Journal of Nursing Science Update (JNSU)

Sitting Position and Low Back Pain (LBP) Incidents in Online Learning During the Pandemic of Covid-19: A Correlational Study

Angga Wilandika — 2023-01-20

COVID-19 has an impact on the education sector. Transitioning from face-to-face to online learning puts students at risk for back pain as they must perform most tasks in a sitting position with a non-ergonomic posture. The aim was to analyze the relationship between the sitting position and low back pain during online learning. In this study, we used a cross-section design. A total of 224 nursing students participated in the study. Sampling was done randomly, and data collection using online questionnaires. Data analysis was done descriptively and inferentially. The Chi-Square test was used to determine the correlation between sitting position and low back pain. The results showed that almost half (49.1%) of students sat down when learning online, and the incidence of low back pain in students was as much as 45.1%. In addition, the results also showed no significant association (p-value = 7,035 ≥ 0.05; r = 0.030) between sitting position and low back pain incidence in nursing students during online learning during the COVID-19 pandemic. The sitting position factor is not the primary determinant of low back pain. Therefore, further research is needed concerning other low back pain events.

The Symptom Experience and Management in People with HIV Who Underwent Antiretroviral Therapy During the Covid-19 Pandemic in Bali, Indonesia

Nyoman Agus Jagat Raya — 2023-01-20

Antiretroviral (ARV) therapy does not only provide some benefits but also has side effects that cause symptoms experienced by people with HIV (PWH). Strategies for effective symptom management were needed, especially during the COVID-19 pandemic. The purpose of this study was to explore the symptom experience and management strategies in PWH during the COVID-19 pandemic. A qualitative phenomenology design was used. A cross-sectional with purposive and snowball sampling techniques was used from July to October 2021. Eight participants joined an in-depth interview based on the criteria of the participants, such as people who were infected with HIV, 18 years or older, on ARV therapy, and willing to sign the informed consent. Thematic analysis was used after data saturation was reached. Three themes were found in this study; 1) The symptoms of ARV side effects, which included physical and psychological symptoms that appeared in PWH; 2) The symptom management of ARV side effects, which described the history of hospitalization, pharmacological and non-pharmacological management; 3) The symptom condition during the COVID-19 pandemic. The symptom experience of ARV side effects required strategies to manage the appearance of the symptoms, especially those amid the COVID-19 pandemic. This study could become fundamental evidence to consider in providing nursing care to PWH and supporting the symptom management model among PWH further.

Utilization of Adaptive Communication in End-Of-Life Care in Intensive Care Unit During the Covid-19 Pandemic: Literature Review

Ulfah Nurrahmani — 2023-01-20

Covid-19 is becoming a global pandemic that presents new challenges in critical care. Visitation restrictions and isolation are major challenges in end-of-life care communication. The use of communication as an indicator of the quality of end-of-life care in the critical care management chain is required to adapt creatively and effectively. The aim of this research is to know the description of communication in end-of-life care in intensive care units during the covid-19 pandemic based on literature sources related to scientific research journals. The research was conducted by searching for research results published in 2019-2021 from databases such as PubMed, google scholar, and science direct using the keywords "communication", "end-of-life", "intensive care unit", and "pandemic". The search results selected twelve articles that met the PICO analysis for review. Twelve articles explain that adaptive communication can be carried out between patients, families, and the medical team through continuous video and telephone calls. Long-distance communication is carried out by following special rules, namely on time, coordinated by the entire team, and environmental and patient readiness, both in outward appearance and hemodynamic status. Communication adaptations in other forms are described in more detail in the communication guide checklist and written information sheets, as well as efforts to increase the role and number of nursing staff in large-scale communications. The use of adaptive communication positively can be beneficial in improving the quality of end-of-life care in intensive care units during a pandemic.

