Andi Miftahul Khair, Etika Emaliyawati, Tuti Pahria
Family members who take the patient to ED have high expectation but sometimes what happens if lose their beloved one. ED busy situations, small room with many patients, and lack of time to communicate with the medical team during the EOL process. When patients are in the EOL phase, the necessary treatment focuses at improving patients' life quality in order to welcome the death as they wish, die with dignity. This research applies qualitative design with a phenomenology approach. It involves participants who are 7 of nuclear family members who accompany patients during the EOL process in ED. Data were collected using an in-depth interview, analyzed using Colaizzy method. Five themes are obtained from this research namely dilemma in making a decision to stop life support, fear of being left by beloved one, guiding beloved one to pray in their final seconds, Life and Death in Allah’s Control, and dissatisfaction towards the service. This research provides a description of how the family feels after accompanying the patient during the EOL process in ED through the themes and sub-themes in this research. There is a new phenomenon emerging in this research which is not found in other research. It is the feeling of being neglected and discriminated when it comes to medical cost and BPJS insurance, and feeling of gratitude and pride of the family members who can accompany the patient till this patient die with khusnul khotimah or peacefull.
{"title":"PENGALAMAN KELUARGA MENYERTAI PASIEN SELAMA PROSES AKHIR KEHIDUPAN DI IGD RUMAH SAKIT PEMERINTAH DI JAWA BARAT","authors":"Andi Miftahul Khair, Etika Emaliyawati, Tuti Pahria","doi":"10.32695/jkit.v1i2.207","DOIUrl":"https://doi.org/10.32695/jkit.v1i2.207","url":null,"abstract":"Family members who take the patient to ED have high expectation but sometimes what happens if lose their beloved one. ED busy situations, small room with many patients, and lack of time to communicate with the medical team during the EOL process. When patients are in the EOL phase, the necessary treatment focuses at improving patients' life quality in order to welcome the death as they wish, die with dignity. This research applies qualitative design with a phenomenology approach. It involves participants who are 7 of nuclear family members who accompany patients during the EOL process in ED. Data were collected using an in-depth interview, analyzed using Colaizzy method. Five themes are obtained from this research namely dilemma in making a decision to stop life support, fear of being left by beloved one, guiding beloved one to pray in their final seconds, Life and Death in Allah’s Control, and dissatisfaction towards the service. This research provides a description of how the family feels after accompanying the patient during the EOL process in ED through the themes and sub-themes in this research. There is a new phenomenon emerging in this research which is not found in other research. It is the feeling of being neglected and discriminated when it comes to medical cost and BPJS insurance, and feeling of gratitude and pride of the family members who can accompany the patient till this patient die with khusnul khotimah or peacefull. \u0000 \u0000 ","PeriodicalId":184811,"journal":{"name":"Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126159861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Cervical cancer is a type of cancer that 99.7% is caused by the oncogenic human papilloma virus (HPV), which attacks the cervix. The groups at risk for cervical cancer are women of childbearing age who engage in sexual activity at an early age, have many children and have poor reproductive health behavior. The habit of changing sexual partners is one of the main factors in transmitting the HPV virus. One of the "Pinamou" traditions, the isolated tribal community in the working area of the Tamilouw Health Center provides opportunities for adolescents to engage in sexual activity at an early age, marry/marry at an early age, the average number of children is more than four, giving birth with complications/bleeding. Therefore, it is necessary IVA examination for early detection of cervical cancer. Objective: The purpose of the study was to determine the effectiveness of audio-visual modules and media on knowledge about cervical cancer detection through the IVA method in Wus from isolated tribes. Methode: The research method is a quantitative research using a quasi-experimental design through a pretest posttest one group design approach. The number of samples used were 66 respondents with consecutive sampling technique that met the inclusion and exclusion