Jurnal Keperawatan Komprehensif (JKK)
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The Effects of Husband Support, Motivation, and Self-Efficacy on the Examination of Visual Inspection of Acetic Acid (IVA) in Karawang Village, Karawang Health Center, and Sukabumi Regency in Women of Childbearing Age (PUS)
Aims: Cervical cancer can be prevented with vaccination and early detection, which can halt the progression of the disease. The IVA test is one of the most effective cervical cancer screening procedures available. Several factors influence IVA examination target attainment, including husband support, motivation, and self-efficacy in the IVA examination. The goal of this study was to discover what factors influence the visual inspection of acetic acid by women of childbearing age (PUS) (IVA).
Methods: This is a cross-sectional approach to correlational research. With a sample size of 318 people, the population is all women of childbearing age (PUS) in Karawang Village, Karawang Working Area of Karawang Health Center, Sukabumi Regency. Cluster random sampling is used for sampling. Questionnaires were used to collect data, and Chi-square was used for statistical analysis.
Results: The findings revealed that husband support influenced the visual inspection of acetic acid (IVA) (p-value 0.001), there was no motivational influence on the visual inspection of acetic acid (IVA) (p-value 0.218), and there was no effect of self-efficacy on the visual inspection examination of acetic acid (IVA) (p-value 0.393).
Conclusions: The visual inspection of acetic acid (IVA) in women of childbearing age (PUS) partners is influenced by husband support
Stress Level of Nursing Students During Online Learning During the Covid-19 Pandemic
Aims: All students and educators who implement the learning process require time for the adaptation process in its application. Learning is mandatory for all institutions during the Covid-19 pandemic, despite the many obstacles that occur. The implementation of online learning in fact makes students stressed because students have to carry out an adaptation process including the technology obtained is still not optimal, network conditions are unstable, spending to facilitate learning is increasing, so that psychological problems arise. Objective: to analyze the stress level of nursing students during online learning during the Covid-19 pandemic at the Pasar Rebo Nursing Academy. Methods: quantitative descriptive. Research with a total sampling of 140 samples but 2 people refused because they were not willing to fill out the questionnaire Results: The results showed that most of the female respondents (84.8%), with an average age (20 years: 28.98%) with a high level of stress experienced by students experienced moderate stress (86.95%).
Conclusion: Nursing students who carried out online learning during the Covid-19 pandemic at the Pasar Rebo Nursing Academy, mostly experienced moderate stress as many as 120 students, 17 students experienced mild stress and 1 student experienced severe stress
Communication Therapy in Stroke Patients with Aphasia: A Narrative Review
Aims: Stroke is the number one cause of death in Indonesia. The stroke had some effects. One of the common complications is aphasia. Aphasia is a disorder of speaking, understanding what others said, and even the ability to read and write too. This can lead to communication problems in a stroke patient. Communication therapy is one of the most effective ways to treat aphasia.
Objective: The aim of this article is to find out the types of communication therapy for stroke patients who suffered with aphasia.
Methods: We conducted a review and collected the articles by searching several databases such as PubMed, Science Direct, and CINAHL. We also used search engines such as Google Scholar. After the articles are obtained, the articles will be sorted by keywords. The keywords used were stroke patient OR post-stroke AND communication therapy OR language therapy OR speech therapy AND aphasia OR aphasic. Then, the articles are sorted by inclusion and exclusion criteria. After obtaining appropriate articles, the articles were analyzed by using thematic analysis.
Results: The search resulted in 708 articles. After several selection steps, 23 articles were analyzed, and seven types of communication interventions were found that can be applied to stroke patients who suffered aphasia.
Conclusion: The results of a review of all articles show that there are various types of communication therapy that can be given to stroke patients who experience aphasia. The therapy is grouped into 7 types of therapy, which include Constraint Induced Aphasia Therapy, Electronic-based therapy, Melodic Intonation Therapy, Intensive Therapy, Augmentative and Alternative Communication, Cognitive Therapy, and AIUEO.
Suggestion: Furthermore, researchers can conduct a systematic review related to which communication therapy is the most effective for treating aphasia, especially in stroke patients.
The Behavior Prevention Modification of Non-Communicable Diseases During the COVID-19 Pandemic Using Android-Based Telenursing Application "SI-TELUR PETIS"
Aims: Pandemic Covid-19 pandemic became a global health threat that impacts the health sector, including non-communicable diseases. Innovation efforts of nursing non-pharmacological is behavior modification using android-based telenursing application. This study aimed to determine the effect of android-based telenursing application "SI-TELUR PETIS" as behavior prevention modification of non-communicable diseases during the COVID-19 pandemic.
