Airlangga University

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    GAMBARAN KEBERFUNGSIAN KELUARGA PENDERITA GANGGUAN JIWA (THE DESCRIPTION OF FAMILY FUNCTIONING IN MENTAL DISORDER)

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    Pendahuluan: Pernikahan dengan pasangan yang memiliki gangguan jiwa tidaklah mudah. Banyak pasangan bercerai ketika menikah dengan penderita gangguan jiwa karena merasa kesulitan dengan pernikahannya, tetapi beberapa diantaranya dapat mempertahankan pernikahan dalam waktu yang lama. Tujuan penelitian ini adalah menggambarkan keberfungsian keluarga penderita gangguan jiwa. Metode: Desain penelitian ini adalah cross-sectional. Sampel sejumlah 31 istri orang dengan ganggjuan jiwa (ODGJ) dan didapatkan dengan menggunakan teknik accidental sampling. Instrumen penelitian ini yaitu Family Assesment Device dan The Investment Model Scale kemudian dianalisis dengan uji statistik korelasi Pearson (α < 0,05).Hasil: Keberfungsian keluarga penderita gangguan jiwa yang berada pada kategori kurang sebanyak 4 keluarga (12,9%), 21 keluarga (67,7%) berada pada kategori cukup, dan 6 keluarga lainnya (19,4%) berada pada kategori tinggi.Kesimpulan: Keberfungsian keluarga pada penderita gangguan jiwa belum bekerja secara efektif dalam mempertahankan keseimbangan pada dimensi problem-solving, communication, family roles, affective responsivenss, affective involvement, dan behavior contro

    Effectiveness of Consumption Sechium Edule on Decreasing Blood Pressure in Elderly with Hypertension in Coastal Area

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    Sechium edule contains flavonoids and potassium to reducing small blood pressure in the elderly with hypertension. The serving of chayote for consumption can be juiced, steamed, and squeezed. However, no research proves from three serving is more effective in reducing the pressure of elderly hypertension. The aims of the study compared from three presentations which is more useful to make blood pressure decrease in elderly with hypertension in coastal area. This study used PreExperimental Design with the three-group pre-post-test design. Samples were 51 elderly obtained from purposive sampling. The independent variable was the consumption of Sechium edule with the various presentation. The dependent variable was the blood pressure. Based on analysis data used paired t-test with significance pvalue ≤ 0.05. The mean of blood pressure in the juiced group before intervention was 156.28 mmHg and after intervention 152.48 mmHg (decrease 3.8 mmHg). The mean of systolic pressure in steamed group before intervention was 154.46 mmHg and after intervention 151.43 mmHg (decrease 3.03 mmHg). The mean of systolic pressure in squeezed group before intervention 152.51 mmHg and after intervention 152.14 mmHg (decrease 0.37 mmHg). The juiced Sechium edule was most effective to decrease blood pressure in elderly with hypertension. The nurse can promote to the elderly in the coastal area to make juiced Sechium edule as a non-pharmacological intervention for patient with Hypertension

    PEMBERDAYAAN GURU, STAF DAN ORANG TUA KB TK KHADIJAH DALAM PERTOLONGAN PERTAMA PADA KECELAKAAN DENGAN PELATIHAN BLS DAN AMBULASI

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    Pendahuluan: Wilayah hukum Polrestabes Surabaya menduduki peringkat 3 besar penyumbang angka kecelakaan lalulintas dari 39 Polres jajaran Polda Jawa Timur pada tahun 2017. Sekolah KB TK Khadijah berada di tengah kota Surabaya dan daerah dengan lalu lintas yang padat, sehingga beresiko tinggi menemui kejadiaan kecelakaan lalu lintas,namun pihak sekolah belum pernah mendapatkan materi dan informasi tentang pertolongan pertama pada kecelakaan sehingga jika terdapat kejadian kecelakaan guru dan staf tidak siap dan tidak mampu untuk memberikan pertolongan dengan tepat. Tujuan dari pengabdian masyarakat ini adalah meningkatkan pengetahuan dan efikasi diri kepada guru, staf, dan orang tua untuk dapat melakukan pertolongan pertama pada kecelakaan Metode: Metode yang digunakan dalam pemberdayaan ini adalah ceramah dan simulasidemonstrasi tentang pertolongan pertama pada kecelakaan yang meliputi Bantuan Hidup Dasar (BHD), bebat bidai, dan ambulasi/transportasi dan juga menggunakan media leaflet. Sebanyak 47 orang yang terdiri dari guru, staf dan orang tua mengikuti kegiatan ini dan juga dilakukan evaluasi tentang pengetahuan dan keyakinan (efikasi diri) melalui pre-test dan post-test. Hasil: Hasil yang dicapai melalui kegiatan ini adalah terdapat peningkatan pengetahuan dan keyakinan (efikasi diri) dalam melakukan pertolongan pertama pada kecelakaan serta kemampuan dalam memberikan pertolongan pertama pada kecelakaan. Kesimpulan: Hal ini dikarenakan metode ceramah, demonstrasi, dan juga media leaflet dapat memberikan gambaran yang jelas secara teknis sehingga peserta mengetahui dan dapat mempraktikkan pemberian pertolongan pada kecelakaan. Kegiatan pengabdian masyarakat berikutnya diharapkan dapat mencapai sasaran yang lebih luas dan komunitas yang beraga

