Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal)

Effect of Range of Motion Exercise on Extremity Joint Muscle Strength in Ischemic Stroke Patients a Literature review

Nasim Nasim, Desiyani Nani — Tue, 30 Apr 2024 00:00:00 +0700

Aims: Muscle strength and Range of Motion (ROM) are very important for ischemic stroke patients because they can prevent contractures, and increase the muscle strength of ischemic stroke patients. Range of motion (ROM) exercises in the upper extremities can increase muscle strength so that post-stroke patients can perform Activities of Daily Living independently. Objective: To know about the effect of the effectiveness of ROM with various methods to increase muscle strength and range of motion of joints.

Method: Literature review to determine range of motion exercise on limb joint muscle strength in ischemic stroke patients with 5 articles with 4 data search tools: PubMed, NCBI, Science Direct, and Proquest. The inclusion criteria were patients who had an ischemic stroke, randomized control trials, and the full text available in a literature review published in the last five years, i.e. 2018-2023, articles in English.

Results: From the articles obtained, 556 articles were found Research campresearch searched in accordance with creteria found 5 articles on the effect of range of motion exercise on muscle strength of the extremity joints in ischemic stroke patients. Positive results were obtained from the benefits of muscle strength and ROM. Clinical evidence was obtained from five journals analyzed that there was an increase in strength and range of motion and there were differences in the results of the experimental group and the control group.

Conclusion: The provision of ROM intervention techniques is proven to increase muscle strength and joint range of motion in ischemic stroke patients, so as to help patients in the process of maintaining muscle strength and joint range of motion. In the future, this activity can be done independently by patients at home.

The Effect of Massage Therapy on Pain Intensity in Fracture Patients : A Systematic Review

Gunawan Gunawan, Arif Setyo Upoyo — Tue, 30 Apr 2024 00:00:00 +0700

Aims: Pain disorders are common in patients with fracture disease. Massage therapy is considered effective for reducing the pain intensity of fracture patients. The Purpose of the Systematic review is to investigate the effect of massage therapy on pain intensity in patients with fractures.

Methods: The English full-text research publications from 2012 to 2023 that were found using the Google Scholar, Pubmed, and Science Direct databases were published in China (4 articles) and Iran (2 articles). Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) techniques, articles were chosen. Quality assessment was conducted using the Joanna Briggs Institute (JBI) Critical Appraisal Skills Programme. Six articles examined pain intensity with the usual Visual Analogue Scale (VAS).

Results: The outcomes achieved were Six articles. It has also been demonstrated to lessen fracture patients' pain. Numerous massage therapy techniques, such as foot massage, reflexology massage, auricular acupressure, and elbow massage therapy, were employed in the studies that made up the evaluation. In the intervention and control groups, the mean pain intensity scores before and after the intervention were 5.72 + 0.97 and 5.66 + 0.92, respectively. The three measures of pain intensity in the intervention group showed a significant difference, according to the Friedman test.

Conclusion: The analysis concludes that massage therapy is a highly effective means of reducing pain in those who have suffered fractures. More investigation is need to confirm these results and assess different forms of massage therapy, though.

The Effect of Low-Impact Aerobic Exercise on Reducing Stress Levels in the Elderly

Gilang Dwi Pratiwi, Vita Lucya, Wini Hadiyani — Tue, 30 Apr 2024 00:00:00 +0700

Aims: Increasing a person's age results in a significant decline in body development, which is one of the causes of stress conditions in the elderly. In addition to a decrease in physical condition, the elderly who experience a decrease in social activities, one of which is the state of retirement. The elderly who used to work experienced drastic changes in their activities. There needs to be special treatment that can divert the stress experienced by the elderly rather not get worse. This study aims to identify the effect of low-impact aerobic exercise on reducing stress levels in the elderly.

