Jurnal Keperawatan Padjadjaran
ISSN / EISSN : 23385324 / 24427276
Current Publisher: Universitas Padjadjaran (10.24198)
Total articles ≅ 302
Latest articles in this journal
Jurnal Keperawatan Padjadjaran, Volume 8; doi:10.24198/jkp.v8i1.1330
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.
Jurnal Keperawatan Padjadjaran, Volume 8; doi:10.24198/jkp.v8i1.995
The Emergency Department (ED) is a hospital service unit that provides the first service for patients with disease conditions that threaten their lives or can cause disability for 24 hours. Implementation of patient safety in the ED should be applied to minimize the risk of error handling for the patient. ED staff perceptions related to the implementation of patient safety is a factor that directly-related to his behavior in applying the implementation of patient safety. This study aimed to analyze the relationship between perceptions of staff ED and patient safety by implementing patient safety at the Regional Hospital Emergency Department Cirebon. This study was a correlational study with the cross-sectional approach of 99 emergency staff with total sampling at Cirebon. Collecting data used questionnaires of patient safety. Based on the results of the univariate analysis showed that the majority (80%) of respondents either category on the implementation of the sub-variables of patient safety team collaboration and communication, only a small proportion of respondents less category (20%) on the implementation of the sub-variables of patient safety team collaboration and communication. In addition, less than half (49.5%) category lacking in implementing patient safety, only half (50.5%) categories, both in the implementation of patient safety. Based on the results of the bivariate analysis showed that the relationship implementation of patient safety with all the variables, namely teamwork (p-value = 0.000), communications (p-value = 0.005), the concept of patient safety (p-value = 0.005), and perception (p-value = 0.005). Based on the results of the study, the researchers concluded that the relationship between staff perceptions of the emergency department (ED) on patient safety by implementing patient safety at the Regional Hospital emergency department (RSD) Cirebon. IGD support staff perceptions of patient safety, but still found lacking in the category of health workers implementation of patient safety, so the need for patient safety education and training with simulation methods to illustrate the approach in the implementation of patient safety.
Jurnal Keperawatan Padjadjaran, Volume 8; doi:10.24198/jkp.v8i1.1190
Communication among nurses, patients, and families takes an important role in the intensive care unit in which the patients are in critical condition and unable to involve in two-way communication. Research related to effective nurse-patient communication has been done extensively, but the information regarding communication in intensive care unit is still limited. This research aimed to explore nurses’ experiences in the intensive care units in effective communication to patients/patient’s families. This was a qualitative study project with phenomenology approach. The data were collected using the in-depth interview technique approximately 60 minutes involving ten nurses who were selected using the purposive sampling at Al Islam Hospital Bandung. Data were analysed using the Colaizzi method and the results were presented in themes. Based on the nurses’ experiences, four themes were emerged in this study including (1) Nurses’ dilemma of their professionalism and personal issues/matters, (2) Contextual factor affects selection of nurses' communication technique, (3) Barriers in effective communication; difficulties in accompanying families to accept critical patient conditions, care and treatment procedures in the ICU which were complicated, and misunderstanding between nurse-patient and family (4) Compassion and patience are required in nurse-patient communication in ICU. The complex patient/family conditions in the ICU require nurses to choose the appropriate communication technique accompanied by a sense of compassion and patience. Nurses need to improve their ability to communicate effectively in order to lower the barriers in communicating between nurses-patients/families. Recommendations, training and assistance of effective communication become important for nurses in improving services in the Intensive Care Unit.
