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Determinant Factors of Depression in Patients with Coronary Heart Disease Aan Nur'aeni; Ristina Mirwanti; Anastasia Anna; Ikeu Nurhidayah
Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1302.042 KB) | DOI: 10.24198/jkp.v7i3.1194

Abstract

Depression has been related to poor quality of life and recurrence in CHD patients. It is important to explore factors associated with the depression to prevent problems and to assist with appropriate intervention. Furthermore, the determinants of depression in CHD patients in Indonesia are still unknown. This study aimed to identify the determinants of depression in CHD patients in Indonesia. This study was a quantitative study with a cross-sectional approach. Samples were recruited from outpatient care in a referral hospital in Bandung using a consecutive sampling technique for a-2 month period (n=101). Data were collected using a questionnaire package consisting of a demographic questionnaire, Beck Depression Index [BDI] (II), Zung Self-rating Anxiety Scale, Seattle Angina Questionnaire, and Spirituality Index of Well-Being. Data were analyzed using mean, frequency distribution, chi-square and logistic regression analysis. In terms of its association with depression in CHD patients, low spiritual well-being had the highest odds ratio [OR] (OR = 9.3, 95% CI = 2.968 - 29.451, p <0.01); non-anxious state and medication history had low ORs (sequentially OR = 0.2, 95% CI = 0.067 - 0.644, p < 0.01; OR=0.2 95% CI = 0.062 - 0.772, p < 0.01);  PCI (percutaneous coronary intervention) with medication had the lowest OR value (OR = 0.02, 95% CI = 0.002 - 0.278, p <0.01). On the other hand,  unmarried status and male gender were identified as confounding variables. Low spiritual well-being was a major predictor of depression in CHD patients, whereas no anxiety, and history of medication, consist of CHD medication and reperfusion therapy contributed to a lower risk of depression. It is recommended to include strategies in improving spiritual well being and managing anxiety to reduce the risk of depression among CHD patients.
Hubungan Pengetahuan Dengan Tingkat Kekambuhan Malaria Di Ruang Internal Rumah Sakit Umum Daerah Yowari Kabupaten Jayapura Puji Rahayu; Tri Wahyu M; Anastasia Anna
Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika) Vol 3 No 2 (2017): Jurnal Ilmiah JKA (Jurnal Kesehatan Aeromedika)
Publisher : Politeknik Kesehatan TNI AU Ciumbuleuit Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (165.494 KB) | DOI: 10.58550/jka.v3i2.10

Abstract

Penyakit malaria merupakan masalah utama di banyak daerah tropis dan subtropis. Berdasarkan WHO setengah dari penduduk dunia beresiko terkena malaria. Masih tingginya angka kejadian kekambuhan pada penderita malaria di Indonesia antara lain dipengaruhi oleh tingkat pendidikan yang masih rendah serta sikap pencegahan dan pencarian pengobatan yang kurang baik pada saat kejadian malaria. Dari fenomena yang ditemukan masalah malaria semakin sulit untuk diatasi dan diperkirakan akan menjadi hambatan bagi keberhasilan pembangunan kesehatan, oleh karena kejadian kesakitan berlangsung berulang kali. Seorang penderita malaria bisa mengalami serangan ulang antara 2 atau 3 bahkan lebih pada periode tertentu. Penelitian ini merupakan penelitian studi korelasi dengan pendekatan cross sectional. Penelitian ini menggunakan teknik accidental sampling dengan 18 responden yang menderita malaria di ruang internal RSUD Yowari Kabupaten Jayapura. Proses pengumpulan data dilakukan dengan pengisian kuesioner dengan uji korelasi yang digunakan adalah Chi-Square. Hasil penelitian tentang pengetahuan menunjukan responden yang memiliki pengetahuan baik 11 responden atau (61.1%), memiliki pengetahuan cukup 5 responden (27.8%), sedangkan yang memiliki pengetahuan kurang 2 responden (11.1%). Berdasarkan hasil penelitian kekambuhan menunjukkan 7 responden yang mengalami kekambuhan atau sering terjadi kekambuhan (38.9%). Sedangkan 11 responden atau (61.1%) jarang kambuh. Pada uji statistik Chi-Square didapatkan hasil p value 0.030 <alpha 0.05. Sehingga dapat disimpulkan bahwa terdapat hubungan antara pengetahuan dengan tingkat kekambuhan malaria.
RELATIONSHIP OF SPIRITUAL-WELLBEING WITH ANXIETY AND DEPRESSION IN PATIENTS WITH CARDIAC HEART DISEASE Aan Nuraeni; Ristina Mirwanti; Anastasia Anna
Belitung Nursing Journal Vol. 4 No. 1 (2018): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.939 KB) | DOI: 10.33546/bnj.231

