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Jurnal Keperawatan Padjadjaran
Published by Universitas Padjadjaran
ISSN : 23385324     EISSN : 24427276     DOI : -
Core Subject : Health, Science,
Health Professions Neuroscience Nursing Public Health
Jurnal Keperawatan Padjadjaran (JKP) or The Padjadjaran Nursing Journal is a peer review journal providing an open access facility for scientific articles published by the principles of allowing free research available for public to support global scientific exchange. Padjadjaran Nursing Journal (JKP) is published three times a year, specifically in April, August, and December.
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Articles 307 Documents
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Impact of Resilience on Psychological Well-Being In Breast Cancer Patients Undergoing Chemotherapy Abd Gani Baeda; Eka Nurwahyuni
Jurnal Keperawatan Padjadjaran Vol. 10 No. 1 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v10i1.1867

Abstract

Background: The most commonly used therapy for breast cancer is chemotherapy. Chemotherapy has physical and psychological side effects that affect the psychological well-being of the patient. Resilience plays an important role in changing psychological well-being. Cancer patients who have low levels of resilience will show negative psychological well-being and vice versa. However, the condition of cancer patients undergoing chemotherapy is not yet known whether resilience can change psychological well-being so that they can adapt to the stressors of chemotherapy. Purpose: This study aims to analyze the relationship between resilience and psychological well-being of breast cancer patients undergoing chemotherapy. Methods: This study was conducted using an observational analytic method with a cross-sectional approach. The population in this study were breast cancer patients who underwent chemotherapy sessions 2-6 at one of the hospitals in Malang, Indonesia. A sample of 62 people was obtained by using a stratified random sampling technique based on the chemotherapy sessions the patient underwent. Data Collection used the Connor-Davidson Resilience Scale questionnaire. Data analysis procedures were carried out in univariate and bivariate ways (lambda correlation test). Results: The Univariate analysis showed that the lowest resilience was experienced by respondents who underwent the second chemotherapy session and the bivariate analysis showed that there was a positive correlation between resilience and psychological well-being with p=0.039 and r=0.267. This means that the higher a person’s resilience, the greater the chance of having positive psychological well-being. Conclusion: This study shows that the higher the resilience, the greater the probability of experiencing positive psychological well-being. While the higher the resilience, the more likely it is to experience positive psychological well-being. It is recommended that patients who will undergo chemotherapy are given education related to therapy so that low resilience is not experienced at the beginning of chemotherapy.
The Effect of Different Modalities of Mindfulness-Based Interventions on Blood Pressure Ali AlKhabbaz; Batool M. Almusa; Edric D. Estrella
Jurnal Keperawatan Padjadjaran Vol. 10 No. 1 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v10i1.1946

Abstract

Background: Hypertension is one of the major killers around the world resulting in 7.6 million deaths and 92 million disability-adjusted life years (DALYs) per year (Lawes et al., 2001). Mindfulness-based interventions (MBIs) have been studied as nonpharmacological modalities of lowering blood pressure. However, the evidence about the different modalities of MBIs is still unclear. Purpose: The aim of this review is to identify the evidence about the effect of different MBIs on lowering blood pressure among different populations including hypertensive patients and healthy individuals. Methods: Pubmed, Cochrane Central Register of Controlled Trials (Ovid) and EBSCO databases were systematically used to search by using the keywords “(mindfulness) AND (blood pressure)”. All trials published from 1989 to July 2021 that reported the effect of MBIs on blood pressure as primary or secondary outcomes were included. Trials that did not report their results in English were excluded. Titles and abstracts were first screened for eligibility. Eligible studies were then fully reviewed and summarized. Results: A total of 53 research articles were included in this review with 3947 participants. They include patients with hypertension, cardiovascular diseases, obesity, cancer, stress, diabetes, pregnancy and healthy individuals. Articles were classified and sorted according to the modality of MBI used for better comparison. Conclusion: MBI modalities that are instructor guided and include breathing and/or physical exercises might result in a significant reduction of BP, especially among patients with HTN and/or anxiety. This effect could be complemented by other pharmacological and non-pharmacological interventions.
Pengaruh Religiusitas, Perawatan Diri, dan Mekanisme Koping Pada Kualitas Hidup Pasien Diabetes Mellitus Rosliana Dewi; Santhna Letchmi Panduragan; Nur Syazana Umar; Fera Melinda; Johan Budhiana
Jurnal Keperawatan Padjadjaran Vol. 10 No. 1 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v10i1.1971

