1. Riau International Nursing Conference 2014
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Item The Comparison Of Applying Curriculum Based On Competency And Conventional Curriculum Towards Students Gpa(2015-06-18) Ennimay; Hamid, AbdurrahmanThe development of Education curriculum today demand to encourage students learning achievement, based on Kepmendiknas no. 232 / U / 2000 and no. 045 / U / 2002 AIPNI which had been successfully implemented competency-based curriculum (CBC) undergraduate education since 2008. Therefore, Nursing Program of Hang Tuah Pekanbaru Health School in the 2012 began implementing CBC. The aim of this study was to compare the Implementation of curriculum CBC and Conventional with the students GPA in Nursing Program. The research design used in this study was a causal comparative study. The samples in this study were 53 students with CBC system and 48 students conventional system. The analysis was used univariate analysis with the frequency distribution of the average GPA of students in semester 1st and 2nd, bivariate analysis with chi-square and independent t-test. Analysis chi-square was used to know the relationship between curriculum systems and students GPA.The results of this study obtained p value = 0.019 <0.05, which means that there were a relationship between the applications of the CBC with a GPA of students achievement. For comparison used for the independent t-test comparing students with GPA of students at CBC and Conventional and get p value 0.029 <α (0.05). From these results it appears that the implementation of the curriculum system of CBC gave effect to a better direction in improving the achievement of students.Item The Effect Of Football Hold (Pinch) Breastfeeding Position On Pasca Sectio Caesarea Pain In Banda Aceh, Indonesia(2015-06-18) Darmawati; WanelfiSectio caesarea is an obstetric surgery to deliver the baby through abdomen wall and uterus wall incision. Sectio caesarea caused tissue destruction and pain. The pain after surgery probably caused any discomfort and difficulty for mother to breastfeeding. Hence, finding the comfortable breastfeeding position is important. The positions that commonly used to breastfeeding were sit down position and laying down position, while the football hold position is never used. By performing the football hold position, the baby will not getting contact to surgery wound. This study aimed to identify the effect of football hold breastfeeding position on pasca sectio caesarea pain in obstetric ward of Zainoel Abidin General Hospital Banda Aceh. This study was conducted on 13th until 25th Mei 2014, using quasi-experimental design by the pretest-posttest with the control group. The number of subjects in this study was 15 for intervention group and 15 for control group selected based on inclusion criteria using the purposive sampling. The data was collected by leading interview and measuring pain intensity level using Numerical Rating Scale (NRS), then analyzed by statistical paired t-Test. The findings revealed that there was significance difference level of sectio caesarea pain before and after football hold breastfeeding position with the p-value=0,0001 (≤0,05). It also indicated the significance effect of breastfeeding football hold position on pasca sectio caesarea pain. This study provided the valuable information regarding the importance of having a standard operating procedure (SOP) to advocate the hospital institution in breastfeeding position by nursing service to improve the level of patient’s comfort.Item Identification Of Home Care Needs Of Patients With Chronic Kidney Disease Undergoing Hemodialysis In Pekanbaru, Indonesia(2015-06-18) Bayhakki; Karim, DarwinNeeds of Home Care for patients with chronic diseases are increasing rapidly in developing countries, including Indonesia. Home care services are also growing in many provinces in Indonesia. The home care services are organized by personal, organization, or hospital. The objective of this study was to identify home care needs of patients with Chronic Kidney Disease undergoing hemodialysis. This study was a descriptive study. 