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The Lived Experience of Women with Breast Cancer
Full text linkBreast cancer is the most common cancer among women. Women with breast cancer face many psychosocial and physical problems. In addition, such women have to deal with treatment problems, physical changes, feelings of loss and uncertainty, self-reconstruction, and changes in social interaction and support. This study aims to explore
and identify their life experiences while undergoing chemotherapy. A phenomenological approach was used to explore the meaning of life with breast cancer for women undergoing chemotherapy at Surabaya,Indonesia. The patient's feelings and life experience with breast cancer were explored by using in-depth interviews with 30 women between
26 and 65 years. The results of this study reveal that the diagnosis of breast cancer produces various emotional responses. Participants explained their experience of living with breast cancer as losing something important, lack of self-confidence, living with fear, emotional dizziness and the need to be supported in the negative aspects of breast cancer and helping to explore new aspects of life as a
positive aspect of this event. These findings have the potential to lessen health disparities in increasing utilisation of psychosocial treatments by Indonesian women with breast cancer
PSYCHOLOGICAL PREPARATION MODEL USING HYPNOSIS APPROACH FOR PATIENTS BEFORE GASTROINTESTINAL ENDOSCOPY
Full text linkReadiness of patients in endoscopic care is determined by the preparation received before the procedure. The purpose of this research was to explore the psychological preparation that received by patients before endoscopic procedure. This study used qualitative research
design with a case study approach. A total of 17 participants undergoing endoscopic examinations conducted indepth interviews on patient experiences related to psychological preparation by using semistructured interview guidelines and recording. Data analysis using
Colaizzi's analysis method. Three themes were obtained: (1) Information preparation was divided into preparatory and possible actions; (2) cognitive preparations contained the control of patient perception and focused on benefits; and (3) The set of actions with the behavior control
of the patient faces less unpleasant things. Patient experiences related to psychological preparation focus not only on bowel preparation, but also information availability. Adaptive coping before endoscopic procedure
was improved by increasing cognitive knowledge
Factors Contributing to TB at Primary Health Center in Sidoarjo - Indonesia
Full text linkIntroduction: Tuberculosis (TB) is caused by Mycobacterium
tuberculosis, and remains a burden in Indonesia. Many factors contribute to the TB prevalence, including age, sex, body mass index, sputum smear conversion, HIV infection, and Diabetes Mellitus. The objective of this study is to identify factors contributing to TB prevalency at the primary health center.
Methods: This research used as a cross-sectional study and was conducted in March 2020. The population of this study was TB patients at Porong Primary Health Center in Sidoarjo, East Java Province, Indonesia. Samples were all TB patients who registered in Porong Primary Health Center and were taken by total sampling. The sample size was 51 TB
patients. There were no inclusion and exclusion samples criteria implemented. Data were collected that used the secondary data of TB Patients Registration, between 1st – 31st March April 2020. Data were analyzed using frequency distribution with SPSS Version 21.
Results: Result shows there were 30 (58.80%) male TB patients, 34(66.70%) TB patients were adults, 48 (94.10%) TB patients had sputum conversion from positive to negative after two months DOTS therapy, there were 48 (94,10%) TB patients not infected by HIV Virus, and there were 36 (70,60%) TB patients had a history of Diabetes Mellitus.
