Jurnal Keperawatan Padjadjaran
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The Origin and Development of Grounded Theory: A Brief History
No full textAbstractGrounded theory is an inductive research method that provides for the systematic generation of theory using qualitative or/and quantitative data generated from interviews, observation, or written sources such as documents, or some combination there of gained by a rigorous research method. Nowadays there has been much used of grounded theory as qualitative methodology in nursing and other health disciplines, Grounded theory has been an important methodology for nursing research. The aim of this brief article is to explain how grounded theory came about
The Effect of Five-Finger Relaxation Technique to The Sleep Quality of Breast Cancer Patients
No full textSleeping disorder is a symptom often suffered by breast cancer patients. To overcome it, five-finger relaxation technique is considered helpful. In previous research, this technique can be utilized to lower the level of anxiety and fatigue. This research, therefore, aims at identifying the effect of five-finger relaxation technique to the sleep quality of breast cancer patients.The research method used that of quasi experiment with pre-test and post-test control group design. The population included breast cancer patients within the service of the healthcare in Sekarwangi Hospital and R. Syamsudin SH Hospital. Sampling was done consecutively. The number of samples from control and intervention group were 30 people each. The intervention group received a standard hospital therapy and five-finger relaxation technique divided in 15 sessions with 10-15 minutes time every other day for 1 month. Meanwhile, the control group received only a standard hospital therapy. The measurement tool was PSQI. The analysis used paired sample t-test and independent sample t-test.The result of the research has shown a difference in scores during pre-test and post-test of the sleep quality on both groups due to p value < 0.05. A difference has striken on the scores of sleep quality between control and intervention group with the latter having higher scores than the former.It can be concluded that five-finger relaxation technique does affect the quality sleep of breast cancer patients. The result of this research can be an additional intervention to decrease the symptoms suffered by breast cancer patients
The Effect of Parent Distraction Coaching Used The Toy on Pain Intensity of 1-5 Year-Old Children During Iv (Intravenous) Insertion
No full textintravenous insertion is the cause of pain that the children most commonly experience when children are being hospitalised. Repeated and insurmountable in early childhood, it will impact trauma to the child, so that pain management is a main priority for nurses. However, nurses have barrier to implement pain management effectively. Therefore, involvement of the parents in pain management was so important. One of the non-pharmacological pain management involving parents is distraction by the parent (Parent Distraction Coaching). Â The purpose of this research was to examined the difference intensity of pain children from ages 1-5 years old between intervention group and control group during intravenous insertion. This research uses quasi experimental methode by applying the pre-experimental design which is called the intact group comparison. Through the consecutive sampling, the data has been collected from 17 children in each group, both control and intervention groups. Respondents in the intervention group were the children undergoing the intravenous insertion and they were accompanied by their parents' distraction after the parents got the parental distraction coaching, while respondents in the control group were the children undergoing the intravenous insertion in accordance with the hospital procedures but they were not accompanied by their parents' distraction. The assessment of pain intensity was done by using FLACC instruments (Face, Legs, Activity, Cry, and Consolability). The data were analyzed descriptively and tested by using inferential t test-independent where the value of p < 0.05. From the results of the statistical tests using t test-independent test, the value of p obtained is 0.005 (p value <0.05). This value indicates that there is a significant difference between the intensity of pain experienced by children in the control group and in the intervention group during the intravenous insertion. Based on these results, nurses are expected to be aware of the importance of parents or family involvement in reducing the pain experienced by children during intravenous insertion, so that the implementation of pain management in children becomes more effective
