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Valsalva Maneuver To Decrease Pain Intensity During Arteriovenous Fistula Insertion In Hemodialysis Patients, Mahruri Saputra, Ikhsanuddin Ahmad Harahap, Sutomo Kasiman 2020 Master Student, Faculty of Nursing Universitas Sumatera Utara, Medan 20222, Indonesia

Valsalva Maneuver To Decrease Pain Intensity During Arteriovenous Fistula Insertion In Hemodialysis Patients, Mahruri Saputra, Ikhsanuddin Ahmad Harahap, Sutomo Kasiman

Jurnal Keperawatan Indonesia

AV fistula allows external vascular access for hemodialysis patients. Because hemodialysis patients experience puncture wounds and stabbing pain approximately 300 times a year, development of methods to decrease pain intensity are of great importance. Some techniques, such as the Valsalva maneuver, are known to reduce pain. This study aims to assess the effect of the Valsalva maneuver on decreasing the intensity of AV fistula pain in patients receiving hemodialysis. The quasi-experimental research of pre and post without control applying consecutive sampling to get as many as 63 respondents. Pain intensity was measured by using the Numerical Pain Rating Scale (NPRS). …


Changes In The Signs, Symptoms, And Anger Management Of Patients With A Risk Of Violent Behavior After Receiving Assertive Training And Family Psychoeducation Using Roy’S Theoretical Approach: A Case Report, Yanuar Fahrizal, Mustikasari Mustikasari, Novy Helena Catharina Daulima 2020 School of Nursing, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta, Yogyakarta 55183, Indonesia

Changes In The Signs, Symptoms, And Anger Management Of Patients With A Risk Of Violent Behavior After Receiving Assertive Training And Family Psychoeducation Using Roy’S Theoretical Approach: A Case Report, Yanuar Fahrizal, Mustikasari Mustikasari, Novy Helena Catharina Daulima

Jurnal Keperawatan Indonesia

Mental disorders are predicted to increase every year. Patients with severe mental disorders, such as schizophrenia, often engage in violent behavior. The treatment of such patients can use general nursing treatments (anger management with physical therapy, taking medicines regularly, and verbal and spiritual methods) and specialist nursing interventions (assertive training and family psychoeducation). This case report involved 11 patients, with the majority aged between 26 and 60 years, unemployed, high school graduates, unmarried, and with previous inpatient history. Generalist and specialist nursing interventions (assertive training and family psychoeducation) use Roy’s adaptation theory and Stuart’s stress adaptation approach. Nursing interventions were …


Effectiveness Of Otago Exercise On Health Status And Risk Of Fall Among Elderly With Chronic Illness, Stefanus Mendes Kiik, Antonius Rino Vachapo, Maria Fitrya Elfrida, Muhammad Saleh Nuwa, Siti Sakinah 2020 Maranatha Kupang School of Health Sciences, Kupang85361, Indonesia

Effectiveness Of Otago Exercise On Health Status And Risk Of Fall Among Elderly With Chronic Illness, Stefanus Mendes Kiik, Antonius Rino Vachapo, Maria Fitrya Elfrida, Muhammad Saleh Nuwa, Siti Sakinah

Jurnal Keperawatan Indonesia

Falls are a serious consequence of declining physical function. Otago exercise is a strength and balance training program designed to prevent falls and enhance health status among the elderly. This study aimed to investigate the effect of a 12-week Otago exercise intended to reduce the risk of falls and health status among the elderly with chronic illness in the social elderly institution. This quasi-experimental study employed a pre-and post-test design using a control group. The study involved an intervention group (21 respondents) and a control group (21 respondents). The sample used in this study were elderly living in a social …


"I Do Not Feel Confident And Uncomfortable Discussing Patients’ Sexuality Concerns”: A Thematic Analysis Of Indonesian Nurses’ Experiences In Discussing Sexuality With Patients, Hayuni Rahmah, Yati Afiyanti, Imami Nur Rachmawati, Titin Ungsianik, Tri Budiati, Wiwit Kurniawati 2020 Faculty of Nursing Universitas Indonesia, Depok 16424, Indonesia

