Objectives This study aimed to examine the effect of the application of a self-care model to improve self-care agency (SCA), self-care operation, and quality of life (QoL) in patients with systemic lupus erythematosus (SLE). Methods This study employed a pre-experimental design with one pretest-posttest group. Thirty-six respondents were selected through total sampling. The experimental group was provided self-care management training, followed by four weekly home visits. Self-care agency was measured with the self-care agency scale, the other variables through self-rated abilities on the health practices scale and Lupus quality inventory. Data were analysed using paired t -tests with α < 0.05. Results SLE was common in actively working married women of childbearing age, most of whom had had SLE for 1–2 years (33.3%), with arthritis being the most common symptom (reported by 61.1%). The major flare trigger factor was physical stress (66.7%), resulting in fatigue. On average, the self-care model was able to improve SCA by 19.93%, self-care operation by 17.53%, and QoL by 12.19%. It was significantly effective in enhancing SCA, self-care operation, and QoL in patients with SLE ( p < 0.001). Conclusions The application of Orem's self-care model is effective in improving SCA, self-care, and QoL, and this study provides evidence of the benefits of its use in the nursing care of patients with SLE in a community setting. Health care providers should incorporate Orem's self-care model in nursing care to enhance SCA, self-care, and QoL in patients with SLE.
Introduction: Supportive educative nursing programs are interventions that can be used to increase family support. The purpose of this study was to analyze the effect of supportive educative nursing programs on the knowledge and attitudes of mothers in feeding stunting children aged 6-24 months.Methods: The research design used was quasi-experimental. The sample used was 54 respondents and divided into two groups: 27 respondents in the treatment group and 27 respondents in the control group by random sampling. The independent variable was the supportive educative nursing program intervention. The dependent variables were knowledge and attitude. The instruments used were the knowledge and attitude of the mother in feeding the stunting toddlers questionnaire—research data obtained by doing pre-test and post-test.Results: There was an effect of the supportive educative nursing program on increasing maternal knowledge in the treatment group (p = 0.000) based on the Wilcoxon test, and there was a significant difference between the treatment group and the control group (p = 0.000) based on the Mann-Whitney test. There was an effect of the supportive educative nursing program on improving maternal attitudes in the treatment group (p = 0.000) based on the Wilcoxon test, and there was a significant difference between the treatment group and the control group (p = 0.000) based on the Mann-Whitney test Conclusion: Intervention of supportive educative nursing programs has a significant influence on increasing the knowledge and attitudes of mothers in feeding stunting toddlers.
Pendahuluan: Diabetes Mellitus merupakan salah satu penyebab stres pada penyakit kronis. Stres mempengaruhi kontrol glukosa darah, kepatuhan, biaya perawatan, dan kematian. Dzikir merupakan salah satu alternatif terapi yang dapat digunakan untuk menurunkan stress dan kadar gula darah. Tujuan dari penelitian ini yaitu Menganalisa pengaruh pemberian dzikir terhadap stress dan gula darah acak pada pasien diabetes mellitus.Metode: Penelitian menggunakan pendekatan quasi- eksperimental pre posttest with control group design dengan jumlah sampel 60 pasien Diabetes Mellitus yang, berusia 40-60 tahun, dibagi menjadi dua kelompok yaitu kelompok perlakuan 30 orang dan intervensi 30 orang dan menggunakan metode purposive sampling. independen yaitu dzikir dan variable dependen terdiri dari stres dan kadar gula darah acak. Penelitian ini menggunakan kuesioner Diabetes Distress Scale (DDS) untuk mengukur stress serta glucometer untuk mengukur kadar gula darah acak. Uji statistik yang digunakan Wilcoxon Signed Rank Test dan Mann Whitney Test dengan signifikansi α ≤ 0,05.Hasil: Hasil penelitian menunjukan tingkat stress setelah intervensi (Wilcoxon signed rank test p=0,000, Mann Whitney test p=0,000) dan nilai gula darah acak setelah diberikan intervensi (Wilcoxon signed rank test p=0,000, Mann Whitney test p=0,047).Kesimpulan: Dzikir dan doa mengurangi stress dan kecemasan dengan cara membantu individu membentuk persepsi yang lain selain ketakutan yaitu keyakinan bahwa stressor apapun dapat di hadapi dengan baik dengan bantuan Tuhan. Dzikir mempengaruhi stres dan gula darah pada pasien dengan diabetes mellitus. Namun selain zikir, penerimaan penyakit dan kepatuhan terhadap pengobatan akan memaksimalkan perawatan yang sedang dijalani. ABSTRACTIntroduction: Diabetes Mellitus is one of the causes of stress on chronic diseases. Stress affects blood glucose control, compliance, treatment costs, and