Relationship between Academic Stress, Family and Peer Attachment with Internet Addiction in Adolescents
No full textBiological, psychological and social changes make adolescents at risk of various health problems in the community. The ease of internet access nowadays makes adolescent more vulnerable to internet addiction. In Indonesia, many studies examine the relationship between internal factors such as low self-esteem, loneliness and the type of personality with internet addiction. Further research is still needed that focuses on external factors such as academic stress, family and peer attachment. This study aimed to examine the relationship of academic stress, family and peer attachment with internet addiction in high school adolescents in Andir District, Bandung City. The study used a quantitative correlational design with a cross-sectional approach. The population was high school adolescents. A total sample of 367 adolescents was determined using the slovin formula with alpha Cronbach 0.05. Respondents were recruited using random cluster sampling. Data were analyzed using Rank Spearman and Logistic Regression. Statistical tests of academic stress variables showed, family and peer attachments were significantly related with internet addiction in adolescents (p = 0.000); family attachment variable was significantly related to internet addiction in adolescents (p = 0.000), and peer attachment was significantly related with internet addiction in adolescents (p = 0.000). Logistic regression tests showed the family attachment variable had a significant influence on internet addiction in high school adolescents. In conclusion, there are correlations between academic stress, family and peer attachment to internet addiction. The family attachment has the most significant influence with internet addiction in high school adolescents. It is essential for community mental health nurses to conduct health education to families related to the result of this stud
Pengaruh Terapi Musik Lullaby terhadap Heart Rate, Respiration Rate, Saturasi Oksigen pada Bayi Prematur
No full textBayi prematur yang terpasang alat bantu napas harus dalam kondisi tenang sehingga ada sinkronisasi antara napas bayi dengan alat bantu napas yang dimanifestasikan dengan perubahan heart rate, respiration rate dan saturasi oksigen. Salah satu cara membuat bayi tenang selama penggunaan alat bantu napas adalah pemberian terapi musik lullaby. Tujuan penelitian ini untuk melihat pengaruh terapi musik lullaby terhadap heart rate, respiration rate dan saturasi oksigen pada bayi prematur yang terpasang alat bantu napas. Penelitian ini menggunakan desain quasi experiment design with pre-post test without control group terhadap 22 bayi prematur yang dipilih secara non probability sampling melalui pendekatan purposive dengan kriteria bayi dipasang alat bantu napas, usia gestasi 24-36 minggu, tidak mengalami ensepalofati hipoksik iskemik. Pengumpulan data dilakukan pengukuran heart rate, respiration rate dan saturasi oksigen sebelum terapi musik lullaby diberikan dan setelah musik lullaby diberikan selama 3 hari. Analisa data yang digunakan adalah uji t dependen. Hasil menunjukan adanya perbedaan rata-rata heart rate, respiration rate dan saturasi oksigen pada hari pertama sebelum terapi musik lullaby diberikan dibandingkan dengan hari ketiga setelah terapi musik lullaby diberikan dengan nilai p value <0,05 untuk heart rate, p value <0,05 untuk respiration rate dan p value <0,05 untuk saturasi oksigen. Pemberian musik lullaby terbukti mampu membuat bayi prematur tenang dan dapat dilakukan di tempat perawatan bayi prematur lainnya yang terpasang alat bantu napas sebagai salah satu upaya mempertahankan ketenangan pada bayi prematur.Kata kunci: Bayi prematur, heart rate, respiration rate, saturasi oksigen, terapi musik lullaby Effect of Lullaby Music Therapy on Heart Rate, Respiration Rate, Oxygen Saturation on Prematur InfantAbstractPremature infants assisted with breathing apparatus should be in calm condition so that there is synchronization between the baby’s breath and the breathing apparatus manifested by changes in heart rate, respiration rate and oxygen saturation. One way to make babies calm