bluuebunny/crossref_metadata_2025 huggingface dataset:
EFFECTIVENESS OF PROGRESSIVE MOBILIZATION LEVEL I AND II ON HEMODYNAMIC STATUS AND DECUBITUS ULCER RISK IN CRITICALLY ILL PATIENTS
Authors: Rahayu Ningtyas Ni Wayan , Pujiastuti RR Sri Endang , Indriyawati Nina
Published: February 2019

Background: Patient immobility remains to be one of the primary causes of pressure ulcers. Therefore, mobilization is necessity for patients being treated in the intensive care unit. However, the occurrence of pressure ulcers is dependent on not only the mobilization but also the bed itself and the type of mattress. This study used the same mattress and bed and compared the effectiveness of progressive mobilization with regular mobilization.

Objective: This study aims to examine the effectiveness of progressive mobilization level I and II on hemodynamic status and decubitus ulcer risk in critically ill patients.

Methods: This was a quasi-experimental study using repeated measure design. There were 40 respondents selected using purposive sampling, which 20 respondents assigned in each group. A Braden scale was used to measure the risk of decubitus ulcer. Paired t-test and repeated measures ANOVA were performed for data analysis.

Results: Paired t-test showed that there was a significant difference of systolic pressure, diastolic pressure, MAP, heart rate, and Braden score after given intervention with p-value <0.05. However, repeated ANOVA test showed that diastolic pressure had p-value >0.05, thus could not be continued to post-hoc test. The progressive mobilization of level I and II in critical patients can stabilize systolic pressure (52.46%), stabilize MAP (58.43%), stabilize heart rate (68.99%), and reduce the risk of decubitus (55.03%) for 7 days of recurrent intervention.

Conclusion: The progressive mobilization of level I and II can reduce the risk of decubitus and stabilize the patient's hemodynamic status in critical patients.
EFFECT OF ACUPRESSURE THERAPY POINT LI 4, SP 6, AND BL 60 ON DURATION OF THE FIRST STAGE OF LABOR IN PRIMIGRAVIDA AND NEWBORN’S APGAR SCORE
Authors: Theresia Patty Fara Imelda , Suhartono Suhartono , Ngadiyono Ngadiyono , Mardiyono Mardiyono
Published: February 2019

Background: The prolonged partus is one of the causes of maternal deaths marked by the slow progress of labor. Induction of labor and caesarean section is a common procedure performed on long-term partus events to end pregnancy. The birth acupressure technique is a complementary method to activate the hormone oxytocin at a certain point to use to soften the cervix and increase contraction.

Objective: To examine the effect of acupressure point LI4, SP6 and BL60 on the duration of the first stage of labor and APGAR score of newborns in primigravida.

Methods: This research employed a quasi-experimental study with posttest control group design. It was conducted at the Public Health Center of Trauma and Public Health Center of Palaran Samarinda, East Kalimantan, Indonesia. There were 40 respondents selected using purposive sampling, which 20 respondents assigned in the experiment and control group. The duration of the first stage of labor was assessed using partograph and APGAR score was assessed using APGAR score assessment sheets. Mann Whitney test was used for data analysis

Results: Findings showed that the duration of the first stage of labor in the experiment group was 187 minutes and in the control group was 307 minutes. Mann Whitney test obtained p-value 0.001 (<0.05), which indicated that there was a statistically significant difference of the duration of the first stage of labor between both groups. However, Mann Whitney test for APGAR score showed p-value 0.114 (>0.05), which indicated that there was no significant difference of APGAR score in the experiment and control group.

Conclusion: There was a significant effect of acupressure on the duration of the first stage of labor, but no effect of the APGAR score. Therefore, acupressure may be recommended to shorten the duration of the first stage of delivery in primigravida.
EFFECTIVENESS OF LAVENDER AROMATHERAPY AND CLASSICAL MUSIC THERAPY IN LOWERING BLOOD PRESSURE IN PREGNANT WOMEN WITH HYPERTENSION
Authors: Maisi Sri , Suryono Suryono , Widyawati Melyana Nurul , Suwondo Ari , Kusworowulan Suryati
Published: February 2019

Background: Hypertension during pregnancy remains high in Indonesia. It is a major cause of maternal death. Aromatherapy lavender and classical music therapy are considered effective in lowering blood pressure in hypertension.

Objective: To examine the effect of lavender aromatherapy and classical music therapy in lowering blood pressure in pregnant women with hypertension.

Methods: A quasi-experimental study with pretest-posttest control group design. There were 52 pregnant women selected using simple random sampling, divided into lavender aromatherapy group, classical music group, combination of aromatherapy and music group, and control group. Sphygmomanometer was used to measure blood pressure. Mann Whitney and Post Hoc test were used for data analysis.

Results: Results showed that four groups had a significant decrease in systolic blood pressure after given intervention with p-value <0.05. The mean decrease of systolic blood pressure among four groups was: lavender group (5.77 mmHg), music group (7.23 mmHg), combination group (9.54 mmHg), and control group (3.67 mmHg); and the mean decrease of diastolic blood pressure was: the lavender group (2.77 mmHg), music group (0.61 mmHg), combination group (8.23 mmHg), and control group (3.42 mmHg).

