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Determinants of Knowledge and Attitude related to Palliative Care Nurses
There are only a few health care institutions in Indonesia that carry out palliative care. The factors that are related to the knowledge and attitudes of the health workers who work in the palliative care services are still unknown. The aim of this study was to find out the determinants of the factors related to the nurses' knowledge and attitude in the context of palliative care in a hospital in Surabaya. This study used a cross-sectional design. The sample size was 115 respondents via total sampling. The independent variables were age, education, training experience, length of work and place on the career ladder. The dependent variables were knowledge and the attitude of the nurses toward palliative care. The data was obtained through a questionnaire and it was analyzed using Chisquare, Spearman rho and a multiple linear regression test. There was found to be a relationship between age (p = 0.004) and length of work (p = 0.016) with knowledge in palliative care. There was also found to be a relationship between the length of work (p = 0.049) and career ladder (p = 0.013) with the nurse’s attitude in palliative care. It is expected that the nurses in the hospital can take part in training so then their knowledge will increase. In addition, the arrangement of the career ladder also needs to be clear to create positive behaviors among the palliative nurses.
The quality of the palliative services will increase as a result
The Relationship between Stigma, Resilience, and Quality of Life from Family Members Taking Care of Schizophrenic Patients
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
Javanese Family Resilience in Taking Care of Mental Disorder Clients After Pasung
Abstract--- The study was conducted to find out about Javanese family resilience among those who cared for
mental disorder clients after pasung. The study was focused to know how the family adjusts themselves with an
inconvenient situation in taking care of mental disorder clients after pasung according to the perspective of the
Javanese family. The research used a qualitative design with an interpretive phenomenology approach. The
participants were eight family members who cared for mental disorder clients after pasung. The samples were
obtained by purposive sampling technique. The data were collected by interview and using field notes, then analyzed by Collaizi technique. This research produced two themes, positive aspects of family resilience and Javanese culture value. The beliefs, compliance values, communication patterns, norms, and the rule of community leaders were able to provide support for achieving family resilience as the positive aspects of family resilience in taking care of mental disorder clients. The willing, accepting, and patient were able to interpret the events that must be confronted so that they were able to carry out coping strategies that were right for themselves as Javanese culture values. This research explained how positive aspects of the two themes above must be managed by the family to survive, rise, and become better in caring for mental disorder clients after pasung. Further research may focus on family role
interventions consisting of family, patient, and environmental factors in taking care of mental disorder clients through family resilience
Society Perception of Pasung Behavior in People with Mental Disorders
Introduction: Pasung intervention of people with mental disorder still happened in the society. “Pasung Free Program” which has already designed in Indonesia since 2014 did not effective to wipe out Pasung behavior. There are still many people who are abused by Pasung behavior in Kulon Progo, Java Island, Indonesia with the various perception of society. The aims of this study examined the public perception of Pasung behavior in people with mental disorders.Method: This study used quantitative method by using symbolism interaction approach. There were 9 people who experienced pasung in their surroundings that became samples. Data was collected by using in-depth interviewing and socio-demographic questionnaire. Method that was used to analyze was analysis method such as 6 stages of Creswell analysis that was suitable with the used method.Result: The result of this study could become a theme. There were 8 themes came from two different perceptions. Perception of society resulted two themes namely 1) opinion about pasung behavior and 2) conclusion about pasung. External perception resulted six themes namely 1) the reason why pasung is allowed, 2) the reason why pasung is not acceptable, 3) pemasungan idea, 4) pemasungan method, 5) the society’s hope about people with mental disorder, and 6) the obstacle of health service.Conclusion: Society perception about mental disorder still not acceptable. Pasung program planning should be in line with free people with mental disorders program. The appearance of pasung behavior related to the increase of people with mental disorders
