Jurnal Keperawatan Padjadjaran
Not a member yet
379 research outputs found
Sort by
Can D-dimer predict length of hospital stay in COVID-19 survivors? A cross-sectional study
No full textBackground: COVID-19 has been shown to increase the risk of thrombosis, where this mechanism occurs due to cell damage that triggers the release of various proinflammatory cytokines and chemokines, thereby activating the coagulation cascade. Thus, an increase D-dimer levels in COVID-19 patients occurs. The duration of patients' hospitalization, known as Length of Hospital Stay (LOS), plays a crucial role in enhancing patient care, reducing overall costs, and optimizing resource allocation.
Purpose: The main objective of this study is to determine the correlation between D-dimer and various other factors to assess its predictive value for LOS) in COVID-19 survivors.
Methods: This observational analytic study included COVID-19 patients who were admitted to Universitas Sebelas Maret Hospital in Sukoharjo, Indonesia, from November 2020 to January 2021. The data was taken from the medical records of patients diagnosed with COVID-19. Age, gender, comorbidities, admission oxygen saturation, D-dimer, neutrophil-lymphocyte ratio (NLR), haemoglobin, platelet count, white blood cells (WBC), LOS and estimated glomerular filtration rate (eGFR) were analysed in this study. Binary logistic regression was applied to determine the correlation between potential predictors on LOS.
Results: A total 104 patients were included in the final analysis. The median LOS was 13 days (IQR 9-17 days). There was an increase of D-dimer in 79 patients with the median 759.39 ng/ml. Patients with prolonged LOS tend to have higher D-dimer levels (Median 924.95 vs 591.54 ng/ml, p = 0.018). However, D-dimer and other parameters was not associated with prolonged LOS in COVID-19 survivors (D-dimer p = 0.188; Age p = 0.138; Diabetes mellitus p = 0.172; NLR p = 0.859; Platelet count p = 0.097).
Conclusions: D-dimer levels does not accurately predict prolonged LOS in COVID-19 survivors. Therefore, we suggest D-dimer solely should not be used as a tool to predict patient’s LOS
HUBUNGAN CYBERBULLYING DENGAN RISIKO IDE BUNUH DIRI PADA REMAJA
No full textBackground: Cyberbullying is a serious problem experienced by almost all countries. In Indonesia, the highest internet users are adolescents, so that adolescents are at risk of experiencing cyberbullying. Cyberbullying is bullying that is done through social media. Bullying carried out both traditionally and through social media has a psychological impact in the form of feelings of sadness and suicide attempts.
Purpose: to determine the relationship between cyberbullying and the risk of suicidal ideation in adolescents.
Methods: this study was a correlational study with a cross-sectional approach of 1.043 students from ten state high schools and four state vocational schools with random sampling. Data analysis used the Chi-Square test, Kruskal-Wallis test, and Mann-Whitney test.
Results: As many as 21.0% of adolescents involved in cyberbullying are at risk of suicidal ideation. There is a relationship between cyberbullying and the risk of suicidal ideation in adolescents p = 0.000 (p <0.05).
Conclusions: The risk of suicidal ideation is not only for adolescents who are involved as victims of cyberbullying but also affects adolescents who are involved as perpetrators, both perpetrators and victims.Latar Belakang: Cyberbullying merupakan masalah serius yang dialami oleh hampir semua negara. Di Indonesia pengguna internet tertinggi adalah remaja, sehingga remaja berisiko mengalami cyberbullying. Cyberbullying adalah bullying yang dilakukan melalui media sosial. Bullying yang dilakukan baik secara tradisional maupun melalui media sosial memiliki dampak psikologis berupa perasaan sedih dan ide bunuh diri.
Tujuan: Tujuan dari penelitian adalah untuk mengetahui hubungan antara cyberbullying dengan risiko ide bunuh diri pada remaja
Metodologi: penelitian ini merupakan penelitian korelasional dengan pendekatan cross-sectional pada 1.043 siswa dari sepuluh SMA Negeri dan empat SMK Negeri dengan random sampling. Analisis data menggunakan uji Chi-Square, uji Kruskal-Wallis, dan uji Mann-Whitney.
Hasil: Sebanyak 21,0% remaja yang terlibat dalam cyberbullying berisiko memiliki ide bunuh diri. Terdapat hubungan antara cyberbullying dengan risiko ide bunuh diri pada remaja p=0,000 (p<0,05).
Kesimpulan: Risiko bunuh diri tidak hanya dialami oleh remaja yang terlibat sebagai korban cyberbullying tetapi juga berdampak pada remaja yang terlibat sebagai pelaku, maupun pelaku dan korban.
