1167 research outputs found
Sort by
The Factors That Related to the Success of Tuberculosis Cadres in Tuberculosis Cace Finding
Full text linkTuberculosis (TB) case finding as early as possible can prevent transmission and death of TB patients. Health cadres are one form of community participation in the health sector. This study aimed to determine the factors associated with the success of cadres in TB case finding. This research used a descriptive-analytic design with a cross-sectional approach. The sample used was 30 TB cadres.
Independent variables were predisposing factors: knowledge and attitudes, enabling factors: counselling, training, and availability of health facilities,reinforcing factors: community benefits and support, and the dependent variable
was TB case finding. The instrument used a questionnaire and analysed using a logistic regression test. There is a relationship between knowledge and TB case finding (p = 0.027), counselling (p = 0.001), and training (p = 0.001), availability of health facilities (p = 0.004), rewards (p = 0.001), and community support (p = 0.002). No relationship was found between attitude and case finding (p = 0.400). The majority of knowledge cadres have immense knowledge that the role of cadres in case finding can increase the success of TB programs and increase community knowledge for independence in TB contro
Development of Asthma Management Based on Health Belief Model in Parents
Full text linkAsthma is chronic diseases which often happened in childhood, while parents are the key to control
asthma by provide adequate education. This study aimed to increase belief in parents about asthma in their children
who consists of four components that build beliefs. A quasi-experiment design with 33 samples parents of Children aged
6 - 11 with asthma. Measurement of belief in parents using the development of the Health Belief Model (HBM). The
educational intervention given used an asthma-based childhood management module in the prevention of asthma
relapse. MANOVA was used to determine the effect of management of asthma on belief-based children given to parents.Chi-square test showed no difference of respondent characteristic on education, occupation, age, asthma information and sex (p> 0.05). F group prices for Pillai Trace, Wilk Lambda, Hotelling's Trace, and Roy's Largest Root have significance values <0.001 (p <0.05). It showed a significant influence in every variables of the group on the component of the belief. Strength of the relationship also showed between the management of asthma in belief components, which were indicated by partial Eta Squared value, perceived susceptibility/seriousness (0.486), perceived benefit (0.547), perceived barrier (0,539), and self- 0.150) of parents. The education intervention for management asthma integration with HBM theory can be used as an alternative education all parents. Healthy behaviors that individuals do because of the belief about the benefits of a new activity, usually prevent the arrival of the disease
The Effect of Health Coaching-based Health Belief Model on Preventing the Pulmonary Tuberculosis Transmission at Puskesmas Karang Taliwang and Ampenan West Nusa Tenggara
Full text linkAdherence is an essential factor in achieving optimal health status in patients with tuberculosis. The study
aimed to examine the effect of health coaching on preventing the infection of pulmonary tuberculosis patients. A quasiexperimental study design, pre, and post-test with the nonequivalent control group. Seventy samples were recruited by using a purposive sampling technique. The intervention group received the health coaching program for two months, while the control group received the usual care. The results showed that health coaching was to improve adherence prevention of
infection (p<0,001). Health coaching based on the Health
Belief Model was a positive effect on preventing infection transmissio
Perceived Barriers to Accessing Tuberculosis Care Among Multidrug Resistant Tuberculosis (MDR-TB) Patients: A Qualitative Study in Indonesia
Full text link- Indonesia has one of the highest MDR-TB burdens in the world. The success rate of MDR-TB treatment in Indonesia is still low. Indonesia changed the health system policy, which is called the National Health Insurance,in 2013. The purpose of this study is to provide a description from the point of view of MDR-TB patients about barriers during their treatment, although the health system in Indonesia has changed. This study used qualitative semi�structured in-depth questions. Fifteen MDR-TB patients were interviewed concerning the barriers during their treatment. Purposive sampling was used to recruit study participants. Thematic analysis was used to identify and analyse the main topics. Topics generated were financial barriers, poor service, inadequate hospital facilities, ineffective communication of patient-provider, stigma, and lack of social support. Each theme was from verbatim transcripts defined during the coding process. Codes and themes were developed to coincide with data collection. Periodic monitoring of aid disbursements, improvement of hospital services including health workers and acilities, increased social support, increased knowledge and home-based MDR-TB service programs can be implemented to reduce the perceived barriers for MDR-TB patients during treatmen
Spiritual-Based Motivational Self-Diabetic Management on the Self-Efficacy, Self-Care, and HbA1c of Type 2 Diabetes Mellitus
Full text linkLow self-efficacy has an impact on self-care ability and HbA1c level. The purpose of this study was to determine the effect of spiritual-based motivational self-diabetic management on the self-efficacy, self-care, and
HbA1c of adults with type 2 diabetes mellitus.
