Caring: Indonesian Journal of Nursing Science

Predictors of Resilience among the Parents of Children with Cancer

2023-10-17T12:12:37+07:00

The experience of caring for children with cancer is challenging and may lead to a traumatic experience for parents. Research has shown that resilience supports parents in dealing with psychological problems during the cancer treatment process. This study aims to identify the factors that influence the resilience of parents of children with cancer. The research involved 63 parents/caregivers of children with cancer. The research instruments used were a demographic questionnaire, the Connor Davidson Resilience Scale (CD-RISC 25), and the Multidimensional Scale of Perceived Social Support (MSPSS). Linear regression analysis was used to determine the most dominant factors affecting resilience in parents/caregivers of children with cancer. The results showed that the mean score of resilience for parents/caregivers of children with cancer was 67.55 ± 10.89. It was found that factors associated with resilience were social support (ρ=0.00) and time since children were diagnosed with cancer (ρ=0.02). The most dominant factor influencing resilience is social support (β value = 0.10). Therefore, health workers are expected to be able to facilitate social support for parents of children with cancer to increase resilience.

Geographical Distribution of Pleural Effusion among Hospitalized Patients in Jember Pulmonary Hospital

2023-11-22T11:33:48+07:00

Pleural effusion (PE) is a pathological condition that frequently develops in individuals with thoracic or systemic disorders, and if not recognized and treated promptly, it can have fatal consequences. This study aims to describe the epidemiology (distribution of person, time, and location) of pleural effusion among hospitalized patients. Medical records of all patients diagnosed with pleural effusion from July 2022 to June 2023 were reviewed and analyzed. The study included all hospitalized patients found to have pleural effusions, totalling 315 patients. This research used a quantitative descriptive survey, with data analyzed using spatial analysis with GIS across five districts. Patients were analyzed for socio-demographic characteristics and epidemiological distribution, including the level of diagnosis, health assurance type, frequency between months, and geographical distribution, which was analyzed spatially. The highest number of pleural effusion cases among hospitalized patients were in men (57.5%), aged between 46 and 65 years (49.2%), employed as entrepreneurs (20%), non-premium Assistance Beneficiaries for medical bill payment status (47.3%), and mostly with pleural effusion as a secondary diagnosis. The number of pleural effusion cases fluctuated, with distribution in several subdistricts from the five districts in the Jember Pulmonary Hospital. The highest cases were reported in two districts, Jember Regency and Banyuwangi Regency. Population density could be a factor that increases the risk of pleural effusion. A multidisciplinary approach is needed for optimal management.

The Effectiveness of Tamarind Turmeric Water on the Dysmenorrhea Pain Scale in Teenage Girl

2023-10-16T12:13:41+07:00

Dysmenorrhea, or menstrual pain, is one of the most common gynaecological complaints among teenage girls. Menstrual pain is a symptom and not a disease. One herbal remedy that can be consumed by teenage girls to alleviate dysmenorrhea is tamarind turmeric drink. The purpose of this study was to assess the effectiveness of tamarind turmeric water in reducing menstrual pain in teenage girls. This research is quantitative in nature, utilizing a pre-experimental research design with the One Group Pre-Test Post Test approach. Sample calculation results indicate a total of 29 respondents using accidental sampling. Results: Based on statistical tests, a p-value of 0.000 was obtained, which is less than 0.05, indicating the effectiveness of tamarind and turmeric water in reducing dysmenorrhea pain in teenage girls at Integrated Vocational School Waway Karya, East Lampung, in 2023. It is expected that respondents will establish a more regular routine of consuming tamarind turmeric water to reduce pain and maintain healthy eating habits, such as avoiding spicy, oily foods, alcoholic beverages, and maintaining good hygiene practices.

