4. Riau International Nursing Conference 2015

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Health Maintenance Behavior And The Incidence Of Illnesses In Families Living In Rural And Urban Areas Of Pekanbaru
(2016-01-09) Sabrian, Febriana; Dewi, Ari Pristiana
Health maintenance behavior in the family will contribute to public health because the family is a part or subsystem of society. One factor that influences the health maintenance behavior is environmental factor whereas the characteristics of different residential areas will give an impact on the health behavior of the family. This study aims to identify the health maintenance behavior and incidence of illnesses in families living in urban and rural areas of Pekanbaru. This research uses descriptive design involving 600 families, 300 families residing in the urban area and 300 families residing in rural areas of Pekanbaru. Samples were taken using quota sampling technique. Researchers collected data bay using questionnaires. The results shows he health maintenance behavior are mostly performed by the family residing in rural areas compared to urban Pekanbaru, except in the habit of doing physical activity with percentages of urban and rural are 58.7% and 28.4%. Comparison of the percentage of families who do not smoke at home in the rural and urban areas is 72.1% and 42.7%. Comparison of the percentage of families in rural and urban areas for children immunization, nutritious foods consumption and regular health examination are 64% and 59%; 92.8% and 65%; 85.8% and 78.3%. Health maintenance behavior in the family is linear with the incidence of illnesses in the family whereas the incidence of illnesses in urban households is higher than the percentage of rural households with 76.7% and 50.5%. Based on the results, it is recommended to community nurses to make efforts to promote family health maintenance behavior, especially on aspects that require improvement through health education activities in order to increase the motivation of the family in maintaining good health.
Comparation Of Effectiveness Of Normal Saline And 10% Povidone Iodine In Periurethral Cleaning In Reducing The Risk Of Urinary Tract Infection
(2016-01-09) Awaluddin; Pranggono, Emmy H; Nursiswati
Currently, the incidence of urinary tract infection in patients with indwelling urinary catheter ranges between 10-80%. They are at risk for other problems that can cause death. Appropriate action is required to decrease the risk of urinary tract infection by periurethral area cleaning. The aim of this study was to analyze the differences of the effectiveness of the use of normal saline and 10% povidone iodine for periurethral area cleaning in decreasing the risk of urinary tract infection. Research method was true experimental design with the population of patients who used indwelling urinary catheter in one of the hospitals in West Java. Samples size were obtained by consecutive and allocated by block randomization which were divided into 2 groups, each group were 17 respondents. In the treatment group, periurethral area was cleaned with normal saline and in the control group with 10% povidone iodine. Urinary tract infection risk assessment was carried out by the leukocyte esterase dipstick test at 8 hours after insertion. The results indicated that the incidence of urinary tract infections risk in the group using normal saline was smaller than 10% povidone iodine with a comparison of 1:1.3. Number need to treat in this study was 6. The conclusion of this study is normal saline is more effective in reducing the risk of urinary tract infection.
The Effect Of Therapeutic Group Therapy (Tgt) And Assertiveness Training (At) To Development And Assertiveness Ability Of School Age Children
(2016-01-09) Malfasari, Eka; Mustikasari; Wardani, Ice Yulia
Aggressive behaviour and bullying will be occur when school age children can not achive their normal development task and have no assertiveness ability. The purpose of this study was to identify the effect of TGT and AT to school age development task and their assertiveness ability. The method of this study was a quasy experimental using pre and post test non equivalent control group design. Fifthteen children in 9-12 years old were participated. The childrend were given TGT with 7 session firts, then they were given AT with 5 session After the children are given TGT, development score increase 13 points (mean pre: 40,13 and mean post: 53,13) and assertivness ability increase to 12,93 points (mean pre: 47,93 and mean post: 60,87). After the children are given AT, development score increase to 19,33 point and assertiveness ability increase 13,73 points. After the children was given TGT and AT, emotional development increase to 5,67 points. This therapy can be used for children in community and school to reduce bullying and agressive behaviour
The Effect Of Supportive Group Therapy For Reducing Aggression In Adolescents
(2016-01-09) Nauli, Fathra Annis; Elita, Veny; Jumaini
Adolescent is period of transition between childhood and adulthood which very susceptible to aggressive behavior. This study examined the affectivity of supportive group therapy for reducing aggression in risk‘s adolescents. The design of the study is quasy-experiment with pre and post test without a control group. The study was conducted in Pandau Jaya District Siak Hulu with 20 respondents based on purposive sampling technique. The instrument used was aggressive scale questionnaire which had been tested for validity and reliability. 20 respondents in group following four sessions of supportive group therapy in 3 week. The result showed that majority of the respondents were in the middle age stage (15 – 17 years) and (75%) of the respondents were male. T dependent test result showed that there is a decrease of aggression score after the intervention supportive group therapy with p value < 0.05. The result of this study indicate that the supportive group therapy has meaningfull and useful for reducing aggression score in adolescents. Future studies with larger samples may be able to detect the significant contributions of supportive group therapy for reducing aggressive behavior for adolescents .
