Jurnal Keperawatan Padjadjaran
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Association between women’s empowerment and contraceptive failure in Indonesia: 2017 IDHS data analysis
No full textBackground: Contraceptive failure has negative consequences, including unwanted pregnancies and abortions, which can cause maternal morbidity and mortality. Contraceptive failure is influenced by individual factors such as the user and the quality of the contraceptive method/device. One of the individual factors is the cultural factor which can be seen from the empowerment of women in improving the quality of health, including the use of contraception. There is no study which has discussed women’s empowerment as the determination of contraceptive failure.
Purpose: Therefore, this study aims to analyze the association of women’s empowerment in contraception failure in Indonesia.
Methods: The data source used is the results of the 2017 IDHS (Indonesia’s Demographic and Health Survey) with the unit of analysis from the period of using contraceptives to women who get pregnant while using contraceptives. The dependent variable is the duration of contraceptive usage. The main independent variable is women’s empowerment as measured by four indicators, namely asset ownership in the name of the wife, ability of decision-making in the household, ability to earn cash by working, and attending at least junior high school. Data were analyzed using the survival analysis method.
Results: The results of the analysis show that the four factors of women’s empowerment have a significant negative association with contraceptive failure after controlling for socioeconomic, demographic, and environmental factors.
Conclusion: Variables that are positively associated with contraceptive failure are participation in household decisions, education, residence status, and internet usage. Variables that are negatively associated with contraceptive failure are asset ownership, working status, and number of children
Correlation between Neutrophil/Lymphocyte Ratio (NLR), lipid profile, lesion location and vascular cognitive impairment in acute ischemic stroke patients
No full textBackground: Stroke is the leading cause of long-term disability with significant clinical and socioeconomic impact worldwide. Hyperlipidemia and inflammation play major roles in ischemic stroke. This research focuses on the correlation of three factors, namely Neutrophil-Lymphocyte Ratio (NLR), lipid profile, and lesion location, with Vascular Cognitive Impairment (VCI). These factors may serve as potential predictors for VCI.
Purpose: This research aims to study the correlation between NLR, lipid profile, and lesion location with vascular cognitive impairment. Besides, this research aims to explore those potential biomarkers as predictors of vascular cognitive impairment.
Methods: This was a cross-sectional study which included 107 patients diagnosed with ischemic stroke from February 2022 to January 2023 with a history of admission to the hospital within 72 hours. After signed an informed consent form, every patient had history taking, physical exam, lipid profile, routine blood test, Mini Mental State Examination (MMSE) and Montreal Cognitive Assessment Indonesian Version (MoCA-Ina) on the first hospital day. Statistical tests were done with Spearman correlation method.
Results: The data distribution was not normal for INR and MoCA-INA values (p<0.05). Total cholesterol was insignificantly (p=0.092) correlated with MoCA-INA score with low correlation value (r=-0.293). HDL was significantly (p=0.035) correlated with MoCA-INA score with moderate correlation value (r=0.461). LDL was significantly (p=0.028) correlated with MoCA-INA score with low correlation value (r=-0.387). Triglycerides was insignificantly (p=0.440) correlated with MoCA-INA score with very weak correlation value (r=-0.137). NLR was significantly (p=0.015) correlated with MoCA-INA score with moderate correlation value (r=-0.412).
Conclusions: Lipid profile is correlated with cognitive impairment in post stroke patients, with HDL being a protective factor, and LDL as risk factor. NLR was associated with worse cognitive function and LDL was directly proportional to NLR. Lesion location reporting was highly heterogeneous and more uniformed reporting is recommended for future research
The unsung heroes in the fight to end HIV: The role of nurses in Indonesia
No full textHIV new cases are continuing to be reported in Indonesia. Although progress in HIV prevention and control has been made, Indonesia continues to face significant challenges in its fight against HIV. Continued efforts to expand treatment, reduce stigma, and strengthen prevention initiatives by involving health care workers and all stakeholders are essential to controlling the epidemic and improving the lives of those affected by HIV in the country. As a healthcare worker, nurses are central to the country's efforts to control and eventually end the HIV epidemic. Their roles are diverse and impactful, ranging from direct patient care to community outreach, education, and policy advocacy. As Indonesia continues to face challenges in its HIV response, the contributions of nurses will remain essential in overcoming these barriers and improving the lives of those affected by HIV
The effect of 12-weeks foot exercise on blood glucose levels, ankle brachial index, and sensation of protection in diabetes mellitus patients: A quasi-experiment study
No full textBackground: Diabetes Mellitus (DM) is a global health issue causing nerve damage, blood vessel damage, and leg impairment. Foot exercises can improve risk factors for diabetic foot ulcers, neuropathy symptoms, pressure distribution, joint mobility, and strength in individuals with diabetes.
