Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
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Knowledge, Attitude and Practice Towards Chronic Kidney Disease (CKD) in Patients with Hypertension
Full text linkIntroduction: It is important for patients with hypertension to know chronic kidney disease (CKD); this will help in addressing and implementing healthy practices to reduce the risk of CKD. This study aims to describe the knowledge, attitudes and practices regarding the CKD in patients with hypertension. Methods: This study used quantitative descriptive method with a cross sectional approach. The study was conducted in June 2019, with involved 135 hypertension patients at the Intern Medicine Polyclinic room, selected by consecutive sampling technique. Data collection was gained through a questionnaire that contains 3 sub-scales of measurements, namely knowledge scale, attitude scale and practice. Data analysis used frequency distribution. Results: This study showed most respondents had knowledge about CKD 15.08 (range 5-22), it was showed positive attitude 36.50 (range 28-45) and it had healthy practices to prevention of CKD 23.11 (range 16-34). However, half of the respondents (65.2%) had incorrect information about the symptoms of CKD and did not show good practices related to a healthy lifestyle and conducting routine checks. Conclusion: Health workers need to provide better health education to improve the knowledge of patients with hypertension towards chronic kidney disease.
Study of Knowledge, Attitude, Anxiety, and Perception of Mental Health Needs Among Nursing Students in Indonesia During COVID-19 Pandemic
Full text linkIntroduction: College students are a vulnerable population who are more likely to experience anxiety and depressive symptoms during pandemic COVID-19. This study aimed to evaluate the knowledge, attitudes, anxiety, and perceptions of mental health needs among nursing students in Indonesia during the COVID-19 pandemic.Methods: The study used a cross-sectional design, and the population was nursing students in Indonesia in various levels of education and age ≥ 18 years old. The sampling technique used purposive sampling with a total of 619 respondents. An online survey was conducted using questionnaire. The data analysis used descriptive statistics, Mann-Whitney, and Kruskal-Wallis test.Results: The results showed that only a few respondents had an adequate level of knowledge regarding the signs and symptoms (0.2%) and transmission of COVID-19 (13.6%). However, students had moderate knowledge about protecting against COVID-19 (60.3%). As many as 22.8% of students had a positive attitude toward COVID-19 and 94% of respondents did not experience anxiety. The majority of students had a perception that COVID-19 has an impact on their lives. The results also showed that there were significant differences in several demographic variables (gender, education, place of residence, institution) with the knowledge, attitudes, anxiety, and perceptions of students.Conclusion: The level of knowledge, attitudes, and perceptions among nursing students regarding COVID-19 were less or negative tendencies. At the same time, the nursing students did not experience clinically significant fear and anxiety. This requires government support in providing policies to educational institutions for improving students' knowledge, attitudes, and perceptions of COVID-19
The Effectiveness of Bullying Curriculum for Prevention and Management of Bullying in School-Aged Children
Full text linkIntroduction: Bullying is still a problem and continues to increase especially in school-aged children. If cases of bullying do not get any immediate treatment, it will cause various problems from psychological, psychosomatic, social, academic issues, and even present a risk of suicide. The purpose of this study was to determine the effectiveness of bullying curriculum for prevention and management of bullying in school-aged children. Methods: The study used a quantitative study method with a quasi-experimental of pre and post-test without control group design. The population of this study was students of grade-five in one of primary school in Jakarta. The samples of this study used total sampling consisting of 30 respondents. The instrument of this study used the instrument of bullying that was modified by the researchers and has passed the validity and reliability test. The analysis of this study used McNemar test. Results: The result of this study shows that there were bullying incidents occurred for as much as 100% before the intervention and as much as 60% after the intervention. The result of bivariate test of this study shows the value of p=0.000. Conclusions: The implementation of curriculum of bullying is effective for prevention and management of bullying in school-aged children
How Did I Feel Before Becoming Diabetes Resilience? A Qualitative Study in Adult Type 2 Diabetes Mellitus
