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Lived Experience of People Living with HIV/AIDS Undergoing Antiretroviral Therapy: A Qualitative Study
Full text linkIntroduction: Antiretroviral therapy is an important factor in improving the quality of life of HIV sufferers, but a complex problem in HIV sufferers is a trigger factor for non-compliance in undergoing ARV therapy. The purpose of this study was to explore the experience of people living with HIV/AIDS (PLWHA) undergoing antiretroviral treatment. Methods: This study was a qualitative phenomenological study, with a sample of 13 HIV patients (10 men and 3 women) who were taking antiretroviral therapy for more than one year; they were recruited using purposive sampling techniques, and data were collected through in-depth semi-structured interviews, field notes and document reviews. Data were analyzed using the Colaizzi method which consists of nine stages. Results: There were six themes that emerged from the experience of PLWHA undergoing antiretroviral therapy and these became the subject of this study, namely knowledge of HIV disease and antiretroviral drugs, self-motivation, social support, and skills in undergoing treatment (self-management), adherence, and quality of life. Conclusion: Of the six themes that emerged, poor knowledge (understanding of the disease and its treatment), social support and self-management were the main factors that were obstacles to and causes of treatment failure; this was due to the unpreparedness for receiving information at the beginning of treatment, lack of motivation, and ignorance in behavior when people had problems with medication
Mind-Body-Spiritual Nursing Care Effects on Spirituality and Cardiovascular Risk Markers
Full text linkPatients with coronary heart disease (CHD) undergoing hospitalization experience various stressors. These stressors may increase expression of cardiovascular risk marker molecules, resulting in building up atherosclerotic plaque. This study aimed at explaining the influence of a mindbody-spiritual nursing care on spirituality and cardiovascular risk markers. This study employed a prepost-test quasi-experiment with control group design. CHD patients treated in various rooms divided into
the control group (20 respondents) and the treatment group (21 respondents). The variables of interest
were measured at both pre and post intervention. The spirituality was measured using a questionnaire,
while the cardiovascular risk markers were tested using enzyme-linked immunoabsorbant assay from the
respondents’ serum of venous blood sample. The control group received a standard-nursing intervention
while the treatment group received a mind-body-spiritual (MBS) nursing care for three respective days.
Data collection took place in 2017. The results showed that mind-body-spiritual nursing care improves
patients’ spirituality (p = 0.000) and the cardiovascular risk markers, particularly VCAM-1 and MCP-1,
but not the Hsp70 and eNOS. Additionally, pathway analysis shows that mind-body-spiritual nursing care
firstly increases the CHD patients’ spirituality, which, in turn, attenuates the expression of VCAM-1 and
MCP-1 through the improvement of Hsp70 expression. These findings indicate the mind-body-spiritual
care’s potential in preventing the process of further build-up of atherosclerotic plaque in CHD patients. It
can be concluded that MBS nursing care plays an important role in improving spirituality and thus the
expression of cardiovascular risk marker
elationship between Disease Duration and Preventive Motivation with Quality of Life of Patients with Coronary Heart Disease at Productive Age in Cardiology
Full text linkCoronary heart disease (CHD) is a chronic disease that will caused a long time indirect suffering . Patients
suffering from CHD in the long duration of the disease often experience a decrease in motivation, especially in
taking secondary prevention. The disease is impacting various aspects of the sufferer’s life, both physically and
psychosocially. This study aimed to analyze the relationship between duration of illness and motivation with
the Quality of life of patients with coronary heart disease in cardiology. This research used a descriptiveanalytic research design with a cross-sectional approach. The population of coronary heart disease patients at
productive age at the cardiology was 151 respondents using a nonprobability sampling, purposive sampling
technique that met inclusion criteria. The independent variable was the duration of illness and motivation,
while the dependent variable was Quality of life. Data were obtained from respondents’ demographic data,
motivational questionnaires, and Short Form quality of life questionnaire 36 (SF-36). Data analysis using the
Spearman Rho statistical test with a significance level <0.05. The results showed a relationship between
duration of illness and Quality of life with a significance level of p = 0,000 and a coefficient value (r) = - 0.435
and a relationship of motivation with Quality of life with a significance value of p = 0, 000 and the correlation
coefficient value (r) = 0.588. The duration of the disease is related to the Quality of life with the direction of
the negative relationship where the longer the duration of the patient’s illness, the worse the Quality of life of
the patient. Motivation is related to the Quality of life with the direction of a positive relationship where the
higher the motivation, the better the Quality of life of patients with CHD at a productive age
Comparison of Asmaul Husna and Benson Relaxation on Decreasing of Pain among Patients with Post Antebrachii Operated at Public Hospital Sidoarjo
