Jurnal Keperawatan Padjadjaran
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The Mental Burden of Parents of Children with Thalassemia
No full textThalassemia is an inherited blood disorder in which there is a chronic abnormality of red blood cells. When a child suffers from a severe illness, the family usually acts as caregivers, which put them at risk of experiencing a burden of care. This study aims to identify the level of charge perceived by parents caregivers of children with thalassemia. A quantitative approach was used in this research to obtain data by using a continuous sampling. The samples in this research consisted of 71 parents of children with thalassemia, who are either their biological father or mother who attended thalassemia center on August 30, 2017 - September 13, 2017. The instrument was used in this research was modified from a Caregiver Burden Scale instrument (developed by Elmstahl). The data obtained were analyzed using a descriptive statistical technique in which parents burden is categorized into three levels: mild, moderate, and severe levels of burden, and they are measured in percentage. The result showed that 36 respondents (50.7%) perceived a mild level of burden, 31 respondents (43.7%) perceived moderate level of burden, and four respondents (5.6%) saw the severe level of burden. This study concludes that most respondents perceived a mild and moderate level of burden, but in terms of responsibility, economy, expectation, and anxiety, they showed a severe degree of burden. Nurses are suggested to maintain or alleviate the burden by providing education, counseling, emotional support and adaptive coping mechanisms for parents of children with thalassemia
Relationship External Factors with Internet Addiction in Adolescent Age 15-18 Years
No full textThe internet is one form of evolution in the development of communication and technology that affects humans. One result of the internet is a significant change in the pattern of primary social interactions between individuals. The convenience provided by the internet indirectly causes individuals to have high levels of addiction to the internet and tend to show symptoms of addiction. In Indonesia, internet addiction is mainly found in groups of adolescents aged 15-22 years. This study aims to determine the relationship of external factors: academic stress, family attachments and peers with internet addiction in high school adolescents aged 15-18 years. The study design was carried out using a correlational research design with a cross sectional approach. Respondents who contributed in this study were 97 senior high school students. With sample selection, random sampling is done. The statistical test used was chi-square. The results of this study prove that academic stress has a significant relationship with internet addiction value X2 = 7.91 and P = 0.019 <0.05. Family attachments did not have a relationship with internet addiction, the value of X2 = 0.046 and PÂ 1,000> 0.05 and peers did not have a relationship with internet addiction X2 = 0.241 and P = 0.657. Based on the results of this study, it can be said that the school through the school committee to share information or share about the problem of teenagers who experience academic stress, internet addiction, impact and how to overcome them also evaluate the learning process
pengaruh akupresur titik Nei Guan terhadap mual muntah akibat kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah
No full textChemotherapy as a pediatric cancer treatment has nausea and vomiting side effects. Nausea and vomiting in school-age children with cancer can lead to nutritional, emotional, playing, and school function disorders, decreasing the quality of life in children. An adjuvant therapy that can decrease chemotherapy-induced nausea and vomiting is acupressure which is non-invasive and safe. Nei Guan acupressure point uses pressure technique on the wrist. This study was conducted to determine effects of Nei Guan acupressure on nausea and vomiting due to highly emetogenic chemotherapy in school-age children with cancer. The study design was quasi-experimental through a pre-post test design study approach, with single-blind control. Thirty respondents obtained from the average calculation of two population hypothesis test, were divided into a control and intervention group comprising 15 people respectively. Both groups got the same antiemetic. Measurement of nausea was performed three times during the study using the Pediatric Nausea Assessment Tools (PeNAT), while vomiting intervals were documented for every vomiting and retching. Data analysis used the Mann Whitney and independent t-test. The analysis result in the control group showed that the average nausea value tended to increase and the vomiting interval was faster than in the intervention group. In conclusion, Nei Guan acupressure affects nausea and vomiting due to highly emetogenic chemotherapy in school-aged children with cancer although it is not statistically significant (p-value> 0.05). Nurses are expected to monitor ongoing nausea and vomiting, and consider acupressure as adjuvant therapy, besides providing pharmacological treatment to reduce nausea and vomiting.Salah satu pengobatan penyakit kanker pada anak adalah kemoterapi yang memiliki  efek samping mual muntah. Mual muntah pada penyandang kanker anak usia sekolah dapat mengakibatkan gangguan nutrisi, emosional, bermain dan fungsi sekolah. Hal ini dapat menurunkan kualitas hidup anak. Salah satu terapi adjuvan yang dapat menurunkan mual muntah setelah pemberian kemoterapi adalah akupresur yang bersifat non invasif dan tidak membahayakan. Akupresur titik Nei guan menggunakan metode penekanan pada pergelangan tangan.  