Jurnal Keperawatan Komprehensif (JKK)
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Determinant of Overload Occurrence in Clients Chronic Kidney Failure with Hemodialysis
No full textAims: Patients with renal failure who are in the final stage require replacement therapy for kidney function to maintain their survival such as kidney transplantation, hemodialysis and Continuous Ambulatory Peritoneal Dialysis (CAPD) therapy. Failure of kidney function can cause overload complications. In order to avoid complications from overload, good precautions must be taken, namely adherence to limiting fluid. Compliance must be based on the level of knowledge of the individual itself. The higher the level of knowledge is more open by carrying out compliance in limiting fluid in chronic renal failure with hemodialysis.
Main Objectives: Knowing the Determinants of Overload Occurrence in Chronic Kidney Failure with Hemodialysis at the Indonesian Christian University Hospital in 2019.
Research Method: Analytical Method, the sample in this study were all chronic renal failure patients who performed routine hemodialysis in the UKI Hemodialysis Hospital in February 2019 and the instruments used in this study used a questionnaire of 56 respondents. So the sampling method in this study is incidental sampling.
Results: From the results of the Chi Squere test, the researchers obtained p-value <0.05, meaning that there was a relationship between age, type, sex, education, duration of hemodialysis, knowledge and adherence to overload.
Suggestion: It is expected that health workers in the HD room of the Christian University Hospital will provide knowledge to clients and families through routine counseling and education about overloaded kidney failure and risks if they do not comply with fluid restrictions. If the client has knowledge about overload, the liquid compliance will be greater
Effectiveness of Using Misoprostol and Oxytocin in the Management of Post Partum Haemorrhage
No full textAims: In 2020, the WHO estimated that as many as 295,000 women died during and after pregnancy and childbirth. Ninety percent of maternal deaths are caused by complications that arise during and after delivery, including hemorrhaging. Misoprostol, a prostaglandin analogue, is useful for treating postpartum hemorrhage for a number of reasons, including its efficiency, low cost, stability in heat, user-friendliness, and low risk of adverse effects. Oxytocin is a medication frequently used to induce labor.
Methods : Quasi experimental with one group pretest-posttest design. The sample in this study were all 18 pregnant women who experienced postpartum hemorrhage at TPMB "I" in June-December 2022, the sampling technique was total sampling.
Results : The average postpartum bleeding in laboring mothers before misoprostol and oxytocin was 406.39, and it was 141.67 afterward. Misoprostol and oxytocin are beneficial in reducing postpartum hemorrhage in TPMB "I" patients from June to December 2022 (p.value 0.000).
Conclusions : There is an effectiveness of using misoprostol and oxytocin in postpartum hemorrhage. It is expected that midwives can provide services in normal delivery using misoprostol and oxytocin safely
Effect of Mirror Therapy Intervention on Motor Impairment Improvements in Elderly
No full textAims: The slowness in the elderly activities is caused by a decrease in function of the musculoskeletal system, characterized by a decrease or increase in fat free mass which can cause a decrease in muscle mass, resulting in motor disorders. It is believed that providing range of motion exercises such as mirror therapy can stimulate the nerves in the motor cortex, thus providing signals to the brain to stimulate movement.
Objective: This research is to identify the effect of mirror therapy on motor impairment in the elderly.
Method: This type of research used quasi-experiment with two group pretest-posttest design approach and analysis method used Generalized Linear Model (GLM). The sample was 84 respondents, consisting of 42 intervention group samples and 42 control group samples. Sampling techniques were generally used as samples according to inclusion and exclusion criteria. The intervention was given for 4 weeks and assessed every week.
Results: There was an effect of mirror therapy intervention on improving motor impairment in the elderly (p-value = 0.000). Conclusion: mirror therapy is a non-pharmacological therapy that can be used to improve motor impairment in the elderly
Literature Review: Description of the Psychological Impact of Social Support on Gynecological Cancer Patients
No full textAims : Gynecological cancer is a group of diseases that develop and attack the female reproductive organs. There are many psychological problems due to the disease, such as anxiety, stress, helplessness, so that they need social support. Objective: to analyze the impact of social support for gynecologic cancer patients,
Material and Methods: the research used in this literature study was research that included the inclusion criteria that were made and the databases used, namely the wiley online library, EBSCO, Clinical key, and Google Scholar, Proquest. The keywords used were "gynecological cancer”, “ psychological problems” and” social support”.