Kata Kunci: cyberbullying, remaja, risiko bunuh dir
Pengalaman Hidup Orang Terinfeksi Filariasis
No full textFilariasis merupakan penyakit yang kurang diperhatikan, karena penderita cenderung mengalami stigma negatif. Penelitian ini bertujuan mengeksplorasi pengalaman hidup orang terinfeksi filariasis. Penelitian menggunakan metode deskriptif kualitatif dengan pendekatan fenomenologi. Tujuh partisipan berpartisipasi dalam penelitian ini. Analisis data menggunakan pendekatan Collaizi. Hasil penelitian mendapatkan lima tema dan 16 subtema. Pertama, pengalaman pertama kali terinfeksi filariasis dengan subtema kaget, bingung, dan perasaan tidak menentu. Kedua, pengalaman orang terinfeksi filariasis selama menjalani gejala klinisnya dengan subtema demam, nyeri, bengkak, keterbatasan aktivitas, dan kelelahan. Ketiga, gangguan emosi dan psikologis dengan subtema malu, jengkel, dan pasrah. Keempat, adanya beban sosial ekonomi dengan subtema menarik diri dari interaksi sosial dan kesulitan ekonomi. Kelima, pengalaman orang terinfeksi filariasis dalam mengakses pelayanan kesehatan dengan subtema penyakit yang tidak kunjung sembuh setelah beberapa kali berobat ke pelayanan kesehatan, mencari alternatif pengobatan, pelayanan kesehatan yang kurang memuaskan dan harapan pelayanan kesehatan yang lebih baik. Hasil penelitian ini dapat dijadikan acuan untuk meningkatkan pelayanan keperawatan komunitas, baik pada kelompok yang sakit, yang beresiko dan yang sehat, dengan upaya promotif, preventif, kuratif dan rehabilitatif.Kata kunci: Fenomenologi, filariasis, pengalaman hidup AbstractFilariasis is a disease that is less noted, because people with filariasis tend to experience negative stigma. This study aims to explore the lived experience of people infected with filariasis. This study is descriptive qualitative with phenomenological approach. Seven (7) participants involved in this study. Data was analized using Collaizi’s approach to analysis. The results of this study found 5 themes with 16 subthemes. First, the experience at first infected with filariasis with subthemes: shock, confusion, and feeling uncertain. Second, filariasis infected people experience during their clinical symptoms with subtheme: Fever, pain, swelling, lack of activity, and fatigue. Third, filariasis infected people experience of emotional and psychological disturbance with subthemes: Shame, irritated, and surrender. Fourth, Socioeconomic burden with subthemes: withdraw from social interaction and economic hardship. Fifth, filariasis infected people experience in accessing health services with subthemes: Never recovered after several times getting treatment by health professional, seeking alternative treatment, unsatisfactory with health services and expectation of better health care. The results of this study can be used as a reference to improve community nursing services, either at hospital group, risk and healthy people, with promotive, preventive, curative and rehabilitative.Key words: Filariasis, lived experience, phenomenolog
Transdisciplinary approach to prevent stunting in Indonesia
No full textStunting remains a public health burden in Indonesia. National strategy and coordination of acceleration implementation for stunting reduction have been applied. The transdisciplinary approach is essential to improving the effectiveness and efficiency of all levels of participating in stunting programs. This transdisciplinary approach is expected to solve stunting problems from upstream to downstream and provide innovations based on local and national needs. In creating a stunting-free area, a transdisciplinary approach not only decreases stunting prevalence but also sustains children's health status
Pemenuhan Kebutuhan Perempuan Terkait Kehamilan di Kamp Pengungsi di Indonesia: Sebuah Studi Kualitatif
No full textBackground: As Indonesia lies on several tectonic plates, it is often hit by natural disasters such as earthquakes. Women are included in the vulnerable group category during disaster situations, especially pregnant women.
Purpose: This study aims to explore the needs of pregnant women in refugee camps after natural disasters.
Methods: This is qualitative research with a phenomenological approach. The data were collected in 2019 through in-depth interviews with 9 women who were pregnant when the disaster occurred using purposive and snowball sampling techniques. The participants were refugees who were victims of the earthquake in Kalibening, Banjarnegara, Central Java, in 2018. Interview transcripts were analyzed using thematic analysis.
Results: The following three themes were found and discussed: (1) the basic needs of pregnant women during a disaster situation in refugee camps, (2) comprehensive health examinations for pregnant women in disaster situations, and (3) pregnant women’s reluctance to stay in refugee camps.
