Lale Wisnu Andrayani, GA Sri Puja Warnis Wijayanti, Desty Emilyani, Qibithia Maria Malik
In the COVID-19 pandemic, the triggering factor for stress among the elderlies is that they are afraid of contracting COVID-19, becoming a source of transmission, and dying from Covid-19. In fact, the level of risk of transmission and death in elderly patients is higher than in younger. This study aims determine the effectiveness of reminiscence therapy and deep breathing relaxation therapy on reducing stress levels in the elderly during the Covid-19 pandemic. This study used a quasi-experimental pre-posttest method. The sample was 32 elderlies who experience moderate and mild stress in Terong Tawah Village, chosen using the purposive sampling method. Data collection used the DASS questionnaire, analyzed using the paired T-test and the independent t-test. Results showed the average stress level before reminiscence therapy was 20,06 and after therapy was 14.06. Whereas, the average stress level before deep breathing relaxation therapy was 20.25 and after therapy was 17.06. There was an effect of reminiscence therapy and deep breathing relaxation therapy the stress levels of the elderly with ρ value = 0.00. However, there was no significant difference between the effectiveness of reminiscence therapy and that of deep breathing relaxation therapy. (p-value = 0.022, α = 0.05). It can be concluded that reminiscence therapy and deep breathing relaxation therapy are both effective in reducing stress levels in the elderly. Health workers can provide education about reminiscence therapy by involving the family and deep breathing relaxation for the elderly as an alternative therapy to reduce stress levels.
{"title":"Effectiveness of Reminiscence Therapy and Deep Breath Relaxation Therapy on Stress Levels of Elderly During the Covid-19 Pandemic","authors":"Lale Wisnu Andrayani, GA Sri Puja Warnis Wijayanti, Desty Emilyani, Qibithia Maria Malik","doi":"10.32807/jkt.v5i2.366","DOIUrl":"https://doi.org/10.32807/jkt.v5i2.366","url":null,"abstract":"In the COVID-19 pandemic, the triggering factor for stress among the elderlies is that they are afraid of contracting COVID-19, becoming a source of transmission, and dying from Covid-19. In fact, the level of risk of transmission and death in elderly patients is higher than in younger. This study aims determine the effectiveness of reminiscence therapy and deep breathing relaxation therapy on reducing stress levels in the elderly during the Covid-19 pandemic. This study used a quasi-experimental pre-posttest method. The sample was 32 elderlies who experience moderate and mild stress in Terong Tawah Village, chosen using the purposive sampling method. Data collection used the DASS questionnaire, analyzed using the paired T-test and the independent t-test. Results showed the average stress level before reminiscence therapy was 20,06 and after therapy was 14.06. Whereas, the average stress level before deep breathing relaxation therapy was 20.25 and after therapy was 17.06. There was an effect of reminiscence therapy and deep breathing relaxation therapy the stress levels of the elderly with ρ value = 0.00. However, there was no significant difference between the effectiveness of reminiscence therapy and that of deep breathing relaxation therapy. (p-value = 0.022, α = 0.05). It can be concluded that reminiscence therapy and deep breathing relaxation therapy are both effective in reducing stress levels in the elderly. Health workers can provide education about reminiscence therapy by involving the family and deep breathing relaxation for the elderly as an alternative therapy to reduce stress levels.","PeriodicalId":477013,"journal":{"name":"Jurnal Keperawatan Terpadu","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135671762","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}
Setyoadi Setyoadi, Lisa Theana Dewi, Wening Prastowo
Depression in the elderly is a mental disorder experienced by individuals aged 60 years and over, including feelings of sadness, anxiety, difficulty sleeping and desperation. Depression in wives who are entering old age is a serious mental health problem. Most elderly does not know the symptoms of depression, and it make it difficult for them to adjust to the stressors. The husband is the main source of support for the wife in maintaining her health. The purpose of this study was to determine the correlation between husband's support and the incidence of depression wife among elderlies. This research was an analytic descriptive correlation study with a cross sectional approach. The research sample is 40 wives chosen by purposive sampling with inclusion criteria: 60-90 years old; still had husbands; lived with their husbands; experiencing depression. The research instruments were the Geriatric Depression Scale (GDS) questionnaire and the husband support questionnaire developed by the researchers. The data analysis using Spearman Rank correlation test. The results showed that 22 respondents (55%) had sufficient support from husband; 17 respondents (42.5%) experienced mild depression, and there was a correlation between husband support and the wife's depression level (p-value=0.000) and the value of the correlation coefficient (r)=-0.648. It is suggested that community nurses and cadres for elderlies involve the husbands to provide support for their wives to prevent depression
