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FAMILY SUPPORT WITH THE HEALTH BEHAVIOR OF PULMONARY TUBERCULOSIS PATIENTS AT THE X SIDOARJO HEALTH CENTER 家庭支持与 X SIDOARJO 健康中心肺结核患者的健康行为之间的关系
Pub Date : 2023-12-25 DOI: 10.36720/nhjk.v12i2.618
M. Diana, Agus Sulistyowati, Mira Febrianti
Background: Tuberculosis is a very dangerous disease and can cause death. Many efforts have been made by the government to overcome this disease and have saved around 66 million lives since 2000. However, efforts to overcome this disease have been in vain due to the pandemic of COVID-19. Objectives: The aim of this research is to identify the relationship between family support and the health behavior of pulmonary tuberculosis sufferers. Methods: This research uses a cross-sectional approach using incidental sampling techniques. The sample in this study was 51 pulmonary tuberculosis patients at Community Health Center X who had undergone treatment for two to six months. Results: Based on the data obtained in this study, the majority of respondents with good family support had good health behavior, namely 56%. The analytical test used to determine the relationship in this research is the Spearman rank analysis test. The results of the Spearman analysis obtained a p-value of 0.001 Conclusion: it can be concluded that there is a significant relationship between family support and self-care for pulmonary TB clients (p-value <0.05), with a correlation coefficient showing a positive value of 0.442. This shows that the higher the family support for pulmonary tuberculosis sufferers, the better the implementation of health behavior by sufferers.
背景介绍结核病是一种非常危险的疾病,可导致死亡。自 2000 年以来,政府为战胜这种疾病做出了许多努力,挽救了约 6600 万人的生命。然而,由于 COVID-19 的流行,攻克这一疾病的努力付诸东流。 目标:本研究旨在确定家庭支持与肺结核患者健康行为之间的关系。 研究方法本研究采用横断面方法,使用偶然抽样技术。研究样本为 51 名在 X 社区卫生中心接受过 2 至 6 个月治疗的肺结核患者。 研究结果根据本研究获得的数据,大多数有良好家庭支持的受访者有良好的健康行为,占 56%。本研究用于确定关系的分析测试是斯皮尔曼等级分析测试。斯皮尔曼分析结果的 p 值为 0.001 结论:可以得出结论,家庭支持与肺结核患者的自我护理之间存在显著关系(p 值小于 0.05),相关系数显示为正值 0.442。这表明,家庭对肺结核患者的支持越高,患者实施健康行为的情况就越好。
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引用次数: 0
NURSING STRUCTURAL EMPOWERMENT: A CONCEPT ANALYSIS 护理结构赋权:概念分析
Pub Date : 2023-12-21 DOI: 10.36720/nhjk.v12i2.573
Latifah Alenazi
Background: The concept of empowerment originated from the social sciences in the twentieth century. The concept was adopted in nursing to increase the professional progress of nursing sciences. The concept of empowerment is used in nursing as two constructs: structural and psychological. Objectives: The purpose of this paper is to perform a concept analysis of structural empowerment from a nursing perspective. Methods: Walker and Avant’s method of concept analysis was used Results: Autonomy and influence are considered major attributes of the structural empowerment concept in nursing. The method used for concept analysis provided purposeful clarification of the concept and confirmed the findings of the analysis. Conclusion: Structural empowerment in nursing has contributed positively to nurses, patient care, and organizations. It is linked to better quality effects, patient safety, and work effectiveness. Among leadership, it is associated with enhanced role satisfaction. Both inside and outside of organizational contexts, educational programs should play a part in developing empowerment since empowered nurses are more inclined to exercise skills like decision-making, problem-solving, and caregiving. Entail instructional programs to foster critical thinking, leadership, and better comprehension of nursing.
