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Journal : Jurnal NERS

Knowledge-Management-Based-Nursing Care Model Improves Patient Adherence to Tuberculosis Treatment Ninuk Dian Kurniawati; Abu Bakar; Eka MHas; Elida Ulfiana; Laily Hidayati; Hanik Endang; Retnayu Pradanie; Kristiawati Kristiawati; Erna Dwi W
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.5 KB) | DOI: 10.20473/jn.v11i1.1350

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Introduction: Pulmonary tuberculosis remains prominent as one of public health problems in the world. Patients’ non-compliance to treatment is a significant contributor to drug resistance. This study aimed to develop and to test the efficacy of a nursing care model to prevent non-compliance.Methods:  This study consisted of two phases: phase one, model development, used a descriptive analytic, and phase two, model testing, employed a quasi-experimental design. Participants, comprised both patients and nurses at two health care centres in Surabaya, were recruited by consecutive sampling. Data were collected by interview, self-administered-questionnaires, check-list and focused group discussion. Data analyses were performed using both partial least squares and Wilcoxon signed rank test.Results: The model was statistically effective to improve nearly all aspects of patients’ compliance to TB treatment (knowledge, discipline in taking medications regularity of controls, and abilities to monitor the results of treatment with p < 0.05), except for abilities to cope with drug adverse effects (p = 1.000). This is possible because seldom do patients aware of the medication side effects, so their experiences were probably limited.Conclusion: This study concludes that the KM nursing care model was proven effective to improve patients’ adherence to treatment. Future study is suggested to evaluate the impact of the KM nursing care model in bigger population. 
Bio-psycho-social-spiritual responses of family and relatives of HIV-Infected Indonesian Migrant Workers Nursalam Nursalam; Ninuk Dian Kurniawati; Abu Bakar; Purwaningsih Purwaningsih; Candra Panji Asmoro
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (651.781 KB) | DOI: 10.20473/jn.v9i2.2564

Abstract

Introduction: Incidence of Human Immunodeficiency Virus (HIV) among Indonesian Migrant Workers (TKI) returning from his destination countries, especially in East Java is quite high. Stress experienced by the patient is affected bythe family member maladaptive behaviors; thus affect healing process and even increased mortality. The purpose of this study was to analyze the response of the bio-psycho-socio-spiritual family of Indonesian Workers who are infected with HIV and compared with the response of non-family workers who are infected with HIV.Method: Research design was comparative to reveal the response of the bio-psycho-socio-spiritual families of HIV-infected familyof migrant workers and non-migrant workers. The population was family of both migrant and non-migrant in two districts in East Java in 2014. Sample of 17 people were recruited by simple random sampling technique. Data were performed at the family home, including biologic response (venous blood sampling for cortisol examination), and measurement of the psychological, social and responses by using questionnaires and interviews. Data were analysed with statistical t test and Mann-Whitney test with a significance level of 0.05.Result: The results showed no differences in the biological response of HIV patients’ families among migrant and non-migrant workers (p = 0.000) although the majority of respondents were in the normal range or not stress. In contrast, the psychology, social and spiritual responsesshowed no statistically significant difference with p = 0.065, p = 0.057, p = 0.243 for psychological, social, and spiritual responses respectively.Discussion: There is a difference in the biological response (cortisol) in the group of family and relatives of patients with HIV among migrant workers compared with non-migrant workers, but there is no statistical difference in the psychological, social and spiritualresponses.
Life Experiences of Patients Suffering end Stage Renal Disease Yulis Setiya Dewi; Harmayetti Harmayetti; Ninuk Dian Kurniawati; Erna Dwi Wahyuni; Deni Yasmara; Abu Bakar; Sukma Randani I
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.535 KB) | DOI: 10.20473/jn.v8i1.3888