Abstract

Background: Anxiety and depression are problems faced by patients with chronic diseases such as patients with Coronary Heart Disease (CHD). Both of these can also worsen the condition of CHD patients, thus needs to be prevented and handled. It is stated that spirituality can enhance constructive coping skills in patients with chronic diseases. But how it relates to anxiety and depression in patients with CHD in Indonesia is still unknown. Objective: The study purpose was to identify the relationship of spiritual wellbeing with the incidence of anxiety and depression in CHD patients. Methods: The research used descriptive correlative quantitative with cross sectional approach. The instruments used to measure the variables were Zung Self-rating Anxiety Scale, Beck Depression Inventory II, and Spirituality Index of Well-Being scale. Data were taken on 100 respondents within three months in outpatient cardiac unit with the consecutive sampling technique and analyzed by Spearman correlation test. Results: The mean of anxiety, depression, and spiritual well-being respectively were 47.66, 43, and 60. Based on Spearman test, spiritual wellbeing was correlated with anxiety significantly p= 0.000(r=-0.371) and so was depression p= 0.000 (r=-0.571). Conclusions: There was a significant relationship between spiritual well-being with anxiety and depression with negative correlation direction. The higher the spiritual well-being, the lower the level of anxiety and depression will be. Thus, nurses need to strengthen the spiritual aspects of CHD patients to prevent psychosocial problems.
NEUROCOGNITIVE IMPAIRMENT IN HIV/AIDS: A CONCEPTUAL FRAMEWORK Linlin Lindayani; Anastasia Anna; Nai-Ying Ko
Belitung Nursing Journal Vol. 4 No. 5 (2018): September - October
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (252.666 KB) | DOI: 10.33546/bnj.431

Abstract

HIV-associated with neurocognitive disorder (HAND) is a major interest issues worldwide, as results from introduction of Highly Active Antiretroviral Therapy (HAART) and increasing life expectancy. However, previous studies have been limited by lack of a guiding framework. The purpose of this review was to provide a conceptual framework to guide studies of neurocognitive impairment in patients with HIV/AIDS. A literature search was conducted of articles published from 1998 through December 2015 using the PubMed, Embase, Cochrane Library and Ebscohost databases on evaluating the problem of neurocognitive impairment in HIV. This search resulted in a total of 36 articles. Evidence has indicated that there are neurobiological changes and brain abnormalities among people living with HIV/AID, which may affect cognitive functioning. Being infected by HIV and increased age are independently factors on HAND. However, there is remaining unclear the effect of HAART, is protective factors or risk factors of HAND and its consequence on quality of life among patients with HIV/AIDS. Considering the major issues in above, patient with HIV/AIDS is vulnerable population for developing HAND that might have been resulted to under report. Future studies focus on exploring HAND is necessary especially from low income countries where the accessibility to HAART are limited.
CORONARY HEART DISEASE PATIENTS' LEARNING NEEDS Aan Nuraeni; Ristina Mirwanti; Anastasia Anna
Belitung Nursing Journal Vol. 4 No. 3 (2018): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.292 KB) | DOI: 10.33546/bnj.440

