Jurnal Keperawatan Padjadjaran
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The Correlation of Socio Demographic and Knowledge Factors Toward Therapy Options among Breast Cancer Patients
No full textThe high prevalence and incidence of breast cancer patients poses a threat to the life quality of Indonesian women. Beside the patient’s condition, therapy options are also the factors faced by both the patients and their families. This research aimed at analyzing socio demographic and knowledge factors relating to therapy options of breast cancer patients. A cross-sectional research was conducted directly to the people (community-based and hospital-based) from 198 cancer patients in the main region, West Java Province. Data were collected through face-to-face interviews with patients, with or without their family. The data were analyzed using the Chi-Square test to yield a correlation between socio demographic and knowledge factors on therapy options. The findings of this research showed that there was a significant relationship between socio demographic factor (physical condition (p=0.002), emotional condition (p=0.000), patient’s age (p=0.000), marital status (p=0.000), family status (p=0.000), faith (p=0.032), and income (p=0.026)) and the knowledge factor (knowledge about illness (p=0.045), the cause of breast cancer (p=0.000), indications and early symptoms of breast cancer (p=0.014), indications and symptoms during breast cancer therapy (p=0.000), therapy for breast cancer (p=0.000), and treatment on indications and symptoms (p=0.000)) with therapy options. Therapy options can be impacted by socio demographic and knowledge factors, although considerations from family also play a key role. In this context, the nurse plays the role as an advocate to raise awareness on the importance of treatment to healthcare facilities, thus the people can make a well-informed choice on their therapy. The uniqueness of the research showed the characteristic of patients, and therapies option in the multi medical system in Indonesia
Associations between Dependency Behavior and Management Ability in A Cross-Sectional Study of Mother who Care for Children with Avoidant Restrictive Food Intake Disorder
No full textARFID phenomena commonly found on children are strongly dependent on parental behaviors. A dependency behavior shown by parents constitutes a specific behavior that helps the parents fulfill children’s needs. This kind of behavior will define a parental management ability in dealing with eating disorder phenomena on their children. This research, therefore, was set to analyze parental dependency behavior on parental management ability in dealing with eating disorder phenomena. A cross-sectional design was occupied to accommodate the research. A total of 245 families were selected to be the respondents, especially those who were taking care of children with ARFID. Data were collected using self-administered questionnaire. For descriptive data analysis, Manne-Whitney U test, one-way analysis of variance, Kruskal-Wallis, correlation product moment, and multiple linear regression were employed. Parental dependency behavior was closely related to parental management ability in dealing with eating disorder phenomena, especially in taking care of children with ARFID (r = 0.354; p = 0.000 < 0.05). This dependency behavior encompassed parents calming children down (with p = 0.000 < 0.05), giving hug to children (p = 0.000 < 0.05), listening to children (p = 0.001 < 0.05), solving children’s problems (p = 0.000 < 0.05) and fulfilling needs of food and drink (p = 0.000 < 0.05). On top of that, parental management ability in dealing with eating disorder occurrence was perceived referring to the result of multiple linear regression analysis, which was said to be mainly influenced by a predictor of parental dependency behavior in solving children’s problems (with β = 0.211; p = 0.001) and fulfilling children’s needs of food and drink (with β = 0.134; p = 0.047).Parental management ability in dealing with eating disorder was necessarily influenced by parental dependency behavior in solving children’s problems and fulfilling children’s needs of food and drink. Therefore, we suggest that nursing intervention be provided in respect of this case upon the population of families taking care of children with ARFID
Beta Binaural Beats and its effects on the Cognition of Nursing Students in a Private Higher Education Institution
No full textStudying nursing comes with a certain expectation to work hard and take a certain amount of time. A promising method called beta binaural beats is thought to improve cognitive functions. This study aimed to determine whether listening to beta beats is an effective method for improving cognition among nursing students. A double-blinded experimental research design was utilized and measured the effects of the intervention towards memory, abstract reasoning and reading comprehension. A total of 89 subjects participated in this study. Only the score of reading comprehension showed a significant difference (t=2.38, p=.02). The findings suggest that beta beats is an effective way in enhancing reading comprehension. However, findings show that beats aren’t effective in enhancing memory and abstract reasoning. Therefore, this may be used as a method to enhance learning
An Investigation of the Interests and Reasons of Diploma Nurses Undertake a RN-BSN Bridging Program in United Arab Emirates
