bluuebunny/crossref_metadata_2025 huggingface dataset:
Model Development of Nursing Student Loyalty in Politeknik of Health
Authors: Hammad Hammad , Nursalam Nursalam , Kurniawati Ninuk Dian
Published: July 2022

Introduction: Loyalty of nursing student is an important factor that nursing education should pay attention in order to compete with other nursing educations; involved by perceived value, expectation, and quality assurance in nursing higher education. The purpose of this study was to develop a loyalty model of nursing student in nursing higher education.Methods: This study was an explanatory research with cross sectional approach. Population were nursing student in Poltekkes Banjarmasin, with 112 samples which is selected by proportional random sampling. Data was collected by giving questionnaire and analyzed by partial least square.Result: Result of this study indicates that was an effect of costumer expectation on quality assurance in nursing higher education, there was effect of costumer expectation on perceived value in nursing student, there was an effect of customer expectation on student satisfaction (4) there was effect of quality assurance in nursing higher education, there wasn’t any affect of quality assurance in nursing higher education on student satisfaction, there was effect of perceived value in nursing student on student satisfaction, there was effect of student satisfaction on student loyalty. Conclusion: Overall result of this research were, student loyalty in nursing higher education developed by student satisfaction. Student satisfaction formed by perceived value. Perceived value developed from two aspects quality assurance, and student expectation, quality assurance of higher education wasn’t directly effect to student sasfaction. However, indirectly effect through student perceived value. Student satisfaction in nursing higher education was stronger effect than any other variable in this loyalty model. Loyalty model in this research can be use for improvement student loyalty on health education that focused on improvement student satisfaction without deny the other aspect. Further research is needed to analyze word of mouth effect on student loyalty.
Family Experience in Handling the Elderly in Cultural Aspects of Indonesia
Authors: Riasmini Ni Made , Sahar Junaiti , Resnayati Yeti
Published: July 2022

Introduction: Extended family culture still exists in Indonesia, and this makes it possible for an elderly person to live with a family. In Indonesia, generally an elderly person is highly respected. This research is meant to gain a picture of an experience that a family has in taking care of an elderly person from the aspect of Indonesian culture.Methods: The design implemented is descriptive phenomenology. The participant is the main caregiver taking care of 10 elderly people. The data is analyzed using Collaizi technique.Result: This research have been identi fi ed 4 themes i.e. 1) the reason for doing it is to fulfi ll the tasks as a member of a family, to reciprocate, to have satisfaction, but for the main caregiver it is just because of closeness and pity, 2) the burden of caring is physical, psychological, social and fi nancial, 3) the perception about culture value is the position and role of the elderly person in the family, and 4) the support or encouragement is obtained from the family and the community.Conclusion: The conclusion is that a family as the main supporting system for the elderly people possesses big responsibility in caring the elderly in accordance with the value of culture in Indonesia. The results of the research are expected to give information about the need of a family as the caregiver in caring the elderly so that a proper intervention form of family enforcement according to the Indonesian culture can be designed.
Family Behavior in Maintenance Status Hb Chronic Renal Failure Patients through Family Centered Care Approach of Diet Fe Management
Authors: Hardianti Anggia Fajar , Widyawati Ika Yuni , Mariyanti Herdina
Published: July 2022

Introduction: Erythropoietic agent as standard practice for anemia treatment, which has a function to increase the value of hemoglobin (Hb) to 12 g/dl in patients with chronic renal failure (CRF), who receiving dialysis treatment. The use of erythropoietin has to keep of the iron/Fe amount in the body. Family who have a duty of care should have knowledge, attitude, and behavior to maintain patient’s Hb by giving support to the patient to obey the Fe diet. The aimed of this study was to investigate the effect of family centered care approach in management Fe diet toward family’s behaviour in maintenance Hb level of CRF patients in hemodialysis ward, Gambiran Hospital, Kediri.Method: This study was used a pre experimental design. Total sample were 10 respondents, who met to inclusion criteria. The independent variables were knowledge, attitude, and psychomotor of family in maintenance of Hb level in CRF’s patients. The dependent variable was Fe diet management with family centered care approach. Data was collected by using a structured questionnaire and home visit observation.Result: Data was analyzed by using Wilcoxon Sign Rank Test with significance level α≤0.05. Results showed that Fe diet management with family centered care approach took effect to family’s knowledge (p=0.011), family’s attitude (p=0.005) and family’s psychomotor (p=0.005) in maintenance Hb level of CRF patients.Conclusion: Family’s knowledge, attitude, and psychomotor were effected by experiences during the care of a patient, not affordable to access information and patient’s own decision. The strengths and weaknesses in the family to got a better plan of care can be made by discuss and sharing among researcher, patient and his family. It can be concluded that Fe diet management with family centered care approach took effect to family’s behaviour. Further studies should involve larger respondents and better measurement tools to obtain more accurate results.
Life Experiences of Patients Suffering end Stage Renal Disease
Authors: Dewi Yulis Setiya , Harmayetti Harmayetti , Kurniawati Ninuk Dian , Wahyuni Erna Dwi , Yasmara Deni , Bakar Abu , I Sukma Randani
Published: July 2022

