CREATION OF COMPASSION" - FAMILY EXPERIENCE IN CARING FOR PATIENT WITH MENTAL DISORDERS

Background: Caring for people with post-pasung (post seclusion and restraint of patient) mental disorders can provide special experience for families who act as caregivers. Objective: To explore family experiences in rehabilitating people with post-pasung mental disorders in Trenggalek Regency. Methods: This research is a qualitative research with an interpretive phenomenological approach. Data were obtained through in-depth interviews using semi-structured interview guidelines. Participants in this study were twelve in number who treated people with post-pasung mental disorders in Trenggalek Regency. Results: Analysis of data using IPA (Interpretative Phenomenological Analysis), found eight themes, namely having compassion for patients, having the responsibility of caring for patients, repaying the kindness of patients and others who have helped, having the hope that patients can recover, feel the need to supervise the independence of patients, realize the condition of mental patients, resigned to accept, thankful that the patient can improve and upset. Conclusion: Family is a determinant of the success of rehabilitation in people with post-pasung mental disorders. Family compassion and attention support the patient's recovery. The family hopes that the patient can recover and be independent in self-care, take medicine and work so that it does not depend on the family. This study produced eight themes and answered the research objectives.

LEVEL OF KNOWLEDGE AND ATTITUDE ON DEMENTIA CARE AMONG NURSES

Background: It is a concern in meeting patients’ needs with a high prevalence of dementia across the world. However, dementia care has always been neglected. Nurses are expected to be capable of being able to care for people with dementia. Purpose: This study aims to determine the level of knowledge and attitude on dementia care and their association among nurses at a private hospital. Methods: This is a quantitative cross-sectional study. A self-administered questionnaire using Dementia Knowledge Assessment Scale (DKAS) and Dementia Attitude Scale (DAS) were adopted in the study. In this study, a simple random sampling method was used to recruit 102 nurses. Results: Findings show that nurses have poor knowledge (M=23.59, SD=6.79) but with a positive attitude (M=98.99, SD=12.08) on dementia care. There is no association between level of knowledge and attitude in dementia care (p> .05) among nurses. Conclusions: The educators, policy makers and administrators in healthcare settings are recommended to provide a support system and training strategy for nurses to improve their knowledge in caring for patients with dementia. Future study may be considered to examine the influencing factors and barriers related to dementia care.

EFFECT OF EDUCATIONAL PROGRAM ON NURSES’ PERFORMANCE FOR CHILDREN WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA

Introduction: Idiopathic Thrombocytopenic Purpura is an autoimmune blood disorder associated with decrease platelets level less than normal, which may result in bleeding occurrence. The actual cause is unknown. It may be progressive if untreated, but may remit spontaneously for several years. The aim of this study was to evaluate the effect of health educational program on nurses’ performance for children with Idiopathic-Thrombocytopenic-Purpura. Methods: The study was Quasi- experimental research design used for 50 nurses working at Pediatric Hematology Unit of Tanta University Hospital and Pediatric Hematology Unit of Al- Mabra Tanta Hospital. Two Tools were used to collect required data: structured interview schedule to collect biosocial data of nurses and observational check list regarding nursing practice. Results: The present study-represented that, three quarter of nurses had poor-knowledge and all of them had unsatisfactory level of practice before the-educational-program-implementation. While immediately and after one month from the implementation of the program the total-scores-of-nurses' knowledge and practice improved. Conclusion: There was a-significant improvement in nursing knowledge and practice in relation to nursing care for children with Idiopathic-Thrombocytopenic-Purpura. Recommendations: In-service-training program should be conducted periodically for nurses' teaching the basic knowledge and clinical skills.

