Caring for Self: Perceived by Persons Living with HIV Infection in Bandung, Indonesia

The continuing increase of persons living with HIV infection (PLWH) in Indonesia is impacting on society. This is a part of focused ethnographic study aims to explore and describe the caring perceptions among Muslim PLWH in Bandung, Indonesia. Twelve PLWH were recruited purposively to participate in this study. Data collection included participant observation, interviews and filed notes during the eight months period. The Leininger’s ethnonursing phases of qualitative data analysis were used as the guideline in analyzing process. Four major themes emerged: (1) accepting the reality of being an HIV-infected person while submitting self to Allah (God); (2) striving to maintain health by performing optimum efforts and supplication; (3) gaining the blessing of God by doing good deeds and worship; and (4) building brotherhood and networking to share, support, and help each other. Findings indicated that the patient’s perceptions of caring were related to socio-cultural context especially Muslim teaching and cultural beliefs. Health care providers, particularly nurses, could take this knowledge to design a culturally congruent community based care for PLWH and their family members

Faktor yang Berhubungan dengan LOS Pasien Bedah Orthopedi

This literature review aims to analyze what factors are associated with LOS in orthopedic surgery patients. This literature review was carried out using PRISMA guidelines, the electronic databases used were ScienceDirect, CINAHL and Pubmed with the keywords "Length of Stay' OR 'Hospital Discharge' OR 'Hospital Stay' AND 'Orthopaedic Surgery". The results obtained were 10 full text articles, using English, and published in the period 2013-2023. Based on the articles, five groups of factors were found, namely: respondent characteristics (gender and age), comorbidities, surgical time, social support, and attendance at preoperative education classes. Conclusion, Predicting LOS in surgery is an important factor because it helps hospitals provide quality surgical services, ensure patient safety, and plan optimal resources for patients. Further research is still needed to identify factors that influence the LOS of orthopedic surgery patients, especially in Indonesia. So we can find the right solution to reduce the LOS of orthopedic surgery patients.   Keywords: Orthopedic Surgery, Length of Stay, Length of Sta

Hubungan pengetahuan terhadap kepatuhan menjalankan pola hidup sehat pada pasien pasca intervensi koroner perkutan di RSUP dr. Hasan Sadikin Bandung

Latar belakang : Penyakit jantung koroner (PJK) merupakan ancaman serius bagi kehidupan seseorang. Salah satu penatalaksanaan PJK adalah dengan intervensi koroner perkutan (IKP), akan tetapi tindakan IKP tetap mempunyai risiko mengalami kekambuhan, karena adanya faktor risiko PJK yang dimiliki sebelumnya. Dalam menurunkan faktor risiko tersebut, salah satunya dapat diatasi dengan cara menjalankan pola hidup sehat pasca IKP. Tujuan : Tujuan dari penelitian ini adalah untuk mengetahui hubungan pengetahuan dengan kepatuhan menjalankan pola hidup sehat pada pasien pasca IKP. Metode : Penelitian ini adalah penelitian kuantitatif. Sampel pada penelitian ini adalah pasien pasca IKP yang sedang berobat di Instalasi Pelayanan Jantung. Teknik pengambilan sampel dengan menggunakan purposive sampling, yaitu sebanyak 48 responden di Instalasi Pelayanan Jantung RSUP Dr. Hasan Sadikin Bandung. Instrumen yang digunakan terdiri dari; modifikasi instrumen Heart Disease Fact Questionnaire (HDFQ) dan instrumen Medication Adherence Scale (MAS) dengan menggunakan analisis data uji chi-square. Hasil : Hasil penelitian menunjukan adanya hubungan yang bermakna antara pengetahuan (x2=12,800, p=0,000) terhadap kepatuhan menjalankan pola hidup sehat. Penelitian ini dapat disimpulkan bahwa terdapat hubungan pengetahuan terhadap kepatuhan dalam menjalankan pola hidup sehat.. Saran dari penelitian ini perawat sebaiknya memperhatikan pengetahuan pasien saat memberikan intervensi dalam meningkatkan kepatuhan menjalankan pola hidup sehat pada pasien pasca IKP. Kata Kunci : Intervensi koroner perkutan (IKP) , kepatuhan, penyakit jantung koroner (PJK), pola hidup sehat

