(JKG) Jurnal Keperawatan Global

Nursing Students’ Clinical Confidence In Caring Tuberculosis: Indonesian Version Of The U.S Tuberculosis Curriculum Consortium Survey Using Rasch Analysis

Theresia Theresia — 2023-02-13

Background: Nursing students who are prepared in clinical practicums to comprehend the knowledge, reflect their beliefs about tuberculosis instruction, and perceive their abilities in caring for tuberculosis patients are also at risk. Nursing students’ clinical confidence in caring for tuberculosis patients is essential to be assessed. Knowledge, beliefs, and clinical confidence, as unidimensional constructs based on Bandura’s theory of self-efficacy, had been used in the US National Tuberculosis Curriculum Consortium (NTCC) survey for nursing students. This study's objective was to investigate the Indonesian version of the NTCC survey among nursing students' experiences caring for tuberculosis patients.

Methods: A quantitative study with cross-sectional using an online survey among 250 students 1st to 3rd-yearrd year students in one faculty of nursing in Banten, Indonesia. Prior to data collection, NTCC surveys were translated backward and forward, reviewed by experts, and tested in a pilot project.

Results: Internal consistency using Rasch analysis on each subscale showed good results and gave strong evidence that three subscales are unidimensional. There was an item separation index and reliability score, in that order: knowledge about tuberculosis (8.68 and 0.99), beliefs regarding tuberculosis instructions (6.50 and 0.98), and clinical confidence in caring for tuberculosis patients (6.29 and 0.98).

Conclusion: The Indonesian version of the NTCC survey has excellent internal consistency. This instrument might be improved since the original instrument is 13 years old and there is a cultural gap between the US and Indonesia. Moreover, this instrument might be needed for improving tuberculosis teaching in the nursing curriculum in Indonesia.

Zero Mortality During Covid-19 Outbreak: A Review in 418 Workers at a Health University

Sudiro Sudiro — 2023-06-30

Background: Mortality due to Covid-19 outbreak in Indonesia are the second highest in Asia on period 2020-2021, but there is one of health university that zero mortality. Some of the factors that cause high mortality are only assumptions from researchers, need to be clarified scientifically. Aim of study is to analyze factors that causes zero mortality during covid-19 outbreak.

Methods: We performed a descriptive study using result of medical check up workers within the first 1 year of the pandemic. All workers consist of lecturers, administrative staff, drivers, and cleaning staff were included as much as 418 persons. Patients were assessed for their gender, age, body mass index, blood pressure, total cholesterol, and electrocardiography based on laboratory test and interview. We analyze data using descriptive based on characteristics respondents. Data collected in December 2021. The examination is carried out by a certified laboratory.

Results: The age of the workers is mostly young, the small incidence of hypertension, hypercholesterolemia, and heart health problems, have the potential to be a reason for zero mortality during the covid 19 outbreak in 418 workers. Hypertension, gender, obesity, hypercholesterolemia, and aritmia unrelated to mortality, but related to severity. Age directly related to mortality.

Conclusion: A healthy body is an asset in dealing with a pandemic. Periodic checks on blood sugar, electrocardiography, cholesterol, body mass index, is needed in preparing for the next pandemic minimum once every 6 months.

Predicting Quality of life of Schizophrenia Patients

Insiyah Insiyah — 2023-08-30

Background: Previous studies on sociodemographic characteristics connected to quality of life in schizophrenia discovered inconsistent results. This study aims to analyze predicting factors of quality of life (QoL) of schizophrenia patients.

Methods: A quantitative study included 153 respondents who were selected using random sampling at the State Psychiatric Hospital Surakarta. The research instruments were a questionnaire containing questions about demographics consisting of age, age at first experiencing schizophrenia, gender, education level, work status, marital status, frequency of treatment, duration of suffering from schizophrenia, insight, physical health problems and quality of life by using WHOQOL-BREF. The analyses used were Spearmen's rank (rho) and the Pearson Chi-Square to analyze factors connected to QoL of schizophrenia patients and multiple logistic regression tests to analyze predictors of QoL of schizophrenia patients. This study was conducted in the State Psychiatric Hospital of Surakarta from September 2020 to March 2021.

