Jurnal Keperawatan Padjadjaran
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Intervensi “Protect Me†Sebagai Upaya Mengatasi Dan Mencegah Kekerasan Remaja Hamil
No full textBackground: Some pregnant adolescents experience violence that has a negative impact for the pregnant adolescent itself and also their babies. It is necessary to make a health promotion intervention as an effort to prevent and control violence against pregnant adolescents.Purpose: This research aimed to analyse the influence of the health education about domestic violence named “Protect Me” on knowledge, selfefficacy, and help-seeking behavior again violence among adolescent with pregnancy.Methods: There were 37 participants of pregnant adolescents involved in violence screening. Based on the screening results, 30 participants experienced violence and agreed to involve in this research. Research with pre-experimental study design using a total sampling of 30 pregnant adolescents experiencing domestic violence from April to June 2020.Results: The results showed that 6.7% of pregnant adolescents experienced psychological, physical and economic violence and 13.3% pregnant adolescents experienced sexual violence. There was a significant difference between the level of knowledge (p < 0.001) and help-seeking behavior (p = 0.002) of pregnant adolescents after being given “Protect Me” intervention and Self-efficacy has no relation with Protect Me intervention (p = 0.186)Conclusion: The results of the research concluded that the domestic violence prevention and management efforts could be carried out by applying education based intervention “Protect Me”, to improve the knowledge and help-seeking behavior of pregnant adolescents.Remaja hamil sering mendapatkan kasus kekerasan yang memberikan dampak negatif bagi remaja dan bayinya. Mengingat pentingnya permasalahan ini perlu dibuat suatu intervensi promosi kesehatan sebagai upaya pencegahan dan pengendalian kekerasan terhadap remaja hamil. Penelitian ini bertujuan untuk mengidentifikasi adanya pengaruh intervensi “Protect Me†terhadap pengetahuan, self-efficacy tentang kekerasan perempuan dan help seeking behaviour pada remaja hamil. Penelitian dengan desain pra eksperimen: one grup pretest posttest yang menggunakan total sampling sebanyak 30 remaja hamil yang mengalami kekerasan. Hasil penelitian menunjukkan bahwa sebanyak 100% remaja hamil mengalami kekerasan psikologi, kekerasan fisik dan ekonomi sebanyak 6,7%, dan kekerasan seksual sebanyak 13,3% dan terdapat perbedaan yang signifikan antara tingkat pengetahuan dan help seeking behaviour remaja hamil setelah diberi intervensi “Protect Me†(p= 0.000 dan p= 0.002). Hasil penelitian dapat disimpulkan bahwa upaya pencegahan dan penanganan kekerasan dapat dilakukan melalui intervensi “Protect Meâ€, yaitu intervensi berbasis edukasi untuk meningkatkan pengetahuan dan help seeking behaviour remaja hami
Adaptation of Validity and Reliability of Indonesian Instruments of Attitudes Toward Suicide (Atts) with The Rasch Model Approach
No full textBackground: Indonesia has a suicide rate that continues to increase so suicide attempts need to be made. One of the early prevention steps is to find suicidal ideation. ATTS is a multi-dimensional measuring tool by measuring Cognitive, Affective and Behavioral aspects that is easy to fill, fast and precise in measuring attitudes towards suicide in the general population through large surveys than other instruments and ATTS is also not yet developed in Indonesia. Therefore, with the Rasch Model that can perform analysis at the item and respondent level, it is expected to produce a psychometric tool in preventing suicide in Indonesia.
Purpose: The purpose of this study is to test the validity and reliability of the adaptation of the Attitudes Toward Suicide (ATTS) instrument into Indonesian using the RASCH model approach.
Methods: The method used is non-experimental with an analytical observational approach which is carried out cross-sectionally using the RASCH model with winstep software. The number of samples used was 243 residents with inclusion criteria of being adults (20-40 years) and knowing about suicide cases in Plered District, one of the sub-districts in Purwakarta Regency which had several suicide cases in 2020. This instrument consists of 73 questions.
Results: The results showed a value of scale-level (S-CVI) = 0.89 and content validity ratio (S-CVR/UA) = 0.72. This value indicates a good quality of content validity. Analysis based on RASCH shows very good item reliability with a value of 0.98 but the result of person reliability is 0.27 which is caused by the lack of variation in respondents’ answers in filling out the questionnaire. This also has an impact on Cronbach’s alpha value = 0.32. The analysis is elaborated into four factors consisting of summary statistics, unidimensionality, item size, and Differential Item Functioning (DIF). The results show ideal results, but the pattern of person responses that are not diverse from the respondents causes a logit distribution that is not too far away and the variance is not large.
