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Journal : NurseLine Journal

Translation and Psychometric Testing of the Indonesian Version of the Preparedness for Caregiving Scale Ike Wuri Winahyu Sari; Novita Nirmalasari
NurseLine Journal Vol 6 No 1 (2021): May 2021
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v6i1.18665

Abstract

Background: Although many previous studies have used the Preparedness for Caregiving Scale (PCS), it has not been translated and validated in Indonesia. Purpose: This study aimed to translate and evaluate the PCS’s psychometric adequacy among family caregiver of non-communicable disease (NCD) patients in Indonesia. Methods: The linguistic of the PCS was validated using a standard forward-backward process. The Indonesian version was approved with Content Validity Index (CVI). Then a cross-sectional survey was conducted to establish the construct validity of the PCS to measure caregiver preparedness. A purposive sampling approach was used to recruit 40 consenting family caregivers of NCD patients. The PCS sum score was correlated with each item using Pearson product-moment. The internal consistency of the Indonesian version of the PCS (I-PCS) was assessed using Cronbach’s alpha. Results: The Item-CVI (I-CVI) and Scale-level CVI (S-CVI) of the I-PCS were 1.00. It showed the high content validity of the I-PCS. The I-PCS revealed a Cronbach’s alpha of 0.933 for the total score. The Pearson-r was more than 0.320 indicated that the item valid. Conclusion: The I-PCS is appeared to be valid and reliable for measuring the caregiver preparedness of NCD patients in Indonesia.
DEEP BREATHING EXERCISE AND ACTIVE RANGE OF MOTION EFFECTIVELY REDUCE DYSPNEA IN CONGESTIVE HEART FAILURE PATIENTS Novita Nirmalasari
NurseLine Journal Vol 2 No 2 (2017): November 2017
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v2i2.5940

Abstract

Dyspnea is a clinical manifestation of Congestive Heart Failure (CHF) due to lack of oxygen supply because of accumulation of fluid in the alveoli. This is an important factor that affects the quality of life of patients. The accumulation makes the heart unable to pump up to the maximum. The effect in respiratory muscle increases the sensation of dyspnea. Non-pharmacological management is measures aimed to maintain physical stability, avoid behaviors that can aggravate the condition, and detect early symptoms of worsening heart failure. The purpose of this study was to evaluate the influence of deep breathing exercise and active range of motion on dyspnea in CHF patients. This study was quasi-experiment with pretest-posttest with control group design that involved 32 respondents by stratified random sampling. Modified Borg scale was used as data collecting tool. The intervention of deep breathing exercise was conducted thirty times, and active range of motion was performed five times for each movement. The intervention was done three times a day for 3 days. This study was carried out from April to June 2017 in RS PKU Muhammadiyah Yogyakarta and RS PKU Muhammadiyah Gamping Yogyakarta. Paired t-test showed p<0.001 in the intervention group and p=0.001 in the control group. Mann Whitney test showed that intervention of deep breathing exercise and active range of motion is more effective than hospital standard intervention in decreasing dyspnea (p=0.004; a=0.05). This study recommends the application of deep breathing exercise and active range of motion as a method to reduce dyspnea in patients with CHF.
Caregiver’s Burden Among Families of Hemodialysis Patient: a Cross-Sectional Study Novita Nirmalasari; Ike Wuri Winahyu Sari
NurseLine Journal Vol 7 No 1 (2022): May 2022
Publisher : Faculty of Nursing, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/nlj.v7i1.29100

Abstract

Background: The end-stage renal disease affects almost every aspect of the patients' and caregivers' lives. Several studies have been conducted to explore the experiences of family caregivers in caring for hemodialysis patients. However, a survey of the burden of family caregivers has yet to be conducted in Indonesia, a country with strong family bonds among family members. Purpose: This study aimed to identify the burden among family caregivers of hemodialysis patients. Methods: This study was a cross-sectional study conducted in May 2021 on 60 family caregivers of hemodialysis patients. selected using a purposive sampling technique. Semi structured questionnaires were used to measure socio-demographic. The Caregiver Reaction Assessment-Indonesian Version (CRA-ID) was used to measure their burden. Data were analyzed using descriptive analyzes and bivariate analyzes. Results: Women represented 65% (n=39) of participants, married participants were 83.3% (n=50), and were 63.3% employed (n=38). Most of them have minimum family income (51.7%). The least common association of caregivers was the spouses of the patients (n=32, 53.3%). The analysis showed that the mean overall burden score with CRA-ID was 2.88±0.69 (ranging 1.00 to 5.00). The highest burden was the lack of family support dimension of 3.47±0.42. Caregiver burden among caregivers of patients on hemodialysis showed that the variables related to family burden were age, an education level, and family income (p-value<0,05). Conclusion: Caregivers of hemodialysis patients carry a significant burden. Interventions to provide appropriate social support to patients and increase caregivers' psychological conditions are critical.