Indonesia Conference Directory

Corresponding Author
ELISSA OKTOVIANI HUTASOIT

Institutions
Faculty of Nursing, Universitas Pelita Harapan, Indonesia

Abstract
Intravenous (IV) line infusion therapy is a therapy that often given to patients who were admitted or having a specific therapy. The ability of IV insertion is one of the important skills that required from a competence nurse. It is important for a nurse to do the insertion of IV Line correctly to avoid a harmful error such as phlebitis or inflammation of the vein and further infections or anybody reactions. Based on the data gathered at a Private Hospital, the first or the preliminary result showed that in a year there is 30 incident of Phlebitis. The purpose of this study was to determine the causes of phlebitis in infusion on the inpatient ward at a private hospital in West Indonesia. This study is quantitative descriptive research with data collection methods by documents study of the checklists. The sampling technique was a purposive sampling with 50 inpatients people as the respondents. The instrument used in this research is a documentary study sheet using visual Infusion Phlebitis (VIP) Score from Andrew Jackson. The result of this study is 32 people (64%) respondents who experienced phlebitis or PIVAS scores more than or equal to one (≥ 1) from 50 people who IV line was removed in the hospital. The three main factors causing phlebitis on this study was Intrinsic factors (gender, age, and comorbidities) of 82%, chemical factors (type and speed of fluid) of 52%, and mechanical factors (catheter size, location, and length of insertion) of 98%. The conclusion of this study is there are three main factors that influence the incidence of phlebitis, are: Intrinsic factors with 82%, the chemical factors (52%), and mechanical as the highest frequencies of phlebitis (98%).The researcher recommends to the future researcher as a reference for further study of phlebitis and to expand the analysis for more specific causes of phlebitis.

Keywords
Phlebitis, Factors, IV Line Insertion

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/mqUvNc2txjTy

Corresponding Author
Oliva Suyen Ningsih

Institutions
1,2, Lecturer of Nursing Departement STIKES Santu Paulus Ruteng, NTT, 3Bachelor of Nursing STIKES Santu Paulus Ruteng, NTT
Email: 1osningsih[at]gmail.com, 2johanjakri17[at]gmail.com, 3erikacahyani96[at]gmail.com

Abstract
One of the nutritional problems which is a major concern at this time is the high stunting of children under five. Stunting can have a negative impact on childrens development and growth both short and long term. Lenda village is one of the villages prioritized in the integrated stunting intervention in 2018. The purpose of this study was to determine the factors associated with the incidence of stunting in children aged 12-60 months (n = 82) in Lenda Village, Manggarai, Regency, NTT in October 2018-April 2019 using a cross-sectional study. The sample technique used was purposive sampling. Data analysis using the chi-sguare test. The results showed 45 children (54.9%) male and 37 children (45.1%) women, mean age 37 months (± 3 year), and most children had stunting at 58 (70.7%). Factors that were significantly related to the incidence of stunting were exclusive breastfeeding (OR = 4,778, CI = 1,733-13,172, p value 0.002), immunization status (OR = 0,207, CI = 0,075-0,575, p value 0.003), diarrhea (OR = 7,571, CI = 2,225-25,761, p value 0,000), knowledge (OR = 0,162, CI = 0,053-0,500, p value 0.002). Integrated stunting management is needed through cross-sectoral collaboration to increase coverage of health care providers, improve sanitation to prevent diarrhea and increased maternal knowledge and health during antenatal and postnatal care.

Keywords
Stunting, Lenda Village, Manggarai Regency, NTT

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/wqeGmv4F9R8n

Corresponding Author
Riksa Wibawa Resna

Institutions
Program study of Nursing, Institute of Health Science of Banten
Program study of Vocational, University of Indonesia
Public Health Center of Pondok Ranji

Abstract
Approximately 72.4% of the elderly in Indonesia having problems immobility which varies from a functional problem moving up to a total inability to move. Immobility tends to be easily found but often not recognized as a problem in the elderly. Elderly immobility detection efforts ranging from Posyandu services is indispensable to be able to identify the various problems of mobility in the elderly in the community. The study aimed to developing and analyzing model for elderly mobility detection in community that can be used by cadres quicly and easily by using google form as a tool. This research was conducted to test the mobility of elderly detection model in the form of paper and google form to the 30 volunteers who perform detection mobility problems on 60 elderly health centers located in the region of Serpong and Pondok Ranji. Based on study, showed that the speed detection by using google form (10.60 minute; SD: 2.634) than using the paper form (9:33 minute; SD: 1,988). The lack of exposure to use of google form as a media for collecting data on health problems in elderly by cadres, resulted in the majority of respondents stating that the use of a paper-based detection model was easier than using the google form. Therefore, educating the cadres to be able to use technology as a tool that can simplify and speed up health services.