"I Do Not Feel Confident And Uncomfortable Discussing Patients’ Sexuality Concerns”: A Thematic Analysis Of Indonesian Nurses’ Experiences In Discussing Sexuality With Patients, Hayuni Rahmah, Yati Afiyanti, Imami Nur Rachmawati, Titin Ungsianik, Tri Budiati, Wiwit Kurniawati

Jurnal Keperawatan Indonesia

Despite the increasing complexity of the tasks and responsibilities in providing nursing care to patients, many Indonesian nurses may not possess adequate knowledge and skills to discusssexuality with their patients. The purpose of this study is to explore the experience of Indonesian nurses in providing nursing care to patients regarding sexual problems. This research adopteda descriptive qualitative designto explorethe experiences of Indonesian nurses in solving their patient’s sexual problems. Ten nurses working ina general hospital in Indonesia participatedin this work. These nurses were interviewed extensively, and the data were transcribed and analyzed thematically. Four main themes were identified inthis study: …


Oral Care Prevents Late-Onset Sepsis In Risk Preterm Infants, Fitri Wahyuni, Yeni Rustina, Defi Efendi 2020 Schoolof Health SciencesMercubaktijaya Padang, Padang25173, Indonesia

Oral Care Prevents Late-Onset Sepsis In Risk Preterm Infants, Fitri Wahyuni, Yeni Rustina, Defi Efendi

Jurnal Keperawatan Indonesia

The incidence of infections in preterm infants is still quite high. In this study, oral care with human breast milk was implemented in risk preterm infants as a precaution. The study was conducted using a quasi-experimental method with a non-equivalent control group and posttest only design in 40 risk preterm infants. The participants were divided into two groups of 20. The data were analyzed using independent t-test and a Wilcoxon test. The results show that this intervention has an effect on the incidence of late-onset sepsis in preterm infants. The effect is based on symptoms: body temperature instability (p= 0.021), …


Pap Test Practice And Barriers Of Nurses In Bandung, West Java, Putu Inge Ruth Suantika, Yanti Hermayanti, Titis Kurniawan 2020 Institute of Technology and Health Bali, Bali 80225, Indonesia

Pap Test Practice And Barriers Of Nurses In Bandung, West Java, Putu Inge Ruth Suantika, Yanti Hermayanti, Titis Kurniawan

Jurnal Keperawatan Indonesia

The lack of interest from the public and health workers, such as nurses to carry out a pap test, is one of the triggers of cervical cancer cases. The purpose of this study was to identify the implementation of pap tests and barriers of nurses in Bandung, West Java. This study used a cross-sectional descriptive study design with a sample of 286 married nurses. Data collection was conducted during two months. The analysis was conducted by the Fisher exact test or chi-square test. The results showed that the level of education and religion had a significant relationship with the pap …


Perceived Competence And Transition Experience Of New Graduate Filipino Nurses, Nicolette Anne Ubas-Sumagasyay, Ryan Michael Flores Oducado 2020 West Visayas State University College of Nursing,5000Iloilo, Philippines

Perceived Competence And Transition Experience Of New Graduate Filipino Nurses, Nicolette Anne Ubas-Sumagasyay, Ryan Michael Flores Oducado

Jurnal Keperawatan Indonesia

Recruitment and hiring of new graduate nurses are seen as a potential strategy to mitigate the problem of nurse shortage. However, previous studies disclosed that new graduate nurses are inadequately prepared to enter practice and experience transition difficulties. This study aimed to determine the perceived competence and transition experience of new graduate Filipino nurses. Seventy-nine conveniently chosen new graduate nurses were surveyed in this descriptive cross-sectional research. Self-administered instruments were used to gather data. Descriptive statistics, Mann–Whitney U test, and Kruskal–Wallis test were the statistical tools employed. Results indicated that new graduate nurses had ahigh level of self-reported fundamental nursing …


Self-Efficacy And Feeling Of Security Associated With Risky Sexual Behavior Among Commercial Sex Workers Living With Hiv, Anki Tias Yolanda, Agung Waluyo, Lestari Sukmarini 2020 Faculty of Nursing Universitas Indonesia, Depok 16424, Indonesia