PENGALAMAN DAN MANAJEMEN NYERI PASIEN PASCA OPERASI DI RUANG KEMUNING V RSUP Dr. HASAN SADIKIN BANDUNG : STUDI KASUS

ABSTRAKNyeri adalah gejala subjektif; hanya klien yang dapat mendeskripsikannya.  Salah satu penyebab nyeri adalah tindakan pembedahan atau operasi. Jika nyeri tidak dikendalikan, hal tersebut memperpanjang proses penyembuhan dengan menyebabkan komplikasi pernapasan, ekskresi, peredaran darah, dan sistemik lainnya. Sebagai akibatnya, beberapa pasien meninggal, kualitas hidup dan pasien kepuasan menurun, lamanya tinggal di rumah sakit meningkat, dan biaya perawatan meningkat. Tujuan penelitian ini adalah untuk menggambarkan pengalaman nyeri, menganalisis manajemen nyeri dan mengevaluasi efektivitas manajement nyeri pasca operasi. Metode penelitian: studi fenomena dengan studi kasus menelaah pengalaman nyeri dan pengelolaan nyeri paska operasi pada 4 pasien di ruang rawat inap Kemuning V RSUP Dr. Hasan Sadikin Bandung. Hasil penelitian dari pengalaman nyeri pasca operasi bervariasi dan dipengaruhi oleh beberapa faktor yaitu usia, jenis kelamin, jenis pembedahan dan budaya. Pengkajian skala nyeri juga tidak bisa hanya melibatkan satu skala tapi dapat dilihat dari karakteristik pasien, contohnya pasien diatas 65 tahun lebih efektif menggunakan Verbal Rating Scale (VRS). Pemberian analgesik masih kurang efektif karena pasien belum bebas nyeri. Tehnik non farmakologi relaksasi efektif mengurangi nyeri pasca bedah abdomen. Kesimpulan: Format pengkajian berisikan elemen COLDSPA dapat digunakan dalam mengkaji nyeri secara komprehensif. Bagi pasien lansia, skala VRS lebih mudah dimengerti. Pemberian obat analgesic opioid adalah pada skala nyeri sedang-berat, perlu dipertimbangkan mengenai pemberian obat secara prn (pro re nata), dimana perawat dan pasien terlibat dalam pengambilan keputusan untuk mengelola perawatan nyeri akut dan pasien merasa dilibatkan dan memiliki kendali atas nyeri yang dirasakan. Metoda non-farmakologi lain, selain relaksasi dapat dikombinasikan untuk mengurangi nyeri pasca operasi

Penggunaan Terapi Komplementer Terkait Kualitas Hidup Survivor Kanker Payudara Stadium Lanjut

This study aims to see how the effect of complementary therapy on the quality of life of survivors of advanced breast cancer. The research method used is a scoping review where the author uses four databases, namely Google Scholar, Pubmed, Proquest, and Science direct, from 2013 to 2021. The type of research sought uses cross-sectional and retrospective observational. The results showed that alternative, complementary therapies often used by breast cancer survivors were herbs, spiritual therapy, vitamin and mineral supplements, mind-body manipulative practices, and exercise. However, five articles state that there is no association between the use of CAM on the quality of life of breast cancer survivors. However, seven other articles said that there was a positive effect of CAM on the quality of life of breast cancer survivors. In conclusion, the coordination of alternative, complementary medicine with conventional cancer treatment and standard procedures will ensure that patient care can be provided with maximum quality standards, the highest information standards, and maximum treatment safety.   Keywords: Breast Cancer, Quality of Life, Complementary and Alternative Medicin

