PROCEEDING ABSTRACT
The 3 rd Udayana International Nursing Conference
Global Health : Nursing and Health Sciences ‘Perpetual Challenge “Escalating Evidence Transformation into Practice”
November 30, 2019, Bali - Indonesia
Partnership:
ISBN 978-602-294-356-3 rd THE 3 UDAYANA INTERNATIONAL NURSING CONFERENCE
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TABLE OF CONTENT
Cover ...... i Table of Content ...... ii Conference Program ...... xv Welcome Remarks ...... xvi Chairwoman Greeting...... xvii Keynote Speaker Biographies ...... xviii Abstracts ...... 1 QUANTITATIVE STUDY: THE EFFECT OF WILLIAM FLEXION EXERCISE ON LOW BACK PAIN IN TRADITIONAL WEAVING WORKERS IN THE VILLAGE OF SIDEMEN KARANGASEM A A Gede Saska A., Made Rini Damayanti S., Komang Menik Sri Krisnawati...... 1
EFFECT OF CELLULAR PHONE SMS AS HEALTH EDUCATION MEDIA ABOUT HIV AND AIDS ON HEALTH SERVICE SEARCH BEHAVIOR OF WOMEN SEX WORKERS Gusti Ayu Kade Dewi Mahayani, Made Rini Damayanti S., Putu Ayu Sani Utami ...... 2
THE RELATION BETWEEN SPIRITUAL INTELLIGENCE AND SELF EFFICIACY TO THE PATIENT WITH TYPE 2 DM IN THE WORKPLACE AREA OF PRIMARY HEALTH CENTER III OF NORTH DENPASAR I Gusti Ayu Wika Arpandyani, Meril Valentine Manangkot, Made Oka Ari Kamayani...... 3
INCREASING MOTHER BREASTFEEDING MOTIVATION AFTER EDUCATION OF LACTATION MANAGEMENT IN TABANAN III HEALTH CENTER WORKING AREA Ni Ketut Citrawati, Ni Luh Gede Puspita Yanti ...... 4
THE RELATIONSHIP OF PARITY AND PATRIARCHAL CULTURE WITH UNMET NEED FOR FAMILY PLANNING OF ELIGIBLE WOMEN IN GADUNGAN VILLAGE, SELEMADEG TIMUR DISTRICT, TABANAN BALI IN 2019 Made Dewi Sariyani, Kadek Sri Ariyanti, Lakitha Ning Utami ...... 5
LAUGH TREATMENT FOR HYPERTENTION IN ELDERLY ON SUMBERSARI REGION, JEMBER CITY EAST JAVA: AN EXPERIMENTAL STUDY Nuning Dwi Merina ...... 6
STAGES OF GRIEF AND DEPRESSION IN PATIENTS WITH DIABETES MELLITUS Ana Nistiandani, Achmad Zulfa Juniarto, Niken Safitri Dyan K ...... 7
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MANDALA ART THERAPY (MAT) AMONG FILIPINO CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD): A MULTI-METHOD INQUIRY Sharon B. Cajayon, Michael Joseph S. Dino ...... 8
USING 3-DIMENSIONAL COMPUTER GRAPHICS TO IMPROVE COGNITION AND MEMORY RETENTION AMONG FILIPINO PRE-SERVICE NURSES LEARNING ANATOMY Justiniano V. Candado II, Abegail C. Madrinico, Nicetas B. Pascual, Joshua Nicu Pillos, Ma. Chesfer P. Tumnaneng, Michael Joseph S. Diño ...... 9
THE MOTIVATION OF NURSING STUDENTS IN CONTINUING NERS PROFESSION AT ADVAITA MEDIKA NURSING SCHOOL Desak Gede Yenny Apriani ...... 10
RELATIONSHIP OF HUSBAND SUPPORT WITH PAP SMEAR ACTION OF FERTILE AGE WOMEN IN MUNANG-MANING SUB-VILLAGE WEST DENPASAR HEALTH CENTER II WORK AREA Ni Wayan Kuslinda Sari, I Gusti Ayu Pramitaresthi, Gusti Ayu Ary Antari ...... 11
THE CORRELATION BETWEEN SELF-CARE AND FAMILY-SUPPORT WITH THE QUALITY OF LIFE OF TYPE II DIABETIC MELLITUS PATIENT IN PUBLIC HEALTH CENTER I OF WEST DENPASAR Ni Kadek Dwi Yanti Anggreni, Meril Valentine Manangkot, I Gusti Ayu Pramitaresthi .. 12
THE CORRELATION BETWEEN BODY MASS INDEX (BMI) AND SALIVARY PH ON TYPE 2 DIABETES MELITUS PATIENTS IN WORK AREA OF HEALTH CENTER III NORTH DENPASAR Ni Kadek Desi Ayani, I Gusti Ngurah Juniartha, Desak Made Widyanthari ...... 13
FACTORS RELATED TO THE INCIDENTS OF TRAVELERS' DIARRHEA IN INTERNATIONAL TRAVELERS IN THE JIMBARAN AREA, SUB-DISTRICT OF SOUTH KUTA, BADUNG REGENCY Ni Putu Sandra Widiarsani, Ni Luh Putu Eva Yanti, Ni Luh Putu Shinta Devi...... 14
RELATIONSHIP BETWEEN COMMUNITY CHARACTERISTICS ON KNOWLEDGE AND ATTITUDES OF LANDSLIDE NATURAL DISASTER PREPAREDNESS IN CANDIKUNING VILLAGE, BATURITI SUB-DISTRICT, TABANAN REGENCY Ni Nengah Teni Lastari, Ni Luh Putu Eva Yanti, Desak Made Widyanthari ...... 15
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QUALITY OF PALLIATIVE NURSING IN INTENSIVE ROOM“X” HOSPITAL INDONESIA Ifa Hafifah, Isnawati ...... 16
THE RELATIONSHIP BETWEEN THE PARENTS' PSYCHOLOGICAL WELL-BEING WITH THE QUALITY OF LIFE OF CHILDREN WITH CANCER AT YAYASAN PEDULI KANKER ANAK BALI I Gusti Ayu Dewi Astriani, Kadek Cahya Utami, Luh Mira Puspita ...... 17
DESCRPITIVE QUALITATIVE STUDY: THE NURSES’ LIVED EXPERIENCE IN COMPLEMENTARY CARE OF BEKAM THERAPY IN LATU USADHA CLINIC IN BALI, INDONESIA Ni Komang Sukraandini, Desak Made Ari Dwijayanti ...... 18
THE RELATIONSHIP BETWEEN ACADEMIC STRESS WITH COPING MECHANISM OF PSSKPN STUDENTS OF UDAYANA UNIVERSITY Flora Maranatha Hasugian, Ni Kadek Ayu Suarningsih, I Kadek Saputra ...... 19
THE CORRELATION BETWEEN THE LEVEL OF HEMOGLOBIN AND LEARNING CONCENTRATION ON THE TENTH-GRADE SCIENCE CLASS FEMALE STUDENTS IN SENIOR HIGH SCHOOL OF 3 DENPASAR Ni Made Sekar Sari, Ni Kadek Ayu Suarningsih, Gusti Ayu Ary Antari ...... 20
THE EFFECT OF SMARTPHONE ADDICTION ON QUALITY OF SLEEP AMONG NURSING STUDENTS IN MEDICAL FACULTY UDAYANA UNIVERSITY Ni Made Sinta Febrina, Ni Kadek Ayu Suarningsih, Putu Oka Yuli Nurhesti ...... 21
ONE VISIT ROOT CANAL TREATMENT WITH INDIRECT ONLAY RESTORATION OF CLASS II CAVITY COMPOSITE RESIN WITH FIBER REINFORCEMENT ON THE RIGHT MAXILLARY FIRST MOLAR IRREVERSIBLE PULPITIS Ni Kadek Eka Widiadnyani ...... 22
HOW DO HEALTH REPRODUCTION EDUCATION BASED ON GENDER EQUALITY INFLUENCE TO KNOWLEGDE, ATITUDES, AND SELF EFFICACY IN ADOLESCENT? Wenny Artanty N., Ika Parmawati, Titis Wening Setyoharsih, Vincentia Fanny Gita Rosari, Annisa Rachmawati ...... 23
FACTORS RELATED TO PARENTAL WILLINGNESS TO OBTAIN HPV VACCINE FOR ADOLESCENT Wiwin Lismidiati, Ova Emilia, Widyawati ...... 24
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THE EFFECT OF PALIATIVE CARE EDUCATION ON THE FAMILY KNOWLEDGE OF CANCER PATIENTS OF BALI BRANCH RUMAH SINGGAH PEDULI Ni Kadek Devi Budi Cahyani, I Made Suindrayasa, Kadek Cahya Utami ...... 25
THE CORELATION BETWEEN PHYSICAL ACTIVITIES AND SEXUAL FUNCTIONS OF WOMEN WITH DIABETES MELLITUS AT PUBLIC HEALTH CENTER II WEST DENPASAR Ni Made Erlin Firda Yanti, Desak Made Widyanthari, Kadek Saputra ...... 26
THE EFFECTIVENESS OF PEER GROUP SUPPORT IN IMPROVING COMPLIANCE WITH TYPE II DIABETES MELLITUS PATIENTS IN KAKAS COMMUNITY HEALTH CENTER, MINAHASA REGENCY Ria Christa Tampilang, Gaby Badjo, Natalia Elisa Rakinaung ...... 27
IMPROVE SELF-EFFICACY AND LIFE ACTIVITIES OF ARTHRITIS PATIENTS: A QUASY-EXPERIMENT STUDY Cindi Teri Marni Oroh, Fitriana Suprapti, Wilhelmus Hary Susilo ...... 28
EXPLORATION OF BULLYING PERCEPTIONS IN ADOLESCENTS IN SMK NEGERI 1 Nancy Monica Madjid, Natalia Elisa Rakinaung, Fresy Lumowa ...... 29
EXPLORATION FAMILY PERCEPTION OF POST-STROKE PATIENTS CARE IN CARDIO VASCULAR AND BRAIN CENTER (CVBC) OUTPATIENT INSTALLATION RSUP PROF. DR. R. D. KANDOU MANADO Andreas Kutika, Annastasia Lamonge, Laurensi Sasube, Indriani Yauri, ...... 30
EXPLORING THE EXPERIENCE OF PRIPAROUS ADOLECENT MOTHERS IN IMPLEMENTING EXCLUSIVE BREASTFEEDING TO INFANTS IN KOMBOS PUBLIC HEALTH CENTRE OF MANADO, NORTH SULAWESI PROVINCE Mario Vianney Baemamenteng, Indriani Yauri, Christian Lombogia ...... 31
QUALITATIVE STUDY: EXPERIENCES OF HYPERTENSION PATIENTS IN ADHERENCE TO ANTIHYPERTENSION MEDICATION IN TOMOHON CITY NORTH SULAWESI. INDONESIA Fierlly Theresia Wolff, Natalia Elisa Rakinaung ...... 32
EFFECTIVENESS OF INTERVENTION WITH HEALTH (M-HEALTH) TECHNOLOGY FOR HEALTH CARE COMPLIANCE: LITERATURE REVIEW N.M. Parwati, Pande Januraga, Suarjaya...... 33
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THE EFFECTIVENESS OF EIGHT WEEKS PROGRESSIVE MUSCLE RELAXATION TO CHANGES ANXIETY AND BLOOD PRESSURE IN HYPERTENSION PATIENTS Made Ermayani, Dewi Prabawati, Wilhelmus Hary Susilo ...... 34
COPING WITH MENOPAUSE - MEASURES THAT WOMEN CAN TAKE Corazon C. Borrico, Carlo Bryan C. Borrico, Leonardo P. Borrico, Regie A. Bautista ..... 35
WORK ETHICS OF PROFICIENT TEACHERS: BASIS FOR LEARNING ACTION CELL (LAC) PLAN Corazon C. Borrico, Carlo Bryan C. Borrico, Leonardo P. Borrico ...... 36
THE NURSE’S EXPERIENCE IN END-OF-LIFE DISCUSSION IN THE INTENSIVE CARE UNIT: A LITERATURE REVIEW Akhmad Zainur Ridla ...... 37
FACTORS RELATED TO INSUFFICIENT MILK OF POST PARTUM WOMEN AT SUMUR BATU LAMPUNG-INDONESIA Aryanti Wardiyah, Andoko, Eka Trismiyana, Rahma Elliya, Umi Romayati, Putri Mahardika ...... 38
MEASUREMENT ANTHROPOMETRY USER FACE OF BONDRES MASK IN FOLK ACTORS IN SINGAPADU VILLAGE GIANYAR Made Ida Mulyati ...... 39
MODEL DEVELOPMENT OF THE COASTAL TOURISM COMMUNITY NURSING THROUGH COASTAL HEALTH POST (POSKESPAN) TO INCREASE BALAWISTA BEHAVIOUR IN BALI PROVINCE Komang Ayu Henny Achjar, Junaiti Sahar, Sabarina Prasetyo, Jajang Gunawijaya ...... 40
SEXUAL BEHAVIOR EXPERIENCE OF FORMER INJECTING DRUG USERS INFECTED WITH HIV IN BALI, INDONESIA Nyoman Agus Jagat Raya, Komang Menik Sri Krisnawati, I Gusti Ayu Pramitaresthi ..... 41
COMPARATIVE STUDY ON PATIENT SATISFACTION ON HEALTHCARE SERVICE DELIVERY IN SELECTED PRIVATE AND GOVERNMENT HOSPITALS Christian Jay S. Orte, Regie A. Bautista, Junefaith Elese C. Neo, Mary Ann S. De Dios, Aristotle M. Parico, Carlo Bryan C. Borrico ...... 42
THE RELATIONS BETWEEN PARENTING STYLES WITH ADOLESCENT REPRODUCTIVE HEALTH KNOWLEDGE IN JUNIOR HIGH SCHOOL "X" IN GIANYAR DISTRICT Putu Dewi Diah Pertiwi, Ida Arimurti Sanjiwani, Ni Kadek Ayu Suarningsih ...... 43 vi
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THE PROCESS OF ESTABLISHING FAMILY SUPPORT FOR REHABILITATED ADOLESCENT DRUG ABUSERS AT BANGLI MENTAL HOSPITAL Made Dewi Sariyani, Kadek Sri Ariyanti ...... 45
THE EFFECT OF BABY MASSAGE INTERVENTION TOWARDS IMPROVEMENT OF NUTRITION AND IGF-1 STATUS IN MALNOURISHED BABIES AT 6-12 MONTHS IN MATARAM CITY Sudarmi, I Dewa Made Sukrama, I Wayan Putu SutirtaYasa, I Wayan Weta, Irianto ...... 45
NEBULIZER THERAPY OF RESPIRATION RATE AND OXYGEN SATURATION PATIENTS COPD AT RATU ZALECHA MARTAPURA HOSPITAL Asni Hasaini, Raziansyah, Muhlisoh, Diana Pefbrianti ...... 46
ASSOCIATION BETWEEN CANCER STIGMA AND BREAST SELF EXAMINATION AMONG NURSES Muhlisoh, Dewi Irawati, Tuti Herawati...... 47
THE EFFECT OF SLEEP HYGIENE ON FASTING BLOOD GLUCOSE LEVEL IN PEOPLE WITH TYPE 2 DIABETES MELLITUS Fuji Rahmawati, Jaji, Firnaliza Rizona ...... 48
DEVELOPMENT OF SEDENTARY LIFE STYLE’S DREALL HEALTHY ON IMPROVING MOTIVATION IN OBESITY CHILDREN Firnaliza Rizona, Karolin Adhisty, Fuji Rahmawati ...... 49
IS SBGC INTERVENTION AN EFFECTIVE METHOD ON TEENAGER WITH SMOKING BEHAVIOR? Diana Pefbrianti, Taufik Hidayat, Asni Hasaini ...... 50
AROMATHERAPY INHALATION AS A COMPLEMENTARY ALTERNATIVE MEDICINE (CAM) FOR CHILDREN WITH CANCER: A CHRONIC PAIN MANAGEMENT Komang Yogi Triana, Allenidekania, Happy Hayati ...... 51
THE APPLICATION OF YOGA PRANAYAMA AND GYM BALL EXERCISE ON LABOR PAIN DURING ACTIVE PHASE AT PMB DESA BLAHKIUH, ABIANSEMAL, BADUNG Luh Putu Widiastini, I G. Agung Manik Karuniadi, I Nyoman Mangku Karmaya ...... 52
APPLICATION OF LEVINE’S MODEL IN NURSING CARE OF PATIENT WITH DIABETIC FOOT: A CASE STUDY Ida Ayu Agung Laksmi, Heri Kristianto, Tony Suharsono ...... 53 vii
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ERGONOMICS EVALUATION TO REDUCE OCCUPATIONAL RISK IN EXAVACTOR MANUFACTURING Euis Nina Saparina Yuliani, Galih Prakoso, Hardianto Iridiastadi, I Putu Gede Adiatmika ...... 54
MODIFICATION BED BATHING PROCEDURE BASED ON RIGHT AND LEFT HANDS CHART IMPROVING WORK EFFICIENCY Ni Ketut Guru Prapti, Made Rini Damayanti, Putu Ayu Sani Utami ...... 55
PARENT EXPERIENCE PROVIDING SEXUAL EDUCATION FOR ADOLESCENT IN NORTH KUTA: A QUALITATIVE STUDY Ida Arimurti Sanjiwani, I Gusti Ayu Pramitaresthi ...... 56
PERCEPTION AND READINESS TO WORK IN INTERPROFESSIONAL TEAM AMONG STUDENTS. AN INTERPROFESSIONAL EDUCATION TRAINING Citra S.D. Andhini, Sunartini, Gandes R. Rahayu, Yani Kamasturyani ...... 57
RELATIONSHIPS OF DEMOGRAPHIC CHARACTERISTICS WITH MORAL SENSITIVITY AMONG NURSING PROFESSION STUDENTS IN BALI Ni Putu Emy Darma Yanti, Komang Menik Sri Krisnawati ...... 58
SURFACING THE PERSPECTIVE OF NURSING STUDENTS TOWARDS FILIPINO TRADITION “MANO PO” Aristotle M. Parico, Christian Jay S. Orte ...... 59
NURSING PRACTICE ON MULTIPLE MYELOMA PATIENT USING ROY ADAPTATION MODEL APPROACH Ni Made Diah Pusparini Pendet, Dewi Irawati, Riri Maria...... 60
EFFECT OF AN EDUCATION PROGRAM AND TRADITIONAL MUSIC ON ANXIETY IN PATIENTS WITH MYOCARDIAL INFARCTION Ni Kadek Ayu Suarningsih, Waraporn Kongsuwan, Charuwan Kritpracha ...... 61
THE RELATIONSHIP BETWEEN KNOWLEDGE AND FAMILY SUPPORT AND EXCLUSIVE BREASTFEEDING Ni Komang Ayu Resiyanthi, Nurul Faidah, Ni Luh Putu Sri Kumala Dewi Sudiarta ...... 62
EFFECTS OF DRY CUPPING THERAPY ON BLOOD PRESSURE IN PATIENTS WITH PRIMARY HYPERTENSION Ni Luh Gede Puspita Yanti, Ni Wayan Suniyadewi ...... 63
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THE EFFECT OF GINGER AND CITRUS AROMATHERAPY INHALATION POST CHEMOTHERAPY OF SERVICAL CANCER PATIENTS Karolin Adhisty, Firnaliza Rizona, Maya Hudiyati ...... 64
ANALYSIS OF YOUTH ACQUISITION BASED ON DIMENSION OF MOTHER'S PARENTING AT SMPN 2 JATITUJUH MAJALENGKA WEST JAVA Dewi Erna Marisa ...... 65
VALUES/BELIEFS REGIONAL CULTURAL SOCIETY IN THE PROVISION OF BASIC OF IMMUNIZATION INFANT 0-11 MONTHS OF AGE IN THE VILLAGE KLIWED WORK AREA HEALTH DISTRICT KERTASEMAYA INDRAMAYU Endah Sari Purbaningsih, Muadi ...... 66
THE EFFECT OF HOME VISIT ON QUALITY OF LIFE IN CERVICAL CANCER PATIENTS Mutia Nadra Maulida, Antarini Idriansari, Karolin Adhisty ...... 67
THE EFFECT OF SIMULATION GAME ON MOTHER'S COGNITIVE, AFFECTIVE AND PSYCHOMOTOR ASPECTS IN BREASTFEEDING Putri Widita Muharyani, Mutia Nadra Maulida, Erizka Rivani ...... 68
WORK STRESS ON STAFF OF STIKES YATSI TANGERANG, INDONESIA Rina Puspita Sari ...... 69
EFFECT OF KINESIO TAPE AS MODALITY THERAPY FOR BACK PAIN OF LABORERS IN PASAR 16 ILIR PALEMBANG Antarini Idriansari, Fuji Rahmawati, Indri Seta Septadina ...... 70
EFFECTIVENESS OF A SCHOOL-BASED PEER-LED EDUCATION PROGRAM ON HIGH SCHOOL STUDENTS’ HEALTHY BEHAVIOURS IN A BOARDING SCHOOL IN BALI INDONESIA Made Rini Damayanti S., Putu Gede Sudira, Ni Luh Putu Nopriani ...... 71
AGING TREATMENT MODEL TO IMPROVE SELF-MANAGEMENT OF MENOPAUSE WOMEN: AN EFFORT TO ACHIEVE SDGS GOAL Irna Nursanti, Dedi Muhdiana, Idriani ...... 72
ANALYSIS OF MUSCULOSKELETAL DISORDERS (MSDs) OF PHARMACEUTICAL WORKERS Ade Sri Mariawati, I Putu Gede Adiatmika, Nyoman Adiputra, I Wayan Surata...... 73
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THE QUALITY OF LIFE OF INDONESIA WOMEN TREATED GYNAECOLOGICAL CANCER Yati Afiyanti, Besral, Haryani ...... 74
EFFECTIVENESS OF FATIGUE MANAGEMENT IN THE WORKPLACE TOWARDS FATIGUE OF SHIFT MANUFACTURING WORKERS Henny Permatasari, Junaiti Sahar, Muchtarrudin Mansyur, Astrid Widayati Hardjono ..... 75
THE RELATIONSHIP BETWEEN THE BURDEN ON CAREGIVERS IN CARING FOR OLDER PEOPLE AND THEIR QUALITY OF LIFE Etty Rekawati, Junaiti Sahar, Dwi Nurviyandari Kusumawati ...... 76
THE CORRELATION BETWEEN KNOWLEDGE AND FAMILY SUPPORT WITH SELF-MANAGEMENT BEHAVIOR AMONG HYPERTENSIVE PATIENTS AT PUSKESMAS III DENPASAR UTARA I Made Cahyadi Agastiya, Putu Oka Yuli Nurhesti, Meril Valentine Manangkot ...... 77
ANALYSIS FACTORS OF KNOWLEDGE AND MOTHER PARENTING IN PREVENTION OF MALNUTRITION IN CHILDREN Yuni Sufyanti Arief, Iqlima Dwi Kurnia, Ilya Krisnana, Praba Diyan Rachmawati, Cintya Della Widyanata ...... 78
ANTENATAL DEPRESSION AND ITS ASSOCIATED FACTORS AMONG PREGNANT WOMEN IN JAKARTA, INDONESIA Misrawati, Yati Afiyanti ...... 79
RECREATIONAL ACTIVITIES AND FACTORS AFFECTING TRAVEL CHOICE OF ELDERLY IN URBAN AREA OF INDONESIA Putu Ayu Sani Utami, Ni Ketut Guru Prapti ...... 80
KNOWLEDGE AND ATTITUDES OF FERTILE WOMEN TOWARDS EARLY DETECTION OF CERVICAL CANCER BY VIA EXAMINATION Insana Maria, Zubaidah, Raihana Norfitri, Agianto ...... 81
PEER EDUCATION AMONG MOTHER CLASSES Dewi Irianti, Rusdiana, Iis Pusparina ...... 82
CONTENT VALIDITY OF CICO COUNT APPLICATION FOR TYPE 1 DIABETES MELLITUS CHILDREN’S SELF-CARE Nur Agustini, Yeni Rustina, Ratu Ayu Dewi Sartika, Nani Nurhaeni ...... 83
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PAPUAN WOMEN'S PERCEPTION OF REPRODUCTIVE HEALTH Diyah Astuti Nurfaizah, Eva Sinaga...... 85
MUSCULOSKELETAL DISORDERS AMONG WORKERS IN “BATIK TENUN IKAT” Sri Rahayuningsih, Ketut Tirtayasa ...... 85
MOTHER’S KNOWLEDGE IN PROVIDING NUTRITION FOR CHILDREN IN THE WORKING AREA OF EAST DENPASAR I PRIMARY HEALTH CARE CENTRE Luh Mira Puspita, Francisca Shanti Kusumaningsih, Putu Ayu Emmy Savitri Karin ...... 86
EPILEPSY IN BOURNEVILLE-PRINGLE DISEASE: A CASE REPORT Saktivi Harkitasari, I Made Oka Adnyana...... 87
WHAT KIND OF WORKSHOP NEEDED TO REDUCE STIGMA RELATED HIV? Anita Kustanti, Yanri Wijayanti, Ibrahim Rahmat ...... 88
WELLNESS TOURISM DEVELOPMENT: AN INTERESTING STUDY FOR NURSING EDUCATION IN BALI Kadek Eka Swedarma, Ni Luh Putu Eva Yanti ...... 89
FATIGUE RELATED CANCER ASSESSMENT AND MANAGEMENT: HEALTH CARE PROVIDERS PERCEPTIONS Putu Oka Yuli Nurhesti, I Nyoman Adiputra ...... 90
DETERMINANTS OF SEDENTARY LIFESTYLE AMONG SCHOOL-AGED CHILDREN BASED ON FAMILY ECOLOGICAL MODEL Eka Mishbahatul Marah Has, Herlyn Afifah Nurwitanti, Sylvia Dwi Wahyuni, Elida Ulfiana ...... 91
A QUALITATIVE STUDY OF RISK FACTOR AWARENESS AND WILLINGNESS TO PREVENT HYPERTENSION AMONG FAMILY MEMBERS IN DENPASAR Ni Komang Ari Sawitri ...... 92
DEWANDARU (EUGENIA UNIFLORA L.) FRUITS EXTRACT DECREASED THE EXPRESSION OF BAX, CASPASE-3 AND INCREASED THE NUMBER OF SPERMATOGONIA IN RATS (RATTUS NORVEGICUS) WITH TESTICULAR HEAT INDUCTION Ika Widi Astuti, Bagus Komang Satriyasa, Nyoman Mangku Karmaya, I.B. Putra Manuaba ...... 93
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FAMILY SUPPORTS TOWARDS QUALITY OF LIFE IN CHILDREN WITH CANCER UNDERGOING CHEMOTHERAPY Kadek Cahya Utami, Luh Mira Puspita, Putu Ayu Emmy Savitri Karin ...... 94
PREVALENCE AND ASSOCIATED RISK FACTORS OF HYPERTENSION: A CROSS-SECTIONAL STUDY IN URBAN AREA GIANYAR, BALI Made Oka Ari Kamayani, Putu Oka Yuli Nurhesti ...... 95
CARDIOPULMONARY RESUSCITATION TRAINING TO INCREASE BYSTANDER RESUSCITATION AND SURVIVAL RATE: A SYSTEMATIC REVIEW Laksita Barbara, Wiwin Winarti ...... 96
SEXUAL DYSFUNCTION IN DIABETIC WOMEN Desak Made Widyanthari, Ni Luh Putu Eva Yanti, Desak Nyoman Widyanthini ...... 97
THE AUTONOMY OF PATIENTS IN EMERGENCY SERVICES IN THE BORDER AREA: PHENOMENOLOGY STUDY Dewy Haryanti Parman, Hendy Lesmana, Maria ImaculataOse, Ramdya Akbar Tukan ... 98
FILIPINO ELDERLY AWARENESS AND AVAILMENT OF THEIR GOVERNMENT GRANT RIGHTS, BENEFITS, AND PRIVILEGES AND THEIR PREFER LIVING ARRANGEMENT Corazon C. Borrico, Carlo Bryan C. Borrico, Leonardo P. Borrico, Regie A. Bautista ..... 99
KNOWLEDGE AND AWARENESS ON HIV/AIDS OF SENIOR HIGH SCHOOL STUDENTS TOWARDS AN ENHANCED REPRODUCTIVE HEALTH EDUCATION PROGRAM Lady Anne O. de Jesus, Ma. Cecilia O. Martinez ...... 100
THE COMPARISON OF WORK-RELATED FATIGUE AND STRESS AMONG NURSES IN EMERGENCY DEPARTMENTS WORKING WITHIN SHIFT OF 7-7-10 AND 12-12 IN THE HOSPITALS OF BADUNG AND DENPASAR REGENCIES I Gusti Ngurah Juniartha, Teguh Wahju Sardjono, Dewi Kartikawati Ningsih ...... 101
BURNOUT SYNDROME AMONG FILIPINO NURSES: A Q METHODOLOGY Maria Carolina Bondoc, Rizza Jane Abanto, Anne Clarisse Dela Cruz, Graciela Joyce Guinto, May Ann Manaois, Catrina Mogar, Lu Ed Sanchez, Chelsea Ella Kari Yuzon, Sharon B. Cajayon, Michell Katrina Gonong, Melody Gatdula ...... 102
HEALTH EDUCATION VIDEO INFLUENCE TO ADOLESCENTS BEHAVIOR IN PREVENTION OF UNWANTED PREGNANCY IN SMA NEGERI 1 KUTA UTARA I Gusti Ayu Pramitaresthi, Ida Arimurti Sanjiwani ...... 103 xii
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THE INFLUENCE OF BASIC LIFE SUPPORT TRAINING ON THE LEVEL OF PUBLIC KNOWLEDGE ABOUT EMERGENCY IN THE TANAH LOT TOURISM REGION OF BALI I Made Suindrayasa, I Kadek Ayu Suarningsih, Meril Valentine Manangkot...... 104
KNOWLEDGE, ATTITUDE, AND BEHAVIOR IN THE FAMILY SUPPORTING HYPERTENSION PATIENTS SELF-CARE MANAGEMENT IN COMMUNITY HEALTH CENTERS IN DENPASAR Meril Valentine Manangkot, I Kadek Saputra, I Made Suindrayasa ...... 105
GRAPHIC MEDICINE: USE OF COMIC FOR NURSES TO ACHIEVE A SAFE BLOOD TRANSFUSION Indah Mei Rahajeng, Faridatul Muslimah ...... 106
PUBLIC HEALTH NURSES IN PROVIDING NURSING CARE SERVICES TO TUBERCULOSIS PATIENTS IN DENPASAR Ni Luh Putu Eva Yanti, Made Rini Damayanti, Desak Made Widyanthari ...... 107
DETERMINANTS OF PATIENT SAFETY IMPLEMENTATION AMONG NURSES IN HOSPITAL X IN BALI Komang Menik Sri Krisnawati ...... 108
VALIDITY AND RELIABILITY OF MODIFIED EDMONTON SYMPTOM ASSESSMENT SYSTEM IN MEASURING QUALITY OF LIFE HAEMODIALYSIS PATIENTS Gusti Ayu Ary Antari, Krisna Yetti, Masfuri ...... 109
FACTORS ASSOCIATED WITH THE SEVERITY OF RESPIRATORY SYSTEM DISORDERS IN CHILDREN Ni Luh Putu Shinta Devi, Dessie Wanda, Nani Nurhaeni ...... 110
APPLICATION OF COLOR TO THE INTERIOR INPATIENT ROOM IN HOSPITAL (ANALYSIS OF COMFORT IN THE HEALING PROCESS) Levi Anatolia S. M. Exposto, Made Ida Mulyati ...... 111
THE ASSOCIATION BETWEEN COMMUNITY KNOWLEDGE LEVEL AND BEHAVIOR ON DENGUE HEMORRHAGIC FEVER PREVENTION IN TOURISM AREA CELUK-BENOA, SOUTH KUTA REGENCY Putu Saras Widar Yuliantari, Putu Ayu Asri Damayanti, Made Rini Damayanti ...... 112
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EMERGENCY FIRST AID KNOWLEDGE; DESCRIPTIVE STUDY AMONG TOUR GUIDES IN PADANG BAI BALI Putu Ayu Ascia Zrinathi, I Kadek Saputra, Putu Oka Yuli Nurhesti ...... 113
PHYSIOLOGICAL RESPONSE DURING CARDIOPULMONARY RESUSCITATION: CARDIOVASCULAR LOAD AMONG YOUNG ADULT RESCUER I Kadek Saputra, I Gusti Ngurah Juniarta, I Made Suindrayasa, Meril Valentine Manangkot ...... 114
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THE 3rd UDAYANA INTERNATIONAL NURSING CONFERENCE PROGRAM NOVEMBER 30th 2019, B HOTEL BALI AND SPA, INDONESIA
TIME SCHEDULE 07.30-08.00 Registration Opening Ceremony Speech : 08.00-08.30 1. Chief of Committe 2. Dean Faculty of Medicine 3. Rector of Udayana University 08.30-08.45 Coffee Break Keynote 1:
Rita Munley Gallagher, PhD, RN 08.45-09.45 (President, Phi Gamma Chapter. Sigma Theta Tau Honor Society in Nursing, Washington DC, USA) : Global Nursing Governance Keynote 2:
Prof. Sakiko Kanbara, RN, PHN, PhD 09.45-10.45 (University of Kochi, Japan) : Ethnographical Approach for Global Health Emergency and Preparedness” Keynote 3 :
10.45-11.45 dr. I Made Ady Wirawan, M.PH, PhD (Udayana University) : Travel Health : Standard, Implementation, and Future Issues 11.45-12.15 Discussion 12.15-13.15 Lunch Keynote 4:
Prof. Michael Joseph Dino, PhD, MAN, RN 13.15-14.15 (Our Lady of Fatima University, Philippines) : Nursing and Global Health in the 4th Industrial Age: Changes, Challenges, Chances, and Choices” Keynote 5 :
14.15-15.15 Ns. Ni Komang Ari Sawitri, S.Kep., M.Sc., PhD (Udayana University) : Family and Global Health Challenges 15.15-15.45 Discussion 15.45-16.00 Coffee Break 16.00-19.00 Oral Presentation 19.00-19.30 Door Prize + Closing Ceremony 19.30 Dinner
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WELCOME REMARKS
We would like to praise and thank the presence of the Almighty God for the abundance of grace so that the 3rd Udayana International Nursing Conference could be held in this year. Globalization is one of social phenomenon, which became a challenge in realizing the target of Millenium Development Goals (MDGs). The targets of MDGs are achieving public well-being and social development all over the world in 2015. Those targets are continued through Sustainable Development Goals (SGDs) where health aspect becomes one of the attainment targets of SGDs 2016-2020.