No full textThe nursing programs across United Arab Emirates are in the process to inform students about RN-BSN bridging program. The study purpose was to determine the interests and reasons of nurses in enrolling to a RN -BSN bridging program. An online survey was conducted among diploma students to explore their interest and perspective regarding pursuing bridging program. One hundreds thirty-five RNs participated. The questionnaire used for survey had seventeen items, which included questions to elicit information or clarification of their perspectives. We performed the data analysis in SPSS by computing descriptive and inferential statistics. The findings showed that a majority of nurses were interested in returning to RN-BSN program. The students’ reasons were both personal and career related, with personal reasons being more dominant. Most of participants held a diploma and midwifery and they had more than 2 years working experience since they completed diploma. There appears to be a need for a RN-BSN bridging program because most of study respondents are potential candidates for this program. This study provides information to nursing schools’ management to provide opportunities and develop curriculums to meet the needs of these nurses. Nurses need to reflect on various strategies for incorporating their new knowledge into clinical practice
Exploring of Nurses’ Needs of New Design Intravenous System Device to Support Nursing Care Effectively
No full textFluid control is important to support the success of therapy in the hospital. The existing features of the device currently do not fully support to ease the work of nurses. It is necessary to explore deeply the nurse’s need for the features of a new device intravenous system. The purpose of this study was to explore the nurse’s need for new design intravenous system devices to support nursing care effectively This was a qualitative study with thematic analysis methods. The participants were 20 nurses in Gotong Royong Hospital Surabaya taken by purposive sampling method. Data were collected by an in-depth interview. The instrument consists of structured questions. The interviews were recorded by a digital recorder. Ethical requirements are completed before data collection. This study found 4 themes consist of the economical price, multi-automatically system, flexible design, and simplicity. The nurse’s needs for a new design intravenous system device was designed more economical than today’s sophisticated device, and have more complete of automatic system, flexible and easy to use. These features match the needs expected by nurses and further assist in carrying out the nursing care process effectively and efficiently
Patients Experience and Perception in Preventing Tuberculosis Transmission in Rural Areas: A Qualitative Research
No full textTuberculosis (TB) transmission awareness is crucial for TB prevention in the community. However, efforts to prevent TB transmission from TB patients’ perspectives, especially in the rural area, are not well documented. This study aimed to explore the efforts made by TB patients in preventing transmission to the community. This research was qualitative research with a phenomenological approach. Participants in this study were 12 people selected by purposive sampling. Data collection was done by in-depth interviews and recorded. Data analysis was carried out by thematic analysis. This study produced seven themes: perception of TB disease, performing alternative treatments, using personal protective equipment, environmental modification, adhering to treatment, limiting interactions with others, and increasing food intake. Knowledge and awareness of TB patients are still an issue in preventing the transmission of TB in the community. Immediate intervention needs to be made regarding increasing knowledge and awareness of TB patients and the supervision of health workers regularly in handling TB disease in the community
The Effect of Reciting the Holy Qur’an to the Speaking Ability and Spirituality Level of Stroke Patient with Motor Aphasia
No full textReading therapy is a stimulation effort to improve language function of a patient with motor aphasia. This study aim was to examine the effect of reading therapy using holy Qur’an to the speaking ability and spirituality level of stroke patient with aphasia. This experimental study used nonequivalent control group design with 20 persons as sample, divided to 10 persons as the intervention group and 10 persons in the control group used purposive sampling technique. Measurement of the speaking ability used Frenchay Aphasia Screening Test (FAST) questionnaire and spirituality level used Functional Assessment of Chronic Illness Therapy (FACIT) Sp 12 questionnaire. The Result was significant improvement of speaking ability in the intervention group with mean difference was mean±SD (1,60±1,075). Post-experimental difference test showed the difference of improvement of speaking ability between two groups, P=0,034. The spirituality level also significantly improved in the intervention group with mean difference was mean±SD (6,80±3,190). Post experimental difference test showed the improvement of spirituality level in both groups with P=0,005. This therapy can be used as a rehabilitation training activity independently at home to improve the speaking ability also as part of spiritual activity
