HUBUNGAN PERAN KELUARGA DENGAN DEPRESI PADA LANSIA DI DESA CARIGADING KECAMATAN AWANGPONE KABUPATEN BONE

Menua adalah proses alami yang disertai penurunan fungsi organ tubuh, perubahan emosi secara psikologi dan kemunduran kognitif sehingga untuk menjalankan aktivitas lansia sering mengalami hambatan. Keluarga yang mempunyai lansia, perlu meningkatkan kepedulian dan perannya dalam melayani agar mereka agar lansia bisa nyaman dan bahagia dalam hidupnya sehingga terhindar dari depresi. Peranan keluarga dalam pembinaan lansia berupa memenuhi kebutuahan ekonomi, psikososial dan kesehatan fisik, nutrisi, serta berupaya untuk mendorong lansia agar tetap berperilaku hidup sehat sehingga tercapai kualitas hidup sehat baik fisik maupun mental.Tujuan penelitian ini adalah untuk mengetahui hubungan antara peran keluarga dengan depresi pada lansia di desa Carigading Kecamatam Awangpone, Kabupaten Bone. Sampel dalam penelitian ini berjumlah 48 orang dan teknik sampling purposive sampling. Data diambil dengan menggunakan kuesioner.Desain penelitian yang digunakan cross sectional dilakukan untuk mengetahui hubungan peran keluarga dengan depresi pada lansia. Setelah dianalisis dengan uji Chi square, hasil yang diperoleh menunjukkan hubungan bermakna antara peran keluarga dalam pemeliharaan kesehatan dan peran keluarga dalam mencegah menarik diri dengan nilai p masing-masing 0,02 dan 0,000. Sedangkan peran keluarga dalam pemenuhan kebutuhan perawatan diri, pemenuhan kebutuhan nutrisi dan pencegahan potensi kecelakaan tidak menunjukkan hubungan bermakna dengan depresi.Dari penelitian dapat disimpulkan bahwa ada hubungan antara peran keluarga dalam pemeliharaan kesehatan dan pencegahan menarik diri dengan depresi pada lansia. Bagi peneliti selanjutnya, disarankan agar ruang lingkup penelitiannya lebih mendalam lagi untuk hasil yang lebih akurat dimana dalam penelitian ini hanya mengukur peran keluarga menurut keluarga sendiri dan tidak melibatkan lansia

Career Path to Nurse Job Satisfaction In The Hospital

The high number of nurses who work can illustrate that nurses have an important role in improving health status so that strategic steps are needed in managing nursing staff in a better direction. As for the impact caused by uncontrolled nursing staff is dissatisfaction with nurses nurses so that the decline in nurse performance in providing nursing care to patients so that nurse satisfaction is an indicator that must be considered by all parties concerned. The solution to this problem is the issuance of the Government Regulation of the Republic of Indonesia through the ministry of health which has issued a policy regarding nurses' career paths as an embodiment in improving the quality of nursing staff and is expected to be able to increase nursing staff satisfaction. The writing of this article aims to see how the career path influences the satisfaction of nurses in the hospital. Literature and research review was carried out using several databases: 12 articles from Google Scholar and Pubmed with key words in nurse careers, performance, nurses and nurse satisfaction with career paths. From the results of a review of several journals included in the inclusion criteria, it was found that nurses' career paths had good effectiveness towards increasing nurse satisfaction, this can be seen by the existence of a continuous education system and work rewards that are owned by the career level system

MUROTTAL THERAPHY AND FINGER HANDHELD RELAXATION ON ADOLESCENT WITH DYSMINORRHEA

Dysmenorrhoea is experienced by most girls which causes them to be absent from school repeatedly so that proper management of dysmenorrhea is needed. This study aims to determine the effectiveness of murottal therapy and finger handheld relaxation in adolescents with dysmenorrhea. This research method is a quantitative research with a quasi experiment with control group, the study population is young women with dysmenorrhea and the sample consists of 36 girls with dysmenorrhea divided into 18 respondents in the murottal therapy group and 18 respondents in the finger handheld relaxation group. The dysmenorrhea pain scale was measured by the Numeric Rating Scale (NRS). The results showed that there were significant differences before and after the intervention, both murottal therapy and finger handheld relaxation with p value <0.0001. There was no significant difference in the murottal therapy and finger handheld relaxation groups with p value = 0.486. From the results of the study, it was concluded that murottal therapy and finger handheld relaxation were effective against dysmenorrhea in adolescents so that these two interventions could be used to treat dysmenorrhea in young womenABSTRAKDismenorea dialami sebagian besar remaja perempuan yang menyebabkan ketidakhadiran mereka di sekolah secara berulang sehingga dibutuhkan manajemen dismenore yang tepat. Penelitian ini bertujuan untuk mengetahui bagaimana efektivitas murottal theraphy dan fing er handheld relaxation pada remaja dengan dismenore. Metode penelitian ini adalah penelitian kuantitatif dengan quasi eksperiment with control group, populasi penelitian adalah remaja putri dengan dismenore dan sampel terdiri dari 36 remaja putri dengan dismenore yang dibagi menjadi 18 responden pada kelompok murottal theraphy dan 18 responden pada kelompok finger handheld relaxation. Skala nyeri dismenore diukur dengan Numeric Rating Scale (NRS). Hasil penelitian menunjukkan terdapat perbedaan yang bermakna sebelum dan setelah diberikan intervensi baik murottal therapy maupun finger handheld relaxation dengan nilai p <0.0001. Tidak ada perbedaan signifikan pada kelompok murottal therapy dan finger handheld relaxation dengan nilai p=0,486. Dari hasil penelitian disimpulkan bahwa murottal therapy maupun finger handheld relaxation efektif terhadap dismenore pada remaja sehingga kedua intervensi ini dapat digunakan dalam mengatasi dismenore pada remaja putri

