Jurnal Keperawatan Padjadjaran
Not a member yet
379 research outputs found
Sort by
The Effect of Slow Deep Breathing Exercise on Headache and Vital Sign in Hypertension Patients
No full textPrevalence hypertension was estimated 1.13 billion people in the world and 2.027.006 (20.0%) people in DKI Jakarta. Headache was a common symptom related to high blood pressure levels. Slow Deep Breathing Exercise was non pharmacological therapy to reduce consumption of oxygen, metabolism, frequency of respiration, frequency of heart, muscle tension and blood pressure. This research was a pre-experimental one group pre-test post-test design and the respondents performed slow deep breathing exercise fourth time in one day during fourth days. Before and after intervention, the respondents measured vital sign and assessed headache scale with subjective and objective (a numerical scale 1-10). The number of samples in this study were 30 respondents who were selected by probability random sampling and were included in the inclusion and exclusion criteria. Research time December 2019-January 2020 at UKI General Hospital and Cawang District Health Center, East Jakarta. The results showed differences before and after Slow Deep Breathing Exercise on the decrease in headache scale with p-value = 0.000 and on the decrease in blood pressure with p-value = 0.000 and on the pulse rate of 0.014, breathing frequency 0.008 and temperature 0.000 (<0.001). Before intervension, patients feels headache on 7 scale and after intervention, respondents felt no headache on 0 scale. Conclusion are Slow Deep Breathing Exercise have an effect to reduce headache scale and vital sign for four days . The suggestion for the nurse teachs Slow Deep Breathing Exercise to hypertensive patients so that patients can do these exercises at home as an independent exercise
Quality of Life among Patients Undergoing Haemodialysis in Bandung: A Mixed Methods Study
No full textQuality of life (QoL) has become one of important outcome measures of renal replacement therapy, including haemodialysis. However, the assessment of QoL is not comprehensively measured and most research about it use quantitative approach. Since QoL is subjective, assessing and understanding the qualitative evidence are very important. This study aimed to explore QoL in patients with end-stage renal disease (ESRD) undergoing haemodialysis. This research is a cross-sectional study used a mixed method approach. Patients undergoing dialysis were recruited from the dialysis unit in one private hospital in Bandung. They completed the Kidney Disease and Quality of Life (KDQOL-36™) questionnaire and then went on face to face interview. Quantitative data were analysed descriptively and qualitative data were analysed using thematic analysis with qualitative data analysis software. A total of 87 patients completed the questionnaires and 34 of them participated in 20-60 minutes interview. The symptom and problem list had the highest mean score (M= M=63.60), indicated that patients experienced lack of energy, mobility and physical appearance that further produced difficulties in their daily activities. Additionally, mental component summary showed a higher mean score (M=49.23) than the physical component (M=36.22) indicated that patients most likely had worse mental health condition than their general physical health. Worse mental health condition induced with negative feeling among patients. Patient’s inability to do daily activity and change in physical appearance had impact on their confidence for social relationship. Conclusion: ESRD patients undergoing haemodialysis were bothered by the symptom of illness and worsen by the negative feelings
Effect of Life Review and Cognitive Therapy on Depression in Patients with Chronic Renal Failure
No full textPatients with chronic renal failure suffer higher rates of depression because of psychological stress due to physical and social changes. Efforts to reduce depression level are needed. Cognitive therapy and life review therapy are believed to be effective in reducing depression. The aim of this study was to compare the effects of life review therapy alone and in combination with cognitive therapy on depression in patients with chronic renal failure. This study employed a quasi-experiment with a comparison group design. Fifty-six respondents were selected using a consecutive sampling, which thirty-six were assigned in the experiment and comparison group. Depression was measured using Beck Depression Inventory. Dependent and Independent t-test were used for data analyses. The results revealed that the combination of life review and cognitive therapy had a significant effect (p<.05) in reducing depression compared with the life review therapy alone. The average of depression score decreased in the experiment group from 27.04 (4.71) to 22.29 (4.24). But there was no significant change in the average of depression score in the comparison group from 26.54(4.18) to 26.71 (3.70). This therapy can be used as a complementary medicine to treat patients with chronic renal failure, specifically for those with depression, and it serves as a recommendation for nursing intervention in hemodialysis units
