Chronic renal failure (CRF) is one of chronic diseases that can decrease the quality of life and trigger anxiety that is formed by negative thinking, including thought of death. The excessive thought of death will cause stress. This situation will have an impact on care planning, preparation for facing death and difficulties in achieving a dignified quality of death. This study aimed to identify the level of death anxiety among CRF patients undergoing haemodialysis. This study used a quantitative descriptive method involving 73 patients recruited by using a consecutive sampling technique. Data were collected by using a Death Anxiety Scale (DAS) Templer instrument that was adapted for haemodialysis patient. Data were analyzed using descriptive statistics (mean, frequency, and percentage).The results of this study showed that nearly half of the patients had moderate death anxiety (n=35), 27.4% respondents (n=20) experienced low death anxiety, and 24.7% respondents (n=18) experienced high death anxiety. Based on the results, it is necessary to manage the death anxiety of CRF patients undergoing haemodialysis. Some potential approaches may include spiritual therapy, group counselling during haemodialysis, cognitive therapy (positive perception strengthening), and health education related to haemodialysis procedures and chronic renal failure.
An intestinal stoma is an opening of the intestinal tract into the abdominal wall for patients with feces production problems. The process might change patients’ physical, psychological, social, and spiritual. Patients have limitations in daily activities, changes in elimination, depression, feeling hopeless, ashamed with the colostomy bag, and may also affect to their religious and spiritual. For example their religious rituals and belief in God. The aim of this study was to identify the spiritual need of patients with a colostomy in a public hospital in Bandung. This was a descriptive quantitative study, The population was patients with a colostomy who hospitalized in a public hospital in Bandung. The samples were chosen using the accidental sampling (n=42) technique. The study instrument was Spiritual Needs Questionaire (SpNQ), that consists of 19 questions with 4 dimensions (religious needs, inner peace, existential, and actively giving). Data were analyzed using statistics descriptive and presented in a table of distribution frequency. The study found that patients with a colostomy had the spiritual need for all dimension including the religious dimension (88,1%), inner peace (57,1%), existential (54,8%), and actively giving (52,4%). Patients with a permanent colostomy had higher scores on the spiritual needs than those temporary colostomy patients. It can be concluded that the religious dimension is the highest relevance of the spiritual needs. According to this study results, it is expected that nurses can improve the spiritual services in nursing care including assessing patients’ spiritual needs and facilitating patients to fulfill their spiritual needs. The facilitation includes providing an opportunity for praying together, spiritual books, helping patients for ritual worship, establishing therapeutic communication, giving patients their own time, and creating a quiet place.
Coronary heart disease (CHD) patients experience various physical and psychological changes after an acute attack. Depression has been identified as a substantive psychological problem in CHD patients. Cardiac rehabilitation (CR) intends to restore optimal physical and psychological condition of the patients. However, less attention is bestowed towards the psychological aspect of CR. Research on the effects of CR on patient psychological problems has not been discussed in many studies in Indonesia. This study aimed to compare depression, recurrence, and fitness levels among CHD patients based on participation in Phase II CR Program. This research used a quantitative comparative method involving 66 CHD patients recruited by a purposive sampling technique. After applying the selection criteria for this study, the patients were assigned to the CR group (nCR=29) and the non-CR group (nNCR=37). Data were collected using the Beck Depression Inventory-II (BDI II) and instruments developed by researchers to measure recurrence and fitness levels. Data were analyzed using frequency distribution, chi-squared, and Mann-Whitney tests. Depression experienced by CHD patients in both groups with mean in non-CR and CR groups of 11.11 (± 7.8) and 8.59 (± 6.5), respectively. There was no significant difference in depression level among the groups (p>0.05)). Meanwhile, as many as 45% of the patients in the CR group and 22% in the non-CR group had never experienced chest pain (recurrence) within the past month. In addition, the physical fitness was perceived increased by 90% of the patients in the CR group and 0% in the non-CR group. It was also found that there were significant differences in the recurrence and physical fitness among the two groups (p <0.05). Patients participating in Phase II CR program had a better perception of physical fitness and a lower frequency of chest pain than patients in the non-CR group. Although the depression level in patients in the two groups did not differ significantly, patients in the non-CR group scored higher in depression. Accordingly, assessment and psychosocial interventions need to be improved to optimize CR program services.
This review aimed to explore recent published literature, research and practice in managing breast cancer wounds with a specific focus on the potential values of honey in managing the wounds.
