Jurnal Keperawatan Padjadjaran
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The Different of Finger Handheld and Deep Breathing Relaxation Techniques Effect on Reducing Heart Rate and Stress Levels in Primary Hypertension Patients
No full textStress and hypertension have a reciprocal relationship where hypertension can increase stress, and stress will also increase blood pressure. Therefore we need an effort to control stress in patients with hypertension to prevent increasing blood pressure that can cause complications such as congestive heart failure, myocardial infarction, and stroke. The study aimed to determine the difference between finger handheld and deep breathing relaxation techniques to decrease heart rate and stress levels of primary hypertension patients. The research design used a quasi-experimental design. The research was conducted in Kembaran and East Purwokerto District, Banyumas, Indonesia. There were 50 respondents (25 finger handheld relaxation group and 25 respondents in deep breathing relaxation group). Heart rate and stress levels were measured before and after treatment using heart rate (HR) recordings on digital tensimeter and Subjective Units of Distress Scale (SUDS). Data analyzed using a paired t-test and independent t-test. The results showed there were significant differences in HR and stress levels before and after finger handheld relaxation (p = 0,000). There were significant differences in HR (p = 0.010) and significant levels of stress (p = 0.000) before and after deep breathing relaxation. There was a significant difference in HR (p = 0.02) but there was no significant difference in stress levels (p = 0.23) after treatment (post-test) between those who received finger handheld and deep breathing relaxation techniques. Conclusion: finger handheld and deep breathing relaxation techniques are equally effective in reducing stress levels in primary hypertension patients. Finger handheld relaxation technique is more effective in reducing HR than a deep breathing relaxation technique
Factors Related to the Needs of Parents Having School Age Thalassemic Children
No full textThalassemia is a major genetic blood disorder that has negative impacts on thalassemic children and their family. The needs of parents while caring for thalassemia children are important matters because the failure of meeting needs of parents may affect their mental and physical health. Yet, litle is known about factors that meeting the needs of thalasemic child parents. The study aim was to identify factors that correlate with the needs of parents having a school age thalassemic child in west jave province. This research used correlational analytic with cross sectional approach. The population in this study were parents of school-age children with thalassemia major totaling 136 people using the total sampling method. Data were analyzed with bivariate using chi square and biserial points. Then a multivariate analysis used logistic regression. The results showed the age of parents related to information (p = 0.005) and professional (p = 0.004), parent gender related to information (p = 0,000), professional (p = 0.017), social (p = 0.035), financial (p = 0.023) and spiritual (p = 0.009). Parental education is related to information (p = 0,000), social (p = 0,005), emotional (p = 0,000), financial (p = 0,016) and spiritual (p = 0,001). Parent income is related to information (0,000), social (p = 0,006), emotional (p = 0,000), financial (p = 0,003) and spiritual (p = 0,004). The number of thalassemia major children is related to emotional (p = 0.015) and financial (p = 0.013). Parental needs are related to several factors. The importance of increasing the role of nurses as educators and consultants and helping parents find sources of spiritual, emotional and financial support for parents of school-age children with thalassemia.Â
The Effect of the E-Patuh Application on HIV/Aids Patients’ Adherence in Consuming Antiretroviral
No full textMedication adherence is behavior that refers to client obeys in following a medication, and makes lifestyle changes in accordance of recommendations from health care providers. Antiretroviral adherence is paramount for HIV/AIDS patients. The effects were often a problem in antiretroviral treatment and toxicity and often be the reason for replacing or stopping antiretroviral treatment. This study aimed to determine the “E-Patuh†Applications effect on antiretroviral adherence in patients Of HIV/AIDS In West Java. The research design was a quasi-experimental with nonequivalent control group design. The location of this research was in RSUD Kota Bandung and in RSUD Kota Banjar. The respondents was selected without randomization and used purposive sampling technique. Respondents in this study were 30 respondents. Data were obtained using self-report questionnaires. The intervention group was monitored a 30-day android-based E-Patuh application and monitored on an E-Patuh website and then measured adherence value with self-report. Data were analyzed using SPSS 22 with chi-square test. The results showed a significant difference between adherence value before and after application of E-Patuh in the intervention group with (p <0.05) with obtained p value = 0,006. The results of this study prove a positive effect on the using of E-Patuh applications against ARV medication adherence in the intervention group with the support system of the E-Patuh application. The used of E-Patuh is helpful in improving ARV adherence in HIV/AIDS patients. The features contained in E-Patuh were directly reminiscent of the timing of taking medication for PWLH. E-Patuh should be consideration for PLHIV and health care providers in hospitals to improve ARV adherence to reduce mortality rates in people living with HIV
Determinant Factors of Depression in Patients with Coronary Heart Disease
