Airlangga University

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    1167 research outputs found

    HIV-related knowledge level among Indonesian women between 15 years and 49 years of age

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    Background: Women are a highly vulnerable population for HIV-infection, influenced by biological, cultural, social and economic factors. Inadequate knowledge about the risk for exposure to HIV will impact the prevention and treatment of HIV. Objectives: The aim of this study was to examine HIV-related knowledge among women in Indonesia and the associated demographic determinants that influence their access to accurate HIV-related information. Methods: This was a secondary analysis of the Indonesia Demographic and Health Survey in 2012. Level of HIV-related knowledge was determined by analyzing nine items on the 2012 IDHS instrument. Results: The percentage of women in Indonesia between the ages of 15 and 49 years of age, more than half (53.6%) had high score of HIV-related knowledge. The results from logistic regression showed that women aged 30-34 years old had 2.2 times higher knowledge level about HIV compared to older women. Married women, living in rural area, with a lower level of education, reported to have limited or no access to HIV related information; thus, had acorrespondingly lower knowledge level of HIV. Conclusion: Study findings underscore the lack of knowledge-level among Indonesian women about HIV, especially the prevention, transmission, and prevention mother to child transmission (PMCT)

    Pengaruh Pelatihan Komunikasi Terapeutik terhadap Kepuasan Pasien : A Systematic Review

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    Background: Communication is an important element of quality care that can help build a nurse-patient relationship. Good nurse-patient communication has the potential to increase patient understanding of treatment plans and reduce behaviors that lead to poor outcomes. Not appreciating the importance of peoplecentered communication and improper communication training can result in unsatisfactory communication performance. Objective: Knowing the effect of therapeutic communication training on patient satisfaction Methods: The database used in this systematic review were taken from Scopus, Science direct, Proquest and Pubmed, journals were limited to the 2013-2019 publication year in the area of nursing medicine journals, as well as English journals. This systematic review used 9 articles that fitted the inclusion criteria. Critical appraisal and data extraction were performed independently by two different authors, there was a difference in results, the consensus was opted to solve the differences. Results: From 9 selected articles found that training varies between 50%-80% there was an influence on patient satisfaction. Therapeutic communication training had a positive impact on hospital services. Conclusion: Therapeutic communication training improves skills, encourages, supports, strengthens therapeutic communication, communication training reduces poor nurse interaction behavior and can increase patient satisfactio

    Factors Contributing to TB at Primary Health Center in Sidoarjo - Indonesia

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    Introduction: 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 smear 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 andvcomprehension of care at the primary health cente

    A Systematic Review of Foot Exercises with Group Support to Improve the Foot Health of Diabetes Mellitus Patients

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    Introduction: Foot problems are a process and complication in patients with diabetes mellitus (DM). Foot complications can be prevented by routine foot exercises. Group support is needed to increase the routine of foot exercise. The effects of foot exercise can be seen by measuring the Ankle Brachial Pressure Index and foot sensation. The objective of this systematic review was to identify the prevention of DM foot complications in an easy way so then he patient can do it independently. Methods: The method used in this study was a systematic review focused on 2015 – 2019 using the PRISMA method. The literature was obtained from Scopus, Science Direct and Proquest. The results found 25 items of literature on foot exercise which was reduced to 4 studies on preventing damage to the feet of DM patients through routine foot exercise. The literature of this study is supported by 3 other studies that state that foot health can also be used to examine the foot’s blood circulation status and sensation. Results: These results have been presented concerning 7 studies regarding special group support in the form of exercise therapy for patients with DM. This study explains the prevention of foot complications through foot exercise. Group support is needed provide motivation to conduct routine foot exercise. Conclusion: Foot exercise can accelerate the blood circulation as can be seen by the Ankle Brachial Pressure Index score and the increase in the neurological system of the foot through foot sensation status

    Family Empowerment Model Based on Belief amd Health-Related Quality of Life among Housewives with HIV/Aids

