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THE EXPERIENCE OF PARENTS REJECT COMPLETE BASIC IMMUNIZATION OF CHILDREN
Get PDFIntroduction:This study explored the experience of parents who refuses immunization of basic complete for their child. Indonesia had high level of drop out rate immunization that made increasing of desease (PD3I). This condition effected suffering and death for children so that disturbed their growth and development. One of the reason why the uncomplete immunization was parent refusing. The study characterized by attention to the full range of human experience and the integration of knowledge gained from understanding of parents’ subjective experiences. Method: A descriptive phenomenologic method approach was used to collect, code and analyse the data. Semi-structured questions were asked to participants by indepth interview to allow they described their lived experiences. The data-gathering from participants that choiced by purposive sampling, used interview recorded and field note. Result: This study had a theme and four sub theme. The experience of parents who refuses immunization of basic complete for their child can help health care provider (especially nurse) decided strategy for goal of universal child immunization 2014.
Keywords: parents, immunization, culture of Madur
RELATIONSHIP BETWEEN GENETIC FACTORS, PARENTS’ ROLE AND RECURRENCE OF ALLERGY IN CHILDREN AT THE JEMURSARI ISLAMIC HOSPITAL SURABAYA
Get PDFIntroduction: Children with allergic diseases is increasing. Genetic factor and parents’ role are important in dealing with allergies in children. The aim of the study is to determine the relationship between genetic factor, parents’ role, and recurrence of allergy in children at Jemursari Islamic Hospital Surabaya. Method : The study design was analytic cross sectional. The population and sample were all mothers who had 1-5 years allergic children based on the sample criteria and used consecutive sampling. The independent variable was genetic factor, parent role, the dependent variable was recurrence of allergy. The instrument was questionnaires. Data analysis used chi-square test. Result : The result showed the majority (73,3%) had genetic alergic factor, (63.3 % ) parents role was not good , the majority (56.7 %) of the children experienced a severe allergy recurrence. Fisher 's Exact Test ρ = 0.242 meant that ρ ≥ α = 0.05 means that H0 was acepted , there was’t a relationship between genetic factor and allergic recurrence, Fisher 's Exact Test result showed that ρ = 0.023 meant that ρ < α = 0.05 so H0 was rejected, there was a relationship between the parents' role and recurrence of allergies. Discussion : It concluded that alergic genetic factor would not affect to recurrence and less of parents’ role made allergy recurrence get worse. Parents are expected to have the better role in order that the recurrence is rare.
Keywords : allergy ,genetic factor, parents role , allergy recurrenc
Pain Management in Psichiatric Care
Get PDFNyeri merupakan suatu pengalaman sensorik dan emosional yang tidak
menyenangkan dipicu oleh suatu stimulasi pada ujung syaraf sensoris. Pada pasien dengan
penyakit fisik, keluhan nyeri mungkin sangat sering di jumpai, tetapi pada kasus-kasus
psikiatri, terutama yang mengalami gangguan jiwa berat, nyeri mungkin sudah tidak pernah
dikeluhkan pasien. Pengalaman sensorik bagi pasien gangguan jiwa dapat terkalahkan oleh
perasaan emosional dan evoria sebagai akibat dari gangguan proses pikir atau gangguan
persepsi sensori. Oleh karena itu nilai ambang nyeri bagi pasien gangguan jiwa dapat
terkalahkan oleh suasana hati yang berlebihan. Seorang gelandangan psikotik, meskipun
panas kepanasan, hujan kehujanan, ada luka ditubuhnya, tidak pernah ada yang mengeluh
nyeri, dan semua ini aman-aman saja bagi pasien, kehidupan sebagai gelandangan psikiatri
tetap saja jalan terus. Pasien gangguan jiwa di rumas sakit pun sangat jarang mengeluh nyeri,
tetapi pada kondisi yang berbeda, tidak ada stressor pun pasien tetap mengeluh, apalagi bagi
pasien yang merasakan psikosomatis. Tidak ada gangguan apapun, tetapi selalu mengelus
sakit, padahal semua berawal dari pikiran dan perasaan pasien.
Meskipun demikian, rumah sakit sebagai sarana pemberi pelayanan kesehatan dan
keperawatan, tidak boleh membiarkan pasien sakit fisik meskipun tanpa keluhan. Apalagi
apabila rumah sakit sedang menyiapkan proses akreditasi rumah sakit. Setiap kasus harus
ditangani dengan baik, dibuatkan standar operasional prosedur yang ditandatangani pimpinan
rumah sakit, termasuk standar operasional prosedur penangan nyeri di rumah sakit jiwa.
