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THE CORRELATION BETWEEN FAMILY SUPPORT WITH MEDICATION ADHERENCE LEVEL OF PULMONARY TUBERCULOSIS CLIENTS
Get PDFIntroduction: Tuberculosis is a major public health problem in Indonesia. In
2013, there are 700.000 cases and 27 deaths in 100.000 inhabitants. Due to the six
months of the treatment of tuberculosis, there are two phases (intensive and
advanced) that many clients occured non-adherance. Various factors may support
the client’s level of compliance in the treatment program, one of which is the
support of the family.
Method: This study was aimed to understand the correlation between the family
support with medication adherence level of pulmonary TB clients in Puskesmas
Pegirian Surabaya. Design used in this study was descriptive correlational with
cross sectional approach. The population was all clients active-pulmonary TBtreatment
at Puskesmas Pegirian Surabaya as many as 36 respondents. The
sampling technique in this study is the consecutive sampling. Data were collected
using questionnaire, and then analyzed using Chi square test with < 0,05 level of
significance.
Results: The results showed that family support has correlation to medication
adherence level of clients (p = 0.009).
Discussion: It can be concluded that this study has correlation between the family
support to medication adherence level of pulmonary TB clients in Puskesmas
Pegirian Surabaya. Future studies are expected to increase effectiveness in
controlling the treatment of pulmonary TB clients control in Indonesia, by
improving family support as the PMO through the administration briefed on the
role of the PMO in the DOTS program in order to achieve 100% free of TB.
Keywords: family support, medication adherence, pulmonary tuberculosi
The Effect Of Halma Traditional Game To Dementia Progressivity On Elderly
Get PDFReminiscene teharpy was proven effective as treatment for dementia. Halma is a traditional game in Indonesia which is popular in 1950’s. The research explored the influence of halma as reminiscence to slower progressivity of cognitive impairment in elderly with dementia.
In this study was a quasy experiment, query involving 18 elder using multistage sampling method. The data were collected using MoCA-INA questionnaeire and analyzed using Paired T-test p≤0,05.
This result indicate that halma is an effective therapy in slowly decresing progressivitiy of cognitive impairment on elderly with dementia.That all the participant were women, the result of this study should be generalized with high concern.
This research was only exploring reminiscene in preventing the progressivity of cognitive impairment in dementia, further research is suggested to explore on effect of reminiscence in emotional and behavioural changes
Keyword : Reminiscence therapy, halma game, cognitive, dementia, elderl
THE RELATIONSHIP OF COGNITIVE STATUS AND QUALITY OF LIFE OF ELDERLY IN NURSING HOME
Get PDFIntroduction: The increasing of life expectancy cause the number of elderly population in the world also increases. The quality of life of elderly as important aspect should be aware by health provider. One of the factors that affect the quality of life is cognitive status. The purpose of this study was to determine the relationship of cognitive status and quality of life of elderly in nursing home. Method: The research was analytic survey with cross sectional study approach. Population was the elderly who stay at nursing home. The numbers of participants were 52 elderly taken by simple random sampling technique. Data were analyzed using descriptive statistics as frequency distribution and chi square test. Results: The results showed 71.2% of elderly with sufficient quality of life, 82.7% of elderly with normal cognitive status and there was relationship of cognitive status of elderly with their quality of life. Discussion: Based on the result of this study can be concluded that the increasing of cognitive status will be followed by improvement of quality of life of the elderly. Therefore, the recommendation to the leadership and employees of nursing home especially health provider to design the activities that are able to encourage the elderly cognitive status in order to enhance the quality of life of the elderly. It can be by providing facilities such as exercise equipments, reading sources such as newspapers and other brain exercises activities.
Key words: Quality Of Life, Cognitive status, Elderl
EFFECT OF SOCIAL SKILLS TRAINING (DRAMATIC PLAY) TO DECREASE THE STRESS HOSPITALIZATION PRESCHOOLERS 4-6 YEAR WITH MODEL APPROACH INTERPERSONAL PEPLAU
Get PDFIntroduction: Hospitalization is a process that requires the child to an emergency hospital stay. Based on the results of preliminary studies in hospitals Syarifah Ambami Rato Ebu Bangkalan was shown all of the children in stress reactions hospitalization. the purpose of the study want to determine the differences of hospitalization’s stress when were given social skills training therapy (dramatic play) for children who aged 4-6 years with model approach interpersonal peplau before and after. Method: the research design used pre experimental design and the one group pretest-posttest with variable stress of hospitalization and administration dramatic play. the study population and sample as many as 15 children were taken as many as 15 children in rom Irna E a hospital Syarifah Ambami Rato Ebu Bangkalan. Sampling technique used Random Sampling. While the date collection tool uses a check list observation with statistical test Wilcoxon Match Pairs Test. Result: Based on the statistical test of Wilcoxon signed ranks test, ρ Value: 0,001 < α: 0,05 so, H0 rejected. This show that there were a difference of stress hospitalization play therapy given before children dramatic play as many as 12 children experience stress was being given, after where as the dramatic play as many as 8 children who do not experience stress. Discussion: Based on the results of the study suggested the paramedic and parents to provide therapeutic play (dramatic play) as an alternative to help lower the stress levels of hospitalization for children who aged 4-6 years at RSUD Syarifah Ambami Rato Ebu Bangkalan.