Methods: This research is a quasi-experimental research (One Group Pre-Post-test design), sampling using purposive sampling of 30 respondents. The population in this study is the elderly in the Antapani District. The measurement tool used is the PSS-10 (Perceived Stress Scale) questionnaire.

Results: The research results show that the majority of respondents in this study were female, with an average age of 60 years. Then on the Wilcoxon test there is a difference in the average value of the pre-test and post-test and the difference is quite large.

Conclusion: There is an effect of low-impact aerobic exercise on reducing stress levels in the elderly. Suggestion: It is hoped that this exercise will be carried out regularly once a week. This is because in addition to body fitness, and to eliminate boredom, it can also reduce stress in the elderly.

Nursing Intervention Toward Quality of Life of Patients Undergoing Hemodialysis: A Systematic Review

Gunawan Susanto, Arif Setyo Upoyo — Tue, 30 Apr 2024 00:00:00 +0700

Aims: Patients diagnosed with chronic renal disease commonly experience a diminished quality of life. This systematic review endeavors to discern nursing interventions aimed at enhancing the quality of life among individuals with chronic kidney disease undergoing hemodialysis. These interventions adopt a holistic approach, encompassing psychological, social, and physical aspects.

Methods: A systematic review methodology was employed, utilizing ProQuest, Science Direct, and Google Scholar to search for relevant publications. In order to retrieve pertinent information, the databases were searched for complete English-language research articles published from 2013 to 2023.

Results: This study investigates two intervention categories, specifically physical and non-physical, aimed at improving the quality of life for individuals undergoing hemodialysis due to chronic renal disease. Deliberations reveal that non-physical activities positively impact the psychological and social well-being of chronic kidney disease patients undergoing hemodialysis, whereas physical exercise promotes increased strength and endurance

Conclusions: Dialysis has an adverse effect on all dimensions of Quality of Life for individuals with Chronic Kidney Disease. This review serves as a valuable resource for clinicians, offering insights into the implementation of comprehensive nursing interventions for Chronic Kidney Disease patients undergoing dialysis, encompassing physical, psychological, and social aspects. Subsequent research endeavors should prioritize exploring the spiritual dimension, given the promising outcomes observed in spiritual interventions, which have demonstrated effectiveness in mitigating pain, addressing concerns related to death, and enhancing overall well-being.

The Relationship between Level of Independence with Self-esteem among Older Adults in Serang Banten

Sarma Eko Natalia Sinaga — Tue, 30 Apr 2024 00:00:00 +0700

Aims: This research aims to see the influence of the level of independence in carrying out daily life activities on the level of self-esteem of older adults.

Method: quantitative research with a cross-sectional design, sampling technique with total sampling, and a sample of 73 people. Data collection uses the Barthel Index and Rosenberg Self-Esteem guidelines via Google Forms. The research analysis is univariate to see an overview of the frequency distribution and proportions of variables. In contrast, bivariate analysis uses the Chi-Square test, which is used to determine the relationship between variables.

Results: The research results show that 61.6% of older adults independently carry out daily activities, and 50.7% of older adults have high self-esteem. Moreover, there is a relationship between the level of independence in carrying out daily activities and the level of self-esteem in older adults elderly, with a p-value of 0.00.

Conclusion: Older adults who are unable to carry out daily activities tend to experience low self-esteem. Therefore, nurses who provide services and assistance related to independence by optimizing the independence of older adults elderly and helping the older adults ly carry out activities that they are unable to do, as well as providing a safe environment for activities so that they can increase the older adults' elderly's self-esteem.

Trends in the Use of Digital Stethoscopes in Healthcare: A Bibliometric Analysis

Acep Hidayatul Mustopa, Saryono Saryono, Henri Setiawan, Iim Imas Masruah — Tue, 30 Apr 2024 00:00:00 +0700

Aims: This study aims to review the scientific literature that has been conducted and published regarding the development of one of the medical devices, namely digital stethoscopes and look for novelty as a basis for conducting research.