The Effect of Clay Therapy on The Quality of Life of Pediatric Oncology Patients

2023-10-30T08:43:53+07:00

Some interventions in pediatric oncology care for pediatric patients, such as art therapy and play therapy, ensure the physical and emotional well-being of patients. It also has the potential to improve quality of life during treatment and at the end of life. We aimed to determine the effect of clay therapy on the quality of life of pediatric oncology patients. This study was conducted with nine children (intervention group/clay therapy) inpatients in haematology units and nine children (comparison group). The “KINDL Quality of Life Scale” was used. The children participated for eight weeks in clay applications for two days a week. The post-test (69.66±15.70) of the KINDL Quality of Life Scale total mean score of the children in the intervention group was higher than the pre-test (57.00±10.54) (Z = 2.670; p = 0.008). There were no significant differences between the pre-test (74.66±5.97) and the post-test (74.55±6.94) of the quality of life of the children in the comparison group (Z = 0.005; p = 0.755). Clay therapy should be included in nursing care interventions to increase the quality of life for pediatric oncology patients. To increase quality of life, especially in pediatric oncology patients, it is suggested that environments be formed in hospitals where clay therapy can be applied.

The Prevalence of Pornography Addiction, Self-Control, and Its Relationship with Dating Behaviour in Adolescents: A Cross-Sectional Study

2023-11-18T15:44:15+07:00

The health of adolescents is intricately linked to their adaptation process during the period of growth and development. When adolescents lack sufficient coping skills or are bewildered by these changes, it can have detrimental effects on their health. One of the main issues impacting adolescent health is pornography and sexual activities, including kissing, masturbation, and sexual intercourse. The objective of this study is to describe pornography addiction, self-control, and their relationship with adolescent dating behaviour in the city of Manado, Indonesia. The research targets adolescents in the Manado region, based on inclusion criteria that include those aged 10-19 years who are unmarried, with a sample size of 230 respondents clustered by region. The method used in this research is a cross-sectional design, involving the direct distribution of questionnaires to prospective respondents. The questionnaires consist of the Pornography Addiction Screening Tool, Brief Self-Control, and Dating Behaviour. Data were analyzed using univariate and bivariate analysis, using the chi-square test. The results of this study showed that the level of normal pornography addiction 96.5%, risk of addiction 2.6%, vulnerable to addiction 0.9%, and addiction 0%. Bivariate analysis demonstrated a significant relationship between pornography addiction, self-control, and dating behaviour with a p-value of <0.05. The contribution of the results of this research to the field of community health, can serve as foundational data to support ongoing health promotion efforts. This includes the development of technology, as well as the strengthening of policies and adolescent health programs in schools and community health centres.

The The Relationship Between Family Support and Quality of Life in Diabetic Ulcer Patients at Wocare Clinic Bogor

2023-11-22T11:12:23+07:00

Diabetes Mellitus (DM) and its complications pose a serious public health problem if not treated properly, notably diabetic ulcers, as they require a substantial amount of money and long-term treatment, sometimes up to 15 to 20 times, making amputation more likely. Approximately 14% to 24% of diabetic ulcer patients end up requiring amputation, with statistics revealing that every 30 seconds, someone loses their lower extremities due to diabetes-related diabetic ulcers. The aim of this study was to examine the relationship between family support and the quality of life in diabetic ulcer patients. The research methodology employed a cross-sectional approach using descriptive quantitative methods. Total sampling was utilized since the population was less than 100, with only 24 respondents selected for this study. The results indicated no significant relationship between family support and the quality of life, with a p-value of 0.292 (P> 0.05). Based on the results discussed in this study, it can be concluded that there is no significant relationship between family support and the quality of life in diabetic ulcer patients, as indicated by the p-value analysis result of 0.292 > 0.05.

Differences in Methanol Intoxication Patient Outcomes in First Admission and Re-admission: A Case Report

2023-10-09T11:08:25+07:00

"Oplosan Liquor" is an Indonesian term that refers to illegally made alcoholic beverages created by mixing ethanol or alcohol with other ingredients. The ethanol content in these beverages is uncontrolled and can pose a significant threat to human health. Consuming oplosan liquor with high levels of ethanol can cause alcohol poisoning and, in extreme cases, death. Methanol intoxication can impact patient outcomes, influencing factors such as appropriate treatment, adequate medical and psychological support, and the patient’s ability to avoid future methanol exposure. Differences in outcomes exist between patients mitted for the first time and those experiencing readmission. This case report aims to elucidate the unique distinctions in patient outcomes between those admitted for the first time and those readmitted after methanol intoxication. Materials and Methods: This case report describes an instance that occurred in the same patient, detailing their medical history, clinical symptoms, diagnostic tests, and treatment provided during their stay in the emergency department. Variances in outcomes were observed between two patients, with one succumbing to the effects and the other managing to survive. We share our experience in treating a patient with methanol intoxication during their initial admission and subsequent readmission to a hospital in Indonesia. Indonesian people are acquainted with a drink called "Oplosan Liquor," which is fermented to achieve an alcohol content of up to 90%. This beverage is consumed by many young people who lack knowledge about the use of alcoholic beverages.