Methods: A quasi-experiment was conducted in this study. Total sample was collected from 80 respondents who were obtained through cluster sampling.The respondents were divided into two groups and they completed the selfcare inventory-revised (SCI-R), self-efficacy questionnaires, and HbA1c blood check. The data was analyzed using parametric and non-parametric tests.
Results: The results showed there to be differences between the pretest and posttest values of the variables of self-efficacy, self-care, and HbA1c in the treatment group.
Conclusions: Spiritual-based motivational self-diabetic management as conducted by the researcher can increase the patient’s self-efficacy and selfcare abilities and decrease their HbA1c level
Nurses’ Compliance with the Catheter Associated Urinary Tract Infection Prevention Bundle
Full text linkCatheter-associated Urinary Tract Infection (CAUTI) was the fourth most common infection and results in increased morbidity, mortality, maintenance costs and length of stay. Prevention and Control of CAUTI were carried out by nurses through bundles. This study aimed to analyze the determinants of nurses' compliance behavior in the implementation of the CAUTI bundle with the Theory of Planned Behavior (TPB) approach. The study design was cross sectional study. A total of 111 nurses recruits with simple random sampling participated as the sample. Compliance with the implementation of the CAUTI bundle was the dependent variable whereas the independent variables were background factors, attitudes, subjective norms and intentions. The instrument used consisted of questionnaires. A logistic regression test (0.05) was used to determine the determinants of nurse compliance behavior. Educational background factors (p=0.039) and knowledge (p=0.014) was related to attitudes, knowledge (p=0.023) and work experience (p=0.020) related to subjective norms, attitudes (p=0.008) and subjective norms (p = 0.003) related to intention, and intention related to behavior (p=0.000) and had a value of r = 0.510 which means that the relationship between intention and behavior was quite strong. In conclusion, a factor that was directly related to the compliance in the implementation of the CAUTI bundle was the nurse’s intention and the factors that were indirectly related were attitudes, subjective norms, and background factors (knowledge, education and length of work)
Anxiety, Depression, and Coping Mechanism Among Outpatients With Heart Failure
Full text linkAnxiety and depression have been identified as common condition experienced by patients with heart failure (HF).
Some HF patients who are unable to manage their anxiety and depression show poor coping mechanism. The aim of
this study was to identify the correlation between anxiety, depression, and coping mechanism among outpatients with
HF. This study was a descriptive study using cross-sectional design. A total of 155 HF patients were recruited from
cardiology clinic of governmental hospital in East Java, Indonesia. Participants completed a demographic questionnaire, Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and coping mechanism
questionnaire. The mean score on the anxiety, depression, and coping mechanism was 6.41±2.98, 7.21±2.99, and
20.73±3.87, respectively. Anxiety was positively correlated with depression (r=0.502, p<0.000) while anxiety and
depression were negatively correlated with coping (r=-0.348, p=0.000 and r=-0.170, p=0.035). Multivariate predictors
for anxiety were gender (p=0.036), education (p=0.002), NYHA class (p=0.000), monthly income (p=0.010), depression (p=0.000), and coping (p=0.001). Significant predictors of depression were NYHA class (p=0.000), age (p=0.005), frequency of hospitalization (p=0.000), and anxiety (p=0.000). Predictors for coping mechanism were marital
status (p=0.040), education (p=0.000), job status (p=0.011), monthly income (p=0.001), frequency of hospitalization
(p=0.005), and anxiety (p=0.001). The findings suggested that higher level of anxiety and depression are associated
with lower coping mechanism. In addition, there are various factors that influence each variable. Nursing interventions
for reducing anxiety and depression are needed to achieve patients adaptive coping mechanis
BARRIERS TO PHYSICAL ACTIVITY IN RECENTLY DIAGNOSED TYPE 2 DIABETES MELLITUS PATIENTS: A QUALITATIVE STUDY
Full text linkBackground: Physical activity as one of diabetes management plays important role in maintaining glycemic control. Not all diabetics are doing adequate physical activity. Especially for recently diagnosed type 2 Diabetes Mellitus patients with the characteristic haven’t adopt diabetes management properly.