背景:赋权的概念源于二十世纪的社会科学。护理学采用这一概念是为了促进护理科学的专业进步。增强能力的概念在护理学中被用作两个建构:结构建构和心理建构。 目的:本文旨在从护理角度对结构性赋权进行概念分析。 方法:采用 Walker 和 Avant 的方法:采用 Walker 和 Avant 的概念分析方法:自主性和影响力被认为是护理领域结构性赋权概念的主要属性。用于概念分析的方法对概念进行了有目的的澄清,并证实了分析结果。 结论:护理中的结构性赋权对护士、病人护理和组织都有积极的促进作用。它与更好的质量效果、患者安全和工作效率有关。在领导层中,它与提高角色满意度有关。无论是在组织内部还是组织外部,教育计划都应在发展赋权方面发挥作用,因为获得赋权的护士更倾向于行使决策、解决问题和护理等技能。制定教学计划,培养批判性思维、领导力和对护理工作的更好理解。
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引用次数: 0
NEONATAL PAIN MANAGEMENT PRACTICES AMONG NURSES WORKING IN NEWBORN UNITS IN NYANZA AND WESTERN KENYA 尼安萨和肯尼亚西部新生儿科护士的新生儿疼痛管理实践
Pub Date : 2023-12-21 DOI: 10.36720/nhjk.v12i2.599
Teresa Kerubo Okiri, Mary Kiperemero, Beatrice Mukabana
Background: Newborn babies in the Neonatal Intensive Care Units (NICU) and Newborn Units (NBUs) undergo several procedures that cause a significant amount of pain. Nurses play an essential role in the implementation of pain assessment and management measures in neonates. However, while it remains widely known that nurses play an important role in neonatal pain management, nurses’ practices on the management of pain in neonates admitted in Newborn care units have not been widely published within the nursing science. Objectives: To evaluate neonatal pain management practices among nurses working in newborn units in Nyanza and Western Kenya. Methods: A descriptive cross-sectional study using qualitative and quantitative approaches was used targeting 89 nurses. The collection of data was done through semi-structured, self-administered questionnaires with both closed and open –ended questions. Qualitative data was collected through in-depth interviews. Data obtained was analyzed using the statistical package for social science (SPSS) version 22.0 software. The study assumed a confidence level of 95% and a (p) value equal to or less than 0.05 was considered significant. Qualitative data was analyzed through logic checks to understand the emerging themes. Descriptive statistical analysis was done using frequencies, percentage and means. Results: The study established that a small percentage of the nurses practiced pain management in neonates through use of non-pharmacologic (34.8%) and pharmacologic (28.1%) strategies. The commonly used non-pharmacologic strategies include changing of nappies (71.9%) and repositioning (68.5). Pain assessment was however seldom done. Conclusion: Following the results, the study concluded that nurses practice pain management in neonates by implementing non-pharmacological and pharmacological strategies. The commonly used pain management strategy in neonates is utilization of non-pharmacological strategies such as change of nappies repositioning and kangaroo mother care. However, gaps exist in knowledge and competency on neonatal pain management aspects and practice. The study therefore recommended enhancement of awareness on aspects of neonatal pain among nurses to facilitate improved pain management practices in neonates. Further strengthening of nurses’ knowledge and skills on pain management in neonates through attending scheduled short courses, workshops and on job training is recommended.
背景:新生儿重症监护室(NICU)和新生儿病房(NBU)中的新生儿在接受一些程序时会感到非常疼痛。护士在实施新生儿疼痛评估和管理措施方面发挥着至关重要的作用。然而,尽管护士在新生儿疼痛管理中发挥着重要作用已广为人知,但护士在新生儿护理病房中对新生儿疼痛管理的实践尚未在护理科学领域广泛发表。 研究目的评估肯尼亚尼安萨省和西部新生儿科护士的新生儿疼痛管理实践。 方法:描述性横断面研究:采用定性和定量方法对 89 名护士进行横断面描述性研究。数据收集是通过半结构式自填问卷进行的,问卷中既有封闭式问题,也有开放式问题。定性数据是通过深入访谈收集的。获得的数据使用社会科学统计软件包(SPSS)22.0 版软件进行分析。研究假定置信度为 95%,等于或小于 0.05 的 (p) 值被视为有意义。定性数据通过逻辑检查进行分析,以了解新出现的主题。使用频率、百分比和平均值进行描述性统计分析。 结果研究表明,一小部分护士通过使用非药物疗法(34.8%)和药物疗法(28.1%)对新生儿进行疼痛管理。常用的非药物策略包括换尿布(71.9%)和调整体位(68.5%)。但很少进行疼痛评估。 结论研究结果表明,护士通过实施非药物和药物治疗策略对新生儿进行疼痛管理。新生儿常用的止痛策略是使用非药物策略,如更换尿布、调整体位和袋鼠妈妈护理。然而,在新生儿疼痛管理方面的知识和能力以及实践方面还存在差距。因此,研究建议提高护士对新生儿疼痛方面的认识,以促进新生儿疼痛管理实践的改进。建议通过参加预定的短期课程、研讨会和在职培训,进一步加强护士在新生儿疼痛管理方面的知识和技能。
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引用次数: 0
EFFECTIVENESS ENHANCED RECOVERY AFTER CAESAREAN SURGERY (ERACS) ON CONSCIOUS RECOVERY TIME IN SECTIO CAESAREA PATIENTS IN THE RECOVERY ROOM OF RSAD TK. II UDAYANA 增强剖腹产术后恢复(ERACS)对 RSAD TK.II.恢复室剖腹产患者意识恢复时间的影响II UDAYANA
Pub Date : 2023-12-19 DOI: 10.36720/nhjk.v12i2.562
Yustina Ni, Putu Yusniawati, Emanuel Ileatan Lewar, Gade Agus, Shuarsedana Putra, Gusti Ayu, Nandita Arta Putri