Penelitian ini dilakukan untuk mengetahui pengaruh pemberian akupresur Nei Guan terhadap mual muntah kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah.           Desain penelitian adalah kuasi eksperimen melalui pendekatan pre-post test design study with control dengan single blind. Responden terbagi atas kelompok kontrol dan kelompok intervensi yang masing-masing berjumlah 15 orang. Kedua kelompok mendapatkan antiemetik yang sama. Pengukuran mual dilakukan 3 kali pada pagi dan malam hari menggunakan instrumen Pediatric Nausea Assessment Tools (PeNAT), sedangkan interval muntah didokumentasikan setiap muntah dan retching. Data dianalisis dengan uji Mann Whitney dan uji t independent.           Hasil analisis pada kelompok kontrol menunjukkan rerata nilai mual cenderung mengalami kenaikan dan interval muntah yang lebih cepat dibandingkan dengan kelompok intervensi. Hasil kesimpulannya adalah secara klinis terdapat pengaruh akupresur titik Nei Guan terhadap mual muntah akibat kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah meskipun secara statistik belum bermakna (nilai p>0,05). Perawat diharapkan dapat melakukan monitoring mual muntah berkelanjutan dan akupresur dapat dipertimbangkan sebagai terapi adjuvan selain pemberian terapi farmakologi untuk menurunkan mual muntah
Psychometric Evaluation of Instruments Measuring The Older Adult’s Functional Status in Indonesian
No full textFor year research on quantifying how well individual’s function has been reported. Assessing function is particularly important in the older adults, as the prevalence of functional disability increases with age. In Indonesia, there is a lack of studies that measure the functional status of the older adults. There is even less research on evaluating the psychometric properties of an instrument. Therefore, this study aimed to compare the psychometric properties of the evidence supported functional status instrument consisting of the Short Physical Performance Battery (SPPB), the Functional Status Questionnaire (FSQ) and the Physical Performance Test (PPT). This study using the validation design with descriptive approach. And 401 subjects aged more than 60 years old were recruited purposively from five districts in Aceh. Every instrument showed good validity and reliability and has been used either for research purposes or in clinical setting. All subjects completed the FSQ, SPBB, and FSQ assessment. Correlation between SPPB and PPT were higher than FSQ when assessed for convergent validity the FSQ had comparable correlations with the reported health status. However, relationship between SPPB, PPT and FSQ were inconsistent. The findings of this study is expected to support the psychometric properties of all three instrument for functional status assessment in Indonesian Older adults, and SPPB appear to be the best among the other instruments to use in the nursing practice
The Effect of Logotherapy to Diabetes Mellitus Client’s Meaning of Life
No full text Diabetes mellitus is a chronic disease that caused meaning of life disturbance. Logotherapy is an intervention that could affect people life perspective. The purpose of this study was to analyze the effect of logotherapy implementation to the meaning of life in diabetes mellitus client. This study used quasy-experimental pretest-post-test with control group. The dependent variable was meaning of life, and the independent variable was the implementation of logotherapy. Sample in this study was 30 respondents, were taken by using consecutive sampling. The meaning of life were taken by using Purpose in Life Test (PIL Test) then analyzed by using Wilcoxon Sign Rank Test and Mann Witney U statistic test, a= £0.05. The result showed logotherapy had significant effect on meaning of life in the treatment group (p=0,001). Statistical test Mann Whitney U Test showed that there was a difference meaning of life in control group and the treatment group after implementation of logotherapy. It could be concluded that the implementation of logotherapy has an effect to increasing the meaning of life in diabetes mellitus client. Further study was recommended to developing deeper study that related to logotherapy in diabetes mellitus client
An Exploration the Risk of Cardiovascular Disease in HIV-Positive Persons in Indonesia using Heart Rate Variability