The Relationship between Self-Efficacy and Subjective Well Being among Tobacco Farmers
No full textTobacco is the main raw material for cigarette production, so it is a dilemma for farmers when choosing to plant it. Uncertain weather in Indonesia has an impact on the success of tobacco cultivation. This study aimed to analyze the relationship between self-efficacy and subjective well being in tobacco farmers in Jember Regency. This study used a cross sectional design with a proportional random sampling technique with a sample size of 422 tobacco farmers. The research instrument used the General Scale Efficacy questionnaire (α-Cronbach 0.76-0.9), Scale with Life Satisfaction (α-Cronbach 0.87), and Scale of Positive and Negative Experience (α-Cronbach 0.80-0, 84). This study uses Chi Square (CI = 95%). The results showed there was a relationship between self-efficacy and subjective well being in tobacco farmers (p = 0.000; OR = 4.856). The results of this study are tobacco farmers who have self-efficacy can face crop failure, and this is because of the experience of working as a tobacco farmer, which shows that tobacco farmers worked on average for 23 years with experience of crop failure as much as three times. If farmers have more experience, they can know the weaknesses and strengths of tobacco farming to overcome the problems in the scope of tobacco cultivation. Increased work experience, the farmer is getting bolder in making decisions and dare to bear the risk. This study are expected to help the public health office at the Primary Health Care Service to improve psychosocial health promotion efforts through a joint farmer group
The Nurses’ Experience during the Caring of Coronavirus (COVID-19) Patients: A Descriptive Qualitative Study
No full textCOVID-19 transmission in the hospital environment can be catalized by a direct contact and droplets. Nurses are at the forefront of having the longest contact with the infected patient during the treatment. This research aims to dig on the deep meaning on the nurses’ practice during treating the COVID-19’s patients. This is a qualitative research design with a descriptive explorative approach. The sampling technique used in this research was a purposive side. The Data collection were carried out on five nurses who were in charge of caring the COVID-19 patients at two Semarang city’s hospitals. The research data were in the form of conversation transcripts which were analyzed using content analysis. This qualitative research analysis brought the results in three themes: first, the challenge of being a COVID-19 nurse in the emergency room, ICU and Covid care room, second, the resilience and resilience of nurses, third, the professionalism of nurses. This study indicate that the experience of nurses caring for COVID-19 patients has many challenges, namely fatigue, discomfort, anxiety, fear of contracting and stress. Anxiety creates psychological problems for nurses, which reduces the quality of service during the pandemic. Resilience and toughness are the main foundations for nurses during the pandemic.There is a need for further research with qualitative methods to look at the factors that impact on successful nursing care in COVID-19 patients during the pandemic
Relationship between Healthcare Provider’s Perception about Patient Safety and Patient Safety Implementation in The Emergency Department
No full textThe Emergency Department (ED) is a hospital service unit that provides the first service for patients with disease conditions that threaten their lives or can cause disability for 24 hours. Implementation of patient safety in the ED should be applied to minimize the risk of error handling for the patient. ED staff perceptions related to the implementation of patient safety is a factor that directly-related to his behavior in applying the implementation of patient safety. This study aimed to analyze the relationship between perceptions of staff ED and patient safety by implementing patient safety at the Regional Hospital Emergency Department Cirebon. This study was a correlational study with the cross-sectional approach of 99 emergency staff with total sampling at Cirebon. Collecting data used questionnaires of patient safety. Based on the results of the univariate analysis showed that the majority (80%) of respondents either category on the implementation of the sub-variables of patient safety team collaboration and communication, only a small proportion of respondents less category (20%) on the implementation of the sub-variables of patient safety team collaboration and communication. In addition, less than half (49.5%) category lacking in implementing patient safety, only half (50.5%) categories, both in the implementation of patient safety. Based on the results of the bivariate analysis showed that the relationship implementation of patient safety with all the variables, namely teamwork (p-value = 0.000), communications (p-value = 0.005), the concept of patient safety (p-value = 0.005), and perception (p-value = 0.005). Based on the results of the study, the researchers concluded that the relationship between staff perceptions of the emergency department (ED) on patient safety by implementing patient safety at the Regional Hospital emergency department (RSD) Cirebon. IGD support staff perceptions of patient safety, but still found lacking in the category of health workers implementation of patient safety, so the need for patient safety education and training with simulation methods to illustrate the approach in the implementation of patient safety