Keywords
mobility detection; older adults; google form

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/HLTxwmu7yF6n

Corresponding Author
Putu Indrayoni

Institutions
1Bachelor of Nursing Program, Institute of Technology and Health Bali, Jalan Tukad Balian No. 180 Denpasar, Bali, Indonesia

Abstract
Environmental factors influences the composition of plant metabolites, both qualitatively and quantitatively. Plants pharmacological activity depends on its metabolites composition. Dapdap (Erythrina variegata L.) is one of the plants that is part of Balis local wisdom. Dapdap is easily found in the tropics and can grow on various textures and soil pH. Dapdap and turmeric are ingredient of "tepung tawar", which is a means of spiritual purity in Bali-s religious ceremonies. The application of local wisdom values is supported by the results of the antibacterial activity test of dapdap extract against pathogenic bacteria. This study was to determine the antibacterial activity of dapdap extract obtained from different sampling locations. The well diffusion method was used to evaluate the antibacterial activity of dapdap extract against Staphylococcus aureus and Eschericia coli. The extract was obtained by maceration for 24-72 hours using 96% ethanol. The addition of turmeric extract was able to increase the antibacterial activity of dapdap extract. The different of sampling location can affect the antibacterial activity against Eschericia coli. The maceration duration of dapdap extract did not affect its antibacterial activity against Staphylococcus aureus and Eschericia coli.

Keywords
Local Wisdom, Antibacterial, Erythrina variegata L., Well Diffusion

Topic
Innovation in Healthcare

Link: https://ifory.id/abstract/rVTnCx8ykHBt

Corresponding Author
A.A Istri Laksmi Mahadewi purnama

Institutions
Institute of Technology and Health Bali

Abstract
Gastritis or commonly known as gastric illness is terribly disturbing for those who suffer from this illness, thus to get better, people often self-medicating themselves. Self-medicating may lead to wrong treatment and as a result, gastritis often relapse and disturb the patients- daily activity. This research aimed to investigate the attitude of people with gastritis in the working area of PHC Sukawati I in managing gastritis incidence in 2019. Total sampling was implemented in this research. The respondents of this study were 196 people suffering from gastritis, aged between 20-44 years old in the working area of PHC Sukawati I, Gianyar Regency. This study implemented descriptive design with cross-sectional approach. The results revealed that 152 respondents had poor attitude on and 44 respondents had moderate attitude on pharmacology use for medication. It was also found that 139 respondents had moderate attitude and 57 respondents had poor attitude on the use of non-pharmacology medication. 106 respondents had poor attitude and 90 respondents had moderate attitude in treating the gastritis incidence. The majority of people with gastritis (106 respondents) in the working area of PHC Sukawati I, Gianyar had poor attitude in treating gastritis.

Keywords
attitude, pharmacology, non-pharmacology, gastritis

Topic
Education and Learning

Link: https://ifory.id/abstract/Hj8gdUb3PYJw

Corresponding Author
Luh Widyariesta Damayanti

Institutions
Institute of Technology and Health Bali

Abstract
In Indonesia, the obesity rate in teenagers is still quite high. There are 36.9% of teenagers who are categorized overweight. One of the risk factors in the increase of obesity is the habit of skipping breakfast. Obesity is weight gain exceeding the limt needs and physical, skeletal as a result the accumulation ofe excessive fat in the body. The purpose of this study was to describe the breakfast habit and body mass index (BMI) in the tenth grade students at Senior High School 2 Kuta. This study employed descriptive design with cross sectional approach. There were 224 respondents recruited as the sample through proportionate stratified random sampling technique. Data were collected using questionnaire and analyzed by using descriptive statistical. The findings indicated that 190 (84.8%) respondents had moderate category in breakfast habit; however, there were 96 (42.9%) respondents had quite risky category of BMI, and 45 (20.1%) respondents had high risk in BMI. The majority of respondents had poor eating habit such as skipping breakfast and consuming junk food. It is expected that the public health center routinely provides counseling about nutrition in schools; moreover, the school needs to provide more sources of information on healthy eating and periodically check the body weight through school health unit activities.

Keywords
breakfast habits, BMI and adolescents.

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/UV2AGDdW9rxa

Corresponding Author
Ni Kadek Siti Hendra Dewi

Institutions
Institute of Technology and Health Bali

Abstract
Burnout syndrome is an emotional exhaustion syndrome, depersonalization, and reduced personal accomplishment. Nurses working in the emergency department are susceptible to experience burnout due to high work pressure. The objective of this research was to identify the burnout syndrome experienced by nurses working in the emergency department in 5 state hospitals of Bali. This was a descriptive study with cross-sectional approach. Respondents were 141 nurses who works in emergency department of RSUD Wangaya, RSUD Badung, RSUD Sanjiwani, RSUD Tabanan and RSU Bangli. Maslach Burnout Inventory (MBI) was the instrument used to collect the data. The majority of respondents were male (53.9%), age ranged from 26 -35 years. Most nurses working in the emergency department (56%) experienced moderate burnout syndrome. On emotional exhaustion dimension, the majority of nurses experienced moderate burnout 75.2%. Meanwhile, 51.8% and 51.1% of nurses indicated low level of burnout from depersonalization dimension and reduced personal accomplishment dimension, respectively. The hospital management is expected to provide stress management training for nurses with burnout syndrome.