criteria consisting of 33 respondents using modules and 33 respondents using audiovisual. Data were collected using a questionnaire and then analyzed descriptively using the Wilcoxon rank test formula and the Mann-Whitney test. Result: The results showed that health education using modules and audiovisuals had an effect on WUS knowledge about early detection of cervical cancer in the Tamilouw Health Center Work Area, and the use of audiovisuals was more effective than modules in increasing WUS knowledge. The cooperation of cadres and village officials is needed to disseminate information and knowledge to be followed up on VIA examinations in Health Services. Keywords: Audio visual; IVA; Module; Knowledge; WUS
{"title":"EFEKTIFITAS MODUL DAN AUDIO VISUAL TERHADAP PENGETAHUAN TENTANG DETEKSI KANKER SERVIKS MELALUI METODE IVA PADA WUS SUKU TERASING DI WILAYAH KERJA PUSKESMAS TAMILOUW KABUPATEN MALUKU TENGAH","authors":"D. P. Tetelepta, R. Malawat, Joula Timisela","doi":"10.32695/jkit.v1i2.214","DOIUrl":"https://doi.org/10.32695/jkit.v1i2.214","url":null,"abstract":"Background: Cervical cancer is a type of cancer that 99.7% is caused by the oncogenic human papilloma virus (HPV), which attacks the cervix. The groups at risk for cervical cancer are women of childbearing age who engage in sexual activity at an early age, have many children and have poor reproductive health behavior. The habit of changing sexual partners is one of the main factors in transmitting the HPV virus. One of the \"Pinamou\" traditions, the isolated tribal community in the working area of the Tamilouw Health Center provides opportunities for adolescents to engage in sexual activity at an early age, marry/marry at an early age, the average number of children is more than four, giving birth with complications/bleeding. Therefore, it is necessary IVA examination for early detection of cervical cancer. \u0000Objective: The purpose of the study was to determine the effectiveness of audio-visual modules and media on knowledge about cervical cancer detection through the IVA method in Wus from isolated tribes. Methode: The research method is a quantitative research using a quasi-experimental design through a pretest posttest one group design approach. The number of samples used were 66 respondents with consecutive sampling technique that met the inclusion and exclusion criteria consisting of 33 respondents using modules and 33 respondents using audiovisual. Data were collected using a questionnaire and then analyzed descriptively using the Wilcoxon rank test formula and the Mann-Whitney test. Result: The results showed that health education using modules and audiovisuals had an effect on WUS knowledge about early detection of cervical cancer in the Tamilouw Health Center Work Area, and the use of audiovisuals was more effective than modules in increasing WUS knowledge. The cooperation of cadres and village officials is needed to disseminate information and knowledge to be followed up on VIA examinations in Health Services. \u0000 Keywords: Audio visual; IVA; Module; Knowledge; WUS \u0000 ","PeriodicalId":184811,"journal":{"name":"Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131020738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Chronic kidney disease patients undergoing hemodialysis will experience fatigue. The prevalence of chronic kidney disease (CKD) in 2017 worldwide was 10-15% and undergoing hemodialysis was 64.9%. In Indonesia, CKD continues to increase, in 2018 the prevalence was 3.8% and 85% underwent hemodialysis. The role of nurses is very important in overcoming fatigue, starting with a careful assessment of the level of fatigue so that appropriate interventions can be given to reduce fatigue. One of the interventions that can be done is to provide progressive muscle relaxation (PMR) exercises. PMR is a technique specifically designed to help relieve muscle tension that occurs when conscious. Objective: This study aims to determine the effect of PMR exercise on reducing fatigue in RSUD dr. M. Haulussy Ambon. Method: The research design used a pre-experimental design with a One group pre post test design approach. The sampling technique used purposive sampling technique with a sample size of 30 patients. Data analysis using Paired sample t-test. Result: The results showed that before PMR exercise 63.3% experienced fatigue with a mean value of 26.87 and after PMR exercise 46.7% experienced fatigue with an average value of 23.20. Statistical test results show p value = 0.004 (< 0.05). Conclusion: there is a significant effect between PMR exercise on reducing fatigue in patients with chronic kidney failure at dr. M. Haulussy Ambon.
