Critical Medical and Surgical Nursing Journal (CMSNJ)

Back Matter

Muhammad Fikri Alfaruq — 2024-09-01

Stress and Burnout Amidst Covid-19 Pandemic and its Influence on Job Satisfaction among Staff Nurses in Jolo, Sulu, Philippines

Hamdoni Pangandaman — 2024-09-01

Introduction: The global healthcare sector, especially the nursing profession, has experienced heightened demand due to the COVID-19 pandemic, leading to increased job-related stress, elevated burnout rates, and varying levels of job satisfaction that can significantly impact the effectiveness of responses to the pandemic. This study aimed to describe and analyze stress and burnout among nurses in Sulu, and explore how these factors relate to their job satisfaction during the COVID-19 pandemic.
Methods: The study employed a descriptive predictive research design to outline the variables and examine their potential impact on job satisfaction. It was conducted at two selected hospitals in Sulu, with nurses as the respondents. The sample comprised 83 staff nurses chosen from a total of 183. Data were collected using a validated and reliable adapted questionnaire. Analysis was carried out with SPSS version 24, including frequency and percentage distribution, mean, standard deviation, and simple linear regression.
Results: The study finds that staff nurses' job satisfaction during the COVID-19 pandemic is significantly impacted by age and income, while higher stress levels and moderate burnout negatively affect it. The average mean stress level is 0.929, indicating that stress is rarely experienced, while burnout has an average mean of 1.536, suggesting it is also infrequent. Overall, the average mean job satisfaction score is 0.929, reflecting a general level of satisfaction among the staff nurses.
Conclusion: This study concludes that young nurses are essential during pandemics due to their high activity levels but require guidance from experienced professionals to ensure quality healthcare. Administrators should support all nurses and offer reasonable income to manage stress and burnout, impacting job satisfaction. Future research should include a diverse range of healthcare professionals to explore stress and burnout differences among various roles and specializations.

The Effect Of Autogenic Relaxation And Dhikr On Sleep Quality In Chronic Kidney Disease Patients Undergoing Hemodialysis Therapy At Fatimah Islamic Hospital

Estriana Murni Setiawati — 2024-09-01

Introduction: Chronic Kidney Disease (CKD) is a serious disease that can affect all ages, from teenagers to the elderly, which can be caused by various factors. CKD patients undergoing hemodialysis therapy have sleep disturbance problems that affect sleep quality. Poor sleep quality if not handled properly can cause 2 disturbances, namely physiological and psychological balance. The purpose of this research is to investigate the effectiveness of autogenic relaxation and dhikr in improving sleep quality among chronic kidney disease patients undergoing hemodialysis therapy at Fatimah Islamic Hospital. Methods: This study employed a quasi-experimental design using a pre-test and post-test control group approach. A quota sampling technique was used to select 44 participants, who were then divided into two groups. Data analysis was conducted using the Wilcoxon and Mann-Whitney tests, with significance set at p < 0.05. The Pittsburgh Sleep Quality Index (PSQI) was used to measure sleep quality before and after the intervention. Results: The study results demonstrate significant findings, with a Wilcoxon test p-value of 0.003 and a Mann-Whitney test p-value of 0.025. Conclusion: There is an effect of autogenic relaxation therapy and dhikr on the sleep quality of chronic kidney disease patients undergoing hemodialysis therapy at Fatimah Cilacap Islamic Hospital. Future research should assess the feasibility and effectiveness of incorporating autogenic relaxation and dhikr into routine hemodialysis care, including the training of healthcare providers and integration into treatment protocols

The Effect of Red Onion Compresses on The Decrease Children's Body Temperature Fever

Lilis Fatmawati — 2024-09-01

Introduction: Children with developing immune systems are particularly vulnerable to various illnesses, including fever. As a result, this study aims to explore the potential benefits of using a red onion compress as an alternative method to reduce body temperature in febrile children. Method: This research adopts a pre-experimental approach, utilizing a one-group pretest-posttest design to assess the effects of the intervention. The study population consisted of 15 individuals, and a non-probability purposive sampling technique was used to select 13 respondents. The research was conducted between October 1st and October 31st, 2023. The independent variable in this study is the application of a red onion compress, while the dependent variable is the reduction in body temperature among children with fever. Standard operating procedures for administering the red onion compress and observation sheets were used as research instruments. Data were analyzed using a paired sample t-test with a significance level of α<0.05. Results: Prior to the application of the red onion compress, respondents were categorized as febrile, with an average body temperature of 38˚C. After the intervention, body temperatures returned to normal levels. The results indicate a statistically significant effect of the red onion compress in reducing body temperature in febrile children, with a p-value of 0.001. Conclusions: The use of a red onion compress may serve as a viable complementary treatment for reducing fever in children, potentially offering an alternative to chemical medications. Future research could explore the effectiveness of red onion compresses in comparison to other natural remedies, such as peppermint oil or aloe vera, in reducing fever in children. This would help establish whether red onion compresses are more or less effective than other traditional treatments

Effect Of Health Education With Audio-Visual Media On Adherence To Medication Of Breast Cancer Patients

Lilis Fatmawati — 2024-09-01

Introduction. Breast cancer is known as the first killer of cancer. Long-term treatment is more prone to patient compliance problems, lack of understanding of the pain, and saturation of taking medication leads to non-adherence that worsens the patient's condition. This study analyzes the effect of health education with audio-visual media on drug adherence in breast cancer patients Method. This research is a quasi-experiment with a pre-post test control group design. Purposive sampling was carried out for 1 month at the Oncology Polyclinic at Petrokimia Gresik Hospital. Subjects who met the inclusion of 36 patients were evaluated with the MMAS (Morinsky Medication Adherence Scale) questionnaire. The data was then analyzed using the Paired T-test. ResultsThe paired t-test revealed a statistically significant (p = 0.000, α < 0.05) improvement in medication adherence among breast cancer patients following health education with audiovisual media. Conclusion. This suggests that audiovisual media can be an effective tool in enhancing medication adherence in this population. Further research is warranted to explore the optimal content, duration, and frequency of audiovisual interventions. Additionally, studies investigating the cost-effectiveness of this intervention and its impact on other patient outcomes, such as quality of life and treatment efficacy, are needed

The Effect of Benson Relaxation on Decreasing the Degree of Blood Pressure in Older Adults with Hypertension

Daviq Ayatulloh — 2024-09-01

Hypertension in the elderly is still a health concern to improve the quality of life of the elderly and prevent sudden death. The aim of this research is to explain how to reduce blood pressure in hypertensive patients using non-pharmacological techniques, namely Benson relaxation. This research uses a quasy-experiment research design with a pre-post test control group design. The research population was 63 elderly people with hypertension and 40 respondents were recruited as samples using purposive sampling. This research was divided into 2 groups, namely the treatment group and the control group, each with 20 respondents. The independent variable Benson's relaxation was carried out using standard operational procedures and blood pressure was measured using a spigmomanometer, stethoscope, observation sheet. Data analysis used the Wilcoxon signed rank test with a significance level of p < 0.05. The results of the study showed that giving Benson relaxation therapy to the treatment group showed a p value = 0.003, this means that there was an effect of giving Benson relaxation therapy on reducing blood pressure in the elderly. It can be concluded that Benson relaxation therapy shows a positive effect in reducing blood pressure in elderly people with hypertension. So that therapy can be applied by nurses in providing nursing interventions to the elderly to increase the use of non-pharmacological therapy

Front Matter

Muhammad Fikri Alfaruq — 2024-09-01