death. Dhikr is one of the therapeutic alternatives that can be used to reduce stress and blood sugar levels. The purpose of this study is to analyze the effect of dzikir on stress and random blood sugar in patients with diabetes mellitus.Method: The study used a quasi-experimental pre-test approach with control group design with a sample of 60 Diabetes Mellitus patients aged 40-60 years, divided into two groups of treatment group 30 people and intervention 30 people and using methods Purposive sampling. Variables consist of dhikr, stress and random blood sugar levels. This research uses Diabetes Distres Scale (DDS) Questionnaire instruments as well as glucometers to measure random blood sugar levels. The statistical test used was the Wilcoxon Signed Rank Test and the Mann Whitney Test with a significance of α ≤ 0.05.Results: The results showed that the level of stress before and after the administration of Dhikr in the treatment group had a difference in value with significance p = 0.000. Whereas on blood sugar levels random group treatment acquire significance value P = 0,047.Conclusion: Dhikr and prayer reduce stress and anxiety by helping individuals form perceptions other than fear that is the belief that any stressor can be dealt with well with the help of God. Dhikr affects stress and blood sugar in patients with diabetes mellitus. But in addition to dhikr, acceptance of diseases and compliance with treatment will maximize the treatment that is being lived
Background: In Indonesia, maternal mortality remains high, significantly 61.59% occur in the postnatal period. Postnatal care (PNC) provision is a critical intervention between six hours and 42 days after childbirth and is the primary strategy to reduce maternal mortality rates. However, underutilisation of PNC in Indonesia still remains high, and limited studies have shown the regional disparities of PNC in Indonesia. Methods: This study aims to explore the gaps between regions in PNC service for mothers who have had live births during the last five years in Indonesia. This study was a secondary data analysis study using the Indonesian Demographic and Health Survey (IDHS) in 2017. A total of 13,901 mothers aged 15-49 years having had live births within five years were included. Chi-squared test and binary logistic regression were performed to determine regional disparities in PNC. Results: Results indicated that the prevalence of PNC service utilisation among mothers aged 15-49 years was 70.94%. However, regional gaps in the utilisation of PNC service were indicated. Mothers in the Central of Indonesia have used PNC services 2.54 times compared to mothers in the Eastern of Indonesia (OR = 2.54; 95% CI = 1.77-3.65, p<0.001). Apart from the region, other variables have a positive relationship with PNC service, including wealth quintile, accessibility health facilities, age of children, childbirth order, mother's education, maternal occupation, spouse's age, and spouse's education. Conclusion: The results suggest the need for national policy focuses on service equality, accessible, and reliable implementation to improve postnatal care utilisation among mothers to achieve the maximum results for the Indonesian Universal Health Coverage plan.
Pendahuluan: Osteoartritis (OA) merupakan penyakit degeneratif yang menyebabkan peradangan kronis akibat dari gesekan antar ujung tulang penyusun sendi. Osteartritis disebabkan oleh banyak faktor, yaitu usia, jenis kelamin, hormon, genetik dan diet. Gejala yang timbul berupa nyeri sendi, kekakuan, kelemahan otot dan pembengkakan tulang. Penggunaan analgesik untuk lansia dapat memberikan efek samping jangka panjang. Alevum plaster yang terdiri dari jahe dan bawang putih memiliki kandungan analgesik, dan antiinflamasi yang dapat membantu dalam mengurangiMetode: Desain penelitian yang digunakan adalah Quasy Experimental. Populasi yaitu pasien osteoarthritis Puskesmas Pacar Keling Surabaya. Sampel yang digunakan sebesar 50 responden secara purposive sampling. Variabel independen pada kelompok perlakuan adalah alevum plaster, sedangkan variabel dependen adalah nyeri sendi. Pada kelompok kontrol variabel independen yaitu kompres air hangat, sedangkan variabel dependen adalah nyeri sendi. Instrumen yang digunakan yaitu WOMACHasil: Hasil sebelum intervensi menunjukkan pada kelompok perlakuan sebagian besar mengalami nyeri sedang dan hasil paska tes kelompok perlakuan menunjukkan bahwa sebanyak 24 orang berada pada kategori nyeri ringan. Pada kelompok kontrol hasil pra tes dan paska tes hampir sama yaitu sebagian besar lansia mengeluh nyeri sedang. Berdasarkan uji Mann-Whitney, terdapat perbedaan yang signifikan pada kelompok perlakuan dan kelompok kontrol dengan p=0,000.Kesimpulan: Intervensi alevum plester (jahe dan bawang putih) secara signifikan dapat memberikan pengaruh terhadap penurunan nyeri sendi osteoarthritis dibanding kompres air hangat. Alevum plaster lebih berpengaruh karena dari segi skala nyeri dan rentang nyeri dapat menurunkan nyeri sendi.
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