Influencing Factors On The Quality Of Life Of Tuberculosis Patients
(2016-01-12) Rahmalia, Siti; Erwin; Huda, Nurul
Improvement in quality of live has become a focus for the management of chronic disease including Tuberculosis disease. The aim the present study was to investigate factors influencing the quality of life patients with Tuberculosis. Fourty patients were recruit from patient with Tuberculosis were administrated in the pulmonary ward and visiting to pulmonary clinic Arifin Achmad Government Hospital Pekanbaru. World Health Organization Quality of Life (WHOQOL) to assess quality of life status, self-efficacy questioner and self care family questioner. All data were analyzed using chi square. The all of participant were active Tuberculosis. The mean age was 47.2 years and 72% were male. The mean score of the total quality of life was 54.97, while 47.80 was for physical, 59.26 for social, and 59.51 for psychological domains, which showed a higher impairment physical health. In subscale, the mean score of quality of life was lower on lack of family support. The amount of self efficacy of the majority of patients were moderate (41.6%) and it was related to age, job, and level education. There was significantly self-efficacy and self care family influence quality of life on TB patients (p<0.001/ p<0.01). Patients with TB have impaired quality of life on physical health compared with psychological and social health because of symptoms and limitation on physical activities. Hence physical health, self-efficacy and self care family can influence the of quality of life need to be considered while planning intervention to improve the quality of life of patients with TB.
The Correlation Between Visitors Knowledge About Handwashing With Visitor Handwashing Practice At Arifin Achmad General Hospital
(2016-01-12) Woferst, Rismadefi; Huda, Nurul
Every year, the incidence of nosocomial infection in Arifin Achmad general hospital is increases significantly. This kind of infection could be transmitted from the patient to visitor or from visitor to the patients. One of the way to decrease nosocomial transmission is through increasing visitor handwashing behavior. The aim of this study is to identify the correlation between visitor knowledge about handwashing with visitor handwashing habits. This study is correlational design with total sampling method. The sample are 64 visitors from medical ward Arifin Ahmad general hospital. Data obtained from questionnaires as research instruments. The results of this study show that 84,4% visitors have high knowledge about handwashing procedure and 54,6% visitors can practice handwashing properly. Fisher test show p value 1.00 which means there is no correlation between visitor knowledge with hand washing behavior in order to prevent nosocomial infection. Based on this study, it is need to re-asses another factor that influence nosocomial infection. And the nurse need to socialize proper handwashing procedure to visitors through health education urgently and increase the discipline of the visitor to do right handwashing procedure.
The Effectiveness Of Yoga To Decrease Blood Pressure In Elderly With Hypertension In Tresna Werdha Khusnul Khotimah Nursing Homes Pekanbaru
(2016-01-12) Fahmi, Muhammad Muzakir; Sari, Siska Mayang
Uncontrolled hypertension increase the incidence of stroke disease by 7 times, congestive heart failure by 6 times, and heart attack by 3 times. About 74% elderly in Indonesia who from chronic hypertension consumed pharmacological medicine during their life that had some adverse effects. Therefore, nonpharmacological intervention such as simple yoga exercise can prevent the complications in elderly. The objective of this research was to find out the The effectiveness of yoga to decrease blood pressure in elderly with hypertension in Tresna Werdha Khusnul Khotimah Nursing Homes Pekanbaru. The research design was quasi-experimental research by using pretestposttest design with control group. Total sample were 34 respondents by using purposive sampling. The research used univariat and bivariate analysis by using wilcoxson test to find out pretest result of experimental and control group, mann-whitney test to find out posttest result of experimental and control group. The results showed that the difference between systole blood pressure before (pretest) and after (posttest) of experimental group was significant with p-value 0,000 and diastole with p-value 0,000. Results also showed that mean rank systolic experimental group was 21,40 mmHg and 14,42 mmHg in control group with p-value 0,043 (<0,05), while that mean rank of diastolic experimental group was 21,60 mmhg and 14,26 mmHg to the control group with p-value 0,033 (<0,05). It can be concluded that yoga intervention effective toward decreasing of blood pressure in elderly with hypertension. This research recommends that yoga can be used as a therapy to decrease blood pressure in elderly with hypertension.
