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.
| Judul | Author | Abstrak | Link |
|---|---|---|---|
| Sleep disturbance, associated symptoms, and quality of life in adults living with HIV in Jakarta, Indonesia | Hening Pujasari, Judith Levy, Gabriel Culbert, Alana Steffen,David Carley & Mary Kapella | Adverse symptom experiences, including sleep disturbances, are important negative predictors of quality of life (QoL), but few studies conducted in low-income countries have examined the impact of poor sleep and its associated symptoms on QoL among people living with HIV (PLWH). To this end, 200 PLWH who were receiving treatment with antiretroviral therapy (ART) were recruited through a community nongovernment organization in Jakarta, Indonesia. Validated instruments measured QoL, sleep disturbance, fatigue, pain, ART adherence, substance use, drug use severity, and methadone treatment. Descriptive statistics, bivariate correlations, and multivariate linear regression were conducted to identify independent correlates of QoL. Overall, participants perceived their QoL as being good to very good (mean = 105.70, standard deviation = 14.7) and higher among women than men (p < 0.05). After adjusting for sex, education, drug-use severity, and ART adherence, QoL was negatively associated with fatigue, insomnia, and pharmacological treatment with methadone. Along with other known symptoms of HIV, sleep problems and their complications are important to clinically address and research more fully to assure satisfying QoL among PLWH. | Sleep disturbance, associated symptoms, and quality of life in adults living with HIV in Jakarta, Indonesia |
| The Relationship Between Self-Esteem, Family Relationships And Social Support As The Protective Factors and Adolescent Mental Health | Rike Triana, Budi Anna Keliat | Purpose : 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 Relationship Between Self-Esteem, Family Relationships And Social Support As The Protective Factors and Adolescent Mental Health |
| The Ratu's Model: A prevention model of postpartum depression | Ratu Kusuma, Budi Anna Keliat, Yati Afiyanti Evi Martha | Introduction : 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 | The Ratu's Model: A prevention model of postpartum depression |
| Remuneration Satisfaction to Improve Work Motivation of Nurses: A Cross-Sectional, Descriptive Analysis Study | Muthmainnah, Krisna Yetti, Dewi Gayatri,Kuntarti | Adequate 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 | Remuneration Satisfaction to Improve Work Motivation of Nurses: A Cross-Sectional, Descriptive Analysis Study |
| Experience of Domestic Violence Survivor Women in Searching Their Life Purpose and Self-Resilience | Laura Khattrine, Noviyanti, Achir Yani S. Hamid , Novy HC Daulima | 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. | Experience of Domestic Violence Survivor Women in Searching Their Life Purpose and Self-Resilience |
| Fear of Recurrence Predictors among Indonesian Gynecological Cancer Survivors | Ira Sukyati, Yati Afiyanti, Hayuni Rahmah, Ariesta Milanti | Fear 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. | Fear of Recurrence Predictors among Indonesian Gynecological Cancer Survivors |
| Difficulties in Performing Prayers as a Muslim Transgender Individual | Chaterina Janes Pratiwi, Agung Waluyo, Sri Yona, Herni Susanti | The 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. | Difficulties in Performing Prayers as a Muslim Transgender Individual |
| Early Therapeutic Interventions for Low Self-esteem among Adolescents with Early Prodromal Signs of Psychosis | Nurilla Safitri Damanik, Budi Anna Keliat, Herni Susanti | Low 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. | Early Therapeutic Interventions for Low Self-esteem among Adolescents with Early Prodromal Signs of Psychosis |
| Body Image, Social Support, Effects of Chemotherapy, and Sexual Desire in Breast Cancer Patients | Muthia Octaviana Widianti, Sri Yona, Masfuri, Agung Waluyo | The 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. | Body Image, Social Support, Effects of Chemotherapy, and Sexual Desire in Breast Cancer Patients |
| 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 | 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. | 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] |
| Effectiveness of balance exercise among older adults in Depok City, Indonesia | Stefanus Mendes, Kiik, Junaiti Sahar, Henny Permatasari | Objective : 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 | Effectiveness of balance exercise among older adults in Depok City, Indonesia |
| Nurse’s Competence in Supporting the Spiritual- Religious Needs of Patients in Indonesia | Supriyanto, Achir Yani S. Hamid, Dede Rosyada, Muctarudin Mansyur, Ferry Efendi | Introduction : 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. | Nurse’s Competence in Supporting the Spiritual- Religious Needs of Patients in Indonesia |
| Family's experience in caring for clients with suicidal risk in indonesia | Renny Nova, Achir Yani S. Hamid, Novy HC Daulima. | Suicide 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 | Family's experience in caring for clients with suicidal risk in indonesia |
| Pulmonary tuberculosis prevention behavior improvement and structured-health education in Bogor regency | Verra Widhi Astuti, Astuti Yuni Nursasi, Sukihananto. | Pulmonary 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 | Pulmonary tuberculosis prevention behavior improvement and structured-health education in Bogor regency |
| Gaining a “normal life”: HIV-positive Indonesian female injection drug users in drug recovery | Sri Yona, Rita Ismali, Elly NurachmahElly Nurachmah, Judith Levy, Kathleen Norr. | The 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 | Gaining a “normal life”: HIV-positive Indonesian female injection drug users in drug recovery |
| Evaluating the acceptability of a co-produced and co-delivered mental health public engagement festival: Mental Health Matters, Jakarta, Indonesia | Helen Brooks, Irmansyah, Herni Susanti, Bagus Utomo, benny Prawira, Livia Iskandar, Erminia Colucci, Budi Anna KeliatBudi Anna Keliat, Karen James, Penny Bee, Vicky Bell, Karina Lovell. | Background : 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. | Evaluating the acceptability of a co-produced and co-delivered mental health public engagement festival: Mental Health Matters, Jakarta, Indonesia |
| Nurse’s Competence in Supporting the Spiritual-Religious Needs of Patients in Indonesia | Supriyanto, Achir Yani S. Hamid, Dede Rosyada, Muctarudin Mansyur, Ferry Efendi. | Introduction : 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. | Nurse’s Competence in Supporting the Spiritual-Religious Needs of Patients in Indonesia |
| Family's experience in caring for clients with suicidal risk in indonesia | Renny Nova, Achir Yani S. Hamid, Novy HC Daulima. | Suicide 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 | Family's experience in caring for clients with suicidal risk in indonesiath suicidal risk in indonesia |
| Pulmonary tuberculosis prevention behavior improvement and structured-health education in Bogor regency | Verra Widhi Astuti, Astuti Yuni Nursasi, Sukihananto. | Pulmonary 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 | Pulmonary tuberculosis prevention behavior improvement and structured-health education in Bogor regency |
| Gaining a “normal life”: HIV-positive Indonesian female injection drug users in drug recovery | Sri Yona, Rita Ismali, Elly Nurachmah, Judith Levy, Kathleen Norr. | The 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 | Gaining a “normal life”: HIV-positive Indonesian female injection drug users in drug recovery |
| Evaluating the acceptability of a co-produced and co-delivered mental health public engagement festival: Mental Health Matters, Jakarta, Indonesia | Helen Brooks, Irmansyah, Herni Susanti, Bagus Utomo, benny Prawira, Livia Iskandar, Erminia Colucci, Budi Anna Keliat, Karen James, Penny Bee, Vicky Bell, Karina Lovell. | Background: 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. | Evaluating the acceptability of a co-produced and co-delivered mental health public engagement festival: Mental Health Matters, Jakarta, Indonesia |
| The knowledge, ability, and skills of primary health care providers in SEANERN countries: A multi-national cross-sectional study | Shizheng Du, Yuling Cao, Tong Zhou, Agus Setiawan, Myat Thandar, Virya Koy, Mohd Said Bin, Nurumal, Hong Anh, Wipada Kunaviktikul, Yan Hu. | Background: 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. | The knowledge, ability, and skills of primary health care providers in SEANERN countries: A multi-national cross-sectional study |
| Evaluation of nursing care behavior Culture Program’s Implementation at Dharmais Cancer Hospital | Tuti Nuraini, Enie Novieastari,< Krisna Yetti. | The 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) | Evaluation of nursing care behavior Culture Program’s Implementation at Dharmais Cancer Hospital |
| Expectations of survivors towards disaster nurses in Indonesia: A qualitative study | Herni Susanti, Achir Yani S. Hamid, Sigit Mulyono, Arcellia Farosyah Putri, Yudi Ariesta Chandra. | Objective: 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 | Expectations of survivors towards disaster nurses in Indonesia: A qualitative study |
| The relationship between social support and emotional status among patients with chronic obstructive pulmonary disease | Dede Fatimah, Shanti Farida Rachmi,Agustin Indracahyani. | Objective: This 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 | The relationship between social support and emotional status among patients with chronic obstructive pulmonary disease |
| Associated factors of post-hemodialysis recovery time in kidney failure patients | Gusti Ayu Ary Antari, Lestari Sukmarini, Muhamad Adam. | Objective: 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 | Associated factors of post-hemodialysis recovery time in kidney failure patients |
| How does organizational culture influence care coordination in hospitals? A systematic review | Tisan Meily Runtu, Enie Novieastari, Hanny Handayani. | Objective: 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 | How does organizational culture influence care coordination in hospitals? A systematic review |
| The impacts of career ladder system for nurses in hospital | Bela Pertiwi, Rr. Tutik Sri Hariyati. | Objective: 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 | The impacts of career ladder system for nurses in hospital |
| Analysis of participants’ characteristics and risk factors for stroke recurrence | I. Made Kariasa,, Elly Nurachmah,,Setyowati, Raldi Artono Koestoer. | Objective: 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 | Analysis of participants’ characteristics and risk factors for stroke recurrence |
| The correlation between infant and toddler feeding practices by working mothers and the nutritional status | Anita Dewi Permatasari, Fajar Tri Waluyanti. | Objective: 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 | The correlation between infant and toddler feeding practices by working mothers and the nutritional status |
| Experiences of palliative care nurses in providing home-based care for patient with advanced cancer | Marlon Sijabat, Debie Dahlia,, Agung Waluyo. | Objective: 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 | Experiences of palliative care nurses in providing home-based care for patient with advanced cancer |
| The influence of coping skills training and family health education on self-esteem among adolescents in substance abuse prevention | Nita Sukamti, Budi Anna Keliat, Ice Yulia Wardani. | Objective: 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 | The influence of coping skills training and family health education on self-esteem among adolescents in substance abuse prevention |
| Board game as an educational media for dengue prevention knowledge for school-aged children | Vivi Leona Amelia, Agus Setiawan, Sukihananto. | Indonesia 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 | Board game as an educational media for dengue preventionknowledge for school-aged children |
| Evaluation of impact self-management counseling on health-seeking behavior's self-efficacy pulmonary tuberculosis outpatients | Muhamad Jauhar, Astuti Yuni Nursasi, Wiwin Wiarsih. | Objective 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 | Evaluation of impact self-management counseling on health-seeking behavior's self-efficacy pulmonary tuberculosis outpatients |
| The lived experience of colorectal cancer patients with undernutrition in meeting their nutritional needs | Dikha Ayu Kurnia, Yulia, Agung Waluyo, Agustin Indrachayani.Agustin Indrachayani. | Objective 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 | The lived experience of colorectal cancer patients with undernutrition in meeting their nutritional needs |