WILLINGNESS TO BE VACCINATED AGAINST COVID-19 AMONG HIGHER EDUCATION INSTITUTION

Background: The increasing COVID-19 cases worldwide ignite pharmaceutical companies’ effort to discover safe vaccines have been eyed globally. Informed perspectives across medical profession explaining beneficial effects of inoculation, however, various personal views persist which lead to confusion among general public. Objectives: To describe demographic characteristics among education institutions and their willingness to be vaccinated. Methods: Data were collected by google forms, in February 2021. The online form was then pre-tested on 10 respondents to refine questions prior to commencing the survey. Convenience sampling was administered for the selection of voluntary respondents. Data cleaning was done prior to the data analysis. Recoding of string variables and omittion of invalid responses were also done. Descriptive statistics was undertaken in a genuine licensed software of IBM SPSS Statistics version 26. Results: A total of 401 respondents answered the survey. More than half of the respondents are female constituting 62.1% of the sample, whereas males constitute 37.9%, mostly faculty members, single (63.1%), earning 20,000 (54.2%) per month. More than half of the respondents are willing to get vaccinated against COVID-19 (54.6%) and have no preference for a specific type of COVID-19 vaccine (54.9%). Around 30.4% are still unsure if they should get vaccinated or not and 15% have indicated negatively. Comparing both sexes, a larger frequency of males is willing to get vaccinated constituting 69.1% and females (45.8%). Conclusion: Males showed more willingness to be inoculated regardless of COVID-19 vaccine types. Education and continuous campaign on the importance of vaccination program is a must to increase success rate to end the health crisis.

EFFECT OF LEG EXERCISE ON THE ANKLE BRACHIAL INDEX (ABI) OF TYPE 2 DIABETES MELLITUS PATIENTS IN REJANG LEBONG REGIONAL HOSPITAL

Introduction: Peripheral arterial disease often occurs in patients with type 2 diabetes mellitus. Peripheral arterial disease in patients with type 2 diabetes mellitus occurs due to decreased blood circulation in the lower extremities. Looking at the value of the ankle-brachial index is one of the actions that can be taken to detect peripheral arterial disease. Objective: The purpose of this study was to determine the effect of a foot exercise intervention on the ankle-brachial index value of type 2 diabetes mellitus patients. Methods: This research was a quantitative research with a pre-experimental design, with one pre-test and post-test design. The research was carried out at Rejang Lebong Hospital from August to November 2020. The number of samples used in this study were 35 patients experiencing type 2 diabetes mellitus for more than five years. The analysis used in this study was the Wilcoxon test. Results: The results showed a difference in the mean of the ankle-brachial index before (1.02) and after (1.12) the intervention. Thus, there was an increase of 0.10 in the average value of the ankle-brachial index. The analysis result of this study showed the value of p = 0.001 (p<0.05). Conclusion: Foot exercise can be used as an alternative intervention to increase the value of the ankle-brachial index in patients with type 2 diabetes mellitus.

CARING BEHAVIORS AND QUALITY OF CARE RENDERED BY COMMUNITY HEALTH NURSES IN PHILIPPINES

Introduction: Nursing has been referred as a “caring profession” that requires the practitioner to exhibit and convey the art of caring which has also been the mind setting inculcated among nursing professionals in the community health setting. Hence, the study aimed to determine the caring behaviors and the quality of nursing care rendered by community health nurses. Methods: The study applied a quantitative correlational-predictive research design. A purposive sampling was employed to identify the 100 respondents who were nurses assigned in the different community healthcare facilities and centers of the different barangays in the Municipality of Biliran, Philippines. The self-administered questionnaires were distributed among the respondents. To analyze the data, descriptive statistics such as mean and weighted mean were used. Likewise, the regression analysis was also used to determine which of the caring factors predicts the quality of care. Results: The seven caring behaviors were highly evident among the community health nurses and a good quality of nursing care was reported. Likewise, all the seven caring behavior predicts the quality of nursing care. Conclusion: The outcome was found to be positive for the overall standard of treatment. The research concluded that the overall level of treatment revealed is predicted by caring behaviors.