Stroke Severity and Level of Dependence Against Risk of Falls in Stroke Patients

Puji Astuti Wiratmo — 2023-01-20

A stroke is a neurological disease caused by the blockage or rupture of blood vessels in the brain. Functional dysfunction due to stroke causes stroke patients to be very susceptible to falls. This research aimed to identify the association between the severity of stroke with the level of patient dependence on the risk of falls. This research was a quantitative observational design with a cross-sectional approach. The sample of this study was 66 hospitalized stroke patients who were recruited by quota sampling method. The National Institute of Health Stroke Scale (NIHSS) and Barthel Index are used to measure stroke severity and level of dependence. We assessed the risk of falls using the operational procedure from the hospital. Based on the Spearman rho test, it is found that there is a significant relationship between stroke severity and the level of risk of falls (p=0.000394). Similarly, a significant correlation was found between the level of patient dependence and the level of risk of falls (0.000016). Nurses need to set the nursing care plan for stroke patients who are at risk of falls to prevent further injuries and complications. Continuity of care and family support will help the patient's dependency, reduce the risk of falls, and promote quality of life.

Relationship between Knowledge Level and Anxiety Facing Childbirth in Primiparous Mothers at Panembahan Senopati Hospital Bantul

Maria Julieta Esperanca Naibili — 2023-01-20

The 7 “P” factors influencing the child-birth process are “Power”, ”Passage”, “Passenger”, “Psyche”, ”Pain”, “Patience”, and “Position”. Psyche includes anxiety, which for laboring mothers creates tension, vasoconstriction in uterine blood vessels, pain, reduced uterine contraction, and delayed cervical opening so that childbirth takes longer. Long childbirth or partus can increase mothers' and babies' morbidity and mortality rates. This research aimed to identify the correlation between Knowledge Level and Anxiety Facing Childbirth in Primiparous Mothers at Panembahan Senopati Hospital Bantul. This study was quantitative research with a descriptive-analytic design using the cross-sectional approach. The population in this research consisted of 145 primipara mothers, with purposive sampling of 59 respondents. The data were collected with a questionnaire and analyzed with the Spearman Rank Correlation Test. The respondents’ knowledge level belonged to the ‘good’ category, 96.6%, while the anxiety level among the primipara mothers belonged to the ‘moderate’ category, 79.7%. The analysis of the correlation between the knowledge level and the anxiety level among Primipara mothers in Panembahan Senopati Hospital Bantul resulted in a p-value = 0.001 with a Rho-Spearman correlation value of -0,415. There was a moderate correlation between knowledge and anxiety levels among primipara mothers in Panembahan Senopati Hospital Bantul. Healthcare providers can promote the seven essential power education models of childbirth ("Power," "Passage," "Passenger," "Psyche," "Position," "Pain," and "Patience") in maternity nursing practice so that nurses can pay attention to the complexities of care holistically for women who give birth

Spirituality and Moral Sensitivity of Undergraduate Nursing Students STIKES Santa Elisabeth Medan

Imelda Derang — 2023-01-20

Nursing is an important factor of all professional services, including Bio, Psycho, Socio, and Spiritual, which must be possessed because it is a crucial aspect of service, especially for the people we serve. This is because moral sensitivity and a strong sense of spirituality can assist someone in interpreting changes in their daily lives in light of God, the environment, and themselves. This study aims to determine the relationship between spirituality and moral sensitivity of undergraduate nursing students at STIKes Santa Elisabeth Medan T.A 2021/2022. We used a cross-sectional design. The sampling technique in this study used purposive sampling. The numbers of respondents are 358 respondents. The instrument used was a spirituality and moral sensitivity questionnaire for nursing students (MSQ-ST). The findings revealed great moral sensitivity (87.4%) and spirituality (82.4%). According to the findings of the Spearman Rank statistical test (rho), r = (.271) and p (value) = 0.000 (p 0.05) were obtained. These results indicate a weak relationship between the two variables with a positive direction, meaning that the higher the spirituality level of the students, the higher the moral sensitivity of nursing students at STIKes Santa Elisabeth Medan.

