Jurnal Keperawatan Komprehensif (JKK)
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Factors Affecting the Quality of Life of Patients with Chronic Renal Failure Undergoing Hemodialysis at RSUD Sekarwangi Sukabumi District
Aims: Chronic renal failure is an increasingly prevalent global health issue, with hemodialysis as the most common treatment method. Factors affecting patients\u27 quality of life include age, gender, education, occupation, and treatment duration. This study aimed to identify and examine these factors.
Methods: This cross-sectional study involved 80 hemodialysis patients at RSUD Sekarwangi Kabupaten Sukabumi, using total sampling and questionnaires for data collection. Logistic regression was used for data analysis, and the study received ethical approval.
Results: The Chi-square test results indicate that age, gender, education, occupation, duration of chronic kidney failure, and length of hemodialysis significantly influence the quality of life in chronic kidney failure patients (p < 0.005). Logistic regression analysis identified education as the dominant factor impacting quality of life (OR = 39.316).
Conclusion: The study reveals that age, gender, education, occupation, duration of chronic renal failure, and length of hemodialysis treatment significantly impact the quality of life of patients with chronic renal failure
The Effect of Low-Impact Aerobic Exercise on Reducing Stress Levels in the Elderly
Aims: Increasing a person\u27s age results in a significant decline in body development, which is one of the causes of stress conditions in the elderly. In addition to a decrease in physical condition, the elderly who experience a decrease in social activities, one of which is the state of retirement. The elderly who used to work experienced drastic changes in their activities. There needs to be special treatment that can divert the stress experienced by the elderly rather not get worse. This study aims to identify the effect of low-impact aerobic exercise on reducing stress levels in the elderly.
Methods: This research is a quasi-experimental research (One Group Pre-Post-test design), sampling using purposive sampling of 30 respondents. The population in this study is the elderly in the Antapani District. The measurement tool used is the PSS-10 (Perceived Stress Scale) questionnaire.
Results: The research results show that the majority of respondents in this study were female, with an average age of 60 years. Then on the Wilcoxon test there is a difference in the average value of the pre-test and post-test and the difference is quite large.
Conclusion: There is an effect of low-impact aerobic exercise on reducing stress levels in the elderly. Suggestion: It is hoped that this exercise will be carried out regularly once a week. This is because in addition to body fitness, and to eliminate boredom, it can also reduce stress in the elderly
Family Experiences in Caring for Covid-19 Positive at Home: Phenomenology Study
Aims: Covid-19, a global problem since 2019, has significantly increased in Indonesia since early 2020. Government policies restrict patients from outside activities, making home care a unique experience. This study aims to understand families\u27 experiences in caring for positive Covid-19 patients.
Methods: The method used is qualitative with a phenomenological study approach. There were 12 participants in this study with the criteria of accompanying patients who experienced Covid-19 <1 year and these companions cared for patients at home. The sampling technique used was purposive sampling, with in-depth interviews of 30-45 minutes and recorded and recorded. The data analysis technique used is the collaizi method.
Results: The results of the study obtained six themes, namely understanding Covid-19 Disease, Information Sources for Covid-19 Treatment, Treatment Considerations, Psychological Burden, Difficulties in Home Care, and Social Support.
Conclusions: This study found six themes related to family experience in caring for Covid-19 patients, so that the role of the family and social community is very important in caring for Covid-19 patients in dealing with changing conditions and situations
Upper Arm Exercises on Pain Intensity Among Patient with Breast Cancer Dharmais Cancer Hospital, Indonesia
Aim: to determine the effectiveness of upper arm exercises on pain intensity among patients with breast cancer at the Dharmais Cancer Hospital, Indonesia.
Methods: This study used a queasy experiment with pre-post-test and two-group design. Twenty respondents from breast cancer patients in each intervention and control group were recruited. The upper arm training intervention was carried out 3 times/week for 3 weeks. The Visual Analogue Scale (VAS) was used to assess pain, and linear regression and the dependent t-test with a significance level of 0.05 (CI 95%) were used for analysis.
Result: The significant difference in pain levels between the intervention group and the control group shows that the mean difference in the pain level scale of respondents in the upper arm exercise intervention group was 2.50 (SD=0.60), while in the control group, the mean was 1.70 (SD=0.65). control group with (t=4.00, p=0.001), and age (p-value =0.023; OR=8.645) were predictors in this study.
Conclusions: Upper arm exercises can be recommended to reduce pain in breast cancer sufferers, especially breast cancer patients who have undergone stage 1 and 2 mastectomy operations. It is recommended that further research involve respondents who had the same level of pain before upper arm exercises were carried ou
Family Support in Fulfilling Activities of Daily Living and the Level of Personal Hygiene - Bathing in Schizophrenia Patients
Aims: This research aims to analyze the relationship between Family Support in Fulfilling Activities of Daily Living and the level of Personal Hygiene - Bathing in schizophrenia patients.
Methods: The population in this research consists of 88 families with schizophrenia patients, with a sample size of 47 respondents. The sampling technique used is random sampling, employing the Spearman\u27s rho statistical test. This research was conducted from December 2022 to July 2023 in the village of Astambul, Banjar Regency, South Kalimantan Province, this research is an analytical research employing a cross-sectional design.
Results: Based on the Spearman Rho test, the value of ρ is determined to be 0.005 (ρ ≥ 0.050). With a Spearman correlation value of 0.000, it indicates a positive correlation direction with a moderate strength.