| History of violence performed by family on people with mental illness following hospitalization | Kristianus Triyaspodo, Novy Helena Catharina Daulima, Ice Yulia Wardani. | Objective 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 | History of violence performed by family on people with mental illness following hospitalization |
| The self-esteem of gay men with HIV/AIDS in social adaptation | Yayu Handayani, Herni Susanti, Mustikasari. | Objective 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 self-esteem of gay men with HIV/AIDS in social adaptation |
| The correlation between sleep quality and levels of stress among students in Universitas Indonesia | Kusuma Herawati, Dewi Gayatri. | Objective 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 | The correlation between sleep quality and levels of stress among students in Universitas Indonesia |
| Relationship between severity and quality of life in chronic obstructive pulmonary disease patients at hospitals’ outpatient units in Jakarta | Devi Nurwidhiyasari, Shanti Farida Rachmi, Agustin Indracahyani, Tuti Nuraini. | Objective 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 | Relationship between severity and quality of life in chronic obstructive pulmonary disease patients at hospitals’ outpatient units in Jakarta |
| Prevention behavior for NSI among nursing students and nurses in Indonesia: A comparative study | Tres Silowati, Hanny Handiyani, Shanti Farida Rachmi. | Objective 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 | Prevention behavior for NSI among nursing students and nurses in Indonesia: A comparative study |
| The fight against stigma in the recovery process of post-pasung mentally ill patients | Ida Ayu Putri Wulandari, Novy Helena Catharina Daulima, Ice Yulia Wardani. | Objective 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 | The fight against stigma in the recovery process of post-pasung mentally ill patients |
| Supportive care needs in predicting the quality of life among gynecological cancer patients | Yati Afiyanti, Ariesta Milanti, Riska Hediya Putri | Unmet 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. | Supportive care needs in predicting the quality of life among gynecological cancer patients |
| Assertive training and family psychological education therapy on adolescents self-esteem in prevention of drug use in boarding school | Indah Ramadhan, Budi Anna Keliat, Ice Yulia Wardani. | Adolescents 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. | Assertive training and family psychological education therapy on adolescents self-esteem in prevention of drug use in boarding school |
| Changes of symptoms and the ability of anxiety patients after exercise of thought stopping and family psychoeducation | Sri Laela, Mustikasari, Ice Yulia Wardani. | Patients 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 | Changes of symptoms and the ability of anxiety patients after exercise of thought stopping and family psychoeducation |
| Mobile health application in implementation of maternity nursing care: Literature review | Lina Anisa Nasution, Rr. Tutik Sri Hariyati. | Indonesia 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. | Mobile health application in implementation of maternity nursing care: Literature review |
| The policy review related to suporting families of people with mental health problems in Indonesia | Herni Susanti, Ice Yulia Wardani, Eka Malfa Sari. | Government 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. | The policy review related to suporting families of people with mental health problems in Indonesia |
| Post-traumatic stress syndrome (PTSS) in nurses post-earthquake disaster in Indonesia | Mustikasari, Junaiti Sahar, Harif Fadhillah, Anggi Pratiwi. | Post-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. | Post-traumatic stress syndrome (PTSS) in nurses post-earthquake disaster in IndonesiaPost-traumatic stress syndrome (PTSS) in nurses post-earthquake disaster in Indonesia |
| The correlation of family support and social support with the adherence to physical exercise among the older persons with hypertension | Noor Rochmah Ida Ayu, Trisno Putri, Dwi Nurviyandari, Kusuma Wati, Etty Rekawati. | This 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. | The correlation of family support and social support with the adherence to physical exercise among the older persons with hypertension |
| Penurunan postpartum blues dan ansietas melalui terapi thought stopping dan terapi suportif pada ibu post partum dengan bayi prematur | Sri Laela, Budi Anna Keliat, Mustikasari. | Ibu 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 | Penurunan postpartum blues dan ansietas melalui terapi thought stopping dan terapi suportif pada ibu post partum dengan bayi prematur |
| Elderly care givers behavior associated with physical exercise implementation among elderly with hypertension | Etty Rekawati, Pera Putra Bungsu, Wiwin Wiarsih. | Objective: 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. | Elderly care givers behavior associated with physical exercise implementation among elderly with hypertension |
| Developing a health education game for preschoolers: What should we consider? | Arbianingsih, Yeni Rustina, Tri Krianto, Dian Ayubi. | 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 | Developing a health education game for preschoolers: What should we consider? |
| Chewing gum is more effective than saline-solution gargling for reducing oral mucositis | Kadek Cahya Utami, Happy Hayati, Allenidekania. | Objective 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. | Chewing gum is more effective than saline-solution gargling for reducing oral mucositis |
| Do different positions affect the oxygen saturation and comfort level of children under five with pneumonia? | Ely Mawaddah, Nani Nurhaeni, Dessie Wanda. | 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 | Do different positions affect the oxygen saturation and comfort level of children under five with pneumonia? |
| The combination of nebulization and chest physiotherapy improved respiratory status in children with pneumonia | Nur Eni Lestari, Nani Nurhaeni, Siti Chodidjah. | Objective 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 | The combination of nebulization and chest physiotherapy improved respiratory status in children with pneumonia |
| Inhalation with bronchodilator combination effective in reducing length of hospital stay in children with pneumonia | Rahma Annisa, Nani Nurhaeni, Dessie Wanda. | Objective 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 | Inhalation with bronchodilator combination effective in reducing length of hospital stay in children with pneumonia |
| Arbi Care apllication in increases preschool children's hand-washing self-efficacy among preschool children | Arbianingsih, Yossy Utario, Yeni Rustina, Tri Krianto, Dian Ayubi. | Objective 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 | Arbi Care apllication in increases preschool children's hand-washing self-efficacy among preschool children |
| Spirituality in adolescents with cancer | Sembiring Lina Mahayati, Allenidekania, Happy Hayati. | Objective 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 | Spirituality in adolescents with cancer |
| Impact of family empowerment model on satisfaction and children's length of stay in hospital | Nani Nurhaeni, Yeni Rustina, Nur Agustini, Novi Enis Rosuliana. | Objective 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 | Impact of family empowerment model on satisfaction and children's length of stay in hospital |
| Sleep quality and the affecting factors in patients with diabetic ulcer | Annisa Haveleia, Dewi Gayatri | Objective 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 | Sleep quality and the affecting factors in patients with diabetic ulcer |
| Family experience in providing support and the achieving of post-stroke late adulthood development | Yusrini, Herni Susanti, Ice Yulia Wardani, Nurlaila Fitriani | Objectives 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 | Family experience in providing support and the achieving of post-stroke late adulthood development |
| Factors related to insomnia among end-stage renal disease patients on hemodialysis in Jakarta, Indonesia | Indri Lufiyani, Anggri Noorana Zahra, Sri Yona | Objective 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 | Factors related to insomnia among end-stage renal disease patients on hemodialysis in Jakarta, Indonesia |
| Body image related to quality of life diabetic ulcer patients | Lia Nurhikmah Dewi Gayatri Tuti Nuraini | Objective 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 | Body image related to quality of life diabetic ulcer patients |
| On home-based care decision making: The will of the family of palliative cancer patients | Boby Febri Krisdiyanto Debie Dahlia Agung Waluyo | Objective 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 | On home-based care decision making: The will of the family of palliative cancer patients |
| Quality level of nursing work life and improvement interventions: Systematic review | Febrina Viselita Hanny Handiyani Hening Pujasari | Objective 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 | Quality level of nursing work life and improvement interventions: Systematic review |
| Characteristics affecting sleep quality of COPD patients | Alyanisa Ulfathinah Shanti Farida Rachmi Agustin Indracahyani | Objective 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 | Characteristics affecting sleep quality of COPD patients |
| Managing family burden through combined family psychoeducation and care decision without pasung therapies | Apri Rahma Dewi Novy Helena Catharina Daulima Ice Yulia Wardani | Objective 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 | Managing family burden through combined family psychoeducation and care decision without pasung therapies |
| A multimodal approach as a strategy to improve hand hygiene compliance: A literature review | Nurul Jamil Hanny Handiyani Hening Pujasari | Objective 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 | A multimodal approach as a strategy to improve hand hygiene compliance: A literature review |
| The impact of discomfort: Physical and psychological to social interaction in diabetic ulcer patients in Jakarta – Indonesia | Marinda Navy Septiana Dewi Gayatri | Objective 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 | The impact of discomfort: Physical and psychological to social interaction in diabetic ulcer patients in Jakarta – Indonesia |
| Assertive communication training and associate nurses’ knowledge and motivation: A quasi experiment | Venny Ardita Enie Novieastari Dewi Gayatri | Objective 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 | Assertive communication training and associate nurses’ knowledge and motivation: A quasi experiment |
| Instrument development and validation: Assessment of self efficacy for mobilization | Lina Erlina Agung Waluyo Dewi Irawaty Jahja Umar Dewi Gayatri | Objective 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 | Instrument development and validation: Assessment of self efficacy for mobilization |
| Families’ experience caring for mentally ill patients with re-pasung | Helly M. Katuuk Novy H.C. Daulima Ice Yulia Wardani | Objective 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 | Families’ experience caring for mentally ill patients with re-pasung |
| Developing Shinta's Early Deterioration Detection by using Fuzzy Logic Algorithm in Indonesia | Shintha Silaswati Junaiti Sahar Nina Kemala Sari Saptawati Bardosono Bino Christanto | Objective 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 | Developing Shinta's Early Deterioration Detection by using Fuzzy Logic Algorithm in Indonesia |
| The experience of family members helping young adult drug abusers achieve developmentally-appropriate levels of intimacy | Yanti Girsang Herni Susanti Ria Utami Panjaitan | Objective 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 experience of family members helping young adult drug abusers achieve developmentally-appropriate levels of intimacy |
| The effectiveness of HIV elective class on attitudes nursing students toward gay & HIV clients in Indonesia | Vita Fatimah Herni Susanti | Objective 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 | The effectiveness of HIV elective class on attitudes nursing students toward gay & HIV clients in Indonesia |
| Pampering older people with diabetes in Sundanese culture: A qualitative study | Siti Badriah Junaiti Sahar Jajang Gunawijaya Sabarinah Prasetyo | Objective 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 | Pampering older people with diabetes in Sundanese culture: A qualitative study |
