Indonesia Conference Directory

Corresponding Author
Agus Sarwo Prayogi

Institutions
Jurusan Keperawatan Poltekkes Kemenkes Yogyakarta

Abstract
Diabetes mellitus is a clinical syndrome of metabolic disorders, characterized by hyperglycemia caused by defects in insulin secretion, insulin working defects or both. In the world, the number of people with DM is estimated at 171 million and this condition is predicted to continue to rise to 366 million by 2025. The aim of this study is to prove that prodiabetica bitter syrup can reduce blood sugar levels in experimental animals Method: experimental research in laboratory using randomized group design with 5 variations of experimental animals groups. Measurement of blood sugar levels (mg / dL) was carried out 4 times, namely the measurement of initial Blood Glucose Levels after rats were given Streptozotosin (STZ) people with diabetes (P1).Measurement of blood glucose levels were carried out in the second week (P2), and measurement Blood Glucose Levels were carried out in the third week ( P3). The researcher gave Prodiabetic bitter melon syrupwith raw materials, which were bitter melon which had been boiled and then mashed, and then made syrup. The research samples were 25 wistar strain white rats which were divided into 5 groups with 5 groups each. Analysis using General Linear Model with significance level (α = 0.05) or CI = 95%. The results : there were differences in the mean difference between the administration of glibenclamide 0.09 mg/200 gram weigth (40.77 mg/dL), administration of bitter melon syrup 0.27 ml/200 gram weigth (34.19 mg/dL) and combination of administration glibenklamid 0.09 mg / 200 gram weigth and administration of bitter melon fruit 0.27 ml / 200 gram weigth (51.17 m /dL). There were significant differences between the 5 treatment groups with a pvalue = 0,000. Conclusion: there is a significant difference between the combination of Prodiabetic bitter melon syrup and glibenclamide to decrease blood sugar levels in experimental animals.

Keywords
Prodiabetic bitter melon syrup, glibenklamid, Blood Glucose Levels

Topic
NURSING

Link: https://ifory.id/abstract/dYxhjzaGKr6B

Corresponding Author
DIKI RETNO YULIANI

Institutions
(1), Applied Health Masters, Poltekkes Kemenkes Semarang, Indonesia,
(2) Faculties of Public Health, Diponegoro University, Indonesia,
(3) Department of Midwifery, Poltekkes Kemenkes Semarang, Indonesia

Abstract
Background: Non-pharmacological therapy has an important role in lowering blood pressure and controlling risk factors and co-morbidities. There have been many studies in the influences of banana, papaya, and watermelon (as a source of potassium) on blood pressure, but no one has examined the differences in influence between the three. Purpose: The purpose of this study was to prove the difference in the influences of banana, papaya, and watermelon consumption on the systolic blood pressure (SBP) and diastolic blood pressure (DBP) of preeclampsia pregnant women. Methods: Quasi-experimental research design with non-equivalent pre-test post-test with a control group. The sample was 32 pregnant women with mild preeclampsia in Banyumas District with a cluster sampling technique. Statistical analysis were using paired sample t-test, one way ANOVA and post hoc with IBM SPSS software version 25. Results: The results showed there were significant differences in the SBP mean of banana (p 0.003), papaya (p 0.022) and watermelon groups (p 0.004). There were significant differences in the DBP mean of banana (p 0.005), papaya (p 0.007) and watermelon groups (p 0.000). There were no significant differences in the SBP and DBP mean between intervention groups (p> 0.05). Conclusion: There was an influence of banana, papaya and watermelon consumption on SBP and DBP of preeclampsia pregnant woman, but there was no difference in the influences between intervention groups. Banana, papaya, and watermelon can be used as an alternative non-pharmacological therapy to reduce blood pressure in preeclampsia pregnant women.

Keywords
Keywords: Consumption of bananas, consumption of papaya, consumption of watermelon, blood pressure, preeclampsia

Topic
Nursing

Link: https://ifory.id/abstract/LQJUZAmTzh29

Corresponding Author
SRI SUPARTI

Institutions
Universitas Muhammadiyah Purwokerto

Abstract
Background: Intradialytic complications are commonly experienced in hemodialysis patients. Haemodialysis patients usually gain weight between two dialysis time (interdialytic weight gain=IDWG). Patients who experience an increase in IDWG are associated with the incidence of intradialytic complications, such as hypotension, muscle cramps, hypertension, chest pain, headache, fever, nausea and vomiting. Objectives: To analyze the correlation between intradialytic complications and IDWG. Methods: This study used an observational analysis method with a cross-sectional design. Sample were recruited by using simple random sampling as and there were 56 samples on inclusion criteria. Data were analysed using Pearson product moment with significance level α≤0.05. Research ethics was obtained from Margono Soekarjo Hospital Results : The results showed that highest IDWG is 6.58% and the lowest is 0.62%. There was correlation between interdialytic weight gain (IDWG) and intradialysis complications (p=0.00 and r=0.443). Conclusion: It can be concluded that there was correlation between IDWG and intradialytic complications in patients undergoing a haemodialysis treatment at RSUD Prof. Dr Margono Soekarjo Purwokerto.

