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(Knowledge-Management-Based-Nursing Care Model Improves Patient Adherence to Tuberculosis Treatment)
Get PDFPendahuluan. TB paru merupakan salah satu masalah kesehatan masyarakat di dunia yang menonjol. Ketidakpatuhan pasien terhadap pengobatan merupakan kontributor yang signifikan terhadap kejadian resistensi obat. Penelitian ini bertujuan untuk mengembangkan dan menguji model asuhan keperawatan untuk mencegah ketidakpatuhan pasien TB dalam pengobatan.
Metode Penelitian ini terdiri dari dua tahap: tahap satu, pengembangan model, menggunakan analisis deskriptif, dan tahap dua, pengujian model, menggunakan desain kuasi-eksperimental. Sampel terdiri dari pasien dan perawat di dua pusat kesehatan di Surabaya yang diperoleh dengan consecutive sampling. Data dikumpulkan melalui wawancara, kuesioner, daftar centang dan focus group discussion. Analisis data dilakukan dengan menggunakan Partial Least Square dan uji Wilcoxon.
Hasil. Model terbukti efektif untuk meningkatkan hampir semua aspek kepatuhan pasien terhadap pengobatan TB (pengetahuan, disiplin dalam mengambil obat keteraturan kontrol, dan kemampuan untuk memantau hasil pengobatan dengan p <0,05), kecuali terhadap kemampuan untuk mengatasi efek samping obat (p = 1.000). Hal ini dimungkinkan karena tidak
banyak pasien yang mengalami efek samping obat, sehingga pengalaman mereka terbatas. Diskusi. Model asuhan keperawatan KM terbukti efektif untuk meningkatkan kepatuhan pasien terhadap pengobatan. Penelitian selanjutnya disarankan untuk mengevaluasi dampak dari model asuhan keperawatan KM dalam populasi yang lebih besar
Lived experience of Indonesian nurses in Japan: A phenomenological study
Get PDFAim: 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 contex
RELATIONSHIP OF LEVEL OF ANXIETY WITH LEARNING CLINIC ACHIEVEMENT MIDWIFERY STUDENT ON SURABAYA
Get PDFIntroduction Objective this reasearch to determine the relationship between the level of anxiety with the achievement of clinical learning in the third semester students Midwifery Studies Program Faculty of Nursing and Midwifery University of Nahdlatul Ulama Surabaya. Methods This was an observational study with cross sectional analytic. A study population of 165 students and samples are 165 respondents, taken with total sampling technique. Respondent data collection is done by filling out a bio, a modified HAR-S questionnaire. Data were analyzed by Correlation Coefficient of Contingency. Results Data analysis showed p value <0.05 is equal to 0.000 and 0.615 r that have significant value showed relationship between the level of anxiety with the achievement of clinical learning 1 in the third semester students Midwifery Studies Program Faculty of Nursing and Midwifery University of Nahdlatul Ulama Surabaya. Discussion. There is a relationship between the level of anxiety with the achievement of clinical learning 1 in the third semester students Midwifery Studies Program Faculty of Nursing and Midwifery University of Nahdlatul Ulama Surabaya.
Keywords: Anxiety Level, Achievement Learning Clinic, Studen
THE EFFECTIVENESS OF THE MC. KENZIE EXTENSION METHOD ON THE LOW BACK PAIN IN ELDERLY
Get PDFIntroduction. There are many change happened bacause aging to the muskuloskleletal, some of them are limitedness movement, muscle stiffen and finally cause low back pain. One of the nurse intervention to reduce low back pain (LBP) is doing back exercise : Mc. Kenzie Extension Excise Method. The aim of this study was to evaluate the effect of Mc. Kenzie Extension Exercise to elderly with the low back pain in Hisosu Binjai Resident Home. Method. The research design was quasi experiment with the pre –post test group approach. The sample of this study were recruited with consecutive sampling as much as 28 people. This study used The Pain Numerical Rating Scale to evaluate levels of pain intensity perceived by the patient. The data was analyzed by Paired sample t-test with significance α <0.05. Result. The study found that there was significant differences of the low back pain (p< 0.05).The results of this study will contribute to better management of this population. In addition, compare the other back exercise include William Flexion of elderly in Hisosu Binjai Resident Home is recommended.
