Effect of Early Mobilization on Hip and Lower Extremity Postoperative: A Literature Review.

Introduction: The incidence of fracture and surgery of the hip and lower extremities is still high. Long postoperative bed rest can potentially increase the incidence of various complications that may increase patients' morbidity and mortality rate after hip and lower extremities surgery. This literature review aimed to identify the effects of early mobilization on hip and lower extremity postoperative. Methods: Search for articles on several databases such as ProQuest, ScienceDirect, CINAHL, Medline, Wiley Online, and Scopus, using the Boolean operator tools with "AND" and "OR" words by combining several keywords according to the literature review topic, with inclusion criteria of those published in the last three years (2019-2021), using a quantitative design, written in English and full-text articles. A total of 435 articles were obtained, screened, and reviewed so that there were 16 (sixteen) eligible articles. Results: There were 11 (eleven) effects of early mobilization, that is, shorter the length of stay, lower postoperative complication, lower the pain, increase walking ability, increase quality of life, decrease the rate of readmission, decrease mortality rate, lower the total hospitalization cost, higher number of physical therapy sessions prior to discharge, increase in satisfaction, and no fracture displacement or implant failure. Conclusion: This literature review showed that early mobilization is safe and effective in postoperative patients to reduce the risk of complications and adverse events. Nurses and health workers who care for patients can implement early mobilization and motivate patients to cooperate in undergoing early mobilization.

Nursing Care on HIV/AIDS-Positive Men Who Have Sex with Men: A Qualitative Descriptive Study of Nurse's Perspective in Indonesia.

HIV/AIDS-positive men who have had sex with men (MSM) account for roughly one-third of new infections in the region, with numerous nations facing a high and rising prevalence. They often face stigmatization and discrimination from society, including nurses. This study aims to explore nurses' perspectives on caring for HIV/AIDS-infected MSM. A descriptive qualitative design was utilized. Fifteen nurses who cared for HIV/AIDS-positive MSM in the two hospitals in Jakarta, Indonesia, were recruited with purposive sampling techniques. A semi-structured and in-depth interview was conducted. Data were analyzed using thematic analysis. We emerged three superordinate and nine subordinate themes: (1) negative nurse perceptions in the early phase of treatment, (2) nurse attitudes contrasting with negative perceptions, and (3) nurses with knowledge of HIV/AIDS. The negative perceptions appeared only at the beginning of the treatment phase, and thereafter, they were followed by a positive attitude. Nurses appeared to develop a better understanding after interacting with their patients and receiving training on HIV/AIDS. Therefore, intensive training is expected to not only increase their knowledge but to encourage a positive attitude.

The Impact of COVID-19 on Psychological and Social Stigma for Indonesian Nurses: A Cross-Sectional Survey.

Introduction: Nurses are on the front line and are at high risk of experiencing a mental health crisis during the pandemic due to the psychological impact and stigma. The aim of this study was to identify the role of psychological status and social stigma in anxiety, fear, depression, and mental health crises during the pandemic. Materials and Methods: A cross-sectional design during December 2020-August 2021. A total of 2,156 nurses who work in health facilities, either hospitals, or communities based on the criteria of nurses who interact directly with COVID-19 patients, work at least 3 months, age 20-54 years, are literate, have internet access, and have the ability to access the electronic form. The eligible participants filled in online questionnaires that were sent to them via WhatsApp. Data were analyzed using Spearman rho correlation test with statistically significant p value < 0.05. Results: A total of 2,156 respondents responded to the questionnaire, and the response rate was 100%. The psychological status of nurses was 78.4% moderate, 18.5% experienced social stigma, 44.0% showed an anxiety response, 53.5% fear, 64.5% depression in the very severe category, and 63.5% fell into a mental health crisis. The results of the inferential analysis showed that all P < 0.05 which indicated that psychological status and social stigma had a significant relationship with anxiety, fear, depression, and mental health crisis in nurses. Conclusion: The psychological status and social stigma experienced by nurses during the COVID-19 pandemic indicate a bad situation and lead to a mental health emergency crisis.

The Indonesian National Nurses Association: aims and achievements.

Harif Fadhillah, Mustikasari Mustikasari (mustikasari@ui.ac.id), Apri Sunadi and Elsi Dwi Hapsari, Central Board of the Indonesian National Nurses Association.

A contributing factor of maternal pregnancy depression in the occurrence of stunting on toddlers.

BACKGROUND:  Toddlers are a vulnerable population to nutritional problems including stunting. Stunting can have negative impact on toddlers' health. One of the factors causing stunting in toddlers is maternal pregnancy depression. This study aims to determine the relationship between maternal pregnancy depression and the incidence of stunting in toddlers. DESIGN AND METHODS:  The research design employed a descriptive correlative with quota sampling technique. The research respondents were 140 mothers of toddlers in Indonesia such as West Java, East Java, Jakarta, Yogyakarta, Bali, North Sumatra, Riau, South Kalimantan, West Kalimantan, North Sulawesi, NTT, NTB, Maluku, Papua. The data were collected by using demographic method and the Edinburgh Postpartum Depression Scale (EPDS). The statistical tests employed correlation tests. RESULTS:  The analysis reveal that 26.4% toddlers in this study are stunted and 73.6% were not stunted. Maternal pregnancy depression has a significant relationship with the incidence of stunted toddlers (p = 0.044; r = 0.170). CONCLUSIONS:  The results of this study are expected to underlie the development of mental health promotion to prevent stunted toddlers against maternal depression and preventive programs. In addition, the research is expected to underly provision of curative and rehabilitative programs for stunted toddlers.

Relationship between psychological preparedness and anxiety among elderly in earthquake prone areas

OBJECTIVE: To find out the relationship between psychological preparedness and anxiety of the elderly in earthquake prone areas. METHOD: The design in this study uses quantitative descriptive correlation with a cross sectional approach with a sample of 355. The sampling method used is Multistage Random Sampling. The questionnaire used in this study has passed reliability and validity test. Univariate and bivariate data analysis were conducted. RESULT: The results of the study also showed there is a relationship between psychological preparedness and anxiety in the elderly in earthquake prone areas (p = 0.039). CONCLUSION: The results of this study prove the research related interventions that can be done to improve psychological preparedness and reduce anxiety

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Thought stopping as a strategy for controlling adolescent negative thoughts related to earthquakes

OBJECTIVE: To determine the effect of thought stopping therapy (TS) and nursing intervention (NI) for changes in the ability to control negative thoughts associated with earthquakes. METHOD: The design of this study was used a quasi-experimental study with pretest-posttest control groups and conducted in East Java-Indonesia. 112 respondents divided into intervention and control group. Intervention group were given NI and TS and control groups were given NI only. The questionnaire used in this study was valid and reliable. RESULT: Data analysis included univariate and bivariate. There was a significant increase in the ability of adolescents to control negative thoughts related to earthquakes in both groups (control and intervention). The score of the ability to control negative thoughts in the intervention group increased 5.72 points while the control group only gained 2.82 points. CONCLUSION: NI and TS are recommended as effective strategy for controlling the adolescents negative thought related to earthquake

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