Background:Palliative care is an approach that focuses on improving a patient's quality of life. This research aimed to develop a path model of the relationships between the variables of nursing care (information, emotional support, technical support, and palliative care), patient coping, family support, patient spirituality, and patient comfort expressed through physical and emotional mediators.Method:This cross-sectional study involved 308 breast cancer patients from 3 referral hospitals in Jakarta, Indonesia. A structural equation model with Kolcaba's theory was used to develop a theoretical model estimating the path or relationships between the key variables.Results:The results showed that palliative care significantly improved breast cancer patient comfort by reducing anxiety and depression. Furthermore, the study demonstrated a significant positive relationship between spirituality and emotional well-being.Conclusion:Spirituality-focused palliative care is fundamentally importance for breast cancer patients. Nurses play an essential role in providing spirituality-focused palliative care to promote comfort in breast cancer patients in Indonesia.
AbstrakPasien asma mengalami bronchospasme dan bronchokontriksi yang dapat menyebabkan penurunan fungsi pernapasan. Penelitianbertujuan mengidentifikasi pengaruh senam asma terhadap peningkatan kekuatan otot pernapasan dan fungsi paru pasien asmadi perkumpulan senam asma. Desain penelitian yaitu kuasi eksperimen dengan desain kelompok kontrol. Sampel berjumlah 50pasien, diambil dengan purposive sampling, dan terdiri atas kelompok intervensi dan kontrol. Hasil penelitian menunjukkanhubungan antara senam asma terhadap peningkatan kekuatan otot pernapasan (p= 0,0005; α= 0,05) dan fungsi paru (p= 0,0005;α= 0,05) pasien asma di perkumpulan senam asma, setelah dikontrol berat badan dan tinggi badan. Rekomendasi agar senamasma menjadi program intervensi keperawatan pada manajemen asma untuk meningkatkan kekuatan otot pernapasan dan fungsiparu pasien asma.Kata Kunci: Fungsi paru, kekuatan otot pernapasan, pasien asma, senam asmaAbstractPatients with asthma have bronchospasm and bronchoconstriction that can cause a decrease in respiratory function. Theresearch aims to identify the effect of exercise asthma to increased respiratory muscle strength and pulmonary function inasthma patients with asthma. The study design is a pretest-Post test Control Group design. Samples numbered 50 patients,taken with purposive sampling, and consists of intervention and control groups. The results of the study, there is a relationshipbetween exercise asthma to increased respiratory muscle strength (p= 0.0005; α= 0.05) and pulmonary function (p= 0.0005;α= 0.05) in patients with asthma, after controlling weight and height. Recommendations for exercise asthma into nursingintervention program on asthma management to improve respiratory muscle strength and lung function of asthma patients.Keywords: Asthma gymnastic, breathe muscle power, lung function, patient with asthma
Penelitian ini merupakan penelitian kuantitatif dengan desain quasi eksperimen post test only yang bertujuan untuk membuktikan efektifitas pencegahan luka tekan grade I menggunakan VCO dengan pijat pada klien yang berisiko mengalami luka tekan di Unit Bedah, Rumah Sakit AB, Provinsi Lampung. Hasil uji Fisher exact dan regresi logistik berganda menunjukkan adanya perbedaan kejadian luka tekan pada klien yang dirawat menggunakan VCO dengan pijat dibandingkan dengan klien yang dirawat tanpa VCO (p= 0,033; α= 0,05; OR= 0,733; 95% CI 0,540 – 0,995) setelah dikontrol oleh variabel Indeks Massa Tubuh (IMT). Disarankan kepada perawat agar dapat melakukan pijat menggunakan VCO, sebagai salah satu intervensi mandiri keperawatan dalam intervensi pencegahan luka tekan pada klien yang berisiko mengalami luka tekan.
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