Introduction: The patients suffering from hypertension require treatment to prevent the complications by performing both pharmacological and non-pharmacological hypertension management. This research aims at revealing the difference of sodium intake, physical activities, and psychological problems in patients suffering from hypertension in rural and urban areas. Methods: This descriptive-quantitative research employs a cross sectional design. The research was conducted at Gondokusuman Community Health Center 1 as the representation from the urban areas and Cangkringan Community Health Center as the representation from the rural areas. There were 81 patients from rural areas and 74 from urban areas. Data were collected using a consecutive sampling technique with Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), Global Physical Activity Questionnaire (GPAQ) and Depression, Anxiety, Stress Scale 42 (DASS 42). The data analysis was conducted using both chi-square test and independent t-test. Results: The result of independent t-test for sodium intake was at p = 0.669 (p > 0.005). The result of analysis using chi-square test for physical activity was at p = 0.000 (p < 0.05). The result of analysis using chi-square test for depression level is at p = 0.964 (p > 0.05), anxiety level at p = 0.005 (p < 0.05) and stress level at p = 0.846 (p > 0.05). Conclusions: There are some differences in physical activities and anxiety levels in patients suffering from hypertension in rural and urban areas.
Background The factors related to fluid intake adherence among patients undergoing hemodialysis have been explored in many studies. However, most of these were conducted in Western countries and have produced inconsistent results. A study of this issue in Indonesia, a tropical country with strong herbal medicine traditions, may show different results. In addition to demographic characteristics, self-efficacy is a standard measurement used in chronic care management activities such as hemodialysis treatment. Understanding the reasons behind patient nonadherence in Indonesia may help nurses better manage the fluid intake of patients. Purpose This study was designed to determine the factors that predict patient adherence to fluid intake restrictions. Methods A cross-sectional study was conducted on 153 patients undergoing hemodialysis at two hospitals. Intradialytic weight gain over a 1-month period was recorded to assess the participants’ adherence to fluid intake restrictions. Intradialytic weight gains of more than 2 kg was considered to be nonadherent. A daily urine output and level of thirst were also recorded. The participants completed an adapted self-efficacy questionnaire, Swedish Fluid Intake Appraisal Inventory, and the data were analyzed together with demographic characteristic and clinical parameters using hierarchical multiple regression. Results The results revealed that most of the respondents did not adequately adhere to fluid intake restrictions (59.5%). Intradialytic weight gain was shown to strongly correlate with self-efficacy (p < .05, β = −.201), gender (p < .05, β = −.179), educational background (p = .05, β = .159), and urine output (p < .05, β = −.168). Demographic characteristic explained 10.6% and self-efficacy explained 3.9% of the variance in fluid adherence. Conclusions/Implications for Practice Female participants with higher self-efficacy scores reported the lowest average level of intradialytic weight gain, indicating better adherence to fluid intake restrictions. Several demographic factors as well as self-efficacy were identified as potential predictors of fluid intake restriction adherence. Therefore, measuring self-efficacy periodically is a good initial step toward detecting those patients who are at higher risk of noncompliance with fluid intake restrictions.
Background: To promote excellence in nursing research, setting research priorities is needed to meet the need of community aligned with the national context. Unfortunately, limited number of studies has examined nursing research priorities in Indonesia.Objective: To identify nursing research priorities in Indonesia from the perspectives of nursing experts.Methods: This was a descriptive qualitative study. Focus group discussion was conducted among participants who were purposively selected (n = 13). Data were analyzed using a consensus-based method.Results: The top ten research priority lists were identified. The priorities were nurse competence, quality of nursing care in nursing services, nursing policy, nurse work environment, nurse mobility, interprofessional education and collaboration, teaching learning evaluation, nursing career, complementary therapy in nursing, and technology and informatics in nursing.Conclusion: Findings of this study could be used as the basis of direction for development of future research in Indonesia.
Background: Nosocomial infection is the most common problem occurs among 9% of 1,4 million hospitalized patients in the world. Urinary tract infections (UTIs) account for up to 40% of nosocomial infections which are reported by acute-care hospitals every year. Objective: The objective of this study was to identify the association between indwelling catheter care and urinary tract infections in internal ward of Dr. Sardjito Hospital, Yogyakarta. Methods: This was a non experimental study with cross-sectional design. The subjects of this study were 27 patients who had indwelling catheter inserted in internal ward of Dr. Sardjito Hospital, Yogyakarta chosen by total sampling technique. Data were obtained from checklist that was arranged based on literature and catheter care procedures in Dr. Sardjito Hospital, Yogyakarta. Results: The results of the study showed that 18 of 27 patients who had indwelling catheter inserted had UTIs. The p value resulted from chi-square test was 0,023 (p<0,05). Statistically, this study showed that there was an association between indwelling catheter care and UTIs. There were some of catheter care procedures that had not well-implemented yet by the nurses, such as daily catheter care procedure (37%), hand washing before and after the procedure (49,4%), using gloves in every catheter contact (39,5%), cleaning the meatus and catheter with antiseptic (40,7%), and ensuring the catheter bag did not touch the oor (18,5%). Conclusion: There was an association between indwelling catheter care and UTIs in internal ward of Dr. Sardjito Hospital, Yogyakarta. ABSTRAKLatar belakang: Infeksi nosokomial merupakan masalah global dan menjangkau sekitar 9% lebih dari 1,4 juta pasien rawat inap di rumah sakit di seluruh dunia. Infeksi saluran kemih merupakan penyebab 40% dari semua infeksi nosokomial yang dilaporkan oleh rumah sakit perawatan akut tiap tahunnya. Kira-kira 10% dari pasien-pasien yang dirawat di rumah sakit terpasang kateter, memberikan populasi besar yang beresiko terhadap infeksi saluran kemih yang berhubungan dengan kateter. Tujuan: Untuk mengetahui hubungan pelaksanaan perawatan kateter dengan kejadian infeksi saluran kemih di Bangsal Penyakit Dalam RSUP Dr. Sardjito, Yogyakarta. Metode: Penelitian ini merupakan penelitian non-eksperimental menggunakan rancangan cross sectional. Subjek penelitian ini adalah pasien yang dipasang kateter di Bangsal Penyakit Dalam RSUP Dr. Sardjito, Yogyakarta yang diambil dengan teknik total sampling. Data dikumpulkan dengan menggunakan lembar observasi pelaksanaan perawatan yang disusun berdasarkan prosedur tetap dan dimodi kasi dengan teori yang ada. Hasil: Hasil penelitian menunjukkan bahwa 18 dari 27 pasien yang diobservasi mengalami infeksi saluran kemih. Dari hasil uji chi square didapatkan nilai p sebesar 0,023 (p<0,05). Secara statistik diketahui bahwa ada hubungan antara pelaksanaan perawatan kateter dengan kejadian infeksi saluran kemih. Belum semua tindakan perawatan kateter dilakukan 100% oleh perawat. Tindakan ini meliputi melakukan perawatan kateter satu kali setiap hari (37%), mencuci tangan sebelum dan sesudah tindakan (49,4%), menggunakan sarung tangan (39,5%), membersihkan daerah meatus dan ujung kateter dekat meatus dengan cairan antiseptik (40,7%), kantung penampung urin tidak menyentuh lantai (18,5%).Kesimpulan: Ada hubungan antara pelaksanaan perawatan indwelling kateter dengan kejadian infeksi saluran kemih di bangsal penyakit dalam RSUP Dr. Sardjito Yogyakarta.
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