leukemia childrenFiorentina Nova
Allenidekania
Nur Agustini
Enfermería ClínicaThe effect of multimedia-based nutrition education on parents’ knowledge and body weight change in leukemia childrenObjectives
The present study aimed to identify the effect of multimedia-based education targeting the parents of children with leukemia on their knowledge about leukemia and on body weight changes in their children.
Methods
A quasi-experimental design with non-equivalent pre- and post-test groups was used in this study. A total of 28 parents of children with leukemia were recruited using a consecutive sampling method and assigned into the intervention and control groups (n = 14 each). Parents in the intervention group were given a 10–15-min multimedia video to watch before their children's chemotherapy sessions.
Results
We found a significant improvement in parents’ knowledge level after the multimedia-based education (p = 0.001). However, there was no significant difference in the weight changes of the children in the intervention and control groups (p = 1.00).
Conclusions
Multimedia-based education is associated with an increased knowledge level for the parents of children with leukemia.
Keywords
Education; Multimedia; Body weight; Pediatric cancer; Parents’ knowledge
The effectiveness of cognitive therapy and family psycho-education on prodromal psychosis and self-esteem of adolescents in orphanagesAgustina Rahayu
Budi Anna Keliat
Herni Susanti
Enfermería ClínicaThe effectiveness of cognitive therapy and family psycho-education on prodromal psychosis and self-esteem of adolescents in orphanagesObjective
This study aimed to determine the effect of cognitive therapy and family psycho-education on prodromal psychosis and self-esteem of adolescents in the orphanages.
Method
A quasi experimental pre–post test with a control group design was used in this study. The participants were 77 adolescents selected through purposive sampling method. Data were analyzed using ANOVA test with repeated measures and t-test.
Results
The use of cognitive therapy and family psycho-education alleviated the symptoms of prodromal psychosis approaching the prodromal score level limit and increased self-esteem significantly p = 0.00 (p < 0.05).
Conclusions
Cognitive therapy and family psycho-education are recommended for adolescents living in orphanages who experience prodromal psychosis with low self-esteem.
Keywords
Cognitive-therapy; Family psycho-education; Prodromal psychosis; Self-esteem
Quality of life after spinal cord injury: An overviewAby Yazid Al Busthomy Rofi’I
Riri Maria
Masfuri
Enfermería ClínicaQuality of life after spinal cord injury: An overviewObjective
The objective of this study was to assess the quality of life (QoL) in spinal cord injury (SCI) with neurogenic bladder problem in Indonesia.
Method
This descriptive study, involving 55 participants, used the WHO Quality of Life brief form (WHOQOL-BREF) to measure QOL in each of four domains: physical, psychological, social relationships, and environment.
Results
The mean scores of QOL after analysis of the data were 11.41 for the physical domain, 12.38 for the psychological domain, 12.22 for social relationships, and 11.55 for environment. The total mean QOL score was 47.55, which is a relatively low score compared to generally healthy adults.
Conclusion
Among the four domains of QOL, the physical domain had the lowest mean score. These results highlight the necessity of exploring the factors related to QOL for SCI patients with neurogenic bladder problem.
Keywords
Spinal cord injury; Neurogenic bladder; Quality of life
Correlation between nursing supervision and low back pain preventive behavior among nursing staff in hospitalAde Wagiono
Hanny Handiyani
Enfermería ClínicaCorrelation between nursing supervision and low back pain preventive behavior among nursing staff in hospitalObjective
To identify the correlation between nursing supervision and low back pain (LBP) preventive behavior among nursing staff at the hospital.
Method
Quantitative research using cross-sectional design. The respondents were 141 nursing staff members working at inpatient care facilities and outpatient care units of the non-psychiatric departments of Marzoeki Mahdi Hospital. Samples were taken using total sampling. The instruments used in this research were nursing supervision questionnaires and LBP preventive behavior instruments.
Result
A Chi-square test with an (α ≤ 0.050) level of significance indicates that there is a significant correlation between nursing supervision and LBP preventive behavior among nursing staff at the hospital (p = 0.015); OR = 2.440. Bivariate analysis shows that there is no significant correlation between respondents’ characteristics (sex, age, body mass index (BMI), and self-efficacy) and LBP preventive behavior.
Conclusion
The results of this research may serve as a recommendation for more intensive LBP preventive behavior among nursing staff through rigorous nursing supervision.
Keywords
LBP preventive behavior; Nursing staff; Nursing supervision
The relationship between anemia, depression, duration of hemodialysis, and quality of sleep among end-stage renal disease patientsAlifah Indrarini
Anggri Noorana Zahra
Sri Yona
Enfermería ClínicaThe relationship between anemia, depression, duration of hemodialysis, and quality of sleep among end-stage renal disease patientsObjective
The present study investigated the prevalence of anemia, depression, and duration of hemodialysis among ERSD patients and its relation with quality of sleep.
Method
A total of 70 ESRD patients undergoing hemodialysis in referral Hospital in Bogor, Indonesia participated in the study. PSQI questionnaire and BDI II questionnaire were used to measure the quality of sleep and status of depression, respectively. The medical record was used to record the value of hemoglobin, and the demographic questionnaire was used to determine the duration of hemodialysis. The gathered data were analyzed using descriptive and chi-square test.
Results
Almost all of the respondents had anemia (98.6%), poor sleep quality (94.3%), with minimal depression (64.3%). There is no relationship either anemia or depression with sleep quality of patient (p anemia = 0.957, p depression = 0.502, α = 0.05). And for the duration of hemodialysis showed a significant relationship with the patient's sleep quality (p = 0.049, α = 0.05).
Conclusions
Physical impact is more common than the psychological impact in this study. Family support and attention of health care providers are very important to improve quality of patient's health. Thus they can live longer.
Keywords
Anemia; Depression; Duration of hemodialysis; Sleep quality; ESRD patients
Analysis of Infection Prevention Control Nurse performance: A descriptive studyAmelia Asmara
Rr. Tutik Sri Hariyati
Hanny Handiyani
Imelda Avia
Enfermería ClínicaAnalysis of Infection Prevention Control Nurse performance: A descriptive studyObjective
To analyze the performance and influencing factors of Infection Prevention Control Nurses (IPCN).
Method
This research used a descriptive cross-sectional design. A total of 32 IPCN working in several hospitals in Indonesia were recruited. All nurses are members of the Nurses Association of Infection Prevention Control. The participants completed an online questionnaire, which was created by using Google Form and the link was distributed through a WhatsApp Group.
Results
The performance criteria score of IPCN was 50% poor and 50% well. Moreover, the reward is the most factors related to IPCN performance. Odds Ratio (OR) of the reward variable was 27.5, which means that a good reward had 28 a good chance to improve the performance compared to IPCN which received fewer rewards after controlling of other variables.
Conclusions
The performance of IPCN must be further improved to encourage the better quality of services, especially in controlling infection.
Keywords
Infection prevention nurse control; Nurse performance; Service quality
The strategies of bureaucratic caring implementation by nurse manager: A systematic reviewAna Lusiyana
Krisna Yetti
Kuntarti
Enfermería ClínicaThe strategies of bureaucratic caring implementation by nurse manager: A systematic reviewObjective
The systematic review was designed to get research related to the application of bureaucratic caring by the nurse manager.
Method
This systematic review used Medline, EBSCO, ProQuest, Science Direct, Scopus, Elsevier and CINAHL databases of quantitative and qualitative research reports (2006–2017) using PRISMA diagrams. Search results from 55 articles met the criteria are 13 articles.
Results
The results found 14 strategies of application in the four areas of bureaucratic caring (spiritual, ethical, organizational, and technological caring), but no research on the form of economic caring.
Conclusion
The unity and harmonization between humanistic caring and administrative aspects of the organization will create an organized health system. This system ranged from service units to organizational and managerial units as a unified whole in bureaucratic caring. Thus, bureaucracy caring can improve the competence of the nurse manager to enhance the quality of nursing care.
Keywords
Administration; Bureaucratic caring; Economic caring; Ethical caring; Nurse manager; Spiritual caring
Perception on spiritual care: Comparation of the nursing students of public university and religious-based universityAnggun Frida
Enie Novieastari
Tuti Nuraini
Enfermería ClínicaPerception on spiritual care: Comparation of the nursing students of public university and religious-based universityObjective
Poor implementation of spiritual care in nursing practice may stem from the nursing education. This study aimed to compare the perception of nursing students of a public university and a religious-based university on spiritual care.
Method
The research used the descriptive-comparative method. 141 nursing students were recruited through consecutive sampling technique in a university in Depok, West Java and a religious-based university in Jakarta, Indonesia. Data were collected using the Spiritual Care Giving Scale (SCGS) questionnaire.
Results
The result showed that the participants had a good perception about spiritual care with the mean score of 171.39. However, there was no significant difference in perception regarding spiritual care between nursing students from the public university and the religion-based university (p value = 0.612).
Conclusions
The perception on spiritual care of nursing students was fairly similar regardless of the type of their university. This may be related with the comparable religious and cultural backgrounds in the two settings, as well as the nursing education curriculum implemented nationally, yet it takes further studies to examine such factors.
Keywords
Nursing education; Nursing student; Spiritual care; Perception; Spirituality
Is the baby-led weaning approach an effective choice for introducing first foods? A literature reviewAyu Fitria Utami
Dessie Wanda
Enfermería ClínicaIs the baby-led weaning approach an effective choice for introducing first foods? A literature reviewObjective
To analyze the efficacy of Baby-Led Weaning (BLW), the risk of choking, iron and zinc deficiency, growth faltering related to BLW, and knowledge about BLW in mothers and health professionals.
Method
The search strategy involved the Science Direct and Google Scholar databases in 2013–2018. Nine articles related to research on BLW were analyzed.
Results
The evidence in these articles shows that BLW is good for self-regulation in the infant; the risk of choking, iron and zinc deficiency, and growth faltering is low in BLW with the Baby-Led Introduction to SolidS (BLISS) program, and mothers prefer to listen to another mother who practices BLW rather than health professionals.
Conclusion
BLW is useful for making infants independent using a self-feeding process. The long-term longitudinal study is needed to explore more about BLW according to its nutrition adequacy, intake, eating patterns, food preference, safety, and growth trend.
Keywords
Baby-led weaning; Choking; Complementary feeding; Iron deficiency; Zinc deficiency
The role of a head nurses in preventing interdisciplinary conflictsCicilia Ika
Enie Novieastari
Tuti Nuraini
Enfermería ClínicaThe role of a head nurses in preventing interdisciplinary conflictsObjective
The head nurse is the first line manager in a working unit who is responsible for preventing and solving conflicts. Unmanaged interdisciplinary conflicts can result in decline quality of the healthcare service. This study explores the head nurses’ experiences in preventing interdisciplinary conflicts.
Method
This study was a qualitative study using descriptive-phenomenological approach. Data were collected through in-depth interviews with twelve head nurse of a central hospital in Jakarta, Indonesia. The data were then analyzed by employing Colaizzi's method.
Result
The results of this research revealed four themes: (1) integrated-effective communication is a form of interdisciplinary conflict prevention; (2) a head nurse need to have wide insights and supple character to prevent conflicts with doctors; (3) a head nurse is responsible for coordination and negotiation to prevent interdisciplinary conflicts; and (4) a head nurse creates conducive working environment to prevent interdisciplinary conflicts.
Conclusions
A head nurse can prevent conflicts and direct interdisciplinary conflicts to be positive to provide quality healthcare service.
Keywords
Head nurse; Conflict prevention; Interdisciplinary; Phenomenology
Impact of coaching and self-hypnosis intervention on blood glucose levels of older adults in IndonesiaDesi Deswita
Junaiti Sahar
Sigit Mulyono
Enfermería ClínicaImpact of coaching and self-hypnosis intervention on blood glucose levels of older adults in IndonesiaObjective
To explore the impact of an integrated method of coaching and self-hypnosis on the maintenance of blood glucose levels among older adults in Indonesia.
Method
The study's design was quasi-experimental with two sample groups: an intervention group and a controlled group. For the sampling method, 76 people were chosen using the multistage sampling method, then the member of the intervention group was chosen based on the study's purpose. This study used a paired t-test and an independent t-test. Non-fasting blood sugar tests (random blood sample) were taken twice, before and after the intervention for 4 weeks.
Results
There was a significant difference between blood glucose levels before and after intervention in the intervention group (p = 0.000). Coaching and self-hypnosis method was decreasing blood glucose levels significantly in the intervention group better than in the controlled group.
Conclusions
Coaching and self-hypnosis, when sustained for 4 weeks, can decrease blood glucose levels. This intervention can be part of lifestyle modification to decrease the blood glucose levels of older adults with diabetes mellitus. Furthermore, coaching and self-hypnosis intervention can also be integrated as part of the promotion and preventive acts in the prevention and management of non-communicable disease programs in communities.
Keywords
Blood glucose levels; Coaching and self-hypnosis intervention; Older adults with diabetes
Contributing factors to hemodialysis adherence in Aceh, IndonesiaFitriani Agustina
Krina Yetti
Lestari Sukmarini
Enfermería ClínicaContributing factors to hemodialysis adherence in Aceh, IndonesiaObjective
The objective of this study was to identify the dominant factors and their relationships that influence hemodialysis adherence.
Methods
This study used a cross-sectional method with 110 respondents who underwent hemodialysis treatment in Aceh Hospital of Indonesia. The samples were chosen using consecutive sampling. The questionnaires and Medical Record documents were used as instruments to obtain the data for this study. The data were analyzed using the chi-square test and logistic regression.
Results
The percentage of patients who adhered to hemodialysis was 60%. There were significant relationships between hemodialysis adherence and satisfaction (p-value = 0.046), self-efficacy (p-value = 0.000), acceptance (p-value = 0.009), and social support (p-value = 0.004). The analysis of logistic regression shows that the most dominant factors that influence hemodialysis adherence are self-efficacy (OR = 8.589), acceptance (OR = 8.063) and social support (OR = 2.985).
Conclusions
Despite a low cost and easy access, hemodialysis adherence in Indonesia is still low. There is a need to improve self-efficacy and acceptance of dialysis, which can be achieved by drawing on social support.
Keywords
Acceptance; Adherence; Hemodialysis; Self-efficacy; Social support
Nurses’ self-efficacy in IndonesiaHanny Handiyani
Anastasia Sari Kusumawati
Rina Karmila
Ade Wagiono
Tres Silowati
Ana Lusiyana
Rika Widyana
Enfermería ClínicaNurses’ self-efficacy in IndonesiaObjective
The purpose of this study was to find out the overview of nurses’ characteristics and self-efficacy based on nurse characteristics.
Method
This cross-sectional study used cluster sampling involved 12 hospitals in 6 provinces in Indonesia, followed by proportionate random sampling, and obtained 1323 nurses. Data collected by questionnaire.
Results
There were significant differences in self-efficacy of male and female nurses (p = 0.009). There were significant differences in self-efficacy of nurses in private hospitals and public hospitals (p = 0.005). The mean self-efficacy of nurses was 32.50 ± 4992 (81.25%), the composition value of action-related self-efficacy (82.38%) was higher than coping-related self-efficacy (80.15%).
Conclusions
Male nurses have higher self-efficacy than female. Nurses in private hospitals have higher self-efficacy than nurses in public hospitals. Nurses in Indonesia have good self-efficacy. Nevertheless, the nurse's belief in the ability to strive for achieving goals is not as big as the initial belief of the nurse in setting the goals.
Keywords
Nurse efficacy; Action self-efficacy; Coping self-efficacy
Optimalizing caring behavior in emergency roomSanti Surbakti
Enie Novieastari
Sri Purwaningsih
International Journal of Scientific and Technology ResearchOptimalizing caring behavior in emergency roomNurses’ caring is the main factor to determine patient satisfaction. It is one of indicators to measure service quality in hospital. This study aims at optimalizing role of head nurse to improve caring behavior of nurses. The method used in this study is pilot study with quantitative approach. The sample selection is accidental sampling on 20 patients. The sample was selected by using random sampling technique on 48 nurses at emergency room in Hospital X Jakarta. From the data analysis, it was found that 67% of patients said that nurses had applied caring on behavioral, administrative and environmental aspects. The self-efficacy of nurses in applying caring behavior was 61%. After implementing some caring programs, nurses’ caring behavior had improvement at 79%.The problem was solved by organizational development using Kurt Lewin and plan, do, check and action methods. The programs conducted included socializing the importance of caring behavior, creating a champion team, composing guidebooks and standard operating procedures, campaigning "hellomynameis", and creating IGD room’s yells. Caring behavior of nurses in emergency room can be optimalized by involving role of head nurse in making behavioral change. Caring behavior can be an organization’s culture by improving nurses’ commitment to use caring as the essence of self.
Index Terms: caring, nurse, behavior, pilot study
Improving diarrhoeal and clean and healthy living behaviour (PHBS) through collaboration socio-dramatic play (Ko-Berdrama) in school age childrenLita Heni Kusumawardani
Etty Rekawati
Poppy Fitriyani
Sri Lanka Journal of Child HealthImproving diarrhoeal and clean and healthy living behaviour (PHBS) through collaboration socio-dramatic play (Ko-Berdrama) in school age childrenIntroduction: Indonesian health status is strongly influenced by clean and healthy living behaviour (PHBS or Perilaku Hidup Bersih dan Sehat). PHBS programmes should be implemented from school age so that healthy lifestyle practices can persist into adulthood. Community nurses implement play socio-dramas (Ko-Berdrama) as a method of health education in an effort to increase PHBS.
Objectives: To determine the effect of play sociodrama (Ko-Berdrama) intervention to change the knowledge, attitudes, and skills of PHBS in school age children.
Method: The design is a quasi experimental one for 8 months. The calculated sample size was 184 school age chidren. School age children 6-12 years old who had a problem of lack of PHBS based on the results of questionnaires and screening PHBS were included in the study. Community nurses used play socio-drama (Ko-Berdrama) in seven sessions over 6 months, staging each session for 20 minutes followed by 20 minutes of discussion, Data
collection tool was a questionnaire consisting of variable knowledge, attitudes, and PHBS skills of school-age children. Data were analysed using the paired t-test.
Results: Results using the paired t-test of knowledge, attitude, and skills variables on schoolage children before and after Ko-Berdrama interventions were tabulated. The results showed that socio-dramatic play significantly affects knowledge (p = 0.002), attitudes (p = 0.005), and diarrhoeal prevention skills (p = 0.008) of PHBS. Knowledge about PHBS increased from 45.1% to 61.4%, the child's attitude about PHBS increased from 44.6% to 59.8% and the skills of children about PHBS increased from 42.9% to 54.9%.
Conclusions: Socio-dramatic play (Ko-Berdrama) significantly increases knowledge, attitudes, and diarrhoeal prevention skills of clean and healthy living behaviour (PHBS) in school age children.
Keywords: School-age children, Ko-Berdrama, PHBS
The Impact of Nurse Scheduling Management on Nurses’ Job Satisfaction in Army Hospital: A Cross-Sectional ResearchIchsan Rizany
Rr. Tutik Sri Hariyati
Efy Afifah
Rusdiyansyah
SAGE OpenThe Impact of Nurse Scheduling Management on Nurses’ Job Satisfaction in Army Hospital: A Cross-Sectional ResearchThere are many factors which affect nurse satisfaction level. This study aimed to identify the impact of nurse scheduling management on job satisfaction in Army hospital. This study used cross-sectional approach with total sample of 102 nurses. The sample was selected through stratified random sampling method with inclusion criteria of inpatient nurse with minimum pre-clinic level and at least 1-year experience. Pearson correlation, t-independent, one-way analysis of variance (ANOVA), and double linear regression were employed to analyze data. The results indicated that there was significant correlation between the implementation of nurse scheduling management with all management functions on nurse job satisfaction level (p = .0001–.014). Organizing and controlling nurse schedule were the dominant factors affecting nurse job satisfaction level. Authors concluded that the management of nurse scheduling statistically correlated with nurse job satisfaction level. Nurse manager should have the capability to improve nurse satisfaction by optimizing the management of nurse scheduling, especially on organizing and controlling aspect.
Keywords: nurse scheduling, management, job satisfaction, organization
Relationship of visual impairment and peripheral artery disease with the occurrence of diabetic foot ulcers in Dr. Moewardi HospitalOkti Sri Purwanti
Krisna Yetti
Tuti Herawati
Frontier of NursingRelationship of visual impairment and peripheral artery disease with the occurrence of diabetic foot ulcers in Dr. Moewardi HospitalObjective
One of the diabetes mellitus (DM) complications is foot ulcers. Foot ulcers are influenced by many factors. DM puts patients at risk of injury because of visual impairment. Hyperglycemia can damage blood vessels, which results in peripheral artery disease (PAD). The purpose of this study was to find the relationship of visual impairment and PAD with diabetic foot ulcers.
Methods
This research used observational analytic study with case–control methods. It used purposive sampling in 34 DM patients with foot ulcers and 34 DM patients without foot ulcers. The research instruments were an interview guide to assess visual impairment, physical examination to assess PAD, and documentation study, which was used to know the incidence of diabetic ulcers.
Results
The results showed that the respondents who experienced ulcers with visual impairment were 44.1% and the respondents who had foot ulcers with PAD were 73.5%. The results of statistical tests showed that there was no relationship between visual impairment and the incidence of ulcers (P = 0.166). The respondents with PAD will have a chance to suffer from foot ulcers 5.808 times higher than those who do not have PAD.
Conclusions
There is no relationship between visual impairment and the incidence of diabetic foot ulcers in Dr. Moewardi Hospital, but there is relationship between PAD and the incidence of diabetic foot ulcers in Dr. Moewardi Hospital. Suggestions of this study are to do foot screening and educate about the importance of foot care to prevent the occurrence of diabetic ulcers.
Keywords: visual impairment; peripheral artery disease; foot ulcers; diabetes mellitus; artery disease; retinopathy
Analysis of factors related to the mental workload of nurses during interaction through nursing care in the intensive care unitHany Wihardja
Rr. Tutik Sri Hariyati
Dewi Gayatri
Enfermería Clínica
Analysis of factors related to the mental workload of nurses during interaction through nursing care in the intensive care unitObjective
This research aims to identify the factors most closely related to the mental workload of nurses during interactions through nursing care in the intensive care unit.
Method
This study is quantitative cross-sectional research using a questionnaire for data collection. This study used total population sampling of 129 nurses working in the intensive care unit. The data was analyzed using Chi-Square and multiple logistic regression.
Result
The result of the logistic regression test showed that the motivation factor (p = 0.022; α = 0.05) is the most influential variable in the mental workload of nurses compared to the other variables (individual, task, and organizational factors).
Conclusion
Hospitals can optimize socialization through a reward system as well as implement a competence and soft skill development program for nurses.
Keywords
Intensive care unit; Nursing care; Mental workload
KEPUASAN PASIEN TERHADAP PENERAPAN KESELAMATAN PASIEN DI RUMAH SAKITWidiasari
Hanny Handiyani
Enie Novieastari
Jurnal Keperawatan IndonesiaKEPUASAN PASIEN TERHADAP PENERAPAN KESELAMATAN PASIEN DI RUMAH SAKITTingkat kepuasan pasien terhadap pelayanan keperawatan di Indonesia mayoritas masih kurang puas. Penyebab ketidakpuasan pasien diantaranya faktor kesalahan identifikasi, komunikasi, pemberian obat, dan risiko jatuh. Penelitian bertujuan untuk mengidentifikasi hubungan penerapan keselamatan pasien dengan kepuasan pasien di Rumah Sakit X. Desain penelitian menggunakan pendekatan cross sectional dengan menyebarkan kuesioner kepada 143 pasien. Pengambilan sampel menggunakan cluster random sampling dengan cara menetapkan jumlah sampel yang memenuhi kriteria inklusi, kemudian diberikan kuesioner hingga terpenuhi jumlah sample, dan melakukan penelitian pada setiap sampel yang terpilih. Data dianalisis menggunakan independent t-test dan uji chi-square. Hasil penelitian didapatkan ada hubungan penerapan keselamatan pasien dengan kepuasan pasien (p= 0,001; OR=1,216; α= 0,05). Karakteristik pasien berupa umur, jenis kelamin, pendidikan, pekerjaan, dan kelas rawat tidak berhubungan dengan kepuasan pasien (p= 0,331; 0,818; 0,949; 1,000; dan 0,382; α= 0,05). Hasil penelitian juga didapatkan bahwa penerapan aspek keselamatan pasien berupa reassessment pasien risiko jatuh dan dimensi kehandalan (memberi petunjuk, memberi penjelasan) ketika akan melakukan tindakan keperawatan masih belum optimal sehingga menjadi saran untuk ditingkatkan agar kepuasan pasien di rumah sakit X semakin meningkat.
Kata kunci: kepuasan pasien, keselamatan pasien, penerapan
PROGRAM PERENCANAAN PULANG DAPAT MENINGKATKAN PENGETAHUAN DAN KETERAMPILAN IBU YANG MELAHIRKAN BAYI PREMATUR MERAWAT BAYINYAErna Julianti Yeni Rustina
Defi Efendi
Jurnal Keperawatan IndonesiaPROGRAM PERENCANAAN PULANG DAPAT MENINGKATKAN PENGETAHUAN DAN KETERAMPILAN IBU YANG MELAHIRKAN BAYI PREMATUR MERAWAT BAYINYABayi yang lahir prematur berisiko mengalami permasalahan kesehatan, sehingga membutuhkan perawatan yang intens dari sejak di rumah sakit sampai ketika bayi sudah boleh dipulangkan ke rumah. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh edukasi dalam perencanaan pulang terhadap pengetahuan dan keterampilan ibu merawat bayi prematur. Penelitian ini merupakan studi quasi experiment dengan rancangan pre and post-test without control design. Sampel penelitian ini adalah 35 ibu yang melahirkan bayi prematur dan bayinya di rawat di ruang Perinatologi sebuah rumah sakit di Jakarta. Sampel diambil secara consecutive sampling. Intervensi penelitian adalah pemberian edukasi menggunakan media pembelajaran booklet dan audiovisual yang berisi tentang ASI, teknik menyusui, perawatan metode kanguru, cara pencegahan infeksi, dan tanda bahaya pada bayi. Hasil penelitian menunjukkan bahwa setelah diberikan edukasi selama perencanaan pulang, pengetahuan ibu merawat bayi prematur rata-rata mengalami kenaikan skor sebesar 29,52, aspek keterampilan menyusui skornya naik sebesar 33,29 dan keterampilan perawatan metode kanguru terdapat kenaikan skor sebesar 30,25. Hasil analisis menunjukkan bahwa ada perbedaaan yang signifikan antara rata-rata skor pengetahuan ibu merawat bayi prematur, skor keterampilan menyusui, dan skor keterampilan perawatan metode kanguru (PMK) sebelum dan setelah diberikan edukasi selama perencanaan pulang (p> 0,001). Pelaksanaan program edukasi selama perencanaan pulang yang dilakukan selama tiga hari dapat meningkatkan pengetahuan dan keterampilan ibu merawat bayi prematur. Edukasi dalam perencanaan pulang sebaiknya rutin diterapkan di rumah sakit sebagai intervensi keperawatan mandiri agar makin meningkatkan kualitas pelayanan keperawatan.
Kata Kunci: perawatan bayi prematur perencanaan pulang, perawatan metode kanguru (PMK)
IMPROVING THE HEALTH AND FUNCTIONAL STATUS OF INSTITUTIONALIZED OLDER ADULTS THROUGH THE NURSE, CAREGIVER, AND OLDER-ADULTS PARTNERSHIP MODEL (MIRADASIA)Junaiti Sahar
Etty Rekawati
Dwi Nurviyandari Kusuma Wati
Jurnal Keperawatan IndonesiaIMPROVING THE HEALTH AND FUNCTIONAL STATUS OF INSTITUTIONALIZED OLDER ADULTS THROUGH THE NURSE, CAREGIVER, AND OLDER-ADULTS PARTNERSHIP MODEL (MIRADASIA)Health and functional status are standard measurements in older adult’s services that showed physical and mental condition. However, institutionalized older adults with several adjustments and their limited source might cause compromised health and functional status. The quasi-experimental study aimed to investigate the effect of MiRaDaSia (nurses and caregivers joined the partnership model) on health and functional status among institutionalized older adults in Jakarta. It included 106 participants as intervention groups and 106 participants as control groups, who selected by multistage random sampling. We used the SF-12 and Barthel index to measure older-adults health and functional status. MiRaDaSia model was implemented for twelve weeks. Generally, there has been an increase in the mean of health and functional status after the intervention. There were significant improvements in functional condition between each group (p=0,001); however, mean difference oh health status show the significant increase only on six weeks following the intervention. MiRaDaSia can be implemented as a practical model to enhance services among institutionalized older-adults by professional’s staff as it encourages partnership among the nurse, caregiver, and the institutionalized older-adults. Future research may consider the effectiveness of the model in private institutional, with widening variation of older adults and caregivers’ characteristics as well as the different working environment of the institution.
Keywords: caregiver, health status, functional status, institutionalized older-adult, older-adults, MiRaDaSia.