Conclusions: This study shows that pregnant women’s limited mobility restricts them from meeting their basic and perinatal needs in refugee camps. After natural disasters, many pregnant women experience complications during their pregnancy. Moreover, from a cultural aspect, being together with family was found to be important for pregnant women. Thus, there is a need for coordination between local governments and other stakeholders regarding the needs of pregnant women so that they can receive appropriate assistance accordingly.Latar Belakang: Indonesia sering dilanda bencana alam, seperti gempa bumi karena secara geografis terletak di beberapa lempeng tektonik. Pada setiap kejadian bencana alam yang terjadi sebagian besar korban adalah perempuan. Perempuan tergolong dalam kelompok rentan saat situasi bencana terlebih pada perempuan hamil. Penelitian ini bertujuan untuk mengeksplorasi kebutuhan perempuan hamil di pengungsian setelah terjadi bencana.
Metode: Penelitian ini menggunakan analisis konten kualitatif. Data dikumpulkan pada 2019 melalui wawancara mendalam dengan 9 wanita hamil sebagai partisipan. Partisipan merupakan pengungsi korban bencana alam gempa bumi di Kalibening Banjarnegara Jawa Tengah 2018.
Hasil: Tiga tema telah didapatkan diantaranya: (1) kebutuhan dasar ibu hamil selama situasi bencana di pengungsian, (2) pemeriksaan kesehatan ibu hamil secara komprehensif pada situasi bencana, (3) ibu hamil enggan tinggal di pengungsian.
Kesimpulan: Penelitian ini menunjukkan bahwa dalam pemenuhan kebutuhan ibu hamil sebagai penyintas selama di pengungsian tetap didasarkan pada keterbatasan mobilitas ibu hamil dalam memenuhi kebutuhan dasar pada umumnya dan pelayanan perinatal pada khususnya. Terlebih setelah kejadian bencana, banyak di antara mereka yang mengalami komplikasi selama kehamilannya. Memerhatikan aspek budaya dimana kebersamaan dengan keluarga adalah hal penting bagi ibu hamil. Dengan demikian perlu adanya koordinasi antara pemerintah daerah dan pemangku kepentingan lainnya mengenai kebutuhan ibu hamil sebagai penyintas kelompok rentan, sehingga para penyintas menerima bantuan secara tepat sesuai dengan kebutuhannya
Factors related to sexual behavior among adolescents
No full textBackground: One of the problems in adolescents is sexual behavior, which generally begins with the courtship process and behavior in dating. Purpose: The study aimed to determine the factors associated with sexual behavior in adolescents.Methods: This study used secondary data and analyzed using a cross-sectional design on a sample of 429 adolescents. Quantitative data used the chi-square test.Results: One of the factors related to dating behavior is age, which is proven that dating behaviors such as holding hands (p=0.037), hugging (p=0.002), kissing lips (p=0.041), while touching/stimulating and having sexual relations are not related to age factor (p=0.929). Factors such as gender, education level, area of residence and information exposure were not related to dating behavior.Conclusions: There is a relationship between age factors and dating behavior in adolescents. Cross-sectoral collaboration, the use of digital media for socialization and education, and strengthening family and religious functions are strategies used to develop youth health programs.
 
Roles of clinical faculty in promoting the practice of patient safety by nursing students
No full textPatient safety is a major concern in nursing and healthcare delivery. It is related to the quality of care and is the responsibility for all healthcare professionals. As the users of healthcare services for educational purposes, nursing faculty and nursing students practicing in the hospital carry the responsibility of their practice for the sake of patient safety. While patient safety has been taught in nursing school, it is important to ensure that this topic is well practiced by nursing students in their clinical practicum. The nursing faculty plays an important role in this regard. This editorial proposes the roles of clinical faculty in promoting the practice of patient safety by nursing students through various teaching modalities. By understanding and implementing the roles, clinical faculty is expected to ensure that nursing students are able to promote patient safety during their clinical practice
The development of the health promotion program on maternal anemia: Qualitative study
No full textBackground: Iron deficiency anemia in pregnant women is a crucial global health problem. Iron deficiency anemia is impacted on health during antenatal, labor and postpartum period. Although the national policy provides the preventive and solving the maternal anemia, the statistics of maternal anemia are still high.
Purpose: The aim of the study is to develop a health promotion program that is suitable for maternal anemia.
Methods: Qualitative research was used to develop the health promotion program on maternal anemia through in-depth interviews. Ten pregnant women who had hematocrit less than 33 volume percentages or hemoglobin less than 11 g/dl and five healthcare professionals were selected by purposive sampling. A total of fifteen participants were interviewed based on the semi-structured questionnaire for 30-45 minutes per case at the antenatal care clinic, Watbot hospital, Phitsanulok, Thailand. The period of the study was six months from the first of August 2022 until the end of January 2023.
