Indonesia Conference Directory

Corresponding Author
Lutfatul Latifah

Institutions
Universitas Jenderal Soedirman

Abstract
Autogenic relaxation is known as therapy to treat psychological problems. Many studies have proven the effectiveness of this therapy to overcome physiological as well as psychological problems, including the perinatal period. The aim of this review was to identify autogenic relaxation therapy to overcome perinatal problems. The systematic scoping review method used in this review. The databases were several Indonesian electronic databases; Google scholar and Sinta. The keywords were bilinguals: Indonesia and English. The inclusion criteria of studies were focused on therapy for perinatal problems, research design included true and quasi-experimental, published from 2009 to 2019, full text. Results found that autogenic relaxation therapy in the perinatal period was used to treat post SC pain, anxiety in primigravida pregnant women, anxiety before labor, success of breastfeeding at the beginning of the postpartum period, blood pressure during pregnancy. Health workers need to consider using autogenic relaxation therapy to overcome problems in perinatal patients.

Keywords
anxiety, mood state, pain, relaxation

Topic
Nursing

Link: https://ifory.id/abstract/R7nC8wFf46BQ

Corresponding Author
Nur Laila

Institutions
STIKES Muhammadiyah Gombong
Jl Yos Soedarso No.461 Gombong Kebumen Jawa Tengah 54412
ners_ela[at]yahoo.co.id

Abstract
Background: a baby at 6 months is a critical phase in starting to eat. The nutritional adequacy of the baby is strongly influenced by the correct feeding pattern. Breast Milk Complement is the initial food which is given to babies as a breast milk complement which is useful for supporting nutritional needs as well as supporting infant growth and development. Parents have a very important role in providing healthy breast milk complement, the behavior of giving breast milk complement which is good is influenced by the level of mothers knowledge about breast milk complement. Good consumption of breast milk complement supports prevention of stunting in infants. Purpose: Describe the behavior of giving breast milk complement in infants age of 6-12 months. Methods : This research used descriptive method. The sample in this study were 225 mothers who had babies age of 6-12 months who lived in Buayan District, Kebumen. This sample is taken by random sampling technique. The instruments used in this study were questionnaires on knowledge about giving breast milk complement, questionnaires and observation sheets for the behavior of giving breast milk complement. Results: The result of the study showed that the majority of mothers age of 21-30 years old (65.3%), while for the age of infants at most 11 months (16.9%). The majority of education is Senior High School about 99 respondents (44%), and 219 as housewives (97.3%). A total of 199 mothers have sufficient knowledge (88.4%) and 135 mothers have enough behavior of giving breast milk complement (60.0%). Conclusions: most of mothers have enough knowledge as many as 199 people (88.4%) and most mothers have the behavior of giving breast milk complement with enough categories as many as 135 people (60.0%).

Keywords
knowledge, behavior, mother, breast milk complement

Topic
Nursing

Link: https://ifory.id/abstract/ph4vLuNX36VP

Corresponding Author
INDERA AINI

Institutions
1) Magister Student at Adult Nursing Department Faculty of Medicine, Department of Nursing Universitas Diponegoro
2) Emergency and Critical Care Nursing Division of Adult Nursing Department, Faculty of Medicine, Department of Nursing Universitas Diponegoro
3) Community Nursing Division of Adult Management Faculty of Medicine, Department of Nursing Universitas Diponegoro

Abstract
Abstract Background : Dying dignity is part of the purpose of the nursing care process given to the elderly. Dying dignity is the last goal for geriatric patient in their end of life. There are many intervention to deliver geriatric patient for dying dignity. Management of end-of-life critical patients still needs development in order to achieve the ultimate goal of dying dignity end-life critical for geriatric patients. Aim: The purpose of this study was to explore the experience of nurses and families in dealing with geriatric patients who are critically dying towards dying dignity Method :. This type of research is qualitative study. Data collection uses the method of in-depth interviews with a semi-structured interview guide, involving 10 respondents. This research resulted in 3 themes including: the availability of policies that facilitate service; adequate nurse competency and families who want to play a role and actively participate in service delivery by being with patients. Conclusion : The final conclusion is management of dying critical patients requires cooperation from all part of care. It starts from a supportive system, caring and committed nurses do according to the system instructions, as well as positive family acceptance of the services provided.

Keywords
dying dignity, management care, critical geriatric patients

Topic
Nursing

Link: https://ifory.id/abstract/Da3kpnLjV9cR

Corresponding Author
Deborah Siregar

Institutions
a) Students Faculty of Nursing Universitas Pelita Harapan

b) Lecturer Faculty of Nursing Universitas Pelita Harapan

Abstract
Background: Medication error is one of the problems that threaten patients safety in hospital. Medication errors can occur in some phases, one of them in the administrative phase. Errors that occur when administering medication to patients will have a detrimental effect and endanger the patient whether it causes even minor injury or severe injury. The way to overcome this medication error is by knowing the factors causing medication error in the hospital. Purpose: The purpose of this study was to analyze the factors causing medication errors in administration phase in X Hospital Methods: The design of the study was a cross sectional study. The total sample for this study was 40 nurses. Statistical analyses were conducted using chi square. Results: The results showed that the age and education level were not significant with medication error in X Hospital. Length of work has p value = 0 so it is concluded that length of work has a relationship with medication error in X hospital Conclusion: There is a correlation between length of work with medication error in X hospital. This study recommends to improve the standard of service in hospitals to preventing medication errors in hospital.