TRANSLATING HAND HYGIENE PRACTICE INTO COMPLIANCE DURING ASEPTIC WOUND DRESSING

INTRODUCTION: Over the past decade, we have witnessed some amazing innovations in the field of aseptic wound dressing. However, hygiene compliance during this common procedure still remains poorly observed. BACKGROUND: In the late 1800s, Florence Nightingale, revolutionised the practice by implementing the principle of hand washing and other hygienic practice during the Crimean War. Growing burden of healthcare-associated infection have yielded enough scientific evidence to support the claim that hand hygiene alone is capable of substantially reducing the risk of cross-transmission. AIMS: This study explores factors associated with hand hygiene compliance during aseptic wound dressing among healthcare workers. METHOD: This is a cross-sectional survey conducted among various public healthcare workers in the state of Johor (Malaysia). Descriptive and inferential statistics were computed to analyse the data. RESULT: A total of 451 HCWs have volunteer and out of which majority work as a Registered Nurse (n=262, 58%), compared to other health worker (n=189, 42%). Almost all of HCW (n=446, 99%) feel wound dressing took long time to finish regardless of experience. DISCUSSION: We found that using the standardised forms as the assisting method significantly improved hand hygiene compliance during aseptic wound dressing regardless of working experience. CONCLUSION: Although nurses are predominantly responsible for handling wound care, but various factors are almost similar which can improve adherence to hand hygiene standards, and experience can be gained along the way.

DEPRESSION AND QUALITY OF LIFE AMONG LEUKEMIA PATIENTS AT TEACHING HOSPITAL IN KELANTAN, MALAYSIA

Leukemia is cancer that begins to develop in blood cells, producing abnormal cells. Depression is the most common symptom encountered by leukemia patients. Depression experienced by leukemia patients is not the same as that experienced by normal people daily, and it affects different aspects of quality of life (QOL). Aim: This study is designed to determine the level of depression and quality of life among leukemia patients at a teaching university in Kelantan, Malaysia. Methodology: A descriptive cross-sectional design was conducted among leukemia patients at a teaching hospital in Kelantan, Malaysia, using self-administered questionnaires. A total of 40 patients was selected using a random sampling technique. Results: Most of the participants in this study had a higher level of depression (87.5%). However, the overalls level of quality of life in this study was good with the highest mean of domain scales. Conclusion and Recommendations: The study results can be used as baseline information to determine the level of depression and level of quality of life among leukemia patients in Malaysia health care settings. Nurses play an essential role in helping leukemia patients manage their depression not to affect their quality of life.

DETERMINANTS OF FAMILY PLANNING AMONG MYANMAR WOMEN: SYSTEMATIC REVIEW

Background: Family planning is achieved by using contraceptive methods and the treatment of involuntary infertility. In Myanmar, although the contraceptive prevalence rate is increasing, it still needs to reach 60% in family planning 2020 commitment. This review is aimed to explore the determinants that can improve or inhibit contraceptive usage among Myanmar women. Methods: 88 articles are found through searching in PubMed, Scopus, EBSCO and ProQuest. Nine articles which meet inclusion and exclusion criteria are selected. Results: Four main themes emerged. These are socio-demographic factors (age, level of education, marital duration, number of living children, religion, occupation, income), cognitive factors (knowledge), affective factors (attitude and motivation including support from health care providers, family, friend as well as husband and health education) and availability of service (distance form health care place, service available for 24 hours, cost). Conclusion: The findings will be supported to information about the needs and gaps in implementing family planning. It is recommended that knowledge on determinants of family planning is helpful to improve family planning program in both urban and rural communities.

CORRELATION OF KNOWLEDGE AND ATTITUDE ON VULVA HYGIENE PRACTICE AMONG STUDENTS OF SMPN 21 SURABAYA

Objective The aim of study was to determine the correlation of knowledge level and attitudes regarding vulva hygiene practicing of grade VIII students in SMPN 21 Surabaya. Methods Design of this study is a cross sectional observational analysis using cluster sampling technique with sample of 138 students. Variables of study were knowledge level, attitudes and practice of vulva hygiene. Data were analyzed using spearman rho test. In this study data were collected by questionnaire sheet. Results The results indicate that most of the students have a sufficient level of knowledge, positive attitudes and positive behavior. The results of the Spearman Rho analysis showed that there was no correlation knowledge level and vulva hygiene practice (? = 0.583) and there was a correlation attitude and vulva hygiene prsctice (? = 0.000). Conclusion Providing information by schools through audiovisuals about reproduction organs so that students are more interested in listening to information. Students should further increase their awareness regarding reproductive organs, especially in maintaining cleanliness to prevent bad effects such as fungal infection and cancer.