Education Package Reduce Physical and Psychological Complaint in Cervical Cancer Patient with Chemotherapy

Introduction : Patient with cervix cancer who receives chemotherapy experience problems in physical or psychological. Physical complaints such as nausea, vomiting and fatigue. Psychological responses such as anxiety and depression can be reduced by providing education about the care package for themselves at home. The education package at the gynecology ward RSU Dr. Soetomo Surabaya has been developed which contains about nutrition, activity, psychological aspects and progressive muscle relaxation exercise. The objective of this study explore the relationship of the educational package with physical and psychological complaints of cervical cancer patients with chemotherapy. Method : This research use cross-sectional design. The sampling technique used total population. The sample was taken from those suitable with inclusion criteria, with the total sample 25 patients. Data were collected by using a questionnaire. Data analysis using the T test and chi-squere. Result : Results showed that there are differences level of nausea, vomiting, fatigue and the entry psychological response to the respondents before and after intervention (p<0.05). The results showed that there is relationship between age with anxiety (p=0,032), relationship between the status of work with fatigue (p=0,003) and relationship between the frequency of chemotherapy with fatigue (p=0,015). Analysis : It can be concluded that education package can reduce physical and psychological complaint in serviks cancer patient with chemoteraphy. Discussion : Implications the results of this research is the educational package can be developed as part of the nursing care of cervical cancer patients with chemotherapy to reduce physical and psychological complaints

Tingkat Pengetahuan Penderita Hipertensi tentang Kepatuhan Berobat

This study aimed to determine the level of knowledge of hypertensive patients about medication adherence. The research method used is descriptive qualitative with a cross-sectional approach. The results showed that most of the 37 research samples were aged 51-65 years (59.4%), women (54.1%), a high education level (14%), self-employed (35.1%) stage two hypertension at the time of visit (86 .48%), many sufferers have a lack of knowledge (56.8%), and patients are not compliant in treatment (74.1%). In conclusion, most hypertension sufferers who seek treatment at the Internal Medicine Outpatient Unit at the Guido Valadares Nacional Hospital Dili Timor Leste have a poor level of knowledge, and most are also disobedient to their hypertension treatment. Keywords: Hypertension, Compliance, Level of Knowledg

Cutaneus Stimulation: Slow-stroke Back Massage Reduces the Intensity of Osteoartritis Pain of Elderly

Introduction: Osteoarthritis disease is the result of both mechanical and biological process which lead come to unstable degradation and synthesis of condrozyte cartilage and extracellular matrix. The risk factor of this instability is aging process. The aging process stimulates osteophytes formation and degradation of cartilage, and emerged pain as primary clinical symptom. One of the non pharmacological ways to cope this pain is by applying cutaneus stimulation through slow-stroke back massage method. The objective of this study was to analyze the effect of applying cutaneus stimulation with slow-stroke back massage method to osteoarthritis's pain intensity. Method: Pre experimental design with one group pre test-post test approach was used in this study. The subject of this study were elderly above 50 years old living in Panti Werdha Hargo Dedali Surabaya, 15 participants were involved using purpose sampling technique. This study started on January 29th until February 6th, 2010. Data were collected by interview and observation and analyzed by WIlcoxcon Signed Rank Test α = 0.05, p value <α. Result: The Result showed that the message intervention was significantly affect the elder's level of osteoarthritis pain in Panti Werdha Hargo Dedali Surabaya (p = 0.003). Discussion: It can be concluded that gives stimulation cutaneus: slow-stroke back massage reduce osteoathritis pain intensity. Slow-stroke back massage increase level of endorphin, so that pain reduction and individual pain perception will decrease

Preventing Medication Error Based on Knowledge Management Against Adverse Event

Introductions: Medication error is one of many types of errors that could decrease the quality and safety of healthcare. Increasing number of adverse events (AE) reflects the number of medication errors. This study aimed to develop a model of medication error prevention based on knowledge management. This model is expected to improve knowledge and skill of nurses to prevent medication error which is characterized by the decrease of adverse events (AE). Methods: This study consisted of two stages. The first stage of research was an explanative survey using cross-sectional approach involving 15 respondents selected by purposive sampling. The second stage was a pre-test experiment involving 29 respondents selected with cluster sampling. Partial Leas square (PLS) was used to examine the factors affecting medication error prevention model while the Wilcoxon Signed Rank Test was used to test the effect of medication error prevention model against adverse events (AE). Results: Individual factors (path coefficient 12:56, t = 4,761) play an important role in nurse behavioral changes about medication error prevention based in knowledge management, organizational factor (path coefficient = 0276, t = 2.504) play an important role in nurse behavioral changes about medication error prevention based on knowledge management. Work characteristic factor (path coefficient = 0309, t = 1.98) play an important role in nurse behavioral changes about medication error prevention based on knowledge management. The medication error prevention model based on knowledge management was also significantly decreased adverse event (p = 0.000, α <0.05). Discussion: Factors of individuals, organizations and work characteristics were important in the development of medication error prevention models based on knowledge management

