The Impact of Implementation Virtual Reality (VR) on Pain Levels Among Children with Invasive Procedures: A Literature Review

The volume of hospitalized pre-school children has increased in recent years. More than 30% children have experienced hospital treatment and 5% have been treated several times in the hospital. They will undergo painful procedures with physical and psychological impacts. Various technological approaches to pain management have been developed, including the use of virtual reality therapy to reduce pain in pediatric patients. The purpose of this study is to conduct a literature review to the impact of using Virtual Reality (VR) on pain level among children undergoing invasive procedures. Literature review was conducted from 2010-2020 at the five largest databases consist of Pubmed, Google Scholar, CINAHL, Medline and Psycinfo by using keywords “Virtual Reality” “Pain”, “Children Pain”, “Pediatric Pain”, “Virtual Reality and Children Pain” and “Virtual Reality and ‘Pediatric Pain. From four articles discussed both acute and chronic pain, VR can be used to reduce pain or other symptoms related physiological stress during hospitalization   Keywords: Children, Pediatric, Pain, Hospitalization and Virtual Realit

Implementation of Internet-Based Technology in Primary Health Care During the COVID-19 Pandemic

Primary health care services in Indonesia are facing challenges in dealing with the COVID-19 pandemic. Many primary health services are limited as a result of the lockdown policy, which can prevent people who are experiencing health difficulties from seeking assistance. This study aimed to examine the implementation of internet based technology in the primary health care sector for COVID-19 prevention. An experimental two-group pretest-posttest design was used. Respondents were offered an intervention in the form of internet-based instruction in five sessions (each meeting lasting 45 minutes) over three weeks; these sessions involved talks with PowerPoint presentations and applications regarding COVID-19 prevention. The level of knowledge about COVID-19 prevention grew considerably between the pre- and post-intervention periods, from 3.02 (SD = 1.25) to 4.45 (SD = 1.31), with a p-value < 0.001, while there was no significant decline in the control group (p = 0.260). Health monitoring systems are used to examine data gathered over the course of implementing a health program for patients. The implementation of this program resulted in an increase in the knowledge and abilities of health workers regarding the use of technology. Training to boost health workers’ capacity for technology use is urgently needed and should be implemented across all facility health workers. Keywords: internet of things, primary health care, COVID-1

The effect of internet-based education to improve knowledge and practice toward COVID-19 prevention among community volunteer in rural area of West Java, Indonesia

Aims: This study aimed to determine the effect of internet-based education to improve knowledge and practice toward COVID-19 prevention among community volunteer in Indonesia. Design: This study is a quantitative study using the queasy-experimental two group pre-posttest design. Methods: The intervention in the form of internet-based education was offered to respondents in 5 sessions (45 minutes each meeting) in 3 weeks in the form of discussions utilizing power points and applications regarding COVID-19 prevention. the respondents are those who meet the inclusion criteria during the study: age over 18 years old, able to communicate well, not have visual and hearing impairment, can read and write, willing to be involved in research, and have access to android gadgets. Results: The number of samples in this study were 150 respondents consisting of 84 respondents (56.4) male and 66 respondents (44.0) female. Of these 150 respondents, 75 respondents were in the intervention group and 75 respondents were in the control group. COVID prevention knowledge before and after the internet-based education intervention increased significantly from 2.02 (SD=1.25) 2 to 3.45 (SD=1.31) with a t-value of 6.22 and a p-value of 0.000. In the scores of COVID-19 prevention practice, it was found that the intervention group data showed a significant Increased from 2.57 (SD = 0.98) to 3.13 (SD = 2.34) with a p-value of 0.000. Conclusions: This study found the significant improvement of knowledge and practice toward COVID-19 prevention using an internet-based education

Virtual Peer Educator Training Program About Sexually Transmitted Infections in Adolescents