Methods: This research is a descriptive analysis with a bibliometric analysis approach. Searches for published articles were conducted in August 2023 on the Scopus and Pubmed databases through the Publish or Perish application from 2000-2023.

Results: Of all the literature and publications that have been analyzed and mapped using VosViewer, the majority of studies found focus on discussing the use of digital stethoscopes in listening to and interpreting heart sounds compared to interpreting lung sounds.

Conclusion: Based on the articles collected and processed in VosViewer, the results of this study, which can be used as a reference or basis for researchers, are about digital stethoscope innovations that focus on recording and interpreting lung sounds.

Screen Fatigue During Online Learning Among First Grade of Nursing Students

Tue, 30 Apr 2024 00:00:00 +0700

Aims: Online learning causes mental health problems in students. Fatigue among students can hinder concentration, memory retention, and cognitive functioning, leading to decreased academic productivity, heightened stress, and disrupted personal and social lives. Screen fatigue among students can be attributed to factors such as prolonged screen exposure, inadequate breaks, poor ergonomics, multitasking, content nature, sleep deprivation, screen brightness, glare, visual discomfort, and reduced physical interaction during online classes.

Method: This study used a quantitative descriptive design. The population in this study were first-year nursing students during online learning. The sample technique used total sampling. The sample in this study amounted to 180 respondents. Data collection used the Zoom Exhaustion & Fatigue Scale (ZEF Scale). Univariate data analysis to describe the frequency of screen fatigue levels in students.

Results: The results of this study indicate that the majority of students have a moderate level of screen fatigue, namely 77 respondents (42.8%). Then respondents with low screen fatigue category were 45 people (25%). Then respondents with high screen fatigue category were 58 people (32.2%). This shows that student screen fatigue is still high, so lecturers and students must care about each other's mental health problems during online learning.

Conclusion: Screen fatigue is a problem experienced by students during online learning, this data becomes data for universities to develop learning methods that are effective in reducing the problem of screen fatigue in students.

Nursing Implications: The implication of this research is that there is data for universities and lecturers in providing psychological services to students during online learning.

The Effect of Five-Finger Relaxation Technique on Anxiety and Stress in Non-Hemorrhagic Stroke Patients at the Inpatient Installation of RSUD Cimacan Cianjur District

Rosliana Dewi, Syiva Dwi Fatmala, Maria Yulianti, Dila Nurul Arsyi — Tue, 30 Apr 2024 00:00:00 +0700

Aims: The purpose of this study was to examine the effect of five-finger relaxation technique on anxiety and stress in hemorrhagic stroke patients at Cimacan Hospital.

Methods: This study used quasi-experiment with nonequivalent control group design. Sample collection using purposive sampling. The sample was 40 people and divided into two groups with 20 people each for the intervention group and control group. Data analysis using Paired Sample T-Test and Independent Sample T-Test.

Results: The results showed that after the five-finger relaxation technique was performed on the intervention group, there was a decrease in anxiety levels (p = 0.000) and stress (p = 0.000) in stroke patients, while in the control group there was a decrease in anxiety (p = 0.000) and stress (p = 0.000), and there was a difference between anxiety levels (p = 0.000) and stress (p = 0.000) in the intervention and control groups.

Conclusion: There is an effect of five-finger relaxation technique on anxiety and stress in non-hemorrhagic stroke patients, and there are differences in anxiety and stress in the control and intervention groups. It is hoped that this five-finger relaxation technique can be used as an evidence base nursing on non-pharmacological treatment as a form of independent nursing intervention by a nurse in providing nursing care to help in the process of reducing anxiety and stress in stroke patients.

Factors Influencing Toddler Visit to Integrated Healthcare Center in Sukabumi District

Kusuma Putri Pratiwi — Tue, 30 Apr 2024 00:00:00 +0700

Aims: The purpose of this study was to determine the effect of knowledge, motivation, the role of health workers, and family support on toddler visit to integrated healthcare center in Sukabumi district.

