Background: The implementation of ethical principles is crucial in carrying out nursing care, since it is part of the 12 basic competencies, that should be possessed by a nurse. This study aims to analyze the factors associated with the implementation of nurses' ethical principles.Design and Methods: This study used a quantitative research design, with a cross-sectional approach. The participants consisted of 389 nurses, working in the medical ward of the hospitals, in Indonesia. Data were analyzed using the bivariate analysis, t-test, ANOVA and multiple linear regression test.Results: There were no significant relationships between the demographic factors and the ethical behaviour. There was a relationship between caring behaviour and the application of ethical principles (p=0.000, and a correlation coefficient of 0.602).Conclusion: Nurse ethical behaviour was improved, by increasing their caring attitude.
Introduction: Diabetes mellitus (DM) is a chronic disease with many complications. Self-efficacy is a psychosocial aspects refer to patient’s belief about their ability to do Diabetes managements. Self-efficacy can be enhanced by providing a mutual support from other Diabetic patients. This study aimed to analyze the influence of peer group support on self-efficacy, glicemic control and self-care activities of Diabetic patients. Method: This research was a pre-experimental with one-group pre-post test design and was evolved 29 respondents. Peer Group Support indicators were checking in, presenting problems, clarifying issues, sharing experiences, action planning and checking out. Implementation of peer group support activity was 60 minutes meeting, once a week for totally 6 weeks. The datas were analyzed by Wilcoxon signed rank test and Spearman’s Rho test with significance values p≤ 0.05. Result: Self efficacy, self care activities, and blood glucose level were increased (p=0.000). Discussion: Peer group support was recommended to enhance self-efficacy and self-management of diabetic patients. Further research is needed about health promotion for improving self-efficacy.Keywords: peer group support, self-efficacy, glicemic control, self care activities, Diabetes Mellitus (DM)
DAUN KERSEN (Muntingia calabura L.) SEBAGAI ALTERNATIF TERAPI PADA PENDERITA GOUT ARTRITIS Ilkafah1)1)Fakultas Keperawatan Universitas Hasanuddin ABSTRACT Gout is a disease that is often suffered by the elderly. Pain is a commonly reported and is caused by increasing uric acid in the blood. Allopurinol is one of the drugs choice for people with gout but that has some side effects so it needs other alternative treatments. Herbal therapy is one type of complementary therapies in nursing, one of which is Muntingia calabura L. The aim of this study was to see the difference in effectiveness of Muntingia calabura L. and allopurinol in reducing uric acid and pain scale in gout patients in Tamalanrea Makassar. This study used an experimental design, randomized two-group design by giving Muntingia calabura L. on 22 respondents and allopurinol 100 mg (twice in one day) in 22 respondents selected by simple random sampling with criterion of sample were pain scale on 1-6 and uric acid value were > 6.5 mg / dl (for female); > 7.5 mg / dl (for male). Giving Muntingia calabura L. for 3 weeks drunk twice in one day. Measurement of pain using Visual Analog Scale (VAS). Uric acid level were measured using laboratory tests. The data were analyzed by paired sample t-test for each intervention and by independent t-test to see the effectiveness difference of both therapies with significant level α <0,05. The statistical results showed a decrease in joint pain scale in cherry leaf group (p = 0,00), but no decrease of pain in allopurinol administration (p = 0.07). Both interventions had an effect on decreasing uric acid value (p = 0,00 ) There was a difference in decreasing the pain scale of both interventions but there was no difference to the decrease in uric acid value.It requires further research upon the benefits of Muntingia calabura L. Keywords: Gout, Muntingia calabura L., Pain Scale, Uric Acid Level ABSTRAKGout merupakan penyakit yang sering diderita oleh lansia. Nyeri merupakan keluhan yang sering dilaporkan. Nyeri tersebut diakibatkan tinginya asam urat dalam darah. Allopurinol salah satu obat pilihan bagi penderita gout tetapi obat tersebut memiliki beberapa efek samping sehingga diperlukan terapi lain selain obat. Terapi herbal adalah salah satu jenis terapi komplementer dalam keperawatan, salah satunya adalah daun kersen. Tujuan penelitian ini adalah untuk melihat perbedaan efektivitas daun kersen dan obat allopurinol dalam menurunkan nilai asam urat dan skala nyeri pada penderita gout di Tamalanrea Makassar. Desain penelitian yang digunakan adalah Experimental Design, rancangan penelitian Randomized Two-group Design dengan cara memberikan rebusan daun kersen pada 22 responden dan obat allopurinol 100 mg (2x sehari) pada 22 responden yang dipilih melalui teknik acak yaitu simple random sampling dengan kriteria sampel skala nyeri 1-6 dan nilai asam urat >6,5 mg/dl (bagi wanita); >7,5 mg/dl (bagi pria). Pemberian air rebusan daun kersen selama 3 minggu diminum 2x sehari. Pengukuran nyeri sendi menggunakan Visual Analog Scale (VAS). Kadar asam urat diukur menggunakan pemeriksaan laboratorium. Analisis penelitian untuk setiap intervensi menggunakan uji Paired Sample T-test dan untuk melihat perbedaan efektivitas kedua terapi menggunakan independent t-test dengan tingkat signifikan α < 0,05. Uji statistik menunjukkan ada penurunan skala nyeri sendi pada kelompok rebusan daun kersen (p = 0,00), tetapi tidak ada penurunan nyeri pada pemberian allopurinol (p=0,07. Kedua intervensi berpengaruh terhadap penurunan nilai asam urat (p = 0,00). Ada perbedaan penurunan skala nyeri dari kedua intervensi tetapi tidak ada perbedaan untuk penurunan nilai asam urat. Diperlukan penelitian lanjutan mengenai manfaat tanaman kersen Kata Kunci : Daun karsen, Gout, Nilai Asam Urat, Skala Nyeri