Counseling Improves Anemia Prevention Behavior of Pregnant Women

Introduction: Pregnancy closely associated with anemia, where the condition of mothers with Hb under 11gr% in 1st and 3rd trimester or Haemoglobin (Hb) levels below 10.5 g% in 2nd trimester. Knowledge, attitudes and practices of pregnant women on preventing anemia during pregnancy is one of the factors that influence incidence of anemia which affects the health of babies. Objective of this study was to explain the effect of counseling toward anemia prevention behaviour (knowledge, attitude, practice) of pregnant women. Method: A pre-experimental (one group pretest-posttest) simple random sampling design was used in this study. Population of this study was all pregnant women in Mrs. Wolita midwife practice Surabaya ( as many as 30 pregnant women a month). Sample of these 28 pregnant women were recruited over period of this study. Independent variable was counseling, while the dependent variable were knowledge, attitudes and practice. Data were collected by using questionnaires and analyzed with the Wilcoxon Signed Rank Test with significance level of α ≤0.05. Result: The result showed that counseling effected behaviour (knowledge, attitude and practice) of pregnant women on anemia prevention with significance level p=0.000 (knowledge); p=0.007 (attitude) and p=0.027 (practice). Analysis: It can be concluded that counseling or health education about prevention of pregnancy anemia is needed for pregnant women. Discussion: It is recomended that regular counseling must be provided by counselor to prevent anemia during pregnancy. Haemoglobin of pregnant women should also be checked regularly in the midwife practices, as a first step effort to decrease the incidence of anemia in pregnant women

Development of Performance Assessment Instrument for Nurses Based on Web in Inpatient Unit

Introduction: Performance assessment instrument will be problematic when it is not representative in describing the competency because it is not obvious indicators and inappropriate performance standard to nursing's task. The purpose of this study is to develop nurses' performance assessment instrument based on the web from multi sources assessment inpatient unit at SMC Hospital. Methods: This study had two phases. The first phase was an explanatory overview of the performance assessment system using questionnaires completed by 53 respondents of nurses, selected by purposive sampling. Instrument development based on FGD with six decision makers in the hospital. Validity was tested by Pearson Product Moment Correlation and reliability of instrument's was tested by alpha Cronbach. The second phase was socialization and instrument test to observe the quality of instrument using a questionnaire by 47 respondents and recommendations made by 8 participants of FGD. The samples were selected by purposive sampling technique. Performance assessment system was moderate at 58.49%. All questions which aimed to measure the performance of nurses were valid and reliable. The quality of nurses' performance assessment instruments based on the web was a good category, which was functionality: 81.60; reliability: 78.16; efficiency: 80.85; USAbility: 81.70 and portability: 81.70. Results: The result was a web-based assessment format, scoring with Likert scale, resource assessment by the direct supervisor which was a multisource evaluator, the development of performance graph, and confidentiality of data on the database server. Discussion: Recommendations for hospital is to make policy based on the final value of the performance assessment by the supervisor which was multisource feedback and it needs a global writing on a form of performance assessment result

Development of Self Regulated Learning Model in Studying Nursing (Srlsn) to Improve Student Learning Competence

Introduction: New students at the college have to adjust to the learning process in a way more independent, not dependent on the lecturer, and self-regulation in learning. The purpose of this study is to develop a model of competence SRLSN to increased achievement among undergraduate students in the fourth semester of nursing STIKES Pemkab Jombang. Methods: The design used is explanatory and quasi-experimental pre-post test with control group. The population in this study were 71 nursing students of 4th semester of the academic year 2012–2013. The sample used 60 students with simple random sampling. Data was collected using focus group discussions, observation and questionnaires, then analyzed using regression results. Results: The results showed that the correlation between SRLSN preparation phase and implementation phase of 0.976, the correlation between the phase and the implementation phase has a self-reflection of 0.374, the relationship between the phase of preparation and reflection phase of 0.576. There are significant differences between treatment and control groups on aspects of cognitive competence achievement, competence affective, and psychomotor competencies. Discussion: SRLSN models are systematically formed by the preparation, implementation and reflection phase. The application of the model SRLSN will enhance student learning in the cognitive, affective, and psychomotor in achieving competence. Psychomotor competency has a value greater signi fi cance than other competencies. SRLSN models should be generalized to all learning processes, especially in nursing students