KORELASI DIABETES SELF CARE, SCORE PEDIS DAN KONTROL GLIKEMIK PADA DIABETES MELITUSSri Dewi Megayanti
Yulia
Riri Maria
Jurnal Keperawatan IndonesiaKORELASI DIABETES SELF CARE, SCORE PEDIS DAN KONTROL GLIKEMIK PADA DIABETES MELITUSDiabetes Self Care (DSC) merupakan bagian dari pengelolaan diabetes. Tujuan penelitian ini adalah menganalisis hubungan DSC dengan score PEDIS (perfusion, extend, depth, infection, sensation) dan kontrol glikemik pasien Diabetes Melitus (DM). Penelitian ini merupakan cross sectional study yang melibatkan 106 pasien, dengan kriteria inklusi pasien DM tipe 1 dan 2 dengan atau tanpa ulkus kaki yang berumur <65tahun, dapat membaca, menulis dan berkomunikasi menggunakan bahasa Indonesia dengan baik. Penelitian dilakukan di Pusat Pelayanan Kesehatan Masyarakat Denpasar Barat II Bali Uji statistik yang digunakan adalah Mann Whitney dan Chi square. Statistik menunjukkan ada hubungan bermakna antara DSC dengan score PEDIS (p= 0,0005) dengan korelasi kuat (r= -0,74) dan kontrol glikemik (p= 0,0005) dengan korelasi sedang (0,45). DSC dapat digunakan untuk memprediksi kondisi kaki pasien diabetes melalui hasil score PEDIS dan dapat digunakan untuk memprediksi kontrol glikemik pasien diabetes. Menurut teori self care Orem, perawatan diri dipandang sebagai sumber daya kesehatan dalam individu. Strategi diabetes self care membutuhkan kesadaran dan tanggung jawab dalam mengelola diabetes untuk pengontrolan gula darah dan perawatan kaki yang adekuat. Kegiatan ini seharusnya dapat diarahkan tenaga keperawatan dengan cara pemberian informasi mengenai pengetahuan terkait penyakit diabetes dan perilaku pencegahan komplikasi.
Kata kunci : diabetes self care, kontrol glikemik dan score PEDIS
PENERAPAN EVIDENCE-BASED NURSING PENGARUH EARPLUG DAN EYE MASK TERHADAP KUALITAS TIDUR PADA PASIEN DI ICUMutarobin
Elly Nurachmah
Muhammad Adam
Rita Sekarsari
Erwin
Jurnal Keperawatan IndonesiaPENERAPAN EVIDENCE-BASED NURSING PENGARUH EARPLUG DAN EYE MASK TERHADAP KUALITAS TIDUR PADA PASIEN DI ICUGangguan tidur di ICU disebabkan oleh banyak faktor, diantaranya lingkungan, kebisingan, pencahayaan, kegiatan perawat, penyakit yang diderita, tindakan keperawatan, terapi obat, dan ventilasi mekanik. Efek yang ditimbulkan akan memengaruhi fungsi kekebalan tubuh, sistem metabolisme, regulasi sistem saraf pusat, dan kondisi psikologis. Tujuan penelitian ini menerapkan dan membuktikan efektifitas penggunaan Earplug dan Eye Mask dalam meningkatkan kualitas tidur pada pasien di ICU. Desain yang digunakan randomized controlled trial (RCT) crossover design. Peneliti membagi Group A dan Group B dengan simple random sampling. Jumlah sampel 24 responden. Instrumen kualitas tidur menggunakan Richard Campbell Sleep Questionnaire (RCSQ). Data dianalisis dengan uji Independent Sample T-Test. Hasil penelitian didapatkan p-value < 0,05, berarti pada alpha 5% terdapat perbedaan yang signifikan kualitas tidur antara malam pertama dan kedua pada masing-masing group sehingga disarankan dijadikan evidence based di rumah sakit sebagai salah satu terapi komplementer yang dapat dijadikan intervensi mandiri keperawatan untuk membantu mengatasi gangguan tidur.
Kata Kunci: earplug, eye mask, ICU, kualitas tidur
PENURUNAN KEMAMPUAN KEPALA KELUARGA DALAM MEMENUHI KEBUTUHAN EKONOMI KELUARGA: STUDI FENOMENOLOGI PENGALAMAN ORANG DENGAN GANGGUAN JIWA PASKA PASUNGNovy Helena Catharina Daulima
Rasmawati
Ice Yulia Wardani
Jurnal Keperawatan IndonesiaPENURUNAN KEMAMPUAN KEPALA KELUARGA DALAM MEMENUHI KEBUTUHAN EKONOMI KELUARGA: STUDI FENOMENOLOGI PENGALAMAN ORANG DENGAN GANGGUAN JIWA PASKA PASUNGKepala keluarga bertanggungjawab secara ekonomi memenuhi kebutuhan hidup anggota keluarga yang meliputi kebutuhan sandang, pangan dan papan. Seorang kepala keluarga yang mengalami gangguan jiwa selepas dari pemasungan perlu menyesuaikan diri terhadap fungsi sosial yang meliputi kemampuan untuk bekerja dan terlibat dalam hubungan sosial. Tujuan penelitian adalah ini untuk mendeskripsikan pengalaman kepala keluarga paska pasung dalam memenuhi kebutuhan ekonomi keluarga. Pendekatan fenomenologi diterapkan untuk mengekplorasi pengalaman kepala keluarga. Sejumlah enam orang berpartisipasi dalam penelitian ini yang dipilih melalui metode purposive sampling. Pengumpulan data dilakukan dengan wawancara mendalam kemudian dianalisis dengan metode Colaizzi. Tiga tema dihasilkan dalam penelitian ini yaitu harga diri rendah sebagai respons perubahan peran paska pasung, penurunan kapasitas diri sebagai hambatan pemenuhan kebutuhan finansial keluarga, dan pemanfaatan dukungan sosial dan spiritual dalam pengembalian kepercayaan diri. Pasung berdampak pada penurunan kemampuan orang dengan gangguan jiwa (ODGJ) menjalankan peran sebagai kepala keluarga. Pemulihan kepercayaan diri dan peningkatan kualitas hidup ODGJ pasca pasung sebagai kepala keluarga dapat diperoleh dengan adanya dukungan masyarakat, penciptaan lapangan kerja serta penerimaan ODGJ di masyarakat.
Kata Kunci: Fenomenologi, Gangguan Jiwa, Kepala Keluarga, Pasung
THE INFLUENCE OF SELF-EFFICACY ON THE RELATIONSHIP BETWEEN DEPRESSION AND HIV-RELATED STIGMA WITH ART ADHERENCE AMONG THE YOUTH IN MALAWIEric Umar
Judith A Levy
Geri Donenberg
Mary Ellen Mackesy-Amiti
Hening Pujasari
Robert C Bailey
Jurnal Keperawatan IndonesiaTHE INFLUENCE OF SELF-EFFICACY ON THE RELATIONSHIP BETWEEN DEPRESSION AND HIV-RELATED STIGMA WITH ART ADHERENCE AMONG THE YOUTH IN MALAWIDepression and HIV-related stigma, among other factors, have been inversely linked independently with adherence to antiretroviral therapy (ART) among the youth. However, the processes through which the various factors influence this relationship is not fully known. Guided by Social Action Theory, we examined the interactive mechanisms through which depression, HIV-related stigma, and self-efficacy influenced ART adherence and whether or not these relationships are moderated by gender. A total of 450 HIV-positive youth (13–24 years) in Malawi receiving ART participated in this cross-sectional study. Moderated mediation analyses were conducted using Hayes’ PROCESS macro 2.11 in SPSS. ART adherence was measured by pill count. Findings showed that self-efficacy mediated the effects of depression and stigma on ART adherence. The analyses also revealed that gender moderated both the direct and indirect influence of depression and stigma (via self-efficacy) on ART adherence. Furthermore, self-efficacy simultaneously mediated and moderated the relationship between stigma and ART adherence. The interactive mechanisms through which various factors influence ART nonadherence must be considered to design effective interventions. To reduce the impact of depression and stigma on ART adherence, medication self-efficacy should be bolstered while taking gender in consideration.
Keywords: Adolescent, Antiretroviral adherence, Malawi, Moderated mediation, Social action theory, Youth
The Effects of Modified Pursed Lips Breathing on Oxygenation Status in ChildrenMade Pande Lilik Lestari
Dessie Wanda
Nani Nurhaeni
Comprehensive Child and Adolescent NursingThe Effects of Modified Pursed Lips Breathing on Oxygenation Status in ChildrenRevise link: https://www.tandfonline.com/doi/full/10.1080/24694193.2019.1577920
Respiratory disease in children can contribute to damaged alveoli, frailty of respiratory muscles, reduced lung function, impaired gas exchange, and gas retention in the airway. Such condition may lead to disruption of oxygen status. This study aimed to examine the effects of modified pursed lips breathing (PLB) by blowing into a water-filled bottle through a straw and a party whistle on the oxygenation status in children with oxygenation problems. This study used a quasi-experiment method with a pretest–posttest without a control group design approach. The sample consisted of 32 school-aged children and adolescents who were divided into two intervention groups. Group 1 underwent modified PLB by blowing into a water-filled bottle through a straw and Group 2 was provided with modified PLB by blowing a party whistle. The intervention was conducted one time in a day, in a rest time, for 10 min. The results showed that modified PLB by blowing into a water-filled bottle through a straw was more effective in reducing respiratory rate (RR) and improving oxygen saturation (SpO2) than modified PLB by blowing a party whistle. Modified PLB intervention by blowing into a water-filled bottle through a straw improved the oxygenation status of children affected by oxygenation problems. This intervention can be implemented as an independent nursing intervention to improve children’s oxygenation status.
Keywords: Blowing into a bottle, child, oxygenation, party whistle, pursed lips breathing
The Validity of the Modified Tal Score and Wang Respiratory Score Instruments in Assessing the Severity of Respiratory System Disorders in ChildrenNi Luh Putu Shinta Devi
Dessie Wanda
Nani Nurhaeni
Comprehensive Child and Adolescent NursingThe Validity of the Modified Tal Score and Wang Respiratory Score Instruments in Assessing the Severity of Respiratory System Disorders in ChildrenNurses need to have a high awareness of children’s respiratory status changes to prevent worse conditions such as respiratory failure. For this reason, nurses require a tool or instrument that can facilitate a comprehensive assessment of the severity of respiratory system disorders in children. The aim of this study was to identify the validity and reliability of the Modified Tal Score and Wang Respiratory Score instruments and their sensitivity and specificity for assessing the severity of respiratory system disorders in children. A descriptive-analytic research design and a cross-sectional approach were used in this research. A total of 48 children aged 0–2 years who were hospitalized in a top referral hospital in Jakarta with acute respiratory infections were assessed for the severity of respiratory system impairment using the Modified Tal Score and the Wang Respiratory Score instruments. The modified Tal Score had a strong correlation with SpO2 (r = −0.699; p = 0.0001; α = 0.05), as did the Wang Respiratory Score (r = −0.501; p = 0.0001; α = 0.05). The Cronbach’s Alpha value for the Modified Tal Score instrument was 0.768, while that for the Wang Respiratory Score instrument was 0.68. Analysis using ROC curves gave an AUC value of 0.897 (95% CI 0.794; 1, p = 0.0001) for the Modified Tal Score instrument for predicting the severity of respiratory system disorders in children versus 0.815 (95% CI 0.681; 0.95, p = 0.0001) for the Wang Respiratory Score instrument. These results showed that the Modified Tal Score instrument has higher validity and reliability, as well as better sensitivity and specificity, than the Wang Respiratory Score instrument for assessing the severity of respiratory system disorders in children. A further study for instruments’ improvement by classifying the children’s respiratory rate according to their age, as well as adding an item related to the use of supplementary oxygen, is needed.
Keywords: Modified Tal score, pediatric, respiratory tract infections, Wang respiratory score
The Effect of Honey with ORS and a Honey Solution in ORS on Reducing the Frequency of Diarrhea and Length of Stay for ToddlersRifka Putri Andayani
Nani Nurhaeni
Nur Agustini
Comprehensive Child and Adolescent NursingThe Effect of Honey with ORS and a Honey Solution in ORS on Reducing the Frequency of Diarrhea and Length of Stay for ToddlersThis study aims to identify the effect of honey with an oral rehydration solution (ORS) and a honey solution in ORS on the frequency of diarrhea and length of hospital stay for toddlers with diarrhea. A randomized controlled trial was conducted in Padang and involved 72 toddlers aged 1–5 who were affected by diarrhea; the participants were selected through a probability sampling technique. The intervention group was provided with 5 ml of honey with an ORS and plain ORS at every diarrhea episode while the control group was provided with 10 ml of honey added to an ORS at every diarrhea episode. The findings suggest that there is a significant difference in the frequency of diarrhea between the intervention and control groups prior to and following the provision of honey with an ORS and honey added to an ORS (p < 0.05). There was a significant difference in the length of stay between both groups following the intervention and control treatments (p < 0.05). These results show that honey may be provided as an alternative therapy for toddlers with diarrhea.
Keywords: Frequency of diarrhea, honey, length of stay, ORS
Nesting with Fixation and Position to Facilitate Quiet Sleep and Oxygen Saturation on Low-Birth Weight InfantsReisy Tane
Yeni Rustina
Fajar Tri Waluyanti
Comprehensive Child and Adolescent NursingNesting with Fixation and Position to Facilitate Quiet Sleep and Oxygen Saturation on Low-Birth Weight InfantsLow-birth weight (LBW) infants have a major problem of sleep–awake and instability on physiological function. The objective of this study was to identify the effect of nesting with fixation and position on sleep–awake status and physiological function. This study used a crossover design and was conducted in a general hospital in Jakarta, involving 19 LBW infants who met the inclusion criteria. The intervention consisted of: nesting with fixation combined with prone position (NFPP) (A), nesting with fixation combined with quarter prone position (NFQP) (B), nesting with quarter prone position (NQP) (C), and control group (D). The results of this study showed that there was a significant difference between NFPP and NFQP compared to the control group in regard to quiet sleep and oxygen saturation (p < .05). Nesting with fixation combined with prone position was the most effective method to facilitate quiet sleep and the stability of SaO2 followed by nesting with fixation combined with quarter prone position as alternative intervention for LBW infant. Therefore, the application of nesting with fixation is needed.
Keywords: LBW, nesting with fixation, oxygen saturation, physiological function, sleep-awake
Sexual Compulsivity among Indonesian College StudentsRico Maulana Nugroho
Yati Afiyanti
Comprehensive Child and Adolescent NursingSexual Compulsivity among Indonesian College StudentsThe objective of this study is to describe the sexual compulsivity of Indonesian college students. We used a cross-sectional design and recruited 301 college students in Universitas Indonesia. Data were collected using the modified Sexual Compulsivity Scale (SCS) instrument. These findings show that Indonesian students have lower sexual compulsivity scale (mean: 11.39 ± 4.21). Male students have significantly higher SCS score than female students (p = 0.000). Working students were also found to have a higher SCS score than those who did not work (p = 0.039). Further studies on sexual compulsivity among young adults in Indonesia are deemed necessary to give more understanding about sexual compulsivity. These findings provide basic information to design a sexual counseling method for improving the sexual health of young adults.
Keywords: Sexual compulsivity, college student, Universitas Indonesia
The Relationship between Activity Level and Fatigue in Indonesian Children with Acute Lymphocytic Leukemia in the Home SettingAti Fadhilah
Allenidekania
Comprehensive Child and Adolescent NursingThe Relationship between Activity Level and Fatigue in Indonesian Children with Acute Lymphocytic Leukemia in the Home SettingPrevious studies have examined physical exercise as a way to lower the fatigue of children with cancer in a hospital setting, but there have been no such studies in a home setting. Therefore, this study identifies the relationship between physical activity and fatigue in children undergoing chemotherapy at home. The design of this study is a cross-sectional correlation analysis. Forty-five children aged 3–16 years with acute lymphocytic leukemia residing in the greater Jakarta area in Indonesia were recruited using consecutive and snowball sampling methods. The relationship between physical activity and level of fatigue was assessed using the Spearman test. A statistically significant relationship was found between physical activity and fatigue in the children studied (p < 0.001). The active children had lower fatigue than the less active children. This study finds that higher physical activity is associated with lower fatigue in children with leukemia in a home setting. Nurses should educate children and their parents to promote physical activities at home in-between chemotherapy cycles.
Keywords: Activity, acute lymphocytic leukaemia, children, fatigue, home
The Relationship of Oral Care Practice at Home with Mucositis Incidence in Children with Acute Lymphoblastic LeukemiaKhairunnisa Sita Devi
Allenidekania
Comprehensive Child and Adolescent NursingThe Relationship of Oral Care Practice at Home with Mucositis Incidence in Children with Acute Lymphoblastic LeukemiaMucositis is a common and devastating side effect of chemotherapeutic agents in children undergoing chemotherapy. The prevention and management of mucositis are necessary to improve these children’s quality of life. Oral care is a recommended strategy for preventing and managing oral mucositis. Thus, the objective of this study was to identify the relationship between oral care practice and mucositis incidence. A cross-sectional analytical design was used in this study. A total of 34 children from 3 to 12 years of age with acute lymphoblastic leukemia who were in the last cycle of chemotherapy were recruited through a snowball sampling method. The Oral Assessment Guide (OAG) was administered to assess the severity of mucositis. A majority of the participants (51.5%) had mucositis after completing the last cycle of chemotherapy. Furthermore, there was a statistically significant relationship between their oral care practice at home and mucositis incidence. These results show that oral care at home is linked with the incidence and severity of mucositis. Nurses should educate children with leukemia and their parents regarding good oral hygiene practice.
Keywords: Acute lymphoblastic leukemia, mucositis, oral assessment guide, oral care
Is There Any Relationship between Feeding Practices for Children Under Two Years of Age (6–23 Months) and Stunting?Widya Rahmawati Febriana
Nani Nurhaeni
Comprehensive Child and Adolescent NursingIs There Any Relationship between Feeding Practices for Children Under Two Years of Age (6–23 Months) and Stunting?The aim of the paper is to examine the relationship between infant and young child feeding practices (aged 6–23 months) and stunting in East Jakarta. A cross-sectional study design is conducted with three main instruments: maternal and child characteristics, feeding practices, and health behaviors. Sampling is done by simple random sampling technique with a total of 143 respondent mothers in East Jakarta. The results of the analysis show no significant relation between infant and young child feeding practices and stunting (p = 0.147), and its relation with maternal and child characteristics, such as maternal age, maternal employment status, maternal educational level, low birthweight less than 2,500 g, sanitation and health behaviors, and household income (p > 0.05). Further longitudinal studies are required to identify risk factors associated with stunting among children.
Keywords: Stunting, feeding practices, children age 6–23 months
The Relationships between Risky Sexual Practices and Spiritual Intelligence of Adolescents in IndonesiaValen Fridolin Simak
Poppy Fitriyani
Agus Setiawan
Comprehensive Child and Adolescent NursingThe Relationships between Risky Sexual Practices and Spiritual Intelligence of Adolescents in IndonesiaAdolescents’ health problems are closely related to risky practices, one of which is risky sexual practice. Among others, a factor that is important to prevent risky sexual practices is spiritual intelligence of the adolescents. The study aims to analyze the association between spiritual intelligence and risky sexual practice in adolescents in a junior high school at Curug city of Depok, Indonesia. A quantitative observational analysis with cross-sectional approach was applied. The instrument used to measure the variables of spiritual intelligence was the spiritual intelligence self-report inventory. The variable sexual risky practices was measured with the instrument Sexual Risk Survey (SRS). The study involved 302 adolescents who came from three junior high schools (SMP) selected by stratified random sampling. Pearson test analysis showed a significant negative correlation between spiritual intelligence with sexual risky practices (p = .019; r = −.135). A multivariate analysis using multiple linear regression showed that sex is the most influential variable on sexual risky practices. Based on the findings of the research, there is a need to continuously monitor the stage of adolescent growth especially by improving the spiritual intelligence status, so that spiritually intelligent adolescents can suppress the incidence of sexual risky practices.
Keywords: Adolescent, sexual risky practices, spiritual intelligence
Music Therapy and Story Telling: Nursing Interventions to Improve Sleep in Hospitalized ChildrenShinta Widiastuty Anggerainy
Dessie Wanda
Nani Nurhaeni
Comprehensive Child and Adolescent NursingMusic Therapy and Story Telling: Nursing Interventions to Improve Sleep in Hospitalized ChildrenMusic therapy and story telling are examples of nursing interventions that facilitate the management of sleep disturbance in children. However, only a few studies have addressed the effectiveness of music therapy and storytelling on hospitalized children. This study aimed to examine the effect of music therapy and storytelling on sleep disturbance in hospitalized children for various medical conditions. This recent study was a preliminary study that included two intervention groups without a control group. This study involved 31 children with ages ranging from infancy to school age who were assigned to a 3-day music therapy or storytelling intervention group. Group 1 received music therapy (n = 16) and group 2 was provided with story telling (n = 15). Data collection was conducted from February through April 2018 in an infectious diseases ward of a hospital in Jakarta. Data related to sleep disturbance in children was collected using GATIA scale, an instrument measuring a sleep disturbance scale. Study results showed a significant change in the average of sleep disturbance scale score in both group 1 and group 2 (p < α; α = .05) which demonstrate that both music therapy and story telling improved scores on a sleep disturbance scale in hospitalized children. Music therapy and story telling were equally effective in managing sleep disturbance in children. Music therapy and story telling are safe, cheap, and convenient interventions that can improve the quality of sleep in children during hospitalization.
Keywords: Hospitalized children, music therapy, story telling, sleep disturbance
Effect of Cognitive Behavioral Therapy and Peer Leadership on Suicidal Ideation of Adolescents in BengkuluRiska Amalya Nasution
Budi Anna Keliat
Ice Yulia Wardani
Comprehensive Child and Adolescent NursingEffect of Cognitive Behavioral Therapy and Peer Leadership on Suicidal Ideation of Adolescents in BengkuluTo determine the effects of cognitive behavioral therapy and peer leadership on suicidal ideation among adolescents in senior high school, this study design used quasiexperimental pre-post testing with control group. Participants (N = 86) were recruited by purposive sampling technique. Data were collected using the Beck Scale for Suicide Ideation and analyzed using the Wilcoxon test, the Friedman test, and the Mann-Whitney test. The results showed that the training received by mental health nurses reduced suicidal ideation among adolescents (p < 0.05). After further cognitive behavioral therapy and peer leadership interventions, suicidal ideation decreased from the lower rate to zero (p < 0.05). A combination of the training received by mental health nurses, cognitive behavioral therapy, and peer leadership are recommended for prevention of adolescent suicidal ideation.
Keywords: Adolescent, suicidal ideation, mental health nurses, cognitive behavioral therapy, peer leadership
Improving Food Safety Behavior through Mind Map Methods in School-Age ChildrenAchiroh Dinul Islam Meivi Sesanelvira
Sigit Mulyono
Sukihananto
Comprehensive Child and Adolescent NursingImproving Food Safety Behavior through Mind Map Methods in School-Age ChildrenSchool-age children who do not practice safe food behavior are at risk of experiencing health problems. The aim of the study was to determine the effect of education with mind map methods on safe food behavior in school-age children. The study design was a quasi-experimental with pre- and posttests design, involving 88 school-age children, and each group consisted of 44 respondents who were divided into intervention group and control group. Multistage random sampling was used to determine the research area and school where the research was conducted, while the research subject was selected using simple random sampling. Measuring instruments used questionnaires from previous researchers regarding food safety behavior in school-age children. The results showed that the mind map method significantly affects knowledge (p-value = 0.000), attitude (p-value = 0.000), and skill (p-value = 0.000) for safe food. This study recommends that the mind map method be applied in an effort to improve clean and healthy living behavior in school-age children.
Keywords: Food safety behavior, school age children, mind map method
Female Adolescents’ Preparations, Knowledge, and Emotional Response toward Menarche: A Preliminary StudyMira Rizkia
Setyowati
Titin Ungsianik
Comprehensive Child and Adolescent NursingFemale Adolescents’ Preparations, Knowledge, and Emotional Response toward Menarche: A Preliminary StudyEmotional response toward menarche is a psychological problem for female adolescents. In addition menarche is considered taboo and embarrassing by female adolescents. Many female adolescents have a negative feeling and do not prepare for menarche. The purpose of this paper is to identify female adolescents’ preparation and emotional response toward menarche. This study used a qualitative method including focus group discussion (FGD) and in-depth interview. FGD was carried out with five female adolescents in a school setting about female adolescents’ preparations and emotional response toward menarche. The participants were female adolescent students who had not entered menarche yet. Some teachers were also interviewed as key persons. The results of this study indicate that female adolesents do not prepare for menarche. The participants did not have adequate knowledge and felt ashamed and worried about menarche. This study recommended the use of reproductive health education related to menarcheal preparations in school and community settings to prepare female adolescents to confidently face menarche.
Keywords: Female adolescents’ preparations, female adolescents’ emotional response to menarche, knowledge of menarche
A Preliminary Study on “PRISMA” Education in Improving Self-Management and Level of Compliance in Children with Type-1 Diabetes MellitusPriska Emiliana
Nur Agustini
Allenidekania
Yeni Rustina
Comprehensive Child and Adolescent NursingA Preliminary Study on “PRISMA” Education in Improving Self-Management and Level of Compliance in Children with Type-1 Diabetes MellitusChildren with Type-1 Diabetes Mellitus (TIDM) need long-term care that requires supervision. Without good management, there will be an increase in blood glucose, which can cause complications in organs and tissues. One way to improve self-management and level of compliance in blood glucose control is by providing education. This study aimed to determine the effect of PRISMA education on self-management and level of compliance in children with T1DM. This study used a quasi-experimental design with no control group. PRISMA education using animated videos was given to the respondents who filled out the questionnaire about self-management and level of compliance (pre-test) and were evaluated on the eighth day (post-test). The sample of this study consisted of 31 children in Jakarta, Bogor, Depok, and Tangerang. The results of this study indicate that PRISMA education had significant effects on self-management (p < 0.05) and level of compliance (p < 0.05). The delivery of self-management education in the form of animated videos could improve self-management and children’s compliance in the management of diet, physical act, treatment, stress management and blood glucose control. Thus, this educational tool could be useful if it is integrated into nursing interventions, especially in the field of pediatric nursing.
Keywords: T1DM, self-management, PRISMA education, level of compliance
Parental Knowledge Influenced the Effectiveness of Therapeutic Sociodramatic Play on Diarrheal Preventive Behavior in School-Age ChildrenLita Heni Kusumawardani
Sigit Mulyono
Poppy Fitriyani
Comprehensive Child and Adolescent NursingParental Knowledge Influenced the Effectiveness of Therapeutic Sociodramatic Play on Diarrheal Preventive Behavior in School-Age ChildrenHealthy and clean living behaviors among school-aged children are still relatively low in Indonesia, exposing them to the risk of experiencing health problems in the future, such as diarrhea. This school-age period is actually the earliest phase in which children can develop healthy behaviors, hence making this phase a strategic target for health improvements. School-aged children are in a period of concrete operational development and they require specific health education methods that can reflect real and interactive experiences. The aim of the study was to determine the most influential factors to effectiveness therapeutic sociodramatic play on diarrheal preventive behaviors among school-aged children (6–12 years). The study design was quasi-experimental with pre- and post-tests, involving 102 school-age children who were divided into an intervention group and control group. Multistage random sampling was used to determine the research area and school where the research was conducted, while the research subject was selected using simple random sampling. The results showed that parental knowledge had a significant effect on therapeutic sociodramatic play improving students’ knowledge (p = 0.001), attitudes (p = 0.004), and diarrheal prevention skills (p = 0.003). Therapeutic sociodramatic play will be more effective when followed by good parental knowledge. The study recommends that therapeutic sociodramatic play could be applied in an effort to enhance healthy and clean living behaviors and to prevent diarrhea among school-aged children, and it could be integrated into school nursing services.
Keywords: Diarrheal prevention behavior, parental knowledge, school-aged children, therapeutic sociodramatic play
The Correlation between Spirituality Level and Emotional Resilience in School-Aged Children in SDN Kayuringin Jaya South BekasiRahel Priskila Nauli
Sigit Mulyono
Comprehensive Child and Adolescent NursingThe Correlation between Spirituality Level and Emotional Resilience in School-Aged Children in SDN Kayuringin Jaya South BekasiSchool-aged children are an age group with unstable emotional resilience. Negative emotional resilience will influence their emotional health. Based on these factors, school-aged children are at risk for a decrease in emotional resilience. Spiritual activity is one coping mechanism for those who have experienced stress because of negative emotional resilience. This research is a correlation study to understand the presence or absence of the relationship between spirituality level and emotional resilience of school-aged children in SDN Kayuringin Jaya VI and SDN Kayuringin Jaya VII, Bekasi Selatan, Indonesia. Respondents were 106 people taken from proportionate stratified. The results of a chi-square test showed a correlation between spirituality level and emotional resilience (p = 0.026). Based on this research, the researchers suggest school institutions optimize spiritual activity in school, which could be used to form positive emotional resilience.