Keywords
IDWG, intradialytic complications, haemodialysis

Topic
Nursing

Link: https://ifory.id/abstract/bgPr38zyNaEp

Corresponding Author
Madihah Abdullah

Institutions
Universitas Muhammadiyah Yogyakarta

Abstract
Background: Decision making is one of the crucial process that every patients with life threatening illness need to overcome. However, during the process there will be different perspectives between patients, doctors and families which may delay in delivering the care management. Objectives: The aim of this study is to review on the role of nurses in making the decision process easier for the palliative patients. Method: A systematic search had been conducted using PubMed/Medline, EBSCO, Science Direct, Proquest and Wiley Online. The term that had been used are a combination of “nurses- roles”, “decision making” and “palliative patients”. All the articles that published since 2010 until September 2019 have been included. Result: At the first phase of the selection, the title and abstract of the article had been reviewed. After full articles had been reviewed during the second phase, 11 articles had been selected for the final analysis. There are about 298 subjects in this studies which 10 of the studies had collected the data through interviews. Only one study had used quantitative with cluster randomized controlled trial method. The review of these articles shows that nurses may not involve in making decision directly for the patients but they are facilitating the process of making decision and leading the communication between physicians, patients and family. Therefore the decision can be made faster and satisfy the patients and family. Conclusion: Nurses plays important roles in bringing the care closer to the patients.

Keywords
nurses roles, decision making, palliative patients

Topic
NURSING

Link: https://ifory.id/abstract/GyYBpZ732xUr

Corresponding Author
SRI ARINI WINARTI RINAWATI

Institutions
Poltekkes Kemenkes Yogyakarta

Abstract
Background: Time out is one of the phases in the Surgical Safety Checklist made by WHO to improve the safety of operations, reduce deaths and complications due to surgery. Therefore there is a need for nurse compliance in implementing the Surgical Safety Checklist. Factors that influence nurse compliance are age, gender, knowledge, years of service, attitudes, work environment, group characteristics and workload. Objective: To determine the determinants of nurse compliance in the implementation of the Time Out procedure according to the SOP. Research Methods: This study included an analytical survey with a cross sectional research design. The study was conducted in March-April 2019. The samples in this study were perioperative nurses in IBS RSUP Dr. Soeradji Tirtonegoro Klaten taken by accidental sampling technique. Data analysis used is Fishers Exact test. Research Results: From the results of the analysis of compliance factors that affect Time Out, age (p-value) 0.006, gender (p-value) 1,000, knowledge (p-value) 0.026, p-value 0.045, attitude (p-value) 0.171, work environment (p-value) 0.104, group characteristics (p-value) 0.011, workload (p-value) 0.303. Conclusion: Determinants of nurse compliance in the implementation of Time Out according to SOP are factors of age, years of service, knowledge and characteristics of the group.

Keywords
Time Out; Compliance; Determinant of nurse compliance

Topic
NURSING

Link: https://ifory.id/abstract/LHCZJXjTf2QP

Corresponding Author
Budi Santoso

Institutions
a). Health Polytechnic of Palembang, Indonesia
*sant.budi75[at]yahoo.com
b). Faculty of Nursing, Indonesia University, Indonesia

Abstract
This systematic review identifies, appraises, and summarizes the evidence on the effectiveness of relapse prevention for drug addictions. Nine studies met criteria for inclusion in the review. They were assessed for quality and outcomes including substance use and recovery-related factors. Despite significant methodological limitations found in the included studies, the body of evidence suggests salutary effects on participants. Current limitations and recommendations for future research are discussed.

Keywords
Peer, Relapse Prevention, Drug Addiction

Topic
Nursing

Link: https://ifory.id/abstract/Vh8yHPr4Egpt

Corresponding Author
Ike Mardiati Agustin

Institutions
STIKES Muhammadiyah Gombong

Abstract
Background Hernia post surgery clients may get physical and psychological disturbances. They are the weak body organs and adaptation process upon the changes after the surgery in order to fulfill his obligation in accordance with their roles. Purpose This study aims at finding out phenomenology of acceptaning process and self-concept changes of hernia post surgery clients in Kebumen regency, Central Java. Method This study is a qualitative phenomenology descriptive by using interpretive approach on 8 participants (hernia post surger clients). Data were obtained through interview. Result The clients of hernia post surgery have undergone adaptation process, such as accepting process, adaptation of accepting process, new role response. They need support system like prymary caregiver and social environment support to face the changes in activity, physic, sexual pattern and the disturbance of self-ideal fulfillment. Conclusion The Are any acceptaning process and self-concept changes of hernia post surgery clients and this study recommend to provide therapy to hernia post surgery clients to maintain him self-esteem.

Keywords
Hernia post surgery, Acceptaning Process, self-concept changes

Topic
Nursing

Link: https://ifory.id/abstract/vKVZ3PTqw9EG

Corresponding Author
Dyah Sari

Institutions
Sultan Agung Islamic University

Abstract
The enactment of the Asean Economic Community (MEA) is currently leading to increasingly fierce competition in the growth and sustainability of hospitals. Such challenges require health service providers to compete by making strategic changes and improving service quality. This study aims to describe the quality of Islamic hospital services in Semarang City. Respondents of this study were inpatients at the two Islamic Hospital based sharia in Semarang City area. Total of respondents consist of 100 people. The sampling technique was used purposive sampling. The method in this study is descriptive explorative. Based on the results of data analysis used frequency distribution showed that the portrait of the quality of nursing services in Islamic hospitals in the Semarang City area is in a good category. The results of this study have implications that every hospital, especially Islamic hospitals should always improve service quality.