Nursing is an integral part of health service focused on recognizing and addressing human responds, including physical, psychological, social, and spiritual aspects. Nursing based practice is now becoming significant part of nursing care. The advances of science and technology support global development in broad aspects. This global phenomenon is also the norm in nursing professional development which is now highly supported by technology.
Therefore, through the 3rd Udayana International Nursing Conference, we could share knowledge and experience, involving the best evidence of nursing research from various countries. The research result presented in this international conference inspire nurses to be more advance and professional. Hopefully, this event could be a media on improving self quality and synergizing health institutions worldwide.
Dean Faculty of Medicine of Udayana University
Dr. dr. I Ketut Suyasa, Sp.B., Sp.OT (K)
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CHAIRWOMAN GREETING
Greetings! On behalf of the organizing committee of the 3rd Udayana International Nursing Conference (Udayana INC), I would like to express a sincere welcome to all of you from all around the world, working hard for building the emerging global health area, especially in nursing practice. The 3rd Udayana INC dedicated to cover a wide spectrum of themes related to “Global Health: “Escalating Evidence Transformation into Practice” Nursing and Health Sciences ‘Perpetual Challenge”. This conference showcases the latest scientific advances and efforts to achieve sustainability through research, evidence-based practice and performance improvement approach to enhance nursing care quality. Furthermore, the conference provides the ideal forum to introduce innovations, best practices and groundbreaking research to the field of nursing. Also, it features highly respected internationally renowned speakers who share, discuss, debate, and dissect significant new developments and scientific advancements that will impact the future of Nursing practice and global health. I strongly believe that all of us gathered for this conference are more than qualified as these pioneers in this area, and will continue to be a fruitful area that will benefit all of us and furthermore the society itself. Hope you meet interesting people at the conferences and can share several new ideas with researchers sharing the same goal and thoughts with you. Finally, I would like to extend sincere gratitude especially for the program committee and people involved in this rigorous process. Without their dedication, 3rd Udayana INC would not be possible. I also like to thank all the authors for submitting their papers to the conference, for their presentations and discussions during the conference and wish you all the success.
Sincerely,
Ns. Ni Kadek Ayu Suarningsih, S.Kep., MNS
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KEYNOTE SPEAKER BIOGRAPHIES
KEYNOTE SPEAKER 1 Rita Munley Gallagher, PhD, RN
Rita Munley Gallagher is a member of American Public Health Association since 1983 till present. She received her master of Science Community Health Nursing and doctor of Philosophy Applied sociology from Wayne State University, Detroit, Michigan. She is the President of Phi Gamma Chapter, Sigma Theta Tau International in 2019-2021, and active in some professional activities and honour societies including National Coordinating Council for Medication Error Reporting and Prevention, Community Foundation for the National Capital Region, Health Resources and Services Administration’s (HRSA), and Sigma Theta Tau International. She is also the member of Metropolitan Washington Public Health Association, American Nurses Association, Police Emerald Society, and National Quality Forum. She was an Independent Contractor of American Nurses’ Association in 2010-2012. Community health nursing is her major area of concentration in practice. She was awarded by American Public Health Association for Public Health Nursing Section Ruth B. Freeman Award in 2012. She was awarded as Saginaw Valley State University College of Health and Human Services Outstanding Alumni Award in 2012 and Association of State and Territorial Directors of Nursing Recognition Award in 2007.
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KEYNOTE SPEAKER 2 Prof. Sakiko Kanbara, RN, PHN, PhD
Sakiko Kanbara is an Associate Professor in Disaster Nursing Global Leadership Program at the University of Kochi, Japan. She graduated her bachelor and master degree major in Environmental Epidemiology at Kobe University in 1996 and 2000, respectively and doctoral degree major in Public Health and International Health at Okayama University in 2003. Currently, she holds a committee membership of World Society of Disaster Nursing Secretariat, World Academy of Nursing Science Secretariat, and Health Emergency and Disaster Nursing Reviewer. Her research interests are related to Global Health, Human Security, ICT monitoring system development, construction of disaster mitigation nursing model with peacetime regional monitoring function, monitoring for ensured communicable disease control on evacuation site, and feasibility of shelter situation reporting systems. She has a lot of experience in writing scientific papers and delivering presentation at scientific meetings / seminars in some countries, such as Beijing, Taiwan, and Germany. She also has been invited as guess lecturer with the topic Perspective of Disaster Nursing as Global Issue and Japan Initiative at the 1st Udayana International Nursing Conference, Udayana University in 2015, Simulation Training of Disaster Situation Report from Voices of Survivors in Global Forum on research and Innovation for Health in 2015, Paradigm Change of Disaster Nursing in Global Forum on Research and Innovation for Health in 2015, and Disaster and Nursing at Gadjah Mada University in 2015.
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KEYNOTE SPEAKER 3 dr. I Made Ady Wirawan, M.PH, PhD
I Made Ady Wirawan is a lecturer and currently serves as a coordinator of the Public Health undergraduate study program at the Faculty of Medicine, Udayana University. He received his medical doctor degree from Udayana University and his master degree of public health obtained from Monash University. He also obtained his PhD in occupational health and aviation from University of Otago. He is actively teaching about Health Tourism, Hazard Assessment and Control in the Workplace, Industrial Hygiene, Structure and Function of the Human Body and Occupational Health and Safety for Udayana University. The latest publication was published in 2017-2018 entitled Development and Application of an Integrated Travel Health Surveillance and Information System at Destinations (TravHeSID) Stage 1 and Stage 2 funded by DIPA-PNBP. He also has a lot of experience in writing scientific papers in journals and books, which has been indexed by Scopus. His last scientific papers in 2019 is titled Travel agent and tour guide perceptions on travel health promotion in Bali. He has many experiences in the delivery of oral papers at scientific meetings / seminars. His last experiences in the delivery of oral papers at a scientific meeting at the Guest Lecture at Harvard T.H. Chan School of Public Health in Boston, October 2nd, 2018 entitled Healthy Tourism, Program dan Resaerch Implementation in Bali, Indonesia.
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KEYNOTE SPEAKER 4 Prof. Michael Joseph Dino, PhD, MAN, RN
Michael Joseph S. Dino is an International Advisory Board Member for Health and Medicine of the Apple Distinguished Educator group. He was awarded the Most Outstanding Alumni of Our Lady of Fatima University (OLFU) in 2009. He graduated Summa Cum Laude both in the Masters and Doctoral Degree from OLFU and the Royal and Pontifical University of Sto Tomas, respectively. He is also the first Asian to win the Nurse in the Limelight Innovator Award given by International Council of Nurses, Connecting-Nurses and Sanofi International. At present, he teaches various courses at the Our Lady of Fatima University, and functions as an academic consultant for Nursing Informatics and Research in various disciplines. His passion for research is evident on his active participation and presentation to various research conferences locally and abroad. He has also published numerous research papers in both local and international journals, and holds several positions in local and international organizations, including Sigma Theta Tau Honor Society, Phi Delta Kappa, Health Information Management Systems Society, Philippine Association of Medical Journal Editors, among others.
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KEYNOTE SPEAKER 5 Ns. Ni Komang Ari Sawitri, S.Kep., M.Sc., PhD
Ni Komang Ari Sawitri is a lecturer at Faculty of Medicine Udayana University. She received her Bachelor’s degree from Gadjah Mada University and Master’s degree of Interprofessional Health in Public Health and Health Promotion from Canterbury Christ Church University. She received her PhD from University of Edinburgh, UK. Ari was a staff nurse of Nursing care provision for adult patients with various acute and chronic conditions and recovering from surgery in the medical surgical ward at Sanglah Hospital from 2006 to 2007 and staff nurse of Nursing care provision for all age patients mainly with emergency conditions at SOS International Clinic. She is an affiliated member of Indonesian National Nurses Association, member of Indonesian Community Health Nurses Association and member of International Family Nursing Association. Ari has published research papers in several recognized journals, her paper titled “Qualitative study: Identify Transcultural Conflict in Nursing Care At Sanglah Hospital Based on Leininger’s Sunrise Model” was published at Indonesian Nursing Student Journal. She also had research grant awarded by Research and Development Board Faculty of Medicine Udayana University, her project titled “The Impact of Music Therapy to Elderly Sleep Quality in Jara Mara Nursing Home, Singaraja” in 2011.
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QUANTITATIVE STUDY: THE EFFECT OF WILLIAM FLEXION EXERCISE ON LOW BACK PAIN IN TRADITIONAL WEAVING WORKERS IN THE VILLAGE OF SIDEMEN KARANGASEM
A A Gede Saska A.1, Made Rini Damayanti S.2, Komang Menik Sri Krisnawati3 1School of Nursing, Medical Faculty, Udayana University 2Community Nursing Department, School of Nursing, Medical Faculty, Udayana University 3Nursing Management Department, School of Nursing, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Low back pain (LBP) is a subjective sensation characterized by a major symptom of pain in the lower spine region. One of the basic causes is the stress inflicted on the inter-vertebral disk due to poor posture, so that the lumbar spine of the lumbar lordosis has too much strain on the posterior element of the inter-vertebral disk. These complaints usually occur in workers due to incorrect posture or work position that does not meet the ergonomic principles of one of the traditional weavingworker. Exercise has been widely developed to cope with LBP such as stretching and muscle strengthening. William's flexion exercise (WFE) is an exercise aimed at stretching the posterior muscles and strengthening the abdominal muscles so that the tendon and spongy muscles are expected to relax. The purpose of this study is to determine the effect of WFE on LBP on traditional weaving workers. This study is a pre-experimental study (One-Group Pretest-Posttest Design). The sample consists of 28 respondents selected by using Purposive Sampling technique. Data collected by using questionnaires for respondent characteristics and Numeric Rating Scale for measuring pain scale before and after intervention. The result of the research before intervention was 75% of respondents had moderate pain, while after intervention 85.7% of respondents had mild pain. Based on the Wilcoxon test results obtained p = 0.000 which means there is the influence of WFE on LBP on traditional weaving worker. Based on the above research, it is suggested to health workers to teach WFE in order to reduce LBP on traditional weaving workers.
Keywords: low back pain, traditional weaving worker, william’s flexion exercise
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EFFECT OF CELLULAR PHONE SMS AS HEALTH EDUCATION MEDIA ABOUT HIV AND AIDS ON HEALTH SERVICE SEARCH BEHAVIOR OF WOMEN SEX WORKERS
Gusti Ayu Kade Dewi Mahayani1, Made Rini Damayanti S.2, Putu Ayu Sani Utami3 1School of Nursing, Medical Faculty, Udayana University 2,3Community Nursing Department, School of Nursing, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Human Immunodeficiency Virus (HIV) is a virus that attacks white blood cells (lymphocytes) that cause the decline of human immune. High risk groups such as Female Sex Workers (FSWs) tend not to access health services because of the decrimination they face in society. Health promotion is still an important strategy in increasing self-awareness of FSWs to perform Voluntary Counseling and Testing (VCT) examination, one of them is through the utilization of cellular phone technology. This study aims to determine the effect of cell phone Short Message Service (SMS) as a media health education about HIV and Acquired Immune Deficiency Syndrome (AIDS) to health seeking behavior of FSWs. Pre-experimental design one group pre-test post-test design was conducted at 33 FSWs at Terminal Pesiapan, Tabanan District. The results of pre-test and post-test showed an influence on behavior (knowledge, attitude and action) after SMS based health promotion intervention (p <0,05), knowledge (p = 0,039), attitude (p = 0,003), and action (p = 0,000). After the intervention there was an increase in behavior that is on knowledge 30,3%, 36,4% attitude and 63,6% action. Mobile phone SMS media proves to be effective in conveying health information so as to raise awareness of FSWs in conducting HIV and Sexually Transmitted Infections (STIs). An innovative, short, easy-to-understand message on HIV and AIDS should be provided with simple language and regular use of cellular-based information technology by healthcare workers.
Keywords: behavior, FSWs, health education, mobile phone SMS
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THE RELATION BETWEEN SPIRITUAL INTELLIGENCE AND SELF EFFICACY TO THE PATIENT WITH TYPE 2 DM IN THE WORKPLACE AREA OF PRIMARY HEALTH CENTER III OF NORTH DENPASAR
I Gusti Ayu Wika Arpandyani1, Meril Valentine Manangkot2, Made Oka Ari Kamayani3 1School of Nursing, Medical Faculty, Udayana University 2,3Critical Care Nursing Department, School of Nursing, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Diabetes Mellitus (DM) is a elevated blood glucose levels due to decreased insulin secretion. Increased cases of DM if not untreated will cause complications for patients. These complications can be reduced by sustainable management for changing the patient behavior. The lack of DM’s management was determined by various factors such as spiritual intelligence and self efficacy. The aim of this study was to know the correlation between spiritual intelligence and self efficacy in patients of type 2 DM in the Primary Health Center III of North Denpasar. This study was a non- experimental study with correlational design. The sample consisted of 43 persons selected by consecutive sampling technique. The data were collected by questionnaire SISRI and DMSES to know the score of spiritual intelligence and self efficacy. Data were analyzed using Pearson Product Moment test. The results of this study indicated there is the positive correlation between spiritual intelligence and self efficacy with sufficient correlation, p value 0,019 (p ≤ 0,05). Spiritual intelligence was giving 12,6 % influence on self efficacy, the rest was influenced by the other factor. It was expected that patients can apply spiritual intelligence and self efficacy in everyday life so that it could prevent the occurrence of DM complications.
Keywords: type 2 diabetes mellitus, spiritual intelligence, self-efficacy
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INCREASING MOTHER BREASTFEEDING MOTIVATION AFTER EDUCATION OF LACTATION MANAGEMENT IN TABANAN III HEALTH CENTER WORKING AREA
Ni Ketut Citrawati1, Ni Luh Gede Puspita Yanti2 1,2Nursing Departement STIKes Wira Medika Bali Corresponding author: [email protected]
Abstract
Coverage of exclusive breastfeeding in the working area of Tabanan III Health Center is still low, even though the government has launched a program with a minimum standard of 80% coverage. Objective: to determine the effect of lactation management health education on breastfeeding motivation. Method: This study used a quasi experimental study with a non-equivalent pre-test and post-test design without control group. The study population was all breastfeeding mothers in the Tabanan III Health Center area totaling 220 population. The number of samples was 30 partisipants. We used non probability sampling with purposive sampling. In addition, we used breastfeeding motivation questionnaire as our instrument. Results: Wilcoxon test results obtained p = 0.000, it can be concluded that there was an influence of lactation management education on the motivation level of breastfeeding mothers. We suggest for health workers should further enhance counseling and introduction of the benefits of exclusive breastfeeding because it helps provide encouragement and motivation for mothers in breastfeeding. Keywords: health education, motivation, exclusive breastfeeding
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THE RELATIONSHIP OF PARITY AND PATRIARCHAL CULTURE WITH UNMET NEED FOR FAMILY PLANNING OF ELIGIBLE WOMEN IN GADUNGAN VILLAGE, SELEMADEG TIMUR DISTRICT, TABANAN BALI IN 2019
Made Dewi Sariyani1, Kadek Sri Ariyanti2, Lakitha Ning Utami3 1 Program Pasca Sarjana Ilmu Kedokteran Udayana 1,2,3STIKES Advaita Medika Tabanan Bali Corresponding author: [email protected]
Abstract
Unmet need for KB (family planning) is a multidimensional problem due to the influences of various factors such as demographic characteristics, socio-economic, attitudes and access to services. Therefore, this research was conducted with the aim of knowing the relationship between parity and patriarchal culture with unmet need for family planning in the Gadungan village in order to reduce the percentage of unmet need based on the causes. This study employed a cross-sectional survey study which was carried out from August 2018 to February 2019. The researcher also utilized simple random sampling to select the sample. The number of samples taken were 54 eligible women in Desa Gadungan. This study finds out that There is a significant correlation between parity and patriarchal culture with the unmet need for family planning in eligible women in Gadungan Village, Selemadeg Timur Tabanan District, Bali with p-values of 0.03 and 0.02. Thus, there needs to be counseling about Unmet Need for family planning and its impact so that public knowledge improves and the number of unmet need for family planning can be reduced.
Keywords: factors, unmet need for family planning, eligible women
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LAUGH TREATMENT FOR HYPERTENTION IN ELDERLY ON SUMBERSARI REGION, JEMBER CITY EAST JAVA: AN EXPERIMENTAL STUDY
Nuning Dwi Merina Nursing Department, Faculty of Nursing, Jember University Corresponding author: [email protected]
Abstract Almost elderly have high blood pressure. The increase of artheriosclerosis and cortisol for eldery could be a condition that called hypertension. Sumbersari Public Health Center is one of region that have high value of hypertension. A solution for handling this problem is laugh treatment. Laugh treatment could decrease cortisol and less the activity of symphatic. This research use time series- control design with 32 sampel and need time 4 weeks to finish this laugh treatment. The result showed thre wass a different between blood pressure before and after laugh exercise. There was also a differences between blood pressure respondens that given and not given laugh exercise for a month. The manifestation p value for dependent and independent was p=0,001. It could be concluded that there were significant effect of laugh treatment for decreasing of blood pressure in eldery with hypertension. Further studies should involve larger respondens,longer time, and better measurement tools to obtain more accurate result.
Keywords: laugh treatment, hypertension, elderly
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STAGES OF GRIEF AND DEPRESSION IN PATIENTS WITH DIABETES MELLITUS
Ana Nistiandani1, Achmad Zulfa Juniarto2, Niken Safitri Dyan K3 1Faculty of Nursing, Jember University, East Java, Indonesia 2,3Diponegoro University, Semarang, Central Java, Indonesia Corresponding author: [email protected]
Abstract
Patients with Diabetes Mellitus (DM) often fail in going through the stages of grief, which can lead to depression. Diabetic patients who experience depression tend to be less active in the management of their DM, resulting in complications and death. This study aimed to analyze the correlation between the stages of grief and depression in patients with diabetes. This study used a cross-sectional design with an explanatory study approach. A consecutive sampling technique was used to select the samples of 302 patients with diabetes. Data were collected using Acceptance of Disease and Impairments Questionnaire and Beck Depression Inventory, and were analyzed using univariate and bivariate analyses. The results showed that the majority of respondents were female (75.2%), married (85.8%), and had comorbidities (80.8%). There was a correlation between stages of grief and depression in patients with diabetes. It was predicted that the strongest and influential stage of depression was acceptance. Decreasing level of acceptance will increase the depression by 0.141. This study concluded that stages of grief had a correlation and is predicted to contribute to trigger depression in patients with diabetes. Therefore, appropriate interventions are required for patients with diabetes to go through the stages of grief with adaptive coping, so as to prevent the occurence of depression.
