Base de datos : IBECS
Búsqueda : "1130-8621" [ISSN]
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  1 / 1173 IBECS  
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Id: AMB-5237 IBECS-Express
Autor: Catharina Daulima, Novy Helena.
Título: Preventing Pasung by mentally ill patients' families
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):256-259, feb. 2018.
Idioma: en.
doi: 10.1016/S1130-8621(18)30079-2.
Resumen: Pasung is a way of handling the mentally ill in the several Indonesian communities. In many cases, when the patients leave the hospital they are once again turned out by their families and returned to the pasung. This study aims to identify and explore the means of preventing mentally ill patients in the community from being subjected to pasung through a test of Daulima's Pasung Decision Questionnaire that measures a family's intention to use pasung.This study tested the content validity and reliability of Daulima's Pasung Decision Questionnaire by using the Spearman-Brown single test-single trial. The respondents were 300 people drawn from five provinces in Indonesia: West Sumatra, East Kalimantan, West Nusa Tenggara, West Java and the Special Capital Region of Jakarta. The validity and reliability results showed that the content of this instrument is valid once improvements had been made to the statement items numbers 16 and 17. It was also shown to be reliable by the consistency of the responses with an alpha value of 0.729. This means that responses to the instrument are consistent and are reliable measures of the level of intention of the mentally ill patient's family to use pasung

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  2 / 1173 IBECS  
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Id: AMB-5236 IBECS-Express
Autor: Apriyanti, Efa.
Título: Analysis on the implementation of a health improvement project (Garbage Clinical Insurance) in Indonesia: a literature review
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):250-255, feb. 2018. tab.
Idioma: en.
doi: 10.1016/S1130-8621(18)30078-0.
Resumen: Objective: Indonesia Medika has established "Garbage Clinical Insurance" (GCI), which enables the population below the poverty line (BPL) to obtain health insurance by donating their garbage to pay the premium. The objective of this paper was to critically examine the implementation of GCI in Indonesia by reviewing the background, effects, and sustainability of this program. Method: A literature search of studies related to GCI, other types of micro health insurance, and their applications in developing countries was conducted. Recent news (post 2014) related with the implementation of GCI was also consulted. Results: The literature revealed that the foundation of GCI was informed by the Declaration of Alma Ata with the ideal of making health care services accessible to everyone. Unlike most health insurance, the mechanisms of GCI seem less likely to trigger moral hazard among its beneficiaries. However, as a micro insurance program, the sustainability of GCI continues to be called into question. Conclusions: The critical analysis of the present study has highlighted the application of GCI, a micro health insurance initiative, and its relevance to Indonesia. GCI tended to work well as it was able to utilise Indonesia's social capital. However, GCI should aim to increase the benefits package available to its members in order to maintain the sustainability of the program

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  3 / 1173 IBECS  
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Id: AMB-5235 IBECS-Express
Autor: Badriah, Siti; Sahar, Junaiti.
Título: Family support in caring for older people with diabetes mellitus: a phenomenology study
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):245-249, feb. 2018.
Idioma: en.
doi: 10.1016/S1130-8621(18)30077-9.
Resumen: Objective: This study was conducted to gain a deep understanding of the experience of older people with diabetes mellitus (DM) about their family support in Tasikmalaya, Indonesia. Method: The qualitative design was used with a phenomenological approach. Data were collected through in-depth semi-structured interviews of eight older people with DM. Ethical clearance was obtained from The Ethics Committee of the Faculty of Nursing, University of Indonesia. All the participants were provided with information about the purpose and the type of the study. Participants' type of participation in this research was voluntary. The recorded interviews were reported anonymously. Data were analyzed using the seven steps of Colaizzi include reading the transcript, listening to the transcript, choosing keywords, categorizing grouping, creating narratives, validating, and translating findings into a complete narrative. Results: Three themes were identified about family support toward older people with DM such as the changes in older people with DM, optimum family support and suboptimal family support. Conclusions: The physical and psychological changes which older people with DM had experienced affect the family support they had received. Therefore, this study will give a valuable contribution to the improvement of health service for older people with DM in Indonesia