{"title":"Husband's Support Relationship with Elderly Wife's Depression Level","authors":"Setyoadi Setyoadi, Lisa Theana Dewi, Wening Prastowo","doi":"10.32807/jkt.v5i2.354","DOIUrl":"https://doi.org/10.32807/jkt.v5i2.354","url":null,"abstract":"Depression in the elderly is a mental disorder experienced by individuals aged 60 years and over, including feelings of sadness, anxiety, difficulty sleeping and desperation. Depression in wives who are entering old age is a serious mental health problem. Most elderly does not know the symptoms of depression, and it make it difficult for them to adjust to the stressors. The husband is the main source of support for the wife in maintaining her health. The purpose of this study was to determine the correlation between husband's support and the incidence of depression wife among elderlies. This research was an analytic descriptive correlation study with a cross sectional approach. The research sample is 40 wives chosen by purposive sampling with inclusion criteria: 60-90 years old; still had husbands; lived with their husbands; experiencing depression. The research instruments were the Geriatric Depression Scale (GDS) questionnaire and the husband support questionnaire developed by the researchers. The data analysis using Spearman Rank correlation test. The results showed that 22 respondents (55%) had sufficient support from husband; 17 respondents (42.5%) experienced mild depression, and there was a correlation between husband support and the wife's depression level (p-value=0.000) and the value of the correlation coefficient (r)=-0.648. It is suggested that community nurses and cadres for elderlies involve the husbands to provide support for their wives to prevent depression","PeriodicalId":477013,"journal":{"name":"Jurnal Keperawatan Terpadu","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135671772","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}
Consumption of blood supplement tablets (TTD) during menstruation is one effort to prevent anemia. The Ministry of Health recommends taking one tablet supplements weekly and one tablet daily during menstruation. However, adherence of TTD consumption still low among adolescence. The purpose of this study was to determine the effect of direct supervision of tablets consumption on hemoglobin level of adolescent girls. This research is a quasi-experimental with pretest-post-test with control group. Samples are female students of Islamic Boarding School at Bengkulu City. A total sample of 56 female students consisting of 28 intervention group and 28 control group was taken by systematic random sampling. Data were analyzed using t-test. TTD were given every day during menstruation until 2 months. Hemoglobin levels baseline were measured at the first day after menstruation and post HB level were measured at the third month of menstruation. The results showed that the baseline of mean HB in intervention group was 12.2 gr and control group was 12.74 gr and after intervention, the mean of HB increases in intervention group by 1.13 gr and in control group by 0.4 gr. There was a difference in average of hemoglobin levels before and after intervention between the two groups, the difference was 0.79 gr (p 0.000 < α 0.005). Supervision of TTD consumption by the closest person like teacher was important for students, it can promote adherence of TTD consumption, which can increase HB levels and lower anemia among adolescent.
月经期间服用补血片(TTD)是预防贫血的一种方法。卫生部建议在月经期间每周服用一片补充剂，每天服用一片。然而，青少年坚持服用TTD的比例仍然很低。本研究的目的是确定直接监督片剂消费对青春期女孩血红蛋白水平的影响。本研究为准实验，采用前测后测法，对照组采用后测法。样本是明古鲁市伊斯兰寄宿学校的女学生。采用系统随机抽样的方法，抽取干预组28名，对照组28名，共56名女大学生。数据分析采用t检验。月经期间每天给予TTD，直至2个月。在月经后第一天测量血红蛋白基线水平，在月经后第三个月测量HB水平。结果显示，干预组平均HB基线为12.2 gr，对照组为12.74 gr，干预后，干预组平均HB升高1.13 gr，对照组升高0.4 gr。干预前后两组平均血红蛋白水平比较，差异为0.79 gr (p 0.000 <α- 0.005)。由老师等最亲近的人监督TTD的摄入对学生很重要，它可以促进TTD摄入的依从性，从而提高青少年HB水平，降低贫血。
{"title":"Direct Supervision of Daily Consumption of Blood Supplement Tablets During Menstruation Can Increase Adolescent Hemoglobin Levels","authors":"Depi Susen Dewi, Asmawati Asmawati, Erni Buston, Rahma Annisa","doi":"10.32807/jkt.v5i2.363","DOIUrl":"https://doi.org/10.32807/jkt.v5i2.363","url":null,"abstract":"Consumption of blood supplement tablets (TTD) during menstruation is one effort to prevent anemia. The Ministry of Health recommends taking one tablet supplements weekly and one tablet daily during menstruation. However, adherence of TTD consumption still low among adolescence. The purpose of this study was to determine the effect of direct supervision of tablets consumption on hemoglobin level of adolescent girls. This research is a quasi-experimental with pretest-post-test with control group. Samples are female students of Islamic Boarding School at Bengkulu City. A total sample of 56 female students consisting of 28 intervention group and 28 control group was taken by systematic random sampling. Data were analyzed using t-test. TTD were given every day during menstruation until 2 months. Hemoglobin levels baseline were measured at the first day after menstruation and post HB level were measured at the third month of menstruation. The results showed that the baseline of mean HB in intervention group was 12.2 gr and control group was 12.74 gr and after intervention, the mean of HB increases in intervention group by 1.13 gr and in control group by 0.4 gr. There was a difference in average of hemoglobin levels before and after intervention between the two groups, the difference was 0.79 gr (p 0.000 < α 0.005). Supervision of TTD consumption by the closest person like teacher was important for students, it can promote adherence of TTD consumption, which can increase HB levels and lower anemia among adolescent.","PeriodicalId":477013,"journal":{"name":"Jurnal Keperawatan Terpadu","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136017423","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}
