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DESCRIPTION OF SLEEP PATERN DISORDER ON CHILD WITH CANCER RELATED FATIGUE (CRF) IN CIPTO MANGUNKUSUMO HOSPITAL JAKARTA
Get PDFIntroduction: Fatigue is the most common symptom in patients with cancer and its treatment. CRF in general is often caused by the effects of chemotherapy, radiation, immunotherapy. One of the symptoms of CRF is a sleep disorder. Sleep disorders in children may occured due to health problems such as pain, stress, depression, use of drugs. The purpose of this study is described the problem disruption of sleep patterns in children with Cancer-Related Fatigue (CRF) in the Pediatric Non Infection Ward of RSUPN Dr. Cipto Mangunkusumo. Method: This research is used descriptive method with quantitative approach. The sampling technique is total sampling (samples saturated) with a sample of 32 children. Result: Results of measurements of sleep patterns in children with cancer who were treated at Children's Non-Infectious Space RSUPN Dr. Cipto Mangunkusumo is showed interference. Conclusion: This is evidenced by the measurement through a sleep diary that assesses sleep patterns of the number of hours of sleep at night, the time it takes to fall asleep, sleep during the day, as well as the child's condition when I wake up in both the morning and afternoon.
Key words: Sleep pattern, Cancer-Related Fatigue (CRF), Chil
ANALYSIS FACTORS OF UNSAFE SEXUAL BEHAVIOR IN ADOLESCENT AT MUSI BANYUASIN OF SOUTH SUMATERA
Get PDFIntroduction: Problems related to adolescent reproductive behavior and such as sexually transmitted diseases, HIV/AIDS, the death of a young mother, widespread practice of abortion and the youth tendency to engage in premarital sex. In Musi Banyuasin there are 7754 high school students, many students have dropped out of school because they get pregnant before marriage so that in adolescence their parents are forced to marry or have abortions. The aim study is determined the factors associated with unsafe sexual behavior in adolescents in high school. Method: observational research with cross sectional and quantitative approach. The population is high school students. Sampling technique was using multistage random sampling obtained 380 samples. Bivariate analysis, chi-square and multivariate multiple regression analysis. Result: the result showed a correlation between knowledge with adolescent sexual behavior p-value (0.007). There was no relationship between gender, residence, maternal education, media pornography, and economic status with sexual behavior because the result more than p-value 0,005. There was a relationship between the influence of peers with sexual behavior p-value (0.000). Results of multivariate analysis, the effect of peer environment has p-value = (0.000) means significant with OR = 2.755, 95% CI = 1.755 to 4326), meaning that adolescents are affected by possibility peer environment 2.7 times likelier to have unsafe sexual behavior. Conclusion: Necessary to be given positive and creative means to adolescent and give biological support through expression of psychological and physical such as sports, religious activities, and activities of potential and talent.
Key words: Unsafe Sexual, Adolescent, Behavior, Analysis Factor
MATERNAL DOMINANT COMMUNICATION TO FETUS IN BPS HJ. BASHORI WONOREJO SURABAYA
Get PDFIntroduction: Many pregnant women who ignore communication with the fetus as invited talk, loud music, providing the touch. When communication with the fetus not done will hinder the intelligence of the brain. Research objectives maternal dominant communication to fetus in BPS Hj .Bashori Wonorejo Surabaya. Methods: The design of this research is descriptive. With a population of pregnant women throughout the research trimester II and III trimester of pregnancy checked in BPS Hj. Bashori Wonorejo Surabaya 30 respondents. Taken with the total sampling techniques. Research communication variable dominant mother pregnant with a fetus. Data collection with the questionnaire. Processing are analyzed in a descriptive with the frequency distribution. Results: The research results obtained maternal dominant communications to fetus is almost entirely (93,3%) stroking the belly when the fetus moving and kicking, almost entirely (93,3%) read out the verses of the Holy quran, most (70%) listened to music during pregnancy, most (63,3%) invited talk, half (43.3%), singing a small part (23.3%) read out a story or storytelling and a small proportion (6%) to introduce the numbers. Discussion: Summary of the research was maternal dominant communication to fetus was stroking the belly when the fetus moving and kicking and reciting verses from the Holy quran is recommended for pregnant women further enhance communication with the fetus using way more in price and easy to do. It's expected to nurses as health care givers can facilitate and provide health education about the importance of communication with a fetus early on.
Keywords: communications, fetus, pregnant wome
DETERMINANTS OF EXLUSIVE BREASTFEEDING FOR INFANT 0-3 MONTHS OLD IN BLIMBING GUDO PRIMARY HEALTH CENTER
Get PDFBackground: Infant mortality rate is a problem in Indonesia.The improvement of breastfeeding practice is one of key factors that gives contribute to lower infant mortality rate.Therefore, we have to decrease infant mortality rate by increasing community’s nutritional status using breastfeeding program continuously. This study aimed at identifying major determinants of exclusive breastfeeding practice in Blimbing Gudo, Jombang. Method: This study was an analytical study with cross-sectional design in a sample of 58 mothers from May to June 2015. The instrument used for evaluation a questionnaire which have been proven its validity and reliability. Data analysis using chi-square and fisher exact test if it doesn’t meet the requirements for chi-square test. Results: Most of respondents gave formula to infants at an early age due to the role of midwives as birth attendants are pushing to give formula. Factors examined in this study include maternal attitude, education, occupation, parity, income and infant. Based on the analysis in getting the chi square test, overall factors studied showed that maternal attitudes factor is a major factor in breastfeeding practice, χ2 value count = 8.929> χ2 table; p = 0.003<α (0.05). Conclusion: The major determinants of exlusive breastfeeding practice in Blimbing Gudo, Jombang is maternal attitudes. A positive attitude is owned by someone, especially mothers in breastfeeding becomes a powerful predictor in exclusive breastfeeding.
