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Pasien COVID-19 dengan gejala ringan hingga sedang menjalani isolasi mandiri sesuai dengan kebijakan terbaru yang dikeluarkan oleh pemerintah karena keterbatasan ruang perawatan. Pendidikan kesehatan tentang perawatan pasien COVID-19 selama menjalani isolasi mandiri (ISOMAN), menjadi sangat penting untuk mendukung keberhasilan ISOMAN pasien Covid 19. Tujuan dari kegiatan ini untuk meningkatkan pengetahuan tentang self care pada pasien COVID-19 selama menjalani isolasi mandiri dirumah. Sasaran kegiatan adalah seluruh masyarakat terutama pasien COVID-19 yang sedang menjalani isolasi mandiri dirumah. Jumlah partisipan yang terlibat sebanyak 74 peserta. Kegiatan pengabdian kepada masyarakat ini diawali dengan pretest, pemaparan materi, sesi diskusi dan tanya jawab dengan menggunakan aplikasi zoom, kemudian diakhiri dengan mengisi post test. Data univariat dan bivariat dianalisis dengan menggunakan uji t test berpasangan. Hasil kegiatan ini menunjukkan bahwa terjadi peningkatan pengetahuan rata-rata responden secara signifikan pretest 42.77 dan post test 83,24 dengan signifikansi 0,00. Hal ini menujukkan bahwa penggunaan metode daring dapat meningkatkan pengetahuan responden terkait topik pendidikan kesehatan yang telah diberikan. Kesimpulan pelaksanaan pendidikan kesehatan dengan medode daring dapat meningkatkan pengetahuan responden tentang self care pada pasien Covid-19 selama isolasi mandiri. Diharapkan pelaksanaan pendidikan kesehatan dengan metode ini dapat dilakukan untuk memberikan informasi bagi pasien COVID-19 yang sedang menjalani isolasi mandiri. Kata kunci: Covid-19, isolasi mandiri, pendidikan kesehatan, tingkat pengetahuan.

Learning to handle cardiovascular emergencies is complex and can cause psychological stress for nursing students. Gamification using question cards as a learning aid is one of the creative educational strategies that can help students learn in a fun way. The design of cards with valid and reliable questions is essential in gamification; however, such cards are still lacking in cardiovascular emergency learning.To develop and validate cardiovascular emergency question cards for the future use of gamification for education regarding cardiovascular emergencies among undergraduate nursing students.The development process included two phases: designing the question cards and testing validity evidence. A table of specifications was used to select and assign questions based on three levels with six learning outcome categories. Five nurse experts assessed the evidence based on test content, including the relevance, clarity, and essentiality of the questions. Seven final-year nursing students evaluated the evidence based on the response process. After revision, 61 nursing students evaluated the internal consistency reliability of each level.In the design phase, ninety English question cards were categorized into three levels based on the learning outcomes expected in an undergraduate emergency nursing course. Most of the questions were multiple-choice questions, and some were short answer questions. The final item-content validity index = 1.00, the scale-content validity index/universal agreement = 1.00, and the content validity ratio = 1.00. Cronbach's α for internal structure was 0.81 for level I (n = 61), 0.92 for level II (n = 54), and 0.81 for level III (n = 46).The cardiovascular emergency question cards showed acceptable evidence based on the test content, response process, and internal structure. In the future, testing the feasibility of applying the question cards to gamification and assessing their learning effect on cardiovascular emergency knowledge retention will be necessary.

Background: Coronary Heart Disease (CHD) has a high recurrence in Indonesia. This condition may occur as a result of the failure of compliance with post-acute management following a heart attack by CHD patients. One of the causes is the lack of effective health education. Objective : The aim of this study was to identify the feasibility of the workbook in improving patients’ self-efficacy (SE) and quality of life (QoL). Methods: This research used a quasi-experimental with pretest-posttest control design. A pretest was done to the patients who were treated in the cardiac intensive unit, and a posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospitals in West Java, Indonesia. A purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The intervention group was given a health education using a workbook, and the control group was given a direct health education. Self-efficacy was measured using a questionnaire developed by the authors, with high validity and reliability. A SF-12 instrument was used for measuring the quality of life. Data were analyzed using a descriptive quantitative analysis such as mean, Mann Whitney test, and Independent t-test. To estimate the effects of the intervention to QoL and SE, Kruskal Wallis test and One-way ANOVA were used. Results: The results showed that there was an increase in SE and QoL in both groups, either in the posttest 1 or posttest 2. The comparison of QoL in the pretest, posttest I and II obtained p =.452, .741, and .826, while SE between and within groups obtained p = .732, .220, and .009, respectively. Conclusions : Health education using the workbook was significantly more effective to increase SE than QoL of the CHD patients.

