Jurnal Keperawatan Padjadjaran
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Pengalaman Penderita Skizofrenia tentang Proses Terjadinya Halusinasi Suryani
No full textHalusinasi adalah gejala khas skizofrenia yang merupakan pengalaman sensori menyimpang atau salah yang dipersepsikan sebagai sesuatu yang nyata. Kondisi ini menyebabkan individu tidak dapat kontak dengan lingkungan dan hidup dalam dunianya sendiri. Penderita skizofrenia dengan halusinasi yang masih kuat dapat berbahaya bagi dirinya sendiri dan orang lain. Hingga saat ini, mekanisme terjadinya halusinasi yang dialami penderita skizofrenia belum jelas. Penelitian yang dilakukan pada Desember 2007 hingga April 2008 ini bertujuan menggali pengalaman penderita skizofrenia tentang proses terjadinya halusinasi. Metode yang digunakan adalah kualitatif dengan pendekatan fenomenologi. Delapan orang responden yang memenuhi kriteria diwawancara secara mendalam dan seluruh pembicaraannya direkam dengan tape recorder. Hasil wawancara dianalisis dengan pendekatan Collaizi dan diperoleh lima tema besar yakni proses terjadinya halusinasi dimulai dengan serangkaian masalah yang dipikirkan atau dirasakan penderita, situasi atau kondisi tertentu dapat mencetuskan halusinasi, proses halusinasi terjadi secara bertahap, waktu proses halusinasi, dan pencegahan halusinasi dengan pendekatan spiritual serta penggunaan koping yang konstruktif. Berdasarkan hasil penelitian, dapat disimpulkan bahwa dalam merawat penderita skizofrenia yang mengalami halusinasi, perawat harus memahami bagaimana terjadinya halusinasi secara komprehensif.Kata kunci:Fenomena, proses halusinasi, skizofrenia AbstractHallucination is one hallmark symptom of schizophrenia. Hallucination is false or distorted sensory experiences that appear to be real perception. This condition causes the individuals to lose contact with environment and live in their own world. They are also dangerous for other people and themselves because the hallucination threatens them. Until now, the phenomenon of hallucination have not been revealed yet. Therefore, it is important to explore the live world of the people who experience hallucination. The purpose of this research is to undertake an exploration of living with hallucination as described by people who have been diagnosed with schizophrenia. Phenomenological approach was used to gain data. The data was analysed using Collaizi’ approach to analysis. Eight clients with schizophrenia were selected, and data were collected through audiotaped semistructured interviewes. Five main categories of theme emerged from the interviews: The process of hallicunation was started by a lot of problem that burdened the clients; the process of hallicunation was triggered by specific situation and condition; the process of hallucination was happened in several step, time for the process of hallucinations and hallucinations can be prevented by spiritual activity and constructive coping behaviour. Conclusions highlight the need to understand about the process of hallucinations comprehensifly. Key words: Phenomenon, schizophrenia, the process of hallucination
A successful separation of omphalopagus twins during COVID-19 pandemic: A case report
No full textBackground: Omphalopagus is a rare condition involving digestive system and abdominal wall fusion. This study reports an omphalopagus case during the early phase of the coronavirus disease 2019 (COVID-19) pandemic in Indonesia.Case: Male conjoined twins, aged 14 months, were diagnosed with omphalopagus and several organ failures. We performed separation surgery of the omphalopagus with primary closure and post-surgical care for fifteen days. The early surgery was preferable in this case due to life-threatening issues of COVID-19, despite omphalopagus separation may cause post-surgical complications. Furthermore, the emerging pandemic conditions also required a more stringent procedure to avoid the risk of viral spread.Conclusion: We conclude that, in the lack of evidence-based instruction for hospital care during the early phase of COVID-19 in Indonesia, life-saving surgical considerations from death due to complications of COVID-19 infection and acute respiratory distress syndrome must be performed and prioritized. However, potential omphalopagus complications must be evaluated
Intervensi Berbasis Pasangan Pencegahan Sekunder dan Tersier Kekerasan dalam Rumah Tangga: Telaah Sistematis
No full textBackground: Intimate partner violence (IPV) is the most tragic form of gender inequality and has devastating effects on women worldwide. A couple/family-based intervention approach has been developed and tested to address obstacles preventing intimate partner violence.
Purpose: This review aimed to examine couple-based interventions for secondary and tertiary intimate partner violence prevention.
Methods: The researcher searched the electronic databases ProQuest, Scopus, PubMed, Science Direct, SpringerLink, and Taylor & Francis for relevant articles. This review includes English/Indonesian research articles published between 2012 and 2022. This study reviewed various types of secondary and tertiary intimate partner violence prevention interventions and their effectiveness in reducing the incidence of intimate partner violence against women. Risk of bias assessment was performed used A Revised Cochrane Risk of Bias Tools for Randomized Controlled Trial (RoB 2).