Keywords
Burnout syndrome, Emergency nurses

Topic
Education and Learning

Link: https://ifory.id/abstract/Wfbc8kCRatqA

Corresponding Author
Masrida Adolina Panjaitan

Institutions
Faculty of Nursing
Universitas Pelita Harapan

Abstract
Background :Burnout is state of physical, emotional stress and mental caused by a cronic state of pressure in emotional demands.The Inpatient Department (IPD) is a highly stressful environment, and related to burnout syndrome.Symptoms from burnout syndrome might cause negative effect on patient care, absence of innovation, causing an overall reduced performance with all daily responbilities.This study aimed to describe burnout syndrome in inpatient hospital nurses.This research was a quantitative study with total sampling techniques.Nurse were interviewed about highly stressful environment related to burnout syndrome. Nurse outcomes measured by the Maslach Burnout Inventory (MBI).Total of fifty four respondents recruited in the study. The characteristic of respondents consist of gender (94.4 %),range of age 20–30 years old (74.1%),education (61.1%),working experience (51.9%) .The respondents consisted of twenty two nurses (40,7 %) emotional exhaustion dimensions,fifty three nurses (98,1 %) depersonalization dimension, thirty eight nurses (70,4 %) personal accomplishment. Conclusion of the study, depersonalization dimension contributed more on the inpatient burnout of nurses in a private hospital. Implication, hospitals should make available stress management programs that address symptoms of burnout and assure safe nurse staffing patterns are in place to improve patient satisfaction with care.

Keywords
Overview, Burnout Syndrome, Emotional Stress, Inpatient Nurse.

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/9mDK27xGcUu6

Corresponding Author
Ni Nyoman Sintianingsih

Institutions
Institute of Technology and Health Bali

Abstract
Cancer-related fatigue (CRF) has been the most important symptom and sadness in cancer patients that can affect the patient-s quality of life. However, there is no study related to CRF conducted in Bali. The aimed of this study was to describe CRF in outpatient of cancer patients at Mangusada Badung Hospital. This study employed descriptive design with cross-sectional approach. The population of this study was 296 respondents who registered as outpatient of cancer patient; however, there were only 160 respondents recruited as the sample through non-probability sampling with consecutive sampling technique. The data were collected by using Brief Fatigue Inventory (BFI) questionnaire and analyzed by using univariate analysis. The findings indicated that 36.9% of respondents aged 51-55 years, and the majority of respondents had rectal cancer about 35.6%. According to fatigue category, there were 2.5% respondents had mild fatigue, 20% with severe fatigue, and 77.5% of respondents had moderate fatigue. The important changing of this study is that enjoyment of life change 7.5% among 6 whole changing. It can be concluded that patients with cancer have decreased in the quality of life. It is expected that the service provider can provide appropriate interventions to reduce the fatigue level in cancer patients.

Keywords
Cancer, Fatigue, Cancer-Related Fatigue

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/aGCWYtjb2VT4

Corresponding Author
Ni Putu Ayu Sista Andriani

Institutions
Institute of Technologyand Health Bali

Abstract
Caregiver burden is a multi-dimensional stress consist of physical pressures, psychologist, emotional, social, and financial which related to activities in caring children with special needs. The aim of this study was to identify the burden of parents in caring for children with mental retardation in 2 special need schools in Badung Regency. This was a descriptive study with cross sectional approach. Respondents were 265 parents of students with special needs. Zarit Burden Interview (ZBI) was used for data collection, and analyzed using univariate analysis. Among 265 respondents, 51.7% respondents were female parents. Median age was 47 years old (ranged from 24 to 66 years old). The majority of parents (67.5%) had children with mild mental retardation. Univariate analyses indicated that 80% had a mild to moderate burden, 7.2% had moderate to severe burden, and only 0.4% had severe burden. Maanwhile, and 12.5% indicated no burden. Health practitioners are expected to provide education to the parents to reduce the dependency of children towards their parents and to improve the parents coping mechanism in caring for children with special needs.

Keywords
Caregiver Burden, Mental Retardation

Topic
Education and Learning

Link: https://ifory.id/abstract/r8VZAkRKeGcW

Corresponding Author
Ni Putu Ari Anggarani

Institutions
Bachelor of Nursing Program
Institut of Health and Science

Abstract
Abstract – Stunting is a chronic nutritional problem that is prevalent in the world. In 2016 there were 154.800.000 children under five experiencing stunting. In Bali, the highest incidence of stunting was in Bangli regency, which was 28.6% and in 2017 it reached 28.4%. One effort in the nutrition improvement program to reduce stunting is to improve the quality of food consumption through the nutrition awareness program. The aim of this study was to determine the correlation between behaviors of conscious nutritional families (kadarzi) with the incidence of stunting in Songan A village. This study employed cross-sectional design. There were 112 respondents recruited as the sample of this study which were selected through stratified sampling. The data were collected by using questionnaire and microtoice. The data were statistically analyzed by using chi square. The result of this study showed that there were 51 respondent (45.5%) had moderate behaviors of conscious nutritional families (kadarzi), and 12 respondents (10.7) were experienced incident of stunting in children under five were. Based on the chi square analysis, the finding showed that there was a significant correlation between behaviors of conscious nutritional families (kadarzi) with the incidence of stunting in Songan A village (p = 0.002; r = 0.000). The result of this study indicate that the behaviors of conscious nutritional families could decrease the risk of children under five experiencing stunting. Family are expected to increase behaviors of conscious nutritional families because balanced nutrition is needed in the process of child development.