during the use of breathing aids is the provision of lullaby music therapy. The purpose of this study was to find out the effect of lullaby music therapy on heart rate, respiration rate and oxygen saturation in premature infants with breathing apparatus. This study used quasi experiment design with pre-post test without control group to 22 preterm babies selected by nonprobability sampling technique via purposive approach with criteria of infant with breathing apparatus, gestational age 24-36 weeks, and no ischemic hypoxic ensepalofati. Samples taken were heart rate measurement, respiration rate, and oxygen saturation before and afterlullaby music therapy was given for 3 days. Data analysis used was t test dependent. The statistical results showed the difference in heart rate, respiration rate and oxygen saturation on the first day before lullaby music therapy was administered compared to the third day after lullaby music therapy was administered with a pvalue value <0.05 for heart rate, pvalue <0.05 for respiration rate, and pvalue <0.05 for oxygen saturation. The provision of lullaby music was proven to make premature babies at peace and could be provided in other baby care unit with breathing support as an effort to sustain peace for premature babies.Keywords: Heart rate, lullaby music therapy, premature infants, respiration rate, oxygen saturation
Validitas dan Reliabilitas Kuesioner Skrining Kekerasan terhadap Anak “ICAST-C†versi Bahasa Indonesia
No full text Saat ini belum ada kuesioner skrining kekerasan terhadap anak (KtA) di Indonesia. Upaya deteksi dini dapat menurunkan kejadian KtA. Tujuan penelitian ini untuk mendapatkan alat skrining kekerasan terhadap anak dengan cara modifikasi dari kuesioner yang telah banyak digunakan di Negara lain, yaitu the International Society for Prevention of Child Abuse and Neglect (ISPCAN)-Child Abuse Screening Tool (ICAST)-for Children (ICAST-C). Rancangan deskriptif dilakukan untuk menilai validitas dan reliabilitas instrumen. Pertama dilakukan lima tahapan translasi dan adaptasi lintas budaya terhadap instrumen hingga didapatkan kuesioner ICAST-C versi Bahasa Indonesia. Kedua dilakukan uji coba terhadap 45 anak usia 11-18 tahun yang bersekolah di SMP dan SMA Kota Bandung. Uji korelasi Rank-Spearman dan Kuder-Richardson digunakan masing-masing untuk mengukur validitas item dan reliabilitas. Validitas item kuesioner ICAST-C versi Bahasa Indonesia sebagian besar dinilai valid kecuali pada sembilan item (Rs ≤0,3). Reliabilitas keseluruhan variabel ICAST versi Bahasa Indonesia adalah KR 0,919. Kuesioner ICAST-C versi Bahasa Indonesia mempunyai validitas item dan reliabilitas yang baik sebagai alat skrining kekerasan terhadap anakKata kunci: ICAST-C, kekerasan terhadap anak, kuesioner skrining  AbstractNowadays there is still no screening tool for violence against child in Indonesia, Early detection may decrease child abuse prevalence The objective study was to obtain a screening tool for child abuse by modifying the questionnaires that have been widely used in other countries, specifically the International Society for Prevention of Child Abuse and Neglect (ISPCAN) -Child Abuse Screening Tool (ICAST) -for Children (ICAST-C). This descriptive study was begun with 5 phase of translation and adaptation across cultural of ICAST-C to establish Bahasa version. The item validity and reliability were measured by correlation Rank Spearman and Kuder-Richardson, respectively The items of ICAST-C Indonesian version were valid except on 9 items (Rs ≤0,3). The reliability of the ICAST-C Indonesian version was KR 0.919. The Indonesian versionquestionnaire of ICAST-C had a good item validity and reliability as a screening tool for child abuse.Keywords: ICAST-C, child abuse, questionnaire, screenin
The Relation of The Family Resilience with Substance on Skizofrenia Patients in The Psikiatri Unit
