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                <text>COVER JURNAL NASIONAL PADJADJARAN VOL.12 N0.1  2024 </text>
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                <text>The trend of research on oral hygiene in intubated patient based on bibliometric analysis</text>
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                <text>bibliometric; intubated patient; oral hygiene; suction toothbrush</text>
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                <text>Background: ICU patients with critical conditions are generally intubated due&#13;
to their inability to breathe independently. These patients require assistance&#13;
from nurses in meeting their basic needs, one of which is oral hygiene. ICU&#13;
nurses use several protocols when doing oral hygiene in intubated patients.&#13;
Purpose: This study was conducted to reveal the trend of research on oral&#13;
hygiene in intubated patients in the last two decades through bibliometric&#13;
analysis.&#13;
Methods: This study is a quantitative research. The research publications&#13;
were collected from the Scopus and PubMed databases through the Publish&#13;
or Perish application. Then, for further analysis, the VOSViewer application&#13;
was used to create visualization maps of co-occurring terms that include the&#13;
research themes.&#13;
Results: There were a total of 88 publications from two databases in the last&#13;
two decades that discussed oral hygiene in intubated patients. Visualization&#13;
in VOSViewer illustrates five main clusters on oral hygiene-intubated&#13;
patients. Most of the publication themes were oral hygiene protocols and the&#13;
relationship between the oral hygiene and VAP incidence. However, suction&#13;
&#13;
toothbrush as one of the oral hygiene protocol did not appear in the co-&#13;
occurring terms in the first search; therefore, the researchers conducted a&#13;
&#13;
separate search about this term.&#13;
Conclusion: Based on the analysis, the most common themes used are&#13;
oral hygiene protocols and the relationship between oral hygiene and VAP&#13;
in the last two decades. However, research on suction toothbrush as one&#13;
of the protocols is still lacking, so it can be used as a novelty in conducting&#13;
further research.</text>
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                <text>Titis Wening Setyoharsih1&#13;
&#13;
* , Saryono Saryono2 , Latifah Jehloh3</text>
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php/jkp</text>
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            <description>A name given to the resource</description>
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                <text>The culture of caring for low birth weight infants at home after treatment:&#13;
An ethnographic study from Indonesia</text>
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          <element elementId="49">
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                <text>culture; home care; low birth weight infant; mother</text>
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                <text>Background: Caring for low birth weight (LBW) babies is a challenge for&#13;
parents, especially after being discharged from the hospital, to continue the&#13;
care provided by professional nurses. Culture can influence how parents&#13;
behave and decide to keep babies healthy.&#13;
Purpose: This study examined the culture that influences mothers in Aceh,&#13;
Indonesia, to care for LBW infants at home following hospital treatment.&#13;
Methods: This study used an ethnographic design that involved ten&#13;
participants consisting of mothers who had an LBW infant after receiving&#13;
hospital care, a grandmother, a midwife, and health cadres. The data were&#13;
collected using focus group discussion (FGD). FGDs were audio-recorded,&#13;
transcribed verbatim, and analyzed using thematic analysis.&#13;
Results: The finding revealed three themes associated with cultural practices&#13;
influencing mothers to care for LBW infants at home following treatment:&#13;
(1) mothers are not the only caregivers, (2) traditions to safeguard family&#13;
members, and (3) the dilemma between obeying medical advice or their&#13;
grandmother’s commands.&#13;
Conclusion: Culture substantially impacts a mother’s decision-making,&#13;
mainly when she and her infant are ill. For traditions and health advice to&#13;
coexist, sufficient support is required.</text>
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            <description>An entity primarily responsible for making the resource</description>
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                <text>Sri Intan Rahayuningsih12* , Yeni Rustina3 , Yati Afiyanti3 , Tris&#13;
Eryando4</text>
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php/jkp</text>
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                <text>: April 30, 2024</text>
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                <text>PERI IRAWAN</text>
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        <name>culture; home care; low birth weight infant; mother</name>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>The comfort level in breast cancer patients’ based on patients’&#13;
characteristics during the COVID-19 pandemic</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
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                <text>breast cancer; comfort; COVID-19; level of comfort</text>
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            <description>An account of the resource</description>
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                <text>Background: Comfort is an important factor in determining the successful&#13;
