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I Ketut Andika Priastana
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Babali Nursing Research
Published by Babali Health
ISSN : 27766993     EISSN : 27215989     DOI : https://doi.org/10.37363/bnr
Core Subject : Health,
Nursing
The Babali Nursing Research provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy and research methods relevant to nursing, midwifery and other health related professions. The BNR aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The journal particularly welcomes studies that aim to evaluate and understand complex health care interventions and health policies and which employ the most rigorous designs and methods appropriate for the research question of interest. The journal also seeks to advance the quality of research by publishing methodological papers introducing or elaborating on analytic techniques, measures, and research methods.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 17 Documents
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Search results for , issue "Vol. 5 No. 4 (2024): October" : 17 Documents clear
The Effect of Buerger Allen Exercise on Muscle Cramps in Preventing Intradialysis Emergency Sulistyaningrum, Danny Putri; Septianingtyas, Maya Cobalt Angio; Sutejo, Mianti Nurrizky
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54388

Abstract

Introduction: Hemodialysis is a kidney replacement therapy for patients with stage V chronic kidney disease. During hemodialysis, patients often complain of muscle cramps. More than ¾ of hemodialysis patients have experienced muscle cramps. This condition causes discomfort and anxiety, which can reduce their quality of life. If the patient shortens the duration of hemodialysis, the process of removing toxins and excess fluid will not be optimal. This study aimed to investigate the effect of Buerger Allen exercises on muscle cramps in intradialysis patients. Methods: This study used a quasi-experimental design with a two-group pretest-posttest control group structure. The sample consisted of 64 hemodialysis patients at Klinik Ginjal dan Hipertensi Lestari, selected using a consecutive sampling technique. The sample was divided into two groups: 32 in the treatment group and 32 in the control group. The inclusion criteria were ages 25 to 70, compos mentis, able to read and write, willing to participate, and undergoing routine hemodialysis twice a week for at least 4 hours. Statistical analysis was performed using the Mann-Whitney test. Results: The results showed that the mean rank in the treatment group was higher than in the control group (44.97 vs. 20.03). Statistical analysis showed a p-value of 0.000 (<0.05). Conclusion: Buerger Allen exercises have a significant effect on reducing muscle cramps in intradialysis patients.
Health Systems and Patient-related Factors Contributing to Late Antenatal Care Attendance among Pregnant Women in Limpopo Province, South Africa Ntuli, Thembelihle Sam; Matlala, France; Raesebe Johanna, Mokolome; Mokoena, Oratilwe Penwell
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54391

Abstract

Background: Antenatal care is a maternal health service provided throughout pregnancy to identify risks of complications and reduce maternal and perinatal mortality. The study aimed to assess the prevalence and reasons for the late initiation of antenatal care. Methods: A facility-based cross-sectional study was conducted at three primary healthcare centres in Limpopo province, South Africa, from October to November 2020. A consecutive sample of 231 pregnant women who received antenatal care during the data collection period participated in the study. Data analysis was performed using SPSS version 25. Results: The findings indicate that 43.12% of the women initiated antenatal care late. The most common reasons for late initiation included lack of information, cultural beliefs, distance to the facility, waiting times, and the operating hours of the facility. Conclusion: There is an urgent need to develop and implement educational programs for antenatal care, strengthen community-based services, and evaluate staff workload at the study sites.
Leadership in Nursing: Styles, Challenges, and Barriers Kamaryati, Ni Putu; Putu Darma Suyasa, I Gede; Putu Dina Susanti, Ni Luh; Ratih Comala Dewi, Ni Made; Aries Susanti, Ni Putu; Yudi Wahyu, I Made
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54393