The analysis of factors that related to social development in children age 10-12 years old
Children’s social development can be healthy or not. Many factors influence this, including family,friends, and the school environment. The purpose of this study was to determine the relationship between parenting factors, students’ patterns in school, and interactions between friends, and the social development of children aged 10-12 years. Correlational analytic research design with a cross�sectional approach. The sample in this study was children aged 10-12 years with a total sample of
100 respondents taken by simple random sampling. The independent variable was the parenting factor, the pattern of students in school, and social interactions between friends and the bound of social development. Multiple linear regression tests are using to analyze the data. There was a relationship between parenting factor factors (p=0.000) with the social development of children aged 10-12 years. There is a relationship between educating pattern factors in school (p=0.027) with the
social development of children aged 10-12 years. It is due to the family environment. Especially parents are the first and longest environment in contact with children. It was concluded that the family environment is the environment that most determines the social development of children. It is recommended that the family accompany the child, stimulating social growth to the chil
Effect of Spiritual Emotional Freedom Technique (SEFT) to Anxiety Patient Chronic Obstructive Pulmonary Disease (COPD)
Introduction: COPD can affect social and psychological aspects as well as physical health. Anxiety, loss of control in self-reliance, changes in self-concept and respiratory
barriers result in serious psychological changes, including fear of death and depression.There is a significant relationship between depression and anxiety with sleep quality of chronic disease patients, the higher the degree of depression the worse the quality of sleep. Spiritual Emotional Freedom Technique (SEFT) is a therapy that uses spiritual elements to reduce psychological and physical problems caused by emotional or psychosomatic.
Methods: This study use Quasy Experiment "with Pre-Post test group control design approach. The population of this study was the patient of COPD in dr. H. Koesnadi
Hospital and Bhayangkara Hospital at Bondowoso. Sampling was done by simple random sampling technique according to inclusion criteria with total 68 patients. SEFT
intervention performed 8 times for 1 month. Instrument for anxiety using HARS. Data analysis using Mann Whitney Test.
Results: There was a significant difference in the level of anxiety (p 0,000) between before and after SEFT therapy.
Conclusion: SEFT can reduce anxiety levels of COPD patients, if done regularly and sustainably. The intervention focuses on reducing emotional or psychosomatic psychological problem
Relationship of family and self efficacy support to the rehabilitation motivation of stroke patients
Stroke is a common global health care problem. Life changes suddenly in a stroke patient impact psychological conditions, including patient motivation, which can interfere with the rehabilitation process after stroke. Post-stroke rehabilitation interventions are indispensable for the recovery of motor function, muscle strengthening, and prevention of other stroke complications. However, only
44% of patients adhere to the rehabilitation program. Factors such as family support and good selfefficacy are important parts of increasing motivation for post-stroke rehabilitation. The purpose of this study was to analyze the relationship between family dependence and self-efficacy with motivation for the post, stroke rehabilitation. Quantitative research with a descriptive correlational design through a cross-sectional approach and 111 post-stroke patients were undergoing post-stroke rehabilitation
<1 year, including this study. Roper spearman test was used to determine the relationship between family support and self-efficacy with rehabilitation motivation for stroke patients. The analysis test in this study used the SPSS version 16 application. The results showed a strong relationship between family support and rehabilitation motivation (p = 0.000), coefficient value (r) = 0.620 and self-efficacy relationship with significant rehabilitation motivation (p = 0.000) with coefficient value (r = 0.682) with the direction of a positive relationship. Family support and self-efficacy are closely related to patient
motivation in undergoing post-stroke medical rehabilitation. With better family support and selfefficacy of stroke, patients can increase patient motivation in undergoing post-stroke rehabilitatio
The Effects of Home-Based Exercise Training on Physical Performance, Fatigue and Quality of Life in Breast Cancer Patient Receiving Chemotherapy: A Pilot Study
