Phenomenological Study of Muslim Nurses’ Experience During End-Of-Life Decision Making

<p class="paragraph" align="center">ABSTRACT</p><p class="paragraph"><strong>Objectives</strong>: This study examines the significance of Muslim nurses' lived experiences in the Intensive Care Unit (ICU) when it comes to End-of-Life (EOL) decisions (ICU)</p><p class="paragraph"><strong>Methods</strong>: The research was carried out at an intensive care unit (ICU) of a government hospital in Central Java, Indonesia. Fourteen nurses were chosen as participants after meeting the inclusion criteria: Muslims with at least three years of experience in the ICU and experienced to involved in end of life decision making process in an ICU. Data were gathered using in-depth interview. The result the transcribed and analyzed by using van Manen’s hermeneutic phenomenological approach. Trustworthiness was established following Lincoln and Guba's criteria.</p><p class="paragraph"><strong>Results: </strong>Four theme themes emerged from nurses' engagement in EOL decision-making. Feeling dilemma, being in uncertain time, receiving overwhelming role, and evading the process. Van Manen's four lived world of body, time, relation, and space are reflected in these subjects.</p><p class="paragraph"><strong>Conclusion</strong>: The purpose of this study was to illustrate the meaning of Muslim nurses' EOL decision-making in the ICU and to affect nursing policy addressing EOL decision-making education in ICU settings.</p>

Efficacy of Listening to Murattal in Reducing the Pain Experienced by ICU Patients

<p>Background: Pain is one of the main problems in patients with ICU. Inadequate handling can cause adverse effects such as unstable hemodynamics, trigger stress, and thus hinder the healing process. Non-pharmacological intervention is needed to help manage pain in patients with ICU. Purpose: This study aims to identify the effect of murottal listening to pain in ICU patients. Methods: This is a quasi-experiment with pre-test and post-test with control group design. The sampling technique was simple random sampling, consisting of 40 respondents divided into two groups. The Critical Pain Observation Tool (CPOT) is used to measure pain. Statistics using a paired t-test, Wilcoxon-test, and Mann Whitney. Results: Significant decreases in pain scores were observed in treatment groups of 4, 5 to 4,0; p = 0,013. In the control group, there was a significant decrease in pain scores from 4,8 to 4,3; p = 0,001. There was no significant difference between the median decrease in pain in the intervention group (0.001 (-1-2.0) and the control group (0.001 (0.001-1.0)) with p = 0.242. Conclusion: Murottal listening does not have a significant effect on pain in patients of ICU.</p>

Demographic Characteritics of Relapsing Schizophrenic Patients

<pre>Schizophrenia is a disease that affects the brain and causes strange, disturbing thoughts, perceptions, emotions, movements and behavior. Recurrence is a term that relatively reflects the worsening of symptoms or behaviors that endangers patients and or their environment. This study aims to analyse the characteristics of schizophrenia patients with recurrence at the Tampan Mental Hospital of Pekanbaru With quantitative descriptive research design. The research sample were 167 respondents taken based on inclusion criteria by using purposive sampling technique. The analysis method used is univariate analysis. The results showed clinical characteristics of 167 respondents, received the majority of the respondents lived with the family 85 respondents (50.9%). Medical diagnosis of most schizophrenia paranoid 121 respondents (72.5%). Diagnosed for 1-5 years 82 respondents (49.1). Based on the most recurrence factor caused by treatment 120 respondents (71.9%). Based on the most predisposition factor caused by genetic 74 respondents (44.3%). while the precipitation factors resulting from family and socioeconomic 51 respondents (30.5%). Based on the results of this study can be concluded that the recurrence in schizophrenia patients is caused by a variety of conditions, so that it takes appropriate treatment and according to the characteristics Patients.</pre>

Diabetic Foot Ulcers and Risk Fall in People with Type 2 Diabetes Mellitus in BLUD RSUD Dr. Ben Mboi Manggarai Regency, NTT