Results : 229 research results have been found. and those that fit the inclusion criteria totaled six articles. The six articles resulted in findings that social support from family, friends and significant others greatly influences the psychosocial impact of patients reducing depression and increasing acceptance of cancer, having good coping mechanisms in dealing with stress, increasing quality of life and reducing anxiety levels, the patient\u27s fighting spirit in dealing with cancer and increase patient motivation for treatment. One article describes the impact that the absence of support can lead to feelings of loneliness and loss of hope
Conclusion: Social support from family, friends and meaningful people is very useful to help the healing process of gynecological cancer patient
Effect of Health Promotion on Knowledge and Practice of Health Protocols on Nursing Students in Lebak District
No full textAims: The impact of COVID-19 on human life is enormous, not only claiming many lives but also being able to cause setbacks in every aspect of life. Prevention of transmission of COVID-19 can be done by providing education about COVID-19 which can increase knowledge and awareness in implementing health protocols. This study will examine differences in knowledge and practice of health protocols before and after COVID-19 prevention interventions for nursing students in Lebak District.
Methods: Quantitative research with the pre-experimental method, sampling technique with total sampling, and a sample of 166 nursing students. 2-stage data collection with a questionnaire via Google Forms. The research analysis is Pair T.Test. Intervention is carried out in 2 sessions in 1 week by providing education about COVID-19 to students and conducting simulations of keeping their distance, washing hands with soap, and removing masks.
Results: The results showed an increase in the average value of knowledge before and after the intervention, from 9.14 to 9.62. Moreover, there is a significant difference in knowledge about COVID-19 after the intervention of 0.02. Meanwhile, in the practice of health protocols, there was also an increase in the average value from 28.19 to 28.60.
Conclusion: After the intervention, there was no relationship between the practice of health protocols for nursing students; this was because the behaviour of COVID-19 practice protocol had not yet become a lifestyle for nursing students. For this reason, it is recommended to provide education and simulation of health protocols to get the expected behaviour
The Effects of Progressive Muscle Relaxation on Blood Pressure and Headache in Hypertension
No full textAims: Hypertension is a condition of increased blood pressure that causes the heart to work harder to circulate blood throughout the body. Patients with hypertension more frequently complain of headaches. Progressive Muscle Relaxation (PMR) is a non-pharmacological treatment to overcome hypertension, headache symptoms, and maintain a deep relaxation state.
Objective: The study aimed to determine PMR\u27s effects on blood pressure and headache in hypertensive patients.
Methods: This study utilized a quasi-experimental design with one group pretest and posttest design. A sample of 30 respondents with hypertension and headaches was obtained through convenience sampling. Data were then analyzed using paired t-test.
Results: The results showed a decrease in blood pressure and headache intensity after administrated PMR. The number of respondents with stage 2 hypertension decreased from nine (30%) in the pretest to zero respondents (0%) in the posttest. There was a significant effect of giving PMR to clients with increased blood pressure accompanied by headaches (p-value of 0.000).
Conclusion: PMR is a significant measure that can be used to reduce blood pressure and headache. It can be done independently from ten to 15 minutes daily for a more effective outcome. Therefore, it is suggested that clients with increased blood pressure can do the PMR exercise independently every day for 10-15 minutes to reduce blood pressure and headache intensity.
The Implementation of Hands and Feet Exercise Towards Pain Management Among DM Type II Patients with Peripheral Neuropathy in Indonesia
No full textAims: The prevalence of diabetes mellitus (DM) worldwide increased significantly every year, including Indonesia. The most common complication among patients with Type II DM was DPN (Diabetic Peripheral Neuropathy) with the severe symptom being pan. However, only limited studies discussed related topics about intervention to reduce pain. Aim. This research objective was to measure the effectiveness of hand and foot exercises toward pain among patients with Type II DM.
Method: A quasi-experiment of pre-post test design with a control and intervention group was applied in this study. To obtain respondents, this research used convenience sampling. This study is located in the inpatient ward of two hospitals in Indonesia located in suburban areas. Two questionnaires used in this study are Michigan Neuropathy Screening Instrument (MNSI) and Visual Analog Score (VAS). The Visual Analog Score (VAS).