Conclusion: There was a significant effect of lavender aromatherapy and classical music therapy in lowering blood pressure in pregnant women with hypertension. However, the combination of both interventions was more effective than lavender aromatherapy or music therapy alone.
EFFECT OF PSYCHOEDUCATION ON ANXIETY IN PATIENTS WITH CORONARY HEART DISEASE
Authors: Sulistiyo Yuli , Santoso Bedjo , Shobirun Shobirun , Hadisaputro Soeharyo , Latifah Leni , Endang Pujiastuti Rr Sri
Published: February 2019

Background: Cardiovascular heart disease still remains high in Indonesia. Various interventions have been implemented as an effort to deal with cardiovascular disease. However, little is known about intervention to reduce anxiety in patients with cardiovascular disease although anxiety is related to angina attack in this patient. Psychoeducation is considered effective in decreasing anxiety.

Objective: To examine the effect of psychoeducation in decreasing anxiety in patients with coronary heart disease (CHD) at the General Hospital of Semarang, Indonesia

Methods: This was a quasi-experimental design with pretest posttest control group design. The study was conducted in the inpatient wards of the General Hospital of Semarang on 17 January until 8 March  2017. Fifty-six respondents were recruited using consecutive sampling, with 28 assigned in the experiment and control group. Hamilton Anxiety Rating Scale (HARS) was used to measure anxiety levels. Paired t-test and Independent t-test were used for data analysis.

Results: Paired test showed that there was a statistically significant effect of psychoeducation on anxiety level in the experiment group with p-value 0.001 (<0.05), and significant effect of given a brochure of CHD on the anxiety level in the control group with p-value 0.001 (<0.05). Independent t-test showed a statistically significant difference of anxiety level after intervention in the experiment and control group with p-value 0.001 (<0.05). The mean anxiety level in the experiment group (22.46) was lower than the mean anxiety level in the control group (41.54).

Conclusion: Psychoeducation is effective in reducing anxiety levels in patients with CHD. It is suggested that psychoeducation can be used as one of nursing intervention in an effort to reduce anxiety in patients with CHD.
EFFECT OF PREGNANCY EXERCISE ON DURATION OF THE FIRST AND SECOND STAGE OF LABOR IN PRIMIGRAVIDA MOTHERS DURING THE THIRD TRIMESTER OF PREGNANCY
Authors: Wahyuni Iin , Pramono Noor , Suherni Titi , Widyawati Melyana Nurul
Published: February 2019

Objective: This study aimed to examine the pregnancy exercise during the third trimester of pregnancy on duration of the first and second stage of labor in primigravida at the Community Health Center of Sukamaju, Bandar Lampung, Indonesia.

Methods: This study employed a quasi-experimental design with posttest-only non-equivalent control group. This study was conducted from 8 January 2017 to 12 February 2017 at the Community Health Center of Sukamaju. Forty-eight primigravida mothers were selected using consecutive sampling, with 24 assigned in the experiment and control group. Data were analyzed using Mann Whitney and Chi Square test.

Results: The average duration of the first stage of labor in the experiment group was 495 minutes and in the control group was 685 minutes (p= 0.000); while the average duration of the second stage of labor in the experiment group was 42.5 minutes and in the control group was 68.75 minutes (p=0.000).

Conclusion: There was a statistically significant difference in the duration of the first and second stage of labor between experiment and control group. It is expected for midwives in the community health centers to implement pregnancy exercise program to help mothers in accelerating the delivery process.
NURSING STUDENTS’ BARRIERS IN CARING FOR SCHIZOPHRENIA PATIENTS WITH VIOLENCE RISK
Authors: Erawati Erna
Published: February 2019

Background: There is a general consensus that schizophrenia patients have a greater risk to become violent. Caring for schizophrenia patients with risk of violence presents difficult clinical challenges, and it complicates the efforts of nursing student. Analysis of nursing student' barriers may lead to improve nursing management of risk of violence.

Objective: The aim of this study is to explore the nursing student barriers in for caring schizophrenia patients with violence risk.

Method: A total sample of 22 nursing students completed their experience through reflective diary during clinical placements. The qualitative data were explored by thematic content analysis method using NVivo.

Results: Three themes were emerged from the data included: emotions, personal experience, and inadequate communication skills.

Conclusion: These themes reflected the barrier of the nursing students when they applied nursing care toward schizophrenia patient with violence risk. Knowing the barriers is very important for successful violence risk management for nursing student.
EFFECT OF EDUCATIONAL INTERVENTION ON FAMILY SUPPORT FOR PREGNANT WOMEN IN PREVENTING ANEMIA
Authors: Triharini Mira , Armini Ni Ketut Alit , Nastiti Aria Aulia
Published: February 2019

Background: Anemia during pregnancy is a major nutritional problem that can cause health problems for mothers and their fetus. Prevention of anemia has been done but many obstacles are perceived by pregnant women. Families need to provide support to improve the prevention behavior of anemia.
Objective: This research aims to explore the effect of educational intervention on family support for pregnant women  in preventing anemia.
Methods: A quasi-experimental design was carried out on 60 pregnant women who had done pregnancy checkups at Community Health Centre and had received iron supplement, in which 30 women were in the experimental group and the rests were in the control group. This study was conducted from December 2016 to January 2017. Family support was measured using questionnaires before and after educational intervention.
Results: After educational intervention, there was a significant change from the pretest score to the posttest score in the experimental group (p<0.05). There was an increase in the average score in the experimental group, 14.47 ± 2.89 becomes 16.83 ± 2.32.
Conclusion: Educational interventions can increase family support for maternal behavior in preventing pregnancy anemia such as improving adherence to taking iron supplements and high intake of food containing iron.
EFFECT OF FAMILY PSYCHOEDUCATION ON CAREGIVER SUPPORT IN THE TREATMENT OF PATIENTS WITH TYPE II DIABETES MELLITUS
Authors: Siswoaribowo Andika , Sakundarno Mateus , Mu’in Muhammad
Published: February 2019

Background: Diabetes Mellitus is a chronic disease that requires treatment for long periods of time so it can cause physical and psychological problems for sufferers and families (caregiver). Caregiver's role is expected to provide support for people with diabetes mellitus. Family psychoeducation is a strategy that can be applied for caregiver in overcoming problems that arise during the treatment of patients with diabetes mellitus.