Keywords
Keywords : Behavior, behaviors of conscious nutritional families, Stunting, Children Under Five

Topic
Education and Learning

Link: https://ifory.id/abstract/r23KeVmWNQXT

Corresponding Author
I Nyoman Dharma Wisnawa

Institutions
Institute of Technology and Health Bali (ITEKES Bali)

Abstract
Depression is one of the mental and psychological problem among elderly. Depression happened among elderly that unable to accept themselves psychologically. Depression caused big impact in elderly, such as decrease in activity daily living ability, less independent, and decrease in quality of life. Family and environment support affect depression in elderly. The aimed of this research was to investigate the relationship between family and environment support towards depression among elderly. This was an observational analytic study with cross-sectional design. This research was performed in Serangan Residence with 130 respondents. Univariate analysis was performed to describe demographic data, family support, environment support, and depression among elderly. Data was non-normal distribution, Sperman rho was used to performed bivariate analysis. The result showed that there are significant correlation between family, environment support towards psychological well-being with p value < α (0,000 and 0,006). Department of Health Denpasar City as well as Bali Province are expected to share the information about the important of family support and environment support towards elderly psychological well-being in order to maintain and increase elderly well-being. Information sharing can be done directly or indirectly through health promotion program in Public Health Centre.

Keywords
Family support, environment support, depression, elderly

Topic
Education and Learning

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

Corresponding Author
Anak Agung Rani Arsanti

Institutions
Institute of Technology and Health Bali

Abstract
Dental caries is one of the susceptible problem among preschool children. Some parents feed formula and add sugar, they gave the formula while the children lay down even until they fall asleep, these caused dental plaque. Plaque on the teeth that will trigger the appereance of dental caries. The aimed of this study was to analyze the relationship between parental behaviour in formula feeding with bottle towards dental caries among preschool children in Infant Integrated Health Services Sumerta Kelod, Public Health Centre I, East Denpasar. Correlative analytic design was used in this study with cross sectional approach. Respondents were 78 parents and their preschool children selected using consecutive sampling technique. The instrument used in this study was a self-developed questionnaire and observation form. The respondent answered by their self-completed questionnaire and all respondents completed questionnaire. The observation by researcher. The result showed that among 78 respondents, 37,2% were housewife, 47,4% were 30 – 39 years old (ranged from above 20 years old), 48,7 % of parents are in moderate categorical, 47,4 % of preschool children had dental caries and 57,7% of preschool children had dental plaque. There is a correlation between parental behaviour and dental caries with p value < 0,05 (P=0,000) and correlation 0,605. Decrease in parental behaviour, increase dental caries in preschool children. It is expected that health practitioners provide further information about dental care maintain both of parents and their children.

Keywords
Parental Behaviour, Preschool children, Dental Caries, Formul

Topic
Education and Learning

Link: https://ifory.id/abstract/hFyu47mQvkbc

Corresponding Author
Ni Putu Wisma Ekawati

Institutions
Institute Technology and Health Bali

Abstract
The enhancement of HIV/AIDS in Denpasar, Bali occurs in varied age and gender. Teenagers are one of high-risk group because of the high-risk behaviour such as free sex and drugs. Counselling and socialisation by the government and health provider have been conducted. Necessarily the continuously information should be increasing willingness of teenager toward Voluntary Counselling Testing (VCT). In fact, VCT utilisation still lack in teenagers, in October 2017 only 87 teenagers of 1.608 people used VCT facilities. The aim of this study was to find out the correlation between Health Belief Model (HBM) components toward willingness of the teenager to do VCT. This study implemented analytic-correlational design with cross-sectional approach. Respondents were 120 XI grade students in SMAN 6 Denpasar selected using stratified sampling technique. A validated Champion-s questionnaire for mammograms which consisted of 32 questions was used in this study. Data were then analysed by using correlational test Spearman-s Rho and SPPSS version 23.0 for MacBook. Among 120 respondents 68% were male and Hindu was the majority religion (77,5%). The result showed that respondents have high perception of perceived severity, susceptibility, benefit, cues to action, and self-efficacy. The Bivariate result showed that all components of HBM had p value <0,001. There is correlation between each component of HBM toward willingness to do VCT in teenager. Supports from friends should be not only from Association of Student Caring for HIV/AIDS and Narcotics & Psychotropic, but also optimising other kinds of extracurricular activities to allow health education on HIV/AIDS delivered more interestingly.