This study was to assess the effects of Home-Based Exercise Training (HBET) on physical performance, fatigue and quality of life on breast cancer patients receiving chemotherapy. One group pre-and posttest design. The setting of this study was in a daycare unit of Dr. Ramelan Navy Hospital Surabaya, Indonesia. 26 women with early stage of breast cancer receiving chemotherapy participated in this study. Participants completed baseline measures and waited a week after chemotherapy for exercise. Patients who were assigned to the HBET group performed 3 weeks of walking program. Test Timed Up and Go (TUG) was used to asses physical
performance, while Brief Fatigue Inventory (BFI) was used to measure fatigue and The European Organization for
Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 ( EORTC QLQ C-30) to assess the
quality of life. The paired t-test showed a significant result p< 0.0001 for physical performance, fatigue and quality of life. Breast cancer patients who received HBET showed improvement in physical performance and quality of life and also reduction in fatigue. The result showed that HBET is effective in promoting and maintaining both physical
performance amd quality of life, as well as reducing fatigue by increasing emotional and physical wellbeing on
breast cancer patients receiving chemotherap
The Effect of Combination Pranayama Yoga and Endurance Training Exercise on Peak Expiratory Flow (PEF) in Adult Asthmatic Patients
Pranayama Yoga can help improve breathing, and improve calm and also relieve stress. Endurance training
can increase lung capacity, improve fitness, and relax the body. However, the combination of pranayama yoga
and endurance exercises has never been done in asthma patients. The purpose of this study was to analyze the
combination of pranayama yoga exercises and endurance exercises for Increased Peak Forced Expiration Flow.
The design of this study was Quasy Experiment with a pretest-posttest control group design, the location of the
study was in the pulmonary clinic of Universitas Airlangga Hospital and Haji General Hospital in Surabaya, East
java. Respondents were selected by purposive sampling techniques in accordance with inclusion criteria with
a total of 72 respondents. Peak Expiration Flow is measured from forced vital capacity or The peak expiratory
flow (PEF) is the maximum flow obtained within the first 200 milliseconds of a forced expiratory maneuver
after inhalation to total lung capacity (TLC). The intervention group was given a combination exercise by
doing pranayama yoga and endurance exercise for 6 weeks, 2x per week, 51 minutes for each training session.
Pranayama yoga combination exercises and endurance exercise using trainer instructors and modules. FPEF and
asthma control were measured every week for 6 weeks. The results showed a significant difference in the level of
FPEF and asthma control before and after 6 weeks of interventions combination of pranayama yoga and endurance
exercise in the intervention group obtained significance values (p <0.05) with p = 0.000 and asthma control in the
intervention group (p <0, 05) with p = 0.000 the results of the research shows that by practicing pranayama yoga
and endurance exercise can improve FPEF and asthma control. Pranayama yoga and endurance exercise can be
used as an complementary therapy in supporting pharmacological therapy to improve FPEF and control asthm
Community Empowerment (Teachers and Parents) to Respond Choking Hazard in KBTK Khadijah Surabaya
Introduction: Choking is a condition of emergency breathing that must be dealt immediately. Babies and
children are the age group with the most potential to experience choking caused by not chewing food
properly, eating too much at one time and inserting small solid objects into the mouth. Objective: The aim of
this study was to empower the community in this case the teacher, care giver / mother of the play group and
parents of the Khadijah KB-TK Surabaya students in handling choking cases in children and infants.
Method: The method used in community empowement is lecture, discussion, simulation/demonstration by the facilitator which is then followed by a demonstration by the participants/audience as an evaluation.
Results: After this community empowerment there was an increase in participants' abilities which was
indicated by increased knowledge and self-efficacy before and after community service activities. Teachers
and parents can also demonstrate properly after this community service. Discussion: Knowledge occurs after
people have sensed a certain object. Simulation/demonstration methods make it easier for teachers and parents to know how to handle choking through the eyes and ears, so that it is easy to understand. Cognitive
knowledge is a very important domain in shaping one's actions. Conclusion: Community service through
community empowerment can increase knowledge and self-efficacy in handling choking cases in children
and infant