Abstract

Background: Patients with coronary heart disease (CHD) should have good self-management capabilities. This is determined by the effective of health education which is based on the assessment of patients’ learning needs and consideration of health personnel. On the other hand, the study of perceptions of CHD patients’ learning needs in Indonesia is little known. Objective: This study aimed to identify the CHD patients’ learning needs. Methods: This study was a descriptive quantitative with cross-sectional approach. Population was CHD patients in one of the referral hospitals in West Java Indonesia. Samples were recruited using consecutive sampling technique for a 2-month period (n=106). Data were collected using TR-CPLNI instrument and analyzed using descriptive quantitative and Kruskal Wallis test. Results: The order of learning needs based on the highest to the lowest mean was anatomy and physiology of heart (4.42); medication information (4.33); cardiopulmonary information (4.32); life style (4.28); dietary information (4.19); symptom management (4.08); psychology (4.07); and physical activity (3.64). The significant differences (p<0.05) based on ward categories were learning needs of dietary information (p=0.002); physical activity (p=0.009) and symptom management (p=0.037), with the highest needs respectively were in High Care Unit (HCU); HCU; and non-intensive care unit. Conclusions: These eight learning needs were important for CHD patients. However, the priority of the patients’ learning needs were seen by category of ward or recovery phase and illness duration different from each other. Therefore, this can be a consideration in providing education to CHD patients.
A VARIETY OF TEACHING-LEARNING STRATEGIES TO IMPROVE THE CARING BEHAVIOR OF NURSING STUDENTS Anastasia Anna; Aan Nuraeni; Atlastieka Praptiwi
Belitung Nursing Journal Vol. 4 No. 6 (2018): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (643.199 KB) | DOI: 10.33546/bnj.568

Abstract

Background: Caring is the essence of nursing that is believed vital in improving the health and well-being of patients and in facilitating health promotion. Nursing education has a fundamental role in shaping a positive student’s caring behavior. Objective: This study identified the caring behavior of the final-year nursing students after completing a critical care nursing course unit by implementing assorted teaching-learning strategies. Methods: This study was a descriptive research using a comparative design. Samples were recruited from a group of 152 final-year students using a random sampling technique (n=76). Data were collected using a valid and reliable Indonesian caring instrument consisting of 32 items based on Watson’s ten carative factors. Data were analyzed using descriptive statistics by calculating mean scores of students’ caring behavior. A paired t test was performed to evaluate the difference between caring behavior before and after completion of the course unit involving a diverse teaching learning strategy, such as face-to-face lectures in the class, quizzes and practicums, facilitated small group case-based discussions, and expert reviews. Results: Results showed that more than half of the students had negative caring behavior before (59.22%) and after (54.55%) participating in learning process. There was also a barely statistical insignificance in the change of caring behavior following the course unit that involved various learning strategies (p value = 0.276). Further analyses of the 10 carative factors revealed that there was a significant change in transpersonal teaching-learning, provision for a supportive, protective, and/or corrective mental, physical, sociocultural, and spiritual environment, and spiritual environment and existential-phenomenological spiritual forces (improved, p value <0.05). Conclusions: Student-centered learning is a good approach to enhance the students’ critical thinking skills. However, in implementing the approach, there is a need to reevaluate appropriate method so as to simultaneously develop students’ critical thinking skills, caring behavior, and empathy.
EFFECT OF A WORKBOOK IN HEALTH EDUCATION ON SELF-EFFICACY AND QUALITY OF LIFE OF PATIENTS WITH CORONARY HEART DISEASE Aan Nuraeni; Ristina Mirwanti; Anastasia Anna
Belitung Nursing Journal Vol. 5 No. 6 (2019): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (25.723 KB) | DOI: 10.33546/bnj.801

Abstract

Background: Coronary Heart Disease (CHD) has a high recurrence in Indonesia. This condition may occur as a result of the failure of compliance with post-acute management following a heart attack by CHD patients. One of the causes is the lack of effective health education. Objective: The aim of this study was to identify the feasibility of the workbook in improving patients’ self-efficacy (SE) and quality of life (QoL). Methods: This research used a quasi-experimental with pretest-posttest control design. A pretest was done to the patients who were treated in the cardiac intensive unit, and a posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospitals in West Java, Indonesia. A purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The intervention group was given a health education using a workbook, and the control group was given a direct health education. Self-efficacy was measured using a questionnaire developed by the authors, with high validity and reliability. A SF-12 instrument was used for measuring the quality of life. Data were analyzed using a descriptive quantitative analysis such as mean, Mann Whitney test, and Independent t-test. To estimate the effects of the intervention to QoL and SE, Kruskal Wallis test and One-way ANOVA were used. Results: The results showed that there was an increase in SE and QoL in both groups, either in the posttest 1 or posttest 2. The comparison of QoL in the pretest, posttest I and II obtained p=.452, .741, and .826, while SE between and within groups obtained p = .732, .220, and .009, respectively. Conclusions: Health education using the workbook was significantly more effective to increase SE than QoL of the CHD patients.
Metode Daring dengan Flatform Zoom Sebagai Upaya Peningkatan Pengetahuan Tentang Selfcare Pada Pasien Covid-19 selama ISOMAN Yanny Trisyani; Donny Mahendra; Aan Nuraeni; Cecep Eli Kosasih; Etika Emaliyawati; Ristina Mirwanti; Anita Setyawati; Donny Nurhamsyah; Anastasia Anna; Ayu Prawesti
Media Karya Kesehatan Vol 5, No 1 (2022): Media Karya Kesehatan
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/mkk.v5i1.34988