Design: This study is a quantitative study using the quasi-experimental study with pre and post-test with control group design.
Methods: The sample of this study amounted to 60 respondents with 30 respondents in the intervention group and 30 respondents in the control group were selected using purposive sampling. Data were collected from May to August 2021. The application has been validated by adopting the ISO 9126 about the quality of the software that has the six aspects of assessment. Mann Whitney U and Wilcoxon tests were used for data analyses.
Results: Android-based telenursing application "SI-TELUR PETIS" has a significant effect on the change in the behavior prevention modification of non-communicable diseases (DM and Hypertension) (p<.05).
Conclusions: Overall the application is easy to understand the purpose and usefulness coupled with the explanation of the groove of the use of the application. Android-based telenursing application "SI-TELUR PETIS" has a significant effect on behavior prevention modification of non-communicable diseases (DM and Hypertension) through the features of the daily note, namely diet, and physical activit
The Interactions of Nutrition and Sleep Quality Focus on Melatonin Synthesis: A literature Review
Aim: Nutrition plays a role as a provider of energy for the human body which is important for the formation and maintenance, especially to improve the quality of sleep seen from the production of the hormone melatonin. The purpose of this study was to determine the interaction of nutrition on sleep quality: the focus synthesis of melatonin.
Design: We performed a literature review study by reviewing 6 international journals related to the interaction of nutrition and sleep quality: focused on melatonin synthesis.
Methods: Data collection was done by searching for data-based articles or journals published through the Willey Online Library, PMC, Proquest, and Pubmed. The data were analyzed by descriptive analysis and the journals were assessed using JBI.
Results: The interaction of nutrition and sleep quality is seen from the hormone melatonin, based on the results of 6 journals. The results were described that the relationship between macronutrient and micronutrient nutrition on melatonin production that affects human sleep quality.
Conclusions: Macronutrients and micronutrients are related to sleep quality in increasing the production of the hormone melatonin.
Technology-Based Interventions in Schizophrenia Patients : A Narrative Review
Aims: The development of technology to facilitate the management of schizophrenia is still very limited so that many people don’t know the benefits and efficacy of using technology as an intervention in schizophrenia patients.
Objective:This literature review aimed to describe and determine the efficacy and benefits of using the technology used in schizophrenia patients.
Method: The method used was a narrative review by combining articles from the PubMed, EbscoHost, Taylor and Francis, and Google Shcolar databases. The keywords used were “adults” OR “middle aged” AND “telenursing” OR “telemedicine” OR “telehealth” AND “schizophrenia patient”.
Result: From these 6 articles, it was founde that there were several perceived benefits of using technology as an additional intervention, such as medication adherence, involvement in recovery and symptom control, and early detection of cognitive function in schizophrenic patients.
Conclusion: Interventions using technology such as telehealth, telenursing, and telemedicine can be supportive interventions for the care of schizophrenic patients, especially to assist recovery or rehabilitation.
Nursing Implications: The existence of this study can provide an overview to nurses regarding what technology-based support interventions can be given to schizophrenic patients along with their benefits
The Effectiveness of Venopheric Infusation on Feritine Levels in Pregnant Women with Iron Deficiency Anemia in RSPAD Gatot Soebroto
Aims: In normal pregnancies accompanied by nausea, parenteral iron is seen as an attractive option for IDA therapy and is becoming more popular because of newer intravenous iron preparations with better side effects compared to older preparations, which allow high doses of iron to be administered. given rapidly in one treatment. The purpose of this study was to determine the effectiveness of Venofer infusion on ferritin levels in pregnant women with iron deficiency anemia at Gatot Soebroto Hospital in 2022.
Methods: Quasi experimental research method with to one group pretest posttest design. The instrument uses Standard Operating Procedures for giving Venofer Transfusion. The sample technique used total sampling, a sample of 46 respondents. Univariate analysis showed the distribution of Iron Deficiency Anemia, Bivariate T test analysis.
Results: This study found a significant difference from Iron Deficiency Anemia before and after administration of Venofer infusion.
Conclusion and Suggestion: So that the administration of Venofer infusion can increase Ferritin levels in pregnant women with iron deficiency anemia. There is a difference in the average increase in Ferritin levels between before and after administration of Venofer infusion
Nurse Experience in Providing Holistic Care to Covid-19 Patients in Indonesia: A Qualitative Research
Aims: The study aimed to explore nurses’ experience in delivering holistic care among COVID-19 patients in designated care unit in Indonesian hospital.