Conclusion: Factors contributing to TB prevalence are many, including age, sex, body mass index, sputum smear conversion, HIV infected, and Diabetes Mellitus. To improve care of TB patients requires integration and
comprehension of care at the primary health center
Effect of Spiritual Cognitive Therapy on Decreasing the Depression Level among Elderly at Nursing Home
Full text linkDepression in the elderly with age> 65 can cause
dysfunction in everyday life, older people with depression have a worse function than the elderly with chronic conditions. This study aims to identify the effect of cognitive, spiritual therapy on decreasing depression in the elderly in nursing homes. A quasiexperimental pre and post-test with an equivalent control group were applied in this study. Sixty-one older people were selected in this study using a simple random sampling technique. The results
showed there was a significant influence of spiritual, cognitive therapy on depression (p=0.000). In conclusion, spiritual, cognitive therapy affects reducing depression in the elderl
The Effect of Religious Relaxation Therapy on Improving Sleep Quality of Patients Chronic Kidney Failure: A Pilot Study in Surabaya
Full text linkObjective: It is discovered that approximately 80% patients with chronic kidney failure undergoing haemodialysis treatment experience a difficulty to sleep. Such issue could decrease the patients’ living quality. The relaxation therapy using spiritual approach based on the patients’ religion to improve sleep quality has not been scientifically proven yet. This study aims to analyze
the effect of religious relaxation therapy on patients with chronic kidney failure undergoing haemodialysis treatment. Materials and methods: The research was quasy experiment with prepost
test control group design. The subjects of the research are the entire patients with chronic kidney failure who undergo haemodialysis treatment in the Islamic Hospital. The samples are
taken from sixty clients recruited by random sampling allocation technique. Those clients aged 20-65 years old, Moslem and no complications. Patients’ sleeping quality is determined by The
Pittsburgh Sleep Quality Index (PSQI). Meanwhile, the data is analyzed by using Wilcoxon sign rank statistic test and Mann Whitney U test. Results and Discussion: The research showed that
the religious relaxation therapy is proven to have a more improved good sleep quality (73.3 %) while the control group tends to be stagnant. The religious therapy is proven to have a positive
effect on sleep quality by p = 0.000 Conclusion: The religious relaxation therapy gives positive effects in improving the sleep quality for patients with chronic kidney failure who undergo
haemodialysis treatment
The Effect of Religious Relaxation Therapy on Improving Sleep Quality of Patients Chronic Kidney Failure: A Pilot Study in Surabaya
Full text linkAbstract: Objective: It is discovered that approximately 80% patients with chronic kidney failure undergoing haemodialysis treatment experience a difficulty to sleep. Such issue could decrease the patients’ living quality. The relaxation therapy using spiritual approach based on the patients’ religion to improve sleep quality has not been scientifically proven yet. This study aims to analyze the effect of religious relaxation therapy on patients with chronic kidney failure undergoing
haemodialysis treatment. Materials and methods: The research was quasy experiment with prepost test control group design. The subjects of the research are the entire patients with chronic kidney failure who undergo haemodialysis treatment in the Islamic Hospital. The samples are taken from sixty clients recruited by random sampling allocation technique. Those clients aged
20-65 years old, Moslem and no complications. Patients’ sleeping quality is determined by The
Pittsburgh Sleep Quality Index (PSQI). Meanwhile, the data is analyzed by using Wilcoxon sign
rank statistic test and Mann Whitney U test. Results and Discussion: The research showed that
the religious relaxation therapy is proven to have a more improved good sleep quality (73.3 %) while the control group tends to be stagnant. The religious therapy is proven to have a positive effect on sleep quality by p = 0.000 Conclusion: The religious relaxation therapy gives positive effects in improving the sleep quality for patients with chronic kidney failure who undergo
haemodialysis treatment
The Psychological Condition of the Parents of Children Suffering from Spinal Muscular Atrophy
Full text link- Fatigue during the treatment period results in a negative response when taking care of their
disabled child. A change in the behavior of the parents has an impact on their physical and mental health. This
study aims to explore the experience and psychological condition of the parents with children suffering from
Spinal Muscular Atrophy. This study was qualitative research with a phenomenological study approach. The
participants totaled as many as 23 families selected through purposive sampling. Collecting the data was done
through in-depth interviews analyzed thematically using Colaizzi’s steps. The results show that the experience of
the parents of children suffering from Spinal Muscular Atrophy consists of 17 themes formed of 5 categories and
33 sub-themes. The parents’ experience related to their children suffering from Spinal Muscular Atrophy can be
described referencing the following: 1) The parent's understanding of the childhood illness, 2) Parental burden,
3) The influence of illness on the family, 4) Self-obstacles, 5) Infrastructure barriers, 6) Grieving, 7) Sources of
support, 8) Type of support, 9) Division of roles, 10) Coping mechanisms, 11) Skill improvements, 12) Efforts
when looking for help, 13) The development of the children suffering from Spinal Muscular Atrophy, 14) Comorbidities in the children suffering from Spinal Muscular Atrophy, 15) Substitute caregivers, 16) Acceptance and 17) Policy. The experience of the parents with children suffering from Spinal Muscular Atrophy in Indonesia is one that requires support from within themselves, from within their families and socially to reduce the burden and obstacles felt by the parents. It is expected that health care agencies and the parents can provide appropriate care for the children suffering from Spinal Muscular Atrophy
Quality of Nursing Worklife Based on Caring Model for Improving Nurse Performance in Hospitals
Full text linkIntroduction: Nurses performance is still not optimal. The aim this study was to develop a quality of nursing work life to improve nurse performance by integrating Swanson's theory of caring.
