Nurse and Health: Jurnal Keperawatan
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Published By Akademi Keperawatan Kerta Cendekia

2623-2448, 2088-9909

2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Ratih Ayuningtyas Pocerattu ◽  
Anggorowati ◽  
Chandra Bagus

Background: Assessment of the needs of palliative care is the first step to know about the picture quality of life and determine interventions to solve problems experienced by patients with chronic conditions and terminal. One of the instruments that can be used is the PROBLEMS AND NEEDS IN PALLIATIVE CARE INSTRUMENT - SHORT VERSION (PNPC-sv). Instrument PNPC-sv examines the 8 dimensions of activity and excersice, physical symptoms, autonomy, psychological, spiritual, financial, and information needs. Methods: This research uses qualitative method with case study approach. Data collection was conducted by means of questionnaires filled in the assessment of the needs of palliative care (PNPC-SV),  then performed in-depth interviews in accordance with the results of the assessment and observation on the 6 participants in the space of oncology in one of hospital in Semarang. Result: The theme results of this research are: (1) Self-acceptance as well as support to the family of the condition of the patient, (2) Influence the patient's psychological to the social environment, (3) the right education to improve the quality of life and (4) The basic components assessment  of the needs palliative care should be assessed by the nurse. Conclusion: The assessment which done in a holistic manner can help the nurse to provide nursing care in accordance with the needs of the patient to face the condition of the disease. The needs of the patient in physical, psychological, social and spiritual is very necessary to maintain the balance of her consistency and integrity in the ability to remain accepted, loved and appreciated by others. Keywords: The need for palliative care, PNPC-SV, cancer patients.


2021 ◽  
Vol 10 (2) ◽  
pp. 358-369
Author(s):  
Suhendra Agung Wibowo ◽  
Muhammad Amin ◽  
Laily Hidayati

Background: Tuberculosis can cause psychological disorders in a person. Spiritual approaches can be used to improve coping strategies to suppress stress symptoms that arise. Objective: The purpose of this study is to describe the psychospiritual conditions, stress and coping strategies that occur in patients with tuberculosis. Design: The research design uses systematic review based on PRISMA checklist. Data Sources: Using three databases; Scopus, Science Direct and EBSCO. The search was conducted from January to March 2021. The keyword “tuberculosis” OR “pulmonary TB’ OR “psychology” OR “spiritual” OR “stress” OR “coping strategy” was used in this systematic review with journal articles, 2016-2021 publication years and English as searching limitation. Review Methods: JBI Critical Appraisal Tool used to assess the quality of the articles and PRISMA checklist used as a guideline to filter articles. Results: 10 articles were obtained according to the inclusion criteria. The results of the analysis showed 7 articles using a cross sectional design, 2 quasi-experimental, and 1 qualitative study. The number of samples with a cross-sectional design ranged from 45 to 1,342, while articles with a quasi-experimental, qualitative and comparative study design had 32, 15 and 78 patients with pulmonary TB as respondents. Almost all of the psychological conditions in pulmonary TB patients experience stress and coping disorders. The results of the analysis show that spirituality can be used to improve the coping strategies used so as to suppress the stress symptoms that arise. Conclusion: Psychospiritual strategies can be used as a way to improve the coping of TB sufferers and reduce the stress they experience.


2021 ◽  
Vol 10 (2) ◽  
pp. 350-357
Author(s):  
Verawati Parmah ◽  
Wardihan Sinrang ◽  
Suryani As’ad ◽  
Muh. Nasrum Massi ◽  
Mardiana Ahmad ◽  
...  

