Jurnal Keperawatan Padjadjaran
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The trend of research on oral hygiene in intubated patient based on bibliometric analysis
No full textBackground: ICU patients with critical conditions are generally intubated due to their inability to breathe independently. These patients require assistance from nurses in meeting their basic needs, one of which is oral hygiene. ICU nurses use several protocols when doing oral hygiene in intubated patients.
Purpose: This study was conducted to reveal the trend of research on oral hygiene in intubated patients in the last two decades through bibliometric analysis.
Methods: This study is a quantitative research. The research publications were collected from the Scopus and PubMed databases through the Publish or Perish application. Then, for further analysis, the VOSViewer application was used to create visualization maps of co-occurring terms that include the research themes.
Results: There were a total of 88 publications from two databases in the last two decades that discussed oral hygiene in intubated patients. Visualization in VOSViewer illustrates five main clusters on oral hygiene-intubated patients. Most of the publication themes were oral hygiene protocols and the relationship between the oral hygiene and VAP incidence. However, suction toothbrush as one of the oral hygiene protocol did not appear in the co-occurring terms in the first search; therefore, the researchers conducted a separate search about this term.
Conclusions: Based on the analysis, the most common themes used are oral hygiene protocols and the relationship between oral hygiene and VAP in the last two decades. However, research on suction toothbrush as one of the protocols is still lacking, so it can be used as a novelty in conducting further research
The psychometric properties of Indonesian version of WHO quality of life 100 in tuberculosis patients
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Family caregiver burden in schizophrenia: A structural equation model of caregiver, patient, environmental, and family function factors
No full textIntroduction: Families play a critical role in the care and support of individuals with schizophrenia. However, this responsibility often leaves caregivers with significant physical and psychological burdens.
Objective: The study aimed to evaluate the family caregiver, patient, environmental factors, and family function as predictors of family caregiver burden in schizophrenia patients.
Methods: This study used a cross-sectional design. The population consisted of family caregivers of schizophrenia patients who had experienced at least one episode in the past year, lived in the same house, and had been caregivers for at least one year. We recruited 220 family caregivers of schizophrenia patients. The variables in this study were family caregiver, patient, environmental factors, family function, and caregiver burden. The data was collected using a self-report questionnaire and analyzed using partial least squares.
Results: Most respondents were predominantly between the ages of 46 and 65. The model showed that caregiver burden was influenced by the patient factor (t= 4.259, path coefficient: 0.088), environment factor (t= 6.540, path coefficient: 0.288), and family function (t= 10.977, path coefficient: 0.497). These findings showed that family function was the dominant factor in caregiver burden.
Conclusion: Patient factors, environmental factors, and family function significantly affected the family caregiver burden, except for the family caregiver factor. This model can help family caregivers decrease their burden by managing family functioning
Critical thinking of repositioning practice as a quality of nursing care indicator
No full textRepositioning is all nursing activities that aim to change the posture of bedridden patients from one side to another during the hospital stay to minimize the pressure load on bony prominences and prevent pressure ulcers or injuries from developing. This is a discussion paper based on nursing and healthcare quality literature references. This paper describes the importance of repositioning practice based on the empirical study and experience as nurses and nurse managers. This perspective supports the existing literature to link repositioning practice and the quality of nursing care process indicators. Repositioning practice could be considered as an indicator of the process of care. This paper emphasizes repositioning practice as a fundamental nursing intervention and how it becomes meaningful for nursing indicators. Nurses need a standard of repositioning and its measurement at the international level
Mindfulness-Based Asmaul Husna and changes in general adaptive function response among schizophrenia: A Quasi-experimental study
No full textBackground. Poor functional capacity is one of the factors that increase the risk of recurrence of positive and negative symptoms in schizophrenia. Mindfulness is a treatment potentially help patients become fully accepting of their conditions and conscious of it, allowing them to regulate unpleasant emotions and increase awareness of positive emotions.
