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HOPELESSNESS EXPERIENCE PATIENTS OF TRAUMATIC SPINAL CORD INJURY (SCI) SURVIVORSIN JAVA TRIBE, A STUDY OF PHENOMONOLOGY
Get PDFHopelessness is a negative assessment towards result to be achieved and powerlessness against an expectation. Hopelessness can occur in traumatic spinal cord injury survivors because of disability due to neurological deficit and a long time in healing. This condition can lead to mental disorders or emotional or act of suicide. Therefore the description of the experience of hopelessness traumatic spinal cord injury survivors discussed in the study using descriptive phenomenology qualitative research to 6 participants. The result showed seven main themes: (1) Physical changes as result of the response of hopelessness, (2) Response of lost as the stressor of hopelessness, (3) Dysfunction process of the family, (4) Loss of meaning in life, (5) Support and self motivation as a source of coping to face hopelessness, (6) Spiritual value behind hopelessness traumatic spinal cord injury survivors and (7) Have a better life. The study suggests the development of nursing care standards of hopelessness and provision for family support and also family psychoeducation for traumatic spinal cord injury survivors
Development of Actively Caring Model for Occupational Health and Safety on Informal Sector Workers at Sasirangan Industry
Get PDFInformation of worker health and work health development in the informal sector at sasirangan industry is relatively lack of attention, so it should be anticipated and given a solution for a variety of obstacles in the implementation of occupational health and safety with the implementation of the Post of Occupational Health Efforts to support the active concern of occupational health and safety. This observational study using cross sectional approach aims to develop a model actively caring for occupational health and safety in informal sector workers at sasirangan industry. The population in this study were all informal sector workers at sasirangan industry registered in the Department of Industry and Trade of South Kalimantan Province in April-May 2016. The sampling technique is a Two Stage Sampling and gained as much as 230 respondents who met the inclusion criteria and come from 50 sasirangan industry in the City of Banjarmasin, Banjarbaru and Banjar. The analysis used is descriptive analysis and Structural Equation Modeling with the help of Amos software. The results showed implementation of post occupational health efforts has indirect effect on actively caring for occupational health and safety. Informal sector workers at sasirangan industry can improve the quality of self, awareness and concern about occupational health and safety, use of personal protective equipment to prevent occupational diseases and avoid injury or accident.
Sasirangan entrepreneurs can pay attention to workers conditions and the use of Post of Occupational Health Efforts
ORAL HYGIENE OF CEREBROVASCULAR ACCIDENT PATIENTS: A SYSTEMATIC REVIEW
Get PDFIntroduction: Stroke or Cerebral Vascular Accident (CVA) occurs because of the sudden death
of the brain cells from the inadequate bloodstream. CVA occupies the third place in the world
after cardiovascular diseases and cancer. CVA leads to the weakness or paralysis, consciousness
decrease, speech impairment and swallowing and reducing oral hygiene quality. The decrease
of oral cleanliness affects the microorganisms heaping, dental problems and pneumonia. The
inability of patients independently such as oral hygiene can also affect the psychological
condition that decreases the quality of life. Purpose to describe the conditions of patients with
clinical stroke and self-care of an oral hygiene that deals with quality of life. Method: searching
international scientific articles using PICO frameworks on some databases such as Proquest,
Ebscohost, Pubmed, ScienceDirect bounded from 2006 until 2016. The used Keyword is “oral
hygiene related quality of life”. The searching with the keyword above founded 1.154 articles.
Those articles are identified in accordance to the inclusion criteria, which got 11 articles. Search
results identified further to have critical appraisal to the stage of making systematic review.
Result: this review explains the oral hygiene activities on patients with stroke. Conclusions: a
good oral hygiene care give significant influence to the patients with stroke. It happened to the
decrease of microorganisms in the mouth, good health of teeth, and the increase of satisfaction
level of patients in nurses. These conditions are better when patients located within the
community who keep practicing the oral hygiene.
