Jurnal Keperawatan Padjadjaran

Food taboo, dietary diversity and prevalence of chronic energy deficiency in pregnant women living in rural area Indonesia

Dudung Angkasa, Dwi Nastiti Iswarawanti, Otte Santika — Mon, 01 Apr 2024 00:00:00 +0000

Background: Chronic energy deficiency is strongly associated with poor pregnancy outcomes. Food taboo and dietary diversity are suspected as main risk factors of chronic energy deficient in pregnant women in rural area. Nevertheless, none studies elaborated the inferential relationship of those factors with chronic energy deficiency during pregnancy.

Purpose: to describe dietary diversity score and perception of food taboo and examine it association with chronic energy deficiency prevalence in pregnant women in a rural area

Methods: This cross-sectional study involved 178 pregnant women aged 15-45 years. Food taboo and dietary diversity scores was drawn from single 24 hours food recall while the perceived reason of food taboo was assessed by focus group discussion. Chronic energy deficiency was determined by mid-upper arm circumference by standard tape. Food taboo and dietary diversity score interaction was generated and binary logistic regression analysis with Î±= 5% and 95% confidence interval were performed to provide adjusted associations

Results: Almost half of respondents had food taboo (43.8%) and had low dietary diversity score (43%) while one of fifth (19.7%) of respondent were chronic energy deficient. Those with food taboo and low dietary diversity were two times more likely to suffer from chronic energy deficiency. However, only pregnancy related factor (parity) was associated significantly with the outcome.

Conclusions: Although the relationship between food taboo and chronic energy deficiency was not statistically significant, pregnant mother with food taboo should be encouraged to have a cultural-specific health and nutrition education.

Factors impacting decreased basic immunization coverage in infants

Meri Neherta, Lili Fajria, Prima Yoselina — Mon, 01 Apr 2024 00:00:00 +0000

Background: The data reveal a consistent decrease in the overall immunization coverage for babies in Kota Pariaman over a span of four years. Specifically, the coverage rates were recorded as 81.8% in 2018, 78.6% in 2019, 55.7% in 2020, and 66.7% in 2021.

Purpose: The aim of this study is to identify the factors that contribute to the decrease in the achievement of complete basic immunization among children in Kota Pariaman.

Methods: The present study used the quantitative research method with a cross-sectional design. The study sample comprised of mothers with infants aged 12 months residing in Pariaman City. A purposive sampling method was employed to choose a total of 154 participants. The research was carried out between March 2022 and October 2022. Univariate analysis describes variable frequency, bivariate examines relationships using chi-square (p<0.05) and multivariate employs logistic regression, identifying influential variables.

Results: Key findings include a lack of knowledge (40.3%), non-supportive attitudes of mothers (56.5%), mistrust by mothers (42.9%), limited access to health resources (52.6%), and inadequate family support (48.1%). There was significant support from healthcare workers (94.2%) and moderate backing from community leaders (56.5%). Significantly, a noteworthy association was observed between knowledge (p < 0.05), attitudes (p < 0.05), and family support (p < 0.05), and the successful attainment of fundamental vaccinations.

Conclusions: Factors leading to the decreased rate of complete basic immunization for infants in Kota Pariaman include attitude, family support, and knowledge. As a remedy, local governments and health workers are urged to proactively provide health education on the significance of full basic immunization for infants. This preventive measure is paramount in safeguarding against severe acute illnesses, benefiting both the child and the broader community

The comfort level in breast cancer patients’ based on patients’ characteristics during the COVID-19 pandemic

Tuti Nuraini, Yushlihah Rofiati Yusuf, Shanti Farida Rachmi, Dewi Gayatri — Mon, 01 Apr 2024 00:00:00 +0000

Background: Comfort level in breast cancer patients is one of the most critical factors influencing patientâ€™s treatment commitment. The COVID-19 pandemic has affected various sectors, especially health status.

Objectives: This study aims to describe patients' comfort levels during the COVID-19 pandemic and to investigate the relationship between patientsâ€™ characteristics and comfort levels.

Methods: This study involved 108 respondents using a consecutive sampling technique at one time (cross-sectional). The research instrument was Comfort Assessment Breast Cancer Instrument (CABCI). The data were analyzed using Chi-Square.

Results: The results showed that the comfort level in this study is categorized as comfortable. The best comfort aspect is the environmental aspect and the least is the physical aspect. In addition, there are two variables related to comfort, treatment (p = 0.007; Î± = 0.05) and treatment room (p = 0.000; Î± = 0.05). The best comfort level was found in chemotherapy treatment and outpatient rooms. Patients feel comfortable with a neat, clean, conducive hospital environment and the implementation of health protocols. These aspects could effectively prevent the spread of COVID-19.