Keywords: Spirituality, emotional resilience, school-aged children
The Relationship between the Nutritional Status of School-Age Children and Their Academic Achievement and Physical Fitness LevelsSyafira Ummu Rahmatillah
Sigit Mulyono
Comprehensive Child and Adolescent NursingThe Relationship between the Nutritional Status of School-Age Children and Their Academic Achievement and Physical Fitness LevelsPhysical fitness and academic achievement in schoolchildren can be supported by good nutrition. Today, however, the nutritional status of school-age children, especially in Indonesia, is concerning. The objective of this study was to examine the relationship between the nutritional status of school-age children and their academic achievement and physical fitness levels. This study used a cross-sectional method; the sample was school-age children in Banjar, Pandeglang. The respondents were 137 randomly selected students in the fourth, fifth, and sixth grades. A chi-square test was used to identify the relationship between nutritional status and physical fitness level and, also, nutritional status and academic achievement. The results showed that the majority of participants had poor fitness levels (86.9%), and 46% had low academic achievement. However, the nutritional status of the majority of the participants was normal (78.8%). The analysis of the results found no significant relationship between nutritional status and physical fitness (p = 0.787 > a = 0.05). However, there was a significant relationship between nutritional status and children’s academic achievement (p = 0.03 < a = 0.05). Therefore, schools could provide health education about balanced nutrition to support students’ academic achievement.
Keywords: Nutritional status, physical fitness, academic achievement
Risk Factors for the Initiation of Smoking Behavior in Primary School Age Children in Karawang, IndonesiaDesy Rizki Ariani
Sigit Mulyono
Widyatuti
Comprehensive Child and Adolescent NursingRisk Factors for the Initiation of Smoking Behavior in Primary School Age Children in Karawang, IndonesiaIncreases in smoking behavior among people in the community can cause health problems. Current smoking behavior changes in the younger generation and spreads to children. This condition is a concern for elementary school-age children. The purpose of this study was to determine the relationships between risk factors for smoking behavior in primary school-aged children in Karawang. Descriptive research method with cross-sectional design was used; a random sampling technique obtained a sample of 356 respondents aged 9–12 years in Karawang. This study used a smoking behavior questionnaire with validity (0.469–0.872) and reliability (0.92). Data were analyzed using linear correlation and multiple linear regression. The results of study show a relationship between age risk factors for the first-time smoking, family of smokers, and following trends and wanting to be cool with smoking behavior of primary school-age children. Multivariate analysis of multiple linear regression showed that the most dominant factor related to smoking behavior was sex (R square = 0.159). Risk factors for smoking and sex affect smoking behavior in primary school-aged children in Karawang Regency. The findings of this study indicate the need to control risk factors that influence school-age children to start smoking.
Keywords: Risk factors for smoking, smoking behavior, school-age children
The Effect of Peer Leadership on Suicidal Ideation in Senior High School TeenagersNi Putu Dita Wulandari
Budi Anna Keliat
Mustikasari
Comprehensive Child and Adolescent NursingThe Effect of Peer Leadership on Suicidal Ideation in Senior High School TeenagersThis study aimed to determine the effect of peer leadership training on suicidal ideation in senior high school teenagers. This study followed a quasi-experimental pretest–posttest design without a control group. We obtained 43 respondents using a purposive sampling technique. An intervention was provided in the form of peer leadership training sessions. Measurements were conducted twice—once pre- and once post-intervention—using the Beck Scale for Suicidal Ideation. The analysis used was the Wilcoxon t-test. Suicidal ideation decreased significantly (p value <0.05) after peer leadership training. Providing peer leadership training could reduce suicidal ideation in adolescents from severe categories into mild ones. Peer leadership training was an effective method for reducing suicidal ideation in adolescents and should be recommended by mental health nurses for adolescents at school.
Keywords: Suicidal ideation, adolescence, peer leadership
The Effect of Interactive Education with 3-Dimensional Puzzles on the Injury-Prevention Behaviours of School-Age ChildrenIndah Puspitasari
Sigit Mulyono
Dwi Nurviyandari Kusuma Wati
Comprehensive Child and Adolescent NursingThe Effect of Interactive Education with 3-Dimensional Puzzles on the Injury-Prevention Behaviours of School-Age ChildrenThe aim of this quantitative study was to identify the effect of interactive education with 3-dimensional puzzles on the injury-prevention behaviours of school-age children in Bekasi, Indonesia. This study used a pre-post group design to select the intervention group and the control group. Of the 120 elementary school students included, 60 were placed in the intervention group and 60 in the control group. Multistage random sampling determined the schools, and simple random sampling determined the subjects. The results showed that interactive education with 3-dimensional puzzles was significant for knowledge (p < 0.001), attitude (p < 0.001) and injury prevention skills (p < 0.001). Interactive education sessions with 3-dimensional puzzles significantly improved knowledge related to injury prevention. Therefore, interactive education with 3-dimensional puzzles may prevent injuries in school-age children. School nurses can use this technique to improve their health education programs.
Keywords: School-age children, injury prevention, 3-dimensional puzzles
Risk and Protective Factors of Suicidal Ideation in AdolescentsMeulu Primananda
Budi Anna Keliat
Comprehensive Child and Adolescent NursingRisk and Protective Factors of Suicidal Ideation in AdolescentsSuicidal ideation is commonly found among adolescents. It is influenced by both risk factors (hopelessness, depression, anxiety, and stress) and protective factors (coping, social support, and self-esteem). The aim of this study was to determine the relationship between the risk and the protective factors of suicidal ideation. This was a descriptive correlative research with a cross-sectional approach that studied 207 senior high school adolescents. These adolescents filled out questionnaires related to suicidal ideation, risk factors, and protective factors. The data analyses conducted were univariate and bivariate analyses. The risk factors hopelessness, depression, anxiety, and stress are found to be associated with high suicidal ideation. This study also found that coping, social support, and self-esteem are negatively associated with suicidal ideation. The relationship between suicidal ideation and its risk and protective factors found in this study can be used to develop appropriate nursing interventions for preventing suicidal ideation in adolescents.
Keywords: Suicidal ideation, hopelessness, depression, anxiety, stress, coping, social support, self-esteem
The Effect of Sleep Hygiene Education on Sleep Quality in Children with Type 1 Diabetes Mellitus: A Preliminary StudyGrace Yuliona S. Tumakaka
Nur Agustini
Nani Nurhaeni
Yeni Rustina
Comprehensive Child and Adolescent NursingThe Effect of Sleep Hygiene Education on Sleep Quality in Children with Type 1 Diabetes Mellitus: A Preliminary StudyTo identify the effect of sleep hygiene education on sleep quality in children with Type 1 Diabetes Mellitus (T1DM), a quasi-experiment with control group and pretest-posttest design was conducted. Samples of 46 children with T1DM in IKADAR were assigned into intervention (n = 23) and control (n = 23). The intervention group received sleep hygiene education for 10 minutes via video, then applied for 3 days. Respondents completed the Pittsburgh Sleep Quality Index (PSQI) Indonesian version (pretest) and were evaluated on the third day (posttest). There was a significant difference in sleep quality score rate (p < 0.001) pre and post-intervention in the intervention group and no significant difference (p = 0.833) in the control group. There was a significant difference in sleep quality score rate between intervention and control group after intervention (p = 0.001). Sleep hygiene can improve sleep quality in children with T1DM; therefore, it can be implemented as a nursing intervention to overcome sleep disorder in children with T1DM.
Keywords: Sleep hygiene, Type 1 Diabetes Mellitus
The Effects of the COMMASH-E Intervention on the Fatigue, Sleep Quality and Functional Status of Children with Cancer in IndonesiaNi Kadek Sriasih
Allenidekania
Dessie Wanda
Comprehensive Child and Adolescent NursingThe Effects of the COMMASH-E Intervention on the Fatigue, Sleep Quality and Functional Status of Children with Cancer in IndonesiaThis study aimed to investigate the effects of the combined music and sleep hygiene education (COMMASH-E) intervention on the fatigue, sleep quality and functional status of children with cancer residing in temporary lodges in Indonesia. The design of this study was a quasi-experimental pre-post test with a control group. We recruited children with cancer aged 7–18 years (n = 58) using a consecutive sampling method and assigned them to intervention and control groups (n = 29 in each group). The intervention group had the COMMASH-E intervention while the control group received routine care. Fatigue, sleep quality and functional status were measured on days 1 and 4 using Allen’s Fatigue in Childhood Cancer Scale, the Sleep Problem in Children Scale and the Barthel Index, respectively. T-dependent and independent tests and Multivariate Analysis of Covariance (MANCOVA) tests were performed for the data analysis. There were significant differences in fatigue, sleep quality and functional status between the intervention and control groups after the COMMASH-E intervention. Nonetheless, chemotherapy drugs contributed to the children’s sleep quality. COMMASH-E was found to be more effective than routine care in the reducing fatigue and increasing the sleep quality and functional status of children with cancer.
Keywords: Fatigue, functional status, music, paediatric oncology, sleep hygiene education, sleep quality
Childbirth Self-Efficacy and Childbirth Expectation of Adolescent Mothers in IndonesiaVeronica Yeni Rahmawati
Imami Nur Rachmawati
Tri Budiati
Comprehensive Child and Adolescent NursingChildbirth Self-Efficacy and Childbirth Expectation of Adolescent Mothers in IndonesiaTo identify a correlation between childbirth self efficacy and childbirth expectation of adolescent mothers in Indonesia, this cross-sectional study applied consecutive sampling. The sample was 135 adolescent mothers. Instruments utilized were structured questionnaire, including a demographic questionnaire, Child Birth Self-Efficacy Inventory (CBSEI), Childbirth Expectation Questionnaire (CEQ), Marital Adjustment Test (MAT), and London Measure of Unplanned Pregnancy (LMUP). All questionnaires were in Indonesian versions. The correlation of childbirth self-efficacy and childbirth expectation was analyzed using chi-square. Most adolescent mothers had low childbirth self-effication (63.7%). The results showed a significant correlation between childbirth self-efficacy and childbirth expectation of adolescent mothers (p = 0.003, OR 2.8, 95% CI 1.126 to 8.544). These results show that special assistance for adolescent mothers in facing childbirth is necessary to improve self-efficacy.
Keywords: Psychological condition, childbirth expectation, childbirth self-efficacy, adolescent mothers
Coping Strategies and Quality of Life of Children with Type 1 Diabetes Mellitus: A Preliminary StudyRina Mulyasari
Nur Agustini
Yeni Rustina
Comprehensive Child and Adolescent NursingCoping Strategies and Quality of Life of Children with Type 1 Diabetes Mellitus: A Preliminary StudyThis study was conducted to identify the correlations between the coping strategies and the quality of life of children with type 1 diabetes mellitus (T1DM). This cross-sectional study involved 39 children from 13 to 18 years old with T1DM who were selected using the consecutive sampling technique. The Pediatric Quality of Life Inventory 3.2 and Coping with a Disease questionnaire were used for this research, and the statistical analysis was conducted using the Pearson and Spearman correlation tests. The average age of the participants was 15.23 years old (± 1.81), they had been diagnosed with T1DM for an average of 5.54 years (± 3.06), and 59% were females. The most commonly used coping method was wishful thinking, and the quality of life mean was 63.82. The emotional reaction (p = 0.009, r = −0.413) and acceptance (p = 0.049. r = 0.317) coping strategies were significantly correlated with the quality of life. However, the other four coping strategies had no significant correlations with the quality of life. These study findings suggest that nurses should help to prevent children with T1DM from adopting emotional reactions as long-term coping mechanisms. Moreover, they should promote the use of the acceptance coping mechanism when providing nursing care for children with T1DM.
Keywords: Children, coping, quality of life, type 1 diabetes mellitus
“Fat Kids Are Adorable”: The Experiences of Mothers Caring for Overweight Children in IndonesiaDina Nurpita Suprawoto
Happy Hayati
Imami Nur Rachmawati
Dessie Wanda
Comprehensive Child and Adolescent Nursing“Fat Kids Are Adorable”: The Experiences of Mothers Caring for Overweight Children in IndonesiaThis study aims to explore mothers’ experiences in caring for overweight children under five years of age. This study used a descriptive phenomenology approach, with in-depth interviews with ten mothers who had overweight children under five years of age (2–5 years) selected by purposive sampling. The data was then analyzed using thematic analysis based on Collaizi’s approach. This study produced eight themes illustrating that mothers were not only unaware of the children’s overweight condition, but even felt more pleased to have overweight kids. This caused mothers not to give the optimum effort in limiting their children’s food intake. The low awareness mothers had towards their children’s overweight condition indicated the need for an intervention program that focuses on overweight children under five years of age to empower the family and increase family awareness in managing obesity early.
Keywords: Caring, children under five, mothers’ experience, overweight
An Ethnographic Study on Feeding Bugis Children Aged 0–23 Months in Palopo, South Sulawesi, IndonesiaNormawati Wahid
Dessie Wanda
Happy Hayati
Comprehensive Child and Adolescent NursingAn Ethnographic Study on Feeding Bugis Children Aged 0–23 Months in Palopo, South Sulawesi, IndonesiaThis study aimed to explore Bugis culture related to feeding practice in children age 0–23 months. The study used a qualitative research method with an ethnographic study approach. Observations and focused group discussions were conducted on 22 caregivers, while in-depth interviews were conducted with a customary leader, two cadres, and a village mindwife. Data analysis applied a thematic analysis with an ethnonursing approach. This study resulted in three themes: giving sweet food, choosing a qualified person to give the first bribe, and delayed feeding of animal-sourced food (ASF) before the age of one year. These results affirm that culture is one of the most influential aspects of feeding children. The culture embraced by parents and society can affect the nutritional intake of children, especially during the first 1000 days of life.
Keywords: Culture, first 1000 days, feeding children, child growth and development, ethnography study
The Correlation between Caregivers’ Characteristics and Emotional Development of Pre-School Children in Depok, IndonesiaAdelia Hutami Sundaur
Yeni Rustina
Comprehensive Child and Adolescent NursingThe Correlation between Caregivers’ Characteristics and Emotional Development of Pre-School Children in Depok, IndonesiaThis study aimed to identify the correlation between emotional developments in pre-school children and the caregivers’ characteristics. This study employed cross sectional design with cluster sampling technique and involved 206 respondents. The inclusion criteria were mothers of a child aged 3–6 years old and willing to participate in the study. The result showed 42.7% children exhibited deviation in emotional development. There was a significant relationship of mother’s education and emotional development in children (p = 0.024; α = 0.05). Children of unemployed mothers had higher percentage of emotional deviation compared to working mother, although it was not significantly different (p = 0.387; α = 0.05). There was no significant correlation between caregivers and emotional development in children (p = 0.102; α = 0.05), child’s age and emotional development (p = 0.183; α = 0.05), and child’s gender and emotional development (p = 0.206; α = 0.05). Based on these findings, the stimulation of emotional development should be integrated into the curriculum for pre-school children in order to optimize their development.
Keywords: Caregiver, emotional development, job status’ mother, mother’s education, PRE-school children
Peer Support Increases Maternal Confidence, Kangaroo Mother Care Implementation and Weight Gain in LBW InfantsKurniawati
Yeni Rustina
Tri Budiati
Comprehensive Child and Adolescent NursingPeer Support Increases Maternal Confidence, Kangaroo Mother Care Implementation and Weight Gain in LBW InfantsWeight gain in low birth weight infants can be improved by Kangaroo Mother Care (KMC). The sustainability of KMC implementation can be improved by increasing maternal confidence. Therefore, an appropriate method is needed in KMC education so that maternal confidence, KMC implementation, and weight gain in low birth weight infants can be increased. This study aimed to determine the effect of peer support on maternal self-confidence, KMC implementation, and infant’s weight gain in four hospitals: one hospital in Jakarta, Bogor, Tangerang, and Bekasi. The study design was a randomized controlled trial with pre-post test equivalent group which involved 24 participants in both intervention and control group, respectively, based on selected criteria. The intervention provided was three sessions of education on KMC based on individual approach provided by peers. The KMC implementation and infant’s weight gain were observed for five days. This study employed a maternal self-confidence questionnaire and KMC observation and weight gain form. The result showed significant differences in mother’s confidence, KMC implementation, and infant’s weight gain between the control group and intervention group (p = 0.001; 0.001; 0.032; 0.030). There was a significant correlation between infant’s birth weight, maternal self-confidence and infant’s weight gain, as well as between comorbidities and weight gain in infants. So, peer support effectively improved maternal self-confidence, KMC implementation, and weight gain in infants in hospital. Therefore, the implementation may be extended throughout home visits.
Keywords: KMC, LBW, peer support, self-confidence mother, weight gain
Exclusive Breastfeeding for Twin Babies and Its Influencing Factors: A Study in East Java, IndonesiaNurul Anjarwati
Fajar Tri Waluyanti
Imami Nur Rachmawati
Comprehensive Child and Adolescent NursingExclusive Breastfeeding for Twin Babies and Its Influencing Factors: A Study in East Java, IndonesiaThis study aimed to identify the factors that influence the success of exclusive breastfeeding in twins. This cross-sectional study was conducted on 184 mothers who had twins aged 6–23 months in Malang Raya, East Java, Indonesia and used the consecutive sampling technique. The data was collected through distributing questionnaires containing questions related to knowledge about exclusive breastfeeding, breastfeeding self-efficacy, and the support of family and certified health workers. Multinomial regression statistical test results show that the most influential factor for the success of exclusive breastfeeding with twins was breastfeeding self-efficacy (OR 0.111; 95% CI 0.033–0.387). A high level of breastfeeding self-efficacy can increase a mother’s confidence to be able to provide exclusive breastfeeding for twins. This study suggests that nurses can provide breastfeeding counselling to improve breastfeeding self-efficacy.
Keywords: Exclusive breastfeeding, self-efficacy, twin babies
Promoting the Mental Health of Adolescents through Cognitive Behavior Group Therapy and Family PsychoeducationMaria Veronika Ayu Florensa
Budi Anna Keliat
Ice Yulia Wardani
Ni Made Dian Sulistiowati
Comprehensive Child and Adolescent NursingPromoting the Mental Health of Adolescents through Cognitive Behavior Group Therapy and Family PsychoeducationThe aim of this study was to examine the effects of cognitive behavior group therapy (CBGT) and family psychoeducation (FPE) in promoting and maintaining adolescent mental health. This quantitative study used a quasi-experiment method, pre- and post-testing with a control group design. A total of 86 adolescents were selected using the purposive sampling method and allocated into two groups that were administered different types of intervention. The first intervention group was provided with mental health education and adolescent developmental stimulation only, which was carried out with individual exercises of stimulation. The second intervention group was provided with mental health education and adolescent developmental stimulation in addition to CBGT and FPE. A mental health continuum short-form questionnaire was used to determine mental health scores. The results showed that most of the adolescents received flourishing mental health scores. These scores significantly increased after receiving mental health education and developmental stimulation, as well as CBGT and FPE. Our results indicate that mental health education and developmental stimulation can be used to promote and maintain good mental health. CBGT and FPE can be used not only to treat mental health problems but also to promote flourishing mental health.
Keywords: Adolescents, cognitive behavior group therapy, family psychoeducation, mental health
Comprehending Mental Health in Indonesian’s Adolescents through Mental, Emotional, and Social Well-BeingNi Made Dian Sulistiowati, Budi Anna Keliat
Ice Yulia Wardani
Satria Fajrullah Said Aldam
Rike Triana
Maria Veronika Ayu Florensa
Comprehensive Child and Adolescent NursingComprehending Mental Health in Indonesian’s Adolescents through Mental, Emotional, and Social Well-BeingMany problems occur at the age of adolescence, especially mental health disorders. Teens experiencing life changes could be at risk for mental health disorders. Adolescents with flourishing/good mental health can become adults who are optimistic, independent, creative, and able to adequately contribute to their surroundings by optimally using their capacities. This study aims to describe an overview of the psychological, emotional, and social well-being of adolescents; thus, it can be used to create a national picture of adolescents’ mental health in Indonesia. This is a descriptive study with a cross-sectional design. The study sample included 972 adolescents in grades 7 and 8 in public and private junior high schools in Depok, Jakarta, Tangerang, and Denpasar who were selected by stratified random sampling. Adolescents possess a high degree of psychological, emotional, and social well-being, and 46.3% of the adolescents were discovered to have flourishing mental health while the others had moderate and languishing/weak mental health. It is necessary to maintain and enhance the involvement of adolescents’ support systems to maintain their mental health. Moreover, adolescents should explore their potential in order to learn adaptive coping mechanisms to help them solve problems appropriately.
Keywords: Mental health, adolescent, psychological well-being, emotional well-being, social well-being
Risk Factors of Mental Health in Adolescents: Emotional, Behavioral, Family, and Peer Relationship ProblemsSatria Fajrullah Said Aldam
Budi Anna Keliat
Ice Yulia Wardani
Ni Made Dian Sulistiowati
Maria Veronika Ayu Florensa
Comprehensive Child and Adolescent NursingRisk Factors of Mental Health in Adolescents: Emotional, Behavioral, Family, and Peer Relationship ProblemsAdolescents are vulnerable to some risk factors in their lives, such as emotional and behavioral problems, problems in the family, and relationship problems within their peer group. This study aimed to describe these risk factors in adolescents. This study used a descriptive statistic design with a cross-sectional approach. The study sample consisted of 292 students in the 8th grade at a junior high school, selected through a purposive sampling technique. The adolescents experienced emotional and behavioral problems, as well as relationship problems with their peers, which within the study was categorized as normal, while problems in the family have the borderline score. It is essential to promote mental health in adolescents in order to maintain good emotional conditions and behaviors, as well as good relationships within their peer group. In the meantime, mental health promotion programs should be given to adolescents and their families to prevent problems among adolescents that will affect their mental health condition.
Keywords: Adolescent, emotional problem, behavioral problem, family problem, peer relationship problem
Does Complete Basic Immunization Correlate with Pneumonia Incidents in Children under Five Years in Depok, Indonesia?Wahyu Setiyowati
Nani Nurhaeni
Comprehensive Child and Adolescent NursingDoes Complete Basic Immunization Correlate with Pneumonia Incidents in Children under Five Years in Depok, Indonesia?Pneumonia is the first globally infectious disease causing death in children under five years of age in which the discovery of cases has increased in Indonesia in recent years. Immunization is a major preventive effort against the disease and is administered through the DPT, Hib, measles, PCV, and rotavirus vaccines. The aim of this study was to understand the correlation between complete basic immunization administration, parental characteristics, and the characteristics of children under five years with the incidence of pneumonia among children in this age group in Depok, Indonesia. The study used a cross-sectional design. There were 104 samples chosen by consecutive sampling. The study was conducted at the public health center in Depok between April and June of 2018. The data collection used questionnaires, parental characteristics, characteristics of children under five years, and complete basic immunization data for the children, which was arranged by the researchers. The questionnaire was tested for validity and reliability. The results of the study showed that complete basic immunization (p: 0.000, α: 0.05), age (p: 0.002, α: 0.05), and nutritional status (p: 0.043, α: 0.05) had a significant correlation with the incidence of pneumonia in children under five years. Health education about the importance of complete basic immunization and balanced nutrition needs to be given to parents who have under-five years of age.
Keywords: Pneumonia, complete basic immunization (CBI), children under five years
The Practice of Exclusive Breastfeeding Can Reduce Frequency of Sick Children and Improve the Productivity of Health-Care Provider Mothers: Study in Samarinda, IndonesiaIda Ayu Kade Sri Widiastuti
Fajar Tri Waluyanti
Dessie Wanda
Comprehensive Child and Adolescent NursingThe Practice of Exclusive Breastfeeding Can Reduce Frequency of Sick Children and Improve the Productivity of Health-Care Provider Mothers: Study in Samarinda, IndonesiaSick children can be a reason a mother is absent from work or does not work optimally. This study aims to look at the relationship between exclusive breastfeeding practices and frequency of sick children and the productivity of health-care provider mothers. This quantitative study was done using a sample of 160 health-care provider mothers from hospitals in cities and districts in Samarinda, Indonesia. Data analysis was approached using Chi-square test for categorical variables. There is a significant relationship between the practice of exclusive breastfeeding and the frequency of sick children and the productivity of health-care provider mothers (p = 0.002). The results showed that the scores of OR on the frequency variable of sick children and maternal-productivity variables are 3.22 and 2.99, respectively. The practice of exclusive breastfeeding can reduce the frequency of sick children and the productivity of health-care provider mothers. The health-care provider mothers play a role in promoting exclusive breastfeeding and as role models in providing support for the application of the Baby-Friendly Hospital Initiative with “Ten Steps to Successful Breastfeeding”. There is a need for regulations regarding maternity and breastfeeding leave regardless of employment status.
Keywords: Exclusive breastfeeding, sick-children frequency, maternal productivity, health-care provider mothers, BFHI
The Effect of Family Psychoeducational Therapy on the Spiritual Well-being
of the Caregivers of the Family Member with Schizophrenia in an area affected by a tidal flood
Eka Budiarto
Achir Yani S. Hamid
Mustikasari
Pakistan Journal of Medical and Health SciencesThe Effect of Family Psychoeducational Therapy on the Spiritual Well-beingof the Caregivers of the Family Member with Schizophrenia in an area affected by a tidal flood Background: Spiritual coping is one of the coping strategies of families with schizophrenic family members to create high spiritual well-being in the family.
Aim: To determine the effect of family psychoeducation therapy on spiritual well-being of the caregivers of the schizophrenic family members affected by tidal floods.
Methods: This study used a quasi-experimental pre-posttest with control group research design. Sampling was with a total population of 81 respondents. The data collection tool used the Braga & Da Cruz helpless screening questionnaire and the FACIT-SP version 4 questionnaire (The functional assessment of chronic illness therapy-spiritual well-being). Data analysis used independent t-test.
Results: The analysis results obtained p value 0.003. It means that there are significant differences in the spiritual well-being of the caregivers of the schizophrenic family members affected by tidal floods in the control and intervention groups.
Conclusions: Providing family psychoeducation therapy can improve the spiritual well-being of the caregiver of the schizophrenic family members. Therefore, nurses can provide family assistance with schizophrenia by doing home follow-up at least once a month by providing consulting services, health education, and collaborating with religious leaders and health cadres so that caregivers can feel comfort in the spiritual aspect through prayer, prayer, and dzikr as a coping mechanism.
Keywords: caregiver; family psychoeducational therapy; tidal flood; schizophrenia; spiritual well-being
Holistic Response of Mother as Caregiver in Treating Stunting ChildrenIka Juita Giyaningtyas
Achir Yani S. Hamid
Novy HC Daulima
Pakistan Journal of Medical and Health SciencesHolistic Response of Mother as Caregiver in Treating Stunting ChildrenBackground: Stunting is a physical disorder that occurs in children, namely lack of height based on the child's age. Stunting can result in impaired cognitive development, impaired mental and motor development, and make children more vulnerable to disease. Stunting affects not only the child, but also the parents as the caregivers of the child, especially the mother. In addition, stunting, as well as malnutrition, can cause stigma from the community to the caring family; hence, the condition of the stunting child can arise various responses to the caregiver.
Aim: To explore more deeply about family experiences, especially mothers’ caring for children with stunting.
Methods: This research was qualitative research with a phenomenological approach. Participants consisted of 12 mothers.
Results: One of the emerging themes was a holistic response as the subjective burden for mothers, which was discussed in more detail in this article.
Conclusion: Mothers experience diverse responses; therefore, they need support and action to overcome the responses that arise. Furthermore, the readiness of caring mothers needs to be further investigated to determine its relationship with emerging responses and stunting events in Indonesia.
Keywords: stunting, motherhood, holistic response, psychosocial, stressor assessment
Exploring the potential use of patient and public involvement to strengthen Indonesian mental health care for people with psychosis: A qualitative exploration of the views of service users and carersHerni Susanti
Karen James
Bagus Utomo
Budi Anna Keliat
Karina Lovell
Irmansyah
Diana Rose
Erminia Colucci
Helen Brooks
Health ExpectationsExploring the potential use of patient and public involvement to strengthen Indonesian mental health care for people with psychosis: A qualitative exploration of the views of service users and carersBackground
Patient and public involvement (PPI) has the potential to strengthen mental health systems in Indonesia and improve care for people living with psychosis. Current evidence from other parts of the world demonstrates the need to understand the contexts in which PPI is to be enacted to ensure optimal implementation.
Objective
To understand service users’ and carers’ views on the current use and potential applicability of PPI within Indonesian mental health services.
Design
Qualitative study incorporating focus groups analysed using thematic analysis.
Setting and participants
Participants included 22 service users and 21 carers recruited from two study sites in Indonesia (Jakarta and Bogor). All participants had experience of psychosis either as a service user or carer.
Results
Despite the value attributed to PPI in relation to improving services and promoting recovery, current use of such activities in Indonesian mental health services was limited. Participants expressed a desire for greater levels of involvement and more holistic care but felt community organizations were best placed to deliver this because PPI was considered more congruent with the ethos of third‐sector organizations. Additional barriers to PPI included stigma and low levels of mental health literacy in both health services and communities.