Background: Enhanced recovery after Caesarean surgery (ERACS) is a method of perioperative care in the form of a multimodal approach. ERACS is a good method of pain management by reducing opioid use by 30-50 percent and using intravenous fluid therapy and a good combination of anti-nausea drugs. The ERACS technique was carried out starting from pre-intra and post-surgery. In its implementation, ERACS has various benefits, namely reducing postoperative complications, accelerating conscious recovery, saving costs and reducing morbidity. Urgency of this research is to find out effective surgical methods to speed up early postpartum mobilization without pain. Objective: To determine the effectiveness of the ERACS technique for conscious recovery in sectio caesarea patients with spinal anesthesia in the recovery room. Method: This study used a quasi-experimental with a cross-sectional approach using 2 groups, namely the control group and the treatment group. This research was carried out in June-August 2022 at TK II Udayana Hospital with 60 respondents for the control group and 60 for the treatment group. The research instrument uses a standard bromage score observation sheet. The research process was carried out by giving informed consent to the 2 groups and then post-surgery an assessment of conscious recovery was carried out in both groups. Results: The results of the study in the treatment group showed that the ERACS method had a faster recovery time of 15-30 minutes. The control group, namely the conventional method, has a longer conscious recovery time of 30-60 minutes. The statistical test Mann-Whitney test is sig <0.05 that can be concluded that ERACS is effective in decreasing the time to recover consciousness in the recovery room in patients with elective sectio caesarea surgery at RSAD Tk.II Udayana. Conclusion: The ERACS method is effective in accelerating the time to recover from consciousness in the recovery room and accelerating recovery in patients with elective sectio caesarea surgery at RSAD Tk.II Udayana. Therefore, the application of ERACS can be an effective choice to accelerate postoperative recovery with caesarean section.
背景:增强剖腹产术后恢复(ERACS)是一种多模式围手术期护理方法。ERACS是一种很好的疼痛管理方法,可减少30%-50%的阿片类药物使用量,并采用静脉输液疗法和抗恶心药物的良好组合。ERACS技术从手术前和手术后开始实施。在实施过程中,ERACS 具有多种益处,即减少术后并发症、加快意识恢复、节约成本和降低发病率。这项研究的当务之急是找到有效的手术方法,以加快无痛产后早期活动。 研究目的确定 ERACS 技术对在恢复室进行脊髓麻醉的剖腹产患者有意识恢复的有效性。 方法:本研究采用横断面准实验法,分为两组,即对照组和治疗组。研究于 2022 年 6 月至 8 月在 TK II Udayana 医院进行,对照组和治疗组各 60 名受访者。研究工具采用标准的布罗马格评分观察表。研究过程中,两组均获得知情同意,然后在手术后对两组患者的意识恢复情况进行评估。 结果:治疗组的研究结果显示,ERACS 方法的恢复时间更快,为 15-30 分钟。对照组,即传统方法,意识恢复时间较长,为 30-60 分钟。统计检验曼-惠特尼检验的 sig <0.05,可以得出结论:ERACS 能有效缩短乌达亚纳第二区妇产科中心选择性剖腹产手术患者在恢复室的意识恢复时间。 结论:ERACS 方法可有效加快恢复室中意识恢复的时间,并加快乌达亚纳 Tk.II 号 RSAD 选择性剖腹产手术患者的康复速度。因此,应用ERACS是加快剖腹产术后恢复的有效选择。
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引用次数: 0
DETERMINANTS OF MYOCARDIAL INFARCTION OUTCOMES IN A NON-PERCUTANEOUS CORONARY INTERVENTION HOSPITAL IN JAKARTA 雅加达一家非经皮冠状动脉介入治疗医院心肌梗死预后的决定因素
Pub Date : 2023-11-30 DOI: 10.36720/nhjk.v12i2.579
Talitha Syifa Laili, Wiwin Winarti
Background: Global cardiovascular challenges persist, notably in myocardial infarction (MI). Despite studying factors such as age, sex, MI type, and comorbidities impacting survival, knowledge gaps exist, particularly in Indonesia without recent MI data, especially in non-PCI settings. Objectives: This study seeks to bridge the knowledge gap concerning determinants of post-MI survival in hospitals without PCI facilities in Jakarta, Indonesia. Methods: Adopting a retrospective cross-sectional design, 112 medical record patients from an Emergency Department of non-PCI hospital in Jakarta were selected via purposive sampling. A structured checklist was utilized to assess 16 variables and the primary endpoint was post-treatment status. The study employed Chi-square, Fisher's exact, and Likelihood ratio tests to analyze the relationship between demographics, risk Factors, and MI treatment access and the post-treatment status. Results: Results highlighted that of 112 myocardial infarction (MI) patients, males constituted 70.5%, with Non-ST Elevation Myocardial Infarction as the predominant subtype (57.1%). Most participants (86.6%) were ≥45 years old. Prevalence rates included hypertension (56.3%), Diabetes Mellitus (40.2%), Congestive Heart Failure (42.0%), and prior MI (27.7%). Post-MI survival stood at 92.9%, with 7.1% mortality. The results revealed a significant correlation between cardiogenic shock and MI outcomes (p=0.000), indicating a protective advantage (OR: 0.018) for those without cardiogenic shock against MI-related mortality. Conclusion: While cardiogenic shock has been reaffirmed as the sole predictor of post-myocardial infarction mortality in our study, it's crucial to heighten awareness of other MI determinants, including age, gender disparities, smoking status, and the dynamics of therapeutic measures. This underlines the pressing need for early identification and evidence-based management strategies.