Keywords
Administrative phase, nurse, medication error

Topic
Nursing

Link: https://ifory.id/abstract/4EWfz6FDdcje

Corresponding Author
Violin Irene Ninef

Institutions
1 Master Student of Nursing Management in Nursing Department, Faculty of Medicine,Diponegoro University, Semarang
2 Lecturer of Nursing Department, Faculty of Medicine, Diponegoro University, Semarang
3 Lecturer of Nursing Department, Faculty of Medicine, Diponegoro University, Semarang

Abstract
Background: Jobs related to the nursing profession will always be stressful, traumatic or difficult because of the difficulties inherent in nursing work. Some researchers have documented resilience among nurses and have conceptualized nurses as resilient populations of health services, but there is still a dearth of qualitative studies that hear personal narratives about why nurses remain and develop in stressful workplaces in the context of nurses working in remote areas. Objectives : The objectives of this study were to explore, understand, and ultimately illustrate the lived experiences and meaning of nurses work resilience in remote health centers areas, eastern Indonesia. Methodology: This qualitative study was conducted by qualitative content analysis approach. Six nurses selected for participation using purposive sampling technique and determined based on inclusion criteria. Data were collected through semistructured interviews in depth until saturation was reached. The interviews were transcribed verbatim, and the qualitative content was used to analyze the data. Results: The researcher identified two themes: tough nurses; they will depend on social support from colleagues, family, or even the work environment to continue to assume responsibility and continue to develop and move forward even in difficult situations. They will tend to think positively, use humor to have fun and laugh and depend on spiritual beliefs that allow them to continue to adapt to the difficulties during their duty. Conclusion: This study explains the superiority of resilience shown by nurses working in remote health centers in eastern Indonesia

Keywords
Keywords: Resilience, Nursing,Remote Areas, Qualitative method

Topic
Nursing

Link: https://ifory.id/abstract/7jmNPHD2nwaX

Corresponding Author
Nurul Izzah Shari

Institutions
1Lifestyle Science Cluster, Advanced Medical and Dental Institute, Universiti Sains Malaysia, Kepala Batas, Malaysia
2 Department of Psychological Medicine, Faculty of Medicine, University Malaya, Kuala Lumpur, Malaysia
*Corresponding author: Nurul Izzah Shari (izza_lesca[at]yahoo.com)

Abstract
Background: Cognitive impairment related to cancer is often known as cancer related cognitive impairment (CRCI) and gained attention from researchers due to its subtle etiology and its effect on quality of life and well-being in cancer patient. Purpose: This study reviews published articles in order to examine the prevalence of cognitive impairment, affected cognitive domain, identify the relationship between objective and subjective cognitive impairment and to explore the associated factors that influence subjective cognitive impairment in breast cancer patient. Methods: A systematic and comprehensive search using combination of keywords on four electronic databases (CINAHL, Cochrane Library, Science Direct and PubMeD) and from references list. Findings: 36 articles were selected and represent 5537 patients. The studies demonstrated that the prevalence of subjective cognitive impairment (11% to 95%) was higher than objective cognitive impairment (1.4% to 65%). Only 17 studies measure the relationship between objective and subjective cognitive impairment, seven studies indicate low correlation and the remaining ten studies showed no correlation. Memory was the most affected domain in cognitive function. Subjective cognitive impairment was more likely to be associated with depression, fatigue and anxiety. Conclusion: The influence of emotional disturbance and physical weakness may have a significant impact on higher prevalence of subjective cognitive impairment. It is important to acknowledge all aspects correlated with cognitive impairment due to its influence on wellness, quality of life and survivorship trajectory of breast cancer patients.

Keywords
Objective, Subjective, cognitive impairment, breast cancer, chemotherapy

Topic
Nursing

Link: https://ifory.id/abstract/JNTQDVPnfWgw

Corresponding Author
Carlo Bryan C. Borrico

Institutions
1 College of Nursing, Dean, System Plus College Foundation, Angeles City, Philippines
1 College of Nursing, Faculty, System Plus College Foundation, Angeles City, Philippines
2 Alumni, Holy Angel University, Angeles City, Philippines

Corresponding author: Dr. Carlo Bryan C. Borrico (borrico.Carlo[at]auf.edu.ph)

Abstract
Background: During menopause, there is a hormonal imbalance that would lead to variety of menopausal symptoms such as hot flashes, weight gain, changes in the body shape, hair loss, hair becomes grayer and coarse, decreased elasticity of the skin, thinning of lining and dryness in the vagina, breast discomfort and urinary incontinence. These menopausal symptoms cause concern and discomfort for these women. It also affects their quality of life. Purpose: The study aimed to explore the women-s sense of body during their midlife years. Methods: A phenomenological-heuristic research design was used in the study. Eight informants willingly participated in the study under an informal, semi-structured interview with the main question, ““What are your experiences during midlife?” and “How did those experiences happened?” The transcribed verbatims were analyzed through the use of Moustakas method. Results: The study revealed 7 main themes: (1) “I-ve changed…” (2) “What is bothering me?” (3) Looking back into the windows of the past (4) my weapons for my battle (5) Metamorphosis: A new conquest (6) Dreams: The paramount of my life. The study reflected the entirety of the participant-s experiences. Conclusions: This study has shown that living the experience of wellness at menopause can accommodate the experience of change or symptoms. In this way the experience of menopausal change is not disruptive to the womans continuity of experience, she continues to feel well and to do all the things she wants to do. Furtherrecommendations are needed to enhance the understanding of the lived experience of women regarding their sense of body at midlife.

Keywords
Menopause, Women at midlife, live experience

Topic
Nursing

Link: https://ifory.id/abstract/8Qv7ab6fwmJe

Corresponding Author
Okti Sri Purwanti

Institutions
1Department of Nursing, Universitas Muhammadiyah Surakarta, Indonesia
2Department of Public Health, China Medical University, Taiwan
Corresponding Author: Okti Sri Purwanti (okti.purwanti[at]ums.ac.id)

Abstract
Background: Indonesia is a country with endemic Dengue Hemorrhagic Fever (DHF) disease because it is located in the tropical region which is the living habitat of Aedes Aegepty mosquitoes. The existence of DHF disease in Indonesia makes this problem one of the things that need to be considered about health problems in Indonesia. Purpose: The purpose of this study was to explore the trend of DHF in Indonesia from 2010 to 2016. Methods: The design of this study was a retrospective study using secondary data available from The Ministry of Health report. The DHF disease data of 34 provinces were analyzed by temporal trend and comparative analysis. Results: The result showed that there were two peaks of DHF disease incidence from 2010 to 2016, in 2010 and 2016. The number of DHF disease case in 2016 was 204,171 and 156,086 in 2010. After an outbreak marked the high incidents of dengue fever in 2010, the following year (2011) the cases of dengue fever decreased significantly. This only lasts one year, then in 2012-2016 DHF incident showed an increasing trend. Bali Province was listed as the province with the highest incidence rate of DHF disease during the period 2010-2016 except in 2012. Java Island with high population density was the most significant contributor to DHF cases in Indonesia Conclusion: There is an increasing trend of DHF case in Indonesia. This study recommends taking take into account to monitor the report of DHF case each province for preventive measure.