Abstract

Introduction: Haemodialysis (HD) is one of therapies to sustain life for people with End Stage Renal Disease (ESRD). HD and ESRD are the source of the stressor for the patients. The purpose of this study was to gain insight about the life experiences of patients suffering from ESRD and coping that they used in dealing with stressors.Methods: This study employed hermeneutic phenomenological study as methodology. Samples were taken at RSU Dr. Soedono Madiun in December 2010–May 2011 using purposive sampling. Participants in this study amounted to 9 people who all male and had suffered kidney failure and undergoing HD for more than 2 years. Data were processed and analysed through the nine stages data interpretation according collaizi.Results: Client's life experiences with HD and coping strategies they used to cope with critical situations have been identified and grouped into several themes. The first theme was the reaction of participants when receiving the diagnosis should undergo HD including: sad, rejection, fear, shock and feelings of resignation and hope. The second theme was perceived to critical situations by clients include shortness of breath, weakness, body swelling, itching, diarrhea and could not urinate. Last theme was the meaning of life in hemodialysis derived from attitudinal values (the values to be) and experiential values (the values of appreciation).Conclusion: Ways in which clients address critical situations were quite diverse. Emotional informational, instrumental supports from spouse or significant other were needed by participants to overcome the critical situation. This study suggests that nurse should perform therapeutic communication to HD patients so that patients may cope with the disease more positively.
The Effectivity of Group Conseling on Improving Patient Behavior for Prevention Dpd Mira Utami Ningsih; Abu Bakar; Makhfudli Makhfudli
Jurnal Ners Vol. 5 No. 2 (2010): Oktober 2010
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (203.268 KB) | DOI: 10.20473/jn.v5i2.3959

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Introduction: Dengue Hemorrhage Fever is a disease with prevalence that keep on higher and spread wider. Prevention and control of DHF are affected by environment and social-behavioral factors. So that, some efforts are needed to increase people awareness in prevention of DHF by giving health education. This study was aimed to fi nd out the difference effectiveness of elucidation and group counseling method to emendation of patriarch behavior in DHF prevention. Method: This study used pre-post test design. The population is patriarch in Monjok Pemamoran Village RT 01. Samples were 40 patriarchs taken by purposive sampling. Independent variables were elucidation and group counseling. Dependent variables were patriarch behavior including knowledge, attitude and practice. Data were collected using questionnaire and observation sheet then analyzed using Wilcoxon Signed Rank Test and Mann Whitney U-test.Result: The result revealed that there are significant effect of elucidation and group counseling to emendation of patriarch behavior in DHF prevention. Except in patriarch’s practice, there were no difference effectiveness of elucidation and group counseling to emendation of patriarch’s knowledge and attitude. There was difference effectiveness of elucidation and group counseling method to emendation of patriarch’s practice in prevention of DHF.Discussion: From this study in can be concluded that, both elucidation and group counseling can affect patriarch’s behavior in prevention of DHF but group counseling method is more effective. That’s why, it is hoped that paramedic can apply that method to society in purpose to increase prevention and control of DHF and prevents the outbreak.
Pencegahan Iritasi Mukosa Hidung pada Pasien yang Mendapatkan Oksigen Nasal Ninuk Dian Kurniawati; Abu Bakar
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (238.186 KB) | DOI: 10.20473/jn.v6i2.3976

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Introduction: The provision of oxygen therapy is traditionally use a humidifier to moisten the oxygen and prevent irritation of the nasal mucosa. Recent research proves that the use of a maximum of 4 lpm nasal oxygen without using a humidifier (non humidifier) up to 8 hours does not cause irritation of the nasal mucosa and prevent colonization of bacteria in the humidifier. The purpose of this study was to determine the effectiveness of nasal oxygen administration using a non-humidifier more than 8 hours in the prevention of irritation of the nasal mucosa.Method: This study employed an analytic survey with cross-sectional study design. As many as 20 patients at inpatient wards of Port Health Center Hospital Surabaya were recruited as sample by means of consecutive sampling. Inclusion criteria was patients must not suffer from upper respiratory tract infection and do not suffer from impaired immunity. Independent variables were oxygen flow and long of oxygen therapy. Dependent variable was irritation of the nasal mucosa. Data were analyzed with descriptive statistics and tested with spearman rho correlation test.Result: The results showed that the use of oxygen up to 140 hours with 4 LPM had no effect on the nasal mucosa such as signs of irritation and complaints of discomfort in the nose area.Discussion: It can be concluded that the use of non-humidifier for a maximum of 140 hours with flow maximum of 4 lpm is effective in preventing irritation of the nasal mucosa. Further research on the effectiveness of non humidi fi ers in the elderly population and children under five years of age is needed.
Regulasi Tekanan Darah pada Penderita Hipertensi Primer dengan Smoothie Pisang (Musa Paradisiaca) Eni Puji Lestari; Abu Bakar; Laily Hidayati
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (181.81 KB) | DOI: 10.20473/jn.v6i2.3977