Keywords
Service Quality, Islamic Hospital, Based Sharia

Topic
Nursing

Link: https://ifory.id/abstract/dt3phMfLBxNr

Corresponding Author
Yustin Nur Khoiriyah

Institutions
Politeknik Kesehatan Tanjungkarang

Abstract
Psychological problems are closely related to disaster events, both immediately after the disaster in the form of acute stress and trauma that occur later as from the inability of survivors to adapt to the stressors they face. Rajabasa sub-district is one of the areas in South Lampung with the areas worst affected by the Tsunami, especially the villages of Kunjir, East Way Muli and West Way Muli. The purpose of this study was to determine the form of psychological treatment for survivors in Rajabasa Subdistrict, South Lampung. This research was conducted using the Static Group Comparison Design method by providing treatment in the form of providing psychological assistance and supportive therapy in the form of therapeutic activities to address the psychological problems of survivors. The population in this study were all survivors affected by the December 2018 Sunda Strait Tsunami in Rajabasa Subdistrict, South Lampung. The sample of this study was taken by purposive sampling method with a sample size of 60 people. Samples were divided into two groups, namely groups that only received assistance and groups that received assistance and activity therapy. Data was collected by interview using a self reporting questionnaire to assess the psychological condition of survivors and feelings of trauma from the tsunami disaster that had been experienced. The analysis showed that most respondents experienced psychological problems (64.9%) and most experienced trauma (83.5%). The results of the analysis using the t test obtained p-value <0.005. These results indicate there is an influence of psychological assistance with therapeutic activities on the psychological condition of survivors. It is recommended to use counseling in the form of psychological assistance and maintain survivors activities in the form of supportive therapy so that survivors continue their lives and still feel meaningful.

Keywords
Psychological treatment, disaster, tsunami, penyintas/survivor

Topic
NURSING

Link: https://ifory.id/abstract/9BerD2jCUq7f

Corresponding Author
Ns. Sidik Awaludin, M.Kep., Sp.Kep.MB

Institutions
School Of Nursing, Faculty Of Health Sciences, Jenderal Soedirman University, Indonesia

Abstract
Background: The concept of quality of life has been widely used in various fields, especially health and nursing. A discussion of the concept of quality of life is an important consideration for evaluating the end results of health services provided by health workers as in the case of cardiac surgery, hence the concept of quality of life in cardiac surgery patients requires a specific definition. Various experts have defined the concept of quality of life. However until now there has not been an agreement on appropriate and specific definitions Aim: To present a concept analysis of quality of life from the perspective of cardiac surgery Design: The method used in this paper was the approach of Walker & Avant (2011) Data Sources: This concept analysis was carried out with the aid of literature on quality of life obtained through the internet databases of CINAHL, Proquest, and Google Scholar. The key words of interest were “Quality of Life” and “Cardiac Surgery.” The search timeline was adjusted to articles published within 2009 to 2019. Review Method: This concept analysis was performed using the 8-step method Proposed by Walker and Avant. Results: Following the Walker and Avant-s method, identification of the attributes, antecedents and consequences of quality of life led to an operational definition of the concept of quality of life as the individuals perception of himself subjectively related to physical, psychological and social behavior to be prosperous in his life Conclusion: This concept analysis was able to show that, quality of life is the individuals perception of himself subjectively related to physical, psychological and social behavior to be prosperous in his life. Quality of life will provide benefits to cardiac surgery patients: reduce length of stay and maintenance costs, prevent complications and social isolation

Keywords
Cardiac surgery, concept analysis, Walker and Avant, quality of life

Topic
Nursing

Link: https://ifory.id/abstract/Q8bPAgXLchY7

Corresponding Author
Magda Fiske Rumambi

Institutions
Faculty of Nursing, Universitas Pelita Harapan

Abstract
Background: Breast cancer is the biggest causes of death by cancer. Physical and psychological pressures, medicines, or illness can cover up the functioning of the clients intellect and quality. One of the important things to be noticed in breast cancer patients is the quality of life. Purpose: Quality of life is an important goal in the treatment of cancer, and concerns about physical condition, psychological, body image disturbances, and symptoms that can cause distress that needs to be anticipated to improve the quality of life of cancer patients.. Methods: The design of study was a quantitative descriptive study. With the sampling technique is convenience sampling (conformity). The total sample for this study was 31 patients. In this study used 2 questionnaires, namely EORTC QLQ (European Organization for Research and Treatment of Cancer Quality of Life Questionnaire) BR23 and questionnaire for the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-C-30. Results: The results 14 respondents in good quality of life (45,2 %) and 17 respondents in medium quality of life(54,8 %). Conclusion: It can be concluded that the quality of life of breast cancer patients in private hospitals in Western Indonesia is in the medium range. Recommendations for next research are looking at other factors that affect the quality of life and the correlation between the quality of life of breast cancer patients with the disease process.

Keywords
Breast cancer, quality of life, patient, hospital

Topic
Nursing

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

Corresponding Author
Haryati Haryati

Institutions
Medical Faculty of Halu Oleo University

Abstract
Background: Hospitalization can affect the child-s behavior as a reaction to the experience of hospitalization. These reactions are individual and depends on the stages of child-s development, previous experience of illness, the available support systems, and the coping abilities they have. Purpose: The aimed of this study was to determine the relationship between the role of parents toward the impact of hospitalization on children in RSUD Kota Kendari. Methods: This research design was analytic observational with cross sectional approach. Samples in this study were pre school and school ages children who were being treated as the patient, where the respondents were parents of patients with 32 samples taken by total sampling technique based on inclusion criteria. Data analysis was using statistical chi-square test (α = 0.05) with significance level 95%. Results: The results showed that the role of parents in the good category were 26 people (81.2%) and the impact of hospitalization on children with positive categories were 25 people (78.1%). The results of the analysis obtained the value of fisher exact test showed the relationship of parents role towards the impact of hospitalization on children, with a value of p = 0.012 <α = 0.05. Conclusion: There is significant relationship between the role of parents towards the impact of hospitalization on the children in RSUD Kota Kendari, where the more better of parent-s role it will be getting a positive impact of hospitalization experience to the children.