| Photovoice interactive media improves the personal hygiene of teenage students at pesantren school in Tangerang | Samsuni Sigit Mulyono Wiwin Wiarsih Lita Heni Kusumawardani | Objective 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 | Photovoice interactive media improves the personal hygiene of teenage students at pesantren school in Tangerang |
| Analysis of the factors affecting the hospital readmission incidence of hemodialysis patients in Bandar Lampung, Indonesia | Sinta Wijayanti Krisna Yetti Masfuri | Objective 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 | Analysis of the factors affecting the hospital readmission incidence of hemodialysis patients in Bandar Lampung, Indonesia |
| Development and validation of an instrument measuring deterioration in social and spiritual aspects among elderly patients in Indonesia hospitals | Shintha Silaswati Junaiti Sahar Nina Kemala Sari Saptawati Bardosono Jahja Uma | Objective 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 | Development and validation of an instrument measuring deterioration in social and spiritual aspects among elderly patients in Indonesia hospitals |
| Improving documentation of patient progress note through role empowerment of head nurse by Orlando theory approach | Dwi Nopriyanto Rr. Tutik Sri Hariyati Titin Ungsianik | Objective 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 | Improving documentation of patient progress note through role empowerment of head nurse by Orlando theory approach |
| Construct and criterion validity of the Comfort Assessment Breast Cancer Instrument | Tuti Nuraini, Andrijono Dewi Irawaty Jahja Umar Dewi Gayatri | Objective 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 | Construct and criterion validity of the Comfort Assessment Breast Cancer Instrument |
| Head nurse strategy for increasing nurse retention: A factor analysis | Nurdiana Rr. Tutik Sri Hariyati Dewi Gayatri | 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 | Head nurse strategy for increasing nurse retention: A factor analysis |
| The relationship between family acceptance and quality of life and self esteem of PLWH MSM in Medan, North Sumatera, Indonesia | I. Nyoman Arya Maha Putra Agung Waluyo Sri Yona | Objective 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 | The relationship between family acceptance and quality of life and self esteem of PLWH MSM in Medan, North Sumatera, Indonesia |
| Unmet supportive care needs of Indonesian gynecological cancer survivors | Yati Afiyanti Dewi Gayatri Besral Haryani | Objective 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 | Unmet supportive care needs of Indonesian gynecological cancer survivors |
| Analysis of workload and occupational commitment: Their relationship to the caring behaviors of nurses in a hospital | Rina Fitriani Krisna Yetti Kuntarti | Objective 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 | Analysis of workload and occupational commitment: Their relationship to the caring behaviors of nurses in a hospital |
| Preparing pregnancy through Preconception Education Training | Ika Fauziah Priani Yati Afiyanti Wiwit Kurniawati | Objective 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 | Preparing pregnancy through Preconception Education Training |
| Nurses’ understanding and perception of career ladder system are related to work motivation: A multicenter cross-sectional study in Aceh, Indonesia | Mela Filani Enie Novieastari Tuti Nuraini | 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 | Nurses’ understanding and perception of career ladder system are related to work motivation: A multicenter cross-sectional study in Aceh, Indonesia |
| The experiences of spirituality during pregnancy and child birth in Indonesian muslim women | Muthia Mutmainnah Yati Afiyanti | Objective 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 experiences of spirituality during pregnancy and child birth in Indonesian muslim women |
| The relationship between caring preceptor, self-efficacy, job satisfaction, and new nurse performance | Moh Heri Kurniawan Rr. Tutik Sri Hariyati Efy Afifah | Objective 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 | The relationship between caring preceptor, self-efficacy, job satisfaction, and new nurse performance |
| Supportive care needs in predicting the quality of life among gynecological cancer patients | Yati Afiyanti Ariesta Milanti Riska Hediya Putri | Unmet 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. | Supportive care needs in predicting the quality of life among gynecological cancer patients |
| Assertive training and family psychological education therapy on adolescents self-esteem in prevention of drug use in boarding school | Indah Ramadhan Budi Anna Keliat Ice Yulia Wardani | Adolescents 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. | Assertive training and family psychological education therapy on adolescents self-esteem in prevention of drug use in boarding school |
| Changes of symptoms and the ability of anxiety patients after exercise of thought stopping and family psychoeducation | Sri Laela Mustikasari Ice Yulia Wardani | Patients 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 | Changes of symptoms and the ability of anxiety patients after exercise of thought stopping and family psychoeducation |
| Mobile health application in implementation of maternity nursing care: Literature review | Lina Anisa Nasution Rr. Tutik Sri Hariyati | Indonesia is a developing country with relatively high maternal mortality number. One of the influencing factors for that condition is health services at antenatal, intranatal | Mobile health application in implementation of maternity nursing care: Literature review |
| The policy review related to suporting families of people with mental health problems in Indonesia | Herni Susanti Ice Yulia Wardani Eka Malfa Sari | Government 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. | The policy review related to suporting families of people with mental health problems in Indonesia |
| Post-traumatic stress syndrome (PTSS) in nurses post-earthquake disaster in Indonesia | Mustikasari Junaiti Sahar Harif Fadhillah Anggi Pratiwi | Post-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. | Post-traumatic stress syndrome (PTSS) in nurses post-earthquake disaster in Indonesia |
| The correlation of family support and social support with the adherence to physical exercise among the older persons with hypertension | Noor Rochmah Ida Ayu Trisno Putri Dwi Nurviyandari Kusuma Wati Etty Rekawati | This 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. | The correlation of family support and social support with the adherence to physical exercise among the older persons with hypertension |
| Penurunan postpartum blues dan ansietas melalui terapi thought stopping dan terapi suportif pada ibu post partum dengan bayi prematur | Sri Laela Budi Anna Keliat Mustikasari | Ibu 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 | Penurunan postpartum blues dan ansietas melalui terapi thought stopping dan terapi suportif pada ibu post partum dengan bayi prematur |
| Elderly care givers behavior associated with physical exercise implementation among elderly with hypertension | Etty Rekawati Pera Putra Bungsu Wiwin Wiarsih | Objective: 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. | Elderly care givers behavior associated with physical exercise implementation among elderly with hypertension |
| Developing a health education game for preschoolers: What should we consider? | Arbianingsih Yeni Rustina Tri Krianto Dian Ayubi | 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 | Developing a health education game for preschoolers: What should we consider? |
| Chewing gum is more effective than saline-solution gargling for reducing oral mucositis | Kadek Cahya Utami Happy Hayati Allenidekania | Objective 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. | Chewing gum is more effective than saline-solution gargling for reducing oral mucositis |
| Do different positions affect the oxygen saturation and comfort level of children under five with pneumonia? | Ely Mawaddah Nani Nurhaeni Dessie Wanda | 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 | Do different positions affect the oxygen saturation and comfort level of children under five with pneumonia? |
| The combination of nebulization and chest physiotherapy improved respiratory status in children with pneumonia | Nur Eni Lestari Nani Nurhaeni Siti Chodidjah | Objective 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 | The combination of nebulization and chest physiotherapy improved respiratory status in children with pneumonia |
| Inhalation with bronchodilator combination effective in reducing length of hospital stay in children with pneumonia | Rahma Annisa Nani Nurhaeni Dessie Wanda | Objective 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 | Inhalation with bronchodilator combination effective in reducing length of hospital stay in children with pneumonia |
| Arbi Care apllication in increases preschool children's hand-washing self-efficacy among preschool children | Arbianingsih Yossy Utario Yeni Rustina Tri Krianto Dian Ayubi | Objective 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 | Arbi Care apllication in increases preschool children's hand-washing self-efficacy among preschool children |
| Spirituality in adolescents with cancer | Sembiring Lina Mahayati Allenidekania Happy Hayati | Objective 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 | Spirituality in adolescents with cancer |
| Impact of family empowerment model on satisfaction and children's length of stay in hospital | Nani Nurhaeni Yeni Rustina Nur Agustini Novi Enis Rosuliana | Objective 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 | Impact of family empowerment model on satisfaction and children's length of stay in hospital |
| Do adolescent cancer survivors need health care and psychosocial services? An Indonesia experience | Fitri Annisa Allenidekania Siti Chodidjah | Objective 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 | Do adolescent cancer survivors need health care and psychosocial services? An Indonesia experience |
| Pacifier and swaddling effective in impeding premature infant's pain score and heart rate | Defi Efendi Yeni Rustina Dewi Gayatri | Objective 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 | swaddling effective in impeding premature infant's pain score and heart rate |
| Correlation between parent-adolescent communication and adolescents' premarital sex risk | Widyatuti Citra Hafilah Shabrina Astuti Yuni Nursasi | Objective 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 | Correlation between parent-adolescent communication and adolescents' premarital sex risk |
| Walking and takling activities as nursing therapy for improving quality of life among older adults | Abdurrahman Hamid Junaiti Sahar Dwi Nurviyandari Kusuma Wati | Objective 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 | Walking and takling activities as nursing therapy for improving quality of life among older adults |
| Reducing neglect and improving social sipport for older people following a self-help group in the poor urban community of Jakarta, Indonesia | Junaiti Sahar Nia Made Riasmini Dwi Nurviyandari Kusuma Wati | Increasing 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 | Reducing neglect and improving social sipport for older people following a self-help group in the poor urban community of Jakarta, Indonesia |
| The effects of chair yoga with spiritual intervention on the functional status of older adults | Yoga Kertapati Junaiti Sahar Astuti Yuni Nursasi | Objective “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 | The effects of chair yoga with spiritual intervention on the functional status of older adults |
| Relationship between the levels of family burden in caring for older people with the incidence of mistreatment | Etty Rekawati Achir Yani S. Hamid Junaiti Sahar Widyatuti CAS | Background 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 | ReRelationship between the levels of family burden in caring for older people with the incidence of mistreatmentlationship between the levels of family burden in caring for older people with the incidence of mistreatment |
| The experience of older people living in an elderly residential home (Panti Sosial Tresna Werdha): A phenomenology | Septirina Rahayu Novy HC Daulima Yossie Susanti Eka Putri | Objective 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 | TThe experience of older people living in an elderly residential home (Panti Sosial Tresna Werdha): A phenomenologyhe experience of older people living in an elderly residential home (Panti Sosial Tresna Werdha): A phenomenology |
| The experience of adolescents having mentally ill parents with pasung | Andi Buanasari Novy HC Daulima Ice Yulia Wardani | Objective 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 | TThe experience of adolescents having mentally ill parents with pasunghe experience of adolescents having mentally ill parents with pasung |