Sexually transmitted infections (STIs) are caused by fungi, bacteria, parasites or viruses and are transmitted from one person to another through having intercourse. Lack of knowledge will cause teenagers to have sex unsafely. Teenagers need to be taught about reproductive health because STIs are common and there is little knowledge about STIs. This study aimed to find out the effectiveness of a virtual peer educator training program about STIs in teenagers. This was a quantitative quasiexperimental study. There were 38 participants who were aged 15-18 years old and were recruited through convenience sampling. The data were collected by using two questionnaires: one about the awareness of STIs (Cronbach’s alpha = 0.795) and one about the attitudes towards STIs (Cronbach’s alpha = 0.709). The data were analyzed by using paired t-tests. This study showed that the training program was effective in enhancing teenagers’ awareness and attitude about STIs. Educating teenagers about reproductive health is important to make they know about STIs, themselves and their surroundings. Keywords: virtual, peer educator, training, STI, yout

The Effect of Oxytocin and Endorphin Massage to Uterine Involution in Post-Partum Mothers: A Literature Review

Post-partum is the period during which the internal and external reproduction organs will gradually return to their pre-pregnancy state. Uterine involution or uterine contraction is a process in which the uterus returns to its pre-pregnancy state weighing about 60 grams. The process of uterine involution is influenced by uterine contractions which are stimulated by the oxytocin hormone, a process which can be facilitated by a combination of oxytocin and endorphin massage. With the release of endorphins, the mother will feel more comfortable and the oxytocin hormone can be stimulated, so that uterine contractions can work normally and increase the process of uterine involution. This study involves a literature review which aimed to summarize the results of studies which explain that the effect of oxytocin and endorphin massage to uterine involution in postpartum. The data was collected from Pubmed and Google Scholar databases with these keywords: combination of oxytocin and endorphine massage; uterine involution; and maternal postpartum. Only 3 journals had the required inclusion criteria. The results showed that the combination of oxytocin massage and endorphin massage was effective in reducing the height of uterine fun in post-partum mothers. The combination of oxytocin massage and endorphin massage can be developed for increasing uteri involution.   Keywords: Combination, oxytocin and endorphin massage, uterine involution, postpartu

Perceptions of Indonesian Nurses Toward the Application of the Internet of Things in the Future

In the healthcare industry, Internet of Things (IoT) based systems are utilized for phone care delivery, smart healthcare, smart health sensors and wearable technology, preventative systems, and distant monitoring. No studies have assessed nurses’ perspectives of IoT applications in Indonesia. The purpose of this study was to identify health professionals’ perspectives on future health and technology trends, to identify their readiness to adopt new health technologies, and to identify the use of IoT technology in healthcare applications. This study was conducted using a descriptive and cross-sectional approach. Nurses with a Diploma III and at least one year of experience were selected from three different departments (medical surgical, pediatrics, maternity). About 76% of 350 nurses had little knowledge of IoT technology and 95% said they do not keep up to date with IoT publications. About 50% of nurses believed that IoT technology will have a large impact on the health and education sectors. These results indicated that IoT technology and informatics should be included in nursing education and further studies should be conducted to integrate technological trends into healthcare and nursing practices. Keywords: perceptions, nurses, internet of things, healthcar

Symptoms Burden among Women with Gynecological Cancer in Indonesia: A Descriptive Study

Background: Gynecological cancer is one of the most common reproductive health problems of cancer. Factors that cause high rates of the incidence of gynecological cancer, because many symptoms are ignored so that symptoms that can actually be treated early become a very serious disease. Women with gynecological cancer have a burden of symptoms over time which can cause a negative response to the patient’s physical, psychological and emotional. Objectives: This study aimed to describe the symptom burden in women with gynecological cancer. Methods: This study used quantitative and descriptive research using cross sectional approach. Conducted in May2019,with95subjectsresearchatRumahSinggahinBandungusingconvenience sampling. Symptom Burden was assessed using Memorial Symptom Assessment Scale (MSAS). Resuts: Ten common symptoms experienced by respondents with gynecological cancer were worrying 96.8% (92), feeling sad 95.8% (91), insomnia 93.7% (89), problems with activity or sexual arousal 89, 5% (85), feeling tired 86.3% (82), lack of appetite 81.1% (77), dizziness 80% (76), irritability 80% (76), pain 78.9% (75), less energy 78.9 (75), with a symptom mean of 1.08 (± 0.386). Conclusion: Indicated that psychological symptoms is the common symptom that experienced by women with gynecological cancer. Nursing and other healthcare professional is expected to pay more attention to psychological symptoms to meets the need of patient.   &nbsp

