Jurnal Keperawatan Komprehensif (JKK)
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Empowering Post-Stroke Patients to Improve Self-Care and Prevent Recurrent Stroke Using Stroke Empowerment Education
No full textAims: Stroke can lead to varying outcomes, ranging from recovery with disability, death, to surviving with recurrent strokes. Post-stroke patients require special attention to improve self-care behaviors. Stroke empowerment education is an educational approach given to stroke patients with an empowerment-focused approach centered on the patient. This study aimed to determine the effect of stroke empowerment education on the self-care of post-stroke patients as an effort to prevent recurrent strokes at RSUD Gambiran Kota Kediri.
Methods: The research design used was a Quasi-Experiment with a pre-post test design with a control group. Sampling was done using accidental sampling technique, resulting in 98 respondents. Data collection on self-care was conducted using the modified version of The Subjective Self-Care Performance Scale questionnaire.
Results: The results of the Wilcoxon Signed Ranks Test showed significant improvement (p = 0.000) in self-care among post-stroke patients after Stroke Empowerment Education.
Conclusion: This study concluded that there was an effect of stroke empowerment education on improving self-care among post-stroke patients as an effort to prevent recurrent strokes at RSUD Gambiran Kota Kediri. As a recommendation, the results of this study can be continued as an intervention in hospitals to enhance services for post-stroke patients to improve self-care as an effort to prevent recurrent strokes
Effectiveness of Health Education Using Booklet & Video on Knowledge of Pregnancy Danger Signs Among Primigravida Mothers
No full textAims : The aims of this study was to see the effectiveness of providing pregnancy danger sign videos and education through KIA books on the knowledge of pregnant women about pregnancy danger signs.
Methods : The study conducted in May-June 2023, involved 180 pregnant women, 90 receiving video intervention on pregnancy danger signs and 90 receiving MCH book education, and used a questionnaire for bivariate analysis.
Results : Mann-Whitney test in the video group are Sig.2-tailed of 0.000 <0.05, then the provision of educational videos is effective in increasing the knowledge of pregnant women about the danger signs of pregnancy and statistically significant.
Conclusions : The Mann-Whitney test showed that educational videos effectively increase pregnant women\u27s knowledge about danger signs of pregnancy, while MCH book education was found to be insignificant. The results suggest that educational videos are effective in raising awareness
Impact of Haemodialysis: Analysis of Haemoglobin Levels and Blood Pressure Control in Patients with End-Stage Renal Disease
No full textAims: To analyze the effect of hemodialysis on hemoglobin levels and blood pressure in patients with End Stage Renal Disease (ESRD).
Method: The study used a one-group pretest-posttest design with 17 respondents. Data were collected using EDTA tubes, sphygmomanometers, and stethoscopes. A paired t-test and Wilcoxon signed-rank test were applied to analyze the significance of changes between pretest and posttest results
Results: The mean hemoglobin level before hemodialysis was 7.92 g/dL and increased to 8.50 g/dL after hemodialysis (p = 0.001). The mean systolic blood pressure decreased from 136.6 mmHg before to 124.0 mmHg after hemodialysis (p = 0.003). However, there was no significant difference in diastolic blood pressure, with an average of 80.6 mmHg before and 78.6 mmHg after hemodialysis (p = 0.180).
Conclusion: It can be concluded that hemodialysis significantly increases hemoglobin levels and reduces systolic blood pressure in ESRD patients, while diastolic blood pressure remains unchanged. Regular monitoring of hemoglobin and systolic blood pressure is crucial for managing patient health. Hemodialysis effectively raises hemoglobin levels and reduces systolic blood pressure in ESRD patients. Regular monitoring of both parameters is essential for effective patient management. While the findings highlight the benefits of hemodialysis, the limited sample size may restrict the generalizability of the results. Further studies with larger sample sizes are needed to confirm these findings and explore the long-term implications
Comparison of Deep Breathing and Benson Relaxation on Decreasing Dismenore Pain in Adolescent Women at Bina Smp Indonesia Gemilang Boarding School
No full textAims: determine the comparison of deep breathing relaxation and benson to decrease dismenore pain in young women.
