Jurnal Keperawatan Padjadjaran
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The Effect of Lateral Position with Head Up 45° on Oxygenation in Pleural Effusion Patients
No full textBackground: The accumulation of fluid in the pleural cavity will interfere with the restriction process, namely disruption of lung expansion so that the air entering the lungs is less than normal. One of the effects is shortness of breath and a decrease in oxygen saturation. In this case, nursing actions play an important role in inadequate ventilation, namely positioning. The lateral position is one of the recommended positions for patients with unilateral lung disease, one of which is unilateral pleural effusion. Position selection is very important to facilitate adequate breathing, namely one with a head-up of 45°. According to some literature, the 45° head-up position can reduce consumption and maximize lung expansion which will result in greater ventilation.
Purpose: To determine the effect of the lateral position with a head-up 45° on oxygen saturation and respiratory rate in a patient with unilateral pleural effusion at the Dr. H. A. Rotinsulu Lung Hospital Bandung.
Methods: The research design was a quasi-experimental design with one group pre and post-test design with a sample of 44 people. The sampling technique used consecutive sampling. The results showed that there were differences in median oxygen saturation and respiratory rate before and after the intervention.
Results: The results of a comparative study using the Wilcoxon test obtained a p value of 0.0001 (p value<0.05). There is an effect of giving a lateral position with a head-up 45° on increasing oxygen saturation and decreasing respiratory rate.
Conclusion: Thus, it is expected for the service unit to establish a lateral position in the direction of the effusion with a head-up of 45° as the operational standard for the management of unilateral pleural effusion impaired oxygenation patients
Analysis The Student Perception of Application Clinical Skills Online Learning in The Pandemic Time Covid-19
No full textBackground: Government policies that apply social distancing, work from home, and learn from home to prevent the spread of the Covid-19 corona virus have an impact on learning methods. Clinical learning methods in pre-pandemic health education are carried out in campus laboratories and direct clinical services to patients. Thus, in this condition, the provision cannot be implemented.
Purpose: For this reason, it is necessary to modify the learning method from offline to online to meet the continuity of the student learning process.
Methods: In the first stage, the clinical skills online learning method using online videos is supported by lecturers’ explanations in a 120-minute meeting. In the second stage, students are given the task of making videos of procedural skills that have been taught in 170 minutes, with a video duration of 10-15 minutes. At the next meeting, a review or response is carried out with students on the standard operating procedure and the theory that underlies it. The design in this study is a descriptive analysis with 511 respondents from the medical education study program and the nursing diploma 3 study program at the Faculty of Medicine, Mulawarman University. The research used was 44 items of statement questionnaire that had been tested for validity and reliability, and questionnaire items were sent to respondents via Google Forms.
Results: From the results of this study, there is a significant relationship between the perceptions of students who apply clinical skills online learning seen from the effectiveness of learning in the Covid-19 pandemic era with p-value = 0.000, with a very strong relationship with the Spearman value rho of 0.791 in a positive direction.
Conclusion: Thus, it can be concluded that the application of online clinical skills learning during the Covid-19 pandemic was effective. As a suggestion, clinical learning methods with various blended learning or hybrid learning methods should be modified
The Experience of Health Care Workers Infected by Corona Virus Diseases-19
No full textBackground: The number of health workers on the front lines have been affected by COVID-19 and some of them have been infected by COVID-19 since the outbreak of COVID-19. Understanding healthcare workers experience is important to get their meaning and expression.
Purpose: The purpose of this study is to explore the experiences of healthcare workers infected by COVID-19.
Methods: Qualitative phenomenological approach is carried out in this study with phenomenological analysis for data interpretation. Data collection was carried out by in-depth interviews with 12 health workers who were infected by COVID-19 both during treatment and after being treated at a non-government hospital in Jakarta, Indonesia.
Results: We found five themes followed by fourteen subthemes. The themes were (1) The meaning of COVID-19 for her/himself, (2) The first feelings of being infected by COVID-19, (3) Experience of Clinical symptoms, (4) Experience of psychological and social disorders, (5) Experience in accessing health services.
Conclusion: Health workers infected by COVID-19 have had several positive and negative experiences. This research can provide an in-depth understanding of the lives of health workers infected by COVID-19. Proper planning and support is important to reduce health worker problems both physically and psychologically
Analysis of Factors Affecting Commitment and Ability of Families to Early Detection in Stunting
No full textBackground: Stunting is a public health problem in the world, stunting will have an impact on the growth and development of children. The first 1000 days of life are important to prevent stunting, this is a period when the child’s body system experiences physical growth, intelligence, and children’s abilities.
Purpose:This study aims to analyze the factors that influence family commitment and ability to detect stunting.
Methods: A cross-sectional study was conducted on 130 respondents in public health center, Surabaya, Indonesia. Data was collected through a questionnaire via Google form, anonymous online research questionnaire was collected through social media, such as Telegram, WhatsApp, Facebook which was conducted from June to September 2020. Data were analyzed using SPSS software version 21 with multivariate logistic regression.