Results: Thematic analysis was used to analyze the data and identified three main themes: 1) encouragement the attitude of self-care during pregnancy; 2) accessibility of the program ; and 3) practical use of the program and integrating the program based on the context of pregnant women and healthcare professionals.
Conclusion: The health promotion program was developed suitable for maternal anemia. The tailored program should be tested in terms of feasibility, accessibility, and practical use. It will support pregnant women with anemia, develop a key performance index of maternal and child health, decrease risks and complications, and promote maternal and child health based on the various contexts
Analysis of religious coping relationships with family resilience in utilizing socio-economic resources during the COVID-19 pandemic
No full textBackground: Religious coping has a very important role in overcoming difficult problems in the family. The purpose of this study was to determine the relationship between religious coping with family resilience in utilizing socioeconomic resources during the COVID-19 pandemic.
Method: The research design used was analytical descriptive with a cross-sectional approach. The respondents in this study were 242 villagers in East Java Province. Data were collected by SWBS for religious coping and FRAS for family resilience. Data analysis used logistic regression.
Results: Factors that influence family resilience in utilizing socioeconomic resources involve religious coping. Families that have adequate religious coping will have a greater opportunity to have resilience in communication and problem-solving compared to families with inadequate religious coping (OR: 1.081; 95% CI: 1.038 - 1.127).
Conclusion: Family resilience in utilizing socioeconomic resources is strongly influenced by religious coping factors. Strengthening the community with a religious approach is needed to support the family's line of defense against this pandemic condition.Latar belakang: Religius koping memiliki peran yang sangat penting dalam mengatasi masalah sulit dalam keluarga. Tujuan dari penelitian ini adalah menganalisa pengaruh Koping terhadap ketahanan keluarga dalam memanfaatkan sumber daya sosial-ekonomi di masa pandemi COVID-19.
Metode: Desain penelitian yang digunakan adalah deskriptif dengan pendekatan cross-sectional survey. 242 warga desa di Provinsi Jawa Timur, Indonesai menjadi responden dalam penelitian ini. Pengumpulan data dengan kuesioner. Analisa data menggunakan binary regresi logistik dan multivariat regresi logistik. Tingkat kebebasan yang digunakan adalah 95% dengan standart error 0,05.
Hasil: Faktor yang mempengaruhi ketahanan keluarga dalam memanfaatkan sumber daya sosial-ekonomi adalah religius koping. Keluarga yang memiliki religius koping yang adekuat akan berpeluang 1 kali memiliki ketahanan dalam komunikasi dan memecahkan masalah dibandingkan dengan keluarga yang religious koping tidak adekuat (OR:1.081; 95%CI: 1.038 - 1.127).
Kesimpulan: Ketahanan keluarga dalam memanfaatkan sumberdaya sosial ekonomi sangat dipengaruhi oleh faktor religus koping. Penguatan masyarakat dengan pendekatan religi diperlukan untuk mendukung garis pertahanan keluarga menghadapi kondisi pendemi ini
Psychotherapies for posttraumatic stress disorder applied for people in indonesia: A scoping review
No full textBackground: Posttraumatic stress disorder (PTSD) occurs as triggered or exposure to traumatic events. Psychotherapies have been proven to be effective and superior for people with PTSD. Several psychotherapies have been developed with different approaches. Yet the application of psychotherapy is rarely found and provided by professionals to those who need it in Indonesia.
Purpose: This study aimed to figure out the application of PTSD psychotherapies for people with PTSD based on studies conducted in Indonesia.
Methods: The review was reported following the PRISMA statement for scoping reviews. A systematic screening was performed in CINAHL, Cochrane library, Embase, Portal Garuda, PubMed, Scopus, as well as manual searches without language and date restrictions. The quality of the study was determined based on the risk of bias. Cochrane risk of bias 2.0 (RoB 2.0) and MINORS were used to evaluate the risk of bias of RCT and quasi-experimental studies, respectively.
Results: Five RCTs and four quasi-experimental studies published from 2008 to 2022 (n=465) were employed in this review. Three types of therapies were conducted for people with PTSD; five CBT studies, two EMDR studies, and two SHAT studies, performed in one day up to six weeks, one to 15 sessions, and 30 to 60 minutes for each session. All studies evaluated PTSD as the primary outcome, while the most measured secondary outcomes were depression and anxiety symptoms.
Conclusions: CBT was the most frequent therapy for Indonesian people with PTSD, followed by EMDR and SHAT. The application of therapies varied in frequency, duration, length of therapy, and component. Further research on the implementation of various types of psychotherapy for people with PTSD will be required