Full text linkIntroduction: Diabetes resilience is a condition where people with diabetes can accept their incurable disease as well. It is characterized by regular blood sugar, a diet-controlled, active, and not stressful. However, various kinds of feelings must be passed to become diabetes resilience. The study aimed to know what adult type 2 diabetes mellitus (T2DM) felt before becoming resilient. Methods: A qualitative phenomenology design was conducted to observe the experience of adult T2DM before becoming resilient. The total participants were ten T2DM patients obtained through snowball sampling. The data collection was conducted through in-depth interviews with interview guidelines and analyzed using qualitative thematic analysis. Results: The results of the study found two major themes namely psychological response and diet. Participants felt quite severe stress when diagnosed with diabetes mellitus and felt difficulty when undergoing diabetes mellitus treatment. In addition, changes in diet are also felt very difficult by participants in undergoing a diabetes mellitus diet. Conclusions: Psychological responses and diet are the hard parts felt by the participants. Increasing understanding, support, and acceptance can be one strategy to increase diabetes resilience in participants
Acceptance and Commitment Therapy on Depression of Pulmonary Tuberculosis Patient: An Intervention Based on the Health Belief Model
Full text linkIntroduction: Depression is a psychological disorder often experienced by patients undergoing tuberculosis treatment. The purpose of this study was to determine the effect of acceptance and commitment therapy based on the health belief model on the depression of pulmonary tuberculosis patients. Methods: This research used a quantitative quasi-experiment design with pre-posttest control group design. There were 56 respondents in this study selected using consecutive sampling among the Primary Healthcare Center in Sidoarjo district. The independent variables were acceptance and commitment therapy based on the health belief model. The dependent variable was depression. Measurement of depression used the Beck Depression inventory II questionnaire. Analysis of the data in this study used the Wilcoxon Signed Rank Test and Mann-Whitney U Test. Results: The results showed that the treatment group p=0.000 (p<0.05) and control group p=0.000 (p<0.05), but the delta of the treatment group higher than the control group (delta: -9.79). There were differences in depression values obtained between the treatment group and the control group p=0.001 (p<0.05). Conclusion: Acceptance and commitment therapy based on the health belief model given four sessions for 30-45 minutes each session can lower depression level in pulmonary tuberculosis patients rather than a single intervention of health education. This intervention can be used by nurses to help pulmonary tuberculosis patients overcome psychological problems during treatment
Quality of Nursing Worklife Based on Caring Model for Improving Nurse Performance in Hospitals
Full text linkIntroduction: Nurses performance is still not optimal. The aim this study was to develop a quality of nursing work life to improve nurse performance by integrating Swanson's theory of caring. Methods: An explanative observational design was used with cross-sectional approach. The sample was nurses in inpatient care, intensive care, surgical installations, neonates, hemodialysis from eight hospitals in East Java. The sample size of 430 respondents used total sampling. The variables included QNWL, individual, social and environmental, administrative factors, nurse performance. Data were collected using Nurse Quality of Communication with Patient Questionnaire (NQCPQ), Questionnaire of Personal and Organizational Values Congruence for Employee (Q-POVC), Questionnaire of Brooks & Anderson's quality of nursing work life. The data analysis used Partial Least Square. Results: Twenty-five indicators were declared valid (outer loading value> 0.5) with variable diversity was 24.43%, so that internal, social and environmental, operational and administrative factors affect the performance of nurses directly or indirectly through caring based on QNWL. Predictive relevance value was >0, which indicates that the model was good enough. The individual factors (p= 0.043; T-Statistics= 2.040), social and environment factors (p= 0.025; T= 2.242), administrative factors (p= 0.001; T= 3.438) have significant influence QNWL based on caring and QNWL based on caring had a significant influence on nurse performance (p= 0.000; T= 4.997). Conclusion: The development of the QNWL model based on caring has good effect in improving nurse performance. From the developed model, nurse performance related to individual factors, social and environmental factors, administrative factors
Coping with HIV Stigma among People Living with HIV in Yogyakarta, Indonesia: A Mixed-Methods Approach
Full text linkIntroduction: People living with HIV are related to experience stigma and discrimination. Stigma can disrupt mental health and PLHIV have coping strategies to overcome internalize stigma. This study aimed to describe how PLHIV cope with HIV stigma.Methods: This study used explanatory design. The quantitative data were collected to describe the internalized HIV stigma with 100 participants using a questionnaire and analyzed using multiple regressions. The qualitative data from the second phase were used to build on or explain the qualitative data with 14 participants using purposive sampling method and analyzed using thematic analysis.Results: The participants reported to have low extent of internalized HIV stigma (mean=1.80) and the highest item was feeling guilty (mean=2.2) using quantitative analysis. The demographic profile were not significant predictors of internalized HIV stigma. The result from qualitative analysis was the coping internalized HIV stigma among PLHIV divided by negative and positive coping stigma, such as emotional and cognitive coping, behavior coping, social coping.Conclusion: PLHIV have low extent of internalized stigma. The coping internalized HIV stigma among PLHIV was divided by negative and positive coping stigma