Introduction: Haemodialysis (HD) is one of therapies to sustain life for people with End Stage Renal Disease (ESRD). HD and ESRD are the source of the stressor for the patients. The purpose of this study was to gain insight about the life experiences of patients suffering from ESRD and coping that they used in dealing with stressors.Methods: This study employed hermeneutic phenomenological study as methodology. Samples were taken at RSU Dr. Soedono Madiun in December 2010–May 2011 using purposive sampling. Participants in this study amounted to 9 people who all male and had suffered kidney failure and undergoing HD for more than 2 years. Data were processed and analysed through the nine stages data interpretation according collaizi.Results: Client's life experiences with HD and coping strategies they used to cope with critical situations have been identified and grouped into several themes. The first theme was the reaction of participants when receiving the diagnosis should undergo HD including: sad, rejection, fear, shock and feelings of resignation and hope. The second theme was perceived to critical situations by clients include shortness of breath, weakness, body swelling, itching, diarrhea and could not urinate. Last theme was the meaning of life in hemodialysis derived from attitudinal values (the values to be) and experiential values (the values of appreciation).Conclusion: Ways in which clients address critical situations were quite diverse. Emotional informational, instrumental supports from spouse or significant other were needed by participants to overcome the critical situation. This study suggests that nurse should perform therapeutic communication to HD patients so that patients may cope with the disease more positively.
Burnout Syndrome in Nursing Students Based on Effect Of Stressor, Relational Meaning and Coping Strategy
Authors: Devi Hilda Mazarina , Nursalam Nursalam , Hidayati Laily
Published: July 2022

Introduction: Professional education program is a program in which nursing students are transformed to become professional nurses. At this level, nursing students will encounter various stressors. The purpose of this study was to analyze the relationship between stressors, relational meaning and coping strategy on burnout syndrome in nursing students who are undergoing professional education.Method: This was a correlational study using cross-sectional approach. Population comprised regular student of nursing profession program at the Faculty of Nursing, Airlangga University. Sample size was determined by simple random sampling and 61 persons were included in the inclusion criteria. Data then analyzed using multiple linear regression test with signi fi cance level ofα < 0.05.Results: This study found that total burnout syndrome was signi fi cantly related to relational meaning (p = 0.005, β = 0.460). Emotional exhaustion was signi fi cantly related to relational meaning (p= 0.001, β = 0.532) and emotion focused coping (p = 0.035, β =0.298). Relational meaning was also signifi cantly related to depersonalization (p = 0.002, β = 0.050). Subsequently, the decline in self-achievement was signi fi cantly related to personal stressors, i.e the number of room mates (p = 0.016, β = 0.344), total learning time/day (p = 0.036, β=0.366) and environmental stressors (workload) (p = 0.039, β = -0.349). Discussion: It is suggested for students to prepare for professional education, and the Faculty of Nursing, Airlangga University, should strengthen the function of academic counselors in terms of preceptorship role model in order to avoid the risk of burnout syndrome when the nursing students undergoing professional education.
Inpatients Nutritional Requirements Indicator at Army Hospital Dr. Soepraoen Malang
Authors: Kumboyono Kumboyono , Vina Vina
Published: July 2022

Introduction: Patient acceptance to diet in fl uences patient intake during the hospitalization. Patient acceptance on meals provided by the hospital can be seen from the left over. Whilst factors which in fl uences patient motivation to finish their meals including addtional food, taste, and adaptation level to the hospital, the aim of this research was to identify factors that related to patient acceptance on meals provided by the hospital in class three ward dr. Soepraoen Hospital, Malang.Method: Descriptive analitic was used as research design with cross-sectional approach. As many as 51 samples were chosen with purposive sampling. Data was analyzed with chi square with 95%signi fi cance.Results: The results showed a signi fi cant relation between additional food and the leftover (p-Value = 0,018). There is signi fi cant relation on the taste and the leftover (p-Value = 0.032) and adaptation level and leftover (p-Value = 0.026).Discussion: It can be concluded that additional food, taste, and adaptation level to the hospital have signi fi cant relation with hospitalized patient acceptance on their diet. It is suggested that nurse pay more attention on these factors to fulfi ll patient nutrition needs during hospitalization.
Nursing Care Knowledge Management Based Training Decrease Nosocomial Infection Inciden in Post Sectio Cesarea Patients
Authors: Ahsan Ahsan , Nursalam Nursalam , Damayanti Nyoman Anita
Published: July 2022