60 participants undergoing hemodialysis in hemodialysis center Arifin Achmad General Hospital were recruited using convenience sampling. Data were collected using a questionnaire which has been tested its validity and reliability. The results showed that 26 participants (43.3%) were in early adult stage (26-35 years old). There were 41 participants (68.3%) reported that they did not need home care and only 19 participants (31.7%) needed it. The study also revealed that needs of home care were mostly related to physiological needs such as oxygenation, food and drink, wound or skin treatment. The participants who needed home care also needed psychological, social and spiritual consultation and support. It is suggested to home care providers to provide care which are needed by their patients and also provide nurses who can fulfill the needs professionally at the patients’ homes.Item Reducing hiv stigma module for indonesian medicine-nursingmidwifery Students(2015-06-18) Waluyo, Agung; Mansyur, Muhtarudin; Herawati, Tuti; Maria, RiriPeople living with HIV (PLWH) can not access health care services as they experience rejection from health center personnel and refusal of treatment. Stigma may influence the low antiretroviral therapy coverage in Indonesia (46%).The purpose of this study is to develop HIV curriculum that not only focus on physical aspect how to care the PLWH but also mental, social and spiritual aspect to care them. Two steps studies have been done from the total of three.First stage was mixed methods using descriptive quantitative and qualitative study, using a questionnaire covering demographic information, HIV knowledge, religious beliefs, attitudes toward PLWH, and list of questions for focus group discussion. A convenience sample of 535 Medicine-Nursing-Midwifery student participated from 9 Medical-Nursing-Midwifery schools, and around 27 Medical-Nursing-Midwifery professors and manager of academic affairs join to FGD to discuss HIV and AIDS curriculum on their institutions. These Medical-Nursing- Midwifery schools are in 3 different provinces, Jakarta, East Java, and Papua. Second stage was combining the gap found from first stage study and literature review and expert seminar on what is the best way to deliver HIV curriculum that can reduce HIV stigma among health professionals. The HIV curriculum was established which is consist of the impact of HIV and AIDS to personal and professional life of health personnel, he right of patient and health personnel, understanding patient experience living with HIV and AIDS, stigma and discrimination toward PLWH from health personnel, understanding the risk of and how to prevent HIV infection among health personnel within health service system. HIV/AIDS curriculum that allowing health professional student reducing stigma and discrimination toward PLWH need to be tested to a group of three different health profession schools. Curriculum testing will be done in year three, 2015.Item The Effect Of Turmeric Stew Toward Glucose Blood Level Of Diabetes Mellitus Clients(2015-06-19) Dewi, Ari Pristiana; HerlinaDiabetes Mellitus has become a public health problem which is steadily increasing from year to year in Indonesia. Increased prevalence of diabetes occurs because of the effects of unhealthy lifestyles and diets. Diabetes Mellitus has a poor prognosis if it is not treated immediately. It can lead to worse complications. One way of controlling diabetes that patients maintain their quality of life is done with non-pharmacological therapy, namely turmeric therapy. This study aimed to determine the effect of turmeric stew of therapy on blood sugar level of DM patients. The study design was quasy experiment with non-equivalent control group design. Respondents are divided into 2 groups, 16 for experimental group and 16 for control group (total sample: 32 respondents). The experimental group took turmeric stew once in a day for 7 days consecutively. Univariate analysis is used to describe characteristics of respondents and bivariate is used paired and pooled t-test. The results showed that the majority of respondents were female (75%), elderly (81.4%), high school education (46.8%), ethnic Minang (78.2%), and a housewife (56, 2%). The results of the bivariate analysis showed a difference in mean blood glucose levels between before and after the treatment in the experimental group (p value 0.00). Mean while, there was no difference in mean blood glucose level were between the experimental group and the control group (p value 0.051). It is suggested to health public centers to introduce herbal development program such as turmeric stew for DM clients in the communityItem Child Discipline Strategies Among Parents With Child Diagnosed With Adhd(2015-06-19) Ditangco, Mike Jared; Caluya, Genevieve; Juat, Joan Nicolette; Lllarena, Irene; Onwuka, Wilfred; Concepcion, Clarence Jan; Buencamino, Arnel G; Alarilla, VirginiaThis phenomenological study aims to explore the lived experiences of five purposively selected Filipino mothers with a child clinically diagnosed with Attention Deficit Hyperactive Disorder (ADHD). It focuses on the challenges they face, the discipline techniques they utilize and the influences affecting these techniques. The study capitalized on in-depth interview with an aide memoir as the data gathering tool. Results show that characteristics of the parent, the child, and the environment and the interactions among these factors affect how a