Keywords: depression, diabetes mellitus, stages of grief
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MANDALA ART THERAPY (MAT) AMONG FILIPINO CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD): A MULTI-METHOD INQUIRY
Sharon B. Cajayon1, Michael Joseph S. Dino1 1College of Nursing, Research Development and Innovation Center, Our Lady of Fatima University, Philippines Corresponding author: [email protected]
Abstract
Mandala Art Therapy (MAT) is a form of psychotherapy that guides an individual through a variety of artistic processes using geometric patterns in an effort to restore a sense of healthy mental balance. Art therapy was put into actual application long before the term was conceived, addressing wide span of psychological issues. This study is directed towards determining the effectiveness of MAT in the behavioral responses of children with ADHD. Lived experiences from the secondary sources (significant other) were explored. This study employs both quantitative (quasi-experimental) and qualitative (phenomenological) research approaches to know ascertain the effectiveness of MAT in the context of the behavioural disorder. Standardized questionnaires, observation checklists and in-depth informal interview were used to collect data from the key informants (children with ADHD and their significant other). Ethics clearance was secured. Analyses were done through frequency, percentage, t-test (significant difference), and thematic approach. The participants were six (6) children, ages four (4) to twelve (12) years old. One-hundred percent (100%) of the parent key informants are satisfied with the therapy. Observation revealed commendable responses and proactive participation among the clients. Qualitative valuation produced two (2) major themes and five (5) minor themes eidetic of the participants’ lived experience. The two (2) major themes were labeled: Deductive Effects and Inductive Effects. Five (5) minor themes were also extracted based on their enhancing and de-enhancing effects, namely: Sensing, Silencing Skilling, Stilling and Sharpening. The intensity of the symptoms of ADHD was measured using DSSM IV: ADHD Symptom Checklist #6177. The present study indicated positive impact of MAT in the reduction of impulsive behavior of children with ADHD during the intervention. Paired t-test is the statistical test used to determine the effect of interventions. Result indicated that there was a significant difference between pre-intervention and post-intervention on hyperactivity, impulsivity and inattention symptoms over time. MAT has a positive potential to become a mainstream intervention among children with ADHD. Further studies are required to establish its other beneficial effects to a wider and more diverse samples.
Keywords: ADHD, art therapy, Mandala
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USING 3-DIMENSIONAL COMPUTER GRAPHICS TO IMPROVE COGNITION AND MEMORY RETENTION AMONG FILIPINO PRE- SERVICE NURSES LEARNING ANATOMY
Justiniano V. Candado II1, Abegail C. Madrinico1, Nicetas B. Pascual1, Joshua Nicu Pillos1, Ma. Chesfer P. Tumnaneng1, Michael Joseph S. Diño2 1College of Nursing, Our Lady of Fatima University, Valenzuela City, Philippines 2Director of Research Development and Innovation Center, Our Lady of Fatima University Corresponding author: [email protected]
Abstract
This study purports to identify the effects of using 3-Dimensional Computer Graphics on the cognition and memory retention among anatomy and physiology nursing students. The researchers believe that the use of 3-Dimensional Computer Graphics affects learners cognition and memory retention by stimulating the frontal lobe’s logical reasoning, parietal lobe’s spatiality due to its capability to provide different angles and depths of images that compose its spatial complexity. Through the interaction of the user to the 3D Anatomy’s spatial dimensions, we believe that the experience is enough to motivate the hippocampus to convert the short term 3D experience to a long term anatomy and physiology memory.
Keywords: computer graphics, 3-dimensional, cognition, memory retention, nursing innovation, technology, anatomy and physiology
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THE MOTIVATION OF NURSING STUDENTS IN CONTINUING NERS PROFESSION AT ADVAITA MEDIKA NURSING SCHOOL
Desak Gede Yenny Apriani Sekolah Tinggi Ilmu Kesehatan Advaita Medika Tabanan Corresponding author: [email protected]
Abstract
Ners profession is an academic professional education aiming to emphasizes the growth and development of students' ability, then can legally call them as a registered nurse. It is an advanced program that will be take one year of completion and must be taken after completing the bachelor program as a Bachelor of Ners degree. This study aims to describe the motivation of third and fourth-grade students in continuing nurse profession. The design of this study is a quantitative descriptive study. As many as 38 students has been involved in this study and had been listed with a total sampling technique. Data was collected by questionnaire which namely questioning respondent’s characteristics; gender, parents’ income, proportion of students’ motivation. The results showed, the majority proportion of third and fourth-grade nursing students’ motivation in continuing their Ners profession was indicated having a low motivation by 63.2% in continuing their study to Ners profession.
Keywords: motivation, ners profession, students
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RELATIONSHIP OF HUSBAND SUPPORT WITH PAP SMEAR ACTION OF FERTILE AGE WOMEN IN MUNANG-MANING SUB-VILLAGE WEST DENPASAR HEALTH CENTER II WORK AREA
Ni Wayan Kuslinda Sari1, I Gusti Ayu Pramitaresthi2, Gusti Ayu Ary Antari3 1School of Nursing, Medical Faculty, Udayana University 2Maternity Nursing Department, Medical Faculty, Udayana University 3Medical Surgical Nursing Department, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Cervical cancer attacks the female reproductive organ and is the highest cause of death in women in Indonesia. Pap-smear test plays an important role as a screening test for cervical cancer. Unfortunately, the coverage of the pap-smear test in Indonesia especially in Bali is still quite low. Improving a husband support is an effort that could be used to deal with this problem. This study aimed to know the correlation between husband support and pap-smear screening action on women at reproductive age in Public Health Center II of West Denpasar. This study was a descriptive correlative study with a cross- sectional approach that involved 134 participants selected by purposive sampling. The data collection was done by using A Medical Outcomes Social Support Survey (MOS- SSS) and pap-smear screening action questionnaires. The Chi-square test showed that p=0,000 (p<0.05), which indicated that there was a correlation between husband support and pap-smear screening action on the women at the reproductive age. We suggest the health professional involving spouses on the pap-smear program to improve pap-smear screening action on the women at the reproductive age.
Keywords: husband support, pap-smear, woman screening action
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THE CORRELATION BETWEEN SELF-CARE AND FAMILY-SUPPORT WITH THE QUALITY OF LIFE OF TYPE II DIABETIC MELLITUS PATIENT IN PUBLIC HEALTH CENTER I OF WEST DENPASAR
Ni Kadek Dwi Yanti Anggreni1, Meril Valentine Manangkot2, I Gusti Ayu Pramitaresthi3 1School of Nursing, Medical Faculty, Udayana University 2Critical Care Nursing Departement, School of Nursing, Medical Faculty, Udayana University 3Maternity Nursing Departement, School of Nursing, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Diabetes mellitus (DM) is a metabolic disease with characteristics of hyperglycemia. Type 2 DM that is not handled properly will result in complications that affect the quality of life. Type 2 DM patients need to do self-care as one of the DM treatment. In addition to self-care, the quality of life of DM patients is also related to family support. This study aims to determine the relationship between variables of self-care and family support with the quality of life of patients with type 2 DM. The study was conducted on 26 March-23 April 2019. This study was a quantitative study with a cross sectional approach. The number of the respondents were 59 people, obtained through consecutive sampling technique. Self-care was measured using a summary of diabetes self-care activity (SDSCA) questionnaire, family support was measured using the diabetes family behavior checklist II (DFBC II) questionnaire, and quality of life was measured using the diabetes quality of life (DQOL) questionnaire. The data analysis was done using Pearson Product Moment test. The results showed that there was a relation between self-care and quality of life (p = 0.000, r = 0.548) and there was a relation between family support and quality of life (p = 0.005, r = 0.365). Health workers are expected to develop health education which is not only needed for type 2 DM patients but also their families in order to realize optimal quality of life.
Keywords: family support, quality of life, self-care, type 2 DM
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THE CORRELATION BETWEEN BODY MASS INDEX (BMI) AND SALIVARY PH ON TYPE 2 DIABETES MELITUS PATIENTS IN WORK AREA OF HEALTH CENTER III NORTH DENPASAR
Ni Kadek Desi Ayani1, I Gusti Ngurah Juniartha2, Desak Made Widyanthari3 1School of Nursing, Medical Faculty, Udayana University 2Emergency Nursing Department, Medical Faculity, Udayana University 3Medical Surgical Nursing Department, Medical Faculity, Udayana University Corresponding author: [email protected]
Abstract
The existence of epidemiological transitions and the shift of infectious diseases into non- infectious diseases cause high degenerative and chronic diseases such as Diabetes Mellitus (DM). There are several types of diabetes mellitus, but of all types, type 2 diabetes mellitus is DM, which has the highest prevalence of around 90-95% of all DM patients in the world. The increase in the number of people with Type 2 DM is caused by many factors, such as excessive weight or overweight and obesity. Determination of more nutritional status or overweight can be seen from the Body Mass Index (BMI). High BMI is associated with blood sugar instability and the potential for complications such as micro vascular complications, namely neuropathy. Neuropathy causes problems in the sympathetic and parasympathetic nerves which will have an impact on changes in the salivary acidity. The aim of the study was to determine the correlations of BMI and salivary pH on Type 2 DM patients in Work Area of Health Center III North Denpasar. This study was a correlation study with a cross sectional approach. The sample in this study amounted to 41 participants chosen by consecutive sampling technique. Data collection was done by measuring height, weight, and salivary pH. Correlation analysis used Pearson Product Moment with a confidence interval of 95% (α = 0.05). The results of the Pearson Product Moment statistical test indicated that the correlation coefficient r=-0.398, and the Sig. value 0.010 (p <0.05). This result indicated that there was a weak negative correlation between BMI and salivary pH on Type 2 DM which means the higher BMI value, the lower salivary pH on Type 2 DM.
Keywords: body mass index, salivary pH, type 2 diabetes mellitus
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FACTORS RELATED TO THE INCIDENTS OF TRAVELERS' DIARRHEA IN INTERNATIONAL TRAVELERS IN THE JIMBARAN AREA, SUB-DISTRICT OF SOUTH KUTA, BADUNG REGENCY
Ni Putu Sandra Widiarsani1, Ni Luh Putu Eva Yanti2, Ni Luh Putu Shinta Devi3 1School of Nursing, Medical Faculty, Udayana University 2Community Nursing Department, School of Nursing, Medical Faculty, Udayana University 3Pediatric Nursing Department, School of Nursing, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Travelers' diarrhea (TD) is the most frequent health problems experienced by foreign tourists visiting Bali. Several factors can affect TD incidence in tourists such as age, gender, origin of tourists, eating habits, length of stay, and hand washing behavior. This study aims to determine the factors associated with the incidence of travelers' diarrhea in foreign tourists in the Jimbaran area, South Kuta Sub-District, Badung Regency. This research is a quantitative research, a descriptive type of correlative research with a retrospective approach. Samples were taken at 4 hotels in Jimbaran using simple random sampling technique in order to obtain a sample of 374 tourists. Based on the results of the study, it was found that the majority of foreign tourists visiting the Jimbaran area were adult, female, mostly from Australia, and mostly experienced health complaints of travelers' diarrhea. Most of the 221 tourists who experienced travelers' diarrhea were caused by consuming 203 foods (91.9%) from outside the hotel. The results of the Chi- Square statistical test showed that there were significant differences in the incidence of travelers' diarrhea between the ages of children under five, children, adolescents, adults, and the elderly (p = 0.001; α = 0.05). However, there was no significant difference in the proportion of travelers 'diarrhea between female tourists and male tourists (p = 0.069; α = 0.05) and there was no significant difference in the proportion of travelers' diarrhea between tourists from the continents of Asia, Africa, America, Australia and Europe (p value = 0.899; α = 0.05).
Keywords: travelers' diarrhea, international travelers
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RELATIONSHIP BETWEEN COMMUNITY CHARACTERISTICS ON KNOWLEDGE AND ATTITUDES OF LANDSLIDE NATURAL DISASTER PREPAREDNESS IN CANDIKUNING VILLAGE, BATURITI SUB-DISTRICT, TABANAN REGENCY
Ni Nengah Teni Lastari1, Ni Luh Putu Eva Yanti2, Desak Made Widyanthari3 1School of Nursing, Medical Faculty, Udayana University 2Community Nursing Department, School of Nursing, Medical Faculty, Udayana University 3Medical Surgical Nursing Department, School of Nursing, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Candikuning Village is a village that is located in areas prone to high-category landslides, which have caused fatalities. Therefore, there is a need for an approach to natural disaster preparedness for landslides for the people in the area. Preparedness is influenced by community characteristics, namely age, gender, education level, and occupation. This study aims to determine the relationship of community characteristics with the knowledge and attitudes of natural disaster preparedness landslides. This research is a quantitative research, a descriptive type of correlative research with a cross sectional approach. The sample in this study were 136 families selected by non-probability sampling method, namely purposive sampling. The results showed that the majority of respondents were late adult, male, elementary education level, farmers, and the preparedness knowledge and attitudes is in good categories. The results of the Spearman-Rank statistical test showed that there was a relationship between knowledge of landslide natural disaster preparedness with age (p = 0.017, α = 0.05) and education (p = 0.017, α = 0.05). There was a relationship between natural disaster preparedness attitudes of landslides with age (p = 0.04, α = 0.05) education (p = 0.001, α = 0.05) and employment (p = 0.008, α = 0.05). The results of the Spearman-Rank statistical test showed that there was no relationship between knowledge of landslide natural disaster preparedness and gender (p = 0.416, α = 0.05), and occupation (p = 0.470, α = 0.05). There was no relationship between landslide natural disaster preparedness attitudes with gender (p = 0.058, α = 0.05). The conclusion of this study is that there is a relationship between preparedness knowledge with age and education level. There is a relationship between preparedness attitudes with age, education level, and employment.
Keywords: characteristics, preparedness, knowledge, and attitude
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QUALITY OF PALLIATIVE NURSING IN INTENSIVE ROOM “X” HOSPITAL INDONESIA
Ifa Hafifah1, Isnawati2 1Critical Nursing Department, School of Nursing, Lambung Mangkurat University 2Alumnus, School of Nursing, Lambung Mangkurat University Corresponding author: [email protected]
Abstract
The high mortality in the intensive room requires health workers to be able to provide palliative care so that patients die in peace and help the patient's family face the grieving process. The implementation of palliative care must be organized and assessed for the quality of its implementation. The aim was to describe the quality of palliative nursing in intensive room “X” Hospital. The research used Mixed Methods. The first was quantitative method with descriptive research. The sample were 38 nurses and 4 general practitioners to obtain data on the quality of palliative nursing with SelfReport Questionnaire (0-10). The second of qualitative methods to deepen quantitative data with achieved data saturation in 5 nurses and 2 general practitioners. Retrieval of data from 12 November- 12th December 2018. The results was the quality of palliative nursing performed by nurses had a score of 6.68, for general practitioners were 5.19. The lowest score (5.29) was found in the emotional support and organizational domain for ICU clinicians for nurses with the theme of the role of coworkers and the desire to act alone, for general practitioners the lowest score (3.93) was spiritual support for patients family with th the theme of the absence of operational standards of spiritual support procedures and knowledge and experience of spiritual support. The conclusion is the quality of palliative care services performed by nurses has a score of 6.68 and for general practitioners was 5.19.
Keywords: general practitioners, intensive room, nurse, palliative nursing
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THE RELATIONSHIP BETWEEN THE PARENTS' PSYCHOLOGICAL WELL-BEING WITH THE QUALITY OF LIFE OF CHILDREN WITH CANCER AT YAYASAN PEDULI KANKER ANAK BALI
I Gusti Ayu Dewi Astriani1, Kadek Cahya Utami2, Luh Mira Puspita3 1Nursing Department, Faculty of Nursing, Udayana University 2,3Pediatric Nursing Department, Faculty of Nursing, Udayana University Corresponding author: [email protected]
Abstract
Psychological Well-Being is an individual's perception of life's challenges, as well as the individual's ability to be able to make decisions on the problems at hand. Quality of life is a potential description of a disease or treatment that can affect one's health seen from a child's perspective. The purpose of this study is to determine the relationship of psychological well-being of parents with the quality of life of children with cancer at the Yayasan Peduli Kanker Anak Bali or Bali Children with Cancer Care Foundation. The research method used is descriptive correlation with consecutive sampling technique. This research was conducted on February 25 to March 25, 2019 with a total sample of 30 parents and their children with cancer. The research analysis used the Pearson product moment test with a confidence level of 95%. The results of the study obtained a p value of 0.000 (p <0.05). Pearson correlation value was 0.783 showed a positive correlation with a strong correlation. These results indicate that there is a significant relationship between the psychological well-being of parents on the quality of life of children with cancer at the Bali Children with Cancer Care Foundation. Through this research, it is expected that parents can continue to improve their psychological well-being; one of them is by establishing a support group. Increased psychological well-being of parents is expected to improve the quality of life of children with cancer.
Keywords: children with cancer, quality of life, psychological well-being
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DESCRIPTIVE QUALITATIVE STUDY: THE NURSES’ LIVED EXPERIENCE IN COMPLEMENTARY CARE OF BEKAM THERAPY IN LATU USADHA CLINIC IN BALI, INDONESIA
Ni Komang Sukraandini1, Desak Made Ari Dwijayanti2 1,2Nursing Department, STIKes Wira Medika, Bali Corresponding author: [email protected]
Abstract
Complementary therapy is the term generally used as a treatment approach by incorporating traditional healing practices. There are various types of complementary therapies, one of which is complementary Bekam therapy in Nursing. One health service that applies alternative therapies in Bali is the Latu Usadha Clinic. Bekam therapy is one of the therapies given at the Latu Usadha Clinic where the workforce by the nurse. The experience of nurses in carrying out complementary care by bekam therapy can be the basis of knowledge. The Aims of this study was to explain and describe the lived experience of nurses in carrying out complementary Bekam Therapy. This study was a qualitative descriptive study. The sample consisted of 4 Nurses who work in the Latu Usadha Clinic which selected by purposive sampling technique. The data in this study was collected by in-depth interviews with Complementary Nurses. Data were analyzed using Colaizzi’s Seven Step Process.. The results of this study obtained 4 themes, namely: (1) Conventional therapy as a complementary therapy (2) suppressing CUP as Bekam therapy (3) the process of assessment and determining the patient's pain point as a Bekam procedure (4) dry Bekam, wet Bekam and sliding Bekam as therapy bruise. This study suggest that The nurses’ in caring complementary therapy by using bekam therapy can improve better care by sharing information and knowledge about complementary so that later it can improve promotional, preventive, and curative efforts.
Keywords: nurses, complementary, bekam
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THE RELATIONSHIP BETWEEN ACADEMIC STRESS WITH COPING MECHANISM OF PSSKPN STUDENTS OF UDAYANA UNIVERSITY
Flora Maranatha Hasugian1, Ni Kadek Ayu Suarningsih2, I Kadek Saputra3 1School of Nursing, Medical Faculty, Udayana University 2Medical Surgical Nursing Department, School of Nursing, Medical Faculty, Udayana University 3Emergency Nursing Department, School of Nursing, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
The academic education process faced by nursing students is a source of considerable stressors to trigger academic stress. Academic stress would affect the way they deal with the stressors that called coping mechanism response. The purpose of this study was to determine the relationship between academic stress with coping mechanism on PSSKPN students of Udayana University. This study was correlative research with cross sectional approach. This study consisted of 57 respondents obtained by total sampling technique. The data collection was used academic stress questionnaire and ways of coping questionnaire to identified respondent characteristics, academic stress and coping mechanism. This study showed there was a significant correlation between academic stress with the coping mechanism (p<0.05; r=0.517). The correlation was negative and had a medium strength, which means when the academic stress gets higher, the coping mechanism gets lower. This study is expected to be an evaluation for students, education institutions, and nurses as health workers. Actions to reduce academic stress and improve adaptive coping mechanism also expected could be carried out.
Keywords: academic stress, coping mechanism, PSSKPN students
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THE CORRELATION BETWEEN THE LEVEL OF HEMOGLOBIN AND LEARNING CONCENTRATION ON THE TENTH-GRADE SCIENCE CLASS FEMALE STUDENTS IN SENIOR HIGH SCHOOL OF 3 DENPASAR
Ni Made Sekar Sari1, Ni Kadek Ayu Suarningsih2, Gusti Ayu Ary Antari3 1School of Nursing, Medical Faculty, Udayana University 2,3Medical Surgical Nursing Department, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Hemoglobin is an iron rich protein present in red blood cells. Female student is vulnerable of having abnormally low levels of hemoglobin (≤12 g/dL) due to blood losses during monthly menstruation, which can have an impact on decreasing their concentration to learn. The purpose of this research was to determine the correlation of hemoglobin levels and learning concentration on the tenth-grade science class female students in senior high school of 3 Denpasar. It used quantitative type of research and cross-sectional study model approach. The sampling methods used simple random sampling which is totaled 122 respondents. The data collection of hemoglobin levels used digital method Easy Touch GCHb and learning concentration used questionnaire with a total of 27 statements. Based statistic test on Pearson Product Moment, it showed hemoglobin level with learning concentration on the tenth-grade science class female students in senior high school of 3 Denpasar, has a strong and positive correlation (r=0,737; p<0,05). The result of this research is expected to be used as a suggestion in helping female student to be active in the blood tablet administration program.
Keywords: hemoglobin level, learning concentration, female student
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THE EFFECT OF SMARTPHONE ADDICTION ON QUALITY OF SLEEP AMONG NURSING STUDENTS IN MEDICAL FACULTY UDAYANA UNIVERSITY
Ni Made Sinta Febrina1, Ni Kadek Ayu Suarningsih2, Putu Oka Yuli Nurhesti3 1School of Nursing, Medical Faculty, Udayana University 2,3Medical Surgical Nursing Department, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Sleep quality is a complex phenomenon that is difficult to measure objectively in individuals. Nursing students become one of the groups that are susceptible to decreased sleep quality. This is due to the many demands that students must do in their daily lives. Nowadays, changes in students lifestyles that lead to the use of massive technology, such as smartphones can have an impact on the quality of sleep. Indirectly, the convenience provided by smartphones gives an addiction effect to users. The purpose of this study was to determine the differences between quality of sleep in nursing students at Medical Faculty, Udayana University based on the level of smartphone addiction. This research is a descriptive study with a cross-sectional approach. The sample size was 123 students obtained from the use of sampling techniques of proportionate stratified random sampling. The results of this study indicate that as many as 51.2% of students are at a high smartphone addiction level. Also, 84.6% of students have poor sleep quality. The Mann Whitney statistical test results obtained p-value 0.01 <0.05, which means that there is a significant difference between the quality of sleep in nursing students at Faculty of Medicine Udayana University based on the level of smartphone addiction. This tudy suggest that students will be able to be wiser and more self-controlled in smartphone use on their daily lives to minimize the impact of smartphone addiction.
Keywords: nursing student, sleep quality, smartphone addiction
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ONE VISIT ROOT CANAL TREATMENT WITH INDIRECT ONLAY RESTORATION OF CLASS II CAVITY COMPOSITE RESIN WITH FIBER REINFORCEMENT ON THE RIGHT MAXILLARY FIRST MOLAR IRREVERSIBLE PULPITIS
Ni Kadek Eka Widiadnyani1 1Dental Conservation Division, Dental and Oral Health Department, Sanglah General Hospital, Bali, Indonesia Corresponding author: [email protected]
Abstract
Introduction: One-visit root canal treatment is a treatment that includes root canal biomechanical preparation, irrigation and obturation completed in one visit. From the last decade clinical indications of composite resin have been increased in posterior restorations. Objective: Demonstrate the success of managing a single root canal treatment and determine the final restoration of appropriate treatment so as to minimize the cost of care without neglecting its function and aesthetics. Case report: A 21-year-old male patient complained the spontaneous pain of the first right upper jaw tooth since 1 month. Based on objective and radiographic examination, patient was diagnosed as 16 irreversible pulpitis teeth. The treatment plan is a one-visit root canal treatment accompanied by restoration of indirect onlay of composite resin cavity class II with fibre reinforce. Conclusion: One-visit root canal treatments is one of the treatment options for patients who do not have much time for treatment.
Keywords: one-visit root canal treatment, indirect onlay of composite resin, FRC
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HOW DO HEALTH REPRODUCTION EDUCATION BASED ON GENDER EQUALITY INFLUENCE TO KNOWLEGDE, ATITUDES, AND SELF EFFICACY IN ADOLESCENT?
Wenny Artanty N. 1, Ika Parmawati1, Titis Wening Setyoharsih2, Vincentia Fanny Gita Rosari2, Annisa Rachmawati2 1Pediatric and Maternity Nursing Department, Faculty of Medicine, Gadjah Mada University, Yogyakarta 2Nursing Department, Faculty of Medicine, Gadjah Mada University, Yogyakarta Corresponding author: [email protected]
Abstract
Adolescents experience biological and psychological maturity which is characterized by attraction towards the opposite sex and begin experimenting about sexual activity. Culture places men higher than women forming negative views about the functions, roles and positions of women. So women often become victims of sexual violence. Adolescents need to be given a correct and appropriate understanding about gender equality in the context of reproductive health. The purpose of this study is to determine the effect of gender equality-based reproductive health education on improving knowledge, attitudes, and self-efficacy in adolescent girls and adolescent boys. The study was a quasi-experimental study with a nonequivalent (pretest and posttest) with a control group design. This research was conducted in two schools from August 2018 until April 2019. Schools were determined based on preliminary studies with predetermined criteria. Determination of School A as the intervention group and School B for were selected without randomization. The purposive sampling method was used to select 135 students. The data were analyzed by paired t-tests and Man-Withney. Ethical approval was given with permit number Ref: KE / FK / 0865 / EC/2018. After reproductive health education based on gender equality the difference value between the pretest and posttest in the intervention group compared with the control group in adolescent boys did not show improvement. Knowledge value -0.09 vs-0.5 p = 0.878, Attitude value -2.61 vs -1.79 p = 0.713, Self-efficacy value -3.54 vs 2.88 p = 0.067. While in adolescent girls the comparison of the value of the intervention group actually tends to decrease at the posttest and the control group tends to increase, except in the aspect of knowledge. Knowledge value 1.06 vs -0.34 p = 0.006, attitude value -6.78 vs 0.91 p = 0.000, self- efficacy value -5.06 vs 1.94 p = 0.015. Reproductive health education based on gender equality is only able to increase knowledge in adolescent girls only.