Background: In pregnancy and nursing, zinc plays an important role, including fetal development and milk secretion. Zinc in the lactation process is a crucial modulator of the mammary gland, which is very important for successful lactation.  Objectives: The purpose of this study was to analyze the total of Lactobacillus Bifidus using Quantitative RT-PCR in the feces of breastfed infants from mothers who were given zinc tablets. Methods: This type of research was experimental using a quasi-experimental post-test only with a control design and a quantitative approach. This research was carried out at Antang Perumnas Public Health Center, Kassi-Kassi Health Center, Jumpanang Baru Health Center and Bara-Barayya Health center from March 22 to June 22, 2021. The Population in this study were all newborns from mother with normal zinc levels in 2021 in the Makassar City Health Center area as many as 62 people. The sampling technique used purposive sampling, about 12 samples per group. To avoid dropout and increase power, the sample was then added with an estimated drop out of about 30%, 12 + (30% x 12) = 15.6, rounded up to 16. Each group consisted of 16 samples for breastfed infants from mothers who obtained zinc tablets (intervention) and 16 samples for breastfed infants from mothers who did not obtain zinc tablets (control). This study uses an Independent Sample Test. Results: This study showed that the group of breastfed infants from mothers obtaining zinc tablets had a higher mean value of 2947625215.62 compared to the control group of 162374516.97. There was a difference in the number of Lactobacillus in the intervention group after being treated with a statistically significant difference in the mean of –2785250698.65 by the Independent sample test analysis, the value of p = 0.009 (α < 0.05), which means there was a significant difference between the intervention groups and control group. Conclusion: The highest number of Lactobacillus was the intervention group which indicated a difference of Lactobacillus in the feces of breastfed infants from mothers who obtained zinc tablets.


2021 ◽  
Vol 10 (2) ◽  
pp. 343-349
Author(s):  
Ninik Ambar Sari ◽  
Ceria Nurhayati

Background: Diabetes Mellitus (DM) is a metabolic disease characterized by high blood glucose levels as a result of insufficient insulin secretion, impaired insulin activity or both. Patients with diabetes mellitus are at risk for complications that can affect their quality of life. These complications can be minimized through self-management.  Objectives: The aim of this study was to determine the relationship between self-management and quality of life in type 2 DM patients. Design: This study was a quantitative research. The design in this study was a cross-sectional analytic with a sample of 75 people who were carried out at the endocrine polyclinic RS Pusat TNI Angkatan Laut (RSPAL) DR. Ramelan Surabaya. Research instrument used the Diabetes Self-Management Questionnaire (DSMQ) developed by Schmitt et al (2013) to determine the self-management of type 2 DM patients and to measure the quality of life using the Diabetes Quality of Life Brief (DQoL Brief) instrument developed by Burrough et al (2008). The sample siza with simple random sampling method, and data analysis using spearman rank test. Results: The results showed that there was a significant relationship between self-management and quality of life in type 2 DM patients (p-value = .000, r = .394). Conclusion: There is a significant positive relationship between the level of self-management and quality of life in type 2 DM patients. From the results of the Spearman test correlation coefficient, there is a positive sign. This means that the higher the patient's self-management, it will also improve the quality of their life. The implication of this study are nurses can increase patient knowledge by providing education that focuses on improving self-management and facilitating the provision of family support as well as supervision and monitoring related to self-management by type 2 DM patients.


2021 ◽  
Vol 10 (2) ◽  
pp. 337-342
Author(s):  
Agus Wantoro ◽  
Agus Sulistyowati

Background: Anxiety in children who will undergo circumcision is recognized as part of the trauma experienced by children due to actions that are considered dangerous for themselves. Excessive anxiety in pre circumcision can be prevented through one of the techniques of deep breathing relaxation.  Objectives: The purpose of this study was to determine the effect of relaxation techniques on anxiety in patients with pre-circumcision surgery at the Circumcised House Sarirogo, Sidoarjo. Design: The population target was all of the patient for the circumcision in the Circumcised House of Sarirogo, Sidoarjo as many as 28 respondents. The technique sampling in this study used Consecutive Sampling technique. The sample size obtained 22 respondents. The independent variable in this study is relaxation techniques and the dependent variable is the anxiety of pre-circumcision patients. Data were taken using a questionnaire about anxiety given to respondents before and after relaxation techniques were carried out on 1–15 September 2020. This study used Wilcoxon Statistic Test and this research design used a pre-experimental one group pretest-posttest design. Results: The results showed as many as 7 respondents (31.8%) experienced severe anxiety levels before the relaxation technique was applied, while after being given relaxation techniques, the respondent's anxiety level decreased to 3 respondents (13.6%o). Based on statistical analysis result, it found that relaxation technique affects to the level of anxiety positively (p-value = .000). Conclusion: Relaxation techniques in nursing interventions are to divert or distance the client's attention to something that is being faced. While the benefits of this technique, that is, so that someone who receives this technique feels more comfortable, relaxed, and feels in a pleasant position.