Introduction: Model of nursing care based on knowledge management can reduce the incidence of nosocomial infections through the performance of nurses in the prevention of infection. Nursing care based on knowledge management is established from identi fi cation knowledge which is required, prevention performance of nosocomial infections post caesarean section. Nosocomial infections component consists of wound culture result.Method: This study was an observational study with a quasy experimental design. The population were all of nursing staff who working in obstetrics installation and a number of patients who is treated in hospitals A and B post sectio caesarea. Sample is comparised a total population all the nursing staff who worked in obstetrics installation according to criteria of the sample, and most of patients were taken care by nursing staff post caesarean section which is taken by random sampling 15 patients. Data was collected through observation sheets and examination of the wound culture. Data analysis which is used the t test. Result: The result was showed that there was signi fi cant difference in the incidence of nosocomial infection in patients with post sesctio caesarea in hospital before and after nursing care training based on knowledge management (tvalue = 2.316 and p = 0.028 < α = 0.05 level), and the incidence of nosocomial infection was lower after training than before training.Discussion: It can be concluded that training knowledge management based on nursing care effectives to reduce Incidence of Nosocomial Infections in Patients after Sectio Caesarea.
The Effect of Motivational Interviewing Approach on Motivation and Autonomy of Tb Patient in Lung Tb Treatment
Authors: Fembi Pembronia Nona
Published: July 2022

Introduction: Attitude, knowledge, social support, motivation, and autonomy of client with lung TB are important elements for the successfulness of lung TB treatment. Client with lung TB have disadvantage not only from health aspect, but also from social and economy aspects. This research aimed to analyze the effect of giving motivational interviewing on attitude, knowledge, social support, motivation, and autonomy in lung TB treatment.Method: Research design was quasy experiment with pre-post test control group design. Population was TB patients who visited Puskesmas Kopeta and Puskesmas Wolomarang, Sikka, NTT. Sample were taken by using purposive sampling, 30 responden were included, devided into treatment group (15 persons) and control group (15 persons). Independent variable was motivational interviewing approach, while the dependent variables were motivation, autonomy, knowledge, attitude, and social support according to patient perception. Data were collected using questionnaire. Data were analyzed using MANOVA with signi fi cance level ≤ 0.05. Result: Research result showed that motivational interviewing had significant effect to client’s knowledge (p = 0.000), social support (p = 0,003), motivation (p = 0.000), and autonomy (p = 0.000). But, motivational interviewing had no significant effect to attitude (p = 0.811).Discussion: Giving motivational interviewing can improve motivation and autonomy of lung TB patient in treatment. Further researchers can perform similar research with pure experiment research by modifying other variable and the respondents involving family and with greater sample size.
The Development of Palliative Community Health Nursing to Increase Family’s Autonomy in Caring Patient with Cancer At Home
Authors: Ulfiana Elida , Has Eka Mishbahatul Mar’ah , Rachmawati Praba Diyan
Published: July 2022

Introduction: Cancer still remains a disease with high mortality rate. Sustainable health services for cancer survivors are important to prevent relapse and improve patient’s quality of life. PCHN (Palliative Community Health Nursing) is a packet of community health nursing services given to the family and cancer’s patient at home, focused on promotive and preventive activities. The aim of this study was to analyze the influence of palliative community health nursing to increase family’s autonomy in caring patient with cancer at home.Method: This study was used pre-experiment design. The populations were family who lived with cancer’s patient post treatment. Samples were taken by purposive sampling technique; consist of 7 people. Variable independent was PCHN. Variable dependent were family’s autonomy in caring patient with cancer at home collected by using observation form. The data were then analyzed by using Wilcoxon Signed Rank Test, with α ≤ 0.05.Results: The results had showed the differences between family’s autonomy in caring patient at home before and after PCHN (p = 0.025).Discussion: PCHN can increase family’s autonomy in caring cancer’s patient at home. The implementation of PCHN through home visit can give informational support about cancer and treatment at home to the families. PCHN can be used as one of method to improve palliative services at community, in order to increase cancer’s patient quality of life. Further research, should develop PCHN which involve multidicipline team, such as health care provider, clergy, and health volunteer.
Improving Performance of Nursing Documentation Based on Knowledge Management Through Seci Concept Model’s
Authors: Santoso R. Arief , Pudjirahardjo Widodo J.
Published: July 2022

Introduction: Documentation of nursing care in Kalianget RSI in 2011 was totaled average 58,1% and in 2012 achieve was still low. According the lowest component was nursing diagnosis. This research aims to improve the performance of nursing care documentation based on knowledge management through the SECI Model’s concept in Garam Kalianget RSI Sumenep District.Method: Design of this research was action research. Population and sample in the research of knowledge, motivation and work responsibility were all nurses total ed 29 people. The dependent variable were knowledge, performance, motivation, work responsibility, and performance after intervention knowledge management (KM) and as independent variable in this research was knowledge, performance, and intervention research knowledge management in documentation nursing care. Data were collected by using questionnaires and checklists.Result: The results after the SECI model’s intervention and using Paired t Test with a 95% confidence level of knowledge obtained p = 0.0001 which means that there was a significant knowledge difference between before and after intervention, comparison of performance documenting of nursing care obtained value ρ = 0.004, which means there was a difference significant performance between before and after intervention. Comparison of SBAR effective communication performance values obtained ρ = 0.001, which means there was a significant performance difference between before and after intervention.Discussion: Knowledge management through SECI model’s has important role in improving performance documentation of nursing care and SBAR effective communication. It is recommended to do in forum sharing nurse’s experience or informant in practical communication in periodic, recording, documentation, and keep document well and doing supervision continously especially form nursing care and SBAR effective communication.
Work Atmosphere and Perception on Job As Determinant Factor of Employee’s Intention To Stay in Wahyu Tutuko Police Hospital Bojonegoro
Authors: Damayanti Nyoman Anita
Published: July 2022