Coping Strategies Among Icu’s Nurses In General Hospital Arifin Achmad Pekanbaru: Phenomenology Study
(2016-01-12) Zukhra, Ririn Muthia
Intensive Care Unit/ICU nurses are susceptible with stress related to job demands in ICU. Coping mechanism is used by nurses in dealing stressors. It was a unique phenomenon which can be learned. The objective of this qualitative study was to explore the nurses’ experiences in work related stress and the coping mechanism occupied. Design of this study was hermeneutic phenomenology. The data collection methods were obtained through depth interview, observation and field notes. The number of participant in this study after data saturation was 10 ICU nurses through Arifin Achmad through purposive sampling. Coping mechanism experiences were analyzed with Van manen’s approach (1990) which it classified 4 live world become corporeality, relationality, spatiality and temporality. The finding of study had 4 thematic categories reflected corporeality (lived body). They were self-awareness of work’s duty, self-confidence of completing duty, self-capacity of problem solving through spiritual approach and self-diversion. Four thematic categories were reflected in relationality. They were collegial and social support to problem solving, positive attitude toward health team member, knowing patient’s nature and needs, and negative attitude to others. Two thematic categories were reflected in spatiality. They were working environment as a learning place, creating comfort working atmosphere. Two thematic categories were reflected in temporality. They were long time to resolve stress and using time for refreshing. In addition, this study also found 4 themes of work stress such as causes, symptom, timing, and impact of work stress. According to this findings, this study recommend to nurse administrator to create strategies to reduce stress and also improving self capacity for nurses
Identification And Analysis Of Quality Of Life Stroke Patients
(2016-01-12) Utomo, Wasisto; Rahmalia, Siti
Stroke is a degenerative disease of the brain blood vessels that affect physical aspect, psychological aspect, social and environmental aspects. This study aims to determine the quality of life of stroke patients. This research method was descriptive design with simple survey approach. This research was conducted at the Hospital of the National Stroke Bukittingi. against 78 respondents who experienced a stroke taken by accidental sampling technique and met inclusion criteria. Measuring instruments used was WHOQOL- BREEF questionnaire to measure quality of life. The analytical method used is a univariate analysis. The results showed that there were 35 people (44.87%) have a good quality of life and 43 (55.13%) had a poor quality of life. The study concluded that the majority of the quality of life of stroke patients was poor. Based on the results of this study are expected for nurses can provide quality nursing care in patients with stroke to maintain or improve the quality of life
The Identification Of Clean And Healthy Behavior In Household Community In Rural And Urban Areas Of Pekanbaru
(2016-01-12) Herlina; Sabrian, Febriana; Arneliwati
Clean and healthy behavior in household community is a government program into prevent health problems that exist in the community. The purpose of this research was to identify clean and healthy behavior in household community in rural and urban areas of Pekanbaru. This research was a descriptive study involving 600 families; 300 families reside in rural and 300 families reside in urban areas in Pekanbaru. Sample is taken by simple random sampling technique. The results showed that both rural and urban families have achieved the target of Ministry of Health for clean and healthy behaviors in household. The percentages of clean and healthy behavior indicators in families reside in rural areas are childbirth assisted by health workers (94.7%), exclusive breastfeeding (78%), use clean water (97, 7%), wash hands with soap and clean water (86.3%), use clean and healthy toilet (99%), eradicate mosquito larvae at home (93%), eat fruits and vegetables every day (81%). The percentages of clean and healthy behavior indicators in families reside in urban areas are childbirth assisted by health workers (92%), exclusive breastfeeding (77%), use clean water (92%), wash hands with soap and clean water (83%), use clean and healthy toilet (95%), eradicate mosquito larvae at home (74%). Based on the results, it is suggested for community health nurses to disseminate information more broadly and intensively in order to increase the number of healthy households in the community .