Methods. This study aimed to investigate effect of mindfulness-based Asmaul Husna on the overall adaptive functioning of individuals with schizophrenia. This quasi-experiment times series study involved 36 participants selected with simple random sampling. The inclusion criteria of participants were adult Muslim with schizophrenia who had a PANSS-EC score <10, mild symptoms, risk of violent behavior. Participants with severe symptoms and complications from other diseases were excluded. Mindfulness-based Asmaul Husna consisted of Musyahadah-witnessing, tassawur-imagination, tafakkur-contemplation, tadabbur-reflection, and muhasabah-self-introspection was given to each participant over five days. A modified-Global Assessment Functioning (m-GAF) scale used to measure participants' general adaptive functional responses before and after intervention including follow-up at the first and second month after the intervention.
Results. There was a significant increase of the m-GAF score (p < 0.001) and a chi-square value of 177.2 after the implementation of mindfulness-based Asmaul Husna intervention. The highest mean score difference was observed at the first and second follow-ups, conducted one and two months after the interventions. The effect size calculated using Kendall’s Wa indicates a significant effect (0.821).
Conclusion. The study suggests there is a positive effect of the mindfulness-based Asmaul Husna intervention on adaptive functioning of people with schizophrenia
Post-operative nursing bleeding management in mitral valve repair-re-exploration patient during early post-operative period: A case report
No full textBackground: One of the first targets of post-operative care for cardiac surgery is to control bleeding. Significant bleeding can affect cardiac function as it can lead to hemorrhagic shock, severe anemia, and cardiac tamponade. Valve surgery has a mortality rate of 3.4%. Mitral valve repair surgery has a mortality rate of 1.2% compared to a valve replacement mortality rate of 4.5%. A quick and appropriate decision in the management of bleeding is one of the factors determining the patient's outcome. This study aims to report on nursing bleeding management in mitral valve repair-re-exploration patient during early postoperative period. This research is qualitative research using the case study method.
Case: 59-year-old female with a medical diagnosis of mitral valve prolapse with severe mitral regurgitation of non-significant coronary artery diseases performed mitral valve repair surgery. This case has a score of 1 on the Papworth scale, which means low risk of bleeding. During treatment in the ICU, there was an increase in blood production from the chest tube of 1,670 ml within six hours post-surgery. PT APTT value was within normal range. Bleeding management during early post-operative period was carried out, namely conducting supporting laboratory tests, monitoring hypotension, monitoring urine production, performing chest tube maintenance, giving blood transfusions, fluid management and collaboration for re-exploration. Re-exploration surgery was performed at the sixth hour of post-operative care.
Conclusion: The application of post-operative nursing bleeding management in mitral valve repair-re-exploration patient during the early post-operative period provides good clinical outcomes. Effective collaboration (multi-disciplinary teams) between cardiac surgeon, perfusionist, anesthetist, clinical pharmacist, and nurse is required to prevent and manage post-operative bleeding
Supportive-educative needs of patients with coronary heart disease: An investigation of clinical nurses
No full textBackground: The rising prevalence of coronary heart disease (CHD) has highlighted the need for supportive-educative efforts, particularly in nursing. These initiatives are crucial for improving self-care management in CHD patients, enhancing their quality of life. Clinical nurses are key in this role, leveraging their direct patient interaction and expertise to provide tailored education and support.
Purpose: This study aimed to investigate the supportive-educative needs of CHD patients from the perspective of clinical nurses.
Methods: A descriptive qualitative study was conducted for this research. Participants included 30 clinical nurses responsible for caring for CHD patients in both inpatient wards and outpatient polyclinics. Interview guidelines were utilized to collect data through in-depth interviews, triangulation, and the obtained interview data were analyzed using the thematic analysis approach.
Results: We identified four themes related to the supportive-educative needs of CHD patients: 1) engaging and informative media; 2) culturally sensitive approaches; 3) nurses’ attitudes; and 4) family empowerment.