Results: The dominant factor affecting the commitment in early detection of stunting was community resources (p = 0.006; CI 95% = 0.888 - 4.272). Supporting (p = 0.000; CI 95% = 1.757-79.610), empowering (p = 0.000; CI 95% = 0.603 - 18.363) and enabling (p = 0.000; CI 95% = 0.395 - 4.869) were dominant factors that affected the ability to detect early stunting.
Conclusion: The behavior of commitment and willingness in early detection of stunting in children is an important role that every parent must have with full support from the family. The main factor influencing family commitment is community resources and the main factor is the willingness of early detection to support, empower and enable families to provide care for their children
Fear of Covid-19 Related Factors among Females in Indonesia: An Online Survey
No full textBackground: The COVID-19 pandemic is a highly infectious flu outbreak which spread rapidly around the world. COVID-19 outbreak caused panic and is predicted to increase the prevalence of mental illnesses such as depression and anxiety disorder . Along with increased anxiety and decreased mood, increased fear has been detected.
Purpose: To analyze the fear of COVID-19 related factors and measure the level of fear among women in Indonesia.
Methods: This is a cross-sectional study with 242 women who was implemented using the fear of COVID-19 instrument. A convenience sample was utilized and was recruited via an online WhatsApp through personal text to the potential respondents. The respondents stated their agreement to participate on the Google form before proceeding to fill in the data and answer the instrument items. The analysis was carried out to obtain the frequency distribution, mean and P-value. The mean score of each instrument item and the overall items were calculated and compared based on demographic data using t-test for two variables and analysis of variance (ANOVA) for three or more variables. Furthermore, the scores obtained were categorized into low and high fear levels based on the overall mean, where scores from 0-17 were categorized as low-level fear and 18-35 as high-level fear.
Results: The results showed that 90.9% of the respondents were within the age range of 15-25 years, with the majority being students. Based on the results of statistical tests, it was discovered that question 3 (Q3) and question 4 (Q4) were the two items that affected the level of women’s fear to COVID-19. Furthermore, the results of statistical tests using ANOVA showed that occupation (P-Value of 0.01) and age (P-Value of 0.004) has a significant effect on the fear of COVID-19. In addition, based on the overall score calculation showed that 72.3% samples have high-level fear and 27.7% has low-level fear. Based on the results of this study, it was discovered that women’s age and occupation influence the level of fear to COVID-19.
Conclusion: This study highlighted the significance of pandemic related fear and can inform the development of future women’s health studies
The Structure, Process, and Outcome of Mentorship on Survivor with Schizophrenia: A Case Study
No full textThe personal recovery paradigm in schizophrenia patients require a change of service. One of the changes that can be made to support the schizophrenia recovery process is a change in the concept of the relationship between patients and nurses. Nurse mentorship for schizophrenia patients is a new terminology of innovation in a supportive relationship between health workers and patients. At present, it is not known how the structure, process, and outcome of mentorship to schizophrenia survivors. This study aimed to explain how the structure, process, and outcome of mentoring nurses to schizophrenia survivors. This research is qualitative research using the case study method involving three cases of mentorship conducted in Banyumas Regional Hospital. A total of nine participants were involved in this study which consisted of three nurses as mentors, three schizophrenia survivors, and three caregivers. Data were collected by semi-structured interview techniques, observation, and document review. After in-depth analysis seven research themes were found. Participants’ perception about the structure of mentorship include the theme mentorship requires a variety of abilities of nurses and conditions of survivors who can participate in mentorship. While the mentorship process includes the theme requires patience in mentorship, giving guidance for the recovery of survivors, and facing the recurrence of survivors due to treatment factors. Participants revealed the outcome of mentorship in the theme mentors feel inner satisfaction, and survivors feel more enthusiastic about life. The results of this study provide the view that mentorship has the potential to be developed into quality nursing interventions to support the recovery process of schizophrenia survivors
Severity Level and Quality of Life of Post-Acute Coronary Syndrome Patients
No full textBackground: Severity level is one of the variables used to determine the treatments of acute coronary syndrome patients. There are many ways to see the success of treatment such as measuring the patient’s quality of life.
Purpose: This study aims to determine the correlation between severity level and quality of life among patients with post-acute coronary syndrome at Hasan Sadikin Central Hospital Bandung.
Methods: This research was a quantitative study with a descriptive-analytic approach. Sampling of 100 patients with post-acute coronary syndrome patients was collected during a period of one month using consecutive sampling technique. The severity was assessed based on the stenosis number and the quality of life data were collected using the MacNew QLMI. Somers’d Gamma was used to analyze the data.
Results: Data showed that most of the patients had angina without stenosis (36%) and coronary 1 stenosis (29%). The results of the quality of life measurement show that 58% patients have a good quality of life, 64% are good in the emotional domain, 52% are good in the physical domain, and 60% are good in the social domain. Bivariate analysis (CI 95%) showed that there was a significant correlation between severity level and quality of life (p-value 0.033), as well as with the physical domain (p-value 0,008).