outcomes of palliative care in breast cancer patients. During the COVID-19&#13;
pandemic, the comfort of cancer patients was disrupted due to restrictions&#13;
on the number of visits, due to being categorized as a high-risk group&#13;
for COVID-19. Patients were concerned about coming to the hospital for&#13;
treatment because they were afraid of being infected, which served as an&#13;
obstacle in treating breast cancer patients.&#13;
Purpose: This study aims to describe patients’ comfort levels during the&#13;
COVID-19 pandemic and to investigate the relationship between patients’&#13;
characteristics and comfort levels.&#13;
Methods: This study involved 108 respondents with breast cancer at the&#13;
National Cancer Center Hospital in 2021, using a cross-sectional research&#13;
method. The study was conducted using a consecutive sampling technique,&#13;
including breast cancer patients who were actively undergoing treatment in&#13;
the hospital. The research instrument was the Comfort Assessment Breast&#13;
Cancer Instrument (CABCI), using a scale of 1-4, with lower score indicating&#13;
higher level of comfort. The data were analyzed using the Kruskal-Wallis&#13;
test.&#13;
Results: The results showed that respondents’ level of comfort was still&#13;
lacking. The best comfort aspect was the environmental aspect, and the&#13;
worst aspect was the physical aspect. In addition, there were two variables&#13;
related to comfort: type of treatment (p = 0.000; α = 0.05) and type of service&#13;
in the hospital (outpatient and inpatient) (p = 0.000; α = 0.05). The best&#13;
comfort level was found in chemotherapy treatment and outpatient rooms.&#13;
Patients felt comfortable with a neat, clean, conducive hospital environment&#13;
and the implementation of health protocols, believing that these aspects&#13;
could effectively prevent the spread of COVID-19.&#13;
Conclusions: The results of this study suggested that dimension of&#13;
patients’ comfort are influenced by multiple aspects. Nursing services are&#13;
recommended to optimize and improve controllable variables to maintain a&#13;
higher level of comfort. Interventions that maintain or improve comfort will&#13;
optimize patients’ health conditions.</text>
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            <description>An entity primarily responsible for making the resource</description>
            <elementTextContainer>
              <elementText elementTextId="114441">
                <text>Tuti Nuraini1* , Yushlihah Rofiati Yusuf2 , Shanti Farida Rachmi1 , Dewi&#13;
Gayatri1</text>
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php/jkp</text>
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        <name>breast cancer; comfort; COVID-19; level of comfort</name>
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            <name>Title</name>
            <description>A name given to the resource</description>
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                <text>Supportive-educative needs of patients with coronary heart disease: An&#13;
investigation of clinical nurses</text>
              </elementText>
            </elementTextContainer>
          </element>
          <element elementId="49">
            <name>Subject</name>
            <description>The topic of the resource</description>
            <elementTextContainer>
              <elementText elementTextId="114405">
                <text>coronary heart disease; education; supportive; nurse</text>
              </elementText>
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            <description>An account of the resource</description>
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                <text>Background: The rising prevalence of coronary heart disease (CHD) has&#13;
highlighted the need for supportive-educative efforts, particularly in nursing.&#13;
These initiatives are crucial for improving self-care management in CHD&#13;
patients, enhancing their quality of life. Clinical nurses are key in this role,&#13;
leveraging their direct patient interaction and expertise to provide tailored&#13;
education and support.&#13;
Purpose: This study aimed to investigate the supportive-educative needs of&#13;
CHD patients from the perspective of clinical nurses.&#13;
Methods: A descriptive qualitative study was conducted for this research.&#13;
Participants included 30 clinical nurses responsible for caring for CHD patients&#13;
in both inpatient wards and outpatient polyclinics. Interview guidelines were&#13;
utilized to collect data through in-depth interviews, triangulation, and the&#13;
obtained interview data were analyzed using the thematic analysis approach.&#13;
Results: We identified four themes related to the supportive-educative&#13;
needs of CHD patients: 1) engaging and informative media; 2) culturally&#13;
sensitive approaches; 3) nurses’ attitudes; and 4) family empowerment.&#13;
Conclusion: Supportive education, tailored to the needs of CHD patients,&#13;
is vital for effective disease management. This study’s findings highlight the&#13;
importance of incorporating four key elements into supportive education:&#13;
engaging and informative media to enhance learning, culturally sensitive&#13;
approaches to address diverse patient needs, the positive impact of nurses’&#13;
empathetic attitudes, and the empowerment of families in the care process.&#13;
Integrating these aspects can significantly aid CHD patients in developing&#13;
self-care skills that positively influence their quality of life.</text>
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                <text>Aguscik Aguscik1 , Rahmad Aswin Juliansyah1 , Rosnani Rosnani1&#13;
, Devi Mediarti1 , Christina Yeni Kustanti2 , Bangun Mukti Ardi3,&#13;