Background: Caring is the essence of nursing that is believed vital in improving the health and well-being of patients and in facilitating health promotion. Nursing education has a fundamental role in shaping a positive student’s caring behavior.Objective: This study identified the caring behavior of the final-year nursing students after completing a critical care nursing course unit by implementing assorted teaching-learning strategies.Methods: This study was a descriptive research using a comparative design. Samples were recruited from a group of 152 final-year students using a random sampling technique (n=76). Data were collected using a valid and reliable Indonesian caring instrument consisting of 32 items based on Watson’s ten carative factors. Data were analyzed using descriptive statistics by calculating mean scores of students’ caring behavior. A paired t test was performed to evaluate the difference between caring behavior before and after completion of the course unit involving a diverse teaching learning strategies, such as face-to-face lectures in the class, quizzes and practicums, facilitated small group case-based discussions, and expert reviews.Results: Results showed that more than half of the students had negative caring behavior before (59.22%) and after (54.55%) participating in learning process. There was also a barely statistical unsignificance in the change of caring behavior following the course unit that involved various learning strategies (p value = 0.276). Further analyses of the 10 carative factors revealed that there was a significant change in transpersonal teaching-learning, provision for a supportive, protective, and/or corrective mental, physical, sociocultural, and spiritual environment, and spiritual environment and existential-phenomenological spiritual forces (improved, p value

Cardiac arrest termasuk kejadian kegawatdaruratan yang membutuhkan bantuan hidup dasar dengan resusitasi jantung paru. Upaya pertolongan bantuan hidup dasar yang terlambat diberikan dapat berdampak kematian pada pasien. Tim reaksi cepat sebagai tenaga kesehatan yang dibentuk khusus untuk menangani pasien kegawatdaruratan dituntut mampu memberikan pertolongan pada pasien gawat darurat dengan cepat dan tepat. Tim reaksi cepat membutuhkan pengetahuan dalam melakukan tindakan bantuan hidup dasar. Tujuan penelitian ini untuk mengidentifikasi pengetahuan Tim Reaksi Cepat tentang Bantuan Hidup Dasar. Penelitian ini menggunakan metode deskriptif kuantitatif pada 37 anggota tim reaksi cepat yang dipilih menggunakan total sampling. Instrumen penelitian menggunakan kuesioner pengetahuan yang disusun dan dikembangkan peneliti. Hasil penelitian menunjukkan bahwa pengetahuan sebagian besar dalam kategori kurang yaitu sebanyak 36 responden (97,3%) dan satu responden (2,7%) memiliki pengetahuan baik. Responden dengan katergori pengetahuan yang kurang memiliki kategori kurang di semua indikator seperti, pada pengetahuan konsep dasar, pengkajian respon dalam BHD, resusitasi paru dalam BHD, resusitasi jantung dalam BHD, dan AED dalam BHD. Perlu adanya peningkatan pengetahuan tentang bantuan hidup dasar dengan mengadakan pelatihan, evaluasi serta pembaharuan standar prosedur operasional BHD.

Background: Patients with coronary heart disease (CHD) should have good self-management capabilities. This is determined by the effective of health education which is based on the assessment of patients’ learning needs and consideration of health personnel. On the other hand, the study of perceptions of CHD patients’ learning needs in Indonesia is little known. Objective: This study aimed to identify the CHD patients’ learning needs. Methods: This study was a descriptive quantitative with cross-sectional approach. Population was CHD patients in one of the referral hospitals in West Java Indonesia. Samples were recruited using consecutive sampling technique for a 2-month period (n=106). Data were collected using TR-CPLNI instrument and analyzed using descriptive quantitative and Kruskal Wallis test . Results: The order of learning needs based on the highest to the lowest mean was anatomy and physiology of heart (4.42); medication information (4.33); cardiopulmonary information (4.32); life style (4.28); dietary information (4.19); symptom management (4.08); psychology (4.07); and physical activity (3.64). The significant differences (p