背景:全球心血管疾病仍面临挑战,尤其是心肌梗死(MI)。尽管对影响存活率的年龄、性别、心肌梗死类型和合并症等因素进行了研究,但仍存在知识差距,特别是在没有近期心肌梗死数据的印度尼西亚,尤其是在非 PCI 环境中。 研究目的本研究旨在填补印尼雅加达没有 PCI 设施的医院中有关心肌梗死后存活率决定因素的知识空白。 研究方法采用回顾性横断面设计,通过目的性抽样从雅加达一家非 PCI 医院的急诊科选取了 112 名有医疗记录的患者。采用结构化核对表评估 16 个变量,主要终点为治疗后状态。研究采用了卡方检验、费雪精确检验和似然比检验来分析人口统计学、风险因素、心肌梗死治疗机会与治疗后状态之间的关系。 结果结果显示,在 112 名心肌梗死(MI)患者中,男性占 70.5%,主要亚型为非 ST 段抬高型心肌梗死(57.1%)。大多数参与者(86.6%)的年龄≥45 岁。发病率包括高血压(56.3%)、糖尿病(40.2%)、充血性心力衰竭(42.0%)和既往心肌梗死(27.7%)。心肌梗死后存活率为 92.9%,死亡率为 7.1%。结果显示,心源性休克与心肌梗死结果之间存在明显的相关性(P=0.000),表明无心源性休克者对心肌梗死相关死亡率具有保护性优势(OR:0.018)。 结论:在我们的研究中,心源性休克再次被确认为心肌梗死后死亡率的唯一预测因素,但我们也必须提高对其他心肌梗死决定因素的认识,包括年龄、性别差异、吸烟状况和治疗措施的动态变化。这强调了早期识别和循证管理策略的迫切需要。
{"title":"DETERMINANTS OF MYOCARDIAL INFARCTION OUTCOMES IN A NON-PERCUTANEOUS CORONARY INTERVENTION HOSPITAL IN JAKARTA","authors":"Talitha Syifa Laili, Wiwin Winarti","doi":"10.36720/nhjk.v12i2.579","DOIUrl":"https://doi.org/10.36720/nhjk.v12i2.579","url":null,"abstract":"Background: Global cardiovascular challenges persist, notably in myocardial infarction (MI). Despite studying factors such as age, sex, MI type, and comorbidities impacting survival, knowledge gaps exist, particularly in Indonesia without recent MI data, especially in non-PCI settings. Objectives: This study seeks to bridge the knowledge gap concerning determinants of post-MI survival in hospitals without PCI facilities in Jakarta, Indonesia. Methods: Adopting a retrospective cross-sectional design, 112 medical record patients from an Emergency Department of non-PCI hospital in Jakarta were selected via purposive sampling. A structured checklist was utilized to assess 16 variables and the primary endpoint was post-treatment status. The study employed Chi-square, Fisher's exact, and Likelihood ratio tests to analyze the relationship between demographics, risk Factors, and MI treatment access and the post-treatment status. Results: Results highlighted that of 112 myocardial infarction (MI) patients, males constituted 70.5%, with Non-ST Elevation Myocardial Infarction as the predominant subtype (57.1%). Most participants (86.6%) were ≥45 years old. Prevalence rates included hypertension (56.3%), Diabetes Mellitus (40.2%), Congestive Heart Failure (42.0%), and prior MI (27.7%). Post-MI survival stood at 92.9%, with 7.1% mortality. The results revealed a significant correlation between cardiogenic shock and MI outcomes (p=0.000), indicating a protective advantage (OR: 0.018) for those without cardiogenic shock against MI-related mortality. Conclusion: While cardiogenic shock has been reaffirmed as the sole predictor of post-myocardial infarction mortality in our study, it's crucial to heighten awareness of other MI determinants, including age, gender disparities, smoking status, and the dynamics of therapeutic measures. This underlines the pressing need for early identification and evidence-based management strategies.","PeriodicalId":189295,"journal":{"name":"Nurse and Health: Jurnal Keperawatan","volume":"21 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139206744","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}
引用次数: 0
THE EFFECT OF BAY LEAF GARLIC DECOCTIONON ON LOW CHOLINESTERASE LEVELS DUE TO PESTICIDE EXPOSURE IN FARMERS IN PASURUAN 月桂叶大蒜煎剂对帕苏鲁安农民因接触杀虫剂导致胆碱酯酶水平低的影响
Pub Date : 2023-11-30 DOI: 10.36720/nhjk.v12i2.563
Mukhammad Toha, Ida Zuhroidah, Mokh. Sujarwadi