Relationship Between Aged And Frequency Of Dating And Sexual Behavior Of Adolescent In Pekanbaru
(2016-01-12) Taufik, Hendra; Dewi, Ari Pristiana; Herlina
Dating is a relationship between male and female where the presence of a mutual feeling in love or a heterosexual relationship in which both are recognize as soulmate and interdependence. Adolescents who have a sense of comfort dating will strive to meet the needs of partners, including adolescent sexual behavior. The purpose of this study was determined the relationship between age and frequencyof dating and adolescent sexual behavior. The study design was descriptive correlation with cross sectional approach, and a sample are 180 dating adolescents. Data was collected by quessionare sheet. The results showed that no significant relationship between age and frequency of datingand adolescent sexual behavior (p = 0.486; p = 0.592> 0.05). It is suggested for families and communities to monitor and ward off bad influences adolescents in dating relationships and facilitate positive activities for adolescents
Factor Related To Status Of Children In Tenayan Raya Region And Rumbai Bukit Districts Of Pekanbaru In 2014
(2016-01-13) Mayasari, Endang
Nutritional status is a medical circumstances associated with the use of food by the body. The prevalence of malnutrition in children under five in Indonesia in 2013 was 19.6% (2013). Riau Province in 2012 there were 3.625 (18.66%). Incident of BGM in Pekanbaru ranks third in Riau provinces which is 671 ( 8,4%). This study aims to identify the factors related to Nutritional Status of children Tenayanraya Region and Rumbai Bukit District ofPekanbaru in 2014. This Study was analytical design by using cas control with sistematis random sampling technique. The total number of samples were 410 respondents which divided into 205 samples cases and 205 samples as a control. Results of the bivariate selection there are seven variables with( p = 0,004; α 0.05 ) was variable mother's knowledge, education, parenting pendapatn family, health care, history of infectious diseases and environmental sanitation in multivariate there is one variable with (p = 0,004; α 0,05) in variable environmental sanitation. The conclusion of this study gained the most independent variables which are most associated are sequentially is education, knowledge, parenting, income, health care, history of infectious diseases, environmental sanitation. It is recommended to: Provide the training on how to manage food that is nutritious, health promotion Intensified by health center staff and provide health education on hygiene in the form of in the household.
The Relationship Between Education , Length Of Work And Motivation Nurse With Documentation Of Nursing Care At Dr. M. Zein Hospital, Painan, West Sumatera
(2016-01-13) Harahap, Afrida Sriyani; Andrianto, Mufida
Documentation is an important record for nursing care in hospitals. It is evidence of nursing implementation that uses method of nursing process approach, and record about patient response to medical intervention, nursing intervention or reactions of patients to disease. Type of this research was correlational study analytic with cross sectional design. The population was all of nurses in inpatient unit in RSUD M. Zein Painan with a sample of 56 nurses. Sampling design was proportional sampling with simple random sampling technique. This research was conducted in 18 - 31 of May, 2015. Data were collected by observation sheet and questionnaire as research instrument.The result showed 55,4% of nurses had poor nursing documentation, 80,4% of nurses was vocational nurse, 58,5% of nurses had worked for a long time and 57,1% of nurses had low motivation. Chi-square test showed that there was significant correlation between education with documentation,and motivation with documentation. But there was no significant correlation between length of work with documentation of nursing. It’s suggested to nurses to be more fully aware that the documentation is a thing that can’t be separated in the implementation of nursing care and nurses need a training about documentation of nursing care to improve the quality of nursing care especially in field of nursing documentation
Factors Related To Satisfaction And Performance Of Nurses In Patient Hospital Room Of The Ibnu Sina Hospital Pekanbaru 2014