Results: From the search findings, 1,819 articles were found, of which fifteen were included in the review, comprising twelve secondary preventive interventions and three tertiary prevention interventions make up these fifteen articles. Couple-based interventions for secondary prevention include gender transformative interventions, enhancing relationships with partners, bolstering the family economy, and encouraging men's participation in women's reproductive health and parenting. Cognitive-behavioral therapy predominates interventions for tertiary prevention to eliminate risk factors.
Conclusion: This article recommends using couple-based interventions under the population's inherent risk factors and pays close attention to the safety of the implementation process
Personal factors related to self-care management among people with hypertension at primary health care: A cross-sectional study
No full textBackground: Hypertension requires long-term treatment and can last a lifetime. Recommendations for hypertensive patients, where it is necessary to change behavior related to self-care, consist of increasing a healthy diet, limiting sodium intake, increasing physical activity, reducing smoking, and reducing alcohol consumption.
Objective: The purpose of this study was to identify the self-care model of patients with hypertension in primary healthcare in Kota Malang.
Methods: This study's design was descriptive analytic with a cross-sectional methodology. Using G Power, 321 hypertension patients were used as samples. Purposive sampling was used in this study. The instruments used H-SCALE, also known as the Hypertension Self-Care Activity Level Effects. Pearson Chi-squared test was used to examine correlations among variables.
Results: Factors of gender (p=0.001) and education (p=0.020) are related to self-care in hypertensive patients. Majority of respondents were women, 223 people (69.5%), Most of the respondents had elementary school education, 136 people (41.4%), the majority of the 321 respondents (216, 67.3%) have moderate self-care category. Gender and age were significant factors associated with self-care among hypertensive patients (p<0.05)
Conclusion: Gender and education level have significant correlation with self-care management of hypertension. Providing self-management intervention by considering gender and education level needs improvement. Other factors need to be explored in further research
Mental health and decision-making participation of adolescent orphans: A pilot study
No full textBackground: Mental health has been brought to attention lately, with the increase of mental health problems during adolescence. In Indonesia, it is reported that one-third of adolescents develop mental health disorders. Childhood grief, separation from the family, child labor, or abuse affect the orphans’ mental health, including their decision-making participation. Purpose: As a pilot study, this study would like to investigate the mental health conditions and decision-making participation among orphans in one orphanage in Mojokerto district, East Java, Indonesia.Methods: This cross-sectional study utilizes the Depression Anxiety Scale Youth version (DASS-Y) and Child and Adolescent Participation in Decision Making Questionnaire (CAP-DMQ). Thirty-five adolescent orphans of one orphanage in Mojokerto were recruited using convenience sampling. The frequency of respondents’ mental health and decision-making participation were measured, and the mean differences between each group of sociodemographic factors were measured using the Mann-Whitney U test or the Kruskal Wallis test. Association between mental health and decision-making participation was calculated using Chi-square test.Results: The results show that 40% of respondents were categorized as having mild mental health problems, including depression, anxiety, and stress. Mental health problems are mostly found in males (22.90%) and elementary school (20%). The participation of the orphans in decision-making is considered good, with a median of 25.5. The bivariate analysis concludes the association between anxiety, age, grade, and decision-making participation (p= 0.024, p= 0.029, p=0.029, respectively).Conclusion: Taken together, attention to orphans, especially adolescents, and their problems are necessary to reduce the health discrepancies within these vulnerable groups. Broader respondents are needed to understand the complete picture of mental health conditions among Indonesian adolescent orphans, including late adolescents
The mobile health application can add our insight into caring for children: The benefit and future usage of the Chemo Assist for Children
No full textBackground: The ease of use of mobile health applications felt by users is essential to ensure the sustainability of digital-based intervention programs. The mHealth Chemo Assist for Children (CAC) application has been used by parents with children with acute lymphoblastic leukemia (ALL) who are undergoing chemotherapy in usability tests and positive benefits felt by users have been reported. A deeper understanding of the barriers and factors supporting implementing the CAC mHealth application can help guide strategies to overcome these challenges.
Purpose: This study aims to evaluate the obstacles and factors supporting implementing mHealth CAC application in a natural setting.
Methods: Qualitative research was conducted at two government hospitals in Indonesia. Focus group discussions were conducted with nine parents of children with ALL following chemotherapy. The interview was transcribed verbatim and analyzed using qualitative content analysis.
Results: This research produced three main themes, namely the use of CAC and additional usage expectations, application quality, and current and future application usage.