mother forms her discipline strategies. Three zones of influences that affect the discipline strategies used by parents have been identified: Nature Zone of Influence which illustrates the inherent child factor; Nurture Zone of Influence which illustrates the intrinsic maternal factor; and Natural Zone of Influence which illustrates the external and environmental factors. The zones are depicted in an Interlocking Cord Model representative of the Zones of Influence. The interlocking model exemplifies the overlapping discipline strategies used by mothers. Discipline strategies vis-à-vis the three zones of influences revealed three engaging themes: Responsive, Reactive and ReliableItem Prevalence And Risk Factors Of Anaemia In Pregnant Women In Public Health Centre Pekanbaru(2015-06-20) Dewi, Yulia IrvaniAnaemia has been a problem in developed and developing countries. It has negative effects on both mother and fetus. Anaemia increases the risks of complication in pregnancy and the process of delivery such as maternal death, prematurity, underweight birth, and perinatal death. This study was aimed to assess anaemia prevalence and to determine its factors in pregnant women. A crosssectional survey was conducted from April to September 2014. The samples were 64 pregnant women who were anaemic and attended the antenatal-care facilities of Public Health Centre in Pekanbaru Indonesia. Accidental sampling technique was used. A single stool sample was also collected from each selected pregnant woman. Haemoglobin (Hb) level was determined by the cyanmethemoglobin method. The data were analized by descriptive analysis method. The prevalence of moderate anaemia was 81.3%. The highest risk factors of anaemia were based on (1) the characteristics of respondents: age of 20-35 years (73.4%), Minangnese (42.2%), house wife (92.2%), senior-highschool educated (46.9%), and 2-million-per-month income (75%); (2) the characteristics of pregnancy: multiparity (71,9%), third trimester of gestation (59.4%), > 2 years birth interval (43.8%), and antenatal-clinic visit less than 4 times (75%); and (3) consumption patterns: no food taboos (76.6%), no drinking tea (79.1%), and drinking coffee (67.2%). However, 15 respondents had food taboos (23,4%), and the highest taboo food was fish (9.36%); 21.9% of the respondents drank tea, and 67.2% of them drank coffee during pregnancy. The high prevalence of anaemia indicates that it is currently a serious health problem of pregnant women in Pekanbaru. The pregnant women should have more antenatal care to check and monitor their pregnancy condition and to get more education on food consumption.Item Pro Makan As Intervention Strategy Of Community Nursing Care To Treatment Toddler Malnutrition In Depok(2015-06-20) Khasanah, Uswatul; Sahar, Junaiti; WidyatutiToddlers as the population at risk is a group of individuals who have the opportunity to experience health problems . Factors that affect infants as a group at risk of malnutrition because of the dependence of a child to the parent of nutrition . Child, Family, Nutition Programme as strategy of intervention community nursing care to to increase weight of toddler , who can continue the family and community empowerment through self- help groups and support groups. This final scientific papers describing of the implementation of the Pro MaKAn through the application of the theory of integration of Community As Partner , Family Center Nursing , Health Belief Model , and management of health services in infants with malnutrition at Cisalak Market . Data were collected by interview , observation , questionnaires to 56 respondents with purposive sampling. Intervention strategies through a complementary therapy , therapeutic modalities , coaching , guidance , counseling and health education on self- help group. Its was given to 30 families with children at risk of malnutrition, as well as support groups some 10 cadres for 8 months.The results showed this study increased the average value of family behavior is value of knowledge is 61 to 70. The increase value of skills 68 to 84, value of the attitude is 64 to 71. In addition there are 30% who still have a degree of independence III and 70% is independence IV. Results of Child, Family and Nutrition Programme Card to toddlers who gain weight are 80% with increase of 100-200 grams within 1 month.Item Organizational Commitment: The Analysis Of The Higher Education In Medan(2015-06-20) SalbiahOrganizational commitment is a psychological construct that indicates the relative degree of individual attachment to the organization employed and the implications for the individual's decision to remain in the organization or not. The purpose of this explorative descriptive research is to describe and analyze the organization commitment among the