The prevalence of diabetes mellitus in Manggarai Regency in 2019 is 535 people and some of them have diabetic foot ulcers. Patients with diabetic foot ulcers had a higher risk of falling than others.This study was to determine the risk factors for diabetic foot ulcers and the risk of falls in patients with type 2 diabetes mellitus. A quantitative study using a cross-sectional study was conducted at BLUD RSUD dr. Ben Mboi in April-June 2020 (n = 51).The sampling technique used was purposive sampling with a questionnaire of diabetic foot screening and risk stratification form and Morse scale. Logistic regression results showed that there was a significant relationship between claudication (AOR: 8.409, 95% CI 1.664-42.500, p value 0.010), history of previous diabetic foot ulcers (AOR: 5,680, 95% CI 1,151-28,035, p value 0.033) with diabetic foot ulcers. There was a significant relationship between hypertension (AOR: 0.152, 95% CI 0.028-0.834, p value 0.030), diabetic foot ulcers (AOR: 11.392, 95% CI 1.277-101.651, p value 0.029) with the risk of falling for patients with type 2 diabetes mellitus. Assessment of the risk of diabetic foot ulcers and the risk of falls should be done in patients with diabetes mellitus with or without neuropathy peripheral

Infant Feeding Practices and Analysis Of Factors Affecting Exclusive Breastfeeding

<p>The coverage rate of exclusive breastfeeding in Indonesia is still low despite its ability to affect a baby's health status and ability to survive. In 2017, only 35.73% of babies in Indonesia received exclusive breastfeeding for up to 6 months. This study aims to determine infant feeding practices and identify the factors that influence the practice of exclusive breastfeeding in Yogyakarta. This is a descriptive analysis study with a cross-sectional approach. The instruments that have been used in this study were the demographic data questionnaire, the Iowa Infant Feeding Attitude Scale (IIFAS) questionnaire, and the Breastfeeding Self Efficacy Scale-Short Form (BSES-SF) questionnaire. A total of 421 mothers were involved in this study and the research was conducted between June 2019 to April 2020 in Sleman Regency, Yogyakarta, Indonesia. Correlation data analysis was performed using chi-square and point biserial correlation and the multivariate analysis used logistic regression. Infant feeding practice was high with 82.4% of infants receiving exclusive breastfeeding. It was found that employment status, knowledge, mothers’ attitudes, and self-efficacy about breastfeeding have significant correlations with exclusive breastfeeding. Employment status, knowledge, mothers’ attitudes, and self-efficacy about breastfeeding are factors that can encourage exclusive breastfeeding. <strong></strong></p>

The Effect of Mental Health and Psychosocial Support (MHPS)Training on The Public Awareness of New Habitual Adaptations (NHA): A Pilot Research

<p><strong>Background: </strong>The COVID-19 pandemic has a physical impact and on the mental health condition of the community. The existence of psychological distress due to the Covid 19 pandemic will affect the body's physiological conditions, such as reduced immune system responses and increased risk of infection, and the impact on mental health. The COVID-19 pandemic demands a change in people's behavior. Mental health and psychosocial support training is very important for the community so that the community can actively maintain mental and physical health. The research objective is to identify the effect of DKJPS training on awareness of new adaptation readiness<strong>. Method:</strong> The research was conducted through a quasi-experimental pre-post-test without control on 44 participants in the DKJPS training. <strong>Result: </strong>there is a significant difference between awareness of adaptation new habits before and after training (p-value 0.001). <strong>Conclusion: </strong>Mental health and psychosocial support training conducted in the community can increase public awareness of new adaptation habits independently<strong>.</strong></p>

The Association Between Children's Sex and Their Mothers' Occupation to Children's Body Mass Index

<p>Issues related to double-burden malnutrition in children remain crucial. It involves undernutrition and obesity problems in children. Therefore, this study aimed to identify the relationship between mother’s culture and feeding practices along with other factors and the child’s body mass index (BMI). This study was a cross-sectional study and involving 219 mother-child dyad whose children were studying at public elementary schools in DKI Jakarta and selected by using cluster random sampling. Univariate analysis was used to describe the characteristics of children and their parents, followed by bivariate analysis to describe the correlation between children and parents characteristics and obesity. The findings showed that mother’s culture and feeding practices were not significantly correlated to the child’s BMI. However, there were several factors significantly associated with the child’s BMI, namely sex (p:0.009; CI 95%) and mother’s occupation (p:0.026; CI 95%). From the findings, it can be concluded that girls are likely to have higher BMI and mothers working as an entrepreneur are likely to have children with higher BMI. Therefore, it is expected that nurses can provide optimal education related to malnutrition prevention, including obesity in children.</p>

