Berita Ilmu Keperawatan
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    Front Matter Jurnal Berita Ilmu Keperawatan Vol.15, No. 1, Tahun 2022

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    Predisposing and Precipitating Factors of Schizophrenic Clients with the Risk of Violent Behavior and Hallucination

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    The management of schizophrenia clients especially those who are at risk of violent behavior and hallucinations clients, its takes a long time. The management can be successful if it focuses on  redisposing and precipitation factors. This study aimed to determine the predisposing and precipitation clients of risk factors for violent behavior and hallucinations. This research was descriptive analytic study. The sample was obtained with a total sampling of 48 respondents who met the inclusion criteria. Data were collected using a checklist of predisposing and precipitation factors and analyzed by frequency distribution. The predisposing factors found that caused schizophrenic clients to experience the risk of violent behavior and hallucinations were history of previous mental disorders (72.9%), unpleasant experiences and negative self-concept (100%) and the condition of clients who did not work (79.2%). Most of the precipitation factors found were drug withdrawal (50%), problem solving was 41.7%, and not working which reached 66.7%. Clients with schizophrenia who are at risk of violent behavior and hallucinations can be managed properly by considering the predisposition and precipitation that triggers the client to experience schizophrenia and relapse

    Palliative Care Pada Pasien Skizofrenia: A Literatur Review

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    Abstrak:Perawatan paliatif sebagai pendekatan yang dapat meningkatkan kualitas hidup pasien dan keluarganya menghadapi masalah yang berhubungan dengan penyakit yang mengancam jiwa, melalui pencegahan dan pengurangan penderitaan melalui identifikasi dini dan penilaian menyeluruh dan pengobatan nyeri dan masalah lain, fisik, psikososial dan spiritual. Tujuan dari tinjauan pustaka ini adalah untuk memberikan gambaran dan pemahaman yang sistematis tentang perawatan paliatif pada pasien skizofrenia. Metode:Metode yang digunakan dalam literature review ini menggunakan analisis beberapa artikel yang berhubungan dengan judul melalui pencarian database seperti: PubMed, Google Scholar, dan Science Direct, kemudian disaring berdasarkan kata kunci, bahasa dan artikel terpilih berupa artikel yang dipublikasikan dalam 5 tahun terakhir menggunakan kata kunci Pemilihan artikel dilakukan dengan menggunakan kata kunci “Perawatan paliatif” [Mesh] DAN “Spektrum skizofrenia dan gangguan psikotik lainnya”[Mesh]. Artikel-artikel yang ditemukan dibaca dengan seksama untuk melihat apakah artikel tersebut memenuhi kriteria inklusi penulis yang akan digunakan sebagai literatur dalam penulisan tinjauan pustaka. Mata pencaharian terbatas dari tahun 2015 - 2021 yang diakses fulltext gratis dan menggunakan bahasa Inggris. Hasil: Hasil dari tinjauan pustaka ini, dari database PubMed, Google Scholar, dan Science Direct, ditemukan 3.340 artikel. Ada 8 artikel yang relevan dengan literature review. Kesimpulan: beberapa faktor yang menghambat keluarga dan individu dalam menggunakan layanan perawatan paliatif meliputi; faktor individu, faktor sosial, faktor pelayanan kesehatan dan faktor sistem kesehatan. Faktor individu terdiri dari efek gejala pada komunikasi, kepercayaan, Faktor sosial seperti stigma, dukungan sosial dan pengambilan keputusan, Faktor perawatan kesehatan, termasuk manfaat perawatan yang dirasakan, serta pendekatan multidisiplin dan faktor sistem kesehatan.Kata kunci: Palliative Care, Schizofrenia spectrum, Other psychotic disorde

    Pengaruh Terapi Murotal Al-Qur'an Terhadap Kecemasan Pasien Dengan Prosedur Percutaneous Coronary Intervention

