Babali Nursing Research
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.
Articles
282 Documents
Ankle Brachial Index (ABI) Score in Patient with Type 2 Diabetes Mellitus
Komang Agus Jerry Widyanata;
I Ketut Widya;
Ni Luh Putu Suardini Yudhawati
Babali Nursing Research Vol 3 No 2 (2022): July
Publisher : Babali Health
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DOI: 10.37363/bnr.2022.32104
Introduction: Unstable blood glucose levels in patient with Type 2 Diabetes Mellitus (DM) can cause various complications, one of which is peripheral neuropathy. Peripheral neuropathy is caused by atherosclerosis. The incidence of atherosclerosis can be seen by assessing the Ankle Brachial Index (ABI). This study aims to describe the ABI score in type 2 DM patients. Methods: The design of this study is a descriptive observational located at the Wirasatya Army Hospital, Singaraja in April 2022. The subjects were 81 patients with type 2 DM. The sampling technique used is purposive sampling. Measurement of the ABI score is carried out using an Oscillometric Sphygmomanometer. Descriptive analysis is used in this study and presented by frequency distribution. Results: This study found that 33.3% of subjects aged 44-55 years, 63.0% of subjects of male, 77.8% of subjects suffering from type 2 DM between 1 to 5 years, 32.1% working as entrepreneurs, and 78.2% having ABI scores between 1.0-1.4 so that they are included in the normal category. Conclusion: Patients with type 2 DM in the age group of 44-55 years, male, suffering from type 2 DM between 1 to 5 years, working as self-employed and more have normal ABI scores.
Family Experience Dealing with Relapse in People with Mental Disorders
Ni Made Sri Muryani;
I Gede Yudiana Putra;
I Kadek Artawan
Babali Nursing Research Vol 3 No 2 (2022): July
Publisher : Babali Health
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DOI: 10.37363/bnr.2022.32106
Introduction: Recurrence is a problem that often occurs in patients with mental disorders. Families who have family members with mental disorders, said that relapse can be caused by not taking medication regularly and when they relapse the family is afraid to face the patient, because the patient is angry and throw things. This study aims to explore in depth the meaning of family experience dealing with relapse in people with mental disorders. Methods: This study uses a qualitative research design with an interpretative phenomenological approach. This study used purposive sampling, with total 15 participants with inclusion criteria: families who have family members with mental disorders who have experienced a relapse in the last six months and are willing to become participants by signing the participant's informed consent form. Exclusion criteria were families with family members with mental disorders who also had other illnesses. The data collection strategy used in-depth interview techniques with semi-structured interview guidelines. Researchers conducted data analysis using Interpretative Phenomenological Analysis (IPA). Results: There are four themes in this study, namely (1) Always pay attention to prevent recurrence, (2) Families are able to recognize signs of relapse in family members with mental disorders, (3) Families use medical health services when a relapse occurs, (4) Feel emotional and fearful when the patient relapses. Conclusion: The results of this study indicate that families feel emotional and fear when the patient experiences a relapse, and the family also knows about the signs of relapse in patients with mental disorders.
Knowledge and Anxiety in Community During the COVID-19 Pandemic
Zidni Nuris Yuhbaba;
M. Elyas Arif Budiman;
Irwina Angelia Silvanasari;
Wahyi Sholehah Erdah Suswati
Babali Nursing Research Vol 3 No 3 (2022): November
Publisher : Babali Health
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DOI: 10.37363/bnr.2022.33109
Introduction: The continuous increase in COVID-19 data can cause public anxiety increase. Good knowledge of the COVID-19 pandemic is important to prevent anxiety because with knowledge the individual will have the ability to determine and make decisions on how he can deal with it so that it can minimize the risk of the emergence of anxiety. The purpose of this study was to describe the knowledge and anxiety of the community during the COVID-19 pandemic. Methods: This study used a cross-sectional method, carried out by distributing a google form link to respondents. The number of samples in this study were 115 respondents taken using purposive sampling technique then the data was analyzed using the SPSS application and only displayed the distribution of frequency and percentage. Results: The results showed that the level of knowledge of respondents about the COVID-19 pandemic was in the good knowledge category of 80.8% and the level of anxiety was in the category of not experiencing anxiety as much as 86%. Conclusion: A person's level of knowledge in dealing with the COVID-19 pandemic can be a factor that affects the emergence of anxiety disorders.
