The Differences of Pain Characteristics Among Post-Surgery Clients with General and Regional Anesthesia

Background: Surgery is one of the medical options for improving health. Surgery will break the main chain that causes health problems. Patients undergoing surgery will receive anesthetic management to relieve pain sensations. Pain sensations will be felt again after the period of anesthesia gradually disappears. Post-surgery clients will feel pain that varies widely. Purpose: This study aims to determine differences in the characteristics of postoperative client pain with general anesthesia and regional anesthesia. Methods: The method used was observational in postoperative clients with a cross-sectional design. Pain characteristics were observed after 4 hours postoperatively. Observation of pain used a pain characteristic observation sheet with observation items including pain intensity, pain onset, pain quality, and pain coping pattern. Observations were made on 30 postoperative clients with general anesthesia and 30 postoperative clients with regional anesthesia. The pain characteristics of the two groups after surgery were compared and the differences were seen. Result: The results of the study generally showed that the characteristcis of postoperative client pain with regional anesthesia (mean score = 18.1) were heavier than clients who received general anesthesia (mean score = 17.5). The results of the Mann Whitney test showed that the value of p = 0.000 (pain scale), p = 0.017 (pain time range), 0.000 (pain onset), p = 0.018 (pain intensity), p = 0.000 (pain depth), p = 0.000 (coping pattern). Conclusion: There are differences in pain characteristics between postoperative clients with general anesthesia and regional anesthesia on the aspects of pain scale, pain onset, the intensity of pain, depth of pain, and coping patterns of pain. The length of time of surgery and the level of depth of the surgical incision have a very significant effect on the characteristics of postoperative pain.

Improving Care for Low Birth Weight Infants in the Era of Covid-19 Pandemic: A Systematic Literature Review

Background: Coronavirus 2 (SARS-CoV-2) acute respiratory syndrome, also known as COVID-19, has spread exponentially around the world. COVID-19 attacks all age groups including the neonatal group because of the very high infection rate. Low birth weight (LBW) babies are a population that is susceptible to contracting COVID-19 because of their immature immune system. LBW is at risk of experiencing vertical and horizontal transmission due to COVID-19 with the controversial management of LBW care. Therefore, improving evidence-based LBW care in the era COVID-19 pandemic with infection control measures is needed to prevent the risk of transmitting LBW due to COVID-19. Purpose: This study aims to provide understanding and evidence on caring related to COVID-19 infection in LBW which is considered to reduce the threat of COVID-19 in LBW. Methods: A systematic literature review was carried out by following the Update Preferred Reporting Item for Systematic Reviews and Meta-Analysis (PRISMA) to gain insight into LBW care in the era COVID-19 pandemic. Specifically, the Scopus, PubMed, Google Scholar, Science Direct, and ProQuest databases were searched to identify relevant articles. Of the 274 research articles produced, 14 met the inclusion criteria and were included in the review. Results: LBW care in the era Covid-19 pandemic such as breastfeeding, kangaroo method care, and living with mothers in accordance with infection control measures are important to increase scientific awareness about LBW care to prevent LBW contracting Covid-19. Conclusion: The risk of LBW infection around the time of birth is low when precautions to protect the baby are taken. The risk of short-term and long-term impact of LBW care if mother breastfeed and rooming-in are using infection control measures appears to be smaller than the physical separation of infants and not breastfeeding in this pandemic era.

Relationship Of Self-Concept, Social Support And Depression On The Quality Of Life In Diabetes Mellitus

Background: Diabetes mellitus is a disease that cannot be cured but can be managed both physically and psychologically. The majority of DM patients are very pessimistic about the recovery of their illness. Purpose: This study aims to find out 1) the role of depression as a mediator variable between self-concept variables and social support for the quality of life of DM patients, 2) the role of self-concept of depression, 3) the role of social support against depression and 4) the role of depression in quality of life. Methods: This study was 253 patients with diabetes mellitus at hospital dr. Moewardi Surakarta. Sampling in this study was purposive sampling. Data collection used the Beck Depression Inventory (BDI) questionnaire, Tennese Self Concept Scale (TSCS), the Hersarling Diabetes Family Support Scale (HDFSS) and the Word Health Organization Quality of Life (WHOQOL). Data analysis used path analysis method (path analysis) and strengthened by sobel test test. Results: The study showed that there was a correlation between self-concept, social support and depression on the quality of life of patients with diabetes mellitus which was characterized by the p-value of self-concept of 0.002, p value of social support, depression and quality of life of 0,000. The results of path analysis show that depression is able to be a mediator between self-concept and quality of life and the mediterator between social support for quality of life. this result is reinforced by the sobel test showing a value of> 1.98 with a significance level of 5%. Conclusion: Depression can be a mediator between self-concept and quality of life and depression is also able to be a mediator between social support and quality of life.