Objective: This study aims to determine the effect of family psychoeducation on caregiver support in the treatment of patients with type II diabetes mellitus.

Methods: This research used a quasi-experiment with  pre-test post-test control group design. A total of 46 caregivers and patients with diabetes mellitus were recruited purposively, with 23 respondents assigned in the experiment and control group. Caregiver support scale was used to measure caregiver support, and Hensarling Diabetes Family Support Scale (HDFSS) for measuring perception of patients toward the treatment of caregiver.  Data were analyzed using paired t-test and independent t-test. 

Results: Findings showed there was an increase of caregiver knowledge from 5.39 to 9.09 and an improvement of caregiver treatment from 40.30 to 67.04 after given family psychoeducation. There was a significant difference of caregiver support in the experimental and control group with p-value <0.001 (<0.05).

Conclusion: Family psychoeducation can increase caregiver support in the treatment of diabetes mellitus patients. The intervention can be one of nurses’ interventions in the empowerment of family in improving the treatment of chronic diseases, particularly in diabetes mellitus.
MUSIC AND AROMATHERAPY: A GOOD COMBINATION FOR REDUCING ANXIETY AND STABILIZING NON-INVASIVE HEMODYNAMIC STATUS IN PATIENTS IN THE INTENSIVE CARE UNIT
Authors: Kumala Ferry , Fatmasari Diyah , Lestari Kurniati Puji , Hadisaputro Suharyo
Published: February 2019

Background: Combining musical and aromatherapy therapy is expected to have a stronger effect in the reduction of anxiety and non-invasive hemodynamic stability.

Objective: To examine the effect of the combination of music and aromatherapy on anxiety and non-invasive hemodynamic in patients in the intensive care unit.

Methods: This was a quasi-experimental study with non-equivalent group. An experimental group was given a combined musical and aromatherapy, while a control group was given music therapy. Thirty respondents were selected using accidental sampling, with 15 randomly assigned in the music group and the combination group. HARS scale (Hamilton Anxiety Rating Scale) was used to measure anxiety. Non-invasive hemodynamic status such as blood pressure and heart rate were documented in the observation sheet. Paired t-test and one-way ANOVA were used for data analysis.

Results: There were significant effects of combination therapy on anxiety (p=0.001), diastole (p=0.004) and heart rate (p=0.031), but no significant effect on systole (p=0.387). The music therapy alone had a significant effect on anxiety (p=0.001), systole (p=0.047), and diastole (p=0.037).

Conclusion: The combination of music and aromatherapy had a greater effect than the music therapy alone in decreasing anxiety and stabilizing diastolic blood pressure and heart rate. This therapy can be used as an alternative in nursing interventions and as an input to develop standard of operational procedure for anxiety and non-invasive hemodynamic stability.
EFFECT OF BRAIN EXERCISE AND BENSON RELAXATION THERAPY ON DEPRESSION LEVEL IN THE ELDERLY IN THE ELDERLY SOCIAL SERVICE UNIT
Authors: Wulansari Wulansari , Margawati Ani , Hadi W Rita
Published: February 2019

Background: Depression is one of the most common psychosocial problems in the elderly. The incidence of depression in the elderly is greater in the elderly living in the social service unit than the elderly in the community. Management of depression in the elderly should be more emphasized on interventions that focus on the individual needs of the biopsychosocial and spiritual aspects. Brain gym therapy and Benson relaxation are considered appropriate in decreasing depression.

Objective: This study was to determine the effect of brain exercise and Benson relaxation on the level of depression in elderly in the elderly social service unit.

Methods: This was a quasi-experimental study with pretest posttest control group design. Fifty-six elderly included in this study, which 28 assigned in the experiment and control group. The depression level was assessed using Geriatric Depression Scale (GDS). Wilcoxon and Mann-Whitney test were used for data analyses.

Results: The study showed that the mean GDS score in the experiment group before the intervention was 7.21, while the mean value of GDS in the control group was 6.64. The mean value of GDS in the experiment group after the intervention was 5.04 and the mean in control group was 6.18. There was a significant difference of GDS score between experiment and control group with p-value of 0.021 (<0.05).

Conclusion: There was a significant effect of brain gymnastics and Benson relaxation therapy in reducing depression in elderly. brain gymnastic therapy and Benson relaxation can be one of independent nursing interventions as an effort to improve care for elderly groups.
THE EFFECT OF ANEMIA ON THE INCIDENCE OF PREMATURE RUPTURE OF MEMBRANE (PROM) IN KERTHA USADA HOSPITAL, SINGARAJA, BALI
Authors: Pratiwi Putu Irma , Emilia Ova , Kartini Farida
Published: February 2019

Background: Premature Rupture of Membranes (PROM) causes morbidity and mortality complications in both maternal and perinatal. Pregnancy with anemia where low hemoglobin level which is less than 11.1 g / dL can be the cause of PROM through biological mechanisms and mechanisms of disease.