Antenatal Care Services Standart Compliance of Village Midwife in East Java Province

Introduction: The high Maternal Mortality Rate (MMR) require attention to implementing improvement programs and improving maternal health. According to data from East Java Health Offi ce AKI during 2009 were 260/100,000 live births. Indicators of maternal monitoring imple can be seen from figure K1 coverage (visit pregnant women in the first pregnancy) and K4 (contact at least 4 times during pregnancy for antenatal care). Methods: This study was conducted with the observational design of the “cross-sectional”, is a study to learn the dynamics of the correlation between risk factors with effects, with the approach, observation or data collection at once at some point (time point approach). Result: Variable associated with compliance standards of village midwives in implementing the ANC in the province of East Java is the level of knowledge (p) = 0.014 and the infrastructure required to ANC (p) = 0.000. Other variables did not show a significant relationship such as: age (p) = 0.121, status (p) = 0.831, period of employment (p) = 0.147, education (p) = 0.153, training (p) = 0.664, motivation (p) = 0.525, supervision (p) = 0.887, and rewards (p) = 0.663. Discussion: District Health Office/City should do a refresher on antenatal care in midwife needs to be done, since there are those who have a suffi cient level of knowledge and less. Facilities and infrastructure that support the implementation of Antenatal Care (ANC) should be facilitated effectively, to support midwives performance in implementing standards of care Antenatal Care

Pengaruh Cat Stretch Exercise Terhadap Penurunan Intensitas Nyeri Menstruasi (Dysmenorrhea) Dan Tanda-tanda Vital Pada Remaja

Menstruation is a period of uterine fluid discharge to endometrial detachment, often accompanied with pain called dysmenorrhea. The objective of this study was to analyze the effect of cat stretch exercise on the relief of menstrual pain and characteristics of vital sign in adolescence. Pre experimental design (one group pre-post test) was used in this study, 12 samples were recruited by purposive sampling. Observation and questionnaire were applied to measure patient\u27s pain scale. Data were analyzed by using Wilcoxon signed rank test (p<0.05). Conclusion: the cat stretch exercise has effect on relieve of menstrual pain (dysmenorrhea) and normalized of vital sign: blood pressure, hearth rate and respiratory rate

Inovasi Pengembangan Instrumen Perawatan Luka dalam Meningkatkan Cost Effectiveness

Salah satu komplikasi kronis dari diabetes melitus adalah ulkus kaki. Ulkus kaki diabetik disebabkan oleh faktor-faktor seperti - kepatuhan terhadap diet diabetes, konsumsi obat tidak teratur dan kurang olahraga. Ulkus kaki pada penderita diabetes jika dibiarkan terlalu lama akan menyebabkan komplikasi lain hingga dapat mengancam jiwa. Selama ini perawatan luka yang digunakan di rumah sakit adalah menggunakan metode konvensional dan modern dengan  proses penyembuhan luka yang beragam. Tujuan penulisan artikel ini adalah mencari literatur terkait metode perawatan luka yang meningkatkan cost effectiveness. Metode penelitian ini adalah tinjauan sistematis (systematic review). pencarian literatur menggunakan menggunakan lima database dengan kriteria kualitas tinggi dan sedang, yaitu Scopus, ProQuest, Science Direct dan PubMed. Sebelum melanjutkan pada pencarian artikel atau jurnal harus menggunakan  dan boolean operator (AND, OR NOT or AND NOT). Kata kunci yang digunakan dalam pencarian literatur ini adalah sebagai berikut “Conventional Modern”, “Diabetic Ulcer” , “Modern Dressing”, “Wound Conditions”, Kriteria pencarian literatur berdasarkan PICOS (Population : pasien dengan ulkus diabetikum , Comparation : tidak ada  faktor pembanding, Outcome : mempercepat penyembuhan luka , Study design : Studi kuantitatif, Time : publikasi artikel 5 tahun terakhir. Hasil pemilihan artikel sesuai dengan kriteria inklusi 15 artikel, kemudian diberikan nomor seri dan dilakukan analisis artikel untuk memudahkan proses peninjauan.  Kesimpulan dari proses analisis artikel ini adalah pengembangan instrument perawatan luka diperlukan dalam meningkatkan cost effectiveness dan modern dressing dapat dijadikan pilihan dalam pengembangan instrument tersebut