Jurnal Keperawatan Padjadjaran
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Factors associated with stage of behavior change and willingness to quit smoking among people living with HIV In Taiwan
No full textBackground: The prevalence of smoking among people living with HIV is double than general population. There is no specific guideline for smoking cessation in this population thus many of HIV-smoker receive unproven treatment that led to low adherence and high relapse.
Objectives: The aim of this study was to identify the stage of behavior change and willingness to quit smoking, and to determine their associated factors among people living with HIV. Methods: A cross-sectional design was conducted at an HIV/AIDS hospital in southern Taiwan. of 423 people living with HIV, the mean age was 37.43 (SD=10.99) years and 97.9% were male. About 33.9% were a current smoker, 22.9% were in pre-contemplation stage, and 33.3% willing to quit smoking. Age, education, CD4 cell counts, viral load, having diabetic and hepatitis B, and exposure to smoking cessation information were associated with stage of behavior change. Smoking 2-3 times a month (aOR=9.33, 95%CI= 1.45-60.2) and having heard about smoking cessation were significant predictors for willingness to quit smoking (aOR= 3.67, 95 CI= 3.67-9.06).
Conclusion: Our findings suggest to design an intervention according to HIV-smoker stage of behavior change for successful smoking cessation. Additionally, it is important to address patients’ clinical conditions including smoking frequency and exposure to information related to smoking cessation
Factors influencing the understanding of diabetic retinopathy complications among individuals with type 2 diabetes mellitus: A qualitative study
No full textBackground: The incidence of diabetes mellitus continues to rise steadily over the years, contributing to a significant increase in the risk of developing eye-related complications. The escalating burden of vision-related complications urge the early prevention measures for type 2 diabetes mellitus population.
Purpose: Explore factors influencing the understanding of diabetic retinopathy among participants with type 2 diabetes mellitus who attended a diabetic clinic in a tertiary teaching hospital in Malaysia.
Methods: This study employed a descriptive qualitative design using purposive sampling. From March to April 2021, three focus group discussions ranging in length from 30 minutes to an hour were performed utilising a semi-structured interview guide conducted with nine participants (five women and four men) aged 35 to 65 visited the diabetic clinic. Participants included in the study were who had type 2 diabetes mellitus diagnosed after six months or more. Data retrieved was thematically analysed using ATLAS/ti software, following the qualitative data analysis stages.
Results:. Two themes emerged: challenges in practicing self-care and facilitating factors for health education. Subthemes within the challenges of practicing self-care included lack of knowledge about eye anatomy, changes in vision quality, concerns about medication intake, issues with glucose monitoring, challenges in nutritional management, and alternative practices. Subtheme for facilitating factors for health education included team work for giving health education, elements in diabetic retinopathy health education and teaching aid.
Conclusions: Despite the availability of health education materials in the clinical context, participants identified a need for greater depth in diabetic retinopathy implications. Future studies and efforts include developing educational programs
The effect of dance movement therapy on physical activity levels, mood, and emotional resilience among older adults in Indonesia
No full textUnderstanding sleep quality among postoperative patients in Intensive Care Unit: A conceptual analysis approach
No full textBackground: Sleep quality is an important yet understudied element influencing postoperative recovery in intensive care units. Considering that there is a lack of consistent knowledge of the quality of sleep, it is difficult to establish appropriate tests and therapies.
Objective: To do a conceptual analysis of sleep quality in postoperative intensive care units patients utilizing the Walker and Avant framework, delineating its qualities, antecedents, consequences, and empirical referents.
Methods: This study used the Walker and Avant eight-step process for idea analysis, which included a systematic literature evaluation of papers published between 2020 and 2024 in databases such as PubMed, Scopus, ScienceDirect, and ProQuest. Data was evaluated to determine important defining qualities, causes, outcomes, and measurable indicators of sleep quality.
Results: The analysis identified four defining attributes of sleep quality: sleep architecture, sleep disturbances, subjective experience, and physiological indicators. Antecedents included environmental noise, lighting, pain, anxiety, and frequent medical interventions. Poor sleep quality was associated with adverse outcomes such as increased delirium risk, delayed wound healing, and prolonged intensive care units stays. Empirical referents included patient-reported tools like the Pittsburgh Sleep Quality Index, polysomnography, and actigraphy.