No full textAbstractSchizophrenic patients experience relapse after returning from the Hospital. The family is the immediate neighborhood with schizophrenic patients. Families who can not adapt to stress, then can not perform its functions properly, including the function of family care. The functioning of the family care can be seen from the level of resilience. The aim of this study was to identify the relationship between family resilience and recurrence in schizophrenic patients.This research uses correlational design with cross sectional survey. The population in this study was the family of schizophrenic patients at RSUD Arjawinangun District Cirebon. Sample determination using power analysis with alpha 0.05 and power 0.08 got sample counted 88 family. The sampling technique uses consecutive sampling. The correlation test used is Rank Spearman test. The instrument used is Family Resilience Assessment Scale which has been modified by previous researchers in Indonesia.The results of the research showed that most of the resilience of the family were tough (76.1%) and some were not tough (23.9%). The recurrence of schizophrenic patients rarely relapsed (73.9%) and a small fraction (26.1%). Rank Spearman correlation test results obtained p value = 0.001 and correlation coefficient value of 0.88, which means there is a significant relationship between family resilience with recurrence in schizophrenic patients.The conclusions of the study are resilient family resilience, allowing a rare relapse in schizophrenic patients. Arjawinangun Hospital Management Cirebon Regency in making policies to not only pay attention to the needs of patients, but also the needs of families
Effect of Wound Care Using Robusta Coffee Powders on Diabetic Ulcer Healing
No full textDiabetic Gangrene Ulcers are chronic wounds with proinflammatory wound environment caused by elevated levels of TNF-α, which tends to occur in delay in wound healing, and infection susceptibility. This research aims to determine the effect of wound care using Robusta coffee powder as an adjuvant  to the healing of diabetic ulcers gangrene.32 patients were included in this Quasi-experiment with Pretest-Posttest Control Group Design approach and the sampling was done by consecutive sampling method at random. The object was divided into 2 groups, namely the intervention group and the control group performed on patients undergoing treatment in the surgical and inpatient wards, Regional public hospital, Sekarwangi. The intervention group received wound treatment with Robusta coffee powder while the control group received conventional wound treatment for 2 weeks, during which also has been done assessment of wound scores with wound assessment Bates Jensen at the time of pretest and posttest.           Characteristics of respondents between the intervention group and the homogeneous control did not differ significantly. The difference of mean score of pretest and posttest score in two groups with t test showed there was significant difference with p value <0,05, whereas for difference of mean score between group of intervention and control with independent t test showed there is difference significantly.           There is influence of wound care using Robusta coffee powder as adjuvant to healing diabetic ulcers gangrene in Regional public hospital, Sekarwangi, Sukabumi. Therefore, it is important for the hospital to consider wound care using Robusta coffee powder on diabetic ulcer gangrene wounds as it can accelerate wound healing.  Keywords: Robusta cofee, Wound healing, Diabetic ulcers, Wound assessment Bates Jense
Pengaruh Field Massage sebagai Terapi Adjuvan terhadap Kadar Bilirubin Serum Bayi Hiperbilirubinemia
No full textHiperbilirubinemia merupakan komplikasi yang sering terjadi pada masa neonatal. Terapi modalitas dibutuhkan karena fototerapi sebagai prosedur penatalaksanaan hiperbilirubinemia di rumah sakit berpotensi menimbulkan efek samping. Field massage sebagai terapi adjuvan, diduga dapat meningkatkan ekskresi bilirubin selama bayi mendapat fototerapi. Namun, penelitian field massage sebelumnya baru melaporkan penurunan kadar bilirubin diduga seiring meningkatnya frekuensi buang air besar sebagai efek massage. Tujuan penelitian untuk mengetahui pengaruh field massage sebagai adjuvan terhadap kadar bilirubin serum bayi hiperbilirubinemia yang menjalani fototerapi. Desain penelitian menggunakan kuasi eksperimen dengan non equivalen pre test-post test design with control group.Sampel diambil secara consecutive terbagi menjadi kelompok intervensi (16 responden) dan kelompok kontrol (16 responden). Data dianalisis menggunakan Dependen T-Test, Independen T-Test, dan Analysis of Covarians. Hasil menunjukkan rata-rata kadar bilirubin serum setelah intervensi pada kelompok intervensi (8,09+1,21) sedangkan kelompok kontrol (10,05+2,17). Penurunan rata-rata kadar bilirubin serum kelompok intervensi (7,20+1,59), sedangkan kelompok kontrol (4,64+1,25), antara kedua kelompok terdapat perbedaan penurunan yang bermakna (p=0,001). Kontribusi variabel confounding tidak berpengaruh terhadap