Methods: This type of research was conducted with a cross sectional design. The population was all mothers of toddlers with a sample of 225, using proportional random sampling technique. Statistical analysis to determine the effect using logistic regression.

Results: There is an influence of knowledge (p=0.000), motivation (p=0.000), the role of health workers (p=0.000) and family support (p=0.000) on toddler posyandu visits in Sukamanis Village, Kadudampit Health Center Working Area, Sukabumi Regency.

Conclusion: Knowledge, motivation, role of health workers and family support influenced toddler posyandu visits in Sukamanis Village, Kadudampit Health Center Working Area, Sukabumi District.

The Influence of Social Capital on Community Self-Efficacy in Facing Tsunamis in Pasiripis Village, Surade Sub-District, Sukabumi District

Waqid Sanjaya — Tue, 30 Apr 2024 00:00:00 +0700

Aims: The purpose of this study was to determine the simultaneous influence of social capital, trust, networks, and social norms on community self-efficacy in dealing with tsunamis in Pasiripis Village, Surade Subdistrict, Sukabumi District.

Methods: This was a correlational study with a cross sectional approach. The population was the community of Pasiripis Village, Surade Subdistrict, Sukabumi District with a sample of 364 people using proportional random sampling technique. The instrument was valid and reliable. Data were collected using questionnaires and statistical analysis using multiple linear regression.

Results: The study reveals that social capital, trust, social networks, and norms significantly impact the community's self-efficacy in dealing with tsunamis, with a multivariate contribution of 50.6%. These variables have p-values less than 0.05, indicating their significant influence on the community's resilience in the face of a tsunami.

Conclusion: The study reveals that social capital, trust, networks, and social norms significantly impact community self-efficacy in Pasiripis Village, Surade Subdistrict, Sukabumi District, and suggests continuous improvement through regular disaster education and training.

The Effectiveness of I-CARE-based Self-Efficacy Nurses Training for the Development of Organizational Commitment at Panti Rapih Hospital Yogyakarta

Martha Sihaloho, Wilhelmus Hary Susilo, Blacius Dedi — Tue, 30 Apr 2024 00:00:00 +0700

Aims: This research aims to analyze the effectiveness of I-CARE-based self-efficacy nurses training for the development of organizational commitment at Panti Rapih Hospital Yogyakarta.

Methods: The research has been designed as a quasi-experiment one group pretest and posttest. The respondents are 143 nurses, mostly from D3 (associate degree) in Nursing (82.5%), female (88.1%), and young adult age or generation X (48.8%). Most of them have also been working for 6-15 years (51.8%). Ordinal regression discrimination test and SEM Smart PLS.4 with path analysis were also conducted. The data is analyzed by using software SPSS.25 and Wilcoxon pretest and posttest on I-CARE-based self-efficacy training and organizational commitment.

Results: I-CARE-based self-efficacy has been found “high” (55.9%). Nurses’ organizational commitment is “high” (77.6%), “average” (18.2%) and “low” (4.2%). It is also found that I-CARE-based self-efficacy does not have a significant relation with organizational commitment, which P value is >0.005. The variables like age, gender and length of working have also been insignificant to the enhancement of organizational commitment, which P value is >0.005. The level of education gives a significant influence to organizational commitment, which P value is 0.02 (<0.005). The enhancement of education level will reinforce organizational commitment.

Conclusion: I-CARE-based self-efficacy training is effective in enhancing organizational commitment, but for significant impact, it should be supported by a higher level of education. This research recommends increasing formal education levels to enhance staff organizational commitment.

Effectiveness of Psychotherapy on Quality of Life People with HIV/AIDS

Anung Widi Armunanto, Sri Yona — Tue, 30 Apr 2024 00:00:00 +0700

Aims: patients with HIV/AIDS have unique challenges regarding their quality of life, with factors such as physical symptoms, use of antiretroviral therapy, social support, and psychiatric conditions being important determinants.

