BACKGROUND: Proper treatment of cancer can make it easier for the healing process. Delay in patients seeking treatment is a problem that often occurs today. Handling of complementary and alternative therapies, which is not appropriate is one of the causes of delay in seeking treatment, which worsens the patient's condition. Patients usually come to health services already diagnosed with advanced cancer. AIM: The purpose of this study is to explore the experience of advanced cancer patients in seeking treatment. METHODS: This study is qualitative research with descriptive phenomenology approach. Participants in this study were 15 advanced cancer patients who were treated in the chemotherapy room at Adam Malik General Hospital Medan and Murni Teguh Hospital using purposive sampling technique. Data collection was done with in-depth interviews. All interviews were first recorded and then transcribed. This study was analysed using the Colaizzi approach method. RESULTS: The six main themes indicated that advanced-stage cancer patients for seeking treatment. Themes such as 1) choose the complementary and alternative treatment rather than medical treatment, 2) seek medical treatment as a final decision, 3) integrating complementary treatment as supportive therapy in addition to medical treatment, 4) external sources influence patient decisions, 5) reduce negative feelings by surrendering to God, and 6) lack of involvement of basic health services. CONCLUSION: Advanced cancer patients have experience using complementary and alternative therapies, which are not appropriate before using a medical treatment on the grounds of distrust of medical treatment and advice from the environment around patients. The importance of nurses in providing appropriate education related to complementary and alternative treatment to cancer patients according to the stage of the disease.
BACKGROUND: Catheter-associated urinary tract infection (CAUTI) are one of the most common infections in health care caused by several risk factors. AIM: This study aims at analysing the risky factors triggering CAUTI. METHODS: This research was designed by applying prospective study. It was conducted from July to November 2018 by involving 82 patients attached to the catheter and treated in the General Hospital of Medan as the sample. The study instrument used observational sheets by measuring the occurrence of urinary tract infection using urine culture analysis ≥ 105 CFU/ml. RESULTS: The results showed that there was a relationship (p < 0.05) amongs age (p = 0.01; RR = 0.51), diabetes mellitus (p = 0.00; RR = 7.61), duration of catheterization (p = 0.00; RR = 0.01), indications for catheter use (p = 0.00; RR = 0.34) with CAUTI, and there were not significant relationship (p > 0.05) amongs genre (p = 0.06; RR = 1.72), drainage system (p = 0.43; RR = 0.43) and catheter care (p = 0.08; RR = 0.50) with CAUTI. Diabetes mellitus (p = 0.00; OR = 8.92 95% CI = 1.02-11.83) and duration of catheterization (p = 0, 00; OR = 32.84 95% CI = 3.81-322.74) were the most significant factor related to CAUTI. CONCLUSION: CAUTI is influenced by various factors, and it can be controlled by understanding those factors so that the right interventions to prevent the infections can be taken and the quality of nursing care can be increased as well.
Background: A foot ulcer is a severe complications of diabetes, and patients' cultural backgrounds can greatly influence how they manage this condition. Aim: To explore the experience of people of the Batak Karo ethnic group in Indonesia in diabetic foot ulcer treatment. Methods: This was a phenomenological study where a purposeful sample of 10 people with diabetic foot ulcers participated in in-depth interviews. Data analysis was thematic using Van Manen's hermeneutic approach. Results: Five themes emerged from the study data: beliefs about health disorders; physical, psychological, social and spiritual changes; traditional treatments; cultural beliefs; and seeking health services. Discussion: People in the Batak Karo ethnic group strongly believe in supernatural powers and magic, and take part in a variety of traditional ceremonies to treat diabetic foot ulcers. They also use traditional treatments, including herbs. Nurses treating different ethnic groups, such as the Batak Karo people, should be culturally aware and competent to provide adequate care for them.
Abstract-Type 2 diabetes is a chronic disease which if not controlled can cause complications. One of the complications of type 2 diabetes is often the case of diabetic foot ulcers even amputation. The first step is prevention in saving the diabetic foot is by foot care. In addition, there should be early screening for diabetic foot to detect the risk of diabetic foot. This study aims to determine the relationship of foot care with the risk of diabetic foot in patients with type 2 diabetes in Haji Adam Malik Hospital in Medan. The study design used is the correlation with cross sectional analytic approach. There are a total of thirty patients with type 2 diabetes in the endocrine polyclinic outpatient unit at Haji Adam Malik Hospital which is taken through consecutive sampling techniques. The analysis used for this study was chi-square to determine the relationship of foot care with the risk of diabetic foot. The results showed that there were 83.3% of patients with good foot care; however, the remaining 30% of pasients have high risk of diabetic foot. Foot care and the risk of diabetic foot has a significant relationship with ρ value 0,001 (α <0.05). Patients with good foot care have a chance of preventing the risk of diabetic foot ulcers at 6.25 times compared to those with less good foot care (95% CI OR: 2,546; 15 344). This shows that good foot care can reduce the risk of diabetic foot. Therefore, nurses are expected to be able to routinely educate patients about foot care, the treatments of type two diabetes, diabetic foot risk assessment and also to provide support so that patients can control their blood glucose so it stays in the normal range.
The sexual problem became a sensitive issue and embarrassed among patients, especially among those who are living with diabetes. The study aimed to dig up deeply the experience of male patients with diabetes mellitus type 2 who underwent sexual dysfunction. The qualitative study with phenomenology approach was applied in this study. We collected the data by using an interview method. Fifteen samples were recruited using the purposive sampling technique and selected from Endocrine Polyclinic Martha Friska Hospital. The interview transcriptions were analyzed using the qualitative content analysis approach. Four themes related to the patients’ experience on sexual dysfunction have been analyzed in this study including 1) feeling that the sexual libido was high in the midst of the limitation of sexual dysfunction, 2) inferior feelings toward mates, 3) attempting to adapt to sexual changes, 4) trying to solve sexual problems in different ways. The participant had bad experience wich influence their quality of life with their partner. We suggested to the health care providers, including doctors, nurses, etc. to design the cultural program for addressing the sexual problem and completed the facilities for sexual favors. Keywords: type 2 diabetes mellitus, Experience, sexual dysfunction
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