Objectives: The aim of this study to reveal the barriers in physical activity that faced by recently diagnosed type 2 Diabetes Mellitus patients.
Methods: Qualitative study with phenomenological approach was conducted in 10 recently diagnosed type 2 Diabetes Mellitus patients in Primary Health Care Kedungdoro and Asemrowo, Surabaya. The participants were selected based on inclusion criteria, namely patients aged 25-45 years old, under 6 months diagnosed, spoke in Indonesian or
Javanese well. The exclusion criteria were patients with complication. Semi-structured in-depth interviews guided by interview guideline was conducted to obtain the information about barrier in physical activity. There were six questions in interview guideline. Then data from interview was analyzed by Colaizzi method.
Results: Two themes were emerged as barriers in physical activity namely time expenditure and health literacy. Participants’ time expenditure refers to the limited time in doing physical activity, namely obligation to others and lack of spare time. Health literacy refers to the
ability in searching and using health information. The barrier in health literacy aspect namely physical activity substitute and different information that got from others.
Conclusion: The barriers of physical activity were problem in time flexibility, activity substitute, and need for straightening various information. Using media technology and involving family to promote and remind the physical activity can be suggeste
The Relationship of Religiosity with Resilience of Adult-Assisted Residents in Community Institutions
Full text linkThe judicial process is able to create stress and anxiety for people who pass through it. Some conditions of prisoners who are just undergoing detention are vulnerable to stress, anxiety that leads to suicide. The purpose of this study is to analyze the relationship between religiosity and resilience in penitentiaries. The design of this study was cross-sectional. The total population in this study was 1195, with a target population of 437, and an affordable population of 137 fostered residents was obtained by simple random sampling. The independent variable is religiosity. The dependent variable is resilience. The instrument in this study used the religiosity questionnaire and Brief Resilience Scale (BRS), and the data were analyzed with Spearmen's Rho. Respondents with moderate religiosity and resilience were 118 (90.1%) WBP, and low religiosity and resilience were 11 WBP. There is a relationship between religiosity and resilience in prisons (p=0.000; r=0.845). There is a strong relationship between religiosity and resilience of fostered adults. Therefore the clinic nurse can continue to help the WBP to continue to motivate and help to reduce the anxiety, social, and physical conditions experienced by the WBP when they first enter prison
The Effect of Listening to Asmaul Husna, Isometric Handgrip Exercise, and Foot Hydrotherapy Intervention to Reduce Blood Pressure in the Elderly with Hypertension
Full text linkThis study aimed to assess the effectiveness of the influence of listening to Asmaul Husna (the names of God are beautiful, good, great, and noble), isometric handgrip exercise, and foot hydrotherapy interventions on blood pressure in elderly with hypertension. Background: Hypertension or high blood pressure
often appears without symptoms, so it is called a silent killer. Based on these problems, non-pharmacological methods can reduce blood pressure, namely the intervention of listening to Asmaul Husna, isometric handgrip exercise, and foot hydrotherapy. Method: Quasi-experimental research design with pre-post test control group design involving 60 respondents using probability sampling techniques. The independent variable in this study was listening to Asmaul Husna, isometric handgrip exercise, and foot hydrotherapy intervention, while the dependent variables were systolic, diastolic blood pressure, and pulse. The data obtained were then analyzed using the
Independent t-Test or Wilcoxon Signed Rank Test and Mann Whitney with a degree of significance α ≤ 0.05. Results:
Results of data analysis using the Independent t-Test statistic in the treatment group and control group were, for pulse (p = 0.000). The results of tests with Mann Whitney obtained the following result for systolic (p = 0.000) and diastolic (p = 0.000), which means that there were changes in systolic, diastolic, and pulse before and after listening
to Asmaul Husna, isometric handgrip exercise, and foot hydrotherapy. Discussion: Listening to Asmaul Husna, isometric handgrip exercise, and foot hydrotherapy interventions have positive benefits for reducing systolic and diastolic blood pressure, and pulse in the elderly with hypertension. For further research, the researchers suggest that more studies about the effectiveness of this intervention should be conducted by increasing the number of dependent variables