Keywords: oral hygiene, oral health, stroke, CVA, OHrQoL, microorganis
EFFECTIVENESS OF MUSIC AS INTERVENTION FOR PERIOPERATIVE ANXIETY: A SYSTEMATIC REVIEW
Get PDFIntroduction: Anxiety is a general problem experienced by patients who had surgery and
invasive procedures. The attempt to reduce anxiety level easily, safely and cheaply is through
music intervention. There are differences in results from different studies related to music
intervention to reduce patients’ anxiety of perioperative; thus deeper analysis needs to be
performed. Method: The search for literature from online databases and review or evaluation
to 17 research journals fulfilling inclusion and exclusion criteria have been carried out. Results:
Thirteen studies (76%) have shown that there is a significant effect of giving music as
intervention on anxiety level. Four research reports (24%) have indicated that there is no
statistically significant difference in anxiety level between experimental and control groups
with music as intervention. Conclusions: In general, music used as the intervention is regarded
effective to reduce patients’ anxiety in perioperative and invasive procedures.
Keywords: Music, Anxiety, Preoperative, Surgery, Adul
ANALYSIS ON THE EFFICACY OF AROMA THERAPY TO RELIEVE POST OPERATIVE NAUSEA AND VOMITING: A SYSTEMATIC REVIEW
Get PDFIntroduction: Feeling of post-operative nausea and vomiting is one of the uncomfortable
reaction of an operation and all types of anesthetics despite administration of antiemetic. 20%-
30% patients feel nauseous and vomiting with moderate to severe scale accompanying general
anesthetics. Aroma therapy is known and used as an independent nursing intervention.
Aromatherapy is accepted as management for post-operative nausea and vomiting. There have
been a number of evidence based practices supporting the use of aroma therapy. The objective
of this study is to analyze the efficacy of aroma therapy to relieve post-operative nausea and
vomiting. Method: Search of journals was done electronically by using some database, i.e.,
SAGE, PROQUEST, MEDLINE, GOOGLE SCHOOLAR, SCIENCE DIRECT, SCOPUS, and
PICOS framework. Range of year is 14 years (2002-2016). From literature search, 15 articles
were selected from 1750 articles found, all of which have controlled group. There are fourteen
from fifteen articles comparing aroma therapy and other therapies. Therefore, it used two or
more groups to compare with. The rest sees the efficacy of peppermint, IPA, and placebo.
Results: Almost all journals found support the use of aroma therapy to relieve post-operative
nausea and vomiting. Conclusion: aromatherapy is the correct method to relieve post-operative
nausea and vomiting. To improve the next systematic review, the number and homogeneity of
aromatherapy needs to take into account and determining one the most efficacious
aromatherapy to reduce PONV.
Key words: aromatherapy, post-operative nausea and vomitin
THE STRATEGY OF COMMUNITY NURSING INTERVENSION THROUGH HEALTH CADRE CONTRIBUTION, HEALTHY LIFE STYLE PERCEPTION, AND ANAK KANDANG*) EMPOWERMENT IN AN EFFORT TO BREAK THE H5N1 VIRUS TRANSMITTAL CHAIN
Get PDFIntroduction: Avian Influenza is a kind of disease which has potentially threat towards human
health and is deadly in nature so that it is necessary to pay a continuous attention to be research
in order to break the Avian Influenza transmittal chain. One of the efforts is the change of
community behavior through community nursing in terms of the Avian Influenza risk factor.
Methods:The research design is explanatory research using a cross sectional approach
conducted to 34 anak kandang as the samples. Regression test is applied as the statistical test
component. Results: Simultaneous health cadre role, healthy life style perception, and anak
kandang empowerment affect and give contribution towards the effort of breaking the chain of
H5N1 transmittal (F count = 21.399 >F table= 4.45) as much as 68.2% and respectively each health
cadre gives 11.4% of the contribution, healthy life style perception gives 0.1%, and anak
kandang empowerment gives 56.7%. Discussion: The success of Avian Influenza control so
that it will not be a new emerging disease and emerging disease is determined by the role and
support of the community, mainly the role of health cadre, healthy life style perception, and
anak kandang empowerment in the effort of breaking the chain of H5N1 transmittal.
Keywords: perception, empowerment, health cadre rol
KNOWLEDGE AND ATTITUDES IN CARDIOPULMONARY RESUSCITATION (CPR) OF FAMILY MEMBERS OF SUDDEN CARDIAC ARREST (SCA) IN THE ICVCU OF THE RSUD DR. MOEWARDI SURAKARTA 2016
Get PDFIntroduction: Cardiovascular disease constitutes the first cause of all deaths in the world.
Generally, patients with cardiovascular disease will experience cardiac arrest. Family members
have an important role as the first responder helping their member in providing care before
referring them to appropriate health care facilities. Consequently they must have sufficient
knowledge and attitudes of CPR before giving the appropriate help. The aims of the study are
to identity the family member knowledge and attitudes and their association toward CPR.
