Self-Care Adherence Experience in Patient with Diabetes Mellitus Type 2: A Systematic Review

Background: Diabetes Mellitus is a metabolic disease that cause its patient need a long life maintenance. Diabetes Mellitus management in daily life is a complex activity and need an understanding about medicines, healthy diet, physical activities, and glycemic control. All those things is a personal responsibility of patient with Diabetes Mellitus Type 2. The objective of this systematic review was to describe the self-care adherence experience in patient with Diabetes Mellitus Type 2. Method: 15 best articles were found using PECOT framework in some databases; EBSCO, Science Direct, Scopus, and Journal of Universitas Airlangga. Those articles have been chosen based on some criteria. Result: Self-care therapeutic regiment for patient with Diabetes Mellitus Type 2 are physical activities, diet, self-monitoring blood glucose (SMBG), and glycemic control. But most of respondents were disobey the therapy caused by various factors. Depression is one of the reason. Conclusion: Nursing intervention was needed to increase self-care adherence in patient with Diabetes Mellitus Type 2

Preparatory Intervention to Reduce Anxiety in Patient who will Undergo Endoscopy: A Systematic Review

Background: Endoscopy is a diagnosis method to examine gastrointestinal system disorder. Being worry about the procedure, environment, and result itself can cause an anxiety in patient. Patient’s ability to adapt with all the things in endoscopy is importantly required to support examination. Anxiety will cause bad effect in patient. Comprehensive nursing intervention has to be given to reduce that anxiety. The objective of this systematic review was to compare the preparatory interventions given to endoscopy patient. Method: Articles were found in some databases such as Scopus, Science Direct, and PUBMED. The framework were (1) Preparatory Intervention identification in literature, (2) Identify the most relevant articles based on title and abstract, (3) Get full text literatures, (4) Classify the preparatory interventions. Result: The preparatory interventions found were (1) Hypnosis, (2) Aromatherapy, (3) Psychologycal preparation (4) Health Education, preparatory education (6) Giving information using various media (7) Information and behavioral training. Conclusion: Hypnosis, Health Education, Psychological preparation, Aromatherapy, Information and behavioral training, effective communication were preparatory intervention which can reduce the anxiety level of patient who undergo endoscop

Factors Related to Decubitus in Patient with Bed Rest and Physical Immobilization : A Systematic Review

Background: Decubitus is one of nosocomial infection that caused by a very long bedrest and physical immobilization. The prevalence of decubitus was still high in Indonesia. The objective of this systematic review was to identify factors that cause decubitus in patient with bedrest and physical immobilization. Method: 15 best articles were found using PECOT framework in some databases; EBSCO, Science Direct, Scopus, ProQuest, Pub Med, Wiley and Springer Link. Those articles have been chosen based on some criteria. Result: These are factors that cause decubitus ; Medical diagnosis, nutritional deficit, using mechanical ventilator, skin integrity, age, gender, immobilization, skin type, nurse’s workload, Length of Stay (LOS), fecal incontinence, environment humidity, albumin, hemoglobin, limfosit, triceps skinfold, blood pressure, sensory perception, friction, weight, mental status, vertebra trauma, diabetic history, and hypertension. Discussion: The most dominant factor was immobilization, skin integrity, friction, nutrition, age, and gende

Effectivity Of Pursed-Lips Breathing To Decrease Respiration Rate (RR) in Patient with COPD: A Systematic Review

Intoduction: COPD is one of disease that increase morbidity and mortality in the world. Pharmacology intervention only was not effective to overcome dyspnea as the most visible symptom of COPD. Pursed- Lips Breathing is a nonpharmacological therapy which is effective to help COPD patient to reduce dyspnea. The objective of this systematic review was to describe effectivity of Pursed-Lips Breathing to decrease Respiration Rate (RR) in patient with COPD. Method: 15 best articles were found using PECOT framework in some databases; EBSCO, Science Direct, Scopus, ProQuest, Pub Med, Wiley and Springer Link. Those articles have been chosen based on some criteria. Result: Pursed-Lips breathing that given for about 1 – 24 months was found effective to decrease Respiration Rate in patient with COPD. Discussion: Pursed-Lips breathing was highly recommended for patient with COPD to reduce dyspnea

PENGARUH HEALTH EDUCATION AUDIOVISUAL BERBASIS HEALTH BELIEF MODEL (HBM) TERHADAP PERILAKU KEPATUHAN PASIEN TUBERKULOSIS

Pendahuluan : Keyakinan merupakan faktor yang berpengaruh terhadap perilaku kepatuhan pasien Tuberkulosis (TB). Tujuan penelitian ini untuk mengetahui pengaruh health education audiovisual berbasis HBM terhadap perilaku kepatuhan pasien TB. Metode : Desain quasy-experiment yaitu pre-post test control group design, 70 pasien TB diambil dari populasi pasien TB di Puskesmas wilayah Dinkesdalduk dan KB kabupaten Trenggalek bulan April – Juni 2019 melalui purposive sampling dan dibagi menjadi kelompok perlakuan dan kontrol. Variabel independen health education audiovisual berbasis HBM, sedangkan variabel dependennya meliputi persepsi kerentanan dan keseriusan, persepsi manfaat, persepsi hambatan dan self efficacy yang diukur dengan kuesioner keyakinan serta variabel kepatuhan meliputi kepatuhan minum obat, nutrisi dan pencegahan penularan yang diukur dengan kuesioner MMAS-8, nutrisi dan pencegahan penularan. Uji statistik yang digunakan wilxocon signed ranks test dan mannwhithney test dengan α=0,05 Hasil : Uji statistik menunjukkan ada perbedaan yang bermakna antara nilai mean pre dan post pada persepsi kerentanan dan keseriusan, persepsi manfaat, persepsi hambatan, self efficacy, kepatuhan minum obat, pemenuhan nutrisi dan pencegahan penularan pada kelompok perlakuan dengan nilai p < 0,05. Intervensi health education audiovisual berbasis HBM berpengaruh terhadap peningkatan persepsi kerentanan dan keseriusan, peningkatan persepsi manfaat, penurunan persepsi hambatan, self efficacy, kepatuhan minum obat, nutrisi dan pencegahan penularan dengan nilai p < 0,05. Kesimpulan : Intervensi health education audiovisual berbasis HBM efektif meningkatkan perilaku kepatuhan pasien TB. Intervensi ini bisa digunakan sebagai salah satu intervensi mandiri keperawatan untuk meningkatkan kepatuhan pada pasien TB