Keywords: adolescent, health reproduction, education, gender equity, self-efficacy
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FACTORS RELATED TO PARENTAL WILLINGNESS TO OBTAIN HPV VACCINE FOR ADOLESCENT
Wiwin Lismidiati 1, Ova Emilia2, Widyawati3 1,3Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta 2Department of Obstetrics and Gynecologic, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Yogyakarta Corresponding author: [email protected]
Abstract
Cervical cancer can be prevented by HPV vaccination among adolescent. One of the factors that influence the decision of adolescents to receive HPV vaccination is parental willingness. The aims was to determine the factors related to parental willingness. This study employed descriptive method and cross-sectional design. This study has been conducted in October-November 2018 and involved 98 respondents. The instruments included demographic questionnaires, HPV vaccine willingness, knowledge of cervical cancer and HPV, attitude, health beliefs and self-efficacy. Data was analyzed using chi- square and Fisher test. The results obtained a significant value of the association between parental willingness with religion is 0.869; mother’s occupation is 0.75; family income is 0.780; history of pap smear is 0.742; knowledge is 0.780; attitude is 0.027; health belief is 0.320 and self-efficacy is 0.122. Parental attitudes are one of factors influences the willingness to take HPV vaccination in adolescent
Keywords: adolescent, cervical cancer, HPV vaccination, parental willingness
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THE EFFECT OF PALIATIVE CARE EDUCATION ON THE FAMILY KNOWLEDGE OF CANCER PATIENTS OF BALI BRANCH RUMAH SINGGAH PEDULI
Ni Kadek Devi Budi Cahyani1, I Made Suindrayasa2, Kadek Cahya Utami3 1School of Nursing, Medical Faculty, Udayana University 2Emergency Nursing Department, School of Nursing, Medical Faculty, Udayana University 3Pediatric Nursing Department, School of Nursing, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Cancer is one of the biggest killer diseases in the world. Cancer patients have a high need for palliative care. Palliative care is a treatment to improve the quality of life of patients and families in the face of life-threatening diseases. Family knowledge related to palliative care is varies but most families have little information. The purpose of this study was to determine the effect of palliative care education on family knowledge of cancer patients at Bali Branch RumahSinggahPeduli. This type of research was pre- experimental with the design of one group pre-test post-test design. The study was conducted on April 5 to May 05 2019 with a sample of 36 respondents. The research instrument used was the palliative care knowledge questionnaire and the results were analyzed by the Wilcoxon test. The results of respondents' knowledge scores after the pre-test average were 24.78 and the post-test average score was 33.75. The Wilcoxon test results were p-value 0.000 (p <0.05) showing the influence of palliative care education on cancer patients at the Bali Branch Rumah Singgah Peduli. Families and health workers are expected to increase their knowledge about palliative care so that it can be applied to cancer patients.
Keywords: educational palliative care, family of cancer patients, knowledge
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THE CORELATION BETWEEN PHYSICAL ACTIVITIES AND SEXUAL FUNCTIONS OF WOMEN WITH DIABETES MELLITUS AT PUBLIC HEALTH CENTER II WEST DENPASAR
Ni Made Erlin Firda Yanti1, Desak Made Widyanthari2, Kadek Saputra3 1School of Nursing, Medical Faculty, Udayana University 2Medical Surgical Nursing Department, Medical Faculty, Udayana University 3Emergency Nursing Department, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Diabetes mellitus (DM) triggers several chronic complications issue, one of the complications is sexual dysfunction. Sexual dysfunction is a disorder during the sexual response cycle that fundamentally causes a person to feel dissatisfied over the sexual activities. The sexual function of women with Diabetes Mellitus is influenced by several factors. One of the factors which triggers an effect is physical activity. The purpose of this study is to determine the correlation of physical activity and sexual function in women with diabetes mellitus around the Public Health Center II West Denpasar. This study was a correlative descriptive research by incorporating cross sectional approach. Purposive sampling was also incorporated as the sampling method that included 30 respondents. Both of data regarding physical activity and sexual function collected by using IPAQ and FSFI questionnaires. Based on the statistic test of Spearman Rank, it discovered that physical activity and sexual disfunction on women with Diabetes Mellitus around Public Health Center II West Denpasar had a moderate and positive correlation (r = 0.534; p <0.05). The result of this study is expected to be used as a manual in initating the increase of the physical activity of DM women to prevent the sexual disfunction.
Keywords: physical activity, sexual function, diabetes mellitus woman
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THE EFFECTIVENESS OF PEER GROUP SUPPORT IN IMPROVING COMPLIANCE WITH TYPE II DIABETES MELLITUS PATIENTS IN KAKAS COMMUNITY HEALTH CENTER, MINAHASA REGENCY
Ria Christa Tampilang¹, Gaby Badjo², Natalia Elisa Rakinaung³ Catholic University De La Salle Manado Corresponding author: [email protected]
Abstract
Type II sufferers of diabetes mellitus (DM) have problems that are not compliant in performing the treatment. Peer group support has contributed to improving adherence for Type II DM patients. Peer group support needs to be done to improve the adherence. This study aims to determine the effectiveness of peer group support in improving adherence to care for Type II DM patients. This study uses a quantitative research design with a quasi-experimental approach one group pre-post-test. The sample selection used purposive sampling technique and 30 respondents agreed to participate in this study. The statistical test used was the Wilcoxon Signed Ranks Test. This research used the characteristics of the Transpersonal Caring theory of Jean Watson. The results of this study indicates that there are significant differences before and after peer group support for adherence to treatment of patients with Type II DM in diet and drug consumption with p = 0.000 (.050.05) and there is no significant difference before and after peer group support for adherence to treatment of patients with Type II DM in physical activity with a value of p = 0.157 (>0.05). Peer group support is significantly effective in increasing dietary compliance, and drug consumption in patients with type II diabetes and peer group support is not effective in the level of adherence to physical activity of patients with type II diabetes.
Keywords: type II diabetes mellitus, peer group support, diet, physical activity, drug consumption
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IMPROVE SELF-EFFICACY AND LIFE ACTIVITIES OF ARTHRITIS PATIENTS: A QUASY-EXPERIMENT STUDY
Cindi Teri Marni Oroh1, Fitriana Suprapti2, Wilhelmus Hary Susilo3 1School of Nursing, University of Chatolic De La Salle, Manado, Indonesia 2School of Nursing, Institute of Health Science Sint Carolus, Jakarta, Indonesia 3School of Management, University of Persada Indonesia Y.A.I, Jakarta, Indonesia Corresponding author: [email protected]
Abstract
Arthritis can cause physical and psychological complaints that affect their quality of life. This study aimed to determine the effect of Arthritis Self-Care Management Education (ASCME) and Home-Based Exercise (HBE) to self-efficacy and Activities of Daily Living (ADL). This research utilized quasy-experimental research design, using non randomized control group pre-test and post-test. The sample in this study were 198 arthritis patients divided into 3 groups. The result of the research showed that there were differences of self-efficacy as well as ADL before and after intervention with p-value of 0.000 on each intervention group respectively. The results of the analysis found that both the ASCME and HBE had a significant effect to self-efficacy and ADL with p-value of 0.000. It can be concluded that ASCME and HBE are significant to increase self-efficacy and also improve ADL. It is recommended for nurses to use these interventions as part of their indpendent nursing intervention and also for improving arthritis self-care for patient and the family.
Keywords: arthritis self care management education, home based exercise, self efficacy, activity daily living
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EXPLORATION OF BULLYING PERCEPTIONS IN ADOLESCENTS IN SMK NEGERI 1
Nancy Monica Madjid1, Natalia Elisa Rakinaung2, Fresy Lumowa3 University of Chatolic De La Salle, Manado Corresponding author: [email protected]
Abstract
Bullying behavior is one of the causes of adolescent psychology disorder which has a negative impact on learning achievement, psychology, and physical health. For the psychological impact such as feelings of shame, stress, depression, feelings of fear, sadness, and anxiety that can lead into depression to the victim. The impact on physical health in the form of bruising on the area that was hit, abrasions, and swelling and in more severe cases resulted in death. This study aims to explore the perception of bullying in adolescents of SMK Negeri 1 Manado students as well as those associated with these teenage students. The research design used qualitative descriptive using thematic analysis supported by the framework of the ecology theory of Urie Bronfenbrenner. Data collection used was in-depth interviews. Sampling using purposive sampling and snowball techniques. From the analysis, there are three themes with each category; Bullying perception with categories, Understanding of bullying and the impact of bullying. The originator of bullying with a category that is based on the fulfillment of adolescent development tasks and needs, the influence of peers, and communication in the family; and Bullying handling efforts with the Individual Coping and Teacher Role categories.
Keywords: teenagers, bullying, perception
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EXPLORATION FAMILY PERCEPTION OF POST-STROKE PATIENTS CARE IN CARDIO VASCULAR AND BRAIN CENTER (CVBC) OUTPATIENT INSTALLATION RSUP PROF. DR. R. D. KANDOU MANADO
Andreas Kutika1, Annastasia Lamonge2, Laurensi Sasube3, Indriani Yauri4 University of Chatolic De La Salle, Manado Corresponding author: [email protected]
Abstract
Stroke has a high mortality rate in the world. It is estimated that in one day, there are 8 deaths in the world caused by stroke and estimated every two seconds there is a person has a stroke and bring a risk to death. According to National Geographic Indonesia (2014) the prevalence of stroke in Indonesia was 12.1 (mile per population) while North Sulawesi was the second highest stroke prevalence that is counted for 10,8 miles per population. This study aims to explore family’s perception of post-stroke patients care at Cardio Vascular and Brain Center Outpatient Installations at RSUP Prof. Dr. R. D. Kandou Manado. This is a descriptive qualitative study using in-depth interviews for collecting data. The population was family who treated and carried out post stroke patient at the Outpatient Department. Samples were identified using convenient sampling strategy. Nine (9) informants were agreed to participate in the study. Thematic analysis was used to analyze data. This study was informed by Jean Watson’s caring theory of nursing. Themes resulted from this study revealed that Belief and Hope, Basic Needs Assistance, Compassionate Behavior, and Creative Solutions are the four important concepts in providing care by families with post stroke patient. These four themes are in accordance with Jean Watson’s caring theory of nursing. The four themes of this study concluded that family perception and support of post-stroke patient’s care was important to support post stroke patient’s home care. Therefore, results from this study might be used to promote heath education for post-stroke patient’s family at home. Furthermore, it is expected that these finding could be developed into an instrument used for quantitative studies.
Keywords: exploration, family, post stroke
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EXPLORING THE EXPERIENCE OF PRIPAROUS ADOLECENT MOTHERS IN IMPLEMENTING EXCLUSIVE BREASTFEEDING TO INFANTS IN KOMBOS PUBLIC HEALTH CENTRE OF MANADO, NORTH SULAWESI PROVINCE
Mario Vianney Baemamenteng1, Indriani Yauri2, Christian Lombogia3 University of Chatolic De La Salle, Manado Corresponding author: [email protected]
Abstract
Adolescent mothers tend to fail in implementing exclusive breastfeeding. This is because adolescent mothers are less able to develop emotional bonding with their infant (secure attachment). In addition, adolescent mothers in their running of developmental tasks of being adolescent, pregnancy, and breastfeeding can become stressor mothers. This research aims to explore the experience of primiparous adolescent mothers in implementing exclusive breastfeeding in Kombos Health Centre of Manado. The methods used in this research is a qualitative design with phenomenology approach. The sampling technique here are purposive sampling and snowball to identification of informants. For data collection, the researcher conducted in-depth interview with 8 informants. There are two themes in this research. First, mothers knowledge about exclusive breastfeeding consisting of the infants growth and what people say about exclusive breastfeeding. And second, being a mother consisting of how to solve problem in exclusive breastfeeding, social support, and how to manage self-esteem as a mother. The important of a primiparous adolescent mothers knowledge and experience in implementing exclusive breastfeeding are relevant to successful activity of exclusive breastfeeding. Moreover, in a process of being a mother, a women is influence by her technique to solve problem, social support, and how adolescent mother build their self-esteem.
Keywords: adolescent mothers, primiparous, exclusive breastfeeding
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QUALITATIVE STUDY: EXPERIENCES OF HYPERTENSION PATIENTS IN ADHERENCE TO ANTIHYPERTENSION MEDICATION IN TOMOHON CITY NORTH SULAWESI, INDONESIA
Fierlly Theresia Wolff 1, Natalia Elisa Rakinaung2 1,2 Nursing Department, Faculty of Nursing, De La Salle Catholic University of Manado Corresponding author: [email protected]
Abstract
Hypertension is the highest prevalence of health problem in Tomohon city. The risk of complications from people with hypertension can be avoided by undergoing routine antihypertension medication. The objective of this study was to explore the experience of hypertension patients in adherence of antihypertension medication in Tomohon City. This study was a qualitative descriptive study. The sample consisted of 8 hypertension patients which selected by snowball technique sampling. The data in study was collected by in- depth interviews with hypertension patients. Data were analyzed using analysis thematic technique. The result of this study obtained that in undergoing the process of consuming antihypertension medication, hypertension patients influenced by the urge of adherence to antihypertension medication, and inhibiting factors in adherence to taking antihypertension medication. The urge of adherence to antihypertension medication were influenced by the benefits to taking routine antihypertension medication, instructions and health education by healthcare worker, and knowledge of hypertension patients regarding the instructions to consume antihypertension medication. The inhibiting factors in adherence to taking antihypertension medication consists of side effects of antihypertension medication, poor behaviors of hypertension patients which included indolent and poor memory in taking medication, and lack of knowledge of hypertension patients regarding the instructions to consume antihypertension medication. This study suggest that healthcare worker have to provide high quality of health education regarding benefits of antihypertension medication that can improve the adherence of hypertension patients to taking antihypertension medication.
Keywords: hypertension, adherence, antihypertension medication
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EFFECTIVENESS OF INTERVENTION WITH HEALTH (M-HEALTH) TECHNOLOGY FOR HEALTH CARE COMPLIANCE: LITERATURE REVIEW
N.M. Parwati1,3, Pande Januraga2, Suarjaya3 1Doctoral Study Program, Medical Faculty, Udayana University 2School of Public Health Faculty of Medicine Udayana University 3Bali Health Office Corresponding author: [email protected]
Abstract
The integration of cellular technology in healthcare (M-Health) has the potential in coping with the constraints of the medical service system and to become a breakthrough to support the patients’ medication adherence. This review was conducted to compare and evaluate the effectiveness of M-Health in terms of the patients' medication adherence. The literature review conducting on PubMed, Cochrane Library, Ebsco Health, and Taylor & Francis was confined to the articles published between 2010 and 2019. Fifteen articles relating to medication adherence were reviewed, eleven of which employed RCT methods including quasi-experiment that assessed the effectiveness of M-Health to measure adherence, while four other types of research employed qualitative studies to explore patients' perceptions. The review showed that the intervention of m-Health is effective to drive the compliance of the treatment following healthcare promotion efforts as well as the prevention, screening, and management of the diseases. Two studies have shown inconsistent results regarding the prevention of obesity and the management of hypertension patients. The development of such a model and the integration of parallel m- Health and healthcare promotion will improve long-term medication adherence.
Keywords: effectiveness, compliance, m-health, health care
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THE EFFECTIVENESS OF EIGHT WEEKS PROGRESSIVE MUSCLE RELAXATION TO CHANGES ANXIETY AND BLOOD PRESSURE IN HYPERTENSION PATIENTS
Made Ermayani1, Dewi Prabawati2, Wilhelmus Hary Susilo3 1Department of Nursing, Dirgahayu School of Health Science 2Department of Nursing, Sint Carolus School of Health Science 3Department of Nursing, Sint Carolus School of Health Science Corresponding author: [email protected]
Abstract
Hypertension remains a major problem in the health sector. Hypertension is a chronic disease that may lead to other serious illnesses and anxiety if managed unproperly. Therefore, hypertension requires a comprehensive treatment, both pharmacological and non-pharmacological. One of the non-pharmacological treatment for lowering blood pressure and anxiety is by relaxation technique, specifically with progressive muscle relaxation technique (PMR). This study aimed to determine the effectiveness of PMR to anxiety changes and blood pressure in patients with primary hypertension. This study conducted nonequivalent control group pretest-posttest design for research design, with simple random sampling technique. This study involved 91 respondents were divided into two groups, namely 71 respondents in the intervention group and 20 respondents in the control group. These results shown a majority of female respondents (57.1%), aged 56-65 years (44%), with the level of basic education (61.5%), and low socioeconomic level (61.5%), as well as the majority of smokers passive (39.6%). After 8-week intervention, there was a significant difference before and after the fourth and eighth weeks of intervention on systolic and diastolic blood pressure and anxiety with p = .000. Results of Mann-Whitney statistical test indicated significant differences between the intervention group and the control group in systolic blood pressure (p = .001) and diastolic (p = .000), anxiety (p = .000). Ordinal logistic regression test results found that intervention PMR provides the most powerful influence on systolic and diastolic blood pressure, and anxiety with p = .000. This study recommended the need for PMR exercises for 8 weeks to control blood pressure and anxiety in patients with primary hypertension, and for the Hospital, it was suggested to develop PMR as a part of independent nursing practices.
Keywords: progressive muscle relaxation, systolic and diastolic blood pressure, anxiety
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COPING WITH MENOPAUSE - MEASURES THAT WOMEN CAN TAKE
Corazon C. Borrico2, Carlo Bryan C. Borrico1, 2, Leonardo P. Borrico2 , Regie A. Bautista¹ 1Clinical Instructor, System Plus College Foundation, Angeles city, Pampanga, Philippines 2Alumnus, Holy Angel University, Angeles city, Pampanga, Philippines Corresponding author: [email protected]
Abstract
During menopause, there is a hormonal imbalance that would lead to variety of menopausal symptoms such as hot flashes, weight gain, changes in the body shape, hair loss, hair becomes grayer and coarse, decreased elasticity of the skin, thinning of lining and dryness in the vagina, breast discomfort and urinary incontinence. These menopausal symptoms cause concern and discomfort for these women. It also affects their quality of life. The study aimed to explore the women’s sense of body during their midlife years. A phenomenological-heuristic research design was used in the study. Eight informants willingly participated in the study under an informal, semi-structured interview with the main question, ““What are your experiences during midlife?” and “How did those experiences happened?” The transcribed verbatim were analyzed through the use of Moustakas method. The study revealed 7 main themes: (1) “I’ve changed…” (2) “What is bothering me?” (3) Looking back into the windows of the past (4) my weapons for my battle (5) Metamorphosis: A new conquest (6) Dreams: The paramount of my life. The study reflected the entirety of the participant’s experiences. This study has shown that living the experience of wellness at menopause can accommodate the experience of change or symptoms. In this way the experience of menopausal change is not disruptive to the woman’s continuity of experience, she continues to feel well and to do all the things she wants to do. Further recommendations are needed to enhance the understanding of the lived experience of women regarding their sense of body at midlife.
Keywords: menopause, age-related changes, midlife
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WORK ETHICS OF PROFICIENT TEACHERS: BASIS FOR LEARNING ACTION CELL (LAC) PLAN
Corazon C. Borrico2, Carlo Bryan C. Borrico1, 2, Leonardo P. Borrico2 1Clinical Instructor, System Plus College Foundation, Angeles city, Pampanga 2Alumnus, Holy Angel University, Angeles city, Pampanga Corresponding author: [email protected]
Abstract
This study aimed to determine the level of work ethics of proficient teacher. This study also sought to propose a Learning Action Cell (LAC) to improve teacher’s work ethics. A cross-sectional descriptive research design used for this study to describe the participant’s work ethic. The researcher employed a purposive sampling to proficient Teachers that have 4-6 years teaching experience in the West District of the Schools Division of Angeles City. The participants asked to complete Meaning and Measurement of Work Ethic (MWEP). Mean used to determine the average score of the overall Work Ethic of the participants. Most of the participant got a moderately high score on work ethics indicating that most of them place a greater emphasis toward their work. Most of the participants got a lowest score on self reliance, leisure, and morality/ ethics. Since most of the participants got a lowest score on self reliance, leisure, and morality/ ethics, these are the focus of the program. Training on professional ethics helps the teacher to direct the complexities of their role and become knowledgeable of potential unexpected consequences of countless decision they made every day. Teachers rarely trained on personality development such as work ethics that helps them to identify ethical issues early enough to come up the potential solution. Despite of teacher’s moderately high score on overall work ethics, still most of them may put less emphasis on work ethics when they become overwhelmed, anxious and bombarded in their work. This study presumes that there is simply too much convincing evidence that schools cannot neglect the need for the development of work ethics training through the provision of Learning Action Cell (LAC).
Keywords: work ethics, proficient teacher, learning action plan
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THE NURSE’S EXPERIENCE IN END-OF-LIFE DISCUSSION IN THE INTENSIVE CARE UNIT: A LITERATURE REVIEW
Akhmad Zainur Ridla Department of Medical-Surgical Nursing, Faculty of Nursing, University of Jember, Jember, Indonesia Corresponding author: [email protected]
Abstract
End-of-life discussion can be emotionally challenging for nurses. The number of terminal condition in ICU which requires withdrawal of life sustaining equipment increases demand of such discussion. A deep understanding toward nurse experience will be a valuable information to structure standardised end-of-life discussion. The purpose of this review is to gain understanding toward nurses’ experience in delivering end-of-life discussion which focuses on two areas such as the challenges and moral distress. Database search were employed including Cinahl, Medline, and Google Scholar using End-of-life Discussion, Intensive care, Nurses keywords. Qualitative and qualitative research were included in this review which only last ten-year publications were reviewed. A total of 18 papers were spotted for review. The review found that lack of guideline, poor communication and limited education and training in EOL discussion were the common challenges experienced by nurses in ICU. These challenges triggered moral distress which required comprehensive measurements. Further research is warranted to alleviate the challenges and moral distress experienced by nurses along with appropriate intervention.
Keywords: end-of-life discussion, intensive care, nurses
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FACTORS RELATED TO INSUFFICIENT MILK OF POST PARTUM WOMEN AT SUMUR BATU LAMPUNG-INDONESIA
Aryanti Wardiyah1, Andoko2, Eka Trismiyana3, Rahma Elliya4, Umi Romayati5, Putri Mahardika6 1,3,5 Malahayati Nursing Academy-Bandar Lampung, Indonesia 2,4,6 University of Malahayati, Lampung, Indonesia Corresponding author: [email protected]
Abstract
The lowest achievement exclusive breastfeeding in Bandar Lampung in 2017 is Sumur Batu Health Center with 28.2%. Objective of this study to know the factors associated with the perception of insufficient milk in post partum women. Quantitative research with cross sectional approach, population was postpartum mothers, analyzing data using chi square test. It was known that respondents had perceptions of insufficient milk 70.2%, poor knowledge 68.1%, positive motivation 63.8%, affected promotion of formula milk 59.6%, nutritional status did not match BMI 48.5% . There is a relationship between maternal knowledge (p-value 0.005; OR 8,100), motivation (p-value 0.023; OR 5.625). promotion of formula milk (p-value = 0.013; OR 6.667) and nutritional status (p-value 0.033; OR 5.641) with perceptions of insufficient milk. Suggestion Health workers in this case nurses should be able to provide education to pregnant women who focus on increase knowledge, and motivation.
Keywords: perception, insufficient milk, post-partum
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MEASUREMENT ANTHROPOMETRY USER FACE OF BONDRES MASK IN FOLK ACTORS IN SINGAPADU VILLAGE GIANYAR
Made Ida Mulyati Ergonomics of Work Physiology, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Anthropometry is a term derived from Greek, consisting of two words namely Anthropos which means humans and metrin mean measurement. So anthropometry is the science of measuring human dimensions. Bondres mask is folk art, as a means of staging. There are several types of masks used in Bondres art, one of which is used in portraying "the folk". This mask has a characteristic on the mouth, which can be moved in accordance with the role of the "folk" who do a lot of dialogue. So far, the standard used in making masks by I Wayan Tg is only the length and width of the face. Based on interviews with the mask user, discomfort results were obtained in some parts of the face. For this reason, it is necessary to conduct research to determine the comfort of the mask with a descriptive method, through interviews and measurements of the anthropometric dimensions of the face of the bondres mask users. This study involved 20 samples of bondres mask players, selected purposively. The results showed that bondres mask users experienced discomfort in some parts of the face. As a recommendation for the improvement of mask production, it is better to use the anthropometric principle of the wearer's face to provide comfort.
Keywords: bondres mask, people's acting, comfort, anthropometry
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MODEL DEVELOPMENT OF THE COASTAL TOURISM COMMUNITY NURSING THROUGH COASTAL HEALTH POST (POSKESPAN) TO INCREASE BALAWISTA BEHAVIOUR IN BALI PROVINCE
Komang Ayu Henny Achjar1, Junaiti Sahar², Sabarina Prasetyo3, Jajang Gunawijaya4 1Department of Community Nursing, Health Polytechnic, Ministry of Health, Denpasar, Bali, Indonesia 2Department of Community Nursing, Faculty of Nursing Science, University of Indonesia, Depok, West Java, Indonesia 3Department of Public Health, University of Indonesia, Depok, West Java, Indonesia 4Department of Anthropology FISIP, University of Indonesia, Depok, West Java, Indonesia Corresponding author: [email protected]
Abstract
Indonesia is an archipelagic country that surrounded by coasts that has great tourism potential to developing the tourism service. The aim of this research is to improve the coastal tourist nursing model (KWP) through the establishment of coastal health post (Poskespan) to improve the behavior of Balawista (coastal rescuer team) on the coast of Badung Regency, Bali Province.The design of this research is operational research with three stages that are stage I problem identification, stage II model development and module, stage III coastal tourist nursing model (KWP) trial through the establishment of coastal health post (Poskespan) by using quantitative quasy experimental research post- test with the control group , with cluster sampling technique.The coastal tourist nursing development model (KWP) through Poskespan was carried out on the coast of Central Kuta sub-district, Badung Regency on Kuta beach, Legian Beach and Seminyak beach, in 118 balawista (coastal rescuer team). The statistical test used chi square, t-test, and multiple linear regression test. The results obtained that the coastal tourist nursing model (KWP) through the establishment of Poskespan prove to affect the Balawista’s behavior. Therefore this model can be use as the one of the health efforts based on the commnity (UKBM) in the specific group of coastal community in Indonesia
Keywords: coastal health post, behaviour, balawista
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SEXUAL BEHAVIOR EXPERIENCE OF FORMER INJECTING DRUG USERS INFECTED WITH HIV IN BALI, INDONESIA
Nyoman Agus Jagat Raya1, Komang Menik Sri Krisnawati1, I Gusti Ayu Pramitaresthi1 1Nursing Study Program, Faculty of Medicine, Udayana University, Bali, Indonesia Corresponding author: [email protected]
Abstract
Injecting Drug Users (IDUs) have become a serious concern in public health due to their potential in HIV transmission. This study aims to describe the sexual behavior experience of former IDUs infected with HIV in Bali, Indonesia. A qualitative study with a phenomenology approach was conducted using purposive sampling. Five former IDUs infected with HIV were selected and analyzed using a thematic analysis. The finding showed two themes; 1) knowledge related to drugs and HIV/AIDS, and 2) risky sexual behavior which consisted of sex with many close friends and using local prostitutes, sex after a drug party or after using drugs, preference for vaginal sex, engaging in sex despite having a known HIV positive status, and not using condoms frequently. This finding can be used to recommend that nurses and other health care providers work collaboratively and comprehensively in preventing the new cases of HIV caused by the risky sexual behavior of the IDUs.