Abstract

Background: Leadership is a crucial component of nursing management, where leadership style plays a significant role in its effective implementation. Challenges and barriers in leadership execution are essential aspects that need attention. Leadership is about the ability of an individual to influence the behavior of others towards a goal. This literature review aimed to identify effective leadership styles, as ideal leadership is a key aspiration for every organization. Methods: This study was a literature review using the PICO framework to formulate article questions. The search for articles was conducted via PubMed, Google Scholar, ScienceDirect, and Wiley using the keywords "leadership in nursing" AND "challenges" AND "barriers." A total of 15 articles were selected based on inclusion criteria. Results: Several leadership styles are evident in nursing, with transformational leadership being regarded as the most effective. In practice, the primary challenge faced is communication, while the major obstacles include issues related to workplace culture and professionalism. Conclusion: Leaders with strong leadership skills positively impact nursing care management, inspiring and motivating staff while enhancing the quality of services.
Delayed Healing of Traumatic Ulcers Due to Toothpicks Injuries Exacerbated by Psychological Stress in Teledentistry Patients Puspitasari, Yeni; Anjani, Khamila Gayatri; Zulkarnain, Hakim; Dian Artanty
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54402

Abstract

Background: A traumatic ulcer is a mucosal lesion caused by direct physical, mechanical, thermal, or chemical trauma to the mucosa, such as from malocclusion, ill-fitting dentures, or bad habits like using toothpicks. Treatment aims to alleviate pain, eliminate the primary source of trauma, and promote healing of the ulcer. The objective of this case report is to document traumatic ulcers resulting from mechanical trauma exacerbated by stress. Case Report: A male patient presented with an ulcer that had been present for three weeks after accidentally injuring himself with a toothpick. The ulcer had not been treated previously. The patient reported experiencing high levels of stress and sleep deprivation due to working on his thesis. Clinical photos provided by the patient revealed a solitary, white-to-yellowish ulcer, approximately 5x3 mm in size, on the left lateral side of the tongue. The patient was prescribed an antiseptic anti-inflammatory aloe vera extract gel via teledentistry. Discussion: Under stress, the HPA axis releases corticotropin-releasing hormone (CRH) from the hypothalamus, activating the adrenal cortex to release glucocorticoids. The interaction between glucocorticoids and proinflammatory cytokines is a physiological mechanism that links stress and wound healing. Glucocorticoids can interfere with the inflammatory response and reduce white blood cell activity, thereby affecting wound healing. Conclusion: Traumatic ulcers can be exacerbated by psychological conditions such as stress. Dentists and healthcare providers should conduct thorough patient history assessments, clinical examinations, and provide appropriate therapy and oral health education to promote effective ulcer healing.
Effect of Digital Intervention on Chemotherapy Adherence: A Systematic Review Juniari, Ni Made; Sukartini, Tintin; Nihayati, Hanik Endang
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54405

Abstract

Background: Chemotherapy is typically administered in specific doses and schedules to maximize its effectiveness in killing cancer cells. If a patient does not adhere to the prescribed regimen, the treatment may be less effective, potentially allowing the cancer to grow or spread. Digital interventions offer innovative approaches to address the issue of adherence. The aim of this study is to analyze the effect of digital interventions on enhancing cancer patients' adherence to chemotherapy. Method: This systematic review analyzed full-text original articles published in English in databases including Scopus, PubMed, Web of Science, CINAHL, and ProQuest from 2018 to February 2024. The articles were identified using the keywords: (telehealth OR telecare OR telenursing OR “smart application” OR “mobile application”) AND (adherence OR “treatment adherence”) AND (chemotherapy OR “adjuvant chemotherapy” OR “drug therapy”) AND (cancer OR neoplasm*). Bias was assessed using the Critical Appraisal Skills Program (CASP) tool. Results: A total of 456 items were found. Thirteen relevant papers from the literature search focused on breast cancer patients. The number of participants across all studies was 2,289. The digital interventions used included mobile games, video conferences, text messaging related to mobile health, and apps. These interventions provided medication reminders, symptom reporting, adherence tracking, and patient education, all of which contributed to increased chemotherapy adherence. Conclusion: Digital interventions positively influence chemotherapy adherence in cancer patients. The use of technology enables patients to actively participate in their treatment. This review was conducted across various continents, making the findings applicable to diverse ethnicities and races.
The Correlation Between Family Support and Family Self-Efficacy with Relapse in Individuals with Schizophrenia Andari, Made Ayu; Karin, Putu Ayu Emmy Savitri; Suarningsih, Ni Kadek Ayu; Sulistiowati, Ni Made Dian; Wisnawa, I Nyoman Dharma
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54408