Profile of People With HIV-AIDS (PLWHA) During The Covid-19 Pandemic By Stress Levels

Indah Jayani — 2023-01-20

The COVID-19 pandemic presents complex problems, especially in the health sector, especially for people with HIV-AIDS (PLWHA), who are one of the groups vulnerable to COVID-19 transmission. Psychological responses shown by PLWHA are anxiety and stress. Various factors allegedly affect stress in PLWHA. This study aimed to determine the factors influencing stress levels in PLWHA during the covid-19 pandemic. The research design is descriptive-analytic with a cross-sectional approach using primary data. The sample of 34 people living with HIV in the Kediri area was obtained by purposive sampling. Inclusion criteria were PLWHA aged 20-55 years and cooperative. Exclusion criteria included people living with HIV with advanced complications or severe opportunistic infections. The instrument measuring stress uses the Depression Anxiety Stress Scale 42 (DASS 42). Analysis of the Spearman rank correlation test data showed that there was no relationship between gender and age with stress levels (ρ-value = 0.428 > =0.05, -value = 0.131>α=0.05), and there was a relationship between education, knowledge , social support with stress levels in PLWHA in the Kediri area (ρ-value = 0.000 > =0.05, (r)=-600), -value = 0.000 < =0.05, (r)=-0.658 , p-value < d =0.05, (r)=-799). Respondents can actively increase knowledge related to COVID-19 through accountable information media and be open with families, communities, and health workers to get high support from families, communities and health workers as a priority for vulnerable groups in efforts to prevent COVID-19.

Overview of Self-Compassion on Nurses at Santa Elisabeth Hospital Medan 2022

Imelda Derang — 2023-01-20

Self-compassion is a mindset of accepting, understanding, and loving oneself in order to be capable of manipulating feelings positively, overcoming problems faced, decreasing anxiety, stress, and depression; and also being superb in knowing oneself when experiencing difficulties so as no longer to criticize oneself excessively and can enhance the exceptional of life, accordingly self-compassion is needed in nursing services in enhancing the excellent of nursing services. This study aims to identify self-compassion in nurses at Santa Elisabeth Hospital Medan in 2022. We used a descriptive method. The sampling technique is total sampling, and we have 196 respondents. This study uses a compassion scale questionnaire with 26 statements, consisting of 6 components, namely self-kindness, self-judgment, common humanity, isolation, mindfulness, and overidentification. The results obtained from the description of self-compassion of nurses at Santa Elisabeth Hospital Medan 2022. We found that in high category as many as 62.8%, and in low category as many as 37.2%. It can be said that the self-compassion of nurses at Santa Elisabeth Hospital Medan is high in treating themselves and others well and being able to understand one's shortcomings. We hope that nurses can maintain their self-compassion in service tasks.

Stigma With Community Discrimination Behavior on Covid-19 Patients in Tuban

Miftahul Munir — 2023-01-20

The rapid transmission of the Covid-19 virus, coupled with the circulation of social media information that cannot be verified, will impact stigma in the form of discriminatory behavior in society. This study aimed to determine the relationship between stigma and community discriminatory behavior in patients with COVID-19 at the Permata Bonang RT Perbon Tuban. This study uses a design with a Cross-sectional Study approach. The population used is part of the community in the Permata Bonang RT, with a total of 45 respondents and a sample of 40 using simple random sampling. The dependent variable is stigma, and the independent variable is discriminatory behavior. Data collection using a questionnaire sheet was analyzed using the chi-square test. The results showed that the positive stigma of society was 60% and the negative stigma of society was 40%; as for the results of discriminatory community behavior that occurred, a small number of respondents had discriminatory behavior, namely 32.5%, and some respondents who did not discriminate, namely 67, 5%. So the results obtained in this study show a relationship between stigma and community discriminatory behavior in patients with COVID-19. The results of the chi-square test evidence this; the p-value is <0.05 (p-value = 0.000), so there is a relationship between stigma and discriminatory behavior in society. Based on the results of this study, respondents are advised to keep thinking positively by providing support and motivation for positive patients for Covid-19, increasing proper knowledge about education and information based on facts so that they can be wiser in responding to current conditions.