Methods: Quasi experimental with a two group pre test-post test design. The sample in this study were all young women who experienced pain during menstruation at SMP Bina Indonesia Gemilang Boarding School as many as 30 people. The sampling technique used purposive sampling.
Results: The majority of menstrual pain before doing relaxation breathing in the majority was moderate pain (60.0%) and mild pain afterward (53.3%). The two treatments, namely deep breathing relaxation and benson, were both effective in reducing menstrual pain levels in young women (p. value 0.000).
Conclusions: There is no difference between deep breathing relaxation and Benson relaxation in reducing the level of menstrual pain in young women. It is expected that young women who experience menstrual pain can do deep breathing relaxation or Benson relaxation to reduce the level of pain
Development of Fast Alcohol Screening Test Implementation and Electronic Nursing Interventions for Adolescents with Alcohol Abuse: A Literature Review
No full textAims: This literature review aims to theoretically analyze the rationale for developing this electronic application to cover all aspects of adolescent mental health life and as a promotive and preventive tool for adolescents with alcohol abusers.
Methods: The literature review method was carried out on ten articles which were obtained from five databases namely PUBMED, Google Scholar, ClinicalKey Nursing, ProQuest, Science Direct. The keywords for article search were "FAST (Fast alcohol screening test)", "electronic-based nursing care", "alcohol abuse", "adolescent". The criteria for articles considered included articles available in English and Indonesian and published between 2017 and 2023.
Results: This review shows that the use of FAST and electronic-based nursing care can improve the quality of nursing care.
Conclusion: The utilization of technology in the screening test process and electronic based nursing care in nursing care is one of the alternative problem solving and especially can improve the quality of nursing care
The Effect of Distraction Therapy on Pain Levels in Patients with Multiple Lumbar Fractures and Nerve Root Injuries in the Seruni Room at Dr Soebandi Hospital, Jember
No full textAims : Lumbar fractures increased from 46.8% to 56.0% between 2009 and 2019, causing severe pain and discomfort, a critical nursing issue requiring attention to enhance patient care quality. Methods : the study was conducted in the Seruni Surgical Room, RSUD dr. Soebandi Jember, focusing on a patient with multiple lumbar fractures and nerve root injury. The patient was selected based on inclusion criteria and pain complaints. The researchers provided a distraction technique, involving listening to classical music and imagining positive things to alleviate pain. Results : the research results showed that there was a difference between the pain scale from the first day to the third day. This distraction technique is given according to the patient\u27s needs when the pain felt by the patient appears. Conclusions : Acute pain is a major nursing issue in patients with multiple fractures and nerve injuries, requiring pain management interventions like music distraction therapy to address physical, psychological, cognitive, and social needs. Researchers hope that nurses can apply therapy independently to patients who have pain
Comparison of the Effectiveness Between Kuresif Audiovisual Media with Flipchart Media on Increasing Knowledge and Attitudes of 0-24 Month Invant Underweight’s Mother about Complementary Feeding
No full textAims: This research aims to compare the effectiveness between Kuresif audiovisual media and Flip Sheet Media in improving mothers\u27 knowledge and attitudes.
Methods: This type of research is a quasi-experiment with a pretest posttest control group design based on the total sampling technique. The research was conducted during August-September 2021. The sample consisted of 102 control groups and 102 intervention groups. Statistical analysis using the Wilcoxon test with questionaire. which aims to determine the effect of applying flip-sheet media and Kuresif audiovisual media on mothers\u27 knowledge and attitudes in providing appropriate complementary feeding.
Results: The results showed that in the flipchart media group there was an average increase in knowledge of 4,3% from 11,8% to 16,1%. Mothers\u27 attitudes experienced an average increase of 20,9% from 56,8% to 77,7%. Meanwhile, in the kuresif audiovisual media group the average increase in knowledge was 6,9% from 12,4% to 19,3% and attitudes experienced an average increase of 33,4% from 59,1% to 94,5% with p=0,00.