Abstract

Pasien COVID-19 dengan gejala ringan hingga sedang menjalani isolasi mandiri sesuai dengan kebijakan terbaru yang dikeluarkan oleh pemerintah karena keterbatasan ruang perawatan. Pendidikan kesehatan tentang perawatan pasien COVID-19 selama menjalani isolasi mandiri (ISOMAN), menjadi sangat penting untuk mendukung keberhasilan ISOMAN pasien Covid 19. Tujuan dari kegiatan ini untuk meningkatkan pengetahuan tentang self care pada pasien COVID-19 selama menjalani isolasi mandiri dirumah. Sasaran kegiatan adalah seluruh masyarakat terutama pasien COVID-19 yang sedang menjalani isolasi mandiri dirumah. Jumlah partisipan yang terlibat sebanyak 74 peserta. Kegiatan pengabdian kepada masyarakat ini diawali dengan pretest, pemaparan materi, sesi diskusi dan tanya jawab dengan menggunakan aplikasi zoom, kemudian diakhiri dengan mengisi post test. Data univariat dan bivariat dianalisis dengan menggunakan uji t test berpasangan. Hasil kegiatan ini menunjukkan bahwa terjadi peningkatan pengetahuan rata-rata responden secara signifikan pretest 42.77 dan post test 83,24 dengan signifikansi 0,00. Hal ini menujukkan bahwa penggunaan metode daring dapat meningkatkan pengetahuan responden terkait topik pendidikan kesehatan yang telah diberikan. Kesimpulan pelaksanaan pendidikan kesehatan dengan medode daring dapat meningkatkan pengetahuan responden tentang self care pada pasien Covid-19 selama isolasi mandiri. Diharapkan pelaksanaan pendidikan kesehatan dengan metode ini dapat dilakukan untuk memberikan informasi bagi pasien COVID-19 yang sedang menjalani isolasi mandiri. Kata kunci: Covid-19, isolasi mandiri, pendidikan kesehatan, tingkat pengetahuan. 
PENGETAHUAN TIM REAKSI CEPAT TENTANG BANTUAN HIDUP DASAR Ulfah Nasti Wiliastuti; Anastasia Anna; Ristina Mirwanti
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 4 No. 2 (2018): JURNAL KEPERAWATAN KOMPREHENSIF (COMPEREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (367.838 KB) | DOI: 10.33755/jkk.v4i2.105

