Jurnal Keperawatan Padjadjaran
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Effect of Schizophrenia Care Application (Ics Mobile) on Family Knowledge about Activities Daily Living (ADL) to Schizophrenic Patients
No full text       Activities Daily Living (ADL) is the most common problem in schizophrenia. One most crucial effort is providing health education to families is considered useful in order to be able to increase family knowledge of the treatment process. The use of health education media can take advantage of the development of smartphone technology so as to make health education more interactive. Moreover, the ICS_Mobile application contains information about ADL through text and video. The purpose of this study was to determine the effect of ICS_Mobile application on family knowledge about Activities Daily Living (ADL) in schizophrenic patients. This study uses a quasi-experimental research method with pre-test and post-test control group approach. The population is 341 members of schizophrenia family with a sample of 40 respondents, divided into 2 groups, the intervention group 20 respondents and the control group 20 respondents. Sampling was collected by using purposive sampling. Respondents' knowledge was measured using instruments developed by researchers and content testing and construct test with Crombach'sAlpa value of 0.954. Data were analyzed using repeated measures  ANOVA. The results showed that there was an increase in the mean score of knowledge after the intervention with the value (t = -14.079 p = 0,000), there was no significant increase in the average score of knowledge in the control group with the value (t = -1,751 p = 0,096), and there were differences the average knowledge between the control group and the intervention group with the value (t = 12,933 p = 0,000). The conclusion of this study that the provision of health education interventions using the ICS_Mobile application shows a significant influence on increasing family knowledge about Daily Living Activities (ADL) in schizophrenic patients. Researchers recommend the use of ICS_Mobile applications in health services as an option in increasing knowledge of schizophrenia treatment.Keywords: Activities daily living, ICS_Mobile, Knowledge, Schizophrenia, Smartphon
Differences in The Number of Germs in The Insertion Area of Central Venous Catheter (CVC) Done by Polyurethane Transparent and Plaster Gauze Dressing
No full textA central venous catheter is a catheter that is placed directly on a large vein in the body and its tip lies in one of the central veins that is often used on critical care patients. Colonization of bacteria (germ) around the insertion area of the CVC is an area that is very likely to cause infection even though it has been closed by dressing. The factor that should always be considered is that the state of moisture retention occurs beneath the dressing. Moisture will cause an increase in colonization of the insertion area and increase the risk of catheter-related infection. As is known the humidity level of Indonesia with other countries is higher and the results of positive swabs in the insertion area are associated with Percutaneous Central Venous Catheter (PCVC) colonization and Catheter-related Sepsis (CRS). Transparent polyurethane and plaster gauze are two types of dressings that are different and often used. The transparent polyurethane is widely used in invasive procedures, there are still many medical staff who use plaster gauze dressings. The purpose of this study is to determine the difference in the number of germs in the CVC insertion area that are dressed using transparent polyurethane and plaster gauze. The design of this study is a quasi-experimental pretest-posttest control group with positive sampling. The number of samples is 12 for the intervention group and 11 for the control group. The intervention group performed transparent polyurethane dressings and a control group with plaster gauze. Calculation in the number of germs is with the cup count method. Wilcoxon and Mann-Whitney tests are for te data analysis. Based on the results of the study, it can be concluded that there is no difference in the number of CVC insertion germs between the use of dressings transparent polyurethane and plaster gauze so that both types of dressings can be used for CVC dressings in critical patient care settings.Â
Relationship between Age, Gender and Peer Group with Reproductive Healthy Behaviour of Teen
No full textAdolescent reproductive health (KRR) in Indonesia is still poor. The KRR known as Triad KRR consisted of sexuality, HIV / AIDS, and drugs become a national problem. Teenagers were more comfortable talking about their KRR with their friends than their parents or teachers. The purpose of this research was to know the relation of age, gender, and peer group with behavior of adolescent reproductive health. The research method was  cross sectional study design. Data were analyzed using descriptive statistic, Chi-square and binary logistic. Research conducted in 2017 in junior and high school district Bandung. The population of this study was all students of SMP and SMA amounted to 12,000. The samples amounted 668 students. The results of the research showed that there was a significant relationship between gender with behavior (p = 0,006), there was a significant relationship between age and behavior (p = 0,031), and there was a significant relationship between peer group and behavior (p = 0,042). Multivariate analysis found that age had opportunity 0,527 times, peer group had opportunity 0,211 times, and gender 2,208 times on the behavior support of Triad KRR. The results concluded that KRR behavior is influenced by age, sex, and peer group. Based on the results of the study suggested for the provision of education using a method that involves peer group by considering the age and gender in improving knowledge, adequate and sustainable behavior especially about adolescent reproductive health
