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MODUL PENELITIAN TRAUMA FOCUSED COGNITIVE BEHAVIOR THERAPY (TF-CBT) UNTUK LANNJUT USIA DI DAERAH PASCA BENCANA
Get PDFEthnic Foods Diet Program Improve Self-efficacy and Diet Compliance Among Type 2 Diabetic Patients
Get PDFIntroduction: A well-balanced diet is one of the four pillars of diabetes selfmanagement. Patient's culture strongly influences intake food. Diabetic dietary
guidelines which fit with the patient's culture is expected to improve patient's selfefficacy and diet compliance. This study was aimed to analyze the effect of ethnic
foods diet program in improving self-efficacy and diet compliance among Type-2
Diabetes Mellitus (T2DM) patients.
Methods: This was quasy experiment research with pre and post-test control
design. The population was 112 T2DM patients from Sasak Tribes, West Nusa
Tenggara. Samples were 36 respondents, divided into intervention (18) and
control (18) groups. The independent variable was the ethnic food diet (EFD)
program, while the dependent variables were patient's self-efficacy and diet
compliance. Data were collected using self-efficacy questionnaire and a 24-hour
dietary recall form. Data were then analyzed using Wilcoxon Signed Rank Test and
Mann Whitney U Test. The result showed differences in self-efficacy between pre
and post-test in the treatment group (p=0,001), but
there were no differences in the control group.
Results: There were differences in diet compliance in the treatment group
(p=0,001), but there were no differences in the control group. There were
differences between treatment and control groups on self-efficacy (p=0,000) and
diet compliance (p=0,000).
Conclusion: Ethnic foods diet program can improve self-efficacy and diet
compliance among T2DM patients because more comfortable and easier to be
applied. Nurses can apply ethnic foods diet program as an intervention to promote
healthy diet for T2DM patients
The Impact of Self Efficacy on the Foot Care Behavior of Type 2 Diabetes Mellitus Patients in Indonesia
Get PDFIntroduction: Diabetes mellitus (DM) often causes complications, one of which is diabetic foot ulcers (DFUs). One of the factors involved in preventing diabetic foot
injuries is performing foot care behavior. To improve patient behavior in terms of performing foot care is to improve self-efficacy. The purpose of this study was to
determine the effect of the self-efficacy of diabetes patients on foot care behavior.
Methods: This study used a descriptive correlational design to reveal the correlative relationships between the variables with a sample of 106 respondents
using probability sampling in the form of cluster random sampling. The data was collected using questionnaires, the foot care confidence scale (FCCS), and the foot
care behavior scale for diabetes (FCBS for Diabetes). The independent variable of this study was the self-efficacy of DM sufferers and the dependent variable of this
study was the behavior of foot care. The data analysis used the Spearman Rho correlation test (α=0.05).
Results: Spearman Rho correlation test showed there to be a relationship between the self-efficacy of people with diabetes mellitus and foot care behavior p value =
0.001 (p<0.05), r= -0.542.
Conclusion: The implication of this study is that a high self-efficacy in people with diabetes mellitus will improve the behavior related to foot care, thereby reducing
the risk of behaviors that damage the feet
Knowledge and the “Magibung” Tradition Related to the Dietary Self-Management of Diabetes Mellitus
Get PDFMagibung is the tradition of eating together with one’s family and relatives to celebrate traditional events. This tradition is contrary to the dietary recommendations for diabetes mellitus (DM) patients. The purpose of this study was to identify the correlation between knowledge and the magibung tradition on the self-management diet of diabetes mellitus patents. This study used a cross-sectional design. The samples obtained consisted of 138 respondents through purposive sampling. The data was collected using the Summary of Diabetes Self Care Activities (SDSCA) questionnaire and the data was analyzed using the Spearman rho analysis test. The results showed that there was a correlation of knowledge (p=0.000) with diet self-management and that there was no correlation between the magibung tradition (0.184) with diet self-management. Age was the dominant factor that influenced the level of knowledge about diet for the DM patients. Being on a diet does not prevent the patient from participating in the magibung tradition. This is because it is about respecting family tradition and the community. Health workers are expected to optimize the health education provided to DM patients by paying attention to the local culture, especially to the elderly groups, in order to better understand DM self-management through discussion activities such as home visits, counseling and holding special gatherings.