Invasif procedure is a procedure that is often performed on children. This procedure is related to needles that causes pain in children. Children who experienced pain during invasif procedure need treatment to avoid trauma. It is necessary to apply atraumatic care through the use of interventions that eliminate or minimize the psychological and physical distress suffered by children, one of which is the use of vibrators with music and cold compresses to minimize pain. This study aims to determine the effectiveness of giving a baby shark vibrator compare with vapoocoolant spray against pain in children undergoing invasif procedure such as injection and venipuncture. The researcher divided the respondents into 2 groups, the intervention group (baby shark vibrator) and the control group (vapocoolant spray) which are taken randomly with a total of 60 children participating in this study. The assessment of children's pain using the FLACC instrument (face, legs, activity, cry and consolability). The results of statistical tests showed that there was a no significant difference in pain in the intervention group and the control group (p=0.077). The use of a baby shark vibrator can be an alternative to reduce pain in children during invasif procedure because for some children, it is more convenient and distracting.
{"title":"The Effect of Vapocoolant Spray and Baby Shark Vibrator on Children’s Pain during Invasif Procedure","authors":"Ely Mawaddah, Mira Utami Ningsih","doi":"10.32807/jkt.v5i2.329","DOIUrl":"https://doi.org/10.32807/jkt.v5i2.329","url":null,"abstract":"Invasif procedure is a procedure that is often performed on children. This procedure is related to needles that causes pain in children. Children who experienced pain during invasif procedure need treatment to avoid trauma. It is necessary to apply atraumatic care through the use of interventions that eliminate or minimize the psychological and physical distress suffered by children, one of which is the use of vibrators with music and cold compresses to minimize pain. This study aims to determine the effectiveness of giving a baby shark vibrator compare with vapoocoolant spray against pain in children undergoing invasif procedure such as injection and venipuncture. The researcher divided the respondents into 2 groups, the intervention group (baby shark vibrator) and the control group (vapocoolant spray) which are taken randomly with a total of 60 children participating in this study. The assessment of children's pain using the FLACC instrument (face, legs, activity, cry and consolability). The results of statistical tests showed that there was a no significant difference in pain in the intervention group and the control group (p=0.077). The use of a baby shark vibrator can be an alternative to reduce pain in children during invasif procedure because for some children, it is more convenient and distracting.","PeriodicalId":477013,"journal":{"name":"Jurnal Keperawatan Terpadu","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136222490","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}
Juwi Athia Rahmini, Sri Dhamayani, Widyawati Widyawati, Martiningsih Martiningsih, Ai Cahyati, Dian Novita, Eka Budiarto, Amelia Arnis
Anxiety felt by nurses is a vague fear accompanied by feelings of uncertainty, helplessness, isolation, and insecurity when performing nursing care during the Covid-19 pandemic. Nurses need personal protective equipment as a barrier against substance penetration, solid, liquid, or airborne particles to protect against injury or the spread of disease. The purpose of this study is to identify characteristics, length of work, PPE training, Psychologic services, PPE access, booster vaccination, standard PPE nurse anxiety and the correlation between PPE and anxiety on nurses in the COVID-19 room. This research is a quantitative study using a causal - comparative study design that is non-experimental (ex post facto). The sampling method used is purposive sampling technique approach with a sample of 90 respondents using data entry with demographic data sheet, PPE completeness checklist sheet to determine PPE completeness and to determine nursing anxiety using the Hamilton Anxiety Rating Scale questionnaire. Results showed the majority of nurses were middle-aged, woman, diploma, married, working more than 2 years, have participated in PPE training, not aware of access to psychological service, experienced easy accessibility of PPE, has not received a booster vaccine, using standardized PPE and experienced mild anxiety. This study shows that there is no significant difference in mean (p value> 0.05), which means that PPE training, psychological services, access to PPE, booster vaccinations, standardized PPE did not correlate to nurses’ anxiety. The government is expected to give intervention through policies to address nurses’ anxiety and factors related to this, such as providing effective counselling services.