Prinsip management nyeri di rumah sakit sebagai sarana pemberian pelayanan kesehatan
adalah “sakit boleh tetapi tidak boleh nyeri”. Ini adalah prinsip dari patient savety dan
patient centre yang sangat diperhatikan dalam penilaian akreditasi rumah sakit
Knowledge-Management-Based-Nursing Care Model Improves Patient Adherence to Tuberculosis Treatment
Get PDFIntroduction. Pulmonary tuberculosis remains prominent as one of public health problems in the world. Patients’ non-compliance to treatment is a significant contributor to drug resistance. This study aimed to develop and to test the efficacy of a nursing care model to prevent non-compliance. Method This study consisted of two phases: phase one, model development, used a descriptive analytic, and phase two, model testing, employed a quasi-experimental design. Participants, comprised both patients and nurses at two health care centres in Surabaya, were recruited by consecutive sampling. Data were collected by interview, self-administered-questionnaires, check-list and focused group discussion. Data analyses were performed using both partial least squares and Wilcoxon signed rank test. Results. The model was statistically effective to improve nearly all aspects of patients’ compliance to TB treatment (knowledge, discipline in taking medications regularity of controls, and abilities to monitor the results of treatment with p < 0.05), except for abilities to cope with drug adverse effects (p = 1.000). This is possible because seldom do patients aware of the medication side effects, so their experiences were probably limited. Conclusion. This study concludes that the KM nursing care model was proven effective to improve patients’ adherence to treatment. Future study is suggested to evaluate the impact of the KM nursing care model in bigger population.
Keywords: Pulmonary Tuberculosis, patient compliance, nursing care model, knowledge management
YOGA EXERCISE REDUCING DISMENORRHEA PAIN LEVEL OF TEENAGER
Get PDFIntroduction: When women have menstruation, there will be contractions that cause pain or discomfort on the part of the body, especially the abdomen, called dismenorhea. However, some women experience it until affects the discomfort in doing activities, which can disturb the productivity. The aim of this research is to find the princess disminorhea pain in the excercise before and after doing yoga in teenage girls at RT. 09 RW. 04 the village of Bligo district of Candi Sidoarjo. Methods: The research design was pre-experimental design with one group pre-post test design. Population of this research were all teenager at RT. 09 RW. 04 the village of Bligo district of Candi Sidoarjo. Samples were teenagers who experience dysmenorrhea. The amount of sample were 9 respondents using purposive sampling technique. The dependent was dysmenorrhea and the independent variable was yoga exercise. The research instruments using SOP, the data were analyzed by T-Test paired samples. Result: Results showed pain before doing yoga exercises gained an average pain level was 6.44 (severe pain), and after doing yoga exercises average pain level was 4,11 (moderate pain). T-Test samples obtained p= 0.000 < a =0.05, H0 is rejected means there is dysmenorrhea difference on teenage girls before and after doing yoga exercise at RT. 09 RW. 04 the village of Bligo district of Candi Sidoarjo. Discussion: The conclusions of this research is yoga exercise regularly will help in doing activities and daily routines without interruption of menstrual pain. Midwives are expected to make yoga exercise as one of non-pharmacologic treatment to teenagers who experience dysmenorrhea.
Key words : Teenagers, Yoga Excercise, Dysmenorhe
DAY CARE CENTRE MODEL OF NURSING FACULTY
Get PDFIntroduction:Working parents will lead to reduced attention to children and issues related to parenting. Good parenting based on children growth and development will shape good character of children. Providing day care focusing on the needs of children can be used as alternative fulfillment of the basic needs of child development, such as parenting, and education to improve the quality of child development is essential. Method: The purpose of this study was to develop a product in the form of the design model in the form of modules that can be used as the basis for the development of a day care center is by using Research and Development consisting of seven (7) steps with interviews and observation as data collection. Result: The results of this research is the design of the establishment of daycare by adapting to the technical guidance delivery of day care the Ministry of National Education. To sum up, day care centre (DCC) can be an alternative for early childhood education services for parental working having children of preschool age. Conclusion: Day care centre needs to be designed specifically either program, staff, and equipments. This service is provided in the form of improved nutrition, development of intellectual, emotional and social packed in age-appropriate curriculum based on the standards of early childhood development.
Keywords: day care, faculty of nursing, growth and developmen
EFFECTIVENESS OF COGNITIVE BEHAVIOR THERAPY (CBT) TO REDUCE STRESS IN SYSTEMIC LUPUS ERYTHEMATOSUS (SLE) PATIENTS
Get PDFIntroduction: Systemic lupus erythematosus (SLE) is a chronic inflammatory autoimmune disease of unknown etiology. The way patients perceive the impact of disease on their physical, emotional, and social function, or health related quality of life (HRQOL), is poorer in patients with SLE (McElhone, et al., 2006). Anxiety and depression, which are frequently caused by daily stress, are the most prevalent psychological disorders experienced by lupus patients, affecting up to 40% of patients in some series (Navarette, et al., 2010). There is a study on the effects of reducing stress in lupus patients using cognitive behavioral therapy (CBT). Methods: Search were conducted from PubMed, Science Direct, Google Scholar, and ProQuest. The specific search terms used were “cognitive-behavioral therapy”, and “systemic lupus erythemathosus”. The criteria used to search for published studies for this study include: (1) “cognitive behavioral therapy” and “systemic lupus erythematosus”; (2) written in English; (3) studies during 2009-2016. Finally 3 studies were collected and analyzed for this review. Results: We found a significant reduction in the level of depression, anxiety and daily stress in the Therapy Group (TG) compared to the Control Group (CG) toms in the TG throughout the entire follow up period. The group of patients who received the therapy improved their level of physical role functioning, vitality, general health perceptions and mental health, compared with the group of patients who only received conventional care. We did not find any significant changes in the immunological parameters. Conclusions: Cognitive behavioral therapy (CBT) can cope the stress levels experienced by patients with lupus. CBT is effective in treating lupus patients with high levels of stress, reduce the incidence of psychological disorders associated with lupus, improve and maintain the quality of life (QOL) of patients. CBT had a significant impact on improving the quality of life of patients with lupus erythemathosus.