Murottal Theraphy and Finger Handled Relaxation on Adolescent with Dysminorrhea

Dysmenorrhoea is experienced by most girls which causes them to be absent from school repeatedly so that proper management of dysmenorrhea is needed. This study aims to determine the effectiveness of murottal therapy and finger handheld relaxation in adolescents with dysmenorrhea. This research method is a quantitative research with a quasi experiment with control group, the study population is young women with dysmenorrhea and the sample consists of 36 girls with dysmenorrhea divided into 18 respondents in the murottal therapy group and 18 respondents in the finger handheld relaxation group. The dysmenorrhea pain scale was measured by the Numeric Rating Scale (NRS). The results showed that there were significant differences before and after the intervention, both murottal therapy and finger handheld relaxation with p value <0.0001. There was no significant difference in the murottal therapy and finger handheld relaxation groups with p value = 0.486. From the results of the study, it was concluded that murottal therapy and finger handheld relaxation were effective against dysmenorrhea in adolescents so that these two interventions could be used to treat dysmenorrhea in young wome

STRATEGI MITIGASI KONFLIK PERAWAT DI RUANG RAWAT INAP RSUD HAJI MAKASSAR

Konflik merupakan hal yang tidak dapat dihindari dalam suatu organisasi. Oleh karena itu, dibutuhkan strategi pencegahan konflik sehingga konflik dapat dihindari atau tidak berkepanjangan yang dapat merugikan organisasi. Tujuan penelitian ini untuk mengetahui strategi perawat dalam pencehagahan konflik di ruang rawat inap RSUD Haji makassar. Penelitian merupakan penelitian kualitatif dengan pendekatan fenomenologi untuk mengekspplorasi secara mendalam tentang strategi perawat dalam pencegahan konflik. Pengumpulan data dilakukan dengan wawancara terstruktur kepada perawat. Data yang telah dikumpulkan selanjutnya dilakukan analisis tema. Hasil penelitian didapatkan ada tiga kategori strategi pencegahan konflik yang digunakan oleh perawat yaitu pertama sikap yang terdiri dari saling menghargai, beretika, pengelolaan emosi, disiplin dan menerima saran serta masukan, kedua keterampilan yang terdiri dari &nbsp;edukasi dan komunikasi, ketiga pelayanan sesuai standar operasional. Dari penelitian ini dapat disimpulkan bahwa perawat telah menggunakan beberapa strategi dalam pencegahan konflik di ruang arawat inap

Global Retinoblastoma Presentation and Analysis by National Income Level.

Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4%) were female. Most patients (n = 3685 [84.7%]) were from low- and middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 [62.8%]), followed by strabismus (n = 429 [10.2%]) and proptosis (n = 309 [7.4%]). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 [95% CI, 12.94-24.80], and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 [95% CI, 4.30-7.68]). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

The global retinoblastoma outcome study : a prospective, cluster-based analysis of 4064 patients from 149 countries

