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Autumatic remider for Fluids Management on Cofidence and Compilance with Fluid Restrictions in hemodialysis Patients
Full text linkDischarge planning has not been able to increase confidence and fluid restriction adherence in endstage renal failure patients undergoing hemodialysis. This study aimed to develop an application of discharge planning with automatic reminder of fluid management to improve fluid restriction adherence in hemodialysis patients. Research and development with the first stage was developing an application prototype by evaluating hemodialysis patients’ issues through interviews and questionnaires of 115 respondents. Focus
group discussions with health professionals and expert discussions were conducted after data collecting. Second stage was a quasiexperimental study with 30 respondents in each group using simple random sampling. Research analysis used MANOVA test. The development of a prototype consisted of pooling intake, pooling output, fluid control log, education, setting and automatic fluid monitoring reminder. The results of interviews with the target users
showed that the app was feasible. The effect of interventions on beliefs (perceived threat, perceived benefit, perceived barrier, and self-efficacy) with p = 0.001, fluid restriction compliance and IDWG p
= 0.001 after the intervention using the development of discharge planning with automatic reminder app. Development of discharge planning with automatic reminder of fluid management consists of several menus and the main feature was an automatic fluid monitoring reminder. This app can increase self-confidence in fluid restriction and adherence in patients undergoing hemodialysi
The Psychological Condition of the Parents of Children Suffering from Spinal Muscular Atrophy
Full text linkAbstract -- Fatigue during the treatment period results in a negative response when taking care of their
disabled child. A change in the behavior of the parents has an impact on their physical and mental health. This
study aims to explore the experience and psychological condition of the parents with children suffering from
Spinal Muscular Atrophy. This study was qualitative research with a phenomenological study approach. The
participants totaled as many as 23 families selected through purposive sampling. Collecting the data was done
through in-depth interviews analyzed thematically using Colaizzi’s steps. The results show that the experience of
the parents of children suffering from Spinal Muscular Atrophy consists of 17 themes formed of 5 categories and
33 sub-themes. The parents’ experience related to their children suffering from Spinal Muscular Atrophy can be
described referencing the following: 1) The parent's understanding of the childhood illness, 2) Parental burden, 3) The influence of illness on the family, 4) Self-obstacles, 5) Infrastructure barriers, 6) Grieving, 7) Sources of support, 8) Type of support, 9) Division of roles, 10) Coping mechanisms, 11) Skill improvements, 12) Efforts when looking for help, 13) The development of the children suffering from Spinal Muscular Atrophy, 14) Comorbidities in the children suffering from Spinal Muscular Atrophy, 15) Substitute caregivers, 16) Acceptanceand 17) Policy. The experience of the parents with children suffering from Spinal Muscular Atrophy in Indonesia is one that requires support from within themselves, from within their families and socially to reduce the burden and obstacles felt by the parents. It is expected that health care agencies and the parents can provide appropriate care for the children suffering from Spinal Muscular Atrophy
PENINGKATAN KEMAMPUAN MELAKUKAN PERTOLONGAN PERTAMA PADA KECELAKAAN SISWA SMU MELALUI METODE SIMULASI DAN ROLE PLAY
Full text linkPendahuluan: Kecamatan Cerme merupakan salah satu kecamatan di Kabupaten Gresik dengan angka kejadian kecelakaan yang cukup tinggi dibandingkan dengan daerah lain.
Kecelakaan ini memerlukan bantuan dan penanganan awal yang bisa dilakukan oleh orang awam, termasuk siswa SMU untuk mengurangi angka kecacatan dan kematian. SMU
Muhammadiyah 8 dan SMK Muhammadiyah 3 berlokasi di tepi jalan raya dimana kecelakaan lalu lintas tersebut sering terjadi. Tujuan pengabdian masyarakat adalah untuk
meningkatkan pengetahuan, sikap dan keterampilan siswa SMU di Kabupaten Gresik dalam memberikan bantuan hidup dasar.
Metode: Kegiatan pengabdian masyarakat dilakukan melalui pemberian edukasi melalui simulasi dan bermain peran (role play) kepada para siswa. Alasan dari pemilihan metode
ini adalah karena siswa SMU pada dasarnya lebih menyukai pembelajaran partisipatif dibandingkan dengan ceramah
Hasil: Pembelajaran simulasi dan role play akan memberi siswa kesempatan untuk belajar secara langsung melalui melihat, mempraktikkan, serta bermain peran cara melakukan
pertolongan pertama pada kecelakaan atau memberikan bantuan hidup dasar. Dengan demikian diharapkan para siswa akan mengalami peningkatan pengetahuan, sikap dan
tindakan dalam penanganan kecelakaan.