Penyakit malaria merupakan masalah utama di banyak daerah tropis dan subtropis. Berdasarkan WHO setengah dari penduduk dunia beresiko terkena malaria. Masih tingginya angka kejadian kekambuhan pada penderita malaria di Indonesia antara lain dipengaruhi oleh tingkat pendidikan yang masih rendah serta sikap pencegahan dan pencarian pengobatan yang kurang baik pada saat kejadian malaria. Dari fenomena yang ditemukan masalah malaria semakin sulit untuk diatasi dan diperkirakan akan menjadi hambatan bagi keberhasilan pembangunan kesehatan, oleh karena kejadian kesakitan berlangsung berulang kali. Seorang penderita malaria bisa mengalami serangan ulang antara 2 atau 3 bahkan lebih pada periode tertentu. Penelitian ini merupakan penelitian studi korelasi dengan pendekatan cross sectional. Penelitian ini menggunakan teknik accidental sampling dengan 18 responden yang menderita malaria di ruang internal RSUD Yowari Kabupaten Jayapura. Proses pengumpulan data dilakukan dengan pengisian kuesioner dengan uji korelasi yang digunakan adalah Chi-Square. Hasil penelitian tentang pengetahuan menunjukan responden yang memiliki pengetahuan baik 11 responden atau (61.1%), memiliki pengetahuan cukup 5 responden (27.8%), sedangkan yang memiliki pengetahuan kurang 2 responden (11.1%). Berdasarkan hasil penelitian kekambuhan menunjukkan 7 responden yang mengalami kekambuhan atau sering terjadi kekambuhan (38.9%). Sedangkan 11 responden atau (61.1%) jarang kambuh. Pada uji statistik Chi-Square didapatkan hasil p value 0.030

Introduction: Recurrence of coronary heart disease (CHD) occurs due to non-compliance patients in managing CHD. One predictor of compliance with CHD management is illness cognition (IC), and IC can be improved through illness stimuli that can be done through health education in this study through workbooks. Purpose: This study aimed to identify the effect of the workbook on illness cognition in CHD patients. Methods. This research was a quasi-experimental with pretest-posttest control design. A pretest was done to the patient who was treated in the Cardiac Intensive Unit; posttest was carried out at the end of the first and second month after the pretest. The population was all post-acute CHD patients who were admitted to the cardiac intensive unit in one of the referral hospital in West Java, Indonesia. Purposive sampling was used and obtained 39 respondents who were divided into control and intervention groups. The instrument used was the illness cognition questionnaire (ICQ). Data were analyzed using the mean, median, percentage, and to estimate the effect of the workbook to the patients' IC used Wilcoxon and Friedman test. Results: The results showed an increase in acceptance and perceived benefits for both groups while in the helplessness showed the decrease scores. The p-value of IC comparison in the pre-test, post-test I, and II between groups for helplessness, acceptance, and perceived benefits were 0.118; 0.376; and 0.424, respectively. Besides, the p-value for differences of IC within control and intervention groups was less than 0.05. Conclusions: The workbook in this study generally did not provide significant IC changes to respondents.

Hypertension is a health problem that needs attention in Indonesia. To decrease the incidence of hypertension, we could give health education to the community. Provision of information and education through learning media such as booklet was one effort to empower the community in preventing and performing hypertension treatment at home. Increasing health promotion through the provision of information and education using learning media was expected to improve the knowledge and self-efficacy of the community that will affect the behavior of the community. Pangandaran Regency is one of the target areas of Padjadjaran University where hypertension is one of the highest prevalence diseases. The purpose of this activity was to improve knowledge of community self-efficacy about prevention and treatment of hypertension. This activity was carried out from community surveys, booklet preparation, booklet socialization, and evaluation. At the implementation stage, the activity was followed by 22 people and 13 of them had hypertension. People who had hypertension were given hypertension management booklet then their knowledge and self-efficacy evaluate after one to two weeks. The result showed that there was an increase in the average knowledge and self-efficacy of them after the program. Besides that, there were differences in an average score of public knowledge before and after the giving of booklets, but there was no difference in the average self-efficacy score. This booklet can be used to provide health education to the community related to prevention and treatment of hypertension, so hopefully, there will be changes in behavior to manage hypertension. Keywords: Booklet, learning media, hypertension, knowledge, self-efficacy

