Jurnal Keperawatan Padjadjaran
Not a member yet
379 research outputs found
Sort by
Relationship between Family Anxiety, Family Support and Quality of Life of Attention Defcit Hiperactivity Disorder (Adhd) Children
No full textAttenton Defcit Hiperactivity Disorder (ADHD) is behavioral disorder characterized attention defcit disorder,impulsive behavior, accompanied by excessive activity that is inconsistent with age in childhood, ADHD canimpact the decline in the quality of life of children, some of the factors that influence anxiety among families andfamily support. This study aimed to analyze the relationship between anxiety of family and family support forADHD children’s quality of life in Extraordinary school type C Bandung. The study design was cross-sectionalquantitative analytic. The subject of research totally 87 ADHD families with children aged 8-12 years who attendschool in 5 pieces of extraordinary school type C Bandung but there was something problem like rejection, nohave time and others therefore 63 samples were collected. Sampling using total sampling technique with 3 piecesinventory questionnaire including children’s quality of life questionnaire (PedsQL), family anxiety (STAI-S) andfamily support (CASSS). Data were analyzed using Pearson correlation coefcient. The results showed a correlationbetween anxiety and family support families with ADHD children’s quality of life as well as having a fairly strongcorrelation (r = 0.75 and r = 0.78). That is, an increase or decrease in the quality of life can be determined by changesin the anxiety of family and family support simultaneously. Increased family anxiety can reduce the quality of life ofchildren ADHD whereas the increase in family support can improve the quality of life of children ADHD. Nurses areexpected to increase school health services by involving schools, families and communities as well as the expectednursing policy makers in order to make policy on the procurement of health-based community health nursing school
Nursing Modality Therapy (Spiritual Deep Breathing) Resolve Student Distress
No full textThe condition of nursing faculty students has many academic tasks such as attending classes, taking exams, socializing, adjusting to fellow students with different characteristics and backgrounds, developing talents and interests through non-academic activities. This condition causes students to not be able to manage time well so that they experience distress. Quasy experiment research used two groups pre-post-test design. The sample included 15 control groups and 15 treatment groups. The sampling technique uses simple random sampling. Research variables include spiritual deep breathing therapy and distress rate. The instrument uses depression anxiety stress scale-42 (DASS-42) in the form of a Likert scale. This type of unfavorable questionnaire contains 42 questions. The spiritual instrument deep breathing therapy is about 20 minutes a day for seven days. Statistical test using Wilcoxon signed rank test against both groups. There was a significant effect on the treatment group (p-value 0.001). In the control group there was no effect (p-value 0.263). Distress conditions in a person can be overcome with one therapy such as spiritual deep breathing therapy. Spiritual deep breathing therapy as a therapy for nursing modalities can optimize oxygen demand for cells that are distressed, blood flow to the muscles decreases otherwise blood flows to the brain and skin increases so as to provide a sense of warmth, comfort and calm
Mucositis Effect on Quality of Life of Hospitalized Children with Cancer Who Received Chemotherapy
No full textMucositis is very common in children with cancer who received chemotherapy. Mucositis in children renders other health problems such as pain, eating problems, insomnia, and emotional problems that directly determine children’s quality of life. The purpose of this research was to identify how the effects of mucositis on quality of life in children with cancer who received chemotherapy. The method used in this research is correlative descriptive analytic with cross-sectional design. Samples taken in this research utilized consecutive sampling technique. The children with cancer who met the inclusion criteria were approached to participate in this research. Sixty children with cancer hospitalized in Dr. Hasan Sadikin Hospital Bandung recruited in this research. Mucositis identification utilized Oral Assessment Guide (OAG). Data quality of life (QoL) would be assessed with PedsQoL Cancer Module 3.0. Data were analyzed by Chi-square correlation test. There are 53 children (88.3%) who experienced mucositis. In contrast, there are only 7 children who didn’t experience mucositis (11.7%). Based on this survey, there are 37 children (61.7%) have bad quality of life. Otherwise, 23 children (38.3%) have good quality of life. This research found that there is a significant relationship between mucositis and QoL of children with cancer. Accordingly, the relationship between mucositis cases and QoL of children with cancer valued at 0.006 (p<0.05). Mucositis cause low QoL in children with cancer compared to them without mucositis. Nurse should increase nursing care for children with mucositis as the side effect of chemotherapy. Suggested efforts are to prevent mucositis complication that will impact QoL, such as giving oral care with honey, keeping humid oral mucosa, and preventing infectio
Nurses’ Life Experiences as Persons in Charge of Mental Health Programs in Community Health Center
