Population Health Commons^™

Post-Stroke Quality Of Life Perceived By Patients And Caregivers, Gitalia Putri Medea, Elly Nurachmah, Muhamad Adam

Jurnal Keperawatan Indonesia

The quality of life (QOL) of post-stroke patients can be assessed from the reports of patients themselves obtained through a structured interview or a questionnaire. However, some individuals are unable to comprehensively describe their QOL because of language disorders, cognitive effects caused by stroke, or pre-existing conditions. This study aims to identify differences in post-stroke QOL perception between patients and caregivers. A cross-sectional design involving 115 stroke patients and 115 caregivers was adopted, and Mann–Whitney test was used for statistical analysis. Results showed no significant difference in QOL perception (p = 0.166; α < 0.05), particularly in the physical (p = 0.278; α < 0.05), psychological (p = 0.068; α < 0.05), social relationship (p = 0.976; α < 0.05), and environmental (p = 0.157; α < 0.05) domains between patients and caregivers. Therefore, information from caregivers can be used to assess QOL when patients are incapable of reporting their condition.

Brain Gym Effectively Reduces Anxiety In School-And Preschool-Aged Children In Hospitals, Arbianingsih Arbianingsih, Huriati Huriati, Syarifah Musnayni, Nuravia Afiifah, A. Adriana Amal

Jurnal Keperawatan Indonesia

Hospitalization-induced anxiety in children can impede healing and lengthen hospitalization. As such, appropriate interventions are needed to reduce their anxiety during hospitalization. For example, brain exercise has been shown to reduce anxiety in children in diverse settings and developmental stages. This study was performed to compare the effect of brain exercise on anxiety in hospitalized school-and preschool-aged children. A pre-experimental pre/ posttest design was used, and 32 children were selected by consecutive sampling. Brain gym was given twice a day for 2 consecutive days. Data were collected from school-aged children by using a modified Zung Sel-Rating Anxiety Scale and Tailor …

Chronic Liver Disease Lowering Physical And Mental Health Dimensions, Apriliani Siburian, Cheng Fen Chang

Jurnal Keperawatan Indonesia

The most prevalent diseases within the world related to major illness and mortality are chronic liver diseases. The developing pervasiveness of chronic liver disease has resulted in increased interest in health-related quality of life, which incorporates the physical well-being of a patient and his emotional and social well-being. This study aimed to define the quality of life of patients with chronic liver disease. This study used the Quality-of-Life Short Form 36 Indonesian version to examine 102 patients with chronic liver disease from two hospitals with a descriptive design. The quality of life of the patients was comparatively low (M ± …

Life Satisfaction Among Filipino Older Adults Living In The Coastal Area, Rhona Marie Caingles Noquiao

Jurnal Keperawatan Indonesia

Perhaps an all-encompassing aspiration of everyone who has ever walked the earth is to have lived his/her life to the fullest. However, the life experiences of each individual are the products of the decisions they make. This study aimed to investigate the relationship of older adults in Cabulijan, Tubigon, Bohol, Philippines’ self-esteem, social provisions received from other people, and relationships with other people to the level of their life satisfaction. Specifically, it sought to address the following queries: Is there a significant relationship between self-esteem, social provisions received from other people, and relationships with other people, and relationships with other …

20-Degree Elevation To Reduce Swelling And Pain After Lower Extremity Open Reduction And Internal Fixation Surgery, Eni Purwanty, Riri Maria, Masfuri Masfuri

Jurnal Keperawatan Indonesia

Surgery for open reduction and internal fixation (ORIF) causes tissue swelling and pain in the surgical area. Swelling and pain can be reduced by performing distal elevation in the area of surgical ORIF. This study aimed to determine the effect of a 20° elevation on swelling and pain level of patients after surgery for ORIF of the lower extremities. A quasi-experimental design with one intervention group (pretest and posttest) and one control group was implemented. Thirty-four post-operative ORIF patients treated in one hospital in South Sumatera met the inclusion criteria and were divided into intervention and control groups. Swelling circumference …

