Aguscik Aguscik, Rahmad Aswin Juliansyah, Rosnani Rosnani, Devi Mediarti, Christina Yeni Kustanti, Bangun Mukti Ardi, Muhammad Kamil Che Hasan, Inbar Levkovich, Agus Setiawan, Hidayat Arifin
Background: The rising prevalence of coronary heart disease (CHD) has highlighted the need for supportive-educative efforts, particularly in nursing. These initiatives are crucial for improving self-care management in CHD patients, enhancing their quality of life. Clinical nurses are key in this role, leveraging their direct patient interaction and expertise to provide tailored education and support. Purpose: This study aimed to investigate the supportive-educative needs of CHD patients from the perspective of clinical nurses. Methods: A descriptive qualitative study was conducted for this research. Participants included 30 clinical nurses responsible for caring for CHD patients in both inpatient wards and outpatient polyclinics. Interview guidelines were utilized to collect data through in-depth interviews, triangulation, and the obtained interview data were analyzed using the thematic analysis approach. Results: We identified four themes related to the supportive-educative needs of CHD patients: 1) engaging and informative media; 2) culturally sensitive approaches; 3) nurses’ attitudes; and 4) family empowerment. Conclusion: Supportive education, tailored to the needs of CHD patients, is vital for effective disease management. This study's findings highlight the importance of incorporating four key elements into supportive education: engaging and informative media to enhance learning, culturally sensitive approaches to address diverse patient needs, the positive impact of nurses’ empathetic attitudes, and the empowerment of families in the care process. Integrating these aspects can significantly aid CHD patients in developing self-care skills that positively influence their quality of life.
{"title":"Supportive-educative needs of patients with coronary heart disease: An investigation of clinical nurses","authors":"Aguscik Aguscik, Rahmad Aswin Juliansyah, Rosnani Rosnani, Devi Mediarti, Christina Yeni Kustanti, Bangun Mukti Ardi, Muhammad Kamil Che Hasan, Inbar Levkovich, Agus Setiawan, Hidayat Arifin","doi":"10.24198/jkp.v12i1.2377","DOIUrl":"https://doi.org/10.24198/jkp.v12i1.2377","url":null,"abstract":"Background: The rising prevalence of coronary heart disease (CHD) has highlighted the need for supportive-educative efforts, particularly in nursing. These initiatives are crucial for improving self-care management in CHD patients, enhancing their quality of life. Clinical nurses are key in this role, leveraging their direct patient interaction and expertise to provide tailored education and support.\u0000Purpose: This study aimed to investigate the supportive-educative needs of CHD patients from the perspective of clinical nurses.\u0000Methods: A descriptive qualitative study was conducted for this research. Participants included 30 clinical nurses responsible for caring for CHD patients in both inpatient wards and outpatient polyclinics. Interview guidelines were utilized to collect data through in-depth interviews, triangulation, and the obtained interview data were analyzed using the thematic analysis approach. \u0000Results: We identified four themes related to the supportive-educative needs of CHD patients: 1) engaging and informative media; 2) culturally sensitive approaches; 3) nurses’ attitudes; and 4) family empowerment.\u0000Conclusion: Supportive education, tailored to the needs of CHD patients, is vital for effective disease management. This study's findings highlight the importance of incorporating four key elements into supportive education: engaging and informative media to enhance learning, culturally sensitive approaches to address diverse patient needs, the positive impact of nurses’ empathetic attitudes, and the empowerment of families in the care process. Integrating these aspects can significantly aid CHD patients in developing self-care skills that positively influence their quality of life.","PeriodicalId":506854,"journal":{"name":"Jurnal Keperawatan Padjadjaran","volume":"281 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140779419","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: One of the first targets of post-operative care for cardiac surgery is to control bleeding. Significant bleeding can affect cardiac function as it can lead to hemorrhagic shock, severe anemia, and cardiac tamponade. Valve surgery has a mortality rate of 3.4%. Mitral valve repair surgery has a mortality rate of 1.2% compared to a valve replacement mortality rate of 4.5%. A quick and appropriate decision in the management of bleeding is one of the factors determining the patient's outcome. This study aims to report on nursing bleeding management in mitral valve repair-re-exploration patient during early postoperative period. This research is qualitative research using the case study method. Case: 59-year-old female with a medical diagnosis of mitral valve prolapse with severe mitral regurgitation of non-significant coronary artery diseases performed mitral valve repair surgery. This case has a score of 1 on the Papworth scale, which means low risk of bleeding. During treatment in the ICU, there was an increase in blood production from the chest tube of 1,670 ml within six hours post-surgery. PT APTT value was within normal range. Bleeding management during early post-operative period was carried out, namely conducting supporting laboratory tests, monitoring hypotension, monitoring urine production, performing chest tube maintenance, giving blood transfusions, fluid management and collaboration for re-exploration. Re-exploration surgery was performed at the sixth hour of post-operative care. Conclusion: The application of post-operative nursing bleeding management in mitral valve repair-re-exploration patient during the early post-operative period provides good clinical outcomes. Effective collaboration (multi-disciplinary teams) between cardiac surgeon, perfusionist, anesthetist, clinical pharmacist, and nurse is required to prevent and manage post-operative bleeding.