Full text linkFractures are a breakdown of bone continuity caused by
sudden and excessive force. The study aimed at examining the
comparison of Asmaul Husna and Benson relaxation on decreasing pain among patients with post operated of ante brachial fracture at public Hospital Sidoarjo. Methods: A quasi-experimental, pre-test, and post-test with a non-equivalent control group was applied in this study. Twenty-eight samples were recruited using consecutive
sampling. Data analysis was performed and presented in
descriptive statistics, and significant findings were computed using the ANOVA t-test. Results: The results showed that the mean pain scale Benson relaxation group downhill from 6.07 ± 2.20 to 3.29 ± 2.30 after the intervention. Meanwhile, the control group, mean pain scale downhill from 5.29 ± 2.37 to 2.50 ± 1.40. The repeated Anova obtained a p-value of 0.000, indicated that there were significant differences in pain level between the patients who received the benison relaxation than the asmaul husna distraction. Benson relaxation can reduce the pain scale better than asmaul husna Benson in patients’ post-ante brachial fracture surgery in Sidoarjo Hospital. Nurses should consider the Benson relaxation to manage pain among post antebrachial operate
Staffing characteristics and their associations with the severe maternal outcomes at Indonesian tertiary hospitals
Full text linkAim: Staffing is believed to have a profound influence on the reduction of maternal mortality and severe maternal morbidity. Our research aims to examine the relationship between staffing characteristics and severe maternal outcomes.
Methods: We conducted a retrospective cross-sectional study analyzing the data of deliveries and staffing from the eleven maternity units at the tertiary hospitals in the Java region of Indonesia. Results: The present study revealed that staffing characteristics were significantly associated with severe maternal outcomes. Maternity units with a higher nurse to birth ratio reduced the odds of severe maternal outcomes by 52% (OR = 0.476; 95% CI: 0.307–0.739).
However, admission to units with a higher midwife to birth ratio increased the odds of experiencing severe maternal outcomes by 1.8 times (OR = 1.809; 95% CI: 1.070–3.059). The likelihood of severe maternal outcomes in maternity units is reduced by 52% for every additional year of nursing experience (OR = 0.476; 95% CI: 0.304–0.745), and by 69% for every additional year of midwifery experience
(OR = 0.313; 95% CI: 0.200–0.491). Conclusions: The findings signify the prominent role of healthcare workers in maternal healthcare at the tertiary level. A further study is
recommended to provide more support for the evidence-based policy in relation to developing safe staffing standards within the maternal healthcare framewor
The effect of health education by giving leaflets media on behavior changes in prevention of asthma relapse in asthma patients
Full text linkA quite high asthma relapse was found in Public Health Center. One of the implementation which can be done is to arrange health education about the prevention of asthma relapse. This study aimed to determine the influence of health education and leaflet media on behaviour changing to prevent asthma relapse among asthma patients. The design of this study was pre-experimental with 26 sample sizes of asthma patients who were taken by purposive sampling technique, and the criteria
are age > 18, relapse in 2015, and without other diseases. The Independent variable was health education and leaflet media, while the dependent variable was knowledge and attitude. Data were taken using the questionnaire that analyzed with the Wilcoxon signed-rank test (α <0.05). The results showed that health education and leaflet media have a significant influence on improving the knowledge (p = 0.000) and the attitude (p = 0.000) to prevent asthma relapse among asthma patients in Public Health Center. It can be concluded that health education with leaflet media influences preventing asthma relapse on asthma patients. Therefore, further research needs to research the effect of health education with other media that can influence behavior changing to prevent asthma
relapse
Analysis of the Need for Nurse Competency Training at Ahmad Yani Islamic Hospital Surabaya
Full text linkIntroduction: Minimum service standards field of administration and management about employee training require at least 20 hours per year. The aims of this study was to analyze the training needs of nurses at the Ahmad Yani Islamic hospital in Surabaya. In addition, this study explain the organizational analysis, conduct operational analysis, explain individual analysis nurse staff and prioritize nurse training needs in Ahmad Yani Islamic Hospital Surabaya. Method: This research is a observational description. The number of respondents about 55 nurses participating the study. Results: Based on the aspect of quantity of work, the workload of nurses is classified as high by 49.1%. Most have applied a high quantity of work aspects as much as 78.1%. In the aspect of quality of work, most nurses have performed high tasks. Conclusion: Analysis of organizations related to organizational climate at Ahmad Yani Islamic hospital in general was described by nurses in good condition. There are a number of things that need to be considered, namely guaranteed nurse self development through Training, work protection for nurses, nurse remuneration needs to be improved. Operational analysis related to the general competence of nurses in the nurse law is quite capable and most nurses have already taken action. Operational analysis relating to the priority of nurses' training needs is a main priority.