Songs Of A Caged Bird: A Glimpse Into The Being Of Youth Inside The Prison System, John Emmanuel Mendoza, Edward Daniel Mortalla, Laurence Lascuna Gracia

Jurnal Keperawatan Indonesia

Understanding young inmates’ experiences are essential since their lives have been shaped by the impact of social exclusion. This study aimed to explore the meaning of the lived experiences of young adults inside the prison system. The phenomenological inquiry was utilized, which is grounded in Martin Heidegger’s philosophy. Semi-structured interviews were conducted with 18 to 29-year-old inmates incarcerated for at least one year. Through interpretative phenomenological analysis, four themes emerged: An Unfamiliar Melody (with two subthemes: Humming with Frustrations and Tunes of Solitude); The Eyes Outside the Cage; Turning Over a New Feather; and If My Wings Unclipped. The “songs” …

Health Inequality Analysis In Europe: Exploring The Potential Of The Eq-5d As Outcome, Inge Spronk, Juanita A. Haagsma, Erica I. Lubetkin, Suzanne Polinder, M F. Janssen, G J. Bonsel

Publications and Research

Objective: This study explored the additive value of the multi-item EuroQol 5-Dimension 5-Level (EQ-5D-5L) as an outcome measure in health inequality analyses, relative to the single-item EuroQol visual analog scale (EQ VAS).

Methods: A sample comprising the general population from Italy, the Netherlands, and United Kingdom (UK) completed the EQ-5D-5L and the EQ VAS. The level of education was selected as a proxy for socio-economic status (SES). EQ-5D-5L level sum scores (LSS) were compared against EQ VAS scores. Stratified and multivariable analyses were used to study the associations between SES and the LSS/EQ VAS relative to the presence of chronic …

Health-Related Quality Of Life And Mental Well-Being Of Healthy And Diseased Persons In 8 Countries: Does Stringency Of Government Response Against Early Covid-19 Matter?, Di Long, Juanita A. Haagsma, Mathieu F. Janssen, John N. Yfantopoulos, Erica I. Lubetkin, Gouke J. Bonsel

Publications and Research

Objectives

Our study aimed to (1) assess health-related quality of life (HRQoL) and mental well-being of healthy and diseased persons in the general population during the early stage of the COVID-19 pandemic and (2) examine the relationship between HRQoL and mental well-being and individual characteristics and government response against COVID-19, as measured by the stringency index.

Methods

A web-based survey was administered to a cohort of persons from the general population of eight countries: Greece, Italy, the Netherlands, Russia, South Africa, Sweden, the United Kingdom (UK) and the United States of America (US) from April 22 to May 5 and …

Hypertension Self-Care Management During Covid-19 Pandemic Crisis In The Meranao Tribe: A Phenomenological Inquiry, Jonaid M. Sadang, Sittie Inshirah P. Macaronsing, Narima M. Alawi, Normala M. Taib, Hamdoni K. Pangandaman

Jurnal Keperawatan Indonesia

The COVID-19 crisis has been a challenging and stressful event for individuals with known underlying health problems, not to mention their higher risk of contracting the disease. This phenomenological inquiry was conducted to explore the common self-care practices of the Meranao tribe in the Province of Lanao del Sur, Philippines, concerning their management of hypertension amidst the ongoing pandemic health crisis. This study employed a descriptive-phenomenological approach. Ten known hypertensive adults participated in the study selected using purposive sampling. Data collection employed focus group discussion (FGD) and then analyzed using Colaizzi's approach. Four themes were derived which explained the common …

Spiritual Behavior And Stress In Adolescents: An Initial Study, Sumiyati Tarniyah, Laili Nur Hidayati