BACKGROUND: Breast cancer turns a person’s life upside down, affecting every aspect of an individual including the psychological domain, such as feelings of phobia, isolation, anger, irritability, confusion, and most frequently anxiety. Some studies reported that rituals practice in Islam have an impact on the psychological health breast cancer patient. AIM: The aim of the study was to explore the experience of psychological alteration among patients with advanced breast cancer. METHODS: A qualitative study utilizing the content analysis approach was organized. Twenty Muslims with breast cancer during chemotherapy treatment with a mean age of 47.1 years who dealt with their psychological responses during treatment were invited to participate in a semi-structured interview, before and after applying Islamic-based practice therapy. This study conducted between February and June 2018 in the outpatient unit of chemotherapy in one of the Indonesia’s teaching hospitals. The generated data were transcribed verbatim and the content analysis approach was used for data reduction, data names, obtaining analytical code, and determining categories and themes. RESULTS: Four themes emerged from the data analysis before the researchers using the Islamic-based practice therapy: (1) Self-blaming, (2) feeling sad, (3) feeling fear and uncertain, and (4) living with a new body. However, the results after applying the Islamic-based practice therapy emerged three themes: (1) Closer to God, (2) peace of mind, and (3) inner strength. CONCLUSION: Overall, in the view of breast cancer patients, the psychological experience of using the Islamic-based practice therapy could change to positive responses by making them feel closer to God, having good inner strength, and a peaceful mind in dealing with their day-to-day conditions. Hence, understanding the patient’s experience will assist the nurses to promote professional abilities and improve nursing care delivery related to different cultural backgrounds and spiritual dimensions of Muslims patients.
Background: Depression is a significant predictor of the quality of life among patients with coronary heart disease. Therefore, it is essential to explore the factors associated with depression. Illness cognition is considered one of the factors affecting depression. However, the relationship between illness cognition and the incidence of depression among Indonesian patients have not been widely investigated.Objective: This study aimed to investigate the correlation between illness cognition, consisting of the acceptance, perceived benefits, and helplessness variables, and depression in patients with coronary heart disease. Methods: This study employed a correlational research design with a total of 106 patients undergoing treatment at a hospital in West Java, Indonesia, selected using convenience sampling. Data were collected using a demographic questionnaire, Beck-Depression Inventory-II (BDI-II), and ICQ (Illness-Cognition Questionnaire). Data were analyzed using mean (SD), median, frequency distribution, and Spearman-rank. Results: 72% of respondents had no depression. Nevertheless, mild, moderate, and major depression suffered by 15%, 9%, and 4% of respondents, respectively. In terms of illness cognition, patients scored higher within the perceived benefits dimension (mean 20.13, SD 3.05), followed by acceptance (mean 18.22, SD 3.33) and helplessness (mean 13.20, SD 4.77), respectively. Furthermore, helplessness was significantly associated with depression (p <.01) with a positive correlation coefficient (r). Also, all items on the helplessness dimension had a significant correlation (p <.01) with depression accompanied by a positive r-value. Conclusion: Helplessness had a significant relationship with depression. So, cardiovascular nurses can anticipate depression in patients by making nursing interventions that can decrease the patients’ feelings of helplessness. Thus, factors that reduce helplessness need to be explored and taken into accounts in the treatment of patients with coronary heart disease.
Introduction: Nurse is one of the professions responsible for improving people's living standards, especially in the field of health. In carrying out the roles and responsibilities, the nurse is in the patient's environment for 24 hours and is faced with various characters, complaints, different responses that require. Nurses are expected to be able to be caring to provide peace to the patient in his illness. Methods:The purpose of this study is to provide an overview of caring behavior of nurses perceived by nurses, patients and society when delivering nursing care at Bandung. The type of this research is quantitative descriptive research. By using accidental sampling, obtained, 95 nurses, 77 patients and 98 people general public around the faculty of Unpad nursing. Data were collected using Caring Behavior Inventory (CBI) instrument and analyzed using descriptive statistics and poured in tables, percentages and narratives. Results and Analysis: This study showed that nurse and patient perceptions related to caring nurse behavior in implementing nursing care were mostly good (56.8% and 50.8%), and public perception related to caring behavior of nurses was mostly (57.2%). Discuss: It can be concluded that the perception of caring behavior of nurses in general has a different picture between nurses, patients and society in general. There needs to be an effort to improve and improve caring behavior of nurses who value directly by patients and the general public.
Introduction, early detection of cancer is an important action in addressing the high incidence breast cancer cases. The easiest early detection that women could do is breast self-examination(BSE). Previous research indicated a gap between knowledge and behavior towards breast self-examination. Intrinsic motivation is needed by women to perform breast self-examination. This study aimed to identify the intrinsic motivation of women reproductive age in performing breast self-examination in Kebonwaru District Bandung. Methods, this study was a descriptive quantitative study, the study population was women in reproductive ages. The samples were chosen using the simple random technique (n = 344). Data was collected using Intrinsic Motivation Inventory instrument which has been back-translated. Data were analyzed using descriptive analysis of frequency distribution and percentage. The results showed that the proportion of respondents who had the high intrinsic motivation and low intrinsic motivation were almost the same (54.1% and 45.9% respectively). The majority of respondents (84% of) had a high perception of importance and usability of BSE. 66.3% of respondents had a perception of suitability and interest along with high competence perception. In addition, 56.4% of respondents had a high perception of effort and choice. However, 57.4% of respondents reported an increased sense of stress and nervous when performing BSE. Conclusion, there is a need to maximize cancer prevention and promotion programs. For example, health education related to cancer prevention and treatment, accompaniment, and counseling, and providing information about the importance of early detection. That information could increase the intrinsic motivation of women to perform breast self-examination so a number of women's mortality caused by breast cancer could be decreased and breast cancers could be detected earlier.
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