Background: Pesticides are chemicals used by farmers to control and kill pests and diseases. Pesticides can poison humans, although their main use is to control and kill agricultural pests. Pesticide poisoning is still a problem that often occurs in society. Objectives: The aim of this study was to determine the effectiveness of garlic and bay leaf decoction in increasing cholinesterase levels of farmers exposed to pesticides in Pasuruan Raya. Methods: The design of this study was a pre-experimental, one-group pretest-posttest with a population of rice processing farmers in Pasuruan Raya. The sample size used was 20 farmers taken by purposive sampling. The independent variable was the administration of a decoction of garlic and bay leaf for fifteen days, the dependent variable was the level of cholinesterase in the blood. Data were analyzed using paired sample t test. Conclusion: The use of garlic and bay leaf decoction in this study is a complementary therapy given to farmers as a regulator of reducing cholinesterase levels which is an indicator of the accumulation of pesticides in the body. It is expected to be an effective and efficient solution. it is hoped that farmers will be able to independently maintain their health through smart techniques in utilizing local wisdom resources by cultivating materials, managing, preparing and processing natural materials into medicines that can be done independently, not only able to improve health status but also provide opportunities for development into business ventures creative economy that can increase income and economic welfare.
背景:农药是农民用来控制和杀死病虫害的化学品。尽管杀虫剂的主要用途是控制和杀死农业害虫,但杀虫剂也会毒害人类。农药中毒仍然是社会上经常发生的问题。 研究目的本研究旨在确定大蒜和月桂叶煎剂对提高 Pasuruan Raya 地区接触杀虫剂的农民的胆碱酯酶水平的有效性。 研究方法本研究采用实验前、单组前测-后测的设计,研究对象为 Pasuruan Raya 的大米加工农民。样本量为 20 个农民,采用目的性抽样。自变量是连续 15 天服用大蒜和月桂叶煎剂,因变量是血液中胆碱酯酶的水平。数据采用配对样本 t 检验进行分析。 得出结论:在这项研究中,使用大蒜和月桂叶煎剂是一种辅助疗法,可作为降低胆碱酯酶水平的调节剂提供给农民,而胆碱酯酶是农药在体内积累的指标。希望农民能够通过巧妙的技术,利用当地的智慧资源,通过种植材料、管理、准备和将天然材料加工成可以独立完成的药物,来独立维护自身的健康,不仅能够改善健康状况,还能提供发展成商业企业创意经济的机会,从而增加收入和经济福利。
{"title":"THE EFFECT OF BAY LEAF GARLIC DECOCTIONON ON LOW CHOLINESTERASE LEVELS DUE TO PESTICIDE EXPOSURE IN FARMERS IN PASURUAN","authors":"Mukhammad Toha, Ida Zuhroidah, Mokh. Sujarwadi","doi":"10.36720/nhjk.v12i2.563","DOIUrl":"https://doi.org/10.36720/nhjk.v12i2.563","url":null,"abstract":"Background: Pesticides are chemicals used by farmers to control and kill pests and diseases. Pesticides can poison humans, although their main use is to control and kill agricultural pests. Pesticide poisoning is still a problem that often occurs in society. Objectives: The aim of this study was to determine the effectiveness of garlic and bay leaf decoction in increasing cholinesterase levels of farmers exposed to pesticides in Pasuruan Raya. Methods: The design of this study was a pre-experimental, one-group pretest-posttest with a population of rice processing farmers in Pasuruan Raya. The sample size used was 20 farmers taken by purposive sampling. The independent variable was the administration of a decoction of garlic and bay leaf for fifteen days, the dependent variable was the level of cholinesterase in the blood. Data were analyzed using paired sample t test. Conclusion: The use of garlic and bay leaf decoction in this study is a complementary therapy given to farmers as a regulator of reducing cholinesterase levels which is an indicator of the accumulation of pesticides in the body. It is expected to be an effective and efficient solution. it is hoped that farmers will be able to independently maintain their health through smart techniques in utilizing local wisdom resources by cultivating materials, managing, preparing and processing natural materials into medicines that can be done independently, not only able to improve health status but also provide opportunities for development into business ventures creative economy that can increase income and economic welfare.","PeriodicalId":189295,"journal":{"name":"Nurse and Health: Jurnal Keperawatan","volume":"63 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139197910","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}
引用次数: 0
UTERINE INVOLUTION IN DAWANESSE POSTPARTUM MOTHERS WITH TATOBI PRACTICES 采用塔托比习俗的达瓦内塞产后母亲的子宫复旧术
Pub Date : 2023-11-30 DOI: 10.36720/nhjk.v12i2.575