Jurnal Keperawatan Indonesia

Spirituality is often associated with mental health, including stress. Older people tend to have high rates of involvement in spirituality rather than young people. This study aimed to identify the relationship between spiritual behavior and the stress levels of 152 high school students, using a descriptive correlation research design. The data collection techniques involved a spiritual dimension scale questionnaire and the Depression Anxiety Stress Scale 42 (DASS 42). The data were analyzed using Spearman's rho correlation test. The results show that the spiritual behavior distribution was mostly in the moderate category (53.3%), and stress level distribution was primarily in the …

Child-Rearing By Imprisoned Women: Sadness, Anxiety, And Feelings Of Guilt, Umi Hani, Agus Setiawan, Poppy Fitriyani

Jurnal Keperawatan Indonesia

The number of imprisoned women continues to increase. Imprisonment of women affects them as perpetrators of crime and those who have relationships with and ties to them, such as children. This phenomenological study aims to explore the experience of imprisoned women in Jakarta in playing the role of mother. In-depth interviews were conducted to explore the experiences of seven imprisoned women. Through a thematic content analysis, we identified specific key- words, the results revealing the sadness, anxiety, and feelings of guilt experienced by imprisoned mothers in relation to their child-rearing. Imprisoned mothers also experience difficulties in meeting their children's needs, …

Maternal Factors In Stunting Among Vulnerable Children, Stefanus Mendes Kiik, Muhammad Saleh Nuwa

Jurnal Keperawatan Indonesia

Children with stunting in Indonesia and other low-middle countries remains a serious problem. This study aimed to identify the association between maternal education, maternal age, maternal height, preceding birth interval, and ANC clinic visits, and stunting among vulnerable children in Kupang Regency, Indonesia. A cross-sectional study was con- ducted of two villages in Kupang Regency. The study sample comprised female ex-refugees from Timor Leste who had children aged 24–59 months. The subjects were chosen using consecutive sampling, with a total number of 154. Data were collected from both primary and secondary sources. There was a significant relationship between maternal education …

The Effectiveness Of Spiritual Intervention In Overcoming Anxiety And Depression Problems In Gynecological Cancer Patients, Lina Anisa Nasution, Yati Afiyanti, Wiwit Kurniawati

Jurnal Keperawatan Indonesia

Anxiety and depression are psychological distress that often occurs in gynecological cancer patients. However, there are few studies related to interventions to overcome these problems. The purpose of this study was to determine the effect of a spiritual intervention on anxiety and depression in such cancer patients. The research design was quasi-experimental, employing pretest and posttest on the intervention and the control groups. The total number of respondents was 108 patients, consisting of 54 in each group. The instrument used in the study was the Hospital Anxiety and Depression Scale (HADS). The spiritual intervention consisted of four sessions, namely an …

The Smoking Behavior Of Health Workers In Asia: A Literature Review, Arif Rahman, Titih Huriah

Jurnal Keperawatan Indonesia

Health workers are role models in preventing smoking behavior, yet many are smokers themselves. This study reviews and analyzes the smoking behavior of health workers in Asian countries, based on databases such as PubMed, EBSCO, and Google Scholar in 2013–2018. It is shown that the prevalence of smoking amongst health workers was 4.6–44%, with the nursing profession showing a higher level than other health professions and with a higher ratio of male to female smokers. Health workers are aware of the dangers of smoking, including the effects of cardiovascular disease, respiratory disease, oral cancer, atherosclerosis, hypertension, fetal disorders, and infertility. …

The Healthcare Needs Of Families Caring For Patients With Pulmonary Tuberculosis, Astuti Yuni Nursasi, Nadya Tiara Sabila, Muhamad Jauhar

Jurnal Keperawatan Indonesia

Tuberculosis (TB) is a global public health problem. Families need to meet healthcare needs during the treatment of TB sufferers. This study aims to identify healthcare needs of families caring for patients with the disease. The cross-sectional study involved 83 families caring for TB patients. The research was conducted at a Primary Healthcare Center in an urban area in West Java. The results revealed that 60.2% of caregivers were 18–40 years old, 60.2% were female, 51.8% were senior high school educated, 43.4% were housewives, 86.7% had an income under the regional minimum wage, and 55.4% had cared for the TB …