Conclusions: The results of this study recommend nursing services to optimize all aspects of comfort, which could still be improved. Interventions that maintain or improve comfort will optimize patientsâ€™ health conditions.

Association between women’s empowerment and contraceptive failure in Indonesia: 2017 IDHS data analysis

Sizi Lia Ginoga, Omas Bulan Samosir, Triasih Djutaharta — Mon, 01 Apr 2024 00:00:00 +0000

Background: Contraceptive failure has negative consequences, including unwanted pregnancies and abortions, which can cause maternal morbidity and mortality. Contraceptive failure is influenced by individual factors such as the user and the quality of the contraceptive method/device. One of the individual factors is the cultural factor which can be seen from the empowerment of women in improving the quality of health, including the use of contraception. There is no study which has discussed women’s empowerment as the determination of contraceptive failure.

Purpose: Therefore, this study aims to analyze the association of women’s empowerment in contraception failure in Indonesia.

Methods: The data source used is the results of the 2017 IDHS (Indonesia’s Demographic and Health Survey) with the unit of analysis from the period of using contraceptives to women who get pregnant while using contraceptives. The dependent variable is the duration of contraceptive usage. The main independent variable is women’s empowerment as measured by four indicators, namely asset ownership in the name of the wife, ability of decision-making in the household, ability to earn cash by working, and attending at least junior high school. Data were analyzed using the survival analysis method.

Results: The results of the analysis show that the four factors of women’s empowerment have a significant negative association with contraceptive failure after controlling for socioeconomic, demographic, and environmental factors.

Conclusion: Variables that are positively associated with contraceptive failure are participation in household decisions, education, residence status, and internet usage. Variables that are negatively associated with contraceptive failure are asset ownership, working status, and number of children.

Supportive-educative needs of patients with coronary heart disease: An investigation of clinical nurses

Mon, 01 Apr 2024 00:00:00 +0000

Background: The rising prevalence of coronary heart disease (CHD) has highlighted the need for supportive-educative efforts, particularly in nursing. These initiatives are crucial for improving self-care management in CHD patients, enhancing their quality of life. Clinical nurses are key in this role, leveraging their direct patient interaction and expertise to provide tailored education and support.

Purpose: This study aimed to investigate the supportive-educative needs of CHD patients from the perspective of clinical nurses.

Methods: A descriptive qualitative study was conducted for this research. Participants included 30 clinical nurses responsible for caring for CHD patients in both inpatient wards and outpatient polyclinics. Interview guidelines were utilized to collect data through in-depth interviews, triangulation, and the obtained interview data were analyzed using the thematic analysis approach.

Results: We identified four themes related to the supportive-educative needs of CHD patients: 1) engaging and informative media; 2) culturally sensitive approaches; 3) nurses’ attitudes; and 4) family empowerment.

Conclusion: Supportive education, tailored to the needs of CHD patients, is vital for effective disease management. This study's findings highlight the importance of incorporating four key elements into supportive education: engaging and informative media to enhance learning, culturally sensitive approaches to address diverse patient needs, the positive impact of nurses’ empathetic attitudes, and the empowerment of families in the care process. Integrating these aspects can significantly aid CHD patients in developing self-care skills that positively influence their quality of life.

Critical thinking of repositioning practice as a quality of nursing care indicator

Mon, 01 Apr 2024 00:00:00 +0000

Repositioning is all nursing activities that aim to change the posture of bedridden patients from one side to another during the hospital stay to minimize the pressure load on bony prominences and prevent pressure ulcers or injuries from developing. This is a discussion paper based on nursing and healthcare quality literature references. This paper describes the importance of repositioning practice based on the empirical study and experience as nurses and nurse managers. This perspective supports the existing literature to link repositioning practice and the quality of nursing care process indicators. Repositioning practice could be considered as an indicator of the process of care. This paper emphasizes repositioning practice as a fundamental nursing intervention and how it becomes meaningful for nursing indicators. Nurses need a standard of repositioning and its measurement at the international level.

Nursing interventions for improving quality of life among patients with coronary heart disease after percutaneous coronary intervention: A scoping review

Mon, 01 Apr 2024 00:00:00 +0000

Background: Percutaneous coronary intervention (PCI) aims to improve the quality of life (QoL) for coronary heart disease (CHD) patients, but many patients still have poor QoL. The impact of poor QoL causes long-lasting feelings of frustration, anxiety, fear, and worry that make a person give up or lose enthusiasm for the future.