Discussion and conclusion
Participants felt that there was potential value in the use of PPI within Indonesian mental health services with careful consideration of individual contexts. Future aspirations of involvement enactment should ensure a central design and delivery role for third‐sector organizations. Facilitators to global collaborative research in the context of the current study are also discussed.
Nursing care activities based on documentationMira Asmirajanti
Achir Yani S. Hamid
Rr. Tutik Sri Hariyati
BMC NursingNursing care activities based on documentationBackground
Nurses engage in various activities from the time of a patient’s admission to his or her discharge from the hospital, helping patients to meet their needs. Each of the activities should be documented properly as authentic and crucial evidence. This study aimed to identify nursing activities in the delivery of nursing care based on the documentation completed.
Methods
A quantitative design with a retrospective approach was used, in which 240 medical records from Dr. Kariadi Hospital in Semarang, dating from July through September 2016, were obtained and assessed. The records were randomly selected based on the 10 most common medical and surgical diseases and a hospital stay of more than 3 days. The instrument for collecting the data from the patient progress notes used an observations form. The data were analyzed using univariate statistics and needed to be at least 80% of the values for a certain criteria for it to be considered. The results were analyzed to compare the standard of care.
Results
It was revealed that nursing activities in the delivery of nursing care were insufficient. These activities, according the standard of nursing activities, included the assessment of the functional status of decubitus risk (20.8%), biological status (0.4%), formulation of a nursing diagnosis (20.8%), identification of patients’ home needs (41.3%), quality of life (66.3%), collaboration intervention in drug administration (60.8%), monitoring of vital signs (23.3%), monitoring of daily living activities (37.5%), mobilization/rehabilitation (37.5%), outcome (46.7%), and resume activities nursing (0.8%).
Conclusions
Nursing activities are very important within the hospital and must solve the problems that the patient needs. Every nursing activity should produce documentation with critical thinking. If nursing documents are not clear and accurate, inter-professional communication and an evaluation of nursing care cannot be optimal. Nursing activity and documentation should be continuously directed, controlled, and evaluated by a nurse manager. The quality of nursing activities should always be good to increase patient satisfaction, patient safety, and cost-effectiveness.
Nurse career mapping: a qualitative case study of a new hospitalPriscylia Maria Sandehang
Rr. Tutik Sri Hariyati
Imami Nur Rachmawati
BMC NursingNurse career mapping: a qualitative case study of a new hospitalBackground
Career mapping is an effective strategy for providing nurses with a clear direction and a realistic time scale for achieving their career goals. The purpose of this research is to investigate career mapping for nurses at a new hospital in Jakarta.
Method
The study design is qualitative and implements a focussed case study approach. Data were collected from focus group discussions (FGDs) with two groups: one group consisted of eight staff nurses and the other consisted of six nurse managers. An inductive content analysis of all transcripts from the FGDs and of field notes was conducted independently.
Result
This research produced seven themes that together portray the entire career mapping process. In Hospital X, the career map for a particular nurse is based on the level of formal education, the length and nature of their work experience and a competency assessment. A self-assessment process and considerations related to competence in all aspects of nursing have been included in the process for nurses at Hospital X. The idea that nurses should be positioned in a working environment that matches their level of competency is a fundamental principle for nursing managers.
Conclusion
As a new hospital, Hospital X has implemented nurse career mapping and striven for accreditation. Career developments not only become the responsibility of an organisation but also the responsibility of individuals to develop themselves and their careers.
The association of diabetes literacy with self-management among older people with type 2 diabetes mellitus: a cross-sectional studyUtami Rachmawati
Junaiti Sahar
Dwi Nurviyandari Kusuma Wati
BMC NursingThe association of diabetes literacy with self-management among older people with type 2 diabetes mellitus: a cross-sectional studyBackground
Diabetes has become one of public health problem up until now. As the disease progressed, it might lead to increasing complication as well as death related to them. Diabetes as chronic disease in older people can lead to more vulnerable conditions if they fail to carry out a proper diabetes self-management. Diabetes literacy is an internal factor affecting how the older people go about their diabetes management routines. This study aimed to describe diabetes literacy of the older people and identify the relation of diabetes literacy to diabetes self-management of the older people with T2DM in selected areas of Depok City, West Java, Indonesia.
Method
A cross-sectional observational study was utilized and used 106 samples of older people individuals with T2DM, all of whom were chosen via cluster sampling. This research took place in five selected areas under the supervision of three public health center in Depok City. The data were analyzed using a bivariate t-independent test, the Pearson product-moment correlation, and logistic regression for multivariate analysis to determine the relationship of independent and dependent variable.
Result
This research shows a significant correlation between diabetes literacy and diabetes self-management (p = 0,011).
Conclusion
Diabetes self management is associated with diabetes literacy in older people with type 2 diabetes mellitus. Diabetes literacy should be considered when assessing and addressing diabetes-specific health education needs.
Gynecological cancer inpatients need more supportive nursing care than outpatients: a comparative studyTina Mawardika
Yati Afiyanti
Hayuni Rahmah
BMC NursingGynecological cancer inpatients need more supportive nursing care than outpatients: a comparative studyBackground
Gynecological cancer inpatients and outpatients may have distinct supportive nursing care needs. This study aimed to compare the supportive care needs between these two patient cohorts.
Methods
This cross-sectional comparison analytic study aimed to identify the differences between the supportive nursing care needs of the gynecological cancer inpatients and outpatients. Data were collected from 200 participants who were recruited through consecutive sampling method.
Results
The results showed that gynecological cancer inpatients needed more supportive nursing care than the outpatients. The most reported supportive nursing care needs of the inpatients were in the domains of physical (80%) and the psychological (84%). Whilst, the outpatients needed more health information support (78%). There was a significant difference between the supportive nursing care needs of gynecological cancer inpatients and outpatients (p value = 0.001). Supportive nursing care needs of the inpatients were 44 times higher compared to those of the outpatients.
Conclusions
The gynecological cancer inpatients and outpatients need supportive nursing care differently. Therefore, nurses should assess supportive care needs of their patients early during the care in each setting so that the intervention could be tailored to the patient’s individual needs. Our study findings can help nurses navigate the supportive care needs for gynecological cancer patients receiving inpatient and outpatient care.
Phenomenological study: the experiences of patients with nasopharyngeal cancer after undergoing chemoradiationUcip Sucipto
Agung Waluyo
Sri Yona
BMC NursingPhenomenological study: the experiences of patients with nasopharyngeal cancer after undergoing chemoradiationBackground
Chemoradiation is a combination therapy of chemotherapy and radiotherapy. Because chemotherapy is given together with radiotherapy, the side effects are heavier and more severe for some patients. For nasopharyngeal cancer patients, the side effects involve nausea, vomiting, anorexia, diarrhea, mucositis, xerostomia, and tasting and hearing loss, which influence their quality of life. The purpose of this study was to explore the experiences of patients with head and neck cancer undergoing chemoradiation.
Methods
A Phenomenogical desctipve, involving in depth interviewes was conducted during a 6 month study period. Eleven patiets with nasopharyngeal cancer participated in indepth inteviews Colaizzi’s method was used in analyzing data. The selection of participants in this study using purposive sampling method the inclusion criteria were1) the patient had been diagnosed with head and neck cancer, 2) minimum age of 18 years, and 3 had been received external chemoradiation, minimum 14 times of chmemoradiation. The study was conducted at one out-patientradiotherapy department. at Dharmais Cancer Centre Hospital, Jakarta.
Result
The findings show three main themes: 1) xerostomia was the main physical complaint, 2) patients had decreased social interaction, and 3) having adequate support from the family was important for patients.
Conclusion
The findings suggest involving family members when patients are undergoing chemoradiation. Adequate family support is needed to help the patients adapt to the side effects of chemoradiation with the best possible response.
Decreased blood pressure among community dwelling older adults following progressive muscle relaxation and music therapy (RESIK)Niken Fitri Astuti
Etty Rekawati
Dwi Nurviyandari Kusuma Wati
BMC NursingDecreased blood pressure among community dwelling older adults following progressive muscle relaxation and music therapy (RESIK)Background
Hypertension is a major risk factor related to leading causes of death among older adults. Numerous efforts have been done but they still remain sub-optimal. This condition encourages development of a non-pharmacological therapy to complement pharmacological therapy, such as progressive muscle relaxation and music therapy (RESIK). The purpose of this study was to determine the effect of RESIK on blood pressure among older adults with hypertension in Depok Indonesia.
Methods
This study used quasi experimental design with pre and post test with control group approach. One-hundred older adults with hypertension were divided into two groups using stratified random sampling and purposive sampling.
Result
After 11 sessions of RESIK therapy in 6 days, the paired t-test showed a decrease in systolic blood pressure to 29.2 mmHg and a decrease in diastolic blood pressure to 16.2 mmHg.
Conclusion
In conclusion, RESIK decreased systolic blood pressure p < 0,001, but it did not significantly decrease diastolic blood pressure p > 0.167. It is recommended that RESIK be used regularly for an older adult population with hypertension.
Family experience in facilitating adolescents during self-identity development in ex-localization in IndonesiaUswatun Hasanah
Herni Susanti
Ria Utami Panjaitan
BMC NursingFamily experience in facilitating adolescents during self-identity development in ex-localization in IndonesiaBackground
Self-identity is a personal reflection that is consistent and covers various individual aspects, such as job/career, spirituality, relations, intellectuality, sexuality, culture, interests, personality, and physical identity. The increasing level of juvenile delinquency worldwide, including in Indonesia, is a manifestation of unsuccessful identity development in adolescents. Self-identity development is inseparable from family influence. This study aimed to explore the experiences of families in facilitating their adolescents during self-identity development while living in ex-localization.
Methods
This study used a descriptive qualitative design and involved 12 participants. Data were collected through in-depth interviews and analyzed using thematic analysis.
Results
This study resulted in five themes: the identity achievement of adolescents living in ex-localization is similar to that of adolescents in general; the domination of external barriers during identity achievement; ex-localization as a stressor; families’ efforts to facilitate their adolescents during identity achievement; and family expectations for the future.
Conclucions
This study highlights the importance of improving family awareness of adolescents’ identity achievement when living in ex-localization with the help of nursing mental health professionals.
Breastfeeding self-efficacy as a dominant factor affecting maternal breastfeeding satisfactionSiti Nurbayanti Awaliyah
Imami Nur Rachmawati
Hayuni Rahmah
BMC NursingBreastfeeding self-efficacy as a dominant factor affecting maternal breastfeeding satisfactionBackground
One of the psychological benefits of breastfeeding for mothers and infants is to get the satisfaction of breastfeeding. Maternal breastfeeding satisfaction derives from the interaction and cooperation between mothers and their babies. This research aims to identify the maternal breastfeeding satisfaction and its influential factors.
Methods
This study applied a cross-sectional design. Two hundred four breastfeeding mothers after four until 8 months postpartum were recruited using cluster sampling methods. Respondents completed the questionnaire of Maternal Breastfeeding Evaluation Scale (MBES) to identify maternal breastfeeding satisfaction. Factors affecting maternal breastfeeding satisfaction were identified using the following instruments: Breastfeeding Knowledge Questionnaire was used to identify knowledge on lactation, Infant Feeding Attitude Scale (IIFAS) to identify attitude toward lactation, and the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) to identify breastfeeding self-efficacy.
Result
We identified that 53.4% of the breastfeeding mothers had a high level of satisfaction. The results indicate that the household income, type of delivery, and breastfeeding self-efficacy was associated with breastfeeding satisfaction (p < 0.05). Breastfeeding self-efficacy is the most influential factors in maternal breastfeeding satisfaction (OR=16.64; CI 95% 7.65–35.94).
Conclusion
Breastfeeding satisfaction is the satisfying feeling obtained during breastfeeding resulting from cooperation between the mother and the infant to fullfil desires or needs. Education and promotion of breast milk and breastfeeding provided by professional healthcare providers encouraged the successful of breastfeeding programs. Assistance by a health care provider or breastfeeding counselor during the seven contacts breastfeeding initiated during pregnancy until after delivery should be applied so that the mother is informed about breastfeeding. Breastfeeding satisfaction can keep the mother from continuing to breastfeed her baby for up to 2 years or more.
Cognitive behaviour therapy for anxiety in adolescent with early prodromal of psychosis at boarding schoolNiken Yuniar Sari
Budi Anna Keliat
Herni Susanti
BMC NursingCognitive behaviour therapy for anxiety in adolescent with early prodromal of psychosis at boarding schoolBackground
Early prodromal of psychosis starts in adolescent indicated by non specific symptoms which may result in the changes of behaviour, role, function, and social interaction. Cognitive behaviour therapy is a strategic intervention in reducing anxiety symptom. The purpose of this research is to find out the effects of cognitive behaviour therapy for anxiety in adolescent with early prodromal of psychosis.
Method
The design of this research was Quasi experimental design: pre-post test with control group. Samples were selected after the screening on adolescents in boarding school with the Prodromal Questionnaire (PQ16). Subjects were 78 respondents consisting of 39 each groups, obtained by random sampling technique. Nursing intervention was provided to intervention group 1, while cognitive behaviour therapy was provided to intervention group 2. The measurement of anxiety in adolescents is by using the Hamilton Anxiety Rating Scale for Anxiety (HARS). The analysis was performed by Repeated Anova and Independent t-test.
Result
The result of the research shows that anxiety level decrease significantly on those two groups, whilst the decrease of anxiety and early prodromal of psychosis in the intervention group 2 indicates more decrease than intervention group 1.
Conclusion
Cognitive behaviour therapy is recommended to reduce anxiety in adolescent with early prodromal of psychosis.
MEDICATION BELIEFS IN PATIENTS FOLLOWING PERCUTANEOUS CORONARY INTERVENTION: A CROSS-SECTIONAL STUDYPrima Agustia Nova
Ching-Huey Chen
Jurnal Keperawatan IndonesiaMEDICATION BELIEFS IN PATIENTS FOLLOWING PERCUTANEOUS CORONARY INTERVENTION: A CROSS-SECTIONAL STUDYPatients post percutaneous coronary intervention need to take medication for their health. Beliefs about medication influence patients’ adherence in taking their medication regimens. Therefore, the study aimed to identify medication beliefs in patients following percutaneous coronary intervention in Indonesia. This research used a cross-sectional study with the convenience sampling method. A total of 132 adult patients following Percutaneous Coronary Intervention participated in this study. This study used The Beliefs about Medicines Questionnaire to identify patients’ beliefs about medication. The majority of respondents were male (85.6%) with a mean age of 60 years. Beliefs about general overuse were found to be the highest among other categories; specific-necessity, specific concern, and general harm. Elucidating patients’ beliefs about the medication will provide health care providers with a better understanding of patient medication behaviors after percutaneous coronary intervention. Recognition of patients’ beliefs may aid in targeting specific intervention programs to improve patients’ adherence to medication following Percutaneous Coronary Intervention procedure.
Keywords: medication beliefs, percutaneous coronary intervention (PCI)
PEMBERIAN POSISI (POSITIONING) DAN NESTING PADA BAYI PREMATUR: EVALUASI IMPLEMENTASI PERAWATAN DI NEONATAL INTENSIVE CARE UNIT (NICU)Defi Efendi
Dian Sari
Yanti Riyantini
Novardian
Dian Anggur
Pipit Lestari
Jurnal Keperawatan IndonesiaPEMBERIAN POSISI (POSITIONING) DAN NESTING PADA BAYI PREMATUR: EVALUASI IMPLEMENTASI PERAWATAN DI NEONATAL INTENSIVE CARE UNIT (NICU)Pemberian posisi yang salah dapat meningkatkan risiko morbiditas dan mortalitas. Artikel ini bertujuan untuk menggali pemberian posisi (positioning) dan nesting pada bayi prematur di NICU. Penelitian ini berupa studi literatur tahun 2007-2017, serta pengalaman penulis dalam aplikasi pemberian posisi dan nest di dua rumah sakit rujukan nasional dalam lima tahun terakhir. Hasil studi ini menunjukkan beberapa posisi yang dapat diberikan pada bayi prematur di antaranya adalah posisi supinasi, lateral kiri, lateral kanan, pronasi, dan quarter/semi pronasi. Posisi pronasi dan kuarter/semi pronasi direkomendasikan untuk bayi prematur dengan Respiratory Distress Syndrome (RDS). Posisi lateral kanan direkomendasikan untuk bayi prematur dengan Gastroesofageal reflux (GER). Posisi supinasi merupakan alternatif terakhir pemberian posisi pada bayi prematur dengan kontraindikasi posisi pronasi, kuarter/semi pronasi, dan lateral. Pembuatan nest dapat dimodifikasi dari potongan beberapa kain yang digulung. Perawat hendaknya meningkatkan pengetahuan dan keterampilan agar mampu memberikan variasi posisi sesuai kondisi dan indikasi bayi yang dirawat di NICU.
Kata Kunci: Bayi prematur, pemberian posisi, nest, perawatan intensif
PENGARUH APLIKASI MODEL “SIMBOL ANDI” TERHADAP PENGETAHUAN, SIKAP DAN KETERAMPILAN ANAK USIA SEKOLAH DENGAN RISIKO CEDERA DI KOTA DEPOKRessa Andriyani Utami
Agus Setiawan
Poppy Fitriyani
Jurnal Keperawatan IndonesiaPENGARUH APLIKASI MODEL “SIMBOL ANDI” TERHADAP PENGETAHUAN, SIKAP DAN KETERAMPILAN ANAK USIA SEKOLAH DENGAN RISIKO CEDERA DI KOTA DEPOKCedera menyebabkan 5,8 juta kematian di dunia dan 16% kasus cedera menyebabkan kecacatan. Faktor perilaku anak usia sekolah yang meliputi pengetahuan, sikap dan keterampilan terkait pencegahan cedera berpengaruh terhadap kejadian cedera. Strategi pencegahan cedera yang dilakukan adalah dengan Model Sandi (Simbol Andi) menggunakan video animasi dengan tokoh bernama Andi. Penelitian ini bertujuan untuk menganalisis penerapan Model Sandi dalam pencegahan cedera pada tatanan komunitas, khususnya di lingkungan sekolah. Desain penelitian ini adalah quasi experiment pre-post test without control group. Jumlah sampel penelitian sebanyak 136 anak usia sekolah berusia 11-12 tahun yang dipilih melalui teknik cluster sampling. Pengetahuan mengenai pencegahan dan penanganan cedera meningkat sebesar 2,18 poin dengan SD=1,60, sikap mengenai pencegahan dan penanganan cedera meningkat sebesar 1,97 poin dengan nilai SD=0,99 dan keterampilan mengenai pencegahan dan penanganan cedera meningkat sebesar 2,06 poin dengan nilai SD=2,19. Hasil analisis menujukkan adanya perubahan yang bermakna pada pengetahuan, sikap dan keterampilan sebelum dan sesudah diberikan intervensi (p <0,05). Intervensi Model Sandi diharapkan dapat dijadikan salah satu pendekatan intervensi keperawatan dalam menyelesaikan permasalahan risiko cedera pada anak usia sekolah.
Kata kunci: anak usia sekolah, intervensi keperawatan, model simbol, risiko cedera
PENINGKATAN MELEK KESEHATAN PERAWAT MELALUI PENGARAHAN KEPALA RUANG MENGGUNAKAN PROGRAM INTERNALISASI HASIL EVALUASI BELAJAR PERAWATMunezarah
Hanny Handiyani
Tuti Nuraini
Jurnal Keperawatan IndonesiaPENINGKATAN MELEK KESEHATAN PERAWAT MELALUI PENGARAHAN KEPALA RUANG MENGGUNAKAN PROGRAM INTERNALISASI HASIL EVALUASI BELAJAR PERAWATMelek kesehatan (health literacy) sangat penting bagi keselamatan perawat. Rendahnya melek kesehatan perawat merupakan salah satu faktor yang berperan pada insiden cedera jarum suntik pada perawat di rumah sakit. Upaya mengoptimalkan melek kesehatan perawat dapat dilakukan melalui pengarahan yang inovatif, yaitu melalui program internalisasi hasil evaluasi belajar perawat (Pin Hebat). Penelitian ini bertujuan menguji pengaruh Pin Hebat terhadap melek kesehatan perawat, melalui metode penelitian pre-eksperiment dengan perbandingan kelompok statis (static group comparison). Teknik pengambilan sampel menggunakan consecutive sampling, dengan sampel 88 perawat perawat pelaksana. Perawat pelaksana pada kelompok intervensi dinilai melek kesehatannya sesudah dilaksanakan pengarahan oleh kepala ruangan menggunakan Pin Hebat. Pada waktu yang sama kelompok kontrol langsung di nilai melek kesehatannya tanpa diberikan intervensi. Hasil penelitian dianalisa menggunakan Independen t tes menunjukkan bahwa ada perbedaan yang bermakna pada melek kesehatan perawat pelaksana (p= 0,001) setelah diterapkan pengarahan menggunakan Pin Hebat. Pengarahan kepala ruang menggunakan Pin Hebat memberi dampak pada melek kesehatan sebesar 27%. Adanya penetapan kebijakan pelaksanaan pengarahan menggunakan Pin Hebat oleh kepala ruang di rumah sakit sangat dibutuhkan agar dapat dilaksanakan secara berkelanjutan.
Kata kunci: melek kesehatan, pengarahan, pin hebat
THE IMPACT OF VEGETARIAN DIETS AND BODY MASS INDEX ON HYPERTENSIONTri Mariha
Wiwin Wiarsih
Jurnal Keperawatan IndonesiaTHE IMPACT OF VEGETARIAN DIETS AND BODY MASS INDEX ON HYPERTENSIONA vegetarian diet is believed to prevent hypertension. This study aims to identify the impact of vegetarian diets, including fat, salt, potassium, and body mass index (BMI), on hypertension. Data was taken by systematic random sampling method from 173 vegetarians and analyzed using chi-square. The result showed that there is no significant association between the intake of fat, sodium, and potassium with hypertension in vegetarians (p> 0.05). However, there is a significant relationship between BMI with the incidence of hypertension (p= 0.025), where overweight res-pondents are 3.837 more likely to have hypertension (OR 3.837; 95% CI= 1,256–11,721). It implies that vegetarians tend to have a safe intake of fat, salt, and potassium, and therefore, this condition prevents hypertension. Thus, health promotion about the selection of sources of fat, regulation of salt, potassium intake, and weight management will be beneficial for vegetarians in preventing hypertension.
Keywords: BMI, diet, hypertension, vegetarian
PENGALAMAN PENERAPAN KEMAMPUAN BERPIKIR KRITIS PERAWAT SAAT MEMBERIKAN ASUHAN KEPERAWATAN PADA BAYI BERAT LAHIR RENDAH DI RSUD DR. H. MOCH. ANSARI SALEH BANJARMASINAchmad Rif'at
Elly Nurachmah
Yustan Azidin
Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
PENGALAMAN PENERAPAN KEMAMPUAN BERPIKIR KRITIS PERAWAT SAAT MEMBERIKAN ASUHAN KEPERAWATAN PADA BAYI BERAT LAHIR RENDAH DI RSUD DR. H. MOCH. ANSARI SALEH BANJARMASINLatar Belakang: Rumah Sakit sebagai pemberi layanan kesehatan bertanggung-jawab untuk memberikan pelayanan yang bermutu dan aman. Permasalahan yang kompleks pada Bayi Berat Lahir Rendah (BBLR) menjadi alasan untuk diteliti. Bayi BBLR berisiko mengalami ketidaksempurnaan fungsi organ, sistem imun bayi atau pertahanan tubuh yang belum sempurna sehingga berisiko infeksi, tumbuh kembang bayi yang mungkin terlambat pasca perawatan. Perawat sebagai salah satu profesional pemberi asuhan bertanggung-jawab memberikan asuhan yang bermutu dan aman. Oleh karena itu kemampuan perawat dalam memberikan asuhan, pengetahuan yang di miliki, pengalaman selama merawat, hubungan dengan petugas kesehatan lain, kesiapan orang tua untuk merawat di rumah pasca perawatan menjadi sangat penting untuk di teliti.
Tujuan: Penelitian ini mengeksplorasi pengalaman penerapan kemampuan berpikir kritis perawat saat memberikan asuhan keperawatan pada bayi berat lahir rendah.
Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Pengumpulan data di lakukan dengan wawancara mendalam pada tujuh partisipan yang diambil dengan teknik purposive sampling. Partisipan adalah perawat yang bekerja di Ruang Mutiara Lantai 2 RSUD dr. H. Moch. Ansari Saleh Banjarmasin.
Hasil: Hasil analisis didapatkan empat tema : kemampuan perawat mengenali BBLR, kemampuan perawat memberikan asuhan BBLR, kebutuhan dokumentasi pada BBLR, dan keterlibatan keluarga, petugas kesehatan dan unit kerja dalam asuhan BBLR. Rekomendasi hasil penelitian ini adalah pendidikan. Pendidikan berkelanjutan dapat meningkatkan pengetahuan dan kompetensi perawat. Pengetahuan dan kompetensi memberikan dampak pada sikap perawat untuk berpikir kritis pada asuhan yang diberikan.
Kata Kunci: berpikir kritis, Bayi Berat Lahir Rendah
Peran Keluarga Perhadap Perilaku Gizi Anak Usia SekolahAndi Saifah
Junaiti Sahar
Widyatuti
Jurnal Keperawatan Peran Keluarga Perhadap Perilaku Gizi Anak Usia SekolahMasalah gizi merupakan salah satu masalah kesehatan anak usia sekolahyang dapat menyebabkan gangguan fisik, psikologis dan prestasi akademik menurun. Tujuan penelitian adalah menganalisis hubungan peran keluarga terhadap perilaku gizi anak usia sekolah di wilayah kerja Puskesmas Mabelopura Kota Palu.Desain penelitian adalah studikorelasionalpendekatan cross sectional. Populasi penelitian adalah 4944 siswaSekolah Dasar.Jumlah sampel adalah 174 siswa.Pengambilan sampel dengan cara cluster proportionalsampling. Kriteria inklusi yaitu kelas 4,5,dan 6, bersedia menjadi responden dan bisa membaca dan menulis. Pemilihan sampel dengan melakukan pengundian berdasarkan nomor absensi secara proporsional. Instrumen penelitianadalah timbangan berat badan, meteran, kuesioner untuk mengukur peran keluarga dan perilaku gizi dengan uji validitas nilai r antara 0,361-0,718 dan nilai α cronbach> 0,9.Uji hipotesis menggunakan uji korelasi Spearman, didapatkan nilai p= 0,035, nilai r = 0,16. Simpulan penelitian adalah terdapat korelasi positif antara peran keluarga dan perilaku gizi anak usia sekolah, sangat penting sebagai contoh peran yang baik dan penyediaan dalam pemenuhan gizi seimbang.
Kata Kunci: keluarga; perilaku gizi;anak usia sekolah
How to be aware of Cognitive Impairments? Descriptive Studies Using HVLT, CDT and AD8 As Screening Tools for Dementia in Older AdultsRaden Siti Maryam
Junaiti Sahar
Kuntjoro Harimurti
KnE Life SciencesHow to be aware of Cognitive Impairments? Descriptive Studies Using HVLT, CDT and AD8 As Screening Tools for Dementia in Older AdultsBackground: The increasing incidence of dementia in Indonesia’s elderly population is creating a health problem that affects sufferers’ quality of life, as well as family and wider community life. The elderly who suffer from dementia have cognitive impairment and other disabilities that interfere with daily activities. Animportanttoolforpreventing dementia is screening.
Objective: This study describes dementia screening tools including HVLT, CDT and AD, each designed for elderly with risk factors of dementia.
Methods: Descriptive study with a cross-sectional approach was used. The population waselderlywholiveincapitalregionofJakarta.Asample354elderliesaged60years or more were recruited and screened through multistage random sampling.
Result: The results of screening dementia using HVLT were 56.5 % very likely to suffer dementia; 92.1 % (CDT) and 56.2 % (AD8) were suffered cognitive impairments.
Conclusions: Community Health Center could be considered to be used screening tool according to elderly conditions to diagnose dementia early. Besides that, elderly individuals and their family could enhance their awareness about prevention of dementia by identifying existing risk factors.