Kesimpulan: Kegiatan pengabdian masyarakat menghasilkan perubahan yang sesuai dengan target luaran yang telah ditetapkan yaitu meningkatnya pengetahuan, sikap dan
keterampilan siswa tentang pertolongan pertama pada korban kecelakaan, meliputi tindakan bantuan hidup dasar, bebat bidai, dan transportasi khusus untuk orang awa
A Systematic Review of Fatigue in Type 2 Diabetes
Full text linkIntroduction: Fatigue is often found in people with type 2 diabetes and it is known as Diabetes Fatigue Syndrome. Fatigue is a widespread clinical complaint among people with type 2 diabetes (T2DM). It has been directly related to poor self-reported health and it is likely a key barrier to the
successful self-management of diabetes. The aim of this study was to identify fatigue in type 2 diabetes.
Methods: The databases used to identify suitable articles were Scopus, Science Direct and PubMed limited articles published between 2012 and 2019 in English with the full text available. The search utilized the keywords of “diabetes, fatigue, diabetes fatigue syndrome, and type 2
diabetes”. Searching for the articles also used “AND”.
Results: Following the search, 7 articles met the inclusion criteria. The studies were classified into 3 groups based on the causes of fatigue. The causes of fatigue involve physiological factors, psychological factors and
lifestyle factors. Conclusion: Diabetes fatigue syndrome is defined as a multifactor syndrome of fatigue or easy fatigability occurring in persons with diabetes
caused by a variety of lifestyle, nutritional, medical, psychological,glycemia/diabetes-related, endocrine, and iatrogenic factors
RELATIONSHIP BETWEEN SLEEP QUALITY AND HYPERTENSION AMONG WORKING-AGE POPULATION IN INDONESIA
Full text linkIntroduction: One of the diseases which are continuously becoming a public health problem is hypertension. The prevalence of hypertension in working-age or productive age in Indonesia has increased significantly in recent years. There are many risk factors for hypertension in adults, one of which is lack of sleep. Sleep disorders can increase the risk of hypertension. This study aimed at finding out the relationship between sleep quality and the incidence of hypertension among the working-age population in Indonesia. Methods: This study utilized secondary data from the Indonesia Family Life Survey (IFLS) 5 data with a cross-sectional study design. The sample in IFLS 5 was taken using Multistage random sampling. The number of samples was 8,815 with inclusion criteria, which included that respondents were 15-64 years old and had complete data on the variables studied, namely: age, sex, sleep quality, physical activity, Body Mass Index (BMI), smoking habits and hypertension. Data were analyzed using multiple logistic regression. Results: Respondents with poor sleep quality had 1.39 higher odds of experiencing hypertension compared to respondents who had good sleep quality after being controlled by variables of gender, age, smoking status, physical activity, and nutritional status. (Poor-good sleep quality=1.39, 95% CI 1.20-1.61 p=0.000). Conclusions: It is necessary to strengthen information about health promotion regarding the prevention of hypertension in the community, especially good time management, to maintain sleep quality and the need for health programs on prevention of hypertension carried out by the ministry of health to the community through existing health-workers
Contact Investigation and Preventive Therapy as Tuberculosis prevention in Children with Tuberculosis Household Contact: A Systematic Review
Full text linkIntroduction: he increasing tuberculosis cases in children showed management of Tuberculosis itself. There was a finding of TB case in children according to WHO TB report 2019 that not all childrens being well diagnosed, treated or reported each year. This systematic review aims to
describes implementation of TB prevention often missed in children with adult TB household contacts.
Methods: is study uses based on PICO, which contains Participants are family who living household with adult TB, Interventions are CI followed by PT, no comparison, Outcomes are improving the implementation of CI and PT. Searching for article is using the Scopus, PubMed, and Science Direct and found 15 articles in final which limited to the last 3 years (2017-2020). Keywords used in searching are” Tuberculosis”, “Transmission”, and “Preventive Therapy”. The population included were respondents identified as family having child aged ≤ 15 years with TB Household Contacts. The study design varied in rigorousness form of quantitative and
mixed studies. Results: Household Contact (HHC) contribute to TB cases in children.Conclusion: Contact Investigation (CI) and Preventive Therapy (PT) could be succesfull strategies to prevent TB transmission to children provided
not only by Health Care Workers (HCWs) but also public concerned to community-based approach in order to encouraged family members of TB affecte
Unhealthy Lifestyle and the Prevalence of High Blood Pressure Among Early Adults: a Cross-Sectional Study
Full text linkYounger people with an unhealthy lifestyle have been predicted to have factors related to the risk of
