How to Improve Quality of Life of Adolescents with Menstrual Problems?

Background: Menstruation is the normal cycle experienced by all women’s body goes through ech month, however it’s causes unstable emotions, irritable, crying, aggressive, provoking, pain, bleeding a lot of bleeding in a long duration. These disorders are often referred to as Premenstrual Syndrome (PMS) or Prementruation Dysphoric Disorder (PMDD). These menstrual disorders can cause a decrease in the quality of life among teenage.Objective: This systematic review aimed to describe the findings from studies about the interventions to enhance quality of life of adolescents with menstrual problems. Method: The review process was conducted using electronic databases: PubMed, Proquest, Google scholar and EBSCO. The keywords used were Quality of life, Menstruation problems, Menstruation periods, Teenage, and Urban. The inclusion criteria of articles were taken from 2015 to 2018 while the exclusion criteria were articles that were non-English. The review identified a total of 12 articles. However, according to the inclusion and exclusion criteria, 5 articles were obtained. The method used was experimental and cross sectional study. In addition, the analysis was used content analysis process. Result: Menstrual problems can be minimized by doing various physical exercises continuously and intensively, the factors of age and counseling from the closest person greatly determines the quality of life in adolescents with menstrual problems. In addition, providing TENS therapy and drug therapy among adolescent can help to improve the quality of life in adolescents with menstrual problems. Conclusions and Recommendations: Menstrual problems can be reduced in various ways, include physical, pharmacological and non-pharmacological aspect so that the quality of life of adolescents can be maintained and can even be improved. The further research is needed to determine the prevalence of risk factors and techniques to overcome menstrual problems so it will improve the quality of life.

Health Technologies for Detecting High Risk Conditions in Pregnancy: A Systematic Review

In this technological era, various health technology including media, instruments and tools are created in area maternal and babies’ health. However, comprehensive information about these technology products are limited. This literature review aimed to find health technology in area maternal and baby especially in detecting high risk conditions in pregnancy. Method, this is a systematic review, the articles were searched from two databases including PubMed and CINAHL using several keywords. The keywords were high risk, pregnant women and technology OR instrument OR tools. Inclusion criteria are primary research, English language, and publications in the last 5 years. After the critical appraisal, a total of 16 articles included in the analysis. Result: The literature related of technology divided into two criteria which are the questionnaire development and health tools or devices. None of technology came from Indonesia. The entire technology showed effectiveness in detecting risks, and interventions to improve prenatal care. The target user for health tools mostly health professionals. Conclusion: various health technologies in area maternal in baby health are identified, however the majority of them provided from health professionals. Technology development is needed specifically, in the form of simple and practical tools or devices to assess foetal health with target user is pregnant women with high risk pregnancy.

PERSEPSI PERAWAT INSTALASI GAWAT DARURAT TERKAIT HAMBATAN DAN PERILAKU SUPORTIF DALAM PELAKSANAAN PERAWATAN END OF LIFE

The high mortality rate in Emergency Department (ED) is consistent with the high demand for end of life (EOL) care. However, ED work system required to life saving quickly and precisely often makes EOL care is not working optimally.The purpose of this study was to determine nurses’perceptions in emergency departments related to obstacles and supportive behaviors (SB) in providing EOL care to dying patients. Descriptive-quantitative method was used with cross-sectional approach in 50 nurses Emergency Department at one of the tertiary hospitals in Indonesia. The samples were chosen using the total sampling technique. Data collection used the emergency nurse perceptions of end of life care questionnaire. Data were analyzed using univariate analysis in the form of distribution, frequency, and mean. The result of the study showed that the main obstacles in EOL care were: ED nurses’ work loads (10.626), intra-family disagreements (9,802), and dealing with angry family members (9.472). The three main perceptions in supportive behaviors were teaching families how to act (11.962), allowing family members adequate time with the patient after patient died (11.09), and good collaboration from paramedics personnel (10.886. It can be conclude that nurses facing obstacles in taking care end-of-life patients. Based on this research, further studies are needed to minimize obstacles and improve supportive behaviors related to the nurse's workload, the provision of spiritual teams, special training for nurse and the provision of special rooms for EOL patients and their families.