Conclusion: There is a correlation between severity level and quality of life of post-acute coronary syndrome patients in Hasan Sadikin Central Hospital Bandung. Based on the quality of life domain, the severity level was significantly related to the physical-domain. Regular screening is necessary to improve the quality of life of post-acute coronary syndrome patients
The Influence of Gong Waning Music Therapy toward Anxiety in Patients with Acute Coronary Syndrome
No full textAnxiety becomes a psychological response when there is an attack and becomes a cause to bad treatment of Acute Coronary Syndrome (ACS) patients. Music therapy interventions to reduce anxiety need to be considered because it has no harmful effects. The study aimed to analyze the influence of gong waning music therapy toward anxiety in patients with ACS in Regional Public Hospital of dr. T.C. Hillers Maumere. The research design was quasi experimental with non-equivalent control group design. The sample was 32 patients divided into 2 groups with 16 patients per group taken by using purposive sampling technique. The intervention was implemented in three days. State Trait Anxiety Inventory (STAI) was used as the instrument of the study. The study used paired t-test, independent sample t-test and repeated anova for data analysis. The study showed that experimental group’s trait anxiety and state anxiety were reduced (p 0.000 and 0.001). There was a difference on anxiety in experimental and control group (p 0.043 and 0.049). There was a bigger decrease of anxiety level in experimental group and it was statistically significant (p 0.000). The findings proved to support intervention of traditional music therapy to reduce anxiety. Nurses should not only focus on physical problems and ignore anxiety. It is hoped that nurses can use music therapy as a non-pharmacological adjunct therapy to help reduce anxiety of ACS patients
Risk Factors of Maternal Nutrition Status During Pregnancy to Stunting in Toddlers Aged 12-59 Months
No full textMaternal nutrition status during pregnancy highly contributed to risk factors of stunting among children. Bone ossification approximately begins in the sixth weeks of embryonic development and continues to the end of pregnancy. However, inadequate nutrient supply in pregnant women harmed fetal growth. The study aimed to identify the association between pregnant women’s nutrition status and stunting. The case-control study using the retrospective design involved mothers with children aged 12-59 months. A proportional random sampling technique was applied to select participants. The sample was 80 toddlers, divided into 40 stunted, and 40 non-stunted toddlers. Data were taken from 27 April to 3 May 2019 through observations following the Mother and Child Health handbook and children’s height. Weight gain calculation during pregnancy determined the maternal nutrition status, referred to as maternal pre-pregnancy body mass index. The univariate analysis used frequency distribution, while bivariate analysis used the chi-square test. This study obtained approval from The Health Research Ethics Committee of the Institute of Health Science of General Achmad Yani, Cimahi. The mothers’ poor nutritional status caused as many as 85% of stunted toddlers’ prevalence during pregnancy. Results showed that maternal nutritional status during pregnancy was significantly associated with stunting among children (p-value: 0.000). The OR value was 13,222, which means children born to mothers with inadequate nutrient supply during pregnancy were more likely to be stunted as much as 13,222 times, than children born to mothers who had good nutrient supply. It is recommended that health workers prevent stunting from pregnancy by providing supplementary food to pregnant women, and promoting the health of the maternal nutritional status during pregnancy. Suggestions for pregnant women is to increase nutrient intake and nutritional status during pregnancy to prevent stunting in children
Symptom Burden’s Associated Factors among Hemodialysis Patients
No full textMany patients with chronic kidney disease undergoing hemodialysis (CKD-HD) had a high symptom burden, which can worsen their health conditions and quality of life. The known factors associated to symptom burden were age, gender, hemodialysis (HD) session duration, post dialysis recovery time, hemoglobin level, nutrition status, physical activity, depression level and social support. The aim of this study was to analyze the most dominant factor associated to symptom burden among CKD-HD patients. Using a cross-sectional design, a convenience sample of eighty-five respondents were recruited from HD unit at Adventist Bandung Hospital, who underwent HD > 3 months, HD frequency 2-3 times a week, aged ≥ 18 years, able to communicate and speak Indonesian. Data were retrieved via seven self-reported questionnaires and health records, and the symptom burden was assessed using the validated Indonesian version of the CKD-Symptom Burden Index. The data was analysed with Spearman correlation test, Chi square test, and multivariate logistic regression. Based on quartile category, most of the respondents (50.6%) had a high symptom burden (33.56±12.23). The factors significantly associated to symptom burden were age (p=0.015), post-dialysis recovery time (p=0.007) and depression level (p=0.000). In the final model, duration of HD session (OR=5.27, 95% CI 1.50-18.49) and depression level (OR=8.84, 95% CI 2.57-30.36) were the factors associated to high symptom burden. Depression level was the most dominant factor associated to high symptom burden. CKD-HD patients with depression are more at risk of experiencing a high symptom burden. Thus, symptom management may consider to modify depression level factor by screening for depression, providing assistance and nursing interventions, or developing depression-related interventions to reduce symptom burden in CKD-HD patients