Muhammad Kamil Che Hasan4 , Inbar Levkovich5 , Agus Setiawan6</text>
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                <text>Background: Every year, many children around the world get cancer, and&#13;
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childhood cancer is a leading cause of death. This study uses unique maps&#13;
(Geographic Information Systems or GIS) to examine these young cancer&#13;
patients’ locations.&#13;
Purpose: By doing this, we hope to find areas with more cases and see if&#13;
children in those areas have easy access to the medical care they need.&#13;
Methods: Methods involved primary and secondary data collection, including&#13;
surveys and hospital records, with geospatial data analyzed using QGIS 3.4&#13;
Madeira. The study focuses on four Department of Health (DOH) tertiary&#13;
hospitals: Philippine Children Medical Center (PCMC), Bicol Regional&#13;
Training and Training Hospital (BRTTH), Southern Philippines Medical&#13;
Center (SPMC), and Vicente Sotto Memorial Medical Center (VMMC)&#13;
Participants from significant regions contributed to the study.&#13;
Results: Results indicate that cancer centers, notably the primary children’s&#13;
hospital, cater to patients from far-reaching areas, causing them to consult&#13;
distant hospitals despite accessible alternatives. Nearly all (around 92.5%)&#13;
patients seek care at specialized hospitals, even though only a small&#13;
proportion (roughly 12.3%) live close to such facilities. Instead, 37.3%&#13;
reported the closest health facility (within 10 kilometers) is a secondary&#13;
government hospital, increasing the burden on patients with additional travel&#13;
and non-medical costs.&#13;
Conclusion: The study concludes that pediatric cancer patients face&#13;
challenges accessing healthcare facilities, necessitating alternative methods&#13;
like telemedicine and mobile clinics. The findings underscore the need for&#13;
improved healthcare infrastructure and human resources to address the&#13;
burdens faced by these patients.</text>
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                <text>Myra D. Oruga* , Primo G. Garcia , Loyda A. Cajucom, Rita C. Ramos ,&#13;
Queenie R. Ridulme , Ronaldo De Jesus , Bryan Alcazar , Ma Joanna&#13;
Vinas, Raymund K. Manago, Raya K. Fuentes</text>
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                <text>Background: One of the first targets of post-operative care for cardiac&#13;
surgery is to control bleeding. Significant bleeding can affect cardiac function&#13;
as it can lead to hemorrhagic shock, severe anemia, and cardiac tamponade.&#13;
Valve surgery has a mortality rate of 3.4%. Mitral valve repair surgery has&#13;
a mortality rate of 1.2% compared to a valve replacement mortality rate of&#13;
4.5%. A quick and appropriate decision in the management of bleeding is&#13;
one of the factors determining the patient’s outcome.&#13;
Case: 59-year-old female with a medical diagnosis of mitral valve prolapse&#13;
with severe mitral regurgitation of non-significant coronary artery diseases&#13;
performed mitral valve repair surgery. This case has a score of 1 on the&#13;
Papworth scale, which means low risk of bleeding. During treatment in the&#13;
ICU, there was an increase in blood production from the chest tube of 1,670&#13;
ml within six hours post-surgery. PT APTT value was within normal range.&#13;
Bleeding management during early post-operative period was carried out,&#13;
namely conducting supporting laboratory tests, monitoring hypotension,&#13;
monitoring urine production, performing chest tube maintenance, giving&#13;
blood transfusions, fluid management and collaboration for re-exploration.&#13;
Re-exploration surgery was performed at the sixth hour of post-operative&#13;
care.&#13;
Objective: This study aims to report on nursing bleeding management in&#13;
mitral valve repair-re-exploration patient during early postoperative period.&#13;
Method: This research is qualitative research using the case study method.&#13;
Conclusion: The application of post-operative nursing bleeding management&#13;
in mitral valve repair-re-exploration patient during the early post-operative&#13;
period provides good clinical outcomes. Effective collaboration (multidisciplinary&#13;
teams) between cardiac surgeon, perfusionist, anesthetist,&#13;
clinical pharmacist, and nurse is required to prevent and manage postoperative&#13;
bleeding.</text>
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                <text>Ulfah Nurrahmani* , Riani Siti Hafsah , Reza Widianto Sudjud</text>
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                <text>http://jkp.fkep.unpad.ac.id/index.&#13;
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                <text>Nursing interventions for improving quality of life among patients&#13;
with coronary heart disease after percutaneous coronary intervention: A&#13;
scoping review Firman</text>
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                <text>Background: Percutaneous coronary intervention (PCI) aims to improve&#13;
the quality of life (QoL) for coronary heart disease (CHD) patients, but many&#13;
patients still have poor QoL. The impact of poor QoL causes long-lasting&#13;
feelings of frustration, anxiety, fear, and worry that make a person give up or&#13;
lose enthusiasm for the future.&#13;
Purpose: This study aimed to describe nursing interventions to improve the&#13;
QoL of CHD patients after PCI.&#13;
Methods: This research used the scoping review method by including all&#13;
full-text primary studies written in English and published between 2013 to&#13;
2023 from three databases, EBSCO-host, PubMed, and Scopus, and one&#13;
e-resource, Sage Journals. The keywords used were “coronary artery&#13;