{"title":"Post-operative nursing bleeding management in mitral valve repair-re-exploration patient during early post-operative period: Case report","authors":"Ulfah Nurrahmani, Riani Siti Hafsah, R. W. Sudjud","doi":"10.24198/jkp.v12i1.2363","DOIUrl":"https://doi.org/10.24198/jkp.v12i1.2363","url":null,"abstract":"Background: One of the first targets of post-operative care for cardiac surgery is to control bleeding. Significant bleeding can affect cardiac function as it can lead to hemorrhagic shock, severe anemia, and cardiac tamponade. Valve surgery has a mortality rate of 3.4%. Mitral valve repair surgery has a mortality rate of 1.2% compared to a valve replacement mortality rate of 4.5%. A quick and appropriate decision in the management of bleeding is one of the factors determining the patient's outcome. This study aims to report on nursing bleeding management in mitral valve repair-re-exploration patient during early postoperative period. This research is qualitative research using the case study method.\u0000Case: 59-year-old female with a medical diagnosis of mitral valve prolapse with severe mitral regurgitation of non-significant coronary artery diseases performed mitral valve repair surgery. This case has a score of 1 on the Papworth scale, which means low risk of bleeding. During treatment in the ICU, there was an increase in blood production from the chest tube of 1,670 ml within six hours post-surgery. PT APTT value was within normal range. Bleeding management during early post-operative period was carried out, namely conducting supporting laboratory tests, monitoring hypotension, monitoring urine production, performing chest tube maintenance, giving blood transfusions, fluid management and collaboration for re-exploration. Re-exploration surgery was performed at the sixth hour of post-operative care.\u0000Conclusion: The application of post-operative nursing bleeding management in mitral valve repair-re-exploration patient during the early post-operative period provides good clinical outcomes. Effective collaboration (multi-disciplinary teams) between cardiac surgeon, perfusionist, anesthetist, clinical pharmacist, and nurse is required to prevent and manage post-operative bleeding.","PeriodicalId":506854,"journal":{"name":"Jurnal Keperawatan Padjadjaran","volume":"32 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140789172","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: The data reveal a consistent decrease in the overall immunization coverage for babies in Kota Pariaman over a span of four years. Specifically, the coverage rates were recorded as 81.8% in 2018, 78.6% in 2019, 55.7% in 2020, and 66.7% in 2021. Purpose: The aim of this study is to identify the factors that contribute to the decrease in the achievement of complete basic immunization among children in Kota Pariaman. Methods: The present study used the quantitative research method with a cross-sectional design. The study sample comprised of mothers with infants aged 12 months residing in Pariaman City. A purposive sampling method was employed to choose a total of 154 participants. The research was carried out between March 2022 and October 2022. Univariate analysis describes variable frequency, bivariate examines relationships using chi-square (p<0.05) and multivariate employs logistic regression, identifying influential variables. Results: Key findings include a lack of knowledge (40.3%), non-supportive attitudes of mothers (56.5%), mistrust by mothers (42.9%), limited access to health resources (52.6%), and inadequate family support (48.1%). There was significant support from healthcare workers (94.2%) and moderate backing from community leaders (56.5%). Significantly, a noteworthy association was observed between knowledge (p < 0.05), attitudes (p < 0.05), and family support (p < 0.05), and the successful attainment of fundamental vaccinations. Conclusions: Factors leading to the decreased rate of complete basic immunization for infants in Kota Pariaman include attitude, family support, and knowledge. As a remedy, local governments and health workers are urged to proactively provide health education on the significance of full basic immunization for infants. This preventive measure is paramount in safeguarding against severe acute illnesses, benefiting both the child and the broader community
{"title":"Factors impacting decreased basic immunization coverage in infants","authors":"Meri Neherta, Lili Fajria, Prima Yoselina","doi":"10.24198/jkp.v12i1.2325","DOIUrl":"https://doi.org/10.24198/jkp.v12i1.2325","url":null,"abstract":"Background: The data reveal a consistent decrease in the overall immunization coverage for babies in Kota Pariaman over a span of four years. Specifically, the coverage rates were recorded as 81.8% in 2018, 78.6% in 2019, 55.7% in 2020, and 66.7% in 2021.\u0000Purpose: The aim of this study is to identify the factors that contribute to the decrease in the achievement of complete basic immunization among children in Kota Pariaman.\u0000Methods: The present study used the quantitative research method with a cross-sectional design. The study sample comprised of mothers with infants aged 12 months residing in Pariaman City. A purposive sampling method was employed to choose a total of 154 participants. The research was carried out between March 2022 and October 2022. Univariate analysis describes variable frequency, bivariate examines relationships using chi-square (p<0.05) and multivariate employs logistic regression, identifying influential variables.\u0000Results: Key findings include a lack of knowledge (40.3%), non-supportive attitudes of mothers (56.5%), mistrust by mothers (42.9%), limited access to health resources (52.6%), and inadequate family support (48.1%). There was significant support from healthcare workers (94.2%) and moderate backing from community leaders (56.5%). Significantly, a noteworthy association was observed between knowledge (p < 0.05), attitudes (p < 0.05), and family support (p < 0.05), and the successful attainment of fundamental vaccinations.\u0000Conclusions: Factors leading to the decreased rate of complete basic immunization for infants in Kota Pariaman include attitude, family support, and knowledge. As a remedy, local governments and health workers are urged to proactively provide health education on the significance of full basic immunization for infants. This preventive measure is paramount in safeguarding against severe acute illnesses, benefiting both the child and the broader community","PeriodicalId":506854,"journal":{"name":"Jurnal Keperawatan Padjadjaran","volume":"146 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140788189","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}
A. Iblasi, Y. Aungsuroch, I. Juanamasta, Jintana Yunibhand, Wayan Suardana, Article Info
Repositioning is all nursing activities that aim to change the posture of bedridden patients from one side to another during the hospital stay to minimize the pressure load on bony prominences and prevent pressure ulcers or injuries from developing. This is a discussion paper based on nursing and healthcare quality literature references. This paper describes the importance of repositioning practice based on the empirical study and experience as nurses and nurse managers. This perspective supports the existing literature to link repositioning practice and the quality of nursing care process indicators. Repositioning practice could be considered as an indicator of the process of care. This paper emphasizes repositioning practice as a fundamental nursing intervention and how it becomes meaningful for nursing indicators. Nurses need a standard of repositioning and its measurement at the international level.