Keywords: Operational Analysis; Individual Analysis; Nurse Training Priority
Prevalence and determinants of depressive symptoms among adults in Indonesia: A cross‐sectional population‐based national survey
Full text linkAims: To analyze the association between personal health conditions (self‐rated
health, physical function, and chronic conditions) and symptoms of depression in
Indonesia.
Methods: Data were collected from the Indonesian family life survey 5. This study
used a cross‐sectional study design with a sample size of 17,734 respondents. We
included depressive symptoms, self‐rated health, physical function, chronic conditions, demographics and socioeconomic variables. The center for epidemiologic
studies depression scale was used to measure symptoms of depression. Multivariate
logistic regression analysis was used to analyze the data.
Results: The results showed that 23.47% of respondents had depressive symptoms,
20.04% had poor self‐rated health, 55.93% had a poor physical function, and 32.37%
had at least one chronic disease. Respondents who had poor self‐rated health, had
poor physical function, or had a chronic condition were all had a significantly higher
odds of experiencing symptoms of depression after controlling for demographic
variables (age, sex, married, and education level), social‐economic, and smoking
status.
Conclusion: Depressive symptoms were significantly associated with personal
health conditions including self‐rated health, physical functioning, and chronic
conditions among community residents. Strategies that can improve personal health
conditions needed to be studied at the community level to improve the level of
mental health.
KEYWORDS
chronic conditions, depressive symptoms, IFLS, physical function, self‐rated healt
The lived experience of Indonesian nurses in Kuwait: A phenomenological study
Full text linkIntroduction: Indonesia is recognized as an active player in the sending of health professionals, including nurses, abroad. Indonesian
nurses are also placed in Middle Eastern countries, such as Kuwait. Nevertheless, there is little research exploring the life experience of
Indonesian nurses living and working in Kuwait.
Methods: The design of this study was qualitative with a phenomenological approach. Participants in this study were 21 Indonesian
nurses who have lived and worked in Kuwait for a minimum of one year. The participants were recruited from hospitals in Kuwait. This
study used a semi-structured interview which was conducted in appointed places. Data were then transcribed verbatim and thematically
analyzed.
Results: Five themes were identified, namely: Escalating career prospects; Immersing in the local culture; Added value for Muslims;
Language barriers; and Dealing with homesickness.
Discussion: Participants’ economic and social motives reflected different migration goals. Meanwhile, living in a Muslim country lessens
the stress and may serve as a benefit during migration.
Conclusions: Indonesian nurses who work in Kuwait tend to enjoy a good experience and decent salary. However, they may need upskilling
in terms of the acquisition of the language needed in the receiving country. In addition, cultural adaptation and making adjustments to
manage homesickness were among the strategies for surviving in the workplace whilst working in Kuwait
THE ROLE OF FAMILIES CARING FOR PEOPLE WITH MENTAL DISORDERS THROUGH FAMILY RESILIENCE AT EAST JAVA, INDONESIA: STRUCTURAL EQUATION MODELING ANALYSIS
Full text linkABSTRACT
Families who have family members with Mental Disorders (ODGJ) have a decreased role in caring for ODGJ patients. This reduced role is felt by family members so that they will experience stress and bear a considerable burden. The purpose of this study is to develop a family
role model in caring for ODGJ through family resilience by looking at the constructs and contributing indicators. Design research observational explanative, the first stage was to explain the constructs and indicators
that contributed. The second stage was conducting FGD with the patient's family and health workers and conducting consultations with experts. The population was a family with diagnosed ODGJ with sample of 184 respondents using total sampling. The exogenous variables were patient, family, and environment. Endogenous variables were family resilience and family roles. Data were collected using research questionnaires and analyzed using structural model with SmartPLS (Partial Least Square) software. The results showed that family factors
had no effect on family resilience with coefficient of 0.063, patient factors had positive effect on family resilience with coefficient of 1.121,
environmental factors had negative effect on family resilience with coefficient of -0.430, and family resilience had positive effect on family
roles with the coefficient of 0.821. Family factors do not affect family resilience, but patient factors can
shape, encourage, and increase family resilience thus increasing the role of the family. While environmental factors have negative effect on the ability of family resilience. This means that environmental has more likely
factor and greater effect to reduce family resilience