Knowledge, Attitude, and Behaviours Towards Covid-19 Transmission Among Jakarta-Bogor-Depok-Tangerang-Bekasi Residents

<p><em>Jakarta-Bogor-Depok-Tangerang-Bekasi (Jabodetabek) is the city with the most populous population in Indonesia. This study aims to explore the knowledge, attitude, and behaviour of Jabodetabek people as an epicentre covid-19 in Indonesia. </em><em>This study was a descriptive quantitative online study with a survey design used a self-developed online questionnaire </em><em>on 297 </em><em>Jabodetabek residents in Indonesia</em><em>. The chairman of the neighbourhood was encouraged to roll out the google form (link) to as many participants as possible, and then the link was forwarded to the next participants and so on. </em><em>Data were analyzed using descriptive statistics.</em><em> </em><em>Among the participants, 72.1 %</em><em> </em><em>were female, overall range of correct answers for knowledge</em><em> </em><em>questionnaire was 53.2-97.3%, that for attitude was 21.55-93.3% and for behaviors was</em><em> </em><em>66.3-98.7 %. In general,</em><em> </em><em>participants had a good knowledge about the disease, a positive attitude, and behavior towards protective measures. However, the results showed that only 22.55% participants state Indonesian government can win the battle against covid-19, the rest (78.45%) less optimistic attitudes, and this will impact less good practice toward covid-19 in the future, although currently still 66.3% of participants following Government Indonesian policy.</em><em> </em><em>Findings of this study</em><em> </em><em>revealed that knowledge among people of Jabodetabek about covid-19 is satisfactory. Yet almost half of participants are lacking belief in the plague. Better trust and behavior is required to tackle Covid-19 in Jabodetabek-Indonesia.</em></p>

Case Study: Diabetic Foot Ulcer Nursing Management Using Ozone Regional Non-Invasive (ORNI)Therapy as A Combination Of Care

<p><strong><em>Background: </em></strong><em>DFU patients must be treated properly less than 30 days to prevent infection spread to the bone, causes smaller opportunity to recovery and higher risk for amputation. Ozone therpay has a clearer clinical effect, affects the wound healing process, it can be seen by decreasing the length of stay.</em><strong><em> Method:</em></strong><em> Case studies of 3 DFU patients who were given ORNi therapy. Wound evaluation using </em><em>Bettes-Jenssen Assessment tool skoring system. </em><strong><em>Results: </em></strong><em>There were significant improvement in these cases after given a noninvasive regional ozone therapy (ORNi) as a combination in standard treatment for 5 – 7 times. There are no sign of infection, granulation and epithelization processes were running optimal and exudate production was controlled. </em><strong><em>Conclusions and recommendation: </em></strong><em>Using ORNi therapy as an adjunct to standard care has shown a significant improvement. The rate of granulation and epithelization during 15 days of treatment has an average growth rate of granulation and epithelization up to 22%. Researchers recommend to do more research with suficcient sample size related to the use of ozone therapy as an adjunct in wound care. </em></p>

The Correlation between Sexual Dysfunction and Marital Relationship among Women with Gynaecological Problems

<p>Women with gynaecological problems are at high risk of having sexual dysfunction because the problems could affect the marital relationship and sexual satisfaction. The purpose of this study is to determine the relationship between sexual dysfunction and marital relationships in women with gynaecological problems. This study was conducted using a cross-sectional study. The samples were women with gynaecological problems, aged above 18 years old, married, and able to communicate well. Patients with mental disorders were excluded from this study. Convenience sampling was used to select participants. The marital relationship was measured using a validated instrument, namely, Revised Dyadic Adjustment Scale (RDAS) and the Female Sexual Function Index (FSFI). A total of 82 women with gynaecological problems joined our study. The majority of the respondents experienced sexual dysfunction (90.2%) and more than half of the respondents (52.4%) experienced distress in marital relationships. There was a relationship between sexual dysfunction and marital relationship among women with gynaecological problems (<em>p</em> value &lt; 0.005) and the coefficient correlation was 0.326. Sexual dysfunction may affect marital relationships in women with gynaecological problems. Healthcare professionals need to provide appropriate intervention to women with gynaecological problems as well as facilitate them to express their sexual activity.</p>