Methods: An explanative observational design was used with cross-sectional approach. The sample was nurses in inpatient care, intensive care, surgical installations, neonates, hemodialysis from eight hospitals in East Java. The sample size of 430 respondents used total sampling. The variables included QNWL, individual, social and environmental, administrative factors, nurse performance. Data were
collected using Nurse Quality of Communication with Patient Questionnaire (NQCPQ),Questionnaire of Personal and Organizational Values Congruence for Employee (Q-POVC),
Questionnaire of Brooks & Anderson's quality of nursing work life. The data analysis used Partial Least
Square.
Results: Twenty-five indicators were declared valid (outer loading value> 0.5) with variable diversity was 24.43%, so that internal, social and environmental, operational and administrative factors affect the performance of nurses directly or indirectly through caring based on QNWL. Predictive relevance value was >0, which indicates that the model was good enough. The individual factors (p= 0.043; TStatistics= 2.040), social and environment factors (p= 0.025; T= 2.242), administrative factors (p= 0.001; T= 3.438) have significant influence QNWL based on caring and QNWL based on caring had a significant influence on nurse performance (p= 0.000; T= 4.997).
Conclusion: The development of the QNWL model based on caring has good effect in improving nurse performance. From the developed model, nurse performance related to individual factors, social and environmental factors, administrative factors
Terapi Non Farmakalogis untuk Mengurangi Kecemasan pada Pasien Kanker dengan Kemoterapi: A Systematic Review
Full text linkBackground: Anxiety will affect the cancer patient's physiology and decrease the body's immune system, so that intervention is needed to alleviate anxiety. Objective: To find out various non-pharmacalogical therapies to reduce anxiety in cancer patients with chemotherapy. Method: The database used in this study was scopus, proquest and pubmed were limited to the last 5 years of publication from 2016 to 2020, full-text article and in english. The keywords used were "cancer" and "anxiety". This systematic review uses 10 articles that fit the inclusion criteria. Results: nonpharmacological management of cancer patients to reduce anxiety includes music therapy, autogenic training, mindfulness programs, virtual reality, guided imagery and progressive muscle training. Non-pharmacalogical therapy functions to reduce anxiety in cancer patients with chemotherapy and reduce various kinds of side effects such as anaemia, thrombocytopenia, leucopenia, nausea and vomiting, alopecia (hair loss), stomatitis, allergic reactions, neurotoxic, and extravasation (discharge of vesicle or irritant drugs to the patient) subcutaneous tissue resulting in pain, tissue necrosis, and tissue ulceration
Women's empowerment and determinants of early initiation of breastfeeding: A scoping review
Full text linkIntroduction: Early initiation of breastfeeding (EIBF), the immediate provision of mothers' breast milk to infants
within the first hour of life, has been recommended by the WHO. However, EIBF is not widely practiced, thereby
increasing infant mortality risk. This review explored the available and published studies that identified interventions that empower mothers to practice EIBF.
Method: We conducted a scoping review to answer the aforementioned aims. Empowerment, Women,
Breastfeed, and Initiation were used as initial keywords, which were further developed using Medical Subject
Headings by the National Center for Biotechnology Information. Five databases, namely: Web of Science, Scopus,
Cumulative Index to Nursing and Allied Health Literature via EBSCO, ProQuest, and MedLine via PubMed, were
searched for potential articles. We also searched the references in addition to the main search.
Findings: We included 28 articles in this review. Education was mostly used as women's empowerment indicator
in EIBF intervention. Additionally, we identified barriers (C-section and postoperative pain, lactation problems
and pregnancy complications, mothers' social and demographic factors, mothers' lack of professional support,
babies' condition preventing EIBF) and facilitators (mothers' positive behavior in relation to educational level,
completion of antenatal care, poor economic situations of mothers, babies' size at birth) of EIBF.
Discussion: Education is the widely used intervention to promote mothers' participation in improving EIBF rate.
Furthermore, mothers' and babies' deferring conditions and traditional practices are barriers for EIBF. This review
recommends future research and empowerment efforts that sensitively address the identified barriers