    Mobile Smartphone Intervention For Managing Glycaemia Control In The Patients With Diabetes Mellitus: A Systematic Review

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    Background: Diabetes mellitus (DM) is a chronic disease that is a global public health problem that has a social impact, economic impact, and quality of life for patients, which leads to increased morbidity and mortality. Uncontrolled blood sugar levels and longterm DM, affecting the pathophysiology of disorders including diabetic retinopathy, heart disease, kidney failure, hyperglycemia and hypoglycemia are needed interventions that can help regulate glycemic (blood sugar levels and HbA1c) (Sami & Ansari, 2015). Objective: This study aimed to identify efficacy mobile smartphone application for managing glycaemia control in the patients with diabetes mellitus. Design: This study design is a systematic review to search and review article from database and the theory underlying this study or guidance in this systematic literature review using Preferred Reporting Items for Systematic Reviews and Meta-Analyzes (PRISMA). Data Sources: Database search for article are from Scopus, Proquest, Pubmed, Science Direct, and Springer Link is limited to the publication of the last five years from 2015 to 2020 and full text article in English. Review Methods: This review methods in a systematic review based on Preferred Reporting Items for Systematic Reviews and Meta- Analyzes (PRISMA). Results: In this review literature, thirteen articles were found that fit the specified inclusion and exclusion criteria. The results of this review literature found that mobile smartphone impelmentation led to a decrease in HbA1c and fasting blood glucose in the patients with diabetes mellitus. Conclusion: The findings from this study help validate the efficacy of the mobile diabetes intervention for managing glycaemia control in the patients with diabetes mellitus

    Is There A Correlation Between the Coping Strategy Used and the Quality of Life of the Caregivers of Schizophrenic Patients in a Family Unit?

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    Abstract--- The caregiver in a family where there is a person with schizophrenia will use coping strategies to deal with the stressors related to caregiving. Based on the previous studies, differences in the use of coping strategies may produce different levels of quality of life. This study aims to reveal how the use of specific coping strategies may affect the carer’s quality of life. This study used a cross-sectional design with quantitative data. The samples consisted of 222 caregivers in a family with a person with schizophrenia. The sample was obtained using purposive sampling. The data was obtained through the Ways of Coping questionnaire and the Schizophrenia Caregiver Quality of Life Questionnaire (S-CGQoL) which were then analyzed using the Spearman Rho correlational test. The results showed that there was a significance value of 0.05 (p=0.00). The correlation coefficient of r=-0.476 indicates that there is a negative correlation and a moderate strength of the relationship found. The use of appropriate coping strategies by each caregiver in the family of a person with schizophrenia is recommended, specifically Problem-focused Coping (PFC). The use of an Emotion-Focus Coping (EFC) strategy is more effective at resolving problems over a short period. There is a significant negative correlation between coping strategies and the quality of life of the caregivers in a family where there is a person with schizophrenia. This means that the more that caregivers use EFC strategies, the lower their quality of life

    STRESS LEVEL AND COPING MECHANISM IN CHORNIC KIDNEY DISEASE ON HEMODIALYSIS PATIENTS

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    Introduction: The number of Chronic Kidney Disease (CKD) patients on hemodialysis with poor quality of life was still high. This was due to several factors, one of which was psychological health. The aim of this study was to analyze the correlation between stress levels and coping mechanisms with quality of life in CKD Patients who was undergoing hemodialysis. Methods: The method of this study was correlational descriptive with cross sectional design. Total respondents were 120 people. The independent variables were stress levels and coping mechanisms. The dependent variable was the quality of life. Instrument used was a questionnaire. Data were analyzed using Spearman Rho and Linier Regression test. Results: There was a relationship between the levels of stress and the quality of life of CKD patients on HD (p = 0,000) with (r = -0,471), there was a relationship between coping with the quality of life of CKD patients on HD (p = 0,001) with (r = 0,310), and the levels of stress was the most dominant variable in influencing the quality of life of patients with CKD on HD (p = 0,000). Discussion: T h e Stress levels and the coping mechanisms influence the quality of life CKD patients on HD, but the stress level are the dominant factor affecting the quality of life of CKD patients on H

