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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 282 Documents
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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.
Factors Influencing Cognitive Status in Type-2 Diabetes Mellitus Patients at Royal Prima General Hospital Medan Arianti, Rahmi; Girsang, Ermi; Sari Mutia, Maya
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.2024.54422

Abstract

Introduction: Type 2 Diabetes Mellitus (DM) is a significant global health concern. In Type 2 DM, hyperglycemia results from inadequate insulin production and the body’s reduced ability to respond to insulin, a condition known as insulin resistance. Diabetes Mellitus is often associated with cognitive decline, as observed in many patients with Type 2 DM. This study aims to analyze factors influencing cognitive status in Type 2 Diabetes Mellitus patients at Royal Prima General Hospital Medan. Methods: This descriptive quantitative study used a cross-sectional design. The study population consisted of 754 patients with Type 2 DM, with a sample of 150 selected. A mini-mental state exam was used to check the cognitive status. Data were analyzed using univariate, bivariate, and multivariate methods. Results: The findings indicate that gender, education level, blood glucose status, and duration of DM significantly influenced cognitive status in Type 2 DM patients at Royal Prima General Hospital Medan, with a p-value < 0.05 for each variable. In contrast, occupational status did not show a significant influence (p-value > 0.05). Collectively, gender, education level, occupational status, blood glucose status, and DM duration impacted cognitive status in these patients (p-value < 0.05). Conclusion: Among the variables studied, the duration of Type 2 DM was the most influential factor affecting cognitive status in patients at Royal Prima General Hospital Medan.
Application of Moxibustion Method with Acupressure and Essential Oil Aromatherapy on Pain Reduction and Cervical Dilation During the First Stage of Labour Fitria, Fitria; Ni Wayan Noviani; G.A Martha Winingsih
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.2024.54423

Abstract

Introduction: Discomfort, fear, and pain are major challenges for pregnant women during childbirth, potentially impeding the progress of labour. Many women opt for non-pharmacological methods, such as moxibustion, acupressure, and essential oil aromatherapy, to avoid medical induction due to their simplicity, accessibility, and cost-effectiveness. This study aims to evaluate the effectiveness of these combined methods in reducing pain and accelerating cervical dilation during childbirth. Method: This study employed a quantitative research design with a two-group pre-post test approach. The sample comprised 30 parturient women in the first stage of labour at the Independent Midwifery Practice within the Denpasar Health Centre’s service area, divided into intervention and control groups. Data analysis was conducted to evaluate differences in pain management between the two groups using the Wilcoxon test, while the effectiveness of cervical dilation treatment in both groups was assessed using the Mann-Whitney test. Results: The findings indicated a significant difference in pain levels (0.000 < 0.05) following the application of the moxibustion method with acupressure and essential oil aromatherapy. However, there was no significant difference in cervical dilation between the control and intervention groups post-treatment (0.902 > 0.05). Conclusion: The moxibustion method, combined with acupressure and essential oil aromatherapy, did not show a significant difference in cervical dilation between the control and intervention groups. This study has several limitations, including a relatively small sample size and a short observation period.
The Effect of Self-Management Education Based on the Health Promotion Model on Compliance Behavior of Hypertension Patients Sakinah, Siti; Dee, Theodehild M.Theresia; Tusi , Juandri S.
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.2024.54431

Abstract

Introduction: Hypertension is a condition characterized by elevated blood pressure, in which an individual's blood pressure consistently remains above normal levels. Compliance with medication, adherence to dietary restrictions, and regular blood pressure monitoring are key components in the successful treatment of hypertensive patients. One approach to improving patient compliance in managing hypertension is the implementation of Self-Management Education (SME) based on the Health Promotion Model (HPM). This study aims to examine the effect of SME on compliance behavior among hypertensive patients in the Baumata Health Center, Kupang Regency. Method: A quasi-experimental design was used in this study, with 70 participants selected through purposive sampling, divided into two groups: 35 participants in the intervention group and 35 in the control group. The instruments used included the Morisky Medication Adherence Scale (MMAS-8), a hypertension diet questionnaire, and a blood pressure monitoring questionnaire. Data were analyzed using an independent t-test for bivariate analysis and MANOVA for multivariate analysis. Results: The findings indicate a significant effect of SME on the intervention group, with a p-value of < 0.05. The SME approach, based on HPM principles, involved patient empowerment and behavioral strategies. Ongoing support also contributed to sustained progress, leading to improved compliance in medication adherence, diet, and blood pressure monitoring among hypertensive patients. Conclusion: Future research should include larger sample sizes, more precise instruments, and longer study durations to achieve more robust results regarding compliance in hypertension management.
Contraceptive Selection among Couples of Childbearing Age in the Perspective of Healthcare Workers: Original Article Prihatiningsih, Riska Dwi; Indrawan, I Wayan Agung; Setijowati, Nanik
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.2024.54433

Abstract

Background: Women are susceptible to unwanted pregnancies. This makes them susceptible to risk factors such as maternal mortality, abortion, and stress. This study aims to explore health workers' perspectives on contraceptive selection among couples of childbearing in East Lombok Regency. Methods: Qualitative research design was employed with an interpretive phenomenological approach. This study was conducted in 4 Public health centers (PHCs) in East Lombok Regency, namely the Montong Betok PHC, Wanasaba PHC, Selong PHC, and Denggen PHC between May and June 2024. There were 12 participants consisting of 2 doctors, 8 midwives, and 2 nurses, recruited by purposive sampling. Data was collected using a recording device through in-depth interviews and field notes. Data were analyzed using a process based on four stages: transcribing, organizing, recognizing, and coding. Results: Eight themes emerged through data analysis, including 1) the role of health workers in contraceptive selection, 2) provider factors, 3) contraceptive availability, 4) access to contraceptive services, 5) cost of contraceptive use, 6) provision of contraceptive information by health workers, 7) social influences, and 8) fears and myths about contraception. Conclusion: Many factors influence contraceptive choice, but social influence is the most critical factor that determines whether couples of childbearing age choose and use contraception
Pediatric Cancer Parents' Salivary Alpha-Amylase (sAA) Level Utami, Kadek Cahya; Januraga, Pande Putu; Lesmana, Cokorda Bagus Jaya; Ani, Luh Seri
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.2024.54434

Abstract

Introduction: Parenting a child with cancer presents significant challenges that can increase parental stress. Without appropriate interventions, this stress may impair parents' ability to provide the best possible care for their children. To implement effective care strategies, healthcare professionals, particularly nurses, must assess the stress levels experienced by parents. One objective indicator of stress is salivary Alpha-Amylase (sAA), which can be measured using a cocorometer through saliva samples. This study aimed to assess sAA levels among parents of children with cancer. Methods: The research employed a descriptive, quantitative, cross-sectional design with a sample of 30 parents from Rumah Singgah Yayasan Peduli Kanker Anak Bali, selected through purposive sampling. The research instrument used was a NIPRO-brand cocorometer. Results: Findings revealed an average sAA level of 34.93 kIU/L, with a range from 5 kIU/L to 60 kIU/L. Higher sAA levels were observed among female respondents, those residing outside of Bali, and those caring for children under two years old. Conclusion: Continuous monitoring of parental stress using objective measures such as sAA is recommended for nurses to support optimal stress management.

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