No full textDepression has been related to poor quality of life and recurrence in CHD patients. It is important to explore factors associated with the depression to prevent problems and to assist with appropriate intervention. Furthermore, the determinants of depression in CHD patients in Indonesia are still unknown. This study aimed to identify the determinants of depression in CHD patients in Indonesia. This study was a quantitative study with a cross-sectional approach. Samples were recruited from outpatient care in a referral hospital in Bandung using a consecutive sampling technique for a-2 month period (n=101). Data were collected using a questionnaire package consisting of a demographic questionnaire, Beck Depression Index [BDI] (II), Zung Self-rating Anxiety Scale, Seattle Angina Questionnaire, and Spirituality Index of Well-Being. Data were analyzed using mean, frequency distribution, chi-square and logistic regression analysis. In terms of its association with depression in CHD patients, low spiritual well-being had the highest odds ratio [OR] (OR = 9.3, 95% CI = 2.968 - 29.451, p <0.01); non-anxious state and medication history had low ORs (sequentially OR = 0.2, 95% CI = 0.067 - 0.644, p < 0.01; OR=0.2 95% CI = 0.062 - 0.772, p < 0.01); Â PCI (percutaneous coronary intervention) with medication had the lowest OR value (OR = 0.02, 95% CI = 0.002 - 0.278, p <0.01). On the other hand, Â unmarried status and male gender were identified as confounding variables. Low spiritual well-being was a major predictor of depression in CHD patients, whereas no anxiety, and history of medication, consist of CHD medication and reperfusion therapy contributed to a lower risk of depression. It is recommended to include strategies in improving spiritual well being and managing anxiety to reduce the risk of depression among CHD patients
Nursing Students’ Roles and Experiences of Disasters in A Nursing School
No full textDue to its location in the ‘Pacific Ring of Fireâ€, Indonesia is frequently prone to natural disasters. Therefore, Indonesian nurses need to have the ability to assist in disaster situations as they are considered an important element of the workforce in disaster preparedness and response. However, the current nursing curricula in Indonesia does not adequately prepare nurses to respond in these situations. The primary aim of this study is to understand the experiences of Master of Nursing students’ roles and experiences in disaster settings in a nursing school in East Java, Indonesia. A single-case study design has been used. Data colection occurred via semi-structured interviews. The participants were enrolled in the Master of Nursing in a School of Nursing at a University in East Java. The data for the study were thematically analysed. Four main themes were identified: ‘personal feelings’, ‘working outside their scope of practice’, ‘lack of disaster preparedness’, and ‘a lack of mental health knowledge and care’. This study found that the Master of Nursing students in a nursing school in East Java, Indonesia were not adequately prepared for responding to disaster situations. This study found that a lack of disaster preparedness, working outside scope of practice, and a lack of mental health knowledge were the prominent issues for these Master of Nursing students. As well as commencing disaster training earlier in their education, providing training in the psychological context of disaster preparedness is recommended
Measuring Work Fatigue on Nurses: A Comparison between Indonesian Version of Fatigue Assessment Scale (FAS) and Japanese Industrial Fatigue Ressearch Commite (JIFRC) Fatigue Questionnaire
No full textA Nursing is one type of jobs that is at risk of experiencing fatigue because its workload is quite high. Fatigue Assessment Scale (FAS) and Japanese Industrial Fatigue Research Committee (JIFRC) fatigue questionnaire are two instruments that are often used to measure work fatigue in various types of work because the ease of use. This study aims to test and compare the validity and reliability of the Indonesian version of FAS and JIFRC among nurses in one governmental hospital in East Kalimantan Indonesia. The study was conducted on 170 nurses in one of the Class A Referral Government Hospitals in East Kalimantan. Determination of the study sample using stratification simple random sampling method, the FAS questionnaire obtained from Zuraida & Chie, the JIFRC questionnaire was taken from Tarwaka, the Validity and Reliability test using Pearson Product Moment and Cronbach’s alpha. The JIFRC in Indonesian version has a satisfactory psychometric property with adequate validity and reliability to assess work fatigue in nursing profession. The best Cronbach alpha (0.921) will be obtained if item number 3 and 16 are corrected for the editorial/sentence arrangemen
Improving Student Nurses’ Clinical-Reasoning Skills: Implementation of a Contextualised, Guided Learning Experience
No full textWell-developed clinical reasoning skills are central to the process of clinical judgement. However, the results of recent studies suggest that curricula and teaching approaches that support student nurses’ development of clinical reasoning skills have not yet been fully achieved. Cognitive apprenticeship offers a new approach to facilitate the development of complex thinking skills, for example, reasoning skills in making clinical decisions. This study examined the effect of an educational intervention utilizing principles of cognitive apprenticeship on students’ ability to apply clinical reasoning skills within the context of a purpose-built clinical vignette.A quasi-experimental, non-equivalent control-group design was used to evaluate the effect of the educational intervention on students’ accuracy, inaccuracy and self-confidence in clinical reasoning. Eighty-five undergraduate nursing students participated in the study. A purpose-built clinical vignette was utilised to collect data from study participants. Mixed-Design ANOVA with a significant level of p< 0.05 was employed. Both quantitative and qualitative data were collected. A statistically significant increase in students’ accuracy in clinical reasoning was found after the six-weeks educational intervention. Examination of the quantitative data at time 2 discovered a statistically significant higher accuracy in clinical reasoning score (p<0.00) of the intervention group as compared to the control group. Results from inaccuracy and self-confidence in clinical reasoning did not reach significance. Results from the qualitative data are reported separately. It is argued that interplay of small group discussion of domain specific case-scenarios and the provision of guided learning experience may play a role in achieving partially successful results.  This study makes an important contribution to nursing education by providing evidence to understand how best to facilitate nursing students’ development of clinical reasoning