Perbandingan Skin Preparation Kombinasi Alkohol 70% dan Chlorhexidine Gluconate 4 % dengan Kombinasi Chlorhexidine Gluconate 4% dan Povidone Iodine 10% terhadap Jumlah Koloni Kuman pada Persiapan Pembedahan

This study aims to examine differences in the number of bacterial colonies after skin preparation using a combination of 70% alcohol and 4% chlorhexidine gluconate with 4% chlorhexidine gluconate and 10% povidone-iodine. This study used a quasi-experimental method with a pre-post test design. The results showed a decrease in the number of bacterial colonies by 99.84% in the 70% alcohol group and 4% chlorhexidine gluconate, and 99.77% in the 4% chlorhexidine gluconate and 10% povidone-iodine groups. While the difference in the number of bacterial colonies between the two groups, there was no significant difference with a p-value of 0.320 > 0.05. In conclusion, both groups effectively reduced germ numbers, but there was no significant difference in effectiveness between the two groups.   Keywords: Alcohol, Chlorhexidine, Iodine, Skin Preparatio

Pengaruh Pendidikan Kesehatan terhadap Kepatuhan Diet pada Pasien DM Tipe 2 di Irna Non Bedah Penyakit dalam RSUP Dr.m. Djamil Padang Tahun 2014

Diabetes Mellitus is a degenerative disease that has become a health problem in the world. The prevalence of this disease is increasing in developing countries, including Indonesia. Uncontrolled blood sugar and further complications may be influenced by the patient's behavior and lifestyle. Disobedience in implementing the diet is one of the problems for Diabetic patients. One of the nursing interventions that can be used to overcome the disobedience of the diet is to provide health education on dietary management. The purpose of this study was to determine the effect of health education on dietary obedience in patients with Diabetes Mellitus in Irna Non Bedah Penyakit Dalam, Dr. M. Djamil Hospital. The type of research is a Quasi-Experimental by using One Group Pre-Post Test Design, 15 people as samples were taken by Purposive Sampling Method. Data collection was conducted on 01 February 2014 to 05th March 2014. The statistical test used is Wilcoxon signed rank test. The results show that there is an increased obedience of patients in implementing Diabetic diet (the right amount, the right type, and the right schedule) after a given health education (p = 0.002). As a conclusion, giving the  health education about the implementation of the diet can improve dietaryobedience in patients with Diabetes Mellitus who are undergoing treatment. It is expected that the implementation of health education can be done intensively in health services in Dr. M. Djamil Hospital as anticipation of further complications due to disobedience in implementing the diet

Makna Spiritualitas Pada Klien Dengan Sindrom Koroner Akut

This research was conducted due to the high of mortality and disability rate in the world caused by Acute Coronary Syndrome (ACS), however the treatment of ACS' clients are still focusing on physical aspects rather than spirituality aspects. Actually, these aspects are equally important. Through awareness of the meaning of spirituality, the clients can achieve spirituality comfort. Spiritual comfort can give peacefulness and positive impact to clients' health. The purpose of the study was to explore the meaning of spirituality in clients with ACS who undergone treatment in the cardiac intensive care RSHS Bandung. The study used a descriptive exploratory design with 10 participants. The data was collected through interviews and observations. The data were analysed using content analysis the data analysis performed using content analysis. The result identified four categories of the meaning of spirituality followed by 10 themes, namely : (1) Spirituality was self-relationship that consists of two themes, include a. Accepted of disease as a reproach or temptation b. Better in life; (2) Spirituality was relationship between human and God, it consists of five themes, namely : a. Self-reliance, b. Worship or communication with God, c. Hope, d. Asking forgiveness or repentance, e. Grateful; (3) spirituality was a relationship with others, it consists of two themes, namely : a. caring, love, affection from others, and the success of the family b. Giving to others; (4) Spirituality was relationship between human with nature, consist of one theme, namely : doing personal interest or activity in the nature environment. Based on the results, nurses are expected to be more understood to the meaning of clients' spirituality and encouraging them to use their spirituality sources for their healing process. Educational institutions are expected to prepare the student with high sensitivy of clients' spirituality needs, and then further research of spirituality care is needed with broader scope