Ability to Report Emergency at Farmers in the Agriculture Area

Background: Low knowledge and motivation about using personal protective equipment on farmers can cause workplace accidents. Upper limb injuries comprise 67% of all injuries, and the most active parts are fingers (43%). Due to the high number of injuries among farmers, the community needs emergency services where this emergency condition requires immediate health services to reduce mortality and prevent disability. Purpose: This study aims to analyze the factors that affect farmers ability to report daily emergencies in the agricultural area of ​​Lumajang. Methods: The design of this study was cross-sectional. The research respondents were 62 farmers who were taken by purposive sampling. Data collection used a questionnaire consisting of knowledge of injury recognition, management, and emergency events reporting. Data analysis was bivariate analysis with the Chi-Square test. Results: Knowledge of farmers recognizing injuries with good categories as much as 92% (p = 0.042), knowledge of farmers doing injury management as much as 80.6% in good category (p = 0.000), and knowledge of reporting of daily emergency events in agricultural areas as much as 61, 3% is moderate (p = 0.000). Recognizing the causes of injury of farming areas will increase farmers' knowledge in managing injuries to seek assistance in handling victims quickly and accurately with useful reporting techniques. Conclusion: The ability to report emergency events in the agricultural area is still in an adequate category. We must continuously improve the socialization of standard operational procedures (SOP) regarding effective communication in reporting injury incidents at PSC 119 Lumajang District. Services provided are fast, precise, responsive, and alert to prevent disability and save someone's life from death.

Family Psychoeducation Therapy to Improve Family's Ability to Care for Victims of Sexual Abuse

Background: Sexual abuse is increasingly occurring but it is difficult to detect. Victims and their families usually do not want to reveal the sexual abuse clearly, complicates intervention efforts. The most incidents of sexual abuse occurred in children and adolescents, which is called child sexual abuse. Aim This study was conducted to analyze the effect of Family Psychoeducation (FPE) therapy on family’s ability to care for children who experienced sexual abuse (post sexual abuse) in the working area of Women's Crisis Center (WCC), Jombang Regency, East Java. Method: This study utilized pre-experimental design with one group pretest-posttest design; using one treatment group, with observations conducted to the group before and after treatment. The population in this study were all families with children who experienced sexual abuse with a total of 133 respondents. By using simple random sampling technique, 100 samples were obtained. The measuring instrument used was a questionnaire on both variables. Data processing was carried out by editing, coding, scoring, and tabulating, while data were analyzed using the Wilcoxon test. Results: Results obtained p value = 0.000 (<0.005), indicating that H1 was accepted. It means that there was an effect of Family Psychoeducation (FPE) therapy on the family's ability to care for children who experienced sexual abuse (post sexual abuse) in the working area of Women's Crisis Center, Jombang Regency. Conclusion: This study concludes that the most common case of sexual abuse is sexual violence. The results show that there is an effect of family psychoeducation (FPE) therapy on the family’s ability to care for children who experienced sexual abuse (post sexual abuse).

Self Empowerment in Patient with Chronic Disease: A Literature Review

Bacground: Chronic disease is the highest cause of death in the world and Indonesia which can affect patient’s quality of life. One of the key factors for a good patient’s quality of life is empowerment. Self-empowerment is important for patients in making decisions with health professionals regarding the patient's health. Purpose: The aim study was to explore self empowerment in patient with chronic disease. Methods: The methods was a narrative literature. Selection of articles using PRISMA flow diagram. The databases used Science Direct, Pubmed, and Google Scholar. Result: The result was 5 articles discuss empowerment and 6 articles discuss intervention related to empowerment. Empowerment develops while increasing self-efficacy and self-management. Empowerment can also improve the relationship between patients and health professionals. As for interventions related to empowerment, including health education, empowerment based on experiential learning, energy conservation, mobile health technology. Conclussion: Patients with chronic disease have a responsibility in managing their disease. Therefore, empowerment becomes important in patients with chronic disease. In addition, empowerment can also improve health outcomes. An effective intervention in increasing empowerment is to provide health education to patients and families about the illness.