Introduction: Many studies suggested that employee intention to stay were determined by job satisfaction, particularly correlated with salary or other economic aspects. However, the initial survey showed that 55 % of employees in Wahyu Tutuko Police Hospital Bojonegoro had a low job satisfaction although still remained in. It seems that there are other factors in determining the employee’s intention to stay; the most possible one is work atmosphere. This study aimed to analyze the relationship between work atmosphere and the employee’s intention to stay.Method: This is an analytical study in observational design study with cross sectional approach. There were 95 employees participated as research sample in accordance with the inclusion and exclusion criteria. Data collected with the questionnaire guides. Work atmosphere variable is associated by the feelings of employees on the job and the work environment includes employment status, pride in the organization, a guarantee of future career and comfort working environment.Result: In order sequences, the main determinant of work atmosphere were associated with the employee’s intention to stay, then the proudness in hospital, comfortable working environment, employment status, confidence of future careers guarantee, a sense of dedication and responsibility. Discussion: This study concluded that beside employee status, the main determinant in predicting intention to stay are work atmosphere, pride on organization and the faith of future in the organization.
Development of Self Regulated Learning Model in Studying Nursing (SRLSN) to Improve Student Learning Competence
Authors: Nahariani Pepin , Nursalam Nursalam , Triharini Mira , Probowati Ririn
Published: July 2022

Introduction: New students at the college have to adjust to the learning process in a way more independent, not dependent on the lecturer, and self-regulation in learning. The purpose of this study is to develop a model of competence SRLSN to increased achievement among undergraduate students in the fourth semester of nursing STIKES Pemkab Jombang.Methods: The design used is explanatory and quasi-experimental pre-post test with control group. The population in this study were 71 nursing students of 4th semester of the academic year 2012–2013. The sample used 60 students with simple random sampling. Data was collected using focus group discussions, observation and questionnaires, then analyzed using regression results.Results: The results showed that the correlation between SRLSN preparation phase and implementation phase of 0.976, the correlation between the phase and the implementation phase has a self-reflection of 0.374, the relationship between the phase of preparation and reflection phase of 0.576. There are significant differences between treatment and control groups on aspects of cognitive competence achievement, competence affective, and psychomotor competencies.Discussion: SRLSN models are systematically formed by the preparation, implementation and reflection phase. The application of the model SRLSN will enhance student learning in the cognitive, affective, and psychomotor in achieving competence. Psychomotor competency has a value greater signi fi cance than other competencies. SRLSN models should be generalized to all learning processes, especially in nursing students.
The Integrated Maternity Management Model Through Promoting and Preventive Encouragement in the Attempts of Lowering the Maternal and Infant Mortality Rates
Authors: Indriyani Diyan , Asmuji Asmuji
Published: July 2022

Introduction: Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain the major indicator in assessing the level of certain country’s health quality. Both of Indonesia’s MMR and IMR levels are high enough compared to other ASEAN countries. To address this problem, a synergic cooperation among the cross-linked authorities is of prime important. One possible alternate option is building the Integrated Maternity Management model through promoting and preventive encouragement particularly designated for rural societies whose knowledge is relatively lower than the ones in urban areas.Methods: This research is conducted in Mumbulsari and Sukorambi Sub-Districts. The data collection techniques used in this research are survey/observation, interview, FGD, in-depth interview and, PRA conducted both to societies (local figures, people at risk, female teenagers, under-aged pregnant mother and young mothers) and local institutions and authorities.Result: This research has been able to formulate the Integrated Maternity Management model through promoting and preventive encouragement particularly designated for rural societies in the attempts of lowering the MMR and IIMR. This model has undergone trial, although the trial is simple in nature, by using the module medias of (1) teenager’s reproductive health which generated the average perception of the teenagers shown by the figure of 58,67 regarding their reproductive health prior to the intervention with minimum score of 30 and maximum score of 85. Meanwhile, upon applying the intervention, the average showed the figure of 81,33 with minimum score of 60 and maximum score of 95. The margin between the pre-test and post-test values reaches the figure of 22,36. This means that the supply of information regarding the module (1) which discusses the health reproductive issue generates better knowledge of those female teenagers concerning the respective issue.Discussion: Therefore, it is suggested that the implementation of the Integrated Maternity Management model through promoting and preventive encouragement put into action by initiating a comprehensive trial in order to generate the most suitable model, respectively.
The Role of Advanced Age and Duration of Infertility on Oocyte Number Retrieved during In Vitro Fertilization
Authors: Hendarto Hendy
Published: July 2022

