Jurnal Keperawatan Komprehensif (JKK)
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The Effect of Audiovisual-Based Education Media on Self Management in Type 2 Diabetes Mellitus Patients in the Work Area of UPT Puskesmas Ledeng
No full textAims: One of the management of diabetes mellitus type 2 is education. The provision of effective education is supported by the use of media that is attractive and more easily accepted by patients, one of which is using audiovisual media that contains elements of sound and images.
Purpose: This study aims to determine the existence of the effect of audiovisual-based educational media on self-management in Type 2 Diabetes Mellitus patients in the working area of UPT Puskesmas Ledeng.
Methods: This study is a quantitative study using a Quasi Experimental Two Group Pre-posttest Design where in this study there were an intervention group and a control group with 38 respondents. This research uses purposive sampling. Analysis using Paired Sample T-test and ANCOVA. The questionnaire used in this study was a demographic data questionnaire and Diabetes Self-management Questionnaire (DSMQ).
Results: The results of the study on demographic data of respondents 71.1% were female, the average age of respondent was 50.82 years old with a standard deviation (SD) = 6.345, the education level attained by respondents were Primary School 55.3%, 50.0% working as housewife, with a duration of illness 3.21 years, and 60.5% of respondents had received previous information about type 2 diabetes mellitus. The results of the study in the control group a p value =0,586 > 0,05, the intervention group a p value =0,039 < 0,05. There is a significant influence between the audiovisual-based education on self-management of patients with type 2 diabetes mellitus. Conclusion: Nurses can provide audiovisual-based education as a medium of information and approaches in increasing knowledge and self-management behavior so as to avoid complications
The Effect of Health Education in Postpartum Mothers on Colostrum on the Intensity of Early Breasfeeding in Newborn Babies
No full textAims: To determine the effect of health education on mothers about colostrum with the intensity of early breastfeeding.
Methods: Quasi-experimental with one group pretest-posttest design. Education was delivered for one week consisting 3 session and 90 minutes for each session
Sample of this study was mothers who have newborn baby and willing to participate in this study.
Result: The Colostrum Correlation value is 0.542 with a p-value of 0.000, there is a relationship between the Pre-test Colustrum variable and the Post-test realized. The correlation between breastfeeding is 0.624 with a p-value of 0.000, there is a relationship between the pre-test and post-test variables of breastfeeding.
Conclusion: There is a relationship between the frequency of colostrum measurements with breastfeeding before and after the interventio
Response, Emotional Impact and Expectation of Family Caregiver in Caring For Family Member with Covid-19: A Qualitative Study
No full textAims: The increasing number of COVID-19 cases has led to the collapse of health facilities so that treatment is not only carried out at the hospital, but also at home by involving the family. The rapid spread, rapid deterioration of health status and the uncertain treatment have caused fear for Covid-19 patients and also for those around them. Family caregivers are the closest people who responsible to provide care the Covid-19 patients at home. Various experiences of family caregivers provide an overview of the emotional response and impact as well as expectations while caring for family members with Covid-19. The purpose of this study was to obtain meaning and significance from family experiences in caring for family members who were confirmed to be COVID-19.
Methods: The method used is qualitative with a descriptive phenomenological approach with data collection through in-depth interviews. There are 14 participants who are families who take care of family members with COVID-19 at homes in the North Sumatra. Data analysis was performed using the Colaizzi technique.
Results: The results of this study discuss 2 main themes, namely the theme of response and emotional impact, and the expectations of family caregivers while providing care. Conclusion: family caregivers reveal negative emotional responses and emotional impacts, psychological and social changes from family caregivers. Family caregivers also expressed hope for assistance from the government and the community around their life.
Conclusion: The results of this study provide a real picture of how the feelings and expectations felt by the family caregivers of Covid-19 patients
Psychosocial Status Equality between Familial and Non-Familial Breast Cancer Patients
No full textAims: To compare psychosocial status between familial and non-familial breast cancer patients.