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    Kecemasan merupakan gejala yang sering muncul pada pasien Acute Coronary Syndrome (ACS) yang akan menjalani Percutaneous Coronary Intervention (PCI). Kecemasan yang tidak tertangani dengan baik dapat menimbulkan perburukan kondisi dan penundaan prosedur. Penelitian ini bertujuan untuk menerapkan evidenced based practice berupa pemberian terapi murotal Al-qur'an terhadap kecemasan pasien yang akan menjalani PCI. Metode yang digunakan dalam studi melalui pendekatan pre eksperimental dengan penerapan evidence-based practice tentang penerapan terapi murotal Al-qur'an. Jumlah sampel sebanyak 30 responden, yaitu pasien ACS yang akan mendapatkan terapi PCI. Teknik pengambilan sampel menggunakan purposive sampling sesuai dengan kriteria inklusi dan eksklusi yang telah ditetapkan. Kecemasan diukur menggunakan Visual Analogue Scale (VAS) dengan rentang 1-10. Data dianalisis menggunakan uji Wilcoxon. Hasil didapatkan terdapat pengaruh pemberian terapi murotal Al-quran terhadap kecemasan (p0.05). Adanya perbedaan yang signifikan pada skor kecemasan sebelum dan setelah diberikan intervensi. Kesimpulan, terapi murotal merupakan terapi yang mudah dilaksanakan serta secara signifikan dapat menurunkan tingkat kecemasan pada pasien yang akan menjalani PCI

    The Effects of Online Health Promotion to New Habit Adaptation

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    Health workers have a high risk of being exposed to COVID-19. The lack of knowledge of health workers, especially nurses, can lead to increased stress during the pandemic. Therefore, there is a need for preventive and promotive efforts in the form of new habit adaptation. Online health promotion can be used to improve public health optimally. The purpose of this study was to determine the effect of health promotion on new health adaptation which was conducted online. The research design used pre-experimental with one group pre-post test design. Nurses at the Bali Provincial Mental Hospital who have attended the Mental Health and Psychosocial Support (DKJPS) training on adapting new habits online for 3 days were given a pretest on the first day of implementation of new habit adaptation and a post test on the 56th day. The samples used were 82 nurses and 146 nuclear family nurses who were selected using purposive sampling that met the inclusion criteria, that is nurses from the Bali Province Mental Hospital and their nuclear families aged 15 years. Data collection was carried out from August 25, 2021 to October 26, 2021 using the New Habit Adaptation questionnaire in reference to the DKJPS manual book. The analysis used the Wilcoxon Sign Rank Test. The results of the analysis showed that the p value value 0.05 showed that there was an effect of online health promotion on the new habit adaptation. The results of this study prove that online health promotion affects the implementation of new habit adaptation in an effort to prevent the transmission of COVID-19.

    Knowledge and Income Determining Treatment Options For Cancer Patients

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    Breast cancer is still the most common case in many countries. Breast cancer can threat a person's quality of life, especially for someone who has difficulty choosing treatment due to lack of understanding of treatment options. In choosing a treatment influenced by knowledge and income which are internal factors that must be present in determining treatment options, because itwill determine the right choice of treatment. This study aims to discover the choice of treatment in breast cancer patients based on knowledge and income.The research design used quantitative descriptive. This study used secondary data from a Leading Tertiary Study grant in 2015. Sampling in this study were 200 breast cancer patients undergoing chemotherapy. Data processing used univariate and crosstabs techniques with the correlation test using Chi-Square.In this study, there was a relationship between knowledge and choice of treatment, but there was no relationship between income and choice of treatment. In conclusion, that the choice of breast cancer treatment is influenced by the respondent's understanding of the disease. It is hoped that this research can be a source of information that can be used by health workers in providing nursing care

    Relationship between Family Support and Aggregate Activity of Adults in Visit to Integrated Coaching Post (Posbindu)

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    The level of activeness of integrated coaching post (posbindu) visits in Muncar Village, Susukan District is still relatively low, with a value of 50,4% of the 127 integrated coaching post (posbindu) participants who were not active in visiting integrated coaching post (posbindu). The inactivity of participants in participating in integrated coaching post (posbindu) activities is caused by several factors, one of which is a reinforcing factor, namely the lack of family support. The purpose of this study was to determine family support with adult aggregate activity in visits to integrated coaching post (posbindu) in Muncar Village, Susukan District. This research method quantitative research with cross sectional. The population of 127 integrated coaching post (posbindu) participants using simple random sampling technique and Inclusion criteria: the aggregate of adults aged 17-55 years, registered in integrated coaching post (posbindu) activities live with family members obtained 67 respondents. The research instrument used a questionnaire containing 18 questions about family support and the attendance list for posbindu participants from February 2019 - to January 2020. The analysis bivariate technique used test analysis data used Chi Square because the data contribute normally. The results of the study the majority of family support is lacking as many as 33 people or 49.3%. The activity level of the majority of respondents is inactive as many as 37 people or 55.2%. The results of the correlation test between family support and active visits in the adult aggregate are p-value 0.001. The conclusion is that there is a relationship between family support and adult aggregate activity in visits to integrated coaching post (posbindu) in Muncar Village, Susukan District. The recommendation for integrated coaching post (posbindu) in Muncar Village is to increase knowledge about the importance of family support so that participants can actively attend every month so that their health can be controlled regularly every mont