| Acceptance and commitment therapy and family psycho education for clients with schizophrenia | Encik Putri Ema Komala Budi Anna Keliat Ice Yulia Wardani | Objective 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 | Acceptance and commitment therapy and family psycho education for clients with schizophrenia |
| The effectiveness of acceptance and commitment therapy on anxiety in clients with stroke | Renta Sianturi Budi Anna Keliat Ice Yulia Wardani | Objective 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 | The effectiveness of acceptance and commitment therapy on anxiety in clients with stroke |
| Effect of logo-therapy, acceptance, commitment therapy, family psychoeducation on self-stigma, and depression on housewives living with HIV/AIDS | Titi Sri Suyanti Budi Anna Keliat Novy HC Daulima | Objective 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 | Effect of logo-therapy, acceptance, commitment therapy, family psychoeducation on self-stigma, and depression on housewives living with HIV/AIDS |
| What does the literature suggest about what carers need from mental health services for their own wellbeing? A systematic review | Herni Susanti Karina Lovell Hilary Mairs | Objective 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 | What does the literature suggest about what carers need from mental health services for their own wellbeing? A systematic review |
| Therapeutic group therapy improved self-efficacy of school age children | Cindy Cleodora Mustikasari Dewi Gayatri | Objective 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 | Therapeutic group therapy improved self-efficacy of school age children |
| Family experiences in communicating with family members experiencing social isolation after hospitalization | Mega Lestari Khoirunnisa Achir Yani S. Hamid Novy HC Daulima | Objective 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 | Family experiences in communicating with family members experiencing social isolation after hospitalization |
| The experience of parents implementing authoritarian parenting for their school-age children | Marice Benga Olla Novy HC Daulima Yossie Susanti Eka Putri | Objective 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 | The experience of parents implementing authoritarian parenting for their school-age children |
| Thought stopping and supportive therapy can reduce postpartum blues and anxiety parents of premature babies | Sri Laela Budi Anna Keliat Mustikasari | Objective 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 | Thought stopping and supportive therapy can reduce postpartum blues and anxiety parents of premature babies |
| Improving nurses' performance through remuneration: A literature review | Muthmainnah Achir Yani S. Hamid Rr. Tutik Sri Hariyati | Background 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 | Improving nurses' performance through remuneration: A literature review |
| The association between stereotyping and interprofessional collaborative practice | Vika Rachma Sari Rr. Tutik Sri Hariyati Achir Yani S. Hamid | Objective 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 association between stereotyping and interprofessional collaborative practice |
| The relationship between nurses' job staisfaction and continuing professional development | Rr. Tutik Sri Hariyati Satina Safril | Objective 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 | The relationship between nurses' job staisfaction and continuing professional development |
| Improving the interpersonal competences of head nurses through Peplau's theoretical active learning approach | Suhariyanto Rr. Tutik Sri Hariyati Titin Ungsianik | Background 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 | Improving the interpersonal competences of head nurses through Peplau's theoretical active learning approach |
| Factors that affect the development of nurses' competencies: A systematic review | Ichsan Rizany Rr. Tutik Sri Hariyati Hanny Handiyani | Objective 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 | Factors that affect the development of nurses' competencies: A systematic review |
| Validity and reliability of the comfort assessment breast cancer instrument in breast cancer palliative care | Tuti Nuraini Dewi Gayatri Dewi Irawaty | Indonesia 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 | Validity and reliability of the comfort assessment breast cancer instrument in breast cancer palliative care |
| The effective needle stick injury prevention strategies for nursing students in the clinical settings: A literature review | Hanny Handiyani L. Meily Kurniawidjaja Dewi Irawaty Rita Damayanti | Objective 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 | The effective needle stick injury prevention strategies for nursing students in the clinical settings: A literature review |
| Mother-daugther communication about sexual and reproductive health issues in Singkawang, West Kalimantan, Indonesia | Elly Nurachmah Yati Afiyanti Sri Yona Rita Ismail John Toding Padang I Ketut Suardana Yulia Irvan Dewit Kelana Kusuma Dharma | While 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 | Mother-daugther communication about sexual and reproductive health issues in Singkawang, West Kalimantan, Indonesia |
| Pain, stress, and sleep quality in chronic wound patients | Hasna Fauziyah Dewi Gayatri | Chronic 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: Discomfort Sleep quality Pain Wound Cancer | Pain, stress, and sleepPain, stress, and sleep quality in chronic wound patients quality in chronic wound patients |
| Workplace violence against nurses in Indonesian emergency departments | Anggri Noorana Zahra Jui-Ying Feng | Objective 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 | Workplace violence against nurses in Indonesian emergency departments |
| Women's knowledge, beliefs, and behaviors toward the prevention of human papillomavirus transmission | Lela Larasati Yati Afiyanti Hayuni Rahmah Ariesta Milanti | Objective 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 | Women's knowledge, beliefs, and behaviors toward the prevention of human papillomavirus transmission |
| Status disclosure and the acceptance of women living with HIV | Rizka Ristriyani Imami Nur Rachmawati Yati Afiyanti | Objective 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 | Status disclosure and the acceptance of women living with HIV |
| The relationship of the preexisting anxiety problem with the demographic profile of cervical cancer patients | Chelein Lestyani Nasution Yati Afiyanti Ariesta Milanti | Objective 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 relationship of the preexisting anxiety problem with the demographic profile of cervical cancer patients |
| The influence of adolescent postpartum women's psychosocial condition on mother-infant bonding | Ariani Fatmawati Imami Nur Rachmawati Tri Budiati | Objective 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 | The influence of adolescent postpartum women's psychosocial condition on mother-infant bonding |
| Oncology nurse reflection on the necessity of a pain assessment tool for Indonesian cancer patients | Imami Nur Rachmawati Yati Afiyanti | Objective 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 | Oncology nurse reflection on the necessity of a pain assessment tool for Indonesian cancer patients |
| Improving the utilization of health services among high risk pregnant women through community health nurse assistance | Asti Melani Astari Yeni Rustina Hadi Pratomo Sabarinah B. Prasetyo | Objective 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 | Improving the utilization of health services among high risk pregnant women through community health nurse assistance |
| Supportive care needs and quality of life of patients with gynecological cancer undergoing therapy | Riska Hediya Putri Yati Afiyanti Titin Ungsianik Ariesta Milanti | Objective 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 | Supportive care needs and quality of life of patients with gynecological cancer undergoing therapy |
| Family support and maternal self-efficacy of adolescent mothers | Jehan Puspasari Imami Nur Rachmawati Tri Budiati | Objective 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 | Family support and maternal self-efficacy of adolescent mothers |
| Clinical care pathway strengthens interprofessional collaboration and quality of health service: A literature review | Mira Asmirajanti Achir Yani S. Hamid Rr. Tutik Sri Hariyati | Objective 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 | Clinical care pathway strengthens interprofessional collaboration and quality of health service: A literature review |
| Family support in caring for older people with diabetes mellitus: A phenomenology study | Siti Badriah Junaiti Sahar | Objective 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 | Family support in caring for older people with diabetes mellitus: A phenomenology study |
| Analysis on the implementation of health improvement project (Garbage Clinical Insurance) in Indonesia: A literature review | Efa Apriyanti | Objective 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 | Analysis on the implementation of health improvement project (Garbage Clinical Insurance) in Indonesia: A literature review |
| Preventing pasung by mentally ill patients' families | Novy HC Daulima | Pasung 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 | Preventing pasung by mentally ill patients' families |
| Penerapan tindakan keperawatan berbasis penelitian akupresur P6 dan edukasi perawat terhadap kejadian mual dan muntah pasien kanker yang menjalani kemoterapi | I Gede Nyoman Ardi Supartha Agung Waluyo Sri Yona | Latar 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. | Penerapan tindakan keperawatan berbasis penelitian akupresur P6 dan edukasi perawat terhadap kejadian mual dan muntah pasien kanker yang menjalani kemoterapi |
| The Improvement of Caring Behavior among Nurses through Nursing Leadership Based on the Emotional Intelligent | Nur Izzah Agung Waluyo Dewi Irawaty Mochtarudin Mansyur | Nursing 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 | The Improvement of Caring Behavior among Nurses through Nursing Leadership Based on the Emotional Intelligent |
| Effectivity of artriphi irrigation for diabetic ulcer healing: A randomized controlled trial | Dewi Gayatri Aries Asmorohadi Debie Dahlia | The 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. | Effectivity of artriphi irrigation for diabetic ulcer healing: A randomized controlled trial |
| Still hoping for a miracle: Parents' experiences in caring for their child with cancer under palliative care | Mercy Nafratilova Allenidekania Dessie Wanda | Context: 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 | Still hoping for a miracle: Parents' experiences in caring for their child with cancer under palliative care |
| Parents' voice in managing the pain of children with cancer during palliative care | Rina Mariyana Allenidekania Nani Nurhaeni | Context: 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 | Parents' voice in managing the pain of children with cancer during palliative care |
| Phenomenology study on nurses' experiences in understanding the comfort of children at the end-of-life | Roro Lintang Suryani Allenidekania Imami Nur Rachmawati | Context: 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 | Phenomenology study on nurses' experiences in understanding the comfort of children at the end-of-life |
| Meaning of life of adolescent survivors of domestic violence (DV) | Intan Maharani Sulistyawati Batu Bara Novy HC Daulima Ice Yulia Wardani | 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 | Meaning of life of adolescent survivors of domestic violence (DV) |
| Improving diarrheal preventive behavior through therapeutic sociodramatic play in school-aged children | Lita Heni Kusumawardani Sigit Mulyono Poppy Fitriyani | Healthy 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. | Improving diarrheal preventive behavior through therapeutic sociodramatic play in school-aged children |
| Collaborative model of teachers, students, and families to improve parents knowledge and skills on food dafety of elementary school students | Sigit Mulyono Elly Nurachmah Junaiti Sahar Sabarinah Prasetyo | Introduction: 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 | Collaborative model of teachers, students, and families to improve parents knowledge and skills on food dafety of elementary school students |