Dukungan Psikologis Keluarga Berpengaruh Dominan terhadap Tipe Demensia pada LansiaRos Endah Happy Patriyani
Junaiti Sahar
Dewi Gayatri
Raden Siti Maryam
Jurnal Ilmu dan Teknologi KesehatanDukungan Psikologis Keluarga Berpengaruh Dominan terhadap Tipe Demensia pada LansiaPenelitian ini bertujuan untuk mengetahui perbedaan karakteristik lansia dan dukungan keluarga terhadap tipe demensia pada lansia. Desain penelitian menggunakan analitik korelasi dengan menggunakan pendekatan cross sectional. Pengambilan sampel menggunakan metode multistage random sampling yang berjumlah 109 lansia. Tipe demensia diukur dengan kuesioner Mini Mental State Examination. Uji statistik menggunakan t test independent dan regresi linier berganda didapatkan karakteristik lansia yang dominan mempengaruhi tipe demensia adalah usia (p=0,000) dan tingkat pendidikan (p=0,000). Bentuk dukungan keluarga yang mempunyai perbedaan secara signifikan terhadap tipe demensia, yaitu dukungan psikologis (p=0,011), dukungan penghargaan (p=0,013), dan dukungan instrumental (p=0,030). Dukungan keluarga yang paling dominan terhadap tipe demensia adalah dukungan psikologis. Hasil penelitian ini menyimpulkan dukungan keluarga khususnya psikologis dapat meningkatkan semangat dan motivasi lansia untuk bersikap dan berperilaku hidup sehat. Penelitian ini merekomendasikan pemberi pelayanan keperawatan pada lansia baik dalam upaya promotif dan preventif dapat dilakukan berupa deteksi dini, pendidikan kesehatan tentang demensia, dan keluarga tetap konsisten memberikan dukungan kepada lansia.
Kata kunci: dukungan keluarga; karakteristik lansia; tipe demensia
Pengalaman Lansia dengan Demensia Ringan-Sedang Dalam Melakukan Komunikasi dengan Pelaku Rawat: Systematic ReviewUmmi Malika Balqis
Junaiti Sahar
Jurnal EndurancePengalaman Lansia dengan Demensia Ringan-Sedang Dalam Melakukan Komunikasi dengan Pelaku Rawat: Systematic ReviewDemensia merupakan penurunan secara progresif pada kemampuan kognitif yang ditandai dengan kehilangan memori yang mempengaruhi kemampuan sehari-hari. Salah satu masalah yang cukup dominan dirasa pada lansia demensia yaitu masalah di dalam komunikasi. Tujuan dari penulisan ini adalah untuk melihat pengalaman lansia dengan demensia ringan-sedang dalam melakukan komunikasi dengan pelaku rawat. Artikel ini menggunakan metode penulisan systematic review terhadap artikel terpilih. Melalui pendekatan systematic review ini, enam jurnal fenomenologi terpilih menyebutkan bahwa tema-tema yang muncul saat lansia dengan demensia ringan-sedang melakukan komunikasi dengan pelaku rawat, diantaranya lansia mampu untuk menceritakan gejala demensia yang dialami, perasaan kehilangan dan tertekan, stigma negatif orang lain, kehilangan kendali dan keinginan untuk mengambil keputusan sendiri, serta masalah di dalam hubungan interpersonal. Kemampuan lansia dengan demensia ringan-sedang dalam mengungkapkan pengalamannya ketika berinteraksi dengan pelaku rawat dapat menjadi pertimbangan bagi pelaku rawat dalam menentukan keputusan pemberian pelayanan berkaitan dengan kondisi demensia yang dialaminya
Kata Kunci: Demensia; Komunikasi; Lansia; Pengalaman
Model Keperawatan Keluarga Santun Lansia dalam Upaya Peningkatan Kualitas Asuhan Keluarga pada Lansia: A Literature ReviewEtty Rekawati
Achir Yani S. Hamid
Junaiti Sahar
Widyatuti
Ni Luh Putu Dian Yunita Sari
Jurnal Penelitian Kesehatan SUARA FORIKESModel Keperawatan Keluarga Santun Lansia dalam Upaya Peningkatan Kualitas Asuhan Keluarga pada Lansia: A Literature ReviewKeluarga merupakan orang terdekat lansia yang memilki peran penting dalam merawat lansia. Tujuan dari penulisan ini adalah memberikan gambaran model keperawatan keluarga santun lansia dalam upaya peningkatan kulitas asuhan keluarga pada lansia. Pendekatan studi adalah studi literatur dengan kesepakatan pakar. Metode pencarian sumber pustaka dilakukan online yaitu menggunakan basis data seperti Science Direct, Scopus, Sage, Pubmed dan ProQuest. Kata kunci yang digunakan adalah “elder mistreatment”, “intervention” dan “family approach”. Penelusuran literatur hanya dibatasi dalam tahun 2008 hingga 2019 dan dalam bahasa Inggris. Hasil yang didapatkan adalah didapatkan 15 artikel penelitian yang dianalisis. Ada tiga tema yang didapatkan, yaitu pemberian informasi melalui pelatihan, pemberian persepsi positif pada keluarga yang merawat lansia dan konseling. Pelatihan berorientasi pada dukungan dan strategi koping keluarga dalam merawat lansia yang ditujukan kepada pelaku rawat, kader dan petugas kesehatan. Penanaman sugesti diberikan secara berkelompok ataupun individual pada keluarga yang merawat lansia, dan konseling diberikan secara individual bagi keluarga yang memerlukannya. penelitian lanjutan diharapkan dapat mengidentifikasi mengenai kualitas hidup lansia yang berkaitan dengan penerapan model keperawatan santun lansia.
Kata kunci: lansia; model keperawatan keluarga; kualitas asuhan keluarga
Pengalaman Keluarga dalam Merawat Anggota Keluarga dengan Demensia: A Systematic ReviewAnung Ahadi Pradana
Junaiti Sahar
Jurnal Penelitian Kesehatan SUARA FORIKESPengalaman Keluarga dalam Merawat Anggota Keluarga dengan Demensia: A Systematic ReviewSebagai salah satu negara dengan populasi menua pada tahun 2015, Indonesia dihadapkan pada meningginya angka kesakitan lansia, khususnya akibat penyakit-penyakit degeneratif. Demensia sebagai salah satu penyakit degeneratif yang sering dialami oleh lansia, menjadi momok khusus yang dapat menghambat pemberian asuhan keperawatan kepada lansia. Keluarga sebagai pemberi asuhan utama kepada lansia memiliki kecenderungan untuk mengalami hambatan secara biologis, psikologis, sosial, kultural dan spiritual. Penulis melakukan kajian literatur secara sederhana terhadap 16 artikel yang diperoleh dari beberapa database antara lain: CINAHL, PubMed dan PRoQuest yang berkaitan dengan pengalaman keluarga dalam merawat lansia dengan demensia. Hasil studi menunjukkan bahwa ada 2 tema utama yang dialami yaitu perasaan sedih dengan 13 subtema, dan perasaan positif dengan 8 subtema. Kekurangan yang mungkin muncul dalam studi ini adalah masih adanya kemungkinan tidak terjaringnya beberapa artikel terkait yang memiliki kesesuaian dengan kriteria inklusi yang ditentukan oleh penulis. Implikasi dari penelitian ini adalah untuk menambah kajian literatur terkait demensia di Indonesia.
Kata kunci: demensia, keluarga, pengalaman
The Experiences of Former Injection Drug Users in Palembang City, Indonesia: A Phenomenology StudyBudi Santoso
Junaiti Sahar
Wiwin Wiarsih
Tantut Susanto
International Jurnal of Caring SciencesThe Experiences of Former Injection Drug Users in Palembang City, Indonesia: A Phenomenology StudyBackground: Injection drug users have a high risk of various health problems, both physical and psychological, including HIV/AIDS infection. Problems experienced by this group do not only affect the members, but also the surrounding community. This study explored the experiences of former injection drug users in Palembang City of Indonesia.
Method: The study employed a descriptive phenomenological qualitative design. The participants were recruited using the purposive sampling technique. Research data were collected using open-ended questions and field notes. The interview guidelines were prepared based on the research objectives. They were further translated into a number of questions to explore the experiences of former injection drug users. The collected research data were transcribed and analyzed by using Colaizzi method (1978).
Results: This study identified nine experience themes, which are: the first reason of using drugs, reasons of continuing drug use, personal responses, parent responses, the values, bad impacts, meanings when using drugs, meaning after recovery, support from related parties.
Conclusion and Recomendation: Injection drug abuse is a habit that must be immediately prevented and overcome. It is suggested that the Government should conduct prevention efforts and eradicate drug abuse by involving the society.
Keywords: Injection drug, Drug users, Drug abuse; Phenemenology study
Self efficacy of street children in JABODETABEK in utilizing health servicesReni Chairani
Achir Yani S. Hamid
Junaiti Sahar
T E Budhi
IOP ScienceSelf efficacy of street children in JABODETABEK in utilizing health servicesDiscomfort that is often felt by street children in utilizing health services occurs because of negative perceptions of themselves which come from themselves and surrounding environment. This caused street children as marginal groups, as they do not have the confidence to access health services. This condition is complicated by the limited health services for adolescents. Street children need to develop self-efficacy that can build their confidence and courage in the process of seeking treatment. This study aims to describe self-efficacy which is an internal factor that can influence the behavior of street children in seeking health services. Cross sectional quantitative research with simple random sampling method used to retrieve 115 samples of the children-on-the-street aged 12-20 years in five urban areas in Indonesia, namely Jakarta, Bogor, Depok, Tangerang and Bekasi (JABODETABEK). The results showed that self-efficacy variables could influence the behavior of street children using health services (OR = 3, 847). These results proved that street children with high self-efficacy had four-times potential of behavior in utilizing health services compared to street children with low self-efficacy. This also proved that increasing self-efficacy could help street children to have healthy behaviors and improve their ability to monitor their health independently. Increasing self-efficacy is one of the effective strategies to overcome health problems in street children.
PENINGKATAN PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) MELALUI METODE SIMULASI PRAKTIK DI MADRASAH IBTIDAIYAH (MI) AL ISLAM KELURAHAN CURUG KECAMATAN CIMANGGIS KOTA DEPOKLita Heni Kusumawardani
Etty Rekawati
Dinamika Journal: Pengabdian MasyarakatPENINGKATAN PERILAKU HIDUP BERSIH DAN SEHAT (PHBS) MELALUI METODE SIMULASI PRAKTIK DI MADRASAH IBTIDAIYAH (MI) AL ISLAM KELURAHAN CURUG KECAMATAN CIMANGGIS KOTA DEPOKPerilaku hidup bersih dan sehat (PHBS) sebaiknya mulai diterapkan sejak dini sebagai titik
awal pembentukan perilaku sehat. Masalah kurangnya PHBS menjadi masalah utama pada
anak usia sekolah sehingga memotivasi penulis untuk meningkatkan PHBS. Simulasi PHBS
menjadi metode pendidikan kesehatan yang interaktif dan inovatif bagi anak usia sekolah. Metode praktik yang digunakan adalah studi kasus dan simulasi selama 4 minggu.
Kegiatan diikuti oleh 64 siswa dengan melibatkan guru dan kader kesehatan sekolah. Hasil
kegiatan menunjukkan intervensi simulasi PHBS mampu meningkatkan pengetahuan anak
usia sekolah terkait PHBS dari 49.3% menjadi 64.5%, sikap anak usia sekolah terkait PHBS
meningkat dari 41.8% menjadi 58.7%, dan keterampilan anak usia sekolah terkait PHBS
meningkat dari 40.3% menjadi 55.1%. Intervensi simulasi PHBS dapat menjadi peluang bagi
perawat untuk mengembangkan upaya promotif dan preventif dalam peningkatan perilaku
hidup bersih dan sehat di sekolah.
Kata kunci: Anak usia sekolah, PHBS, Simulasi praktik
Spiritual Reminiscence Group Therapy for Depression of Indonesian Older People Living In Social Institution – An Analytical ReviewErna Naediwati
Etty Rekawati
Proceedings of the Third International Conference on Sustainable Innovation 2019 – Health Science and Nursing (IcoSIHSN 2019)Spiritual Reminiscence Group Therapy for Depression of Indonesian Older People Living In Social Institution – An Analytical ReviewImpact caused by the aging process is the existence of health-related problems. Health-related problems experienced by the older people are not only related to physical health but also mental health. Mental disorders occur in the older people population with depression as the most common disorder. One of nursing intervention that can be conducted in older people with depression is spiritual reminiscence group therapy. This article aims to explore how spiritual reminiscence group therapy can be performed on Indonesian older people with depression. This article used an analytical review method. The review themes are about definition, reasons, benefits, principles, and procedure of spiritual reminiscence group therapy. Furthermore, the results are also explanation about spiritual reminiscence group therapy that is included in community nursing intervention and roles of community nurse in the older people with depression. In the end, spiritual reminiscence group therapy has proven effective in overcoming depression. This therapy is very possible to conduct for older people in Indonesia due to a simple and easy therapy process. However, the research on spiritual reminiscence is still limited, especially in Indonesia. This analytical review suggests to conduct future research about spiritual reminiscence group therapy in the Indonesian older people with depression.
Keywords
Depression, Group Therapy, Older people, Spiritual reminiscence
THE HEALTH PROMOTION OF CARDIOVASCULAR DISEASE PREVENTION BY COMMUNITY HEALTH NURSE IN PRIMARY HEALTH CARE: A SYSTEMATIC REVIEWRizkiyani Istifada
Etty Rekawati
International Journal Of Nursing and Health Services (IJNHS)THE HEALTH PROMOTION OF CARDIOVASCULAR DISEASE PREVENTION BY COMMUNITY HEALTH NURSE IN PRIMARY HEALTH CARE: A SYSTEMATIC REVIEWHealth promotion is a method to increase awareness of healthy behavior in public. Unhealthy lifestyles cause increases the risk of cardiovascular disease. Community health nurses have a responsibility to increase the motivation of healthy practice with the health promotion’s method. This research method used a systematic review, using online databases on Cambridge Core, Wiley Online, and Science Direct e-resources when the articles published from 2006-2018. The selection of literature used the Critical Capability Program (CASP) tool and got eight relevant articles. The systematic analysis used the Cochrane Collaboration. The themes of this article are 1) nurses’ knowledge about health promotion, 2) the meaning of health promotion, and 3) the implementation health promotion of cardiovascular disease prevention by nurses. The themes identified some categories, such as nurse responsibilities, the essence of health promotion, support and barriers, and health promotion’s method. The nurse’s perception of health promotion is the core of their work to decrease the prevalence of the cardiovascular disease.
Keywords: cardiovascular disease, health promotion, nurses, primary health care
The Effect of Traditional Music Therapy on Blood Pressure Among Elderly with Hypertension: A Literature ReviewNi Luh Putu Dian Yunita Sari
Etty Rekawati
Health Services (IJNHS)The Effect of Traditional Music Therapy on Blood Pressure Among Elderly with Hypertension: A Literature ReviewBackground: Elderly as one of vulnerable population has experienced several risk of cardiovascular system disturbance such as hypertension. Hypertension be non communicable disease most suffered elderly in some countries. Objective: This literature review aimed at describing the effect of traditional music therapy on blood pressure among elderly with hypertension. Method: This study carried out from databases such as EBSCOhost, Scopus, Pubmed, ProQuest, Science Direct and Sage with limited years of an article published in the last ten years (2008-2018). Result: Fifteen most relevant articles were extracted in this study and found that traditional music therapy provide a positive effect to decrease blood pressure’s elderly with hypertension and this finding explained clearly with Roy’s Adaptation Model. Conclusion: Traditional music therapy provides a positive effect in lowering blood pressure’s elderly with hypertension. This therapy can be given as single intervention or collaboration with other non pharmacological therapy such as calisthenics, breathing exercises, muscle relaxation, lifestyle modifications and walking-based exercise.
Keywords: Blood pressure, elderly, hypertension, traditional music therapy, Roy’s adaptation model
Manfaat Aromassage untuk Lansia dengan Hipertensi: A Literature ReviewNi Luh Putu Dian Yunita Sari
Etty Rekawati
Jurnal Penelitian Kesehatan SUARA FORIKESManfaat Aromassage untuk Lansia dengan Hipertensi: A Literature ReviewPeningkatan jumlah lansia berimplikasi pada meningkatnya masalah kesehatan, salah satunya adalah hipertensi. Hipertensi menjadi penyakit tidak menular terbanyak yang dialami lansia di Indonesia. Tujuan penulisan ini adalah untuk mengetahui jenis massage yang terapeutik untuk lansia dengan hipertensi, jenis minyak esensial yang direkomendasikan untuk intervensi aromassage serta menelaah manfaat aromassage untuk lansia dengan hipertensi. Metode pencarian sumber pustaka dilakukan secara daring dengan menggunakan basis data seperti Science Direct, Scopus, Sage, Pubmed dan ProQuest. Kata kunci yang digunakan adalah “aromatherapy”, “massage”, “blood pressure”, “elderly” dan “hypertension”. Penelusuran literatur dibatasi dalam tahun 2008 hingga 2019 dalam bahasa Inggris. Hasil yang didapatkan adalah terdapat 20 artikel penelitian yang dianalisis, jenis massage yang terapeutik untuk lansia dengan hipertensi yang paling banyak digunakan adalah foot massage dan jenis minyak esensial yang direkomendasikan adalah Lavender. Aromassage memberikan manfaat seperti penurunan tekanan darah dan tanda-tanda vital lainnya, memengaruhi kualitas tidur, harga diri serta memperbaiki keluhan psikologis. Hasil literature review ini diharapkan dapat menjadi dasar dalam memberikan intervensi pendamping obat hipertensi di tatanan komunitas dan juga pengembangan penelitian lanjutan.
Kata Kunci: aromaterapi, massage, lansia, hipertensi
Konseling Sebaya Sebagai Pencegahan Perilaku Seksual Berisiko Pada RemajaSang Ayu Made Adyani
Wiwin Wiarsih
Poppy Fitriyani
Jurnal Ilmiah Ilmu Keperawatan Konseling Sebaya Sebagai Pencegahan Perilaku Seksual Berisiko Pada RemajaRevise link: http://journals.stikim.ac.id/index.php/jiiki/article/view/184
Remaja merupakan kelompok berisiko yang mempunyai karakteristik tertentu yang berkontribusi menimbulkan masalah kesehatan, salah satunya adalah perilaku seksual berisiko. Tujuan penelitian ini adalah untuk mengetahui hubungan pemanfaatan konseling sebaya dengan perilaku seksual berisiko pada aggregate remaja di Jakarta Selatan. Desain analisis korelasi dengan pendekatan cross sectionaldigunakan dalam penelitian terhadap 108 responden yang diperoleh melalui simple random sampling. Hasil analisa chi squaremenunjukkan bahwa ada hubungan yang signifikan pemanfaatan konseling sebaya dengan perilaku seksual berisiko pada aggregateremaja (p value: 0,003). Hasil penelitian ini menjadi masukan dalam meningkatkan asuhan keperawatan pada aggregateremaja melalui kegiatan konseling sebaya yang lebih memperhatikan kebutuhan perkembangan remaja.
Kata kunci: konseling sebaya, perilaku seksual berisiko, remaja
EDUKASI KESEHATAN TERSTRUKTUR DAN STIGMA MASYARAKAT PADA KLIEN TB PARUVera Widhi Astuti
Astuti Yuni Nursasi
Sukihananto
Jurnal Kesehatan Poltekkes PalembangEDUKASI KESEHATAN TERSTRUKTUR DAN STIGMA MASYARAKAT PADA KLIEN TB PARULatar Belakang: Stigma masyarakat merupakan salah satu penghalang keberhasilan pengendalian TB paru. Stigma masyarakat muncul akibat kesalahpahaman masyarakat mengenai TB paru dan penularannya. Hal ini mendorong tenaga kesehatanuntuk mengembangkan intervensi guna menurunkan kesalahpahaman dan pada akhirnya akan menurunkan stigma masyarakat, salah satunya adalah edukasi kesehatan terstruktur. Penelitian ini bertujuan untuk mengetahui pengaruh intervensi edukasi kesehatan terstruktur terhadap stigma masyarakat pada klien TB paru di kabupaten Bogor, Indonesia.
Metode: Desain penelitian kuasi eksperimen jenis pretest and posttest with control group. Penelitian dilakukan 41 responden untuk masing-masing kelompok. Metode pengambilan sampel yaitu purposive sampling untuk memilih wilayah dengan jumlah kasus tertinggi dan responden dipilih dengan simple random sampling.
Hasil: Hasil menunjukkan bahwa edukasi terstruktur secara signifikan menurunkan stigma masyarakat (p value = 0,0005).
Kesimpulan: Edukasi kesehatan terstruktur menurunkan stigma masyarakat. Hasil penelitian diharapkan mampu memberikan alternatif pilihan intervensi keperawatan komunitas yang dapat diberikan kepada masyarakat untuk mengurangi stigma pada klien TB paru.
Kata Kunci: edukasi kesehatan terstruktur, stigma masyarakat, TB paru
The Intervention Strategies To Reduce Tuberculosis Stigma In Community: A Systematic ReviewRezky Mulyana
Astuti Yuni Nursasi
Jurnal Pendidikan Keperawatan IndonesiaThe Intervention Strategies To Reduce Tuberculosis Stigma In Community: A Systematic ReviewStigma in tuberculosis patients causes discrimination and social isolation that have an impact on efforts to manage tuberculosis treatment. The purpose of this review is to explore based community intervention strategies to reduce tuberculosis (TB) stigma. Method: The design applied systematic review. Data was retrieved from online database Wiley Online Library, Science Direct, PubMed, Research Gate, Springer Link, Scopus, Google Scholar, and national journal in the period of 2008-2018. The study selection was conducted in the search string by applying the keywords “TB” AND “Stigma”, “Reduce stigma”, “Intervention TB Stigma”, “tackling stigma TB”, “strategy for TB stigma”, exploration and selection of title, abstract were conducted inclusion criteria, and search the articles by screening reference lists in citations in the literature to be additional articles. Analysis result of study uses PRISMA flow diagram. Results: The intervention strategies to reduce TB stigma reviewed from articles and found 4 intervention strategies are: (1) Health education, such as knowledge shipping about TB and TB Campaigns, (2) Home Visit, (3) TB Patients support such as Community, family support, social support TB Club, and financial support, (4) Enhancing Qualities of health worker. Conclusions: The intervention strategies to reduce TB stigma are needed in reducing TB stigma. Low TB stigma has positive effect in controlling and eliminating TB. The most common intervention are TB patient support and health education.
Keywords: Tuberculosis; TB Stigma; Reduce Stigma; Patient Support; Health Education
Teknik Intervensi Meningkatkan Efikasi Diri sebagai Upaya Promotif Aktivitas Fisik pada RemajaSaras Anindya Nurhafid
Astuti Yuni Nursasi
Jurnal Penelitian Kesehatan SUARA FORIKESTeknik Intervensi Meningkatkan Efikasi Diri sebagai Upaya Promotif Aktivitas Fisik pada RemajaEfikasi diri telah terbukti menjadi penentu penting perilaku aktivitas fisik remaja. Namun, masih ada kesenjangan pengetahuan terkait tentang bagaimana teknik intervensi yang dapat meningkatkan efikasi diri perilaku aktivitas fisik pada remaja. Tinjauan sistematis ini bertujuan untuk menggambarkan teknik intervensi aktivitas fisik remaja yang bertujuan meningkatkan efikasi diri. Pengumpulan data menggunakan beberapa database elektronik yaitu ScienceDirect, Elsevier, Proquest, Jstor, Wiley Online Library dengan menggunakan bantuan remote Lib UI dan google scholar. Kata kunci yang digunakan dalam pencarian literatur berkaitan dengan self efficacy, physical activity, adolescent, innovation dan promotion physical activity. Hasil menunjukkan bahwa teknik yang paling banyak digunakan adalah membangun pengalaman penguasaan dengan meminta peserta melakukan aktivitas fisik pada saat intervensi dan di luar sesi intervensi, pemberian umpan balik fisiologis, penetapan tujuan, pemantauan diri serta melihat pemberi intervensi dan orang lain mempraktikkan intervensi. Hasil penelitian diharapkan bisa menjadi referensi bagi para peneliti dan pengembang intervensi dalam meningkatkan efikasi diri perilaku aktivitas fisik remaja sehingga memiliki implikasi positif bagi pengembangan upaya promotif aktivitas fisik remaja. Penelitian lebih lanjut diharapkan mampu menganalisis teknik intervensi yang paling efektif untuk meningkatkan efikasi diri perilaku aktivitas fisik remaja
Kata kunci: aktivitas fisik; remaja; teknik intervensi; efikasi diri
Stres dan gejala dispepsia fungsional pada remajaIntan Sari Putri
Widyatuti 
Jurnal Keperawatan JiwaStres dan gejala dispepsia fungsional pada remajaRemaja merupakan populasi yang berisiko mengalami berbagai permasalahan kesehatan, salah satunya gejala dispepsia fungsional. Stres menjadi salah satu penyebab munculnya permasalahan kesehatan pada remaja seiring perubahan dalam perkembangannya. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara stres dan gejala dispepsia fungsional pada remaja SMA. Desain penelitian ini yaitu cross-sectional dengan 360 responden dipilih melalui metode purposive sampling dan stratified-cluster sampling dari SMA di kota Bekasi. Instrumen penelitian ini yaitu the shortened version of the adolescent stress questionnaire (ASQ-S) dan dyspepsia symptom severity index (DSSI). Hasil penelitian menunjukkan mayoritas remaja SMA lebih adaptif terhadap stres dan tidak merasakan gejala dispepsia. Hasil penelitian menggunakan uji Chi-square didapatkan hubungan yang signifikan antara stres dan gejala dispepsia fungsional pada remaja dengan nilai p sebesar 0.001. Hasil uji Odd Ratio (OR) didapatkan pada remaja yang merasakan stres berpeluang merasakan gejala dispepsia sebanyak 5,43 kali dibandingkan yang adaptif terhadap stres. Pelaksanaan pendidikan keterampilan hidup sehat dan pelayanan kesehatan mental berbasis sekolah diperlukan sebagai upaya untuk mengurangi stres pada remaja. Selain itu, diperlukan upaya kesehatan sekolah terkait nutrisi pada remaja melalui konseling nutrisi dan pendidikan kesehatan tentang pola makan yang teratur untuk meminimalisasi gejala dispepsia fungsional.
Kata kunci: gejala dispepsia fungsional, pelayanan kesehatan mental berbasis sekolah, pendidikan keterampilan hidup sehat, remaja, stres
PENGARUH POLA ASUH DEMOKRATIF TERHADAP PERKEMBANGAN SOSIAL REMAJACintia Fajri Utami
Poppy Fitriyani
Jurnal Perawat IndonesiaPENGARUH POLA ASUH DEMOKRATIF TERHADAP PERKEMBANGAN SOSIAL REMAJATahapan usia remaja identik dengan pembentukan identitas diri pada tugas perkembangan sosial dimana keluarga sebagai lingkungan sosial utama bagi remaja. Penelitian ini bertujuan untuk mengetahui hubungan antara pola asuh orang tua dengan perkembangan sosial remaja di SMP Taruna Bhakti Depok menggunakan desain deskriptif korelatif. Penelitian ini menggunakan 293 sampel yang terdiri dari kelas VII dan VIII SMP dengan teknik pemilihan sampel proportioned stratified random sampling. Instrumen Pola Asuh yang digunakan diadaptasi dari kuesioner penelitian Mashoedi serta instrumen Perkembangan Sosial yang disusun oleh peneliti. Hasil analisis menunjukkan bahwa terdapat hubungan antara pola asuh orang tua dengan perkembangan sosial remaja (p=0,000) dengan kesimpulan remaja dengan pola asuh demokratif berpeluang memiliki perkembangan sosial sesuai dibandingkan dengan tipe pola asuh lainnya. Oleh karena itu, diharapkan agar mahasiswa, pelayanan dan profesi keperawatan dapat bekerja sama dengan instansi terkait dalam memberikan edukasi dan motivasi kepada orang tua dalam meningkatkan peran orang tua terhadap perkembangan sosial remaja.
Kata kunci: Remaja, pola asuh, prkembangan sosial
Penerapan Sistem Informasi Keperawatan Virtually Nursing Technologies in Nursing Education: Sebuah Tinjauan LiteraturDeny Prasetyanto
Sukihananto
Jurnal Penelitian Kesehatan SUARA FORIKESPenerapan Sistem Informasi Keperawatan Virtually Nursing Technologies in Nursing Education: Sebuah Tinjauan LiteraturSistem informasi manajemen berbasis komputer sudah mulai banyak digunakan di lingkungan kesehatan terutama dalam bidang keperawatan, Sebuah strategi teknologi komputer yang sedang berkembang untuk pendidikan keperawatan adalah penggunaan simultan virtual keperawatan. Sistem informasi manajemen di Indonesia ternyata masih banyak mengalami kendala. Di luar Indonesia, teknologi telah banyak membantu manajemen pendidikan keperwatan, terutama penggunaan komputer dalam asuhan keperawatan. Komputer ini berbasis tiga dimensi, dengan cara kerja mensimulasikan pengalaman pasien yang seakan nyata dan di lingkungan bebas risiko, di dalamnya terdapat sesi latihan sampai dengan pengambilan keputusan klinis dengan kondisi pasien yang beragam, serta langsung memberikan umpan balik. Di Indonesia, proses pemanfaatan komputer dalam dokumentasi keperawatan sangat lambat, sehingga perlu penyegaran penerapan sistem informasi keperawatan untuk pengembangan pendidikan keperawatan.