    The Effect of Adolescent Therapeutic Group Therapy (TKT) on the Development of Adolescent of Islamic Boarding School in Tasikmalaya

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    The stage of adolescent development is a unique stage of development, adolescents must face changes both physically, cognitively, and emotionally that can cause stress and trigger a unique behaviour in adolescents. Today's Muslim youth are many who follow the Islamic boarding school program. This causes the development of adolescents that are less than optimal, if they cannot adapt to the life of the Islamic boarding school, so that it can interfere with the learning process in the Islamic boarding school. And furthermore, their mental health will be disturbed in their adolescent development, such as being less independent, unable to make decisions and having difficulty interacting with peers. One of the efforts to deal with developmental problems faced by adolescents is the therapeutic group therapy (TKT) approach. The purpose of this study was to determine the effect of therapeutic group therapy on the ability of adolescents to stimulate identity development in high school students at the Ibadurrahman Islamic Boarding School, Tasikmalaya City. The design used is "Quasi experimental pre and post-test without control group". The population in this study were all students at the Ibadurrahman Islamic Boarding School, Tasikmalaya City, amounting to 374 respondents with a sample size of 80 students. Analysis using paired-t test (T-test paired). Respondents were divided into 6 groups, with each group totaling 13-14 students. The implementation of TKT for each group is carried out every week with a time of 60 minutes. The results showed a significance value of = 0.001, there is a significant difference in the average ability to stimulate identity development scores between before and after TKT treatment. This TKT can be done as a therapy to improve adolescent development

    Utilization of Digital Technology in Handling Schizophrenia: A Literature Study

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    In the modern era, digital technology is widely found and used by people because it is easy to access. The use of digital technology-based interventions on psychosis problems can increase cost-effectiveness because patients do not have to go to hospitals or clinics for treatment. The literature study aimed to identify the use of digital technology in the management of schizophrenia. The research method used the PICO with the keyword using in Indonesian and English "Patients and Families AND Digital Technology AND Control of Psychosis Patients' Symptoms" in the period 2011-2021, Indonesian and English, full-text literature, original research, focused on digital technology schizophrenia and individual and family sample populations. The results of the search for articles in the literature study found 12 articles that were relevant to the main topic. The study results showed that digital technology affects the care process for schizophrenics and is also useful for families as caregivers. Using digital technology, actions that can be done are psychoeducation, behavior change, prevention strategies, and good handling interventions. The implementation of digital technology measures provides comprehensive benefits and easy access through both the web and the application

    Family Caregiver Burden of Elderly with Dementia : A Literature Review

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    Background: The majority of the elderly with dementia living in a community have received care from family caregivers with curious complexity of problems to be identified during the care at home. Objective: To identify the level of burden and characteristics that affect the burden on family caregivers who care for the elderly with dementia. Method: A literature reviewwith a search for relevant articles was published between 2015-2020 using the four databases PubMed, Google Scholar, DOAJ,and Oxford Academic Journals. The selection protocol used the PRISMA flow diagram by setting inclusion and exclusion criteria with the PEOS framework about family caregiver burden caring for elderly with dementia. Results: Nineteen articles that met the inclusion criteria and were identified in this literature review were found from Asia, Europe, the U.S  , and Brazil. Most family caregivers were identified as having a moderate level of caregiving burden that depends on various factors including characteristics of elderly with dementia, sociodemographic characteristics of caregivers, and characteristics of care itself. The presence of behavior problems, neuropsychiatric symptoms and dependence on daily care in elderly with dementia are the main characteristics that predict the burden. Conclusions: The existence of burden during care that tends to increase on family caregivers, makes it necessary to develop a good strategy to minimize the burden in the future by considering the involvement of health professionals in providing appropriate assistance and services

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