lecturers in nursing higher education in Medan. The research used a correlation design with ex post facto research approach. The population is 165 lecturers from 11 institutions. The sampling method used a proportional stratified random sampling considering gender, organization status and education level based. The sample involved 115 participants based on the Cochran William formula. The data collection conducted through developed closed questionnaires and passed the validity and reliability test. The result showed that there is a high category on organization commitment with the proportion 88.7% and empirical average is higher than the ideal average. In addition, the caring individuals in the category above the mean ideal. Based on the samples characteristic, the formation of commitment is not determined as gender or lecturer’s level of education, but is determined by the status of the organization; that are public or private institution. In detail, it is obtained that the value of the organization's commitment among three - dimensional lecturer showed the same tendency, which is above the ideal average category. Based on the study results, it can be explained that the organizational commitment of Nursing Higher Education are need to be improved effectively.Item Effectiveness Of Mind Mapping For Block Body Mechanic’s Learning Outcomes Of First Years Students In Nursing Program Hang Tuah Health School In Pekanbaru 2013(2015-06-20) Lita; Tobing, Vella Yovinna; Hamid, AbdurrahmanDifficulty in focusing of concentrating or remembering can have an impact on the low achievement of learning outcomes. Mind mapping is the way to record creatively and effectively. It can make student happy and enjoy in learning process, in addition can enhance learning outcome. The method of this research used quasy experiment with static group comparison design. Sixty students were included in this research using purposive sampling, 30 students as comparison group and 30 others students as control group. Learning outcomes took from final score of Block Body Mechanic final test. The analysis used was frequency distribution for univariate and impaired T test for bivariate. Bivariate result showed that there is no differences between student who used mind mapping and student who did not use mind mapping technique (p value = 0.666). The suggestion of this study is student should choose appropriate method to enhance learning outcomes.Item Evaluating Cachexia Assessment Scale (Cas) To Identify Cancer Cachexia In Dharmais National Cancer Hospital(2015-06-20) Huda, Nurul; Waluyo, Agung; Maria, RiriCachexia is a common problem for cancer patient in end stage. It is devastating consequence of cancer and it is associated with several negative outcomes including poorer response to cancer treatment, increased treatment side effects lower quality of life and increased depression among patients and family. The early identification of patients at risk for cachexia particularly during early stages can be an important approach. Although literature stresses the need to asses cachexia, evidence prove that no tool adequately has been accepted as gold standard. The aim of this study was to develop and evaluating a simple tool for nurse which could identify patients with cancer cachexia throughout all stages of diseases. Design of this study was qualitative study. Cachexia Assessment Scale (CAS) from previous researcher was modified and translated into Indonesia language. Purposive sampling methods established in this study involved 9 nurses. Semi structured interviews were recorded digitally, transcribed, and analyzed using thematic and interpretative analysis. The current study showed detail information about evaluating cachexia assessment scale tool within five main themes, namely : 1) the language was understandable, 2) the checklist system was preferred, 3) the diagnostic result was easy to be accessed 4) the scoring method was unfamiliar 5) the follow up plan after the scoring need to be considered. Study results show that Cachexia Assessment scale ( CAS) is communicative tool, simple tool and easy tool for nurse. CAS can also discriminate the symptoms that cause cachexia from the side effects of treatment. But the scoring systems need to be informed among nurses.Item Factors Related To The Accuracy Of The Filling ( Card Toward Healthy) Children By Cadre In Health Working Area Of Rokan Iv Koto I 2014(2015-06-20) AprizaInaccuracy cadres in the filling CTH ( Card towards healthy ) could affect to the error information on the weight loss which is closely related to the growth and nutritional status of children . The results of the status in the growth of child in CTH could be used by health workers as a basic for referring when the child was impaired growth . This aimed to determine the