Factors Associated with Death Anxiety in Elderly Batak Tribe who Live in Bandung
No full textDeath is something definite. Awareness about the certainty of the coming death raises different responses depending on each person, including the elderly. Differences in social background, beliefs, and life experiences have shaped their respective levels of spirituality elderly, but the elderly still be experiencing anxiety to face the death. Not infrequently the death anxiety felt excessively, causing symptoms that can be observed.This study aimed to analyze the factors associated with death anxiety in elderly Batak tribe who live in Bandung, which includes the quality of life, life satisfaction, and culture. The study employed a descriptive correlational design, particularly cross-sectional design. There were 98 elderly who served as participants. The samples were chosen by using accidental sampling methods and criteria for inclusion. The data were analyzed by using Chi-square and binary logistic regression.The results showed that there was correlation between life satisfaction, and culture with death anxiety in elderly Batak tribe who live in Bandung (the two of factors has p value < 0.001 each) and with the binary logistic regression analysis of the factors known that the satisfaction of life is the most dominant factor that associated with death anxiety with OR value of 0.122. Community nurses need to pay attention to the improvement of satisfaction of life of the elderly.The conclusion this research is High satisfaction of life of elderly people have an impact on reducing the risk of death anxiety in elderly people, without forgetting other factors
The Factors that are Related to Self-Care Agency in Patients with Hypertension
No full textUncontrolled hypertension leads to complex problems experienced by patient as the complication of the hypertension. The patient’s ability to do self-care (self-care agency) is essential and recommended to control hypertension. Age, sex, education, occupation, marital status, decision making, duration of hypertension, lifestyle, and insurance availability are contributed to the self-care agency. Nurses and patients should be able to know and understand these self-care agency related factors. The aim of this study was to identify self-care agency relating factors of hypertension patients in Pekanbaru. This study conducted using a quantitative approach with cross sectional design and involving 100 hypertension patients who recruited using purposive sampling techniques. Self-care agency was measure using exercise of self-care agency (ESCA) questionnare. Data were analyzed using Spearman test and Chi Square test to determine the relation of each factors on self-care agency and multivariate logistic regression test to determine the most related factors on self-care agency. The result showed that there were a significant different of age (p=0.048), education (p=0.002), gender (p= 0.025), health insurance (p=0.027), and life style (p=0.003) with self-care agency. Meanwhile, there were no signifcant different of occupation (p=1.000), decision making (p=0.800), marital status (p=1.000), and duration of hypertension (p=0.567) with self-care agency. Multivariate analysis revealed that the most influence factor for self-care agency is life style. This study suggest the nurses in improving self-care agency of hypertension patients must concern about patient lifestyle and help patient to modify their lifestyle
Comparative Effectiveness of Cognitive Behavioral Therapy 5 Sessions and 12 Sessions Toward to Post Traumatic Stress Disorder on Post Flood Disaster Adolescent
No full textAbstractFlood disaster conduced 2375 refugees and traumatic in adolescent with symptoms of Post Traumatic Stress Disorder as many as 15 people in Garut regency. The impact of PTSD on adolescents reduced brain volume, behavioral changed and short-term memory lost. The psychotherapy that proved to be effective overcome PTSD was Cognitive Behavioral Therapy (CBT) 12 sessions but the empirical evidence in Indonesia, the 12 session of CBT intervention was too long, tedious, and caused doubts to the therapist so that 5 session CBT intervention was considered more flexible and efficient. The purpose of this study was compare the effectiveness of PTSD scores pre and post intervention of CBT 5 sessions and 12 sessions toward of PTSD on post flood disaster in adolescent. This research used Quasi Experiment Design with Pre test and Post test approach Two Group Design. The first group was given CBT 5 sessions and the second group was given CBT 12 sessions with the total number of adolescent respondents were 38 people (aged 12-18). The sample was chosen by used Consecutive Sampling at two evacuation sites in Cilawu and Tarogong Kidul subdistrict, Garut regency, West Java, Indonesia. The results of this study pre and post intervention in both groups decreased of PTSD score which difference of median value of 6.00 on CBT 5 session and average difference of 7.58 on CBT 12 session with significancy (p-value < 0.01) and the result analysis test on the effectiveness of both interventions (p-value > 0.05) with significancy number 0.648. The conclusion was no significant difference between the effectiveness of the CBT group of 5 sessions and the CBT group of 12 sessions. There needs comparison of more than 5 sessions and less than 12 sessions for next research