Conclusions: Emotional support and increased attention are crucial in supporting a more effective recovery process. The better the family support in fulfilling Activities of Daily Living (ADL) for schizophrenia patients, the higher the level of personal hygiene - bathing in schizophrenia patients in the Astambul village area, Banjar Regency
Factors Influencing Toddler Visit to Integrated Healthcare Center in Sukabumi District
Aims: The purpose of this study was to determine the effect of knowledge, motivation, the role of health workers, and family support on toddler visit to integrated healthcare center in Sukabumi district.
Methods: This type of research was conducted with a cross sectional design. The population was all mothers of toddlers with a sample of 225, using proportional random sampling technique. Statistical analysis to determine the effect using logistic regression.
Results: There is an influence of knowledge (p=0.000), motivation (p=0.000), the role of health workers (p=0.000) and family support (p=0.000) on toddler posyandu visits in Sukamanis Village, Kadudampit Health Center Working Area, Sukabumi Regency.
Conclusion: Knowledge, motivation, role of health workers and family support influenced toddler posyandu visits in Sukamanis Village, Kadudampit Health Center Working Area, Sukabumi District
Relationship Between Waiting Time and Patient Satisfaction at the Surgery Polyclinic of Bekasi District Hospital
Aims : the study aimed to determine the correlation between waiting time and patient satisfaction at the Surgical Polyclinic of the Outpatient Installation at Bekasi District Hospital.
Methods : Time spent waiting serves as the independent variable in this cross-sectional study, with patient satisfaction serving as the dependent variable. Forty participants were surveyed using questionnaires as the major source of information in July 2022.
Results : The analysis reveals that P =.000 (P Value.05) is derived from a Chi Square test of association between waiting time factors and patient satisfaction. Patient happiness seems to correlate with how long they have to wait before being seen. Strengthen time management skills to ensure that medical care is delivered on time and with the highest possible quality.
Conclusions : The research find a significant correlation between patient satisfaction and waiting time in the Surgical Polyclinic at Bekasi District Hospital, suggesting the need for improved time discipline and more responsive medical personnel
The Corellation of Hypnoanasthesia with Pain Degree on Installation of Intra Uterine Device (IUD)
Aims : this study was to analyze the difference of median pain of IUD insertion in hypnoanasthesia group and IUD mounting standard group, to analyze the difference of pain reduction scores of IUD insinuation on hypnoanasthesia group and IUD mounting standard group and to analyze hypnoanasthesia relationship with degree of pain in the installation of Intrauterine Device (IUD).
Research : research design used quasi experimental approach with two group post test only with control group design. Analysis of results using Mann-Whitney and Chi-Square test.
Results : result of the research shows that there is difference of pain score of hypnoanasthesia group that is median value 4 and standard group of IUD insertion with median value 5 and obtained p value <0.001. There was a difference of pain reduction score in the hypnoanasthesia group of 60% and in the standard group of 33.3% with p = 0.002. There is a correlation of hypnoanasthesia with degree of pain in IUD insertion with p value = 0.005.
Conclusions : the hypnosis method emphasizes the emergence of positive suggestion, calm feeling, and relaxation that make it comfortable. When the condition is calm and relaxed, the brain will automatically release the hormone endorphins that reduce pain and give a sense of comfort and relaxation
Experience of Nursing Student during Geriatric Nursing Practice: A Narrative Qualitative Study
Aims: Older adults are often accompanied by chronic disease which makes nursing care more complex. The experiences of students providing care to older adults can encourage them to gain a deeper understanding, find effective strategies when facing challenges, and realize their own needs as future nurses. This study aimed to determine the experiences of nursing students in carrying out geriatric nursing practice.
Methods: This study employed a qualitative study using a narrative research design. The purposive sample consisted of twelve nursing students who had completed 2 weeks of geriatric nursing. The variables explored were experiences of nursing students during geriatric nursing practice. Data collection used in this study was a student’s reflective assignment. The analysis was conducted using a thematic analysis approach.
Results: All respondents were willing to participate in the study. Five themes emerged, including family assistance during care, the patient\u27s condition while undergoing treatment, students\u27 feelings and competencies when caring for the elderly, changes in a better understanding of the elderly, and expected goals to be achieved by students.
Conclusions: This study focuses on the implementation of care for elderly patients in the hospital, which promotes the need for students to improve their skills in providing nursing care
Effectiveness of High Dosage of Calcium, Folic Acid and Vitamin D on Reducing the Risk of Preeclamsion Among Pregnant Women
Aims: to determine the effectiveness of giving high doses of calcium, folic acid and vitamin D to reducing the risk of preeclampsia in the Karawang Health Center in 2023.
Methods: the type of research used in this research is quantitative with a cross sectional research design. The population in this study were 68 pregnant women who were at the Karawang Health Center, Karawang Regency. a sample of 45 pregnant women who were at the Karawang Community Health Center in Karawang Regency and bivariate analysis using the chi-square test.
Results: Most of the use of high-dose calcium were adherent by 26 people (67.8%), most of the use of folic acid were adherent by as many as 30 people (66.7%), most of the use of vitamin D were not adherent by 27 people (60.0%). Most of the risk of preeclampsia blood pressure in normal pregnant women as many as 25 people (55.6%). Giving high doses of calcium, folic acid and vitamin D is effective in reducing the risk of preeclampsia in the Karawang Health Center in 2023 with (P-Value ≤ 0.05).
Conclusion: It can be concluded that giving high doses of calcium, folic acid and vitamin D is effective in reducing the risk of preeclampsia in the Karawang Health Center in 2023