Tera Gymnastic Effective for Patient with Hypertension
No full textHypertension is a cardiovascular disease globally. Hypertension is remains silent killer, the clinical strategy to focusing on new and improved treatments is exercise. Tera gymnastics is a physical and mental exercise, combining the movement of body parts with breathing techniques and rhythms through the concentration of thought that is carried out regularly, harmoniously, correctly and continuously, Physical activity can reduce high blood pressure. Some study showed Regular physical activity is an effective intervention with respect to these factor, decreasing mortality rate for cardiovascular disease and all cause of disease in hypertensive patient. Gymnastic Tera exercise can help to control metabolic variable related to hypertension. The study was use quasy experimental design with one group pretest-posttest. The study was conducted in Puskesmas Pasundan Garut. Sampling in this study is subjects that is criteria patients has hipertension with 8 weeks treatment so will take methode of  concecutive sampling with 15 respondents for intervention group and 15 for control group. The sample were age 30-55 years. The Intervention was gymnastic tera exercise. The Blood pressure function was evaluated before and after the training period. The data were analyzed by using t-test paired. The result showed a significant difference before and after tera gymnastic exercise in patient with hypertension I (p=000.0). Result of systolic blood presure when in mean SD pretest is 146.00 higher than post test is 136.00 in intervention group. The tera gymnastic exercise conditioning program achieved effect in this population. The reduction of blood pressure after exercise is of great clinical relevance.  The increased riskof physical inactivity in controlling hypertension in our study suggest that general practitioners must be in the habit of prescribing practice of physical exercise. Physical activity has been shown to have beneficial effect on blood pressure. patients are followed up regularly to confirm that they are adhering to the management plan and the blood pressure targets
Food and Activities Taboos among Sundanese Pregnant Women
No full textTaboos are found everywhere including Indonesia. There are different types of taboos in Indonesia especially during pregnancy. This study aimed to identify the practice of taboos related to food and activities among Sundanese pregnant women in West Java, a province with the largest population. A cross-sectional study was conducted with 312 pregnant women, who come to antenatal care at maternal and child health clinics of hospital, health care center and private midwifery clinics at four districts area in West Java province (Cianjur, Bandung, Sumedang and Garut) from October-December 2014. The data were selected purposively used the questionnaires included important demographic characteristics and questions regarding food and activities taboos during pregnancy. SPSS Win.12.0 were used for data analysis. The practice of food and activities taboo among pregnant women showed were about 29.4% very often, 42.1% often, 22.4% rarely, and 6.1% never in avoid to eat certain foods and to do particular activities during pregnancy. No statistically significant association was found between food and activities taboo during pregnancy and data demographics of respondents (p>.05). Still often done by pregnant women in avoid to eat certain foods and restriction to do particular activities. To assess the true picture we need to conduct larger studies in the community with interview method. These findings would be an important information for nurses in developing health education in maternal periods, and considering women’s culture and beliefs in nursing care plan
Analysis of Factor Affecting Nutrition Status on Children
No full textThe problem of malnutrition remains overlooked in Indonesia, especially on children, caused by various factors. Indonesia is the 17th country with 3 nutrition problems, including stunting (short body), wasting (skinny body), and overweight (obesity). This research aims to analyze factors affecting nutrition status on children in the area of West Java Province, including the mother’s and the child’s socio-demographics factor, and the child’s health status. The research method was descriptive quantitative with cross-sectional approach. The number of samples is 810. The research was conducted in 6 districts that support Family Planning (KB), including Bandung District, Bandung City, West Bandung District, Subang District, Sumedang District, and Garut District. The quantitative analysis consisted of univariates using percentage and frequency distribution, as well as bivariate analysis using chi square test. The result of the research shows that nearly all toddlers have good nutrition status as much as 87.9%, and toddlers with malnutrition as much as 10.6%. The analysis factor shows that there is a relationship between the mother’s age (p = 0.048; OR = 1.583), family income (p = 0.010; OR = 1.803), delivery complications (p = 0.008; OR = 2.091), provision of exclusive breastfed milk (ASI) at the age of 0 - 6 years old (p = 0.000; OR = 2.321), provision of exclusive breast milk and complementary feeding given to babies before 6 months old (MPASI) at the age of 6 months to 2 years old (p = 0.002; OR = 2.037), and the child’s history of hospitalization (p = 0.008; OR = 2.055), while other factors are considered irrelevant. This research suggests that healthcare staff collaborate in providing knowledge to mothers on the provision of exclusive breast milk and complementary feeding as well as the prevention of illness on their children