THE EFFECT OF DHIKR ON COGNITIVE RESPONSE, CORTISOL LEVEL AND SCORE OF DEPRESSION IN PATIENTS WITH HEART FAILURE

Introduction: Depression is common comorbid conditions in patients with heart failure (HF). Low depression scores were found in HF patients who practices dhikr. Objective of this study is to explain the low depression scores were found in HF patients who practices dhikr. Methode: This research type is quasi experiment. Sample size of 18 respondents, consist of 9 respondents of control group and 9 respondents of treatment group. The independent variable is the intervention of dhikr and the dependent variables are cognitive response, cortisol level, and depression. Cognitive response and depression scores data were collected using questionnaires, whereas cortisol level with venous blood sampling, measured by enzyme linked fluorescent immunoassay (ELFA) methode. Statistic analysis in this study was using t-Test, Mann Whitney, and Wilcoxon Sign Rank Test with significance level of α < 0,05. Result and analysis: The result showed that: 1) dhikr improves the cognitive response in patients with HF (p = 0,000), 2) dhikr decrease the level of cortisol in patients with HF (p = 0,015), 3) dhikr decrease the level of depression in patients with HF (p = 0,000). Discussion and conclusion: Dhikr improves cognitive response in patients with heart failure in the form of right stress perception. Right stress perception make adaptive stress response in the form of decrease levels of cortisol and depression. Further research is needed to use dhikr intervention as alternative solution to cope with depression in larger population of patients with heart failure by either increasing the research methode, sample size, as well as the range of the study population. Keyword : dhikr, cognitive response, level of cortisol, depression, heart failur

Depression in Patients with Heart Failure: A Phenomenological Study

Depression is a common comorbid condition among patients with heart failure (HF). Depression in HF is associated with poor health outcomes, increased risk of mortality, readmission, and decrease in functional status. The aim of this study was to explore the experience of HF patients related to symptoms of depression. The study was conducted at a government hospital in East Java, Indonesia and used a phenomenological approach. The population of this study was inpatients with HF who were obtained through a purposive sampling technique. Eighteen HF patients were recruited as participants. Data collection took place from February to May 2016 by interview and field notes. Collected data was analyzed through thematic analysis. There were three main themes that emerged from the data: cognitive function, emotional, and somatic responses to disease. HF patients reported impaired cognitive functions, especially in decision making and perception of disease. They also had several emotional responses including sadness, guilt, hopelessness, suicide, crying, and anger. There were also somatic responses including energy loss, fatigue, disruption of sleep patterns, decreased appetite and sexual interest. Understanding the description of depressive symptoms in HF patients can help nurses and other health professionals provide appropriate interventions to reduce depression. Keywords: heart failure, depression, symptom, qualitative, patient’s experienc

Validity and Reliability Studies of the Indonesian Version of Heart Failure Somatic Perception Scale (HFSPS) Questionnaire

Heart Failure Somatic Perception Scale (HFSPS) is one of the most commonly used questionnaires to assess HF physical symptoms. However, to be utilized in Indonesia, it needs validity and reliability studies. This study aimed to obtain a valid and reliable Indonesian version of the Heart Failure Somatic Perception Scale (HFSPS) so that it can be used in Indonesia. This study was a cross-sectional study with 152 subjects with a mean age of 58.03±10.2 years who had heart failure disease and were treated at the outpatient clinic of cardiology in Government Hospital in Lamongan and Gresik, East Java, Indonesia. The validity of the HFSPS was assessed by evaluating the construct validity using a multitrait-multimethod analysis and external validity was evaluated by comparing the HFSPS with the MLHF questionnaire. Reliability was assessed using Cronbach’s α. All items in the Indonesian version of the HFSPS questionnaire were valid and had a positive strong correlation with the MLHF questionnaire (r=0,635; p<0.000). The Cronbach α of the Indonesian version of HFSPS was 0.813. The Indonesian version of HFSPS has good validity and reliability to assess the physical symptoms of patients with chronic heart failure in Indonesi