Kristiani Desimina Tauho, Rifatolistia Tampubolon, Maya Miranthi Oematan
Background: The Dawan tribe is a tribe on the mainland of Timor Island that owns a tradition of caring for postpartum mothers called Tatobi. Tatobi is a tradition done by compressing the vagina, perineum, abdomen, and mother's breast using a traditional cloth dipped in hot water. Heat stimulation can cause vasodilation, possibly affecting the process of returning the uterus to its original state, known as uterine involution. Objectives: This study aims to determine differences of uterine involution in postpartum mothers who did and did not practice tatobi. Methods: This quantitative study uses a comparative descriptive study design involving 15 exposed groups and 15 control group people. Determination of respondents using the quota in Binaus Health Center, Kapan Health Center, and Fatumnasi Health Center. Technique data collection using direct lochia observation, measurement of uterine fundus height, and interviews to find out the practice of Tatobi. The data were then analyzed using the paired t-test. Results: The study showed no significant difference in FH of exposed and control groups on the first and third days of postpartum, which showed a p-value of 0.325 and 0.261, respectively. In contrast, there was a significant difference in FH on the seventh day, with a p-value of 0.000 at a 95% confidence level. The results also showed no significant difference in lochia’s volume on the 1st and the third day of postpartum (p-values 0.764 and 0.426, respectively). However, the lochia’s volume differed in the exposed and control groups with a p-value of 0.048). The results of this study could be due to the lax practice of tatobi, which is supported by factors of early mobilization, fulfilment of nutria ents, age, and parity. Conclusion: This research concludes that there is a difference of the process of uterine involution in the exposed group and the control group on the seventh day.
背景介绍达万部落是帝汶岛大陆上的一个部落,拥有一种名为 "Tatobi "的照顾产后母亲的传统。Tatobi 是一种用蘸有热水的传统布条压迫阴道、会阴、腹部和母亲乳房的传统。热刺激可导致血管扩张,可能会影响子宫恢复原状的过程,即子宫内陷。 研究目的本研究旨在确定产后母亲使用和不使用 "塔托比 "的子宫内陷情况的差异。 研究方法本定量研究采用比较描述性研究设计,涉及 15 个暴露组和 15 个对照组。在 Binaus 卫生中心、Kapan 卫生中心和 Fatumnasi 卫生中心使用配额确定受访者。通过直接观察阴道出血、测量子宫底高度和访谈了解 Tatobi 的做法,从而收集数据。然后使用配对 t 检验对数据进行分析。 结果显示研究显示,暴露组和对照组在产后第一天和第三天的宫底高度无明显差异,P 值分别为 0.325 和 0.261。相比之下,暴露组和对照组的 FH 在产后第七天有显著差异,在 95% 的置信水平下,P 值为 0.000。结果还显示,产后第 1 天和第 3 天的塬液量没有明显差异(p 值分别为 0.764 和 0.426)。然而,暴露组和对照组的塬液量有差异(P 值为 0.048)。这项研究的结果可能是由于塔托比的做法不严格,而早期动员、满足营养需求、年龄和胎次等因素也支持了这一结果。 结论本研究得出结论,暴露组和对照组在第七天的子宫内陷过程存在差异。
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引用次数: 0
ATTITUDES TOWARDS MENTAL ILLNESS TO DECREASE THE FAMILY CAREGIVERS’ BURDEN 对精神病的态度,以减轻家庭照顾者的负担
Pub Date : 2023-11-30 DOI: 10.36720/nhjk.v12i2.591
Faida Annisa, Agus Sulistyowati, Dini Prastyo Wijayanti
Background: Community-based mental health services should be aware of the role of family and society. With the stigma issues in mental illness that still remain, the impact would be greater on the family caregivers. Their behavior toward patients creates a burden on care. Objectives: Assess the relationship between attitude toward mental illness and burden of family caregivers. Methods: Descriptive with a cross sectional approach. There were 120 family caregivers of patients with Schizophrenia in the hospital in Surabaya, Indonesia participated on this study by using purposive sampling technique. The instruments on this study were Attitudes towards Schizophrenia Questionnaire (ATSQ) and Burden Assessment Schedule (BAS). Results: The higher burden correlates with the negative attitude toward mental illness (r(118)= .54, p= .000). Conclusion: Realistic attitude would relieve the burden for family caregiver. Therefore, need more knowledge for family and society to shape their behavior toward patients with mental illness.