Jurnal Keperawatan Padjadjaran, Volume 8; doi:10.24198/jkp.v8i1.1312
One of the physical changes during pregnancy is their breasts that usually get larger and heavier, the areola mammae becomes darker and the nipples get bigger. These conditions cause the breasts need to be treated in preparation for exclusive breastfeeding. However, in reality, there are many pregnant women who have not done much breast care due to their ignorance of its importance and lack of information. The aimed this study was to identify the effective of audio-visual and demonstration method for improving knowledge, attitude, and skills of breast care among pregnant women in Aceh. This study was used a pre-test post-test design with a control group (37 of pregnant women) and intervention group (36 of pregnant women). The intervention group was given health education about breast care using demonstration method, while the control group was given by watching videos. The instruments used in this study was a questionnaire about breast care and checklist to assess breast care skill. The instruments was developed based on the existing theory. Data was analyzed using t-independent test (p
Jurnal Keperawatan Padjadjaran, Volume 8; doi:10.24198/jkp.v8i1.1198
The triage system currently recommended by the Association of Emergency Physicians (ACEP) and Emergency Nurses Association (ENA) is a five levels triage, Emergency Severity Index (ESI) due to more structured, concise, and clear. Cibabat Hospital used a relatively new triage of four modified levels of the Australian Triage Scale (ATS) which accuracy and time triage have not been evaluated. The purpose of this study was to compare the four level triage of modification of ATS and five levels of ESI triage based on accuracy and time triage. The researcher used a quantitative quasi-experimental design with samples of triage activities totaling 38 in the control group and 38 intervention groups, using accidental sampling techniques. Univariate analysis consisted of frequency distribution for nurse characteristics, time triage and accuracy, bivariate analysis used the Mann-Whitney test. The results showed there were no differences, triage modification of ATS with ESI triage in accuracy (p-0.488), and length of triage (p-0.488) ESI triage accuracy was in the expected triage category (76.3%), under triage (13.2%), and over triage (10.5%). Triage modified ATS, expected triage (73.7%), under triage (18.4%), and over triage (7.9%). ESI triage has more expected and less under triage than ATS modification triage. Under triage caused prolong waiting times, unexpected risks, increases morbidity and mortality. Based on the length of time, ESI triage averaged 167 seconds, triage modification of ATS an average of 183 seconds. ESI flowchrat is easier to understand because is simple, has slight indicators in each category. Conclusion of this study is there is no significant difference in the level of accuracy and duration of triage. However, based on data distribution, ESI triage gives more expected triage decisions, less under triage and 16 seconds faster. Suggestions given to the Cibabat Hospital, can use ESI triage as an alternative triage assessment option because easy to use, structured, simple, and clear.
Jurnal Keperawatan Padjadjaran, Volume 8; doi:10.24198/jkp.v8i1.1288
Tuberculosis (TB) transmission awareness is crucial for TB prevention in the community. However, efforts to prevent TB transmission from TB patients' perspectives, especially in the rural area, are not well documented. This study aimed to explore the efforts made by TB patients in preventing transmission to the community. This research was qualitative research with a phenomenological approach. Participants in this study were 12 people selected by purposive sampling. Data collection was done by in-depth interviews and recorded. Data analysis was carried out by thematic analysis. This study produced seven themes: perception of TB disease, performing alternative treatments, using personal protective equipment, environmental modification, adhering to treatment, limiting interactions with others, and increasing food intake. Knowledge and awareness of TB patients are still an issue in preventing the transmission of TB in the community. Immediate intervention needs to be made regarding increasing knowledge and awareness of TB patients and the supervision of health workers regularly in handling TB disease in the community.
Jurnal Keperawatan Padjadjaran, Volume 8; doi:10.24198/jkp.v8i1.1165
Fatigue and inadequacy dialysis are common problem in hemodialysis patients. The dialysis inadequacy can cause an increased progression of impaired renal function, as well as the increased morbidity and mortality, and declining productivity of hemodialysis patients. Fatigue prevalence ranged from 44,7- 97% from mild to severe. Fatigue is a common complaint of hemodialysis patients that can lower physical function and life quality. To determine the correlation between adequacy and the fatigue level of the patients with End Stage Renal Disease (ESRD) undergoing hemodialysis. This study used a descriptive analytic and cross sectional approach involving 75 respondents and the FACIT-G Questionnaire was used to collect the data. The inclusion criteria are male and female patients aged 18 -70, undergoing hemodialysis for more than 3 months with a frequency of 2 times at least 4 hours, composmentis patients. The adequacy hemodialysis was assessed using the Kt/V formula. All data were collected during the session of hemodialysis. Pearson Product moment test wes used to analyze the data. The mean dialysis adequacy was 1.43±0.380, 57(76%) only 13 (17.3%) patients had adequate dialysis (minimum laboratory standard Kt / v = 1.8) and inadequate were 62 (82.7%) patients. The mean of fatigue was 20.07 and 62 (82.7%) respondents experienced severe fatigue. There was no significant correlation between adequacy and the fatigue level of the patients with ESRD undergoing hemodialysis with p value 0.504 (α> 0.05). Mostly patients had inadequate dialysis, both adequate and inadequate dialysis patients had experience fatigue from mild to severe. Multiple individuale and personnel factors affect dialysis adequacy directly or conversely.
