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Quality of life of the elderly: a comparison between community-dwelling elderly and in social welfare institutions Kiik, Stefanus Mendes; Nuwa, Muhammad Saleh
MEDISAINS Vol 18, No 1 (2020)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v18i1.6940

Abstract

Background: Quality of life (QoL) among the elderly is a neglected issue, especially in developing countries, including Indonesia. The QoL of the elderly is dependent on four domains. Living arrangements play an important role in determining QoL.Objective: The present study aimed to compare the differences in QoL among community-dwelling elderly and in social welfare institutions.Methods: This was a cross-sectional study. Participants were sampled from two settings: social welfare institutions and the community. The study subjects in each area were selected using a simple random technique. The total sample were 163 respondents. QoL was assessed through the WHOQOL-Bref. Data analysis was performed by the Mann-Whitney U Test.Results: There were significant differences depending on the residence of the elderly: the average QoL in a community is higher (84.16) than in social welfare institutions (63.95), and p-value < 0.001.Conclusions: The results of our study indicate that community-dwelling elderly have higher QoL compared to residents of social welfare institutions.
Pengaruh Pendidikan Kesehatan dengan Media Video terhadap Pengetahuan Diet pada Pasien Diabetes Melitus Tipe II Pella, Yosin Herloheti; Ndamunamu, Yustina Jera; Pasole, Fetty Yublika; Nuwa, Muhammad Saleh; Yunitasari, Veronika
Jurnal Penelitian Perawat Profesional Vol 7 No 1 (2025): Februari 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i1.5616

Abstract

Diabetes melitus sampai saat ini masih menjadi permasalahan kesehatan penting di dunia termasuk di Indonesia. Penyakit diabetes merupakan penyakit metabolik yang ditandai dengan hiperglikemia kronis yang diakibatkan karena kerusakan respon terhadap hormone insulin ataupun keduanya. Kasuss ini terus terjadi dan mengalami peningkatan. Jumlah penderita diabetes melitus di Provinsi Nusa tenggara Timur (NTT) tahun 2018 sebanyak 74,867 orang dan 16.968 orang mendapatkan pelayanan kesehatan sesuai standar. Tujuan penelitian ini adalah untuk menganalisis “Pengaruh pendidikan kesehatan dengan media video terhadap Pengetahuan diet pada pasien diabetes melitus tipe II di Wiliyah Kerja Puskesmas Oesapa”. Jenis penelitian menggunakan Pre Eksperimen dengan menggunakan one group pre dan post test. Teknik sampel yang di gunakan adalah Simpel Random Sampling. Pengumpulan data menggunakan kuesioner pengetahuan diet. Menunjukkan bahwa ada peningkatan pengetahuan sebelum dan sesudah pemberian pendidikan kesehatan yang di buktikan uji Wilcoxon nilai ρ-value=0,001. Terdapat perbedaan antara sebelum dan sesudah pemberian pendidikan kesehatan dengan media video terhadap pengetahuan diet pada pasien diabetes melitus tipe II di Wilayah Kerja Puskesmas Oesapa.
Pengaruh Spiritual Guided Imagery and Music terhadap Kecemasan Pasien Kanker yang Menjalani Kemoterapi Muhammad Saleh Nuwa; Stefanus Mendes Kiik
Journal of Ners and Midwifery Vol 7 No 1 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i1.ART.p095-106