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  4 / 1173 IBECS  
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Id: AMB-5234 IBECS-Express
Autor: Asmirajanti, Mira; Syuhaimie Hamid, Achir Yani; Hariyati, Tutik Sri.
Título: Clinical care pathway strenghens interprofessional collaboration and quality of health service: a literature review
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):240-244, feb. 2018. tab.
Idioma: en.
doi: 10.1016/S1130-8621(18)30076-7.
Resumen: Objective: To review the effectiveness of a clinical care pathway on interprofessional collaboration and quality of health service. Method: A review was performed of literature published from 2000 to 2015, with the following keywords: clinical pathway, care pathway, and interprofessional collaboration. Results: Evidence depicted the positive results of nursing care for clients, health care professionals and facilities. The research results were implemented at different facilities using several research designs, from descriptive to experimental. A clinical pathway was used as a tool in various clinical situations including in emergency, elective surgery, and pre-post-surgery, as well as in common clinical cases. It was administered by the health care professionals in providing care, encompassing the comprehensive process from diagnosis to clinical audit. Health care professionals should engage in active collaboration during the implementation of a clinical care pathway. In implementing the standard of input, process, and outcome of care to clients, health care professionals should emphasize the process and outcome of care and eliminate unnecessary or inefficient treatments. Conclusions: A clinical care pathway could reduce the average length of stay for patients, increase cost effectiveness, and, consequently, improve the quality of service. To optimize the care process, the pathway should be implemented of multidisciplinary health care team

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  5 / 1173 IBECS  
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Id: AMB-5233 IBECS-Express
Autor: Ardinata, Dedi; Karota Bukit, Evi; Arruum, Diah.
Título: Student perception of interprofessional education application at the Health Sciences University of Sumatera Utara
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):236-239, feb. 2018. tab.
Idioma: en.
doi: 10.1016/S1130-8621(18)30075-5.
Resumen: Objective: Interprofessional education (IPE) includes collaborative interprofessional learning activities involving students and lecturers from the health sciences faculties at the University of Sumatera Utara. This descriptive study aimed to explore the students' perceptions of the application of the IPE program. Method: Descriptive study was conducted and one hundred sixty students were selected from four faculties including the faculties of medicine, nursing, pharmacy, and public health. Results: The results of the study showed that 68% of the participants stated that they had heard IPE information, whereas 97% reported that they had never joined in IPE activities. In the health sciences faculties, 57% of nursing students had heard IPE information, but more than 90% of the participants from the other faculties had never heard the IPE information. Also, based on aspects of their participation, all of the students reported that they had never joined in the IPE activities. Conclusions: according the results, the implementation of IPE can be realized in the integration of learning methods, such as lectures, practicum, clinical skills, and tutorials. It can be a university policy so that the implementation of IPE with specific learning methods can take place to improve the competence of collaboration students

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  6 / 1173 IBECS  
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Id: AMB-5232 IBECS-Express
Autor: Nik Mohd Hatta, Nik Noor Kaussar; Lokman, Muhammad; Said N, Mohd; Daud, Azlina; Ibrahim, Muhammad; Sharifudin, Mohd Ariff; Deraman, Samsul.
Título: Fracture risk prediction in post-menopausal women with osteopenia and osteoporosis: preliminary findings
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):232-235, feb. 2018. graf, tab.
Idioma: en.
doi: 10.1016/S1130-8621(18)30074-3.
Resumen: Objective: The study aims to identify the risk of obtaining a fracture among post-menopausal women with osteopenia and osteoporosis. Method: This work was a cross-sectional study involving a purposive sample of 87 post-menopausal women who attended the orthopedic and menopause clinics of Hospital Tengku Ampuan Afzan, Kuantan. The data were entered into the WHO fracture risk assessment tool (FRAX®) to predict major fracture and risk for hip fracture in 10 years' time. Results: The mean age of the respondents was 61.6 years (SD=7.9). Among the respondents, 50.6% had osteopenia and nearly half (48.3%) had osteoporosis. The mean number of menopausal years of the respondents was 11.9 (SD=8.5), ranging between 1 and 44 years. The FRAX findings indicated 9.7% major osteoporotic fracture probability and 3.5% hip fracture probability, which were denoted as high risk. A Pearson correlation coefficient was computed to assess the relationship between menopausal years and the FRAX major osteoporotic fracture probability. A significant positive correlation was found between the two, but the correlation was weak (r=0.581, n=87, p < 0.001). Conclusions: The present findings indicate that menopausal years have a positive correlation with the risk of obtaining a fracture

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  7 / 1173 IBECS  
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Id: AMB-5231 IBECS-Express
Autor: Puspasari, Jehan; Nur Rachmawati, Imami; Budiati, Tri.
Título: Family support and maternal self-efficacy of adolescent mothers
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):227-231, feb. 2018. tab.
Idioma: en.
doi: 10.1016/S1130-8621(18)30073-1.
Resumen: Objective: To identify a correlation between family support and maternal self-efficacy of adolescent mothers. Method: This cross-sectional study applied a consecutive sampling technique. The sample was 100 primiparous adolescent mothers. Instruments utilized were structured questionnaires, including a demographic questionnaire, Maternal Efficacy Questionnaire (MEQ), Postpartum Support System, Edinburgh Postnatal Depression Scale (EPDS), and Infant Characteristics Questionnaire (ICQ). The correlation of family support and maternal self-efficacy was analyzed using chi-square and logistic regression. Results: The results showed a significant correlation between family support and maternal self-efficacy of adolescent mothers. The family support that most influenced maternal self-efficacy of adolescent mothers was family instrument support, with Wald value of 34.720. Conclusions: Instrument support most affects maternal self-efficacy of adolescent mothers and encourages adolescents performing nurturing and mothering roles