Keyword: Determinants, Exclusive Breastfeedin
KNOWLEDGE AND ATTITUDES OF MOTHERS LACKING OF UNDERSTANDING THE NUTRITIONAL STATUS OF CHILDREN
Get PDFIntroduction: The toddlers are the group that shows the rapid body growth but this group is common suffered malnutrition. If they occur in childhood malnutrition can create stunted growth and mental development disorders. Lack of education about the nutritional status of the mother influence the mother's knowledge on the nutritional status is low. The parents were not known why children should be weighed every month in Integrated Health Center. If someone knowledgeable then the person is likely to be positive. The preliminary study found that 3 out of 10 mothers who have children with low-protein calorie malnutrition, the mother does not feel anxious and assume that their babies in good health. This study aims to reveal the mother's knowledge and attitudes about the nutritional status of children. The study was design used descriptive analyses. Method: The population of this study was all of mothers who have toddler which amount 50 people and sample of this study was 44 people with a sampling technique are simple random sampling. The instrument used a questionnaire of knowledge and attitudes. Result: The survey results revealed that more than the majority of respondents have less knowledge (61%). While the mother's attitude about the nutritional status of children mostly positive (50%). Conclussion: Health workers should be authorized together with cadres to improve health education activities, especially regarding the nutritional status of infants.
Keywords: Knowledge, Attitude, Nutritional Status, Toddle
INTERNAL STIGMA CAUSES DEPRESSION ON HIV/AIDS
Get PDFIntroduction: External or internal Stigma on HIV/AIDS patient cannot be denied. It will contribute to psychological disorder such as depression and social isolation if it is not overcome. The impact of depression sustained decline in physical and mental condition, thus affecting treatment. The purpose of the research is to find out correlation between depression level and internal stigma at HIV/AIDS patients. Method: This study was a correlation research with cross sectional design. The population of the research was the new HIV patients at VCT Kemuning Clinique in Nopember 2016 at RSUD Dr Soedono Madiun used purposive sampling technique with total sampling 32 patients. The independent variable was internal stigma while dependent variable was depression level. The data analyzed using Spearman Rho test. Results: The result shows that 17 respondents got high internal stigma around, 100% depressions. This high stigma was influenced by some factors, they were feeling of fear when other understanding he or she become HIV patient, exaggerated embarrassment due to HIV infection, fearful avoided by society around the place of living. Spearman Rho result showed that r= 0.570 with p=0.001(p < 0.05); It means that there is a significance correlation between internal stigma and HIV/AIDS depression levels. Discussion: The higher level of stigma, will lead to high level depression. Reducing the HIV/AIDS depression, it is necessary to strengthening the psychological aspect of this patient. It will encourage them to do their daily life. This will also reduce the stigma and they have life motivation and enthusiasm to normal.
Keyword: internal stigma, depression level, HIV/AID
THE INFLUENCE OF GURAH FREQUENCY,ON THE INCIDENCE OF VAGINAL DISCHARGE
Get PDFIntroduction:Gurah vagina is a treatment by curing directly towards the vagina to reduce vaginal discharge, moisture balance, tighten the sex organs and increases confidence in the pair. This treatment should be done once a month or twice a month. But was in fact there are women still do gurah vagina every week. The purpose of this research was to determine the influence of gurah frequency on the incidence of vaginal discharge study in Salon HikmahBangkalan.. Method: This type of this research is analytic using infinite population where the investigator waited for the period of November 12 - December 10, 2015 amount 44 samples using nonprobability Sampling technique with accidental sampling. gathering data using questionnaires. The data analysis of univariate, bivariate by using statistical test Chi Square, by nominaland ordinal scale with a degree of error α = 0.05.Result: The results showed that 4 (9.1%) experienced a pathological vaginal discharge and 40 (90.9%) experienced a physiological vaginal discharge. Based from the crosstab found that the frequency of 3 people and sometimes one person who experience vaginal discharge pathology. Based on statistical tests obtained ρ value = 0,146 <α = 0.05, Ha refused and Ho accepted. The conclusion from this study is there is no effect of vaginalgurah frequency on vaginal discharge to the women who do gurah vagina in the Hikmah SalonBangkalan.Discussion:For women who want to perform gurah vagina, must be considered in good health without vaginal discharge wich smell colorless, and itching.