Keywords
VCT, HBM, Teenager, HIV/AIDS

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/FL7jGvNHXkQm

Corresponding Author
Ni Kadek Riska Kusuma Dewi

Institutions
Institute of Health Sciences Bali

Abstract
Abstract. Acne or acne vulgaris is an inflammation of sebaceous follicles characterized by blackheads, papules, pustules, and nodules in the face, neck, upper body and upper arms. Acne is quite troubling because it is associated with a decrease in self-esteem due to reduced facial beauty. The purpose of this study was to determine the description of teenager-s self confidence in acne. This study employed a descriptive analysis design with a cross sectional approach. The research subjects were students of class X-XI in SMA 5 Denpasar who had acne with 104 respondents using total sampling technique. The results showed that the majority of respondents had a high confidence level of 81.7%, while the level of self-confidence was as much as 18.3%, and none had a low level of confidence. The conclusion of this study is that although the breakouts of respondents still have high self-confidence because they are not only oriented to physical appearance, they feel confident about their abilities and potential in other things

Keywords
Teenager, Self Confidence, Acne

Topic
Education and Learning

Link: https://ifory.id/abstract/49U36Mk7jNTZ

Corresponding Author
Ni Luh Putu Inca Buntari Agustini

Institutions
Bachelor of Nursing Program, Institute of Technology and Health Bali, Jalan Tukad Balian No. 180 Denpasar, Bali, Indonesia

Abstract
Emergency is a condition which requires quick, accurate, and correct action to save lives. Delays in conducting emergency assistance often occur in children, adults and the elderly, where the consequences of the delay are permanent disability and even death. Emergency for children become important concern because children are not used to expressing uncomfortable conditions in emergency condition. Emergency conditions which often occur in children are febrile seizures, choking and cardiac arrest. This purpose of this study was to identify the differences of parents- knowledge before and after given counselling about febrile seizures, choking, and pulmonary heart resuscitation. This research employed Pre-Experiment with One Group Pre-test Post-test design with a cross-sectional approach. The research was conducted in Ubung Kaja Village, Br. Binoh Kaja North Denpasar-Bali. The population of this research was 70 parents who have children under five years. Univariate analysis was used to determine the demographic data of respondents. Bivariate analysis was used to determine the differences of parents- knowledge before and after given counselling about febrile seizures, choking and CPR in North Denpasar Banjar Binoh Kaja. The result of the research showed that (febrile seizures P 0,000

Keywords
Emergency, Counselling, febrile seizures, choking, and cardiac arrest

Link: https://ifory.id/abstract/zch2F6QxtnWv

Corresponding Author
I Gusti Ayu Agung Mas

Institutions
Institute of Technology and Health Bali

Abstract
HIV cases in housewives are still a problem in Indonesia. This affects of pregnant women with HIV who will give birth, however HIV examination in pregnant women should be done. One of the factors which influence pregnant women to do HIV examination is the level of knowledge of the pregnant women. The aim of this study this was to identify the factors associated with knowledge of pregnant women on HIV examination.This research employed analytic, cross-sectional design and conducted in Public Health Centre (PHC) II South Denpasar. The population of this study was 240 pregnant women who visited the PHC. There were 75 pregnant women involved in this study which were selected through consecutive sampling. A self-developed questionnaire was used to collect the data and a self-administered questionnaire was completed by all respondents. The data were analyzed by using Spearman Rho. The results showed that 70.7% of pregnant women in PHC II South Denpasar had less knowledge on HIV examination. It was also found that there was a correlation among education1, age2, social-economic3, experience4 and the level of knowledge of pregnant women on HIV examination (ρ value <0,001, 0,002, <0,001, and 0,010). Therefore, the PHC II South Denpasar is expected to increase the frequency of counselling meeting for pregnant women.

Keywords
HIV Testing, Pregnant Women, HIV/AIDS, and Level of Knowledge

Topic
Education and Learning

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

Corresponding Author
Ni Kadek Ena Dwipayani

Institutions
Institute of Technology and Health Bali

Abstract
An individual diagnosed with chronic kidney disease (CKD) requires proper management for the disease, the hemodialysis. Self-image disorder is one of the problems commonly experienced by patients with CKD undergoing hemodialysis due to alteration in structural functions of patients- body. Therefore, family support is extremely needed to improve the patients- self-image. This study aimed to find out the family support in attempts to improve the self-image of patients undergoing hemodialysis. This study implemented descriptive design and cross-sectional approach. There were 65 respondents involved in this study which were selected through non-probability sampling, the consecutive sampling. Data were collected by using a questionnaire on family supports and analysed by using univariate analysis. The results revealed that 34 respondents (52,3%) showed good information support and 32 respondents (49,2%) showed good support on appraisal. 46 respondents (70,8%) showed good support on emotional and 30 respondents (46,2%) showed good instrumental support. The result showed that 45 families (69.2%) provided good supports to the patients or in the other words, the majority of families provided good supports to the patients undergoing hemodialysis. The support from family shows attention to the patients that may improve the patients- self-image and lead to the improvement of patients- quality of life.

Keywords
chronic kidney disease, haemodialysis, family supports

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/nfrVU6Tp7xAX

Corresponding Author
Ni Made Rina Sinta Dewi

Institutions
Institute of Technology and Health Bali

Abstract
Patients suffering from chronic kidney disease have to undergo kidney replacement therapy which is called haemodialysis therapy for a long period of time. The therapy may resulting in the decrease of patients- quality of life, which may lead to the low participation of patients in undergoing the therapy. Therefore, the patients- quality of life has to be maintain through family supports. This research aimed to find out the family supports in attempt to maintain the life quality of patients with CKD stage V undergoing haemodialysis therapy in Tabanan Hospital. The study implemented descriptive, cross-sectional design. There were 65 respondents involved as the sample of study, which were selected through consecutive sampling. Data were collected by using a questionnaire on family supports and analysed by using univariate analysis. The results revealed that 57 respondents (87.7%) showed good emotional support and 41 respondents (63.1%) showed good support on appraisal. 34 respondents (52.3%) showed sufficient support on information and 49 respondents (75.4%) showed good instrumental support. The majority of respondents (51 people/78.5%) showed good support in attempt to maintain the patients- quality of life is good. In conclusion, the family supports provided to the patients in attempt to maintain patients- quality of life undergoing haemodialysis is good.