The Effect of Combination Pranayama Yoga and Endurance Training Exercise on Peak Expiratory Flow (PEF) in Adult Asthmatic Patients
No full textPranayama Yoga can help improve breathing, and improve calm and also relieve stress. Endurance training can increase lung capacity, improve fitness, and relax the body. However, the combination of pranayama yoga and endurance exercises has never been done in asthma patients. The purpose of this study was to analyze the combination of pranayama yoga exercises and endurance exercises for Increased Peak Forced Expiration Flow. The design of this study was Quasy Experiment with a pretest-posttest control group design, the location of the study was in the pulmonary clinic of Universitas Airlangga Hospital and Haji General Hospital in Surabaya, East java. Respondents were selected by purposive sampling techniques in accordance with inclusion criteria with a total of 72 respondents. Peak Expiration Flow is measured from forced vital capacity or The peak expiratory flow (PEF) is the maximum flow obtained within the first 200 milliseconds of a forced expiratory maneuver after inhalation to total lung capacity (TLC). The intervention group was given a combination exercise by doing pranayama yoga and endurance exercise for 6 weeks, 2x per week, 51 minutes for each training session. Pranayama yoga combination exercises and endurance exercise using trainer instructors and modules. FPEF and asthma control were measured every week for 6 weeks. The results showed a significant difference in the level of FPEF and asthma control before and after 6 weeks of interventions combination of pranayama yoga and endurance exercise in the intervention group obtained significance values (p <0.05) with p = 0.000 and asthma control in the intervention group (p <0, 05) with p = 0.000 the results of the research shows that by practicing pranayama yoga and endurance exercise can improve FPEF and asthma control. Pranayama yoga and endurance exercise can be used as an complementary therapy in supporting pharmacological therapy to improve FPEF and control asthma.Pranayama Yoga can help improve breathing, and improve calm and also relieve stress. Endurance training can increase lung capacity, improve fitness, and relax the body. However, the combination of pranayama yoga and endurance exercises has never been done in asthma patients. The purpose of this study was to analyze the combination of pranayama yoga exercises and endurance exercises for Increased Peak Forced Expiration Flow. The design of this study was Quasy Experiment with a pretest-posttest control group design, the location of the study was in the pulmonary clinic of Universitas Airlangga Hospital and Haji General Hospital in Surabaya, East java. Respondents were selected by purposive sampling techniques in accordance with inclusion criteria with a total of 72 respondents. Peak Expiration Flow is measured from forced vital capacity or The peak expiratory flow (PEF) is the maximum flow obtained within the first 200 milliseconds of a forced expiratory maneuver after inhalation to total lung capacity (TLC). The intervention group was given a combination exercise by doing pranayama yoga and endurance exercise for 6 weeks, 2x per week, 51 minutes for each training session. Pranayama yoga combination exercises and endurance exercise using trainer instructors and modules. FPEF and asthma control were measured every week for 6 weeks. The results showed a significant difference in the level of FPEF and asthma control before and after 6 weeks of interventions combination of pranayama yoga and endurance exercise in the intervention group obtained significance values (p <0.05) with p = 0.000 and asthma control in the intervention group (p <0, 05) with p = 0.000 the results of the research shows that by practicing pranayama yoga and endurance exercise can improve FPEF and asthma control. Pranayama yoga and endurance exercise can be used as an complementary therapy in supporting pharmacological therapy to improve FPEF and control asthma
Increasing Prevention Knowledge of Sexual Violence and Emotional Maturity on Children through the Mini-Movie Media