Introduction: The number of oocytes retrieved during in vitro fertilization related to the success of pregnancy. Today in vitro fertilization has been considered as definitive therapy for infertility problem. Age and duration of infertility is an important factor in infertility that should be evaluated in detail. The purpose of this study was to clarify the role of age and duration of infertility on the number of oocytes retrieved during in vitro fertilization.Method: This was an analytic observational study, including infertile female patients who followed the in vitro fertilization program at Fertility Clinic Graha Amarta Dr Soetomo Hospital Surabaya. Total sampling was conducted during January 1st-June 30th 2014 and found 66 study subjects. Evaluation was performed on age, duration of infertility and the number of oocytes retrieved following ovarian stimulation using FSH and GnRH antagonist injection. All data were analyzed by ANOVA test with level significance of ≤ 0.05.Result: In the group of age <35 years the average number of oocytes retrieved was 9.43 ± 6.29 oocytes, and in the group of age ≥ 35 years averaged number was 6.03 ± 4.67 oocytes. There was significant differences of oocytes number retrieved between the two groups (p = 0.017). The number of oocytes retrieved in group of duration of infertility 1-2 years, 3-4 years and ≥ 5 years were 13.40 ± 3.28 ; 8.64 ± 6.80 and 6.82 ± 5.45, respectively. There was significant differences of oocytes number retrieved between the three groups of duration of infertility (p = 0.017).Discussion: The advanced of age and the longer duration of infertility may contribute to the incidence of the less number of oocytes retrieved in infertile women who follow in vitro fertilization.
The Resilience and Stress on Bacterial Vaginosis among Reproductive Age Women in the Coastal area of Ampenan, Kota Mataram
Authors: Pratiwi Ika Nur , Hapsari Elsi Dwi , Pangastuti Nuring
Published: July 2022

Introduction: Bacterial Vaginosis (BV) is a common vaginal condition produced by overgrowth of anaerobic bacteria. Stress can alter women’s reproductive health in many ways; one of them is increasing the risk for bacterial vaginosis. In facing stressful life conditions, resilience plays an important role to maintain optimal function and prevent traumatic experience.Methods: This research was an analytical observational study with cross sectional design. Questionnaires were given to 104 women in reproductive age between November 2013 and January 2014. Resilience and stress were assessed using The Connor-Davidson Resilience Scale (CD-RISC) and Self Reporting Questionnaire respectively, and bacterial vaginosis status was diagnosed using Amsel’s criteria. Statistical analysis was performed using chi square test and multiple logistic regressions.Results: Bivariate analysis showed significant relations between resilience (p=0,005), stress (p=0,002), frequency of sexual intercourse within 1 week (p= 0,015) and the bacterial vaginosis incidence. Multivariate analysis showed stress was the most influential factor OR=3,9 (95% CI=1,478–10,562).Discussion: Resilience and stress were significantly with increased risk of having bacterial vaginosis.
The Application of Rational-Emotive Behavior Therapy to Reduce Stress among Mother with Leukemia Children
Authors: Arief Yuni Sufyanti , Krisnana Ilya
Published: July 2022

Introduction: A child who is diagnosed with Leukemia will undergo several procedures are long and painful action. During the process of hospitalization due to leukemia children and parents can experience a variety of events or actions handling according to various studies shown by the experience very traumatic and stressful (Supartini 2004 in Arif, SY, 2007). Some of the methods used to deal with anxiety is psikoprofilaksis, relaxation and imagination (Reeder et al., 2011). Rational-emotive behavior therapy by Albert Ellis in 1990 describes a unique man who is basically have a tendency to think rational and irrational.Methods: aim of this study is to explain the effect of Rational Emotive Behavior Therapy (REBT) for stress levels of mothers with children suffering from Leukemia. The study design used was a pre-experiment Quasy-post control group design. The sample was 10 mothers of children diagnosed with leukemia are treated in a child hematology ward Soetomo hospital. Variable in this study is the level of depression and anxiety mothers with children suffering from leukemia.Result: Based on the results obtained Wilcoxon statistical test p = 0.025 in the treatment group and p = 0.32 in the control group. Mann Whitney test results obtained p = 0.012.Conclution: Rational-emotive behavior therapy can reduce levels of depression and anxiety (stress) mothers with children suffering from leukemia. It is expected that the application of rational -emotive behavior therapy can be done to reduce depression and anxiety in women with chronic disease cases while maintaining the effectiveness the goal of REBT.
Bio-psycho-social-spiritual responses of family and relatives of HIV-Infected Indonesian Migrant Workers
Authors: Nursalam Nursalam , Kurniawati Ninuk Dian , Bakar Abu , Purwaningsih Purwaningsih , Asmoro Candra Panji
Published: July 2022

