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Parents' Challenges to Health Services for Children with Disabilities during the COVID-19 Pandemic: Literature Review Nur Fadilah; Kadek Ayu Erika; Nur Azizah
Berkala Kedokteran Vol 19, No 1 (2023)
Publisher : Fakultas Kedokteran Universitas Lambung Mangkurat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jbk.v19i1.15776

Abstract

Health services are important in supporting one's health. Due to social restrictions and regulations during a pandemic, access to health services also adapts to existing conditions. The purpose of this literature study is to identify challenges for parents in providing health services for children with disabilities during the COVID-19 pandemic. This research method used a literature review design using the PubMed, ProQuest, and ScienceDirect electronic databases. It was found that 7 articles were reviewed after fulfilling the inclusion criteria and were analysed. The results of the review found that a number of reasons for children with disabilities not participating in health services were due to several factors such as social restrictions, parents, and technology. Various relevant barriers to accessing health services are identified in this literature review. Challenges to social distancing were the most frequently reported in studies. The description in this study can be used as input in considering access and form of health services for children with disabilities.
Gender, Region, and Background-Related Factors Influencing Adolescent Disease-Prevention Behavior during the Covid-19 Pandemic in Indonesia Tuti Seniwati; Suni Hariati; Kadek Ayu Erika
Jurnal Keperawatan Soedirman Vol 17 No 3 (2022)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.054 KB) | DOI: 10.20884/1.jks.2022.17.3.6185

Abstract

Raising awareness about disease prevention behavior in adolescents is an effective measure for reducing the transmission of COVID-19. This study aimed to examine adolescent disease-prevention behavior during the COVID-19 pandemic in Indonesia and identify its associations with gender, region, and background-related factors. This was a cross-sectional study that involved 492 respondents between the ages of 12 to 18 years and currently attending junior high school or senior high school. The Mann–Whitney U test and Kruskal–Wallis H test was used. The findings indicated that the mean age of the respondents was 15.77 (SD = 1.42), the majority of the respondents were girls (76.4%), and most were living in Eastern Indonesia (81.5%). Girls placed a significantly higher effort for prevention than boys for self-precaution, social distancing, and following coughing and sneezing etiquette, with mean (SD) values of 21.48 (SD = 2.79), 20.40 (SD = 2.89), and 17.73 (SD = 2.44), respectively. Gender and region also had significant correlations with reported self-protection, social distancing, and self-immunity enhancement behavior (p< 0.05). It can be concluded that COVID-19-prevention measures practiced by adolescents differ according to gender, region, education level, both parents’ education level, and the father’s occupation.
Efektivitas Spiritual Care terhadap Penurunan Kecemasan dan Depresi Pasien Acute Coronary Syndrome (ACS): A Systematic Review Kamelia Rupeng; Kadek Ayu Erika; Andi Masyita Irwan
Jurnal Keperawatan Vol 15 No 1 (2023): Jurnal Keperawatan: Maret 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.912 KB) | DOI: 10.32583/keperawatan.v15i1.809

Abstract

Acute Coronary Syndrome (ACS) merupakan penyakit tidak menular dengan prevalensi tertinggi. Selain menderita penyakit, pasien juga dihadapkan pada kondisi psikologis (cemas dan depresi) baik akibat prognosis maupun lama pengobatan yang harus dijalani. Untuk itu perlu pendekatan holistik bio, psiko, sosio dan spiritual. Intervensi kecemasan berbasis spiritual care merupakan salah satu alternatif dan efektif mengatasi permasalahan psikologis pasien. Untuk mengetahui efektifitas Spiritual Care terhadap penurunan kecemasan dan depresi pasien Acute Coronary Syndrome (ACS). Desain yang digunakan adalah tinjauan systematic. Elektronik database jurnal yang dipublikasikan melalui Pubmed, ProQuest, Science Direct, DOAJ, Wiley, Garuda dan secondary resourch by pubmed. Diterbitkan tahun 2010-2020. Menggunakan pertanyaan penelitian terstruktur menggunakan PICO. Sebanyak 1822 artikel diperoleh dari pencarian dan 6 artikel diidentifikasi memenuhi kriteria inklusi, artikel dianalisis dan diklasifikasikan berdasarkan tingkat bukti dan rekomendasi. Enam artikel terpilih membuktikan bahwa Spiritual Care secara signifikan berpengaruh terhadap penurunan kecemasan dan depresi pasien ACS (p<0.001). Rentang usia 25-92 tahun, lama intervensi 10 menit-60 menit, Mayoritas intervensi Dzikir Islam, instrument berupa Hospital Anxiety and Depression (HADS) subskala depresi dari Depression Anxiety Stress Scale (DASS-21)., Hamilton Anxiety Scale (HAS) dan State-Trait Anxiety Inventory (STAI). dan efek lain dari intervensi berupa kestabilan tanda vital.
Use of Nutrition Assessment of Cancer Patients with Chemotherapy: Literature Review Irawati Irawati; Tahir Tahir; Kadek Ayu Erika
Indonesian Journal of Global Health Research Vol 3 No 4 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.984 KB) | DOI: 10.37287/ijghr.v3i4.723