A Case Study Of Health Information System Workflow On Mitigating Opioid Drug Abuse In Saudi Arabia's Healthcare System, Alogaili Fahad Abdulrahman

Student Works (2020-2029)

The hospitals in Saudi Arabia, which have been studied in this research, are almost entirely automated. Healthcare information systems (HIS) are quite efficient; however, the health information exchange (HIE) is absent in the existing systems for different hospitals. Opioid drugs are an addictive substance, Saudi Arabia has the highest mean of drug abuse disorders in the region (680.5, group mean was 401.8). The lack of HIE had contributed significantly to the increase of opioid drug abuse in Saudi Arabia. If a patient has taken opioid as a painkiller, an interoperable system must have the information available for the healthcare department …

Factors Related To Doctors’ And Nurses’ Perceptions Of Evidence-Based Practice And Healthcare Information Access Through Information And Communications Technology, Melati Fajarini, Sri Rahayu, Ebaa M. Felemban, Agus Setiawan

Jurnal Keperawatan Indonesia

Evidence-based practice (EBP) that is supported by the availability of the best literature can improve the quality of health services. Information and communication technology (ICT) usage may provide the evidence in timely-manner. However, literature on the factors related to EBP and ICT of doctors and nurses in Indonesia is scant. This study aimed to describe the factors related to the doctors’ and nurses’ EBP perception and ICT. This survey was conducted in November 2017– January 2018 at one general hospital, five private hospitals, eleven public health centers, and five private clinics. A total of 85 doctors and 271 nurses selected …

Relationship Between Nurses’ Readiness And Institutional Readiness In Developing Nursing Career Paths In Public Health Centers, Tuti Afriani, Rr. Tutik Sri Hariyati, Dyah Fitri Wulandari

Jurnal Keperawatan Indonesia

Nursing career paths in public health centers have not been well established compared with nurses in hospitals. It is because the nursing career path has a different organizing system, which then becomes an obstacle in implementing the career path for nurses in primary health care. Therefore, this study aimed to identify the relationship between institutional and nurses’ readiness in implementing nursing career paths within public health centers. A cross-sectional study design with questionnaire as instrument was used in this research. A consecutive sampling technique was used to select 93 nurses from 13 public health centers. Furthermore, to identify the objective …

A Secondary Analysis Of Peer Support And Family Acceptance Among Homosexual Living With Hiv And Antiretroviral Therapy: Quality Of Life Perspectives, Ina Martiana, Agung Waluyo, Sri Yona, Edianto Edianto

Jurnal Keperawatan Indonesia

Men who have sex with men (MSM) comprise a population at risk for HIV infection. Assessing the Quality of Life (QOL) in MSM might be different than other populations. This study showed a secondary analysis from our previous research. It was needed to understand whether peer support and family acceptance had an impact on QOL of MSM living with HIV and ART (Antiretroviral Therapy). A total of 175 respondents were involved in this cross-sectional study that was carried out with purposive sampling. The questionnaires were translated to Bahasa and tested for validity and reliability. Data questionnaires completed were analyzed. Results …

School Students’ Perception On Risky Behavior And Their Utilization Of Health Care Services, Muhammad Kamil Che Hasan, Noor Faizah Tutasting Rawi, Mohd Said Nurumal, Siti Hazariah Abdul Hamid

Jurnal Keperawatan Indonesia

The Malaysia Ministry of Health reported adolescents’ low utilization of healthcare services, although they need this ser- vice as a consequence of their involvement in risky behavior. This cross-sectional study aimed to determine adolescents’ perception on risk taking behavior and their utilization of health care services. A modified self-administered questionnaire was used to collect data from 250 secondary school students aged 13 and 14 years in one of the selected schools in Malacca, Malaysia. Data were analyzed using SPSS 20. Fast food consumption, loitering after school, physical fighting, smoking, and non-use of helmets were the most reported risky behaviors among …