Illness Perception and Self-Care in Coronary Heart Disease Patients: A Cross-Sectional Study

2023-10-31T17:22:00+07:00

Relapse and rehospitalization are common occurrences in patients with coronary heart disease (CHD), and these can be mitigated through effective self-care practices. Positive illness perceptions play a crucial role in promoting good self-care. This study aimed to investigate the connection between illness perception and self-care among patients with coronary heart disease at the Cardiac Polyclinic of RSUP Dr. M. Djamil Padang. Conducted from June to July 2023, this quantitative research utilized a cross-sectional approach and involved 242 patients from the cardiac polyclinic at Dr. M. Djamil Padang, using purposive sampling. The instruments used were the Self-Care Coronary Heart Disease Inventory (SC-CHDI) and the Brief Illness Perception Questionnaire (B-IPQ). The mean values for illness perception and self-care were 52.27 (SD=9.76) and 62.31 (SD=11.35), respectively. Data analysis used the Spearman Rank correlation test, yielding a p-value of 0.014 (r=0.157). The findings revealed a positive correlation, indicating a relationship between illness perception and self-care in patients with coronary heart disease. This implies that a more optimistic perception of the disease is associated with improved self-care among CHD patients. It is advisable for individuals with coronary heart disease to enhance their perception by engaging in informational support activities, thereby fostering optimism, and ultimately improving self-care behavior.

Diabetes Self-Management and Quality of Life Adult People with Diabetes Mellitus Type 2: A Systematic Review

2023-10-30T11:50:54+07:00

One of the health problems currently faced globally and in Indonesia is type 2 diabetes because it presents a harmful impact on the sufferer, and the number continues to increase every year. Diabetes self-management programs are considered one activity that maintains the quality of life of type 2 diabetes patients. This systematic review aimed to determine the effectiveness of type 2 diabetes self-management programs on the quality of life of patients with type 2 diabetes. The databases used to search were CINAHL, Proquest, and PubMed, between 2006 and 2016, and all articles were evaluated for relevance and quality of research. There were 14 articles analyzed on the characteristics, content of interventions, quality of life instruments, and quality of life outcomes. Eleven of the 14 studies significantly showed an effect of diabetes management programs on the quality of life of patients with type 2 diabetes. Nurses and other health professionals can apply diabetes self-management programs at all levels of health care.

Mental Health Status of Undergraduate Nursing Students in Facing Professional Nursing Practices

2023-11-22T11:14:07+07:00

Nursing professional courses delivered in actual clinical learning environments primarily aim to provide direct access and create authentic interactions within the community. Furthermore, this program aims to develop critical thinking skills and apply previously acquired knowledge in the classroom. This shift in the academic process often becomes a new stressor among nursing students because it requires high adaptation skills in a relatively short period of time to gain professional abilities and become a registered nurse. This research is a quantitative study with a cross-sectional method that explores mental health status among 36 nursing students who are currently undergoing a clinical training period toward the professional nursing program at Udayana University. Self-Rating Questionnaire (SRQ 20) implemented by the Ministry of Health of the Republic of Indonesia to measure mental health status. Findings revealed that in the past 30 days, during the clinical training period, participants demonstrated physical, psychological, and social responses to stressors with common reactions appearing in the form of fatigue, anxiety, and difficulty in performing assigned roles. The majority of participants also experienced difficulty thinking clearly due to the effects of stress. Further statistical analysis confirmed the correlation between each dimension of mental health state (physical, psychological and social responses and the effects of stress) with gender (p<0.05). These findings imply the need for stress management education and possibly mentoring programs for nursing students, especially those pursuing clinical training period toward the professional nursing program. This program will help them develop better adaptability to new systems.