penurunan rata-rata kadar bilirubin serum, setelah dikontrol variabel confounding pada kelompok intervensi memiliki nilai bersih (7,23+0,37), kelompok kontrol memiliki nilai bersih (4,61+0,37). Kesimpulan didapatkan field massage sebagai terapi adjuvan dapat menurunkan kadar bilirubin serum secara efektif. Berdasarkan hasil penelitian Field massage bisa menjadi salah satu alternatif intervensi keperawatan yang dapat digunakan dalam penatalaksanaan bayi hiperbilirubinemia di rumah sakit.Kata kunci: Field massage, fototerapi, hiperbilirubinemia, neonatal. Effect of Field Massage as Adjuvant Therapy on Serum Bilirubin Levels Neonatal HyperbilirubinemiaAbstract Hyperbilirubinemia is the common complication that occurs in neonatal period. Therapeutic modality is needed since phototherapy as a standard procedure for hiperbilirubinemia in hospital is often give side effects. Field massage is an adjuvant therapy might increases the excretion of infant bilirubin serum in procedure of phototherapy. However, previous research used field massage noticed that decreased levels of bilirubin allegedly increased with the frequency of defecation as massage effect. The purpose of this study was to determine effect of field massage as adjuvant to level of bilirubin serum in neonatal with phototherapy.The research design used quasi experiments with non equivalent pre test-post test design. The sample was recruited by consecutive sampling of 16 respondents in intervention group and 16 respondents in control group. Data were analyzed by using Dependent T-Test, Independent T-Test, and Analysis Covarians. Results showed that the mean serum bilirubin level after intervention in intervention group showed (8.09+1.21), while the control group were about 10.05+2.17. Decreasing mean serum bilirubin level in the intervention group (7.20+1.59) and the control group (4.64+1.25), between two groups showed that there had significant decrease (p=0.001). Contribution of confounding variables did not affect to the decreased mean serum bilirubin level, whereas after controlled confounding variables in the intervention group showed had net value (7.23+0.37), and for the control group (4.61+0.37). It can be concluded that field massage is effective and useful in decreasing bilirubin serum levels. Results of this study can be used as one of alternative nursing interventions in managing neonatal hyperbilirubinemia in hospitals.Keywords: Field massage, hyperbilirubinemia, neonatal, phototherapy
The Effect of InGDEP on Type 2 Diabetes Patients’ Knowledge and Self-Care
No full textIn the recent years, there is an increasing number of the diabetes incidence worldwide. Self-care is believed as one of key in chronic disease management. In order to increase the capability to self-care, diabetics patients need to be empowered with the knowledge and skills through an educational program. There were some existed diabetes educational programs, however for developing country such as Indonesia, there was a need to develop a culturally relevant diabetes education program. This study was aimed to identify feasibility and the effect of the Indonesian Group-based Diabetes Education Program (InGDEP) on knowledge and self-care behaviors among type 2 diabetic patients. This quasi experimental with one group pre-and post-test only design involved 62 diabetic patients and 16 health professionals who actively delivered the program in four community health centers (Puskesmas). Data were collected using Diabetes Knowledge Questionnaire (DKQ) and Summary of Self Care Activities (SDSCA). Paired t-test used to analyze the effect of the InGDEP on the knowledge, self-care, and biometric measurement (HbA1c). The knowledge score for pre-test was 13.2+3.9 and post-test was 16.1±3.5, self-care activities score for pre-test was 3.31±1.10 and post-test was 3.99±1.27 and the HbA1C level was 10.56±2.32 The results showed there was the significant effect of InGDEP on diabetes patients’ knowledge, some changes in self-care and biometric measurements even though it was not significant. The program also can be accepted by the health professionals where there was a good team work in delivering the educational program. It can be recommended that the InGDEP has an effect in improving knowledge and self-care among diabetics’ patients, however since the effect on self-care and biometric changes was not significant, further research related to the factors that influence the self-care and biometric changes is needed