Introduction: Incidence of Human Immunodeficiency Virus (HIV) among Indonesian Migrant Workers (TKI) returning from his destination countries, especially in East Java is quite high. Stress experienced by the patient is affected bythe family member maladaptive behaviors; thus affect healing process and even increased mortality. The purpose of this study was to analyze the response of the bio-psycho-socio-spiritual family of Indonesian Workers who are infected with HIV and compared with the response of non-family workers who are infected with HIV.Method: Research design was comparative to reveal the response of the bio-psycho-socio-spiritual families of HIV-infected familyof migrant workers and non-migrant workers. The population was family of both migrant and non-migrant in two districts in East Java in 2014. Sample of 17 people were recruited by simple random sampling technique. Data were performed at the family home, including biologic response (venous blood sampling for cortisol examination), and measurement of the psychological, social and responses by using questionnaires and interviews. Data were analysed with statistical t test and Mann-Whitney test with a significance level of 0.05.Result: The results showed no differences in the biological response of HIV patients’ families among migrant and non-migrant workers (p = 0.000) although the majority of respondents were in the normal range or not stress. In contrast, the psychology, social and spiritual responsesshowed no statistically significant difference with p = 0.065, p = 0.057, p = 0.243 for psychological, social, and spiritual responses respectively.Discussion: There is a difference in the biological response (cortisol) in the group of family and relatives of patients with HIV among migrant workers compared with non-migrant workers, but there is no statistical difference in the psychological, social and spiritualresponses.
Decrease Risk Behavior HIV Infected on Construction Laborers with Behavior Change Communication (BCC) Approach
Authors: Purwaningsih Purwaningsih , Nasronudin Nasronudin , Qur’aniati Nuzul , Effendi Ferry
Published: July 2022

Introduction: Percentage of HIV-AIDS cases based on the types of work in East Java in 2011 shows that construction workers occupied ranks the top five ranked groups with 249 people (31%) after a group of commercial sex workers (CSWs) group. The purpose of this study was to determine the effectiveness of BCC approach to the reduction of contracting HIV risk behavior in the construction laborers. Method: This study used operational research design. In this study measures the effectiveness of behavior change of construction workers on the prevention of HIV transmission by comparing the behavior of the construction workers before and after the intervention. The subjects of this study were 150 people risk group of construction workers who work and are spread throughout the city of Surabaya. This research was carried out into three phases, namely, phase preintervention research, intervention research, and post-intervention phase of the study. Implemented in the first year and second year praintervensi stage implemented intervention and post-intervention phases.Result: The results of this study showed that 72% of construction workers is productive (18–35 years) and visit his family more than once a month (38%). There is 20% of construction workers had sex with commercial sex workers and no one was using drugs. By 50% of construction workers never get information about HIV/AIDS and as many as 48% never use the services of HIV/AIDS.Discussion: External motivation construction workers associated with the utilization of behavioral HIV/AIDS services with sufficient correlation. Strong external motivation is influenced by risk behaviors of HIV/AIDS were conducted and the desire to get help. Weak external motivation is influenced by a lack of exposure to information related to HIV/AIDS services. The results of the FGD stakeholders have the perception is the same if a construction worker is a high risk group of contracting HIV. Most of the construction workers not have enough knowledge for the prevention of HIV transmission because they do not have access to HIV care and behavior are at risk of contracting HIV by construction workers.
Holistic Learning Model Increase Asetilkoline Level and Caring Behavior on Student in Caring Patiens with Ischemic Stroke
Authors: Widarti Luluk , Maimuna Siti , Wulandari Tanty , Bahrudin Moch
Published: July 2022

Introduction: Holistic learning requires attention and potential of students that covers aspects of intellectual, emotional, physical, artistic, spiritual, and creativity.Methods: This study used a pre-experimental design. The samples in this study were 30 students in semester 2 of nursing diploma Sidoarjo. Samples given intervention in the form of holistic learning, and given a pretest and posttest including measurement of acetylcholine levels by quantitative Elisa technique, and caring behavior by using questionnaires and observations. Data were analyzed using levene’s test, t-test, wilcoxon test and correlation.Results: Statistical analysis showed that there was significant difference in the level of asetilkoline before and after the intervention with p = 0.015, whereas significant differences in caring behavior indicates p = 0.001. The result of correlation test showed that there was significant correlation between the levels of acetylcholine and caring behavior after intervention (r = 0.003).Disscussion: It was concluded that the holistic learning model can improve the asetilkoline levels and caring behavior of the students. Lecturers are encouraged to use the model of holistic learning in teaching students.
The Effect of Transcultural Nursing, Child Healthcare Model and Transtheoretical Model Approaches to Knowledge and Culture of Family
Authors: Erika Kadek Ayu
Published: July 2022

