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    1167 research outputs found

    Selecting Instruments to Measure Quality of Life after Acute Coronary Syndrome: A Literature Review

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    Quality of life (QoL) is an important aspect to describe the quality of patient care. The use of valid and reliable instruments is a major concern for measuring the quality of life in post-acute coronary syndrome patients. The purpose of the paper was to select existing tools to measure the quality of life after acute coronary syndrome. A review was performed of literature published from 2000-2019, with the following keywords: acute coronary syndrome, quality of life, and psychometric properties or validity. Scopus, MEDLINE, CINAHL, Science Direct, and Proquest were the primary databases utilized for the search of the literature. The criteria to consider when selecting the existing instrument were a match to objective, psychometric evidence, validity, and reliability. The full texts of 10 articles were found for the evaluation and psychometric after acute coronary syndrome. We identified these assessment tools with different psychometric reported two to eight domains of QoL. The number of items contained in the questionnaires ranges from 6 to 74, and all the tools are self-administered. Most of the tools had not reported complete and desirable psychometric properties. Heart quality of life (HeartQoL) is an appropriate instrument to measure the quality of life after acute coronary syndrome patients. Developing a tool for different societies with varied cultural and social characteristics is suggested because socio-cultural factors can influence the quality of lif

    The effect of health education through brainstorming and booklet method on behavior in prevention of pulmonary Tb transmission

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    Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. The transmission of pulmonary Tuberculosis can be caused by poor patient behavior. This behavior is influenced by the TB client’s low level of knowledge about Tuberculosis and how to prevent transmission. This study aims to analyze the effect of health education through brainstorming and booklets on client behavior in preventing TB transmission. The population in this study were tuberculosis patents recorded from January to March 2017 with a sample of 30 respondents. The sampling technique of this study was purposive sampling. The independent variable of this research was health education through brainstorming and booklets method. The dependent variable of this study was the client’s behavior in preventing tuberculosis transmission. The data collection used questionnaires and analyzed using the Wilcoxon rank test and Mann Whitney with significance α=0.05. Wilcoxon’s statistical test results in the treatment group showed the influence of health education on knowledge (p=0.001), attitudes (p=0.001), and actions (0.001). The results of the Mann Whitney statistical test after the intervention showed a significant effect on the application of brainstorming and booklets on client knowledge (p=0.000), attitudes (0.000), and actions (0.000). This study concluded that health education through brainstorming and booklets could improve the client’s knowledge, attitudes, and actions in preventing pulmonary tuberculosis transmission. Health education through brainstorming and booklets become an alternative method of health education in preventing TB transmission

    Individual Coaching on Self-Efficacy, Control and Medication Adherence in Patients with Tuberculosis

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    Self-efficacy, infection prevention behavior and the treatment adherence are the 3 factors that support TB control programs. The purpose of this study was to analyze the effect of individual coaching on improving selfefficacy, infection prevention behavior, and adherence to the TB treatment. This study used a quasi-experiment with a pre-posttest control group design. The sampling technique used was total sampling. Sixty respondents were divided into control and treatment groups. Each group had 30 respondents. Individual coaching was carried out at the Oesapa Health Center divided into 5 stages with a 60-minute home visit. The respondents were given questionnaires and then observed. The study was conducted for 2 weeks. The independent variable in this study was individual coaching and the dependent variables were self-efficacy, infection prevention behavior and the treatment adherence of tuberculosis patients. The Wilcoxon sign rank test and the Mann-Whitney test were used for statistical analysis. The statistical tests showed that individual coaching has an effect on self-efficacy (p=0.000), on the knowledge of infection prevention behavior (p=0.000), attitudes (p=0.000) and on actions (p=0.000) and the adherence to the tuberculosis treatment (p=0.000). The individual coaching method affects self-efficacy, the prevention of infection behavior and the adherence to TB treatment as well as the suppression of infection and dropping out of the TB treatment