Method: This study is a systematic literature study. Literature search through online databases ProQuest, Scopus, Google Scholar, PubMed. The keywords used were: plwh, hiv aids, hiv positive, hiv patient, psychotherapy, cbt, mindfulness, counselling, quality of life, qol, depression, stress, with Bolean logic AND and OR. Journal of the last 10 years (2013-2023), using English, is a journal article, open access, involving adult respondents, full text, HIV/AIDS, adult, clinical trial, RCT. Exclusion criteria: Encyclopedia article, book chapter, conference, correspondent, editorial, news, practice guideline, protocol, systematic review, literature review and meta-analysis qualitative study. Screening and selection of articles are displayed in the PRISMA diagram. Selected articles were subjected to critical appraisal of RCT studies.

Results: 7 articles met the criteria and were discussed in this study. 5 articles used CBT intervention and 2 used ITP intervention. Both CBT and ITP proved to have significant results in improving the quality of life of PLWHA.

Conclusions: Psychotherapy, especially CBT and ITP, has a significant impact on the quality of life of people living with HIV. Integration of care, especially for alcohol use disorders, and utilization of telemedicine technologies, such as tele-IPT, also provide feasible solutions to improve accessibility of care, especially in rural areas.

Health Care Functions of Elderly Families with Hypertension Who Live Alone Life in Bandung District (Phenomenological Study)

Tue, 30 Apr 2024 00:00:00 +0700

Aims: The aim of this research is to explore the health care function of families of elderly people with hypertension who live their lives alone in Bandung Regency.

Methods : This research design uses a qualitative method with an exploratory phenomenological approach. The number of participants was 7 people who conducted a focus group discussion (FGD).

Results : The results of this research obtained 5 themes, namely recognizing internal and external health problems based on reflex response, making decisions based on personal needs and complaints of the elderly, caring for oneself by preventing and strengthening positive energy, maintaining environmental health through dividing tasks and joint financial responsibility, and increasing optimization utilization of health services.

Conclusions : Research on elderly hypertension families reveals five main themes: understanding hypertension through psychological and physical responses, making decisions based on personal needs, self-prevention and positive energy, dividing environmental health and joint financial responsibility, and optimizing health facility use through PKM and Health Services.

Cognitive Behaviour Therapy with Roy Adaptation Approach on Improving Adolescent Self-Esteem in the Special Institution for Children Class I Martapura

Yohana Agustina Sitanggang, Tiara Lani, Raziansyah Raziansyah — Tue, 30 Apr 2024 00:00:00 +0700

Aims: This research aims to examine the impact of cognitive behaviour therapy with Roy's adaptation approach on increasing adolescent self-esteem in the Special Development Institute for Children Class 1 Martapura.

Methods: This research employed a Quasi-Experimental Pre-Post Test with Control Group design. The sample size consisted of 30 respondents, divided into 15 in the treatment group and 15 in the control group, selected using purposive sampling techniques. The research instrument utilized to measure self-esteem was the Rosenberg Self-Esteem Scale.

Results: The outcomes revealed a significant increase in adolescent self-esteem before and after receiving cognitive behavior therapy with the Roy adaptation approach in the treatment group, with a p-value of 0.014 < 0.05. This indicates that there is a positive effect of administering cognitive behavior therapy with the Roy adaptation approach on adolescent self-esteem at the Class 1 Martapura Children's Special Development Institute. Conversely, the control group experienced a decline in self-esteem during the post-test measurement.

Conclusion: Cognitive Behaviour Therapy with Roy's adaptation theory approach conducted in 3 sessions is able to improve the self-esteem of adolescents who are in the Class 1 Martapura Children's Special Development Institute.