{"title":"Critical thinking of repositioning practice as a quality of nursing care indicator","authors":"A. Iblasi, Y. Aungsuroch, I. Juanamasta, Jintana Yunibhand, Wayan Suardana, Article Info","doi":"10.24198/jkp.v12i1.2357","DOIUrl":"https://doi.org/10.24198/jkp.v12i1.2357","url":null,"abstract":"Repositioning is all nursing activities that aim to change the posture of bedridden patients from one side to another during the hospital stay to minimize the pressure load on bony prominences and prevent pressure ulcers or injuries from developing. This is a discussion paper based on nursing and healthcare quality literature references. This paper describes the importance of repositioning practice based on the empirical study and experience as nurses and nurse managers. This perspective supports the existing literature to link repositioning practice and the quality of nursing care process indicators. Repositioning practice could be considered as an indicator of the process of care. This paper emphasizes repositioning practice as a fundamental nursing intervention and how it becomes meaningful for nursing indicators. Nurses need a standard of repositioning and its measurement at the international level.","PeriodicalId":506854,"journal":{"name":"Jurnal Keperawatan Padjadjaran","volume":"57 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795545","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: Hospitalized children with cancer encounter pain, suffering, fear, and life-threatening situations which can cause them to feel hopeless. Purpose: The aims of this study are to acquire new insights about the concept of hope in children with cancer and to identify the attributes, antecedents, and consequences of hope in children with cancer. Methods: Nine English and Thai-language studies that discussed the hope in children or adolescents with cancer were located using the online database in nursing (1990–2023). Qualitative analysis and synthesis of these studies were completed using an adaptation of Walker and Avant’s concept synthesis method. Results: The antecedents of hope of children with cancer were hope of other persons surrounding them and the relationship between these children and others. The attributes of hope in children with cancer were hope for cure, intentional hope and inner strength. Also, the consequences of hope in children with cancer were well-being, quality of life, coping behavior, expressing new feelings of safety or comfort, and conveying trust to others. Conclusions: This study found that hope is important and has a positive effect on body-mind and the emotions of children with cancer. Thus, healthcare providers such as nurses should enhance hope in children with cancer by promoting their inner resources, positive experiences, and emotional support, while decreasing negative emotional factors. Therefore, children with cancer have hope in their treatment outcomes and inner strength, leading to their expressing new feelings of safety and a good quality of life.
背景：目的：本研究旨在获得有关癌症儿童希望概念的新见解，并确定癌症儿童希望的属性、前因和后果：方法：使用护理学在线数据库（1990-2023 年）查找了九篇讨论癌症儿童或青少年希望的英语和泰语研究。采用 Walker 和 Avant 的概念综合法对这些研究进行了定性分析和综合：癌症儿童希望的前因是他们周围其他人的希望以及这些儿童与其他人之间的关系。癌症儿童希望的属性是对治愈的希望、有意的希望和内心的力量。此外，癌症儿童希望的结果是幸福感、生活质量、应对行为、表达新的安全感或舒适感以及向他人传递信任：本研究发现，希望非常重要，对癌症儿童的身心和情绪有积极影响。因此，护士等医疗服务提供者应通过促进癌症儿童的内在资源、积极体验和情感支持来增强他们的希望，同时减少负面情绪因素。因此，癌症患儿对治疗结果和内心力量充满希望，从而表达出新的安全感和良好的生活质量。