    WOMEN WITH BREAST CANCER LIVING WITH ONE BREAST AFTER A MASTECTOMY

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    Aim: To explore the impact of mastectomy on the body image of women with breast cancer. Design: A qualitative study with a phenomenological approach. Methods: Thirty women (n = 30) with post-mastectomy breast cancer were obtained through a purposive sampling technique. Data were collected using in-depth and semi-structured individual interviews to explore the experiences of the participants and the meanings they attribute to them. The data was analysed using the Van Manen method and with the help of NVivo 12 software. Results: Three main themes were identified in this study: “breast meaning”, “selfconcept”, and coping strategies for women after mastectomy. Breasts are interpreted as a symbol of female status that reflects femininity and attractiveness. Mastectomy can cause changes in appearance, which can affect women’s body image, selfconcept, and social interaction. Emotional intensive coping and problem-solving intensive coping are coping strategies used by women after mastectomy. Conclusion: Breasts are synonymous with femininity, beauty, and attractiveness. Therefore, many women feel that they have lost their femininity and self-confidence after losing their breasts due to mastectom

    The relationship of nurse characteristics with prevention behavior and control of pulmonary tuberculosis infection

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    Nurses who work in the Tuberculosis (TB) room are at great risk of contracting the disease. This study aimed to analyze the relationship of nurse characteristics with the prevention behavior and control of Tuberculosis infection. This research used a cross-sectional design. The population was all the nurses who work in the TB room. The number of the population taken was 40 respondents who have met the inclusion criteria. The dependent variable was the prevention behavior and controlof Tuberculosis infection, while the independent variable was the nurse characteristics. The data were taken using questionnaires and observations towards nurses. Then, the data were analyzed using Chi-Square. The result showed no relation between education level with prevention behavior and tuberculosis infection (p=0.525). Training has no relation with the prevention behavior and control of tuberculosis infection (p=0.316). Working time has no relation to the prevention behavior and control of tuberculosis infection (p=0.190). Knowledge has no relation with the prevention behavior and control of tuberculosis infection (p=0.798). Attitude and motivation have no relation with the prevention behavior and control of tuberculosis infection (p=1.000). It can be concluded that there is no relation between nurse characteristics and prevention behavior and control of tuberculosis infection. The nurse behavior has implemented four pillars of prevention behavior and control of tuberculosis infection. Further research is suggested to research things related to the prevention behavior and control of tuberculosis infection such as compliance, workload, and self-efficacy of nurses

    Factors Contributing to TB at Primary Health Center in Sidoarjo - Indonesia

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    Introduction: Tuberculosis (TB) is caused by Mycobacterium tuberculosis, and remains a burden in Indonesia. Many factors contribute to the TB prevalence, including age, sex, body mass index, sputum smear conversion, HIV infection, and Diabetes Mellitus. The objective of this study is to identify factors contributing to TB prevalency at the primary health center. Methods: This research used as a cross-sectional study and was conducted in March 2020. The population of this study was TB patients at Porong Primary Health Center in Sidoarjo, East Java Province, Indonesia. Samples were all TB patients who registered in Porong Primary Health Center and were taken by total sampling. The sample size was 51 TB patients. There were no inclusion and exclusion samples criteria implemented. Data were collected that used the secondary data of TB Patients Registration, between 1st – 31st March April 2020. Data were analyzed using frequency distribution with SPSS Version 21. Results: Result shows there were 30 (58.80%) male TB patients, 34(66.70%) TB patients were adults, 48 (94.10%) TB patients had sputum smear conversion from positive to negative after two months DOTS therapy, there were 48 (94,10%) TB patients not infected by HIV Virus, and there were 36 (70,60%) TB patients had a history of Diabetes Mellitus. Conclusion: Factors contributing to TB prevalence are many, including age, sex, body mass index, sputum smear conversion, HIV infected, and Diabetes Mellitus. To improve care of TB patients requires integration and comprehension of care at the primary health cente

    Analysis of Dengue Hemorrhagic Fever Prevention Behavior Factors Based on the Theory of Planned Behavior