Objective: This study aimed to describe nursing interventions to improve the QoL of CHD patients after PCI.

Methods: This research used the scoping review method by including all full-text primary studies written in English and published between 2013 to 2023 from three databases, EBSCO-host, PubMed, and Scopus, and one e-resource, Sage Journals. The keywords used were “coronary artery disease OR myocardial infarction OR cardiovascular disease AND quality of life AND percutaneous coronary intervention OR PCI OR Angioplasty AND Nursing care OR nursing intervention.”

Results: A total of eight articles discussed nursing interventions to improve the QoL among CHD patients after PCI. There are two categories of interventions that nurses can carry out: hospital-based (inpatient or outpatient) rehabilitation and cardiac tele-rehabilitation.

Conclusions: Hospital-based (inpatient or outpatient) rehabilitation and tele-rehabilitation interventions potentially improve post-PCI patients’ QoL, psychological well-being, cardiovascular capacity, social support, and adherence to CHD rehabilitation program. Standardized intervention guidelines need to be created in the future for each outcome of interest based on evidence-based findings so that specific interventions to improve the quality of life of CHD patients can be applied directly in daily practice.

Hope in children with cancer: A narrative review and a concept synthesis

Mon, 01 Apr 2024 00:00:00 +0000

Background: Hospitalized children with cancer encounter pain, suffering, fear, and life-threatening situations which can cause them to feel hopeless.

Purpose: The aims of this study are to acquire new insights about the concept of hope in children with cancer and to identify the attributes, antecedents, and consequences of hope in children with cancer.

Methods: Nine English and Thai-language studies that discussed the hope in children or adolescents with cancer were located using the online database in nursing (1990–2023). Qualitative analysis and synthesis of these studies were completed using an adaptation of Walker and Avant’s concept synthesis method.

Results: The antecedents of hope of children with cancer were hope of other persons surrounding them and the relationship between these children and others. The attributes of hope in children with cancer were hope for cure, intentional hope and inner strength. Also, the consequences of hope in children with cancer were well-being, quality of life, coping behavior, expressing new feelings of safety or comfort, and conveying trust to others.

Conclusions: This study found that hope is important and has a positive effect on body-mind and the emotions of children with cancer. Thus, healthcare providers such as nurses should enhance hope in children with cancer by promoting their inner resources, positive experiences, and emotional support, while decreasing negative emotional factors. Therefore, children with cancer have hope in their treatment outcomes and inner strength, leading to their expressing new feelings of safety and a good quality of life.

Post-operative nursing bleeding management in mitral valve repair-re-exploration patient during early post-operative period: A case report

Ulfah Nurrahmani, Riani Siti Hafsah, Reza Widianto Sudjud — Mon, 01 Apr 2024 00:00:00 +0000

Background: One of the first targets of post-operative care for cardiac surgery is to control bleeding. Significant bleeding can affect cardiac function as it can lead to hemorrhagic shock, severe anemia, and cardiac tamponade. Valve surgery has a mortality rate of 3.4%. Mitral valve repair surgery has a mortality rate of 1.2% compared to a valve replacement mortality rate of 4.5%. A quick and appropriate decision in the management of bleeding is one of the factors determining the patient's outcome. This study aims to report on nursing bleeding management in mitral valve repair-re-exploration patient during early postoperative period. This research is qualitative research using the case study method.

Case: 59-year-old female with a medical diagnosis of mitral valve prolapse with severe mitral regurgitation of non-significant coronary artery diseases performed mitral valve repair surgery. This case has a score of 1 on the Papworth scale, which means low risk of bleeding. During treatment in the ICU, there was an increase in blood production from the chest tube of 1,670 ml within six hours post-surgery. PT APTT value was within normal range. Bleeding management during early post-operative period was carried out, namely conducting supporting laboratory tests, monitoring hypotension, monitoring urine production, performing chest tube maintenance, giving blood transfusions, fluid management and collaboration for re-exploration. Re-exploration surgery was performed at the sixth hour of post-operative care.

Conclusion: The application of post-operative nursing bleeding management in mitral valve repair-re-exploration patient during the early post-operative period provides good clinical outcomes. Effective collaboration (multi-disciplinary teams) between cardiac surgeon, perfusionist, anesthetist, clinical pharmacist, and nurse is required to prevent and manage post-operative bleeding.