{"title":"Hope in children with cancer: A narrative review and a concept synthesis","authors":"Kodchakon Piasai, PhD, S. Phumdoung, Songsuda Muenthaisong, Natchira Winitchai, Windy Rakhmawati","doi":"10.24198/jkp.v12i1.2341","DOIUrl":"https://doi.org/10.24198/jkp.v12i1.2341","url":null,"abstract":"Background: Hospitalized children with cancer encounter pain, suffering, fear, and life-threatening situations which can cause them to feel hopeless.\u0000Purpose: The aims of this study are to acquire new insights about the concept of hope in children with cancer and to identify the attributes, antecedents, and consequences of hope in children with cancer.\u0000Methods: Nine English and Thai-language studies that discussed the hope in children or adolescents with cancer were located using the online database in nursing (1990–2023). Qualitative analysis and synthesis of these studies were completed using an adaptation of Walker and Avant’s concept synthesis method.\u0000Results: The antecedents of hope of children with cancer were hope of other persons surrounding them and the relationship between these children and others. The attributes of hope in children with cancer were hope for cure, intentional hope and inner strength. Also, the consequences of hope in children with cancer were well-being, quality of life, coping behavior, expressing new feelings of safety or comfort, and conveying trust to others.\u0000Conclusions: This study found that hope is important and has a positive effect on body-mind and the emotions of children with cancer. Thus, healthcare providers such as nurses should enhance hope in children with cancer by promoting their inner resources, positive experiences, and emotional support, while decreasing negative emotional factors. Therefore, children with cancer have hope in their treatment outcomes and inner strength, leading to their expressing new feelings of safety and a good quality of life.","PeriodicalId":506854,"journal":{"name":"Jurnal Keperawatan Padjadjaran","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140792394","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: Percutaneous coronary intervention (PCI) aims to improve the quality of life (QoL) for coronary heart disease (CHD) patients, but many patients still have poor QoL. The impact of poor QoL causes long-lasting feelings of frustration, anxiety, fear, and worry that make a person give up or lose enthusiasm for the future. Objective: This study aimed to describe nursing interventions to improve the QoL of CHD patients after PCI. Methods: This research used the scoping review method by including all full-text primary studies written in English and published between 2013 to 2023 from three databases, EBSCO-host, PubMed, and Scopus, and one e-resource, Sage Journals. The keywords used were “coronary artery disease OR myocardial infarction OR cardiovascular disease AND quality of life AND percutaneous coronary intervention OR PCI OR Angioplasty AND Nursing care OR nursing intervention.” Results: A total of eight articles discussed nursing interventions to improve the QoL among CHD patients after PCI. There are two categories of interventions that nurses can carry out: hospital-based (inpatient or outpatient) rehabilitation and cardiac tele-rehabilitation. Conclusions: Hospital-based (inpatient or outpatient) rehabilitation and tele-rehabilitation interventions potentially improve post-PCI patients’ QoL, psychological well-being, cardiovascular capacity, social support, and adherence to CHD rehabilitation program. Standardized intervention guidelines need to be created in the future for each outcome of interest based on evidence-based findings so that specific interventions to improve the quality of life of CHD patients can be applied directly in daily practice.