DATA SHARING : The study data will become available online once all analyses are complete.BACKGROUND : Retinoblastoma is the most common intraocular cancer worldwide. There is some evidence to suggest that major differences exist in treatment outcomes for children with retinoblastoma from different regions, but these differences have not been assessed on a global scale. We aimed to report 3-year outcomes for children with retinoblastoma globally and to investigate factors associated with survival. METHODS : We did a prospective cluster-based analysis of treatment-naive patients with retinoblastoma who were diagnosed between Jan 1, 2017, and Dec 31, 2017, then treated and followed up for 3 years. Patients were recruited from 260 specialised treatment centres worldwide. Data were obtained from participating centres on primary and additional treatments, duration of follow-up, metastasis, eye globe salvage, and survival outcome. We analysed time to death and time to enucleation with Cox regression models. FINDINGS : The cohort included 4064 children from 149 countries. The median age at diagnosis was 23·2 months (IQR 11·0–36·5). Extraocular tumour spread (cT4 of the cTNMH classification) at diagnosis was reported in five (0·8%) of 636 children from high-income countries, 55 (5·4%) of 1027 children from upper-middle-income countries, 342 (19·7%) of 1738 children from lower-middle-income countries, and 196 (42·9%) of 457 children from low-income countries. Enucleation surgery was available for all children and intravenous chemotherapy was available for 4014 (98·8%) of 4064 children. The 3-year survival rate was 99·5% (95% CI 98·8–100·0) for children from high-income countries, 91·2% (89·5–93·0) for children from upper-middle-income countries, 80·3% (78·3–82·3) for children from lower-middle-income countries, and 57·3% (52·1-63·0) for children from low-income countries. On analysis, independent factors for worse survival were residence in low-income countries compared to high-income countries (hazard ratio 16·67; 95% CI 4·76–50·00), cT4 advanced tumour compared to cT1 (8·98; 4·44–18·18), and older age at diagnosis in children up to 3 years (1·38 per year; 1·23–1·56). For children aged 3–7 years, the mortality risk decreased slightly (p=0·0104 for the change in slope). INTERPRETATION : This study, estimated to include approximately half of all new retinoblastoma cases worldwide in 2017, shows profound inequity in survival of children depending on the national income level of their country of residence. In high-income countries, death from retinoblastoma is rare, whereas in low-income countries estimated 3-year survival is just over 50%. Although essential treatments are available in nearly all countries, early diagnosis and treatment in low-income countries are key to improving survival outcomes.The Queen Elizabeth Diamond Jubilee Trust and the Wellcome Trust.https://www.thelancet.com/journals/langlo/homeam2023Paediatrics and Child Healt

EKSPLORASI SIKAP PERAWAT LULUSAN BARU TERHADAP KOMPUTER DALAM PELAYANAN KESEHATAN: Exploration of the Newly Graduated Nurses’ Attitude towards Computers in Healthcare

Pendahuluan : Penggunaan teknologi dalam pelayanan kesehatan saat ini berkembang pesat, di Indonesia telah dikeluarkan kebijakan tentang aturan penggunaan rekam medis elektronik di seluruh layanan kesehatan. Perawat memiliki peluang yang signifikan dalam proses adopsi dan implementasi sistem informasi kesehatan. Tujuan: Penelitian ini bertujuan untuk mengetahui sikap perawat lulusan baru terhadap penggunaan komputer dalam pelayanan kesehatan. Metode: Penelitian ini merupakan penelitian deskriptif kuantitatif. Sampel dalam penelitian ini berjumlah 65 orang yang dikumpulkan dengan menggunakan teknik purposive sampling. Hasil: Hasil penelitian menunjukkan gambaran PATCH pada perawat lulusan baru terbagi menjadi dua kategori yaitu feels comfortable 50 (76.9%) dan confident 15 (23.1%). Rerata skoring untuk setiap item PATCH yang terdiri dari 50 pernyataan ditemukan tertinggi yang menyatakan computer merupakan alat bantu yang sangat bermanfaat (1.88), selanjutnya dalam bidang kesehatan, computer dapat menyimpan banyak dokumen, ingin menjadi mahir dalam menggunakan computer dengan nilai mean (1.85). Kesimpulan: Sikap perawat lulusan baru terhadap penggunaan komputer pada layanan kesehatan yakni positif dengan kategori merasa nyaman dalam menggunakan aplikasi yang user-friendly dan percaya diri dengan kemampuan menggunakan berbagai program komputer. Hal ini dapat berdampak pada proses penyusunan strategi pengembangan sumber daya manusia kesehatan dalam institusi pelayanan kesehata

6-KADS (KUTCHER ADOLESCENT DEPRESSION SCALE) VERSI BAHASA INDONESIA: ADAPTASI ALAT UKUR

Objective:  The purpose of this study was to adapt the Kutcher Adolescent Depression Scale (6-KADS) measuring instrument.Methods:  The process of adaptation and translation of the Indonesian version of the KADS measurement was carried out according to the procedure for adopting cross-cultural measuring instruments according to Sousa &amp; Rojjanasrirat (2011), namely through 5 stages.Results:  Based on trials on 30 students in Makassar, the reliability coefficient value was 0.75 (reliable). The validity test using the Pearson correlation sig (2-tailed) obtained the value of each item showing a significance value greater than the r table (0.361), which indicates that each question item has good validity. Thus, the results of the adaptation of the 6-item version of the KADS measurement tool can be used in Indonesian adolescents to quickly and easily measure depression in adolescents. This research is still carried out in a small sample, so it is hoped that it can be developed with larger samples. This adapted questionnaire can then be applied in screening for depression in adolescents quickly and easily. Conclusion:  The KADS questionnaire is still underused in Indonesia, and an adapted Indonesian translated version has yet to be available. Therefore the results of this study will provide the final results of a valid and reliable questionnaire which can then be used