Self-Efficacy And Feeling Of Security Associated With Risky Sexual Behavior Among Commercial Sex Workers Living With Hiv, Anki Tias Yolanda, Agung Waluyo, Lestari Sukmarini

Jurnal Keperawatan Indonesia

Commercial sex workers (CSWs) represent a key population for HIV transmission. CSWs continue to thrive because of the development of the tourism sector and the acceptance of communities. This study aimed to identify the factors associated with risky sexual behavior among CSWs living with HIV. A cross-sectional design was adopted. The sample size was set to 80 CSWs living with HIV in the Special Region of Yogyakarta and Central Java. Chi-square and multiple logistic regression were used in the data analysis. Results showed the significant relationship of self-efficacy (p < 0.001; OR = 9.365) and feeling secure (p= 0.033; OR= 2.762) with risky sexual behavior. No significant relationship was noted between income (p= 0.244), knowledge (p= 0.110), attitude (p= 0.978), drug use (p= 0.150), alcohol consumption (p= 0.642), and sexual violence (p= 0.968) and risky sexual behavior. Nursing practices are expected to focus on promotive and preventative efforts by involving communities in enhancing the feeling of security and self-efficacy of CSWs through health programs and improvement of health facilities.


Association Of Chronic Pain With Physical Function And Mortality Among Older Adults In Rural Malaysia, Yee Mang Chan 2020 Universiti Malaya

Association Of Chronic Pain With Physical Function And Mortality Among Older Adults In Rural Malaysia, Yee Mang Chan

Student Works (2020-2029)

Older adults are postulated to double in 2017 and 2050 worldwide, including Malaysia. Various challenges are related to ageing population, including poor physical functioning and increase number of chronic diseases. Chronic pain is often associated with chronic disease. Chronic pain affects almost one third of the world’s adult population and higher prevalence reported among older adults. Evidence suggests that chronic pain has undesirable consequences on physical, mental health and premature mortality. In low�and middle-income countries, there are limited studies examining the consequences of chronic pain on physical function and premature mortality. The aim of this study is therefore to determine …


Knowledge, Attitude And Practice Towards Tuberculosis And The Effectiveness Of A Tuberculosis Education Program Among Nurses Employed In Tuberculosis Centers In Libya, Elbahloul Muftah Abdusalam 2020 University of Malaya

Knowledge, Attitude And Practice Towards Tuberculosis And The Effectiveness Of A Tuberculosis Education Program Among Nurses Employed In Tuberculosis Centers In Libya, Elbahloul Muftah Abdusalam

Student Works (2020-2029)

Nurses make up by far the largest group of healthcare workers in any part of the world, playing an important role in the direct management of tuberculosis (TB) patients and facing a high risk of infection. Therefore, this study was conducted to explore the knowledge, attitude, and practice towards TB among professional nurses in Libya and the impact of an educational intervention on their knowledge, attitude and practice. A cross-sectional design using self-administered validated questionnaire was conducted to explore the nurses’ KAP towards TB. A total of 384 nurses in tuberculosis centres in Libya participated in the study. TB education …


Young-Onset Hypertension In Malaysia: A Mixed-Methods Study, Yi Yi Khoo 2020 Universiti Malaya

Young-Onset Hypertension In Malaysia: A Mixed-Methods Study, Yi Yi Khoo

Student Works (2020-2029)

The continuous cumulative presence of raised blood pressure (BP) when young is a strong predictor of future cardiovascular risk. This study, which was conducted between June 2018 and December 2019, aimed to elucidate the epidemiology of young-onset hypertension (YOH) in Malaysia during the period 2006–2015, and to explore the underlying experiences and perspectives of young adults living with hypertension. Phase I involved a systematic review to identify variables for the secondary data analysis. In Phase II, data on respondents aged 18–39 diagnosed with YOH according to the 7th Joint National Committee Report (United States) were extracted from three National Health …


Distribution Of Healthcare Resources In Peninsular Malaysia : An Examination Of Equity With Respect To Geography And Allocative Processes, Saw Chien Gan 2020 Universiti Malaya

Distribution Of Healthcare Resources In Peninsular Malaysia : An Examination Of Equity With Respect To Geography And Allocative Processes, Saw Chien Gan