Keywords
Dengue Hemorrhagic Fever, DHF, outbreak, incidence, tropical disease

Topic
Nursing

Link: https://ifory.id/abstract/TF7Q9nDMwPLh

Corresponding Author
Niko Sutrisno

Institutions
(a)Student of Nursing Department, Faculty of Health Sciences, Jenderal Soedirman
University
(b),(c)Nursing Lecturer, Faculty of Health Sciences, Jenderal Soedirman University

Abstract
Abstract Background: Nursing sees humans as complex creatures and different from one another. Consists of biological, social, cultural, psychological and spiritual dimensions. Knowledge, perceptions and attitudes are the basis of nurses in applying spiritual nursing care provided to patients optimally. Methodology: The type of this research is quantitative research with cross sectional approach, sample selection with total sampling technique, the number of respondents is 248 people. Data collection using a questionnaire. Data are analyzed univariately using frequency distribution and concentration values. Research Results: Respondents indicated a working period of between 1 to 10 years with a majority of tenure of more than 10 years, education of respondents between D3 to S2 with the majority of D3 education, female sex respondents more than men, respondents aged between 25 to 56 years with a majority of ages 26-35 years and the median value obtained is in the form of knowledge, perceptions and attitudes after being converted from a range of 0-100 all three are in the score of 64. Conclusion: Knowledge, perceptions and attitudes of nurses about the implementation of nursing care at Arjawinangun Hospital at level 64 from a range of 0-100 so that it can be interpreted as not optimal. While for optimal values in the range of 75-100.

Keywords
attitudes, knowledge, perceptions, spiritual nursing

Topic
Nursing

Link: https://ifory.id/abstract/LhDTndkKVx2G

Corresponding Author
Theresia Theresia

Institutions
a) Asisstant Lecturer Faculty of Nursing Universitas Pelita Harapan
theresia.fon[at]uph.edu

b) Lecturer Faculty of Nursing Universitas Pelita Harapan
c) Profession Student Faculty of Nursing Univesitas Pelita Harapan

Abstract
Background: The incidence of tuberculosis (TB) in Indonesia, both new and recurrence cases in 2015 was significant, there are 395 cases per 100,000 peoples per year (The Join External TB Monitoring Mission, 2017). A phenomenon that needs to be considered from epidemiological data is the follow-up mechanism for the treatment of TB patients. The National TB program shows that the success rate of treatment in Puskesmas is higher than in private health services. Return planning / discharge planning in TB patients is important in the continuation of the treatment regimen. Nurses are part of health workers who carry out patient return planning. Discharge planning must be carried out by nurses in a structured manner starting from the assessment when the patient enters the hospital until the patient returns home. Knowledge of nurses is needed in order to provide good understanding in planning patient return. Objective: The purpose of this study is to provide an overview of the level of nurse knowledge about discharge planning of pulmonary tuberculosis patients with anti-tuberculosis drugs. Method: This research used descriptive quantitative research design. This research had 23 samples from inpatient and outpatient room in one of Central Indonesia Private Hospital with sampling technique was total sampling and instrument used was questionnaire. Result: 10 (43.5%) respondents have high knowledge and 13 (56.5%) of respondents have medium knowledge about discharge planning patient of pulmonary tuberculosis with anti-tuberculosis drug. Recommendation : Researchers recommend that further research is about factors that influence the success of pulmonary tuberculosis discharge planning with anti-tuberculosis drugs.

Keywords
Tuberculosis, Discharge planning, Nurse knowledge

Topic
Nursing

Link: https://ifory.id/abstract/BMzKPnm9utpw

Corresponding Author
GINANJAR LAKSANA

Institutions
a) Nursing Student Department of Nursing Faculty of Health Sciences University of Jenderal Soedirman
b) Lecturer at the Department of Nursing Faculty of Health Sciences University of Jenderal Soedirman

Abstract
Background: The role of the family is very important in the treatment of disease. Families have a therapeutic role in order to provide postoperative wound care. The existence of family roles needed to care for family members. Objective: The purpose of this study was to describe the role of the family in the postoperative wound care. Methodology: Type of quantitative research with descriptive method using cross sectional approach design. The study population was families who accompanied postoperative patients during control at the poly surgical Hospital Dr. Soedirman. Sample of 56 respondents were selected with consecutive sampling technique. Collecting data using quastionnaires filled out by respondents. Result: Based on the dominant characteristics of the respondents are in the middle adult age range (31-54 years old), female, high school education level, employment status, and income > Rp 1.56 million. The family carries out the family role in the postoperative wound care quite well. Conclusion: Correlation test shows the relationship between education (r=0.622 and p=0.000), employment (r=-0.269 and p=0.031), and income per month (r=0.591 and p=0.000) with the role of the family in postoperative wound care.