Introduction: Urban lifestyle fueled by excessive food intake in overweight and obese children. Famili esassumethatobese children are healthy and have no health problems. Strategies to improve the knowledge and culture of the family is the approaches of TCN, CHM dan TTM. This study aims to prove the influence of TCN, CHM and TTM to knowledge and culture’s familyin controlling lifestyle of over weight and obese children.Method: This research was conducted in the areas of Biring kanaya and Tamalanrea Subdistricts, Makassar from August 2013 to March 2014. It used the Quasy Experiment design namely pre-test and post-test with control group design. Research subjects were parents of overweight or obese children in the 4th, 5th, and 6th grade of elementary school. There were 31 samples in the treatment group; and 33 samples in the control group. There were selected by using purposive sampling technique. The intervention was given for six months by providing guide books on healthy lifestyle, and visiting the families every month to give questionnaires. The measurements of children’s BMI was conducted by use WHO’s Antrho Plus software, 2007. The data were analyzed by using univariate, bivariate with Independent t-test, Mann-Whitney test and Paired t-test.Result: The results showed that there were differences in mean changes before and after the intervention, namely knowledge of the family with p=0:00 and cultural family with p=0:00.Discussion: It was concluded that the effect of TCN, CHM, and TTM could improve the knowledge and cultural family in controlling lifestyle of overweight and obese children. The importance of health education is given to families with guide books about healthy lifestyles and the impact of child obesity.
How do Families Assess and Manage the Pain of Cancer Patients?
Authors: Ligita Titan , Dewi Ariyani Pradana , Febriyanti Tri Rina
Published: July 2022

Introduction: Pain assessment and pain management for patients living with cancer performed by nurses have been improved gradually. This strategy needs the roles of both nurses and families of patients living with cancer. Prior to the application of effective pain management, it is vital to perform pain assessment. The involvement of families in patients care may assist nurses to optimize caring and thus the patients are monitored continuously. But, there is still limited study about the involvement of families in pain assessment and pain management. This study was aimed to explore how the family performed pain assessment and pain management for patients living with cancer.Method: This was a phenomenology study and also used purposive sampling methods. Participants were family members of patients living with cancer around Pontianak - Indonesia. The datas were collected through in-depth interview in order to revealed some themes/context and was analyzed through Thematic Analysis.Result: The highlighted contexts in this study were the meaning of pain, the impact of pain, the process of pain assessment and pain management carried out by the families, as well as the facilitating factors and the barriers in assessing and managing the pain.Discussion: Experiences of the families in assessing and managing the pain may provide information for nurses about how to fulfil the needs of the family on skills needed. Therefore, the consistency and continuity of pain assessment and pain management are important. Consequently, the nurses must ensure that the family are ready to take care the patients, so that the pain control can be optimal dn side effects can be avoided. The accurity of information about the patients provided by the family may determine the nurse to make decisions in providing best practice for the patients in controlling their pain.
Dietary patterns and alcoholic beverage preference in relation to 10-year cardiovascular disease, hypertension, hypercholesterolemia and diabetes mellitus incidence in the ATTICA cohort study
Authors: Kosti Rena , Tsiampalis Thomas , Kouvari Matina , Chrysohoou Christina , Georgousopoulou Ekavi , Skoumas John , Pitsavos Christos S. , Panagiotakos Demosthenes B.
Published: July 2022

Literature highlights the need for adjustment for diet quality when the effect of alcohol consumption on health is investigated. We sought to define—a-posterior—dietary patterns according to various drinking preferences as well as to evaluate their combined effect against 10-year cardio-metabolic incidence. During 2001–2002, 3042 CVD-free adults consented to participate in the ATTICA study; of them, 2583 completed the 10-year follow-up (85 % participation rate), but precise information about cardio-metabolic incidence was available in 2020 participants (overall retention rate 66 %). Intake per type of alcoholic beverage was assessed and “a posterior” dietary patterns were defined. Results showed that among participants not drinking alcoholic beverages, women adhering more to a healthier dietary pattern had 25 % lower CVD risk within the 10-year study follow-up, while men adhering more to an unhealthy dietary pattern had almost two times higher CVD risk (p-values < 0.05). Among beer drinkers, both men and women adhering more to a healthier dietary pattern were found to have at least 26 % lower risk of developing hypertension and at least 15 % lower risk of developing hypercholesterolemia, while men adhering more to a healthier dietary pattern were also found to have 29 % lower CVD risk (all p-values < 0.05). Similarly, among wine drinkers, women adhering more to a healthier dietary pattern were found to have a 16 % and 52 % lower risk of developing hypertension and diabetes mellitus, respectively, whereas men adhering more to a healthier dietary pattern had 22 % lower CVD risk (all p-values < 0.05). Finally, among spirit drinkers, higher adherence to an unhealthy dietary pattern in both genders had an aggravating effect on cardio-metabolic risk. It seems that the quality of dietary pattern stands out as a critical confounding factor in studies assessing the effect of alcohol consumption on cardio-metabolic risk. A Phytochemical-Rich Dietary Pattern is suggested, particularly among drinkers.
Comment déterminer l'exposition aux changements climatiques des zones de production forestière française ?
Méthodologie utilisée dans le projet ESPERENSE pour cibler les zones d’intérêt pour l’installation d’essais de comparaison d’essences et de provenances
Authors: Kebli Hedi , Perrier Céline , Riou-Nivert Philippe , Rousselle Yves , Legay Myriam , Morneau François
Published: July 2022