Keywords: AIDS, HIV, injecting drug user, phenomenology, sexual behavior
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COMPARATIVE STUDY ON PATIENT SATISFACTION ON HEALTHCARE SERVICE DELIVERY IN SELECTED PRIVATE AND GOVERNMENT HOSPITALS
Christian Jay S. Orte1, Regie A. Bautista1, Junefaith Elese C. Neo1, Mary Ann S. De Dios1, Aristotle M. Parico1, Carlo Bryan C. Borrico1 1College of Nursing, Systems Plus College Foundation Angeles City, Philippines Corresponding author: [email protected]
Abstract
Health service delivery is considered a way in rendering care to patients by healthcare institutions either a primary, secondary, or tertiary hospitals which sustains their day-to- day operations. This is also the arena where quality service is a factor that attracts patient’s satisfaction. The study aims to assess and compare the patient satisfaction in selected level 1 hospital institutions in Mabalacat and Angeles City, Philippines via SERVQUAL dimensions. Descriptive-evaluative and descriptive-comparative design were employed. A total of 147 patients both in private and public hospitals participated via purposive sampling technique. An adopted questionnaire was utilized and the data were analyzed using SPSS version 23. Results showed that majority of the patients are very satisfied in overall dimensions (x= 4.34, SD= .822). In terms of comparisons between hospitals, only the assurance (χ2 (2) = 3.96, p = .047) and tangible (χ2 (2) = 6.700, p = .010) revealed significance among other dimensions. It showed that the level 1 hospital both in public and private institutions, even they are considered lacking of resources than other higher level hospitals, they were able to still provide the necessary quality care to their patients which is evident in overall satisfaction results.
Keywords: patient satisfaction, SERVQUAL model, descriptive-evaluative, descriptive- comparative, healthcare service delivery, quality care
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THE RELATIONS BETWEEN PARENTING STYLES WITH ADOLESCENT REPRODUCTIVE HEALTH KNOWLEDGE IN JUNIOR HIGH SCHOOL "X" IN GIANYAR DISTRICT
Putu Dewi Diah Pertiwi1, Ida Arimurti Sanjiwani2, Ni Kadek Ayu Suarningsih3 1School of Nursing, Medical Faculty, Udayana University 2Maternity Nursing Department, School of Nursing, Medical Faculty, Udayana University 3Medical Surgical Nursing Department, School of Nursing, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Adolescence are changes both physically and psychologically. The occurrence of physical changes characterized by changes in reproductive functions and systems causes sexual motivation that makes adolescents vulnerable to diseases and reproductive health problems. Adolescents are expected to have good reproductive health knowledge to avoid various reproductive health problems. Knowledge of reproductive health is influenced by several factors, such as parenting styles. Parents have a big role in providing supervision and nurturing of teenagers in a family environment. This study aims to determine the relations between parenting styles and adolescent reproductive health knowledge. This research was conducted on April-May 2019. This research was cross sectional approach. Respondents numbered are 198 adolescents, obtained through proportional random sampling techniques. Parenting styles and health reproduction knowledge were measured using a questionnaire which has been tested for validity and reliability. Data analysis using chi-square test. The results showed there is a relationship between parenting styles and adolescent reproductive health knowledge (p<0.05). The parenting styles are necessary in providing about reproductive health knowledge to provide information by providing correct information from reliable sources.
Keywords: adolescents, parenting styles, reproductive health knowledge
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THE PROCESS OF ESTABLISHING FAMILY SUPPORT FOR REHABILITATED ADOLESCENT DRUG ABUSERS AT BANGLI MENTAL HOSPITAL
Made Dewi Sariyani1,2, Kadek Sri Ariyanti1 ¹STIKES Advaita Medika Tabanan ²Pasca Sarjana Universitas Udayana Corresponding author: [email protected]
Abstract
According to UNODC (The United Nations Office on Drugs and Crime) in the World Drug Report in 2015, the estimated drug users in 2013 were 246 million people, where the highest number of drug cases occurred in the population of 15-64 years of age. The biggest factor that can influence the success of drug users to leave drugs forever is the strong intentions from within and positive family support. Finding out more deeply regarding The Process of Establishing Family Support for Adolescent Drug Abusers who are being rehabilitated at Bangli Mental Hospital. This study employed a qualitative design. The qualitative data were gathered through in-depth interview to 12 informants, where 6 informants were the parents of the drug abusers, 3 nurses in the rehabilitation room, and 3 adolescents who were being rehabilitated in Bangli mental hospital. This study revealed that the family had internal and external factors as well as inhibiting factors in forming and providing support to residents. In forming support, the residents’ family had internal and external factors that influenced it, moreover they also had inhibiting factors such as feeling of weary and distance from home.
Keywords: process, support, family, adolescents, rehabilitation
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THE EFFECT OF BABY MASSAGE INTERVENTION TOWARDS IMPROVEMENT OF NUTRITION AND IGF-1 STATUS IN MALNOURISHED BABIES AT 6-12 MONTHS IN MATARAM CITY
Sudarmi1, I Dewa Made Sukrama2, I Wayan Putu Sutirta Yasa3, I Wayan Weta4, Irianto5 1Doctoral Program Student at Udayana University 2,3,4Doctoral Program at Udayana University 5Nutrition Poltekkes Kemenkes Mataram Corresponding author: [email protected]
Abstract
Malnourished and poor nutrition are still a health center problem in Indonesia. A good nutritional intake can often not be fulfilled by a child, including due to various factors. Baby massage is a touch therapy that is carried out on baby so that it can provide assurance of ongoing body contact, maintain a feeling of security in the baby and strengthen the parent's love cord with the baby. The purpose of this study was to analyze the effectiveness of baby massage by mothers on improving the nutritional status of baby with malnutrition aged 6-12 months in the City of Mataram, West Nusa Tenggara. The design used for this study was a quasi-randomized pre-test and post-test control group design. Samples in this study were baby aged 6-12 with malnutrition as many as 24 people as a case group (massage interventions and complementary feeding) and 24 people in the control group (Provision of complementary feeding). This research was carried out in health center working area of Mataram city for 3 months. Effective baby massage stimulation improves nutritional status. Increased nutritional status of difference z-score of the first measurement (before intervention) and the measurement of the 3rd month after being given a baby massage in the case group an average of 0.19 ± 0.39 while in the control group had an average z-score of 0, 08 ± 0.56. Analyst results showed a significant difference (P = 0.035) / (P≤0.05) of the nutritional status of baby based on the BB/U index between case group and control group. Stimulation of baby massage is effective in increasing mean IGF-1 levels for malnourished baby aged 6-12 months, namely the average IGF-1 level in the pre-intervention group for baby massage by 1.37 ± 1.00, an increase of 1.19 to 2.57 and showed a significant increase (p = 0.003) or (p <0.05). Whereas in the control group the average IGF-1 pre-treatment level was 3.37 ± 8.15, it increased to 4.29 ± 1.21 and showed an increase of 0.93 and showed a significant increase (p = 0.001) or (p <0.05). The results of the case and control group analysis showed significant differences in mean IGF-1 levels (p = 0.002) or (p <0.05). Thus it can be said that baby massage is effective in increasing nutritional status and IGF-1 in baby aged 6-12 months. It is recommended that baby massage by the baby's mother can be applied as one of the alternative treatments for infancy to improve the nutritional status of baby who are malnourished.
Keywords: baby massage, nutrition status, IGF-1, malnutrition baby
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NEBULIZER THERAPY OF RESPIRATION RATE AND OXYGEN SATURATION PATIENTS COPD AT RATU ZALECHA MARTAPURA HOSPITAL
Asni Hasaini1, Raziansyah2, Muhlisoh3, Diana Pefbrianti4 1,2,3,4Adult Health Nursing Department, STIKES Intan Martapura, South Kalimantan Corresponding author: [email protected]
Abstract
Chronic Obstructive Pulmonary Disease (COPD) is a progressive and life-threatening disease. The prevalence of COPD in Indonesia is 3.7%. Periodic coughing, dyspnea, and sputum production are symptoms caused and shortness of breath are the main complaints when it comes to health services. COPD can cause hypoxemia, an indicator of decreased oxygen saturation that can cause lung function to deteriorate so that quality of life decreases so that urgent pharmacological and non-pharmacological care is needed. The purpose of this study was to analyze the effectiveness of nebulizer therapy and breath control on breath frequency and oxygen saturation in patients with COPD. This type of quasi-experimental research with Pretest-Posttest, Non-Equivalent Control Group Design. Sample 50 respondents, in the intervention group, added breath control that is the position CKD and PLB and in the control group is position of semi fowler and PLB. The research instrument used observation sheets and data analysis using paired t-test and independent t-test. The results show that there is a difference in breath frequency between the intervention group and the control group p=0.038 with an effectiveness value of 47% and there is a difference in oxygen saturation between the intervention group and the control group p=0,000 with an effectiveness value of 87.5%. Nebulizer therapy and breath control can be used as a combination of nursing interventions in the management of spasms in patients with COPD.
Keywords: nebulizer, control of breath, respiration rate, oxygen saturation, COPD
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ASSOCIATION BETWEEN CANCER STIGMA AND BREAST SELF EXAMINATION AMONG NURSES
Muhlisoh1, Dewi Irawati2, Tuti Herawati2 1Departement of Medical Surgical Nursing, STIKES Intan Martapura, South Kalimantan, Indonesia 2Departement of Medical Surgical Nursing, Universitas Indonesia, Indonesia Corresponding author: [email protected]
Abstract
Breast cancer is the first cause of cancer mortality worldwide. Breast cancer is the first cause of cancer in Indonesians women. The late stage of cancer is an important predictor of cancer mortality. Breast self-examination (BSE) is recommended as potentially allow for early detection of any anomalies. The previous study has shown only 39,5% of nurses reported practicing BSE on regular monthly. Cancer-related stigma among non-cancer patients is an important predictor of cancer screening. This study aimed to identify the relationship between cancer stigma and BSE among nurses. The research applied a cross- sectional analytic design. A total of 88 nurses required by random sampling. The Chi- Square test was used to analyze. The result showed that was a significant association between cancer stigma and BSE (p<0,001; α<0,05) among nurses. This finding implied nurses that Cancer Stigma needs to be minimized to increase BSE. Programs for reducing cancer stigma can be improved breast cancer screening.
Keywords: Breast Self-Examination (BSE), cancer, stigma, nurse
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THE EFFECT OF SLEEP HYGIENE ON FASTING BLOOD GLUCOSE LEVEL IN PEOPLE WITH TYPE 2 DIABETES MELLITUS
Fuji Rahmawati1, Jaji2, Firnaliza Rizona3 1,2,3School of Nursing, Faculty of Medicine, Sriwijaya University Corresponding author: [email protected]
Abstract
People with type 2 Diabetes Mellitus (DM) have decreased sleep quality due to polyuria. Sleep duration and poor sleep quality are believed to have an important role in reducing insulin sensitivity so that it can increase blood glucose levels. Sleep hygiene is an exercise to improve sleep quality effectively. The aims of this study was to determine the effect of sleep hygiene on fasting blood glucose levels in people with type 2 DM. This study was a pre-experimental study with one group pretest posttest design. The sample consisted of 29 respondents. Data were analized using the Wilcoxon test. There was a significant effect of sleep hygiene on fasting blood glucose levels of Type 2 DM patients with p value = 0,001. Sleep hygiene can be one of the interventions that can be carried out for assistance in Type 2 DM management in improving sleep quality so that blood glucose levels can decrease.
Keywords: type 2 diabetes mellitus, sleep hygiene, fasting blood glucose
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DEVELOPMENT OF SEDENTARY LIFE STYLE’S DREALL HEALTHY ON IMPROVING MOTIVATION IN OBESITY CHILDREN
Firnaliza Rizona1, Karolin Adhisty2, Fuji Rahmawati3 1,2,3Nursing Study Program, Faculty of Medical, Sriwijaya University, South Sumatera, Indonesia Corresponding author: [email protected]
Abstract
Prevalence of obesity children showed the significant increasing. One of the dominant factor was sedentary life style. It would made the energy being unused so resulting accumulation of fat. Aim of this study was to develop dreall healthy about sedentary life style for improving the motivation on obesity school age children. This research was used approach of action research which the researcher explore the experience from respondent about sedentary life style as a based data for development the dreall healthy. Quasi experiment with one group pre-posttest design was used to analyze the data about motivation. The number of respondent was 60 obesity student. Data collected by using questioner after arranging the puzzle that were development based on the collected data. The statistic result with Wilcoxon test showed improving with the result pvalue =0,001. Fun education might become one method for increasing motivation on children to raise their physics activity.
Keywords: obesity, children, motivation, sedentary, dreall healthy
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IS SBGC INTERVENTION AN EFFECTIVE METHOD ON TEENAGER WITH SMOKING BEHAVIOR?
Diana Pefbriantiˡ, Taufik Hidayat², Asni Hasaini³ ˡ,²,³Nursing Departement, STIKES Intan Martapura. Martapura, Indonesia Corresponding author: [email protected]
Abstract
Smoking is a phenomenon prevalent in everyday life. The WHO estimates 1.1 billion world smokers age 15 and above. Indonesia ranks 5th in cigarette consumption in the world. The average smoking behaviour in Indonesia is currently experiencing an increase from 32.8% to 33.8%. SBGC (Sehat Badanku, Gapai Cita-citaku) was an approach in delivering based on community as partners. It is divided into three phases, namely primary, secondary and tertiary. The purpose of this research is to determine the effect of SBGC intervention on knowledge, attitudes and behaviors. This research used Quasy- experiment with pretests and posttest with control group. The population in this study was teenagers aged 13-19 years, male and female in the subdistrict of Tugu Cimanggis Depok City as many as 15 respondents in the treatment group and 15 respondents in the control group obtained with simple random sampling. Data analysis was conducted with paired t-test and MANOVA. Paired sample t-test obtained p = 0.0001 on both groups for the knowledge variables, attitudes and behaviors, and overall the value of the wilks’ lambda retrieved p = 0.000 (P ≤ 0.05). Results showed that SBGC affects the knowledge, attitudes and behaviors of adolescents with smoking behaviors.. SBGC can improve the teen knowledge, attitude and behaviour to convince them selves that they are not alone and remain them to avoid ciggarette. Health education was a process for improving health. Health education is a form of self-reliant nursing intervention to help clients better individuals, groups and communities in addressing their health problems through learning activities. Further studies are expected to examine further by involving families in SBGC interventions.
Keywords: smoking behavior, peer education, health education
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AROMATHERAPY INHALATION AS A COMPLEMENTARY ALTERNATIVE MEDICINE (CAM) FOR CHILDREN WITH CANCER: A CHRONIC PAIN MANAGEMENT
Komang Yogi Triana1, Allenidekania2, Happy Hayati3 1Institute of Health Science Bina Usada Bali 2,3Nursing Master Departement, Faculty of Nursing, Universitas Indonesia, Depok 16424, Indonesia Corresponding author: [email protected]
Abstract
Chronic pain is one of the physical symptoms often experienced by pediatric patients with cancer. Long-lasting pain conditions can affect the deterioration of the quality of life of children. A non-pharmacologic pain management technique should be developed to overcome the symptoms. This study aims to determine the effectiveness of aromatherapy in controlling chronic pain experienced by pediatric patients with cancer. The method used is quasi experiment with consecutive sampling technique. Respondents involved amounted to 20 people divided randomly into two groups. This study showed that inhaled aromatherapy proved effective in reducing chronic pain (p = 0.001) compared with standard care. These interventions also have other positive effects that make the patient feel more relaxed and improve the patient's sleep quality. Thus, the use of these inhaled aromatherapy interventions can be recommended to be applied as Complementary Alternative Medicine (CAM) in controlling the chronic pain experienced by pediatric patients with cancer.
Keywords: cancer, chronic pain, inhaled aromatherapy, pediatric
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THE APPLICATION OF YOGA PRANAYAMA AND GYM BALL EXERCISE ON LABOR PAIN DURING ACTIVE PHASE AT PMB DESA BLAHKIUH, ABIANSEMAL, BADUNG
Luh Putu Widiastini1, I. G. Agung Manik Karuniadi2, I Nyoman Mangku Karmaya3 1,2,3Doctoral Program in Medical Science, Faculty of Medicine, Udayana University Corresponding author: [email protected]
Abstract
Pain labor is a physiological and individual experience. The cause of pain in labor is a combination of ischemia (hypoxia) the muscles of the uterus and stretching that occurs in the lower segment of the uterus (then the cervix). Non-pharmacological efforts that can be done in reducing pain in the mother in the face of labor are through the application of Yoga Pranayama and Gym Ball Exercise. The purpose of this study was to determine the effect of the application of Yoga Pranayama and Ball Exercise Gym on Labor Pain Active Phase in PMB Desa Blahkiuh, Abiansemal, Badung. This research method used the quasi experimental design study with nonequivalent control group design. The approach used is a prospective approach. Sample consisted 40 respondents. Respondent selected by purposive sampling and divide into control group and intervention group. Respondents in intervention group were given Yoga Pranayama and Gym Ball Exercise, while in the control group respondents were given conventional therapy. The data were analyzed using the Paired T-test to compare the results of the pre-test and post-test, and to compare intervention and control groups use Independent T-Test. Based on statistical tests obtained all p values <0.05 means that there is a significant difference between pain labor in the control and intervention group, so it can be interpreted that pain scale in intervention group is lower than control group. The conclusion of this study was there’s influence on the application of Yoga Pranayama and the Ball Exercise Gym on labor pain in the Active Phase in PMB Blahkiuh Village, Abiansemal, Badung.
Keywords: labor pain, active phase, yoga pranayama, gym ball exercise
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APPLICATION OF LEVINE’S MODEL IN NURSING CARE OF PATIENT WITH DIABETIC FOOT: A CASE STUDY
Ida Ayu Agung Laksmi1, Heri Kristianto2, Tony Suharsono3 1Institute of Health Science Bina Usada Bali 2,3Master of Nursing Program, Medical Faculty of Brawijaya University Corresponding author: [email protected]
Abstract
Diabetic foot is such a life threatening condition for people with Diabetes Mellitus which it can be result in hemodynamic instability and loss of consciousness. In order to improve quality of nursing care in patient with diabetic foot, nurses should apply a nursing model approach. Levine conservation theoretical model is one of comprehensive model theory that can be applied in patients with critical diabetic foot in Emergency Department (ED). This case study describes a nursing care using Levine's Conservation Model to care for a patient with diabetic foot. This study was a case study with a single case design. Data were collected using physical assessment, written communications with the patient, interviews patient family members, and observing the patient during intensive care in the ED of Lawang General Hospital on December 21th, 2015. Levine's Conservation Model used as the nursing guideline successfully identified patient issues including ineffective breathing pattern as a major priority of energy conservation problem and damage tissue integrity as a problem of structural conservation. Both of conservation problem were caused by patient's personal integrity conservation maladaptive that caused by ineffective therapeutic regimen management. Levine’s conservation model is useful to investigate nursing problem and applicable to solve the emergency condition of damage tissue integrity in patients with diabetic foot.
Keywords: diabetic foot, nursing care, Levine’s Conservation Model
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ERGONOMICS EVALUATION TO REDUCE OCCUPATIONAL RISK IN EXAVACTOR MANUFACTURING
Euis Nina Saparina Yuliani1, Galih Prakoso2, Hardianto Iridiastadi3, I Putu Gede Adiatmika4 1,4Ergonomics and Work Physiology Program, Universitas Udayana 2Industrial Engineering Program, Universitas Mercu Buana 3Industrial Engineering Program, Institut Teknologi Bandung Corresponding author: [email protected]
Abstract
Musculoskeletal disorders often occur in non-ergonomic work postures. The research was conducted in the process of installing an air cleaner workstation for the excavator’s assembly at a heavy equipment manufacturing company. In the installation process, the operator must lift, hold and install the component with weight 12 kg, using the limbs manually without any tools. The objective of this study is to conduct an ergonomic evaluation by assessing the risk of musculoskeletal disorders and provide recommendations for improvement in order to reduce operator musculoskeletal injuries. To determine the level of risk of the job will be used the Rapid Entire Body Assessment (REBA) method. The results of this study are REBA scores obtained which is 11, with a very high level of risk, and must be immediately corrected. Ergonomic intervention as a recommendation for improvements that support the work of the operator, is making jigs to help the installation process. After implementation, the REBA score dropped to 3 or decreases by around 67% from the initial risk.
Keywords: ergonomics intervention, musculoskeletal disorders, rapid entire body assessment
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MODIFICATION BED BATHING PROCEDURE BASED ON RIGHT AND LEFT HANDS CHART IMPROVING WORK EFFICIENCY
Ni Ketut Guru Prapti1, Made Rini Damayanti2, Putu Ayu Sani Utami3 1,2,3Nursing Department, Faculty of Medicine, Udayana University Corresponding author: [email protected]
Abstract
Bed bathing procedures taught to nursing students are not appropriately or fully implemented in hospitals by both nurses and nursing students. This signifies the need to review bed bathing procedures used in education, either by simplifying or conditioning it according to the practice area. This is an analytical descriptive research aims to analyze the ineffective movements of the conventional bed bath procedure using the left and right-hand map and further improvement of procedures in order to improve work efficiency. Subject of this study was six nursing students at the Udayana University Nursing Program Study. The research was conducted by analyzing video recorded data containing the procedures performed by the subjects, then it was analyzed using the left and right-hand map. Mapping was carried out on 6 students who had been trained to use the bed bathing procedure. The bed bathing procedure was divided into eight movement elements. This study found that the average time for bathing a patient was 12.17 minutes, excluding the time of preparation, communication during bathing, tidying up the patient and evaluation. The effective working time of the left hand was noted to be 6.25 minutes while the right hand was 11.40 minutes. The total waiting time on the left hand was 2.87 minutes while the right hand was 0.74 minutes. There was 3.26 minutes left-hand holding of body parts such as the patient's hands and feet but this was not found in the right hand. Modifications conducted by eliminating ineffective movements based on the economic principles of movement, the left, and the right-hand map. It was concluded that after modification, the average time was 5.73 minutes and work efficiency increased by 52,92%. Both hands worked in similar times and there is no waiting movement.
Keywords: the left and right-hand map, bed bathing procedure, nursing student
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PARENT EXPERIENCE PROVIDING SEXUAL EDUCATION FOR ADOLESCENT IN NORTH KUTA: A QUALITATIVE STUDY
Ida Arimurti Sanjiwani1, I Gusti Ayu Pramitaresthi2 1,2School of Nursing, Faculty of Medicine, Udayana University Corresponding author: [email protected]
Abstract
Sexual education is an important think that parents can do to prevent free sex and it effects in adolescent. It is possible because family is the first place of education, but it appears to be inadequately practiced in Indonesia. This study aims to determine parent experience to provide sexual education in adolescents. We used a phenomenology interpretative approach in this study. We collected the data through in-depth interviews with ten parents. We found five themes: (1) good perception about sexual education, (2) sexual education delivered assisted by social media, (3) the topic is free sex, (4) difficult to start because of taboo and shame, (5) need support from health worker. The study reveals that sexual education is limited and need to be increased. It is essential that Indonesian parents become better informed and skilled, so that they may be involved in the sexual education of adolescent start from their family.
Keywords: sexual education, adolescent, parents experience
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PERCEPTION AND READINESS TO WORK IN INTERPROFESSIONAL TEAM AMONG STUDENTS. AN INTERPROFESSIONAL EDUCATION TRAINING
Citra S. D. Andhini1, Sunartini2, Gandes R. Rahayu3, Yani Kamasturyani4 1Departement of Nursing, Mahardika Health College, Indonesia 2Departement of Children Healthcare, Faculty of Medicine, Gadjah Mada University, Indonesia 3Departement of Medical Education, Faculty of Medicine, Gadjah Mada University, Indonesia 4Departement of Public Health, Mahardika Health College, Indonesia Corresponding author: [email protected], [email protected]
Abstract
Interprofessional Education (IPE) is considered as an instrument to achieve Interprofessional Collaboration. Introducing student to the subject via verbal presentation is considered a good starting base. Nevertheless, using case based method generate more space for the students to interact in multi profession setting. Simulation method in addition not only introduce IPE but also improve self-confidence, knowledge, leadership, teamwork, as well as communication skill. This research purports to understand the influence of IPE training in unified collaborative care for diarrhea in children on students perception as well as their readiness to cooperate in multi-profession team. This study is a quantitative research using pre-experimental approach and pre/post test without control group. Students originated from Nursing program, public healthcare, Diploma 3 in Nursing and Diploma 3 in Medical Record in Mahardika Health College with total sampling numbered 69 respondents. Bivariate analysis using non-parametric Wilcoxcon in this research indicates significant difference in students’ perception after given treatment (p=0,0005), as well as in their readiness (p=0,0005). This study concludes that IPE training improved students’ perception and readiness to work in multiprofession setting.
Keywords: perception, readiness, interprofessional education, interprofessional collaboration practice
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RELATIONSHIPS OF DEMOGRAPHIC CHARACTERISTICS WITH MORAL SENSITIVITY AMONG NURSING PROFESSION STUDENTS IN BALI
Ni Putu Emy Darma Yanti1, Komang Menik Sri Krisnawati2 1,2Department of Nursing Management and Leadership, Nursing School, Faculty of Medicine, Udayana University, Bali, Indonesia Corresponding author: [email protected]
Abstract
Moral sensitivity is indispensable required by nurses to be aware and able to understand clients’ needs. This study aims to determine the relationship of demographic characteristics with moral sensitivity among nursing profession students in Bali. The research method is descriptive correlation with a cross-sectional approach using a moral sensitivity questionnaire for nursing students developed by Lutzen in 1993 consisting of 27 statements. The study population is all nursing profession students in Bali with research respondents totaling 162 students using purposive sampling. The results of this study is there is a significant relationship between religion and the moral sensitivity (p=0.027; α=0.05), however, there is no relationship between sex, age, and number of siblings with the moral sensitivity (p>0.05; α=0.05). The level of faith and understanding of nursing profession students about their respective religious teachings can increase the moral sensitivity of students in providing nursing care.
Keywords: demographic characteristics, moral sensitivity, nurse, nursing students
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SURFACING THE PERSPECTIVE OF NURSING STUDENTS TOWARDS FILIPINO TRADITION “MANO PO”
Aristotle M. Parico1, Christian Jay S. Orte2 1,2 College of Nursing, Systems Plus College Foundation Corresponding author: [email protected]
Abstract
One of the most important parts of respecting adults or elderly among Filipinos is the “Mano po” in which a younger person started to hold the hand of the adult one and this will be press to the forehead as a sign of acknowledging them. However, this is done in general notion of respect, but other things and perspectives that lie behind is not actually understood and reconnoitered. With that, the study aims to explore the perspectives of nursing students when it comes to executing “Mano po” to their respective classroom and clinical instructors. Descriptive qualitative design was employed to capture the responses of 30 nursing students in a college of nursing via convenience sampling technique who always do the tradition to their instructors. Doodling technique was utilized to unveil the topic under investigation and its data was analyzed using cold and warm analyses. The study uncovered 4 themes namely: 1) Sense of Intercalation; 2) Sense of Inter- Association; 3) Sense of Inter-Change; and 4) Sense of Inter-Correlation. It signifies that this focus unveiled the different salient points of nursing students towards embracing and flourishing the traditional deed among their instructors.