disease OR myocardial infarction OR cardiovascular disease AND quality of&#13;
life AND percutaneous coronary intervention OR PCI OR Angioplasty AND&#13;
Nursing care OR nursing intervention.”&#13;
Results: A total of eight articles discussed nursing interventions to&#13;
improve the QoL among CHD patients after PCI. There are two categories&#13;
of interventions that nurses can carry out: hospital-based (inpatient or&#13;
outpatient) rehabilitation and cardiac tele-rehabilitation.&#13;
Conclusion: Hospital-based (inpatient or outpatient) rehabilitation and&#13;
tele-rehabilitation interventions potentially improve post-PCI patients’&#13;
QoL, psychological well-being, cardiovascular capacity, social support,&#13;
and adherence to CHD rehabilitation program. Standardized intervention&#13;
guidelines need to be created in the future for each outcome of interest&#13;
based on evidence-based findings so that specific interventions to improve&#13;
the quality of life of CHD patients can be applied directly in daily practice.</text>
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Putri3 , Nuraulia Aghnia Armansyah3</text>
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                <text>developmental care; neonatal; nursing practice</text>
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                <text>The intervention standard of Synactive Development Theory, followed&#13;
by the Neonatal Integrative Developmental Care Model, has long been&#13;
recommended as a strategy to lessen the impact of hospitalization on&#13;
newborns in the NICU. However, it has yet to be widely applied, particularly&#13;
in developing countries. At least three elements contribute to these&#13;
developmental care (DC) practices: professional efficacy, nurses’ perceptions&#13;
of developmental care, and a task-oriented organizational culture. Therefore,&#13;
to improve the DC implementation, it is critical not only to focus on increasing&#13;
the capacity of personal staff but also to ensure that organizational culture&#13;
supports DC implementation, with the care unit’s managerial staff playing an&#13;
important role.</text>
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                <text>Siti Yuyun Rahayu Fitri1* , Sujira Wichaidit2 , Yani Setiasih3, Windy&#13;
Rakhmawati1</text>
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                <text>http://jkp.fkep.unpad.ac.id/index.&#13;
php/jkp</text>
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                <text>April 30, 2024</text>
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            <name>Contributor</name>
            <description>An entity responsible for making contributions to the resource</description>
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                <text>PERI IRAWAN</text>
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                <text>ENGLISH</text>
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        <name>developmental care; neonatal; nursing practice</name>
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                  <text>VOL. 12 NO. 1 (2024)</text>
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                <text>Hope in children with cancer: A narrative review and a concept synthesis</text>
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                <text>Background: Hospitalized children with cancer encounter pain, suffering,&#13;
fear, and life-threatening situations which can cause them to feel hopeless.&#13;
Purpose: The aims of this study are to acquire new insights about the concept&#13;
of hope in children with cancer and to identify the attributes, antecedents,&#13;
and consequences of hope in children with cancer.&#13;
Methods: Nine English and Thai-language studies that discussed the&#13;
hope in children or adolescents with cancer were located using the online&#13;
database in nursing (1990–2023). Qualitative analysis and synthesis of&#13;
these studies were completed using an adaptation of Walker and Avant’s&#13;
concept synthesis method.&#13;
Results: The antecedents of hope of children with cancer were hope of&#13;
other persons surrounding them and the relationship between these children&#13;
and others. The attributes of hope in children with cancer were hope for&#13;
cure, intentional hope and inner strength. Also, the consequences of hope&#13;
in children with cancer were well-being, quality of life, coping behavior,&#13;
expressing new feelings of safety or comfort, and conveying trust to others.&#13;
Conclusion: This study found that hope is important and has a positive effect&#13;
on body-mind and the emotions of children with cancer. Thus, healthcare&#13;
providers such as nurses should enhance hope in children with cancer by&#13;
promoting their inner resources, positive experiences, and emotional support,&#13;
while decreasing negative emotional factors. Therefore, children with cancer&#13;
have hope in their treatment outcomes and inner strength, leading to their&#13;
expressing new feelings of safety and a good quality of life.</text>
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                <text>Kodchakon Piasai1 , Sasitorn Phumdoung2* , Songsuda Muenthaisong3&#13;
, Natchira Winitchai4 , Windy Rakhmawati5</text>
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              <elementText elementTextId="114296">
                <text>http://jkp.fkep.unpad.ac.id/index.&#13;
php/jkp</text>
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              <elementText elementTextId="114297">
                <text>April 01, 2024</text>
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              <elementText elementTextId="114298">
                <text>PERI IRAWAN</text>
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