Keywords: knowledge; magibung tradition; diet self-management; diabetes mellitu
Family Support Improves Hypertensive Patient Drug Compliance
Get PDFFamily support is one of the support types with the aim of achieving optimal blood pressure control for patients with high blood pressure. This study aimed to analyze the relationships between family support, adherence to taking medication and blood pressure control in patients with hypertension in the RSUD. Prof. Dr. W. Z. Johannes Kupang. The design of this study was descriptive correlational through a cross-sectional approach. The population was the hypertensive patients in the hospital of Prof. Dr. W. Z. Johannes Kupang. The sample consisted of 200 respondents recruited using simple random sampling. The independent variable was family support while the dependent variables were compliance with taking medication and blood pressure. The data was collected using a questionnaire and observation checklists. The data was analyzed using Spearman Rho with a significance level of α = 0.05. The results showed that there were relationships between family support and medication adherence (p = 0,000), adherence to taking medication and systolic blood pressure (p = 0,000) and medication compliance with diastolic blood pressure (p = 0,000). It can be concluded that family support correlates with the patients’ compliance when taking medication and blood pressure. Further research is recommended to examine the causes of poor medication adherence among patients with good family support.
Keywords: Family support, medication adherence, hypertensive patients, blood pressur
Relationship between Personality Type and Family Support with Genital Hygiene Behavior in Adolescent Girl
Get PDFThere are several factors that affect the genital hygiene behavior of adolescents, including personal and family support. The purpose of this study to explain whether there is a relationship between personality type and family support in the genital hygiene behavior of adolescent. This research used correlation research method with cross-sectional approach. The samples of the study were 116 respondents using random sampling technique. The data analysis used descriptive analysis of chi-square correlation test. This study found that most respondents had good family support and extrovert personality types with the same score of 60.2%, and most of the respondents had clean behavior in genital hygiene, as much as 71.2%. The chi-square correlation test results obtained p value = 0.076, which means there is no relation between personality type and genital hygiene behavior in adolescent girls, while the correlation test of family support with genital hygiene behavior on adolescent girls obtained p value = 0,036 which means there is relationship in both personality type and family support. There is no relationship between personality type and genital hygiene behavior. Good family support can improve hygiene behavior of young women. The existence of good family support will affect adolescents in behaving.
Keywords: personality type, family support, genital hygiene behavior, adolescent gir
Depression in Patients with Heart Failure: A Phenomenological Study
Get PDFDepression is a common comorbid condition among patients with heart failure (HF). Depression in HF is associated with poor health outcomes, increased risk of mortality, readmission, and decrease in functional status. The aim of this study was to explore the experience of HF patients related to symptoms of depression. The study was conducted at a government hospital in East Java, Indonesia and used a phenomenological approach. The population of this study was inpatients with HF who were obtained through a purposive sampling technique. Eighteen HF patients were recruited as participants. Data collection took place from February to May 2016 by interview and field notes. Collected data was analyzed through thematic analysis. There were three main themes that emerged from the data: cognitive function, emotional, and somatic responses to disease. HF patients reported impaired cognitive functions, especially in decision making and perception of disease. They also had several emotional responses including sadness, guilt, hopelessness, suicide, crying, and anger. There were also somatic responses including energy loss, fatigue, disruption of sleep patterns, decreased appetite and sexual interest. Understanding the description of depressive symptoms in HF patients can help nurses and other health professionals provide appropriate interventions to reduce depression.