Abstract

Introduction: Schizophrenia is a common illness in mental hospitals, often leading to recurrent relapses. These relapses can be influenced by both internal and external factors, including family support and self-efficacy in caring for individuals with schizophrenia (IWS). Good family support benefits IWS, whereas poor support can worsen their condition. High self-efficacy in families is essential for providing optimal care. This study examines the correlation between family support and family self-efficacy with relapse in IWS in the Puskesmas (Community Health Centre) III North Denpasar area. Methods: A quantitative descriptive correlational study with a cross-sectional approach was conducted. The research instruments included a family support questionnaire and the General Self-Efficacy Scale (GSES). Data were collected through door-to-door surveys from May to June 2024, involving 68 respondents who were family members of IWS. Results: Many respondents were aged 46-55, had a high school education, and earned below the minimum wage. The Pearson correlation test showed a strong negative correlation between family support and relapse (p = 0.00, r = -0.62) and between family self-efficacy and relapse (p = 0.00, r = -0.61). Multivariate analysis using multiple linear regression indicated that family support (β = -0.37) had a slightly stronger influence on relapse occurrences in IWS compared to family self-efficacy (β = -0.36). Conclusion: Enhancing family support and self-efficacy is crucial in minimising relapse in IWS. Families should be encouraged to strengthen their role in providing support and improving their self-efficacy in caregiving.
Development and Validation of Android-Based Mobile App for Self-Controlling Excess Body Fluids in Chronic Renal Failure Patients Undergoing Hemodialysis: Original Article Faridah, Virgianti Nur; Hidayati, Nur; Rokhman, Abdul; Saputra, Bagus Dwi; Bachri, Saiful
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54411

Abstract

Background: Chronic renal failure patients undergoing hemodialysis commonly experience excess fluid volume in the body. It is necessary to provide media which can be independently employed by the patients to control body fluids and prevent fluid overload. The purpose of the study is to develop an android-based application "Sabahat Dialisis", as well as conducting validity test, reliability test, and application usage tests on users. Methods: This research utilized a Research and Development (R&D) design consisting of two stages. In Stage 1, an Android-based application was developed and its validity and reliability were assessed by five experts in dialysis. Stage 2 involved conducting trials of the application with 30 chronic renal failure patients in the Dialysis Unit to evaluate its usability. Results: The application component proved to be valid (I-CVI=1) and reliable (Cronbach’s alpha=0.768). The results of the application use trial on 30 hemodialysis patients indicated that 83.3% considered the application easy to understand, the menu/features were easy to use and operate (83.4%: 86.7%), 76.7% of users were satisfied with the application, the application was useful, in accordance with the needs of hemodialysis patients, and easy to learn (90%), 86.7% were easy to operate, and 76.7% recommended the application for use in hemodialysis patients. Conclusion: Sahabat Dialisis application is valid, reliable, and usable for chronic renal failure patients undergoing hemodialysis to control fluid in the body and avoid fluid overload.
Nursing Diagnoses in Acute Stroke Patients at the Emergency Department: Original Article Hidayati, Nur; Aldianti, Elfa; Hanafi, Aprelia Afidatul; Phutthikhamin, Nichapatr
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54412