Key words: social skills training therapy (Dramatic Play), Hospitalization Stressing, Interpersonal pepla
THE INFLUENCE OF MATERNAL AND INFANT OUTCOME ON TEENAGE PREGNANCY TO MATERNAL CONFIDENCE
Get PDFIntroduction: Teenage pregnancy lead to high risk of pregnancy that will affect the baby care, low maternal confidence will hinder the proccess of transition becoming a mother. Nurse have an extraordinary oportunity to help woman learn and gain confidence. The purpose of this study was to analyze the mother and infant outcome teenage pregnancy to maternal confidence in Mataram. Methods: This was a cross-sectional study with proportional random sampling, the subject were mothers who had given birth on 2014 at 4 PONED primary health service and public hospital of Mataram. Inclusion criteria were mother who lived in Mataram, primipara, married and not in divorce, no postpartum depression and not under domestic violence, consisting of 50 teenage and 50 adult mother. Data collection was conducted from 2 until 28 March 2015 after approved ethical clearance by the health research ethics committee and informed consent to the respondent. Research variables were demographic characteristic, maternal outcome, infant outcome and maternal confidence. Maternal & infant outcome data were collected from medical records by check list and maternal confidence were collected by Maternal Confidence Questionaire then analized by chi square. Result: The result showed that poor maternal outcome on teenage pregnancy are SC occured 4 times. Poor infant outcome are asphyxsia occured 2,5 times, LBW occured 6 times, prematurity occured 2 times. Maternal confidence did not influence by maternal and infant outcome. There were difference infant outcome (p=0.017) and maternal confidence (p=0,000) between teenage mothers compare adult mothers. Discussion: Maternal confidence did not influence by maternal and infant outcome, there were no difference between teenage mothers compared adult mothers on maternal outcome. Infant outcome and maternal confidence are better on adult mothers compare to teenage mothers.
Keyword: Maternal Outcome, Infant Outcome, Maternal Confidenc
THE EFFECT OF GROUP THERAPY ACTIVITY (TAK) – SENSORY STIMULATION TOWARD THE DEPRESSION LEVELS OF THE ELDERLY IN UPT PASURUAN ELDERLY SOCIAL SERVICES BABAT – LAMONGAN
Get PDFIntroduction Depression is a nature disorder characterized by feeling of excessive sadness, depressed, dispirit, empty, worthless, hopeless, and failure till get the idea to do suiciding (Joseph,2007). The purpose of this study was to determine the effect of group therapy activity – sensory stimulation before and after given to the elderly. Method The design of this study used pre - experimental design with one group pre-test and post-test. The population was 55 elderly experiencing depression in UPT Pasuruan elderly Social services Babat – Lamongan. Sample used was 48 elderly taken by random sampling technique. The data was analysed using Wilcoxon Sign Rank Test and collected using guidance sheet of group therapy activity – sensory stimulation and questionnaire. The results of this study showed the Wilcoxon Sign Rank Test α=0,05 and p = 0,000 in which p sign < 0,05. It shows that H1 was accepted and means that there was an effect of group therapy activity – sensory stimulation toward the depression levels of the elderly in UPT Pasuruan elderly Social services Babat – Lamongan. Discussion The researcher realized the importance of group therapy activity – sensory stimulation toward the elderly experiencing depression that he conducted a study about it entitle the effect of group therapy activity – sensory stimulation toward the depression levels of the elderly in UPT Pasuruan elderly Social services Babat – Lamongan.