Prevalensi Penyakit Jantung Koroner (PJK) terus mengalami peningkatan setiap tahunnya dan menjadi masalah kesehatan utama di masyarakat saat ini. PJK berdampak terhadap berbagai aspek kehidupan penderitanya baik fisik, psikososial maupun spiritual yang berpengaruh terhadap kualitas hidup pasien. Isu kualitas hidup dan faktor-faktor yang berhubungan didalamnya belum tergambar jelas di Indonesia. Tujuan dari penelitian ini adalah mengidentifikasi faktor yang memengaruhi kualitas hidup pada pasien PJK yang sedang menjalani rawat jalan. Faktor-faktor yang diteliti dalam penelitian ini meliputi jenis kelamin, tingkat penghasilan, revaskularisasi jantung, rehabilitasi jantung, kecemasan, depresi dan kesejahteraan spiritual. Kecemasan diukur dengan Zung Self-rating Anxiety Scale, depresi diukur dengan Beck Depression Inventory II, kesejahteraan spiritual diukur dengan kuesioner Spirituality Index of Well-Beingdan kualitas hidup diukur menggunakan Seattle Angina Questionnaire. Penelitian ini menggunakan rancangan kuantitatif deskriptif dan analitik multivariatedengan regresi logistic. Diteliti pada 100 responden yang diambil secara randomdalam kurun waktu 1 bulan di Poli Jantung. Hasil penelitian menunjukkan faktor yang memengaruhi kualitas hidup pada pasien PJK adalah cemas (p) 0,002; Odd Ratio(OR) 4,736 (95% confidence interval(CI), 1,749 – 12,827); depresi (p) 0,003; OR 5,450 ( 95% CI, 1,794 – 16,562); dan revaskularisasi (p) 0,033; OR 3,232 (95% CI, 1,096 – 9,528). Depresi menjadi faktor yang paling berpengaruh terhadap kualitas hidup pasien PJK. Faktor yang memengaruhi kualitas hidup pada pasien PJK meliputi depresi, cemas dan revaskularisasi. Dari ketiga variabel tersebut depresi merupakan variabel yang paling signifikan berpengaruh, sehingga manajemen untuk mencegah depresi perlu mendapatkan perhatian lebih baik lagi dalam discharge planningataupun rehabilitasi jantung. Kata kunci: Cemas, depresi, faktor yang memengaruhi, kualitas hidup, spiritual. Factors Influenced the Quality of Life among Patients Diagnosed with Coronary Heart Disease Abstract Coronary Heart Disease (CHD) has affected multidimensional aspects of human live nowadays. Yet, quality of life and factors associated with quality of life among people who live with heart disease has not been explored in Indonesia. This study aimed to identify factors influenced the quality of life among people with CHD received outpatient services. Those factors are gender, income, revascularization, cardiac rehabilitation, anxiety, depression and spiritual well-being. Zung Self-rating Anxiety Scale was used to measure anxiety where depression level measured using Beck Depression Inventory II. Spirituality index was used to measure spiritual well-being. The quality of life level was measured using the Seattle Angina Questionnaire. This study used quantitative descriptive with multivariate analysis using logistic regression. 100 respondents were randomly selected from the Cardiac Outpatient Unit. Findings indicated factors influenced the quality of life of CHD patients using a significance of ƿ-value < 0.005 were: anxiety (ƿ=0,002, OR = 4,736, 95% CI, 1,749 – 12,827); depression (ƿ=0,003; OR=5,450, 95% CI, 1,794 – 16,562); and revascularizations (ƿ=0,033; OR=3,232, 95% CI, 1,096 – 9,528). Depression was considered as the most significant factor; therefore, managing depression is a priority in the discharge planning or cardiac rehabilitation programme. Keywords: Anxiety, depression, quality of life, spiritual, well-being.