Quality of Nurse Work Life in Pangandaran Health Center
No full textQuality service is the main goal of the health care system, where the purpose of service quality is to ensure that the services or products of nursing services are produced according to the patient’s standards / desires. The purpose of this study was to find out the quality of work life of nurses in the Puskesmas.This study uses correlative design that connects the characteristics with the quality of the work life of nurses. The research sample was 48 nurses in Puskesmas who were taken by total sampling. Comparative test was carried out using Mann Whitney, Kruskall Wallis and Spearman tests adjusted for the type of dataThe results are displayed in the form of numerical data tables consisting of middle values, deviations and probability values. The total quality of work life of nurses in Pangandaran Health Center was 145.83 where the value obtained was below the average standard value of 150. Likewise for the aspect of work environment, relations with managers, work conditions and job perceptions which had a mean below the standard mean while the support service aspect has an average of 19.31 while the average standard is 18. Based on the comparative analysis, gender and age have no relationship with the quality of work life (p Value> 0.005), while the level of education, the number of teams and salaries have a relationship with quality working life of nurses in Pangandaran Health Center (p Value <0.001). This means that nurses have not felt well in their work, except in the aspect of support service in this aspect nurses have felt satisfied and prosperous in getting support from other teams / officers. Likewise, the level of education, the number of teams and salaries have an influence on the quality of the worker’s life
Fenomena Pasung dan Dukungan Keluarga terhadap Pasien Gangguan Jiwa Pasca Pasung
No full textIndonesia bebas pasung bagi pasien gangguan jiwa merupakan program prioritas yang harus dicapai pemerintah pada tahun 2019. Saat ini upaya bebas pasung telah dilaksanakan dengan baik, permasalahan baru muncul setelah masa pengobatan selesai dan harus kembali kepada keluarga dan masyarakat. Keluarga tidak menghendaki pasien kembali kepada keluarga, diabaikan, kembali kambuh atau menjadi gelandangan psikotik. Penelitian ini bertujuan untuk memperoleh gambaran dukungan keluarga terhadap pasien gangguan jiwa pasca pasung. Penelitian ini menggunakan desain kualitatif fenomenologi, jumlah partisipan sebesar 9 orang dipilih dengan purposive sampling, pengumpulan data dilakukan dengan wawancara mendalam, data dianalisis secara tematik. Hasil penelitian menunjukkan dukungan keluarga terhadap pasien gangguan jiwa pasca pasung diperoleh 2 (dua) tema besar yaitu; fenomena pasung terhadap pasien gangguan jiwa dan dukungan keluarga. Fenomena pasung meliputi; alasan, keputusan, metode, pembebasan dan dampak pemasungan. Dukungan keluarga meliputi; dukungan penilaian, instrumental, informasional dan dukungan emosional. Dukungan keluarga dibutuhkan pasien untuk dapat mencapai penyembuhan dan mencegah kekambuhan. Pengetahuan yang kurang terhadap cara perawatan pasien gangguan jiwa pasca pasung menyebabkan dukungan keluarga yang diberikan terhadap pasien tidak optimal. Pandangan keluarga dan masyarakat yang keliru terhadap pasien gangguan jiwa mempengaruhi penanganan yang tepat terhadap pasien gangguan jiwa.Kata kunci: Dukungan keluarga, gangguan jiwa, pasung. AbstractIndonesian free of pasung for mental disorders is a priority program to be achieved by the government in 2019. Currently the effort of free of pasung for mental illness has been well implemented. A new problems arise after the treatment period is over and patients must return to family and community. Families do not want patients to return to then, ignored, relapse or become psychotic homeless. This study aims to obtain a description of pasung phenomenon and family support for patients after having pasung. This research used qualitative phenomenology design, the number of participants for 9 people was chosen by purposive sampling, data collection was done by indepth interview, the data were analyzed by thematic analysis. The result of the research showed two big themes that are; pasung phenomenon and family supports after the patient having pasung. The pasung phenomenon includes; reasons, decisions, methods, exemptions and the effects of deprivation. Family support includes; support assessment, instrumental, informational and emotional support. Family support is needed for patients to achieve healing and prevent recurrence. The lack of knowledge about the way patients care for post pasung mental disorders cause the family support provided to patients is not optimal. Misrepresentation of family and community opinions on psychiatric patients affects the proper treatment of psychiatric patients.Keywords: Family support, mental disorder, pasung
