Jurnal Keperawatan Global
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Augmented Reality Enhances Indonesian Nursing Students’ Knowledge and Motivation in Open Fracture Learning
No full textBackground: Open fracture cases have complex management that involves bleeding control based on comprehensive knowledge and training. Augmented Reality (AR) offers an interactive learning approach that may enhance nursing students\u27 motivation and knowledge of emergency open fracture cases. This study aims to evaluate the effectiveness of augmented reality in improving the knowledge and learning motivation of Indonesian nursing students regarding open fracture learning.
Methods: This study used a cluster randomized pretest–posttest control group design involving four class groups of nursing students (n = 155). Two clusters received the Open Fracture Augmented Reality Application, while two received conventional lectures. Motivation was measured using the validated MSLQ, and knowledge using a 29-item validated questionnaire. Both groups completed pretest and posttest assessments. Data were analyzed using descriptive statistics, Wilcoxon, and Mann–Whitney tests (α = 0.05).
Results: A total of 155 nursing students participated, with balanced baseline characteristics between groups. The AR intervention significantly improved knowledge (p = 0.001, r = 0.38) and motivation (p = 0.022, r = 0.27) in the intervention group, while no significant gains occurred in the control group. Between-group analysis showed higher posttest knowledge in the AR group (p = 0.005), indicating that AR was more effective than conventional instruction, particularly for cognitive outcomes.
Conclusion: Augmented Reality–based learning significantly improves nursing students’ knowledge of open-fracture management compared with traditional methods, while showing no significant between-group differences in motivation, highlighting AR’s value as an effective supplemental tool for enhancing understanding of complex clinical content
Family-Centred Nursing Theory and the Functional Consequences Model Improve Diabetes Self-Management in Elderly Diabetics
Get PDFBackground: The self-care management of older diabetics is inconsistent and exhibits low adherence. This incident may be influenced by the elderly\u27s disease management capabilities and familial involvement, which may not be conducive to their health and care. This study aimed to develop a management plan for elderly diabetes mellitus that emphasizes self-efficacy and family involvement.
Methods: This research employed an explanatory survey design with a cross-sectional methodology. The probability sampling method, particularly simple random sampling, was employed to choose respondents for this study from a cohort of 100 individuals with diabetes mellitus and their families. We created a thorough assessment questionnaire for diabetes mellitus management in the elderly, utilizing the functional consequence model and family-centred nursing theory as the research framework. The statistical method employed was SEM-PLS.
Results: The outer model analysis revealed that all indicators of each construct were valid, with a factor loading value of > 0.7. The inner model analysis revealed that the variables family structure, family function, family stressors, elderly risk factors, age-related changes, and elderly consequence functions had a significant effect with a t-value of >1.96 and p-value <0.05.
Conclusion: The diabetic mellitus management model, which is based on self-efficacy and familial support, improves self-care management among the elderly. Nurses should adopt the diabetic mellitus management model to increase patient autonomy and educate families on how to support their loved ones, thereby improving the self-care practices of elderly adults with diabetes
Effect of Islamic Spiritual Mindfulness via Mobile Aplication (SI-DEPAPU) on Social Interaction in Isolated Patients
Get PDFBackground: Social interaction is an important indicator during the process of social isolation treatment. The less active social interaction could lead to other mental disorders such as hallucination, suicide risk, self-care deficit, and violence risk. The study investigated the effect of Islamic Spiritual Mindfulness on Discharged Patient Detection Information System (SI-DEPAPU) application to enhance the social interaction of schizophrenia patients with social isolation.
Methods: The research design used was quasi-experimental with a pre-post test method. The study used purposive sampling with 40 respondents divided into two groups of 20 people each. The instruments used were the Social Interaction Questionnaire and Behavioral Observation Sheet, which have been tested for validity and reliability. The statistical tests used included the paired t-test to assess social interaction within the group, the independent t-test to compare before the intervention, and the Mann-Whitney test for after the intervention.
Results: The research finding showed the difference in the social interaction of patients before and after the intervention between the intervention group and control group (p=<0.001; <0.05), of which the mean value of the intervention group (43.79) was more significant than the control group (15.21).
Conclusion: Based on the research results, it can be concluded that there was an increase in social interaction in patients after receiving Islamic spiritual mindfulness therapy. The SI-DEPAPU application can be implemented as a mental health nursing intervention to improve the social interaction of patients with schizophrenia who suffer from social isolation
Health Status and Quality of Life in Depok Slum Communities through Stunting Prevention
No full textBackground: There are 11 slum areas in Depok City. Slums are correlated with populations that are easily exposed to diseases and have limited economic capabilities, resulting in the lack of hygiene and healthy living behaviors (PHBS), including adequate nutritional needs. This living condition poses a risk of reducing the quality of life of the residents. This research aims to determine the correlation between health status and quality of life to prevent stunting among residents in slum areas of Depok City.