Keywords: qualitative, descriptive-qualitative, Mano Po, Filipino, nursing students, doodling
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NURSING PRACTICE ON MULTIPLE MYELOMA PATIENT USING ROY ADAPTATION MODEL APPROACH
Ni Made Diah Pusparini Pendet1, Dewi Irawati2, Riri Maria2 1Nursing Military Health Academy IX/Udayana, 2University of Indonesia Corresponding author: [email protected]
Abstract
Multiple myeloma is a rare case of cancer, but need specific care because of its poor prognosis. This study aimed to describe nursing practice on multiple myeloma patient using Roy Adaptation Model (RAM) approach in Gatot Soebroto Hospital. This study using a case study approach. Based on the RAM approach, there were six nursing diagnoses identified on the patient: risk of electrolyte imbalance, risk of injury, nutrition imbalance: less than body requirement, fatigue, chronic pain, anxiety and ineffective role performance. Comprehensive nursing care by using RAM was required in the case because of RAM provided a theoretical model for the nursing intervention in the physiological, self-concept, role and interdependency domain. We suggest the family do some care for the cancer patient and facilitate the patient’s new role after diagnosed as a cancer patient. RAM also can be used by the nurses as a nursing care framework for the cancer patient.
Keywords: cancer, myeloma multiple, Roy Adaptation Model
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EFFECT OF AN EDUCATION PROGRAM AND TRADITIONAL MUSIC ON ANXIETY IN PATIENTS WITH MYOCARDIAL INFARCTION
Ni Kadek Ayu Suarningsih1, Waraporn Kongsuwan2, Charuwan Kritpracha3 1Nursing Study Program, Faculty of Medicine, Udayana University, Indonesia 2,3Medical Nursing Department, Faculty of Nursing, Prince of Songkla University, Thailand Corresponding author: [email protected]
Abstract
The aim of this study was to examine the effect of an education program and traditional music on anxiety of Myocardial Infarction (MI) patients. This study adopted a pretest and posttest quasi-experimental design. Sixty MI patients admitted to the ICCU of Sanglah Hospital were taken as a sample and assigned to either the experimental or control group. The intervention was given over three days during the hospitalization. Anxiety was measured by a 6-item State Anxiety Inventory and Trait Anxiety Inventory, while noninvasive measurements were used in measuring physiological responses. Anxiety of the experimental group was significantly lower than control group (t = -10.34, p <.05). However, the physiological responses were not statistically significant, except for the respiration rates (t = -3.80, p < .05). This study provides empirical evidence to support the use of an education program and traditional music on anxiety among MI patients.
Keywords: anxiety, education program, myocardial infarction, traditional music
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THE RELATIONSHIP BETWEEN KNOWLEDGE AND FAMILY SUPPORT AND EXCLUSIVE BREASTFEEDING
Ni Komang Ayu Resiyanthi1, Nurul Faidah2, Ni Luh Putu Sri Kumala Dewi Sudiarta3 1,2,3 Nursing Departement, Wira Medika Bali Health College Corresponding author: [email protected]
Abstract
The most appropriate nutrition given to babies in supporting their growth and development is Mother's Milk (ASI). Exclusive breastfeeding must be supported by adequate knowledge and family support. The purpose of this study was to determine the relationship of knowledge and family support with exclusive breastfeeding. This research is a descriptive correlational research. The sampling method was purposive sampling for 80 mothers. Data analysis with univariate and bivariate analysis with Spearman's Rank nonparametric statistical test. The distribution of knowledge to most respondents answered correctly on questions about general knowledge about the nursing process as many as 49 people (37.69%), the frequency of breastfeeding as many as 73 people (56.15%), the frequency of breastfeeding as many as 73 people (56.15% ), the position of the mother and baby during the breastfeeding process as many as 50 people (38.46%), factors affecting breastfeeding as many as 40 people (30.77%), factors that influence the pattern of breastfeeding as many as 38 people (29.23%). Based on these results, it is suggested to mothers to be more active in finding information about good nutritional intake to increase milk production and so that families always provide positive support so they are able to provide exclusive breastfeeding.
Keywords: knowledge, family support, exclusive breastfeeding
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EFFECTS OF DRY CUPPING THERAPY ON BLOOD PRESSURE IN PATIENTS WITH PRIMARY HYPERTENSION
Ni Luh Gede Puspita Yanti1, Ni Wayan Suniyadewi2 1,2Nursing Departement, Wira Medika Bali Health College Corresponding author: [email protected]
Abstract
Hypertension is a disease with an increased blood pressure above 140/90 mmHg. In Indonesia, hypertension ranks sixth out of ten non-communicable diseases. Complimentary therapy is an option for the management of hypertension as it is affordable and cheap and has minimal side effects but with significant results. One of the complementary therapies which can be practiced to decrease hypertension is dry cupping therapy. Cupping therapy is a therapy using a cup to suck the skin and tissue under the skin; the impact is relaxation. This study aimed to determine the effects of dry cupping therapy on blood pressures in patients of with primary hypertension. This study used a quasi-experimental research design with a static group comparison. The samples consisted of 40 patients with primary hypertension selected by purposive sampling. The data were measured by Onemed digital blood pressure and analyzed using the Mann Whitney test. The results showed that there was a significant difference in the mean value of systolic blood pressure after the treatment between the intervention group and the control group with p=0.03 (<0.05). Similarly, there was also a significant difference in the mean value of diastolic blood pressure after the treatment between the intervention group and the control group with p=0.00 (<0.05). This result indicated a significant effect of dry cupping on the decrease of blood pressure among patients with primary hypertension. It is recommended that nurses use dry cupping therapy as complementary care for patients with primary hypertension.
Keywords: dry cupping, blood pressure, primary hypertension
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rd THE 3 UDAYANA INTERNATIONAL NURSING CONFERENCE
THE EFFECT OF GINGER AND CITRUS AROMATHERAPY INHALATION POST CHEMOTHERAPY OF SERVICAL CANCER PATIENTS
Karolin Adhisty1, Firnaliza Rizona2, Maya Hudiyati3 1Maternity Department, School of Nursing, Sriwijaya University, South Sumatera, Indonesia 2Pediatric Department, School of Nursing, Sriwijaya University, South Sumatera, Indonesia 3Dentistry Study Program, Sriwijaya University, South Sumatera, Indonesia Corresponding author: [email protected]
Abstract
Palliative cancer patients in handling their diseases can experience of biopsychosocial spiritual symptoms. Nausea and vomiting as an effect of chemotherapy can make nutritional imbalances that affect the physical and psychological state of the cancer patient. Non-pharmacological actions that can reduce the effects of chemotherapy are by giving the aromatherapy. The purpose of this study was to determine how the effects of aromatherapy inhalation both citrus and ginger to reduce the effects of nausea and vomiting. This study was a True Experiment study with four Solomon group designs. Retrieving data using several questionnaires used to measure the health status of cancer patients. The questionnaire used screening palliative performance scales, EORTC QLQ- C30 and Rhodes INVR questionnaire. The number of samples was 68 respondents devided into four groups by means of purposive sampling. The results showed a decrease of nausea and vomiting in both inhalation of citrus and ginger aromatherapy. The research data also shows that aromatherapy ginger can reduce nausea and vomiting by a mean difference of 3.18 compared to citrus aromatherapy. Qualitatively significant differences are also felt by patients that aromatherapy ginger has a sharper mint aroma. The mint content in ginger aromatherapy can increase the patient's sense of relaxation than mint content in citrus aromatherapy. Based on this study, nurses can make aromatherapy ginger and citrus as an alternative solution not only to reduce nausea and vomiting in improving the patient's physical condition but also can improve the psychological state in patients with cervical cancer
Keywords: cervical cancer, nausea and vomiting, ginger aromatherapy, citrus aromatherapy
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ANALYSIS OF YOUTH ACQUISITION BASED ON DIMENSION OF MOTHER'S PARENTING AT SMPN 2 JATITUJUH MAJALENGKA WEST JAVA
Dewi Erna Marisa Program Study of Nursing STIKes Mahardika Cirebon, West Java, Indonesia Corresponding author: [email protected]
Abstract
Juvenile delinquency is a level of behavior that exceed that exceeeds the tolerance of others and the environment. One of the causes of juvenile delinquency is wrong parenting may results in negative character in teenager that may cause them to rebel and resist any kind of regulation that limits their freedom. This research aimed to identify the relationship dimensions of mother’s parenting and juvenile delinquency in junior high school 2 Jatitujuh regency, regency Majalengka. This research is a quantitative, cross sectional research which was conducted to 55 teenagers in SMPN 2 Jatitujuh on juny 2018. This research used style of parenting questionnaire and juvenile delinquency questionnaire which were taken from mini thesis of nursing students in UIN Syarif Hidayatullah Jakarta. Results showed that juvenile delinquency in SMPN 2 Jatitujuh is high (50,9%) with the majority of Dimensions of mother’s is enough with 56,4% (30 respondents). Results from statistical test using chi-square with alpha 0.05 showed that there is a relationship between parenting style mother and juvenile delinquency (p value= 0.001). These results showed that mother nvolvement in parenting, especially for teenager, is influential to the shaping of the teenager character and self-identity, especially in teenage male. But, the collaboration between father and mother is also important in parenting. There needs to be a more in- depth approach from school to the teenage with history of delinquent act through consultation with school counselor, religious approach, and socialization program.
Keywords: the dimensions of mother’s parenting, teenager, juvenile delinquency
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VALUES/BELIEFS REGIONAL CULTURAL SOCIETY IN THE PROVISION OF BASIC OF IMMUNIZATION INFANT 0-11 MONTHS OF AGE IN THE VILLAGE KLIWED WORK AREA HEALTH DISTRICT KERTASEMAYA INDRAMAYU
Endah Sari Purbaningsih1, Muadi2 1,2Nursing Department, Nursing Science Study Program Institute of Health Science Mahardika Cirebon Corresponding author: [email protected]
Abstract
Values or belief in the health conditions of the view that the disease is a condition associated with changes in relationships with people, with nature and with the environment, so the impact on the human body. Immunization is an effort to provide immunity to infants and children by entering the vaccine into the body so that the body makes anti-substance to prevent against certain diseases. The purpose of this study was to determine the relationship of the value/belief communities in local culture with the provision of basic imunisasai in infants aged 0-11 months in the village Puskesmas Kertasemaya Kliwed Indramayu District. The type of research used is descriptive correlational with cross sectional observational approach, the number of samples of 66 respondents, research instruments using Questionnaire. Data analysis using chi square test. The results showed that In most has the value / belief positively to the culture, the majority of respondents Award in the category of immunization included complete as many as 52 respondents (78.8%) and there were 14 respondents (21.1%) were incomplete. There is value / belief communities in local culture with the provision of basic imunisasai in infants aged 0-11 months in the village Puskesmas Kertasemaya Kliwed Indramayu district with p value = 0,050 (at α = 0.05). Suggestion: the clinic able to serve as a baseline in efforts to achieve the immunization program and the value / belief communities to immunization services, by implementing appropriate interventions that can increase immunization coverage.
Keywords: value/belief, immunization
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rd THE 3 UDAYANA INTERNATIONAL NURSING CONFERENCE
THE EFFECT OF HOME VISIT ON QUALITY OF LIFE IN CERVICAL CANCER PATIENTS
Mutia Nadra Maulida1, Antarini Idriansari2, Karolin Adhisty1 1Maternity Nursing Department, University of Sriwijaya, Indonesia 2Pediatric Nursing Department, University of Sriwijaya, Indonesia Corresponding author: [email protected]
Abstract
Cervical cancer is the most common malignancy and is the leading cause of death in women. This will have a big impact on the sufferer both physically, psychologically, economically and in other aspects of life which certainly affects the quality of life for patients with cervical cancer. One of the primary prevention efforts to overcome this is an intensification of activities to increase quality of life to sufferers who can be done through home visit activities. The aim of this study was to determine the effect of a home visit on the quality of life in cervical cancer patients. This study was a quantitative study using quasi-experiment with a research design Pretest-Posttest with Control Group. The population in this study were cervical cancer patients in the Palembang region. The sampling method using nonprobability sampling and conducted by purposive sampling amounted to 30 respondents in the intervention group and 30 respondents in the control group. This study used the WHOQOL-BREF questionnaire to measure the quality of life of respondents. Then the data were analyzed and obtained results there were significant differences in the mean quality of life scores between pretest to posttest in the group given home visits (p=0.001) while in the control group (no home visit) showed no significant difference in quality of life scores (p=0.064). In conclusion, there was the effect of home visit on the quality of life in cervical cancer patients (p=0,001).
Keywords: home visit, cervical cancer, quality of life
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THE EFFECT OF SIMULATION GAME ON MOTHER'S COGNITIVE, AFFECTIVE AND PSYCHOMOTOR ASPECTS IN BREASTFEEDING
Putri Widita Muharyani1, Mutia Nadra Maulida2, Erizka Rivani3 1,2Nursing Community Department, Faculty of Medicine, University of Sriwijaya, Palembang, Indonesia 3Faculty of Medicine, University of Sriwijaya Corresponding author: [email protected]
Abstract
Growth and development of children is very dependent on nutritional intake. Breast milk is the best food for children at the beginning of their lives. The cognitive and affective aspects of mothers in breastfeeding need to be considered because it is a very important domain in shaping breastfeeding practices. Cognitive enhancement and affective changes of mothers in breastfeeding practices can be obtained through health education. There are various methods of health education, one of them is simulation game. The purpose of this study was to determine the effect of simulation games on cognitive, affective and psychomotor aspects of mothers in breastfeeding. The study was conducted at Puskesmas 23 Ilir in Palembang. This study used one group pretest-posttest design. Samples of 30 mothers were taken using purposive sampling technique. The data were analyzed using marginal homogenity test. The technique of collecting data used questionnaires and observation. There are significant differences in the cognitive, affective and psychomotor aspects of the mother in breastfeeding before and after applied simulation game (p-value <0.05). Health workers are expected to be able to use simulation game as a method of health education in the community in an effort to increase the coverage of exclusive breastfeeding.
Keywords: breastfeeding, health education, simulation game
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WORK STRESS ON STAFF OF STIKES YATSI TANGERANG, INDONESIA
Rina Puspita Sari Sekolah Tinggi Ilmu Kesehatan (STIKes) Yatsi, Indonesia Corresponding author: [email protected]
Abstract
Work stress is an individual reaction to excessive pressure or demand in the workplace. Risk factors of work stress can be influenced by the work environment (noise, layout, temperature, lighting), workload, the role of individuals in the organization and the individual factors. Characteristic of work stress include anxiety, sleep disturbance, irritability, difficulty concentrating, sadness, cold sweat, chronic fatigue, and psychosomatic. This descriptive study aimed to identify the level of work stress on staff of STIKes Yatsi. Purpossive sampling of 35 respondents were involved in the study. Data were collected through questionarre of DASS (Depression Anxiety Stress Scale). This study showed 21 respondent (60%) experienced mild stress and 14 respondent (40%) experienced moderate stress. Characteristics of respondent include 54.3% aged 30-39 years old and 80% were female. Institution should make a schedule for relaxation at least after two hours of work. Staff should maintain a healthy lifestyle such as physical activity, balanced nutrition intake, and relaxation to reduce work stress.
Keywords: work stress, staff, relaxation
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EFFECT OF KINESIO TAPE AS MODALITY THERAPY FOR BACK PAIN OF LABORERS IN PASAR 16 ILIR PALEMBANG
Antarini Idriansari1, Fuji Rahmawati2, Indri Seta Septadina3 1,2,3Nursing Department, Faculty of Medicine, University of Sriwijaya Corresponding author: [email protected]
Abstract
Fatigue is one of the health complaints that is often experienced by manual handling workers (laborers), besides of complaints of back pain and low back pain. This study aims to determine the effect of kinesio tape as modality therapy for back pain in laborers in Pasar 16 Ilir Palembang. This study was a quantitative study using an experimental research design with two groups of respondents (intervention group and control group). Each group received measuring of pain score by pre test and post test. Samples involved in this study were 60 respondents and were divided into two groups: 30 respondents in intervention group and 30 respondents in control group. Respondents in intervention group received taping of kinesio tape in a month for 3 days each 2 weeks. The results of this study showed that there was an effect of kinesio tape as modality therapy on back pain in laborers with p value = 0.001 in the intervention group. In the control group, there was no effect of kinesio tape modality therapy on back pain in laborers at Pasar 16 Ilir Palembang with p value = 0.143.
Keywords: modality therapy, kinesio tape, manual handling, laborers
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rd THE 3 UDAYANA INTERNATIONAL NURSING CONFERENCE
EFFECTIVENESS OF A SCHOOL-BASED PEER-LED EDUCATION PROGRAM ON HIGH SCHOOL STUDENTS’ HEALTHY BEHAVIOURS IN A BOARDING SCHOOL IN BALI INDONESIA
Made Rini Damayanti S.1, Putu Gede Sudira2, Ni Luh Putu Nopriani1 1School of Nursing Faculty of Medicine Udayana University, Denpasar, Bali 2Faculty of Medicine Udayana University, Denpasar, Bali Corresponding author: [email protected]
Abstract
School-based health promotion is an effort to combine health education and take into account other relevant factors that contribute to foster students’ healthy behaviours as the main prerequisite to create a health promoting school. An alternative to a conventional health education method is a peer-led education. This study aimed to determine the effect of a school-based peer-led education program on healthy behaviours among high school students in a boarding school located in an urban area in Bali, Indonesia. This study was a one group pre-post-tests design with purposive sampling technique conducted on all high school students’ grades nine to twelve in the targeted boarding school. Respondents were requested to complete a self-administered questionnaire before and after the intervention. The questionnaire was adopted from an existing instrument (Health-Promoting Lifestyle Profile II/HPLP-II) consisted of 52 items. A four-week intervention was delivered by peer educators who had completed a ten-day training program given by the research team in collaboration with practitioners from the local health office. The intervention was based on the Pender’s health promotion model. Paired t-test for total HPLP-II scores yielded non-significant result t = -1,967; p = 0.054 (p> 0.05). Physical activity (t = -2.722, p = 0.008) and health responsibility (Z = -4.848, p = 0.008) domains showed significant results (p< 0.05). These findings show that there is no effect of the implementation of the school-based peer-led education program on healthy behaviours among the high school students. Nevertheless, the program has a potential to increase the students’ physical activity level and their responsibility toward their own health. The effectiveness of peer- led education programs can be fostered by putting more attention on target population’s characteristics, intervention methods (e.g. content, duration, strategy, etc.), resources mobilization including facilitating greater involvement from relevant stakeholders, and ensuring the availability of a more conducive environmental that support the adoption of healthy behaviours.
Keywords: peer educator, peer-led education, health promotion, health education, students, healthy behaviours, health promoting lifestyles
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AGING TREATMENT MODEL TO IMPROVE SELF-MANAGEMENT OF MENOPAUSE WOMEN: AN EFFORT TO ACHIEVE SDGS GOAL
Irna Nursanti1, Dedi Muhdiana2, Idriani3 1,2,3Faculty of Nursing, Muhammadiyah University of Jakarta, Jakarta, Indonesia Corresponding author: [email protected]
Abstract
Aging process in menopausal women cause physical, psychological, and sexual changes. The study explained a new concept, called Aging Treatment Model, for menopausal women so they can deal with physical, psychological and sexual changes during menopause. The Quasi-Experimental with pre and post-test design and control group were used in this study. A total of 230 menopause women in 5 cities in Indonesia were recruited. The data analyzed by using Mc Nemar and Chi-Square test. The result showed that the Aging Treatment Model had a significant impact on self-management to solve physical (p<.001), psychological (p<.001), and sexual (p<.001) problems among women in the experimental group compared with the control group. By using the Aging Treatment Model, health care providers can help menopausal women to build self- management. A better treatment will make a better quality of life and is a key aspect to achieve the health Sustainable Development Goals.
Keywords: aging treatment model, self-management, menopausal women
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ANALYSIS OF MUSCULOSKELETAL DISORDERS (MSDs) OF PHARMACEUTICAL WORKERS
Ade Sri Mariawati1, I Putu Gede Adiatmika2, Nyoman Adiputra3, I Wayan Surata4 1,2,3Ergonomics and Work Physiology Program, Medical Science Faculty, Udayana University, 4Departement of Mechanical Engineering, Faculty of Engineering, Udayana University Corresponding author: [email protected]
Abstract
Pharmaceutical work activities have a high repetition level with a work attitude of standing for 8 hours potentially causing musculoskeletal complaints, which can occur despite the normal work posture. This study aims to determine musculoskeletal disorders (MSDs) and the level of MSDs based on what categories are felt, the level of complaints, the level of frequency, and the severity. The research design using the questionnaire Nordic Body Map. The study was conducted in 17 pharmacies on 54 pharmaceutical workers. The results obtained by MSDs complaints based on what categories of pain statements obtained (43.2%), cramps (16.13%), aches (53.5%). The category of complaint level obtained statement rather sick (55.9%), sick (33.5%). The category of frequency level obtained by the statement that occurs 1 to 2 times per week (56.5%), and every day (10.6%). And the severity category states that the perceived complaint is still working (49.06%) and uncomfortable (47.1%).
Keywords: pharmacist assistant, muscle fatigue, MSDs, nordic body map
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THE QUALITY OF LIFE OF INDONESIA WOMEN TREATED GYNAECOLOGICAL CANCER
Yati Afiyanti1, Besral2, Haryani3 1Faculty of Nursing, Universitas Indonesia, Depok, West Java, Indonesia 2Faculty of Public Health, Universitas Indonesia, Depok, West Java, Indonesia 3Department of Medical Surgical Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Indonesia Corresponding author: [email protected]
Abstract
Quality of life (QOL) is a fundamental consideration for cancer patients, including women with gynecological cancer. The study aimed to investigate the quality of life of women with cervical cancer who were treated with radiation and chemotherapy. Utilizing a cross-sectional descriptive design, 298 women participated, signed an informed consent and completed questionnaires. Quality of life was evaluated during the last treatment cycle. The study employed questionnaires: EORTC QLQ-C30. The study protocol was approved by the Faculty of Nursing Committee at Universitas Indonesia and Faculty of Medicine, Universitas Gadjah Mada.. Results showed global health status on general well-being and quality of health of the patients was 76.4 (16.5). In the sub groups of the EORTC-QLQ-C30 domain, physical and role functions (75.9 (22.9) and 73.8 (29.8) respectively were the two functions status most frequently reported to have effect on quality of life. Despite women indicating they have a high quality of life, there are still symptoms that occur and potential problem with sexuality resulting from the cancer, adjuvant therapy, and the side effects. It is important the complete a full assessment of the women’s experiences. Assessing the quality of life of the patients can provide information on the impact of both cancer and its treatment in a patient. Attention to these aspects enables provision of a survivorship comprehensive care service which is yet established in Indonesia.
Keywords: quality of life; gynaecological cancer, women
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EFFECTIVENESS OF FATIGUE MANAGEMENT IN THE WORKPLACE TOWARDS FATIGUE OF SHIFT MANUFACTURING WORKERS
Henny Permatasari1, Junaiti Sahar1, Muchtarrudin Mansyur2, Astrid Widayati Hardjono2 1Department of Community Nursing, Faculty of Nursing, University of Indonesia, Depok, West Java, Indonesia 2Department of Community Health Sciences, Faculty of Medicine, University of Indonesia, Jakarta Pusat, DKI Jakarta, Indonesia Corresponding author: [email protected]
Abstract
The number of companies implementing the shift-work system is very high around the world including Indonesia. Shift workers in Indonesia are estimated to contribute to the morbidity rate, accident rate, and mortality rate within workplace with the prevalence 0,035%; 0,0033%; 0,00064%, so these issue needs to be prevented through nursing intervention. This study aims to observe the developed nursing intervention model called MARIKERJA (fatigue management in the workplace), to reduce fatigue and improve the health status of workers. This study uses operational research with three phases, namely phase I problem identification, phase II model and module development, phase III MARIKERJA model testing using quantitative research studies with quasi-experiment pre and post-test with control group. The MARIKERJA model is performed at PT X. The statistical tests used in this study are chi square, t test, and General Linear Model- Repeated Measure (GLM-RM). The results show that there was an influence of the MARIKERJA model intervention on decreasing fatigue by 37.3%. MARIKERJA model can effectively reduce fatigue score and improve the health status of workers after 12 weeks of intervention. It is expected that the MARIKERJA model can be used by occupational health nurses in Indonesia as one of the nursing interventions.
Keywords: fatigue, shifts, MARIKERJA, workers
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THE RELATIONSHIP BETWEEN THE BURDEN ON CAREGIVERS IN CARING FOR OLDER PEOPLE AND THEIR QUALITY OF LIFE
Etty Rekawati1, Junaiti Sahar2, Dwi Nurviyandari Kusumawati3 1, 2, 3Community Nursing Department Faculty of Nursing, Universitas Indonesia Corresponding author: [email protected]
Abstract
Older people have decreased functions, which lead to increased dependence on others, especially their families. This dependence can impose a burden on the caregivers who help with the daily needs of older people, and any resulting inability to provide care has an impact on their quality of life. This study aims to identify relationship between the burden on caregivers in caring for older people and their quality of life. The research method is a cross-sectional design based on 135 respondents; the inclusion criteria for the study are families and the older people who live in the same house. The results of the statistical tests, there is a relationship between the burden on caregivers in caring for older people and the quality of life of the latter (p<0.05). The analysis also obtained the result OR = 2.382 (95% CI = 1.193; 4.757). Based on the results of the study, various efforts are needed to reduce the burden on caregivers, in order to increase their ability to care for older people and improve the quality of those in need.
Keywords: caregivers, older people, families burden, quality of life
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THE CORRELATION BETWEEN KNOWLEDGE AND FAMILY SUPPORT WITH SELF-MANAGEMENT BEHAVIOR AMONG HYPERTENSIVE PATIENTS AT PUSKESMAS III DENPASAR UTARA
I Made Cahyadi Agastiya1, Putu Oka Yuli Nurhesti2, Meril Valentine Manangkot3 1,2,3School of Nursing, Faculty of Medicine, University of Udayana Corresponding author: [email protected]
Abstract
Hypertension is one of non-communicable diseases with high morbidity and mortality. Self-management behavior has an important role to control blood pressure among hypertensive patients. Knowledge of hypertension and family support be an important roles and also as a mediator in self-management. This study aimed to investigate the correlation between knowledge and family support with self-management behavior among hypertensive patients at Puskesmas III Denpasar Utara. This study was a correlational study with cross sectional design. Total sampling was used to recruit 61 hypertensive patients. Data were analyze using SPSS program. Spearman Rank test showed the significant result with p-value=.001 (p<.05), r=.415, R=17.22 and Pearson Product Moment test showed the significant result also with p-value=.001 (p<.05), r=.421, R=17.72, error level 5%. In conclusion, there are a strong and positive correlation between knowledge and family support with self-management behavior among hypertensive patients at Puskesmas III Denpasar Utara.