Les dernières observations de dépérissements et l’analyse de leurs causes tendent à confirmer la vulnérabilité de certaines des principales essences forestières françaises vis-à-vis des changements climatiques. Conscients de ces enjeux, les gestionnaires s’interrogent sur la conduite et le renouvellement de leurs peuplements. Le réseau multi organismes ESPERENSE se met en place pour rechercher des réponses à ces interrogations via l’organisation d’un réseau d’essais de comparaison d’essences et de provenances. Afin de rationaliser l'effort expérimental, une méthodologie a été établie pour prioriser les zones du territoire métropolitain dans lesquelles une recherche des alternatives aux essences en place doit être menée. Elle consiste à sélectionner les zones à fort enjeu de production de bois, et qui sont en même temps déjà en situation préoccupante ou qui le seront à l’avenir du fait des évolutions du climat en s’appuyant sur 3 différentes approches de modélisation. Le principe consiste donc à évaluer le risque par la combinaison des enjeux et de leur exposition. La démarche de construction de ce zonage est détaillée. Les cartes résultant de ce travail sont mises à disposition pour les principales essences françaises.
Les buprestes : entre menaces et richesses pour les forêts françaises
Authors: Sallé Aurélien , Binon Michel , Saintonge François-Xavier , Bouget Christophe
Published: July 2022

Les buprestes forment une famille d’insectes forestiers, comprenant 155 espèces dans les forêts françaises. Plusieurs taxons peuvent être rares à très rares aussi bien dans les peuplements feuillus que résineux. Leurs larves se développent la plupart du temps dans la partie vivante de l’écorce et plusieurs espèces peuvent aussi être bioagresseurs opportunistes, occasionnant des dégâts sévères aux peuplements affaiblis. Les espèces les plus notables étant Agrilus biguttatus, Coraebus undatus et Coraebus fasciatus sur chênes et Phaenops cyanea sur pins. Aucune espèce exotique envahissante n’est actuellement présente sur le territoire mais plusieurs espèces exotiques, comme Agrilus planipennis, Agrilus bilineatus et Agrilus anxius, requièrent une attention particulière. Les changements climatiques sont susceptibles d’affecter les buprestes forestiers, d’une part parce que ces espèces sont généralement thermophiles et d’autre part car elles pourraient profiter de l’affaiblissement des peuplements suivant des sécheresses sévères. Les suivis du Département de la santé des forêts n’indiquent pas pour le moment de changements inquiétants pour ces espèces dans les chênaies mais une potentielle recrudescence d’activité de P. cyanea dans de nombreux peuplements de pin sylvestre.
Profiles of Motor-cognitive Interference in Parkinson's Disease. The Trail-Walking-Test to Discriminate between Motor Phenotypes
Authors: Klotzbier Thomas J. , Schott Nadja , Almeida Quincy J.
Published: July 2022

Background and Aims. Most research on Parkinson's disease (PD) focuses on describing symp-toms and movement characteristics. Studies rarely focus on the early detection of PD and the search for suitable markers of a prodromal stage. Early detection is important, so treatments that may potentially change the course of the disease can be attempted early on. While gait disturb-ances are less pronounced in the early stages of the disease, the prevalence, and severity increase with disease progression. Therefore, postural instability and gait difficulties could be identified as sensitive biomarkers. The aim was to evaluate the discriminatory power of the Trail-Walking Test (Schott, 2015) as a potential diagnostic instrument to improve the predictive power of the clinical evaluation concerning the severity of the disease and record the different aspects of walking. Methods. 20 older healthy (M = 72.4 years, SD = 5.53) adults and 46 older adults with PD and the motor phenotypes postural instability/gait difficulty (PIGD; M = 69.7 years, SD = 8.68) and tremor dominant (TD; M = 68.2 years, SD = 8.94) participated in the study. The participants performed a motor-cognitive dual task (DT) of increasing cognitive difficulty in which they had to walk a given path (condition 1), walk to numbers in ascending order (condition 2), and walk to numbers and letters alternately and in ascending order (condition 3). Results. With an increase in the cognitive load, the time to complete the tasks (seconds) become longer in all groups, F(1.23, 73.5) = 121, p < .001, ɳ2p = .670. PD-PIGD shows the longest times in all conditions of the TWT, F(2, 60) = 8.15, p < .001, ɳ2p = .214. Mutual interferences in the cognitive and motor domain can be observed. How-ever, clear group-specific patterns cannot be identified. A differentiation between the motor phenotypes of PD is especially feasible with the purely motor condition (TWT-M; AUC = . 685, p = 0.44). Conclusions. PD patients with PIGD must be identified by valid, well-evaluated clinical tests that allow a precise assessment of the disease's individual fall risk, the severity of the dis-ease, and the prognosis of progression. The TWT covers various aspects of mobility, examines the relationship between cognitive functions and walking, and enables differentiation of the motor phenotypes of PD.