Kata kunci: dokumentasi keperawatan, sistem informasi manajemen keperawatan, simultan virtual (VRS)
Mobile Health Upaya Dalam Meningkatkan Keberhasilan Pengobatan Pasien TuberculosisArjuna
Sukihananto
Jurnal Ilmiah STIKES Citra Delima Bangka BelitungMobile Health Upaya Dalam Meningkatkan Keberhasilan Pengobatan Pasien TuberculosisTujuan- Mengetahui potensi pengembangan Mobile Health pada pasien tuberkulosis dalam tatanan keperawatan komunitas yang merupakan tindak lanjut asuhan keperawatan setelah pasien dirawat di rumah sakit atau didiagnosa tuberkulosis.
Metode- Database yang digunakan Scopus,google scholar,PubMed diambil untuk menyaring artikel yang relevan. Istilah awal untuk menyaring studi terkait adalah "Tuberculosis. "Directly observed therapy shortcourse"," Mobile Health "," nursing and Health "," scrining case TB ", dan " sms remaind to patient Tuberculosis". Artikel dibatasi berdasarkan pada kriteria inklusi termasuk; artikel diterbitkan antara 2010 dan 2018. Para peneliti juga memasukkan beberapa jenis desain studi termasuk studi survei, yang bersifat deskriptif, dan campuran desain metode dalam proses penyaringan.
Hasil- Mobile Health mampu memberikan pelayanan yang efektif, efisen, dan berkualitas pada pasien tuberkulosis di beberapa negara. Indonesia memiliki potensi besar dalam penerapan Mobile Health berbasis smartphone.Walaupun demikian penggunaan Mobile Health tidak bisa sepenuhnya digunakan dalam asuhan keperawatan komunitas karena sifatnya yang belum konfrehensif.
Kata kunci: Tuberkulosis, Mobile Health, Perawatan Pasien
Measuring the interprofessional collaborative competencies of health-care students using a validated Indonesian version of the CICS29Diantha Soemantri
Santi Purna Sari
Tri Wahyuni
Dian Ayubi
Sigit Mulyono
Melissa Adiatman
Ardi Findyartini
Journal of Interprofessional CareMeasuring the interprofessional collaborative competencies of health-care students using a validated Indonesian version of the CICS29The objectives of this study are to validate an Indonesian version of the Chiba Interprofessional Competency Scale (CICS29) and measure the interprofessional competencies of undergraduate health-care students following their completion of an interprofessional education (IPE) course. This study used a cross-sectional design and was preceded by a cross translation of the instrument and a confirmatory factor analysis (CFA), which confirmed that the Indonesian-version CICS29 has good internal consistency comparable to the original model. The Indonesian version was then administered to 723 health-care students who had completed a community-based IPE course. Based on data gathered from 707 respondents (97.8%), it was found that their interprofessional competency was relatively good (mean score: 127.9 out of 145, 88.2%). The dental students scored consistently lower compared to students of other faculties, both in the overall CICS29 and all five of its subscales, three of which are specifically related to teamwork. The study has provided support for cross-cultural validity of undergraduate health-care students' interprofessional competency measures using CICS29. Further efforts are necessary to ensure that the students understand their roles and internalize the collaborative values and practices of all health professions.
Keywords: CICS29, interprofessional education, collaborative practice, interprofessional competency
MHEALTH UNTUK KEPATUHAN PASIEN TB DALAM PENGOBATAN: SEBUAH TINJAUAN LITERATURNovi Pampalia
Agung Waluyo
Jurnal Wacana KesehatanMHEALTH UNTUK KEPATUHAN PASIEN TB DALAM PENGOBATAN: SEBUAH TINJAUAN LITERATURTuberkulosis (TB) merupakan masalah kesehatan yang menjadi perhatian dunia. Indonesia menduduki peringkat nomor 3 tertinggi di dunia. Mobile phone merupakan teknologi yang sudah tidak asing lagi bagi berbagai kalangan usia. Mobile phone yang digunakan untuk kesehatan dikenal sebagai mHealth. Manfaat mHealth dapat digunakan dalam mengatasi faktor yang menyebabkan rendahnya kepatuhan pengobatan. Metode:Pencarian artikel yang relevan telah dilakukan dengan menggunakan kata kunci “mHealth for TB” AND “mHealth for Adherance TB”. Pencarian literatur dengan menggunakan mesin pencarian online Sciencedirect, EBSCO, Proquest, google scholar dari tahun 2013-2019. Hasil:Penggunaan mHealth terdiri dari sms otomatis, panggilan telfon, dan video edukasi. Pemanfaatan dari berbagai jenis mHealth ini digunakan sesuai dengan kebutuhan dari pasien. Manfaat mHealth sms otomatis dan telfon yaitu sebagai pengingat minum obat dan jadwal kunjungan rutin. Video edukasi memberikan informasi mengenai TB dan motivasi dari kelompok sebaya. Kesimpulan: Penggunaan teknologi mHealthdapat meningkatkan kepatuhan pasien TB dalam pengobatan dengan metode pengingat minum obat, jadwal kunjungan rutin, edukasi, dan dukungan sosial. Rekomendasi: Beberapa manfaat penggunaan mHealth telah dibuktikan oleh beberapa studi di luar negeri. Untuk itu diperlukan studi lebih lanjut tentang intervensi pelayanan kesehatan seperti DOTS pada pasien TB menggunakan aplikasi mHealth di Indonesia.
Pengaruh Fisioterapi Dada, Batuk Efektif dan Nebulizer terhadap Peningkatan Saturasi Oksigen dalam Darah pada Pasien PPOKNurmayanti
Agung Waluyo
Wati Jumaiyah
Rohman Azzam
Jurnal Keperawatan SilampariPengaruh Fisioterapi Dada, Batuk Efektif dan Nebulizer terhadap Peningkatan Saturasi Oksigen dalam Darah pada Pasien PPOKTujuan dari penelitian ini adalah untuk mengetahui pengaruh pemberian fisioterapi
dada, batuk efektif, dan nebulizer terhadap peningkatan saturasi oksigen dalam darah
pada pasien PPOK di RS Islam Jakarta Cempaka Putih. Desain penelitian ini Quasi
Eksperimen dengan menggunakan metode observasi dengan pendekatan desain One
Group Pre – Post Test. Hasil statistik uji T berpasangan (wilcoxon test) untuk nilai p=
0,001 (p<0,05). Simpulan, ada pengaruh pemberian fisioterapi dada, batuk efektif dan
nebulizer terhadap peningkatan saturasi oksigen dalam darah sebelum dan sesudah
intervensi pada pasien PPOK.
Kata Kunci: Batuk Efektif Fisioterapi Dada, Nebulizer, PPOK, Saturasi Oksigen
APLIKASI TEORI VIRGINIA HENDERSON PADA PASIEN NEGLECTED FRACTURE OF LEFT SHAFT FEMURSahrudi
Agung Waluyo
Masfuri
Dunia Keperawatan: Jurnal Keperawatan dan KesehatanAPLIKASI TEORI VIRGINIA HENDERSON PADA PASIEN NEGLECTED FRACTURE OF LEFT SHAFT FEMURAsuhan keperawatan yang diberikan oleh perawat sangat mempengaruhi kualitas pelayanan
kesehatan yang akan diterima oleh pasien. Upaya yang dilakukan untuk meningkatkan kualitas asuhan keperawatan tersebut salah satunya dengan mengaplikasikan teori virginia henderson. Tujuan: Penerapan teori Virginia Henderson pada pasien dengan neglected fracture of left shaft femur. Metodologi yang digunakan adalah dengan menggunakan studi kasus. Hasil: Penerapan teori Virginia Henderson efektif diterapkan pada pasien dengan neglected fracture of left shaft femur. Kesimpulan: teori Virginia Henderson dapat digunakan pada asuhan keperawatan pasien dengan neglected fracture left shaft femur untuk meningkatkan kemandirian akibat perubahan fisik dan psikologis.
Kata-kata kunci: neglected fracture of left shaft femur, Teori Virginia Henderson.
OPTIMALISASI PROGRAM PRECEPTORSHIP DI RUANG RAWAT INAP RUMAH SAKIT MILITER DI JAKARTAMoh Heri Kurniawan
Rr Tutik Sri Hariyati
Laurentia Dewi
Dunia Keperawatan: Jurnal Keperawatan dan KesehatanOPTIMALISASI PROGRAM PRECEPTORSHIP DI RUANG RAWAT INAP RUMAH SAKIT MILITER DI JAKARTAPreceptor memiliki peranan penting dalam menjamin kualitas pelayanan yang diberikan oleh perawat baru.yang sedang dalam masa transisi. Komitmen seorang preceptor sangat penting dalam optimalisasi program preceptorship. Tujuan penulisan adalah untuk melakukan identifikasi pelaksanaan preceptorship, pemberian pelatihan, dan evaluasi komitmen preceptor di ruang rawat inap Rumah Sakit Militer di Jakarta. Metodologi yang digunakan adalah pendekatan pilot studi yang dilaksanakan dari identifikasi, analisis situasi, penetapan masalah, pembuatan perencanaan tindakan, implementasi, evaluasi dan analisis kesenjangan menggunakan literatur review. Analisis situasi dilakukan dengan menggunakan analisis diagram fish bone. Sampel yang digunakan dalam pengkajian awal adalah 10 ruang rawat inap yang meliputi 10 kepala ruangan, 19 preceptor, dan 36 preceptee. Pada saat implementasi melibatkan 25 perawat untuk dipersiapkan menjadi preceptor dengan melibatkan dalam workshop preceptorship. Hasil identifikasi menunjukkan adanya masalah dalam pelaksanaan program preceptorship terutama pada fungsi manajemen dalam implementasi program preceptorship di ruang rawat inap. Hasil evaluasi menunjukkan bahwa 100% preceptor memiliki komitmen tinggi dalam menjalankan perannya setelah mengikuti pelatihan preceptorship. Rekomendasi dalam penelitian ini adalah untuk terus mempertahankan komitmen preceptor dan mengoptimalkan preceptorship hendaknya manajemen rumah sakit memberikan dukungan berupa kebijakan, alur pengembangan program, dan monitoring dan evaluasi pelaksanaan program di ruang rawat inap.
Kata Kunci: Optimalisasi preceptorship; Preceptee; Preceptor; Preceptorship
The Effect of Aromatherapy Massage on Sleep Quality of Patients with CancerWasijati
Agung Waluyo
Riri Maria
Proceedings of the Third International Conference on Sustainable Innovation 2019 – Health Science and Nursing (IcoSIHSN 2019)The Effect of Aromatherapy Massage on Sleep Quality of Patients with CancerThe inability to have a good quality sleep could increase the risk of cancer to become more agressive. This condition occured because the immune system was disturbed so that the ability of the immune system to take control or control cancer cells reduced. This research aimed to determine the effect of aromatherapy massage on the sleep quality of patients with cancer. Moreover, this research was a quantitative research with a quasi experiment design using pre and post test method without control group. The sample of this research consisted of 15 respondents and the sample taking employed a consecutive sampling technique. The sleep quality was measured by using a PSQI (Pittsburgh Sleep Quality Index) questionnaire. Hence, the result of this research showed that there was a decrease of sleep quality score after the aromatherapy massage with the probability value of 0.0001 (p value <0.05). The decrease of the sleep quality score showed that there was an increase of sleep quality so that it could be concluded that there was an effect of the aromatherapy massage on the sleep quality of patients with cancer. Based on the result of this research, it was expected that aromatherapy massage to be recommended as an independent nursing intervention in healthcare services in order to enhance the sleep quality of patients with cancer.
Keywords
aromatherapy massage, cancer, sleep quality
Pengaruh Dance Movement Therapy terhadap Perubahan Tekanan Darah pada Lansia HipertensiSupriadin
Agung Waluyo
Rohman Azzam
Journal of Telenursing (JOTING)Pengaruh Dance Movement Therapy terhadap Perubahan Tekanan Darah pada Lansia HipertensiPenelitian ini bertujuan untuk mengetahui pengaruh dance movement therapy terhadap perubahan tekanan darah pada lansia hipertensi.Desain penelitian ini menggunakan quasi eksperiment pre-post with control group pada 36 responden meliputi kelompok perlakuan dan kelompok kontrol. Hasil penelitian menunjukan perbedaan yang signifikan dalam perubahan tekanan darah sistol dan diastol setelah di berikan perlakuan dance movement therapy (t = 2,781, p = 0,013), t = 2,465, p = 0,025), serta terjadi perubahan tekanan darah sistol dan diastol setalah intervensi pada kelompok kontrol (t = 1,458, p = 0,163), t = 0,606 , p = 0,552). Dengan demikian dapat disimpulkan bahwa dance movement therapy dapat menurunkan tekanan darah sistol secara bermakna pada pasien hipertensi.
Kata Kunci : Dance Movement Therapy, Hipertensi Primer,Tekanan Darah
Pengaruh Akupresur terhadap Kadar Glukosa Darah Pasien Diabetes Melitus Tipe 2 di Persadia RS Islam Jakarta Cempaka PutihJumari
Agung Waluyo
Wati Jumaiyah
Dhea Natashia
Journal of Telenursing (JOTING)Pengaruh Akupresur terhadap Kadar Glukosa Darah Pasien Diabetes Melitus Tipe 2 di Persadia RS Islam Jakarta Cempaka PutihPenelitian ini bertujuan untuk mengidentifikasi pengaruh akupresur terhadap kadar glukosa darah pada pasien diabetes melitus tipe 2. Penelitian ini menggunakan quasi-experimental design dengan pendekatan pre-post test design pada 32 responden. Mereka dibagi menjadi kelompok intervensi (n = 16) dan kelompok kontrol (n = 16). Pengujian perbedaan rata-rata kadar glukosa darah pada kelompok intervensi dan kontrol menggunakan uji paired t test. Hasil penelitian menunjukkan perbedaan yang signifikan dalam kadar glukosa darah antara kelompok intervensi dan kelompok kontrol (t = 4,22; p = 0,001). Akupresur merupakan intervensi yang efektif untuk menurunkan kadar glukosa darah pada pasien diabetes melitus tipe 2. Akupresur dapat direkomendasikan sebagai salah satu terapi komplementer mandiri dalam pelayanan asuhan keperawatan pada pasien diabetes melitus tipe 2.
Kata kunci: Akupresur, Diabetes Melitus Tipe 2, Kadar Glukosa Darah.
Pengaruh Senam Kaki terhadap Penurunan Skor Neuropati dan Kadar Gula Darah pada Pasien DM Tipe 2 di Persadia RS. TK. II. Dustira CimahiRita Fitri Yulita
Agung Waluyo
Rohman Azzam
Journal of Telenursing (JOTING)Pengaruh Senam Kaki terhadap Penurunan Skor Neuropati dan Kadar Gula Darah pada Pasien DM Tipe 2 di Persadia RS. TK. II. Dustira CimahiPenelitian ini bertujuan mengetahui pengaruh senam kaki terhadap penurunan skor neuropati dan kadar gula darah pada pasien DM tipe 2. Penelitian ini menggunakan desain quasi experiment dengan pendekatan Pretest-Posttest Control Group Design. Sampel pada penelitian ini terdiri kelompok intervensi (n=16) dan kelompok kontrol (n=16). Pengukuran neuropati menggunakan Michigan Neuropathy Screening Instrument (MNSI). Uji statistik yang digunakan yaitu uji Wilcoxon, uji t-dependent, uji Mann-Withney. Hasil penelitian pada kelompok intervensi terjadi penurunan bermakna skor neuropati dan kadar gula darah (p=0,001). Sedangkan pada kelompok kontrol tidak terjadi penurunan secara bermakna skor neuropati (p=0,069) dan kadar gula darah (p=0,184). Berdasarkan hasil uji Mann-Withney menunjukkan bahwa ada perbedaan yang signifikan penurunan skor neuropati dan kadar gula darah antara kelompok intervensi dan kelompok kontrol (p=0,003; p=0,042). Kesimpulan penelitian ini bahwa pasien diabetes mellitus tipe 2 yang diberikan tindakan senam kaki terjadi penurunan skor neuropati dan kadar gula darah.
Kata Kunci : Senam Kaki, Skor Neuropati, Kadar Gula Darah, Instrumen MNSI, DM Tipe 2
Perbandingan Senam Tai Chi dan Senam Diabetes Mellitus terhadap Penurunan Kadar Gula Darah pada Pasien Diabetes Mellitus Tipe IIRika Srywahyuni
Agung Waluyo
Rohman Azzam
Journal of Telenursing (JOTING)Perbandingan Senam Tai Chi dan Senam Diabetes Mellitus terhadap Penurunan Kadar Gula Darah pada Pasien Diabetes Mellitus Tipe IIPenelitian ini bertujuan mengetahui perbandingan senam Tai Chi dan senam DM terhadap penurunan kadar gula darah pasien DM tipe II di Puskesmas Menjalin.Desain penelitian yang digunakan adalah Quasi eksperimen dengan pendekatan pre and post test group design, teknik pengambilan sampel dilakukan dengan purposive sampling dengan jumlah sampel 16 responden senam Tai Chi dan 16 responden senam Diabetes Mellitus. Hasil penelitian dengan menggunakan uji Wilcoxon pada kelompok Tai Chi didapatkan nilai p = 0,000 < α=0,05 dan hasil uji t-test paired sample test pada senam diabetes mellitus didapatkan nilai p=0,000 < α=0,05. Kesimpulan yang dapat diambil dari penelitian ini adalah senam Tai Chi dan senam DM sama-sama berpengaruh dalam menurun kan kadar gula darah pasien diabetes mellitus tipe II, namun dilihat dari selisih penurunan kadar gula darah senam Diabetes Mellitus lebih efektif dari senam Tai Chi.
Kata Kunci: Kadar Gula Darah, Senam Diabetes Mellitus, Senam Tai Chi
NURSING CARE AMONG POSTPARTUM PATIENTS WITH MILIARY TUBERCULOSIS BY THE EMPLOYING CULTURAL SENSITIVITY AND PORTABLE HEPA FILTER IN INTENSIVE CARE UNIT: A CASE STUDYDede Wirdah Budiastuti
Agung Waluyo
Juliana GEP Massie
Maria Pele
Nisa Utami
Novi Pampalia
Qurratu Iffoura
International Journal Of Nursing and Health Services (IJNHS)NURSING CARE AMONG POSTPARTUM PATIENTS WITH MILIARY TUBERCULOSIS BY THE EMPLOYING CULTURAL SENSITIVITY AND PORTABLE HEPA FILTER IN INTENSIVE CARE UNIT: A CASE STUDYNursing care services for post-partum patients with medical diagnoses of Miliary Tuberculosis (TB) in the Adult Intensive Care Unit (ICU) require a comprehensive approach. Critical nursing care with ICU settings and the use of portable HEPA filter are employed as alternatives if the ICU does not have an isolation room. Therefore, ICU nurses must concern the patient's needs, both the socio-cultural and cultural bio psycho. Rehabilitating patients in isolation rooms or using a portable HEPA filter that makes the patient's situation isolated results in patients' uncomfortable and restless feeling. In this case, the treated patient hold Middle East culture, and thus, she concerns about covering her head as part of her religious and cultural teachings. However, wearing headgear or hijab is rarely considered in the ICU because ICU nurses prioritize the critical condition of patients as the most vital regard to consider. This case study describes how to provide care to patients in ICU with the use of portable HEPA filter as an alternative TB isolation room and a culturally sensitive approach to meet the socio-cultural needs of the patient. Therefore, she feels comfortable and safe in the ICU room.
Keywords: Miliary TB, portable HEPA filter, cultural approach
THE RELATIONSHIP BETWEEN SOCIAL SUPPORT, SPIRITUALITY WITH STRESS TOWARDS THE BURDEN OF FAMILY CAREGIVERS OF CANCER PATIENTS: A LITERATURE REVIEWHesti Rahayu
Sri Yona
International Journal Of Nursing and Health Services (IJNHS)THE RELATIONSHIP BETWEEN SOCIAL SUPPORT, SPIRITUALITY WITH STRESS TOWARDS THE BURDEN OF FAMILY CAREGIVERS OF CANCER PATIENTS: A LITERATURE REVIEWCancer is a non-communicable disease that causes the second-highest death in the world. The study aimed to examine the relationship between social supports, spirituality with stress towards the burden of family caregivers of cancer patients. We searched literature from various relevant sources such as Ebsco, Science Direct, PubMed, and BMC Medicine, which published from 2012 to 2018. The results showed that social support reduced the stress of family caregivers. Spirituality could be as the coping for the family caregivers in dealing with stress. The factors associated with the high burden of family caregivers of cancer patients included age, cognitive as well as the family caregivers characteristics’. Further studies need to conduct spiritual and social support intervention to examine the effect of the intervention on health outcomes.
Keyword: social support, spirituality, stress, caregiving burden, family caregivers of cancer patients.
THE IMPLEMENTATION OF RELAXATION AND DISTRACTION TECHNIQUES ON ADOLESCENTS EXPERIENCING ANXIETY IN EARTHQUAKE PRONE AREASYunita Astriani Hardayati
Mustikasari
International Journal Of Nursing and Health Services (IJNHS)THE IMPLEMENTATION OF RELAXATION AND DISTRACTION TECHNIQUES ON ADOLESCENTS EXPERIENCING ANXIETY IN EARTHQUAKE PRONE AREASAdolescents are a vulnerable group mental health problem development after frequently being exposed to disaster-related information. Some studies show that adolescent living in earthquake-prone areas experience anxiety. Adolescents’ untreated anxiety possibly causes mood disorders, eating disorders, and even anxiety disorder. Nursing intervention conducted to reduce anxiety consists of relaxation and distraction techniques. Relaxation techniques consist of deep breathing exercises and five-finger relaxation techniques. This case study aims to describe the change signs and symptoms of anxiety on adolescent in earthquake prone area that giving relaxation and distraction techniques. The subjects of this study were four high-school-adolescent-students suffering from moderate anxiety about earthquake and were measured by Hamilton Anxiety Rating Scale (HARS). The results reveal that anxiety levels of all subjects decreases with average HARS score is 11,5. It is concluded that relaxation and distraction techniques can use as one of theraphy to reduce anxiety on middle adolescent in earthquake- prone area. This case study is considered as an important reference material for practitioners who find a similar case in the pratice setting.
Keywords: pre-disaster anxiety, earthquake, relaxation-distraction technique
PERSONALIZED COGNITIVE COUNSELING IN PREVENTING RISK BEHAVIOR AMONG MEN WHO HAVE SEX WITH MEN (MSM): A LITERATURE REVIEWLussy Afriyanti
Agung Waluyo
International Journal Of Nursing and Health Services (IJNHS)PERSONALIZED COGNITIVE COUNSELING IN PREVENTING RISK BEHAVIOR AMONG MEN WHO HAVE SEX WITH MEN (MSM): A LITERATURE REVIEWThe current trend of HIV infection shows an increase in cases among men who have sex with men (MSM). Risk behavior in MSM has shown a high prevalence of moderate and worrying risk behaviors for HIV infection, including unprotected anal intercourse (UAI) and drug use. This literature review aims to explore the effectiveness of Personalized Cognitive Counseling (PCC) interventions in reducing risk behaviors for HIV transmission to MSM. Articles discussed in this literature study were obtained from several databases using the keywords “personalized cognitive counseling," “men who have sex with men," and "risk behavior." Cognitive counseling interventions are effective in reducing episodes of anal intercourse. Adapted Personalized Cognitive Counseling (PCC) intervention also has been effective in reducing sexual risk behavior in drug users MSM. This intervention is possible and essential to developing in dealing with risk behavior in MSM that tends to increase in its population.
Keywords: cognitive counseling, personalized cognitive counseling, men who have sex with men (MSM), risk behavior
THE EFFECTIVENESS OF KETOGENIC DIET IN TREATMENT OF EPILEPSY PATIENTS: A LITERATURE REVIEWArif Hidayatullah
I Made Kariasa
International Journal Of Nursing and Health Services (IJNHS)THE EFFECTIVENESS OF KETOGENIC DIET IN TREATMENT OF EPILEPSY PATIENTS: A LITERATURE REVIEWThe ketogenic diet is one of the alternative treatment management of epilepsy patients. The study aimed to examine the effect of the ketogenic diet for managing the epilepsy patients. A literature review used by databases to find the relevant articles included Science Direct, Scopus, and Pro-Quest from 2011 to 2018. Metabolic therapy with the ketogenic diet can improve mitochondrial function, increase inhibition, and reduce nerve stimulation, which can cause seizures in epilepsy patients. Also, other factors need to be considered to produce an optimal impact on the use of the ketogenic diet, such as patient compliance and age. The ketogenic diet is one of the non-pharmacological alternatives that can be done to prevent recurrence in epilepsy patients.
Keywords: ketogenic diet, epilepsy, literature review
A PSYCHOSOCIAL INTERVENTION FOR MENTAL HEALTH OF PEOPLE WITH HIV (PLWH): A LITERATURE REVIEWReineldis Gerans
Agung Waluyo
International Journal Of Nursing and Health Services (IJNHS)A PSYCHOSOCIAL INTERVENTION FOR MENTAL HEALTH OF PEOPLE WITH HIV (PLWH): A LITERATURE REVIEWMental health problems such as depression and anxiety are common for people living with Human Immunodeficiency Virus (PLWH). It may have a various negative effect on psychological well-being and the quality of life for PLWH. These adverse effects are in the form of worsening diseases, decreasing the immune system, non-compliance with ARV therapy, and even causing suicide. Various psychosocial interventions were developed to improve the mental health of PLWH. But it often creates confusion and misunderstanding because it seems to overlap each other. The effectiveness of this intervention has been widely investigated, but there is still little confirmatory research on various psychosocial intervention techniques, especially for PLWH. The study aimed at describing the psychosocial interventions for the mental health of PLWH. We conducted literature searches from multiple relevant sources. The four databases we cut included PROQUEST, PubMed, Plos One, and Ebsco. Three types of psychosocial interventions consisted of symptom-oriented interventions, supportive intervention, and meditation. Based on the kind of intervention there are several psychosocial intervention techniques such as cognitive behavior therapy (CBT), stress management, interpersonal therapy (IPT), peer support, psychoeducation, meditation, relaxation, and mindfulness. There is no difference in the effectiveness of all types and intervention techniques in improving the mental health of PLWH. Psychosocial interventions proved to have a positive effect on the mental health of PLWH. Psychosocial interventions can be combined in PLHIW therapy programs with mental health problems
Keywords: PLWH, psychosocial interventions, mental health problems.
DETERMINANT FACTORS OF LENGTH OF STAY AMONG UNDER-FIVE CHILDREN WITH PNEUMONIA DISEASES: A LITERATURE REVIEWCasman
Nani Nurhaeni
International Journal Of Nursing and Health Services (IJNHS)DETERMINANT FACTORS OF LENGTH OF STAY AMONG UNDER-FIVE CHILDREN WITH PNEUMONIA DISEASES: A LITERATURE REVIEWPneumonia is a public health problem in the worldwide, in Indonesia around 22.7% of under-five child mortality caused by pneumonia. The study aimed at identifying factors associated with length of stay among children under five years with pneumonia. This literature review was conducted in 4 databases: ScienceDirect, EBSCOhost, Clinical Key, and SpringerLink by combining keywords: length of stay; hospitalization; length in hospital; pneumonia; child; pediatric; pediatric; and children. The results showed that the period of length of stay pneumonia ranged 1 to 21 days. Some factors which extend the inpatient period including family history with cigarette smoke, less of nutrient and influenza. Meanwhile, some factors were noted to decrease the length of stay pneumonia among children, including early vaccine, examination, and family empowerment through health education. Mostly factors could reduce or increase LOS pneumonia in children under five years, depending on family factors. It requires further research; it is necessary to consider the effect of family education to decrease LOS pneumonia of children.
Keywords: Determination factor, Length of Stay, Pneumonia, Children
THE ANALYSIS OF NURSING CARE DOCUMENTATION IN OUTPATIENT UNITSAny Kurniawati
Agustin Indracahyani
Aat Yatnikasari
International Journal Of Nursing and Health Services (IJNHS)THE ANALYSIS OF NURSING CARE DOCUMENTATION IN OUTPATIENT UNITSOutpatient units have high activity and interaction, which increases the risk of neglecting full documentation of nursing care. This study aims to analyze factors contributing to the lack of optimal documentation of nursing care in an outpatient unit. This study employed a fish bone analysis approach to identify the root of problems of documenting nursing care in an outpatient unit. This research was conducted in an outpatient unit of the Children's and Mother's Hospital in Jakarta. The data collection techniques of this study were questionnaires, observations, and interviews with the head of the room, Clinical Instructors, implementing nurses, Case Managers, and Nursing Fields. The analysis reveals several results. Nurses, clinical instructors, activities in high work environments, as well as policies and tools for assessment and supervision are inadequate. The absence of effective systems and mechanisms for supervising nursing care documentation and manual documentation systems contributes to the lack of optimal documentation of nursing care in the outpatient unit. Documentation of nursing care extremely depends on the workforce, work climate, sets of policies, systems, and facilities. This study recommends programs and supervision activities for outpatient nursing care documentation performed by the Nursing Division, head of rooms, and Clinical Instructors, arranges supervision tools, arranges patients’ effective and efficient assessment documentation according to accreditation, policy re-socialization and documentation techniques, as well as energy management and implementation time documentation of nursing care in an outpatient unit.