The Effect of Intravenous Induction of Anesthesia on the Hemodynamic Changes among Patient in Central Surgical Unit of Level-II Udayana Denpasar Hospital
Emanuel Ileatan Lewar;
I Wayan Agus Maharyawan;
Yustina Ni Putu Yusniawati;
Carles Takandjandji
Babali Nursing Research Vol 3 No 3 (2022): November
Publisher : Babali Publisher
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DOI: 10.37363/bnr.2022.33111
Introduction: Intravenous anesthetic induction is a medically-induced technique that can cause hemodynamic disorder. The impact that occurs if hemodynamic disorders are not immediately resolved in patients with intravenous anaesthesia induction can cause an increase or decrease in blood pressure, decreased tissue perfusion, increased heart rate and arrhythmias so that it disrupts the surgical action plan. Blood pressure, Mean Arterial Pressure (MAP), and pulse should be monitored carefully during induction. We ought to examine the effect of intravenous induction of anesthesia on the hemodynamic changes among patients in the Level-II Udayana Denpasar Hospital. Methods: This was a descriptive cross-sectional study with a consecutive sampling technique. All patients under intravenous induction of anesthesia were considered eligible study respondents. Data were collected using an observation sheet, The number of samples in this study were 60 respondents, and the statistical test used a univariate technique by looking at the frequency distribution of the hemodynamic features of the patient's blood pressure and pulse. Results: Findings reported that the majority of patients were documented with normal systolic blood pressure (51: 85.0%), normal MAP (56; 93.3%), and normal pulse rate (44; 73.3%) during the intravenous induction. Low diastolic blood pressure was reported among 33 respondents (55.5%). Conclusion: The intravenous anesthetic induction altered the hemodynamic status among the respondents.
Coping with COVID-19: Strategies of Frontline Nurses
George V. Joy;
Jibin Kunjavara;
Manoj Kumar Larsen;
Rinu J. George
Babali Nursing Research Vol 3 No 3 (2022): November
Publisher : Babali Health
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DOI: 10.37363/bnr.2022.33113
Nurses are the largest workforce within healthcare systems. They are integral to managing pandemics, but due to pandemics, Nurses encounter various traumatic situations, mainly due to distressing and stressful work life. Therefore, nurses must strengthen their resilience in coping with difficulties, adapting to new strategies, and protecting their work and daily life. If nurses have sufficient resilience strategies, burnout and the rate of leaving a job or resigning decrease, posttraumatic growth develops, and work satisfaction increases. The results showed that psychological resilience is an essential predictor of perceived stress in nurses. Protecting the mental health of nursing staff is essential for nurses to combat COVID-19 effectively. Community mental health and psychiatric nurses should develop, implement, and evaluate interventions designed to enhance psychological resilience in clinical nurses.
The Effect of Dysmenorrhea Exercise on Reducing Menstrual Pain Felt by Adolescent Girls
I Gusti Ayu Ratih Agustini
Babali Nursing Research Vol 3 No 3 (2022): November
Publisher : Babali Health
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DOI: 10.37363/bnr.2022.33114
Introduction: Dysmenorrhea can be overcome in one way, namely dysmenorrhea exercise. This exercise is useful for improving blood flow therefore it can increase the endorphins hormone through movements that make you feel comfortable and relaxed. The purpose of this study was to analyze the effect of dysmenorrhea exercise on reducing menstrual pain felt by adolescent girls. Methods: This study was pre-experimental research with one group pretest-posttest design. The sampling technique used was total sampling consisting of 35 adolescents girl with dysmenorrhea. Data was collected using an instrument in the form of a numerical rating scale (NRS). This research was conducted in January - March 2022 in the village of Jineng Dalem Buleleng. Results: The results of the Wilcoxon Signed Ranks statistical test in adolescents who were given the intervention of dysmenorrhea exercise therapy showed that there were no respondents who increased menstrual pain. This shows that after the intervention, 35 respondents experienced a decrease in menstrual pain. The statistical results obtained that the calculated Z value is 5.189 > from the z table value of 1.960 with a p value of 0.001 <0.05. Conclusion: Therefore it can be concluded that there was an effect of dysmenorrhea exercise on reducing menstrual pain felt by adolescent girls in Jineng Dalem Village, Buleleng District. Based on the results of this study, it is hoped that adolescents who experience dysmenorrhea can use non-pharmacological therapies such as dysmenorrhea exercises to reduce menstrual pain.
Knowledge of Nurses in Using Critical-Care Pain Observation Tools to Assess Pain of Unconscious Patient in Intensive Care Unit
Barkah Waladani;
Endah Setianingsih;
Margo Sutrisno;
Syamsul Bahri
Babali Nursing Research Vol 3 No 3 (2022): November
Publisher : Babali Health
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DOI: 10.37363/bnr.2022.33115
Introduction: In the critical nursing area, many intubated patients are unable to communicate to indicate the level of pain felt. Assessing the characteristics of pain, especially in patients with mechanical ventilation is a major nursing intervention that requires nursing knowledge. The examination of the CPOT pain scale was certainly accompanied by the knowledge that must be possessed by the nurse when going to conduct a pain assessment in patients who were not able to express pain verbally in the ICU, so as to provide appropriate intervention and help assess the patient's pain response non-verbally. The purpose of this study was to determine the knowledge of nurses in using the Critical-care Pain Observation Tool in assessing pain. Methods: This study used a quantitative descriptive research method, with total sampling. Samples were taken by 72 respondents. Results: The results obtained 14 respondents with good knowledge, 26 respondents with enough knowledge, and 32 respondents with less knowledge. Conclusion: The conclusion is that the knowledge of nurses in using the Critical-care Pain Observation Tool in assessing pain is poor knowledge. The recommendation for this research is to provide knowledge related to pain assessment using CPOT with education.