{"title":"LATIHAN PROGRESSIVE MUSCLE RELAXATION (PMR) TERHADAP PENURUNAN FATIGUE PADA PASIEN PENYAKIT GINJAL KRONIK DI UNIT HEMODIALISA RSUD DR. M. HAULUSSY AMBON","authors":"F. A. Metekohy","doi":"10.32695/jkit.v1i1.230","DOIUrl":"https://doi.org/10.32695/jkit.v1i1.230","url":null,"abstract":"Background: Chronic kidney disease patients undergoing hemodialysis will experience fatigue. The prevalence of chronic kidney disease (CKD) in 2017 worldwide was 10-15% and undergoing hemodialysis was 64.9%. In Indonesia, CKD continues to increase, in 2018 the prevalence was 3.8% and 85% underwent hemodialysis. The role of nurses is very important in overcoming fatigue, starting with a careful assessment of the level of fatigue so that appropriate interventions can be given to reduce fatigue. One of the interventions that can be done is to provide progressive muscle relaxation (PMR) exercises. PMR is a technique specifically designed to help relieve muscle tension that occurs when conscious. Objective: This study aims to determine the effect of PMR exercise on reducing fatigue in RSUD dr. M. Haulussy Ambon. Method: The research design used a pre-experimental design with a One group pre post test design approach. The sampling technique used purposive sampling technique with a sample size of 30 patients. Data analysis using Paired sample t-test. Result: The results showed that before PMR exercise 63.3% experienced fatigue with a mean value of 26.87 and after PMR exercise 46.7% experienced fatigue with an average value of 23.20. Statistical test results show p value = 0.004 (< 0.05). Conclusion: there is a significant effect between PMR exercise on reducing fatigue in patients with chronic kidney failure at dr. M. Haulussy Ambon.","PeriodicalId":184811,"journal":{"name":"Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129761538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Latar Belakang: Deteksi dini penyimpangan perilaku emosional anak prasekolah penting untuk mengetahui adanya perilaku penyimpangan emosional anak sejak dini. Kegiatan deteksi ini dapat dilakukan oleh guru TK jika mereka memiliki pengetahuan. Pengetahuan guru TK dapat dimiliki melalui edukasi salah satunya menggunakan WhatsApp group. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh edukasi melalui WhatsApp group dalam meningkatkan pengetahuan guru TK tentang deteksi dini penyimpangan perilaku emosional anak prasekolah di Kota Masohi Kabupaten Maluku Tengah. Metode: Metode yang digunakan yaitu quasy eksperimen dengan pendekatan pretest dan posttest control with group design. Pengambilan sampel menggunakan teknik concencutive sampling, dengan jumlah sampel sebanyak 30 orang pada kelompok intervensi dan 30 orang pada kelompok kontrol. Hasil: Hasil uji Wilcoxon pada kelompok intervensi memiliki p value =0,001 dan kelompok kontrol 0,003, nilai tersebut <α 0,005, ini berarti terdapat pengaruh edukasi WhatsApp group terhadap pengetahuan responden. Uji mann Withney pada kedua kelompok diperoleh adanya perbedaan pengetahuan secara bermakna setelah mendapat edukasi, ini dibuktikan dengan p value =0,0001 < α 0,05. Kesimpulan: terdapat perbedaan yang signifikan antara pengetahuan deteksi dini penyimpangan perilaku emosional setelah diberikan edukasi kesehatan pada kelompok intervensi dan kontrol.