Keywords
chronic kidney disease, haemodialysis, family supports

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/hbWHEMzRnuC8

Corresponding Author
Arik Juliana Putra Kmg

Institutions
Institute of Technology and Health Bali

Abstract
Urinary incontinence is a common problem affecting older people living in the community. However, research on the prevalence rate and health seeking behaviors is lacking in the Indonesian context. The aim of this study was to identify prevalence rate and health seeking behavior among older people with urinary incontinence living in the area of Community Health Center of Northern Denpasar III. Descriptive design was used in this study with cross sectional approach. Respondents were 285 older people selected using a consecutive sampling technique. ISI (Incontinence Severity Index), QUID ( The Questionnaire of Urinary Incontinence) and health seeking behavior questionnaire was used in collecting the data. Data was analyzed using univariate analysis. Among 285 respondents, 62.1% were female. Median age was 69 years old (ranged from 60 to 90). The prevalence of urinary incontinence in this research was 27% (77/285). Among 77 respondents with urinary incontinence, only 22.1% of them seeking health services. Interestingly, the reason of not seeking treatment is because urine leakage is considered as part of a normal aging process. Health seeking behavior in older people with urinary incontinence is low. It is expected that health practitioners provide further information about urinary incontinence and supporting system to overcome the urinary incontinence problem.

Keywords
Older People, Urinary Incontinence, Health Seeking Behavior

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/r7pKkxjtaJVh

Corresponding Author
Putu Kristi Ayu Utami

Institutions
Institute of Technology and Health Bali

Abstract
Abstract. Complication is an abnormal condition that occurs during the patients undergo hemodialysis. There are common complications occur when the patients undergo hemodialysis such as: muscle cramps, dizziness, headache, arrhythmia, hypotension and hypertension. These complications need to be anticipated, controlled, and overcome to prevent bad condition. The complication can lead to new, more complex problems that can affect the patients, quality of life who undergo hemodialysis therapy, and even cause death. The purpose of this study was to describe the complication that were experienced by hemodialysis patients in the Hemodialysis ward at Tabanan Hospital. This study employed descriptive design with cross-sectional approach. There were 180 respondents recruited as the sample through non-probability sampling with total sampling technique. Data were collected using observation sheet of intradialytic complication and analyzed by using univariate analysis. The data collection was carried out on 1st March-30th April, 2019 in Hemodialysis ward at Tabanan hospital. The findings indicated that there were 98 respondents (54.4%) experienced hypertension as the most common intradialytic complications. There were 75 respondents (41.7%) had less than two intradialytic complications. Intradialytic complications often occurred during the fourth hemodialysis. It can be concluded that the more complications experience by respondents, the higher the chances of patients have a poor quality of life. The intradialytic complications can be reduced, thus the patients quality of life can be improved.

Keywords
Intradialytic Complications, Hemodialysis

Topic
Education and Learning

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

Corresponding Author
Ni Kadek Ary Susandi

Institutions
Saint Louis College, Thailand

Abstract
ASEAN was established on 8 August 1967 in Bangkok, Thailand with the purpose to accelerate economic, social and cultural development, provide educational collaboration and maintain close and beneficial cooperation with existing international and regional organizations (Foundation of ASEAN, 2014). To achieve these goals, all members have to look beyond themselves and focus on what they share as a region. This research aimed to study and compare nursing students- perspective for ASEAN citizenship between Saint Louis College (SLC) and 2 education institutions in Indonesia; Institut Teknologi dan Kesehatan Bali (ITEKES Bali) and Widya Mandala Catholic University (WMCU). Sample was year 1 – 4 nursing students with a total number of 304 students: 100 from ITEKES Bali, 100 from WMCU and 104 from SLC. Questionnaire of rating scale was used for data collection consisting of 4 parts; 1) The ASEAN knowing, 2) Information & Technology skills, 3) Management skills and 4) Learning skills. Descriptive statistic and different testing was conducted by using One Way ANOVA. The results revealed that nursing students from the three institutions perceived ASEAN citizenship in similar levels and comparison of each part and over all four parts showed no significant difference.

