Jurnal Keperawatan Padjadjaran
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Malnutrition: Undernutrition or overnutrition?
No full textThe definitions and terminology related to malnutrition need to be clarified. The Academy of Nutrition and Dietetics (Academy) and the American Society of Parenteral and Enteral Nutrition (ASPEN) have classified clinical nutrition into malnutrition (undernutrition), sarcopenia, frailty, and overnutrition (overweight and obese). In addition, determining indicators for determining diagnoses related to malnutrition also needs to be clarified. Thus, this information can be used by nurses and other health workers to be able to provide appropriate planning and interventions for patients with malnutrition
Family Experience of Stroke Patients Regarding Prehospital Time: A Phenomenological Study
No full textBackground: Stroke is a neurological disease that requires immediate treatment, and family participation is very important when a stroke occurs at home.
Purpose: This study aims to explore the pre-hospital time experiences of patients’ families with stroke in Kolaka Regency.
Methods: The study is a qualitative research with a phenomenological design. A total of 8 participants from families of stroke patients were recruited using a purposive sampling approach. Source triangulation was used in this study from stroke patients. Data were collected through in-depth interviews using audio-recorded then transcribed verbatim and validated between researchers. The data were analyzed using colaizzi method with a selective and focused analysis approach to obtain themes.
Results: There are two themes of this study, the first theme is responses of stroke and the second theme is medical treatment.
Conclusion: It is important that family members have a good response and knowledge so that when one of their family members has a stroke, they can be taken to the hospital at the right time. Our suggestion is that it is necessary to increase family knowledge about stroke to minimize the delay in stroke rescue time
The Comparing of Problem-Based Learning and Lecture-Based Learning on Students’ Learning Outcomes and Satisfaction for a Family Health Nursing Course
No full textBackground: Problem - Based Learning (PBL) is a method of student-centered learning. In PBL, students become centered to the learning process, whereas the teacher is the center of learning in lecture-based learning (LBL). Purpose: This study aimed to compare the effects of PBL and LBL on students’ learning outcomes and satisfaction on an undergraduate nursing course. Methods: Quasi-experimental study. Participants included 161 students from two different classes of the course; in 2013, as a control group (n = 88) and in 2014 as an intervention group (n = 73). Both groups received LBL, which is practice in the lab and clinic, but the intervention group also received PBL. Secondary data analysis of students’ learning outcomes was measured using students’ learning progress in tests from lecture (theory, paper, laboratory, and clinical), while students’ satisfaction was measured using teaching method evaluation from students. Results: Students’ learning outcomes (theory, laboratory, and clinical) in the PBL group were significantly more than in the control group (p<0.001), whereas paper lesson outcomes were higher in control group compared to the intervention group (t=6.43; p<0.001; 95% CI=1.46-2.76). There was more satisfaction with the PBL method. There was no relationship between students’ satisfaction and learning outcomes (p>0.05). However, students considered greater satisfaction in PBL compared to LBL. Conclusions: In problem-based learning, students contributed a lot to solving the problem and getting the skills and knowledge they needed. Students are also expected to be motivated
English
No full textBackground: COVID-19 is a respiratory infection that has claimed the lives of many people. It caused many changes in society; it impacted physically, emotionally, and most of all socially. The impact can be light or severe, depending on the severity of the diseases and the individual ability to cope with the disease. Although many died from this disease, many also survived. Â
Purpose: This study aims to explore the experiences of COVID-19 survivors. The results of this study can be used as actual information to all levels of society in understanding the COVID-19 phenomenon.
Methods: This study is a qualitative study with a phenomenological approach. The population is COVID-19 survivors with 14 participants that have been selected by snowballing technique.
Result: Survivors of COVID-19 experience physiological, psychological, social and spiritual impacts. The treatment received by the survivors is based on the symptoms experienced and fluid therapy to maintain fluid balance for patients who do not have a good appetite, and as a course of injection drugs. Survivors received support and comfort from doctors, nurses, family, friends, co-workers, superiors, and even from students. It was also found that the survivors admitted that suffering from COVID-19 they experienced a closer relationship with their family, more care and attention. It was also found that there was a last request if the survivor died. Survivors express the meaning of life felt by survivors of COVID-19 as a bitter experience, and a second chance that must be used to as full an extent as possible. There were also recommendations from the survivors.
Conclusion: There were 19 categories e found and put into six themes, namely the impact of exposure to COVID-19, treatment and remedies, support and comfort, interpersonal relationships, will and the essence of lifeLatar Belakang: COVID-19 merupakan penyakit infeksi saluran pernapasan yang telah merenggut nyawa banyak orang. Hal ini menyebabkan banyak perubahan dalam dimensi kehidupan masyarakat. Sebelumnya, penyakit ini menakutkan dan telah mengubah banyak aspek dimensi kehidupan manusia yang berdampak baik secara fisik, emosional, dan terutama secara sosial. Dampaknya bisa ringan atau berat, tergantung pada tingkat keparahan penyakit dan kemampuan individu untuk mengatasi penyakitnya. Meski banyak yang meninggal karena penyakit ini, banyak juga yang bertahan.