Method: This study employed a quantitative cross-sectional research design. A total of 160 respondents were selected using a non-probability quota sampling technique from a population of 400 heads of households across four identified urban slum areas. Data were collected using the World Health Organization Quality of Life–BREF (WHOQOL-BREF) instrument and were analyzed using Chi-Square test.
Results: All dimensions of the health status variable namely physical environment, social conditions, economic conditions, mental health, healthcare support, and family support demonstrated a significant relationship with each dimension of quality of life, including physical health, psychological health, social relationships, and environmental well-being (all dimensions p < 0.05). All independent variables showed p-values < 0.05 based on Chi-Square analysis.
Conclusion: Given the proven significant influence of health status on the quality of life of residents in slum areas, it is hoped that the Depok City government will undertake development efforts to improve these slum areas so that the Human Development Index (HDI) of Depok City can be achieved, thereby fulfilling the Sustainable Development Goals (SDGs)
Exergame: Exercise With Matching Memory Game On Cognitive Function And Physical Fitness Of The Elderly
Get PDFBackground: Cognitive decline and physical deterioration are common issues among the elderly, significantly impacting their quality of life. The unanticipated cognitive impairments will result in dementia. Effective approaches to simultaneously improving both aspects remain to be further developed and evaluated. Exercise with a matching memory game overcomes the issues. This study aimed to examine the effectiveness of an exergame, combining memory-stimulating games and physical exercise in improving cognitive function and physical fitness among the elderly.
Methods: The study was a quick experiment with two groups in a pre-post test design. A number of 119 participants were recruited using purposive sampling and randomly divided into the experimental group (n=60) or the control group (n=59). Cognitive function was assessed using the Mini-Mental State Examination (MMSE), while physical fitness was measured with the 2-minute step test score.
Results: The data was analyzed using a paired t-test, which revealed a significant improvement in MMSE and 2-minute scores in the experimental group before and after the intervention (p < 0.05). Additionally, the independent t-test analysis demonstrated a significant difference between the experimental and control groups in both cognitive and physical fitness measures after the intervention (p < 0.05).
Conclusion: Implementing exercise has a significant positive influence on cognitive function and physical fitness among the elderly. Incorporating an exergame into community health programs for the elderly could provide substantial benefits to their overall well-being
Nurturing Care Practices and Developmental Outcomes in Acutely Ill Children Aged 12-36 Months: A Cross-Sectional Study
No full textBackground: The period from 12 to 36 months represents a critical window for child development, yet the relationship between nurturing care practices and developmental outcomes during acute illness remains poorly understood. This study aimed to determine the relationship between maternal nurturing care practices and the developmental status of acutely ill children aged 12-36 months in Bantul Regency, Yogyakarta, Indonesia.
Methods: A cross-sectional descriptive-analytic study was conducted among 70 mother-child pairs recruited through consecutive sampling. Maternal nurturing care practices were assessed using a modified questionnaire adapted from UNICEF Knowledge, Attitudes, and Practices tools. Child development was evaluated using the Indonesian Pre-Screening Development Questionnaire (KPSP). Maternal depression was measured using the Beck Depression Inventory-II. Data were analyzed using Fisher\u27s exact test, with statistical significance set at p<0.05.
Results: The majority of mothers (57.1%) demonstrated poor nurturing care practices, while 84.3% of acutely ill children showed age-appropriate development. Most mothers (80.0%) were aged 20-35 years, had secondary education (50.0%), and were not experiencing depression (68.6%). Fever was the most common acute illness (44.3%), with a median duration of 3 days. No statistically significant association was found between maternal nurturing care practices and child development status (p=0.331, OR=2.250, 95% CI: 0.543-9.330). Additionally, established developmental predictors including maternal education (p=0.745), family economic status (p=1.000), and maternal depression (p=0.873) showed no significant associations with developmental outcomes.
Conclusion: These findings highlight the need for context-specific nurturing care assessment tools and longitudinal research designs to better understand the complex dynamics between caregiving practices, acute illness, and developmental outcomes in young children
Effectiveness Of Psychoeducation And Assertive Training (PEAT) Combined For Improving Medication Adherence In Patients With Schizophrenia
Get PDFBackground: Non-adherence behaviors have a variety of causes, from suffering negative drug side effects to having scepticism regarding the effectiveness of recommended treatments. Recognising these complex relationships is essential to creating strategies that effectively manage the psychosocial as well as medical components of schizophrenia. The purpose of this study is to investigate how a combination of psychoeducation and assertive training can improve medication adherence in people with schizophrenia.