Keywords
Family; Maintenance Role; Wound Postoperative

Topic
Nursing

Link: https://ifory.id/abstract/FT49VKt7M6Q2

Corresponding Author
Dian Susmarini

Institutions
Nursing Department, Jenderal Soedirman University, Indonesia

Abstract
Background: baby-led weaning is a new method of introducing solids in babies aged six to 12 months besides traditional weaning which has been practiced for ages. In feeding babies, maternal infant-feeding style reflects how mothers manage amount of food, feeding times and feeding pace. A study regarding maternal infant-feeding style is needed to identify the difference of maternal infant-feeding style in mothers following baby-led weaning and traditional weaning as a basic assessment of baby-led weaning field. Aim: This research was aimed to identify differences of maternal infant-feeding style among mothers following baby-led weaning and traditional weaning. Method: This study was a comparative research. Population was mothers of six to 12 months old babies in Indonesia. Respondents (n=316) were recruited using consecutive sampling technique through online survey in one month period. Results: There was a significant difference of maternal infant-feeding style among mothers following baby-led weaning and traditional weaning (p=0.000). Almost all traditional weaning group were categorized as authoritative and authoritarian which means mothers have more control over feeding the babies. Meanwhile, majority of mothers following baby-led weaning were in authoritative category. Authoritative is described as mothers have less both control and anxiety over babies feeding. Conclusion: This research supports the existing opinion that mothers following baby-led weaning give more independence to babies during solids introduction compared to traditional weaning mothers. This in accordance with characteristics of baby-led weaning mothers who let babies eat at their pace.

Keywords
baby-led weaning, maternal infant-feeding style, traditional weaning

Topic
Nursing

Link: https://ifory.id/abstract/mkbT89YyqzFc

Corresponding Author
Arif Imam Hidayat

Institutions
1Department of Nursing, Health Sciences Faculty, Universitas Jenderal Soedirman, Indonesia
2Faculty of Nursing, Prince of Songkla University, Thailand.

Abstract
Background: Majority mortality cases in Intensive Care Unit (ICU) happen after decision making. Nurses as an inseparable part of End of Life decision making in ICU have unique experience and condition as lived experience. Understanding Muslim nurses- lived experience can provide insights for increase quality of care during End of Life decision making in ICU. Muslim nurses- thoughts and feelings while delivering care in EOL decision making have not been described and understood. This study was conducted to described the meaning of Muslim nurses- lived experience in involvement at the EOL decision making in ICU. Purpose: To describe the meaning of the lived experience of Muslim nurses during their involvement in End of Life decision making in ICU. Methods: Hermeneutic phenomenological study was used to underpin this study. Fourteen nurses who work in ICU in Indonesia met the inclusion criteria: Muslim nurses and have been working in ICU for at least 3 years. Data were collected using in-depth individual interviews. Data transcription were analyzed by using van Manen-s hermeneutic phenomenological approach. Lincoln and Guba-s criteria were followed to established trustworthiness. Results: Four major thematic categories reflecting the four life worlds were identified: “feeling dilemma”, “being in uncertain time”, receiving overwhelming role”, and “evade from the process”. Conclusion: This study provides further knowledge regarding the meanings of the lived experience of Muslim nurses during their involvement in End of Life Decision making in ICU.

Keywords
end of life, decision making, intensive care unit, phenomenology

Topic
Nursing

Link: https://ifory.id/abstract/8YRr2FJc6W3C

Corresponding Author
Mukhadiono, SST, MH

Institutions
1 Departement of Mental Health Nursing, Semarang Health Polytechnic of Ministry of Health Republic of Indonesia

Abstract
Background: Schizophrenia is a split personality, between thoughts, feelings, and behavior. Individuals with schizophrenic disorders show an increased risk of violent behavior. One of type of cognitive therapy that can be applied for patients with violent behavior is Rational Emotive Behavior Therapy (REBT). REBT is a method for understanding and overcoming emotions and behavior found on patients with violent behavior. Purpose: The purpose of the study was to determine the effect of REBT againts coping and aggressiveness of patients with violent behavior. Methodes: The design of this study was quasy experimental pre posttest with control group. The total sample for this study was 60 patients, that divided by 30 patients into the intervention group and 30 patients into the control group. Statistical analysis was using Paired T Test and McNemar Test. Results: The results showed that aggressiveness value before and after REBT were significantly difference with p value 0.000 (< 0.05). There was a significant difference in the mean difference aggressiveness scores between the intervention and control group with p value 0.000 (< 0.05). There was significant differences in coping changes in patients with violent behavior in the intervention group who received REBT (p value 0.000 < 0.05). Whereas in the control group there was no significant difference in coping changes before and after (p value 0.062 > 0.05). Conclusion: Rational Emotive Behavior Therapy (REBT) has a significant effect on reducing scores of aggressive and coping on patients with violent behavior.

Keywords
Violent Behavior, Rational Emotive Behavior Therapy (REBT), Coping, Aggressiveness

Topic
Nursing

Link: https://ifory.id/abstract/NqYmQ4vBfjaU

Corresponding Author
Bernadeth Yunitasari

Institutions
Jenderal Soedirman Of University Indonesia

Abstract
Background : Postoperative Sore Throat (POST) is a side effect of the intubation that can cause difficulty in swallowing and breathing. Late treated POST can prolong the recovery period and reduce the patients satisfaction. Cold compress and guided imagery is a non-pharmacological method that can be applied to treat pain. This study aims to determine the effectiveness of cold compress and guided imagery to reduce the pain scale of POST. Methodology : The research design used quasi experiment pre-post test with two groups design using purposive sampling with 60 respondents divided into two groups, 30 cold compress groups and 30 respondents as the guided imagery groups. Instrument using a Numeric Rating Scale (NRS). Data analysis test used paired t test and independent t test. Research result: There were significant differences between the pain scale before and after the intervention of cold compress (p 0.001) and guided imagery (p 0.001). There was not significant differences between the two groups to reduce the pain scale of POST (p 0.166). Conclusion : Cold compress and Guided imagery are both effective in reducing the pain scale of POST.