Conclusion: Sleep quality is a multidimensional concept central to postoperative care in intensive care unit. Addressing environmental and psychological factors through targeted interventions can improve sleep quality and enhance recovery outcomes
The impact of interactive video-based exercise on quality of life among pregnant women in Indonesia: A pilot study
No full textBackground: Pregnant women experience lower quality of life compared to the general population and experience a decrease in their quality of life as their pregnancy progresses. Video interactive provides an interesting and interactive environment, so participants would be more likely to enjoy completing their physical activity regimen.
Objectives: This study aimed to determine the impact of video interactive-based exercise on quality of life among pregnant women in Indonesia.
Methods: A quasi-experimental study was carried out in Bandung, West Java, Indonesia from August 2023 to January 2024. The intervention and control groups involved healthy pregnant women aged above 18 years old, second trimester pregnant, advised by healthcare, literate, and willing to participate in physical activity. The study involved 264 pregnant women, with a response rate of 96%. Data was collected before (T0), immediately after (T1), and 2 weeks after the intervention (T2). The videos covered combination of exercise program for pregnant women, including warm-up, main phase (with an aerobic element, followed by strength and endurance exercises) and final stretching and relaxation. quality of life was measure using quality of life Gravidarum. The analysis was evaluated using repeated ANOVA test and difference-in-difference estimate.
Results: After a two-week follow-up, the intervention group showed a substantial increase in quality of life scores, with a moderate level of impact (effect size= 0.39). The difference-in-difference estimate showed a modest increase of 3.57 percentage points between groups.
Conclusion: The study demonstrated that video interactive exercise significantly improved the quality of life for pregnant women, indicating the potential for encouraging their participation in such activities
Effect of warming gown use on shivering and body temperature in chronic kidney disease patients undergoing hemodialysis via catheter
No full textBackground: Haemodialysis is often accompanied by shivering, especially in patients with catheter access, which can reduce comfort, impair treatment efficacy, increase the risk of complications and contribute to inadequate dialysis. Addressing this issue through non-pharmacological means, such as a warming gown, offers a potentially effective, safe, and economical solution to improve patient outcomes.
Purpose: To develop a warming gown as an innovation to reduce the incidence of shivering in chronic kidney disease patients undergoing haemodialysis with a haemodialysis catheter.
Methods: This study employed a two-stage Research and Development design. In the first stage, a reusable, adaptive warming gown for HD catheter patients was developed and validated (S-CVI/Ave = 0.99). Second, a quasi-experiment was conducted with 60 patients recruited through total sampling. Subsequently, patients were randomly allocated to either the intervention group (warming gown) or the control group (blanket) using computer-generated randomisation based on their identification numbers. Shivering (Crossley and Mahajan scale) and body temperature (digital thermometer) were measured at 0, 15, 30, 60, and 120 minutes. Data were analysed using Wilcoxon, Friedman, and Bonferroni-corrected repeated Mann–Whitney tests.
Results: The intervention group showed a significant reduction in shivering levels from 2.63 ± 1.27 to 0.37 ± 0.49 (p < 0.001) and an increase in body temperature from 36.36 ± 0.52 to 36.84 ± 0.29 (p < 0.001). In contrast, the control group showed no significant changes (p > 0.05).