背景:学龄前儿童情绪异常行为的早期发现是发现儿童早期情绪异常行为的关键。如果幼儿园教师有知识，这些检测活动可以通过他们来进行。幼儿园教师的知识可以通过使用WhatsApp集团的教育来获得。目的:本研究旨在了解通过WhatsApp集团教育孩子的影响，以提高幼儿园教师对马鲁库省受虐儿童早期情绪异常行为的认识。方法:使用的方法是qu傻瓜实验与pretest方法和post control with group design。抽样技术是集中采样技术，干预小组的样本数量是30人，控制组的样本数量是30人。结果:Wilcoxon测试组织的干预有p值= 0.001 0.003和团体控制,这些<α0.005 WhatsApp教育集团,这意味着有影响受访者的知识。曼Withney在两组试验获得知识的差别后有意义地受教育,这证明p value = 0,0001 <α0。05。结论:在对干预集团进行健康教育和控制之后，早期发现情绪异常现象的知识存在显著差异。
{"title":"PENGARUH EDUKASI MEDIA WHATSAPP GROUP TENTANG DETEKSI DINI PENYIMPANGAN PERILAKU EMOSIONAL ANAK PRASEKOLAH TERHADAP PENGETAHUAN GURU TK DI KOTA MASOHI KABUPATEN MALUKU TENGAH","authors":"Wa Nuliana, Femi Serly Tuhumena, Joula Timisela","doi":"10.32695/jkit.v1i1.238","DOIUrl":"https://doi.org/10.32695/jkit.v1i1.238","url":null,"abstract":"Latar Belakang: Deteksi dini penyimpangan perilaku emosional anak prasekolah penting untuk mengetahui adanya perilaku penyimpangan emosional anak sejak dini. Kegiatan deteksi ini dapat dilakukan oleh guru TK jika mereka memiliki pengetahuan. Pengetahuan guru TK dapat dimiliki melalui edukasi salah satunya menggunakan WhatsApp group. Tujuan: Penelitian ini bertujuan untuk mengetahui pengaruh edukasi melalui WhatsApp group dalam meningkatkan pengetahuan guru TK tentang deteksi dini penyimpangan perilaku emosional anak prasekolah di Kota Masohi Kabupaten Maluku Tengah. Metode: Metode yang digunakan yaitu quasy eksperimen dengan pendekatan pretest dan posttest control with group design. Pengambilan sampel menggunakan teknik concencutive sampling, dengan jumlah sampel sebanyak 30 orang pada kelompok intervensi dan 30 orang pada kelompok kontrol. Hasil: Hasil uji Wilcoxon pada kelompok intervensi memiliki p value =0,001 dan kelompok kontrol 0,003, nilai tersebut <α 0,005, ini berarti terdapat pengaruh edukasi WhatsApp group terhadap pengetahuan responden. Uji mann Withney pada kedua kelompok diperoleh adanya perbedaan pengetahuan secara bermakna setelah mendapat edukasi, ini dibuktikan dengan p value =0,0001 < α 0,05. Kesimpulan: terdapat perbedaan yang signifikan antara pengetahuan deteksi dini penyimpangan perilaku emosional setelah diberikan edukasi kesehatan pada kelompok intervensi dan kontrol.","PeriodicalId":184811,"journal":{"name":"Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal)","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115704593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Norce Kainama, D. P. Tetelepta, Femi Serly Tuhumena
Background: Maternal mortality rate in Central Moluccas District registerd 4 casses in 2012, 10 casses in 2013. Since a long time ago woman protection has caried out by Naulu Tribal who life at beach of Region South Seram by isolatinive birthg woman who will give birth to a small house with a size 2x2 meter from settlements (15–20 meter). Objective: The aims of this research is how the protection measures by exile women giving birth by the Naulu Tribe towards the welfare of mothers and babies. Methodes: Qualitative ethnographic design. The main participants for mothers who will give birth at Posune and triangulation participants are traditional healers, husbands, families, traditional leaders, community leaders and midwives. Data were collected through in-depth interviews and observation. measurement using content analysis. Result: delivery in Posune a must for each woman in Naulu Tribal. All need of woman suplay by birth traditional attendant and others woman, depend on any family, ecample family S consume some herbalis made by birth traditional attendan. The infant consume breast feeding, caring from birth traditional attendant with control by midwifry. Comfort and enviroment temperature from traditional stove, no infection sign for umbilical. Conclusion: Traditional leader control for the tradition, community leader control repect at tradition. Midwifery good accept from the tribal and olways work with birth tradional attendant.