| A Content Analysis Study: Concerns of Indonesian Women Infected With HIV by Husbands Who Used Intravenous Drugs | Rita Ismail Joachim G. Voss Nancy Figate Woods Grace John-Stewart Celia Lowe Elly Nurachmah Sri Yona Toha Muhaimin Doris Boutain | Few 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: HIV injection drug use/user (IDU) Indonesian women | A Content Analysis Study: Concerns of Indonesian Women Infected With HIV by Husbands Who Used Intravenous Drugs |
| Spirituality-focused palliative care to improve indonesian breast cancer patient comfort | Tuti Nuraini Andrijono Dewi Irawaty Jahja Umar Dewi Gayatri | Background: 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 | Spirituality-focused palliative care to improve indonesian breast cancer patient comfort |
| Berduka pada perempuan HIV-Positif | Rizka Ristriyani Imami Nur Rachmawati Yati Afiyanti | Penelitian 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 | Berduka pada perempuan HIV-Positif |
| Facilitated tucking effective to pain relief on the preterm infants in perinatal unit in Jakarta | Eva Oktaviani Yeni Rustina Defi Efendi | Most 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 | Facilitated tucking effective to pain relief on the preterm infants in perinatal unit in Jakarta |
| Kualitas hidup pasien skizofrenia dipersepsikan melalui stigma diri | Ice Yulia Wardani Fajar Apriliana Dewi | Skizofrenia 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 | Kualitas hidup pasien skizofrenia dipersepsikan melalui stigma diri |
| Pelatihan asuhan keperawatan peka budaya efektif meningkatkan kompetensi kultural perawat | Enie Novieastari Jajang Gunawijaya Agustin Indracahyani | Seorang 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 | Pelatihan asuhan keperawatan peka budaya efektif meningkatkan kompetensi kultural perawat |
| Penerapan mobile video efektif meningkatkan pengetahuan dan sikap ibu dalam menurunkan lama diare balita di wilayah puskesmas Kedaton Bandar Lampung | Yuli Lestari Nani Nurhaeni Happy Hayati | Penanganan 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 | Penerapan mobile video efektif meningkatkan pengetahuan dan sikap ibu dalam menurunkan lama diare balita di wilayah puskesmas Kedaton Bandar Lampung |
| Relaksasi otot progresif menurunkan stres keluarga yang merawat pasien gangguan jiwa | Livana PH Novy HC Daulima Mustikasari | Gangguan 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 | Relaksasi otot progresif menurunkan stres keluarga yang merawat pasien gangguan jiwa |
| Terapi kelompok asertif efektif meningkatkan kemampuan asertif dan resiliensi pada remaja di SMPN Padangpanjang | Rosa Fitri Amalia Budi Anna Keliat | Kurangnya 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 | Terapi kelompok asertif efektif meningkatkan kemampuan asertif dan resiliensi pada remaja di SMPN Padangpanjang |
| Pengaruh cognitive behavior therapy (CBT) terhadap pasien dengan gagal ginjal kronik di unit hemodialisa rumah sakit husada jakarta | Tri Setyaningsih Mustikasari Tuti Nuraini | Alternative 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. | Pengaruh cognitive behavior therapy (CBT) terhadap pasien dengan gagal ginjal kronik di unit hemodialisa rumah sakit husada jakarta |
| Penerapan program perawatan spiritual untuk menurunkan depresi pada pasien leukimia | Nia Rosliany Dewi Irawaty Riri Maria | Alternative 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 program perawatan spiritual untuk menurunkan depresi pada pasien leukimia |
| Penerapan symbolic modelling melalui pendekatan asuhan keperawatan keluarga dalam menurunkan kejadian cedera pada anak usia sekolah | Ressa Andriyani Utami Agus Setiawan Poppy Fitriyani | Alternative 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 | Penerapan symbolic modelling melalui pendekatan asuhan keperawatan keluarga dalam menurunkan kejadian cedera pada anak usia sekolah |
| Faktor yang berhubungan dengan ruam popok pada bayi baru lahir | Anik Rustiyaningsih Yeni Rustina Tuti Nuraini | Tujuan 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 | Faktor yang berhubungan dengan ruam popok pada bayi baru lahir |
| Hubungan peer dan parent attachment dengan gangguan perilaku makan pada remaja SMA | Maria Yuliana Mustikasari | Remaja 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 | Hubungan peer dan parent attachment dengan gangguan perilaku makan pada remaja SMA |
| Usability and satisfaction of using electronic nursing documentation, lesson-learned from new system implementation at a hospital in Indonesia | Rr. Tutik Sri Hariyati Achir Yani S. Hamid Tris Eryando Zainal A. Hasibuan | Electronic 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 | Usability and satisfaction of using electronic nursing documentation, lesson-learned from new system implementation at a hospital in Indonesia |
| The effects of the application of SIMPRO on the completeness and time efficiency of nursing documentation in the outpatient instalation at Dompet Dhuafa Hospital Parung | M. Dwisatyadini Rr. Tutik Sri Hariyati Efy Afifah | Nursing 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. | The effects of the application of SIMPRO on the completeness and time efficiency of nursing documentation in the outpatient instalation at Dompet Dhuafa Hospital Parung |
| Optimization of team method as efficiency strategy of nurses's workload: Mini project at military hospital in Jakarta | Hany Wihardja Rr. Tutik Sri Hariyati Desnita Fitri | Nursing 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. | Optimization of team method as efficiency strategy of nurses's workload: Mini project at military hospital in Jakarta |
| Exploring the potential of civic engagement to strengthen mental health systems in Indonesia (IGNITE): a study protocol | Helen Brooks Karen James Irmansyah Budi Anna Keliat Bagus Utomo Diana Rose Erminia Colucci Karina Lovell | Background 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. | Exploring the potential of civic engagement to strengthen mental health systems in Indonesia (IGNITE): a study protocol |
| Nursing student's experience in caring children with disability: A qualitative study | Erna Erawati Budi Anna Keliat | Caring 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 | Nursing student's experience in caring children with disability: A qualitative study |
| Penerapan terapi kelompok terapeutik kanak-kanak dan psikoedukasi keluarga pada anak dan orang tua terhadap perkembangan otonomi anak | Deasti Nurmaguphita Budi Anna Keliat Yossie Susanti Eka Putri | Promosi 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 | Penerapan terapi kelompok terapeutik kanak-kanak dan psikoedukasi keluarga pada anak dan orang tua terhadap perkembangan otonomi anak |
| Pengaruh aplikasi tindakan keperawatan generalis: Ansietas pada pasien penyakit ginjal kronik | Eneng Elisnawati Ice Yulia Wardani | Pola 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 | Pengaruh aplikasi tindakan keperawatan generalis: Ansietas pada pasien penyakit ginjal kronik |
| Social and Spiritual Support as Correlated Determinants of Elderly Happiness in Nursing Home | Randy Refnandes Achir Yani S. Hamid Heppy Sasmita | Background: 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 | Social and Spiritual Support as Correlated Determinants of Elderly Happiness in Nursing Home |
| Akupresur efektif meningkatkan nilai ankle brachial index pada diabetisi | Defrima Oka Surya Etty Rekawati Widyatuti | alternative 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 | Akupresur efektif meningkatkan nilai ankle brachial index pada diabetisi |
| Kemampuan remaja menggunakan strategi koping dalam lingkungan yang berisiko terhadap perilaku seksual pranikah | Sinthia Rosanti Maelissa Agus Setiawan Widyatuti | Lingkungan 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 | Kemampuan remaja menggunakan strategi koping dalam lingkungan yang berisiko terhadap perilaku seksual pranikah |
| Peningkatan kemampuan dan penuruanan tekanan darah pada agregate dewasa hipertensi sesudah mengikuti intervensi modifikasi perilaku dengan hypnocaring (moluca) di Curug, Cimanggis, Depok | Indrayanti Junaiti Sahar Henny Permatasari | Latar 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. | Peningkatan kemampuan dan penuruanan tekanan darah pada agregate dewasa hipertensi sesudah mengikuti intervensi modifikasi perilaku dengan hypnocaring (moluca) di Curug, Cimanggis, Depok |
| Responsive feeding-play (Resfeed-play) intervention on children aged 6-24 months with malnutrition | Dwi Cahya Rahmadiyah Agus Setiawan Poppy Fitriyani | Introduction: 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 | Responsive feeding-play (Resfeed-play) intervention on children aged 6-24 months with malnutrition |
| Efektifitas pelaksanaan intervensi early self management interventions (Es-Mager) terhadap pencegahan komplikasi kaki diabetik pada agregat dewasa di Kota Depok | Defrima Oka Surya Agus Setiawan Poppy Fitriyani | Pencegahan 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 | Efektifitas pelaksanaan intervensi early self management interventions (Es-Mager) terhadap pencegahan komplikasi kaki diabetik pada agregat dewasa di Kota Depok |
| Self-Management Counseling and Physical Health Status among Patients with Pulmonary TB in Bogor, Indonesia | Muhamad Jauhar Astuti Yuni Nursasi Wiwin Wiarsih | Background: 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 | Self-Management Counseling and Physical Health Status among Patients with Pulmonary TB in Bogor, Indonesia |
| Internet-based treatment of depression in Indonesia | Yodi Christiani Agus Setiawan | Guided 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. | Internet-based treatment of depression in Indonesia |
| Children's HIV status and the acceptance stage of grief amongst HIV-Positive women | Rizka Ristriyani Imami Nur Rachmawati Yati Afiyanti | Background: 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 | Children's HIV status and the acceptance stage of grief amongst HIV-Positive women |
| Makna menjadi supervisor bagi kepala ruangan di RSUD Ratu Zalecha Martapura | Dewi Setya Paramitha Yati Afiyanti Yuliani Budiyarti | Supervisi 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 | Makna menjadi supervisor bagi kepala ruangan di RSUD Ratu Zalecha Martapura |
| Combination of Mother Therapeutic Touch (MTT) and Maternal Voice Stimulus (MVS) therapies stabilize sleep and physiological function in preterm infants receiving minor invasive procedures | Defi Efendi Nining Caswini Yeni Rustina R. Adi Teguh Perma Iskandar | This 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 | Combination of Mother Therapeutic Touch (MTT) and Maternal Voice Stimulus (MVS) therapies stabilize sleep and physiological function in preterm infants receiving minor invasive procedures |
| Sleep Positioning in Low Birth Weight Infants to Reduce Enteral Feeding Intolerance | Dyah Dwi Astuti Yeni Rustina Fajar Tri Waluyanti | Introduction: 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 | Sleep Positioning in Low Birth Weight Infants to Reduce Enteral Feeding Intolerance |
| Arbi Care as an Educational Game to Improve Knowledge in Diarrhea Prevention among Preschoolers | Arbianingsih Nur Hidayah Huriati A. Adriana Amal Yeni Rustina Tri Krianto Dian Ayubi | Diarrhea 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. | Arbi Care as an Educational Game to Improve Knowledge in Diarrhea Prevention among Preschoolers |
| Reliability and validity of the family satisfaction instrument in families of children with pneumonia | Nani Nurhaeni | Objective 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 | Reliability and validity of the family satisfaction instrument in families of children with pneumonia |
| Nurses challenging to terminate irrelevant treatment prior to end of life patient | Krisna Yetti | Observations 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 illness End of life Dying process Advance treatment | Nurses challenging to terminate irrelevant treatment prior to end of life patient |
| Chronic Heart Failure Patients' Perceptions on their Palliative Care Needs | Prima Agustia Nova | Objective 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 | Chronic Heart Failure Patients' Perceptions on their Palliative Care Needs |
| The experience of people with mental disorders in social function adaptation after suffering from pasung | Rasmawati Novy HC Daulima Ice Yulia Wardani | Objective 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 Pasung Phenomenolog Social function | The experience of peoThe experience of people with mental disorders in social function adaptation after suffering from pasungple with mental disorders in social function adaptation after suffering from pasung |
| Relationship between maternal knowledge of balanced nutritional guidelines and snack food selection by school-aged children at school | Nikita Dewayani Sukihananto | Objective 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 | Relationship between maternal knowledge of balanced nutritional guidelines and snack food selection by school-aged children at school |