Keywords
children, hospitalization, parent-s role, pre school age, school age

Topic
Nursing

Link: https://ifory.id/abstract/eMCBNaKrLku9

Corresponding Author
Atit Maharani Prasetya

Institutions
a) Sumbang 2 Public Health Center, Banyumas
b) Nursing Department, Faculty of Health Sciences, Jenderal Soedirman University
*rahmi.setiyani[at]unsoed.ac.id

Abstract
Background: Sexuality is an important aspect of life, regardless age. Sexuality has broad meaning, encompassing not only physical, but also psychological and social aspects. Elderly experiences decline in physical functioning. However, they still have sexual needs that must be fulfilled. Objective: This study aims to describe sexuality in older people, including desire, expression and satisfaction. Methods: This study used a descriptive quantitative design. A total of 98 elderly who selected using consecutive technique sampling was involved in this study. Sexual desire, expression and satisfaction were measured using a questionnaire adapted from previous studies. Results: Most respondents, either male or female elderly still had sexual desire (83.3 % and 76% respectively). However, sexual desire was likely to change with age and health status. Many of respondents still did sexual activities to fulfill their sexual needs, including intercourse, hugging and kissing, though not had them regularly (66.3%, 53.1% and 87.8% respectively). Giving support was the most likely means of expressing emotional intimacy (M=1.523). Respondents achieved sexual satisfaction through communication as well as sexual intercourse almost equally (M=0.99 and M=0.92 respectively). Conclusion: Elderly people still had sexual desire and were still sexually active. They used both physical and emotional means to fulfill their sexual needs. Communication as well as sexual activities was equally important to achieve sexual satisfaction.

Keywords
Aging, elderly, intimacy, relationship, spouse

Topic
Nursing

Link: https://ifory.id/abstract/4ExXuMfjKhg7

Corresponding Author
Faizal Muhammad

Institutions
Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36A Surakarta, Indonesia 57126
fowlisbyrne[at]gmail.com

Abstract
Background: Measuring pain in patients with loss of consciousness (LoC) is very important for the success of therapy, but the inability of patients to communicate encourages nurses to measure the degree of pain through observing pain responses in patients with LoC. To estimate the level of pain, Behavioral Pain Scale (BPS) was formulated by Payen in 2001 and an adaptation of BPS for non-intubated (BPS-NI) patients was developed by Chanques in 2009. Purpose: This study was aimed to investigate the stability, validity, internal consistency reliability, and inter-rater reliability of BPS-NI in LoC patients in High Care Unit (HCU) of UNS Hospital. Methods: In this descriptive prospective study, fifteen LoC patients were involved. Three raters measured pain in 15 non-intubated LoC patients during three conditions: confirmed in which level of consciousness is depressed but to a lesser extent than in coma, 12 hours and 3 days after first arriving at HCU. Results: The average score was 9,00 at first admission of patient and 8,93 at 12 hours after first arriving at HCU, using paired sample t-test p=0,32 indicates the stability of BPS-NI was verified. Validation study of three BPS-NI domains with Pearson correlation obtained r > 0.514 shows three domains of the BPS-NI were valid. Reliability analysis obtained Cronbach alpha value of 0.73 showed acceptable BPS-NI internal consistency. The BPS-NI inter-rater reliability analysis obtained the Cohen kappa coefficient of 0.71 which shows the result of a substantial agreement. Conclusion: Pain assessment using BPS-NI in patients with LoC has good stability, validity, internal consistency reliability, and inter-rater reliability. Keywords: Behavioral pain scale non-intubated, loss of consciousness, pain

Keywords
Behavioral pain scale non-intubated, loss of consciousness, pain

Topic
Nursing

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

Corresponding Author
Maria Yoanita bina

Institutions
Department of Nursing, Diponegoro University, Semarang
Jl. Prof. Soedarto, Tembalang, Kec. Tembalang, Kota Semarang, Jawa Tengah
ns.yoanitabina[at]gmail.com

Abstract
Abstract Surveys show that 1 among 6 people (15-20%) is having one or more mental disorders. Hope intervention overcomes mental disorders by forming positive emotions. Reviews on the provision of Hope Intervention, however, are yet to be found. To describe stages in providing hope intervention in overcoming mental disorders. Articles used in this review were taken from PubMeds, ScienceDirect, MEDLINE, Sagepubs, Scopus, Web of Science, and PsycINFO and searched with the keywords of hope therapy, hope intervention, hope intervention program, mental disorder, and psychiatric symptoms; published in in the period of 2000-2018; quasi-experimental, randomized control trial, clinical trial in nature; in full text form; and written in English. The quality of the articles was evaluated using JBI and CASP checklists. Data were analyzed using narrative analysis. Not including duplicates, 8664 titles and abstracts, and 10 fully read full texts were found and 5 articles met the set criteria. Stages in giving hope intervention are introduction, setting goals, identifying strategies to achieve goals, motivation reinforcement to implement strategies in achieving goals, and evaluation. Intervention strategies are adjusted based on population and problems faced by clients. There are five stages in providing hope intervention and strategies in implementing the intervention is adjusted based on population and problems. In giving hope intervention, nurses are suggested to take into consideration stages and strategies that will be used.

Keywords
Hope intervention, hope therapy, mental disorders, psychiatric symptoms

Topic
NURSING

Link: https://ifory.id/abstract/xRXPj7gEmTpt

Corresponding Author
fitriani fitriani

Institutions
universitas Halu Oleo

Abstract
Background : Urolithiaisis is one of the major diseases of the urinary tract. The world of the disease including three most prevalent diseases of Urology. The high incidence of urolithiasis high in Muna. Purpose: The Purpose of this to explore and understanding the phenomenology of traditional treatment of patients with urolithiasis in Muna with Trascultural Nursing Approach. Method : The design of this study qualitative methode with descriptive phenomenology. To data collection done by in depth inteviews. Participants of this study were taken by purposive sampling and number of participants by 5 people. Data have been interpreted with Content analysis method. Result : The results of this research shmed seven themes: alterative treatment urolithaisis Tribe Muna, the role of religion and falsafah live in traditional treatments, the family and social role in the treatment of urolithiasis traditional Muna tribe. The role of cultural values and lifestyles, economic influence and education background of traditional treatments Muna tribe. Conclusion : The conclusion of this study that technological factor, cultural values and lifeways, political and regal factor care their culture negotiation, while religious and philosophical factor, kinship and social faktor, economical factors and educational factors need their care maintenance culture.