THE EXPERIENCES OF RECTAL CANCER SURVIVORS WITH STOMA IN WEST JAVA INDONESIA

Introduction: Important specific experience of rectal cancer survivors is how they perceive the treatment of cancer, undergo treatment completely and get healed, and live productively after recovery. The aim of the study was to obtain the significant experience of rectal cancer survivors. Methods:  This  study  was   a   qualitative phenomenological method. Sample was taken based on the snowball technique to get three individual patients. Data was collected through in-depth interview, and then was analyzed with seven steps analysis of Colazzi. Results:  A  total  of  eight  major   themes  that describe various experiences of the participants of rectal cancer with stoma were found, namely:  difficulty  in  mobility/  social activity,  sense of  low  self-esteem,  pain,  extra expenses,   changes   of    patterns of sexual intercourse, dealing  with  loss,  restrictions  to worship, and the desire to share with other patients with permanent stoma. Discussion: This difficulty is drawn from the fear of lacking public facilities to support their condition,  such  as  the  place  to  change  or unload the stoma bag/appliance, fear that the bag  may produce bad odor and uncomfortable sound, purchase the  bag routinely, while most of them were already  unemployed,  worry  that the spouse  feel  disgusted  or   pity,   and   the uncertainty   if   the prayer and worship is acceptable to God. Conclusion:  life’s  meaning   of   being   rectal cancer   survivor helps increase the desire to share it with other patients in order to elevate their spirit amidst the same situation. Based on the stud, nurses should provide psychological support and clear  information so  that patients can meet their basic needs.

MANAJEMEN DIRIUNTUK MENGATASI FATIGUE PADA PASIEN HEMODIALISIS: KAJIAN LITERATUR SISTEMATIS

Fatigue merupakan gejala yang paling sering dikeluhkan oleh pasien Gagal Ginjal Terminal yang menjalani terapi hemodialisis yaitu sebanyak 60-97% dari total pasien yang menjalani hemodialisis, menyebabkan konsentrasi menurun, malaise, gangguan tidur, gangguan emosional, dan penurunan kemampuan pasien dalam melakukan aktivitas sehari harinya yang dapat menurunkan kualitas hidup pasien hemodialisis.Kajian literatur diperlukan untuk mengetahui intervensi berbasis fakta untuk mengatasi fatigue. Artikel ini bertujuan untuk mengetahui strategi intervensi manajemen diri pasien hemodialisis dalam mengelola fatigue. Metode yang digunakan dalam membuat artikel ini adalah cirtical review. Proquest(tahun 2005-2015)dan Google Scoolar(tahun 2005-2015) merupakan database yang digunakan dalam review ini.Key word yang digunakan adalah fatigue, nursing intervention, end stage renal deseases, chronic kidney deseases, hemodialysis, self management, intervensi keperawatan, penyakit ginjal, gagal ginjal kronis, hemodialisis dan manajemen diri.Didapatkan 6 artikel penelitian yang sesuai dengan tujuan dan kriteria review. Ada3strategi untuk mengatasi fatigue, yaitu latihan fisik, penggunaan sinar infra merah dan relaksasi: yoga. Penerapan intervensi ini terbukti menurunkan fatigue. Dari 6 penelitian,pelaksanaan intervensi yang memungkinkan sebagai self management pasien adalah intervensi latihan fisik saja. Akan tetapi pelaksanaan latihan fisik ini perlu pendampingan dari ahli untuk memantau tanda-tanda vital dan kondisi pasien secara keseluruhan setelah latihan fisik, oleh karena itu disarankan perlunya penelitian mengenai empowering interventionyang benar benar melibatkan pasien secara langsung dan pelaksanaannya dapat dilaksanakan secara mandiri oleh pasien sehingga pasien dapat mengelola kondisi yang dialaminya setiap saat sehingga dapat menurunkan tingkat ketergantungan pasien yang berdampak pada peningkatan kualitas hidup pasien