Abstract

Background: Uncontrolled diabetes is at a high risk for complications. This chronic complication can cause a decrease in the quality of life of DM patients. There are several factors that affect the quality of life of people with diabetes. Religiosity, self-care, and coping mechanisms together affect the quality of life. Religiosity is very important for patients to have as a foundation for maintaining quality of life. Self-care is a basic effort to control and prevent complications arising from DM. Coping mechanisms are problem-solving efforts and defense mechanisms used to protect themselves from DM problems. Purpose: This study aims to determine the effect of religiosity, self-care, and coping mechanisms on the quality of life of DM sufferers. Methods: This study uses a quantitative research design and a cross-sectional approach involving 130 respondents, using a total sampling technique. Data was collected using various questionnaires, including a Centrality Religiosity Scale (CRS) questionnaire, Summary of Diabetes Self-Care Activity (SDSCA), Coping Orientation to Problem Experienced (COPE), and Diabetes Quality of Life (DQOL). Inclusion criteria were patients with type 2 diabetes mellitus with blood glucose levels  200 mg/dl and patients with type 2 diabetes who had diabetes > 1 year or more. Path Analysis is used to analyze data. Results: The religiosity of patients with type 2 diabetes has a mean of 49.47, a mean of 42.59 for self-care, a mean of 85.29 for coping mechanisms, and a mean of 42.56 for quality of life. There is an effect of religiosity (p = 0.000), coping mechanisms (p = 0.001), and self-care (p = 0.000) on the quality of life. Conclusion: Religiosity, coping mechanisms, and self-care affect the quality of life of people with Type 2 DM. Efforts that can be made by the hospital to increase health promotion related to improving the quality of life of people with diabetes mellitus.
The Prior-to-isolation Psychosocial Experiences of COVID-19 Diagnosed Patients: An Interpretive Phenomenological Analysis Mira Wahyu Kusumawati; Heni Dwi Windarwati; Setyawati Soeharti
Jurnal Keperawatan Padjadjaran Vol. 10 No. 2 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

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Abstract

Background: Changes that occurred during COVID-19 pandemic have caused people to have various responses when receiving a diagnosis of COVID-19; among others are stigma in society, lack of knowledge, various social media news that affect people’s beliefs, and mental health during the pandemic. Purpose: The purpose of this study was to explore the psychosocial experiences of patients before and when they were frst diagnosed with COVID-19. Methods: Using a phenomenological approach, we involved 19 COVID-19 survivors who were medically diagnosed and confrmed positive for COVID-19 in the frst 6 months of the pandemic entering Indonesia, located in Madiun Regency, East Java Province, Indonesia. We conducted face-toface semi-structured interviews with health protocols and analyzed using the 6-step of Interpretative Phenomenological Analysis (IPA) method. Results: Three themed-fndings illustrate patients’ psychosocial experiences before being diagnosed: 1) cooperative behavior during the pandemic (with sub themes: recognizing symptoms and looking for medical help); 2) Navigating feelings when frst received a diagnosis (with sub themes: being worried about the diagnosis, suspecting infection based on exposure history, and acknowledging the existence of COVID-19); and 3) Early psychosocial responses (with sub-themes: psychological response, cognitive response,behavioral response, family responses, and social response). Conclusion: Exploring the experiences of patients with confrmed COVID-19 before and undergoing the isolation period can provide opportunities to improve the quality of physical and psychological services starting from prevention and assistance when receiving a diagnosis so as not to experience a worsening of the condition during treatment. Recommendations are for further study about COVID-19 survivors among children and adolescents who have been treated in the intensive care unit.
The Indonesian Survivors’ Perspective about Recovery from Schizophrenia: An Exploratory Study Suryani Suryani; Nurul Hidayah; Titin Sutini; Lilibeth Al-Kofahy
Jurnal Keperawatan Padjadjaran Vol. 10 No. 2 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

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Abstract

Background: Recovering from schizophrenia is a unique process and is influenced by the cultural background of survivors. Purpose: The purpose of this study is to describe the important aspects of the recovery process of Indonesian people living with schizophrenia. Methods: This study used qualitative exploratory descriptive and data were collected through focus group discussion with seven participants at a Residents ofce on July 2018. Data were analysed using the theory of Braun and Clarke to identify key themes. Results: Five themes arose from this study including becoming an agent of recovery, accepting yourself as you are, keeping a smile in all situations, seeking God’s help as a way to get well, and ignoring by the government. Conclusion: It was concluded that, in the process of recovery, survivors became agents of recovery, so patient-centred care becomes very important in providing nursing care to the survivors. The result of this research can be considered for community nurses in caring for schizophrenia survivors.
Intervensi “Protect Me” Sebagai Upaya Mengatasi Dan Mencegah Kekerasan Remaja Hamil Eny Dewi Pamungkas; Setyowati Setyowati; Wiwit Kurniawati
Jurnal Keperawatan Padjadjaran Vol. 10 No. 2 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