Keywords: clinical instructors, an outpatient unit, nursing care, nursing documentation, supervision nursing care documentation.
The use of portable WSD wound models to improve student clinical lab skillsPramita Iriana
Ratna Sitorus
Agung Waluyo
Priyo Hastono Sutanto
Indian Journal of Public Health Research & DevelopmentThe use of portable WSD wound models to improve student clinical lab skillsInnovative laboratory learning methods have been developed for students to be more independent and play an active role during the learning period. Students learn by using media such as modules and portable models. The study aimed to determine the effectiveness of portable WSD wound model to improve the wound care clinical skills. Research design: The study used quasi experiment pretest-post test with control group design, respondents were given module and WSD wound model made of synthetic rubber with the tube inserted to a bottle as if a patient were attached a WSD. Sample; A total sample of 90 using the stratified random sampling method, the respondent were divided in two groups by using 2.75 GPA as cut of point. Data analysis: Using independent and dependent t test with α= 0.05, data were gathered using two instruments with α cronbach 1 = 0.8331 and 2= 0.909 that were greater than α table = 0.632. The results: at P-value = 0, 001 based on the pre-post test, the mean difference of student clinical lab skills using the portable model increased 0.31 higher than using the non portable model increased only 0.26. In conclution, using the portable model is more effective than the other one.
Keywords
Clinical skill lab, learning media, a portable wound care model.
Manfaat Tai chi terhadap Pasien Penyakit Paru Obstruksi KronisQurratu Iffoura
Agung Waluyo
International Journal Of Nursing and Health Services (IJNHS)Manfaat Tai chi terhadap Pasien Penyakit Paru Obstruksi KronisPrevalensi Penyakit Paru Obstruksi Kronis (PPOK) terus meningkat di dunia dan diprediksikan pada tahun 2030 akan menempati urutan ketiga di dunia. PPOK menyebabkan penderita sulit bernafas, membatasi mobilitas dan gaya hidup, serta dapat menyebabkan komplikasi yang lebih serius dan mengarah kepada penurunan kualitas hidup. Salah satu penatalaksanaan non farmakologis yang dapat dilakukan ialah Tai chi, latihan mind-body tradisional Tiongkok. Studi literatur ini bertujuan untuk menggambarkan manfaat Tai chi pada peningkatan kualitas hidup pada pasien PPOK. Penulusuran literature dilakukan dari berbagai sumber seperti CINAHL, MEDLINE, Science Direct dan proquest. Tai chi merupakan seni bela diri yang bersifat meditasi yang terdiri dari tiga konsep dasar yaitu latihan fisik, teknik pernapasan, dan kesadaran penuh. Gerakan Tai chi yang dipraktikkan bervariasi, seperti 24 gerakan Yang atau 6 gerakan yang telah dimodifikasi dan disederhanakan. Beberapa manfaat melakukan Tai chi seperti peningkatan kekuatan otot, mengurangi sesak, meningkatkan fungsi paru, meningkatkan 6-minute walk distance (6MWD) dan peningkatan skor St. George’s Respiratory Questionnaire (SGRQ). Tai chi dapat dijadikan terapi pelengkap pada pasien PPOK sesuai dengan preference dan nilai yang dimiliki individu. Latihan ini dapat direkomendasikan pada pasien penyakit kronis lainnya.
Kata kunci: Tai chi; PPOK; terapi komplementer
Pengaruh Parental Monitoring terhadap Perilaku Seksual Berisiko Remaja: A Systematic ReviewAnnisa Febriana
Sigit Mulyono
International Journal Of Nursing and Health Services (IJNHS)Pengaruh Parental Monitoring terhadap Perilaku Seksual Berisiko Remaja: A Systematic ReviewPendahuluan: Parental monitoring yang tinggi ditunjukkan dalam bentuk pengawasan yang baik oleh orangtua, disertai dengan komunikasi dan pola asuh sebagai bagian penting dan efektif, untuk mencegah perilaku seksual berisiko remaja. Tujuan penulisan artikel ini adalah untuk melakukan review secara sistematis terhadap beberapa penelitian terbaru yang menggunakan desain cross sectional, longitudinal dan etnografi untuk mengetahui pengaruh monitoring orangtua terhadap perilaku seksual berisiko remaja.
Metode: Pencarian sumber pustaka dilakukan di beberapa database elektronik seperti sciencedirect, biomed, pubmed dan google scholar dalam kurun waktu 10 tahun terakhir, yang dipublikasikan dalam bahasa Inggris. Hasil pencarian berhasil memperoleh 8 artikel yang memenuhi kriteria.
Kesimpulan: Parental monitoring sangat berpengaruh untuk menurunkan risiko terjadinya perilaku seksual berisiko remaja. Parental monitoring lebih efektif dilakukan dengan pola asuh yang baik, terjalinnya hubungan dan komunikasi yang baik antara orangtua dengan remaja, religiusitas yang tinggi, serta penerapan disiplin dalam keluarga. Perlu penelitian lebih lanjut dalam bentuk intervensi, serta mengkaji parental monitoring di berbagai perilaku berisiko remaja lainnya.
Kata kunci: parental monitoring, remaja, perilaku seksual berisiko, komunikasi orangtua-remaja
Manajemen Hipotermia pada Pasien Cedera Kepala: Suatu Tinjauan LiteraturIsmail Fahmi
Amelia Ganefianty
Elly Nurachmah
Jurnal Penelitian Kesehatan SUARA FORIKESManajemen Hipotermia pada Pasien Cedera Kepala: Suatu Tinjauan LiteraturCedera kepala merupakan masalah kesehatan masyarakat yang krusial dan menyebabkan permasalahan sosial serta ekonomi di seluruh dunia. Peningkatan volume darah otak yang dihubungkan dengan kenaikan suhu tubuh akan meningkatkan tekanan intrakranial (intracranial pressure/ICP) dan menyebabkan otak berisiko terkena cedera lain. Tulisan ini bertujuan untuk mengidentifikasi pengaruh manajemen hipotermia pada pasien cedera kepala. Tulisan ini merupakan tinjauan literature dari beberapa data base yaitu Pubmed, EBSCO Host, Google scholar, dan Web of Science. Penelusuran artikel dibatasi pada tahun 2007 sampai dengan tahun 2018 dengan menggunakan kata kunci “cedera kepala”, “manajemen hipotermia”, “hipotermia pada cedera kepala”. Hasil penelusuran artikel adalah manajemen hipotermia pada pasien cedera kepala dapat berefek mengurangi kebutuhan metabolik, cerebral metabolic rate for oxygen (CMRO2), eksitotoksisitas, menurunkan pelepasan glutamat, menurunkan pembentukan radikal bebas, mengurangi pembentukan edema, stabilisasi membran, memelihara adenosine triphosphate (ATP), menurunkan influx Ca, dan tekanan intrakranial sehingga dapat mengurangi kerusakan otak dan risiko kematian.
Kata kunci: cedera kepala; hipotermia pada cedera kepala; manajemen hipotermia
Slow Deep Breathing dan Alternate Nostril Breathing terhadap Penurunan Tekanan Darah pada Pasien HipertensiFaradilla Miftah Suranata
Agung Waluyo
Wati Jumaiyah
Dhea Natashia
Jurnal Keperawatan SilampariSlow Deep Breathing dan Alternate Nostril Breathing terhadap Penurunan Tekanan Darah pada Pasien HipertensiTujuan penelitian ini mengetahui efektifitas slow deep breathing dan alternate nostril
breathing terhadap penurunan tekanan darah pada pasien dengan hipertensi. Penelitian
ini menggunakan desain quasi-experimental dengan pendekatan pretest-posttest group
design. Hasil uji Friedman menunjukkan bahwa ada perbedaan tekanan darah sistolik
(x2=34,09; p<0,001) dan diastolik (x2=28,74; p<0,001) pada kelompok intervensi slow
deep breathing. Berdasarkan uji post hoc, pengukuran dari waktu ke waktu didapatkan
nilai p (p=0,001) baik pada tekanan darah sistolik dan diastolik. Sementara itu ada
perbedaan tekanan darah pada kelompok alternate nostril breathing sistolik (x2=15,50;
p<0,001), diastolik (x2=17,18; p<0,001). Uji post hoc didapatkan penurunan tekanan
darah sistolik dan diastolik yang signifikan dari masing-masing waktu pengukuran
selama periode intervensi dengan masing-masing nilai p 0,005 dan 0,025. Simpulan,
dalam penelitian ini yaitu slow deep breathing jauh lebih efektif dalam menurunkan
tekanan darah pada pasien hipertensi.
Kata Kunci: Alternate Nostril Breathing, Hipertensi, Penurunan Tekanan Darah, Slow
Deep Breathing
Pengalaman Pasien Diabetes Melitus Tipe 2 dalam Melakukan Tindakan Pencegahan Terjadinya Luka pada KakiNur Afni Wulandari
Agung Waluyo
Diana Irawati
Jurnal Keperawatan SilampariPengalaman Pasien Diabetes Melitus Tipe 2 dalam Melakukan Tindakan Pencegahan Terjadinya Luka pada KakiPenelitian ini bertujuan untuk mendapatkan pemahaman yang mendalam tentang arti dan
makna dari pengalaman pasien diabetes melitus tipe 2 dalam melakukan tindakan
pencegahan terjadinya luka di PERSADIA Rumah Sakit Islam Jakarta Pondok Kopi.
Penelitian ini menggunakan desain kualitatif dan pengambilan data dilakukan dengan
teknik wawancara secara mendalam. Hasil yang diperoleh terdapat 4 empat) tema yang
dihasilkan, yaitu gambaran menjaga diit, aktivitas kontrol gula darah yang beragam,
tantangan kepatuhan terapi dan kemampuan merawat kaki yang benar. Simpulan,
pengalaman pasien diabetes melitus tipe 2 dalam mencegah terjadinya luka, sebaiknya
patuh terhadap pengobatan dan menjaga makanan sesuai diit sehingga kadar gula darah tetap stabil. Hal lain yang perlu diperhatikan adalah, peran aktif petugas kesehatan dalam
memberikan edukasi mengenai perawatan kaki yang benar.
Kata kunci: Diabetes Melitus Tipe 2, Pencegahan Terjadinya Luka
THE EFFECT OF TAI-CHI EXERCISE ON ADEQUACY OF HEMODIALYSIS AMONG PATIENTS WITH END STAGE RENAL DISEASE: A LITERATURE REVIEWAndi Sudrajat
Krisna Yetti
Agung Waluyo
International Journal Of Nursing and Health Services (IJNHS)THE EFFECT OF TAI-CHI EXERCISE ON ADEQUACY OF HEMODIALYSIS AMONG PATIENTS WITH END STAGE RENAL DISEASE: A LITERATURE REVIEWEnd stage renal disease (ESRD) is currently a global problem because of its increasing prevalence. Hemodialysis is the main management in ESRD patients. The importance of assessing the adequacy of dialysis greatly influences the quality and continuity of the patient's life. This paper is a literature review to identify the effect of i tai chi exercise on the adequacy of hemodialysis in ESRD patients. The authors used several databases to search for literary sources to be studied, namely Web of Science, EBSCO, PubMed, and Google Scholar. It was found that tai chi is a safe therapy less complications and have beneficial for ESRD patients. Tai chi can suppress bone reabsorption, improve functional balance and strength, increase the rate of blood in the muscles, increase capillary size and surface area which results in increased movement of toxins and urea in cells that move to the vascular eventually towards the hemodialysis machine. In addition, tai chi can be beneficial to make circulation smooth, reduce blood pressure, and facilitate the release of lactic acid so that it can reduce risk factors for cardiovascular disease. Tai chi is recommended as a treatment modality choice to increase the adequacy of hemodialysis in ESRD patients.
Keywords: adequate dialysis, ESRD, hemodialysis, intradialysis exercise, tai chi.
ASSERTIVE TRAINING THERAPY FOR SCHIZOPHRENIC PATIENT WITH RISK OF VIOLENT BEHAVIORSafra Ria Kurniati
Novy HC Daulima
International Journal Of Nursing and Health Services (IJNHS)ASSERTIVE TRAINING THERAPY FOR SCHIZOPHRENIC PATIENT WITH RISK OF VIOLENT BEHAVIORViolent behavior is one of the symptom of severe mental disorders such as schizophrenia. Violent behavior has a very significant impact not only for patients, but also health care professionals, families and the development of stigma in society. Assertive training therapy is one therapy that is still not largely used for patients with violent behavior in Indonesia, although it is not an uncommon situation. This case is quite challenging considering the patient has a lack of insight of the disease. After completing 5 sessions of therapy, the patient showed improvement in signs and symptoms, a stable condition, and the absence of symptoms of violent behavior during treatment. For this reason, the use of therapy is highly recommended to help patients to express themselves in a more adaptive way.
Keywords: Assertive training therapy, violent behavior, schizophrenia
EARLY AMBULATION TO REDUCE RISK OF COMPLICATIONS AFTER TOTAL KNEE REPLACEMENTJuliana Gracia Massie
Tuti Herawati
International Journal Of Nursing and Health Services (IJNHS)EARLY AMBULATION TO REDUCE RISK OF COMPLICATIONS AFTER TOTAL KNEE REPLACEMENTOsteoarthritis is one of the degenerative health problems in the urban areas that attack many elderly people. One of the treatments of osteoarthritis is surgery to replace the damaged joint. The phenomenon occurred on many patients after the surgery for joint replacement is the lack of knowledge of the patients about the importance of early post-surgical ambulation. This paper is a case study with the aim of analyzing the benefits of early ambulation on the patients after total knee replacement at one of the Public Hospitals in Jakarta. Educating patients in the pre-operative stage of early ambulation is proven to be effective in reducing postoperative complications.
Keywords: early ambulation, osteoarthtritis,total knee replacement.
DECREASED ANXIETY IN MOTHER OF CHILDREN WITH STUNTING AFTER THOUGHT STOPPING THERAPYIka Juita Giyaningtyas
Achir Yani Syuhaimie Hamid
International Journal Of Nursing and Health Services (IJNHS)DECREASED ANXIETY IN MOTHER OF CHILDREN WITH STUNTING AFTER THOUGHT STOPPING THERAPYAnxiety is an uncertain and unwell-defined worry experienced by individuals. Physicall illnesses is one of anxiety causes. Stunting is a physicall illness in children manifested by a very low height for age. Stunting causes cognitive development disorder, inhibition of mental and motor development, make children more susceptible to diseases. Stunting bad effects is not only on children with stunting but also for parents of children with stunting who become caregiver for the children. Stigma from the society can be occur to the family who cares children with stunting, especially mother. Preliminary data showed mothers of children with stunting feels worry or anxiety about their children. Anxiety intervention for mothers of children with stunting is necessary. Anxiety intervention conducted by thought stopping. Based on the data, this study conducted to know decrease in anxiety in mother of children with stunting after tought stopping therapy. The method was a case study. Author conducted thought stopping therapy in three times of meeting. The result of the study was thought stopping can be used as psychotherapy to decrease anxiety in mother of children with stunting. Nurse have to consider client ability in change the tought proccess by concern on emotional level and sentitifity.
Keywords: anxiety, thought stopping, stunting, mother
A LITERATURE REVIEW: FACTORS RELATED TO THE PASUNG AMONG PEOPLE WITH MENTAL ILLNESSAngelina Roida Eka
Novy HC Daulima
International Journal Of Nursing and Health Services (IJNHS)A LITERATURE REVIEW: FACTORS RELATED TO THE PASUNG AMONG PEOPLE WITH MENTAL ILLNESSPhysical restraint and confinement (pasung) by families of people with mental illness is known to occur in many parts of the world Pasung is a common human right violation on people with mental illness found on every country in the world especially in developing countries like Indonesia. In Indonesia the term pasung refers to the physical restraint or confinement of "criminals, crazy and dangerously aggressive people. Despite the classification as Human Right Violation, pasung is constantly performed in Indonesia. In 2018, around 18% people with mental ilness experienced pasung. This study aimed to identify factors related to pasung. The researcher conduct the literature review on the credible sources. Five databases were used including Science Direct, Proquest, Scopus, Ebsco, and Google Scholar. Study result identified that factors related to pasung come from person with mental illness, family and community. The pasung phenomena within the community on people with mental illness ironically have a limited sources of research especially the ethnographic study of the said phenomena. Ethnographic study on pasung is important to elucidate the social and cultural meanings of the practice in a variety of settings and cultures especially in Indonesia, which take an enourmous impact within the community including the practice of pasung on people with mental illness.
Keywords: Pasung, People with Mental Illness, Pemasung Factors, Confinement
MERIDIAN ACUPUNCTURE IN STROKE REHABILITATION: A LITERATURE REVIEWDeny Prasetyanto
Sri Yona
International Journal Of Nursing and Health Services (IJNHS)MERIDIAN ACUPUNCTURE IN STROKE REHABILITATION: A LITERATURE REVIEWRehabilitation therapy has an important role in restoring bodily functions comprehensively due to stroke which aims to restore function so as to reduce disability. One therapy that nurses can do is to use acupuncture meridian points. Acupuncture is considered to play a leading role in the treatment of symptoms related to stroke. This literature review aims to analyze the benefits of the acupuncture points in stroke rehabilitation. The research method used by the author is a literature review using several databases namely Pubmed, Cochrane Library, EbscoHost, Proquest and Google Scholar from 2008 to 2018. An article that discusses rehabilitation of stroke patients using acupuncture meridian points is used as a medium of rehabilitation. The literature search results show that the rehabilitation of acupuncture meridian points provides the benefits of recovery of stroke symptoms such as hemiparese, dyspagia, dementia, and reduced volume and infarction including neurological deficits so as to improve the quality of life for stroke patients.
Keywords: stroke, rehabilitation, quality of life, acupuncture, meridians
APPLICABILITY OF LEWIN'S CHANGE MANAGEMENT MODEL FOR OPTIMIZATION MANAGEMENT FUNCTION IN NURSING DELEGATION BETWEEN HEAD NURSE AND TEAM LEADER: A MINI PROJECT IN JAKARTA MILITARY HOSPITALAris Teguh
Rr. Tutik Sri Hariyati
Titiek Muhaeriwati
International Journal Of Nursing and Health Services (IJNHS)APPLICABILITY OF LEWIN'S CHANGE MANAGEMENT MODEL FOR OPTIMIZATION MANAGEMENT FUNCTION IN NURSING DELEGATION BETWEEN HEAD NURSE AND TEAM LEADER: A MINI PROJECT IN JAKARTA MILITARY HOSPITALThe role of nurses in health care systems is diverse, included being a health care provider to clients, client advocates, educators for clients and families, and nursing service managers. One strategy that can be applied in managerial nursing is delegation. The goal of this study was to assess the applicability of Kurt Lewin's change management method to analyse the management function in nursing delegation between head nurse and team leader. This study was conducted in one of the Jakarta Military Hospital by conducting a mini project consisting of case reports using a fishbone diagram approach, solving problems using Plan-Do-Check-Action (PDCA) tools starting with Plan Of Action (POA), implementation, evaluation, and follow-up. The results of the identification showed that the head of the room in carrying out the delegation was not optimal, included documentation in the delegation book that was not optimal, delays in filling, non uniformity in the format of delegation books in the room, and not understanding due to lack of standardization and control from superiors. Guidelines are used as a reference in delegating nursing to the head of the hospital room, and the documentation of nursing delegates is done correctly because delegates work better when the reporting structure is clear. In conclusion, application fishbone diagram, lewin's change management model, and PDCA cycle can optimize management function in nursing delegation between head nurse and team leader in Jakarta Military Hospital. Recommendations are given to the nursing department, head of the room, team leader, and executive nurses to increase self-awareness, knowledge, and ability in delegating nursing.
Keywords: Documentation, Head Nurse, Guideline, Nursing Delegation
THE APPROPRIATE INTERVENTION TO IMPROVE PATIENT OUTCOME AMONG STROKE PATIENTS: A LITERATURE REVIEWEva Nilam Permata
Dewi Irawati
International Journal Of Nursing and Health Services (IJNHS)THE APPROPRIATE INTERVENTION TO IMPROVE PATIENT OUTCOME AMONG STROKE PATIENTS: A LITERATURE REVIEWStroke has a deadly domino effect and is the number one cause of neurological defects in the world. Stroke patients can experience neurological deficits including cognitive impairment and disruption in fulfilling functional status reducing patient outcome. This literature review aims to identify the appropriate intervention to improve patient outcome among stroke patients. The authors conducted a literature search using several databases, namely ProQuest, EBSCO, Sage, and Science Direct from 2008 to 2018. The keywords appropriateness in the search were “stroke-patient”, “nursing intervention”, “patient outcome”. The literature search showed there are several nursing interventions for stroke patients that have an effect on increasing patient outcomes, namely intervention of dysphagia management, mobilization exercises, acupressure, cognitive enhancement, and self-management empowerment interventions. Nursing intervention given to stroke patients varies depending on the patient's response that arises as a result of a disorder related to the function of the part of the brain affected in stroke patients. Nurses through nursing interventions have a role in improving outcomes in stroke patients
Keywords: Nursing Intervention; Patient Outcome; Stroke-Patient
FACTORS RELATED TO TREATMENT SEEKING BEHAVIOR AMONG SPONDYLITIS TUBERCULOSIS PATIENTS: A SYSTEMATIC REVIEWAdelina Vidya Ardiyati
Masfuri
International Journal Of Nursing and Health Services (IJNHS)FACTORS RELATED TO TREATMENT SEEKING BEHAVIOR AMONG SPONDYLITIS TUBERCULOSIS PATIENTS: A SYSTEMATIC REVIEWIntroduction: Tuberculosis is a global public health crisis. Spondylitis Tuberculos is secondary infection that caused by mycobacterium tuberculosis. Most of spondylitis TB patient come to health care facilities with complication, such as deformity and deficit neurology. Health seeking behavior allows the patients to choose their preferres healthcare destination and the best timing of health seeking will resulting a good outcome of treatment.
Aim: A systematic review was carried out to understand factors related to treatment seeking behavior including health seeking behavior, related to delays and attitude regarding spondylitis tuberculosis and the services linked with it.
Materials and Methods: An electronical database search strategy was adopted using Proquest, EBSCOHost, and ScienceDirect to obtain research papers in the said subjects. Of 22 articles obtained by the end of this search process 10 full text articles were finally selected for the purpose of this review.
Results: Of the 10 studies identified, the results showed that some factors associated with related to treatment seeking behavior including (1) Perception of Disease and health service for Spondilitis TB; (2) Self healing and non medical treatment; (3) Knowledge and Misspperception of Spondilitis TB patient; (4) Reasons for seeking care/Delay in seeking care.
Conclusion: Health seeking behavior and related delays are most importance in spondylitis TB care, because spondylitis TB requires timely treatment and protracted treatment to reach the best outcome of treatment. Required level of knowledge and positive health behavior helps the patient in taking timely help appropriate helath facility.
Keywords: Help seeking behavior, Patient delay, Treatment delay, Spondilitis TB
THE EFFECTIVENESS OF ORAL CRYOTHERAPY TO REDUCE ORAL MUCOSITIS AMONG CANCER PATIENTS UNDERGOING CHEMOTHERAPY: A LITERATURE REVIEWElteria Sianturi
Dewi Irawati
International Journal Of Nursing and Health Services (IJNHS)THE EFFECTIVENESS OF ORAL CRYOTHERAPY TO REDUCE ORAL MUCOSITIS AMONG CANCER PATIENTS UNDERGOING CHEMOTHERAPY: A LITERATURE REVIEWBackground: Oral cryotherapy has been scientifically proven as a non-pharmacological therapy to reduce the incidence of oral mucositis. With the decline in the incidence of oral mucositis, patient’s comfort improved, the length of stay and cost of care decreases, and maximum quality of life is achieved. Aim: To determine the effectiveness of oral cryotherapy in reducing the incidence of oral mucositis in patient undergoing chemotherapy. Method: This paper used literature review. The literature search was conducted of articles published from January 2012 through February 2018 using the PubMed, Embase, Cochrane Library and Ebscohost databases on the effectiveness of oral cryotherapy in reducing oral mucositis in patients undergoing chemotherapy. Result: This search resulted in a total of 8 articles. Evidence has indicated that there is a significance effect of oral cryotherapy in reducing oral mucositis. Conclusion: Oral cryotherapy is one of technique that easy to do, inexpensive and can be tolerated by patients in general, so it can be used widely. It can be used for adults and children with solid tumors, bone marrow transplant patients and for patients with different chemotherapy regimens (single or combination regimens).
Keywords: Oral Cryotherapy, Oral Mucositis, Chemotherapy, patient’s quality of life
Developing Application Software for Detecting and Documenting Diabetic Foot Complications for Use by NursesHeri Kristianto
Agung Waluyo
Dewi Gayatri
Imam Cholissodin
Vinda Adhitama Putra
Lilik Supriati
Ahsan
Online Journal of Nursing Informatics (OJNI)Developing Application Software for Detecting and Documenting Diabetic Foot Complications for Use by NursesWith the increasing number of diabetes cases worldwide, developing application software that detects diabetic foot complications can improve the effectiveness and efficiency of nursing care services, especially in Indonesia.
Objective
This study aimed to compare a software-assisted documentation method to a paper-based method in early diabetic foot complications detection according to documentation time and the accuracy of determining diabetic foot risk factors.
Methods
This study was comprised of two stages, namely application software development with expert test methods and application software testing using a quasi-experimental design. The sample was selected purposively, consisting of documentation data from 80 type-2 diabetes mellitus foot examinations. The data were divided into two groups, namely paper-based documentation data and software-assisted documentation data. The documentation time and accuracy of determining diabetic foot risk factors were analyzed by the Mann-Whitney test and Kappa test at a confidence interval of 95% using SPSS.
Results
There was a significant difference between the software-assisted documentation method and paper-based documentation method in the documentation time (p value < 0.001). The strength index of accuracy shows that the software-assisted documentation was stronger than the paper-based documentation in determining risk factors for diabetic foot complications (1.00 > 0.373).
Conclusion
The software-assisted documentation method was more time-effective in detecting diabetic feet complications and had greater accuracy than the paper-based documentation method.
THE CORRELATION BETWEEN STIGMA AND FAMILY ACCEPTANCE WITH RELIGIOSITY OF PLWH MSM IN MEDAN, INDONESIAI Nyoman Arya Maha Putra
Agung Waluyo
Sri Yona
Asian/ Pacific Island Nursing JournalTHE CORRELATION BETWEEN STIGMA AND FAMILY ACCEPTANCE WITH RELIGIOSITY OF PLWH MSM IN MEDAN, INDONESIAThere are several factors related to religiosity of PLWH MSM in Medan. This study aimed to identify the correlation between stigma and family acceptance with religiosity of PLWH MSM in Medan. This cross-sectional study applied purposive sampling technique and involved 175 samples from H. Adam Malik Public Central Hospital, Medan Pirngadi Hospital, Padang Bulan and Teladan Public Health Centers. The data was analyzed using the multiple logistic regression technique. Bivariate analysis showed a significant correlation between stigma along with family acceptance with religiosity of PLWH MSM in Medan (p = 0.005; α = 0.005).
Keywords: stigma, family acceptance, religiosity
Family Support towards Resilience in Adolescents with Type I Diabetes: A Preliminary Study in IndonesiaNur Agustini
Nani Nurhaeni
Hening Pujasari
Elni Abidin
Ayu Widya Lestari
Amy Kurniawati
Asian/ Pacific Island Nursing JournalFamily Support towards Resilience in Adolescents with Type I Diabetes: A Preliminary Study in IndonesiaThe prevalence of diabetes has increased in adolescents. Diabetic adolescents need ongoing support from their families, and the family plays an important role in the management of the disorder. This study aimed to identify the relationship between family support and resilience in adolescents with Type 1 Diabetes Mellitus (T1DM). Quantitative data analysis was conducted using simple logistic regression. Meanwhile, qualitative data were analyzed using content analysis. The results show that the median duration of a T1DM diagnosis was 4 years, which was dominated by early adolescents in the study group (41.9%); the mean resilience score was 67.95 (range 0–100) with 53.5% of the participants had low resilience, and 55.8% of the respondents received a high level of family support. Logistic regression test results indicate that significant family support is associated with resilience.