hypertension. To determine the factors that contribute to the risk of hypertension in early adults, a cross-sectional descriptive correlational study was conducted from 393 of eligible early adults by cluster sampling techniques. The independent variables were nutrients, sleep, smoking, and anxiety. The dependent variable was blood pressure. The nutrient was measured by BMI, sleep was assessed by the quantity of sleep in hours per day, smoking was measured by the Global Tobacco Surveillance System (GTTS), and Hamilton Rating Scale for Anxiety (HARS) was used to measure anxiety. The contributing factors were analyzed by chi square with α ≤ .05. 58.27% of participants experiencing obesity, 45.30% less sleep, 66.41% smoked in moderate levels, 56.49% of them expressed anxiety, and 60.05% showed high blood pressure. The association between all variable and blood pressure were: nutrients (p = <.0001, OR = 1.299), sleep (p = .041, OR = 1.527), smoking (p = .025, OR = .622), anxiety (p = .026 OR = 1.585). Nutrition (BMI), sleep hours, smoking, and anxiety have a significant relationship with the risk of hypertension.Nutrients, sleeping, smoking, and anxiety contributed to high blood pressure among the early adult population. A further longitudinal study is suggested to examine the trajectory associated with the prevalence of high blood pressure among early adults
Validity and Reliability Studies of the Indonesian Version of Heart Failure Somatic Perception Scale (HFSPS) Questionnaire
Full text linkHeart Failure Somatic Perception Scale (HFSPS) is one of the most commonly used questionnaires to assess HF physical symptoms. However, to be utilized in Indonesia, it needs validity and reliability studies. This study
aimed to obtain a valid and reliable Indonesian version of the Heart Failure Somatic Perception Scale (HFSPS) so
that it can be used in Indonesia. This study was a cross-sectional study with 152 subjects with a mean age of
58.03±10.2 years who had heart failure disease and were treated at the outpatient clinic of cardiology in
Government Hospital in Lamongan and Gresik, East Java, Indonesia. The validity of the HFSPS was assessed by
evaluating the construct validity using a multitrait-multimethod analysis and external validity was evaluated by
comparing the HFSPS with the MLHF questionnaire. Reliability was assessed using Cronbach’s α. All items in the
Indonesian version of the HFSPS questionnaire were valid and had a positive strong correlation with the MLHF
questionnaire (r=0,635; p<0.000). The Cronbach α of the Indonesian version of HFSPS was 0.813. The Indonesian
version of HFSPS has good validity and reliability to assess the physical symptoms of patients with chronic heart
failure in Indonesi
The Effectiveness of Chewing Gum versus Cryotherapy on Salivary Volume among Patient with Head and Neck Cancer Undergoing Radiotherapy
Full text linkntroduction: Hyposalivation is a common problem experienced by head and neck (H&N) cancer patients undergoing radiotherapy. Hyposalivation can cause negative effects on the physical aspects of making oral mucositis, pain during
eating and talking as well as psychological effects that cause feeling of discomfort sadness and, ultimately, depression. Many nonpharmacological interventions can
be done for hyposalivation that occur in patients, among which are chewing gum and cryotherapy because they are easy to do, easy to access, inexpensive and have minimal side effects. However, the effectiveness of these interventions is not yet clear. Hence, this study is aimed to determine the effectiveness of chewing gum versus cryotherapy to increase salivary volume in H&N cancer patients undergoing radiotherapy. Methods: A quasi-experimental time series group design to determine the most effective time to influence the increase in salivary volume. This research was
conducted on 36 respondents H&N cancer undergoing radiotherapy with four times measurement are pretest-posttest on the 3rd, 5th, and 7th day of intervention between February and March 2020. Subjects were chosen using
consecutive sampling. Chewing gum group will chew gum six (6) pieces/day and cryotherapy group will suck on ice cubes five (5) minutes before and after radiotherapy. The spitting method was used to collect saliva and the data were
analyzed using General Linear Model-Repeated Measure (GLMRM).
Results: Chewing gum is more effective to increase salivary volume than cryotherapy. The GLMRM within subjects at four (4) times measurement showed a significant difference between chewing gum and cryotherapy group with p value <0.05 on the 7th day. Subjects in the chewing gum group had better salivary volume increment than cryotherapy group.
Conclusion: This study showed that chewing gum is more effective to increase salivary volume on patient H&N cancer undergoing radiotherapy because chewing gum has higher salivary volume increment than cryotherapy group
The Effect of Face to Face Education on Controlling Asthma at Dr. Sosodoro Djatikoesoemo Bojonegoro Hospital
Full text linkAbstract. Control of asthma is an essential factor in the long-term treatment of asthma. Knowledge of controlled behavior is an action to be performed for the treatment of asthma patients. This study aims to determine the effect of face to face education intervention based on the Theory of Planned Behavior against asthma control behavior. The quasi-experimental study design, pre and post-test with anequivalent control group. Seventy-four samples were
recruited using a purposive sampling technique. The research was conducted by providing a TPB-based face to face education intervention for one month. Data analysis was performed and presented in descriptive statistics, and significant findings were computed using the Wilcoxon signed-rank test. The results showed that face to face education was a positive effect on controlling
asthma (p=0,000). A Theory Of Planned Behavior-based education intervention has an impact on enhancing asthma control behavio