{"title":"Nursing interventions for improving quality of life among patients with coronary heart disease after percutaneous coronary intervention: A scoping review","authors":"Firman Sugiharto, Aan Nuraeni, Yanny Trisyani, Azalia Melati Putri, Nuraulia Aghnia Armansyah","doi":"10.24198/jkp.v12i1.2294","DOIUrl":"https://doi.org/10.24198/jkp.v12i1.2294","url":null,"abstract":"Background: Percutaneous coronary intervention (PCI) aims to improve the quality of life (QoL) for coronary heart disease (CHD) patients, but many patients still have poor QoL. The impact of poor QoL causes long-lasting feelings of frustration, anxiety, fear, and worry that make a person give up or lose enthusiasm for the future.\u0000Objective: This study aimed to describe nursing interventions to improve the QoL of CHD patients after PCI.\u0000Methods: This research used the scoping review method by including all full-text primary studies written in English and published between 2013 to 2023 from three databases, EBSCO-host, PubMed, and Scopus, and one e-resource, Sage Journals. The keywords used were “coronary artery disease OR myocardial infarction OR cardiovascular disease AND quality of life AND percutaneous coronary intervention OR PCI OR Angioplasty AND Nursing care OR nursing intervention.”\u0000Results: A total of eight articles discussed nursing interventions to improve the QoL among CHD patients after PCI. There are two categories of interventions that nurses can carry out: hospital-based (inpatient or outpatient) rehabilitation and cardiac tele-rehabilitation. \u0000Conclusions: Hospital-based (inpatient or outpatient) rehabilitation and tele-rehabilitation interventions potentially improve post-PCI patients’ QoL, psychological well-being, cardiovascular capacity, social support, and adherence to CHD rehabilitation program. Standardized intervention guidelines need to be created in the future for each outcome of interest based on evidence-based findings so that specific interventions to improve the quality of life of CHD patients can be applied directly in daily practice.","PeriodicalId":506854,"journal":{"name":"Jurnal Keperawatan Padjadjaran","volume":"398 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140779503","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: Contraceptive failure has negative consequences, including unwanted pregnancies and abortions, which can cause maternal morbidity and mortality. Contraceptive failure is influenced by individual factors such as the user and the quality of the contraceptive method/device. One of the individual factors is the cultural factor which can be seen from the empowerment of women in improving the quality of health, including the use of contraception. There is no study which has discussed women’s empowerment as the determination of contraceptive failure. Purpose: Therefore, this study aims to analyze the association of women’s empowerment in contraception failure in Indonesia. Methods: The data source used is the results of the 2017 IDHS (Indonesia’s Demographic and Health Survey) with the unit of analysis from the period of using contraceptives to women who get pregnant while using contraceptives. The dependent variable is the duration of contraceptive usage. The main independent variable is women’s empowerment as measured by four indicators, namely asset ownership in the name of the wife, ability of decision-making in the household, ability to earn cash by working, and attending at least junior high school. Data were analyzed using the survival analysis method. Results: The results of the analysis show that the four factors of women’s empowerment have a significant negative association with contraceptive failure after controlling for socioeconomic, demographic, and environmental factors. Conclusion: Variables that are positively associated with contraceptive failure are participation in household decisions, education, residence status, and internet usage. Variables that are negatively associated with contraceptive failure are asset ownership, working status, and number of children.