No full textCardiovascular disease is the highest cause of death in HIV patients compared to the general population. The number of HIV patients suffering from cardiovascular disease is almost twice as high as patients who are not HIV-positive.The purpose of this study was to identify the risk of cardivascular disease in patients with HIV using ECG short term. This study was used a descriptive comparative to patients with HIV and healthy people as controls in West Java. The inclusion criteria are patients with HIV over the age of 30 years. The exclusion criteria were people with HIV diagnosed with heart disease or being treated for the heart disease. While the inclusion criteria for healthy people as controls are over 30 years of age, do not suffer from cardivascular disease or under treatment of cardiovascular disease. The measurement of heart rate variability is carried out in a supine position in a quiet temperature-controlled room (25-270 C), a 5-minute electrocardiograph (ECG) is recorded using lead II. Differences of heart rate variability indicator were measure using man-whitney test. A total of 20 patients with HIV and 20 healthy people recruited using convinience sampling. The majority of people with HIV were male and aged range between 27 to 51 years old. The results of heart rate variability based on time domain analysis showed that the means normal to normal (NN) was significantly lower in HIV patients compared to controls (978 vs ?? vs 902 ms; p<0.05). No differences were found between groups regarding Standard deviation of NN (SDNN), Square root of the mean squared difference of successive NN-intervals (RMSSD) and Percent of differences between adjacent NN intervals greater than 50 ms (pNN50). This study presence of autonomic dysfunction as showed in heart rate variability indicator in a group of HIV compared to the healthy group. Eearly identification of the risk of CVD is important and may inform the implementation of preventive measure by identification of high-risk people who may be candidate for intervention
Determinant Factors of Fertility in Reproductive Age Women
No full textThe target of the 2015 Medium-Term National Development Plan is the fertility rate of 2.1 children. However, based on The Indonesian National Demographic and Health Survey 2017, the fertility rate of West Java Province is similar to the national, which is 2.4 children. West Java is a barometer of the national fertility rate since one-fifth of Indonesia's population is in West Java. This study aims to analyze the factors that influence fertility (number of children ever born). The design of this study was cross-sectional. Data derived from the 2018 Survey of Accountability Programs Performance covered 12,350 women aged 15-49 years. The sample was 9,814 woman who had been married. Data analysis used univariate, bivariate and multivariate analyses with a confidence level of 0.05. Bivariate results found that five variables that affected fertility were the age of first marriage, frequency of marriage, use of contraceptive, ideal family size, and wealth index, while the area of residence was not related to fertility. Indeed there are three most dominant factors that have been related to fertility were the age of first marriage, frequency of marriage, and the use of contraceptives. The conclusion was that women who marry at an older age and use contraception have lower fertility rates. Â This study can be considered in population control policies, especially to improve health promotion programs regarding the ideal marriage age for women and the use of contraception as an effort to control the population rate. Â This study can be considered in population policies
The Distinction of Inhibiting Factors among Patients who Actively and Inactively Participate in Phase II Cardiac Rehabilitation
No full textBackground: Cardiac rehabilitation (CR) is an important post-acute management for Cardiovascular Heart Disease (CHD) patients. CR has benefits, such as preventing recurrence and improving patients physically. However, the CR participation rate is low. This condition can produce negative effects, such as recurrence and depression. There are inhibiting factors contribute to the CR participation. The purpose of this study is to identify the distinction of inhibiting factors in patients who actively and inactively participate in phase II CR in Bandung. The result will be as advices to improve policy and nursing intervention to improve the participation number of phase II CR in Bandung. Method: This study used comparative design with cross-sectional approach on 72 respondents who recruited by using purposive sampling at a hospital in Bandung, Indonesia. Data were collected by using Cardiac Rehabilitation Barrier Scale (validity r = 0.46-0.55 and reliability 0.887). Data were analyzed by using descriptive frequency and comparative analysis by using Mann-Whitney. Result: It was showed that there were two significant differences between both of the group in terms of health services aspect (p-value = 0.002) and time (p-value = 0.001). However there were no significant differences between both of the group in logistics aspect (p-value = 0.134), and functional status aspect (p-value = 0.057). It indicates that there were distinctions in inhibiting factors on health services and time aspects. Conclusion: There were differences in the health services, which was related to the lack of CR information and also time aspects, which was related to the lack of CR facilities in remote areas. Therefore, providing information about CR and community or home-based CR are needed
Type 2 Diabetes Mellitus Risk Level, Cardiovascular Diseases Risk Level, and Quality of Work Life among University Staffs; Correlational study