| Arbi Care: an innovative educational game to increase healthy behavior in diarrhea prevention among preschoolers | Arbianingsih Yeni Rustina Tri Krianto Dian Ayubi | Innovation 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 | Arbi Care: an innovative educational game to increase healthy behavior in diarrhea prevention among preschoolers |
| Effectiveness of Psychological Adaptation Model of Mental Health Nursing for nurse survivors experiencing post-earthquake disaster post-traumatic stress syndrome | Mustikasari Anggi Pratiwi Achir Yani S. Hamid Harif Fadhillah | Objective 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 mechanismsIntrinsic motivationPsychological adaptation model | Effectiveness of Psychological Adaptation Model of Mental Health Nursing for nurse survivors experiencing post-earthquake disaster post-traumatic stress syndrome |
| The experience of restraint-use among patients with violent behaviors in mental health hospital | Mariyati Achir Yani S. Hamid Novy HC Daulima | Objective 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 experience of restraint-use among patients with violent behaviors in mental health hospital |
| The influence of assertiveness training on depression level of high school students in Bengkulu, Indonesia | Hetty Fuspita Herni Susanti Dewi Eka Putri | Objective 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 influence of assertiveness training on depression level of high school students in Bengkulu, Indonesia |
| The life during adolescence in the perspective of ex-drug users in Indonesia | Yanuar Fahrizal Achir Yani S. Hamid Novy HC Daulima | Objective 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 | The life during adolescence in the perspective of ex-drug users in Indonesia |
| Family experience in treating children with chronic renal failure undergoing hemodialysis therapy | Dian Sari Allenidekania Yati Afiyanti | Objective 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 | Family experience in treating children with chronic renal failure undergoing hemodialysis therapy |
| Does open or closed endotracheal suction affect the incidence of ventilator associated pneumonia in the intensive care unit? A systematic review | Denissa Faradita Aryani Judith Tanner | Objective 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 | Does open or closed endotracheal suction affect the incidence of ventilator associated pneumonia in the intensive care unit? A systematic review |
| The influence of health training on teachers and students' knowledge of adolescent reproductive health | Widyatuti Fajar Tri Waluyanti Budi Mulyadi Astuti Yuni Nursasi | Objective 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 | The influence of health training on teachers and students' knowledge of adolescent reproductive health |
| Effectiveness of Lafiska exercise on risk of fall, balance, and health status in the elderly | Dwi Nurviyandari Kusuma Wati Junaiti Sahar Etty Rekawati | This 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 | Effectiveness of Lafiska exercise on risk of fall, balance, and health status in the elderly |
| Family stress experience in dealing with child victims of sexual violence | Rara Anggraini Novy HC Daulima Ice Yulia Wardani | Objective 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 | Family stress experience in dealing with child victims of sexual violence |
| The experience of older people living in nursing home (Panti Wredha) in DKI Jakarta, Indonesia | Etty Rekawati Junaiti Sahar Widyatuti Ibnu Abas Chaidir | Inability 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 experience of older people living in nursing home (Panti Wredha) in DKI Jakarta, Indonesia |
| The Honourable Role of Nurse in Accompanying Patient’s Dying Process | Krisna Yetti Malawat Rr.Tutik Sri Hariyati Rona Cahyantari Merduaty | 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. | The Honourable Role of Nurse in Accompanying Patient’s DyingProcess |
| Simplicity and Completeness of Nursing Process Satisfaction Using Nursing Management Information System at the Public Health Service “X” Indonesia | Rr. Tutik Sri Hariyati Nami Kobayashi Junaiti Sahar Tuti Nuraini Jajang Rahmad Solihin | Nursing 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 | Simplicity and Completeness of Nursing Process Satisfaction Using Nursing Management Information System at the Public Health Service “X” Indonesia |
| Spiritual Coping in People Living with Stroke | Rosyidah Arafat Ratna Sitorus Mustikasari Abdul Majid | 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 | Spiritual Coping in People Living with Stroke |
| Penerapan Fungsi Manajemen Kepala Ruangan dalam Pengendalian Mutu Keperawatan | Nurdiana Rr. Tutik Sri Hariyati Siti Anisah | Tujuan: 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. | Penerapan Fungsi Manajemen Kepala Ruangan dalam Pengendalian Mutu Keperawatan |
| Terapi Logo dan Suportif Kelompok Menurunkan Ansietas Remaja Binaan Rutan dan Lapas | Efri Widianti Mustikasari Agung Waluyo | Latar 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 | Terapi Logo dan Suportif Kelompok Menurunkan Ansietas Remaja Binaan Rutan dan Lapas |
| Community experience in protecting early-teenagers from initiation of smoking: An Indonesian perspective | Kumboyono Achir Yani S. Hamid Junaiti Sahar Saptawati Bardosono | 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. | Community experience in protecting early-teenagers from initiation of smoking: An Indonesian perspective |
| Relationship Strategy Family Coping With Quality Of Life In Elderly Post Stroke | Dodik Limansyah Junaiti Sahar Sukihananto | Alternative 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. | Relationship Strategy Family Coping With Quality Of Life In Elderly Post Stroke |
| Potential utilization of nursing teleconsultation in improving traumatic brain injury patient’s quality of life in West Java, Indonesia | Amelia Ganefianty Sukihananto | Traumatic 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. | Potential utilization of nursing teleconsultation in improving traumatic brain injury patient’s quality of life in West Java, Indonesia |
| EFEKTIFITAS LEMBAR PEMANTAUAN INSULIN TERINTEGRASI UNTUK MENGURANGI KEJADIAN HIPOGLIKEMIA PADA PASIEN DIABETES MELLITUS TIPE 2 | Dikha Ayu Kurnia Debie Dahlia | Hipoglikemia 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 | EFEKTIFITAS LEMBAR PEMANTAUAN INSULIN TERINTEGRASI UNTUK MENGURANGI KEJADIAN HIPOGLIKEMIA PADA PASIEN DIABETES MELLITUS TIPE 2 |
| PENGALAMAN IBU MERAWAT ANAK USIA SEKOLAH DENGAN AUTIS | Siti Chodidjah Alfani Prima Kusumasari | Autis 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 | PENGALAMAN IBU MERAWAT ANAK USIA SEKOLAH DENGAN AUTIS |
| PENINGKATAN KUALITAS HIDUP LANJUT USIA (LANSIA) DI KOTA DEPOK DENGAN LATIHAN KESEIMBANGAN | Stefanus Mendes Kiik Junaiti Sahar Henny Permatasari | Kualitas 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 | PENINGKATAN KUALITAS HIDUP LANJUT USIA (LANSIA) DI KOTA DEPOK DENGAN LATIHAN KESEIMBANGAN |
| THE EFFECTS OF COGNITIVE BEHAVIORAL THERAPY ON SMOKING BEHAVIOR AND ANXIETY IN HEADS OF FAMILY WHO SMOKE | Giur Hargiana Budi Anna Keliat Mustikasari | Indonesia 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 | THE EFFECTS OF COGNITIVE BEHAVIORAL THERAPY ON SMOKING BEHAVIOR AND ANXIETY IN HEADS OF FAMILY WHO SMOKE |
| Integrated Health Post for Child Health (Posyandu) As A Community-Based Program in Indonesia: An Exploratory Study | Agus Setiawan Yodi Christiani | Integrated 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 | Integrated Health Post for Child Health (Posyandu) As A Community-Based Program in Indonesia: An Exploratory Study |
| Kebutuhan Keluarga Saat Anak Dirawat di Paediatric Intensive Care Unit (PICU): Sudut Pandang Keluarga dan Perawat | Efa Apriyanti Robiyatul Adawiyah | Studi 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 | Kebutuhan Keluarga Saat Anak Dirawat di Paediatric Intensive Care Unit (PICU): Sudut Pandang Keluarga dan Perawat |
| Pengalaman Perawat Kepala Ruang Tentang Pelaksanaan Model Delegasi Keperawatan ’Relactor’ (MDK’R’) | Vivi Yosafianti Pohan Dewi Gayatri Eni Hidayati | 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 | Pengalaman Perawat Kepala Ruang Tentang Pelaksanaan Model Delegasi Keperawatan ’Relactor’ (MDK’R’) |
| Effectiveness of Relaxation Breathing Exercise on fatigue in gynecological cancer patients undergoing chemotherapy | Mulhaeriah Yati Afiyanti Engkus Kusdinar Achmad Moh Syafar Sangkala | Purpose 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 | Effectiveness of Relaxation Breathing Exercise on fatigue in gynecological cancer patients undergoing chemotherapy |
| PENGALAMAN IBU REMAJA PRIMIPARA MEMPEROLEH DUKUNGAN KELUARGA DALAM MEMBERIKAN ASI EKSKLUSIF | Rini Rahmayanti Setyowati Yati Afiyanti | Dukungan 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. | PENGALAMAN IBU REMAJA PRIMIPARA MEMPEROLEH DUKUNGAN KELUARGA DALAM MEMBERIKAN ASI EKSKLUSIF |
| Fear of cancer recurrence and social support among Indonesian gynecological cancer survivors | Tri Wijayanti Yati Afiyanti Hayuni Rahmah Ariesta Milanti | Background: 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 | Fear of cancer recurrence and social support amongIndonesian gynecological cancer survivors |
| Ventilator-Associated Pneumonia in Patients in an Intensive Care Unit | Arisanti Prabandini Tuti Herawati | Objective: 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 | Ventilator-Associated Pneumonia in Patients in an Intensive Care Unit |
| Coping Strategy and Its Correlation With Psychological Discomfort: Stressors Perceived by Patients with Diabetic Ulcers | Audi Amalia Rahmawati Dewi Gayatri | Objective: 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 | Coping Strategy and Its Correlation With Psychological Discomfort: Stressors Perceived by Patients with Diabetic Ulcers |
| Positive Thinking Exercise as an Intervention for Reducing Feeling of Powerlessness in Individuals with Diabetes Mellitus | Devi Sahputra Herni Susanti | Objective: 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 | Positive Thinking Exercise as an Intervention for Reducing Feeling of Powerlessness in Individuals with Diabetes Mellitus |
| Family Support and Dietary Adherence in Diabetes Mellitus Type 2 Patients in a Public Health Center (Puskesmas) Depok | Dhea Bethari Anjani Dewi Gayatri | Objective: 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 Support and Dietary Adherence in Diabetes Mellitus Type 2 Patients in a Public Health Center (Puskesmas) Depok |
| Family Burden with Inpatient Stroke Patients at the RSUD Budhi Asih DKI Jakarta hospital | Elisa Tesyani Tuti Herawati | Objective: 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 | Family Burden with Inpatient Stroke Patients at the RSUD Budhi Asih DKI Jakarta hospital |
| The Relationship Between Knowledge of Aphasia, Social Support, and Stress in Family of Stroke Patient with Aphasia | Fadhilah Rizka Utami Sri Yona | Objective: 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 | The Relationship Between Knowledge of Aphasia, Social Support, and Stress in Family of Stroke Patient with Aphasia |
| Relationship between Spiritual Well-Being and Hallucinations in Patients with Schizophrenia in a Mental Health Hospital | Muhammad Fadly Budi Anna Keliat | Objective: 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 | Relationship between Spiritual Well-Being and Hallucinations in Patients with Schizophrenia in a Mental Health Hospital |
| Disability Grades and Quality of Social Relationships among People with Leprosy in Donorojo Leprosy Rehabilitation Village | Firda Aishia Wiwin Wiarsih | Objective: 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 | Disability Grades and Quality of Social Relationships among People with Leprosy in Donorojo Leprosy Rehabilitation Village |
| Exercise Therapy Joint Mobility (Muslim Prayer Movement/Salat) as a Nursing Intervention for Impaired Physical Mobility in Elderly | Indah Permata Putri Dwi Nurviyandari | Objective: 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 | Exercise Therapy Joint Mobility (Muslim Prayer Movement/Salat) as a Nursing Intervention for Impaired Physical Mobility in Elderly |
| Adherence to dialysis therapy management in hemodialysis patients | Siti Kholilah Alawiyah A. S Chiyar Edison | Objective: 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 | Adherence to dialysis therapy management in hemodialysis patients |
| Physical Disability and Self-Concept of Stroke Patients in the Budhi Asih Hospital, Indonesia | Ratna Suryani Gandana I Made Kariasa | Background: 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 | Physical Disability and Self-Concept of Stroke Patients in the Budhi Asih Hospital, Indonesia |