Abstract

Cardiac arrest termasuk kejadian kegawatdaruratan yang membutuhkan bantuan hidup dasar dengan resusitasi jantung paru. Upaya pertolongan bantuan hidup dasar yang terlambat diberikan dapat berdampak kematian pada pasien. Tim reaksi cepat sebagai tenaga kesehatan yang dibentuk khusus untuk menangani pasien kegawatdaruratan dituntut mampu memberikan pertolongan pada pasien gawat darurat dengan cepat dan tepat. Tim reaksi cepat membutuhkan pengetahuan dalam melakukan tindakan bantuan hidup dasar. Tujuan penelitian ini untuk mengidentifikasi pengetahuan Tim Reaksi Cepat tentang Bantuan Hidup Dasar. Penelitian ini menggunakan metode deskriptif kuantitatif pada 37 anggota tim reaksi cepat yang dipilih menggunakan total sampling. Instrumen penelitian menggunakan kuesioner pengetahuan yang disusun dan dikembangkan peneliti. Hasil penelitian menunjukkan bahwa pengetahuan sebagian besar dalam kategori kurang yaitu sebanyak 36 responden (97,3%) dan satu responden (2,7%) memiliki pengetahuan baik. Responden dengan katergori pengetahuan yang kurang memiliki kategori kurang di semua indikator seperti, pada pengetahuan konsep dasar, pengkajian respon dalam BHD, resusitasi paru dalam BHD, resusitasi jantung dalam BHD, dan AED dalam BHD. Perlu adanya peningkatan pengetahuan tentang bantuan hidup dasar dengan mengadakan pelatihan, evaluasi serta pembaharuan standar prosedur operasional BHD.
Pengalaman Dilema Etik Bagi Perawat di Ruang Intensive Care Unit Sri Wulan Megawati; Anastasia Anna
Jurnal Medika Cendikia Vol 1 No 2 (2014): JURNAL MEDIKA CENDIKIA
Publisher : STIKes Karsa Husada Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Nurses in Intensive Care (ICU) often face ethical dilemmas. They often face problems that require consideration of ethics in everyday practice. Advances in technology and consumer demand for high-quality services can put a nurse in a condition that causes a dilemma. The purpose of this research paper is to find out how ICU nurses experience in dealing with ethical dilemmas. The data collected in the form of publication of the journal literature, traced by-CINALHL EBSCOhost, ProQuest, PubMed, HealthMed Journal etc. by using the keyword "Ethical Dilemma", "Critical Care Nurse". At the end of 15 journals found at the top of the 2000s, between 2001- 2011. In general, the results of all the literature that in the review illustrates that the ethical dilemmas experienced by ICU nurses interpreted as how to choose between the two options and troubleshooting are not no solution. Cases are often faced ICU nurses are related decisions End of Life Care. Ethical dilemmas faced in general cause moral distress in nurses. To solve the problem of ethical dilemma discussions nurse team or talk with fellow nurses. Many obstacles faced by nurses in facing ethical dilemmas include the work environment is considered as a barrier in implementing the practice of ethics, both nurses tend conventionally grounded instead of using creativity and critical reflection, and three nurses difficulty applying ethical decisions in the context of a more challenging. The conclusion of this literature review, the findings of this study provide important information about the ethical dilemmas experienced by nurses. This information can be used as a baseline to improve ethical decision-making skills of nurses
Co-Authors Aan Nur&#039;aeni Aan Nur'aeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aan Nuraeni Aldri Frinaldi Andrianthi, Salsyah Anita Setyawati Asmara, A Danang Atlastieka Praptiwi Audly, Tazkia Badliana Ayu Prawesti Priambodo Barkah Waladani Cecep Eli Kosasih Cecep Eli Kosasih Deris Riandi Setiawan Donny Mahendra Donny Nurhamsyah Endah Setianingsih Eryani, Theresia Etika Emaliyawati Evangelista, Gabriela Fauziah, Oktaviani Febianti, Ranti Findhya Rachma Pravidanti Freitas, Lurdes A Heni Dwi Windarwati Henik Tri Rahayu Henny Suzana Mediani Ikeu Nurhidayah Irfandi Rahman Jessica Jessica Larashati, Defa Lesmana, Hendy Lin, Mei-Feng Linlin Lindayani Linlin Lindayani Marlynda Triana Megawati, Sri Wulan Mudiyanselage, Sriyani Padmalatha Konara Nai-Ying Ko Nehemia Simanjuntak Neli Hartini Nintyas, Felantina Restyar Noya, Fricilia Nur Aini Nur'aeni, Aan Nur'aeni, Aan Nuraeni, Aan Nursiswati Nursiswati Oktafianti, Mutiara Annisa Oktavia Nu razizah Jain Pebianti, Ranti Plita Muliahati Pravidanti, Findhya Rachma Puji Rahayu Rahmah Tresnala Reza Ariyanur Rian Nugraha Risnandar, Mochammad Wisnu Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti Ristina Mirwanti, Ristina Rizki Mardhotulloh Syarief Rizkiani Tri Ramdani Rosi Handayani Sari, Wulan Puspita Septi Rizki Amaliyah Setianingsih - Setianingsih, Endah Shasqia Novelia Dingri Sheren Yolavia Soleha, Nisa Cahya Sri Susilaningsih Sugiharto, Firman Susilaningsih, Sri Sutisnu, Ajeng Andini Syifanaurah, Salma Taty Hernawaty Tri Wahyu M Tri Wahyu Murni Tutu April Ariani Ulfah Nasti Wiliastuti Valentina B.M Lumbantobing, Valentina B.M Waladani, Barkah Wiliastuti, Ulfah Nasti Yanny Trisyani Ying-Chin Liao Yuli Wahyuni Yusanti, Irma