Keywords: family support, hypertension, knowledge, self-management behavior
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ANALYSIS FACTORS OF KNOWLEDGE AND MOTHER PARENTING IN PREVENTION OF MALNUTRITION IN CHILDREN
Yuni Sufyanti Arief1, Iqlima Dwi Kurnia1, Ilya Krisnana1, Praba Diyan Rachmawati1, Cintya Della Widyanata1 1Faculty of Nursing, Airlangga University Corresponding author: [email protected]
Abstract
Malnutrition in children under five is still a major health problem in the world, including in Indonesia. According to data from the World Health Organization (WHO) in Africa and Southeast Asia, malnutrition affects nearly 20 million children under five and is a major factor affecting about one third of under-five deaths worldwide. This study aims to analyze the factors of knowledge and parenting in the prevention of malnutrition in infants. The design of this study is correlation. The population in this study are mothers who have toddlers. A sample of 114 respondents were recruited by simple random sampling technique. Data was collected by questionnaire. The independent variable is a factor of mother's knowledge and parenting and the dependent variable is toddler nutritional status. Data were collected by questionnaire and analyzed with Spearman’s rho dan Chi- square (α≤0.05). There is a relationship between knowledge (p = 0.001), and there is no relationship between parenting in feeding with nutritional status in infants (p = 0.662). Most of the mothers with insufficient knowledge about nutrition have toddlers with poor nutritional status and mothers implement democratic parenting with good nutritional status in toddlers, it shows that education is needed to be done about the importance of nutrition to improve children's health and well-being.
Keywords: mother’s behavior, mother’s parenting, severe malnutrition prevention
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ANTENATAL DEPRESSION AND ITS ASSOCIATED FACTORS AMONG PREGNANT WOMEN IN JAKARTA, INDONESIA
Misrawati1, Yati Afiyanti2 1Student of Doctoral Program of Nursing Universitas Indonesia 2Faculty of Nursing Universitas Indonesia Corresponding author: [email protected]
Abstract
The World Health Organization (WHO) states that depression is psychological disorder and the second leading causes of the global burden disease by 2020. Life in the big city increases stress and anxiety. It predisposes depression. Pregnant women is a high risk for psychological disorders. However, there is a paucity research of antenatal depression in Indonesia’s urban area. The aim of this study to examine the prevalence of antenatal depression and Its associated factors among pregnant women in Jakarta, Indonesia. A cross-sectional study was employed among 196 pregnant women attending antenatal care service in public health centeres, Jakarta. The Sign Symptoms Form was used to detect depressive symptoms. Descriptive statistics was used in the statistical analysis. The result of this study obtained that prevalence of antenatal depression was 59.7 % (Mean=5.33, SD=3.19). The highest risk of antenatal depression was in the late trimester (64.7%), than the second trimester (56.7%) and the first trimester (54.9%). Those pregnant women who have previous history of depression were found significant risk of developing antenatal depression among the respondents (95%, p =.001). Education level, working status, age, paritas, planned pregnancy and type of family were not significantly associated factors with antenatal depression. It can be concluded that almost a half of all pregnant women attending public health centres in Jakarta were depressed although clinical confirmation for antenatal depression is not conducted. This study was recommended for the Indonesian government to integrated of mental health service with existing maternal health care.
Keywords: antenatal, depression, pregnant women
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RECREATIONAL ACTIVITIES AND FACTORS AFFECTING TRAVEL CHOICE OF ELDERLY IN URBAN AREA OF INDONESIA
Putu Ayu Sani Utami1, Ni Ketut Guru Prapti2 1,2Nursing Departement, Faculty of Medicine, Udayana University, Bali - Indonesia Corresponding author: [email protected]
Abstract
The aim of this study is to analyze recreational activities and factors affecting travel choice of elderly who live in cities in Bali Indonesia. The research design is descriptive with cross-sectional design. The sample consisted of 100 elderly starting at 60 years old, living in urban areas and the Balinese tribe selected by convenience sampling technique. The data was collected by questionare. The results show that even though Bali is a tourist destination and there is easy access for the elderly who live in cities, it does not guarantee the elderly come to every tourist spot, seen from 77% not doing recreation in the last 1 month and 64% not doing recreation during entering old age. The obstacles that cause the elderly not recreation are parenting grandchildren (46%) and there are religious traditional activities (27%). For the elderly who do recreation, the reasons for recreation are invited by children and families (73%). The elderly who most often recreation aged 60-75 years (69,4%) and elderly women more often do recreation (58,3%) than men. Factors affecting elderly travel choices are destination locations that have a calm atmosphere (26,9%), free (23%) and cool (20%). Favorite recreation areas are places of worship (63,9%), mountains (16,7%) and beaches (11,1%). The elderly's financial source for recreation is their children (75%). After recreation 88,8% of the elderly feel happy and fresher. Recreational activities can increase physical and mental freshness by seeking pleasure, entertainment, atmosphere and different activities. Recreation can be a fun entertainment activity for the elderly in between their daily routines to reduce boredom, but in recreation the elderly should be accompanied by family and pay attention to the characteristics of tourist spot that are favored by the elderly to get relaxation.
Keywords: elderly, recreation, travel, urban
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KNOWLEDGE AND ATTITUDES OF FERTILE WOMEN TOWARDS EARLY DETECTION OF CERVICAL CANCER BY VIA EXAMINATION
Insana Maria1, Zubaidah2, Raihana Norfitri2, Agianto3 1Medical-Surgical Nursing Department, Sekolah Tinggi Ilmu Kesehatan Intan Martapura 2Pediatric and Maternity Nursing Department, Sekolah Tinggi Ilmu Kesehatan Intan Martapura 3Medical-Surgical Nursing Department, School of Nursing, Universitas Lambung Mangkurat Corresponding author: [email protected]
Abstract
Early detection of cervical cancer through the Visual Inspection of Acetic Acid (VIA) method needs to be done on fertile age women. This event increased the mortality of cervical cancer because of women who did not do an early examination. As a result, the diagnosis of cervical cancer was late and reduced life expectancy. The aim of study was to determine the relationship between knowledge and attitudes of fertile women towards early detection of cervical cancer with VIA examination. This was an analytic correlation study designed with a cross-sectional approach on 89 fertile women and used accidental sampling techniques. The study was conducted in January 2019 at Tanjung Rema sub- district, South Kalimantan. A questionnaire was used to collect the data. The data analysis used was the chi-square test. The result was a significant relationship between knowledge and attitude with VIA examination (0.00). VIA examination must be done to prevent early cervical cancer.
Keywords: knowledge, attitude, cervical cancer, VIA
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PEER EDUCATION AMONG MOTHER CLASSES
Dewi Irianti1, Rusdiana2, Iis Pusparina2 1Pediatric Nursing Department, Sekolah Tinggi Ilmu Kesehatan Intan Martapura 2 Pediatric and Maternity Nursing Department, Sekolah Tinggi Ilmu Kesehatan Intan Martapura Corresponding author: [email protected]@gmail.com
Abstract
Knowledge of pregnant women about the condition of their pregnancy must be improved. It determined the health of mother and fetus status. The peer education method or peer groups among pregnant women can increase their knowledge. This study aimed to determine the effect of peer education on knowledge of pregnancy care on pregnant women classes in Astambul of Public Health Center in Banjar District, South Kalimantan. The study used quasi-experimental designed with 60 people using random sampling techniques. Data analysis used paired t-test. The results showed a significant effect on peer education with the level of knowledge of pregnant women. The level of knowledge before intervention was good (67%), and after intervention was very good (93.3%). Health workers must continue to improve the knowledge of pregnant women about their pregnancy through peer education activities.
Keywords: peer education, knowledge, pregnant women
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CONTENT VALIDITY OF CICO COUNT APPLICATION FOR TYPE 1 DIABETES MELLITUS CHILDREN’S SELF-CARE
Nur Agustini1, Yeni Rustina2, Ratu Ayu Dewi Sartika3, Nani Nurhaeni4 Faculty of Nursing, Universitas Indonesia Faculty of Public Health, Universitas Indonesia Corresponding author: [email protected]
Abstract
The success of diabetes self-care is the most important part to avoid complications. Technology use to support self-care can be a solution, especially when there is distance constraint and limited endocrine experts in an area. This study aims to produce a valid cico count self-care application according to experts. Descriptive quantitative research is used toward the experts to test the content validity of the developed application. The experts amounted to 7 people consisting of 2 endocrine experts, 2 nutrition experts, 2 nursing experts, and 1 psychologist. Data collection tool is in the form of a questionnaire containing statements that are true or false according to respondents (the experts) from each step of self-care activities that researchers had designed. Data analysis was performed by looking at the number of scores or proportions of statements approved by the experts, and then validity test was carried out by determining the value of the content validity index (CVI / content validity index). CVI was done in 2 steps, namely counting individual item (i-CVI) and adding up the total items (s-CVI). The results indicate that the content validity index value calculated based on the average score index validity of all statements (S-CVI) is 0.96. Based on the validity testing requirements according to 7 experts, the CVI value is considered valid since it is more than 0.8. Cico count is declared by the experts as a valid application so that it can be used by children with Type 1 Diabetes Mellitus (T1DM).
Keywords: CICO count, type 1 diabetes mellitus, content validity, application
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PAPUAN WOMEN’S PERCEPTION OF REPRODUCTIVE HEALTH
Diyah Astuti Nurfaizah1, Eva Sinaga2 1,2Nursing Science Program, Medical Faculty, Cenderawasih University Corresponding author: [email protected]
Abstract
Women in productive ages have a tendency to suffer from various health issues, especially regarding reproductive organs. It was estimated that in 2013-2019, there were 79 cases of Cervical Cancer in Papua. Furthermore, approximately 50% of adolescents in one of senior high schools in Papua have had sexual intercourse before marriage. This phenomenon can lead to a higher risk of problems of women's reproductive and sexual organs. This study aimed to describe Papuan women's perception of risk factors of reproductive health. A phenomenological qualitative design was used to explore women's perception. Data were collected by using an in-depth interview among 4 indigenous Papuan women who are in productive ages and were analysed by using content analysis. This study found that there were 4 themes regarding the women’s perception about reproductive health, including attitudes of adolescents and early marriage, roles of Papuan women as a wife, description of women's reproductive health, and roles of the husband as a decision-maker on wife’s health. Comprehensive health promotion should be conducted by health professionals to improve the health status of Papuan women, not only for women but also for men/husbands and family members.
Keywords: women, Indigenous Papuan, reproductive health
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MUSCULOSKELETAL DISORDERS AMONG WORKERS IN “BATIK TENUN IKAT”
Sri Rahayuningsih1, Ketut Tirtayasa2 1,2 Doctoral Program, Faculty of Medicine, Udayana University Corresponding author: [email protected]
Abstract
The requirements on companies to fulfill the needs of their clients and shareholders are high. Consequently, the major challenge of companies is to be innovative in markets and maximize efficiency. The aims of this study is to improve efficiency by reducing sick leave caused by musculoskeletal disorders. sometimes workers may refuse to use new working methods, or it is difficult to find the most appropriate improvement aimed at a reduction of musculoskeletal load and efficiency in work. Participation of workers during the development of the changes may help to overcome these difficulties. From the results we can see that all workers had ever had lower back pain. The majority of these workers experienced the problem for several weeks to a month. Half of them reported going to a physician or a therapist to treat theirpain. The rest took pain medication or analgesic gel to relieve the pain. Therefore, the need for such technology should be clear, and any conceptual designs addressing lifting, lowering, transferring, or maneuvering materials will be invaluable to reduce the musculoskeletal disorders.
Keywords: musculoskeletal disorders, physician, therapist
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MOTHER’S KNOWLEDGE IN PROVIDING NUTRITION FOR CHILDREN IN THE WORKING AREA OF EAST DENPASAR I PRIMARY HEALTH CARE CENTRE
Luh Mira Puspita1, Francisca Shanti Kusumaningsih2, Putu Ayu Emmy Savitri Karin3 1,2,3Nursing Department, Faculty of Medicine, Udayana University Corresponding author: [email protected]
Abstract
The nutritional problem in young children particularly nutrition deficiency and over nutrition are still exist. Nutritional intake is one of the most outstanding factors in determining children’s nutritional status. Providing adequate nutrition for children is influenced by their mothers’ knowledge. Hence, by giving health education to mothers was expected to increase mothers’ knowledge in providing adequate nutrition for their children. Regarding this, the information was delivered to mothers by using booklet as the health education media. The aim of present study was to analyze the influence of health education towards the mothers’ knowledge in providing nutrition for their children. This study was a pre experimental study with one group pretest-posttest design. The population of the present study were mothers who have children aged under five years old and living in working area of East Denpasar I primary health care center. In order to decide the location (banjar) of the study, the simple random sampling was used. Meanwhile, the total sampling was used to recruit the mothers in the selected location. The Wilcoxon Test was performed since the data not normally distributed (α = 0.05, CI = 95%). Finding showed that there was a significant difference in mothers’ knowledge before and after given health education about providing nutrition for their children. Health providers particularly the primary health care centers should provide health education to mothers about adequate nutrition continuously.
Keywords: children nutritional intake, health education, mothers’ knowledge
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EPILEPSY IN BOURNEVILLE-PRINGLE DISEASE: A CASE REPORT
Saktivi Harkitasari1, I Made Oka Adnyana2 1Neurology Department, Faculty of Medicine and Health Sciences, Warmadewa University 2Neurology Department, Faculty of Medicine, Udayana University- Sanglah General Hospital Corresponding author: [email protected]
Abstract
Bourneville-Pringle disease is an autosomal dominant neurocutaneous syndrome, characterized by the formation of hamartomatous lesions in multiple organs systems. Patients develop hamartomas of the brain, kidneys, heart, lungs, skin and eyes. Due to the wide phenotypic variability, the disease is often non recognized. This disease was classically described as presenting in childhood with a Vogt’s triad of seizure, mental retardation and cutaneous lesions. This case report provides a clinicians information about the underlying disease of epilepsy. We report a case of a 18-year-old female presenting as tonic seizure an learning difficulty. Physical examination showed multiple dental pits and café-au-lait-spots. An IQ test revealed moderate mental retardation. An electroencephalogram showed sharp waves in temporal region. Head CT scan revealed cerebral edema. Skin biopsy showed benign cutaneous tumors in dermis consist of Schwann cells proliferation with wavy nucleus and fibroblast proliferation. Patient has been treated with anti-epileptic drug. Bourneville-Pringle disease is an autosomal dominant diasease with large clinical expressions. The ethiopathogenic reasons suggest a mutation of two anti-oncogenes TSC1 and TSC2 with code for hamartin and tuberin proteins. The final diagnosis of this disease associates two major criteria or a major and two minor criteria as described by Gomez. Our patient presents a major criteria of neurofibroma and two minor criteria of multiple dental pits and confetti skin lesions. Bourneville-Pringle disease is a rare disease. Our study as confirmed it because this is the first case in Neurology department. Seizure is the one clinical manifestation of this disease. Clinicians must undergo a brief clinical examination in every seizure symptoms.
Keywords: epilepsy, seizure, Bourneville-Pringle disease
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WHAT KIND OF WORKSHOP NEEDED TO REDUCE STIGMA RELATED HIV?
Anita Kustanti1, Yanri Wijayanti2, Ibrahim Rahmat3 1Master of Nursing Post-Graduate Program, Universitas Gadjah Mada, Jogjakarta 2Internal Medicine Department, Universitas Gadjah Mada, Jogjakarta 3Nursing Science Program, Faculty of Medicine, Universitas Gadjah Mada, Jogjakarta Corresponding author: [email protected]
Abstract
Stigma is one of the foremost barriers that may lead to failure or delay in treating or diagnosing HIV/AIDS. Objectives of this study were to compare the HIV/AIDS related stigma of nursing students participating in workshop or standardized lecture. This study was a pre posttest with control group types of quasi-experimental design conducted on 82 nursing students, consist of 42 students for intervention group and 40 students for control group. The study was carried out during the period of July to September 2015 using an HIV/AIDS stigma scale questionnaire. The data obtained were analyzed using chi-square test for the influence of workshop or standardized lecture pre intervention and post intervention. Unpaired t-test for analyzed the impact of intervention to changes mean of domain. Paired t-test for analyzed different mean of pre intervention and post intervention. This study showed that there were impacts of workshop and standardized lecture interventions on stigma (p<0.05). There was a significant difference of lack of productivity of people living with HIV/AIDS (PLHIV), closeness to death, need to control PLHIV, PLHIV as infection vector, and body sign and symptoms of HIV domain changes between workshop group and standardized lecture group based on the obtained mean value (p<0.05). Significant difference in intervention group because used case vignettes that could exploration of cognition, attitude and emotion participants. The present of facilitators maybe found the beneficial factors. Workshop intervention was more effective to reduce stigma than standardize lecture. Future research is necessary by interview method and use same duration for every interventions.
Keywords: HIV-related stigma, HIV workshop, nursing student
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WELLNESS TOURISM DEVELOPMENT : AN INTERESTING STUDY FOR NURSING EDUCATION IN BALI
Kadek Eka Swedarma1, Ni Luh Putu Eva Yanti2 1,2Nursing Departement, Medical Faculty of Udayana University Corresponding author: [email protected]
Abstract
Wellness tourism development in Bali have an impact to the health sector and nursing services. Nursing education as an important component to produce professional nurses has not been able to take advantage of these opportunities properly. The aim of this study was exsplore the potential of nursing education to the wellness tourism development services in Bali. The design of this research was descriptive study with purposive sampling technique. The method of data collection was used questionnaire to the 48 tourists in Sada Jiwa Health Services and Ubud Sari. Interview technique was used to the two participants from the institution of nursing education. The results of this research showed that the most of foreign tourists were satisfied with wellness tourism activities in Bali such as : physical and psychosocial therapy, hospitality, mind mental activity, health nutrition, physical body fitness and relaxation or meditation. The existence of wellness tourism is an opportunity and strength to add competitiveness to the Nursing Education in Bali. The development of local content in nursing education curriculum can not be explored yet to the fullest in accordance with the tourism industry development in Bali. Nursing education has great potential as an important component of the tourism development in Bali, therefore the institution of nursing education sould be produce of nursing graduates who have an exlellent competention based on local wisdom and can be globally competitive.
Keywords: wellness tourism, nursing education, Bali
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FATIGUE RELATED CANCER ASSESSMENT AND MANAGEMENT: HEALTH CARE PROVIDERS PERCEPTIONS
Putu Oka Yuli Nurhesti1, I Nyoman Adiputra2 1,2Doctoral Program, Faculty of Medicine, Udayana University Corresponding author: [email protected]
Abstract
Cancer Related Fatigue is a common symptom that occurs in patients with cancer. This symptom is also experienced by cancer patients who receive chemotherapy, radiation therapy, bone marrow transplantation, or other cancer treatments. A survey conducted on 1,569 cancer patients found: fatigue experienced by 80% of cancer patients who received chemotherapy and or radiotherapy. In patients with cancer that has metastasized, the prevalence of fatigue exceeds 75%. Patients who experience healing from cancer report that fatigue is a symptom of a disorder that is experienced for months or even years after cancer treatment is over. Continued fatigue in cancer patients can interfere with the quality of life of patients so that a good assessment and management of this condition is needed. The purpose of this study is to identify the assessment and treatment of fatigue related cancer conducted by health care providers currently in Indonesia. The study was conducted by requesting the participation of health care providers in electronic surveys conducted through their respective sets. One hundred and twelve health care providers in cancer patients consisting of nurses, doctors, nutritionists and physiotherapists participated in this electronic survey. Overall, there is a perception that fatigue related cancer has only been reviewed by one third of health care providers, treatment is only done by a quarter of health care providers and there are no clinical guidelines regarding the management of this condition. Awareness of interventions for fatigue varies among health care providers. There is no definitive clinical services and management of cancer related fatigue. Respondents identified the need for clinical guidelines both for the assessment and management of fatigue related cancer, the need for training and better expertise and access to provide services to cancer patients who are experiencing fatigue.
Keywords: Cancer Related Fatigue, assessment, management, health care provider
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DETERMINANTS OF SEDENTARY LIFESTYLE AMONG SCHOOL- AGED CHILDREN BASED ON FAMILY ECOLOGICAL MODEL
Eka Mishbahatul Marah Has1, Herlyn Afifah Nurwitanti2, Sylvia Dwi Wahyuni3, Elida Ulfiana4 1,2,3,4Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia Corresponding author: [email protected]
Abstract
Nowadays, technology turns children to be sedentary. It may lead to short- and long-term health problems for them in the future.This study was aimed to analyze the determinants of sedentary lifestyle among school-age children. This was a descriptive-analytical study with cross-sectional approach. Samples were 130 school-aged children collected by using stratified random sampling. The independent variables were family income, type of household, parent’s education level, children’s gender, children’s Body Mass Index (BMI), children’s activity level, parent’s occupation,and access to safe housing and playgrounds. The dependent variable was a sedentary lifestyle. Data were collected by using questionnaire and analyzed by using chi-square dan linear regression. The result showed there was a significant correlation between mother’s education level (p=0,002), children’s activity level (p=0,003), and access to safe housing and playground (p=0,020) with a sedentary lifestyle. There was no correlation between family’s income, type of household, father’s education level, father’s and mother’s occupation with children’s sedentary lifestyle. School-aged children must be facilitated to be more physically active, and the mother can be involved in this case.
Keywords: sedentary lifestyle, family ecological model, school-age children
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A QUALITATIVE STUDY OF RISK FACTOR AWARENESS AND WILLINGNESS TO PREVENT HYPERTENSION AMONG FAMILY MEMBERS IN DENPASAR
Ni Komang Ari Sawitri Nursing Department, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
An individual with a family history of high blood pressure is more likely to develop a similar condition due to genetic factors and sharing everyday environments. However, individuals’ awareness of their likelihoods of developing hypertension due to genetic and similar circumstances are usually overlooked. This study aims to understand individuals’ awareness and willingness to engage in a healthy lifestyle when one or more of their family members are affected by hypertension. A focused ethnography was conducted with 11 families (consisting of 44 individual participants) in Denpasar. This study used semi-structured interview and participant observations for the data collection method and thematic analysis for analysing data. The most important theme to emerge was that hypertension was considered as a future problem; thus, there was no consideration for taking preventative actions. Family members’ awareness of inherited risk factors were still poor, that caused them to be unlikely to engage in a healthier lifestyle.
Keywords: hypertension, family, awareness, lifestyle
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DEWANDARU (EUGENIA UNIFLORA L.) FRUITS EXTRACT DECREASED THE EXPRESSION OF BAX, CASPASE-3 AND INCREASED THE NUMBER OF SPERMATOGONIA IN RATS (RATTUS NORVEGICUS) WITH TESTICULAR HEAT INDUCTION
Ika Widi Astuti1, Bagus Komang Satriyasa2, Nyoman Mangku Karmaya3, I.B. Putra Manuaba4 1Department of Nursing, Faculty of Medicine, Udayana University 2Department of Pharmacology and Therapy, Faculty of Medicine, Udayana University 3Department of Anatomy, Faculty of Medicine, Udayana University 4Department of Chemistry, Faculty of Mathematics and Natural Sciences, Udayana University Corresponding author: [email protected]
Abstract
Increased testicular temperature can cause testicular tissue injury and increase in germ cell apoptosis. Oxidative stress is the main factor responsible for testicular damage. Natural antioxidants are used to minimize the effects of oxidative stress on spermatogenesis. The study aimed to examine the effect of dewandaru (Eugenia uniflora L.) fruit extracts on the expression of Bax, Caspase-3 and the number of spermatogonia. This research was conducted at integrated biomedical laboratory of the Faculty of Medicine, University of Udayana in March to July 2019. This research was a true experimental with randomized post-test only control group design consisted of a total of 27 Wistar rats divided into 3 groups. Groups 1 and 2 are the negative control and positive control groups. Group 3 is the treatment group. Bax, Caspase-3 and spermatogonia expression were measured in this study. Data were presented as mean and one-way ANOVA was used as a statistical tool with significant p<0.05. Dewandaru fruit extract dose of 200 mg/ kgBW/ day, respectively showed a decrease significantly in the expression of Bax (p = 0.000), Caspase-3 (p = 0.000) and increase the number of spermatogonia (p = 0.000). This study shows that Dewandaru (Eugenia uniflora L.) fruit extract altered the expression of Bax, Caspase-3 and Spermatogonia.
Keywords: bax, caspase-3, dewandaru fruit extract, spermatogonia
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FAMILY SUPPORTS TOWARDS QUALITY OF LIFE IN CHILDREN WITH CANCER UNDERGOING CHEMOTHERAPY
Kadek Cahya Utami1, Luh Mira Puspita3, Putu Ayu Emmy Savitri Karin3 1,2,3Nursing Department, Faculty of Medicine, Udayana University Corresponding author: [email protected]
Abstract
Chemotherapy is one of the most effective therapy for patient with cancer. Besides its therapeutic effects, chemotherapy canalsogiveside effects to children with cancer. Chemotherapy anditsside effects can give impact to children with cancer particularly to those children under repeated hospitalization which therapies can leave bad experiences to children. Considering this, the treatment certainly can give impact to children’s quality of life. One of outstanding factors influencing quality of life in children with cancer is family support. Regarding this, the aim of the present study was to investigate relationships between family supports with the quality of life in children with cancer after chemotherapy. This study was a descriptive correlational study with cross sectional design. The sample of present study were 30 children. Results showed there was a significant relationships between family supports and quality of life in children with cancer under chemotherapy (p = 0.026). Findings showed the importance of family participation in taking care of children with cancer undergoing chemotherapy in order to increase their quality of life.
Keywords: children with cancer, family supports, quality of life
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PREVALENCE AND ASSOCIATED RISK FACTORS OF HYPERTENSION: A CROSS-SECTIONAL STUDY IN URBAN AREA GIANYAR, BALI
Made Oka Ari Kamayani1, Putu Oka Yuli Nurhesti2 1,2,3Nursing Department, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Hypertension is the most common disorder in blood pressure (BP) and being major risk factor for cardiovascular diseases and other complications. The prognosis of hypertension will be better if it is found in the initial phase and management is carried out as early as possible. The objectives of this study is to analyze the risk factors for hypertension in the adult population. A community based cross-sectional study with multistage sampling design was conducted among urban population of Gianyar. Interviews were conducted on 162 research subjects aged 18–65 years. The prevalence of hypertension was 18.5% for systolic BP and 42.0 for diastolic BP. Mean systolic and diastolic BP were 122.40 ± 16.44 mmHg and 84.32 ± 13.74 mmHg, respectively. Weight, family history of hypertension, age, and life pattern were associated with hypertension. Assessment of hypertension risk factors can reduce the risk of hypertension in the population. Keywords: hypertension, risk factor
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CARDIOPULMONARY RESUSCITATION TRAINING TO INCREASE BYSTANDER RESUSCITATION AND SURVIVAL RATE: A SYSTEMATIC REVIEW
Laksita Barbara1, Wiwin Winarti2 1,2Nursing Program, Faculty of Health Science, Universitas Pembangunan Nasional Veteran Jakarta Corresponding author: [email protected]
Abstract
This study aims to systematically review studies that evaluate the effect of CPR training for lay people on bystander CPR and survival rate of OHCA.A search strategy was applied in Proquest, Medline, and Cochrane database. Six quantitative observational studies are included for review. Four observational studies show an increased trend of bystander CPR after trainings (mean: 6.69%, 95% CI -1.53-14.9). Three studies show favorable results of CPR training on trend of the survival rate which increases by 4.3% (95% CI -5.71-14.37). One study compares bystander CPR between trained and untrained lay people which showsno significant difference (p=0.5). The CPR training for lay people could increase the percentage of bystander CPR and the survival rate of OHCA patients. Further studies which assess the bystander CPR by lay people and analyze its effect on the survival is needed.