{"title":"TRADISI MELAHIRKAN SUKU NAULU DI POSUNE KABUPATEN MALUKU TENGAH","authors":"Norce Kainama, D. P. Tetelepta, Femi Serly Tuhumena","doi":"10.32695/jkit.v1i1.236","DOIUrl":"https://doi.org/10.32695/jkit.v1i1.236","url":null,"abstract":"Background: Maternal mortality rate in Central Moluccas District registerd 4 casses in 2012, 10 casses in 2013. Since a long time ago woman protection has caried out by Naulu Tribal who life at beach of Region South Seram by isolatinive birthg woman who will give birth to a small house with a size 2x2 meter from settlements (15–20 meter). Objective: The aims of this research is how the protection measures by exile women giving birth by the Naulu Tribe towards the welfare of mothers and babies. Methodes: Qualitative ethnographic design. The main participants for mothers who will give birth at Posune and triangulation participants are traditional healers, husbands, families, traditional leaders, community leaders and midwives. Data were collected through in-depth interviews and observation. measurement using content analysis. Result: delivery in Posune a must for each woman in Naulu Tribal. All need of woman suplay by birth traditional attendant and others woman, depend on any family, ecample family S consume some herbalis made by birth traditional attendan. The infant consume breast feeding, caring from birth traditional attendant with control by midwifry. Comfort and enviroment temperature from traditional stove, no infection sign for umbilical. Conclusion: Traditional leader control for the tradition, community leader control repect at tradition. Midwifery good accept from the tribal and olways work with birth tradional attendant.","PeriodicalId":184811,"journal":{"name":"Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal)","volume":"780 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130213807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Siti Fatimah Tuharea, Abuzar Wakano, Ratna Sari Rumakey
Background: Scabies is a skin iritation caused by the Sarcoptes Scabies varitashominis lice which causes scabies sufferers to generally feel uncomfortable and itch . Scabies occurs due to several factors, one of which is personal hygiene. Objective: This study aims to determine the relationship between personal hygiene and the incidence of scabies in coastal communities in Apui RT 06, Ampera Village, Masohi City. Methods: This study used a descriptive analytic method with cross sectional approach. The population is 121 people. The sample in this study amounted to 55 people with purposive sampling technique. Collecting data using observation sheets and questionnaires. Data analysis used Chi-square statistical test using SPSS with a significance level of α = 0.05. Result: There were 37 (67.3%) bad personal hygiene, while 18 (32.7%) had good personal hygiene. 15 (27,3%) did not experience scabies, while 40 (72,7%) had scabies. Conclusion: From the results of the statistical test used the Chi-square test, it was found that the p-value = 0.000
{"title":"HUBUNGAN PERSONAL HYGIENE DENGAN KEJADIAN SKABIES PADA MASYARAKAT PESISIR DI APUI RT 06 KELURAHAN AMPERA KECAMATAN KOTA MASOHI","authors":"Siti Fatimah Tuharea, Abuzar Wakano, Ratna Sari Rumakey","doi":"10.32695/jkit.v1i1.234","DOIUrl":"https://doi.org/10.32695/jkit.v1i1.234","url":null,"abstract":"Background: Scabies is a skin iritation caused by the Sarcoptes Scabies varitashominis lice which causes scabies sufferers to generally feel uncomfortable and itch . Scabies occurs due to several factors, one of which is personal hygiene. Objective: This study aims to determine the relationship between personal hygiene and the incidence of scabies in coastal communities in Apui RT 06, Ampera Village, Masohi City. Methods: This study used a descriptive analytic method with cross sectional approach. The population is 121 people. The sample in this study amounted to 55 people with purposive sampling technique. Collecting data using observation sheets and questionnaires. Data analysis used Chi-square statistical test using SPSS with a significance level of α = 0.05. Result: There were 37 (67.3%) bad personal hygiene, while 18 (32.7%) had good personal hygiene. 15 (27,3%) did not experience scabies, while 40 (72,7%) had scabies. Conclusion: From the results of the statistical test used the Chi-square test, it was found that the p-value = 0.000","PeriodicalId":184811,"journal":{"name":"Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal)","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117209422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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