(2016-01-13) Roza, Andalia
Job satisfaction is an emotional state that is pleasant or unpleasant in which employees view their work.Subjektif judgment about a person’s job satisfaction relating to salary, working condision, supervision, personal relationship at work and promotion opportunity.Influence of job satisfaction will have an impact to performance. The research arms to determine factors related to satisfaction and performance of nurses in patient hospital room of the ibnu sina hospital. Kind of research is cross sectional with 96 sample of nurses. Data analysis in this research are univariate, bivariate and multivariate with multipple logistic regression.Result of this research that variable not relating with performance and satisfaction is leadership. Conclussion,variable that related to performance are supervision (POR: 5,6) and sallary (POR: 2,7) and variable that related to satisfaction is sallary (POR: 5,4). Recommended to nursing managemenin Ibnu Sina Hospital to provide guidance through seminars and training on leadership, increase activity that relating with promotion, given employee salaries in time, make a comfortable work condition, and regularly supervision
Risk Factors In The Event Of Stunting Children Age 24-59 Months (Case Study In Kelurahan Balai Gadang, Health Center Of Air Dingin Padang City In 2015)
(2016-01-13) Dara, Widia; Deska, Silmi; Gusnedi
Stunting reflects chronic undernutrition during the most critical periods of growth and development in early life. Data from health department of Padang in 2013 showed the prevalence of stunting in the region of Health Center Air Dingin was 43.3%. The aim of research is to determine the risk factors of stunting children aged 24-59 months in Kelurahan Balai Gadang, Health Center of Air Dingin Padang city in 2015. This research is a retrospective case control study. The study was conducted in April-May 2015 in Kelurahan Balai Gadang, Health Center of Air Dingin. The total samples were 90 children with aged 24-59 months. The data about the immunization status, birth weight, exclusive breastfeeding status, number of family members, mother's education, mother's occupation were obtained using questionaire (primary data). Collecting data sanitation and water sources with direct observation in the home of the respondents (primary data). The anthropometric data and age were obtained from Health Centers of Air Dingin (secondary data). Sampling in the case group was done by using simple random sampling and calculated based on the formula and obtained as many as 45 children aged 24-59 months. The selected control group is children aged 24- 59 months are normal nutritional status with same in gender. The number of children in the control group was similar to the case. Data was analyzed by univariate. Bivariate analysis used Chi-Square test. In the case group there as much as 75.6% children are not fully immunized. 26.7% children with low birth weight. 68.9% children were not given exclusive breastfeeding. 40% of infants with a large number of family members. 64.4% children with low maternal education. 2,2 % of children with working mothers. 55,6% family do not have basic sanitation. 37,8% family do not have a protected water source. In the control group there as much as 35,6 % are not fully immunization. 6,7 % children with low birth weight. 48.9% children were not given exclusive breastfeeding. 24,4% of infants with a large number of family members. 28,9 % children with low maternal education. 6,7% of children with working mothers. 22,2% family do not have basic sanitation. 28,9% family do not have a protected water source. Statistical analysis showed risk factors for the incidence of stunting children aged 24-59 months are immunized (OR = 5,6), birth weight (OR=5,02), maternal education (OR = 4,46), and basic sanitation (OR = 4,3) which was obtained p <0.005. While the status of exclusive breastfeeding, the number of the members of family, work and the source of water were not a risk factor for the incidence of stunting. Although exlusive breasfeeding is not a risk factor for the occurrence of stunting, but there is the tendency, so the need for counseling to mother’s children to give baby’s exlusive breasfeeding aged 0-6 month.