Keywords : Group Therapy Activity – Sensory Stimulation, Depression levels, Elderl
IMPLEMENTING MANAGEMENT OF CONTINUING PROFESSIONAL EVELOPMENT (CPD) AT SEMARANG MEDICAL CENTER
Get PDFIntroduction: Continuing Professional Development (CPD) of nurses is an essential process to improve professional nursing staff. Implementation of CPD Is the purposeful maintenance of knowledge and skills in nursing practice. The purpose of this Study examines the implementation of continuing professional development at SMC Telogorejo Hospital Semarang. Method: The study was conducted using a qualitative method of phenomenology. Data were collected by focus group discussions, in-depth interviews, observation and documentation study. Data were analyzed using a content analysis. Result: The result of this study showed that CPD activity at SMC Telogorejo hospital had included inservice education, mandatory activities, presentations of nursing care, seminars, training, research, and social program. The learning method of CPD was bedside teaching, mentoring,knowledge transfer with presentations and simulations. CPD implementation was influenced by motivational factors and nurses’ barriers of workforce arrangement in the inpatient unit. Nursing on call, mapping of nurse’s workforce and mutual aid to other units were becoming strategies to overcome these barriers. CPD process at SMC Telogorejo Hospital consisted of the stage of identification, planning, implementation and evaluating, and provided the personal feedback as input for the identification needs in the upcoming CPD. Discussion: The nursing committees and Themanagement of nursing necessarly make a systematic plan of CPD according to the needs of each individual nurses, the hospital needs and the development of science and technology. Developing of the evaluation method can assess the quantity and quality of CPD activity to enhance the competence of nurses that isnecessary in the future nursing profession.
Key words: continuing professional development, quality health services, a profession knowledge and skill
DISCHARGE PLANNING AS THE EFFORT TO IMPROVE READINESS TO RETURN HOME IN STROKE PATIENTS
Get PDFIntroduction: Stroke is the main cause of the highest death and disability in Indonesia. The secondary prevention effort to prevent the re-attacks should be started early before the patients return home from the hospital. This effort can be done by providing discharge planning. The purpose of this research is to determine the effect of discharge planning to the readiness of returning home in stroke patients. Method: Quasi Experiment with Pre-Post Test Control Group Design approach. The subjects were divided into two groups: the treatment groupand a control group. Data were analyzed using the Wilcoxon Signed Rank test and Mann-Whitney with α = 0.05. Results: The research results of the treatment group showed that p = 0.001, the control group showed p = 0.139, and the Mann-Whitney test results showed the significance of p = 0.000 (α = 0.05) which means that there are differences in the effect between the treatment and the control group. Discussion: The providing of discharge planning in the beginning of admission, during treatment and before leaving the hospital can improve the readiness of returning home in stroke patients so that the patients can have independent treatment at home and prevent the severity of the disease, the threat of life and the physical dysfunction.
Key words: discharge planning, readiness of returning home, stroke patient
ROLE OF NURSE IN THE PROVISION OF HEALTH EDUCATION WITH SELF CARE MODEL APPROACH TOWARD READINESS OF PATIENTS TO INCREAS IN SELF CARE AND STRESS LEVEL IN STROKE PATIENTS
Get PDFIntroduction: Stroke is a disease that attacks anyone with very sudden incident and is one cause of death and major neurological disability in Indonesia. Paralysis is the most common disability experienced by patients with stroke, characterized by paralysis on one side of the body (hemiparesis) and paralysis may also occur in various parts of the body, from the face, hands, feet, tongue and throat. Some stress conditions will influence the attitudes and behavior of stroke patients to improve self-care, this study aims to determine the effect of health education on the readiness of self-care and also on the level of stress in stroke patients. Method : This study used pre experiment one group pre-post tests. The experiment was conducted in January 2015 through May 2015 in the paviliun 7 Rumkital dr. Ramelan Surabaya. The population used was that stroke patients treated since the month of October to November 2015 by 23 votes with sample random sampling. The independent variable of this research is the role of nurses in the delivery of of health education. and the dependent variable is the level of stress. Measuring instrument used to measure the level of stress is DASS. Data were analyzed by Wilcoxon signed rank test with significance level α<0,05. Results : Results showed that health education has a significant effect on the nurse’s role in the provision of health education to improve the readiness of self-care on stroke patient and also has a significant effect on the level of stress stroke patien. Discussion: The implications of this study was there is effects of the nurse’s role in the provision of health education to improve the readiness of self-care in stroke patient, so that nurse on neurological room can apply and develop about health education intensifely. This research is also expected to provide an alternative to enter the associated stress reduction that patients with stroke may be susceptible to stressors associated disturbance fulfillment of their activities so as to affect the readiness of care themselves independently
Keywords: stroke, the role of nurses, health education, readiness of self-care , stres