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    The trend of Human Immunodeficiency Virus/ Acquired Immunodeficiency Syndrome (HIV/AIDS) prevalence in Indonesia has increased significantly. This study was aimed to develop family empowerment model based on belief and analyze the effects of health-related quality of life (HRQL) in patients infected by HIV/AIDS. Mixed methods design with the first stage using quantitative research with cross sectional approach. A total 135 respondents with HIV/AIDS were determined from purposive sampling. For developing the model, we conducted focus group and expert discussion to make the model and the intervention tool for the second stage. We analyzed the collected data using Structural Equation Model Partial Least Squares (SEM-PLS) test. The outer loading value measured the sub-variable validity value of its latent variable, where the outer loading is valid if the value is >0.4. Based on the research results, nine indicators were invalid (outer loading value ≤ 0.4), and the indicator must be removed from the model. Evaluation of inner models was used to test the research hypotheses. The research hypothesis can be accepted if the value of T count >T table. The health services, patient factors, family factors and empowerment have a significant influence between some of these factors on HQRL (T >1.96). The development of a family empowerment model based on belief has a good effect in health-related quality of life among women with HIV/AIDS. From the developed model, it be seen that HRQL is related to health services, patient factors, family factors and empowerment

    Perceived Burden of Multidrugs- Resistant Tuberculosis Patients And Their Family: A Systematic Review Of The Qualitative Literature

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    The incidence of Multiple Drugs Resistance Tuberculosis (MDR TB) is still very high. MDR TB treatments require a long period of care that could lead to an impact on MDR TB patients and their families. This study aims at reviewing and synthesizing the perceived burden of MDR TB patients and their families. A literature review was conducted through a search of four journal databases which found eight articles according to the inclusion criteria which were then identified, evaluated and synthesized. A thematic synthesis was conducted of the selected studies. This review identified four major themes related to the perceived burden by MDR TB patients and their family, namely; physical, psychological, social and financial burden. Understanding the dif iculties and burdens experienced by MDR TB patients and their families is important in order to choose the appropriate intervention according to the problems that may arise due to MDR TB diseas

    The Lived Experience of Indonesian Nurses in Kuwait: A Phenomenological Study

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    Introduction: 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 Relationship between Stigma, Resilience, and Quality of Life from Family Members Taking Care of Schizophrenic Patients

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    Abstract--- Stigma in society about people with mental disorders, especially for schizophrenic patients, is very high. Stigma is not only given to schizophrenic patients but also their family members. The stigma given to family members may cause them to feel sad, ashamed, shocked, annoyed, uneasy, and blaming one another. This can affect the resilience and quality of life from family members who are taking care of schizophrenic patients. This study applied cross-sectional research in which the population was family members who accompany the schizophrenia patient to psychiatric polyclinics. The total of samples was 171 respondents who met several criteria, namely family members who were taking care of and living in the same house with the schizophrenic patients; cooperative; and be able to read and write. The variables of this study were stigma, resilience, and quality of life. Data collection was conducted using a questionnaire and analyzed using the Spearman’s rho test. It showed that there were a very strong negative relationship between stigma and resilience (p = 0.000 and r = -0,851) and between stigma and quality of life (p = 0,000 and r = -0,715). Efforts to reduce stigma in society regarding schizophrenia must be carried out because stigma affects not only schizophrenic patients but also the family members who are taking care of them. The high resilience and good quality of life have positive effects on the healing process and reduce the relapse rate of schizophrenic patients

    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

    Non-pharmacological Therapy for the Elderly to Prevent Dementia through Cognitive Stimulation Therapy: A Systematic Review

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    Introduction: Dementia is the most prevalent disease in older people and it has become the largest global public health priority. Not only does it cause a progressive loss of independent functioning, a decline in the cognition of people with dementia and family restlessness but it also leads to an enormous social and economic burden. The aim of this study was to describe the non-pharmacological therapy that is commonly used and to show the significantly effect that it has in terms of preventing cognitive decline in the elderly with dementia. Methods: The literature review approach was used with a cross-sectional framework. Data was taken using a checklist and observations that were modified from the key words used to search Scopus databases. The 20 final articles were published from 2010 to 2019. The data was analyzed through a comparative study Results: There are several interventions based on cognitive stimulation therapy including clock-drawing, board games, story-telling, musical therapy, bright light therapy, aromatherapy, touch therapy, gardening, brain gym, modality therapy etc. From the study, it was found that cognitive stimulation therapy is suitable in all conditions, is easy to implemented and it significantly improved the cognitive and executive functioning of the elderly with dementia. Conclusion: Nowadays, most studies concern alternative approaches that are non-invasive, cost-effective, safe and easy to implement. Cognitive stimulation therapy can be the best choice. It is expected that further research is needed to find other tools for scoring the intervention that is most suitable for

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