Keywords
Traditional treatment Etnic Muna, Urolithaisis, Transcultural Nursing

Topic
Nursing

Link: https://ifory.id/abstract/NkEvf3eYbugh

Corresponding Author
Siti Badriah

Institutions
1. Department of Nursing, Ministry of Health Polytechnic of Tasikmalaya, Indonesia
2. Department of Community Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia
3. Department of Anthropology, Faculty of Social and Political Sciences, Universitas Indonesia, Depok, Indonesia
4. Department of Population and Biostatistics, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia

Abstract
Diabetes is a chronic disease that has connotations of culture or unhealthy lifestyle, so to overcome this a cultural approach is needed that leads to better behavioural patterns. The purpose of this study was to determine the effect of Sudanese culture-sensitive family nursing model on improving family support in controlling blood sugar in elderly with diabetes. This study used quasi-experimental design pre and post-test involving 114 respondents of families with elderly diabetes consisting of 57 respondents in the intervention group and 57 respondents in the control group. Samples were taken by multistage cluster sampling and statistical analysis using univariate, bivariate with independent t-test and chi-square, multivariate with General Linear Model Repeated Measure (GLM-RM). The results showed an increase in the mean of family support (informational, instrumental, appreciation and emotional support) and a decrease in the mean of elderly with diabetes blood sugar levels between 3 months and 6 months measurement after the application of the model in the intervention group compared to the control group with each p-value = 0.000. Sundanese culture-sensitive family nursing models can improve family support in treating the elderly with diabetes and have an impact on controlling blood sugar. It is recommended to be replicated using various culture that is adapted to local culture conditions in Indonesia.

Keywords
Sundanese culture, family support, diabetes

Topic
NURSING

Link: https://ifory.id/abstract/TEVxZ7fU32dp

Corresponding Author
Nor Aziyan Yahaya

Institutions
1Department of Nursing Science, University of Malaya, Malaysia
2Department of Psychological Medicine, University of Malaya, Malaysia
3Department of Social and Preventive Medicine, University of Malaya, Malaysia

Abstract
Background: Exploring cancer patients experience on symptoms and self-care strategies to manage symptoms at home may help the researcher to prepare a symptom assessment tool and effective self-care strategies for their client during chemotherapy based on Malaysians cultural aspect. Purpose: The purpose of the study was to explore symptom clusters experience and self-care strategies among breast cancer patients undergoing standard adjuvant chemotherapy to reduce symptom burden. Methods: The design of the study was a descriptive longitudinal qualitative with critical incident technique analysis. Incidents were collected for five months through face to face interviews with seven breast cancer patients undergoing chemotherapy in one of teaching hospital, at Klang Valley, Malaysia. A total of 21 interviews were conducted at three assessment points (cycle 1, 3, and 5) to identify patients symptom cluster and patterns and self-care strategies. Results: A total of 200 and 303 of critical incidents were identified for symptoms cluster and self-care strategies. Two main symptoms cluster emerged in the analysis: the physical and psychological symptom. Across the three assessment points, physical and psychological symptoms cluster described by patients from day 1 till day 21 were alopecia, loss of appetite, fatigue, skin changes, dryness of mouth, taste change, nausea and vomiting, body ache, skin dry, constipation, stomach bloated, diarrhoea, hand and foot syndrome, loss of weight, and infection. In psychological symptoms were feeling emotional distress, giddiness/headache, difficulty to sleep, difficult to concentrate and feeling agitated. In self-care, five main strategies emerged in the analyses: Diet, lifestyle change, mind control practice, natural treatment and pharmacological intervention. Conclusion: Results supported the importance of giving information about symptoms cluster experience and self-care strategies among breast cancer patients for successful treatment and to improve quality of life during treatment. It provides the researcher with evidence to develop a tool such as diary to assess symptoms cluster and effective self-care for future patients undergoing similar treatment according to Malaysian culture.

Keywords
Symptom cluster, self-care strategy, chemotherapy, breast cancer, critical incident technique

Topic
Nursing

Link: https://ifory.id/abstract/vnfGqtQeRT39

Corresponding Author
ELISSA OKTOVIANI HUTASOIT

Institutions
Faculty of Nursing University of Pelita Harapan

Abstract
Background: Intravenous (IV) line infusion therapy is one of the actions most often given to patients undergoing health care. The ability to insert IV line is the competence and responsibility of a nurse. Installation of IV line is very important so that it must be done correctly in accordance with the standard operating procedures that are applied to avoid complications such as phlebitis or inflammation of the tunic intima vein. Objective: The purpose of this study was to determine the causes of phlebitis in infusion in the inpatient room at a Western Indonesian Private Hospital. Method: The design of this study is descriptive quantitative research with documentation study data collection methods (check list). This sampling technique uses a purposive sampling technique to 50 respondents who are being treated at the hospital. The instrument for measuring this research is a documentary study sheet using Visual Infusion Phlebitis (VIP) Score from Andrew Jackson. Results: The results 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 in this study were Intrinsic factors (gender, age, comorbidities) of 82%, chemical factors (type and speed of fluid) of 52%, and mechanical factors (catheter size, location and length of insertion) of 98% . Conclusion: The conclusion of this study is that there are main factors causing phlebitis in patients in a Western Indonesian Private Hospital, namely intrinsic factors, chemical factors, and mechanical factors with the highest frequency causes of phlebitis is a mechanical factor (98%) and intrinsic factor (82%). suggestion n) for further research is that this study can be used as a reference to redevelop the analysis of more specific causes of phlebitis