Objective: This study aims to compare the risk of PROM between anemic maternal mothers and non-anemic maternal mothers.

Methods: A case-control study was conducted on the maternal mothers at Kertha Usada Singaraja Bali Hospital, with 106 cases and 106 controls, using maternity medical records data in January-December 2016. The cases and controls were adjusted to the parity. The data were collected using questionnaires consisting of 2 parts: the first part was about the demographic characteristics, and the second part was about the time of membrane rupture and hemoglobin level at the delivery. The obtained data were analysed using descriptive and analytic statistics on the computer program.

Result: On univariable analysis, the prevalence of PROM equalled to 28,3% in maternal anemia group. In bivariate analysis, the risk factors of were anemia status, maternal activity, and maternal age (p <0.05). A multivariable analysis of conditional logistic regression analysis, controlling the possibility of confounding factors, showed that pregnant women with anemia would be at risk of PROM 3.59 times greater than non-anemic mothers (OR = 3.59, 95% CI = 1.82-7, 09).

Conclusion: The risk of PROM is higher in anemic maternal mothers than in non-anemic mothers, after homogenising with parity variables.
TOWARD AN UNDERSTANDING OF NURSING KNOWLEDGE DEVELOPMENT
Authors: Thanh Tuyen Le Thi
Published: February 2019

As nurses, we seek to better understand how to apply nursing knowledge in our daily practice. Nowadays, the term philosophy is widening used in many areas, including nursing. However, there is existence of unclear understanding about nursing knowledge development derived from standpoint of philosophical and methodological perspectives. This article discusses about this issue and mainly focus on empiricism, post positivistic view, the philosophy of Buddhism and an example related to asthma.
THE EFFECTS OF SPIRITUAL COUNSELING ON THE ANXIETY LEVEL OF PATIENT’S FAMILY AT THE INTENSIVE CARE UNIT (ICU) OF DR. DRADJAT PRAWIRANEGARA HOSPITAL IN SERANG, BANTEN PROVINCE, INDONESIA
Authors: Lukmanulhakim Lukmanulhakim , Syukrowardi Delly Arfa
Published: February 2019

Background: Critical nursing is a specific service in giving a holistic nursing service to fulfill human response to a life-threatening problem. A critical nurse can give a social support to patient’s family through assessment, counseling, and supporting group. Counseling is combination between high technology physical caring and emotional caring, which is needed by patients and the family. Spiritual counseling is a complementary medication preferred by the family of patient who is in acute and critical care. Objective: The study aimed to identify the effects of spiritual counseling on the anxiety level of patient’s family at the ICU of dr. Dradjat Prawiranegara Hospital in Serang, Banten Province, Indonesia. Methods: The study was a pre-experimental research with one group pre-test and post-test design. The samples were 25 respondents selected using consecutive sampling technique during one month (May to June 2016). The data of anxiety level were collected using HAR-S (Hamilton Rating Scale for Anxiety) questionnaire. The data were analyzed using parametrical t-test paired sample for the variable of anxiety before and after giving spiritual counseling. Meanwhile, the variable of respondents’ characteristics to anxiety was analyzed by using independent sample test. Results: The study found that the mean of respondents’ anxiety level before spiritual counseling was 33.44 and the standard deviation was 5.213. Meanwhile, after conducting spiritual counseling, the mean was 18.60 and the standard deviation was 2.582. Bivariate analysis result showed a significant difference between anxiety level of patient’s family in ICU (Intensive Care Unit) before and after conducting spiritual counseling in which p value was 0.000, with the mean value of 14.840 and SD of 5.437. Conclusion: Nurses should be more capable in implementing the intervention of spiritual counseling to patient’s family. Spiritual counseling can give a positive alteration to the family emotional situation. It impacts on the decrease of patient’s family anxiety level. By the decrease of family anxiety level, the possibility of doing mistake in decision-making is expected to be avoided.
THE APPLICATION OF ART THERAPY TO REDUCE THE LEVEL OF DEPRESSION IN PATIENTS WITH HEMODIALYSIS
Authors: Fatmawati Atikah , Soelaeman M. Rachmat , Rafiyah Imas
Published: February 2019

Background: Depression can occur in patients with chronic kidney disease undergoing hemodialysis and can lead to decreased quality of life, and will have a two-fold risk for the occurrence of death and hospitalization.
Objective: The purpose of this study was to identify the effects of art therapy on the level of depression patients with hemodialysis.
Methods: This study used a quasi-experimental method with pretest posttest with control group design. Collecting data using questionnaires of Beck Depression Inventory (BDI-II) versions of Indonesia, which was done twice, before and after art therapy intervention. Data were analyzed using paired t-test and unpaired t-test.
Results: The results showed that after given intervention of art therapy there were differences in the average scores of depression in the intervention group (t = 0.764; p-value = 0.000). Art therapy is a medium to expose and express the feelings, fears or perceived problem, so it can be used as an adaptive coping method in patients with chronic kidney disease undergoing hemodialysis.
Conclusion: It is concluded that art therapy could reduce depression in patients with chronic kidney disease undergoing hemodialysis. Nurses can act as a facilitator to provide art-based therapy in order to improve the ability of psychological adaptation in patients with chronic kidney disease undergoing hemodialysis.
FATIGUE IN PATIENTS WITH CHOLANGIOCARCINOMA: TREAT OR WAIT-AND-SEE?
Authors: Maninet Surachai , Chanbunlawat Khwanprapat
Published: February 2019

N/A
EFFECT OF LO'I KARANA ON PAIN LEVEL IN POSTPARTUM MOTHERS
Authors: Hendari Rini , Ahmad Dahlan H , Haris A
Published: February 2019

Background: Lo'i karana is one type of traditional therapies that has existed for more than one hundred years in the midst of society of Bima and Dompu to overcome the discomfort due to labor. However, lack of research has been conducted to examine its effect on pain in postpartum mothers.