Tujuan: Penelitian ini bertujuan untuk mengeksplorasi pengalaman para survivor COVID-19. Hasil penelitian ini dapat dijadikan sebagai informasi aktual kepada seluruh lapisan masyarakat dalam memahami fenomena COVID-19.
Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologis. Populasinya adalah survivor COVID-19 dengan jumlah peserta sebanyak 14 orang yang telah diseleksi dengan teknik bola salju.
Hasil: Para penyintas COVID-19 mengalami dampak fisiologis, psikologis, sosial dan spiritual. Pengobatan yang diterima oleh para penyintas didasarkan pada gejala yang dialami dan terapi cairan untuk menjaga keseimbangan cairan bagi pasien yang tidak nafsu makan, dan sebagai pengobatan suntik. Para penyintas mendapat dukungan dan penghiburan dari dokter, perawat, keluarga, teman, rekan kerja, atasan, bahkan dari siswa. Ditemukan juga bahwa para penyintas mengakui bahwa dengan menderita COVID-19 mereka mengalami hubungan yang lebih dekat dengan keluarga, lebih peduli dan perhatian. Ditemukan juga bahwa ada permintaan terakhir jika survivor meninggal. Survivor mengungkapkan makna hidup yang dirasakan para survivor COVID-19 sebagai kesempatan kedua yang harus dimanfaatkan semaksimal mungkin.
Kesimpulan: Terdapat 19 kategori yang ditemukan dan dimasukkan ke dalam enam tema yaitu dampak terpapar COVID-19, pengobatan dan pengobatan, dukungan dan kenyamanan, hubungan interpersonal, kehendak dan esensi kehidupan
A rare case of Fahr's syndrome with dissociative amnesia
No full textBackground: Fahr's syndrome (FS) is a movement and psychiatric disorder characterized by symmetrical and bilateral calcification of the basal ganglia. Dissociative amnesia is a rare psychiatric disorder that occurs after stressful events and is classified as a dissociative disorder. In addition, dissociation is the process by which the mind conceals stressful events from consciousness. Several neuropsychiatric manifestations in FS have been reported. However, due to their rarity, FS and dissociative amnesia can be misdiagnosed.
Case: A 43-year-old female presented with Parkinsonian symptoms and an inability to recall important personal information. FS and dissociative amnesia were diagnosed after a thorough medical, psychiatric, and diagnostic investigation. Subsequently, correction of calcium and phosphate levels by α-hydroxy-vitamin-73 D3 and psychotherapy were administered for two-months until there were no neuropsychiatric symptoms reported.
Conclusion: This research highlights a rare case of FS with dissociative amnesia which pathophysiology is not completely understood due to limited research
Model of Spiritual Culture of Madurese People in Resilience and Adaptation of New Normal
No full textBackground: From the beginning of its initial appearance until mid-2021, Corona Virus Disease-19 (Covid-19) is a feared outbreak around the world, including in Indonesia and particularly in Madura. The negative perception of stress will further weaken self-strength both physically and mentally so that resilience and coping mechanisms tend to be maladaptive.
Purpose: This study aimed to analyze the spiritual culture of Madurese communities in resilience and physical health.
Methods: This analysis will later become the basis in the formulation of a model of spiritual cultural towards resilience, and physical health. In the design of explanatory observational research, the first stage is to explain the construct and its contributing indicators. The second stage is to conduct FGD with respondents as well as to consult with experts. The population is a community on the island of Madura with a sample consisting of 400 respondents using probability sampling, namely cluster random sampling based on a predetermined population area. The exogenous variable is the culture of spirituality. Endogenous variables are resilience and physical health. Data were collected using questionnaire research and analyzed using structural models with SmartPLS (Partial Least Square) software.
Results: The results showed that spirituality culture factors had a positive effect on resilience with a coefficient of 0.449. Spirituality culture factors had a positive effect on physical health with a coefficient of 0.161, and resilience factors had a positive effect on physical health with a coefficient of 0.172.
Conclusion: This indicates that the higher the spiritual culture of the Madurese community, the higher the resilience, psychological well-being, and physical health, especially during the COVID-19 pandemic
Analysis of the Satisfaction of Nursing Students towards E-learning of the Medical-Surgical Nursing Subject during Pandemic
No full textBackground: The whole world is dealing with the covid-19 pandemic. Therefore, the government has taken a policy to transform the education system from in-class to remote learning. Nursing students are adapting to this system, maintaining learning activities through unfamiliar online methods. One of the subjects they take during this pandemic is Medical-Surgical Nursing. This online learning system has created new challenges in the teaching-learning process on the Medical-Surgical Nursing subject. Students tend to feel disinterested, which leads to a sense of dissatisfaction during online learning.
Purpose: This study aimed to analyse the satisfaction of nursing students towards e-learning of the Medical-Surgical Nursing subject during the pandemic.