Keywords::Gurah Vagina , Vagina Discharg
EFFECT OF HEALTH COACHING WITH HEALTH BELIEF MODEL APPROACH TOWARD COMPLIANCE BEHAVIOR AND BLOOD PRESSURE STABILITY OF HYPERTENSION PATIENT
Get PDFIntroduction: One could be said suffers from hypertension if he or she has systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥ 90 mmHg, in repeating examination. Hypertension degree could increase and lead to complication. Therefore, hypertension patients should organize their own behavior. Health coaching with health belief model is one way for the nurse to improve motivation and patient’s beliefs concerning his/her disease so that they would show good compliance behavior. Objective of this study was to analyze the effect of health coaching with HBM approach toward compliance behavior and blood pressure. Methods: This study used quasi experiment design with pre-post test control group design. Sample collection technique was by purposive sampling. The amount of sample is 16 person per group. Study variables includes: compliance behavior (diet arrangement and physical activities) and blood pressure. Statistical data test used are Mann Whitney and Sign Rank Test Wilcoxon. Result and analysis: (1) Health coaching with HBM approach has effect toward compliance behavior individually but it was not apparent in groups. Difference test in treatment group using Wilcoxon obtain p value 0,002, while difference test with Mann Whitney obtain p value 1,000. (2) Health coaching with HBM approach has effect toward blood pressure with result from difference test using Mann Whitney obtain p value 0,006. Discussion and conclusion: (1) Health coaching with HBM approach showed no significant difference in compliance behavior of treatment and control group, (2) There is blood pressure differential between treatment and control group. It is expected hypertension patients should be conscious of his/her disease, nurse to be more active in giving health information and evaluating the existence of hypertension degree escalation.
Keywords: health coaching, health belief model, hypertension, compliance behavio
How to attract health students to remote areas in Indonesia: a discrete choice experiment
Get PDFBackground Remote areas of Indonesia lack sufficient health workers to meet the healthcare needs of the population. There is an urgent need for evidence regarding interventions
to attract health workers and specifically health students to serve in remote areas. The aim of this research was to analyze the job preferences of health students to develop effective policies to improve the recruitment and retention of health students in remote areas. Methods A discrete choice experiment was conducted to investigate health students’ preferences regarding job characteristics. This study was conducted in three different regions of
Indonesia, with a total included 400 health students. Mixed logit models were used to explore the stated preferences for each attribute. Results Data were collected from 150 medical, 150 nursing and 100 midwifery students. Medical students gave the highest preference for receiving study assistance, while nursing students viewed salary as the most important. Midwifery students valued advanced quality
facilities as an important attribute.Conclusions This study confirmed the importance of combination interventions in attracting and retaining health workers in remote areas of Indonesia. Money is not the only factor affecting student preferences to take up a rural post; good management and better facilities were viewed as important by all health students. Addressing health student preferences, which are
the candidate of future health workforce, would help the nation solve the recruitment and retention issues. Copyright © 2015 John Wiley & Sons, Ltd
PERSEPSI MAHASISWA KEPERAWATAN INDONESIA TENTANG PERILAKU CARING DAN KARAKTERISTIK PENGAJARAN PEMBIMBING AKADEMIK
Get PDFPendahuluan: Pembelajaran dan kinerja mahasiswa mencerminkan sikap profesional, perilaku, etika dan standar
pembimbing mereka. Tujuan dari penelitian ini adalah untuk menganalisis persepsi mahasiswa Keperawatan Indonesia
mengenai perilaku caring dan karakteristik pengajaran pembimbing akademik mereka. Metode: Studi cross-sectional
eksplorasi ini menggunakana partisipan sebanyak 149 mahasiswa profesi keperawatan dari program regular dan alih jenis
serta 15 pembimbing akademik fakultas keperawatan dari universitas negeri yang terletak di Surabaya Indonesia. Data
dikumpulkan melalui kuesioner dan focus group discussion (FGD) yang dilakukan untuk menggali informasi secara rinci.
Hasil: Analisis deskriptif didapatkan 6% mahasiswa merasakan perilaku caring instruktur klinik mereka rendah, 52,3%
merespon sebagai cukup dan 41,6% dianggap baik. Karakteristik pengajaran pembimbing akademik 2,7% rendah, 26,8%
cukup dan 70,5% baik dirasakan oleh siswa mereka. Data yang dikumpulkan dari siswa dianalisis dengan menggunakan uji
regresi logistik. komitmen profesional dengan (P-value 0,038), motivasi (P-value 0,010) dan lingkungan klinik (P-value
0,002) dalam kategori utama (nilai signifikansi adalah <0,05) menunjukkan pengaruh pada persepsi mahasiswa keperawatan
Indonesia mengenai perilaku caring dan karakteristik pengajaran pembimbing akademik mereka. Pada focus group
discussion siswa menyarankan agar pembimbing akademik meningkatkan jumlah kunjungan di lingkungan klinik dan
menekankan pada demonstrasi di samping tempat tidur. Diskusi: Kesimpulan yang didapat bahwa karakteristik siswa
memiliki pengaruh pada persepsi mereka mengenai perilaku caring dan lingkungan klinik mempengaruhi persepsi mereka
mengenai karakteristik pengajaran pembimbing akademik merek