Conclusions: The warming gown was proven effective in reducing shivering and increasing body temperature in haemodialysis patients, offering advantages in comfort, safety, and cost efficiency
Roles of agro-nursing in bringing health services in rural and remote areas of Indonesia: Agronursing Services in Rural and Remote Areas
No full textAgro-nursing is an innovative approach to health care that integrates nursing science with a contextual understanding of agricultural conditions and rural life. Rural and remote areas in Indonesia often face challenges in accessing adequate health care. This article discusses the role of agro-nursing in addressing these challenges, highlighting how nurses can act as agents of change who provide health care and empower communities through approaches appropriate to local characteristics. By utilizing local potential, community culture, and agricultural systems as an integral part of rural life, agro-nursing strengthens health care promotive, preventive, curative, and rehabilitative efforts. This study also highlights the importance of specialized training, cross-sector collaboration, and policy support to optimize the role of agro-nursing in improving the health of communities in remote and disadvantaged areas. It is hoped that agro-nursing can be a sustainable strategy for narrowing the gap in health services between urban and rural areas in Indonesia
Effect of combined lateral and supine positioning on oxygen saturation in ICU patients during the mechanical ventilator weaning process: A randomized controlled trial
No full textEstimating the 10-year fracture risk among persons with HIV and person without HIV: A comparative study
No full textBackground:
The risk of osteoporotic fracture among persons with HIV was higher than the persons without HIV. Traditional factors are also found as the risk factor affecting fracture risk among persons with HIV and general population. Predicting the fracture risk among the high-risk group is important to develop a comprehensive fracture prevention program.
Purpose:
This study aimed to compare the estimation of the 10-year fracture risk between persons with HIV and persons without HIV using the FRAX™ algorithm.
Methods:
This study recruited 245 participants from August to November 2023, while 221 participants agreed to participate. The participants consist of 107 persons with HIV and 114 persons without HIV. The estimation of the ten-year probability of major osteoporotic and hip fractures was calculated using the FRAX™ algorithm. The participant's characteristics related to osteoporotic fracture risk was analyzed using a Chi-Square analysis.
Results:
The overall mean score of 10-year probability of major osteoporotic fracture (MOF) was 3.1% (SD 1.9) for the HIV group and 2.7% (SD 2.3) for non-HIV. For the 10-year probability, hip fracture (HF) risk was 0.5% (SD 0.5) for the HIV group and 0.6% (SD 0.9) for non-HIV. For MOF, HIV persons with fracture history showed a lower score (3.5%) compared to persons without HIV (5.3%). Smoker HIV persons showed the same MOF score (4.6% vs. 4.6%) but lower HF score (0.8% vs. 1.6%) when comparing to persons without HIV, respectively. HIV persons with glucocorticoid use showed a higher MOF probability score than persons without HIV (2.8% vs 2.7%).
Conclusions:
The 10-year fracture risk was higher among persons with HIV compared to persons without HIV. Fracture history, smoking behavior, and glucocorticoid use were identified as the potential factors associated with the risk. Further analysis using multivariate regression analysis may require to confirm the factors associated with high fracture risk
Comparison of the accuracy of two wound classification systems for diabetic foot ulcer healing
No full textBackground: Diabetic foot ulcers (DFUs) remain a significant clinical challenge, requiring precise classification systems to aid prognosis and treatment planning. The Wagner classification is widely used but offers limited detail on specific wound characteristics, while the SHID (Suriadi, Haryanto, Imran, Defa) system provides a more comprehensive evaluation but lacks validation.
Purpose: This study was designed to evaluate and compare the predictive validity of the Wagner and SHID classification systems in forecasting DFU healing outcomes.
Methods: A prospective cohort study was conducted at Kitamura Clinic and Doctor Soedarso Pontianak Hospital between August 2021 and July 2022, involving 89 DFU patients. Both systems were evaluated based on sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and likelihood ratios. Predictive validity was determined using receiver operating characteristic (ROC) curve analysis and the Youden index.
Results: A cut-off grade of >2 provided optimal predictive value for both systems. The SHID classification demonstrated a sensitivity of 92%, specificity of 62%, PPV of 27.5%, and NPV of 98%, while the Wagner classification showed a sensitivity of 58%, specificity of 77%, PPV of 28%, and NPV of 92.2%. Positive likelihood ratios were 2.4 for SHID and 2.5 for Wagner. ROC analysis yielded an area under the curve (AUC) of 0.786 (95% CI: 0.69–0.87) for SHID and 0.703 (95% CI: 0.60–0.80) for Wagner. The Youden index was higher for SHID (0.540) compared to Wagner (0.349).
Conclusion: Although both systems are effective for predicting DFU healing within 12 weeks, SHID's superior AUC and Youden index suggest greater clinical utility in screening and managing DFUs