Indonesia Conference Directory

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: Previous literatures reported effective self management program may help to improve patients activation level and cancer treatment related concerns among cancer patients during treatment. However, there is inconclusive evidence as to the effectiveness of such program especially in Malaysia. Purpose: The purpose of the study was to evaluate the effectiveness of SyMaB intervention program among breast cancer patients undergoing adjuvant chemotherapy compared with the standard care over six cycles to improve patients activation level and cancer treatment related concerns. Methods: The design of the study was a quasi experimental sequential design with repeated measures. The intervention group received SyMaB intervention plus standard care (Individually tailored education; coaching strategies via WhatsApp usage group; chemotherapy information booklet) and the control group received only standard care (routine care). A total of 246 breast cancer patients were consecutively assigned to control and intervention group. Each group consisted of 123 patients. The outcomes of the study were measured at baseline (T1), second (T2), fourth (T3) and six cycle (T4) for patients activation level and baseline (T1) and six cycle (T4) for cancer treatment-related concern. Results: The result showed significant improvement of patients activation level in the intervention group as compared to control group (p=<0.001) across the time. In cancer treatment-related concerns, procedural concern (PC) showed significant reduction in intervention group compared to control group (p=<0.001) post intervention (T4). Conclusion: The SyMaB intervention program could significantly improve patients activation level and cancer treatment-related concern. The results of the study could help oncology nurses to develop an appropriate intervention for breast cancer patients undergoing adjuvant chemotherapy at hospital and home setting.

Keywords
Breast cancer, patients activation level, treatment related concern, chemotherapy

Topic
Nursing

Link: https://ifory.id/abstract/nwQVpX96ULWD

Corresponding Author
Nopi Nur Khasanah

Institutions
Sultan Agung Islamic University
Jl. Raya Kaligawe Km.4 Semarang 50112
nopi.khasanah[at]unissula.ac.id

Abstract
Background: A Diphtheria Pertussis Tetanus (DPT) immunization often causes trauma in infants because it is done by intramuscular injection. Purpose: The aim of this study is to determine the effect of facilitated tucking by mother combined with sitting up position on the level of pain when infants receive DPT immunization. Method: A randomized controlled trial design with post-test equivalent group technique was used. Three groups (intervention by mothers, intervention by health worker, and control group) were randomly selected, with each consisting of 16 infants. Results: Data were analyzed using the Kruskal Wallis test with a ρ value=0.006 (< 0.05). The result of the analysis conducted by post hoc Mann-Whitney test revealed that (1) intervention by mother vs intervention by health worker group have a ρ value=0,039 (<0.05); (2) intervention by mother vs control group have a ρ value=0,002; and (3) intervention by health workers vs control group have a ρ value=0,195. Conclusion: There was a significant difference in the level of infant pain between intervention by mother vs intervention by health worker, and intervention by mother vs control group. Recommendation: It is recommended that facilitated tucking by mother combined with sitting up position should be used in infant pain management during DPT immunization.

Keywords
infant pain, facilitated tucking, mother, sitting up, involvement

Topic
Nursing

Link: https://ifory.id/abstract/G2UZPAwYpdh4

Corresponding Author
Siti Mulidah

Institutions
Diploma III of Nursing Purwokerto, Health Polytechnic of Semarang
Address : Jl. Mersi, Purwokerto Timur, Phone : 0281 637356, Fax : 0281 627961 Purwokerto 53101

Abstract
Background : Diabetes Mellitus (DM) is a chronic progressive disease. Based on Health Department of Republic Indonesia (2016) was reported that DM prevalence increase from 1,1% (2007) to 2,1% (2013). There are four aspects for controlling DM such as education, arrange of nutrition, practice, and drug compliance (Health Department of Republic Indonesia, 2016). This controlling is aim to increase the quality of life for DM patients. Purpose : This study is aimed to know the impact of DM gym for controlling the level of blood glucose (HbA1c). Method : Type of this study is an exsprimental study by static pre test and post test with control groups design. Respondents of study were DM patients in area of Puskesmas II Sokaraja. The number of samples were 26 respondents. The measurement was done by using questioner and blood glucose check (HbA1c) for pre and post test. The analysis was used t test. Results : Majority of respondents were female, almost all of respondents educational were basic education (SD and SMP), majority of respondents were 35 - 60 years old, majority of respondents were unemployed, and majority of respondents suffering from DM were in middle duration (1-5 years). DM gym can decrease the level of HbA1c for 1,79 mg/dl (p=0,00) from intervention group and 0,63 mg/dl (p=0,00) from from control group. The analysis of t test show that DM gym can control the level of blood glucose (HbA1c) significantly (p=0,00). Conclusion : DM gym can control the level of blood glucose (HbA1c). Health staffs need to increase motivation of public in doing DM gym regularly. Key words: DM gym, HbA1c

Keywords
DM gym, HbA1c

Topic
Nursing

Link: https://ifory.id/abstract/4Y7Ch9TMPF3G

Corresponding Author
Yunita Sari

Institutions
1Department of nursing science, Universitas Jenderal Soedirman, Indonesia
2. Department of medical science, Universitas Jenderal Soedirman, Indonesia
3. Department of Physics, Universitas Jenderal Soedirman, Indonesia

Corresponding Author: Yunita Sari (sasa.yunita[at]gmail.com)

