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PELAKSANAAN SELF-CARE ASSISSTANCE DI PANTI WREDA Saifullah, Azam David; Hastuti, Yuni Dwi
Jurnal Keperawatan Komunitas Vol 1, No 2 (2013): Jurnal Keperawatan Komunitas
Publisher : Jurnal Keperawatan Komunitas

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

Pelaksanaan self-care assisstance menjadi pelayanan yang merupakan inti dari pelayanan yang diberikan panti wreda bagi lansia. Self-care assisstance adalah pendampingan maupun pemenuhan kebutuhankeseharian bagi lansia, sayangnya pelayanan perawatan lansia ini di Indonesia belum dapat dioptimalkan sesuai kebutuhan spesifik tiap lansia, serta belum dapat terdokumentasi dengan baik. Jumlah pemberipelayanan perawatan yang jauh lebih sedikit bila dibandingkan dengan lansia yang ada di panti wreda merupakan salah satu penyebabnya. Kedua hal tersebut saling terkait dan menjadi faktor dalam sulitnyaproses evaluasi yang akan dilakukan terkait dengan kualitas pelayanan di panti wreda. Penelitian ini bertujuan untuk mengetahui bagaimana pelaksanaan self-care assistance yang dilakukan oleh pemberi pelayanan perawatan pada lansia, self-care assistance dipandang sebagai suatu intervensi yang setiap hari selalu dilakukan pemberi pelayanan perawatan sehingga dapat dengan mudah menjadi salah satu tolak ukur kualitas pelayanan. Penelitian kualitatif dengan pendekatan fenomenologis ini akan dilakukan dengan sampel mahasiswa keperawatan program profesi yang telah menyelesaikan praktik stase gerontik sejumlah 9 mahasiswa. Proses analisa data dilakukan dengan menggunakan teori Krueger dan Casey.Hasil penelitian ini mendefinisikan self-care assisstance, merumuskan tujuan pelaksanaan self-care assisstance, merumuskan bentuk-bentuk tindakan self-care assisstance, kendala yang mungkin muncul, serta saran penatalaksaan kendala pelaksanaan self-care assisstance. Selanjutnya diharapkan dapat dijadikan wacana dan bahan pertimbangan dalam melaksanakan self-care assisstance pada lansia di panti wreda.

Early Delirium Assessment for Hospitalized Older People in Indonesia: A Systematic Review Saifullah, Azam David; Chen, Ching-Min
Nurse Media Journal of Nursing Vol 6, No 1 (2016): (JUNE 2016)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Background: Due to the increasing risk of getting co-morbidity and frailty, older people tend to be prone to hospitalization. Hospitalization in older people brings many adverse effects. Moreover, when these elderly get delirium, the mortality and morbidity will increase. The risk of getting deterioration and worsening condition because of delirium would also increase. In fact, delirium assessment is not a high priority in taking care older people during hospitalization because the focus of care is treating the disease.Delirium screening as an early recognition of delirium in the hospitalized elderly inIndonesia remains unreported and even do not well evaluated. Therefore, delirium as a preventable problem or causing problems remains unrecognized.Purpose: This paper aims to review the current evidence of early assessment of delirium in hospitalized older people.Methods: A systematic review was conducted from four databases yielding to 4 articles which met the inclusion and exclusion criteria.Results: There are four focuses on the result, namely delirium screening tools, patient characteristics, identified early delirium assessment, and outcomes affected by early delirium assessment. Confusion Assessment Method (CAM) was used as the delirium screening tool in the hospital. Establishing the care team involving many disciplines will give a better way to improve the integrated care and collaborative care.Conclusion: Performing CAM integrated into comprehensive geriatric assessment can be the most important thing to be undertaken when looking after the hospitalized elderly.

Mental Distress in Rural Areas of Indonesia Saifullah, Azam David; Latifah, Nur; Artanti, Eria Riski; Cahyani, Kadek Dewi; Rahayu, Umi; Paramarta, Lalitya; Izzati, Rahma Mahdia; Priharjo, Robert; Warsini, Sri
Nurse Media Journal of Nursing Vol 10, No 1 (2020): (April 2020)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Background: There is a higher prevalence of mental distress in rural areas compared to urban areas in Indonesia. The rural areas of Indonesia have various socio-demographic and sophisticated cultural characteristics, but less exposed to foreign cultures. Thus, the study about the prevalence, associated factors, and predictors of mental distress in rural areas is necessary.Purpose: This study aimed to identify the population's status and related factors of mental distress in rural areas in Indonesia.Methods: A descriptive cross-sectional study was conducted to achieve the aims of the study. An Indonesian version of the Self-Rated Questionnaire, consisting of 20 items, was used to measure mental distress status of population in rural areas in Yogyakarta, Indonesia. A number of 872 records were included and analyzed using both univariate and bivariate analyses in this study.Results: The prevalence of mental distress in this population was 6%. The correlated factors of mental distress were age (Ï‡2=6.93, p=0.01), gender (Ï‡2=0.07, p=0.03), occupation (Ï‡2=0.26, p=0.02), housing dimension (Ï‡2=5.45, p=0.02), and illness status (Ï‡2=0.01, p<0.01).Conclusion: The prevalence of mental distress in rural areas of Indonesia is relatively lower than that of the national level. Future mental health programs may be focused on improving mental health on the elderly, male, vulnerable workers, overcrowded housing, and people who got a chronic illness.