Abstract

Latar Belakang : Kemoterapi  membuat pasien yang didiagnosa menderita kanker memiliki perasaan gelisah, cemas dan takut akan bayang-bayang kematian yang menghantui setiap saat. Penelitian ini bertujuan untuk mengetahui Pengaruh Spiritual Guided imagery and music (SGIM) terhadap kecemasan pasien kanker yang menjalani kemoterapi. Metode : Jenis Penelitiani ini adalah  Quasi experimental dengan rancangan one group pre and post test with control group design. Penelitian  dilaksanakan diruangan kemoterapi pada 30 pasien yang mendapatkan terapi SGIM dan 30 sebagai kelompok kontrol.  Skore kecemasan  diukur sebanyak 3 kali yaitu 1 hari  dan 30 menit sebelum kemoterapi serta 1 hari setelah kemoterapi. Kecemasan diukur menggunakaan skala HARS. Data dianalsisi dengan uji GLM repeated mesure dengan bantun SPSS 21. Hasil : sebanyak   73,3 % dan  26,7 pasien memiliki kecemasan berat dan sedang  saat pre test    menjadi kecemasan  sedang (56,7%) dan kecemasan ringan   (43,3%) pada pengukuran 30 menit sebelum kemoterapi dan pada akhir pengukuran berada pada kecemasan ringan (63,4 %) dan tidak ada kecemasan (33,3 %) dan  sisanya 3,3 % masih mengalami kecemasan berat pada kelompok SGIM.  Analisis uji GLM repeated measure post hock banferoni diketahui p value = 0,001, dengan nilai r square =0,29. Hal ini menunjukan ada pengaruh SGIM terhadap penurunan kecemasan pasien kanker yang menjalani kemoterapi dengan besar sumbangan   pengaruh sebesar 29% sisanya dipengaruhi variabel yang lain. Kesimpulan : Pemberian Terapi SGIM menurunkan  kecemasan pasien kanker yang menjalani kemoterapi. Rekomendasi penelitian adalah SGIM dapat diaplikasikan sebagai salah satu terapi  komplementer dalam pemberian intervensi keperawatan di rumah sakit untuk menurunkan kecemaasan  pasien terutama pada saat pertama kali melakukan kemoterapi. Background : Chemotherapy make patients who diagnosed with cancer have feelings of aneasy, anxiety and fear of the shadows of death that haunts every time. The aim of this study was to investigate the effect of Spiritual Guided imagery and music (SGIM) on the anxiety of cancer patients undergoing chemotherapy. Method : This is a Quasi experimental research study with one group pre and post test design with control group design. The study was conducted in a chemotherapy room in 30 patients who received SGIM therapy and 30 as a control group. Anxiety scores  were measured 3 times: 1 day and 30 minutes before chemotherapy and 1 day after chemotherapy. Anxiety is measured using the Hamilton Anciety Rating Scale (HARS). Data were analyzed by GLM repeated mesure  test with SPSS 21. Results : as many as 73.3% and 26.7 patients had severe and moderate anxiety during the pre test becoming moderate anxiety (56.7%) and mild anxiety (43.3%) at the measurement 30 minutes before chemotherapy and at the end of the measurement had mild anxiety (63.4%) and (33,3 %) had no anxiety, and the rest  3.3% still have experience  of severe anxiety in the SGIM group. The Analysis of  GLM repeated measure test with   post hock banferoni known p value = 0.001, with the  r sguare value = 0.29. This shows that there is an effect of SGIM on anxiety reduction of cancer patients during chemotherapy with  a contribution of 29% ,and the rest are affected by  other variables. Conclusion :  SGIM Therapy reduces anxiety of cancer patients undergoing chemotherapy. The research recommendation is that SGIM can be applied as one of the complementary therapies in providing nursing interventions in hospitals to reduce patient anxiety, especially at the  first time undergoing chemotherapy
Effect of Self Management Education on Knowledge and Self Efficacy of pulmonary TB Clients in Timor Tribal Community Muhammad Saleh Nuwa; Stefanus Mendes Kiik
Journal of Ners and Midwifery Vol 8 No 1 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i1.ART.p085-093

Abstract

Background: Pulmonary  Tuberculosis (TB) disease is still the main cause of death among the poor with low knowledge. Knowledge and self efficacy are the keys to the successful management of pulmonary TB. Objective: The purpose of this study was to investigate the effect of self management education (SME) by emphasizing the five pillars of TB management on knowledge and self efficacy of pulmonary TB clients in the Timor tribal community in Kupang, Indonesia. Methods: This quasi experimental study was conducted on 30 primary pulmonary tuberculosis patients who undergoing treatment for 6 months. The research was conducted from January to October 2020 in the working area of the Naibonat Community Health Center, Kupang Regency. Data were collected using a questionnaire on demographic data, knowledge and self efficacy which had been tested for validity and reliability.. Data were analyzed by the Paired T-test with SPSS 21.  Results: The mean score of pre test knowledge and self efficacy of clients with pulmonary TB, respectively, 5.23 ± 1.04 and 4.77 ± 1.07 increased significantly to 6, 33 ± 1.18, and 7.13 ± 0.94 on the post test (P <0.001). Conclusion and recommendation: giving SME by emphasizing the five pillars of pulmonary TB management increases the knowledge and self-efficacy of pulmonary TB clients in the Timor tribal community. The recommendation of this study is that SME interventions can be used as one of the nursing interventions in the public health center in community empowerment based pulmonary TB management