2021 ◽  
Vol 10 (2) ◽  
pp. 321-329
Author(s):  
Andi Syamsul Bachri Jamal ◽  
Desak Nyoman Suartini ◽  
Anas Budi

Background: In emergency care, the most important thing to note is the speed of nurses in responding or acting on the first patient who enters the emergency room. This speed is often referred to as response time. Nurse response time is always a measure of the service quality of a hospital or health center. Response times depend on the speed available as well as the quality of assistance to save lives/prevent disability. Objectives: The study aimed to determine the factors related to the response time of nurses in the handling of emergency patients at Lagaligo I Hospital, East Luwu. Methods: Carrying out the research is from June to August 2020. Analytical survey design with a cross-sectional approach. The research subjects were 24 nurses. measuring tools, namely questionnaires. analysis used bivariate analysis used the Chi-Square Test. Results: This shows that there is a relationship between education and response time with a value of p-value = .013, knowledge and response time with a value of p-value = .001, the length of work and response time with a value of p-value = .000, and training and response time with p-value = .006. Conclusion: The education level of health workers is getting higher. Of course, knowledge and experience also increase, on average they are in their work longer so they are more productive and nurses have attended several pieces of training to improve their competencies.


2021 ◽  
Vol 10 (2) ◽  
pp. 330-336
Author(s):  
Ayu Afriani Panyuwa ◽  
Luky Dwiantoro

Background: World Health Organization (WHO) has established a Directly Observed Treatment Short-Course (DOTS) strategy. Carrying out the DOTS strategy, the public health center is running the TB Prevention and Treatment program, in Indonesia it is called prevention and countermeasures of tuberculosis (P2TB) but in reality, the P2TB program has not been effectively implemented. Health workers who play an important role in carrying out their roles and duties in society are nurses. One of the efforts to improve the performance of nurses in TB treatment is the application of transformational leadership. The purpose of this literature review is to examine the results of the past 10 years of research related to the influence of transformational leadership on nurse performance in tuberculosis treatment. Design: This study design is a literature review to search and review article from database and theory underlying this study or guidance in this literature review using Preferred Reporting Items for Systematic Reviews and PRISMA. Data Sources: The data base used in the article searches used include: Science Direct, PubMed, Google scholar, EBSCO using the keywords transformational leadership, nurse performance, tuberculosis treatment. The articles used are those between the years 2009-2019. Review Methods: The review method for this literature review using a narrative method by classifying the similar extracted data according to the research findings. Results: The main component of transformational leadership to improve The performance of nurses to play a more optimal role in an effective and efficient TB treatment effort is an idealized influence, which is that nurses have charismatic, in the fact that nurses in providing nursing care in the community must provide good paragons and become role models in the field of good health to individuals, families, groups and communities about how to live clean and healthy as behavior that can be imitated by the community, inspirational motivation for nurses as health teacher educators or health counselling which is a part of health promotion, the nurse's intellectual stimulation empowers communities to solve health problems in the community through small group discussions, and individual consideration, in this case the nurse's duty is as an advice provider and counseling is highly important and beneficial for the community. In order to achieve the fulfillment of the roles and responsibilities of nurses, there must be inner motivation among nurses in order that they can provide decent motivation to the community. Conclusion: Transformational leadership can be applied to improve the performance of nurses in TB treatment efforts.


2021 ◽  
Vol 10 (2) ◽  
pp. 313-320
Author(s):  
Desak Nyoman Suartini ◽  
Andi Syamsul Bachri Jamal ◽  
Anas Budi

Background: Hospital Minimum Service Standards (SPM) are provisions for hospitals issued by the Minister of Health of the Republic of Indonesia in the context of government efforts to ensure the quality of hospital services. This Minimum Service Standard can be used as a guideline for the quality of service for every hospital in Indonesia. The Minimum Service Standard (SPM) is a quality guideline issued by the Minister of Health regarding the minimum service that must be provided by the hospital, where each hospital is required to assess and provide services in accordance with the Minimum Service Standards (SPM). Objectives: A study to analyze the implementation of minimum service standards in the Emergency Department (IGD) Regional General Hospital (RSUD) I Lagaligo, East Luwu. Methods: The research used in this research is descriptive analytic with a cross-sectional approach, in which all observed variables are measured simultaneously when the research is taking place. This research was conducted in the Emergency Room Installation Room (IGD) Regional General Hospital (RSUD) I Lagaligo East Luwu. Sample selection with total sampling technique. The research subjects were 33 respondents in the IGD Lagaligo Wotu East Luwu Regional Hospital. Results: Infrastructure and human resources with minimum service standards. The results showed that the results of the bivariate analysis used the Chi-Square Test. It shows that there is a relationship between infrastructure and minimum service standards with a value of p = 0.008, there is a relationship between human resources and minimum service standards with a value of p = 0.000. Conclusion: There are infrastructure facilities that can be used directly by health workers for the benefit of patients in the form of tools, materials, comfortable rooms and others. The human resources in the emergency department of Lagaligo Wotu Hospital are of good quality.