    Determinants of Organisational Commitment on Nurse’s Performance

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    The role of organisational commitment is significant to improve the quality of nurse performance to achieve high patient satisfaction. This study aimed to identify the determinants of organisational commitment on nurse’s performance. The research method used was a descriptiveanalytic design with a cross-sectional approach. The population was clinical nurses in four hospitals in South Kalimantan, Indonesia. The total sample was 105 respondents obtained by purposive sampling. Independent variables were organisational characteristics, nurse’s characteristics, job characteristics, work experience characteristics, and beliefs. The dependent variable was the nurse’s performance. The data was obtained by questionnaire and analysed by logistic regression. The results showed that organisational characteristics (T = 3.776; p = 0.000) and beliefs (T = 2.030; p = 0.045) have a significant correlation with the nurse’s performance. This research concluded that good nurse performance can be improved through strengthening organisational characteristics namely: reward; management by objectives (MBO); selection; training and development; leadership; and organisational structure. As well it can be improved through beliefs namely: perception of vulnerability and seriousness; benefits: resistance; and self-efficacy

    Effectiveness of Diabetes Self-Management Education in Developing Countries: A Systematic Review

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    Diabetes self-management education (DSME) helps patients with diabetes to process their capability to manage self-care. Coping skills and changing to a better behavior are the focus on the outcome. This review aimed to determine the effectiveness of DSME in type 2 diabetes mellitus patients (T2DM) living in developing countries. The Science direct, EBSCO, Proquest, and Scopus databases were searched. Randomized controlled trials from 2010 to 2020 were evaluated that focused on the effect of DSME for T2DM in developing countries. Detailed information from studies was summarized and included population, sample size, follow-up duration, DSME program conducted, outcomes and conclusion. The effectiveness of DSME on patients' condition was measured by calculating the improvement of the outcomes which compared the intervention and the control groups. The clinical outcome from DSME implementation was assessed by calculating the mean on the outright effect of the effect. Thirteen studies were included in this review. The characteristics of DSME implemented in the patient were varied depending on the patient and demographic background. Clinical outcomes (fasting, non-fasting blood sugar and hemoglobin) improved as they followed the therapy. The expected outcome from DSME affects the quality of life, knowledge, self- management behavior, adherence to medication, and self-efficacy. Some clinical conditions such as fasting, non-fasting blood sugar and hemoglobin improved after implementation of the DSME program. Complications from diabetes can be prevented by this simple and inexpensive interventio

    Prevention of Depression in Patients with Cancer: A Systematic Review

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    Depression and depressive symptoms are prevalent in patients with cancer. Depression is underdiagnosed and therefore the patients often receive inadequate treatment for their depression. The aim of this study was to identify ways to prevent depression in patients with cancer. This systematic review used the Preferred Reporting Items for Systematic Review (PRISMA) approach. Databases were used to identify suitable articles from Scopus, PubMed, Science Direct and Proquest. The articles were limited to being published between 2009 and 2020,written in English and full-text articles. The literature review used the keywords “anxiety, antidepressant, cancer,depression and preventive.” When searching the articles, “AND” was also used. The inclusion criteria in the search strategy consisted of: 1) adult humans ≥18 years of age diagnosed with cancer; 2) undergoing antidepressive treatment of any kind; 3) depression and/or depressive symptoms and 4) the study design was a randomized controlled trial. Studies were excluded if the studies had less than 30 samples as this means that they do not have enough strength to use to detect a significant relationship. Following this screening, 15 articles met the inclusion criteria. The studies were classified into 3 groups based on the type of intervention used. The interventions were pharmacotherapy, psychotherapy and other interventions such as exercise programs. Depression in patients with cancer can be prevented. Preventive treatment should start before or during the oncological treatment. Treating psychiatric conditions in patients with cancer may improve not only their quality of life and prognosis but also their surviva

    The Comparison of Self-esteem and Premarital Sexual Behavior in Teenagers between Ex-localization Areas and Surrounding Areas in Surabaya

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    Introduction: Adolescence is a vulnerable period involving behavior irregularities, especially premarital sexual behavior. Premarital sexual behavior can be caused by personal and social factors. This study aimed to analyze self-esteem and premarital sexual behavior in teenagers between Dolly ex-localization and the surrounding area in Surabaya. Methods: This study used a quantitative approach with a descriptive comparative method. The population was teenagers who were not married. The sample was 118 teenagers, consisting of 59 teenagers in exlocalization and 59 teenagers in the surrounding area. The variables were self-esteem and premarital sexual behavior in teenagers who live between ex-localization and the surrounding area. Data were collected with a questionnaire and analyzed using Mann-Whitney U Test with a level of significance α=0,05. Results: Results showed that there was no difference in self-esteem level between teenagers in ex-localization and the surrounding area (p = 0.568); there was a difference in premarital sexual behavior between teenagers in ex-localization and the surrounding area (p = 0.017). It can be concluded that both teenagers between ex-localization and surrounding area had high levels of self-esteem and were in a high risk category for premarital sexual behavior. Teenagers in ex-localization areas have better levels of self-esteem than teenagers in the surrounding area but have a high risk in premarital sexual behavior. Conclusion: Further studies should include more variables such as the relationship between parents and their children, peer group, and social group. The next research should analyze the role of parents and peer group, and give interventions for health promotion to influence the knowledge level among teenagers about premarital sexual behavio

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