Conclusions: It is necessary to improve the benefit, ease of use of application features and overcome the obstacles experienced in using the CAC application
ST-elevation myocardial infarction, severe cardiogenic shock, and myocarditis secondary to leptospirosis: A rare case report
No full textBackground: Leptospirosis is a bacterial infection that can lead to several organ dysfunctions. However, cardiac involvements in leptospirosis are uncommon findings. The unknown pathogenesis and association between leptospirosis and cardiac involvements can lead to a diagnostic challenge and case rarity. This study aims to report a diagnosis challenge through physical and laboratory examination of a patient with ST-elevation myocardial infarction (STEMI) and myocarditis without common leptospiral-associated organ dysfunction features. We also report the therapeutic strategies in this case, despite its clinical guideline limitation.
Case: A 35-year-old male patient came to the emergency department with flu-like symptoms. Twenty-four hours later, the patient showed acute angina, STEMI, and elevated high-sensitivity cardiac troponin followed by cardiogenic shock without significant modifiable and non-modifiable risk factors for heart diseases. The patient received fibrinolytic, supportive therapy and correction of hemodynamic derangement. We found thrombocytopenia on the second day. Surprisingly, the immunoserology showed positive anti-leptospira IgM and negative anti-dengue IgM and IgG. Further, there was echocardiography suspected myocarditis due to high echogenicity in the left ventricle's basal-apical lateral endocardium. Thus, we diagnosed this case as leptospirosis with cardiac involvement. Direct cardiac tissue damage due to systemic vasculitis, disseminated intravascular coagulation, and pro-inflammatory cytokine storm is believed to be pathomechanism in leptospirosis with cardiac involvement. After diagnosis establishment, his final therapies in the hospital were Aspirin, Atorvastatin, Clopidogrel, Spironolactone, Ramipril, Carvedilol, Omeprazole, Doxycycline, and Ceftriaxone. Subsequently, he was discharged from hospital and continued to receive cardiovascular medications, antibiotics, antiplatelet, potassium-sparing diuretics, and omeprazole.
Conclusion: This case highlights the importance of thorough clinical-laboratory evaluation in a patient with an atypical leptospiral presentation. Although  leptospirosis is not a common cause of heart diseases such as STEMI, cardiogenic shock, and myocarditis, we recommend supportive therapy and correction of hemodynamic derangement for leptospirosis with cardiac involvement, in addition to leptospiral antibiotic drug itself
Self-Measure Office Blood Pressure (SMOBP) and Home Blood Pressure Monitoring (HBPM) for white coat effect diagnosis among hypertension patients
No full textBackground: Hypertension is a critical factor in the deaths over the world among those who have cardiovascular diseases such as coronary artery disease, stroke, and chronic kidney disease.Purpose: This study aims to investigate the diagnosis capability of the white coat effect in hypertensive patients whose blood pressure was not on target.Methods: This study is an analytical study. Data were collected from 19 uncontrolled hypertension patients at Bang Si Thong health promoting hospital from August to December 2022. The geographic data are presented in the descriptive statistic terms of mean, difference, and standard deviation. The research outcome was analyzed by paired t-test.Results: The research results showed blood pressure measurement by SMOBP was more valuable in terms of statistical significance than Daytime HBPM (134±8.21 vs 125.5±6.74 p<0.001), while it was statistically significantly lower than Office-measured (148.15±10.33 vs 134±8.21 p<0.001), and there were participants whose blood pressures were going as a targeted by SMOBP 55% and HBPM 80%.Conclusion: Self-Measure Office Blood Pressure [SMOBP] can eliminate some of the white coat effect, but it could not be used instead of Home Blood Pressure Monitoring [HBPM] for the diagnosis of white coat hypertension. The SMOBP might be a choice for patients who have the white coat effect in socioeconomically disadvantaged areas
Self Compassion dan Kualitas Hidup Profesional Perawat selama Pandemi COVID-19
No full textBackground: Self-compassion enables nurses to understand, know, and love themselves when faced with challenges, specifically during the COVID-19 pandemic. It will decrease compassion fatigue and raises compassion satisfaction.
Purpose: This study aimed to test how nurses’ self-compassion related to their professional quality of life (compassion satisfaction, burnout, and secondary traumatic stress) during the COVID-19 pandemic in Indonesia.
Methods: This was a quantitative correlational study which recruited 234 nurses from all over Indonesia using convenience sampling technique. To collect data, an online survey was administered. Descriptive statistics and the Spearman rank test were used to analyze the collected data.
Results: Self-compassion and compassion satisfaction have been found to have significant relationships (p=0.718), likewise self-compassion and burnout (p=0.726), and self-compassion and secondary traumatic stress (p=0.516).