No full textType 2 diabetes mellitus and cardiovascular diseases are two of the most serious health problems produce wide negative impacts in Indonesia. Both diseases shares similar risks factors and may affect individual’s health status and quality of work (QoWL). Unfortunately, there is no evidence reported the chronic diseases risk level and their correlation with QoWL among university staffs in Indonesia. This correlational study aimed to identify the risk level of Type 2 diabetes mellitus (T2DM) and cardiovascular diseases and it correlation with the QoWL among university staffs. As many as 125 university staffs from one of public university in West Java - Indonesia were recruited randomly and asked to complete Finnish Diabetes Risk-Assessment form, The Jakarta Cardiovascular Scale, and quality of work life (QoWL) Evaluation Scale. The collected data were analyzed using descriptive and Pearson Correlation test. Results showed that nearly half of respondents had chronic diseases risk elevation; T2DM (40.39) and cardiovascular diseases (49%). Additionally, more than half of them (52.40%) perceived that their QoWL was less satisfied. It was found there was a significant relationship between T2DM risk level and cardiovascular diseases risk (r = 0.513; p=0.00); however, there was no significant correlation, neither between T2DM risk level (p=0.54) nore cardiovascular disease risk level (p = 0.19) with QoWL. To summarize, the university staffs are vulnerable for developing chronic diseases and have less satisfied QoWL. Therefore, it is important for the university to develop policy or program that enhances the employees’ opportunity in managing the risk and improving their health status and QoWL
Identifikasi Indikator dalam Indeks Pembangunan Kesehatan Masyarakat (IPKM) untuk Meningkatkan Nilai Sub-Indeks Penyakit Menular
No full textSejak tahun 2009, Kementerian Kesehatan melalui Badan Penelitian dan Pengembangan Kesehatan telah merumuskan Indeks Pembangunan Kesehatan Masyarakat (IPKM) untuk menggambarkan kesehatan masyarakat Indonesia. Tahun 2013, IPKM dijabarkan dalam tujuh subindeks yaitu kesehatan balita, kesehatan reproduksi, pelayanan kesehatan, perilaku kesehatan, penyakit tidak menular, penyakit menular, dan kesehatan lingkungan. Penyakit diare dan infeksi saluran pernafasan akut (ISPA) pada balita serta pneumonia merupakan penyakit infeksi yang digunakan dalam perhitungan subindeks penyakit menular dalam IPKM 2013. Tujuan penelitian ini untuk mengidentifikasi indikator-indikator dalam IPKM yang dapat meningkatkan nilai subindeks penyakit menular. IPKM merupakan komposit dari 30 indikator kesehatan utama yang dihitung dari data Riset Kesehatan Dasar (Riskesdas) 2013. Disain Riskesdas 2013 merupakan survei potong lintang dengan jumlah sampel yaitu seluruh rumah tangga di 33 provinsi dan 497 kabupaten/kota di Indonesia. Analisis data menggunakan regresi linier. Dari hasil penelitian didapatkan bahwa indikator cakupan akses sanitasi (p = 0,000), cakupan air bersih (p = 0,027), serta cakupan perilaku masyarakat dalam bercuci tangan dengan benar (p = 0,001) memiliki peran penting dalam meningkatkan nilai subindeks penyakit menular. Sehingga diharapkan dengan adanya peningkatan cakupan tiga indikator diatas, maka nilai tiga subindeks (penyakit menular, kesehatan lingkungan, dan perilaku kesehatan) akan turut meningkat. Oleh karena itu, apabila kabupaten/kota ingin meningkatkan nilai subindeks penyakit menular, yang perlu diperhatikan yaitu intervensi terhadap lingkungan dan perilaku manusia. Dengan demikian, nilai IPKM kabupaten/kota juga akan meningkat.Kata kunci: Lingkungan, penyakit menular, perilaku.Identification of Public Health Development Index (PHDI) Indicators to Increase the Value of Sub-Index of Communicable DiseaseAbstractSince 2009, Ministry of Health through Indonesia Agency fro Health Research and Development has formulated Public Health Dvelopment Index (PHDI) to describe public health status in Indonesia. In 2013, PHDI grouped into seven sub indices, namely health status of children under five, reproductive health, health service, health beaviour, non-communicable disease, communicable disease, and environmental health. Diarrhea and acute respiratory infection (ARI) on children under five and pneumonia are infectious diseases used in the calculation of subindex of communicable diseases in PHDI 2013. The aim of this research was to identify indicator in PHDI that could improve the subindex of communicable disease. PHDI is a composite of 30 major health indicators calculated from Basic Health Research (Riskesdas) 2013. The Riskesdas 2013 design was cross sectional survey with total sample of all households in 33 provinces and 497 district/cities in Indonesia. The data was analyzed by linier regression test. The result showed that indicator of access to sanitation (p=0.000), access to clean water (p=0.027) and people’s behavior in proper hand washing (p=0.001) had an important role in imporving the score of sub-index of communicable disease. It is expected that with the increase of the three indicators above, the value of three subindices (communicable disease, environmental health, and health behaviour) will also increase. Therefore, if the district/city wants to increase the value of sub index of communicable disease, the intervention to the environment and human behavior is needed. Thus, the PHDI score in district/city will also increase.Keywords: Behavior, communicable disease, environment