{"title":"Association between women’s empowerment and contraceptive failure in Indonesia: 2017 IDHS data analysis","authors":"Sizi Lia Ginoga, O. B. Samosir, T. Djutaharta","doi":"10.24198/jkp.v12i1.2342","DOIUrl":"https://doi.org/10.24198/jkp.v12i1.2342","url":null,"abstract":"Background: Contraceptive failure has negative consequences, including unwanted pregnancies and abortions, which can cause maternal morbidity and mortality. Contraceptive failure is influenced by individual factors such as the user and the quality of the contraceptive method/device. One of the individual factors is the cultural factor which can be seen from the empowerment of women in improving the quality of health, including the use of contraception. There is no study which has discussed women’s empowerment as the determination of contraceptive failure.\u0000Purpose: Therefore, this study aims to analyze the association of women’s empowerment in contraception failure in Indonesia.\u0000Methods: The data source used is the results of the 2017 IDHS (Indonesia’s Demographic and Health Survey) with the unit of analysis from the period of using contraceptives to women who get pregnant while using contraceptives. The dependent variable is the duration of contraceptive usage. The main independent variable is women’s empowerment as measured by four indicators, namely asset ownership in the name of the wife, ability of decision-making in the household, ability to earn cash by working, and attending at least junior high school. Data were analyzed using the survival analysis method.\u0000Results: The results of the analysis show that the four factors of women’s empowerment have a significant negative association with contraceptive failure after controlling for socioeconomic, demographic, and environmental factors.\u0000Conclusion: Variables that are positively associated with contraceptive failure are participation in household decisions, education, residence status, and internet usage. Variables that are negatively associated with contraceptive failure are asset ownership, working status, and number of children.","PeriodicalId":506854,"journal":{"name":"Jurnal Keperawatan Padjadjaran","volume":"169 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140781390","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}
Tuti Nuraini, Yushlihah Rofiati Yusuf, Shanti Farida Rachmi, Dewi Gayatri
Background: Comfort level in breast cancer patients is one of the most critical factors influencing patient’s treatment commitment. The COVID-19 pandemic has affected various sectors, especially health status. Objectives: This study aims to describe patients' comfort levels during the COVID-19 pandemic and to investigate the relationship between patients’ characteristics and comfort levels. Methods: This study involved 108 respondents using a consecutive sampling technique at one time (cross-sectional). The research instrument was Comfort Assessment Breast Cancer Instrument (CABCI). The data were analyzed using Chi-Square. Results: The results showed that the comfort level in this study is categorized as comfortable. The best comfort aspect is the environmental aspect and the least is the physical aspect. In addition, there are two variables related to comfort, treatment (p = 0.007; α = 0.05) and treatment room (p = 0.000; α = 0.05). The best comfort level was found in chemotherapy treatment and outpatient rooms. Patients feel comfortable with a neat, clean, conducive hospital environment and the implementation of health protocols. These aspects could effectively prevent the spread of COVID-19. Conclusions: The results of this study recommend nursing services to optimize all aspects of comfort, which could still be improved. Interventions that maintain or improve comfort will optimize patients’ health conditions.