Methods: This research used descriptive analysis with a cross-sectional research design and used a self-administered questionnaire. The samples of 300 respondents were nursing students at private and public universities in Denpasar. The research started from January to July 2021 from proposal making to data processing This study used univariate and bivariate analysis involving the logistic regression test.
Results: There is a relationship between the variables of accessibility, understanding the material, interactivity, and method accuracy. The regression equation is -5.336 + 0.011 for Accessibility, + 0.474 for Material, + 0.021 for Interactivity, + 0.150 for Utility, and - 0.093 for Self-Reliance.
Conclusion: The conclusion in this research is that the convenience of obtaining materials is the most significant relationship
Impact of Resilience on Psychological Well-Being In Breast Cancer Patients Undergoing Chemotherapy
No full textBackground: The most commonly used therapy for breast cancer is chemotherapy. Chemotherapy has physical and psychological side effects that affect the psychological well-being of the patient. Resilience plays an important role in changing psychological well-being. Cancer patients who have low levels of resilience will show negative psychological well-being and vice versa. However, the condition of cancer patients undergoing chemotherapy is not yet known whether resilience can change psychological well-being so that they can adapt to the stressors of chemotherapy.
Purpose: This study aims to analyze the relationship between resilience and psychological well-being of breast cancer patients undergoing chemotherapy.
Methods: This study was conducted using an observational analytic method with a cross-sectional approach. The population in this study were breast cancer patients who underwent chemotherapy sessions 2-6 at one of the hospitals in Malang, Indonesia. A sample of 62 people was obtained by using a stratified random sampling technique based on the chemotherapy sessions the patient underwent. Data Collection used the Connor-Davidson Resilience Scale questionnaire. Data analysis procedures were carried out in univariate and bivariate ways (lambda correlation test).
Results: The Univariate analysis showed that the lowest resilience was experienced by respondents who underwent the second chemotherapy session and the bivariate analysis showed that there was a positive correlation between resilience and psychological well-being with p=0.039 and r=0.267. This means that the higher a person’s resilience, the greater the chance of having positive psychological well-being.
Conclusion: This study shows that the higher the resilience, the greater the probability of experiencing positive psychological well-being. While the higher the resilience, the more likely it is to experience positive psychological well-being. It is recommended that patients who will undergo chemotherapy are given education related to therapy so that low resilience is not experienced at the beginning of chemotherapy
The Correlation between Feeding Habit Factor and The Incidence of Stunting in Children Under Five Years
No full textStunting becomes one of the prior nutritional problems in Bangka Belitung Islands Province, especially West Bangka Regency with a high stunting rate. Feeding habit in children will continuously influence nutrition fulfillment that will directly affect the incidence of stunting. This study aimed at identifying the correlation between feeding habit (beliefs, feeding practices, and children’s eating behavior and the incidence of stunting in children under five years in West Bangka Regency. This was a quantitative study with across-sectional approach. The total sample was 186 respondents taken using a consecutive sampling technique. The instruments for data collection were height measuring instrument, height-for-age graphic according to WHO 2006 to see the z-score and the under-five children’s characteristics questionnaire, a questionnaire of food beliefs, feeding practices questionnaire (CFQ), and child eating behaviour (CEBQ). The analysis in this study used a Chi-Square test. The result showed that there was a significant correlation between child eating behavior and the incidence of stunting in children under five in West Bangka Regency with a p-valueof 0.001 (p<0.05) and an OR of 4.89. It indicates that the low eating behavior in children under five has a possibility of 4.89 times higher to experience stunting than the high eating behavior. Also, there is no correlation between mothers’ beliefs and feeding practices with the incidence of stunting (p-value of 0.2 & 0.7 respectively). This study is expected to form a peer group for the community of under-five children’s families to prevent and improve the children’s nutritional status and development optimally
The Lived Experiences of Adolescents Living with a Schizophrenic Mother
No full textThe character building and the development of adolescents are greatly influenced by their mothers. Adolescents who have a schizophrenic mother can undergo problems in their development. This study aimed to explore the lived experiences of adolescents who live with a schizophrenic mother in Bandung. This is a qualitative study with a phenomenological approach. In-depth interviews were conducted with six adolescents aged 17-24 who live with a schizophrenic mother in Bandung. Interview transcripts were analyzed using the Colaizzi method. Eight essential themes emerged in this study. The participants were experiencing various negative emotions while living with their mother and lack of mother-child attachment, but they kept on trying to accept the mother’s condition. They expected that there will be no stigma toward their mother. They needed supports and a friend who could understand and give advice. Notwithstanding the negative situations, they could find a lesson behind the hardship and the father became the source of inspiration. Getting supports from the father and having good friends are the main keys for them to survive. The implications for nursing practice are the need to provide health education programs to help adolescents manage emotions, the development of family-focused care programs, and peer-support groups. Further research is needed in Indonesia to develop appropriate interventions to address mental health problems for adolescents who have schizophrenic mothers in Indonesia