The Effect of Cognitive Puzzle Therapy on the Independence Level of Elderly with Dementia in Nursing Home East Jakarta

Dheni Wahyudi, Syamsul Anwar, Lily Herlinah — Tue, 30 Apr 2024 00:00:00 +0700

Aims: This study aims to identify the effect of puzzle cognitive therapy on the level of independence of elderly people with dementia in nursing homes.

Method : the research used a quasi-experimental pre-post design with control group design. Sampling was taken using a total sampling technique, 24 respondents in the intervention group and 24 in the control group. Puzzle therapy was carried out for 9 sessions. Measurement of independence used the MMSE (Mini mental status examination) questionnaire and the Katz Index. Analysis with dependent t-test at significance 0.05 (CI 95%) and GLM-RM (General Linear Model Repeated Measure).

Results: The results of the paired T test in the intervention group produced a p-value of 0.000, while the control group had a p-value of 0.043. dependent T test and Greenhouse-Geisser (sig) with p value 0.00. Elderly people who are given puzzle activities improve the health and well-being of elderly people with cognitive decline

Conclusion: puzzle therapy can improve increasing independence in elderly people with dementia.

Upper Arm Exercises on Pain Intensity Among Patient with Breast Cancer Dharmais Cancer Hospital, Indonesia

Tue, 30 Apr 2024 00:00:00 +0700

Aim: to determine the effectiveness of upper arm exercises on pain intensity among patients with breast cancer at the Dharmais Cancer Hospital, Indonesia.

Methods: This study used a queasy experiment with pre-post-test and two-group design. Twenty respondents from breast cancer patients in each intervention and control group were recruited. The upper arm training intervention was carried out 3 times/week for 3 weeks. The Visual Analogue Scale (VAS) was used to assess pain, and linear regression and the dependent t-test with a significance level of 0.05 (CI 95%) were used for analysis.

Result: The significant difference in pain levels between the intervention group and the control group shows that the mean difference in the pain level scale of respondents in the upper arm exercise intervention group was 2.50 (SD=0.60), while in the control group, the mean was 1.70 (SD=0.65). control group with (t=4.00, p=0.001), and age (p-value =0.023; OR=8.645) were predictors in this study.

Conclusions: Upper arm exercises can be recommended to reduce pain in breast cancer sufferers, especially breast cancer patients who have undergone stage 1 and 2 mastectomy operations. It is recommended that further research involve respondents who had the same level of pain before upper arm exercises were carried out

Assessing the Impact of Visual Educational Interventions on User Adoption of Electronic Medical Records in the Inpatient Ward of RSUD Dr. Soeselo, Tegal Regency

Eko Prihati, Septo Pawelas Arso, Farid Agushybana — Tue, 30 Apr 2024 00:00:00 +0700

Aims: Electronic medical records (EMRs) are information systems used to store and manage patients' medical information electronically. Despite being a well-established technology, their implementation often faces resistance, particularly in terms of users' readiness to adapt to new technologies. This study aims to evaluate the acceptance of EMRs among healthcare professionals in the inpatient installation of RSUD Tegal.

Methods: The study employed a Quantitative Pre-Experimental method with a One group Pre-test Post-test experimental design. It assessed changes or differences in user acceptance by examining attitudes and behavioral intentions of users before and after learning through video-based instruction. Pre-test and post-test questionnaires were used for data collection.

Results: Data analysis revealed an Asymp.Sig. value of 0.000, which is less than 0.05. This indicates that Ho (the null hypothesis) is rejected, suggesting a difference in the average results of the Pre-test on the six variables related to user acceptance of EMRs. Similarly, the Friedman Test Post-test yielded an Asymp. Sig. value of 0.000, also less than 0.05. This further supports the rejection of Ho, indicating a difference in the average results of the six variables. Additionally, the influence of video-based learning on behavioral intentions to use EMRs was determined with a Wilcoxon Signed Ranks Test, resulting in an Asymp.sig (2-tailed) value of 0.000.

Conclusion: The study found that there is an increase in behavioral intentions to use EMRs after learning through video-based methods.