Results: A total of 38 respondents were divided into the same number of intervention and control groups with each of them 19 respondents. The average pain scale in the 1st to 8th week of measurement has decreased gradually in both group. Based on the results of the Friedman Test there was an effect of applying hand and foot exercises in reducing patient pain and diabetic peripheral neuropathy among the intervention group (p< 0.00) but no statistically significant decreased in the control group (p> 0.000). These results are in line with the reference journal in the assessment of pain response in both groups. These exercise increase blood vessel circulation and muscle strength.
Conclusion: This intervention can be implemented among patients with Type II DM as one of the pain management in clinical settings. The standard operational procedures with structured training must be done to implement this intervention
Hemodialysis Patients: Factors Affecting Adherence to Treatment
No full textAims: Chronic kidney disease is a chronic and permanent kidney function decline characterized by a high glomerular filtration rate. Hemodialysis to treat chronic kidney disease is cleaning blood using a machine-assisted dialyzer carried out routinely. Aim: This study aims to determine the factors that influence therapy adherence in hemodialysis patients.
Methods: This research is a quantitative study using a cross-sectional study design. This study used convenience sampling on 150 undergoing hemodialysis patients. The End Stage Renal Disease-Adherence Questionnaire (ESRD-AQ) was used to evaluate adherence. Independent variables were knowledge, social support, and motivation. Data analysis used Spearman correlation and logistic regression.
Results: The results showed that the average age of the patients was 51.51, with most of them being male (57.3%). The results of the bivariate analysis showed that there was a relationship between social support and therapy adherence (p-value 0.017), there was a relationship between knowledge and therapy adherence (p-value 0.000), and there was a relationship between motivation and therapy adherence (p-value 0.018). The most influencing factor is motivation (p-value 0.002).
Conclusion : The study found that knowledge, motivation, and social support significantly correlate with therapy adherence, with motivation being the most influencing factor. Nurses can improve awareness of adherence and use this as a reference for future research on CKD patients\u27 hemodialysis therapy
Effectiveness of Oxytocin Massage on Uterine Involution and Milk Production in Postpartum Mothers at the Gerakan Sayang Ibu dan Anak Clinic Nabire Papua
No full textAims: Knowing the effectiveness of oxytocin massage on uterine involution and milk production in postpartum mothers
Methods: Quasi-experimental with case-control research type. The sample in this study were all postpartum patients at the GSIA Nabire Clinic, Papua in March 2022 as many as 30 people were divided into 2 groups, 15 intervention groups, and 15 control groups (total sampling).
Results: Most postpartum mothers with normal uterine involution (80%) and milk production (50%). There is the effectiveness of massage on uterine involution and milk production in postpartum mothers with a p-value < 0.05
Conclusion: Massage effectiveness affects uterine involution and milk production in postpartum mothers. It is hoped that oxytocin massage will be used as a procedure at the GSIA Clinic so that postpartum mothers can provide exclusive breastfeeding to their children
Factor Analysis of Food Intake and Family Care with the Nutritional Status of Toddlers in Rw 004 Kaliabang Tengah North Bekasi in 2022
No full textAims: The success of health development can be seen from the nutritional status of a community. Toddlers are a very vulnerable group with nutritional problems and require special attention because of the bad consequences that can be caused if they experience malnutrition. The age range from 0 to 3 years is the golden period in children\u27s growth and development. In this age range, the growth of brain cells takes place faster than other periods. For this reason, children need a safe and loving environment as well as nutritional intake and stimulation from parents or caregivers.
Methods : This research is quantitative analytic in nature with a cross sectional approach. The population in this study were all mothers who had toddlers aged 0-59 months, totaling 126 people, with a total sample of 35 people and the sampling technique used simple random sampling. Results : Obtained from 35 respondents as much as 71.4% (25 toddlers) with good nutritional status, 20% (7 toddlers) with underweight and as much as 8.6% (3 toddlers) with wasting. Bivariate analysis with the chi square test obtained results, from 71.4% (25 toddlers) with standard food intake showed good nutritional status and those who did not get food intake according to standards experienced underweight as much as 20% (7 toddlers) and wasting as much as 8.6% (3 toddlers). And as much as 51.4% (18 toddlers) with good parenting style showed good nutritional status compared to 28.6% (10 toddlers) with underweight details of 20% (7 toddlers) and wasting 8.6% (3 toddlers).
Conclusions : the nutritional status of toddlers in RW 004 Kaliabang Tengah, North Bekasi is influenced by food intake and parenting provided by the family for toddlers with a P Value of 0.000