Conclusion: it can be concluded that the consistency of respondents’ answers is weak but the quality of the instrument questions in terms of reliability is good and can still be used to measure ATTS
Pengaruh Religiusitas, Perawatan Diri, dan Mekanisme Koping Pada Kualitas Hidup Pasien Diabetes Mellitus
No full textBackground: Uncontrolled diabetes is at a high risk for complications. This chronic complication can cause a decrease in the quality of life of DM patients. There are several factors that affect the quality of life of people with diabetes. Religiosity, self-care, and coping mechanisms together affect the quality of life. Religiosity is very important for patients to have as a foundation for maintaining quality of life. Self-care is a basic effort to control and prevent complications arising from DM. Coping mechanisms are problem-solving efforts and defense mechanisms used to protect themselves from DM problems.
Purpose: This study aims to determine the effect of religiosity, self-care, and coping mechanisms on the quality of life of DM sufferers.
Methods: This study uses a quantitative research design and a cross-sectional approach involving 130 respondents, using a total sampling technique. Data was collected using various questionnaires, including a Centrality Religiosity Scale (CRS) questionnaire, Summary of Diabetes Self-Care Activity (SDSCA), Coping Orientation to Problem Experienced (COPE), and Diabetes Quality of Life (DQOL). Inclusion criteria were patients with type 2 diabetes mellitus with blood glucose levels  200 mg/dl and patients with type 2 diabetes who had diabetes > 1 year or more. Path Analysis is used to analyze data.
Results: The religiosity of patients with type 2 diabetes has a mean of 49.47, a mean of 42.59 for self-care, a mean of 85.29 for coping mechanisms, and a mean of 42.56 for quality of life. There is an effect of religiosity (p = 0.000), coping mechanisms (p = 0.001), and self-care (p = 0.000) on the quality of life.
Conclusion: Religiosity, coping mechanisms, and self-care affect the quality of life of people with Type 2 DM. Efforts that can be made by the hospital to increase health promotion related to improving the quality of life of people with diabetes mellitus.Abstrak
Latar Belakang: Pasien diabetes mellitus yang kadar glukosanya tidak terkontrol berisiko tinggi mengalami komplikasi. Komplikasi kronis ini dapat menyebabkan penurunan kualitas hidup pasien DM. Beberapa faktor yang mempengaruhi kualitas hidup penderita diabetes adalah religiusitas, perawatan diri, dan mekanisme koping.
Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh religiusitas, perawatan diri, dan mekanisme koping terhadap kualitas hidup penderita DM.
Metode: Penelitian ini menggunakan jenis penelitian korelasional dan pendekatan cross sectional dengan melibatkan 130 responden, menggunakan teknik total sampling dengan kuesioner Centrality Religiosity Scale (CRS), Summary of Diabetes Self-Care Activity (SDSCA), Coping Orientation to Problem Experienced (COPE), dan Diabetes Quality of Life (DQOL). Kriteria inklusi adalah pasien diabetes melitus tipe 2 dengan kadar glukosa darah 200 mg/dl dan pasien diabetes melitus tipe 2 yang menderita diabetes > 1 tahun atau lebih. Analisis Jalur digunakan untuk menganalisis data.
Hasil: Religiusitas penderita DM tipe 2 memiliki rata-rata 49,47 (baik), rata-rata 42,59 (cukup baik) perawatan diri, rata-rata 85,29 (baik) mekanisme koping, dan rata-rata kualitas hidup 42,56 (cukup baik). bagus). Ada pengaruh religiusitas (p=0,000), mekanisme koping (p=0,001), dan perawatan diri (p=0,000) terhadap kualitas hidup.
Kesimpulan: Religiusitas, mekanisme koping, dan perawatan diri berpengaruh terhadap kualitas hidup penderita DM Tipe 2, upaya yang dapat dilakukan pihak rumah sakit adalah meningkatkan promosi kesehatan terkait peningkatan kualitas hidup penderita diabetes melitus.
