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All Journal Jurnal NERS Jurnal Keperawatan Padjadjaran Journal of Nursing Care

Ristina Mirwanti

Faculty of Nursing Universitas Padjadjaran

Author-ID : 2968655

Health Professions Neuroscience Nursing Physics Public Health

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Determinant Factors of Depression in Patients with Coronary Heart Disease Aan Nur'aeni; Ristina Mirwanti; Anastasia Anna; Ikeu Nurhidayah
Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Depression has been related to poor quality of life and recurrence in CHD patients. It is important to explore factors associated with the depression to prevent problems and to assist with appropriate intervention. Furthermore, the determinants of depression in CHD patients in Indonesia are still unknown. This study aimed to identify the determinants of depression in CHD patients in Indonesia. This study was a quantitative study with a cross-sectional approach. Samples were recruited from outpatient care in a referral hospital in Bandung using a consecutive sampling technique for a-2 month period (n=101). Data were collected using a questionnaire package consisting of a demographic questionnaire, Beck Depression Index [BDI] (II), Zung Self-rating Anxiety Scale, Seattle Angina Questionnaire, and Spirituality Index of Well-Being. Data were analyzed using mean, frequency distribution, chi-square and logistic regression analysis. In terms of its association with depression in CHD patients, low spiritual well-being had the highest odds ratio [OR] (OR = 9.3, 95% CI = 2.968 - 29.451, p <0.01); non-anxious state and medication history had low ORs (sequentially OR = 0.2, 95% CI = 0.067 - 0.644, p < 0.01; OR=0.2 95% CI = 0.062 - 0.772, p < 0.01); PCI (percutaneous coronary intervention) with medication had the lowest OR value (OR = 0.02, 95% CI = 0.002 - 0.278, p <0.01). On the other hand, unmarried status and male gender were identified as confounding variables. Low spiritual well-being was a major predictor of depression in CHD patients, whereas no anxiety, and history of medication, consist of CHD medication and reperfusion therapy contributed to a lower risk of depression. It is recommended to include strategies in improving spiritual well being and managing anxiety to reduce the risk of depression among CHD patients.

The Effectiveness of Prone and Supine Nesting Positions on Changes of Oxygen Saturation and Weight in Premature Babies Ayu Prawesti; Etika Emaliyawati; Ristina Mirwanti; Aan Nuraeni
Jurnal Ners Vol. 14 No. 2 (2019): OCTOBER 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i2.7755

Introduction: Stress experienced by the baby will affect the body’s function by increasing the body’s metabolism. Nesting is used to reduce stress in premature babies. Nesting can be done in a supine or prone position. Few studies have examined the effects of body position on body weight and oxygen saturation. The objective of the study was to determine the difference in oxygen saturation and weight change on the use of nesting in the prone and supine positions in premature babies.Methods: The research used a quasi-experimental design. The sample consisted of 30 premature babies, which was obtained using a consecutive sample technique. The independent variables were nesting positioning (supine and prone), and the dependent variables were oxygen saturation and body weight. The data of oxygen saturation and the baby’s weight were collected using pulse oximetry; the baby’s weight scale used observation sheets. The data was analysed using the t-test, Wilcoxon Sign Ranks Test, and Mann Whitney U Test.Results: The results showed that there was a difference in oxygen saturation before and after the use of nesting in the supine (p=0.001) and prone position (p=0.000). There was a weight difference before and after the use of nesting in both supine (p=0.000) and prone position (p=0.000). There was no difference in oxygen saturation value and infant weight, before or after, between the supine position and the prone position (p=0.18; p=0.9).Conclusion: The use of nesting in both positions (supine or prone) can increase oxygen saturation and infant weight. Researchers recommend the use of nesting with supine or prone positions routinely in premature babies.

Emergency Nurses’ Perceptions of Supportive Behaviors and Burdens in Providing End-Of-Life Care Santi Ariyanti; Etika Emaliyawati; Ristina Mirwanti
Journal of Nursing Care Vol 2, No 1 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

The high mortality rate in the Emergency Department (ED) is consistent with the high demand for the end of life (EOL) care. However, ED work system required to live-saving quickly and precisely. It affects the quality of EOL care. The purpose of this study was to determine nurses’ perceptions in ED related to supportive behaviors (SB) and burdens in providing EOL care to dying patients. The descriptive-quantitative method was used with a cross-sectional approach in 50 nurses Emergency Department at one of the tertiary hospitals in Indonesia. The samples were chosen using the total sampling technique. Data collection used emergency nurse perceptions of end of life care questionnaire. Data were analyzed using univariate analysis in the form of distribution, frequency, and mean. The result of the study showed that the three largest obstacles in EOL care were: ED nurses’ work loads (mean=10.626), intra-family disagreements (mean=9.802), and deal with angry of family members (mean=9.472). The three largest supportive behaviors were teaching families how to act (mean=11.962), allowing family members adequate time with the patient after a patient died (mean=11.09), and good collaboration from health professionals (mean=10.886). According to this research, further studies are needed to minimize obstacles and improve supportive behaviors related to the nurse’s workload, the provision of spiritual teams, special training for the nurse and the provision of special rooms for EOL patients and their families.

Knowledge And Self-Efficacy On “First Responder” In Giving First Aid Nadiya Miftah Karima; Aan Nuraeni; Ristina Mirwanti
Journal of Nursing Care Vol 2, No 1 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Introduction: “First responder” is a lay person who get trained to do first aid. Doing first aid is influenced by knowledgeand self-efficacy of the helper. However, the study of knowledge and self-efficacy of first aid providers is limited. Thisstudy aimed to asses the knowledge and self-efficacy of first responders in doing first aid. Method: This research usedquantitative description method with cross sectional approach towards 65 first responder in a University in Bandung.The samples were selected using total sampling technique. The data were gathered using questionnaire of FirstAid Knowledge and Wilderness First Self-efficacy Scale. The data were analyzed through quantitative descriptionanalysis, including mean and frequency distribution. Result : The research found that 57 respondents (87,7%) hadlimited knowledge of first aid, in particular about health problems related to environment aspects. Meanwhile 62respondents (95,5%) %) had high self-efficacy especially on the ability to assess vital signs, yet they had low selfefficacy on conduct a spinal assessment (4.5%). Conclusion: There is needs for increasing knowledge about healthproblem related to the environment and self-efficacy about spinal assessment by providing materials and other kindsof learning methods aside from lectures, educational practice as well as experimental learning and simulations.In addition, first responders also need to improve their ability related environment aspects and spinal assessment.

Co-Authors Aan Nur'aeni Aan Nuraeni Anastasia Anna Ayu Prawesti Priambodo Etika Emaliyawati Ikeu Nurhidayah Nadiya Miftah Karima Santi Ariyanti

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