The Relationship of Self-Care Activities with Blood Pressure of Diabetes Mellitus Type II Patients

Reny Sulistyowati — 2023-01-20

Diabetes mellitus (DM) and hypertension are diseases that often appear together. DM patients with hypertension are at risk for microvascular and macrovascular complications. Self-care activities that are carried out regularly will improve the health condition of DM patients, thereby reducing the risk of complications. This study aims to determine the relationship between self-care activities and blood pressure in type II DM patients at the BPJS Kesehatan Palangka Raya Prolanis Club. The research design uses correlation analysis with a cross-sectional approach; the research population is all members of the Prolanis Club BPJS Kesehatan Palangka Raya. The number of samples was as many as 35 people with the purposive sampling technique. The research instrument used a questionnaire, The Summary of Diabetes Self-Care Activities Measure (SDSCA); the collected data was analyzed using the chi-square test. The results showed that as many as (51.4%) of diabetic patients had good self-care activity status, totaling 18 respondents. As many as 51.4% of respondents have normal blood pressure status. The statistical results of this study obtained p value = 0.028 (p <0.05), and r = 6.240, meaning that there is a relationship between self-care activities and blood pressure in type II DM patients. It means that the higher the self-care activity in diabetic patients, the blood pressure tends to be normal. Recommendations for further research are identifying the inhibiting factors in self-care activities for type II DM patients.

Level of Family Knowledge and Elderly Activity in The Elderly Integrated Health Center

Umi Masruro — 2023-01-20

The elderly Integrated Health Center is one of the government's efforts to foster the elderly health of the elderly. However, problems are often encountered in its implementation, such as the lack of active elderly in the Integrated Integrated Health Center due to the lack of family knowledge about the Elderly Integrated Health Center. We aimed to determine the relationship between the level of family knowledge about the Integrated Health Center of the elderly with the activeness of the elderly in the Integrated Health Center. The design of this study used the Correlation Analytic Description method with the Cross-Sectional approach. The sample had 44 respondents using the Purposive Sampling technique. The questionnaire was used for collecting data, and for processing data, we used the Spearman Rho analysis test. The results showed that there was a relationship between family knowledge level about the Elderly Integrated Health Center and the activeness with the results of the p-value <0.001. Based on this, the level of family knowledge about the Integrated Health Center for the elderly is related to the activeness of the elderly in the Integrated Health Center for the elderly. Thus it is necessary to increase family knowledge about the Integrated Health Center for the elderly so that the elderly can actively participate in the Integrated Health Center for the elderly.

The Effect of Bibliotherapy on Teenagers' HIV/AIDS Knowledge in the Puger Work Area Community-Based Health Centers, Jember Regency

Dini Kurniawati — 2023-01-20

AIDS (Acquired Immune Deficiency Syndrome) is a disease caused by HIV that can lower a person's immune status to trigger an opportunistic infection and cause death. HIV / AIDS can infect all age groups, including teenagers. Bibliotherapy is a learning model to change teenagers' knowledge of HIV / AIDS. We aimed to analyze bibliotherapy's effect on teenagers' knowledge of HIV / AIDS. We used quasi-experimental research with a nonequivalent control group design approach. The population in this study was 30 teenagers, with the technique of determining the sample using purposive sampling. The research instrument used is a knowledge questionnaire. Data analysis using the Wilcoxon test and Mann-Whitney test. The analysis result showed significant differences between the pretest and post-test in the intervention group (p-value= 0.001) and control group (p-value= 0.044). Bivariate test used Mann Whitney indicating an effect of the bibliotherapy method on teenagers’ knowledge about HIV / AIDS (p-value = 0.002; p <0.05). The effect of bibliotherapy is to interpret words, sentences, and even images that are captured by the sense of sight and will be conveyed to the brain by optical chiasm when someone reads information. Therefore, the conclusion is bibliotherapy method has an effect on the knowledge of teenagers about HIV/AIDS. Nurses' role in applying bibliotherapy is to increase teenagers' knowledge to reduce the risk of HIV/AIDS in the community.