| Relationship between Knowledge and Compliance of Patients Undergoing Chemotherapy Treatment | Rini Rinelly Riri Maria | Objective: 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 | Relationship between Knowledge and Compliance of Patients Undergoing Chemotherapy Treatment |
| Knowledge Level and Health Promoting Lifestyle in Nursing Students | Roma Radiah Astuti Yuni Nursasi | Objective: 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 Level and Health Promoting Lifestyle in Nursing Students |
| KNOWLEDGE OF GLYCEMIC INDEX AND DIET IN PATIENTS WITH DIABETES MELLITUS | Siti Noviana Sari Yulia | Objective: 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 | KNOWLEDGE OF GLYCEMIC INDEX AND DIET IN PATIENTS WITH DIABETES MELLITUS |
| Pranayama breathing exercise as a nursing intervention to reduce blood pressure in families with hypertension | Tri Mariha Tri Widyastuti Handayani | Objective: 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. | Pranayama breathing exercise as a nursing intervention to reduce blood pressure in families with hypertension |
| Sleep hygiene practice and sleep qualtity of junior high school students | Wige Indah Pratiwi Kuntarti | Objective: 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 | Sleep hygiene practice and sleep qualtity of junior high school students |
| RELATIONSHIP BETWEEN THE KNOWLEDGE ON SELF-EFFICACY ABOUT COUNSELING AND STOMA SITE MARKING FOR PATIENTS UNDERGOING STOMA SURGERY IN ETNs | Aulia Putri Debie Dahlia Ratna Sitorus Riri Maria | Alternative 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 | RELATIONSHIP BETWEEN THE KNOWLEDGE ON SELF-EFFICACY ABOUT COUNSELING AND STOMA SITE MARKING FOR PATIENTS UNDERGOING STOMA SURGERY IN ETNs |
| PENGARUH PENDIDIKAN KESEHATAN SLEEP HYGIEN TERHADAP PENINGKATAN KUALITAS TIDUR DALAM KONTEKS ASUHAN KEPERAWATAN PADA PASIEN GGKTA DENGAN HD DI RSCM JAKARTA | Loritta Yemina Agung Waluyo Lestari Sukmarini | Perawat 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. | PENGARUH PENDIDIKAN KESEHATAN SLEEP HYGIEN TERHADAP PENINGKATAN KUALITAS TIDUR DALAM KONTEKS ASUHAN KEPERAWATAN PADA PASIEN GGKTA DENGAN HD DI RSCM JAKARTA |
| EFEKTIVITAS ISOMETRIC HANDGRIP EXERCISE DAN SLOW DEEP BREATHING EXERCISE TERHADAP PERUBAHAN TEKANAN DARAH PADA PENDERITA HIPERTENSI | Juli Andri Agung Waluyo Wati Jumaiyah Dhea Nastashia | Alternative 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 | EFEKTIVITAS ISOMETRIC HANDGRIP EXERCISE DAN SLOW DEEP BREATHING EXERCISE TERHADAP PERUBAHAN TEKANAN DARAH PADA PENDERITA HIPERTENSI |
| THE EFFECTIVENESS OF ROY’S ADAPTATION MODEL FOR PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING PRE-DIALYSIS IN INDONESIA | Tri Hapsari Retno Agustiyowati Ratna Sitorus Agung Waluyo Besral Besral | Introduction: 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 | THE EFFECTIVENESS OF ROY’S ADAPTATION MODEL FOR PATIENTS WITH CHRONIC KIDNEY DISEASE UNDERGOING PRE-DIALYSIS IN INDONESIA |
| 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 INDONESIA | Ismail Fahmi Elly Nurachmah | Out-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 | 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 INDONESIA |
| The Effectiveness of High Fidelity Simulation Towards Knowledge and Skills in Health Education: Literature Review | Chiyar Edison | High 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. | The Effectiveness of High Fidelity Simulation Towards Knowledge and Skills in Health Education:Literature Review |
| FAKTOR-FAKTOR YANG BERHUBUNGAN DENGANSELFMANAGEMENTPADA PASIENHEMODIALISISDI KOTA BEKASI | Puji Astuti Tuti Herawati I Made Kariasa | Penatalaksanaan 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. | FAKTOR-FAKTOR YANG BERHUBUNGAN DENGANSELFMANAGEMENTPADA PASIENHEMODIALISISDI KOTA BEKASI |
| PENURUNAN NYERI DENGAN KOMPRES DINGIN DI LEHER BELAKANG (TENGKUK) PADA PASIEN POST HEMOROIDEKTOMI TERPASANG TAMPON | Rohmani Debie Dahlia Lestari Sukmarini | Pasien 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 | PENURUNAN NYERI DENGAN KOMPRES DINGIN DI LEHER BELAKANG (TENGKUK) PADA PASIEN POST HEMOROIDEKTOMI TERPASANG TAMPON |
| Hubungan Pengetahuan HIV/AIDs, Terapi Antiretroviral, dan Infeksi Oportunistik Terhadap Kepatuhan ODHA dalam Menjalani Terapi Antiretroviral | Dikha Ayu Kurnia Umi Solekhah | Peningkatan 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 | Hubungan Pengetahuan HIV/AIDs, Terapi Antiretroviral, dan Infeksi Oportunistik Terhadap Kepatuhan ODHA dalam Menjalani Terapi Antiretroviral |
| Studi Kasus: Asuhan Keperawatan Pada Klien Isolasi Sosial Pasca Pasung | Muhammad Fadly Giur Hargiana | Isolasi 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 | Studi Kasus: Asuhan Keperawatan Pada Klien Isolasi Sosial Pasca Pasung |
| 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 | Background 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. | Improving the implementation of patient safety by nursing students using nursing instructors trained in the use of quality circles |
| Perceived family support among older persons in diabetes mellitus self-management | Niko Dima Kristianingrum Wiwin Wiarsih Astuti Yuni Nursasi | Background 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. | Perceived family support among older persons in diabetes mellitus self-management |
| The Contributing Individuals in Developing Caring Behaviors of Nursing Students: The Focus Group Finding | Kuntarti Krisna Yetti Enie Novieastari | Alternative 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. | The Contributing Individuals in Developing Caring Behaviors of Nursing Students: The Focus Group Finding |
| A "Not able to live anymore": Reaction of the grieving process of the elderly dealing with chronic disease | Bahtiar Junaiti Sahar Wiwin Wiarsih | Background: 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 | A "Not able to live anymore": Reaction of the grieving process of the elderly dealing with chronic disease |
| SWOT Analysis of Nursing Clinic Professional Career Ladder System (SJKP2K) in Military Hospital Jakarta | Bela Pertiwi Rr Tutik Sri Hariyati Siti Anisah | Nursing 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 | SWOT Analysis of Nursing Clinic Professional Career Ladder System (SJKP2K) in Military Hospital Jakarta |
| Board Game as an Educational Game Media to an Effort to Change the Attitude of Dengue Prevention in School-Aged Children | Vivi Leona Amelia Agus Setiawan Sukihananto | Background: 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 | Board Game as an Educational Game Media to an Effort to Change the Attitude of Dengue Prevention in School-Aged Children |
| DETERMINANT FACTOR OF CONDOM USE AMONG MEN SEX MEN AND TRASNGENDER WOMEN IN SOUTHEAST ASIA REGION : A LITERATURE REVIEW | Khumaidi Sri Yona | Background : 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 | DETERMINANT FACTOR OF CONDOM USE AMONG MEN SEX MEN AND TRASNGENDER WOMEN IN SOUTHEAST ASIA REGION : A LITERATURE REVIEW |
| The Implementation of Electronic based Nursing Care Documentation to EFETEC; A Literature Review | I Wayan Gede Saraswasta Rr. Tutik Sri Hariyati | In 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 | The Implementation of Electronic based Nursing Care Documentation to EFETEC; A Literature Review |
| 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 | Background: 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 | Improvement Legal Aspects and Completeness of Documentation using Electronic Nursing Record: A Report StudyLegal Aspect and Competteness of Nursing Electronic Documentation |
| MOBILE HEALTH APPLICATION - PREVENTING PATIENTS OF BREAST CANCER POST-TREATMENT FROM UPPER LIMB DYSFUNCTION (ULD) (Chemotherapy, Radiotherapy, and Surgery) : LITERATURE REVIEW | Hendra Dwi Cahyono Rr. Tutik Sri Hariyati | Background. 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. | MOBILE HEALTH APPLICATION - PREVENTING PATIENTS OF BREAST CANCER POST-TREATMENT FROM UPPER LIMB DYSFUNCTION (ULD) (Chemotherapy, Radiotherapy, and Surgery) : LITERATURE REVIEW |
| Factors Predisposing Implementation of Effective Nurse Communication: a Systematic Review | Rr.Tutik Sri Hariyati Andi Nur Indah Sari Tuti Afriani | Background: 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 | Factors Predisposing Implementation of Effective Nurse Communication: a Systematic Review |
| Innovation in Utilizing Information Technology Systems in Improving the Quality of Nursing Services | Ahmad Dahlan Sayam Sukihananto | Background: 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 | Innovation in Utilizing Information Technology Systems in Improving the Quality of Nursing Services |
| FISHBONE ANALYSIS METHOD OF COMMUNICATION HANDOVER IN THE EMERGENCY INSTALLATION IN JAKARTA ARMY HOSPITAL | Deny Gunawan Rr Tutik Sri Hariyati Desnita Fitri | Background: 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 | FISHBONE ANALYSIS METHOD OF COMMUNICATION HANDOVER IN THE EMERGENCY INSTALLATION IN JAKARTA ARMY HOSPITAL |
| IMPROVEMENT OF KNOWLEDGE AND CARING BEHAVIOR THROUGH E-LEARNING: A LITERATURE REVIEW | Putri Nilasari Rr. Tutik Sri Hariyati | Background: 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 | IMPROVEMENT OF KNOWLEDGE AND CARING BEHAVIOR THROUGH E-LEARNING: A LITERATURE REVIEW |
| Retention Strategy to Minimize Nurse Turnover: A Systematic Review Retention Strategy to Minimize Nurse Turnover | Rr.Tutik Sri Hariyati Nurdiana | Background: 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 | Retention Strategy to Minimize Nurse Turnover: A Systematic ReviewRetention Strategy to Minimize Nurse Turnover |
| The Utililization Of Electrocardiograph (ECG) Monitoring System For Patient With Cardiovascular Disease Based On Community: A Literature Review | Rezky Mulyana Tuti Afriani | Introduction: 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 | The Utililization Of Electrocardiograph (ECG) Monitoring System For Patient With Cardiovascular Disease Based On Community: A Literature Review |
| GAMBARAN DUKUNGAN SOSIAL TERHADAP KESEJAHTERAAN EMOSIONAL, PSIKOLOGI DAN SOSIAL PADA KESEHATAN JIWA REMAJA | Ni Made Dian Sulistiowati Budi Anna Keliat Besral Abdul Wakhid | Masa 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 | GAMBARAN DUKUNGAN SOSIAL TERHADAP KESEJAHTERAAN EMOSIONAL, PSIKOLOGI DAN SOSIAL PADA KESEHATAN JIWA REMAJA |
| PENGETAHUAN KELUARGA BERHUBUNGAN DENGAN PERILAKU PENCEGAHAN ISPA PADA BALITA | Annisa Fitri Lidia Dwi Cahya Rahmadiyah | Infeksi 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 | PENGETAHUAN KELUARGA BERHUBUNGAN DENGAN PERILAKU PENCEGAHAN ISPA PADA BALITA |
| STUDI FENOMENOLOGI PENGALAMAN REMAJA PEREMPUAN YANG PUTUS SEKOLAH | Aisyah Safitri Achir Yani S. Hamid Yossie Susanti Eka Putri Wiwin Wiarsih | Remaja 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 | STUDI FENOMENOLOGI PENGALAMAN REMAJA PEREMPUAN YANG PUTUS SEKOLAH |
| ASUHAN KEPERAWATAN PSIKOSOSIAL: KETIDAKBERDAYAAN PADA KLIEN DENGAN GAGAL JANTUNG | Tarnimatul Ummah Ice Yulia Wardani Giur Hargiana | Ketidakberdayaan 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. | ASUHAN KEPERAWATAN PSIKOSOSIAL: KETIDAKBERDAYAAN PADA KLIEN DENGAN GAGAL JANTUNG |
| BURNOUT DAN PERILAKU CARING PERAWAT ONKOLOGI | Claudia Talenta Ice Yulia Wardani | Burnout 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 | BURNOUT DAN PERILAKU CARING PERAWAT ONKOLOGI |
| AFIRMASI POSITIF SEBAGAI INTERVENSI KETIDAKBERDAYAAN PADA MASALAH KESEHATAN PERKOTAANSYSTEMIC LUPUS ERYTHEMATOSUS | Salwa Muniroh Ice Yulia Wardani | Kerusakan 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 | AFIRMASI POSITIF SEBAGAI INTERVENSI KETIDAKBERDAYAAN PADA MASALAH KESEHATAN PERKOTAANSYSTEMIC LUPUS ERYTHEMATOSUS |
| Penerapan Terapi Generalis, Terapi Aktivitas Kelompok Sosialisasi, dan Social Skill Training pada Pasien Isolasi Sosial | Zakiyah Mista Achir Yani S Hamid Herni Susanti | Isolasi 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 | Penerapan Terapi Generalis, Terapi Aktivitas Kelompok Sosialisasi, dan Social Skill Training pada Pasien Isolasi Sosial |
| Analysis of Factors Associated with The Quality of Life of Clients with Schizophrenia in Outpatient Ward in Nasional Mental Health Hospital | Bunga Permata Wenny Achir Yani Dewi Eka Putri | Background: 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). | Analysis of Factors Associated with The Quality of Life of Clients with Schizophrenia in Outpatient Ward in Nasional Mental Health Hospital |
| Differences of Correlation Factors of Depression Among The Senior Citizens who Live with Their Family and Those who Live in Nursing Home | Weddy Martin Achir Yani Reni Dayati | Background: 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. | Differences of Correlation Factors of Depression Among The Senior Citizens who Live with Their Family and Those who Live in Nursing Home |