{"title":"The comfort level in breast cancer patients’ based on patients’ characteristics during the COVID-19 pandemic","authors":"Tuti Nuraini, Yushlihah Rofiati Yusuf, Shanti Farida Rachmi, Dewi Gayatri","doi":"10.24198/jkp.v12i1.2312","DOIUrl":"https://doi.org/10.24198/jkp.v12i1.2312","url":null,"abstract":"Background: Comfort level in breast cancer patients is one of the most critical factors influencing patient’s treatment commitment. The COVID-19 pandemic has affected various sectors, especially health status. \u0000Objectives: This study aims to describe patients' comfort levels during the COVID-19 pandemic and to investigate the relationship between patients’ characteristics and comfort levels. \u0000Methods: This study involved 108 respondents using a consecutive sampling technique at one time (cross-sectional). The research instrument was Comfort Assessment Breast Cancer Instrument (CABCI). The data were analyzed using Chi-Square. \u0000Results: The results showed that the comfort level in this study is categorized as comfortable. The best comfort aspect is the environmental aspect and the least is the physical aspect. In addition, there are two variables related to comfort, treatment (p = 0.007; α = 0.05) and treatment room (p = 0.000; α = 0.05). The best comfort level was found in chemotherapy treatment and outpatient rooms. Patients feel comfortable with a neat, clean, conducive hospital environment and the implementation of health protocols. These aspects could effectively prevent the spread of COVID-19. \u0000Conclusions: The results of this study recommend nursing services to optimize all aspects of comfort, which could still be improved. Interventions that maintain or improve comfort will optimize patients’ health conditions.","PeriodicalId":506854,"journal":{"name":"Jurnal Keperawatan Padjadjaran","volume":"72 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140777472","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 energy deficiency is strongly associated with poor pregnancy outcomes. Food taboo and dietary diversity are suspected as main risk factors of chronic energy deficient in pregnant women in rural area. Nevertheless, none studies elaborated the inferential relationship of those factors with chronic energy deficiency during pregnancy. Purpose: to describe dietary diversity score and perception of food taboo and examine it association with chronic energy deficiency prevalence in pregnant women in a rural area Methods: This cross-sectional study involved 178 pregnant women aged 15-45 years. Food taboo and dietary diversity scores was drawn from single 24 hours food recall while the perceived reason of food taboo was assessed by focus group discussion. Chronic energy deficiency was determined by mid-upper arm circumference by standard tape. Food taboo and dietary diversity score interaction was generated and binary logistic regression analysis with α= 5% and 95% confidence interval were performed to provide adjusted associations Results: Almost half of respondents had food taboo (43.8%) and had low dietary diversity score (43%) while one of fifth (19.7%) of respondent were chronic energy deficient. Those with food taboo and low dietary diversity were two times more likely to suffer from chronic energy deficiency. However, only pregnancy related factor (parity) was associated significantly with the outcome. Conclusions: Although the relationship between food taboo and chronic energy deficiency was not statistically significant, pregnant mother with food taboo should be encouraged to have a cultural-specific health and nutrition education.
{"title":"Food taboo, dietary diversity and prevalence of chronic energy deficiency in pregnant women living in rural area Indonesia","authors":"D. Angkasa, D. N. Iswarawanti, Otte Santika","doi":"10.24198/jkp.v12i1.2263","DOIUrl":"https://doi.org/10.24198/jkp.v12i1.2263","url":null,"abstract":"Background: Chronic energy deficiency is strongly associated with poor pregnancy outcomes. Food taboo and dietary diversity are suspected as main risk factors of chronic energy deficient in pregnant women in rural area. Nevertheless, none studies elaborated the inferential relationship of those factors with chronic energy deficiency during pregnancy. \u0000Purpose: to describe dietary diversity score and perception of food taboo and examine it association with chronic energy deficiency prevalence in pregnant women in a rural area \u0000Methods: This cross-sectional study involved 178 pregnant women aged 15-45 years. Food taboo and dietary diversity scores was drawn from single 24 hours food recall while the perceived reason of food taboo was assessed by focus group discussion. Chronic energy deficiency was determined by mid-upper arm circumference by standard tape. Food taboo and dietary diversity score interaction was generated and binary logistic regression analysis with α= 5% and 95% confidence interval were performed to provide adjusted associations \u0000Results: Almost half of respondents had food taboo (43.8%) and had low dietary diversity score (43%) while one of fifth (19.7%) of respondent were chronic energy deficient. Those with food taboo and low dietary diversity were two times more likely to suffer from chronic energy deficiency. However, only pregnancy related factor (parity) was associated significantly with the outcome. \u0000Conclusions: Although the relationship between food taboo and chronic energy deficiency was not statistically significant, pregnant mother with food taboo should be encouraged to have a cultural-specific health and nutrition education.","PeriodicalId":506854,"journal":{"name":"Jurnal Keperawatan Padjadjaran","volume":"132 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140758717","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}
Kustimah Kustimah, A. G. P. Siswadi, A. Djunaidi, A. Iskandarsyah
Quality of life (QoL) has become one of important outcome measures of renal replacement therapy, including haemodialysis. However, the assessment of QoL is not comprehensively measured and most research about it use quantitative approach. Since QoL is subjective, assessing and understanding the qualitative evidence are very important. This study aimed to explore QoL in patients with end-stage renal disease (ESRD) undergoing haemodialysis. This research is a cross-sectional study used a mixed method approach. Patients undergoing dialysis were recruited from the dialysis unit in one private hospital in Bandung. They completed the Kidney Disease and Quality of Life (KDQOL-36™) questionnaire and then went on face to face interview. Quantitative data were analysed descriptively and qualitative data were analysed using thematic analysis with qualitative data analysis software. A total of 87 patients completed the questionnaires and 34 of them participated in 20-60 minutes interview. The symptom and problem list had the highest mean score (M= M=63.60), indicated that patients experienced lack of energy, mobility and physical appearance that further produced difficulties in their daily activities. Additionally, mental component summary showed a higher mean score (M=49.23) than the physical component (M=36.22) indicated that patients most likely had worse mental health condition than their general physical health. Worse mental health condition induced with negative feeling among patients. Patient’s inability to do daily activity and change in physical appearance had impact on their confidence for social relationship. Conclusion: ESRD patients undergoing haemodialysis were bothered by the symptom of illness and worsen by the negative feelings.
