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Journal : International Journal of Nursing and Health Services (IJNHS)

PERCEPTION OF FAMILY AS CAREGIVER ABOUT THE IMPLEMENTATION OF ORAL CARE IN CARING FOR STROKE PATIENTS IN MEDAN CITY: A PRELIMINARY ACTION RESEARCH Bitcar Dalimunthe; Setiawan Setiawan; Cholina Trisa Siregar; Dudut Tanjung; Ikhsanuddin Ahmad Harahap
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 3 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (181.828 KB) | DOI: 10.35654/ijnhs.v2i3.179

Abstract

Stroke sufferers continue to increase every year and become polemic in various countries. Stroke is the second most common cause of death after heart disease. Stroke sufferers cause disruption of physical mobility, so they need help to carry out daily activities, one of which is the implementation of oral care, which is still minimal. The study aimed to describe the perception of family caregivers in implementing oral care among stroke patients in Medan city areas. A qualitative with phenomenology approach was applied in this study. The study was conducted in the Health Centre of Medan Deli, in April-August 2018. Twelve participants were recruited using purposive sampling. Data collection used focus group discussion (FGD). We analyzed the data by using the thematic analysis. The results of the study found that four themes, namely: 1) Caregiver knowledge in the implementation of oral care for stroke patients at home is not good, 2) The process of implementing oral care by caregiver for stroke patients at home is less optimal, 3) Family obstacles in carrying out oral care for stroke patients at home, 4) Expectations and suggestions in the implementation of oral care for stroke patients at home. Expected of research to developing or making a guide to the implementation of oral care as health education for families as caregivers in treating stroke patients at home, so that problems of oral care for stroke patients can be minimized. Keywords: oral care, families caregivers, and stroke patients.
The Effect of Distraction Technique on Pain Intensity among Patients Undergoing Circumcision Anesthetic in Medan Syamsul Idris; Ikhsanuddin Ahmad Harahap; Ridha Dharmajaya
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 2 (2020): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (764.397 KB) | DOI: 10.35654/ijnhs.v3i2.299

Abstract

Circumcision actions often cause pain complaints when the anesthetic injection and post-circumcision are given to patients. Distraction aims to reduce pain response. Distraction by seeing and holding a needle is referred to as audiovisual distraction, which is a combination of hearing distraction (audio) and visual distraction to distract the patient's attention from the pain. This study aims to determine the effect of distraction technique on pain intensity among patients undergoing circumcision anesthetic. This study was a quasi-experimental design by using Two groups, pre-test, and post-test with the non-equivalent control group. The research sample consisted of 98 respondents who were divided into two groups taken by purposive sampling technique. The instrument used was the Wong-Baker Faces Pain Scale (WBFPS). Data analysis used was Bivariate Analysis by using Mann Whitney U Test. The result showed that the application of distraction technique to see and to hold a needle in the intervention group was influential in reducing the intensity of injection pain/anesthetic injections on circumcision clients compared to the control group (z = -8,881; p = 0,000). Based on the result of the study, it can be concluded that the application of a distraction technique to see and to hold needle affects to reduce the intensity of injection pain/anesthetic injections on circumcision clients. It is expected that the distraction technique of viewing and holding needle becomes an independent nursing intervention for an invasive procedure such as undergoing circumcision anesthetic