Keywords: heart failure, depression, symptom, qualitative, patient’s experienc
The relationship of parents’communication patterns and peer-group interaction with sexual risk behavior in adolescents
Get PDFIntroduction: Sexual risk behavior in adolescents is a serious problem and is increasing in Indonesia. This study aimed to explain the relationship of parents’ communication patterns and peer-group interaction with sexual risk behavior in adolescents in Surabaya.
Method: This study used a cross-sectional design. The sample of 106 adolescents was obtained by cluster ran�dom sampling. The inclusion criteria were 15–18 years of age and those living with parents. Data were collected
using parents’ communication pattern questionnaire, peer-group interaction questionnaire and sexual risk be�havior questionnaire, and were then analyzed using Spearman’s rho statistical test. Results: There was a relationship between parents’ communication patterns (p = 0.000; r = –0.586) and peer�group interaction (p = 0.000; r = –0.565) with sexual risk behavior in adolescents. Conclusion: Open and two-way communication between parents and adolescents needs to be developed so that adolescents can develop good behavior. The development of a program to prevent sexual risk behavior needs to be done especially in adolescents’ peer groups to prevent the negative impact of peers in the spread of sexual content in adolescents in their groups
Family members' perspective of family Resilience's risk factors in taking care of schizophrenia patients
Get PDFObjectives: The study was conducted to illustrate the risk factors of family resilience when taking care of
patients with schizophrenia. Methods: The research used qualitative design with an interpretive phenomenology approach, with in�depth interviews. The subjects were 15 family members who cared for patients with schizophrenia at the Menur Mental Hospital, Surabaya, Indonesia. The samples were obtained by purposive sampling tech�nique. The data was collected by interview and using field notes, then analyzed by Collaizi technique. Results: This research produced two themes, they were care burden and stigma. Care burdens felt by families were confusion about the illness, emotional, physical, time, financial and social burdens, which
leads to decrease in family quality of life. Families also experienced stigma called labeling, stereotyping,
separation and discrimination. Stigmas meant that families faced psychological, social and intrapersonal
consequences. This decreased the family quality of life and functionality of the family, and there were opportunities for negative results to family resilience. Health workers, especially psychiatric nurses, should review care burdens and stigma to develop nursing
interventions so families are able to achieve resilience.
Conclusions: This research explained how care burden and stigma are risk factors that must be managed by families to survive, rise up, and become better in caring for patients with schizophrenia. Nurses have a central role in assessing the level of care burdens and stigma in order to help families achieve resilience. Further research may focus on family-based nursing interventions to lower care burden, and community�based interventions to reduce stigm
AN EFFECT OF THE BREATH DHIKR ON STRESS LEVEL OF PATIENTS WITH PULMONARY TUBERCULOSIS
Get PDFIntroduction: Pulmonary tuberculosis is an infectious chronic disease that generally, can cause of stress condition on patients, such as symptoms of tuberculosis disease, long treatment process with large amount of drugs, daily activity disruption, job loss, and death threats. Unresolved stress could lead to irritability, anxiety, negative thinking, despair, and helplessness, some even to blame God. Objective: This study aimed to determine the effect of dhikr breath on stress levels in patients with pulmonary tuberculosis at public health of Tanah Kalikedinding Surabaya. Method: quasy-experimental design method with pre and post control groups was used. There were treatment group and control group, each group consisted 16 respondents.Data analysis was performed by using Wilcoxon Signed Rank test and Mann Whitney U test with significance level of p <0.05. Results: The result of Wilcoxon Signed Rank test showed that the stress level of treatment group had significance with the p=0.000, while the control group had no significance with the p=0.317. Mann Whitney U test showed the differences of
stress levels in post intervention with p=0,000. Discussion: Dzikir breath was a positive stimulus that affects the cognator process according to Roy's adaptation theory in the form of merging dhikr and breath aimed to realize God. Further research was expected to use cortisol measurements to obtain more accurate results and performed at stress levels in other chronic disease patients. Conclusion: Breath Dzikir is a spiritual therapy that can change stress into eustress (positive stress) and decrease the stress level of pulmonary tuberculosis patient