Conclusions: Self-compassion increases compassion satisfaction. When nurses care for themselves, compassion fatigue (burnout and secondary traumatic stress) will be reduced, and vice versa. Self-awareness is required for nurses to cultivate self-compassion by focusing on and accepting each live event without regret.Latar Belakang: Pandemi COVID-19 telah mempengaruhi beberapa aspek kehidupan manusia, termasuk bidang kesehatan. Penyakit ini merupakan penyesuaian yang signifikan bagi para perawat yang merawat pasien COVID-19 di garda terdepan. Ketika perawat menghadapi rintangan, self-compassion memberdayakan mereka untuk memahami, mengetahui, dan mencintai diri mereka sendiri. Self-compassion memungkinkan perawat untuk mencintai apa yang mereka lakukan, yang meningkatkan kualitas hidup profesional mereka, menurunkan tingkat kelelahan welas asih yang mereka alami, dan meningkatkan tingkat kepuasan welas asih.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan self-compassion dengan kualitas hidup profesional perawat selama masa pandemi COVID-19Metode: Penelitian ini menggunakan desain kuantitatif korelasional dan menguji hubungan antara self-compassion dengan kualitas hidup profesional perawat selama pandemi COVID-19. Dengan menggunakan accidental sampling, penelitian ini merekrut 234 perawat di seluruh Indonesia. Data dikumpulkan dengan menggunakan survei online.Hasil: Analisis korelasi peringkat Spearman mengungkapkan hubungan yang signifikan antara self-compassion dan kepuasan welas asih (p<0,05), self-compassion dan burnout (p<0,05), dan self-compassion dan stres traumatis sekunder (p<0,05). Semakin besar nilai self-compassion, semakin besar pula compassion satisfaction.Kesimpulan: Kesadaran diri diperlukan bagi perawat untuk menumbuhkan self-compassion dengan berfokus dan menerima setiap peristiwa hidup tanpa penyesalan
Scoping review of grief studies in Indonesia
No full textBackground: One death can cause nine bereavements. Considering the impact of human loss, studies on grief are crucial for better bereavement care services.
Purpose: This study examined studies on grief conducted in Indonesia. Indonesian grief research mapping will identify study gaps and suggest further research.
Methods: The reporting for a scoping review adhered to the PRISMA (preferred reporting elements for systematic review and meta-analysis) statement for a scoping review. A systematic screening was performed in MedLine, Embase, CINAHL, Web of Science, Scopus, and PubMed, as well as manual searches via Google Scholar, Portal Garuda, and relevant studies without language and date restrictions. The data retrieved in the literature were analyzed descriptively, and the themes were developed using NVivo software.
Results: Based on the 18 included studies, the types of grief studies in Indonesia can be divided into pre- and after-loss grief areas. Regarding the themes of the studies that have been conducted in Indonesia, five themes can be derived, related to (1) study purposes, (2) cause of grief, (3) population, (4) concept being studied, and (5) outcomes being studied.
Conclusion: There is significant room for growth in the grief research field in Indonesia. It will be vital for researchers in Indonesia to perform additional studies on pre-loss grief, other studies connected to interventional trials, and further studies examining variation in the outcomes.Latar Belakang: Satu kematian dapat menyebabkan sembilan orang mengalami dampaknya. Mempertimbangkan dampak kehilangan nyawa, studi grief dan bereavement sangat penting untuk layanan bereavement care yang lebih baik.Tujuan: Review ini mengkaji studi grief dan bereavement yang dilakukan di Indonesia. Pemetaan penelitian grief dan bereavement di Indonesia akan mengidentifikasi kesenjangan studi dan menyarankan penelitian lebih lanjut.Metode: Panduan pelaporan mengikuti pernyataan PRISMA (preferred reporting elements for systematic review and meta-analysis). Pencarian sistematis dilakukan di MedLine, Embase, CINAHL, Web of Science, Scopus, dan PubMed, serta pencarian manual melalui Google Scholar, Portal Garuda, dan studi terkait tanpa batasan bahasa dan tanggal. Data yang diambil dalam literatur dianalisis secara deskriptif, dan tema dikembangkan menggunakan perangkat lunak NVivo.Hasil: Berdasarkan 18 studi yang disertakan, jenis studi grief dan bereavement di Indonesia dapat dibagi menjadi wilayah duka sebelum dan sesudah kehilangan. Mengenai tema kajian yang telah dilakukan di Indonesia, dapat diturunkan lima tema, terkait dengan (1) tujuan kajian, (2) penyebab duka cita, (3) populasi, (4) konsep yang dikaji, dan (5) hasil yang sedang dipelajari.Kesimpulan: Terdapat ruang yang signifikan untuk berkembang dalam bidang penelitian grief dan bereavement di Indonesia. Penting bagi para peneliti di Indonesia untuk melakukan studi tambahan tentang grief sebelum kehilangan, studi lain yang terkait dengan percobaan intervensi, dan studi tambahan yang meneliti variasi hasil