The Correlation Between Depression and Life Quality of Pregnant Mothers with Preeclampsia in Lumajang District

Andrita Asida — 2023-01-20

Preeclampsia is a specific hypertensive disease in pregnancy with multi-organ involvement. It usually occurs around 20 weeks of gestation and before delivery. The condition of pregnancy with preeclampsia makes the mother more susceptible to experiencing psychological disorders, one of which is depression. Depressive disorders experienced during pregnancy can affect the baby's health condition. Psychological disorders in the form of depression can cause individuals to have a poor quality of life. This study aimed to analyze the relationship between depression and the quality of life of pregnant women with preeclampsia in Lumajang Regency. The research design uses a correlational study with a cross-sectional approach. The study was conducted on 54 pregnant women with preeclampsia in Lumajang District using a total sampling technique. Data collection using a depression questionnaire with quality of life. The results showed that most of the respondents experienced symptoms of depression, namely as many as 42 respondents (77.8%), and half of the respondents experienced a poor quality of life, namely as many as 37 respondents (68.5%). The bivariate analysis using Spearman Rank found a significant relationship between depression and the quality of life of pregnant women with preeclampsia in Lumajang Regency with a value (p-value <α = 0.0001 <0.05). This research implies that the role of nurses needs to conduct assessments and detect depressive symptoms and physical problems earlier to improve patients' quality of life.

The Association Between Stress Level and Smoking Behavior in Gondanglegi Junior High School Boys

Masluha — 2023-01-20

Stress is a common issue in youth nowadays. Stress that arises is often caused by biological, psychological, family, school, and friend factors. In times of stress, the body automatically carries out stress management, one of which is smoking. This study aimed to determine the relationship between stress levels with smoking behavior in junior high school boys in Gondanglegi. This research uses a descriptive-analytic method with a cross-sectional approach. The population is junior high school boys in Gondanglegi, and the sample is 36 respondents. Sampling was done by purposive sampling technique. The measuring instruments used were the DASS questionnaire and the smoking behavior questionnaire. Processing data using Spearman Rank statistical tests. The results showed that 29 respondents (80.6%) were in the normal stress category, and 19 respondents (52.8%) in the smoking behavior category were light smokers. Based on the statistical test results obtained, Spearman Rank p value = 0.039 <α (0.05), then H0 is rejected, meaning that there is a relationship between stress levels with smoking behavior in adolescent boys in Gondanglegi. These results indicate a significant relationship between stress levels and smoking behavior among teenage boys in Gondanglegi. So it is hoped that there will be counseling for teenagers for stress management and smoking behavior at school

Correlation Between History of Infectious Disease with Stunting in Toddler

Mahudeh — 2023-01-20

Stunting is a chronic nutritional problem caused by a long period of malnutrition. Prolonged malnutrition can decrease body resistance, making it susceptible to disease. This study aims to analyze the correlation of the history of infectious disease with stunting cases in toddlers at the Working Area of Sumberjambe Health Center. The research design used a correlation design with a cross-sectional study approach. The sample of this research was 376 toddlers. For the sampling technique, we used stratified random sampling. The research was conducted in May 2021 using questionnaire instruments. Analyze the data using the Spearman Rho test with an α = 0.05. Result: Based on data analysis obtained from 376 respondents, 274 respondents (72.9%) experienced a history of diseases with frequent categories, and 102 respondents (27.1%) experienced a history of diseases with infrequency categories. This study concludes with a correlation between historical infectious diseases and stunting. Based on the results regarding health promotion, the prevention of recurrent or sustainable pain in toddlers needs to be improved to overcome the problem of stunting. Moreover, giving health promotion advice for mothers to provide exclusive breast milk and nutritious food and maintain food hygiene and shelter for children are essential to avoid stunting.