PELAKSANAAN SELF-CARE ASSISSTANCE DI PANTI WREDA Azam David Saifullah; Yuni Dwi Hastuti
Jurnal Keperawatan Komunitas Vol 1, No 2 (2013): Jurnal Keperawatan Komunitas
Publisher : Jurnal Keperawatan Komunitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (252.381 KB)

Pelaksanaan self-care assisstance menjadi pelayanan yang merupakan inti dari pelayanan yang diberikan panti wreda bagi lansia. Self-care assisstance adalah pendampingan maupun pemenuhan kebutuhankeseharian bagi lansia, sayangnya pelayanan perawatan lansia ini di Indonesia belum dapat dioptimalkan sesuai kebutuhan spesifik tiap lansia, serta belum dapat terdokumentasi dengan baik. Jumlah pemberipelayanan perawatan yang jauh lebih sedikit bila dibandingkan dengan lansia yang ada di panti wreda merupakan salah satu penyebabnya. Kedua hal tersebut saling terkait dan menjadi faktor dalam sulitnyaproses evaluasi yang akan dilakukan terkait dengan kualitas pelayanan di panti wreda. Penelitian ini bertujuan untuk mengetahui bagaimana pelaksanaan self-care assistance yang dilakukan oleh pemberi pelayanan perawatan pada lansia, self-care assistance dipandang sebagai suatu intervensi yang setiap hari selalu dilakukan pemberi pelayanan perawatan sehingga dapat dengan mudah menjadi salah satu tolak ukur kualitas pelayanan. Penelitian kualitatif dengan pendekatan fenomenologis ini akan dilakukan dengan sampel mahasiswa keperawatan program profesi yang telah menyelesaikan praktik stase gerontik sejumlah 9 mahasiswa. Proses analisa data dilakukan dengan menggunakan teori Krueger dan Casey.Hasil penelitian ini mendefinisikan self-care assisstance, merumuskan tujuan pelaksanaan self-care assisstance, merumuskan bentuk-bentuk tindakan self-care assisstance, kendala yang mungkin muncul, serta saran penatalaksaan kendala pelaksanaan self-care assisstance. Selanjutnya diharapkan dapat dijadikan wacana dan bahan pertimbangan dalam melaksanakan self-care assisstance pada lansia di panti wreda.

KNOWLEDGE AND ATTITUDES TOWARD PEOPLE WITH DEMENTIA AMONG NURSING STUDENTS IN YOGYAKARTA, INDONESIA Salsabilla Rohadatul ‘Aisy Sunaryo; Azam David Saifullah; Sri Mulyani
Belitung Nursing Journal Vol. 6 No. 6 (2020): November - December
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.1178

Background: Nursing students are prepared to deliver care for vulnerable people, including people with dementia. Nursing students tend to have lower levels of knowledge and attitudes toward dementia compared to registered nurses. While there is less evidence that discussed this topic in the Indonesian nursing student's context, it will be necessary to identify an aspect related to knowledge and attitude among students to be considered for improvement in the future. Objective: This study aimed to identify the knowledge and attitudes toward dementia among nursing students in Indonesia. Method: This study was a quantitative study with a cross-sectional design. There were 334 nursing students recruited using a total sampling method at Universitas Gadjah Mada, Yogyakarta. Data were collected using the Dementia Knowledge Assessment Scale (DKAS) and Dementia Attitude Scale (DAS). Spearman Rank, Mann Whitney Unpaired, Kruskal-Wallis test, Pearson Correlation, Unpaired t-test, and Unpaired ANOVA were used for data analysis according to the type and the distribution of the data. Results: The median of the DKAS was 24 (min - max = 7 - 40), and the mean of DAS was 99.60 (SD = 10.25). The variables that were statistically significant correlated to knowledge of dementia were age (r = .332, p < .001), class standing (H = 72.253, p < .001), and experience in taking care of people with dementia (U = 3314, p = .047). Meanwhile, only the age of the students was found to have a statistically significant correlation with attitudes toward dementia (r = 158, p = .004). Conclusion: In general, among the nursing students, knowledge toward dementia was relatively low, while the attitudes toward dementia were relatively high compared to other research. Age, class standing, and experience in taking care of people with dementia had significant correlations to the knowledge score of the students. Lastly, age also had a significant correlation with the attitude score of the students.

A feasibility study af a blended learning dementia care: elective course for nursing students Azam David Saifullah; Sri Mulyani; Eria Riski Artanti
Proceedings Series on Health & Medical Sciences Vol. 1 (2020): Proceedings of the 1st International Conference of Health Science Faculty Universitas
Publisher : UM Purwokerto Press

As there is a limited long-term care options in Indonesia, people with dementia are cared for by their family. They often hospitalized as the condition progresses. Nurses are the profession with most contact. Therefore, preparing nursing students to care for people living with dementia is needed. Blended learning as e new learning strategy in dementia care for nursing student need to be evaluated to comprehend its feasibility in the future dementia care course. This study aimed to evaluate the feasibility of a blended learning course for nursing students about dementia. A blended learning course was developed as a three-credits elective course that voluntarily joined by 42 fourth year nursing students. This course integrates the schedule, modules, and assignments in a learning management system called eLOK (Moodle based). One group pre-post test was conducted to evaluate this course using DKAS (Dementia Knowledge Assessment Scale) and DAS (Dementia Attitude Scale) as instruments. Google form was integrated to evaluate the course and the use of eLOK. Data were analysed using a paired t-test. 37 students (88.1%) completed the questionnaires. There is a significant improvement in knowledge towards dementia (t = 5.96, p value < .00) but not the attitude (t = 2.50, p value = .17) right after completing the course. Students also well appreciated the quizzes and project as the evaluation of learning outcomes of the course. Moreover, the audio-visual material in eLOK made them feel helpful in learning new topics and made new constructive experience of learning. In conclusion, this blended learning is feasible to be used as a learning method for delivering dementia care course.

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