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Joko Gunawan
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INDONESIA
Belitung Nursing Journal
ISSN : 2528181x     EISSN : 24774073     DOI : -
Core Subject : Health,
BNJ contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. BNJ welcomes submissions of evidence-based clinical application papers, original research, systematic review, case studies, perspectives, commentaries, letter to editor and guest editorial on a variety of clinical and professional topics.
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Articles 5 Documents
Search results for , issue "Vol. 5 No. 4 (2019): July - August" : 5 Documents clear
PERCEPTION OF NURSES IN DECISION-MAKING PROCESS IN PALLIATIVE CARE FOR PATIENTS WITH CANCER IN PUBLIC HEALTH CENTERS Atsarina Fauzan; Sri Setiyarini; Christantie Effendy; Martina Sinta Kristanti
Belitung Nursing Journal Vol. 5 No. 4 (2019): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1386.944 KB) | DOI: 10.33546/bnj.815

Abstract

Background: Nurses have a key role in promoting patients’ involvement in decision-making process of palliative care to improve their dignity and satisfaction. However, there is a dearth of studies exploring this involvement, especially in public health centers in Indonesia. Objective: This study aimed to explore the perception of nurses in decision-making process and to understand what type of decision-making made by health care providers in palliative care. Methods: This was a descriptive explorative study with qualitative approach. Participants were selected using purposive and snowball sampling. Data were collected using Focus Group Discussion (FGD) and in-depth interview. Content analysis method by inductive approach was used for data analysis. Consolidated criteria for reporting qualitative research (COREQ) was also used. Results: Eight themes emerged in this study, namely: (1) Collecting information about patients’ current physiological condition, (2) Creating alternative strategies according to the patients’ current physiological condition, (3) Establishing implementation type to be performed, (4) Providing information to the patients, (5) Discussing decision-making between patients and family, (6) Choosing/rejecting an action by patients, (7) Performing selected actions, and (8) Evaluating action. Three points that are different from the existing theory were: (i) there was a discussion between patients and family, (ii) the absence of the process of collecting information after a patient rejects to act, and (iii) there were three types of decision-making: paternalistic, shared, and informed decision-making. Conclusion: This study serves as an input for nurses to pay more attention in decision-making process in palliative care in patients with cancer, and to encourage patients to give contribution in decision-making as part of shared decision-making.
FACTORS ASSOCIATED WITH HEPATITIS B AND C CO-INFECTION AMONG PEOPLE LIVING WITH HUMAN IMMUNODEFICIENCY VIRUS IN VIETNAM Le Hieu Thuy Anh; Suchada Thaweesit
Belitung Nursing Journal Vol. 5 No. 4 (2019): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (880.64 KB) | DOI: 10.33546/bnj.813

Abstract

Background: Human immunodeficiency virus (HIV), hepatitis B virus (HBV) and hepatitis C virus (HCV) are the leading causes of death from infectious diseases. Because of sharing same transmission routes, the co-infection of HIV with HBV or HCV is common. And the co-infections make HIV infected persons have higher morbidity and mortality than those who infected only with HIV. This study aims to investigate factors that may have influence on the co-infections of HBV or HCV among HIV positive individuals. Objective: The goals of this study were to identify factors associated with the co-infection of HBV or HCV among people living with HIV. Methods: Quantitative research method was applied in this study to examine factors associated with HBV or HCV co-infection among HIV infected people. A total of 250 HIV infected individuals in Khanh Hoa province, Vietnam were the sample of this study. It employed the Social Ecological Model (SEM) as a theoretical perspective that focused on multiple levels of factors. Descriptive statistic was used to describe the general characteristics of the respondents. And Binary logistic regression was carried out to measure the influence of factors on the co-infection. Results: The multivariate analysis of this study showed that HIV-HBV co-infection was associated significantly with residents of Nha Trang (OR= 7.179). Regarding HIV-HCV co-infection, being men (OR= 7.617), unemployed (OR= 4.013), a resident of Nha Trang (OR=10.894) and an injecting drug user (OR= 16.688) were risk factors of the co-infection. Conclusions: This study recommended that intervention strategies to prevent HIV-positive individuals from co-infection with either HBV or HCV should focus on altering individuals’ risk behaviors and their socio-economic environments. Also, specific preventing programs should be implemented and focus on unemployed populations, injecting drug users, men in general, as well as people living in particular areas, especially cities having a large number of people living with HIV.
FACTORS RELATED TO THE SUCCESSFUL TREATMENT OF TUBERCULOSIS: A LITERATURE REVIEW Kusuma Wijaya Ridi Putra; Chanandchidadussadee Toonsiri
Belitung Nursing Journal Vol. 5 No. 4 (2019): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (415.068 KB) | DOI: 10.33546/bnj.749