Abstract

Introduction: Stroke is the second leading cause of death and the third leading cause of disability worldwide. Nurses play a crucial role in providing care for stroke patients. Accurate and precise nursing diagnoses serves as the foundation for providing appropriate nursing care. This study aims to identify nursing diagnoses in acute stroke patients based on the Indonesian Nursing Diagnosis Standards. Method. This study utilized a descriptive research design. The research sample consisted of 471 patients (205 hemorrhagic strokes; 266 ischemic strokes) selected through random sampling techniques. The data were collected from the medical records of stroke patients treated at the Emergency Department of Muhammadiyah Lamongan Hospital from January to December 2023. The research instrument employed was a summary sheet, and data were analyzed descriptively. Result. The results of this study indicate that common signs and symptoms in hemorrhagic stroke patients included headache, decreased level of consciousness, and increased blood pressure with widened pulse pressure. The most frequent nursing diagnoses observed were decreased intracranial adaptive capacity (87.3%), impaired physical mobility (70.7%), and verbal communication impairment (74.1%). Similarly, common signs and symptoms in ischemic stroke patients include difficulty moving extremities, decreased range of motion (ROM), and decreased muscle strength. The most frequent nursing diagnoses observed were impaired physical mobility (81.5%), risk for falls (57.5%), and decreased intracranial adaptive capacity (49.6%). Conclusion: There are differences in signs and symptoms between hemorrhagic stroke and ischemic stroke during the acute phase, as well as differences in primary nursing diagnoses. However, these distinctions may vary in subsequent phases depending on the severity of the disease and underlying comorbidities. Future researchers are encouraged to conduct real-time studies to promptly identify any missing data.
The Benefits of Mediterranean Diet in Systemic Lupus Erythematosus: A Literatur Review Manuaba, Ida Ayu Ratih Wulansari
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54414

Abstract

Introduction: Dietary patterns have been studied for their influence on the burden of disease in patients with SLE. The Mediterranean diet has been shown to be beneficial in lowering chronic inflammation, but no study has summarized its effect on SLE. This article aims to review the association between the Mediterranean diet and SLE. Methods: A literature review was conducted following PRISMA guidelines. PubMed, ScienceDirect and Google Scholar databases were searched using the keywords Mediterranean diet and SLE. Articles published in English between 2013 and 2023 were included. The initial search yielded 526 records, which were narrowed down to five studies for final inclusion. A narrative synthesis approach was used to analyze the impact of the Mediterranean diet on SLE disease activity. Results: Five cross-sectional studies were included, with a total of 1,165 participants. The studies used the SLE Disease Activity Index (SLEDAI) and the Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC/ACR) Damage Index (SDI) as outcome measurements. Three of the five studies found that higher adherence to the Mediterranean diet was associated with a lower burden of SLE, as measured by reduced SLEDAI and SDI scores. One study found no association between adherence to the Mediterranean diet and SLEDAI or SDI scores, while another study found no association between adherence and the risk of developing SLE. Conclusion: High adherence to a Mediterranean diet may help reduce the damage caused by SLE. Further cohort studies or clinical trials are needed to investigate the impact of diet on SLE.
The Impact of Virtual-Based Reminiscence Therapy in Older Adults’ Cognitive Function: A Systematic Review Astuti, Trihaningsih Puji; Indarwati, Retno; Fauziningtyas, Rista
Babali Nursing Research Vol. 5 No. 4 (2024): October
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37363/bnr.2024.54419

Abstract

Introduction: Cognitive decline in older adults is a common challenge that affects their independence and well-being. Virtual-based reminiscence therapy (VBR) is a versatile approach that may enhance memory and cognitive function by revisiting past experiences through digital platforms. This method has the potential to yield better outcomes compared to conventional methods. The objective of this study is to investigate the influence of virtual reality (VR) in reminiscence therapy for improving cognitive function among older adults. Method: A systematic literature review was conducted across five journal databases: Cochrane, ProQuest, PubMed, Scopus, and Web of Science. The screening and selection process adhered to PRISMA 2020 guidelines, and article bias was assessed using the Joanna Briggs Institute (JBI) screening instrument. A narrative analysis was presented to examine the impact of VBR on cognitive function in older adults. Results: This review identified five articles that met the predefined inclusion criteria. The total number of respondents was 250, with an age range from 65.54 to 86.05 years. The cognitive function measurement tools used in the five articles included the Saint Louis University Mental Status (SLUMS) ratings, the Mini-Mental State Examination (MMSE), the Cognitive Assessment Screening Instrument (CASI), and the Addenbrooke's Cognitive Examination III (ACE-III). Conclusion: VR-based reminiscence therapy shows promising potential for enhancing cognitive function among older adults. However, further adaptations are required to accommodate the physical capabilities of older adults in integrating technology into therapeutic practices.

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