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    Dengue fever is a health problem in tropical and sub-tropical countries due to the low participation of the community in independent prevention of dengue fever. It causes a significant increase in morbidity and mortality. The purpose of this study was to analyze the prevention of dengue hemorrhagic fever based on the Theory of Planned Behavior. The research used a descriptive correlation design with a crosssectional approach. The population was people who were in the area of Krebet Community Health Center, Madiun City, East Java, Indonesia. The sample was 400 households in Ngale village obtained by a simple random sampling technique. The independent variable consisted of age, gender, education level, knowledge, attitude, and media exposure. The dependent variable was the dengue hemorrhagic fever prevention behavior. Data were collected by questionnaires and observation, then analyzed using the Chi-square test and ordinal logistic regression test. The result showed there was a correlation between knowledge (p=0.000), attitude (p=0.00), gender (p=0.000, an education level (p=0.000)and media exposure (p=0.000) with prevention behavior of dengue hemorrhagic fever. There is no correlation between age and prevention behavior of dengue hemorrhagic fever (p=0.105). The dominant factor affecting the prevention behavior of dengue hemorrhagic fever was the level of education (p=0.00). It is recommended that the government needs to strive to increase knowledge. media exposure. and education

    Career Expectations, Difficulties And Choices In Nursing Students: A Cross- Sectional Study

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    This study aimed to explore and compare between career expectations and dif iculties in deciding careers and career choices in nursing students. This study was a cross-sectional study in an university in Surabaya, Indonesia, conducted with 233 first and final year bachelor degree nursing students, using a range of instruments: Career Expectations Questionnaire, Career Decision Dif iculties Questionnaire, and Questionnaire Survey on Career Choice. The data were then tested by t-test and Mann Whitney. The results showed no significant dif erences between first and final year students for career expectations, career decisions and career choices. Dif erent aspects between first and final year students were in the aspects of organizational membership (p=.029) and there were dif erences in dif iculties in deciding career, especially in aspects of lack of readiness (p=.031). The learning process and experience during the study period can be related to the impact of students' confidence in deciding their chosen careers. Support from academic staf and the environment such as parents, friends and nursing organizations are needed to shape positive aspects of the careers chosen by students

    Patients Experience and Perception in Preventing Tuberculosis Transmission in Rural Areas: A Qualitative Research

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    Tuberculosis (TB) transmission awareness is crucial for TB prevention in the community. However, efforts to prevent TB transmission from TB patients’ perspectives, especially in the rural area, are not well documented. This study aimed to explore the efforts made by TB patients in preventing transmission to the community. This research was qualitative research with a henomenological approach. Participants in this study were 12 people selected by purposive sampling. Data collection was done by in-depth interviews and recorded. Data analysis was carried out by thematic analysis. This study produced seven themes: perception of TB disease, performing alternative treatments, using personal protective equipment, environmental modification, adhering to treatment, limiting interactions with others, and increasing food intake. Knowledge and awareness of TB patients are still an issue in preventing the Transmission of TB in the community. Immediate intervention needs to be made regarding increasing knowledge and awareness of TB patients and the supervision of health workers regularly in handling TB disease in the community

    Selecting Instruments to Measure Quality of Life after Acute Coronary Syndrome: A Literature Review

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    Quality of life (QoL) is an important aspect to describe the quality of patient care. The use of valid and reliable instruments is a major concern for measuring the quality of life in post-acute coronary syndrome patients. The purpose of the paper was to select existing tools to measure the quality of life after acute coronary syndrome. A review was performed of literature published from 2000-2019, with the following keywords: acute coronary syndrome, quality of life, and psychometric properties or validity. Scopus, MEDLINE, CINAHL, Science Direct, and Proquest were the primary databases utilized for the search of the literature. The criteria to consider when selecting the existing instrument were a match to objective, psychometric evidence, validity, and reliability. The full texts of 10 articles were found for the evaluation and psychometric after acute coronary syndrome. We identified these assessment tools with different psychometric reported two to eight domains of QoL. The number of items contained in the questionnaires ranges from 6 to 74, and all the tools are self-administered. Most of the tools had not reported complete and desirable psychometric properties. Heart quality of life (HeartQoL) is an appropriate instrument to measure the quality of life after acute coronary syndrome patients. Developing a tool for different societies with varied cultural and social characteristics is suggested because socio-cultural factors can influence the quality of lif

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