Student Works (2020-2029)

On a country’s pathway to Universal Health Coverage, it is important to ensure equitable healthcare provision and financing. There was a lack of evidence in equity of healthcare provision and financing across geographic areas in Peninsular Malaysia. This was despite the evidence that geographic factors directly and indirectly affect population health and healthcare services are mostly delivered at immobile healthcare facilities. In Malaysia’s mixed public-private healthcare system, Ministry of Health Malaysia (MOH) has a geographically comprehensive provision network and the MOH resources are distributed through geographic-bound MOH administrative structures. The private sector, which concentrated on more affluent geographic areas, also …


Development And Evaluation Of Hearing Conservation Program Among Vector Control Workers, Supramanian Rama Krishna 2020 Universiti Malaya

Development And Evaluation Of Hearing Conservation Program Among Vector Control Workers, Supramanian Rama Krishna

Student Works (2020-2029)

Noise-induced hearing loss (NIHL) is one of the highest recorded occupational disease despite being preventable. In 2018, occupational noise-induced hearing loss was the highest reported occupational disease experienced by workers in Malaysia accounting for 87.7% of all occupational diseases. The aim of this study is to develop, implement and evaluate the effectiveness of a Hearing Conservation Program (HCP) in preventing noise�induced hearing loss among vector control workers. This study is divided into two phases: development of HCP (phase 1) and implementation and evaluation of HCP (phase 2). The development phase (phase 1) included a review, interview with key stakeholders and …


Association Of Mental Health Literacy And Depression Symptoms Among Young Adolescents In Selangor, Lakha Singh Sarbhan Singh 2020 Universiti Malaya

Association Of Mental Health Literacy And Depression Symptoms Among Young Adolescents In Selangor, Lakha Singh Sarbhan Singh

Student Works (2020-2029)

Mental health literacy (MHL) relating to depression (depression literacy) is a multifaceted concept comprising of knowledge of depression, help seeking and stigma components, that plays an important role in depression outcomes. The aim of this study was to examine the association of depression literacy components namely knowledge of depression, help seeking, stigmatising attitudes and adequacy of depression literacy with depression symptoms among adolescent in Malaysia. This study reports on the common tools used to examine depression literacy, validation of the MHL and Stigma questionnaire and Centre for Epidemiological Studies Depression scale (CES-D) Malay version questionnaire, findings of the depression literacy …


Psychometric Properties Of Bergen Social Media Addiction Scale (Bsmas) In Malay Version, Kee Hui Romi Tiong 2020 Universiti Malaya

Psychometric Properties Of Bergen Social Media Addiction Scale (Bsmas) In Malay Version, Kee Hui Romi Tiong

Student Works (2020-2029)

Background The percentage of internet users in Malaysia has recorded continuous increment annually, in which it increased from 76.9% in 2016 to 87.4% of users in 2018. The prevalent use of all sorts of social media platform and the convenient access to the internet regardless of time and place has massively enhance the potential of social media addiction. After many years of research, the researchers have yet to reach the consensus in identifying criteria to diagnose problematic attachment to social media. The aim of the study was to validate the Malay version of Bergen Social Media Addiction Scale (BSMAS), by …


Psychiatric Morbidity Among Orang Asli In Bukit Lanjan, Iberahim Muhammad Ilham 2020 Universiti Malaya

Psychiatric Morbidity Among Orang Asli In Bukit Lanjan, Iberahim Muhammad Ilham

Student Works (2020-2029)

Prevalence of Psychiatric Morbidity Among Orang Asli In Bukit Lanjan, Selangor, Malaysia Introduction Orang Asli, the indigenous people of peninsular Malaysia, are those peoples who were born among Orang Asli, lives according to their distinguished culture and beliefs, and spoke their native languages. Malaysia has evolved rapidly over the years in the socioeconomic development especially in the rural areas. More jungle areas are open up for land development scheme such as Federal Land Development Authority (FELDA), housing projects, commercial farms and many more. Indigenous people are forced to face this rapid urbanization. The questions arise whether they are able to …


Association Between Stigma, Psychological Distress, And Quality Of Life Among People Living With Hiv In Federal Territory Of Kuala Lumpur, Ibrahim Khairiah 2020 Universiti Malaya