GAMBARAN BEBAN KERJA MENTAL PADA DOSEN FAKULTAS X UNIVERSITAS X

Lecturers are responsible for implementing the three main responsibilities in university (Tridharma Perguruan Tinggi) with 12 credits to 16 credits each semester. However, many lecturers feel that the workload is very excessive. The purpose of this study was to describe the mental workload of lecturers at the Faculty of X Padjadjaran University. The method of this research was quantitative descriptive by using a total sampling technique involving 43 lecturers. Data collection used NASA-TLX instruments. Data were analysed using descriptive statistics. The results of the study showed that overall the mental workload of the Faculty of X Padjadjaran University lecturers was included in the high category both in education and teaching assignments (74.4%), research assignments (76.7%), and community service assignments (74.4%). ) Effort dimensions have the highest mean value that is equal to 51.8, while the dimensions that have the lowest mean are Perfomance dimension, namely 9.4, where the greater the mean dimension shows the large contribution in the mental workload felt by the lecturer. The conclusions, this study show that most lecturers have a high mental workload. It is suggested that the lecturers need to have balance numbers of tasks according to their abilities, balance the time working with recreation, and meet the needs of rest. The results of this study need to be followed up by examining methods or efforts that can reduce the lecturers' mental workload.

Beban Kerja Mental Perawat Ruang Kritis dan IGD di RSUD Kota Bandung

Nurses who work in intensive care unit and emergency rooms have excessive workload, and they are required to carry out nursing interventions appropriately and quickly. The heavy workload has an impact on the nurse's mentality, however limited information about the nurse's mentality related to workload. The aim of the study was to identify the mental workload of nurses in intensive care and emergency rooms. Method, this research is quantitative descriptive study with total sampling technique, 63 nurses who worked in ICU, PICU / NICU, and IGD of RSUD Kota Bandung involved in this study. The research instrument was NASA-TLX (National Aeronautics and Space Administration-Task Load Index). Data were analyed using descriptive analysis in the form of frequency distribution and mean. The results showed that nurses in the emergency room (42.9%) had high mental workload, and the moderate mental workload identified in nurses who works the PICU / NICU and ICU rooms. Conclusion, critical care rooms and emergency room should consider nurses’ working balance and fulfill their rest needs. Further research is needed to examine the efforts that can be made to reduce nurses' mental workload.

HAMBATAN PERAWAT DALAM PELAKSANAAN STANDARD PRECAUTIONS DI INSTALASI GAWAT DARURAT RSUD SUMEDANG

Standard precautions is an action to prevent infection in any cases of medical treatment toward patients. However, some studies have shown that the implementation of standard precautions has not been optimal due to the barriers perceived by nurses. This study aimed to identify the barriers perceived by nurses in the implementation of standard precautions. Descriptive-quantitative method was used with cross-sectional approach in 37 nurses in General Hospital Emergency Department by using total sampling technique. The data were collected by using questionnaires consisting of 48 statements, including five action of standard precautions (hand hygiene, use of PPEs, safe injection, environmental disinfection, and respiratory hygiene practices/ethics of cough and sneezing) and have been through the content and face validity test. The data were analyzed by using frequency distribution and presented in percentage. The results showed that there were some barriers perceived by nurses on standard precautions action. The most perceived barriers are limited PPEs equipment (45.9%), equipment that irritates the skin on hand hygiene (37.8%), increased number of patients in environmental disinfection (32.4%), limited support and supervision in the implementations of standard precautions for safe injection (16.2%), and equipment limitations on respiratory hygiene practices/ethics of cough and sneezing (10.8%). Based on this research, the hospital should strengthen the function properly and regularly to overcome some equipment, seek hand hygiene equipment containing emollient/moisturizers and alcohol type hand rub n-propanol to overcome skin irritation, and pay attention to the study of the ratio of nurses and patients to safe working practices. In addition, the hospital should create a practice program, socialize rewards or penalties to improve it in standard precautions.