Keywords
Cold Compress, Guided Imagery, Pain, POST

Topic
Nursing

Link: https://ifory.id/abstract/BebQ9knpX6j2

Corresponding Author
FRISCA RINANDAR

Institutions
Universitas Jenderal Soedirman

Abstract
EFFECTIVENESS POSITION OF HEAD 30˚AND 45˚ WHEN SUCTION MEASURES ON HEMODYNAMIC STATUS OF STROKE PATIENTS IN NATIONAL BRAIN CENTER HOSPITAL Frisca Rinandar1 (RS Pusat Otak Nasional) Arif Setyo Upoyo2 (Universitas Jenderal Soedirman) Ridlwan Kamaluddin2(Universitas Jenderal Soedirman) Jurusan Keperawatan Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman Purwokerto ABSTRACT Background: Stroke is a clinical manifestation of brain dysfunction, whether focal or global, lasting, more than 24 hours or causing death. Changes in patient position are nursing actions that can affect the patients hemodynamic status. This study aims to determine the effectiveness of head position 30˚ and 45˚ when suction action on hemodynamic status of stroke patients. Methodology: This research used the design of pre and post test with two groups design. The sampling technique was purposive sampling. The sample is 34 respondents for two groups. The instrument used an observation sheet. The statistical test used paired t test and continued independently t test. Results: The results showed significant differences in oxygen saturation (p = 0.001), heart rate (p = 0.038), respiration rate (p = 0.048) and Mean Arterial Pressure (p = 0.027) at head position 30˚ and oxygen saturation values ​​( p = 0.001), heart rate (p = 0.046), respiration rate (p = 0.045) and Mean Arterial Pressure (p = 0.048) at head position 45˚. However, there was no significant difference in hemodynamic status between groups of head position 30˚ with head position 45˚ when suction action in stroke patients with oxygen saturation values ​​(p = 0.850), heart rate (p = 0.391), respiration rate (p = 0.703) and Mean Arterial Pressure (p = 0.744). Conclusions: Semifowler 30˚ and 45˚ position when suctioning is effective to maintain hemodynamic status within the normal range. Keywords: Head Position, Hemodynamic Status, Stroke

Keywords
Head Position, Hemodynamic Status, Stroke

Topic
Nursing

Link: https://ifory.id/abstract/fpZFQY7gKVAq

Corresponding Author
maryam Shabany

Institutions
TUMS

Abstract
Background: Emotional intelligence (EI) and depression are important issues that can affect the quality of nurse-s work. Emotional intelligence is also an indicator of mental and physical health condition. Objectives: This study was designed to evaluate emotional intelligence and depression of hospital nurses working at Tehran University of Medical Sciences in Iran. Methods: In this cross sectional study, 113 hospital nurses of TUMS at different wards were enrolled. They filled the Persian version of the baron emotional quotient inventory (EQ-i) and beck depression inventory (BDI). Results: Mean age of participants was 25 years and 58% were male. Mean BDI and EI scores except independence and responsibility were not significantly different between male and female cases. Mean EI and its subscales were similar in different wards except emotional self-awareness. The correlation coefficient between BDI and total EI was r = 0.2 and P = 0.008, and the correlation coefficient between age and total EI was r = -0.2, P = 0.02. Conclusions: According to the results, depression evaluation and emotional intelligence improvement should be considered in Iranian nurses, who work at university associated hospitals

Keywords
Depression, Emotional Intelligence, Nurses, Iran

Topic
Nursing

Link: https://ifory.id/abstract/JueAZ9aVbqRz

Corresponding Author
Eni Rahmawati

Institutions
Pediatric Nursing Department, Faculty of Health Science,Jenderal Soedirman University

Abstract
BACKGROUND: Neonatal jaundice is a clinical condition in infants characterized by yellow staining of the skin and sclera due to the accumulation of excess unconjugated bilirubin. This is the leading cause of death in life in 60% -80% of newborns. We aimed to investigate the effects of exercise on neonates with jaundice who were undergoing phototherapy. METHODS: In this quasi eksperimental study, through quota sampling, 34 full term neonates with jaundice admitted for phototherapy were selected. Subjects were assigned to exercise and control group. Exercise was offered by using baby oil about 15-20 minutes on extremities twice a day for 3 days and the control group did not received any exercise. Statistics analysis used independent t test and mann whitney test. Demographic and clinical characteristics, vital sign, the defecation frequency, total feeding amount and body weight collected and compared between two groups. RESULTS: On the third day, the exercise group showed significantly higher defecation frequency (p=0.000) and not significant for vital sign (heart rate p=0.583; temperature p=0.807; respiration rate p=0.029), enteral feeding (p=0.202) and body weight (p=0.181) compared with the control group. CONCLUSION: Exercise could help to increase defecation frequency in neonates receiving phototherapy for jaundice.

Keywords
hiperbilirubin, exercise, neonates, phototherapy

Topic
Nursing

Link: https://ifory.id/abstract/hx6ZQyKPjaXn

Corresponding Author
Tintin Sumarni

Institutions
Diploma III Nursing Solok, Padang Health Polytechnic, Jl. Tembok Jaya Laing, Solok, Indonesia

Abstract
Disruption of functional activity is the biggest impact on stroke patients. To maintain, develop, restore motion, stimulate circulation, we need Range of Motion (ROM) and collaborate with Physiotherapists using Microwave Diathermy/Infra Red Ray. This study aims to determine the effect of Range of Motion (ROM) and Microwave Diathermy/Infra Red Ray on upper limb muscle strength in stroke patients in the neurology room of M.Natsir Regional Hospital in 2019.The study design was a Quasi One-Group Pre-Post Test Design experiment, the intervention was carried out for six days with a once-daily treatment Range of Motion (ROM) and Microwave Diathermy/Infra Red Ray therapy. The population in this study was a stroke patient of 40 respondents with a data collection method with purposive sampling, measurement of muscle strength before and after an intervention using a manual Muscle Testing instrument. Data analysis uses Paired t-test statistics. The results obtained, the age of the respondents ranged from 30-50 years, female sex, long suffered from 1-5 years of stroke. Paired t-test test results. Obtained Pvalue 0,000 with α = 0.05 (p <α) There is an influence between Range of Motion (ROM) and Microwave Diathermy/Infra Red Ray on muscle strength in stroke patients because each respondent experienced an increase in muscle strength scale after being given training and Microwave Diathermy/Infra Red Ray. Recommend the results of this study to conduct Range of Motion (ROM) and collaboration with physiotherapists using Microwave Diathermy/Infra Red Ray as a nursing intervention for stroke patients who experience weakness of the upper limb