Pain Intensity among Women with Post-Caesarean Section: A Descriptive Study

Background: The frequency of Caesarean section increased from 5% to 15% across the world. According to statistics, it is highest in the U.S. or around 24%, and then in Canada about 20%, in Denmark about 13%, 10% in England, and it is lowest in Japan 7%. Post-cesarean section women experience pain due to operative trauma. Individual variability of postoperative pain is influenced by multiple factors, including sensitivity to pain, psychological factors, age, and genetics. Cesarean delivery patients have even more compelling reasons to achieve optimal postoperative pain relief than other surgical patients, but they also present unique challenges. Post cesarean delivery patients are at a higher risk for thromboembolic events, which may also be precipitated by immobility from inadequate pain control or excessive sedation from opioids. Objectives: This research aimed to describe pain intensity among women with post-cesarean Section. Methods: This research conducted at an obstetric ward in Hasan Sadikin Hospital, Bandung, West Java, Indonesia with 60 women with postcesarean section. Instrument used Visual Rating Scale (VAS) for pain measurement. A descriptive Study with Mean±SD for univariate analysis Result: Pain intensity among women with post-caesarian section were mild pain level with mean of pain level was 2.8. Women with mild pain level as much as 81,6%. Conclusions: As a nurse, can be considered as a nonpharmacological intervention to reduce the pain of cesarean section effectively and to decrease the number of medications and their side effects

HIV: Prevention of mother-to-child transmission basic knowledge of HIV and PMTCT of women in Indonesia

Background: The HIV-infected population is experiencing a shift in trends that lead to public health problems. This causes an increase in the incidence of HIV among housewives or women. Knowledge of mother-to-child transmission in women has an important aspect in the success of prevention practices. Having limited knowledge may cause women to avoid screening and testing for HIV.Purpose: To identify the HIV prevention of mother-to-child transmission and basic knowledge of HIV and PMTCT among women in Indonesia.Method: A cross-sectional study design was conducted with a sample size of 137 women. The convenience sampling method was used to recruit the sample between June to September 2020. Demographic characteristics and knowledge of the Indonesian version of PMTCT from V.N ADDO were used for data collection. Descriptive analysis and cross tabs for statistical analysis.Results: The majority of respondents don’t know their own HIV status (93.4%).  Most respondents answered that HIV is a sexually transmitted infection disease (94.1%), having no cure (46.3%), and can be prevented by being faithful to partner (93.4%), selected before birth is the time of transmission infection from mother to baby (76.5%), and giving medication to pregnant women is the way to prevent transmission (43.3%). On the other side, most of the respondent doesn’t know time from infection to appearance of symptoms (83.8%) and in terms of MTCT knowledge, here are still 36.8 women don’t know how to prevent PMTCT.Conclusion: Improving comprehensive information dissemination from healthcare professionals by using mass media is needed to improve knowledge and service uptake to succeed in the PMTCT program

Identifying clinical features of fluid status among children with suspect dengue in Indonesia

Background: The incidence of dengue had significantly increasing every years in Indonesia. Children is vulnerable population and have higher risk develop to shock complication from dengue. This infectious disease can cause several symptoms such as nausea or vomiting, no appetite, leakage of blood plasma and the patient may experience hypovolemic shock. One of the factors that can affect dengue virus infection is nutritional and fluid status.Purpose: To identifying clinical features of fluid status among children with suspect dengue in IndonesiaMethod: A descriptive quantitative method and conducted at the public health center in West Java Indonesia. The sample taken by a convenience sampling method. Inclusion criteria were children aged 1-14 years old diagnosed with dengue infection and hospitalized in Pediatric Ward.Results: Finding that the respondents diagnosed with dengue fever (DF) had experienced dehydration of 86.8%. and diagnosed with dengue hemorrhagic fever (DHF) had experienced dehydration of 83.3%Conclusion: Most children with dengue infections have dehydrated. This condition is because of symptoms such as nausea, vomiting, lack of appetite, abdominal pain, and then following by difficulty taking oral fluid