Anxiety, Depression, and Coping Mechanism Among Outpatients With Heart Failure

Anxiety and depression have been identified as common condition experienced by patients with heart failure (HF). Some HF patients who are unable to manage their anxiety and depression show poor coping mechanism. The aim of this study was to identify the correlation between anxiety, depression, and coping mechanism among outpatients with HF. This study was a descriptive study using cross-sectional design. A total of 155 HF patients were recruited from cardiology clinic of governmental hospital in East Java, Indonesia. Participants completed a demographic questionnaire, Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), and coping mechanism questionnaire. The mean score on the anxiety, depression, and coping mechanism was 6.41±2.98, 7.21±2.99, and 20.73±3.87, respectively. Anxiety was positively correlated with depression (r=0.502, p<0.000) while anxiety and depression were negatively correlated with coping (r=-0.348, p=0.000 and r=-0.170, p=0.035). Multivariate predictors for anxiety were gender (p=0.036), education (p=0.002), NYHA class (p=0.000), monthly income (p=0.010), depression (p=0.000), and coping (p=0.001). Significant predictors of depression were NYHA class (p=0.000), age (p=0.005), frequency of hospitalization (p=0.000), and anxiety (p=0.000). Predictors for coping mechanism were marital status (p=0.040), education (p=0.000), job status (p=0.011), monthly income (p=0.001), frequency of hospitalization (p=0.005), and anxiety (p=0.001). The findings suggested that higher level of anxiety and depression are associated with lower coping mechanism. In addition, there are various factors that influence each variable. Nursing interventions for reducing anxiety and depression are needed to achieve patients adaptive coping mechanism

Comparison of Blood Glucose Levels in Type 2 Diabetic Patients Who Consume Rice Steamed and Through the Magicom Method

Differences in cooking techniques can affect the glycemic level of rice. The aim of this study was to identify the differences in the blood glucose levels of people with DM after consuming rice cooked using either the steamed method or magicom. This study used a pre-experimental design with one group pre-post test with a repeated measure, which was then compared with the difference in fasting glucose levels with a 2-hour post prandial glucose level. The sample consisted of 24 type 2 DM patients. The independent variable was the cooking method and the dependent variable was the blood glucose level. The data collection was conducted using an observation and a questionnaire. The data analysis was done using a paired t test with a significance level of 0.05. The results of the independent sample t-test analysis obtained a value of t = -1.583 and p = 0.128, so there was found to be no significant difference between the fasting blood glucose levels and 2 hours post-prandial. The results of the descriptive comparison analysis showed that there were differences in the glucose levels between consuming rice cooked using either the steamed or magicom method of 18.304 gr / dl with p = 0.128. Rice cooked with the steamed method is more likely not to increase the blood glucose levels than rice cooked with mMagicom. DM patients should consume rice that has not been heated for a long time. Keywords: Blood Glucose Level, Steam Method, mMagicom, Diabetes Mellitus Tipe

PENGARUH ZIKIR TERHADAP RESPONS KOGNITIF, KADAR KORTISOL, DAN TINGKAT DEPRESI KLIEN GAGAL JANTUNG DI RSUD Dr. SOEGIRI LAMONGAN

Pendahuluan: Depresi merupakan kondisi komorbid yang sering terjadi pada penderita gagal jantung. Skor depresi rendah ditemukan pada klien gagal jantung yang berzikir. Tujuan penelitian ini untuk menjelaskan skor depresi rendah yang ditemukan pada klien gagal jantung yang berzikir. Metode: Desain penelitian ini adalah quasi experiment pre-post test control group design. Jumlah sampel sebanyak 18 orang yang dipilih secara consecutive sampling, terdiri dari 9 orang kelompok kontrol dan 9 orang kelompok perlakuan. Variabel independen dalam penelitian ini adalah zikir, sedangkan variabel dependen terdiri dari respons kognitif, kadar kortisol, dan tingkat depresi. Pengumpulan data variabel respons kognitif dan tingkat depresi menggunakan kuesioner, sedangkan variabel kadar kortisol melalui pengambilan sampel darah vena yang dukur dengan metode enzyme linked fluorescent immunoassay (ELFA). Uji statistik menggunakan t-Test, Mann Whitney, dan Wilcoxon Sign Rank Test dengan tingkat kemaknaan α < 0,05. Hasil dan analisis: Hasil penelitian menunjukkan bahwa: 1) zikir meningkatkan respons kognitif klien gagal jantung dengan tingkat kemaknaan p = 0,000, 2) zikir menurunkan kadar kortisol klien gagal jantung dengan tingkat kemaknaan p = 0,015, dan 3) zikir menurunkan tingkat depresi klien gagal jantung dengan tingkat kemaknaan p = 0,000. Diskusi dan kesimpulan: Zikir meningkatkan respons kognitif klien gagal jantung melalui pembentukan stress perception yang tepat. Stress perception yang tepat membentuk stress response yang adaptif berupa penurunan kadar kortisol dan tingkat depresi. Penelitian lanjutan diperlukan untuk menggunakan intervensi zikir sebagai alternatif solusi mengatasi depresi klien gagal jantung pada populasi yang lebih luas dengan meningkatkan metode penelitian, besar sampel, maupun jangkauan populasi penelitian

Living experiences of people living with HIV-AIDS from the client's perspective in nurse-client interaction in Indonesia: A qualitative study.