factors related to the accuracy of filling CTH by cadre in NHC health center Rokan IV Koto I Rohul 2014. This research was descriptive correlation with cross-sectional design , the samples of study were 91 people which taken by simple random sampling technigue. Data were collected through questionnaires and observation . The results showed more than half of cadres having good knowledge filling CTH ( 67 % ) , more than half of the volunteers who have secondary education ( 57.1 % ) , most of the volunteers have the optimal working time ( 71.4 % ) and most of the cadres were not appropriate in filling CTH ( 75.8 % ) . Based on the results obtained chi square test P value of 0.001 indicated significant relationship between the factors of knowledge , education and working time with filling CTH by cadres . It was suggested to the manager of integrated health activities to disseminate the proper way of filling CTH correctly and to give trained and involving cadres in activities associated with the NHCItem Identification Of Learning Style Of Competence Based Curriculum Of Nursing Departement Students In Hang Tuah Pekanbaru Health Science School(2015-06-20) Sari, Siska Mayang; Kristiani, DaraNowadays, Indonesian educational institutions were led to use Competence Based Curriculum (CBC) to produce high quality of human resources. Nursing Department of Hang Tuah Pekanbaru Health Science School (STIKES Hang Tuah Pekanbaru) has implemented CBC since academic year 2013/2014. It was referred to the theory of Faye Glenn Abdellah in relation to market needs. Teaching method used in CBC is Student Centered Learning (SCL) in which students should be more active in finding all information about learning topic independently. It is further to describe students’ learning style. The aim of this study was then to identify students’ learning style of using CBC in Nursing Department of STIKES Hang Tuah Pekanbaru. This research used descriptive quantitative to 116 samples (students) who applied CBC in the academic year 2013/2014 in which the researcher used total sampling as the sampling technique. Instrument used was questionnaire consisting 24 questions. In analyzing the data, the researcher used frequency distribution. In the finding, the researcher found that 45.2% students used visual learning style, 40.9% used auditory learning style and 13.9% used kinesthetics learning style. Derived from the finding, it is suggested that lecturer should ideally consider students’ learning style in teaching using SCL method. Also, suggestion was addressed to school management to provide a sufficient facilities to support teaching and learning process.Item The Effectiveness Of Mozart Classical Music Therapy Againts Premature Infant’s Body Temperature In Perinatology Ward, Teluk Kuantan General Hospital(2015-06-20) Ariani, Yuni; Zukhra, Ririn MuthiaPremature infants have immature body functions. One of the body functions is temperature regulation. Commonly premature infants get hypothermia. Mozart classical music therapy is a kind of therapeutic music which can help healing process in premature infants. This study aimed to determine the effectiveness of Mozart Classical Music Therapy for premature infants’s body temperature in Perinatology Ward Teluk Kuantan General Hospital. The design of this study was quasy experiment. The number of samples in this study were 30 premature infants which had selected through purposive sampling method and met inclusion criterias. Then the samples were grouped into intervention and control group which each group consist of 15 infants. Intervention group was given Mozart Classical Music therapy during 15 minutes each day for 7 days. This study was analysed with t-test. The result of study showed that infant’s body temperature in intervention group before getting intervention (36,46 ± 0,192) and after (36,88 ± 0,237) with p value 0,000 < 0,05. It means there was difference body temperature before and after getting intervention. Control group who didn’t get intervention had the result before (36,593 ± 0,26) and after (36,40 ± 0,12) with p value 0,119 > 0,05. It means that there was no difference body temperature in control group. Unpaired t test was used to know the difference of premature infant’s body temperature beetwen intervention and control group. This test showed that in intervention group (36,88 ± 0,237) and control group (36,40 ± 0,12) with p value 0,000 < 0,05. It means there was difference premature infant’s body temperature in intervention and control group. The conclusion of this study was Mozart Classical Music Therapy was more effective to stabilize premature infant’s body temperature so that can be suggested to perinatology nurse and parents giving Mozart Classical Music as a therapy for caring premature infant’s body temperature.