The Relationship Between Emotional Intelligence And The Performance Of Nurses In Nursing Care Documentation In Inpatient Rooms At Public Hospital Of Rokan Hulu Regency
(2016-01-13) Kasumayanti, Erma
Nurses in providing patient care often involves feelings and emotional, so it can affect their performance and quality of service. Therefore,it is necessary for every nurse to have a high emotional intelligence. Nurses who have high emotional intelligence can recognize and control her emotions and be able to be empathetic to patients and their families. This study aims to determine the relationship between emotional intelligence and the performance of nurses in nursing care documentation. The design of this research with a quantitative analytical technique of a total population of 100 respondents. The results show that the majority of respondents (62%) have a negative emotional intelligence and the majority of respondents (57%) had a poor performance in the documentation. Based on the results of chi square test show that there is a relationship between emotional intelligence with the performance of nurses in nursing care documentation (p = 0.001). The results of this study are expected to be the basis for nurses to manage their emotions at work, so that they are able to provide the best services and perform a complete documentation of nursing care
The Relationship Between Implementation Of Antenatal Service Standard That Was Done By Village Midwife With The Incident Of Anemia In Larantuka Regency
(2016-01-13) Harahap, Dewi Anggriani; Parmin, Joria
Every year Indonesian women die due to obstetric complication. More than 90 percent is caused bleeding, preeclampsia/eclampsia and infection. It can be effectively prevented if communities are well informated about emergency signs as well as the provision of qualified health service in primary care. WHO has developed standard of midwifery service which had been adjusted for its application in Indonesia. This research was aimed to know the relationship between implementation of antenatal service standard that was done by village midwife with the incident of anemia. This was an observational research with historical cohort design. The number of samples in this study were 40 people. Data were analysed using univariate and bivariate analysis. The result showed that pregnant mothers who received non standard antenatal service had risk of anemia with OR=3.404 (95% CI: 1.303
Identification And Analysis Of Quality Of Life Among Chronic Renal Failure Patients In Arifin Achmad General Hospital, Pekanbaru
(2016-01-13) Nurchayati, Sofiana; Hasneli, Yesi
Chronic Renal Failure (CRF) is a chronic disease characterized by irreversible, incurable and requires long-term treatment that lead to a detrimental effect on patients’Quality of Life (Qol). It is recognized as an contributing factor which decreases elements of Qol such as biological, psychological, economic, environmental, social and spiritual elements. The purpose of this study was to describe and analyze QoL of patients with chronic renal failure. This study was a descriptive study.Population of the study was CRF patients who underwent regular hemodialysis twice a week. Quota sampling technique was used to obtain 30 patients. The research findings showed that characteristics of respondents are male (63.3%), age between 51-60 years(43.3%), jobless (60%), and good quality of life (53.3%). This study recommends nurses to provide health education in order to improve factors associated with quality of life;bio, psycho, social and spiritual. Empower the family support system to enhance patients’ QoL
Effectiveness Methods Of Demonstrations To Increase Knowledge About Maternal Postpartum Breast Care At The Health Center Of Harapan Raya Pekanbaru 2014
(2016-01-13) Siwi, Tri; Norlita, Wiwik
Breast care in the postpartum period is a series of breast care and breast nipple in the postpartum period are very useful for improving milk production and prevent swelling in the breast that often causes mastitis. During pregnancy, a mother must prepare knowledge of postpartum breast care in order to avoid problems in the breast in the postpartum period. Lecture and demonstration is a method often used to provide health education. This research was conducted to obtain a picture of how the effective of the method of demonstration against the increase in knowledge of pregnant women at health centers of Harapan Raya Pekanbaru. This study uses a quasi-experimental design with two approaches group pretest posttest design with a sample of 190 respondents were divided into two groups of intervention. The first group performed gift giving health education interventions using the lecture method, while the second group performed gift giving health education interventions using demonstration method. Data analysis was performed using paired t test . The result showed p value of 0.000 so that H0 is rejected. , This shows that the method is more effective demonstration improving pregnant women knowledge about postpartum breast care. To the Health Center of Harapan Raya Pekanbaru, specifically responsible for MCH (Maternal and Child Health) should do a combination of the provision of health education to pregnant mothers about postpartum breast care by using a demonstration of postpartum breast care.
Factors Related To Obesity In Children In Work Area Health Center Harapan Raya Pekanbaru In 2014
(2016-01-13) Syahda, Syukrianti
Obesity will give affects to children under five, such as diabetes, high blood pressure, heart disease, asthma and psychological effect. The child receive ridicule from his friends because the child difficult to follow the movements of the teacher in the classroom. The goal of this study was to determine the factors associated with obesity in children. This study was analytical design by using case control with simple random sampling technique. The total number of samples were 70 respondents which divided into 35 samples cases and 35 samples as a control. Results of univariate analysis showed that income families were high in the cases (62.9%) than in controls (25.7%), eating poorly in the cases (54.3%) were high than in controls (28.5%), low physical activity at cases (62.9%) were high than in controls (28.5%). The results of chi square test showed that the correlation between family income and obesity (p = 0.004; α 0.05), the relationship between diet and obesity (p = 0.052; α 0.05), the relationship between physical activity and obesity (p = 0,008; α 0.05). Recommendation of this study for preventing obesity in children by providing counseling on nutrition and motivating for mothers to provide balanced nutrition in infants.

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