Key words : back exercise, elderly, low back pain, mc. kenzie extensio
SYSTEMIC LUPUS ERYTHEMATOSUS : CORRELATION BETWEEN SENSORY KNOWLEDGE, SELF-EFFICACY, PREVENTIVE ACTION TOWARDS TRIGGER FACTORS, SELF-CARE PRACTICE AND QUALITY OF LIFE
Get PDFIntroduction: Systemic Lupus Erythematosus (lupus) and its complications could lower individual’s health-related quality of life (HRQOL). Self-care is highly needed for sustaining self-involvement in lupus management. People with lupus need to have proper sensory knowledge and high self-efficacy for implementing preventive action towards trigger factors and self-care practice. This study aims to explain the correlation between sensory knowledge, self-efficacy, preventive action towards trigger factors, self-care practice and HRQOL in lupus patients. Method: This is a cross-sectional study mixing the model of Self-Care and Precede Proceed. Population was all lupus patients doing regular check up in Rheumatology Unit of Dr. Soetomo Hospital in October-December 2014. Sample size was 36 chosen by total sampling. Independent variables: sensory knowledge, self-efficacy, preventive action towards trigger factors and self-care practice; dependent variable: HRQOL. Instruments: ODAPUS-HEBI and LUPUSPRO. Data analysis: regression test; α≤0.05. Result: 36 females respondents participated; suffered disease for 0.5 – 12 years.. Age range: 20-44 years old. Mostly were high school graduates, married and actively working. Most respondents have high sensory knowledge and self-efficacy; optimum preventive action and self-care practice, but HRQOL was not optimal. All data were normally distributed. Only sensory knowledge proved to be linear with HRQOL. There was a weak significant correlation identified between sensory knowledge and HRQOL (r=0.344, p=0.040); while self-efficacy, preventive action and self-care practice proved to have no correlation with HRQOL (p>α). Conclusion: Sensory knowledge is correlated with HRQOL in people with lupus. Self-efficacy, preventive action towards trigger factors and self-care practice were proved to have no correlation.
Key words: Systemic Lupus Erythematosus, correlation, knowledge, self-efficacy, preventive action
EFFECTIVENESS EDUCATION EMPOWERMENT IN INCREASING SELF EFFICACY AMONG PATIENTS WITH CHRONIC DISEASE A LITERATURE REVIEW
Get PDFABSTRACT
Introduction: Non Communicable Disease (NCD) or a chronic disease that is not contagious to one of the health problems encountered in Indonesia. Indonesia reported that the number of deaths from NCDs have increased (Faulya, 2014). Patients with chronic diseases have complex problems of the physical condition, psychological, social, economic, and spiritual patient that may affect physical functioning, mental, and physical activity of the patient (Curtin, 2002, Farida, 2010, in Faulya, 2014). Therefore, treatment and care of patients with chronic illness is a long process in which the patient requires a strategy for managing the disease. One of the psychosocial factors to reducing chronic disease risk factors is self-efficacy. One of the nursing interventions to improve self efficacy in patients with chronic diseases is the empowerment Education. Nursing as a health professional in getting the appropriate outcome indicators to assess the empowerment of education as a nursing intervention is a challenge that must be faced. This review seeks to gather evidence through literature review about the effectiveness of empowerment education on self efficacy in patients with chronic diseases. Some evidence suggests that through the concept of empowerment, patients can improve self-efficacy, self-esteem, decision-making ability and responsibility to the health of patients with chronic diseases. To be able to understand evidence based (study of facts) in the form of literature review on the effectiveness of education empowerment towards self-efficacy in patients with chronic diseases. Methods: The source article is used obtained from Google Scholar search, among others, Medline, Ebscho, PubMed, SagePub, and Pro Quest, as well as unpublished research results derived from theses from 2004 up to 2013. Journal in a review based on studies in accordance with the inclusion criteria. Once obtained, then do vote articles up to the stage of making literature review. Results: This review resulted in the effectiveness of empowerment education on self-efficacy in patients with chronic diseases. Discussion: Empowerment education towards self efficacy effect on patients with chronic diseases of the condition of the disease.