Methods: A qualitative study with phenomenology approach conducted. Population in this study were nurses from private and public hospital in West Java Province, Special Region of Yogyakarta and South Sulawesi. 10 participants recruited using purposive sampling with following inclusion criteria: taking care of COVID-19 patients and willingness to participate. Data collected through live interview, video calls and zoom meetings. Thematic data analysis was performed by understanding data or transcript results interview, composing codes and creating theme in accordance with the research purpose.
Results: The study indicated 11 sub-themes and grouped into the three themes: 1) complains reported by COVID-19 patients, 2) Nurses’ intervention to fulfill physical, psychological, social and spiritual needs and 3) Nurses’ care as well as digital technology advantages as a means of therapeutic communication. The study discovered that nurses remain capable to fulfill needs of COVID-19 patients in a holistic approach. It includes the provision of physical, psychological, social and spiritual needs despite nurses experiencing inconvenient due to COVID -19 Personal Protective Equipment (PPE) standards.
Conclusion: Holistic care is one mandatory consensus required to be carried out by nurses in taking care of COVID-19 patients as one interconnected bio - psycho - social- spiritual aspects. Holistic care for COVID-19 patients can take advantage of digital technology to fulfill it
The Effect of Murottal Al-Quran Therapy on Anxiety Level of Chronic Kidney Disease Patients Undergoing Hemodialysis
Aims: Chronic kidney disease patients undergoing hemodialysis have several effects on dialysis, one of which is anxiety. According to several studies, anxiety can be overcome by murottal al-Qur\u27an music therapy. Listening to the Qur\u27an can have a calming effect on the body, because of the elements of autosuggestion meditation and relaxation. This relaxation will bring a positive perception that can stimulate the hypothalamus to secrete endorphins released by the pituitary gland and central nervous system to increase feelings of relaxation and distract from fear, anxiety, and tension.
Objective: to determine the effect of murottal al-Qur\u27an therapy on anxiety levels in chronic kidney disease patients undergoing hemodialysis.
Methods: This research is a quantitative study with a Quasy Experimental research design. One group pretest-posttest with a total sample of 34 respondents. The instrument used in this study is the Zung Self Anxiety Rating Scale (ZSAS) instrument, which is an assessment of anxiety in patients designed by William WK Zung which consists of 20 statements.
Results: Characteristics of respondents who took part in this study were aged 32-60 years, most of the respondents who took part in this study were aged 46-55 years as many as 17 respondents (50.0%), male (64.7%) , the length of time undergoing hemodialysis in the range of 7-44 months, most of the respondents underwent hemodialysis for a period of 6-12 months as many as 9 respondents (29.3%). The characteristic value of the ZSAS questionnaire, the largest value in the pre-test is at number 20 with a score of 126 while the largest value in the post-test is at number 5 with a score of 112. From the results of the Paired Simple T-test analysis, the p-value = 0.000, which means there is a significant relationship between murottal al-qur\u27an therapy and the anxiety level of chronic kidney disease patients undergoing hemodialysis.
Conclusion: the study showed that there was a significant effect on anxiety after being given murottal al-qur\u27an therapy from the Ar-Rahman surah. The murottal therapy expected to be implemented by nurses to reduce the anxiety level of chronic kidney disease patients undergoing hemodialysis
Interventions to Improve Nurse Therapeutic Communications in the Context of Palliative Care: Literature Review
Aims: The aim of this research is to obtain evidence of what research has been done and to know the effect of the training.
Methods: Through a review using 3 databases, namely Ebsco, ScienceDirect, PubMed, and other sources with the keywords “nurse; communication skills; training; palliative care”. From 2001 to 2021, the type of research consisted of RCT, experiment, randomization of pre-test – post-test, randomized trial, implementation, and curriculum development.
Results: Obtained a review of 7 articles in this study from 495 results found from several pieces of training carried out including psychological training, workshops, module preparation, role play or simulations, and audio-visual training. In general, the direct effect of communication training on nurses can increase communication competence, while in patients it affects the quality of life, patient satisfaction increases, and symptoms of psychological distress in patients can decrease.
Conclusions: Communication training for nurses is very important. To improve nurses\u27 communication skills, it is expected that self-development through various other types of research to increase competence so that it can be applied to nursing services