Relationship of Family Support with Quality of Life in Glaucoma Patients

Glaucoma is incurable but can be controlled with lifelong treatment. In addition, decreased visual function affects daily activities and can reduce the quality of life of patients. A factor influencing the quality of life is family support. Family support can improve the quality of life for example, the family helps care costs. This study aims to analyze the relationship of family support with the quality of life of Glaucoma patients at Baladhika Husada Level III Hospital in Jember, using a cross sectional approach, the independent variable is family support and dependent quality of life. 71 research samples with purposive sampling. Data collection uses a family support questionnaire to assess family support and a GQL-15 questionnaire to assess quality of life. Analysis of the relationship of family support with quality of life using Spearman rank test with p value of <0.05. The results showed the percentage of family support 59 (83.1%) had high family support and 12 (16.9%) low family support, the percentage of quality of life was 58 (81.7%) had a good quality of life and 13 (18, 3%) poor quality of life. There is a relationship between family support and quality of life (p value = 0.001 r value = +0.467) with a positive correlation means the higher the family support, the higher the quality of life. Family support is related to quality of life in glaucoma patients because family support has an important role in efforts to improve quality of life.

The Description of Sleep Disorder In Nursing Students At Padjadjaran University Who Experience Smartphone Addiction

Background: Sleep disorders can be experienced by college students, including nursing students. Nursing students are prospective professional nurses, if they experience sleep disorders it is feared that it will have a negative impact during lectures and health services that will be provided when becoming a nurse later. Purpose: This study aims to determine the description of sleep disorders in nursing students at Padjadjaran University who experience smartphone addiction. Methods: The method used in this research was quantitative descriptive method. The population in this research was the nursing students of Padjadjaran University, with a total of 668 respondents using purposive sampling technique, obtained a total sample of 400 respondents. The instrument used in this study was the Sleep Disorders Symptom Checklist-17 (SDS-CL-17). The data obtained were analyzed using univariate analysis with results presented in percentage. Results: The result of this study showed that the majority of respondents (99.8%) experienced sleep disorders. Based on the sleep disorders category, the majority of respondents experienced circadian rhythmic sleep-wake disorder (91.8%) and parasomnia (76%), while less than half of the respondents also experienced insomnia (46.2%), narcolepsy (45.8 %), sleep-related movement disorders (36.2%) and obstructive sleep apnea (30.8%) and experienced two or more sleep disorders (89%). Conclusion: The high incidence of sleep disorders indicated the need for preventive, promotive, curative and rehabilitative solutions for nursing students to reduce the impact that can be caused in the future.

Peer Group Proximity and Self-Esteem Among Bully Adolescents in Buleleng and Jembrana Regency

Background: Bullying can be a mental problem for adolescents that has an impact on psychological disorders to suicide, not only for the victim but also for the bully. Handling the impact of bullying so far has only focused on victims, attention should also be directed to bully, because bully is the main actor in the occurrence of bullying. Purpose: To analyze the relationship between self-esteem and peer group proximity with bully behavior among adolescents in Buleleng and Jembrana. Methods: Quantitative research with a cross-sectional approach, samples were taken from junior high school students in Buleleng and Jembrana Districts. The measuring instrument used a questionnaire to screen adolescents who tend to be bully, a self-esteem questionnaire, a peer group closeness questionnaire and a bully behavior questionnaire. The number of samples in this study were 78 people taken by stratified random sampling technique. Univariate analysis was carried out to determine the sociodemographic characteristics of the respondents, then the analysis of the relationship between self-esteem and bully behavior used Rank Spearman as well as the relationship between peer group proximity and bully behavior. Results: Self-esteem has a significant relationship with p <0.05, r = -0.867 with teenage bullying. Peer group closeness has a significant relationship with p <0.05, r = -0.556 with bully behavior. Conclusion: Self-esteem and peer group proximity are significantly associated with bullying behavior. The higher the level of self-esteem and peer group closeness, the lower the bullying's behavior.

Parental Readiness in Caring for Low Birth Weight: Pediatric Nursing Intervention

Background: low birth weight babies (LBW) weighing less than 2500 are babies at high risk because in general, they are smaller than normal birth weight babies and immature organ function. LBW requires special care to anticipate life-threatening emergency conditions. The care process for meeting the special needs of LBW requires the involvement of parents during the hospital and after discharge from the hospital. Nurses as educators have an important role in preparing parents to care for LBW after returning from the hospital. Purpose: This study aims to determine the effect of child nursing interventions through the education of LBW infant care with parents' readiness to care for LBW. Methods: This research is a quantitative study, using a quasi-experimental design with a pre-post-test with control. The population of this study was parents who had LBW babies in Kendal District Hospital with the sampling technique using accidental sampling, the total sample was 40 parents with LBW babies. The sample was classified into two groups, namely, 20 respondents as the intervention group and 20 respondents as the control group. Results: The results of this study indicate that there was a significant differences in parent readiness scores in caring for LBW between those who were given and not given education with a P value of 0.000, used an independent sample t-test and there was an effect of education on the readiness of parents in caring for LBW used the Chi-square test with a p value of 0.002. Conclusion: Providing education to parents with LBW is one of the implementations of pediatric nursing to prepare parents to care for LBW.