The Influence of Spiritual Therapy Emotional Freedom Technique (SEFT) Against Self-Concept of Breast Cancer Patients with Mastectomy
No full textMastectomy is a breast cancer surgical therapy that can lead to permanent changes in a woman’s appearance. This change can cause negative changes in a woman’s self-concept. If the disruption of self-concept continues, it will cause emotional weakness. Individuals will be depressed and feel anxious continuously, emotional frustration is getting worse, making individuals create self-destruction. For this reason, therapy is needed that can overcome this negative self-concept problem from Emotional Freedom Technique (SEFT) Spiritual Therapy. The aim of this study was to identify the effects of SEFT therapy on self-concept in women with breast cancer with a mastectomy. This study used a quasi-experimental design with one group pretest-posttest design approach with inclusion criteria willing to be a research subject, aware, no hearing loss or cognitive impairment of self-concept, never had SEFT therapy, interacted with family and community at least 1 week after mastectomy . This therapy was carried out for 3 days in 33 subjects. Data were analyzed by Chi square statistical test with 95% CI with a significance of p <0.05. The results of this study were before given SEFT treatment from 33 respondents, there were 4 respondents (12.1%) who had a positive self-concept, and the majority of 29 respondents (87.9%) had negative self-concept. After SEFT treatment there was an increase in self-concept of respondents with positive self-concept as many as 10 people (30.3%) and still had negative self-concept as many as 23 people (69.7%). The results of the analysis showed that there were differences in self-concept before and after SEFT with a value of p = 0.05. Nurses are encouraged to exercise this ability and use this therapy as a therapy to prevent self-concept disorders in breast cancer patients with mastectomy.Mastectomy is a surgical treatment of breast cancer can result in permanent changes in the appearance of women. this change can cause a negative change in a woman's self-concept. If the self-concept impairment continues it will lead to emotional weakness. Individuals will be depressed and feel constantly anxious, emotional frustrations are getting worse, making the individual create self-destruction. For that needed therapy that can overcome the negative problems of this self-concept of Spiritual Therapy Emotional Freedom Technique (SEFT).The purpose of this study was to identify the effects of SEFT therapy on self-concept in breast cancer women with mastectomy. This study uses quasi experimental design with one group pretest-posttest design approach with inclusion criteria willing to be the subject of research, conscious, no hearing loss or self-concept cognitive impairment, has never done SEFT therapy, interacted with family and community at least 1 week post mastectomy . This therapy is done for 3 days on 33 subjects. Data were analyzed by chi square statistic test with 95% CI with significance p <0,05.The result of this research is prior to being given SEFT treatment from 33 respondents, 4 respondents (12,1%) have positive self concept, and the majority of 29 respondents (87,9%) have negative self concept. However, after SEFT treatment there was an increase in self-concept of respondents with positive self concept as many as 10 people (30.3%) and still have negative self concept as many as 23 people (69,7%). Once tested with chi-square statistical test, there are differences in self-concept before and after SEFT. It is advisable to practice nursing to use this therapy as a therapy to prevent self-conceptual disorder in breast cancer patients who have mastectom
The Effect of Home Heart Walk on Fatigue among Heart Failure’s Patients
No full textAbstractHeart failure is a physiologic state in which the heart cannot pump enough blood to meet the metabolic needs of the body. Fatigue is a major problem that arises in heart failure patients. One intervention to reduce fatigue is Home Heart Walk (HHW). The aim of this research was to determine the effect of HHW on fatigue among heart failure’s patients. This research used Pretest-Postest Design Pre-experiment design, at RSUPN Dr Cipto Mangunkusumo & RS PGI Cikini during May-July 2015, involving 50 heart failure patients with functional class 2 & 3.The nurse teached HHW to heart failure patients with a six-minute walking procedure with five meter’s distance in the hospital and then the exercise is continued at home within two days for six weeks. The result obtained majority of the respondents is clasification heart failure’s functional class two (76%). Before & after HHW’s intervention, the majority of normal pulse rate from 90% become 100%.The test results showed there was significant difference in the degree of fatigue before and after HHW‘s intervention (p=0.000) and there is a relationship between respiratory rate on the degree of fatigue (p=0.043). The conclusion is HHW can reduce fatigue in heart failure patients during six weeks. Therefore it is recommended for nurses to teach HHW and motivate patient to have self-exercise