Eka Afrima Sari
Faculty of Nursing, Universitas Padjadjaran

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The Distinction of Inhibiting Factors among Patients who Actively and Inactively Participate in Phase II Cardiac Rehabilitation Megalita Dwika Stevani; Aan Nuraeni; Eka Afrima Sari
Jurnal Keperawatan Padjadjaran Vol. 6 No. 2 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (408.907 KB) | DOI: 10.24198/jkp.v6i2.550

Abstract

Background: Cardiac rehabilitation (CR) is an important post-acute management for Cardiovascular Heart Disease (CHD) patients. CR has benefits, such as preventing recurrence and improving patients physically. However, the CR participation rate is low. This condition can produce negative effects, such as recurrence and depression. There are inhibiting factors contribute to the CR participation. The purpose of this study is to identify the distinction of inhibiting factors in patients who actively and inactively participate in phase II CR in Bandung. The result will be as advices to improve policy and nursing intervention to improve the participation number of phase II CR in Bandung. Method: This study used comparative design with cross-sectional approach on 72 respondents who recruited by using purposive sampling at a hospital in Bandung, Indonesia. Data were collected by using Cardiac Rehabilitation Barrier Scale (validity r = 0.46-0.55 and reliability 0.887). Data were analyzed by using descriptive frequency and comparative analysis by using Mann-Whitney. Result: It was showed that there were two significant differences between both of the group in terms of health services aspect (p-value = 0.002) and time (p-value = 0.001). However there were no significant differences between both of the group in logistics aspect (p-value = 0.134), and functional status aspect (p-value = 0.057). It indicates that there were distinctions in inhibiting factors on health services and time aspects. Conclusion: There were differences in the health services, which was related to the lack of CR information and also time aspects, which was related to the lack of CR facilities in remote areas. Therefore, providing information about CR and community or home-based CR are needed.
Spiritual Needs of Post-Stroke Patients in the Rehabilitation Phase Sri Hartati Pratiwi; Eka Afrima Sari; Ristina Mirwanti
Jurnal Keperawatan Padjadjaran Vol. 6 No. 3 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1598.552 KB) | DOI: 10.24198/jkp.v6i3.989

Abstract

Post-stroke patients experience in various disturbances including physical, psychological and spiritual aspect. Post-stroke patients in the rehabilitation phase focus more on physical needs while the unfulfilled spiritual needs can reduce the patient's health condition. Therefore, it takes action to meet the spiritual needs of patients. This study was conducted to identify the spiritual needs among post-stroke patients.The descriptive quantitative was used among post-stroke patients in Neurological Polyclinic and stroke center in one of the Hospital in Bandung in 2017. The sampling technique used was consecutive sampling with 83 samples included post-stroke patients who have full awareness and didnot experience of aphasia. The instrument of this study used Spiritual Needs Questionnaire (SpNQ) which consists of 4 dimensions including religious, peace, self-existence, and dimension of the giving needs. SpNQ had a validity coefficient of 0.73 and r 0.75. Data were analyzed using frequency distribution. The results showed that the most of respondents feel the spiritual need in all dimensions. In the religious dimension, the majority of respondents desired to pray with others, to move closer to God and participate in various religious activities (98.8%). In the dimension of peace showed the most of respondents desired to be more cherished by others (96.4%). The most perceived item of respondents were forgiving someone from the past in the dimension of self-existence (98.8%) and a solace for others in the dimension of the giving needs (98.8%). The conclusion from this study was most respondents feel the spiritual needs in all dimensions. Based on these results, nurses are expected to provide advice to people around the patients to invite them in various religious activities. Nurses supposed more expressing affection to them and involving the patients in some family activities.