No full textSexual violence against children is one of the world’s problem that has an impact on the mental, physical, and psychological conditions such as depression, fear, shame, which can lead to suicide for the victim. The level of prevention knowledge and emotional maturity in the child needs to be grown. Objective of this study was analyze the effect of mini movie on the level of knowledge prevention of sexual violence and the level of emotional maturity in school-age children. Mini movie video according to research by the American Psychological Association (APA) is an audio-visual media with message conveyed in the form of short films through hearing and sight. Mini movie contains 2 video, the first video taken from UNICEF Indonesia. The second video came from center for study and child protection (PKPA). This study used quasi experimental design with two groups and involved 85 students. The Emotional Maturity and Knowledge of Child Abuse Questionnaire used as the instrument. This research conducted used a simple random sampling technique. The research showed that mini movie media had a significant impact on the level of prevention knowledge sexual violence (p=0.000) and the level of emotional maturity (p=0.000) Mini movie media becomes a mass approach in modern era that can provide accurate information in delivering health messages for children. Education through mini movie media can stimulate children’s awareness and teacher as an effort to prevent sexual violence by increasing children’s knowledge and emotional maturity
The Effectiveness of Dhikr to Intensity of Pain during Active Phase in Mothers Getting Inducing Labour
No full textWomen in labor process with induction are more painful than normal labor that need to applicate an intervention to reduce pain in stage I labor. The purpose of this study is to determine the effect of dhikr towards intensity of pain of labor during the active phase of the mother with labour induction. The study was conducted since May until June 2018 with one group quasi-experimental design. Pain score is measured before and after dhikr using Visual Analog Scale (VAS) every 30 minutes during the active phase of first stage. The mothers who met criteria recruited as the samples. Fifteen muslim mothers who had first labor induction, starting cervical dilatation in 4 cm, gynecoid pelvis and completed cervical dilatation to 10 cm. Statistic analysis performed by ANOVA Repeated Measure test at α = 0.05. The result of the statistical test shows that dhikr has moderate effect of 32.5% to decrease the average score of induction pain at the active phase of first stage (value-p=0.08) after controlled with confounding variables; age and parity. Dhikr had an effect on the decrease of VAS score after 30 minutes intervention (p-value = 0.016), but did not affect the measurement at the end of the first stage of labour (p-value = 0.651). Therefore, dhikr could be used to control pain of induced labor during active phase of first stage. Suggested has teached pregnant women since the third trimester and combined with the other intervention to reduce labour pain
Depression, Recurrence, and Perceptions of Physical Fitness among CHD Patients: A Comparison based on Participation in Phase II Cardiac Rehabilitation Program
No full textCoronary heart disease (CHD) patients experience various physical and psychological changes after an acute attack. Depression has been identified as a substantive psychological problem in CHD patients. Cardiac rehabilitation (CR) intends to restore optimal physical and psychological condition of the patients. However, less attention is bestowed towards the psychological aspect of CR. Research on the effects of CR on patient psychological problems has not been discussed in many studies in Indonesia. This study aimed to compare depression, recurrence, and fitness levels among CHD patients based on participation in Phase II CR Program. This research used a quantitative comparative method involving 66 CHD patients recruited by a purposive sampling technique. After applying the selection criteria for this study, the patients were assigned to the CR group (nCR=29) and the non-CR group (nNCR=37). Data were collected using the Beck Depression Inventory-II (BDI II) and instruments developed by researchers to measure recurrence and fitness levels. Data were analyzed using frequency distribution, chi-squared, and Mann-Whitney tests. Depression experienced by CHD patients in both groups with mean in non-CR and CR groups of 11.11 (± 7.8) and 8.59 (± 6.5), respectively. There was no significant difference in depression level among the groups (p>0.05)). Meanwhile, as many as 45% of the patients in the CR group and 22% in the non-CR group had never experienced chest pain (recurrence) within the past month. In addition, the physical fitness was perceived increased by 90% of the patients in the CR group and 0% in the non-CR group. It was also found that there were significant differences in the recurrence and physical fitness among the two groups (p <0.05). Patients participating in Phase II CR program had a better perception of physical fitness and a lower frequency of chest pain than patients in the non-CR group. Although the depression level in patients in the two groups did not differ significantly, patients in the non-CR group scored higher in depression. Accordingly, assessment and psychosocial interventions need to be improved to optimize CR program services