| The Influence of Thought Stopping Therapy and Family Psychoeducation Toward Anxiety Client Who Undergo Hemodialysis in DR. Achmad Mochtar Hospital | Yade Kurnia Saria Budi Anna Keliat Reni Dayati | Background: 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 Influence of Thought Stopping Therapy and Family Psychoeducation Toward Anxiety Client Who Undergo Hemodialysis in DR. Achmad Mochtar Hospital |
| The Relation of Copping Strategy by Looking Social Support with Stress Level of Breast Cancer Patient who Gone Through Chemotherapy | Sri Burhani Putri Achir Yani Syuhaemi Hamid Vetty Priscilla | Background: 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). | The Relation of Copping Strategy by Looking Social Support with Stress Level of Breast Cancer Patient who Gone Through Chemotherapy |
| Relationship between Job Stress and Coping Mechanism in Psychiatric Nurse in National Mental Health Hospital | Dwi Happy Anggia Sari Mustikasari Ira Erwina | Background: 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 | Relationship between Job Stress and Coping Mechanism in Psychiatric Nurse in National Mental Health Hospital |
| The Adolescents Psychosocial Phenomenology of Online Gaming Addiction in Surau Gadang Sub District Nanggalo of Padang | Nike Puspita Alwi Mustikasari | Background: 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 Adolescents Psychosocial Phenomenology of Online Gaming Addiction in Surau Gadang Sub District Nanggalo of Padang |
| The Relationship between Supervision on Nursing Care Done by the Head of Room and the Implementation of Standard Operational Procedure of Parenteral Drug Administration | Reska Handayani Junaiti Sahar Basmanelly | Purpose: 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. | The Relationship between Supervision on Nursing Care Done by the Head of Room and the Implementation of Standard Operational Procedure of Parenteral Drug Administration |
| Increasing Nurses’ Job Satisfaction with Nursing Rounds | Ernalinda Rosya Elly Nurachmah Deswita | Background: 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. | Increasing Nurses’ Job Satisfaction with Nursing Rounds |
| STRES AKADEMIK DAN GEJALA GASTROINTESTINAL PADA MAHASISWA KEPERAWATAN | Afifah Ice Yulia Wardani | Salah 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 | STRES AKADEMIK DAN GEJALA GASTROINTESTINAL PADA MAHASISWA KEPERAWATAN |
| DUKUNGAN SOSIAL DAN HUBUNGANNYA DENGAN TINGKAT DEPRESI PADA NARAPIDANA ANAK | Fitri Maharani Sukma Ria Utami Panjaitan | Dampak 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 | DUKUNGAN SOSIAL DAN HUBUNGANNYA DENGAN TINGKAT DEPRESI PADA NARAPIDANA ANAK |
| PENGARUH COGNITIVE BEHAVIOUR THERAPY (CBT) TERHADAP ANSIETAS REMAJA DI WILAYAH RAWAN BANJIR | Fajriyah Nur Afriyanti Mustikasari Herni Susanti | Objektif : 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 | PENGARUH COGNITIVE BEHAVIOUR THERAPY (CBT) TERHADAP ANSIETASREMAJA DI WILAYAH RAWAN BANJIR |
| Dukungan Informasi Keluarga Meningkatkan Self-Care Klien DM Tipe 2 Di Ambarketawang Sleman Yogyakarta | Agustina Rahmawati Astuti Yuni Nursasi Widyatuti | DM 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 | Dukungan Informasi Keluarga Meningkatkan Self-Care Klien DM Tipe 2 Di Ambarketawang Sleman Yogyakarta |
| MERAWAT LANSIA DENGAN GANGGUAN MOBILISASI MEMBENTUK NILAI SPIRITUAL DAN KULTURAL ANGGOTA KELUARGA DI SRENGSENG SAWAH JAKARTA SELATAN | Ratna Lestari Etty Rekawati Wiwin Wiarsih | Alternative 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 | MERAWAT LANSIA DENGAN GANGGUAN MOBILISASI MEMBENTUK NILAI SPIRITUAL DAN KULTURAL ANGGOTA KELUARGA DI SRENGSENG SAWAH JAKARTA SELATAN |
| Barriers Faced by School Community in the Prevention of Smoking Initiation among Early Adolescents | Kumboyono Achir Yani S. Hamid Junaiti Sahar Saptawati Bardosono | 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 Adolescents |
| DIABETES SELF-CARE EXPERIENCE ON ELDERLY WITHOUT MEDICATION | Niko Dima Kristianingrum Wiwin Wiarsih Astuti Yuni Nursasi | Increasing 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 | DIABETES SELF-CARE EXPERIENCE ON ELDERLY WITHOUT MEDICATION |
| HUBUNGAN DUKUNGAN EMOSIONAL KELUARGA KLIEN DM TIPE 2 DENGAN PEMANFAATAN FASILITAS PELAYANAN KESEHATAN DI KECAMATAN TEBET | Muhammad Ihsan Dwi Cahya Rahmadiyah | Alternative 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 | HUBUNGAN DUKUNGAN EMOSIONAL KELUARGA KLIEN DM TIPE 2 DENGAN PEMANFAATAN FASILITAS PELAYANAN KESEHATAN DI KECAMATAN TEBET |
| APLIKASI ASUHAN KEPERAWATAN GENERALIS DAN PSIKORELIGIUS PADA KLIEN GANGGUAN SENSORI PERSEPSI: HALUSINASI PENGLIHATAN DAN PENDENGARAN | Irma Erviana Giur Hargiana | Alternative 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. | APLIKASI ASUHAN KEPERAWATAN GENERALIS DAN PSIKORELIGIUS PADA KLIEN GANGGUAN SENSORI PERSEPSI: HALUSINASI PENGLIHATAN DAN PENDENGARAN |
| PENGARUH STRES TERHADAP FUNGSI MEMORI PADA PASIEN DIABETES MELITUS DI KOTA DEPOK | Fathiya Hanisya Dikha Ayu Kurnia | Alternative 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 | PENGARUH STRES TERHADAP FUNGSI MEMORI PADA PASIEN DIABETES MELITUS DI KOTA DEPOK |
| PERILAKU KESEHATAN ANGGOTA KELUARGA DENGAN PASIEN KANKER | Nurlita Dwi Hikmatia Anggri Noorana Zahra | Alternative 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. | PERILAKU KESEHATAN ANGGOTA KELUARGA DENGAN PASIEN KANKER |
| GAMBARAN TINGKAT KEPATUHAN DAN FAKTOR – FAKTOR YANG MEMENGARUHI KEPATUHAN PERAWAT DALAM PENERAPAN BUNDLE VENTILATOR ASSOCIATED PNEUMONIA | Yuyun Durhayati Denissa Faradita Aryani | Alternative 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 | GAMBARAN TINGKAT KEPATUHAN DAN FAKTOR – FAKTOR YANG MEMENGARUHI KEPATUHAN PERAWAT DALAM PENERAPAN BUNDLE VENTILATOR ASSOCIATED PNEUMONIA |
| HUBUNGAN TINGKAT PENGETAHUAN TENTANG MANAJEMEN CAIRAN DENGAN KEPATUHAN PEMBATASAN CAIRAN PADA PASIEN GAGAL GINJAL TERMINAL DI RSAU DR. ESNAWAN ANTARIKSA JAKARTA TIMUR | Levy Wayiqrat Chiyar Edison | Alternative 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 | HUBUNGAN TINGKAT PENGETAHUAN TENTANG MANAJEMEN CAIRAN DENGAN KEPATUHAN PEMBATASAN CAIRAN PADA PASIEN GAGAL GINJAL TERMINAL DI RSAU DR. ESNAWAN ANTARIKSA JAKARTA TIMUR |
| SOCIAL AND CULTURAL ISSUES OF INDONESIAN MIGRANT NURSES IN JAPAN | Yoko Ishikawa Setyowati | Alternative 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 | SOCIAL AND CULTURAL ISSUES OF INDONESIAN MIGRANT NURSES IN JAPAN |
| THE APPLICATION OF NURSING THEORY “SELF CARE OREM” IN NURSING CARE OF MULTIPAROUS PREGNANCY WITH ANAEMIA: A CASE REPORT | Siti Nurbayanti Awaliyah Setyowati Tri Budiati | Anemia 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 | THE APPLICATION OF NURSING THEORY “SELF CARE OREM” IN NURSING CARE OF MULTIPAROUS PREGNANCY WITH ANAEMIA: A CASE REPORT |
| EFEKTIVITAS ASUHAN KEPERAWATAN PADA ANAK KANKER YANG MENGALAMI GANGGUAN NUTRISI DENGAN MENGGUNAKAN TEORI LEVINE | Nuraini Hakim Allenidekania Happy Hayati | Kanker 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. | EFEKTIVITAS ASUHAN KEPERAWATAN PADA ANAK KANKER YANG MENGALAMI GANGGUAN NUTRISI DENGAN MENGGUNAKAN TEORI LEVINE |
| APLIKASI MODEL NEED FOR HELP WIEDENBACH PADA IBU DENGAN PERDARAHAN POST PARTUM | Retno Winarti Setyowati Tri Budiati | Perawat 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. | APLIKASI MODEL NEED FOR HELP WIEDENBACH PADA IBU DENGAN PERDARAHAN POST PARTUM |
| DAMPAK FISIOTERAPI DADA TERHADAP STATUS PERNAPASAN ANAK BALITA PNEUMONIA DI RSUD KOJA DAN RSUD PASAR REBO JAKARTA | Rosa Melati Nani Nurhaeni Siti Chodidjah | Manifestasi 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. | DAMPAK FISIOTERAPI DADA TERHADAP STATUS PERNAPASAN ANAK BALITA PNEUMONIA DI RSUD KOJA DAN RSUD PASAR REBO JAKARTA |
| Kepuasan Orang Tua terhadap Pelayanan Keperawatan di ruang Perinatologi | Erna Julianti Fajar Tri Waluyanti Allenidekania | Kepuasan 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. | Kepuasan Orang Tua terhadap Pelayanan Keperawatan di ruang Perinatologi |
| Experience and Supporting Needs of Family with Children with Thalassemia β Mayor | Titi Sulastri Djajadiman Gatot Yeni Rustina Ede Surya Darmawan | Concept 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. | Experience and Supporting Needs of Family with Children with Thalassemia β Mayor |
| EFIKASI DIRI PERAWAT TERHADAP PENERAPAN ASUHAN PERKEMBANGAN (DEVELOPMENTAL CARE) | Armina Happy Hayati Nani Nurhaeni | 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. | EFIKASI DIRI PERAWAT TERHADAP PENERAPAN ASUHAN PERKEMBANGAN (DEVELOPMENTAL CARE) |
| Factors Affecting Antiretroviral Therapy Adherence in Individuals with HIV in Kaimana District of Papua Barat | Chinta Novianti Mufara Sri Yona | Objective: 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. | Factors Affecting Antiretroviral Therapy Adherence in Individuals with HIV in Kaimana District of Papua Barat |
| Characteristics and HIV Knowledge Level of Undergraduate Students of the Regular Bachelor Degree Program Faculty of Nursing Universitas Indonesia | Haruka Ayu Suhita Riri Maria | Objective: 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 | Characteristics and HIV Knowledge Level of Undergraduate Students of the Regular Bachelor Degree Program Faculty of Nursing Universitas Indonesia |
| Comparison of Clean and Healthy Living Behavior of Islamic Boarding School (IBS) Students with and without IBS Health Post access | Sari Rahmawati Sigit Mulyono | Objective: 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 | Comparison of Clean and Healthy Living Behavior of Islamic Boarding School (IBS) Students with and without IBS Health Post access |
| Health Behaviors of Family members of Patients with Cancer | Nurlita Dwi Hikmatia Anggri Noorana Zahra | Objective: 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 | Health Behaviors of Family members of Patients with Cancer |
| Correlation between the Diabetic Ulcer Patients’ Comfort Level and Family Support: A Descriptive, Cross-Sectional Study | Niken Ika Wati Dewi Gayatri | Objective: 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 | Correlation between the Diabetic Ulcer Patients’ Comfort Level and Family Support: A Descriptive, Cross-Sectional Study |
| Knowledge and practices of ergonomic working positions among industrial workers | Hilda Fauziyah Tri Widyastuti Handayani | Objective: 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. | Knowledge and practices of ergonomic working positions among industrial workers |
| Anxiety level and academic procrastination among clinical nursing students in the faculty of nursing of universitas indonesia | Nurmala Sari Herni Susanti | Objective: 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 | Anxiety level and academic procrastination among clinical nursing students in the faculty of nursing of universitas indonesia |
| The effects of a therapeutic patient education program on the self-care of a patient undergoing hemodialysis | Pipit Lestari Yulia Yulia | Objective: 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 | The effects of a therapeutic patient education program on the self-care of a patient undergoing hemodialysis |
| PEMENUHAN KEBUTUHAN DASAR PADA LANSIA MENINGKATKAN KUALITAS HIDUP DI JAKARTA SELATAN | Yusriana Etty Rekawati Dwi Nurviyandari | Penurunan 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. | PEMENUHAN KEBUTUHAN DASAR PADA LANSIA MENINGKATKAN KUALITAS HIDUP DI JAKARTA SELATAN |
| Studi Fenomenologi Pengalaman Orang Dengan HIV/AIDS Dalam Mencegah Penularan HIV | Marthilda Suprayitna Agus Setiawan Rohman Azzam | Angka 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. | Studi Fenomenologi Pengalaman Orang Dengan HIV/AIDS Dalam Mencegah Penularan HIV |
| DUKUNGAN SOSIAL DAN KUALITAS HIDUP FISIK PEREMPUAN KORBAN KEKERASAN DALAM RUMAH TANGGA | Christy N M Hitijahubessy Yati Affiyanti Tri Budiati | Kekerasan 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 korban KDRT | DUKUNGAN SOSIAL DAN KUALITAS HIDUP FISIK PEREMPUAN KORBAN KEKERASAN DALAM RUMAH TANGGA |
| Development of handover concept in ICU/ICCU IBNU sina yarsi Islamic hospital bukittinggi | Wiwit Febrina Yati Afiyanti Nelwati | Handover 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 | Development of handover concept in ICU/ICCU IBNU sina yarsi Islamic hospital bukittinggi |
| ASUHAN KEPERAWATAN GESTATIONAL DIABETES MELLITUS DENGAN APLIKASI TEORI SELF CARE OREM | Eka Riyanti Setyowati Yati Afiyanti | Angka 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. | ASUHAN KEPERAWATAN GESTATIONAL DIABETES MELLITUS DENGAN APLIKASI TEORI SELF CARE OREM |
| Hubungan Kadar HbA1c dan Kualitas Tidur pada Pasien Diabetes Melitus Tipe 2 | Anggri Noorana Zahra Misella Elvira Farida | Kualitas 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. | Hubungan Kadar HbA1c dan Kualitas Tidur pada Pasien Diabetes Melitus Tipe 2 |
| Perilaku Pengguna Media Sosial dengan Perilaku Seksual Pranikah ada Remaja SMA | Redy Fadillah Widyatuti | Perilaku 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 | Perilaku Pengguna Media Sosial dengan Perilaku Seksual Pranikah ada Remaja SMA |