生活质量（QoL）已成为包括血液透析在内的肾脏替代疗法的重要衡量指标之一。然而，对 QoL 的评估并不全面，大多数相关研究都采用定量方法。由于 QoL 具有主观性，因此评估和了解定性证据非常重要。本研究旨在探讨接受血液透析的终末期肾病（ESRD）患者的 QoL。本研究是一项横断面研究，采用了混合方法。接受血液透析的患者来自万隆一家私立医院的透析室。他们填写了肾脏疾病和生活质量（KDQOL-36™）问卷，然后进行了面对面的访谈。对定量数据进行描述性分析，对定性数据使用定性数据分析软件进行主题分析。共有 87 名患者填写了问卷，其中 34 人参加了 20-60 分钟的面谈。症状和问题清单的平均得分最高（M= M=63.60），表明患者感到精力不足、行动不便和身体外观不佳，这进一步给他们的日常活动造成了困难。此外，心理部分的平均得分（M=49.23）高于身体部分的平均得分（M=36.22），这表明患者的心理健康状况很可能比一般的身体健康状况更差。较差的心理健康状况会给患者带来负面情绪。患者无法进行日常活动和身体外观的改变影响了他们建立社会关系的信心。结论接受血液透析的 ESRD 患者受到疾病症状的困扰，并因负面情绪而恶化。
{"title":"Quality of Life among Patients Undergoing Haemodialysis in Bandung: A Mixed Methods Study","authors":"Kustimah Kustimah, A. G. P. Siswadi, A. Djunaidi, A. Iskandarsyah","doi":"10.24198/jkp.v8i1.1330","DOIUrl":"https://doi.org/10.24198/jkp.v8i1.1330","url":null,"abstract":"Quality of life (QoL) has become one of important outcome measures of renal replacement therapy, including haemodialysis. However, the assessment of QoL is not comprehensively measured and most research about it use quantitative approach. Since QoL is subjective, assessing and understanding the qualitative evidence are very important. This study aimed to explore QoL in patients with end-stage renal disease (ESRD) undergoing haemodialysis. This research is a cross-sectional study used a mixed method approach. Patients undergoing dialysis were recruited from the dialysis unit in one private hospital in Bandung. They completed the Kidney Disease and Quality of Life (KDQOL-36™) questionnaire and then went on face to face interview. Quantitative data were analysed descriptively and qualitative data were analysed using thematic analysis with qualitative data analysis software. A total of 87 patients completed the questionnaires and 34 of them participated in 20-60 minutes interview. The symptom and problem list had the highest mean score (M= M=63.60), indicated that patients experienced lack of energy, mobility and physical appearance that further produced difficulties in their daily activities. Additionally, mental component summary showed a higher mean score (M=49.23) than the physical component (M=36.22) indicated that patients most likely had worse mental health condition than their general physical health. Worse mental health condition induced with negative feeling among patients. Patient’s inability to do daily activity and change in physical appearance had impact on their confidence for social relationship. Conclusion: ESRD patients undergoing haemodialysis were bothered by the symptom of illness and worsen by the negative feelings.","PeriodicalId":506854,"journal":{"name":"Jurnal Keperawatan Padjadjaran","volume":"138 33","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141210151","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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