Correlation Between Risk Perception and Outcome Expectancies on Dietary Compliance in Diabetes Mellitus Patients
Arina Qona'ah;
Nikmatul Fauziah;
Gusmaniarti;
Hikmah Lia Basuni
Babali Nursing Research Vol 3 No 3 (2022): November
Publisher : Babali Health
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DOI: 10.37363/bnr.2022.33122
Introduction: Diabetic patients' non-compliance with diet can increase the risk of complications and decrease quality of life. Dietary compliance can be influenced by motivation, self-efficacy, knowledge, intentions, and family support. This study aims to analyze the relationship between perceived risk and expected outcomes with dietary compliance in patients with type 2 diabetes mellitus. Methods: 150 respondents were obtained from five Primary Health Care in Surabaya through the cluster sampling method. The instruments used were a risk perception, a healthy diet-outcome expectation scale, and dietary compliance questionnaire. Data were analyzed using Spearman’s Rho statistics (α≤0.05). Results: Most of the patients had moderate risk perception (67.3%) and high outcome expectation (48%). There was a significant relationship between perceived risk (p = 0.000) and expected outcome (p = 0.000) with dietary compliance in type 2 DM patients. Conclusion: Diabetic patients' perceptions of their disease and the expected results have a positive effect on patient adherence to diet. Patients need accurate information about their disease so that they can create good perceptions and expectations.
Analysis of Factors and Situations Influencing Preventive Behaviours for the Spread of COVID-19 in Adults with Chronic Diseases and Older Adults
Achmad Syukkur;
Berliany Venny Sipollo
Babali Nursing Research Vol 3 No 3 (2022): November
Publisher : Babali Health
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DOI: 10.37363/bnr.2022.33127
Introduction: The older adults and people with comorbidities are more susceptible to the infected of the COVID-19 virus, and have a higher risk of mortality compared to other populations. Steps to prevent transmission have been taken by the government, such as socializing physical distancing movements, staying at home, wearing masks when leaving the house, to prohibiting people from going to village. This study wants to know the factors and situations that influence the behaviour of preventing COVID-19. Methods: This research design uses observational design with correlation description approach. The total population is 148, obtained a sample of 126 respondents using the Slovin’s formula. Random sampling technique used with the help of the excel application. The older adult’s group was 63 respondents and the chronic disease group was 63 respondents. The researcher used 11 questionnaires and multivariate analysis test results using SEM with SmartPLS. Results: The results of the multivariate analysis test using SEM (Structural Equation Modeling) with SmartPLS (Partial Least Square) showed that the factors that influenced COVID-19 prevention behaviour in the older adult’s group were knowledge, while in the chronic disease group was social support and attitude towards COVID-19. Conclusion: It is hoped that it can improve preventive behaviour against COVID-19 by understanding what factors are weakening or factors that can increase the risk of COVID-19 transmission in the elderly and people with chronic diseases, and can be a policy reference in implementing the protocol of COVID-19 for the Village Government.
Autogenic Relaxation, Movement, and Affirmation (RIMA) Therapy: Efforts to Strengthen Self-Efficacy to Prevent Drug Withdrawal in Aggregate Patients with Pulmonary TB
Siti Kholifah;
Putu Sintya Arlinda Arsa
Babali Nursing Research Vol 3 No 3 (2022): November
Publisher : Babali Health
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DOI: 10.37363/bnr.2022.33137
Introduction: Strengthening self-efficacy is an alternative to prevent drug withdrawal in patients with pulmonary TB. Autogenic relaxation, movement and affirmation (RIMA) therapy can help strengthen self-efficacy in patients with pulmonary TB so as to prevent drug withdrawal. The general objective of this study was to determine the role of RIMA therapy in strengthening the self-efficacy of pulmonary TB patients. Methods: The design of this research is a quasi-experimental using pre-test and post-test with control group design. The Respondents were patients with pulmonary TB in the work area of the Puskesmas Pakis, Malang Regency, a total of 60 people were determined using purposive sampling. RIMA therapy was carried out for 2 weeks, and data collection was carried out using a questionnaire. Data analysis used Wilcoxon Signed Rank test and Mann-Whitney test with α = 0.05%. Results: The results of this study indicate that there is an effect of RIMA therapy on self-efficacy in the experimental group, which is indicated by a p value = 0.000 (< 0.05). In addition, there is a significant difference in self-efficacy between the experimental group and the comparison group, which is indicated by the p value = 0.000 (< 0.05). Conclusion: RIMA therapy influences increasing self-efficacy of pulmonary TB patients. Therefore, it is recommended that patients with pulmonary TB carry out RIMA therapy independently at home to support their treatment.