Indonesia ranks third highest in Southeast Asia after Timor Leste and India which have stunting problems with a prevalence of 27.67%. In West Java, especially in Pangandaran Regency in 2018, the prevalence of stunting was 1.2%. Increasing maternal knowledge about stunting can reduce the incidence of stunting. This study aims to identify a description of the knowledge of mothers with toddlers about stunting in Kalipucang Village, Pangandaran Regency. This research is used descriptive-quantitative by using primary data in the form of a questionnaire about stunting knowledge. The population of this study was 346 mothers of children under five in Kalipucang Village, Pangandaran Regency. The sample used was 186 samples with accidental sampling technique. The instrument used has been tested for validity and reliability and obtained r count > r table (n = 0.632) and cronbach’s alpha value of 0.896. The results of the study were analyzed by univariate analysis and then grouped into groups of respondents with good knowledge and poor knowledge. Based on data analysis, the results showed that more than half of mothers with toddlers in Kalipucang Village, Pangandaran Regency had a low level of knowledge, as many as 95 (51.1%) respondents. So, it is hoped that health services will improve health promotion in order to increase public knowledge regarding stunting.
BACKGROUND: Breast cancer turns a person’s life upside down, affecting every aspect of an individual including the psychological domain, such as feelings of phobia, isolation, anger, irritability, confusion, and most frequently anxiety. Some studies reported that rituals practice in Islam have an impact on the psychological health breast cancer patient. AIM: The aim of the study was to explore the experience of psychological alteration among patients with advanced breast cancer. METHODS: A qualitative study utilizing the content analysis approach was organized. Twenty Muslims with breast cancer during chemotherapy treatment with a mean age of 47.1 years who dealt with their psychological responses during treatment were invited to participate in a semi-structured interview, before and after applying Islamic-based practice therapy. This study conducted between February and June 2018 in the outpatient unit of chemotherapy in one of the Indonesia’s teaching hospitals. The generated data were transcribed verbatim and the content analysis approach was used for data reduction, data names, obtaining analytical code, and determining categories and themes. RESULTS: Four themes emerged from the data analysis before the researchers using the Islamic-based practice therapy: (1) Self-blaming, (2) feeling sad, (3) feeling fear and uncertain, and (4) living with a new body. However, the results after applying the Islamic-based practice therapy emerged three themes: (1) Closer to God, (2) peace of mind, and (3) inner strength. CONCLUSION: Overall, in the view of breast cancer patients, the psychological experience of using the Islamic-based practice therapy could change to positive responses by making them feel closer to God, having good inner strength, and a peaceful mind in dealing with their day-to-day conditions. Hence, understanding the patient’s experience will assist the nurses to promote professional abilities and improve nursing care delivery related to different cultural backgrounds and spiritual dimensions of Muslims patients.
Academic burnout is a condition when someone got fatigued continuously due to load gained during learning. Nursing students are a group which risk of experiencing academic burnout. Previous research has shown that nursing students experience mild to severe burnout. Even so, it has known that location will have different effects on burnout. This study aims to determine academic burnout in undergraduate students at the Faculty of Nursing, Universitas Padjadjaran. The design of the research used descriptive quantitative. The population was 910 nursing students. Proportional stratified random sampling used for chosen sample, so there were 278 samples collected. Data were collected using Maslach Burnout Inventory - Student Survei questionnaire. Process data results by univariate analysis. The result showed that all respondents (n=278) had academic burnout. A total of 25,2% respondents experienced the mild category, as many as 74,1% respondents experienced moderate academic burnout and 0,7% respondents experienced the severe category. Most of the students had moderate exhaustion (83,8%), more than half of the respondents had low cynicism (56,8%), and moderately reduce professional efficacy (70,1%). The nursing students had a moderate category of academic burnout. Therefore, it is recommended to monitor the level of academic burnout regularly and provide consultation facilities.