Methods: This study used a descriptive analytic design with a cross-sectional approach. Population and sampling were taken at Baladika Husada Hospital Jember with a total sampling technique of 90 respondents. The inclusion criteria in this study were a native Jember Regency diagnosed since the end of 2021, histologically documented diagnosis of breast cancer, age range 30-55 years, has a partner (husband), can write and read and is an outpatient or inpatient at a hospital. Baladika Husada Kab. Jember. Patients were excluded if they had stage 4 metastases, were unmarried or divorced, and diagnosed with other chronic diseases. The instrument used was the DASS 21 questionnaire (Depression Anxiety Stress Scale 21) which consisted of 21 self-declaration items. The process of collecting, cleaning, editing and analyzing data was carried out with SPSS version 25.0 using the Mann Withney U Test statistical test.
Results: This study involved 90 total respondents consisting of 40 in the category of familial breast cancer and 50 non-familial breast cancer. The p-value >0.05 indicates that there is no significant difference between psychosocial status in familial breast cancer and non-familial breast cancer.
Conclusion: Psychosocial status of familial breast cancer patients was not different from that of non-familial. Clinically, these findings indicate the importance of the same model of nursing care between the two patient groups. In the next study, the researcher recommends experimental research that examines various nursing interventions on psychosocial status in both groups
What is the Level of Pain in Patients Who Are Inserted Urinary Catheters Using Pure Jelly?
No full textAims: To identify pain level among patients who inserting urine catheter using Pure gel .
Design: Used was a description analytic design technique.
Methods: This research was conducted using analytic descriptive. Sample collection using purposive sampling technique. This study incorporated a total of 30 participants into the sample pool for analysis. The numerical rating scale is the instrument that is employed. The mean was used to examine the data.
Results: The results of total 30 subjects joined in this study, the means rank pain level of patients inserting urine catheter using pure gel was 3.80 (SD 1.186) , with p-value 0.001. There is a difference between the lowest pain level of 0 and the highest pain level of 6 among patients using a pure jelly urinary catheter.
Conclusions: The results of this study can describe nursing practice-based evidence in the management of catheter insertion provides the foundation for the development of knowledge in performing urinary catheter insertion actions that can be incorporated into the Standard Operating Procedure (SOP) to help reduce pain in patients who are using urinary catheters
MUSKAR-T for Improving Mental Health and Cancer-Related Symptoms in Women Diagnosed with Breast Cancer Undergoing Chemotherapy: A Queasy Experimental Design
No full textAims: Women diagnosed with breast cancer suffer from significant psychological distress, mainly depression and anxiety, fatigue, and sleep disturbance. The effects of music therapy and progressive muscle relaxation training on the quantity and quality of sleep, as well as on levels of anxiety and fatigue, in patients undergoing chemotherapy for breast cancer.
Objectives: The aim of the study was to determine the effects of MUSKAR-T (combination of music therapy and progressive muscle relaxation training) on sleep quality, anxiety, and fatigue in breast cancer patients undergoing chemotherapy.
Methods: The study employed a two-group, pre- and post-test experimental design. Patients in the intervention group had two sessions of 30-minutes of music therapy and progressive muscular relaxation per day for five days prior to hospital discharge. Pittsburgh Sleep Quality Index (PSQI), State Trait Anxiety Index (STAI), and Cancer-related Fatigue Assessment (C-RAFA) were used to evaluate the results (CFS). Anxiety, tiredness, and sleep quality were measured and compared between groups using a univariate approach that also took into account the effects of group, time, and the interaction of group and time.
Results: This study had 100 participants, 50 in the intervention group and 50 in the control group. The majority of respondents were married (70 percent), unemployed (24 percent), had completed at least middle school (68 percent), were not menopausal (76 percent), and had illness at stage III (46 percent ). The intervention group’s anxiety, fatigure, and sleep quality scores fell to 76.1112.42, 45.1214.76, and 4.363.36 on the day preceding hospital discharge.
Conclusions: The culturally-based music therapy and progressive muscle relaxation effective for reducing anxiety, fatigue, and enhancing the quality of sleep in breast cancer patients undergoing chemotherapy
Differences in Knowledge of Preconceptional Mothers about Breast Examination (Breaking) as Pre-and-Post Explanation Breast Cancer Prevention
No full textAims: To determine the level of knowledge of pre-conception mothers on breast self-examination (BSE) as prevention of pre and post-breast counseling in Karang Mukti Village, Karang Bahagia District, Bekasi Regency.