Keywords: Cognitive Behavioral Therapy (CBT), Systemic Lupus Erythemathosus (SLE), Stres
THE EFFECT OF PLAYING JIGSAW PUZZLE OF FINE MOTOR SKILLS UPPER LIMB IN PATIENTS AFTER ISCHEMIC STROKE IN DR MOEWARDI HOSPITAL SURAKARTA
Get PDFIschemic stroke is a disease caused by cerebral ischemia, is caused a variety of neurological deficits such as motor deficits such as impaired fine motor skills. Handling of fine motor skills disorders is to improve motor function. This study aimed to identify the effect of playing Jigsaw Puzzle on muscle strength, extensive motion, and upper extremity fine motor skills in patients with ischemic stroke in Dr.Moewardi Hospital of Surakarta. Methods: This study research design Quasi Experimental pre-posttest control group design. The number of samples in this study were 34 respondents were selected by consecutive sampling technique, divided into treatment groups were 17 respondents who were given standard treatment hospital and play Jigsaw Puzzle 2x a day for 6 days and the control group were 17 respondents were given a standards-compliant handling hospital without given additional play Jigsaw Puzzle. Evaluation research was done on the first day and the seventh for the two groups. Results and analysis: the results showed that the muscle strength, wide range of motion and fine motor skills of upper limb increased (p = 0.001) significantly after being given the game Jigsaw Puzzle Discussion and conclusion: the provision of the game Jigsaw puzzle as adjunctive therapy in the rehabilitation of fine motor upper extremity can minimizing contractures and motor disorders in patients with ischemic stroke. The study recommends to use this game as one of the nurses in nursing care intervention ischemic stroke patients.
Keywords: Ischemic stroke, upper extremity fine motor, Jigsaw Puzzl
Lived experience of Indonesian nurses in Japan: A phenomenological study
Get PDF© 2016 Japan Academy of Nursing Science. Aim: The movement of Indonesian nurses via a bilateral agreement with Japan has led to a substantial number of migrants to work as nurses in that nation's healthcare system. The purpose of this research was to develop a deeper understanding of the meaningful experiences of Indonesian nurses while working in Japanese hospitals. Methods: In this phenomenological study, sampling was purposive and was based on information shared by five Indonesian nurses. The data were collected in interviews; the analysis was thematic. Results: Six key themes were identified: (i) seeking better than before; (ii) communication challenges; (iii) the nursing examination as a culmination; (iv) differences in nursing practice; (v) cultural differences; and (vi) the benefits of living in developed country. Among these challenges, communication as the basis of shared meaning and understanding was viewed as a complex issue, by both patients and coworkers. Conclusion: The results of this study call for further intervention in supporting Indonesian nurses living in Japan in their struggle with the issue of communication. The emphasis on language acquisition for personal and professional objectives, and the bridging of cultural differences as well, should be considered in an international context
EFEK MIE PISANG DAN SUKUN TERHADAP GLUKOSA DARAH SEWAKTU
Get PDFPendahuluan: Kesadaran masyarakat terhadap gaya hidup sehat menyebabkan perubahan pada pemilihan bahan makanan untuk dikonsumsi. Penambahan tepung Pisang dan Sukun meningkatkan kadar serat pada mie. Tujuan penelitian ini adalah untuk menentukan komposisi tepung pengganti pada mie yang berefek pada peningkatan GDS paling rendah. Metode: Desain penelitian ini adalah control group pretest posttest design. Sampel didapatkan sebanyak 58 orang mahasiswa Fakultas Keperawatan Unair yang memenuhi kriteria inklusi dan eksklusi. 58 sampel dibagi menjadi 3 kelompok, yaitu mie A (kontrol), B (subtitusi 30%) dan C (subtitusi 20%). Pemeriksaan GDS dilakukan sebelum pemberian Mi dan 60 menit setelah pemberian mi. Analisa data yang digunakan adalah dengan ANOVA one way. Hasil: Berdasarkan uji ANOVA one way didapatkan p=0,000 (p<0,050) yang berarti ada perbedaan hasil pada ke tiga kelompok tersebut. Kenaikan tertinggi Nilai GDS adalah pada kelompok mi A dan terendah kelompok mi B. Diskusi: Penambahan tepung pisang dan sukun pada mie dapat menurunkan kenaikan nilai GDS responden bukan penderita DM. Penelitian lebih lanjut perlu dilakukan untuk mengetahui kandungan mi dengan tepung pisang dan sukun dan respon GDS pada penderita DM