Effectiveness Blended Learning in Reducing HIV-related Stigma and Discrimination among Nurses: A Queasy Experimental Design
No full textScale-up of stigma-reduction programs in healthcare settings has been slow in part due to lack of understanding and social norm associated with pre-existing stigma in HIV population. The application of blended learning can bridge the gap between theory and practice and make the learning experience more meaningful so that it can be applied as a way of learning to reduce stigma against PLWHA from healthcare professional. The aimed of this study was to determine the effectiveness of blended learning in reducing the stigma of nurses toward people with HIV/AIDS (PLWHA). This study used a quasi-experimental pre-post-test design with two groups (the intervention group and the control group). The samples in this study were nurses who worked at the public health center in Bandung. HIV-related stigma and discrimination (S&D) questionnaire was used to measure HIV-related stigma among nurses. Mean, standard deviation, frequency was used to explain demographic data and main variables. In the intervention (blended learning) group, there was a significant different of the mean score of HIV-related S&D before and after blended learning intervention with ∆ mean was 4.37 and (p = 0.001). In the control group, there was no significant different of those ∆ mean was 3.39 (p=0.459). A significant difference found in the post test mean score of HIV-related stigma and discrimination between intervention and control group [F=569.018, (p= 0.000)]. This study found that blended learning could reduce the HIV-related stigma and discrimination from nurses. This underscores the utility of this intervention to change the perceived of stigma and discrimination of health workers, as well as potential to generalize or adapt this intervention to other settings in the region and beyond
Demographic Factors and Disease History Associated with Dementia among Elderly in Nursing Homes
No full textDementia is increasing in the world which is a major cause of disability and dependence in the elderly. This causes the elderly can not do their daily activities so often live in a nursing home. It is important to know the factors associated with dementia to prevent and treat dementia with appropriate interventions. The objective of this study was to identify the demographic factors and disease history associated with dementia among elderly in nursing homes. The research method was cross sectional study. Sample were recruited from three nursing homes located in Bandung and Garut using purposive sampling technique for a-3 month period (n=163). Data were collected using questionnaire consisting of demographic data, disease history, and MMSE (Mini Mental State Examination). The analysis of data was performed using chi-square test, fisher test, and logistic regression analysis. In term of its association with dementia, low education had the higher odd ratio (OR: 5.90, 95% CI: 2.02-17.20, p=0.001) than unmarried status (OR: 4.78, 95% CI: 1.23-18.52, p=0.024) and stroke (OR: 0.23, 95% CI: 0.06-0.88, p=0.032). However, diabetes mellitus was identified as confounding variable (OR: 0.10, 95%CI: 0.01-1.01, p=0.051). In conclusion, low education, unmarried status, stroke, and diabetes mellitus were predictor factors of dementia among elderly in nursing homes. It is recommended to include effective treatment could be in the form of health education about management of stroke and diabetes, physical activity, improvement of nutritional adequate, and social activities to prevent loneliness
Correlation Between Spiritual Intelligence and Self-efficacy Patients with Coronary Artery Disease
No full textCoronary Heart Disease (CHD) is a cardiovascular disease affecting the patient’s life both psychologically and physically. Therefore it can reduce patients’ quality of life. Self-efficacy is one crucial factor that can improve the quality of life of patients with CHD to control risk factors. spiritual intelligence can make a person more able to interpret the life and have a positive meaning in each event, to improve the quality of life. This study used a descriptive correlation research design with a cross-sectional approach. This research involved 138 CHD patients as respondents in RSD dr. Soebandi of Jember, East Java, Indonesia, obtained by accidental sampling method. Data were collected using a Spiritual Intelligence questionnaire and Cardiac Self-Efficacy (CSE). The analysis of data used is Somers’d test with a confidence level of 95% (α: 0.05). Respondent characteristics include age, gender, marital status, education, occupation, income, smoking history, and disease history. The results showed that 86.2% of CHD patients had high self-efficacy, and 55% of CHD patients had high spiritual intelligence. Analysis shows there is a strong correlation between spiritual intelligence and self-efficacy (p = <0.001, r = 0.628, α: 0.05). The patients having high spiritual intelligence will have high self-efficacy. Spiritual intelligence comes from within the patient, which can be developed to improve the self-efficacy of CHD patients through the provision of holistic nursing care. Therefore, it is expected for nursing staff to assess patients’ spiritual intelligence, so they can provide appropriate nursing care so that patient self-efficacy can be improved, and patient health can be optimized