Key words: chronic disease, empowerment, self-efficac
THE DIFFERENCE EFFECTIVITY OF BEKAM THERAPY AND PROGRESSIVE MUSCLE RELAXATION EXERCISE IN BLOOD PRESSURE LEVELS AMONG PATIENTS SUFFERED FROM HYPERTENSION IN PUSKESMAS (PUBLIC HEALTH CENTER) KWANYAR BANGKALAN
Get PDFIntroduction: Hypertension is a disease with the highest incidence in Kwanyar Public Health Center. Some complementary therapies can be used to lower blood pressure are bekam therapy and progressive muscle relaxation exercises. The purpose of this study was to analyze the difference effectivity of bekam therapy and progressive muscle relaxation exercises in blood pressure levels among patients suffered from hypertension. Method: This study used a quasi-experimental research design, where respondents were divided into two groups. The treatment group was given bekam therapy and control groups were given progressive muscle relaxation exercises. The population in this study was patients suffered from hypertension in Kwanyar Public Health Center who filled inclusion and exclusion criterias. Samples were taken using simple random sampling with total of respondents are 18. The independent variable was bekam therapy and progressive muscle relaxation exercises. While the dependent variable was systolic blood pressure. Instruments in this study were a sphygmomanometer and stethoscope. Data were analyzed using statistical paired t-test and independent t-test with a significance value α≤0,05. Result: Paired t-test results showed that bekam therapy could lower systolic blood pressure (p = 0.000) and a group of progressive muscle relaxation exercise could lower systolic blood pressure too (p = 0.002). Independent t-test indicated significant value of p = 0.011. Discussion: It can be concluded that there was a difference in blood pressure in hypertensive patients given bekam therapy and progressive muscle relaxation exercises. Both of progressive muscle relaxation exercises and bekam therapy could lower blood pressure levels, but with a different mechanism. Progressive muscle relaxation exercises involve increasing the production of nitric acid, while bekam therapy involves increased of serotonin, histamine, bradykinin and SRS. It is expected to develop further research on other exercises, such as yoga pranayama, thai-chi, etc. And bekam therapy can be applied in the community or in the public health center for lowering blood pressure in hypertensive patients.
Key words: hypertension, bekam, progressive muscle relaxation exercis
SELF-MANAGEMENT PROGRAMS IN HYPERTENSIVE PATIENTS: A LITERATURE REVIEW
Get PDFIntroduction: The main cause of cardiovascular diseases that the largest cause of death in the world is hypertension. Nowadays, hypertension is not only occur in elderly, but also occur in adult.Therefore, self-management in hypertensive patiens is very important to control the blood pressure and prevent complications. The purpose of this paper is to identify self-managementprograms in hypertensive patients. Method: A narrative review of literature was performed to obtain studies that assessed self-management programs. Studies were selected by searching Ebscohost, ProquestandScienceDirect from 2010 to 2015for RCTs research design, with the keywords areself-management, self-care, hypertension, hypertensive, dan high blood pressure. Results: Five articles involving 1.486 hypertensive patients disscussed about education programs and home blood pressure monitoring (HBPM) by visit directly and HINTS by phone or internet. These programs were applied to outpatients within 8 weeks until 3 years. All studies have showed a significant result to reduce and control the blood pressure. Discussion: The conclusion of these studies is thateducation programs by visit directly or HINTS are effective to reducing the blood pressure patients. These programs could be applied by nurses to increseself-behaviour, self-efficacy, self-monitoring,andself-titrationtreatment in hypertensive patients. However, the most effective program (visit directly or HINTS) for self-management is still remain unknown. It is therfore needs further to explore the best educational program strategy for self-management in hypertensive patients with various aspects (ability and psychology patients, family support, and cost-effectiveness), especially in Indonesia.
Key words: high blood pressure, hypertension, self-care, self-managemen
MINDFULNESS THERAPY AS TERTIARY PREVENTION FOR CHILD ABUSE SURVIVORS
Get PDFIntroduction: Early 2015 child abuse increased to 6006 cases in Indonesia. Specialy protection is given to the child victims of sexual crimes, can be psycho-social assistance and rehabilitation. The series of child protection at the community level, started from primary prevention, secondary prevention, and tertiary prevention. Mindfulness therapy can be one of nursing intervention at the tertiary level. Method: This systematic review do a search on the publication of articles search system EBSCO andPubMedby keyword mindfulness, sexual abuse, and children. Search is limited on 2010-2016 edition, can be access in fulltext and have been scholarly peer reviewed with RCT and QE design, used mindfulness therapy for woman adults survivors sexual abuse. Appropriate articles are then analyzed using critical appraisal tool. Data extracted froms articles have been classified, discussed, and concluded.Result: Four articles with 1 high quality and medium quality for other. Discussed result show that mindfulness therapy significantly reduce level of depression, anxiety level, and post traumatic stress disorder. Conclusion: Mindfulness therapy can be one of holistic nursing intervention for all of aggregate in community nursing especially tertiary prevention.Reduce level of depression, anxiety level, and post traumatic stress disorder.
Key words: mindfulness, sexual abuse, childre