No full textAt present, Mental health issue becomes one of the main issues in public health issues in community health centers such as the complexity of the issues in the work of nurses in charge of mental health programs. The purpose of this study was to explore the nurse’s life experience as a person in charge of mental health programs in community health centers. The research design used descriptive phenomenology. The study population was nurses responsible for mental health programs in community health centers, experienced in taking care of people with mental disorders for at least six months, and at least had a Diploma in nursing.  The number of participants was determined by purposive sampling technique to obtain seven participants. The experiences of nurses were explored through in-depth interviews, and data were analyzed using the Colaizzi method of analysis. Study results found five themes: (1) feeling burdened by the responsibility for mental health programs; (2) feeling insecure due to the lack of knowledge; (3) feeling there were many barriers and constraints in caring for people with mental illness during the recovery period; (4) hoping to collaborate with relevant government institutions; and (5) being more grateful for caring for people with mental illness.  In conclusion, nurses are responsible for mental health programs even though they feel burdened with their workload, but they can still do their jobs because they always have hope and are grateful. The nurses are trained nurses and can collaborate with relevant government institutions
The Effect of Combination of Buteyko Breathing Technique and Walking Exercise on Forced Peak Expiratory Flow In Adult Asthmatic Patients
No full textThe Buteyko technique can reduce asthma symptoms, reduce the use of bronchodilators but few and not significant in reducing bronchial responsiveness. Physical exercise that complements breathing exercises in pulmonary rehabilitation can improve pulmonary physiology and control asthma. Physical exercise in the form of walking can improve pulmonary physiology and asthma control by reducing hyperesponsivity reactions and increasing cardiorespiratory endurance. But the combination of these two exercises has never been studied. The objective of this study was to analyze the effect of a combination of Buteyko breathing techniques and walking exercises on Peak Forced Expiration Flow. The design of this study was quasi experimental with pretest-posttest control group design. The location of the study was in the pulmonary clinic of Regional General Hospital of Sidoarjo Regency and Bangil Regional General Hospital in Pasuruan Regency, East Java. Respondents were selected by randomization by simple random sampling. Respondents in this study amounted to 76 respondents. Forced Expiration Peak Flow Data is measured using a peak flow meter. The intervention group was given a combination exercise with Buteyko breathing technique and walking exercise for 8 weeks, 3x per week, 55 minutes every training session. Giving a combination of Buteyko breathing technique and walking exercises using module and video media. FPEF measurements were carried out 3 times (pretest, week 4, week 8). Data were analyzed using SPSS 22 with GLM-RM (General Linear Model-Repeated Measure) ANOVA. The results showed a significant difference in the FPEF rate between before and after 4 weeks and 8 weeks of the combination intervention of the Buteyko breathing technique and walking exercises in the treatment group with (p <0.05) with p = 0.000. The findings indicate that breathing exercises and physical exercise through a combination of Buteyko breathing techniques and walking exercise can increase the FPEF rate through the mechanism of increasing CO2 and producing nitric oxide which has bronchodilation effects and through decreasing inflammatory mediators so that it can reduce asthma symptoms.This exercise can be used as an alternative choice in supporting pharmacological therapy to improve FPEF
Factors that Correlate with The Health Services Seeking on Breast Cancer Patients
No full textMost cases of breast cancer are found to be in an advanced stage. This is because of the patient delay in coming to health service after the emergence of early symptoms of breast cancer. It is necessary to identify factors that allegedly prevent patients from seeking health services as early as possible. The purpose of this study was to analyze factors related to the search for health services. This research used cross-sectional method. The population of this study was breast cancer patients where the sampling technique using consecutive sampling with the number of samples researched as many as 100 people. Data were obtained through a reliable questionnaire to use (Alpha Cronbach’s questionnaire = 0.92, Alpha Cronbach’s health questionnaire = 0.85). Analysis of this research data using univariate (frequency distribution), bivariate (Chi-Square) and multivariate (logistic regression).The result of bivariate analysis showed that the variables related to health seeking behavior are education (Ï value = 0.02; r = 0.3) and health belief (Ï value = 0.01; r = 0.24). While the variables that most related to health service seeking behavior was health belief (Ï value = 0.02) and OR value 3.46. This could be caused by patient’s health belief in which the patient assumes that the symptoms were not dangerous and the choice of alternative medicine as the first choice and the patient’s fear of treatment due to lack of information that obtained by the patient. It can be concluded that health beliefs are the most correlated factor with health-seeking behavior so it is necessary to consider the prevention efforts of breast cancer especially related to health belief. Community beliefs about routine health checks should be key interventions such as counseling and discussions with the community regarding the importance of routine health screening as part of early detection of disease
The Experience of Symptom Cluster and Symptom Alleviation Self-Care in Patients with Head and Neck Cancer: A Qualitative Study
No full textPatients with head and neck cancer usually experience physical and psychological changes and adjustments related to the disease and management of therapy. The patients will experience symptom cluster and will use effective symptom alleviation self-care to relieve the symptoms. The proper identification of symptom cluster and the effectiveness of using symptom alleviation self-care will be the basis for the success of disease management. This study aimed to investigate the symptom cluster and symptom alleviation self-care in patients with head and neck cancer, and which has an impact on the quality of life. This research was a pilot study using a qualitative design and involved five patients at the public hospital in Semarang, Indonesia. The qualitative design has been chosen to explore the varied of symptom experienced by the patients about the nature, number, location, duration and intensity of experiences, which may different