Keywords: adolescents, diabetes, family, resilience, support, youth
VERBAL LEARNING AND MEMORY FUNCTION AND THE INFLUENCING FACTORS ON BREAST CANCER SURVIVORS: A CROSS-SECTIONAL STUDYHilman Syarif
Agung Waluyo
Yati Afiyanti
Muchtaruddin Mansyur
Asian/ Pacific Island Nursing JournalVERBAL LEARNING AND MEMORY FUNCTION AND THE INFLUENCING FACTORS ON BREAST CANCER SURVIVORS: A CROSS-SECTIONAL STUDYImpairment of cognitive function is a common complaint by post-chemotherapy breast cancer survivors, specifically impairment of verbal learning and memory. The objective of this study was to identify the association between age, duration of education, chemotherapy type, hormone therapy usage, menopausal status, sleep quality, fatigue, stress, and hemoglobin (Hb) levels to memory and verbal learning function. This cross-sectional study consisted of 82 post-chemotherapy breast cancer survivors, 81 non-chemotherapy survivors, and 80 non-cancer female patients in two hospitals. The data were collected using the Hopkins Verbal Learning Test in Indonesian, Pittsburgh Sleep Quality Index, 10-item Perceived Stress Scale, and the Piper Fatigue Scale-12. All instruments were already adopted into Indonesian. Characteristic data were obtained from hospital reports. The mean age of the respondents was 43.06 (8.18) years, 197 (81.1%) had been educated for ≤12 years, 82 (33.7%) were post-chemotherapy survivors, 46 (18.9%) were using hormonal therapy, and 125 (51.4%) had gone through menopause. Among the remaining respondents, 91 (37.4%) were anemic, 124 (51.0%) had poor sleep quality, and 115 (47.3%) experienced moderate fatigue. Twenty-one (25.6%) of post-chemotherapy survivors had a high possibility of having dementia. The significant variables associated with memory and verbal learning function included age, stress, survivor type, chemotherapy category, sleep quality, and fatigue. The insignificant variables included the length of education, hormone therapy usage, menopausal status, and hemoglobin levels. A logistic regression analysis showed that stress was the most influential variable with an odds ratio of 1.159. It is recommended that nurses consider the significant variables when providing services to post-chemotherapy breast cancer survivors.
Keywords: chemotherapy, memory function, survivors, verbal learning function
Improving Female Adolescents’ Knowledge, Emotional Response, and Attitude toward Menarche following Implementation of Menarcheal Preparation Reproductive Health EducationSetyowati
Mira Rizkia
Titin Ungsianik
Asian/ Pacific Island Nursing JournalImproving Female Adolescents’ Knowledge, Emotional Response, and Attitude toward Menarche following Implementation of Menarcheal Preparation Reproductive Health EducationMenarche and menstruation are considered taboos and disconcerting by communities, including female adolescents. The Menarcheal Preparation Reproductive Health Education program was designed to prepare female adolescents for menarche. The aim of this study was to identify the influence of reproductive health education on female adolescents’ preparation, knowledge, emotional response, and attitude toward menarche. The research design was a quasi-experimental, pre–post test with control group design. We selected 174 female adolescents by a stratified random sampling technique. The respondents were divided into two groups: control and intervention. The intervention group was provided Menarcheal Preparations Reproductive Health Education program in the form of a booklet, whereas the control group experienced no intervention. Data analyses involved the use of a chi-square test, McNemar test, and logistic regression. The results showed that there were significant differences in terms of knowledge (p = .001), emotional responses (p = .001), and attitude (p = .001) between the groups, as well as before and after intervention in the intervention group. Logistic regression revealed that reproductive education was the most influencing factor among female adolescents’ knowledge (OR = 45.1; 95% CI: 13.8–148.1), emotional responses (OR = 12.7; 95% CI: 5.6–28.5), and attitude (OR = 12.4; 95% CI: 5.8–26.6) toward menarche. Therefore, this study supports a recommendation of using Reproductive Health Education Related to Menarcheal Preparation in schools and community settings to prepare female adolescents for menarche.
Keywords: adolescent, attitude, emotional response, knowledge, menarche, health education
NURSING DYSPHAGIA SCREENING TO PREVENT THE OCCURRENCE OF PNEUMONIA IN STROKE PATIENTS IN INDONESIA: A LITERATURE REVIEWSiti Aisah
Agung Waluyo
International Journal Of Nursing and Health Services (IJNHS)NURSING DYSPHAGIA SCREENING TO PREVENT THE OCCURRENCE OF PNEUMONIA IN STROKE PATIENTS IN INDONESIA: A LITERATURE REVIEWBackground: Dysphagia is a frequent complication in stroke. Patients with dysphagia have potential risk of pneumonia, malnutrition, dehydration, increased length of stay and even death. One og nursing intervention that is considered important in the management of stroke patients is dysphagia screening because it can reduce aspiration and pneumonia and other complications that can occur in dysphagia. Aim: The aim of this literature review was to comparison between The National Institutes Of Health Stroke Scale, Nursing Admission Screening Tools, and Functional Independence Measure to preventing the occurrence of pneumonia in stroke patients in Indonesia. Design: This paper used narrative review. Data source: A literature search was conducted of articles published from 2010 through October 2018 using the PubMed, Embase, Cochrane Library and Ebscohost databases on compared three of dysphagia screening. Result: This search resulted in a total of 16 articles. Evidence has indicated that The National Institutes Of Health Stroke Scale Screening is considered to be the most effective type of dysphagia screening in preventing pneumonia in stroke patients who experience dysphagia. Conclusion: The NIHSS has a sensitivity value, specificity, positive predictive value, and negative predictive value that is quite good and considered safe to be applied in screening for dysphagia in stroke patients in Indonesia.
Keywords: dysphagia screening, dysphagia in stroke, The National Institutes of Health Stroke Scale, Nursing Admission Screening Tools, Functional Independence Measure
THE EFFECT OF MUSIC THERAPY ON SLEEP QUALITY AMONG CHILDREN WITH CHRONIC ILLNESSResi Putri Naulia
Allenidekania
Happy Hayati
International Journal Of Nursing and Health Services (IJNHS)THE EFFECT OF MUSIC THERAPY ON SLEEP QUALITY AMONG CHILDREN WITH CHRONIC ILLNESSThe priority of handling children with chronic illness is to improve the quality of life by paying attention the symptoms that arise during treatment, one of which is the sleep problem. The purpose of this study to identify the effect of music therapy for the sleep quality of children with chronic illness. This study used a quasi experiment. Sample size was 30 childrens were divided into experimental group and control group. Respondents were given music therapy in 30-45 minutes before bed for 4 days. Sleep quality is measured by using Pittsburgh Sleep Quality Index (PSQI). There was a significant mean difference regarding PSQI score in experimental and control group. It was found that the experimental group score was higher compared with the control group (p=0,001). Thus music therapy could be used as an alternative intervention to improve the sleep quality to improve the quality of life of children with chronic illness.
Key words : children, chronic illness, music therapy, sleep quality
DISCHARGE TEACHING TO IMPROVE DISCHARGE READINESS FOR PATIENTS POST HIP SURGERY: A LITERATURE REVIEWIna Nurul Rahmawati
Riri Maria
International Journal Of Nursing and Health Services (IJNHS)DISCHARGE TEACHING TO IMPROVE DISCHARGE READINESS FOR PATIENTS POST HIP SURGERY: A LITERATURE REVIEWThe condition of returning home unpreparedness post hip surgery has an impact on the patient's ability after returning home. This unpreparedness is caused by the inability of patients to manage their own needs and care needs after returning home in carrying out daily tasks, caring for themselves, and the ability to do health care. So that a nursing strategy is needed in preparing the patient's discharge planning in the form of discharge teaching. Four data bases namely Cochrane, EBSCO, Google Scholar, and Scopus were used to explain the effect of discharge teaching to improve patient readiness post hip surgery. Educational needs expected by patients post hip surgery are related to complications, operating procedures, rehabilitation programs, prosthesis, and pain management. Patients hope to get knowledge related to all dimensions, but in reality they only get from the functional dimension. Patients get more knowledge only during treatment than when they are going home. Discharge teaching must also pay attention to the content of information and delivery methods and must be given in all stages of treatment and repetition of important items. So nurses are required to have competence and knowledge in carrying out discharge teaching with the aim of increasing patient readiness.
Keywords: discharge teaching, discharge readiness, post hip surgery
OPTIMIZING THE IMPLEMENTATION OF DISCHARGE PLANNING IN X GENERAL HOSPITAL JAKARTADyah Fitri Wulandari
Rr. Tutik Sri Hariyati
International Journal Of Nursing and Health Services (IJNHS)OPTIMIZING THE IMPLEMENTATION OF DISCHARGE PLANNING IN X GENERAL HOSPITAL JAKARTADischarge planning is a complex process aiming to prepare patients during a transition period in a hospital until they are home. One of general hospitals (X) in Jakarta has implemented discharge planning, but it is not optimally conducted. This research aims to analyze the implementation of optimizing discharge planning in X General Hospital in Jakarta. This research employed pilot study initiated by conducting assessment through questionnaire, observation, and interview. The next stages were root cause analysis by employing fishbone analysis, Plan of Action (POA) arrangement, Plan Do Check Action (PDCA) implementation, and evaluation by employing questionnaire. One of the problems of implementing discharge planning is was implementation method in which the guidance of discharge planning was not available. Therefore, standard operating procedures (SOP) and format of discharge planning were necessarily revised. After arranging the guidance draft, SOP, and format of discharge planning, the researcher socialized and tested the SOP and format of discharge planning in two inpatient rooms. The results reveal that 80% of respondents state that the arranged format of discharge planning is easily understandable, easily applicable, less complicated, not rambling, and practical. Therefore, the management of X hospital Jakarta necessarily conducts the follow-up to develop and legalize the guidance draft, SOP, and format of discharge planning. Furthermore, the management necessarily socializes them to duty nurses before the hospital applies them.
Keywords: discharge planning, guidance, SOP
The Effect of Educational Video on The Knowledge Level of Chemotherapy Side Effect and Its Management on Patient Undergoing Chemotherapy in Gatot Soebroto Jakarta HospitalNi Made Diah Pusparini Pendet
Muhlisoh
Dewi Irawaty
Riri Maria
Proceeding 2019 1st International Health, Science and TechnologyThe Effect of Educational Video on The Knowledge Level of Chemotherapy Side Effect and Its Management on Patient Undergoing Chemotherapy in Gatot Soebroto Jakarta HospitalKnowledge about chemotherapy side effects plays a significant role in cancer patient compliance with the regimen of chemotherapy. Educational video is a media that can be used to increase the level of knowledge of chemotherapy side effects on the cancer patient. This study aimed to know the effect of educational video on the level of knowledge of chemotherapy side effects on cancer patients undergoing chemotherapy in Gatot Soebroto Jakarta Hospital. This was an innovation project which involved 11 cancer patients in Gatot Soebroto Hospital. Statistical analysis using Wilcoxon-Test showed that there was a significant difference in the level of knowledge’s score before and after using the educational video (p = 0.006). Based on the result, we concluded that educational videos could increase the level of knowledge about the side effects of chemotherapy. We suggest using educational video as a media to provide information about chemotherapy in a health education program on cancer patients. Further study using a larger sample size and longer duration of study is needed to be conducted.
Keywords
Cancer, Chemotherapy, Educational Video, Knowledge
Nyeri Lutut Berpengaruh terhadap Kemampuan Fungsi Fisik Pasien dengan Osteoarthritis LututSahrudi
Riri Maria
Tuti Herawati
Jurnal Ilmu dan Teknologi KesehatanNyeri Lutut Berpengaruh terhadap Kemampuan Fungsi Fisik Pasien dengan Osteoarthritis LututOsteoarthritis (OA) pada lutut dapat menimbulkan penurunan terhadap kemampuan fungsi fisik terutama yang melibatkan pergerakan sendi lutut saat beraktivitas. Penelitian ini bertujuan menganalisis faktor -faktor yang mempengaruhi kemampuan fungsi fisik pasien dengan OA pada lutut. Desain penelitian ini adalah deskriptif analitik melalui pendektan cross sectional dengan 96 sampel. Analisis bivariat menunjukan faktor jenis kelamin (p=0,029) dan nyeri lutut (p=0,011) berhubungan secara bermakna dengan penurunan kemampuan fungsi fisik pasien dengan OA pada lutut; sementara faktor usia (p=0,198), dukungan keluarga (p=0,648), lama penyakit (p=0,616), motivasi (p=0,074), indeks masa tubuh (p=0,833), pengetahuan (p=0,642), dan penyakit komorbiditas (p=0,604) tidak berhubungan dengan kemampuan fungsi fisik pasien dengan OA pada lutut. Analisis multivariat menunjukan bahwa nyeri lutut merupakan faktor yang sangat berpengaruh (dominan) terhadap kemampuan fungsi fisik pasien OA pada lutut (p=0,035; β=0,217).
Kata kunci: Kemampuan fungsi fisik;aktivitas; osteoarthritis; nyeri lutut
The effect of sleep hygiene and relaxation Benson on improving the quality of sleep among health failure patients: A literature reviewMusaddad Kamal
Tuti Herawati
International Journal Of Nursing and Health Services (IJNHS)The effect of sleep hygiene and relaxation Benson on improving the quality of sleep among health failure patients: A literature reviewHeart failure has now become a global cardiovascular problem with high mortality and disability. Sleep disturbance is a common problem in heart failure patients. Sleep disorders that occur in patients with heart failure will cause increased levels of urine catecholamine, plasma leptin, and inflammatory markers. These changes are related to the development of hypertension, activation of the sympathetic nervous system, and blunting of chemoreflex, which will increase the heart burden and ultimately lead to a poor prognosis. Sleep disorders in heart failure patients can be treated with psychological interventions and behaviors including sleep hygiene and Benson relaxation. Nurses, as one of the health professionals, have an important role in this matter. This is because the scope of nursing is meeting basic human needs, namely sleep. Through intervention in sleep hygiene and relaxation, Benson is expected to be able to improve the patient's sleep quality.
Keywords: benson relaxation, heart failure, sleep disorders, sleep hygiene.
KOMBINASI TEKNIK RELAKSASI BENSON DAN SLEEP HYGIENE EDUCATION DALAM MEMPENGARUHI KUALITAS TIDUR PASIEN PASCA STROKEAnis Ika Nur Rohmah
Dewi Irawaty
Debie Dahlia
Journals of Ners CommunityKOMBINASI TEKNIK RELAKSASI BENSON DAN SLEEP HYGIENE EDUCATION DALAM MEMPENGARUHI KUALITAS TIDUR PASIEN PASCA STROKEStroke terjadi karena adanya gangguan aliran darah ke bagian otak yang banyak menyebabkan kecacatan fisik. Perawatan rehabilitasi jangka panjang seringkali menjadi stresor tersendiri bagi pasien. Kecemasan dan depresi bisa menyebabkan gangguan tidur pada pasien pasca stroke. Dalam mengatasi gangguan tidur dibutuhkan intervensi psikologis dan perilaku. Penelitian ini bertujuan mengetahui pengaruh teknik relaksasi benson dikombinasikan dengan edukasi higiene tidur terhadap kualitas tidur pasien pasca stroke. Metode yang digunakan quasi experiment pre-post test design with control group. Kuesioner Pittburgh Sleep Quality Index (PSQI) digunakan untuk mengukur kualitas tidur dalam penelitian ini. Teknik pengambilan sampel menggunakan concecutive sampling. Dari 58 responden, 30 responden pada kelompok intervensi menerapkan Teknik Relaksasi Benson dikombinasikan dengan Edukasi Higiene Tidur dan 28 responden menerapkan Teknik Relaksasi Benson sebagai kelompok kontrol. Perbedaan jumlah responden disebabkan sejumlah 2 orang responden diantaranya drop out. Variabel dependen dalam penelitian ini adalah kualitas tidur, sedangkan variabel independennya adalah kombinasi Teknik Relaksasi Benson dan Edukasi Higiene Tidur. Uji statistik menggunakan paired t-test dan independen t-test. Hasil penelitian menunjukkan ada peningkatan kualitas tidur pada kedua kelompok (p=0,0001) setelah perlakuan dan terdapat perbedaan yang bermakna antara dua kelompok tersebut (p=0,0001). Relaksasi Benson dikombinasikan dengan Edukasi Higiene Tidur direkomendasikan sebagai salah satu terapi non farmakologi untuk mengoptimalkan kualitas tidur pada pasien pasca stroke.
Kata Kunci: Kualitas Tidur, Pasca Stroke, Relaksasi Benson, Edukasi Higiene
Tidur.
Fatigue, Depresi, Terhadap Kualitas Hidup Pada Pasien HemodialisaNia Khusniyati
Sri Yona
I Made Kariasa
Jurnal Keperawatan Terpadu (Integrated Nursing Journal)Fatigue, Depresi, Terhadap Kualitas Hidup Pada Pasien HemodialisaFatigue dan depresi merupakan gejala yang sering terjadi pada pasien hemodialisa dan dapat mempengaruhi buruknya kualitas hidup. Tujuan dari penelitian ini adalah untuk mengetahui tingkatan fatigue dan depresi dan hubungannya terhadap kualitas hidup pada pasien hemodialisa. Hasil penelitian ini dari sebanyak 105 pasien sebagian besar pasien (57,1%) mengalami fatigue dan sebagian pasien tidak mengalami depresi (67.6%). Penelitian ini menghubungkan dengan kualitas hidup dan didapatkan hasil adanya hubungan signifikan antara fatigue, depresi terhadap kualitas hidup (p=0.000 dan p=0.001). Depresi merupakan faktor yang paling dominan mempengaruhi kualitas hidup pasien hemodialisa (koef B=4.868).Rekomendasi dari penelitian ini adalah perlu dilakukannya deteksi awal depresi dan upaya promotif dan preventif untuk meminimalisir terjadinya depresi pada pasien hemodialisa.
Keywords
Fatigue; Depresi; Hemodialisa; Kualitas Hidup
A NURSING REHABILITATION PROGRAM TO IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH MENINGIOMA: A NARRATIVE REVIEWAmelia Ganefianty
Sri Yona
Belitung Nursing JournalA NURSING REHABILITATION PROGRAM TO IMPROVE THE QUALITY OF LIFE OF PATIENTS WITH MENINGIOMA: A NARRATIVE REVIEWMeningioma is the most common type of primary brain tumor, which affect several domains of life, such as physiological, psychological, and social life conditions. Although surgery has been performed on meningioma patients in Indonesia, some patients still experience sequelae such as headache, impaired mobilization, disruption of activity, and visual disturbances. This narrative review aims to describe nursing rehabilitation programs in patients with meningioma in Indonesia. As a result, the nursing rehabilitation program is considered as an integral part of multidisciplinary rehabilitation, which can be applied in the nursing rehabilitation center and in the form of telenursing. The roles of nurses include providing evidence-based direct care, psychosocial support, patient / family education, care coordination, and continuing health promotion starting from the period of patient care in the hospital to discharge. In conclusion, the nursing rehabilitation program has the potential to improve the quality of life in meningioma patients, especially in Indonesia.
Keywords
meningioma; nursing rehabilitation program; primary brain tumor; quality of life
Cardiovasculardiseaseriskin HIV-PositivePopulations in Indonesia:A Literature ReviewIsmail Fahmi
Sri Yona
International Journal Of Nursing and Health Services (IJNHS)Cardiovasculardiseaseriskin HIV-PositivePopulations in Indonesia:A Literature ReviewHIV is a major health problem in the world. HIV infection has the effect of reducing immunity status and increasing the risk of cardiovascular disease. Antiretroviral (ART) use as a therapy for HIV also increases the risk of heart disease. Objective: This literature review aims to identify the risk of cardiovascular disorders in HIV patients in Indonesia. Method: literature review of articles published January 2009 to September 2018 using search keywords namely 'Anti-retroviral therapy', 'Cardiovascular disease', 'Corronary artery disease', and 'HIV'. Results: There were 21 journal articles that were relevant to the design and purpose of paper and 3 articles that discussed the risk of heart disease in HIV patients in Indonesia. The results of the literature review showed that HIV patients in Indonesia are at risk of developing cardiovascular disorders which are exacerbated by the use of ART and smoking behavior. The risk of cardiovascular disease includes structural abnormalities and coronary heart disease. Conclusion: HIV patients have a high risk of developing cardiovascular disease. This is a challenge for health workers, the government and researchers, to develop appropriate strategies and methods in reducing the risk of cardiovascular disorders especially in low-middle income country countries such as Indonesia.
Keyword: Anti-retroviral therapy, cardiovascular disease, HIV, AIDS, HIV in Indonesia
Quality of life of primary brain tumor patients before and 3 months after discharge from a hospital in Bandung, IndonesiaAmelia Ganefianty
I Made Kariasa
Susan McAllister
Ismail Fahmi
Kalih Sarjono
Ahmad Faried
Agung B. Sutiono
Sarah Derret
Makara Journal of Health ResearchQuality of life of primary brain tumor patients before and 3 months after discharge from a hospital in Bandung, IndonesiaBackground: The quality of life of patients with primary brain tumor in Indonesia is poorly understood. Therefore, this study aimed to investigate the health‐related quality of life of patients admitted to the Neurosurgery Department of Dr. Hasan Sadikin Hospital, Bandung, Indonesia, up to 3 months after discharge. Methods: Baseline data were collected from patients aged ≥18 years who were admitted to the hospital between October 9, 2015, and February 17, 2016. In‐person interviews were then conducted 1–2 days pre‐discharge (n = 65) and follow-up telephone interviews were made 1, 2, and 3 months post-discharge (n = 58, 55, and 54, respectively) to collect socio-demographic data, clinical characteristics, and EQ‐5D‐5L data. Results: Prior to discharge, one‐third or less of the 65 patients interviewed reported “no problems” with mobility (32%), self‐care (32%), usual activities (18%), and pain/discomfort (43%), whereas 74% reported “no problems” with anxiety/depression. By contrast, at 3 months post-discharge, an increased proportion of patients reported “no problems” with mobility (61%), self‐care (67%), usual activities (56%), and pain/discomfort (76%), with little change in anxiety/depression (“no problems” 70%). Conclusions: While there was improvement, many patients were still reporting problems at 3 months post-discharge, highlighting the need for ongoing support and care to ensure the best possible outcomes.
Keywords: Indonesia, primary brain tumor, quality of life
BERAT BADAN INTERDIALISIS TERHADAP ADEKUASI HEMODIALISA PADA PASIEN HEMODIALISA KRONIKFiora Ladesvita
Lestari Sukmarini
Jurnal Keperawatan Widya Gantari IndonesiaBERAT BADAN INTERDIALISIS TERHADAP ADEKUASI HEMODIALISA PADA PASIEN HEMODIALISA KRONIKBerat badan interdialisis merupakan hal penting yang perlu diperhatikan dalam menentukan jumlah penarikan cairan selama menjalani proses hemodialisa. Hemodialisa merupakan salah satu terapi pengobatan yang dijalani oleh pasien dengan gagal ginjal kronik. Penambahan berat badan interdialisis akan meningkatkan akumulasi cairan di dalam tubuh pasien yang akan meningkatkan beban awal hemodialisis. Keefektifan hemodialisa dapat dilihat dari perbandingan Kt/V dan URR. Metode penelitian yang digunakan adalah observasional analitik dengan pendekatan cross sectional. Sampel yang digunakan adalah pasien yang menjalani hemodialisa kronik yang memenuhi kriteria inklusi dengan total sampel sebanyak 42 orang. Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan dengan arah positif artinya semakin tinggi berat badan interdialisis maka semakin tinggi nilai adekuasi hemodialisa (r = 0,430). Dari hasil uji statistik didapatkan bahwa ada hubungan antara berat badan interdialisis dengan adekuasi hemodialisa Kt/V (p value < 0,004; α 0,05). Sedangkan dengan URR, tidak ada hubungan antara berat badan interdialisis dengan adekuasi hemodialisa URR (p value = 0,426; α 0,05). Nilai V pada Kt/V merupakan volume distribusi urea dalam ml yang sangat dipengaruhi oleh berat badan interdialisis. Semakin tinggi berat badan interdialisis maka semakin besar volume distribusi urea di dalam tubuh sehingga cairan yang ditarik juga semakin banyak.
Kata Kunci
Berat badan interdialisis; adekuasi hemodialisa; hemodialisa kronik.
Pengaruh Edukasi Kesehatan dengan Self Instructional Module Terhadap Pengetahuan Tentang Diabetes MelitusRola Oktorina
Ratna Sitorus
Lestari Sukmarini
Jurnal Endurance: Kajian Ilmiah Problema KesehatanPengaruh Edukasi Kesehatan dengan Self Instructional Module Terhadap Pengetahuan Tentang Diabetes MelitusAlternative link: http://ejournal.lldikti10.id/index.php/endurance/article/download/2995/1293
Number of diabetes mellitus cases have been increasing every year. Diabetes mellitus patient needs to get information about diabetes mellitus at least after the diagnose were given. Nurse as an educator could give education for diabetes mellitus patient, so that there will be an upgrade of knowledge diabetes mellitus patient. Verbal education need an additional tool such as a modul, in purpose patient can re-evaluate the material that they already get. The purpose of this research is to test the impact of education using self instructional module to level of knowledge about diabetes mellitus to diabetes mellitus patient type 2. This research using quasi experimental with one group pretest postest design with 29 person samples in total with diabetes mellitus type 2 diagnosis. Data collection using questionaire. Statistic analysis using wilcoxon. Research result shows that there are differences of knowledge before and after education by self instructional module (p= 0,000; α=0,05) before and after education by self instructional module. Hopefully this research can be use as health education media in an attempt to upgrade the knowledge of diabetes mellitus patient type 2.
Kata kunci: modul self instruktional; diabetes melitus tipe 2; edukasi kesehatan
PENGEMBANGAN ELECTRONIC_PRESSURE INJURY ALARM (E_PIA) DALAM UPAYA PENINGKATAN PERILAKU PENCEGAHAN CEDERA TEKAN DI RUMAH SAKITAgus Setiyadi
Enie Novieastari
Dewi Gayatri
Sri Purwaningsih
Jurnal Perawat IndonesiaPENGEMBANGAN ELECTRONIC_PRESSURE INJURY ALARM (E_PIA) DALAM UPAYA PENINGKATAN PERILAKU PENCEGAHAN CEDERA TEKAN DI RUMAH SAKITAngka insiden cedera tekan merupakan indikator mutu pelayanan keperawatan. Insiden cedera tekan akan menunjukkan kualitas pelayanan suatu rumah sakit dan memberikan dampak terhadap pasien, keluarga dan petugas yang merawatnya. Tujuan penulisan untuk menganalisis faktor- faktor yang mempengaruhi terjadinya peningkatan angka insiden cedera tekan di rumah sakit. Metode yang dipakai menggunakan studi kasus analisis situasi dengan pendekatan diagram fishbone dengan mengelompokan kedalam 5 tools manajemen man, money, method, material, machine untuk mendapatkan akar masalah. Masalah utama yang didapatkan adalah belum optimalnya pelaksanaan pencegahan cedera tekan di rumah sakit. Hasil yang didapatkan adalah perlu dikembangkannya suatu teknologi sebagai inovasi alternatif. Berdasarkan hal tersebut dikembangkan inovasi yang disebut electronic_Pressure Injury Alarm (e_PIA). Inovasi e_PIA yang telah dikembangkan, perlu disempurnakan dan di uji lebih lanjut agar dapat diterapkan untuk membantu menurunkan angka insiden cedera tekan.
Kata kunci: Cedera tekan, Diagram fishbone, e_PIA.
ANALISIS KOMPETENSI CASE MANAGER PADA RUMAH SAKIT DI JAKARTA: STUDI KASUSImelda Avia
Hanny Handiyani
Nurdiana
Jurnal Perawat IndonesiaANALISIS KOMPETENSI CASE MANAGER PADA RUMAH SAKIT DI JAKARTA: STUDI KASUSFungsi case manager yaitu melakukan assesment hingga evaluasi perencanaan, kordinasi, advokasi, edukasi, serta kendali mutu dan biaya. Kompetensi case manager yang kurang akan mempengaruhi hasil pelayanan berupa penundaan transfer, penundaan pulang, kendali biaya dan mutu, memanjangnya length of stay, readmisi pasien dengan kondisi perburukan meningkat. Rumah sakit Jakarta belum memiliki panduan kompetensi case manager dan belum ada perencanaan pengembangan kompetensi case manager. Metode penulisan yaitu studi kasus dengan responden yaitu case manager. Analisis masalah dilakukan dengan menggunakan diagram fishbone. Masalah yang muncul yaitu belum optimalnya fungsi perencanaan kompetensi case manager yang disebabkan belum ada perencanaan pengembangan kompetensi, panduan kompetensi, pengorganisasian bersifat desentralisasi, mayoritas diploma keperawatan dan belum ada pelatihan terkini, fungsi pengarahan belum berfokus pada case management, dan belum dilaksanakannya monitoring serta evaluasi. Implementasi yang diberikan sebagai solusi permasalahan yaitu membuat panduan kompetensi case manager dan dengan evaluasi case manager mengharapkan panduan dapat direalisasikan. Rekomendasi bagi rumah sakit yaitu panduan disahkan hingga dilakukannya monitoring serta evaluasi yang berfokus pada case management.
Kata Kunci: case manager, case management, kompetensi, dan implementasi
The relationship between sleep quality and lack of memory in Universitas Indonesia studentsFadhilah Muhammad
Efy Afifah
Dewi Gayatri
AIP Conference ProceedingThe relationship between sleep quality and lack of memory in Universitas Indonesia studentsPoor sleep quality may affect students’ physical condition and their learning activities. Sleep hygiene is associated with sleep qu