Conclusions: Kuresif audiovisual media is the most effective in increasing mothers\u27 knowledge and attitudes compared with flipchart media. Indonesia is still facing nutritional problems that have a serious impact on the quality of human resources. Mother\u27s lack of knowledge is one of the causes of improper nutritional intake. One way to accelerate efforts to break the cycle of nutritional problems is to increase mother\u27s knowledge through counseling using flipchart media. Based on the evaluation carried out, the flipchart media has not shown an increase in the knowledge and attitudes of mothers regarding complementary feeding. Innovation is needed from counseling media in order to increase mother\u27s knowledge and attitudes
The Effect of Lavender Inhalation Aromatherapy on Sleep Quality of the Elderly at Tresna Werdha Social Institution Jambi City
No full textAims: This study was to determine the effect of lavender inhalation aromatherapy on the sleep quality of the elderly living at Tresna Werdha Social Institution in Jambi City.
Methods: This was a quasi-experimental research with 45 participants in the intervention group and 45 in the control group of the elderly. Sleep quality disorders were measured using the Pittsburgh Sleep Quality Index (PSQI). Univariate analysis and bivariate analysis with t-tes t.
Result: Disruption of sleep quality in the post-test intervention group (5.31+0.793) was lower than in the pre-test (9.91 + 2.548). Sleep efficiency disturbances are the least affected by interventions. There was a significant difference between the pre-and post-intervention groups, with p-value = 0.00.
Conclusion: This suggests that lavender inhalation may be particularly helpful in poor quality of sleep among the elderly. The study highlights the need for further research to explore optimal protocols for administering lavender inhalation aromatherapy, including dosage, duration, and frequency, to maximize its benefits on sleep quality among elderly populations. Additionally, investigating the long-term effects and safety of this intervention would be valuable for its integration into healthcare practices
The Effect of Massage Therapy on Pain Intensity in Fracture Patients : A Systematic Review
No full textAims: Pain disorders are common in patients with fracture disease. Massage therapy is considered effective for reducing the pain intensity of fracture patients. The Purpose of the Systematic review is to investigate the effect of massage therapy on pain intensity in patients with fractures.
Methods: The English full-text research publications from 2012 to 2023 that were found using the Google Scholar, Pubmed, and Science Direct databases were published in China (4 articles) and Iran (2 articles). Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) techniques, articles were chosen. Quality assessment was conducted using the Joanna Briggs Institute (JBI) Critical Appraisal Skills Programme. Six articles examined pain intensity with the usual Visual Analogue Scale (VAS).
Results: The outcomes achieved were Six articles. It has also been demonstrated to lessen fracture patients\u27 pain. Numerous massage therapy techniques, such as foot massage, reflexology massage, auricular acupressure, and elbow massage therapy, were employed in the studies that made up the evaluation. In the intervention and control groups, the mean pain intensity scores before and after the intervention were 5.72 + 0.97 and 5.66 + 0.92, respectively. The three measures of pain intensity in the intervention group showed a significant difference, according to the Friedman test.
Conclusion: The analysis concludes that massage therapy is a highly effective means of reducing pain in those who have suffered fractures. More investigation is need to confirm these results and assess different forms of massage therapy, though
Cognitive Behaviour Therapy with Roy Adaptation Approach on Improving Adolescent Self-Esteem in the Special Institution for Children Class I Martapura
No full textAims: This research aims to examine the impact of cognitive behaviour therapy with Roy\u27s adaptation approach on increasing adolescent self-esteem in the Special Development Institute for Children Class 1 Martapura.
Methods: This research employed a Quasi-Experimental Pre-Post Test with Control Group design. The sample size consisted of 30 respondents, divided into 15 in the treatment group and 15 in the control group, selected using purposive sampling techniques. The research instrument utilized to measure self-esteem was the Rosenberg Self-Esteem Scale.
Results: The outcomes revealed a significant increase in adolescent self-esteem before and after receiving cognitive behavior therapy with the Roy adaptation approach in the treatment group, with a p-value of 0.014 < 0.05. This indicates that there is a positive effect of administering cognitive behavior therapy with the Roy adaptation approach on adolescent self-esteem at the Class 1 Martapura Children\u27s Special Development Institute. Conversely, the control group experienced a decline in self-esteem during the post-test measurement.
Conclusion: Cognitive Behaviour Therapy with Roy\u27s adaptation theory approach conducted in 3 sessions is able to improve the self-esteem of adolescents who are in the Class 1 Martapura Children\u27s Special Development Institute