Abstract

Along with the increasing number of cases diagnosed with cancer, cancer treatment therapy is growing, one of which is chemotherapy. Chemotherapy is an indicated treatment for systemic, metastatic, and advanced cancers, whose use has increased from one to four in 10 patients diagnosed with cancer. This is because chemotherapy can reduce recurrence rates and prolong life. However, chemotherapy has some serious side effects, such as experiencing nutritional problems during and after chemotherapy, even continuing for the next year. Thus, the need for early screening to detect patients at risk for nutritional problems. The purpose of this study was to determine the use of appropriate nutritional assessment in cancer patients with chemotherapy. This research study is a literature review using PI(E)O (patient, intervention/exposure and outcome) to determine the keywords used in searches in several databases. The databases used are PubMed, Wiley Online Library, Science Director and Google Scholar. The keywords used are (Cancer AND Chemotherapy) AND (Assessment OR Measurement OR Instrument OR Screening) AND (Nutrition OR Nutritional Status OR Nutrition Score). A total of articles 134,274 were identified, after being screened for the last 5 years (2016-2021), in English, full text, duplication, and according to the title and abstract, obtained 73 articles and nine article include this study. The results of a literature search found nine articles describing nutritional assessments used by cancer patients with chemotherapy, namely; PG-SGA as many as four articles, NRS-2002 as many as two articles, MST as many as one article, MNA as many as one article, and a combination of MUST and PG-SGA as many as one article. PG-SGA is a nutritional assessment that is precise, effective, easy, accurate, simple, and has high sensitivity. In addition, PG-SGA can be used in conjunction with other nutritional assessments, and is proven to be efficient.
THE BEHAVIOR OF FOOT CARE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS: APPLYING THE THEORY OF PLANNED BEHAVIOUR Narmawan, Narmawan; Syahrul, Syahrul; Erika, Kadek Ayu
Public Health of Indonesia Vol. 4 No. 3 (2018): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.283 KB) | DOI: 10.36685/phi.v4i3.209

Abstract

Background: Diabetes mellitus (DM) is a chronic non-infectious disease with complications such as diabetic foot, which has the potential for amputation if left untreated. Theory of Planned Behavior (TPB) is a behavior-based theory that can be applied to DM patients including foot care to minimize risk. Some studies related to TPB particularly about physical activity and diet have been explored, however, studies on foot care are still lacking.Objective: This study aims to apply the Theory of Planned Behavior (Intentions, Attitudes, Subjective Norms and Behavioral Control) on the patient's foot care.Methods: This was a cross sectional descriptive study. There were 93 patients diagnosed with type 2 DM recruited at 9 public health centers (Puskesmas) using accidental sampling on April 2018. TPB-based foot care questionnaire from the IWGDF (International Working Group on Diabetic Foot) Diabetic Foot guidelines was used. Data were analyzed in the form of frequency distribution.Results: Of the total number of respondents, 25 males and 68 females with average age of 53.05 ± 8.04 years, approximately 87.1% of them have the intention to wear footwear according to size. The majority of patients think that washing feet every day is a form of good and positive practice. They also agreed that the family expects the patient to examine the presence of bone / joint protrusions independently and believes that monitoring the foot deformities performed by other DM patients is very important as well as having control that the patient can check for signs of boils in the legs and there is a high likelihood of blisters / sores if the socks used are not suitable.Conclusion: The majority of respondents have good intentions, positive attitudes, social support and behavioral controls for foot care.
Analisis Pelaksanaan Pendelegasian Kewenangan Klinis Perawat di Rumah Sakit Sitti Rahmatiah; Takdir Tahir; Kadek Ayu Erika
Journal of Telenursing (JOTING) Vol 5 No 2 (2023): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v5i2.6714

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This literature review aims to summarize the results of research regarding the implementation of delegation of clinical authority to nurses in hospitals. Literature search using five databases PubMed, ProQuest, ScienceDirect, Google Scholar and Wiley in the period 2013-2023. Nine studies were included in the review, where the effectiveness of the implementation of delegation of nursing authority could be hampered by three factors: 1) practice standards and policies (clarity of delegation standards, clarity of nurses' duties, transparent supervision); 2) delegation (delegator's fear of responsibility, burdensome delegation tasks, accountability, recognition of the delegate's efforts, education and learning opportunities, expertise, lack of positive incentives, communication and openness of information, trust); 3) situational obstacles (lack of resources, workload and fatigue, important tasks that are difficult to delegate). In conclusion, there are three factors inhibiting the effectiveness of delegation, namely: practice standards and policies, delegation, and situational obstacles. Keywords: Delegation, Clinical Authority, Implementation, Nurse, Hospital
The Effectiveness of Imagery Therapy Guide on Pain and Anxiety in URS Perioperative Patients in Lontara Room 2 Lower Front of Urological Surgery, RSUP Dr. Wahidin Sudirohusodo Makassar Sriwahyuni Sriwahyuni; Sulasri Sulasri; Kadek Ayu Erika; Syahrul Ningrat; Muhajirin Maliga; Nia Kurnia Djalil
International Journal Of Health Science Vol. 3 No. 3 (2023): November : International Journal of Health
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v3i3.2728

Abstract

Objective: The purpose of this study is to apply Evidence-Based Nursing Practice (EBNP) activities based on the concepts and models of nursing theory. Method: EBP implementation design used is true experimental with research design Guide imagery. The sampling technique in the implementation of EBP is accidental sampling with nonprobability sampling approach. The population in this study were patients who were at Wright Patterson Medical Center in Ohio with planned surgery on the head and neck area of 44 people divided into 2 groups. Results: giving guide imagery before surgery can reduce the pain as measured by using VAS. The results showed that the pain level was measured after 1 hour postoperatively and 2 hours postoperatively. At the initial measurement, there was no significant difference between the control group and the intervention group with a p value of 0.057. After 2 hours postoperatively, there was a significant difference in pain level between the control group and the intervention group with a p value of 0.041. Conclusion: The implementation of evidence based practice using guide imagery as a therapy before the patient is operated is proven to reduce the level of pain and anxiety of the patient.