Keywords
nursing students, ASEAN citizenship

Topic
Education and Learning

Link: https://ifory.id/abstract/3efHUPN2GxEn

Corresponding Author
Ni Kadek Risma Sri Harini

Institutions
Institute of Technology and Health Bali

Abstract
Patients with mental disorder will experience deterioration in their daily life which signifies with the loss of motivation and responsibility, tendency of feeling apathy and neglecting their personal hygiene. This research aimed to find out the personal hygiene behavior of people with mental disorder in Rumah Berdaya, Denpasar City. This research implemented descriptive design with cross-sectional approach. There were 46 respondents involved in this study which were gained through total sampling. The majority of people with mental disorder in Rumah Berdaya were male aged between 46-55 years old (43.5%). The majority of respondents (34 respondents; 73.9%) had good knowledge and 12 respondents (26.1%) had sufficient knowledge on personal hygiene. The majority of respondents (34 respondents; 73.9%) also had good attitude on personal hygiene and 12 respondents (26.1%) had sufficient attitude on personal hygiene. The majority of people with mental disorder (31 respondents; 67.4%) practiced good personal hygiene and 15 respondents (32.6%) practiced moderate personal hygiene. The majority of people with mental disorder had good personal hygiene behavior (35 respondents; 76.1%) and 11 respondents (23.9%) had moderate personal hygiene behavior. The majority of patients with mental disorder in Rumah Berdaya – Denpasar City have good personal hygiene behavior.

Keywords
personal hygiene, mental disorder

Topic
Education and Learning

Link: https://ifory.id/abstract/uD4jgMGparnq

Corresponding Author
Era Widia Sary

Institutions
Universitas Muhammadiyah Banjarmasin

Abstract
Suction is a procedure of action in health services that affect the safety of the clients because suction aims to assist clients to fulfill the oxygen needs by helping to liberate the airway. This study aims to gain an overview of the nurses experience of determining how to perform suction actions on clients with mechanical ventilators in the Intensive Care Unit (ICU). The method used in this research is qualitative method with phenomenology design. The data were collected by in-depth interviews on six participants who worked as nurses in the Intensive Care Unit (ICU) room. There are seven themes identified in this study: (1) the understanding of suction (2) the experience of suction (3) the suction complication (4) the pathophysiology of ventilator installation (5) the importance of adequate resource support (6) the nurse constraint in the suction implementation (7) the protection against nosocomial infections potential. From the results of this study, it is expected that the hospital can improve the support of nurses on their self-development and facilities in carrying out actions in accordance with the standards, in order to continue to gain skills and can update the latest health sciences to support the procedures performed in the Intensive Care Unit (ICU).

Keywords
Nurse Experience, Suction Action, Client Safety

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/hNDXba3Tv9mU

Corresponding Author
Ni Nyoman Nuartini

Institutions
ITEKES BALI

Abstract
Background: Disasters often cause psychological distress as posttraumatic stress and psychiatric disorders. This is often referred to as Post-traumatic stress disorder (PTSD). The purpose of this study was to know in depth the case of post traumatic stress disorder (PTSD) in refugees of pregnant women victims of Mount Agung eruption in Karangasem-Bali. Method: The study was qualitative. Data were collected through in-depth interview techniques on 10 informants. Results: This study found most of the informants had a fairly good life history in their place of origin. After being at the evacuation site, all informants felt an unpleasant feeling. They felt fear and anxiety if Mount Agung really erupted. Especially pregnant women felt anxious about the impact of the Mount Agung eruption. They were anxious to think about the costs of giving birth and the care of their children after birth. They hope a help from the government and all parties related to this problem. Conclusion: The pregnant women of Mount Agung eruption victims were traumatized after the Mount Agung eruption (PTSD)

Keywords
pregnant women refugees, Mount Agung eruptions, PTSD

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/2MwdyzKkDFUQ

Corresponding Author
Ni Wayan Sri Astini

Institutions
Institute of Technology and Health Bali

Abstract
Working as farmers in the agricultural sector that involve physical labor can cause musculoskeletal diseases. Farmers tend to carry out continuous farming activities without interspersed with proper rest periods, which in the end they experience acute pain and cause discomfort in different parts of the body. Farming activities increase the risk of experiencing back pain caused by movements during the activity. The purpose of this study was to identify the prevalence and self-management of low back pain among farmers in Sukawati District, Gianyar Regency. This was a descriptive survey with a cross sectional design. Respondents were 337 farmers selected by multistage random sampling. Self-developed questionnaires were used to collect data. Majority of respondents were male (97.9%), age ranged 41-80 years. Prevalence of low back pain defined low back pain in the last year was 90.8%. Among respondents, 78.4% had moderate level of self-management, 20.6% indicated poor self-management, only 1% showed good level of self-management. Low back pain are common among farmers in Sukawati Distric. It is suggested that health care workers provide health education of prevention and management of low back pain.

Keywords
Low Back Pain, Farmers, Self-management

Topic
Education and Learning

Link: https://ifory.id/abstract/fKALyw7NmX2E

Corresponding Author
A.A.A. Yuli Darmini

Institutions
Bachelor of Nursing Program, Institute of Technology and Health Bali, Jalan Tukad Balian No. 180 Denpasar, Bali, Indonesia