Keywords: CPR training, bystander CPR, survival rate, out-of-hospital cardiac arrest
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SEXUAL DYSFUNCTION IN DIABETIC WOMEN
Desak Made Widyanthari1, Ni Luh Putu Eva Yanti2, Desak Nyoman Widyanthini3 1,2Nursing Department, Medical Faculty, Udayana University 3Public Health Department, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Sexual dysfunction (SD) in women with diabetes is one of the chronic complication which have not yet been extensively studied. Unmeet sexual needs can lead to guilt and rejection that can affect dysharmony of relationships with partners. Nurses as part of the health care system, should understand that the sexuality function is an integrated part of nursing care. This study aimed to get an overview of sexual function in women with type 2 diabetes. The research design was descriptive observational with cross sectional approach. The sample of this study was thirty nine type 2 diabetic women who were treated at Primary Health Care in Denpasar, selected by purposive sampling technique according to the inclusion and exclusion criteria. The result showed 25,6% samples had severe dysfunction problems, 51,3% moderate and 23,1 % had mild dysfunction problems. From the six domains of sexual dysfunction, desire had the highest sexual dysfunction problem of 65,97%, followed by arousal 54,17%, satisfaction with 50%, orgasm 48,33%, lubrication 41,67% and pain 35%. The relationship between husband and patient can be fostered through communication and some of them consider physical problems that they currently face such as tiredness makes the desire to have sexual intercourse begin to decline.
Keywords: sexual dysfunction, type 2 diabetic women
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THE AUTONOMY OF PATIENTS IN EMERGENCY SERVICES IN THE BORDER AREA: PHENOMENOLOGY STUDY
Dewy Haryanti Parman, Hendy Lesmana, Maria Imaculata Ose, Ramdya Akbar Tukan Department of Nursing, Faculty of Health, University of Borneo Tarakan Corresponding author: [email protected]
Abstract
Sebatik is a border area and an archipelago in Indonesia. Islands have some Primary Health Care which provides primary services in primary health for not having hospitals. To get care continued to be in the reference out of the island. For the service of health in a comprehensive gain a challenge. The purpose of this study revealed the situation, the experience of patients in treatment to emergency areas and border areas in North Borneo. The study was designed with a qualitative study with a descriptive Phenomenology. 10 Participants who were residents living on Sebatik Island with the criteria of having experience with emergency cases and being referred to out of Sebatik Island. Data analysis was performed using thematic analysis by Braun & Clarke (2006). The theme that emerged from research that is 1. Measures emergencies are not maximum 2. Choose to use the rights to reference 3. Assistance in dealing with referrals with many obstacles. Conclusion: emergency handling is not optimal where the initial treatment is limited health workers and limited health service facilities. Patients choose the right to be referred to as an attempt to get the service of health that much better. Several issues of access and transportation are in reference. The need for involving the government and stakeholders in the repair system of handling emergencies to augment the number of officers and repair facilities in caring for patients and improvements in the referral that is managed by the innovation of the new order integrated system with both.
Keywords: referrals, patients, emergency emergencies, borders
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FILIPINO ELDERLY AWARENESS AND AVAILMENT OF THEIR GOVERNMENT GRANT RIGHTS, BENEFITS, AND PRIVILEGES AND THEIR PREFER LIVING ARRANGEMENT
Corazon C. Borrico2, Carlo Bryan C. Borrico1, 2, Leonardo P. Borrico2, Regie A. Bautista1 1College of Nursing, Faculty, System Plus College Foundation, Angeles City, Philippines 2Alumni, Holy Angel University, Angeles City, Philippines Corresponding author: [email protected]
Abstract
The Philippine government tried its best to design a law for senior citizens while Filipino families took care of their senior citizen member. They designed a law that recognized the contributions of senior citizens in nation building. However, in the report of Dr. De Leon (2014), even though senior citizens have identification card as their single most important document to access their benefits and privileges, what was identified as a gap is the supply side i.e., limited availability and accessibility of health services and medicines, issues related to access of mandated senior citizen benefits. This aimed to describe the level of awareness on the rights, benefits, privileges, and health services of elderly residing in Barangay Dau. A descriptive design used. Self-made questionnaire to capture awareness and availment of elderly rights, benefits and privileges used. Frequency, percentage, mean, and standard deviation used. The result revealed that all of the participants were aware of grant of twenty percent (20%) discount from all establishments and provision of express lanes for senior citizens in all commercial and government establishments and reported they availed it. However, it is noticeable that not all participants are aware of the free medical and dental services in government establishments and the monthly stipend five hundred pesos (Php500.00) for indigent senior citizens. On the other hand, out of 92.5 percent participants who were aware of the continuance of the same benefits and privileges by GSIS, SSS, PAGIBIG, only 53.3 percent availed it. Lastly, out of 98.8% participants who were aware on mandatory PhilHealth coverage, only 93.5% availed it. It is important for health administrator and health worker to strengthen their information dissemination to increase the elderly awareness and to avail their rights, benefits and privileges.
Keywords: elderly, aging, living arrangement
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KNOWLEDGE AND AWARENESS ON HIV/AIDS OF SENIOR HIGH SCHOOL STUDENTS TOWARDS AN ENHANCED REPRODUCTIVE HEALTH EDUCATION PROGRAM
Lady Anne O. de Jesus1, Ma. Cecilia O. Martinez1 Pamantasan ng Lungsod ng Maynila, Manila, Philippines Corresponding author: [email protected], [email protected]
Abstract
This study was conducted to determine the levels of knowledge and awareness on HIV/AIDS of 369 senior high school students of the municipality of Los Banos Laguna, Philippines, towards an enhanced Reproductive Health Education Program. Data were gathered from April to May 2019 using an adopted and modified questionnaire from the research study of Marc Lester Quintana in 2018. The results showed that there is a high level of knowledge on HIV/AIDS of senior high school students-respondents in terms of transmission, prevention and protection; there is a high level of awareness of senior high school students about the effects of HIV/AIDS in terms of physical, psychological, socio- economic and spiritual; and there is a significant relationship between the levels of knowledge on HIV/AIDS and levels of awareness about the effects of HIV/AIDS of senior high school students. It was recommended that: 1) senior high school students to be more knowledgeable and aware and updated about HIV/AIDS and that they be involved in school activities for the implementation of the Enhanced Reproductive Health Program; 2) the educators to be equipped on becoming more conscious on the level of understanding / knowing about HIV /AIDS; 3) parents to approve the use of the Program as part of their children’s activities in school; 4) school administration to use the Program to raise the knowledge and awareness specifically on HIV/AIDS of their senior high school students; 5) future researchers to use this study and its output as a reference for similar future endeavors.
Keywords: HIV/AIDS, knowledge on HIV/AIDS, awareness on HIV/AIDS, knowledge and awareness on HIV/AIDS of senior high school students, enhanced reproductive health program
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THE COMPARISON OF WORK-RELATED FATIGUE AND STRESS AMONG NURSES IN EMERGENCY DEPARTMENTS WORKING WITHIN SHIFT OF 7-7-10 AND 12-12 IN THE HOSPITALS OF BADUNG AND DENPASAR REGENCIES
I Gusti Ngurah Juniartha1, Teguh Wahju Sardjono2, Dewi Kartikawati Ningsih3 1School of Nursing, Faculty of Medicine Udayana University 2Faculty of Medicine Brawijaya University 3School of Nursing Brawijaya University Corresponding author: [email protected]
Abstract
Emergency Department (ED) nurses are medical professionals who work within shift working system. The implementation of working shift will affect the level of work-related fatigue and stress of ED nurses which eventually affects the working performance, service quality, and the implementation of patient safety in the Emergency Department. Based on preliminary study in Badung and Denpasar Regencies it has revealed that there are other shift schemes beside 6-6-12 shift, namely 7-7-10 shift and 12-12 shift. There has been no research conducted to evaluate work-related fatigue and stress of ED nurses working under those schemes. The aim of this research is to identify the differences of work-related fatigue and stress of Emergency Department nurses working under the 7-7- 10 and 12-12 shift schemes in the hospitals of Badung and Denpasar Regencies. This research was quantitative study using analytical observational design with cross sectional approach. The sampling technique was purposive sampling with the samples of 45 nurses from four Emergency Departments in the hospitals of Badung and Denpasar Regencies. The data were collected by means of OFER and ENSS questionnaires, translated into Bahasa Indonesia and tested for their validity and reliability. Statistic test has shown that there is a significant difference of working shift on work-related fatigue with p = 0.012, but there is no meaningful difference on the effect of working shift schemes on nurses’ work-related stress (p = 0.267). It is also revealed that there is a difference on the influence of work distribution system on work-related fatigue, but there is no significant difference of work-related stress level of nurses in 7-7-10 shift scheme and those in 12-12 shift scheme.
Keywords: shift work, nurses’ fatigue, nurses’ work-related stress, 7-7-10 shift scheme, 12-12 shift scheme
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BURNOUT SYNDROME AMONG FILIPINO NURSES: A Q METHODOLOGY
Maria Carolina Bondoc1,2, Rizza Jane Abanto1,2, Anne Clarisse Dela Cruz1,2, Graciela Joyce Guinto1,2, May Ann Manaois1,2, Catrina Mogar1,2, Lu Ed Sanchez1,2, Chelsea Ella Kari Yuzon1,2, Sharon B. Cajayon1,2, Michell Katrina Gonong1,2, Melody Gatdula1,2
1College of Nursing, Our Lady of Fatima University, Philippines 2Research Development and Innovation Center, Our Lady of Fatima University, Philippines
Abstract
Burnout syndrome is a prolonged response to chronic stressors on the job and is characterized by physical, mental, and emotional restlessness affecting the nurse's interpersonal interaction efficiency. This study aimed to explore the existence and prevalence and contributing factors of Burnout Syndrome among Filipino nurses. Out of the 100 participants, 67 experienced some degree of burnout with high or moderate scores on the subscale of MBI-HSS form relating to emotional exhaustion and depersonalization. A Q-sort grid, an assessment tool used in Q Methodology, captured the idea of subjectivity and clarified the validation of Q sort into three groups, burning, branding, and braving reflecting the most important views revolving around dissatisfaction with salary level, high patient's demand and expectations, nursing staff shortage, and inadequate supplies and resources as contributing factors to burnout syndrome. The study concludes that burnout syndrome does exist among Filipino nurses. Strengthening the healthcare organization and enforcing changes to the enduring deliberation on nurse's salary and benefits will increase nursing satisfaction and will empower nurses to reduce burnout syndrome that is existing among Filipino nurses.
Keywords: burnout, Q methodology, Filipino nurses, burning, branding, braving
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HEALTH EDUCATION VIDEO INFLUENCE TO ADOLESCENTS BEHAVIOR IN PREVENTION OF UNWANTED PREGNANCY IN SMA NEGERI 1 KUTA UTARA
I Gusti Ayu Pramitaresthi1, Ida Arimurti Sanjiwani2 1,2Nursing Department, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Pregnancy among adolescent girls is one of the problems that is developing quite quickly in various countries both developed and developing countries, including Indonesia. Ignorance or lack of knowledge about sexual behavior in adolescents can cause pregnancy. Unwanted pregnancy (UP) is a logical consequence of promiscuity between adolescents of the opposite sex, which tends not to be well controlled. Health education is needed by adolescents to prevent unwanted pregnancy. Interesting health education media can now be through video. The design of this study is quasi-experimental. The research design used was one group pre-test post-test design. Bivariate analysis was carried out by non-parametric test because the data were not normally distributed were tested by the Wilcoxon test to analyze the level of behavior before (pretest) and after (posttest). The results showed that there was an influence of health education with video on unwanted pregnancy prevention behavior in adolescents (p<0.05). It is recommended that health education with videos can be applied in providing information related to reproductive health to adolescents.
Keywords: behavior, health education with video, unwanted pregnancy
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THE INFLUENCE OF BASIC LIFE SUPPORT TRAINING ON THE LEVEL OF PUBLIC KNOWLEDGE ABOUT EMERGENCY IN THE TANAH LOT TOURISM REGION OF BALI
I Made Suindrayasa¹, I Kadek Ayu Suarningsih², Meril Valentine Manangkot³ Nursing Study Program, Faculty of Medicine, Udayana University Corresponding author: [email protected]
Abstract
Emergency conditions are conditions that occur unexpectedly, anytime, anywhere and require immediate handling. Knowledge of everyday emergencies with basic life support (BLS) training is needed to support the tourism industry. With an increase in knowledge about emergencies, it will provide a sense of security and comfort for tourists. This study aims to analyze the effect of basic life support training on increasing public knowledge about emergencies in the Tanah Lot Bali tourism area. This research is a analytic descriptive method with a quasi- experiment involving 95 respondents. The results of this study indicate that there is an influence of basic life support training on increasing public knowledge about emergencies (p-velue = 0.011). The results of this study will be one of the recommendations for intervention in an effort to increase public knowledge about emergencies.
Keywords: basic life support, knowledge, emergency
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KNOWLEDGE, ATTITUDE, AND BEHAVIOR IN THE FAMILY SUPPORTING HYPERTENSION PATIENTS SELF-CARE MANAGEMENT IN COMMUNITY HEALTH CENTERS IN DENPASAR
Meril Valentine Manangkot1, I Kadek Saputra2, I Made Suindrayasa3 1,2,3School of Nursing, Faculty of Medicine, Udayana University Corresponding author: [email protected]
Abstract
Hypertension is a chronic disease. The high incidence of hypertension currently requires commitment in the management of sustainable hypertension. One of them is developing adequate patient’s self-care management. This is influenced by several factors, such as age, sex, education, and family support. The lack of family support found in previous research is concern for researcher to identify the aspect of the family further. Family contribute to decision making, have an important role to support the patient. This study aimed to identify the description of family knowledge, attitudes, and behavior in supporting hypertension patients' self-care management. Respondents were 90 families of hypertension patients in 3 community health centers in Denpasar. Data collected using questionnaire and observation form with consecutive sampling technique. These findings show that 68,9% of respondents have good knowledge, 46,7% of respondents are in the category of adequate attitude, 62,2% of respondents show behavior that supports patient self-care management.
Keywords: hypertension, family support, self-care management
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GRAPHIC MEDICINE: USE OF COMIC FOR NURSES TO ACHIEVE A SAFE BLOOD TRANSFUSION
Indah Mei Rahajeng1, Faridatul Muslimah2 1School of Nursing, Medical Faculty, Udayana University, Denpasar, Indonesia 2Intensive Care Unit, Abdoer Rahem Public Hospital, Situbondo, Indonesia Corresponding author: [email protected]
Abstract
Graphic medicine has being used to support education for medical and nursing students. This learning approach needs to be further investigated for its support for continuing education for nurses as clinicians. The purpose of this study is to examine the effectiveness of graphic medicine to support continuing professional education of safety blood transfusions among nurses. The research design is a control trial. The research respondents are nurses assigned to control and treatment groups. The intervention group receive a comic of a safe administration of blood transfusion and the control group received conventional standard operational procedure. After two weeks, the safety blood transfusion competency of two groups is measured using a questionnaire. The data is analyzed with independent t tests. The result of this study purpose that there is significant mean different of blood transfusion competency between two groups, thus graphic medicine is an effective media for continuing professional education for nurses.
Keywords: graphic medicine, blood transfusion, patient safety
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PUBLIC HEALTH NURSES IN PROVIDING NURSING CARE SERVICES TO TUBERCULOSIS PATIENTS IN DENPASAR
Ni Luh Putu Eva Yanti1, Made Rini Damayanti2, Desak Made Widyanthari3 1,2,3Nursing Study Program, Faculty of Medicine, Udayana University Corresponding author: [email protected]
Abstract
Public health nurses must have good competence as well as in providing nursing care for tuberculosis patients. Its difference with hospital nurses that always use and record the nursing care process. This research aims to identify the ability of public health nurses in providing nursing care in tuberculosis patients. The results show 86.2% of public health nurses have good knowledge about the nursing care process to tuberculosis patients and 96.4% of public health nurses have applied a good ability to the nursing care to tuberculosis patients. Its recommended public health nurses to maintain their performance in nursing care and improve competence by attending a high level in nursing education.
Keywords: public health nurses, nursing care, tuberculosis
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DETERMINANTS OF PATIENT SAFETY IMPLEMENTATION AMONG NURSES IN HOSPITAL X IN BALI
Komang Menik Sri Krisnawati Nursing Management and Leadership Department, Nursing Study Program, Faculty of Medicine, Udayana University Corresponding author: [email protected]
Abstract
Successful implementation of patient safety goals represents a significant purpose of the hospital as one of health care industry. Patient safety is considered to be crucial and being the most important hospital indicators to implement to produce better health care quality. Nurses play significant role in maintaining and promoting patient safety at their work place. Therefore, a greater understanding is needed regarding to the factors that affects patient safety implementation in hospitals. The purpose of this study was to identify the determinants of patient safety implementation among nurses at hospital. A descriptive and cross‐sectional design used in this study with sample size consists of 242 nurses chosen by purposive sampling using inclusion and exclusion criteria. The questionnaire used was analyzed by univariate, and bivariate analyses. The results shows that there is a significant relationship between age (p value=0,021, r=0,274), work experience (p value=0,014, r=0,270), burnout (p value=0,004, r= -0,404), self-esteem (p value=0,001, r=0,321), nurse’s self-efficacy (p value=0,001, r= 0,638), motivation (p value=0,021, r= 0,246), supervision (p value=0,003, r= 0,412), head nurses’ interpersonal role (p value=0,001, r= 0,324), head nurses’ informational role (p value=0,032, r= 0,203), head nurses’ decisional role (p value=0,012, r= 0,288). However, there are no significant relationships found between gender (p value=0,364), and level of education (p value=0,399) with patient safety implementation among nurses. Improving nurses' participation in patient safety program necessitates considering the nurse as healthcare provider and the clinical environment. Nurses' as healthcare providers may need further professional development in different management to improve patient safety implementation. Further research is required related another factors that could contribute in patient safety implementation in hospital indifferent unit, contexts and cultures.
Keywords: patient safety, nurses, management
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VALIDITY AND RELIABILITY OF MODIFIED EDMONTON SYMPTOM ASSESSMENT SYSTEM IN MEASURING QUALITY OF LIFE HAEMODIALYSIS PATIENTS Gusti Ayu Ary Antari1,2, Krisna Yetti2 , Masfuri2 1Department of Nursing, Faculty of Medicine, Universitas Udayana 2Faculty of Nursing, Universitas Indonesia Corresponding author: [email protected]
Abstract
Recent studies showed that the subjective parameters are more important in measuring the quality of life than objective parameters (such as blood biochemistry). The quality of life instrument is still many variants and there is no simple, easy to filled and comfortable instrument to apply. Based on scientific research, modified ESAS is one of the instruments that can predict the quality of life. The implementation of evidence based nursing is aimed to identify the validity, reliability, sensitivity, specificity and applicability instrument of quality of life patients undergoing haemodialysis in clinical settings. The process EBN implementation consists of searching scientific clinical question and followed by 54 patients undergoing haemodialysis. The EBN results showed that ESAS is a valid, reliable, sensitive and specific instrument to measure the quality of life. In addition, this instrument is easy applied both of nurses and patients.
Keywords : hemodialysis, modified Edmonton Symptom Assessment System, quality of life
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FACTORS ASSOCIATED WITH THE SEVERITY OF RESPIRATORY SYSTEM DISORDERS IN CHILDREN
Ni Luh Putu Shinta Devi1, Dessie Wanda2, Nani Nurhaeni2 1Nursing Study Program, Faculty of Medicine, Udayana University, Bali, Indonesia; 2Department of Pediatric Nursing, Faculty of Nursing Universitas Indonesia, Depok, Indonesia Corresponding author: [email protected]
Abstract
Younger children have a higher risk for experiencing more severe respiratory system disorder and progressive hypoxemia. For this reason, nurses need to know the factors associated with the severity of respiratory system disorders in children to prevent worsening conditions in children. The aim of this study was to identify factors associated with the severity of respiratory system disorders in children. This study used descriptive correlational design with cross sectional approach. A total of 48 children aged 0–2 years who were hospitalized in a top referral hospital in Jakarta with acute respiratory infections were included in this study. This study found that the nutritional status (p = 0.011) and had comorbidities (p = 0.041) are the factor that associated with the severity of respiratory system disorders in children. Based on the results of this study, we suggest that nurses need to give more attention when caring the younger children with respiratory system disorders and have a poor nutritional status and comorbidities.
Keywords: children, severity, acute respiratory infections
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APPLICATION OF COLOR TO THE INTERIOR INPATIENT ROOM IN HOSPITAL (ANALYSIS OF COMFORT IN THE HEALING PROCESS)
Levi Anatolia S. M. Exposto1, Made Ida Mulyati2 1Public Health Science Program, Udayana University, Denpasar, Indonesia 2Ergonomics and Work Physiology Program, Udayana University, Denpasar, Indonesia Corresponding author: [email protected]
Abstract
The success of the patient's healing process is a contribution between physiological and psychological conditions. To support a good psychological condition for patients, one of them is to provide a comfortable atmosphere in the interior of the inpatient room, by applying the right color, which was expected to reduce stress factors in patients. This study aims to determine the right color to be applied to inpatients in hospitals. The method used was a descriptive method by conducting a literature review, summarizing all research findings regarding the selection of colors that are appropriate for the interior of the inpatient room. The results of this study are a color determination based on the size of the room and the height of the ceiling. For inpatient rooms that are not too spacious and have a ceiling that is not too high, can use a quiet color, without leaving aside accents so that the room was more lively and does not seem monotonous. Whereas inpatient rooms that have ample room and high ceilings can use warm colors without compromising the possibility of being combined with soft and natural colors to give a more comfortable impression.
Keywords: healing patients, color psychology, calm colors, fresh colors, warm colors
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THE ASSOCIATION BETWEEN COMMUNITY KNOWLEDGE LEVEL AND BEHAVIOR ON DENGUE HEMORRHAGIC FEVER PREVENTION IN TOURISM AREA CELUK-BENOA, SOUTH KUTA REGENCY
Putu Saras Widar Yuliantari1, Putu Ayu Asri Damayanti2, Made Rini Damayanti1 1Nursing Department, 2 Parasitology Department Faculty of Medicine, Udayana University Corresponding author: [email protected]
Abstract
Dengue Hemorrhagic Fever (DHF) is still endemic in Bali, including in the Banjar Celuk tourist area, Benoa Village, South Kuta. Mosquito control plays an important role in reducing DHF cases due to the absence of vaccines and drugs to date. Therefore this study was to determine the level of knowledge-behavior and their relationship of the community towards DHF prevention in Benoa. The study carried out in February-July 2019 with a cross sectional design. The relationship of community knowledge and behavior in the prevention of DHF was examined using the Chi-Square test. This study was followed by 68 subjects through simple random sampling technique. Result of the study were the most respondents aged 36-45 years in 23 (33.9%) subjects, education level senior high school in 35 (51.5%) subjects, and work as housewives in 22 (32,4%) subjects. The level of knowledge and behavior both were included in the category sufficient in 45 (66.2%) subjects and 40 (58.8%) subjects respectively. The chi-square analysis obtained that there was a relationship between the level of knowledge with behavior in the prevention of DHF (p value = 0.002) where the better of the knowledge would followed by better behavior. The conclusion: there was association between level of knowledge and subject's behavior in preventing DHF. The community knowledge and behavior still need to be improved through various health promotion programs to support tourism industry in Banjar Celuk, Benoa Village, South Kuta. Keywords: dengue hemorrhagic fever, prevention, knowledge, behavior
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EMERGENCY FIRST AID KNOWLEDGE; DESCRIPTIVE STUDY AMONG TOUR GUIDES IN PADANG BAI BALI
Putu Ayu Ascia Zrinathi1, I Kadek Saputra2, Putu Oka Yuli Nurhesti3 1,2,3School of Nursing, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
Tourism industry plays important role and contributes to generate Indonesian economy through tourist activities and hospitalities. Padang Bay Village is one of major tourism destination in Karangasem Regency of Bali that attract any kind of watersport and culture activity. Visitors come and accompanied by tour guide during their touring. When accident or any form of emergencies present, a tour guide must be ready to give appropriate first aid before ambulance arrive or evacuation. Ideally tour guide should have sufficient knowledge to practice it. There is no evidence about knowledge of tour guide in Padang Bay in term of emergency first aid. This study focused to explore the level of knowledge of tour guide who guide tourist activities around Padang Bay village using observational descriptive study. Sixty-eight participants who selected using purposive sampling involved the study and completed to fill the questionnaires. Respondent characteristic are 83% male and age range between 23-45 years old. About 20.6% of respondents have good knowledge, 38.2% have insufficient knowledge and 41.2% have poor knowledge of emergency first aid. In addition, 57.8% of respondents with insufficient and poor knowledge were never attend emergency first aid training. We suggest a set of emergency first aid training required and should be implemented for tour guides in Padang Bay to increase their knowledge and preparedness for emergency situations.
Keywords: knowledge, emergency first aid, tour guides, Padang Bay
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rd THE 3 UDAYANA INTERNATIONAL NURSING CONFERENCE
PHYSIOLOGICAL RESPONSE DURING CARDIOPULMONARY RESUSCITATION: CARDIOVASCULAR LOAD AMONG YOUNG ADULT RESCUER
I Kadek Saputra1, I Gusti Ngurah Juniarta2, I Made Suindrayasa3 , Meril Valentine Manangkot4 1, 2, 3, 4School of Nursing, Medical Faculty, Udayana University Corresponding author: [email protected]
Abstract
High quality cardiopulmonary resuscitation (CPR) is determined by compression rate, deep, recoil and minimal interuption. Knowledge and optimal personal recuer capacity is required to perform standard compression according AHA 2015 guidelines. Oxygen demand for musculosceletal effort during compression resulting extreme circulation respons. There is lack of evidence discussed about cardiovascular load (CVL) regarding compression activity. This study aim to describe cardiovascular load among rescuer during CPR. This was a quasy experiment invoving 21 student who pass basic life support training. A couple participants perfoming 2 minutes compression and ventilation for total 12 minutes. Heart rate was measured using pulse meter before doing compression as resting pulse and then in the end of each 2 minutes compression; the higest rate was recorded as working pulse. Majority participants were 19 years old (92.5%) and female (52.4%); resting pulse were in normal range 82.4 + 4.8 bpm and working pulse increased significantly 158 + 13.9 bpm (p=0.000). CVL minimum 45.3% and maximum 82.80% with mean 63.7% + 1.16. There was no different CVL (p=0.833) between male and female participants. Conclusion: cardiovascular load during CPR indicated that CPR was a heavy duty and resulting heavy workload for rescuer. A comprehensive training program to increase recuer cardiovascular capacity and organize the CPR procedur ergonomically are required to improve CVL.
Keywords: CPR, cardiovascular load, rescuer
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