Background Gynecological cancer inpatients and outpatients may have distinct supportive nursing care needs. This study aimed to compare the supportive care needs between these two patient cohorts. Methods This cross-sectional comparison analytic study aimed to identify the differences between the supportive nursing care needs of the gynecological cancer inpatients and outpatients. Data were collected from 200 participants who were recruited through consecutive sampling method. Results The results showed that gynecological cancer inpatients needed more supportive nursing care than the outpatients. The most reported supportive nursing care needs of the inpatients were in the domains of physical (80%) and the psychological (84%). Whilst, the outpatients needed more health information support (78%). There was a significant difference between the supportive nursing care needs of gynecological cancer inpatients and outpatients ( p value = 0.001). Supportive nursing care needs of the inpatients were 44 times higher compared to those of the outpatients. Conclusions The gynecological cancer inpatients and outpatients need supportive nursing care differently. Therefore, nurses should assess supportive care needs of their patients early during the care in each setting so that the intervention could be tailored to the patient’s individual needs. Our study findings can help nurses navigate the supportive care needs for gynecological cancer patients receiving inpatient and outpatient care.
Pendahuluan:Kehamilan dengan HIV positif merupakan sumber kebahagiaaan bagi seorang ibu, namun juga menjadi sumber kecemasan yang disebabkan adanya kekhawatiran ibu tentang penularan penyakit pada janin yang dikandungnya. Kondisi kecemasan berlebihan mempengaruhi kondisi kesehatan fisik dan psikis ibu serta janin yang dikandungnya. Penelitian ini bertujuan untuk menurunkan derajat kecemasan ibu hamil dengan HIV positif. Metode:Metode penelitian ini adalah Evidence Based Practice Nursing. Sampel dalam penelitian ini adalah lima ibu hamil dengan HIV positif dan beragama islam. Alat ukur yang digunakan dalam penelitian ini adalah Perinatal Anxiety Screening Scale (PASS)dalam bentuk kuesioner, yang diberikan dua kali kepada subjek yaitu sebelum dan sesudah intervensi relaksasi pernafasan dan dzikir. Hasil:Penelitian menunjukkan terdapat penurunan tingkat kecemasan ibu hamil dengan HIV positif. Simpulan:Relaksasi pernapasan dan dzikir dapat digunakan sebagai salah satu cara untuk menurunkan derajat kecemasan ibu hamil dengan HIV positif.
Nutrition investment on reproductive age women is important for poverty alleviation. Nutritional problems on reproductive age women such as chronic energy deficiency and anemia can continue while they are pregnant until in the 1000 days of life of their babies. It can lead to decrease productivity as adults. Pokjakes in community established to help solve nutritional problems including on reproductive age women. Pokjakes played a role in nutrition screening and report the result to health community center. Based on observation, Pokjakes cadre in RW V Pudakpayung Banyumanik Semarang lack of nutrition screening skills on reproductive age women. This course was conducted using lecture and demonstration method to solve the problem. The course aimed to improve cadre skills and data reported to health community centre more valid. Activity followed by 22 cadres. Skills of cadres increased after training with p<0,05. Course method with lecture and demonstration can improve pokjakes cadres skills on nutrition screening ABSTRAK Investasi gizi pada kelompok WUS harus menjadi bagian dalam upaya penanggulangan kemiskinan. Masalah gizi pada kelompok WUS seperti kekurangan energi kronis dan anemia dapat berlanjut pada masa kehamilan dan berlanjut hingga 1000 hari pertama kehidupan bahkan dapat berdampak pada penurunan produktivitas pada usia dewasa. Pokjakes di masyarakat dibentuk untuk membantu memecahkan masalah gizi termasuk WUS salah satunya adalah membantu penapisan gizi untuk dilaporkan ke Puskesmas. Berdasarkan hasil pengamatan, Kader Pokjakes di RW V Kelurahan Pudakpayung, Banyumanik Semarang masih kurang keterampilannya dalam melakukan penapisan gizi pada WUS. Kegiatan pelatihan dengan metode ceramah dan demonstrasi dilaksanakan untuk mengatasi masalah tersebut. Kegiatan dimaksudkan agar keterampilan Kader meningkat dan data yang dilaporkan ke Puskesmas lebih valid. Kegiatan diikuti 22 orang. Keterampilan kader meningkat setelah pelatihan dengan nilai p<0.05. Metode pelatihan dengan ceramah dan demonstrasi dapat meningkatkan keterampilan Kader Pokjakes dalam melakukan penapisan gizi pada WUS.
Sexual intercourse during pregnancy is still a taboo among the people around Ungaran City, Semarang Regency, giving rise to anxiety and concern about fulfilling sexual needs during pregnancy which generally occurs among primigravida mothers due to a lack of experience and knowledge regarding sexuality during pregnancy. The aim of the study was to determine the effect of health education on sexual intercourse during pregnancy on anxiety among primigravida mothers. Quantitative method by way of quasi experiment, nonequivalent control group design approach. The first group was given health education through animated video media and the other group was not given any treatment. Measuring tool with a questionnaire that is measured comparatively analytically in pairs. The research sampling technique used purposive sampling. The population in this study were 376 pregnant women and the research sample was 38 primigravida mothers who live in Ungaran City, Semarang Regency. Analysis used the Mann Whitney test with a value of α (0.05). Results: Statistical test results using the Mann Whitney test obtained Z count (-2.634) > Z table -1.96 and p-value (0.008) < α (0.05). Conclusion: There is an effect of health education about sexual intercourse during pregnancy on the anxiety level of primigravida mothers. Keywords: sexual relationship; worry; primigravidaPengaruh Pendidikan Kesehatan Hubungan Seksual Selama Kehamilan Terhadap Kecemasan Ibu Primigravida Pada Masa Kenormalan BaruABSTRAK Hubungan seksual selama masa kehamilan masih menjadi hal yang tabu di kalangan masyarakat sekitar Kota Ungaran, Kabupaten Semarang, sehingga menimbulkan kecemasan dan kekhawatiran mengenai pemenuhan kebutuhan seksual pada masa kehamilan yang umumnya sering terjadi pada ibu primigravida karena kurangnya pengalaman dan pengetahuan terkait seksualitas selama kehamilan. Tujuan penelitian untuk mengetahui pengaruh pendidikan kesehatan tentang hubungan seksual selama masa kehamilan terhadap kecemasan pada ibu primigravida. Metode secara kuantitatif dengan cara quasi experiment, pendekatan nonequivalen control grup design. Kelompok pertama diberi pendidikan kesehatan melalui media video animasi dan kelompok lain tidak diberi perlakuan. Alat ukur dengan kuesioner yang diukur secara analitik komparatif berpasangan. Teknik pengambilan sampling penelitian menggunakan purposive sampling. Populasi dalam penelitian ini sebanyak 376 ibu hamil dan sampel penelitian berjumlah 38 ibu primigravida yang berdomisili di Kota Ungaran Kabupaten Semarang. Analisis menggunakan uji Mann Whitney dengan nilai α (0,05). Hasil: Hasil uji statistik dengan menggunakan uji mann whitney diperoleh nilai Z hitung (-2,634) > Z tabel -1,96 dan nilai p-value (0,008) < α (0,05). Simpulan: Ada pengaruh pendidikan kesehatan tentang hubungan seksual selama masa kehamilan terhadap tingkat kecemasan ibu primigravida. Kata kunci: hubungan seksual; kecemasan; primigravida
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