Kata kunci: Diabetes Mellitus, Religiusitas, Mekanisme Coping, Perawatan Diri, Kualitas Hidup
Gangguan Tidur Pada Pasien Kanker Payudara: Analisis Konsep dengan Pendekatan Walker dan Avant
No full textBackground: Sleep disorders are a long-term issue for breast cancer survivors (BCS). Sleep disorders are among the top five most bothersome lasting difficulties in BCS, and they have a greater risk of sleep disorders than healthy persons and other cancer patients. Failure to understand sleep disorders in breast cancer patients causes nurses to be unable to give interventions appropriately.Purpose: To clarify the definition of sleep disorders in breast cancer survivors.Method: We comprehensively searched electronic databases from CINAHL, PubMed, and Ovid-MEDLINE. We used the eight steps from Walker and Avant to conduct a concept analysis. This approach was chosen because it gives a philosophical understanding of the concept using linguistic philosophy techniques. Model case and other cases were provided to give a conceptual definition of sleep disorders.Results: Finally, 62 studies were included. We found five antecedents of sleep disorder in breast cancer patients: psychological and emotional stress, physical symptoms, cancer treatment, lack of social support, and sociodemographic factors. This study found four common attributes of sleep disorders 1). abnormal sleep pattern, 2). troubling complaint, 3). persistent complaint, and 4). sleep difficulty. Finally, we found a reduction in quality of life as consequence of sleep disorder in breast cancer patients.Conclusion: Sleep disorders in breast cancer need attention and must be integrated into regular palliative care practices.Latar Belakang: Gangguan tidur merupakan masalah jangka panjang bagi pasien kanker payudara. Gangguan tidur adalah salah satu dari lima kesulitan bertahan yang paling mengganggu bagi pasien kanker payudara dan mereka memiliki risiko gangguan tidur yang lebih besar daripada orang sehat dan pasien kanker lainnya. Kegagalan memahami gangguan tidur pada pasien kanker payudara menyebabkan perawat tidak dapat memberikan intervensi yang tepat.
Tujuan: Analisis konsep ini bertujuan untuk memperjelas pengertian gangguan tidur pada pasien kanker payudara.
Metode: Pencarian literatur telah selesai dan data dikumpulkan menggunakan database CINAHL, PubMed, dan MEDLINE. Delapan langkah analisis konsep dari Walker dan Avan digunakan untuk mengidentifikasi atribut, anteseden, dan konsekuensi. Contoh model dan kasus diberikan untuk memberikan definisi yang lebih detail tentang konseptual gangguan tidur.
Hasil: Ditemukan 62 penelitian yang sesuai dengan kriteria inklusi. Terdapat lima anteseden gangguan tidur pada pasien kanker payudara yaitu: stres psikologis dan emosional, gejala fisik, pengobatan kanker, kurangnya dukungan sosial, dan faktor sosiodemografi. Atribut dari gangguan tidur adalah 1). pola tidur yang tidak normal, 2). keluhan yang mengganggu, 3). keluhan persisten, dan 4). kesulitan tidur, dan konsekuensi adalah penurunan kualitas hidup.
Kesimpulan: Gangguan tidur pada kanker payudara perlu mendapat perhatian, dan perlu dimasukkan ke dalam praktik rutin dalam evaluasi perawatan paliatif.
 
Artificial intelligence as an educational media to improve adolescent reproductive health: Research and development studies
No full textBackground: Cognitive accessibility, psychosocial accessibility, and geographic accessibility are all barriers to adolescent sexual and reproductive health services. Cognitive accessibility, as an educational medium, provides access to comprehensive adolescent reproductive health information. This study aimed to turn a textbook into a learning module for adolescent reproductive health using artificial intelligence.
Methods: The study used the Borg and Gall Research and Development design. Purposive sampling was used to select the trial sample of students, teachers, and media experts at Muhammadiyah Junior High School 4 Margahayu, Bandung Regency. Interviews, validation sheets, and questionnaires were used to collect data. The data analysis technique was carried out based on the validation analysis results of media and material experts, as well as the module's feasibility according to students.