Keywords
ROM, Stroke, Microwave Diathermy/Infra Red Ray

Topic
NURSING

Link: https://ifory.id/abstract/J4UMH6pxbaTn

Corresponding Author
Mekar Dwi Anggraeni

Institutions
1)Department of Nursing, Faculty of Health Sciences, Universitas Jenderal Soedirman
*mekar.dwi[at]gmail.com

Abstract
Background: The most stunting cases occur in developing countries. Nutrition during first 1000 days of infants life becoming the most important stunting influencing factor. Exclusive breastfeeding may prevent stunting however, the supplemental food is common provided for the infants before six months of infants age in Indonesia. Purpose: This study was aimed to explore the early supplemental food introduction among Indonesian mothers. Methods: This was an ethnographic study and involved tweenty six participants who met the inclusion criteria. The data were collected using focus group discussion, indepth interviews, observations, and field notes. The data were analyzed using a thematic analysis method. Results: The study results revealed that the majority of participants breastfeed their infants, however they provide early supplemental food beside breastmilk. Early supplemental food introduction was affected by the mothers knowledge about exclusive breastfeeeding and cultural beliefs. Five main themes of early supplemental food introduction were 1) Early supplemental food introduction is common among Indonesian mothers, 2) Perceive early supplemental food is good for the infant, 3) The sooner the better, 4) The supplemental food types, and 5) Grandmother know best. Conclusion: The majority of Indonesian mothers provide early supplemental food for their infants. A culturally sensitive health education is needed to prevent early supplemental food introduction in order to increase the exclusive breastfeeding practice among the Javanese community. The program should involve the grandmother as the key person in the early supplemental food introduction.

Keywords
Early supplemental food, Infant, Indonesia, Stunting

Topic
Nursing

Link: https://ifory.id/abstract/4NPTUf3cqdAx

Corresponding Author
Desak Nyoman Sithi

Institutions
Prodi S1 Keperawatan Fakultas Ilmu Kesehatan UPN”Veteran” Jakarta

Abstract
Background: Incident of Patient Safety is a significant cause of patient morbidity in hospital. In general reporting system of Incident of patient safety in this hospital is not good enough, indicate by no data reporting related to incident of patient safety. In fact, is too much complaint related to unsafe care, especially for patient fall, infection and medication error. The purposed of this study is to investigate “Factors Contributing to patient safety Incident within implementing patient safety goals. Method: This study used descriptive and analytical design with a cross sectional approach, and concurrent mix quantitative and qualitative method by open question, to completely information is needed. The population of this research are nurses, who work on inpatient setting with 94 sample sizes. The quantitative data collection analyzes by Univariate, Bivariate and Multivariate, while qualitative data, analyze by content analysis. Result: the prevalence of incident of patient safety was high rate, the chart review study found that incident of patient safety in Depok City Hospital is 47.9%, while confirm by content analysis data is higher up to 64.8%. Moreover, factor that contribute to incident of patient safety are: staff factor, Task Factor, Communication factor and medical equipment factor is the mean factor with (PV <0.05). While Work Environment factor, Organization factor, Training and Education factor, and team factor are not contributing to incident of patient safety. Conclusion: Prevalence of incident of patient safety is the high rate. Factor that contribute to incident of patient safety in this hospital are: Staff factor, Task factor, Communication factor and medical Equipment factor.

Keywords
Contributory, incident of patient safety, implementation, goals.

Topic
Nursing

Link: https://ifory.id/abstract/XmNk2xTDP4pM

Corresponding Author
Wastu Adi Mulyono

Institutions
Deparment of Nursing, Faculty of Health and Sciences, Jenderal Soedirman University

Abstract
Background: Patients spiritual need have been reported lack of supporting from nurses. The nurses subjective respond toward the spiritual issue has been suspected to contribute to the inadequacy of spiritual care. Therefore, a study to investigate nurses- perceptions of the spiritual issue is needed; unfortunately, there is no valid tool available in Bahasa Indonesia. Purposes: This study was to test whether the SSCRS Bahasa Indonesia version similar to the original or it was not. Method: A cross-sectional study was conducted to investigate 131 pre-registered nurses undergoing an internship program in several hospitals (Program Ners) in Central Java. A Confirmatory Factor Analysis was utilized to examine the one and two factors structure of SSCRS. Following then, the reliability of SSCRS-Bahasa Indonesia was tested use Cronbach-s Alpha coefficient. Results: The Results of CMNI/DF, CFI, TLI, RMSEA for each model factors as below: Model 1 Original: 1.43, 0.875,0.844,0.875; Model 2, single factor 17 items: 2.225, 0.420, 0.38125, 0.097; Model 3, single Factor 15 items: 1.924, 0.728, 0.683, 0.84; Model 4 two factor model 15 items:1.851, 0.753, 0.78, 0.081. Conclusion: The SSCRS BI version had a different factor construct. The two-factor model with 15 items was identified better compare to the 17 items. However, the Cronbach-s Alpha coefficient was below the acceptable cut point, but its MIIC was acceptable.