Methods: A pretest-posttest quasi-experiment design was employed in this study as part of a quantitative research technique. Demographics and the Morisky Medication Adherence Questionnaire were used in conjunction with observation to collect data. Based on room-based simple random sampling, 80 patients with schizophrenia who met the inclusion criteria were split into two groups. Of these, 38 patients in the intervention group and 36 responders in the control group finished the study. This study made use of the five-stage Psychoeducation and Assertive Training (PEAT) module.
Results: A combination of psychoeducation and assertiveness training (PEAT) was found to have an effect on medication adherence in this study. Following PEAT, patients with schizophrenia had a mean medication adherence of 5.92±1.29. The statistical test findings showed that the mean medication adherence of schizophrenic patients receiving PEAT differed significantly (p value <0x7E>0.001) from those who did not.
Conclusion: Studies show that putting more of an emphasis on PEAT can help hospitals treat patients with schizophrenia more consistently by helping them take their medications as prescribed. Additionally, patients with schizophrenia should have a treatment plan that includes PEAT
Management of Surgical Wound Care Using the Bundles Principle as an Infection Control Strategy in Post-operative Patients
Get PDFBackground: Infection prevention strategies, such as applying the bundle\u27s principle, play a vital role in surgical wound care. However, limited studies assess nurse compliance with these standards. Investigating compliance is crucial to understanding its impact on post-operative wound infection. This study examines how nurse adherence to the bundle\u27s principle influences wound infection during the healing process.
Methods: A before-and-after study was conducted at a second-level hospital in Indonesia over three months. Using total sampling, 100 nurses meeting inclusion criteria (adults with over one year of experience and training in bundle strategies) participated. Patients were selected through accidental sampling and included adults with non-infectious surgical wounds and no complications. The bundle\u27s principle was implemented from the third to the sixth postoperative day, with infection signs assessed afterward. Instruments included demographic data, compliance checklists, and wound infection assessments. Data were analyzed using logistic regression.
Results: Gender did not significantly affect wound infection occurrence (OR 0.39, *P* = 0.092). Nurse compliance and work length showed a significant association with infection prevention (OR 4.47, *P* = 0.006). Educational background was not significantly associated with compliance (OR 2.11, *P* = 0.409).
Conclusion: Nurses\u27 compliance with the bundle\u27s principle significantly reduces post-operative wound infections, promoting effective healing. Factors like gender, work length, and educational background contribute equally to post-operative wound care outcomes
The Effect of Therapeutic Communication on the Anxiety Level of Children Undergoing the COVID-19 Vaccination
Get PDFBackground: Anxiety is often encountered in society, especially in children, when undergoing the COVID-19 vaccination. Anxiety is a factor influencing children to refuse vaccination. Therefore, nurses need to reduce this level of anxiety through the application of therapeutic communication. This research was carried out to determine the effect of therapeutic communication on children\u27s anxiety levels during the implementation of the COVID-19 vaccination.
Methods: A pre-experiment design with a one-group pretest-posttest design was used on 58 respondents who were selected using a simple random sampling technique. The research instrument used was the Zung Self-Rating Anxiety Scale (SAS/SRAS) questionnaire with a Likert scale model, and the results were analyzed using the Wilcoxon Signed Ranks Test statistical test.
Results: The results of the Wilcoxon Signed Ranks Test analysis on respondents\u27 anxiety levels showed that there was a decrease in anxiety after therapeutic communication was carried out with a p-value of 0.00 (p < 0.05), which means that therapeutic communication had a significant influence on the anxiety level of children undergoing the COVID-19 vaccination.
Conclusion: Therapeutic communication can effectively reduce the anxiety level of children undergoing COVID-19 vaccination
Study of Diabetes Mellitus Management Policies Using a Systems Approach in Surge Capacity
Get PDFBackground: The prevalence of Diabetes Mellitus (DM) in Indonesia continues to increase, even though DM control policies and programs have been implemented. According to existing policies, the family has not been involved in diabetes control. This study evaluates diabetes mellitus management policies by designing family-based community empowerment model interventions with a systems approach to surge capacity.
Methods: The design of this study used a cross-sectional operational analysis conducted in Cirebon City with 26 participants. Data collection was carried out using Focus Group Discussion (FGD) and in-depth interviews using interview guidelines from the surge capacity component. Inclusion criteria were Non-Communicable Diseases program holders at the Cirebon City Health Office and Community Health Centers with the highest and lowest prevalence, and DM sufferers and their families representing each age and gender category. Data analysis was performed using open code.
Results: The non-communicable disease program has not been integrated between the health office and the hospital; funds for the DM prevention program have not met the needs; there are limited human resources with multiple tasks and an excessive workload, so it is not optimal for DM health services; and there is a lack of family involvement in diabetes control, so the incidence of DM is still not usually controlled.
Conclusion: Policy studies using a system approach in surge capacity have been able to dig up various information on DM control efforts in terms of policy, organizational structure, DM surveillance, information systems, integrated services, case screening, budgeting, and community empowerment