Results: At the research and information gathering stages, the research results were obtained by incorporating material from the previous module on menstruation and sexually deviant behavior, particularly LGBT. The planning stage included application aspects, materials, and usage instructions. With the addition of revised trial results in practice questions and adapted religious materials, the development results show that the module is ready for use.Conclusions: According to the results of the study, the adolescent reproductive health learning module using Artificial Intelligence was appropriate as an educational medium. It is suggested that the press be improved in terms of media display and comprehensive material
The relationship between illness perceptions, self-management, and quality of life in adult with type 2 diabetes mellitus
No full textBackground: Few studies have examined the association between illness perception, self-management, and quality of life in adults with type 2 Diabetes Mellitus (DM), especially in resource-limited countries such as Indonesia.
Purpose: This study aimed to evaluate the relationship between illness perception, self-management, and quality of life in adult with type 2 DM in Indonesia.
Methods: The inclusion criteria were adult aged over 18 years old and diagnosed with type 2 DM. Convenience sampling was used in this study. A total of 351 patients with type 2 DM was recruited (response rate= 97.50%). This study used the following instrument: World Health Organization Quality of Life-BREF (WHOQOL-BREF), The Brief Illness Perception Questionnaire (B-IPQ), and Diabetes Self-Management Questionnaire (DSMQ). A Hierarchical regression models were constructed by using the score of overall QOL and those for each domain as the dependent variables.
Results: The mean age was 54 (SD=8.14) years old and the mean time living with type 2 DM was 92 (SD=82.88) months. Higher illness perception score was significantly associated with lower physical health scores (β = -.395, SE = .096), psychological health (β = -.365, SE = .110), social relationships (β = -.363, SE = .138), and environment health (β = -.367, SE = .105).
Conclusion: The findings indicated that poorer illness perceptions are associated with a lower quality of life. The findings establish a foundation for future interventions aimed at altering illness perceptions in order to promote self-care and improved quality of life in people with diabetes
The impact of domestic violence on cognitive and psychological development of children: A scoping review
No full textBackground: Domestic violence is an incident that affects all family members, including children. The impact of domestic violence needs to be identified from the beginning, so that early treatment can be given. The purpose of this study was to describe the impact of domestic violence on child development. Purpose: The purpose of this study was to explore the coping strategies of adolescents with divorced parents.Methods: This study used the Scoping Review method. Literature were sourced from CINAHL, PubMed, and Scopus. The keywords are “domestic violence” AND “child” AND “impact”. The criteria for articles in this study are full text, free access, English language, and the publication period of the last 10 years (2013-2022). Results: Nine articles were found discussing the impact of domestic violence on children's development, namely the psychological impact, social impact, and the impact on school life. Several samples from UK ranged from 8-336 respondents. These impacts occur due to trauma events in children that are not treated immediately. The impact will be even worse if there is no immediate intervention to reduce the impact of domestic violence. Conclusions: Domestic violence can cause disturbances to the development of children including psychological impacts, social impacts, and impacts on school life
The Effect of Pelvic Rocking Exercise and Buteyko Exercise on Reducing Primary Dysmenorrhea Pain Levels
No full textBackground: Dysmenorrhea is cramping pain and is often followed by lower back pain, nausea and vomiting, headache and diarrhea. Dysmenorrhea refers to the overall pain symptoms that arise during menstruation, there are 2 types of dysmenorrhea, namely, primary and secondary dysmenorrhea. is a cyclic menstrual pain without pathological abnormalities in the pelvis is called Primary dysmenorrhea. There are 2 types of Management primary dysmenorrhea which are pharmacological and non-pharmacological. The treatment for Non-pharmacological can be done with pelvic rocking exercise and Buteyko Exercise. The movements in pelvic rocking exercise and Buteyko Exercise can stimulate the body to release endorphins which function as natural sedative hormones, and can also facilitate blood flow to the uterus so that pain is reduced.
Purpose:The effect of pelvic rocking exercise and Buteyko Exercise on reducing pain in primary dysmenorrhea was the purpose of this research.
Methods: This research is a quantitative study with a quasi-experimental design, pre-test and post-test designs. Nonequivalent control group design. The amount of the sample are 58 people by using purposive sampling technique. The research instrument used a standard operating procedure sheet for pelvic rocking exercise and Buteyko Exercise, a monitoring sheet, a stop watch and a numeric rating scale pain measurement sheet. The hypothesis is tested by using the independent T Test.
Results: Before the intervention, the p-value was 0.063. The results of this research was p value 0.001.