Conclusion: Supportive education, tailored to the needs of CHD patients, is vital for effective disease management. This study's findings highlight the importance of incorporating four key elements into supportive education: engaging and informative media to enhance learning, culturally sensitive approaches to address diverse patient needs, the positive impact of nurses’ empathetic attitudes, and the empowerment of families in the care process. Integrating these aspects can significantly aid CHD patients in developing self-care skills that positively influence their quality of life
Older adults’ lived experiences with bamboo bed handicrafts in improving their quality of life
No full textBackground: Improving the quality of life for older adults is crucial in Northeast, Thailand, where most have low health literacy and live in substandard conditions. They are more likely to age alone or with a spouse with less support overall.
Purpose: This study aimed to explore how the older adults had lived experiences using local wisdom, knowledge, and skill of bamboo bed handicrafts to improve their quality of life and strengthen the community.
Method: This research study used a descriptive design based on Husserl’s qualitative phenomenological philosophy. Participants were purposively chosen. The semi-structured interview guide was created. The twelve key informants, aged 61 to 78 years, had knowledge and experience of making bamboo bed crafts and were interviewed face-to-face in their home environment by consent. Seniors with cognitive impairment met the exclusion criteria. Guba and Lincoln’s trustworthiness criteria were used. The content analysis used the Colaizzi method.
Result: This study found four main themes: 1) Meaningful life 2) Happy life 3) Happy society and 4) Coping with deteriorating physical health through resilience adaptation.
Conclusion: Nurses should enhance quality of life for older adults by supporting their psychological well-being through self-acceptance, coping, resilient adaptation, and continued activity
Embracing innovation framework and transformative paradigm: A practical application in the ultralight project
No full textHigher education, as a centre for research and innovation in the era of transformative learning, is encouraged to conduct research and innovation that can lead to innovation and impact in the areas of health, economy, and sustainability. Innovation requires a framework that functions as an essential guide for development. However, limited innovation frameworks can be applied in nursing, including maternity nursing. This study discusses the M-Motion framework as an alternative framework for developing maternity nursing innovation research. M-Motion comprises of three steps of: pre-innovation, innovation, and post-innovation and it is applied to the Ultralight Project. The project aims to improve pregnancy and fetal health by using the DetectMe device to integrate mothers’ self-monitoring data into online health systems so that the condition of pregnant women and their babies is promptly and accurately monitored. The application of the M-Motion framework to the Ultralight Project is a step in the right direction as it helps in illustrating the sequence between research and innovation, especially as it relates to the acceleration of reducing maternal and fetal mortality rates
Spiritual mindfulness combination with self-regulation on the effect to vital sign and anxiety reduction among pneumonia survivors
No full textBackground: Pneumonia has become a scary disease since the emergence of the COVID-19 pandemic. The severity of pneumonia often causes sufferers to experience fear and causes the disease to worsen, resulting in the patient's hemodynamics becoming unstable, this condition need an intervention to make the condition better.
Purpose: The purpose of this study was to analyze the effect of spiritual mindfulness combined with self-regulation in dealing with anxiety and improving vital signs in pneumonia patients.
Methods: A experimental quantitative research using a quasi-experimental with pre and post-test control group design between August - October 2024 in the regional hospitals in Gresik Regency, East Java, Indonesia. Total 62 respondents recruited using consecutive sampling which were then divided into intervention and control groups. Spiritual mindfulness intervention combined with self-regulation was given with a frequency of 2 times a day for 7 full days. Vital signs measured included blood pressure, respiratory rate, pulse and SpO2 which were observed through the researcher's observation sheet and anxiety was measured using the Zung Self-Rating Anxiety Scale (SRAS). Data were analyzed using paired t-test and independent t-test, also Wilcoxon signed rank test and Mann Whitney test.
Results: Spiritual mindfulness combination with self-regulation has effect to vital sign included blood pressure, respiration rate, pulse, oxygen saturation and anxiety of patient with pneumonia (p=0.000). The measurement showed the best changes or decreases in the intervention group, while the control group did not show much difference.
Conclusions: Spiritual mindfulness combination with self-regulation is the effective intervention for vital sign and anxiety in pneumonia patients