Methods: Research Methods: Quasi-experimental with one group pretest-posttest design. Quasi-experimental research is a form of experimental research that does not have a control group (Notoatmodjo, 2018).
Results: It is known that the BSE Correlation value is 0.923 with a p-value of 0.000, so it can be said that there is a relationship between the Pre-Test Conscious and Post-Test Conscious variables. And the Breast Cancer Correlation is 0.668 with a p-value of 0.000, so it can be said that there is a relationship between the variables of Pre-test for breast cancer and Post-test for breast cancer.
Conclusion: There is a relationship between the frequency of conscious measurement with breast cancer before and after the intervention with a p value of 0.00
The Influence of Social Media on the Knowledge of Youth about People with HIV and AIDS
No full textAims: HIV/AIDS has several negative impacts, namely social impacts, human resource development, demographics, health sector, education sector, and religious aspects. One of the social impacts of HIV/AIDS is that 49.7% stigma occurs between the community and people with HIV/AIDS.
Methods: This study uses a Chi-Square research design, namely research that determines the time of measurement/observation of independent and dependent variable data only once at a time
Results: The results of the Kai Square (Chi-Square) statistical test at = 0.05 obtained a p-value of <0.001 (p≤ 0.05), which means that there is a statistically significant relationship between social media and the knowledge of active students in class IX about People with HIV. / AIDS (PLWHA).
Conclusion: The suggestion in this study is that schools can cooperate with higher health education institutions to improve preventive actions including primary prevention by various ways of providing knowledge about People with HIV/AIDS
Preceptorship Program and Recruitment Process on Improving the Behavior of Professional Nurses in the Inpatient Room of Hospital C Jakarta
No full textAims: The unprofessional behavior of nurses makes nursing services not provide positive values, which can be influenced by the absence of preceptorship for nurses. The research conducted in June – August 2022 aims to assess the effect of preceptorship program and recruitment process to improve professional nurse behavior.
Design: Quasi-experimental study, with intervention group preceptorship program RS Cinta Kasih Tzu Chi and control group RS Mentari. Samples of intervention and control groups were 35 respondents each, using total sampling technique. Data collection tools are questionnaires and pretest - posttest data collection is carried out 4 days after the questionnaires are distributed.
Method: Data analysis using Wilcoxon test, Chi-square test and multivariate logistic regression test.
Results: The results showed that the behavior of professional nurses increased. There are differences in the behavior of nurses in the intervention and control groups (p value= 0.000). There is the relationship between the recruitment process and an increase in the behavior of nurses (p value = 0.001). Working period (p value = 0.017) and preceptorship program (p value = 0.006) have an effect on increasing the behavior of professional nurses.
Conclusion: It is hoped that RS C will hold a preceptorship program and establish regulations, policies, guidelines and guidelines on the application of the preceptorship method to changes in the behavior of professional nurses. Nurses understand and instill the behavior of professional nurses starting from themselves, colleagues, and patient care
The Effect of Deep Breathing Relaxation on Changes of Blood Pressure on Hypertention Patients
No full textAims: Hypertension is an increase in blood pressure above normal. The intended upgrade is if enhancement pressure systolic > 140 mmHg and diastolic > 90 mmHg in 2 measurements measured in state calm or rest with hose 5 minutes time. If the blood pressure permanent for a period of time, can cause damage to organs such as kidneys, heart, and brain. Deep breathing relaxation is a non - pharmacologic therapy, It’s capable of lighten up or lowering the blood pressure so that need to be conducted independently at home besides pharmacology therapy like taking hypertension drugs. The purpose of this study was to analyze the effect of deep breathing techniques on changes in blood pressure in hypertensive patients.
Method: The Method of this study were pre-experimental design and one group pretest-posttest design with purposive sampling technique.
Result: The results of this study shows that there is an effect of deep breathing techniques to lower blood pressure with P value = 0.000 or < 0.05.
Conclusion: The conclusion shows that there is an effect of deep breathing techniques to lower blood pressure. Nurses suggest to encourage the hypertention patients to do the deep breathing exercises on their own