Results: There were 4 characteristics of sociodemographic that have a positive significant relationship with the overall quality of life of schizophrenia patient, namely work status (p = 0.000), marital status with p = 0.000, gender (p=0.032), and adherence to take medicine with p=0.015 (p <0.05). marital status and work status that influence the quality of life (p=0.000 and p=0.001). Marital status and work status influence the quality of life (p=0.000 and p=0.001), the largest OR value obtained is 25.499. It means that married patients have a 25.499 times chance of having a better quality of life controlled by work status.

Conclusion: Marital status and work status are predictors of QoL of schizophrenia. In providing services to schizophrenic patients, health professional need to pay attention in assessing social demographics such as work status and marital status so that appropriate action can be taken with an approach to these aspects.

Frequency of Treatment of Foot Wounds in Diabetes Melitus Patients Infected with Covid -19

Sri Lestari Dwi Astuti — 2023-08-30

Background : Frequency of Treatment of Foot Wounds in Diabetes Melitus Patients Infected with Covid -19 Objective: to assess the differences in the frequency of treatment in patients with or without arterial injuries. Purpose: to assess the differences in the frequency of treatment in patients with or without arterial injuries.

Methods : This type of quantitave research was comparative and descriptive to assess the difference in the frequency of treatment between those with arterial injuries and those without arterial injuries. A sample of 60 people who had been exposed to COVID-19 and had diabetic foot wounds was split into two groups: 35 people who had arterial injuries and 25 people who did not. Samples were taken using purposive sampling method Both groups of respondents recorded the frequency of wound care that had been received and analyzed it using the Chi-square test with an error degree of 0.05.

Results : Patients exposed to Covid 19 showed a difference in the frequency of treating diabetic foot wounds between those who had vascular injuries and those who did not, with a P value of 0.049 0.05 and an OR of 95% CI = 2.114.

Conclusion : There is a difference in the frequency of wound care for DM patients between those exposed to COVID-19 and experiencing arterial injuries and those who do not have arterial injuries. Patients who experience arterial injuries have the risk of increasing the frequency of wound care by 1.114 times compared to those who do not experience arterial injuries.

Evaluation of the Program for Giving Iron Tablets to Young Women

Yeni Tutu Rohimah — 2023-08-31

Background: Anemia due to iron deficiency is a prevalent health issue that affects many people, particularly women, from early childhood through adulthood. Bleeding can be a problem for pregnant women who have iron deficiency anemia, among other things, during pregnancy, labor, and the puerperium. Low birth weight, early birth, and problems of growth and development that result in stunting are some of the effects that anemic mothers experience while carrying their unborn children. Adolescent anemia continues up until the point at which the adolescent becomes pregnant. To treat iron-deficient anemia, the government is marketing blood replacement tablets. Pupose of study is to determine the effectiveness of iron tablets, the authors worked with the Klaten District Health Office to compare Hb and ferritin levels in pupils who had received blood tablets for 9 months versus kids who had not had blood tablets.

Methods: This study used a cross-sectional research approach and is a case analysis study. The SMP Negeri I Jogonalan Klaten is the research location. Study do in June to September 2022. Respondents are 60 pupils from Klaten Public Middle School I, ages 11 to 14, participated in the survey. Of them, 30 female respondents had taken iron supplements for 9 months (40 weeks), while the remaining 30 served as controls and had not received blood supplements. After being told of the advantages of the study, participants who signed a written informed permission form and agreed to take part in it had their ferritin and hemoglobin levels checked.

Results: When compared to the control group's ferritin value of 16.13% and Hb value of 6.45%, the treatment group's ferritin value was low (24.14%) and the Hb value was 10.34%.

Conclusion: 20% of young women are still found to have anemia. Young women should be prevent anemia.