Association Between Stigma, Psychological Distress, And Quality Of Life Among People Living With Hiv In Federal Territory Of Kuala Lumpur, Ibrahim Khairiah

Student Works (2020-2029)

Quality of life is an important component in the evaluation of the well-being of PLHIV. However, HIV stigma and psychological distress (depression, anxiety and stress) continue to be a barrier to obtain a good quality of life among PLHIV globally. This study assesses the level of QOL, stigma and psychological distress among PLHIV in Kuala Lumpur by determining the association between QOL, stigma and psychological distress. A cross-sectional study was conducted, involving 305 PLHIV attendees of the infectious disease clinic in a teaching hospital, primary health clinic and three Community-Based Organisations (CBOs). The sampled respondents completed face to face interviews …


Prevalence And Determinants Of Tabacco Use Among Adolescents In Khartoum - Sudan, Mohammed Alshaikh Mohammed Othman 2020 Universiti Malaya

Prevalence And Determinants Of Tabacco Use Among Adolescents In Khartoum - Sudan, Mohammed Alshaikh Mohammed Othman

Student Works (2020-2029)

Globally, 25 million adolescents aged 13-15 years, smoke cigarettes while 13 million use smokeless tobacco. In 2014, 22.8% of adolescents had ever smoked cigarette in Sudan while current cigarette smokers were 4.5%; moreover, studies about shisha smoking and smokeless tobacco were limited in Sudan. The aim of this study is to estimate the prevalence of tobacco use among adolescents and to describe determinant factors associated with tobacco use. Descriptive school based cross-sectional study was conducted, and multistage random sampling was used to recruit participants from secondary schools in Khartoum State, Sudan. Self-administered questionnaire of Arabic version of Global Youth Tobacco …


The Association Between Connectedness Towards Religion, Family, And School, And The Symptoms Of Depression, Anxiety, And Stress Among Malaysian Adolescents, Samian Siti Sabariah 2020 Universiti Malaya

The Association Between Connectedness Towards Religion, Family, And School, And The Symptoms Of Depression, Anxiety, And Stress Among Malaysian Adolescents, Samian Siti Sabariah

Student Works (2020-2029)

The unmet alignment between reality and expectation in addition to immaturity in the development of the prefrontal area means adolescents have tendencies to embark on poor decisions, making them vulnerable to acquiring mental health problems. Abiding by their religion and strong connections with family and school has been proven in European/Western nations to promote adolescent mental well-being, provide ventilation to release stress and protect the youngsters from acquiring anxiety and depression. Given the vast differences between European/Western social norms and Eastern culture, this study was conducted to examine the association between adolescent connectedness towards religion, family and school on the …


Risiko Penyakit Kardiovaskuler Pada Peserta Program Pengelolaan Penyakit Kronis (Prolanis) Di Puskesmas Kota Bima: Korelasinya Dengan Ankle Brachial Index Dan Obesitas, Martiningsih Martiningsih, Abdul Haris 2019 Health Polytechnic of Minsitry of Health Mataram, Mataram 83232, Indonesia

Risiko Penyakit Kardiovaskuler Pada Peserta Program Pengelolaan Penyakit Kronis (Prolanis) Di Puskesmas Kota Bima: Korelasinya Dengan Ankle Brachial Index Dan Obesitas, Martiningsih Martiningsih, Abdul Haris

Jurnal Keperawatan Indonesia

Risk of Cardiovascular Diseaseat Chronic Disease Management Program Participants in The Community Health Centers of Bima Town:The Correlation with Ankle Brachial Index and Obesity. Cardiovascular disease(CVD)is a disease caused by impaired heart and blood vessel function, which can be prevented,especiallyin risk groupsthat can berisk assessedusing the FraminghamRisk Score (FRS). The purpose of this study was to analyze the risk of CVD and the correlation with ABI and obesity in Prolanis participants at Bima City.Data collectionwas done byusing the instrument FRSandmeasuring systolic blood pressure, body mass index, arm circumference,and waist circumference.This study was a descriptive-analytic study with a cross-sectional design. The …


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