Burnout is a global phenomenon. The prevalence of burnout among nurses in Indonesia is around 60%. During the COVID-19 pandemic, the number of patient visits to the Public health centre has increased. This study aims to describe burnout in nurses at the Public health centre during the COVID-19 pandemic. This study uses a quantitative descriptive with a cross-sectional approach. The population is 40 health centre nurses using a sampling technique that is the total population. This study used the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) as an instrument with final validity test values ranging from -0.701 to 0.966 and a reliability test of 0.83. Data analysis uses univariate analysis, which is shown in the form of a frequency distribution. Almost all respondents experienced moderate burnout, as many as 34 nurses (85%). Based on the burnout dimension show that the dimensions of emotional exhaustion are 27 nurses (67.5%), the dimension of depersonalization is 31 nurses (77.5%), and the dimension of achievement decline is 29 nurses (72.5%), mostly in the medium category. The high burnout of Public health centre nurses will affect the performance of nurses in providing nursing services to patients. The impact of the pandemic has also become a source of stress for nurses in providing services. The possibility of nurses coming into contact with asymptomatic COVID-19-infected patients is substantial. This becomes a burden for nurses in providing services. Keywords: Burnout, Covid-19, Health Centre, Nurse, Pandemic
Cardiovascular disease especially ST segment elevation (STEMI) is still a major health problem with high morbidity and mortality rates. Although recent advances in the treatment of STEMI patients have yielded better results, the need for intensive care of patients with a prolonged length of stay (LOS) can increase the burden of health care costs. An understanding of the description of LOS in STEMI patients and the factors that influence it as an effort to improve the quality of care and shorten LOS. To describe length of stay (LOS) in acute myocardial infarction patients with STEMI after treatment percutaneous coronary intervention.This study used narrative review design. The databases used were Pubmed, Ebscohost, Scopus, Taylor and Francis, and Google Scholar. The strategy for searching articles using the PCC framework with the keywords namely “Adults”, “Length of Stay”, “Percutaneous Coronary Intervention” and “Myocardial Infarction”. The results showed that 20 articles were analyzed and most of the articles said that the shortest LOS in STEMI patients after PCI was only 5.9 hours, while the longest LOS was 14 days. Most of the articles said that the LOS in STEMI patients after PCI was prolonged. Many factors affect the duration of LOS in STEMI patients, namely age, gender, complications (bleeding), history of comorbidities (diabetes mellitus, hypertension, and kidney failure), and disease severity are the predictors most experienced by STEMI patients. Keywords: Length of Stay, Myocardial Infarct, STEMI ABSTRAK Penyakit kardiovaskular khususnya STEMI masih menjadi permasalahan kesehatan utama dengan tingkat morbiditas dan mortalitas yang tinggi. Meskipun kemajuan terbaru dalam penanganan STEMI telah memberikan hasil yang lebih baik, kebutuhan perawatan intensif pasien dengan durasi length of stay (LOS) yang memanjang dapat meningkatan beban biaya perawatan kesehatan. Pemahaman mengenai gambaran LOS pasien STEMI serta faktor yang mempengaruhinya penting diketahui sebagai upaya untuk meningkatkan kualitas perawatan dan mempersingkat LOS. Untuk mendeskripsikan LOS atau lama rawat Pasien Infark miokard dengan STEMI setelah percutaneous coronary intervention. Penelitian ini menggunakan desain narrative review. Basis data yang digunakan meliputi Pubmed, EBSCO-host, Scopus, Taylor and Francis, dan Google Scholar. Strategi pencarian artikel menggunakan kerangka kerja PCC dengan kata kunci “Adults”, “Length of Stay”, “Percutaneous Coronary Intervention” and “Myocardial Infarction”. Hasil penelitian menunjukkan, dari 20 artikel yang dianalisis, sebagian besar artikel menyebutkan bahwa LOS terpendek pada pasien STEMI pasca PCI hanya 5,9 jam, sedangkan LOS terlama adalah 14 hari. Sebagian besar artikel mengatakan LOS pada pasien STEMI setelah PCI memanjang. Banyak faktor yang mempengaruhi lama LOS pada pasien STEMI yaitu usia, jenis kelamin, komplikasi (perdarahan), riwayat penyakit penyerta (diabetes melitus, hipertensi, dan gagal ginjal), dan tingkat keparahan penyakit merupakan prediktor yang paling banyak dialami oleh pasien STEMI. Kata Kunci: Lama Rawat, Infark Miokardial, STEMI
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