Abstract
Tuberculosis (TB) is a common disease in developing countries with the ratio of male and female patients are between 15 and 59 years old. Pulmonary TB disease is a contagious disease found in developing countries like Indonesia and usually occurs on children and adults. The problem is TB treatment include TB-HIV AIDS, OAT resistance, TB with metabolism, and TB children needs support from various aspect such as the government in controlling TB. Health practitioners should not only wait at the Public Health Centre but also take an action to search in the community. The purpose of this study was to identify the correlation between family supports to quality of life on patients with pulmonary TB in public health center south Denpasar and west Denpasar. This study employed observational analytical study with cross sectional approach. Family support questionnaire was modified from the Medical Outcomes Study (MOS) Social Support Survey (Sherbouren and Stewart, 1991) And life quality was modified from questioner WHOQOL-BREF (2004). Data collection is done by self-administered questionnaire. Univariate analysis was used to determine the demographic data of respondents, the majority of patients are male, with a diagnosis of Positive BTA, with a family type that is the nuclear family. Bivariate test was used spearmen rho to determine the correlation of family support to the quality of life on patients with pulmonary TB in Public Health Centre in South Denpasar and West Denpasar. The result showed that P 0,000

Keywords
Family support, quality of life, pulmonary tuberculosis

Link: https://ifory.id/abstract/wER7YeM49WVx

Corresponding Author
Ni Putu Kamaryati

Institutions
a) Institute of Technology and Health (ITEKES) Bali
*kamaryati.stikesbali[at]gmail.com
b) Sanglah Hospital, Bali

Abstract
Quality of life (QOL) is an important health outcome indicator in oncology. Many factors were related to QOL, such as fatigue, general health perception, and social support. The study focused on four domains of World Health Organization Quality of Life-Bref (WHOQOL-Bref). The revised Wilson and Cleary Model for Health Related Quality of Life (HRQOL) was used to guide the study. The purpose of the study was to examine the association among fatigue, general health perception, social support, and quality of life in cancer patients undergoing chemotherapy in Sanglah Hospital, Bali. The study was a cross-sectional design involving 119 cancer patients by convenience sampling in Sanglah Hospital, Bali. Each participant was interviewed according to structured questionnaires consisting of the demographic information, Visual Analog Scale to measure fatigue, Self-Rated Health, Social Support Survey, and WHOQOL-Bref. Data were analyzed by Spearman-s Rank correlation coefficient. Main results found that fatigue was negatively and significantly associated with physical, psychological, social, and environment domain of QoL (r = -.34; r = -.43; r = -.34; r = -.29, p < .05, respectively). General health perception was positively and significantly associated with physical, psychological, and environment domain of QoL (r =.19; r = .25; r = .19, p < .05, respectively), and social support was positively and significantly associated with psychological and social domain of QOL (r =.25 and r = .22, p < .05). These findings indicate the necessity for health professionals to take these factors into account when treating patients with cancer undergoing chemotherapy to enhance the QOL of patients

Keywords
quality of life; cancer; fatigue; general health perception; social support

Topic
Healthcare Practice and Services

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

Corresponding Author
I Gede Putu Darma Suyasa

Institutions
Institute of Technology and Health Bali

Abstract
Hypertension is increasingly common among people in Indonesia and considered as one of the leading cause of morbidity and mortality. Despite efforts to manage hypertension using pharmacological and non-pharmacological approach including traditional health service approach have been conducted, prevalence of hypertension and death associated with hypertension remains high. This study aimed to identify self-care management hypertension and traditional health service use among hypertensive patients in Southern Denpasar. This was a descriptive study with cross-sectional approach. Respondents were 100 patients recruited via consecutive sampling in 4 Public Health Centers in Southern Denpasar. A validated questionnaire on self-management of diet, physical activity, stress management, alcohol consumption, smoking, medication adherence and the use of traditional health service, was employed to collect the data. Findings indicated that the median age was 55 years (ranged from 17-80 years), 50.4% were females. In self-care management, most respondents showed adequate management in 5 domains (72% for diet management, 74% for stress management, 97% limiting alcohol consumption, 95% avoid smoking and 89% adhered with medication consumption). However, 63% respondents indicated poor management on physical activities. In addition, only 25% of respondents used traditional health service to manage their hypertension. Health care practitioners are suggested to promote physical activities and the use of traditional health services to manage hypertension.

Keywords
Hypertension, physical activities, traditional health service, self-management

Topic
Healthcare Practice and Services

Link: https://ifory.id/abstract/vxAzw6Qjy7TD

Corresponding Author
Ida Ayu Putu Ratih Widiadnyani

Institutions
Institute of Technology and Health Bali

Abstract
Self-image is an individual appraisal on the size, shape, appearance and function of body. Patients with breast cancer experience alteration in their breast as a result of the cancer. The breast is an important organ for woman. This research aimed at exploring the self-image of patients with breast cancer in Surgical Oncology Polyclinic, Sanglah Hospital. This research implemented descriptive, cross-sectional design. The data were collected by using a questionnaire. There were 76 respondents involved in this study and selected through non-probability sampling, the total sampling. Univariate analysis showed that 39 post-mastectomy respondents (81.2%) had a positive self-image and 9 post-mastectomy respondents (18.8%) had negative self-image (mean = 25.81). The analysis results of patients with no mastectomy showed that 23 respondents (82.1%) had a positive self-image and 5 respondents (17.9%) had a negative self-image (mean = 26.57). In general, the majority of patients with breast cancer have a positive self-image (81.6%) and only 14 respondents (18.4%) have a negative self-image

Keywords
self-image, breast cancer, mastectomy

Topic
Education and Learning

Link: https://ifory.id/abstract/AF6cwv8RyMWj