Keywords
education, nurse competency, pscychometric, spirituality, spiritual care

Topic
Nursing

Link: https://ifory.id/abstract/XUQnRxKCMPEW

Corresponding Author
SRI ARINI WINARTI RINAWATI

Institutions
Poltekkes Kesmenkes Yogyakarta

Abstract
Background : Job stress arising from the work it receives can have an impact on ones performance. One of the work stresses that occur in anesthetist nurses can have an impact on work negligence, such as a medication error, a medication dosage error. Negligence caused in work in the operating room can have a serious impact on the patient, so that there will be unwanted events (KTD), near-injury events (KNC), potential injury events (KPC) and non-injury events (KTC). The things that cause work stress are the workload that they receive, the amount of salary earned, the rewards obtained from their performance, and the encouragement from within themselves and from outside to improve their performance. Purpose : To find the factors that effect the stress of anesthetist nurses work in the operating room. Methods : This study used an observational analytic method with a cross sectional design. This research was conducted in February - April 2019. The sample of this study was 32 respondents with quota sampling technique. The results showed that there was an effect of workload, reward and motivation on work stress with. And there is no effect of work period and educational on work stress. Conclusion : There is an effect of workload, reward, and motivation on the stress of anesthetist nurse work in the operating room. There was no effect on work period and education on the stress of anesthetist nurses work in the operating room.

Keywords
Work stress; Work stress factors; Anesthesia nurse.

Topic
NURSING

Link: https://ifory.id/abstract/L89VtxjU7vwn

Corresponding Author
Mohamad Romli

Institutions
a) Student of Nursing Departement,
Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto, b)Lecturer of female health Program, Nursing Departement, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto, c) Lecturer of female health Program, Nursing Departement, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto

Abstract
Background: Visual Inspection with Acetic Acid (VIA) is one method of examining cervical cancer with a simple technique with high sensitivity. Cervical cancer in Indonesia ranks first in the cause of death, so this disease gets the number one of female killer disease from cancer. There are 27 cases of pre-cancerous lesions in 2017 at Purbolinggo Health Centre, East Lampung. Objective: This study is to determine the factors that influence the examination of VIA on eligible women couple of Indonesian health card owners at Purbolinggo Health Centre. Method: This study used quantitative research with Cross Sectional design using purposive sampling technique. There were 54 people as sample. The analysis used was univariate, bivariate analysis with Chi-Square test, multivariate with logistic regression. Results: The study showed that there was no cultural relationship with VIA examination (p value = 0.083, OR = 1,289), there was a knowledge relationship with VIA examination (p value = 0,000, OR = 0.194), there was an attitude relationship with VIA examination (p value = 0,000, OR = 22,203), there was a relationship between family support and VIA examination (p value = 0.006, OR = 3.692), and there was also a relationship between information access and VIA examination (p value = 0.035, OR = 8.526). Conclusion: Attitude is a factor that influences the examination of VIA of women on eligible women couple of Indonesian health card owners at Purbolinggo Health Centre

Keywords
Information Access; Culture; Visual Inspection with Acetic Acid

Topic
Nursing

Link: https://ifory.id/abstract/tvauz2WMrKAR

Corresponding Author
Abdul Wakhid

Institutions
Universitas Ngudi Waluyo

Abstract
Background: Family resilience is built to reduce the incidence of trauma, depression, loss and crisis experienced by families and family members. Apart from the importance of the concept of family resilience, there has not been an adequate focus on all aspects of this concept in the discipline of nursing. Objective: This paper reports an analysis of the concept of family resilience. Methods: This concept analysis approach applies the theories of Walker and Avant. Results: Family resilience attributes include (1) ability to absorb (2) adaptability (3) ability to change (4) welfare promotion (5) achieve function (6) empower resources in the family. These attributes are influenced by antecedents of crises, experiences, disasters, damage, loss of danger exposure, support and communication. In addition, family resilience has a significant impact on positive beliefs, health protection, family planning and resilience programs, building coping and adherence capacity of family members. Conclusion: building family resilience in preventing post-disaster psychosocial problems is the main goal of disaster management on a psychosocial perspective. This analysis provides a new perspective for nurses by helping them understand all components in the concept of family resilience.

Keywords
family resilience, concept anaysis

Topic
Nursing

Link: https://ifory.id/abstract/gwW7MQ9eLUyj

Corresponding Author
Aini Yusra

Institutions
Poltekkes Kemenkes Padang
Fakultas Ilmu keperawatan Universitas Indonesia

Abstract
Background: The increase of diabetes epidemic, particularly type 2 diabetes in adults has occurred in the past three decades. This phenomenon happened especially in the developing countries. Patients- adherence is necessary in order to properly implement self-care management and help prevent prolonged hyperglycemia that can lead to complications. Families can provide supports to patients, which will have a good impact toward their adherence. Purpose: This study aims to analyze the relationship between family supports with the adherence of type 2 diabetes patients in diabetes management so that it can improve glycemic control. Methods: Three databases of Pubmed, Ebscho and Wiley were used to obtain relevant articles. Article searches using key words "type 2 diabetes", "family support", adherence and "compliance". The PRISMA method and PICO concept were used to determine which study was worth to be reviewed, and it was obtained 15 selected studies to be identified in the period from January 2008 – December 2018. The studies discuss about the forms of family support and their impact on the adherence and glycemic control of the patients. The designs of the 15 studies were 2 Qualitative Studies, 8 Quasi Experiments, 4 Mixed-method Studies and 1 Systematic Review. Results: The overall systematic review found that family supports improved the health of type 2 diabetes patients. Higher level of supports remained a strong factor for the success of the self-care management. Conclusion: This systematic review found that family supports can improve the health of type 2 diabetes. Further studies need to provide details of adherence and family support components that will have an impact on self management of type 2 diabetes patients. Furthermore, family knowledge and skills need to be improved in order to be a good health supporter for the patients, especially patients of type 2 diabetes.

Keywords
Keyword: type 2 diabetes, family support, adherence, compliance.