Objective: To examine the effect of Lo’i karana on muscle pain in postpartum mothers.

Methods: This was a quasi-experimental study with posttest only control group design. Thirty mothers were selected using purposive sampling, which 10 assigned in 3 groups (standard-dose group, minimal-dose group, and maximal-dose group). Wong-Baker Faces Pain rating scale was used to measure pain on day 1 and day 3. Kruskal-Wallis Test and Mann Whitney test were used for data analysis. 

Results: There were significant effects of Lo’i karana in minimal, standard and maximal dosage on pain level in the first day (p=0.004) and the third day (p=0.009) in postpartum mothers. The results revealed that the higher doses were used for the treatment, the less pain of the mothers would be. 

Conclusion: Lo’i karana has a significant effect in reducing pain level in postpartum mothers. It is recommended that this intervention can be applied as a part of nursing intervention in caring postpartum mothers.
BURDEN AMONG FAMILY CAREGIVERS OF ADVANCED-CANCER PATIENTS IN INDONESIA
Authors: Sari Ike Wuri Winahyu , Warsini Sri , Effendy Christantie
Published: February 2019

Background: There have been various studies into the family caregivers’ experiences in taking care of advanced-cancer patients. But a study exploring the burden among family caregivers has not yet been conducted in Indonesia, a country which has strong family bonds among family members.

Objective: This present study aimed to identify the burden among family caregivers of advanced cancer patients.

Methods: This study was a cross-sectional study conducted from December 2016 to February 2017 on 178 consenting family caregivers and advanced cancer patients, selected using a purposive sampling technique. The Caregiver Reaction Assessment (CRA) was used to measure their burden. Data were analyzed using descriptive analyzes and bivariate analyzes.

Results: The burden among family caregivers was 2.38 ± 0.38 (mean range 1-5). The highest burden was in the disrupted schedule domain.

Conclusion: Our findings identified that the burden among family caregivers was at the medium level. The length of care per day and family support are potential targets for preventative intervention strategies to reduce the burden among the family caregivers.
FACTORS AFFECTING QUALITY OF LIFE AND LEVEL OF SOCIAL SUPPORT IN CANCER PATIENTS
Authors: Bakan Ayse Berivan , Guraksin Asuman
Published: February 2019

Background: When people face health problems, their life satisfaction levels and social relations could be ruined. When it comes to an eerie, deadly and chronic disease like cancer, the individual is much more likely to be affected by it.

Objective: This descriptive study aims to identify quality of life and level of social support and the affecting factors in cancer patients.

Methods: The sample included 170 patients who applied to internal diseases, radiation oncology, thorax diseases clinics and chemotherapy polyclinic in a university hospital in Turkey between March and August, 2005, who met the research criteria, and who volunteered to participate in the study. The sample represented 20 % of the target population. Data were collected through SF-36 Quality of Life Scale and Multidimensional Scale of perceived social support.

Results: The patients’ global quality of life mean score was found 38.67 ± 13.64, and mean score for the perceived social support was found 59.19 ± 17.5. Global quality of life score was higher in those who underwent an operation and who received ambulatory health care. Although global quality of life was not influenced by the gender variable, male patients’ level of well-being was found to be higher. Perceived social support total score was found to be higher in those who knew about their disease. Family support was found to be higher in those who were married and who lived in town; it was found to be low in those who had low socio-economic level and who received inpatient treatment. Friend support was found to be high in those who knew about their disease.

Conclusion: There was a linear relationship between perceived social support and quality of life. It is recommended that more studies with wider groups of participants would shed more light to the issue of identifying quality of life, social support level and the relationships between them in cancer patients.
EFFECT OF LIGHT AND MEDIUM INTENSITY BRAIN GYMNASTICS ON THE IMPROVEMENT OF COGNITIVE FUNCTION IN ELDERLY
Authors: Parellangi Parellangi , Loriana Rina , Firdaus Rivan
Published: February 2019

Background: Decreased brain aging is due to impaired cognitive function. One effort to inhibit cognitive decline due to aging is by doing brain gym.

Objective: This study aims to examine the effect of light and medium intensity brain gymnastic on the improvement of cognitive function of elderly, and compare its result between the two intervention.

Methods: This was an experimental research with pre-test and post-test group design conducted in 2016. There were 66 people included in this study, which 33 randomly assigned in the light intensity brain gymnastic group (group I) and medium intensity brain gymnastic group (group II). Mini Mental State Examination (MMSE) questionnaires was used to measure cognitive function of elderly. Data were analyzed using univariate and bivariate analysis. Bivariate analysis used paired t-test and independent sample t-test.

Results: Findings of this study reveal that there was a significant effect of light and medium intensity brain gymnastic on the improvement of cognitive function of elderly (p=0.000). However, light intensity brain gymnastics (mean= 6.61) is better in improving the cognitive function of the elderly compared with medium intensity brain gymnastics (mean 2.18), with p=0.000, respectively.