Karekteristik pasien diabetes melitus (DM) tipe 2 yang dapat memengaruhi kualitas hidupnya meliputi umur, jenis kelamin, tingkat pendidikan, sosial ekonomi, lama menderita DM, dan status pernikahan. Tujuan penelitian ini adalah mengetahui gambaran kualitas hidup berdasarkan karekteristik pasien DM tipe 2. Penelitian deskriptif kuantitatif ini melibatkan 89 responden yang diambil menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner karekteristik responden dan Quality of Life Instrument for Indian Diabetes Patients (QOLID)yang terdiri dari 34 pertanyaan. Data yang terkumpul dikategorikan menjadi kualitas hidup tinggi/rendah berdasarkan nilai mean. Hasil penelitian menunjukkan bahwa kualitas hidup (QoL) pasien DM tipe 2 secara keseluruhan adalah tinggi (56,18%). Berdasarkan umur, QoL tinggi terbesar adalah lansia (65,9%) dan QoL rendah terbesar adalah dewasa madya (53,84%). Jenis kelamin, QoL tinggi terbesar adalah laki-laki (58,97%) dan QoL rendah terbesar adalah perempuan (46%). Tingkat pendidikan, QoL tinggi terbesar berada pada perguruan tinggi (78,26%) dan QoL rendah terbesar berada pada SD (65%). Berdasarkan sosial ekonomi, QoL tinggi terbesar adalah penghasilan lebih dari >5 juta (87,5%) dan QoL rendah terbesar adalah 10 tahun (66,67%) dan QoL rendah terbesar adalah < 1 tahun (53,33%). Berdasarkan status pernikahan QoL tinggi terbesar adalah menikah (56,16%) dan QoL rendah terbesar adalah janda/duda (46,67%). Perawat diharapkan dapat membantu pasien dengan karekteristik tingkat pendidikan SD, usia dewasa madya, penghasilan 5 million (50%) had the highest QoL and the lowest was people with income

Management airways become one important part in an act of care in patients with critical conditions due to disease. One attempt to keep the airway is to intubate, is inserting a pipe into the upper respiratory tract. The main requirement that must be considered is to keep the airway is always free and breath can run smoothly and orderly. The final stage of intubation was extubated. The purpose of this study was to determine what factors are associated with outcome of extubation in ICU Prof. Dr. Margono Soekardjo Purwokerto Hospital. This study is a cohort retrospective with analytic correlational design.The sample in this study amounted to 96 people. Bivariate test results that there is a relationship between age (p = 0.000), tidal volume (p = 0.001), systolic blood pressure (p = 0.000), FiO2 (p = 0.007) and PEEP (p = 0.014) with outcome of extubation. There is no associated GCS (p = 0.358) with outcome of extubation. Therefore, nurses need to give special attention regarding the condition of the patient, such as age characteristics, the value of tidal volume, systolic blood pressure, FiO2 and PEEP before extubation. Keywords: outcome, extubation, ICU

There is a growing demand for pharmaceutical companies to run patient support programs(PSP).These programs are usually services offered to patients designed to help management of medication and/or disease outcomes (e.g. adherence, awareness and education). Some programs may also offer to healthcare professionals tools to support their patients and optimize treatments.

The high and varied disasters occur in Indonesia, requiring the government and the whole community to be ready for disaster. In the Faculty of Nursing Universitas Padjadjaran (Unpad), there is a group of students who do extracurricular activities to provide health aid called PNC. Training needs to be done to enhance the role of PNC as well as increasing the participation of students in the disaster relief program. This training resulted in increased knowledge and attitudes of PNC members on disaster management, and also increased the knowledge and attitude related to the role and function of students in disaster management effort. In addition, other additional results related to the effectiveness of training methods for PNC members successfully obtained. The methods compared were lecture and discussion (LD) compared with LD plus simulation and FGD methods. It is measured by using the quasi experimental method with pretest-posttest control group design. Data analysis used Mann Whitney test. The result showed that there was no difference in knowledge and attitude (p = 1,000) in both treatment groups (p = 0,424). Which means that there was no difference between LD method and LD plus simulation and FGD method. Keywords: Training, Disaster Management, Padjadjaran Nursing Corps (PNC)