{"title":"Personal Protective Equipment (PPE) and Nurses’ Anxiety During the Covid-19 Pandemic","authors":"Juwi Athia Rahmini, Sri Dhamayani, Widyawati Widyawati, Martiningsih Martiningsih, Ai Cahyati, Dian Novita, Eka Budiarto, Amelia Arnis","doi":"10.32807/jkt.v5i2.350","DOIUrl":"https://doi.org/10.32807/jkt.v5i2.350","url":null,"abstract":"Anxiety felt by nurses is a vague fear accompanied by feelings of uncertainty, helplessness, isolation, and insecurity when performing nursing care during the Covid-19 pandemic. Nurses need personal protective equipment as a barrier against substance penetration, solid, liquid, or airborne particles to protect against injury or the spread of disease. The purpose of this study is to identify characteristics, length of work, PPE training, Psychologic services, PPE access, booster vaccination, standard PPE nurse anxiety and the correlation between PPE and anxiety on nurses in the COVID-19 room. This research is a quantitative study using a causal - comparative study design that is non-experimental (ex post facto). The sampling method used is purposive sampling technique approach with a sample of 90 respondents using data entry with demographic data sheet, PPE completeness checklist sheet to determine PPE completeness and to determine nursing anxiety using the Hamilton Anxiety Rating Scale questionnaire. Results showed the majority of nurses were middle-aged, woman, diploma, married, working more than 2 years, have participated in PPE training, not aware of access to psychological service, experienced easy accessibility of PPE, has not received a booster vaccine, using standardized PPE and experienced mild anxiety. This study shows that there is no significant difference in mean (p value> 0.05), which means that PPE training, psychological services, access to PPE, booster vaccinations, standardized PPE did not correlate to nurses’ anxiety. The government is expected to give intervention through policies to address nurses’ anxiety and factors related to this, such as providing effective counselling services.","PeriodicalId":477013,"journal":{"name":"Jurnal Keperawatan Terpadu","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135005755","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}
Nursing education is one of the educations whose learning process through E-Learning during the covid-19 pandemic. The Canva application is an Android-based website that can be used as an online interactive learning medium. The purpose of this study was to analyze the effectiveness of the Canva application as an interactive learning medium for knowledge and practice of the anatomy and physiology of the respiratory and cardiovascular systems. This study is quasi-experimental with a pre-posttest approach with a control group. The sample in this study was 88 first-semester students of the Department of Nursing who were divided into two groups by simple random sampling. The research instruments used were questionnaires and observation sheets, and the results of this study were analyzed by the Mann-Whitney test, independent t-test, and N-Gain test. This study showed an increase in the average knowledge (p = 0.04) and practice (p = 0.012) in the group that was given the Canva Application media. However, in this study, the Canva application was ineffective as an interactive medium for learning anatomy and physiology (N-Gain = 30%). It is because learning with Canva can be affected by internet access, the ability of smartphone users, network availability, and internet quota.
{"title":"Canva Application as a Learning Media for Human Anatomy Physiology","authors":"Hamdan Hariawan, Suratno Kaluku","doi":"10.32807/jkt.v4i2.324","DOIUrl":"https://doi.org/10.32807/jkt.v4i2.324","url":null,"abstract":"Nursing education is one of the educations whose learning process through E-Learning during the covid-19 pandemic. The Canva application is an Android-based website that can be used as an online interactive learning medium. The purpose of this study was to analyze the effectiveness of the Canva application as an interactive learning medium for knowledge and practice of the anatomy and physiology of the respiratory and cardiovascular systems. This study is quasi-experimental with a pre-posttest approach with a control group. The sample in this study was 88 first-semester students of the Department of Nursing who were divided into two groups by simple random sampling. The research instruments used were questionnaires and observation sheets, and the results of this study were analyzed by the Mann-Whitney test, independent t-test, and N-Gain test. This study showed an increase in the average knowledge (p = 0.04) and practice (p = 0.012) in the group that was given the Canva Application media. However, in this study, the Canva application was ineffective as an interactive medium for learning anatomy and physiology (N-Gain = 30%). It is because learning with Canva can be affected by internet access, the ability of smartphone users, network availability, and internet quota.","PeriodicalId":477013,"journal":{"name":"Jurnal Keperawatan Terpadu","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135406222","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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