Keywords
Phlebitis, Factors, IV Line Insertion

Topic
Nursing

Link: https://ifory.id/abstract/DCRX8eqauvKB

Corresponding Author
Ira Kusumawaty

Institutions
1 Department of Mental Health Nursing Poltekkes Kemenkes Palembang, Indonesia
2 Department of Child Nursing Poltekkes Kemenkes Palembang, Indonesia
3 Department of Community Poltekkes Kemenkes Palembang, Indonesia

Abstract
The fluctuation of psychological conditions among people with mental disorders are suspected to burden the family caregiver. Horticultural therapy has been known as an effective complementary therapy to enhance people mental health. Family assistance in the implementation of horticultural therapy is a form of family caring which contributes greatly in determining the achievement of horticultural therapy goals. However, not many previous studies have explored family experiences when accompanying family members who suffer from mental disorders in undergoing horticultural therapy. This study aims to explore family experiences when accompanying family members who suffer from mental disorders when undertaking horticultural therapy. Qualitative research using a hermeneutic phenomenology approach was conducted in 5 homes of people with mental disorders who had experienced horticultural therapy. Five family participants were selected by purposive sampling and considered data saturation. Family data were analyzed by using data analysis content. Interview notes are read repeatedly to identify data saturation and formulate the unit of analysis. Furthermore, the data is structured through the coding phase, followed by formulating categories and abstracting them to obtain a brief overview. To guarantee the validity of the data, this study pays attention to its credibility, confirmability, dependability, transferability and authenticity. The results of the study indicate that the family is aware that while assisting the patients during horticultural therapy, the family must have strong motivation, patience, sincerity and confidence. It is proven that the patients self-confidence, ability to interact and communicate shows positive development after undertaking horticultural therapy. As one form of complementary therapy, the sustainability of horticultural therapy should be done continuously by the health care provider accompanied by family support.

Keywords
caring; family; horticultural therapy; mental disorder

Topic
NURSING

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

Corresponding Author
Dilla Fitri Ayu Lestari

Institutions
(a) Nursing Magister, nursing Departement of Nursing Faculty, Diponegoro University
*dillafitriayulestari[at]gmail.com

Abstract
When patients get into ICU and apply mechanical ventilation, they are treated continuously by applying nursing treatment in critical condition, covering assessment up to evaluation. For patients in ICU, mechanical ventilation is an effective medication to survive acute illnesses and increase survival rate. Nurses have their own role which is different from medical rehabilitation team in the process of pulmonary rehabilitation in patients with applied mechanical ventilation, one of which is by performing continuing care program. This research aims to find out how the perception of nurses, patients and families is, as well as to describe how the system in ICU is pertained to continuing care program in patients with applied mechanical ventilation by conducting in-depth interview with semi-structured interview guidance. The themes resulted from this research are: 1) The continuing care program in the implementation of pulmonary rehabilitation in hospitals has not run systematically well, 2) The nurses- perception of continuing care program has not fit the concept of continuing care, 3) Families need continuing care in pulmonary rehabilitation process in patients with mechanical ventilation. This research concludes that it is necessary to perform a continuing care program in hospitals, especially in patients with mechanical ventilation who are in the process of pulmonary rehabilitation, to get a synergy in treatment service.

Keywords
continuing care, pulmonary rehabilitation, mechanical ventilation

Topic
Nursing

Link: https://ifory.id/abstract/XL7MQdHfPNqz

Corresponding Author
Yustin Nur Khoiriyah

Institutions
Politeknik Kesehatan Tanjungkarang

Abstract
The rate of surgery at the RSUD Dr. H Abdul Moeloek Lampung Province from January to December 2017 as many as 355 who underwent surgery with the most cases was Laparatomi. The pre-survey was conducted on 10 patients who experienced surgery, 8 people experienced pain with a scale of 10 and 2 people experienced a pain scale of less than 10. Patients said they began to feel pain between 3-4 hours after surgery, and pain management was done with a pharmacological approach alone namely by administering analgesics. This study found differences in post-operative patient pain scale reduction after administration of slow deep breathing distraction-relaxation techniques with a religious approach at Bandar Lampung General Hospital. The research design used was experimental research (one group pre-test and post-test design). The treatment given to respondents in the form of distraction-relaxation techniques is slow deep breathing with a religious approach to postoperative patients. The number of respondents was 60 respondents. Analysis of the data used is univariate analysis to see the frequency distribution and bivariate analysis using the statistical test used is the T dependent test. Decrease in pain scale postoperative patients after slow deep breathing with a religious approach of 2.17 with a standard deviation of 0.994. Statistical test results with dependent t-test obtained p value = 0,000. This p value is smaller than  (0.05) so that it can be concluded that slow deep breathing with a religious approach is effective in reducing the pain scale of postoperative patients. Suggestions for pain management in the form of breathing exercises Slow deep breathing should have started to be taught to patients since the preoperative phase along with other preoperative preparation exercises such as leg exercises and so on.