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Abstract

Background: Some pregnant adolescents experience violence that has a negative impact for the pregnant adolescent itself and also their babies. It is necessary to make a health promotion intervention as an effort to prevent and control violence against pregnant adolescents. Purpose: This research aimed to analyse the influence of the health education about domestic violence named “Protect Me” on knowledge, selfefcacy, and help-seeking behavior again violence among adolescent with pregnancy. Methods: There were 37 participants of pregnant adolescents involved in violence screening. Based on the screening results, 30 participants experienced violence and agreed to involve in this research. Research with pre-experimental study design using a total sampling of 30 pregnant adolescents experiencing domestic violence from April to June 2020. Results: The results showed that 6.7% of pregnant adolescents experienced psychological, physical and economic violence and 13.3% pregnant adolescents experienced sexual violence. There was a signifcant difference between the level of knowledge (p < 0.001) and help-seeking behavior (p = 0.002) of pregnant adolescents after being given “Protect Me” intervention and Self-efcacy has no relation with Protect Me intervention (p = 0.186). Conclusion: The results of the research concluded that the domestic violence prevention and management efforts could be carried out by applying education based intervention “Protect Me”, to improve the knowledge and help-seeking behavior of pregnant adolescents.
Determinant of Effective Family Communication among First-Grade High School Adolescents Aged 15 – 16 Years: A Multi-Centre Cross-sectional Study Heni Dwi Windarwati; Retno Lestari; Ridhoyanti Hidayah; Ahmad Afif Supianto; Satrio Agung Wicaksono; Niken Asih Laras Ati; Mira Wahyu Kusumawati; Dewa Ayu Anggi Gharbelasari; Ridwan Sofian; Phat Prapawichar
Jurnal Keperawatan Padjadjaran Vol. 10 No. 2 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

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Abstract

Background: Family communication can become a support system for adolescents. Ineffective communication in the family causes emotional problems and poor psychological well-being in adolescents. Purpose: This study aimed to analyze the determinant factor of effective family communication in adolescents. Methods: This was a cross-sectional multi-centre design with 357 participants aged 15-16 from fve high schools in Indonesia. We used the convenience sampling method to select participants. Communication in the family questionnaire, Rosenberg Self Esteem Instrument, Depression Anxiety Stress Scale (DASS-21), and the Scale for Suicide Ideation (SSI) questionnaires were used to measure communication within the family, selfesteem, stress, anxiety, depression, and suicide ideation, respectively. Data were analyzed using Chi-square and binary logistics regression. Results: Most of the adolescents were male (52.1%), had harmonious families (96.6%), had economic status above the minimum wage (65.5%), had high self-esteem (88.5%), and had high social support (67.8%). However, in terms of mental health problems, as many as 47.3%, 74.2%, 72%, and 30.5% of adolescents experienced stress, anxiety, depression, and suicidal ideation, respectively. The multivariate analysis concluded that gender (AOR: 0.499; 95% CI: 0.294-0.847) and socioeconomic status (AOR: 0.2.162; 95% CI: 1.296–3.608) were signifcantly correlated with family communication. Conclusion: Males adolescents are more likely to have ineffective family communication than female adolescents. Also, adolescents with a family socioeconomic status below the minimum wage have a greater risk of ineffective family communication. Therefore, it is essential to improve family communication through assertive communication training in adolescents and families in the educational and community setting.
International Migration of Nurses from South to North Amidst The COVID-19 Pandemic and Beyond: A Gain or A Drain Hartiah Haroen; Jerico Pardosi
Jurnal Keperawatan Padjadjaran Vol. 10 No. 2 (2022): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

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Abstract

The complexity of health, social and economic problems caused by the COVID-19 pandemic demands rapid, adequate and effective responses. This includes the urgent response from the existing health system to provide high quality of care for infected persons. Unfortunately, the performance of health system in low-resource settings has been weakened prior to the COVID-19 pandemic. The current pandemic has posed more pressure to the health system including the health workforce security and availability with the isolation periods and lock-down scenarios for many low- and middle-income countries.  Nursing has been recognized as a profession with high global mobility. Nurses from the South (developing countries) would often migrate to the North (developed countries) due to security, better pay, and professional development, including working conditions. Nevertheless, aggressive recruitment of nurses from South amid the COVID-19 pandemic is considered unethical. Nurses as part of the essential health workforce are critically needed in their home countries. This editorial argues the benefits and disadvantages of nurses’ migration from South to North. Several key sources from both scientific and grey literature were used in this editorial.
Relationship between Healthcare Provider’s Perception about Patient Safety and Patient Safety Implementation in The Emergency Department Yayan Mulyana; Yanny Trisyani; Etika Emaliyawati
Jurnal Keperawatan Padjadjaran Vol. 8 No. 1 (2020): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v8i1.995

Abstract

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.
The Relationship between Dialysis Adequacy and Fatigue in Patients on Maintenance Hemodialysis Sri Suparti; Sodikin Sodikin; Endiyono Endiyono
Jurnal Keperawatan Padjadjaran Vol. 8 No. 1 (2020): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v8i1.1165

Abstract

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.

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