背景:以社区为基础的精神健康服务应该意识到家庭和社会的作用。由于精神疾病的污名化问题仍然存在,对家庭照顾者的影响会更大。他们对病人的行为会给护理工作带来负担。 目标评估对精神疾病的态度与家庭照顾者负担之间的关系。 方法:描述性横断面研究描述性横断面方法。采用目的性抽样技术,共有 120 名印尼泗水医院精神分裂症患者的家庭护理人员参与了此次研究。研究工具为精神分裂症态度问卷(ATSQ)和负担评估表(BAS)。 研究结果较高的负担与对精神疾病的消极态度相关(r(118)= .54, p= .000)。 结论现实的态度会减轻家庭照顾者的负担。因此,家庭和社会需要更多的知识来塑造他们对精神病患者的行为。
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引用次数: 0
THE EFFECT OF THERAPEUTIC GROUP THERAPY (TGT) FOR MIDDLE AGED ADULTS ON THE RESILIENCE OF COASTAL RESIDENTS AFTER THE COVID-19 PANDEMIC 针对中年人的治疗性小组疗法(TGT)对沿海居民在科维德-19 大流行后的复原力的影响
Pub Date : 2023-11-30 DOI: 10.36720/nhjk.v12i2.570
Nurul Huda, B. D. Cahyono, Evy Aristawati, Dody Wijaya
Background: Almost everyone has been directly or indirectly affected by the COVID-19 virus pandemic. Many people are not ready to adapt to sudden lifestyle changes. This causes some people to experience fear and anxiety. Objectives: The study aimed to analyze group therapy effect on coastal resident’s resilience after the Covid-19 pandemic. Methods: This study uses Quasy Experimental Pre-Posttest design, with 2 groups. The location of this research is in the northern coastal area of Pasuruan City and Regency. The sampling technique of this study used purposive sampling, a total of 20 respondents were divided into two group, namely the control grouop and the treatment group. To mesuare the level of resiliensi all the responden were given The pretest and post test carried out using instruments to determine community resilience after the Covid-19 pandemic using the Resilience,however only the treatment group was given the TKT interventio. Processing and testing of data using SPSS software, with the Wilcoxon statistical test with α = 0.05. Results: The results of the study with the Wilcoxon statistical test in the treatment group obtained a value of p = 0.001 (p <0.05) and in the control group obtained a value of p = 0.083 (p > 0.05)this means there is a significant difference between the control group and the treatment group. Conclusion: This study concludes that there is a significant difference in the resilience of the community during the pretest and posttest in the treatment group receiving therapeutic group therapy, and there is no significant difference in the strength of the coastal community during the pretest and posttest in the control group. For this reason researchers suggest regularly holding this TKT for residents to increase the resiliensi of coastal residents.
背景:几乎每个人都受到 COVID-19 病毒大流行的直接或间接影响。许多人还没有准备好适应生活方式的突然改变。这导致一些人感到恐惧和焦虑。 研究目的本研究旨在分析团体治疗对 Covid-19 大流行后沿海居民复原力的影响。 研究方法本研究采用夸塞实验前-后测设计,分两组进行。研究地点位于 Pasuruan 市北部沿海地区。本研究的抽样技术采用目的性抽样,共有 20 名受访者被分为两组,即对照组和治疗组。为了评估复原力水平,所有受访者都接受了前测和后测,使用复原力工具来确定社区在 Covid-19 大流行后的复原力,但只有治疗组接受了 TKT 干预。使用 SPSS 软件对数据进行处理和检验,并进行 Wilcoxon 统计检验,检验值 α = 0.05。 结果:治疗组的 Wilcoxon 统计检验结果为 p = 0.001(p 0.05),这意味着对照组和治疗组之间存在显著差异。 结论本研究得出的结论是,接受治疗性团体疗法的治疗组在前测和后测期间的社区复原力存在显著差异,而对照组在前测和后测期间的沿海社区力量没有显著差异。因此,研究人员建议定期为居民举办这种 TKT,以提高沿海居民的复原力。
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引用次数: 0
THE EFFECT OF BENEFITS, BARRIERS, AND SELF-EFFICACY ON PUBLIC HEALTH PROMOTION BEHAVIOR DURING THE COVID-19 PANDEMIC 在科维德-19 大流行期间,利益、障碍和自我效能对公众健康促进行为的影响
Pub Date : 2023-11-30 DOI: 10.36720/nhjk.v12i2.501
Dheni Koerniawan
Background: Pandemic of Covid-19 situation made people to adapt wiht new normal habitually. Health promotion behavior may determine by perceived benefit, barrier, and self-efficacy. Objectives: This research aimed to know the effect of perceived benefit, barrier, and self-efficacy to health promotion behavior in Palembang during pandemic Covid-19. Methods: This study done with cross-sectional design to 183 respondents who lived in Palembang taken by randomized with online questionnaire. The instrument of this study conducted from Pender’s HPM model developed by author. Study result analyzed by SEM-PLS approach to test direct and indirect effects. Results: The results showed