Jurnal Keperawatan Padjadjaran, Volume 8; doi:10.24198/jkp.v8i1.1294
Tuberculosis and malnutrition are serious problems. Tuberculosis causes malnutrition that potentially lessen patients’ immunity and increase the risk for activating tuberculosis. The purpose of this study was to identify the factors related to the low nutritional status among tuberculosis patients in Malang City. This research applied a corelational study. The subjects involved were tuberculosis patients with BMI
Jurnal Keperawatan Padjadjaran, Volume 8; doi:10.24198/jkp.v8i1.1295
ARFID phenomena commonly found on children are strongly dependent on parental behaviors. A dependency behavior shown by parents constitutes a specific behavior that helps the parents fulfill children’s needs. This kind of behavior will define a parental management ability in dealing with eating disorder phenomena on their children. This research, therefore, was set to analyze parental dependency behavior on parental management ability in dealing with eating disorder phenomena. A cross-sectional design was occupied to accommodate the research. A total of 245 families were selected to be the respondents, especially those who were taking care of children with ARFID. Data were collected using self-administered questionnaire. For descriptive data analysis, Manne-Whitney U test, one-way analysis of variance, Kruskal-Wallis, correlation product moment, and multiple linear regression were employed. Parental dependency behavior was closely related to parental management ability in dealing with eating disorder phenomena, especially in taking care of children with ARFID (r = 0.354; p = 0.000 < 0.05). This dependency behavior encompassed parents calming children down (with p = 0.000 < 0.05), giving hug to children (p = 0.000 < 0.05), listening to children (p = 0.001 < 0.05), solving children’s problems (p = 0.000 < 0.05) and fulfilling needs of food and drink (p = 0.000 < 0.05). On top of that, parental management ability in dealing with eating disorder occurrence was perceived referring to the result of multiple linear regression analysis, which was said to be mainly influenced by a predictor of parental dependency behavior in solving children’s problems (with β = 0.211; p = 0.001) and fulfilling children’s needs of food and drink (with β = 0.134; p = 0.047).Parental management ability in dealing with eating disorder was necessarily influenced by parental dependency behavior in solving children’s problems and fulfilling children’s needs of food and drink. Therefore, we suggest that nursing intervention be provided in respect of this case upon the population of families taking care of children with ARFID.
Jurnal Keperawatan Padjadjaran, Volume 8; doi:10.24198/jkp.v8i1.1273
Anxiety becomes a psychological response when there is an attack and becomes a cause to bad treatment of Acute Coronary Syndrome (ACS) patients. Music therapy interventions to reduce anxiety need to be considered because it has no harmful effects. The study aimed to analyze the influence of gong waning music therapy toward anxiety in patients with ACS in Regional Public Hospital of dr. T.C. Hillers Maumere. The research design was quasi experimental with non-equivalent control group design. The sample was 32 patients divided into 2 groups with 16 patients per group taken by using purposive sampling technique. The intervention was implemented in three days. State Trait Anxiety Inventory (STAI) was used as the instrument of the study. The study used paired t-test, independent sample t-test and repeated anova for data analysis. The study showed that experimental group’s trait anxiety and state anxiety were reduced (p 0.000 and 0.001). There was a difference on anxiety in experimental and control group (p 0.043 and 0.049). There was a bigger decrease of anxiety level in experimental group and it was statistically significant (p 0.000). The findings proved to support intervention of traditional music therapy to reduce anxiety. Nurses should not only focus on physical problems and ignore anxiety. It is hoped that nurses can use music therapy as a non-pharmacological adjunct therapy to help reduce anxiety of ACS patients.