BackgroundNurse-client interaction when providing nursing services is limited to optimizing treatment and self-care, with limited focus on the psychological problems of people living with HIV-AIDS. However, psychological problems manifest more often than the health risks of the disease itself. This study aimed to determine the emotional response of people living with HIV-AIDS who received limited attention from nurses from the perspective of nurse-client relationship.Patients and methodsA phenomenological qualitative design was used through in-depth face-to-face interviews in a semi-structured manner, in an effort to obtain complete data. This research used purposive sampling with Participatory Interpretative Phenomenology analysis, involving 22 participants (14 males and 8 females).ResultsThis research produces several themes, with six subcategories: 1) Difficulty of social access, 2) Forcing to accept their situation and suppressing their will, 3) Wanting to be recognized like other people in general, 4) Social stigma and self-stigmatization affecting surroundings, 5) Lacking enthusiasm for life expectancy, 6) Always lingering under the shadow "when death picks up."ConclusionThe results showed that mental stress was experienced more than physical problems by people living with HIV-AIDS, thus prompting new changes to nursing services for HIV-AIDS patients that emphasize psychosocial aspects, in addition to clinical features, facilitated by satisfying relationships between nurses and clients to provide quality services

Model of spiritual nursing care in enhancing quality of life of patients with heart failure

Objective: To develop a spiritual nursing care model to improve the quality of life of heart failure patients. Method: The cross-sectional study was conducted at two government hospitals in East Java, Indonesia, from August to November 2019, and comprised patients of either gender aged 30 years or above having classic heart failure symptoms of weariness, ankle swelling and dyspnoea. Standardised questionnaires were used to collect data regarding disease, psychosocial, spiritual, demographic and environmental factors as well as stressors, formation of meaning, coping strategy, spiritual wellbeing, and quality of life. Data was analysed using partial least squares structural equation modelling. Results: Of the 222 patients, 124(55.9%) were males and 98(44.1%) were females. The overall mean age was 57.7±9.96 years. Overall, 33(14.9) patients were suffering from heart failure for >5 years, 36(16.2) had been hospitalised >5 times, and 8(3.6%) had no health insurance cover. Psychosocial (T=2.110), spiritual (T=1,998) and environmental (T=2,019) factors had an effect on the ability to assess stressors. Disease (T=5.497), spiritual (T=3.596) and environmental (T=3.172) factors had an effect on spiritual wellbeing. Disease (T=7.553), psychosocial (T=2.230) and environmental (T=2.625) factors affected the quality of life. The ability to assess stressors affected meaning formation (T=3.293), which had an effect on coping strategies (T=3.863), which, in turn, had an effect on spiritual wellbeing (T=9.776), and that affected the quality of life (T=2.669). Conclusion: The spiritual nursing care model was found to be influenced by disease, psychosocial and environmental factors as well as by spiritual wellbeing. Keywords: Adaptation, Psychological, Heart failure, Spirituality, Structural

PENINGKATAN PENDIDIKAN GIZI (COOKING CLASS) KELOMPOK KADER POSYANDU (MP-ASI)

Stunting merupakan kondisi kekurangan gizi kronis yang merupakan akibat dari kurangnya asupan gizi dalam jangka waktu lama, sehingga menyebabkan anak mengalami gangguan pertumbuhan. Salah satu upaya pencegahan stunting dilakukan melalui pemberian Makanan Pendamping ASI (MP-ASI) yang dapat diberikan oleh kader posyandu dengan bahan dasar kelor. Tujuan pengabdian masyarakat ini agar kader dapat memaksimalkan meja ke empat posyandu yaitu memberikan penyuluhan bahkan mengajarkan kepada ibu balita tentang cara membuat MP-ASI. Pelaksanaan pendidikan gizi (cooking class) dilaksanakan pada bulan Juni-Agustus 2019 yang diikuti oleh 10 kader dari 2 posyandu. Metode yang dilakukan adalah pelatihan kader, pendampingan dan evaluasi. Hasil dari pendidikan pendidikan gizi ini adalah peningkatan pengetahuan dan keterampilan kader dalam melaksanakan tugas kader pada meja 4 posyandu sehingga ibu balita dapat mempraktikkannya dirumah. Kata kunci : cooking class, kelor, kader, posyand