Abstract
Background : Electrical stimulation (ES) has been known to have beneficial effect in improving wound healing. Previous studies showed that short duration of application of EST could lower inflammation, improve collagen desposition, improve VEGF positive cells. In order to investigate the safety of the use of EST, it is needed to assess the effect of long duration of application of EST (LD-EST) on tissue damage during wound healing process. The purpose of this study was to investigate the effect of long duration of application of EST on tissue damage during wound healing process. Method : The wound was created in the back side of the rat. The rats were divided into two groups, long duration application of EST group (LD-EST group) and control group. The wound bed appearance, necrotic tissue, inflammation, collagen desposition, were compared between two groups. Result : On day 8 to 9, wound size was significantly bigger in the LD-EST group compared with control group. The size of the necrotic tissue was larger in the LD-EST group compared with control group. The intensity of the inflammation was also significantly higher in the the LD-EST group compared with control group. Reepithelialization was longer in the control group than in the LD-EST group. Conclusion: Long duration of application of EST will cause more tissue necrotic, and higher inflammation to the wound tissue. In addition, the long duration of application of EST also cause longer time of reepithelialization. Therefore, it is not recommended to apply EST for long duration to avoid the tissue damage.

Keywords
electrical stimulation, tissue, damage

Topic
Nursing

Link: https://ifory.id/abstract/VhqyWYM7CpLr

Corresponding Author
hussein siti

Institutions
a) Nursing Department, Faculty of Medicine, Universiti Kebangsaan Malaysia (UKM), Jalan Yaakob Latif, Bandar Tun Razak, 56000, Cheras Kuala Lumpur, Malaysia.
*zuhaida_hussein[at]ukm.edu.my
b) Community Health Department, Faculty of Medicine UKM, Malaysia

Abstract
Background: The life at the older ages are known to be very challenging and mostly influenced by the aging process and negative changes such as retirement, loss of a significant others and living alone. These changes had an effect which increase the risk of loneliness and at the same time lowered the level of quality of life in the older adult. There are evidences showing the loneliness is the root cause of deterioration of health status in the older adult. Methods: This is a mixed method study with descriptive cross sectional community survey was conducted among 380 older adult in Johore, Malaysia followed by in-depth interview among eight respondents. Data were collected using the short form of Social and Emotional Loneliness Scale for Adults (SELSA-S). Results: The results revealed that 37.2% respondents had loneliness. Marital status was significantly associated with loneliness (OR = 2.85, 95% CI: 1.35 - 6.00; p = 0.01). Meanwhile, two main themes were recorded as causes of loneliness among the older adult highly associated with changing the lifestyle and ineffective communications. Conclusion: There are various factors that almost inevitable that could increase risk of older adult to experiences loneliness.

Keywords
loneliness, older adult.

Topic
Nursing

Link: https://ifory.id/abstract/9Yy2vNKhEZcp

Corresponding Author
Retno Puji Hastuti

Institutions
Nursing Departement
Poltekkes Tanjungkarang Lampung

Abstract
Toilet training anticipatory guidance (BATT) is an attempt by nurses to parents so that toddlers perform their urinary functions optimally. Toilet training should be done when parents and toddlers are ready, namely the age of 18-48 months, if not done the child will experience enuresis (bedwetting) which will cause health problems and other developmental disorders. This study aims to determine the effect of BATT on knowledge, maternal attitudes and the incidence of enuresis in infants. The study was conducted for two months in the working area of community health center in Bandar Lampung city. Quasi-experimental research design with two groups, they are pre-test and post-test design. The study population is all toddlers in the working area of community health center in Bandar Lampung city. The sample size was calculated by an unpaired numerical analytical study, namely 30 toddlers case groups and 30 toddlers control groups. Samples were selected using Consecutive sampling techniques with inclusion criteria of cooperative mothers, biological children, not suffering from urinary tract infections, impaired kidney function, diabetes mellitus, spinal disorders: Spina bifida, suitable growth and development, no psychological disorders, such as: depression, regression, sibling rivalry; and do not consume diuretic drugs. Interventions in the form of BATT for mothers with BATT modules and toilet training exercises as well as case follow-up for toddlers. Data collection by questionnaire and observation sheet. Univariate data analysis with mean and deviation (SD) deviation; bivariate analysis with the Wilcoxon test and McNemar test. The results of the study showed a significant difference in the mean knowledge of mothers before and after BATT (p value=0.00); there was a significant difference in the incidence of enuresis in the case and control groups (p value=0.00).

Keywords
BATT, knowledge, attitude, enuresis

Topic
NURSING

Link: https://ifory.id/abstract/TnE4p6ybJfKq

Corresponding Author
Rahmi Setiyani, S.Kep., Ns., MN

Institutions
Nursing Department, Faculty of Health Sciences, Jenderal Soedirman University
*rahmi.setiyani[at]unsoed.ac.id

Abstract
Background: Shift in demographic structure in Indonesia has raised concern over number of issues, including change in family structure. Objectives: The purpose of this study is to examine adult children-s choice of future living arrangement for elderly parent and its associated factors. Methods: A cross sectional study was conducted among 300 young adults in Central Java, Indonesia. A self-administered questionnaire was used to examine the choice of future living arrangement for parents and characteristics of adult children, parents and families. Descriptive statistics and Fisher exact test were used to analyze the data. Results: Majority of respondents (97.3%) wanted parents to live at home with children and/or grandchildren (82.3%). Only 2.7% respondents saw nursing home as a choice. Even though majority of respondent agreed that decision regarding living arrangement should be made together (80.7%), none of adult children, parents, and families characteristics was found to influence the decision. Conclusions: Living in multi-generational household still became a favorable option of living arrangement for elderly parents. Living in nursing home seems not yet considered to be an alternative for elderly care. Further researches are needed to investigate other factors possibly influencing the choice of elderly living arrangement.

Keywords
Adult children, extended family, elderly, intergeneration, well-being

Topic
Nursing

Link: https://ifory.id/abstract/gvjKQaq9G4Em