2021 ◽  
Vol 10 (2) ◽  
pp. 304-312
Author(s):  
Nurfadillah S ◽  
Wardihan Sinrang ◽  
Suryani As'ad ◽  
Muh. Nasrum Massi ◽  
Mardiana Ahmad ◽  
...  

Background: According to 2018 World Health Organization (WHO) data globally, an estimated 17.3% of the population has inadequate zinc intake, with estimates ranging from 5.7% in Oceania to 7.6% in Europe, 9.6% in America and the Caribbean, highest in Africa (23.9%) and Asia (19.6%). Zinc is important for the function of a number of enzymes and growth hormones during pregnancy. In pregnant women, the relative zinc concentration decreases up to 35% due to the influence of hormonal changes and the transport of nutrients from mother to baby. Objectives: The purpose of this study was to identify the effect of giving zinc tablets to pregnant women with zinc deficiency in the third trimester on body weight and length of babies born at the Makassar City Health Center. Methods: This type of research is True Experimental with a pretest-posttest design with a control group. The sample in this study was 62 samples of third trimester pregnant women, and the sampling technique used was purposive sampling. Measurement of zinc levels in third trimester pregnant women using the Elisa reader kit at the Research Laboratory of the Hasanuddin University Teaching Hospital. The research instruments were in the form of a research explanation sheet, respondent's consent sheet, respondent's checklist sheet, and the mother's zinc tablet consumption control sheet for 14 days. Results: Judging from the average value of newborns in pregnant women who did not have zinc deficiency, the average value of birth weight in pregnant women with zinc deficiency was 15.70 g/dL and 18.95 g/dL. zinc deficiency with a value (p < 0.05), while pregnant women with zinc deficiency have an average birth length of 10.00 g/dL and mothers who do not have a deficiency of 19.87 g/dL with a value (p < 0.05). So, it can be concluded that giving zinc tablets to pregnant women in the third trimester has an effect on Birth Weight (BBL) and Birth Length (PBL). Conclusion: Giving zinc tablets has an effect on increasing zinc levels in third trimester zinc deficiency pregnant women and increasing birth weight and length of the baby.  


2021 ◽  
Vol 10 (2) ◽  
pp. 292-303
Author(s):  
Bagas Biyanzah Drajad Pamukhti ◽  
Meira Erawati ◽  
Muflihatul Muniroh ◽  
Nur Setiawati Dewi

Background: Fear of contracting HIV in the community causes discrimination and stigma to people living with HIV/AIDS (PLWHA) because people still consider HIV/AIDS taboo. Many of the sufferers struggle to reveal their HIV status to others, but they get negative results such as rejection, stigmatization and even discrimination which can be a high psychological burden. Stigma and discrimination against PLWHA are the main obstacles to achieving a good quality of life. Objectives: This study is intended to explore the in-depth experiences of people living with HIV/AIDS in surviving life. Methods: This research is a phenomenological case study. The sample in this study amounted to three people who were recruited from Healthy Loving Care Foundation Semarang City. The sample was determined using a purposive sampling technique according to the inclusion criteria, that is age 20 and 50 years, diagnosed with HIV/AIDS, conscious, cooperative, not experiencing cognitive, hearing and speech disorders, willing to participate in the study by signing the informed consent.  The data was collected by in-depth online interviews and then recorded in transcripts and analyzed using Amedeo Giorgi's data analysis technique. Results: This study showed that participants experience adversity due to HIV/AIDS but the participants get out of their slump by accepting their illness, taking treatment, finding a support system and becoming a positive people. The participants also in living their lives keep their illness a secret to survive so as not to experience bad stigma or discrimination. The results of this study reveal one main theme, Experiences of People living with HIV in Surviving life. Conclusion: This study found the support received by participants and the response of participants to their condition as an effort to survive their lives.


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