Topic
Nursing

Link: https://ifory.id/abstract/E2kDKFrLuAYb

Corresponding Author
Yunita Sari

Institutions
Department of Nursing, Universitas Jenderal Soedirman, Purwokerto

Abstract
Background : Diabetes patients are susceptible to develop foot ulcer. One of important factors that causes the occurrence of diabetic foot ulcer is a lack of foot self-care. Up to the present, it is still unclear what factors related with foot care behavior in patients with diabetic patients. Therefore, the aim of this study was to investigate the factors associated with foot self-care in diabetic patients. Methods: The design of this study was a cross-sectional study. The total sample for this study was 546 patients. The bivariate analyses were conducted using product moment, Mann-Whitney U-test and Kruskal-Wallis test, followed with Multivariate Linear Regression. Results: The bivariate analyses showed that knowledge, self-efficacy, illness-perception, family support, the presence of foot self care reminder, social group support, the communication of health provider, the presence of wound, education, religion, job, and income were significantly related with foot self-care. Multivariate linier regression showed that family support, the presence of foot self care reminder, and the communication of health care provider were the significant factors related with foot self care. Conclusion: Family support, the presence of foot self-care reminder, and communication of health care provider are the factors related with foot self-care. This study recommends to improve the involvement of family and communication health provider in order to improve the foot self care in patients with diabetes melitus.

Keywords
diabetes, foot self care, factors

Topic
Nursing

Link: https://ifory.id/abstract/dFXjx8f6uhvy

Corresponding Author
HARMILAH HARMILAH

Institutions
POLTEKKES KEMENKES YOGYAKARTA

Abstract
ABSTRACT Background: The disease of Diabetic if uncontrolled can cause fatal complications and severe effect such as coronary heart disease, kidney failure, blindness, infections due to ulcer until amputated the affected part ulcers and can lead to death. Approach to psychotherapy is expected can provide solutions to overcome the problems of handling diabetic comphrehensively in order to achieve more satisfying treatment. Objective: To determine the effect of guidance of pray book towards improvement coping mechanism among diabetes mellitus patients in Yogyakarta. Methods: This research conducted with experimental approach prepost with control design. Samples were taken by simple random sampling after selected that met the inclusion criteria such as composmentis, good communication and hearing, no complications. Obtained 60 sample of people and divided into two groups, the intervention group of 30 people and control group 30 people. Result: The coping mechanism before was only 12 (40%) in the adaptive category, increased after the intervention namely in the adaptive category of 21 people (70%), the Z value was 2.073 with p= 0.031. Social ability and social support are part of situation-oriented coping which is the ability to communicate and behave according to the norms prevailing in the community which includes supporting the fulfillment of information and emotional needs provided to individuals from the support of parents, family, friends and the environment surrounding diabetes mellitus Conclusion: Guidance of pray book to improve coping mechanism among diabetes mellitus patients at Yogyakarta. There is an effect of the accompanying prayer guide on the improvement of coping of diabetes mellitus patients

Keywords
prayer guide, coping mechanism, DM

Topic
NURSING

Link: https://ifory.id/abstract/FYp9Bey2VwuU

Corresponding Author
Candra Kusuma Negara

Institutions
Institute Of Health Science Cahaya Bangsa Banjarmasin, Banjarmasin

Abstract
Background: Fracture is damaged or broken bones that can lead to decreased integrity of a person, thus the physiological and psychological disorders that can cause a response of pain are unavoidable. Incidence of fractures in Indonesia at 2017 had reached the number of 1.3 million annually with the total population of 238 million. One of the procedures on handling the case of fracture is surgical operation. Method of handling the pain that can be done is the non-pharmacological techniques that provide guided imagery through the use of classical music. Purpose: To know the effect of guided imagery utilizing classical music to decrease the scale of pain on post fracture surgery. Method: The study was quasi-experimental pre-test and post-test group approach The sampling technique employed was accidental sampling with the total of 22 respondents. The data collection tool utilized was VAS (Visual Analog Scale) observation sheets. The data analysis utilized was Wilcoxon Sign Rank Test. Result: The result of statistical analysis of Wilcoxon Signed Rank Test obtained p value = 0.000 with significance level <0.05, thus the probability value 0.000 was lesser than  = 0.005. Conclusion: musical intervention was associated with a significant decrease in heart rate, improvement in oxygen saturation, and reduction in the perception of paint. There was an influence upon the use of guided imagery utilizing classical music towards the decreasing scale of pain on post fracture surgery at Nuri Room of Idaman Hospital Banjarbaru in 2018.

Keywords
Guided imagery, classical music, pain.

Topic
Nursing

Link: https://ifory.id/abstract/FRZz4UaX9ex7

Corresponding Author
Ida Mardalena

Institutions
Department of Nursing Poltekkes Kemenkes Yogyakarta

Abstract
Background. Preoperative anxiety in patients has an impact on several perioperative aspects. The need for premedication and analgesic drugs is greater at the time of induction, the dose of anesthesia maintenance medication is greater, including the need for postoperative analgesic abortion also increases in addition to the impact of the extended recovery phase so that it can increase the length of treatment which has the effect of increasing the cost of hospitalization. The incidence of preoperative anxiety from various studies around the world varies greatly from 60% to 90%. Indonesia does not have data on the incidence of preoperative anxiety in patients undergoing elective surgery. The incidence of preoperative anxiety in Indonesia is thought to be quite high. Objective. To developed valid and reliable preoperative patient anxiety assessment instruments Methods. Conduct preoperative anxiety measurement instruments from literature studies, conduct psychometric test instruments on respondents. The instrument that was tested was used to measure the anxiety of 65 respondents then their validity and reliability were assessed. The results of measuring anxiety with INPOAS compared to the HAM-A anxiety instrument were then tested by the Kappa agreement. Result. Respondents involved as many as 65 people, 0.011 determinant test results that indicate each statement is interrelated. All statements on the INPOAS scale are valid with Corrected Item-Total Correlation r total: 0.989> 0.254. All items have a Cronbach Alpha value> 0.70 with an overall Cronbach Alpha value of 0.812 Conclusions. Indonesian Preoperative Anxiety Scale (INPOAS) is a valid and reliable instrument for measuring preoperative anxiety.

Keywords
Preoperative anxiety, INPOAS, validity, reliability

Topic
NURSING

Link: https://ifory.id/abstract/gRhwZrzxFY6B