experiences of symptom cluster and symptom alleviation self-care for each patient with Head and Neck Cancer. Data were collected through semi-structured interviews and analyzed used the qualitative content analysis process. Three themes were identified in this study, including: the patients’ experience of symptom cluster, the patients’ experience of symptom alleviation self-care, and the impaired quality of life domain. The results of this study showed that the patients’ experience sickness and gastrointestinal symptom cluster during illness and undergoing therapy, as well as variations in the symptom alleviation self-care, including: diet/ nutrition/ lifestyle changes, mind/ body/ spiritual control, biological treatment, herbal treatment, and prescribed medicine. The symptom cluster and symptom alleviation self-care has an impact on the patients’ outcome that is the quality of life. This study showed that the experience of symptom cluster and symptom alleviation self-care varied and highly individualized, which has an impact on the quality of life. The importance of proper identification about symptom cluster and the effectiveness of using symptom alleviation self-care by the nurses will be the basis for the success of disease management to improve the patients’ quality of life. Therefore, optimizing the nurses’ role is needed as the basis for the development of symptom management nursing programs
Knowledge, Attitude and Practice of Evidence-Based Nursing Practice and Barriers
No full textProfessional nurses, one of the human resources in the health sector, are obliged to carry out the nursing process, especially nursing, based on scientific evidence. This study aimed to describe the knowledge, attitudes, and practice of evidence-based practice and its barriers to the hospital. Quantitative research with a descriptive approach was conducted at Dr. M. Djamil Hospital, Padang. A consecutive sampling technique was utilized, with 139 selected nurse practitioners, and only 90 nurses filled in the questionnaires. The instruments used were Evidence-Based Practice Profiles (EBP2) and the BARRIERS Scale. Characteristics of respondents were 70.0% diploma education; mean age was 36.7 (SD=7.95) years and 13.35 (SD=8.37) years of working time. The mean attitude towards EBP was higher than the mean of EBP knowledge/understanding, confidence, understanding of research terms, and practice towards EBP (3.32; 2.93; 2.72; 2.53; 1.95). Therefore, there is a definite need for improving knowledge, comprehending EBP, and research terminology to overcome the obstacles of EBP implementation in the nursing service practice
Exploring Nurses’ Experience of Managing Attention and Mood in Post-Stroke Patients: A Qualitative Study
No full textAttention is an important aspect of cognitive development in the perspective of information processing, whereas mood is an affective aspect relating to expectations about positive or negative feelings. Decreased attention and mood in post-stroke patients can cause instability, cognitive impairment, and long-term rehabilitation. These impacts affect the patients’ activity daily living (ADL). Priority of post stroke patient care in hospital was priority on physical problem rather than psychological, social and spiritual problems. Nurses as caregivers in the hospitals should understand in manage bio-psycho-socio-cultural-spiritual problems in post-stroke patients. This descriptive study that used a descriptive qualitative research was conducted to describe the barrier of managing attention and mood in post stroke from the perspective of nurses. This research was a pilot study using qualitative design and involved six nurses at Temanggung General Hospital, Indonesia. The data collection was carried out using in-depth semi-structured interviews. The data analyzed using inductive content analysis. Five themes emerging from data included the nurse's focus on the physical problem, lack of awareness to manage attention and mood, unavailability of early assessment for attention and mood, family participation in nursing care and lack of information about the interventions in handling attention and mood. The initial assessment of attention and mood greatly encourages nurses to provide alternative or complementary nursing that can be administered in the hospital. Nurses’ understanding of knowledge and skills are essential to prevent the impact of reduced attention and mood. The management of attention and mood should be supported by all professional health providers, and facilities in hospitals, as well as the role of the family
Characteristics of Patients, Self-Efficacy and Quality of Life among Patients with Type 2 Diabetes Mellitus
No full textDiabetes mellitus as a chronic disease requires a long-term care, which influence the quality of life (QOL). A mechanism perceived by the patients who engage in long-term treatment, such as self-efficacy (SE) is prerequisite for the success of disease management. The study aimed to identify the relationship between characteristics of patients, SE and domains of QOL among patients with type 2 diabetes mellitus (T2DM) living in community. The study used a correlational analytical with a cross-sectional approach and recruited 105 patients with type 2 diabetes in Sukasari Public Health Center, Tangerang. Self-administered questionnaires were used to measure sociodemographic of T2DM patients, while the Diabetes Management Self-Efficacy Scale (DMSES) UK and Asian Diabetes Quality of Life (Asian DQOL) were used to measure SF and QOL, respectively. Data were analyzed using Spearman Rank-Order Correlation. The study revealed that characteristics of patients, including age and period of illness were negatively associated with memory and cognition domains of QOL, while years of education positively associated interpersonal relationship domains of QOL. For SE, it was positively significant associated with diet habit, energy, and financial aspects domains of QOL. The SE was positively associated with the QOL (r=0.31; p-value ≤ 0.01). The SE is relationship with QOL of T2DM. Therefore,  health care provider should need to maintain the domains of QOL through improving SE, while considering the characteristics of T2DM patients, including age, period of illness, and years of education