Purpose: This study aimed to determine the effect of 12-weeks foot exercise on blood glucose levels, ABI values, and sensation of protection in diabetes mellitus patients West Java, Indonesia.
Methods: The sample in this study was individuals aged 18 or above with a confirmed diagnosis of diabetes mellitus. A 154 patients willingly volunteered to participate and were subsequently enrolled in the study (77 in intervention group and 77 in control group). The study encompassed participants who engaged in a twelve-week regimen of foot exercises utilizing teaching modules and video materials.The study employed several tools, namely a glucometer, a glucometer stick, Ankle Brachial Index value, and a questionnaire. A bivariate analysis using the paired t-test and ANCOVA was conducted using IBM SPSS Statistics version 22.0.
Results: In intervention group, random blood glucose was decreased significantly from 237.5 ± 9.56 at baseline to 188.0 ±6 9.19 after intervention (p=0.002). Sensation of protection as measure by the number of areas with loss sensation was improve from 5.21 ± 1.03 at baseline to 3.42 ± 1.21 after intervention (p=0.001). While, no significant improvement in ankle-brachial index after intervention (p=0.413). The ANCOVA test showed that between group, sensation of protection was significantly different in intervention group compare to control group (ß =0.413, p-value=0.038).
Conclusions: The study found that a 12-week foot exercise program significantly improves blood glucose and sensation protection, but not ankle-brachial index. Further research is needed with a more rigorous study design and larger sample size
The effect of psychoeducation-based on transtheoretical model on depression in patients with coronary heart disease
No full textBackground: Depression is the most common psychological condition among patients with coronary heart disease (CHD). Although psychoeducational programs (PEPs) based on the Transtheoretical Model (TTM) have shown promise for psychiatric patients, their application among individuals with medical conditions, particularly cardiovascular disease, remains limited—especially in Indonesia.
Purpose: This study aimed to assess the effectiveness of a TTM-based PEP intervention in reducing depression among CHD patients.
Methods: A quasi-experimental design was employed, involving 80 CHD patients hospitalized in the coronary care unit (CCU) of a private hospital in West Java, Indonesia, in 2022. Participants in the intervention group attended seven sessions, each lasting 60 to 90 minutes. Depression symptoms were measured using the Hamilton Depression Rating Scale (HDRS). An ANOVA was performed to compare pre- and post-intervention mean HDRS scores and subscale scores between the two groups. After accounting for attrition, the final analysis included data from 76 patients.
Results: The participants had a mean age of 59.39 years (SD = 11.10) and a mean disease duration of 4.05 years (SD = 1.69). A paired t-test showed a significant reduction in the mean HDRS score of the intervention group, from 13.79 ± 2.84 pre-intervention to 10.16 ± 2.16 post-intervention (p < 0.0001). Most HDRS subscale scores also decreased significantly, except for insomnia, somatic/genital symptoms, and weight loss. ANCOVA confirmed significant differences between the two groups in overall HDRS scores.
Conclusions: The findings suggest that TTM-based PEP is effective in reducing depression among CHD patients. Incorporating such programs alongside standard treatments is recommended for enhanced patient outcomes
Peer-Group support based on the chronic care model for improving HIV patients' caring ability
No full textBackground: The ability of caring of HIV patients toward a condition is still relatively low, especially during a pandemic, which makes the patient's immune condition more susceptible to decline. This study aims to develop peer-group support based on a chronic care model (CCM) to improve the ability of HIV patients in caring during the COVID-19 pandemic.
Methods: An explanatory study with cross-sectional was conducted. A total of 375 respondents were recruited with convenience sampling. The exposure were individual characteristic factors, health system factors, support system factors, environmental factors and peer group support based on chronic care model. Meanwhile the outcome was improvement of patient’s ability in caring. Statistical analyses were conducted using SPSS version 21 and SEM-PLS
Self-care among breast cancer survivors: A concept analysis
No full textBackground: Breast cancer survivors have an excellent prognosis and a high survival rate, thus each survivor requires self-care abilities throughout their complex therapy. The concept of self-care is not a new concept in the nursing field, but it is necessary to analyze it as there are still inconsistencies in its use and unclear definitions, especially in the context of breast cancer survivors.
Purpose: The purpose of this study was to describe the concept of self-care among breast cancer survivors by employing the Walker and Avant’s analysis method.
Methods: The Walker and Avant’s concept analysis method comprises of eight systematic steps. The literature search was conducted through electronic databases, such as ScienceDirect, MEDLINE, EBSCO, ProQuest and SAGE, with the search constraints ranging from 2003 to 2023.