Keywords
pain management; religious; distraction; relaxation

Topic
NURSING

Link: https://ifory.id/abstract/WEjn4Rtd2pNv

Corresponding Author
Nurhadi Nurhadi

Institutions
UNSOED

Abstract
Background: One of the infections acquired in the hospital is nosocomial infection. From the many nosocomial infections, phlebitis ranks first compared to the other infections. One of the factors that influence the occurrence of phlebitis is a dressing factor. The dressing that is usually used is a transparent dressing. There are transparent dressings which have CHG and some are standard dressing (no CHG). The aim of the study was to determine the difference of effectiveness between CHG transparent dressing and standard transparent dressing on prevention of phlebitis. Methodology: This research was quasi-experimental design with a post-test only group design method. There were 23 people as the sample for each group using purposive sampling technique. The research instrument used the phlebitis score observation sheet. Data analysis used chi square statistical test. Results: The incidence of phlebitis between CHG transparent dressing as many as 1 respondent (4.3%) while standard transparent dressing as many as 7 respondents (30.4%). Both groups had significant differences in phlebitis scores between CHG dressing and standard dressing (p 0.047). Conclusion: There is a significant difference between CHG transparent dressing and standard transparent dressing against the prevention of phlebitis, so the CHG dressing is more recommended as a dressing on the infusion.

Keywords
CHG Transparent Dressing, Standard Transparent Dressing, Phlebitis

Topic
Nursing

Link: https://ifory.id/abstract/xedAzHgZfUb3

Corresponding Author
HERI FIRMANSAH

Institutions
1) Nursing Student Department of Nursing Faculty of Health Sciences University of Jenderal Soedirman
2) Lecturer at the Department of Nursing Faculty of Health Sciences University of Jenderal Soedirman

Abstract
Background: Hypertension is a major risk factor for cardiovascular disease. Stress is a risk factor for hypertension. Non pharmacological treatment that can reduce the stress effectively is music therapy. The purpose of this research was to identify the effect of acoustic guitar music therapy on blood pressure in primary hypertension patients in East Banjarsari Village. Method: This research used quasy-experimental two group pre-post test design, with purposive sampling. The samples were 40 respondents. For 3 days, 20 respondents listened to acoustic guitar twice a day and other groups 1 time a day. Pre-post therapy data were tested by dependent t test, while the difference in a decrease in blood pressure between the two groups was tested by independent t test. Results: There were differences in systolic and diastolic blood pressure before and after intervention in group 1 (p 0,000 and 0,001) and group 2 (p 0,000 and 0,001). There was no difference in a decrease in blood pressure significantly between the two systolic groups (p 0.647), diastolic (p 0.353). Conclusion: Acoustic guitar music therapy performed twice and once a day for 3 days can reduce blood pressure in patiens with primary hypertension

Keywords
Music therapy, complementary therapy, primary hypertension.

Topic
Nursing

Link: https://ifory.id/abstract/cYkgMutqrG8v

Corresponding Author
Slamet Turah

Institutions
Jenderal Soedirman University Faculty of Health Sciences

Abstract
Background: Premarital sex behavior in adolescents has several negative impacts such as psychological, physiological, social and physical impact. This phenomenon increasing every year. One of premarital sex behavior prevention in adolescents is through giving education, especially with smartphone aplication. This study aimed to determine the effect of health education with the "aplikasi gapin" to the adolescents knowledge and attitude in premarital sex. Research Method: This research used quasi experiment with one group only with pretest and posttest design. Sampling technique used quota sampling, which involved 53 students. Data were collected using a questionnaire of knowledge and attitude. Data were analysed using Wilcoxon test and Independent sampel T test. Results: The study results showed that there was a significant difference of knowledge and attitude between before and after given health education with p value = 0,000 (p <0,05). Conclusion: “aplikasi gapin” was effective to improve knowledge and attitude of premarital sex behavior in adolescents.

Keywords
aplikasi gapin, Premarital sex behavior, adolescents.

Topic
Nursing

Link: https://ifory.id/abstract/yepbJ7YgKXUZ

Corresponding Author
Bangun Sasongko

Institutions
Jurusan Keperawatan Fakultas Ilmu-ilmu Kesehatan
Universitas Jenderal Soedirman Purwokerto

Abstract
Background : Pneumonia Associated Ventilator (VAP) is the most common pneumonia in the Intensive Care Unit (ICU) and is one of the causes of the highest mortality of up to 67%. This research objective is to know the effect of combination in using natrium bicarbonate and listerine® to oral hygiene toward incidence VAP in Pusat Otak Nasional Hospital. Methodology : Quantitative reseach with quasi experiment (pretest-posttest with control group design) program. The sample is taken using purposive sampling technique as many as 30 respondents. This research instrument using CPIS observation, data analysis using Willcoxon dan Mann-Whitney experiment. Result : The result of the research indicated significant diferences in score CPIS before and after oral hygiene using chlorhexidine (p value = 0,005) and using combination between natrium bicarbonate and listerine® with (p value = 0,036). There was no diference significant between bolt groups with (p value = 0,57). Conclusion : Chlorhexidine and the combination of sodium bicarbonate and listerine® can be used as antiseptic moutwash in the prevention of VAP.

Keywords
Chlorhexidine, Listerine®, Natrium bicarbonate, Ventilator Associated Pneumonia.

Topic
Nursing

Link: https://ifory.id/abstract/QKyWPhxgHZA9

Corresponding Author
eka rita lestari

Institutions
UNSOED

Abstract
Abstract THE EFFECT OF COMBINATION OF ACUPRESSURE POINT KI.3 AND WARM COMPRESS ON JOINT PAIN SCALE IN PATIENTS TUBERCULOSIS AT PUSKESMAS IN SOKARAJA SUB-DISTRICT Eka Rita Lestari, Arif Setyo Upoyo, Sidik Awaludin Background : Joint pain is a side effect of an anti-tuberculosis drug which can cause discomfort, limited joint motion and gait disorder. Non-pharmacological pain management includes acupressure and warm compres. The objective of the study was to determine the effect of acupressure Ki.3 and warm compress on joint pain scale in patients with Tuberculosis. Methodology: This research design used quasi-experiment pre post test with control groups design to 34 respondents. Measurement of pain used NRS. Statistical tests used in this study were Wilcoxon and Mann-whitney Tests. Research Results: The results of the study indicated that there was a significant difference in joint pain scale before and after the treatment of combination of acupressure Ki.3 points and warm compress (p 0,001) and those treated with warm compress (p 0,001). There was no significant difference in the decrease of joint pain scale in the two group (p 0,054). Conclusion : The combination of acupressure Ki.3 point and warm compress could reduce joint pain in patient with Tuberculosis. Keywords : Joint pain, Tuberculosis, Acupressure, warm compresses.