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  8 / 1173 IBECS  
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Id: AMB-5230 IBECS-Express
Autor: Hediya Putri, Riska; Afiyanti, Yati; Ungsianik, Titin; Milanti, Ariesta.
Título: Supportive care needs and quality of life of patients with gynecological cancer undergoing therapy
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):222-226, feb. 2018. tab.
Idioma: en.
doi: 10.1016/S1130-8621(18)30072-X.
Resumen: Objective: To identify the relationship of unmet supportive care needs with quality of life of patients with gynecological cancer undergoing therapy. Method: This study used a cross-sectional design. A total of 153 patients with gynecological cancer undergoing therapy were recruited using consecutive sampling methods. The participants completed the questionnaire of Supportive Care Needs Survey to identify their supportive care needs, EORTC-QLQ 30 to assess their general quality of life, and EORTC-QLQ-CX 24 or - OV 28 to determine cancer-specific quality of life in cervical cancer and ovarian cancer, respectively. Results: Most of the participants (96.1%) reported their unmet needs of supportive care predominantly in the physical domain (80.4%). Unmet supportive care needs were found to be statistically significantly related to quality of life in the global health, functional, and symptom domains (p value 1=0.003, p value 2=<0.001, and p value 3= 0.001; r1=-0.235, r2=0.306, and r3=0.268, respectively). Conclusions: Patients with gynecological cancer needs various supportive care during treatment. These supportive care needs should be identified early at the time of diagnosis and continued throughout the disease and treatment trajectory to the survivorship point. Otherwise, unmet supportive care needs may lead to a low quality of life

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  9 / 1173 IBECS  
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Id: AMB-5229 IBECS-Express
Autor: Melani Astari, Asti; Rustina, Yeni; Pratomo, Hadi; Prasetyo, Sabarinah B.
Título: Improving the utilization of health services among high-risk pregnant women through community health nurse assistance
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):217-221, feb. 2018. graf, tab.
Idioma: en.
doi: 10.1016/S1130-8621(18)30071-8.
Resumen: Objective: The objective of this study was to identify the impact of implementing community health nurse assistance for high-risk pregnant women on utilization of health services. Method: The study was quasi experimental with a control group design. The sample included high-risk pregnant women in 10 community health centers in Indonesia who were selected by consecutive sampling. The total sample included 66 women in both the intervention and the control groups. The high-risk pregnant women in the intervention group received nurses' assistance during the third trimester and until giving birth. Before and after the intervention, the knowledge, attitudes, and behavior of the women were measured. Results: The average scores for the knowledge, attitudes, and behavior of women in the intervention group increased. Differences were found in health care utilization between the two groups. All women in the intervention group received antenatal care during the third trimester more than once and were assisted by skilled health personnel during childbirth, while in the control group 10.6% of respondents were assisted by a paraji shaman (traditional birth attendant). All women in the intervention group accepted family planning, and the contraceptive choice varied. Conclusions: The assistance of community health nurses improves the knowledge, attitudes, and behavior of high-risk pregnant women and positively impacts the rate of health care utilization

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  10 / 1173 IBECS  
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Id: AMB-5228 IBECS-Express
Autor: Mohamad Ismail, Mohamad Firdaus; Abdullahi Hashi, Abdurezak; Bin Nurumal, Mohd Said; Bin Md Isa, Muhammad Lokman.
Título: Islamic moral judgement on abortion and its nursing applications: expository analysis
Fuente: Enferm. clín. (Ed. impr.);28(supl.1):212-216, feb. 2018.
Idioma: en.
doi: 10.1016/S1130-8621(18)30070-6.
Resumen: Health workers, like nurses are tasked to save the lives of their patients, however, there are instances in which health workers have to deal with difficult cases in taking a life, such as abortion. Scholars in the field of healthcare assert that abortion is morally justified if it is sought for health reasons. Nevertheless, there are a number of cases in which abortion is sought on other grounds other than health, such as the individual choice to do so. Can a nurse refuse to provide their professional service towards these people? This paper uses analytical and comparative methods to address ethical issues in abortion from the Islamic and conventional perspectives. Nursing implication: Since the nurses instruct and assist people in forming a decision as they engage in nursing care, utilising a comprehensive view of abortion based on Islamic sources would provide a foundation in Muslim perspectives as they interact with Muslim patients. The subject area to investigate the degree of knowledge among nurses regarding the Islamic moral judgement on this event is extremely recommended for future management

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