Abstract-Hypertension is kind of chronic and risk disease cause the disease complications, to avoid the complications required the ability to self-management behavior such as lifestyle changes including blood pressure control, diet modification and physical activity. This research aimed to determine the factors related to selfmanagement behavior (SMB) in the patients with hypertension in the working area of Batua Makassar. This study was a quantitative study design using analytical survey. Sampling used in this study was purposive sampling techniques, the number of respondents as many as 83 people. The results showed that most respondents education level were high school, the major respondents were women, more than half of respondents aged 56-65 years with an average age of 56 years, and most of respondent had BMI scale ≥ 25 with the average value of respondents' BMI were 25.45, the average respondent had suffered from hypertension for 4.14 years and most do not experience complications. From chi-square analysis test was obtained significant relationship between knowledge, family support, and self-efficacy with SMB in the patients with hypertension in Batua Makassar with p-value (0.001, 0.000, 0.000). Self-efficacy is the most dominant factor related to SMB of hypertensive patients. There is a relationship between knowledge with the SMB in hypertensive patients, and there is a relationship between family support and self-efficacy with the SMB in hypertensive patients in the working area of Batua Makassar. Where the better level of knowledge, family support and selfefficacy, the better SMB of the patients will be. Therefore, it is expected to self-management Behavior (SMB) can be made as a health promotion program to improve knowledge and the patient's ability to perform SMB.
Introduction: The caring behavior of nurses affects their working performance and the health care quality received by patients. The adherence to ethical principles by nurses is also known to increase this factor. However, no previous studies have been conducted on how ethical principles affect the caring behaviors of nurses. Hence, this study aims to investigate the association between nursing ethics and other demographic characteristics and their caring behavior in Indonesian hospitals. Design and Methods: A cross-sectional descriptive-analytical study was conducted with 389 nurses working in Indonesian hospitals. Furthermore, data were collected using questionnaires, which included demographic characteristics, ethical principles-based attitudes, and caring behavior. The analysis of the data was performed using descriptive (M, SD) and inferential statistics (Chi-square, Spearman’s rank correlation, Fisher’s exact test, and multiple logistic regression) with α= 0.05. Results: According to this study, the caring behavior of nurses was associated with gender (p=0.030) and nursing ethical principles, such as veracity (p=0.025), non-maleficence (p=0.007), beneficence (p<0.000), and fidelity (p<0.000). Fidelity was also revealed as the most influential ethical principle on nurses’ caring behavior, with a value of Exp(B)= 3.446. This indicates that nurses, who had demonstrated good fidelity, cared three times more than those who lacked this quality. Conclusions: Nurses with good ethical principles deliver suitable caring behavior. Hence, applying the right ethics to a patient would result in a great caring attitude, as the principle of ethical behavior is compassion and respectful conduct towards patients.
Being treated in isolation rooms for people infected with COVID-19, creates various perceptions of uncertainty, especially when strict "health protocols" are applied. This study aims to determine the understanding patients with COVID in the intensive care unit from the perspective of care. Materials and Methods:The research design used phenomenological qualitative with in-depth interviews. Purposive sampling was used with interpretive phenomenological analysis. Participants were 25 patients who had been exposed to COVID-19, consisting of 10 men and 15 women. Results: This study resulted in the theme of the perception of COVID-19 sufferers while undergoing treatment in isolation rooms, with four themes, namely, 1) mental attacks, 2) feel like fighting alone, 3) expecting Concern, 4) positive attitude. Conclusion:This analysis shows that various perceptions of uncertainty that are felt while being treated in the isolation room due to suffering from COVID-19 disease can be anticipated by increasing the awareness of nurses to be closer to patients through caringbased nursing practices by emphasizing meaningful interpersonal relationships.
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