Conclusions: Brain gymnastic with light intensity for 10 minutes per exercise with frequency of 3 times a week is more effective in improving the cognitive function of the elderly compared with brain gymnastic with medium intensity for 15 minutes per exercise with frequency of two times a week.
SELF-EFFICACY, PSYCHOLOGICAL STRESS, FAMILY SUPPORT, AND EATING BEHAVIOR ON TYPE 2 DIABETES MELLITUS
Authors: Putra Kusuma Wijaya ridi , Toonsiri Chanandchidadussadee , Junprasert Suwanna
Published: February 2019

Background: Diabetes mellitus (DM) is one of the leading causes of death and it is caused by genetics, nutrition, and unhealthy behaviors. Therefore, changes in lifestyle associated with eating behaviors in diabetes mellitus patients greatly impact on their quality of life. There are many factors related with changes in lifestyle of diabetes mellitus patients, especially eating behaviors.

Purpose: This study aims to examine the relationships between self-efficacy, psychological stress, family support, and eating behaviors among type 2 diabetes mellitus (T2DM) patients in Sidoarjo, Indonesia.

Method: A total of 117 T2DM patients from the Sidoarjo Community Health Center were included in the analysis. Using SPSS IBM 21.0 program, Pearson product moment correlation was performed to analyze data.

Results: The findings showed that self-efficacy and family support had a positive relationship with eating behaviors (r = .692, p < .001; r = .683, p < .001, respectively). Psychological stress had a negative relationship with eating behaviors (r = -.327, p < .001).

Conclusion: Self-efficacy, family support, and psychological stress had relationships with eating behaviors. Nurses should pay attention to these factors that make T2DM patients having a long-term commitment in healthy eating behaviors.
FACTORS ASSOCIATED WITH POOR GLYCEMIC CONTROL AMONG TYPE 2 DIABETES MELLITUS IN INDONESIA
Authors: Pamungkas Rian Adi , Hadijah St. , Mayasari Andi , Nusdin Nusdin
Published: February 2019

Background: Type 2 Diabetes mellitus becomes the public health problem worldwide. Reasons for poor glycemic control in Type 2 diabetes are complex.Objectives: To determine factors contributed to poor glycemic control among Indonesian patients with Type 2 Diabetes mellitus.Methods: This was a cross sectional regression study. There were 70 respondents selected using purposive sampling. Pre-structured questionnaires were used to measure socio demographic, clinical characteristics, self-care management behaviors, medication adherence, barriers to adherence, and family support. Data were analyzed using chi-square and binary logistic regression.Results: Poor glycemic control was defined as HbA1c ≥7% or FBG ≥200 mg/dl. Findings of this study reported that 83% patients had or FBG ≥200 mg/dl, which confirmed as poor glycemic control. Logistic regression showed that increasing duration of diabetes (> 5 years), non-adherence to dietary behaviors recommendation through selecting healthy diet, arranging a meal plan, recognizing the amount calorie needs, managing dietary behaviors challenges, medication adherence, and family support were significantly influence poor glycemic control with increased odds ratio scores.Conclusion: The proportion of patients with poor glycemic control was raised. Increasing duration of diabetes, non- adherence to medication and dietary behaviors management, and lack of family support were associated with poor glycemic control. Thus, integration of diabetes self-management program with social support is needed to deal with patients’ need to achieve the great benefits in diabetes care.
RELATIONSHIP BETWEEN DEMOGRAPHIC CHARACTERISTICS AND SPIRITUAL WELLBEING AMONG CANCER SURVIVORS
Authors: Suara Eviwindha , Mardiyono Mardiyono , Anggorowati Anggorowati
Published: February 2019

Background: Spiritual wellbeing (SWB) is an important quality-of-life dimension for cancer patients. Therefore, health professionals are demanded to improve SWB in these patients. A deeper understanding regarding the factors associated with SWB is needed.

Objective: This study aims to examine the relationships of demographic characteristics of patients and spiritual wellbeing in patients with cancer.

Methods: This was a cross-sectional correlational study with 60 respondents recruited using consecutive sampling. A spiritual wellbeing scale (SWBS) was used, and data were analyzed using Kendall's Tau and Spearman's rank.

Results: Findings in this study showed that only age was statistically significant with spiritual wellbeing of cancer patients with p-value 0.003 (<0.05). There were no significant relationships of gender, education, occupation, long suffering, and type of cancers with spiritual wellbeing with p-value >0.05.

Conclusion: There was a significant relationship between age and spiritual wellbeing in patients with cancer. This study provides the insight of knowledge regarding the factors affecting spiritual wellbeing in patients with cancer.
PERANAN E-GOVERNMENT DALAM PELAYANAN PUBLIK KECAMATAN KOTA AGUNG (Studi kasus : E-Government Kabupaten lahat)
Authors: Meidiansyah Iski , Antoni Darius , Akbar Muhamad
Published: February 2019