Keywords
Joint pain, Tuberculosis, Acupressure, warm compresses.

Topic
Nursing

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

Corresponding Author
Heri Kristianto

Institutions
1) School of Nursing, Medical Faculty, Universitas Brawijaya
2) Anatomy and Histology Laboratory, Medical Faculty, Universitas Brawijaya
3) Faculty of Nursing, Universitas Indonesia

Abstract
Background: Moist wound healing is a method of retaining moisture so that migration of epithelial cells and synthesis of collagen can increase. One of the liquids that can be used is Betaine Polyhexanide 0,1%. Purpose: This study aimed to determine the effect of frequency of dressing replacement with Betaine Polyhexanide 0.1% on the formation of collagen and epithelial tissue in albino wistar rats with grade II A burns. Methods: This study used Posttest Only Randomized Controlled Group Design conducted on 25 male rats within a period of 13 days divided into 5 groups. Each group comprised 5 rats; those are “every 12 hour” group, “every 24 hour” group , “every 36 hour” group, “every 48 hour” group and “control” group. The variable measured in this study is the percentage of epithelial and collagen. Results: The Shapiro-Wilk/Kolomogorov Smirnov and Levene test have a significant value of (p > 0,05) indicating normal distribution and homogeneity. One Way ANOVA test revealed a significant difference in the synthesis of collagen with p-value of 0.002 (p<0.05) but there was no significant difference in the formation of ephitelial with p-value of 0.561 (p > 0.05). The highest score was found in Betaine Polyhexanide 0,1% in the every 24 hour group and the second is in the 48 hour group for collagen and control group for ephitelial. Conclusion: It can be concluded that the treatment of burns grade II A with Betaine Polyhexanide 0.1% every 24 hours can optimize the formation of collagen and ephitelial tissue.

Keywords
betaine polyhexanide, collagen, epithelial tissue, burns, frequency of dressing replacement

Topic
Nursing

Link: https://ifory.id/abstract/DaEnTgC8w7Hq

Corresponding Author
Sugiono Sugi

Institutions
Jenderal Soedirman University

Abstract
ABSTRACT Background: Anxiety is one of the problems that are often found in Emergency Department patients. Seeing the Emergency Department condition which is uncertain, in the terms of hustle and bustle of the room, worry of other patients, panic from the family, greatly affect the patients psychology. It makes difficult to concentrate. Therefore, research is needed to determine the effect of oral dhikr on decreasing scores of patients anxiety in Emergency Department. Objective: This study aims to determine the effect of oral dhikr on the decrease in anxiety scores of patients in Emergency Department. Method: This study used quasi-experiment method with pre and post test with control group design. The researcher used purposive sampling. The number of samples in experimental group and control group were 19 respondents respectively. VAS-A is used as an instrument in measuring anxiety levels. Data analysis used Paired T-Test and Independent T-Test. Results: The average of anxiety scores on experimental groups change from 62,74 to 44,47 meanwhile control groups change from 58,63 to 40,95. The result of Paired T-Test p < 0.05, which means that there are significant differences before and after the action at both groups in anxiety scores. While the result of Independent T-Test p > 0.05 showed that there is no difference in a significant decrease in anxiety scores between both groups. Conclusion: There is an effect of oral dhikr on the decrease in anxiety scores of patients in Emergency Department. However, there was no significant difference on the decrease in anxiety scores that was between the experimental groups and the control group.

Keywords
Oral dhikr, dhikr, anxiety

Topic
Nursing

Link: https://ifory.id/abstract/KRa8jAEcCxw7

Corresponding Author
Atik Badiah Badiah

Institutions
POLTEKKES KEMENKES YOGYAKARTA

Abstract
ABSTRACT Background: Autism is a developmental disorder characterized by difficulties with social interaction and communication, and by restricted and repetitive behavior. Parenting is an approach to understanding and changing behavior. Its not a specific therapy itself, but a range of different strategies and techniques that can be used to teach people with autism spectrum disorder new skills and reduce their difficult behavior. This study aimed to determine the effect of parenting on the personal social development of autistic children at autism school. Subjects and Method: This was a randomized controlled trial. This study was conducted at 7 autism schools in Yogyakarta province (FajarNugraha, Samara Bunda, Bina Anggita, Dian Amanah, Trustees, Citra MuliaMandiri, and Autism Service Center) and 1 BaitulQurani autism school in Ponorogo, East Java. A total of 92 autistic children aged 6-12 years was selected for this study and randomized into two groups: parenting group and control group. The dependent variable was personal social development. The independent variable was parenting. The data on child personal social development was measured by Screening Tool for Autism in Toddlers and Young Children (STAT). The data were analyzed by t-test and wilxocon. Results: Before the intervention, the means of STAT score between the two study groups were comparable. As a result of randomization, the mean difference of STAT scores between the two groups was statistically non-significant. After the intervention, mean of STAT scores was higher in the parenting group than in the control group, and it was statistically significant. Conclusion: Parenting is effective in improving the personal sosial development of autistic children.

Keywords
Parenting, personal social development, autistic children

Topic
NURSING

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