that there was not significant effect of self-efficacy to barrier (β= -0.137; p= 0.067) and health promotion behavior (β= -0.026; p= 0.711), but the findings also showed significant effect of self-efficacy to benefit (β= 0.212; p= 0.017), benefit to barrier (β= -0.152; p= 0.046), barrier to health promotion behavior (β= -0.141; p= 0.039), and benefit to health promotion behavior (β= 0.331; p< 0.001). Otherwise, there was also found significant indirect effect of self-efficacy to health promotion behavior by benefit as mediator (β= 0.07; p= 0.026). Overall model give 14.2% to HBP. Conclusion: Perceived benefits and perceived barriers are significant predictors of individual health promotion behavior. Meanwhile, self-efficacy does not have a significant effect. In addition, self-efficacy has a significant influence on perceived benefits and perceived benefits on perceived barriers. Self-efficacy also has an indirect influence on health promotion behavior through perceived benefits as mediators
背景:科维德-19 "大流行使人们习惯性地适应新常态。健康促进行为可能由感知到的益处、障碍和自我效能决定。 研究目的本研究旨在了解在 Covid-19 大流行期间,感知到的益处、障碍和自我效能对巴伦邦人健康促进行为的影响。 研究方法本研究采用横断面设计,对居住在巴伦邦的 183 名受访者随机进行在线问卷调查。本研究的工具来自作者开发的彭德 HPM 模型。研究结果通过 SEM-PLS 方法进行分析,以检验直接和间接影响。 结果显示结果显示,自我效能对障碍(β= -0.137; p=0.067)和健康促进行为(β= -0.026; p=0.711)的影响不显著,但研究结果还显示,自我效能对受益(β= 0.212;p= 0.017)、受益对障碍(β= -0.152;p= 0.046)、障碍对健康促进行为(β= -0.141;p= 0.039)、受益对健康促进行为(β= 0.331;p< 0.001)有显著影响。此外,还发现自我效能感对健康促进行为有显著的间接影响,即以受益为中介(β= 0.07; p=0.026)。总体模型对 HBP 的影响为 14.2%。 结论感知到的益处和感知到的障碍是个人健康促进行为的重要预测因素。同时,自我效能感的影响并不显著。此外,自我效能感对感知到的益处有显著影响,而感知到的益处对感知到的障碍也有显著影响。自我效能感还通过感知到的益处作为中介对健康促进行为产生间接影响
{"title":"THE EFFECT OF BENEFITS, BARRIERS, AND SELF-EFFICACY ON PUBLIC HEALTH PROMOTION BEHAVIOR DURING THE COVID-19 PANDEMIC","authors":"Dheni Koerniawan","doi":"10.36720/nhjk.v12i2.501","DOIUrl":"https://doi.org/10.36720/nhjk.v12i2.501","url":null,"abstract":"Background: Pandemic of Covid-19 situation made people to adapt wiht new normal habitually. Health promotion behavior may determine by perceived benefit, barrier, and self-efficacy. Objectives: This research aimed to know the effect of perceived benefit, barrier, and self-efficacy to health promotion behavior in Palembang during pandemic Covid-19. Methods: This study done with cross-sectional design to 183 respondents who lived in Palembang taken by randomized with online questionnaire. The instrument of this study conducted from Pender’s HPM model developed by author. Study result analyzed by SEM-PLS approach to test direct and indirect effects. Results: The results showed that there was not significant effect of self-efficacy to barrier (β= -0.137; p= 0.067) and health promotion behavior (β= -0.026; p= 0.711), but the findings also showed significant effect of self-efficacy to benefit (β= 0.212; p= 0.017), benefit to barrier (β= -0.152; p= 0.046), barrier to health promotion behavior (β= -0.141; p= 0.039), and benefit to health promotion behavior (β= 0.331; p< 0.001). Otherwise, there was also found significant indirect effect of self-efficacy to health promotion behavior by benefit as mediator (β= 0.07; p= 0.026). Overall model give 14.2% to HBP. Conclusion: Perceived benefits and perceived barriers are significant predictors of individual health promotion behavior. Meanwhile, self-efficacy does not have a significant effect. In addition, self-efficacy has a significant influence on perceived benefits and perceived benefits on perceived barriers. Self-efficacy also has an indirect influence on health promotion behavior through perceived benefits as mediators","PeriodicalId":189295,"journal":{"name":"Nurse and Health: Jurnal Keperawatan","volume":"61 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139196827","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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Nurse and Health: Jurnal Keperawatan
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