The use of E-Government becomes an inseparable part of public activity. Therefore, the development and improvement of E-Government should always be done considering the current technology has been developed, especially in the interface or interface. In an effort to achieve the efficiency of the role of e-government in public service using RBV theory is important enough, let alone related to the satisfaction of use, the feasibility of website display, information system satisfaction, and others. The e-government Portal Website is used as a product, public service and community use satisfaction in Lahat District. This website is also used as a means of agency information. Review of Website utilization e-government portal needs to be done to measure from user satisfaction level. To measure the level of user satisfaction / Website users. Lahat District as one of the local Governments in South Sumatra has been using E-Government in the performance process. The purpose of this research is to generate a good usability value, so that later will provide input to Lahat Regency about the development of E-Government. The method in this research is action research using descriptive research with quantitative approach. Testing is done by Partial Least Square method, as a benchmark to generate public satisfaction. Based on the discussion then in this study obtained the conclusion that the e-Government interface of Lahat Regency currently does not reach the ideal usability level then the researcher gives the proposal to provide training to the public
Фестивація культуротворчості в просторі повсякденності
Authors: Babushka Larisa
Published: February 2019

Мета роботи. З’ясувати специфіку фестивації як феномену сучасної культури та її вплив на моделі культуротворчості, які формувалися в ході еволюційного розвитку свята, оскільки вони тією чи іншою мірою відображають як теоретичні, так і практичні проблеми сьогодення. Методологія дослідження передбачає застосування діалектичного, компаративного та соціокультурного підходів, які на засадах взаємодоповнення покладено в основу розвідки. Наукова новизна дослідження полягає в тому, що вперше здійснений соціокультурний аналіз фестивації та досліджена логіка становлення її нового формату в світоглядних проекціях глобалізму та альтерглобалізму. Висновки. По-перше, фестивація – сучасна святкова культура – спрямовує до такої особливості глобалізаційних та альтерглобалізаційних стратегій як гіперболізації впливу повсякденності на форми й напрямки активності людини, домінуючими рисами якої є утилітарно-прагматичний характер універсальних структурних елементів. По-друге, відмінність буденної культури від повсякденної полягає в тому, що перша характеризується виконанням рутинних щоденних обов'язків, у той час як повсякденна культура постає актуалізацією всього обсягу культури в повсякденній практиці. По-третє, фестивація є особливою формою культуротворення, утримуючи свою поліфункціональну природу, проявляється в гібридності сучасної та традиційної культур.
Взаємозв’язок канону/традицій та сучасного художнього осмислення Богородичного ідеалу в українському живописі
Authors: Savenko Marina
Published: February 2019

У статті досліджується ґенезис образу Богородиці в художньому мистецтві християнської епохи. На прикладі історико-культурологічного аналізу іконографічних зображень Богоматері вивчається взаємозв'язок канону/традицій і сучасного втілення Богородичного ідеалу в християнському мистецтві, зокрема в сучасному українському живописі.
Фуга М. Равеля з фортепіанної сюїти «Гробниця Куперена» як взірець стретної імітації
Authors: Duhina Tetiana
Published: February 2019

Представлений поліфонічний аналіз єдиної фуги в творчості М. Равеля, яка часто згадується в музичних роботах, але докладно не аналізується. Акцент зроблено на особливостях стретної імітації, головного засобу розвитку. На перший погляд традиційна триголосна фуга (однотипна з утриманим протискладенням, трьохчастинна, стійко-тональна) має своєрідні тему і утримане протискладeння (майже другу тему). Тринадцять стрет, в яких по черзі змінюються тема та протискладення, неухильно ускладнюють початковий тематизм, змінюють його, формуючи арки один з одним, створюючи обманні ситуації «неполіфонічної» фактури, показуючи напружену ладову роботу. Фуга демонструє високий рівень поліфонічного майстерності композитора.
Ментальна мапа: Париж у вербальних текстах М. Глінки
Authors: Idrisova Sevindzh
Published: February 2019

В останні десятиліття у сучасній гуманітаристиці в цілому, та музикознавстві, зокрема, – поступово актуалізувалась тенденція до міждисциплінарного підходу. Застосування у нашому дослідженні карти міста, як допоміжного ресурсу, – дозволяє візуалізувати інформацію про можливості реалізації музиканта у міському контексті. Враховуючи це, у даній статті на основі вербальних текстів М. Глінки були розглянуті паризькі локації, які пов’язані з життєвим простором композитора.
«Управляемая толпа» в опере-оратории Карла Орфа «Die Bernauerin»
Authors: Zilberman Yuri
Published: February 2019

В статье рассматривается малоизученная опера-оратория К. Орфа «Бернауерин». Автор стремится виявить причины обращения композитора к средневековой балладе в качестве литературной основы либретто, а также определить значение «управляемой толпы» в выбранном произведении.
Д. М. Гнатюк і вітчизняне оперне виконавство (становлення особистості)
Authors: Bondarchuk Viktor
Published: February 2019

Тема висвітлює період, який став знаменним у творчій біографії Д. Гнатюка – період його навчання у Київській консерваторії. У дослідженні сфокусовано увагу на біографічних аспектах митця, які, будучи закріпленими в контекст вітчизняної соціокультурної динаміки середини ХХ століття дають можливість осягнути вектори не тільки музичної освіти, а й прослідкувати рух загальних культурно-мистецьких тенденцій часу.
Російські митці у формуванні духового виконавства й педагогіки в Україні у XVII–XVIII ст.
Authors: Malinovska Ripzime
Published: February 2019

У статті проаналізовано роль російських митців у формуванні духового виконавства й педагогіки в Україні у XVII–XVIII ст. Прослідковано історичні передумови розвитку української музичної культури XVII–XVIII ст. Виокремлено трьох видатних українських композиторів XVIII ст., А. Веделя, М. Березовського та Д. Бортнянського, доля яких була тісно пов’язана з Росією, а саме – з Петербургом. Автором з’ясовано, що в той час у Росії опинилася велика кількість українських музикантів, котрі переносили сюди досягнення української музики і брали участь у розбудові російської музичної культури.
Інтертекстуальна система «композитор–фольклор»
Authors: Zlotnik Oleksandr
Published: February 2019