Methods: This study used descriptive correlation design with cross-sectional approach.
Result: The study shows significant correlation between knowledge and attitude about CPR as
proven by the r value = 0.333 that > 0.306 from r table. Discussions: Poor knowledge
contributes to poor attitudes. This important finding warns the need of quick solution.
Suggestion. Firstly, future study needs to be deeper including variables and respondents.
Secondly, especially the government needs to provide CPR training to community. The
availability of people who are able to perform CPR will increase the chance of the patient to
get quick and appropriate help, and increase chance to survive
Keywords: Knowledge, Attitude, Cardiac Pulmonary Resuscitatio
Developing Format of Clinical Pathway Using Nursing Diagnosis Based on Indonesian Nursing Diagnosis Standard (Standar Diagnosis Keperawatan Indonesia: SDKI)
Get PDFClinical Pathway is an integrated service planning
concept that summarizes each step are given to patients
according to the standard of service, the standard of nursing care, and other health personnel service standards, based on evidence with results that can be measured and within a certain period (Depkes, 2014). Problems that occur in the hospital, nurses do not know what should be included in the template of clinical pathways because they do not know what should be documented. Most of nurses just do and write as documentation from other professions e.g., (1) taking a blood sample, (2) access IV-line, (3) administered drugs (4) Catheterization, and (5)measure vital signs. The aim of this study was developing format of clinical pathway using standard nursing diagnosis based on Indonesian Nursing Diagnosis Standart (SDKI). Method of this study was analytical descriptive study that conducted to 50 health
record for tracer study, 10 nurses at ward and 25 articles for literature review. The result showed that the appropriate nursing diagnosis based on SDKI for clinical pathway of Diabetic Mellitus were : unstable glucose level, activity intolerance, deficit of nutrition. For thrombotic Stroke were : decrease of adaptive intracranial capacity, physical mobility impairment, ineffective breathing pattern. For pneumonia were : ineffective airway clearance, activity intolerance, hyperthermia. For acute myocardial infarction were decreased of cardiac output, activity
intolerance, spontaneous, circulation impairment. The next study will be good for issued not only diagnosis but also intervention on nursing
Keywords—clinical pathway; nursing diagnosis; SDK
Improving Health Volunteers and Primary Caregivers Ability in Caring for Elderly With Frailty Syndrome
Get PDFElderly with frailty need help to do they daily activities. Training for health volunteers and primary caregiver was expected to increase their ability in providing care to the elderly with frailty. So the elderly's quality of life can be maintained, or even improved. The training was conducted at health volunteers and primary caregiver of elderly with frailty at Puskesmas Mulyorejo, Surabaya. Thirty people were involved. The training methods were lectures, discussions, and demonstrations. Evaluation was conducted to participant's knowledge by using questionnaire. The results were then presented in a frequency distribution and percentage. The result had show that most participants has enough knowledge (23;76.67%), while the rest were less at pretest. After training 20 (66.67%) have good knowledge, and the rest have enough. Most participants had a pre-post difference in score of 30 points, i.e. 8 (26.67%) people. The highest pre-post score difference was 50 points. There were 3 (10%) participants who have no pre-post score difference. Training can improve health volunteers and primary caregivers knowledge. By increasing knowledge, their ability were expected to increase. Training should be followed by guidance and supervision from the nurses continuously to ensure the care provided was appropriate
Nurses’ Spirituality Improves Caring Behavior
Get PDFCaring is a behavior of giving holistic assistance to individuals. In fact, this important behavior still has not routinely performed in current nursing practice. Personality and sipirituality are important factors in forming one’s
caring behavior. Spirituality is a passion or impulse to perform noble action.The objective of this study was to explain the relationships of nurses’spirituality and caring behavior. This study was an observational research
with cross sectional design. Study participants were ward nursein three hospitals. The participants were recruited consecutively from untill the desired quota satisfied. Questionnaires on caring behavior and spirituality
were used to collect primary data. Multivariate data analysis with Structural Equation Modeling- Partial Least Square (PLS-SEM) was used to analyze the data. The results showed no significant relationships between nurses’
demographic characteristics (education, working experience, and wards type) and their spirituality or caring behavior. However, we found significant relationship of nurses’ spirituality and caring behavior. In conclusion, nurses
spirituality could affect caring behavior in positive ways and potentially improve nursing practice