Caring: Indonesian Journal of Nursing Science

Family Caregivers' Lived Experiences for Post-Stroke Patients: A Qualitative Study

Rosina Tarigan — 2024-07-29

Stroke survivors in Indonesia depend on their families to meet their daily needs. Therefore, the function of family caregivers in stroke patients is essential in helping to meet their needs. This study aims to determine family caregivers' lived experiences for post-stroke patients. The study design was a qualitative descriptive phenomenology with a sample of 6 participants recruited by purposive sampling. Instruments include semi-structured questions, field notes, and a voice recorder. Data was analysed using the thematic content analysis method. This study was conducted from October 2021 to February 2022 at the Gisting Health Center, Tanggamus Regency, Lampung Province, Indonesia. The study found three main themes and seven sub-themes. The themes were knowledge of stroke (sub-themes: stroke disease and stroke management), seeking treatment (sub-themes: following community habits, drug therapy according to what is felt useful, alternative therapies produced by factories), and Difficulty in taking care (sub-themes: difficulties caring for patients at home and efforts to solve the difficulties). In conclusion, caregivers have Difficulty taking care of post-stroke patients at home and in the community. Nurses can participate as nurses in community health centres and family health nurses in providing comprehensive care and educating caregivers on how to take care of post-stroke patients properly.

Knowledge of Stroke Risk Factors Among Nurses at The Riverbank Public Health Centers in Banjar District, Indonesia

Nor Asiah — 2024-07-29

The leading cause of mortality and morbidity worldwide is stroke. Nurses' knowledge of stroke risk factors is essential in intervening and taking preventive measures, identifying and managing patients at risk of stroke, and providing adequate care. An essential role for nurses is to prevent more severe complications to reduce disability and death from stroke. This study aimed to determine nurses' knowledge of the riverbank public health centers about risk factors for stroke in the Banjar district. The method used was descriptive quantitative using a questionnaire about nurses' knowledge of stroke risk factors with univariate analysis that presents frequency distribution tables and percentages of variables. The sample size was 45 respondents, using a total sampling technique in Martapura Barat, Martapura Timur, and Sungai Tabuk 3 Public Health Center. Data collected from September-October 2023. The study results were the knowledge of nurses at the riverbank public health centers; 33 participants (73.3%) had sufficient knowledge. Respondents' characteristics are that most women are 25 participants (55.6%). There were 32 participants (71.1%) with a Diploma III (D3) educational background, 43 participants (95.6%) who have never attended stroke-related training, and 36 participants (80%) who work for non-communicable diseases.

Prenatal Attachment Behaviour Counselling in Women With High-Risk Pregnancy After Infertility: Evidence-Based Nursing Practice

Ika Parmawati — 2024-07-29

The prevalence of anxiety in pregnant women increases along with high-risk pregnancy conditions. Severe anxiety hurts the mother, fetus, and spouse, including difficulty in achieving prenatal attachment. This study aims to implement evidence-based nursing to reduce anxiety and enhance prenatal attachment in women with high-risk pregnancies after infertility. To achieve these aims, a pilot study was conducted using the Joanna Briggs Institute (JBI) Evidence-based Audit and Feedback as well as Getting Research into Practice (GRiP) approach, consisting of 7 phases, namely identifying areas, involving agents of change, assessing context and readiness, reviewing practices with audit criteria based on scientific evidence, implementing with the GRiP, reassessing with follow-up audits, and considering project sustainability. The study involved 5 women with high-risk pregnancies after infertility. The clients received attachment behaviour counselling, followed by evaluations related to anxiety and prenatal attachment after 7 days of interventions. The result of the study was that all five (100%) women with high-risk pregnancies after infertility experienced a decrease in anxiety and achieved high scores in prenatal attachment. Attachment behaviour counselling effectively decreases prenatal anxiety and enhances prenatal attachment.

Mother's Perspective in Caring for Cerebral Palsy Children

Andri Nur Sholihah — 2024-07-29

Cerebral palsy (CP) is a severe mental disorder that affects children. This disease can also lead to activity limitations in brain development, affecting a child's future intelligence pattern. Musculoskeletal issues, epilepsy, and sensory and behavioral disorders frequently accompany CP motor disorders. The purpose of this study was to explore mothers' perspectives on caring for children with cerebral palsy at the PNTC Colomadu Clinic. This investigation was qualitative. This investigation included five mothers with children with cerebral palsy and one therapist at the PNTC Colomadu clinic. Interviews, documentation, and observations were implemented to gather data. Data analysis was conducted through data reduction, data presentation, and conclusion. Source triangulation, method triangulation, and technique triangulation were implemented during the data validity assessment. 1) The findings indicate that cerebral palsy children require ongoing therapy and learning. 2) Children with cerebral palsy require learning, affection, and nurturing tailored to their unique requirements. 3) The goal of therapy is for the child to become independent. The CP advises parents to anticipate parental cooperation and family contribution to continue the development of abilities and provide children with education and enthusiasm.

Group Support's Effect on Stigma Reduction and Medication Adherence Improvement among HIV-Positive Individuals

Adistha Eka Noveyani — 2024-07-29

An effort to reduce stigma and discrimination is still a challenge in controlling HIV cases and improving adherence to the medication among People Living with HIV (PLHIV). This study aimed to determine the factors that reduce stigma and discrimination in healthcare facilities. This research employed a mixed-method study. The population was HIV/AIDS patients in the Puger and Kencong areas. The sampling technique was purposive sampling, which resulted in 30 respondents. The variables included the level of discrimination, medication adherence, and stigma reduction strategies. Quantitative data were analyzed descriptively, and qualitative data were analyzed by content analysis. The level of discrimination felt by PLHIV is 100%, which is low. While the level of adherence to taking medication for the majority of PLHIV is classified as high (69.7%). The success in reducing stigma and discrimination in health services was influenced by the accompanying factor of PLHIV, in which peer support always accompanied PLHIV in carrying out medication, helping to take ARV when PLHIV was unable to visit the healthcare facility, and mingling with PLHIV so PLHIV felt less alone. The research indicates that implementing peer support programs in the Jember District has significantly reduced discrimination in healthcare services and improved treatment adherence among PLHIV. It was proven by high adherence to taking medication and the low level of discrimination experienced by PLHIV. Suggesting that similar models could enhance public health outcomes in other regions.

The Effect of Hypnosis on Pain Management in Cancer Patients: A Systematic Review

Ikhsanuddin Ahmad Harahap — 2024-07-29

This review article aimed to find current evidence about the effect of hypnosis in reducing pain in cancer patients. The titles and abstracts of relevant articles were reviewed on digital databases, including PubMed, ScienceDirect, and ProQuest, between 2016 and 2021 (last 5 years) using the search terms hypnosis AND cancer pain. The inclusion criteria for this review included English-language research articles with either a Randomized Control Trial, Non-Randomized Trial, experimental design, or case-control with full-text access to a population of cancer patients with hypnosis intervention, and the output was pain. The reviewer has independently evaluated 5 articles; 3 have a Randomized Control Trial design, and 2 are Non-Randomized Trials. The pain was measured using PNRS, VAS, and the combination of PNRS-VAS. 3 articles stated that hypnosis was significantly different between groups in terms of pain, and 2 articles stated no significant difference. In addition, hypnosis therapy also has a beneficial effect on inhibiting all cancer modalities. Different hypnosis methods are used.