Метою дослідження є здійснення теоретичного аналізу проблематики взаємодії теорії інтертекстуальності та теорії переінтонування фольклору у композиторській творчості. Методологія дослідження побудована на міждисциплінарному інтегруванні методів сучасної філософії, культурології та мистецтвознавства. Наукова новизна одержаних результатів визначається тим, що процес переінтонування фольклорних витоків у композиторській творчості розглядається та методологічно осмислюється в ракурсі дихотомії «своє – чуже», тобто в якості інтертексту. Висновки. Обґрунтовуючи методологічну доцільність інтертекстуального підходу, відзначимо, що в системі «композитор–фольклор» інтертекст і його елементи виявляють загальні властивості гетеролексичності, композиційної та стильової варіабельності. Так, текстова різноманітність фольклорно-жанрового інтертексту представлена матеріалом від цитати до оригінальних авторсько-стильових тем або дрібних компонентів фольклорності в авторському тематизмі, а різноманітність стильового контексту автора простягається від класики до авангарду та змішаних технік ХХІ ст. В інтертекстуальній системі «композитор – фольклор» вибудовується типізація, що як і раніше виражена в інваріантній атрибутиці, генетично притаманній фольклорному жанру. Але тепер, під час конструювання в результаті композиторської роботи, вона набуває рис жанрово-стильової та семантичної дуалістичності. Структурно-семантична атрибутика фольклорного жанру в цьому контексті виражена узагальнено, але не в фольклорно-традиційному, а в стилізованому вигляді та має на увазі присутність авторського компонента.
”Man ser på kroppen att de hör pulsen”
Authors: Ahlstrand Pernilla
Published: February 2019

Sju grundskolelärare i musik har arbetat med learning study för att undersöka lärandeobjektet sväng i olika rytmiska mönster. Studien visar hur undervisning har designats för att ge eleverna möjligheter att känna pulsen i kroppen och utveckla tajming. I den här artikeln fokuseras och diskuteras resultaten av genomförd studie.
Anmäld till Skolinspektionen
Authors: Nyberg Blixt Magnus
Published: February 2019

Vem som helst som är missnöjd med något i skolan kan anmäla en lärare till Skolinspektionen. Var tredje lärare i Sverige är också rädd för att det ska hända. Kan konsekvensen av detta bli att vi får en skola som vilar på en anmälningskultur snarare än ett lärandefokus?
Skolelever undervisar lärarstudenter om digital kompetens
Authors: Skanetofth Anders , Stenliden Linnea
Published: February 2019

Den digitala samhällsutvecklingen skapar ett gigantiskt paradigmskifte för både skolan och lärarutbildningen. Här kan skolelever spela en viktig roll och bidra till lärarstudenters pedagogiska digitala kompetens.
Tryggare barn på fritidshemmet – börjar med oss själva
Authors: Elvstrand Helene , Hollertz Josefin , Lilja Anton , Nergården Jimmy , Landers Erik , Berggren Annette , Karlsson Elsa
Published: February 2019

Att ha kompisar, få leka och känna sig trygg med både vuxna och barn är något alla elever har rätt att känna och uppleva på sitt fritidshem. På Folkparksskolans fritidshem i Norrköping har vi de senaste åren aktivt arbetat med att utveckla våra arbetsformer för att alla elever ska uppleva glädje och trygghet på vårt fritidshem.
Lärares uppfattning av samarbete med elevhälsan
Authors: Johansson Gaimer Maja , Kreitz-Sandberg Susanne
Published: February 2019

Hur upplever lärarna samarbetet med elevhälsan? Denna artikel presenterar resultat från fokusgrupper och enkäter med lärare om deras upplevelse av samverkan med andra professioner i skolan. Elevhälsan kan inkludera professioner som läkare, psykolog, kurator, sjuksköterska samt speciallärare och specialpedagog. Vilka professioner som är aktuella i olika skolformer kan variera nationellt och internationellt men tillgängligheten verkar vara en nyckelfaktor för ett framgångsrikt elevhälsoarbete.
Output-Only Parameters Identification of Earthquake-Excited Building Structures with Least Squares and Input Modification Process
Authors: Ji Jing , Yang Maomao , Jiang Liangqin , He Jia , Teng Zhenchao , Liu Yingchun , Song Huayu
Published: February 2019

Damage detection and system identification with output-only information is an important but challenging task for ensuring the safety and functionality of civil structures during their service life. In this paper, a relatively simple and efficient iteration identification method consisting of the least squares estimation (LSE) technique and an input modification process is proposed for the simultaneous identification of structural parameters and the unknown ground motion. The spatial distribution characteristics of ground acceleration on earthquake-excited building structures are considered as additional information for parameters identification in each iterative step. First, the unknown input is estimated using the measured responses and the initial guesses of the structural parameters. The estimated input is then modified on the basis of the property of its spatial distribution. This modified input is further employed for providing the updated estimation of structural parameters. The iterative procedure would continue until the preset convergence criterion is satisfied. The accuracy of the proposed approach is numerically validated via a shear building model under the El Centro earthquake. The effects of signal noise, the number of sample points, and the initial guesses of structural parameters are discussed. The results show that the proposed approach can satisfactorily identify the structural parameters and unknown earthquakes.