Conclusion: This research can also be used as input for nurses to make new decisions in improving the quality of nursing care with non-pharmacological therapeutic approaches. There is an effect of pelvic rocking exercise and Buteyko Exercise on reducing pain in primary dysmenorrhea. The results of this research can be used as a contribution of thoughts and references as a more in-depth study of pain reduction in primary dysmenorrhea
Life Experiences of Borderline Personality Disorder Survivors in the Recovery Process: A Qualitative Study
No full textBackground: Borderline Personality Disorder (BPD) is a personality disorder with the main symptoms of emotional instability, impulsive behavior, negative self-concept, and impaired interpersonal function. Recovery in BPD is directed at the existence of satisfaction and meaning in life even with limited conditions due to symptoms of the disorder that still exists.
Purpose: The aim of this study is to explore the life experiences of BPD survivors in their recovery process.
Methods: This research is a qualitative research with a phenomenological approach. In-depth interviews were conducted with 10 BPD survivors from the Indonesian BPD Community. The research was conducted from August to November 2021 and interviews were conducted using Zoom Meeting. Interview transcripts were analyzed using the Colaizzi method.
Results: Six themes were extracted in this study, namely, the recovery process is not found alone, difcult to understand and love oneself, difcult to build stable relationships with others, journey to peace with oneself, the most painful experience that comes from the closest people and the experience of mental health services in Indonesia.
Conclusion:The process of self-identification is the first step in the recoveryprocess in an individual’s journey with BPD. The available support systemhelps BPD survivors to be able to adapt to the experience resulting fromBPD symptoms. It is necessary to increase the knowledge of nurses aboutBPD in order to be able to provide good nursing care.Background: Borderline Personality Disorder or BPD is a personality disorder with the main symptoms are emotional instability, impulsive behavior, negative self-concept, and impaired interpersonal function. Recovery in BPD is directed at the existence of satisfaction and meaning in life even with limited conditions due to symptoms of the disorder that still exists.Purpose: The aim of this study is to explore the life experiences of BPD survivors in their recovery processMethod: This research is a qualitative research with a phenomenological approach. In-depth interviews were conducted with 10 BPD survivors from the Indonesian BPD Community. Interview transcripts were analyzed using the Colaizzi method.Result: Six themes were extracted in this study, namely, the recovery process is not found alone, it is difficult to understand and love oneself, it is difficult to build stable relationships with others, the journey to make peace with oneself, the most painful experiences that come from the closest people and the experience of mental health services in Indonesia.Conclusion: The process of self-identification has been the first step in an individual's journey with BPD in the recovery process. The available support system has helped BPD survivors to be able to adapt to the experience resulting from BPD symptoms. It is necessary to increase the knowledge of nurses about BPD in order to be able to provide good nursing careKeyword: borderline personality disorder, life experience, recover
Determinant of Effective Family Communication among First-Grade High School Adolescents Aged 15 - 16 Years: A Multi-Centre Cross-sectional Study
No full textBackground: Family communication can become a support system for adolescents. Ineffective communication in the family causes emotional problems and poor psychological well-being in adolescents.
Purpose: This study aimed to analyze the determinant factor of effective family communication in adolescents.
Methods: This was a cross-sectional multi-centre design with 357 participants aged 15-16 from fve high schools in Indonesia. We used the convenience sampling method to select participants. Communication in the family questionnaire, Rosenberg Self Esteem Instrument, Depression Anxiety Stress Scale (DASS-21), and the Scale for Suicide Ideation (SSI) questionnaires were used to measure communication within the family, selfesteem, stress, anxiety, depression, and suicide ideation, respectively. Data were analyzed using Chi-square and binary logistics regression.
Results: Most of the adolescents were male (52.1%), had harmonious families (96.6%), had economic status above the minimum wage (65.5%), had high self-esteem (88.5%), and had high social support (67.8%). However, in terms of mental health problems, as many as 47.3%, 74.2%, 72%, and 30.5% of adolescents experienced stress, anxiety, depression, and suicidal ideation, respectively. The multivariate analysis concluded that gender (AOR: 0.499; 95% CI: 0.294-0.847) and socioeconomic status (AOR: 0.2.162; 95% CI: 1.296-3.608) were signifcantly correlated with family communication.
Conclusion: Males adolescents are more likely to have ineffective family communication than female adolescents. Also, adolescents with a family socioeconomic status below the minimum wage have a greater risk of ineffective family communication. Therefore, it is essential to improve family communication through assertive communication training in adolescents and families in the educational and community setting