Abstract

Background: Many tuberculosis sufferers experience recurrent events due to incomplete treatment processes. It is often found that tuberculosis sufferers re-enter the hospital because the condition is getting worse. Thus, factors related to the successfulness of the treatment of tuberculosis warrant identification. Objectives: This review was to summarize and identify the current literature related to the successful treatment of tuberculosis and its factors. Design: A Whittemore and Knafl’s integrative review was used. Data Sources: Data sources included four electronic databases: EBSCO, PubMed, Science Direct and Google Scholar to search literature published between 2002 and 2017. Review methods: A systematic process was carried out to extract and analyze the data of all included studies. Results: A total of 146 articles were deemed appropriate for the topic, but only 28 articles were included based on inclusion criteria. It was found that a wide range of factors related to the successful treatment of tuberculosis, including predisposing factors (socioeconomic, knowledge, psychological stress, and availability to access health service), reinforcing factor (family support and social stigma), and enabling factor (physician and nurse support). Conclusion: Family support, socioeconomic, physician and nurse support, availability to access health services, social stigma, psychological stress, and knowledge were significant factors of the successful treatment of tuberculosis. For future research, the interventions to promote the program for decreasing the occurrence of the recurrent tuberculosis in the community need to consider these factors for the successful treatment of tuberculosis and collaborates with tuberculosis patients, family and health service for development of appropriate intervention.
SOCIAL SUPPORT OF PARENTS OF CHILDREN WITH LEUKEMIA Nursyamsiyah Nursyamsiyah
Belitung Nursing Journal Vol. 5 No. 4 (2019): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (592.433 KB) | DOI: 10.33546/bnj.792

Abstract

Background: Leukemia in children is not only a stressor for children but also all family members, especially for parents. Caring for children with leukemia relies on the importance of social support to overcome various crises caused by the disease and its treatment. However, parents' perceptions of social support can be affected by several factors. Thus, assessment of factors that impact social support of parents of children with leukemia is needed. Objective: This study aimed to analyze the social support perceived by parents of children with leukemia and examine the relationship between perceived social support and characteristics of parents and children. Methods: A quantitative study with cross-sectional approach in 104 parents of children with leukemia aged 3-18 years. Social support was measured using Multidimensional Scale of Perceived Social Support (MSPSS) questionnaire. Data were analyzed using univariate analysis, Mann-Whitney U, Kruskal-Wallis, and Spearman Test. Results: Total scale score of the Multidimensional Scale of Perceived Social Support (MSPSS) of parents of children with leukemia was 5.74 ± 0.48. The highest subscale score was on family support (6.06 ± 0.46). There were statistically significant differences in MSPSS total scores based on parental education and family income (p <0.05). Conclusion: Nurses play an important role to provide support for parents who have children with leukemia, especially in risky families. Support that nurses can provide among parents of children with leukemia is by giving information about disease and care, empowering the family, and finding support outside the family, such as the source of financial support related to treatment, utilization of cancer foundations, and supporting group and others.
KNOWLEDGE, PERCEPTION, AND BURDEN OF FAMILY IN TREATING PATIENTS WITH SCHIZOPHRENIA WHO EXPERIENCE RELAPSE Suryani Suryani; Eka Wahyu Ningsih; Aan Nuraeni
Belitung Nursing Journal Vol. 5 No. 4 (2019): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (16.186 KB) | DOI: 10.33546/bnj.683

Abstract

Background: Schizophrenia is a mental disorder with a high incidence and relapse due to a lack of family support. Families do not understand how to treat patients with schizophrenia. There are several factors related to the family’s abilities in treating patients with schizophrenia, there are the level of family’s knowledge, perception, and burden. Objective: This study aimed to describe the knowledge, perception and burden of family in treating patients with schizophrenia who experience a relapse. Methods: The research used descriptive quantitative method. Samples were selected by consecutive sampling technique and obtained 100 respondents. Data were collected by a questionnaire consisting of family knowledge and perception developed by the researcher, and Zarit Burden Interview scale was used to measure the family burden. Data were analyzed using percentages, score T, and the Zarit Burden Interview analysis. Results: Findings showed that 31 respondents (31%) had good knowledge, 42 respondents (42%) had sufficient knowledge, and 27 respondents (27%) had insufficient knowledge. In terms of perception, 66 respondents (66%) had a positive perception and 33% had a negative perception. In addition, 42 respondents (42%) had moderate to heavy burden levels, 23 respondents (23%) had a very heavy level of heavy burden, and 3 respondents (3%) with very heavy levels of burden. Conclusions: Based on the results, it is necessary to increase the frequency of health education for the families. In addition, it is also important to hold a sharing program between families to reduce family burden.

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