Results: The literature search identified 115 articles in the fields of medicine, nursing, sociology, psychology, economics, anthropology, pharmacy, computer science and midwifery. Following the analysis, 30 articles were selected for this study. The concept of self-care was defined as: 1) survivor activity; 2) survivor awareness; 3) self-management; 4) prevention of morbidity and recurrence; 5) improved health. Meanwhile, the concept’s antecedents included self-efficacy, self-care agency and social support, and the consequences included symptom control, improved coping, improved well-being, and improved quality of life.
Conclusions: Understanding the attributes of self-care among breast cancer survivors along with their antecedents and consequences could facilitate its development in nursing practices. The self-care concept is utilized for self-care assessment and implementation of appropriate interventions in the context of breast cancer survivors who have completed the therapy
Measurement tools used to assess interprofessional education and collaborative practice in health professional students: A COSMIN systematic and psychometric review
No full textBackground: Interprofessional education and collaborative practice (IPE/IPC) are essential for preparing students to work together and respect the unique qualities and abilities of professionals. However, IPE/IPC and its related concepts are highly abstract phenomena and complicated to assess and measure. In consequence, a critical appraisal is needed to evaluate the quality of the instruments.
Purpose: This study aimed to critically appraise, compare and summarize the quality of measurement properties of all self-report collaboration questionnaires for health professional students and to provide evidence concerning the psychometric properties of the measurement.
Methods: A psychometric review was employed, and the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) approach was applied to assess the methodological quality of the nature of the measurements. Data search using keywords: health professional students, interprofessional, collaboration, teamwork, collaborative, through MEDLINE, EMBASE, and EBSCO-hosted Education Resource Information Centre databases.
Results: Seven instruments from 10 reviewed studies were identified. Among them, four instruments targeted attitudes toward collaboration. One instrument focused on students' collaborative learning readiness and had been tested in Hong Kong using English, in Iran using Persian, and in Indonesia using Bahasa Indonesia. One instrument measured perception about IPE, and two studies measured IPE/IPC competencies related to patient-centered, team-based, and collaborative care. The methodological quality assessment indicated that several instruments were less rigorously developed and validated than COSMIN and Quality Criteria of Measurement Properties recommend.
Conclusions: The findings of this psychometric review are that the Interprofessional Attitudes Scale is an instrument with adequate content validation and very good structural validity, internal consistency, cross-cultural validity, reliability, measurement error, and criterion validity. It is recommended that the Interprofessional Attitudes Scale be used to measure the interprofessional attitudes of health professional students.
“Plants brought back to life”: An exploration of female adolescent survivors’ experiences of sexual abuse, healing and resilience
No full textBackground: Sexual abuse is a significant issue for adolescent girls in the Philippines. This study explores the experiences of survivors, focusing on their journeys of healing and resilience.
Methods: This Interpretative Phenomenological Analysis study aimed to understand the lived experiences of Filipino adolescent girls who survived sexual abuse through four key questions, namely: 1) How did each participant perceive their experience? 2) What coping mechanisms did they employ to deal with the trauma? 3) How did the abuse impact their self-perception and purpose in life? 4) What symbols or meanings do they associate with their experiences?
Results: The analysis identified six superordinate and sixteen subordinate themes. These included: 1) sense of loss – participants described a deep sense of loss due to the abuse; 2) healing as a process – healing was perceived as a gradual and ongoing journey; 3) supportive environment – supportive relationships played a crucial role in coping; 4) growing faith in God – faith emerged as a significant source of strength; 5) reclaiming the sense of self – regaining a sense of self-worth was a central aspect of healing; and 6) altruism – the desire of helping others emerged as a meaningful way to cope.
Conclusions: The participants’ experiences can be likened to a resilient plant that, despite facing near-destruction, revives with renewed strength. Family dynamics played a crucial role in the girls’ experiences of abuse. A culture of silence and fear emerged as a significant theme in their narratives. Additionally, the ambiguity and conflicting emotions surrounding accountability for perpetrators within close families posed complex challenges.
This research provides valuable insights into the experiences of sexually abused Filipino adolescent girls, informing nursing practice. The findings enable nurses to offer culturally sensitive, trauma-informed care and develop targeted support interventions. Incorporating these insights into nursing education will enhance students’ competencies in trauma response, cultural sensitivity, and therapeutic communication with abuse survivors, leading to improved assessment protocols and care strategies
The culture of caring for low birth weight infants at home after treatment: An ethnographic study from Indonesia
No full textBackground: Caring for low birth weight (LBW) babies is a challenge for parents, especially after being discharged from the hospital, to continue the care provided by professional nurses. Culture can influence how parents behave and decide to keep babies healthy.
Purpose: This study examined the culture that influences mothers in Aceh, Indonesia, to care for LBW infants at home following hospital treatment.
Methods: This study used an ethnographic design that involved ten participants consisting of mothers who had an LBW infant after receiving hospital care, a grandmother, a midwife, and health cadres. The data were collected using focus grou