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Introduction: Hypertension is a major problem that often happen in Indonesia. Hypertension can cause many complications. In Indonesia almost patients with hypertension got farmacologic therapy, but there is no difference. Banana smoothie is one of nonfarmacologic therapy that can be used to lower blood pressure. The purpose of this study was to analyze the effect of banana smoothie on regulation in patients with primary hypertension.Method: This study used quasy experimental design. The population in this study were patients with primary hypertension in Kedungturi village Taman Sidoarjo. The sampling technique used nonprobability sampling type of purposive sampling. The total number of sample were 16 respondents who were selected based on inclusion and exclusion criteria.Result:The Result of paired t-test at the systolic blood pressure and diastolic blood pressure in experiment group showed p value = 0.000. Independent t test between experiment group post-test and control group post-test showed p value = 0.000 for systolic blood pressure and p value = 0.002 for diastolic blood pressure. This result showed that there was a difference value of pretest and post-test systolic and diastolic blood pressure. With the result of independen t-test we know that there is a difference value between exsperiment and control blood pressure.Discussion: This study explain that there was significant effect of banana smoothie to regulate blood pressure in patients with primary hypertention. Banana smoothie can regulate the blood pressure because of high kalium substance. The function of kalium is to reduce the effect of natrium so the blood pressure can down. It can be conclude that banana smoothie can regulate the blood pressure in patients with primary hypertention. In further day patients with hypertension can choose banana smoothie to regulate their blood pressure.
The Difference between Bacterial Growth in Humidifier and Non Humidifier at the Patient Who Got Oxygen Therapy Abu Bakar; Krisna Yetti; Hanny Handiyani
Jurnal Ners Vol. 3 No. 2 (2008): Oktober 2008 - Maret 2009
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (170.818 KB) | DOI: 10.20473/jn.v3i2.4988

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Introduction: Humidifier is a device for delivering oxygen to the patients. Before using it, the humidifier tube should fill with sterile water. There was a recent study that administering oxygen less than five liter per minutes, the tube was not load with the sterile water. This research aim was to describe the difference between bacterial growth in the humidifier and non humidifier at the patient who got oxygen therapy. Method: The design was the analytic survey with purposive sampling method. The samples were 24 patients. They were divided into two groups. Group one, consisted of 12 patients with humidifier and the others with non humidifier. The instrument was culture equipments diagnostic test and observation guidance. The hypothesis was there was no difference bacterial growth existence in humidifier and non humidifier at the patient who got oxygen therapy. Result: The results showed that there was no significance difference of bacterial growth at time of zero hour (p=0.131). Meanwhile, there was significance different of bacterial growth at time of 12 hour (p=0.046), and time of 24 hour (p=0.046). There was also significance different between bacterial growth in humidifier and non humidifier at the patient who got oxygen therapy (p=0.010). Discussion : The conclusion is a non humidifier device could prevent bacterial and reduce nosocomial infection. It was recommended that hospital should use non humidifier and the humidifier had to disinfect and change the water every 12 hours.
The Individual Coaching Improves Spiritually Muslim Patients Hospitalized Hamdan Hariawan; Oedojo Soedirham; Abu Bakar
Jurnal Ners Vol. 14 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (42.496 KB) | DOI: 10.20473/jn.v14i1.8568

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Background: Inpatients who are attached in intravenous devices tend to experience physical discomfort. This condition can lead to the decrease in performing Salat as a Muslim prayer. The purpose of this study was to determine the effect of individual coaching on knowledge, attitude, and practice of Salat among Muslim inpatient. This study used quasi-experimental design.Mehods: The samples were 36 Muslim inpatients. The data were collected by self-constructed questionnaire and analyzed by using Independent t-test and Mann Whitney test with α ≤ 0.05.Results: Before giving intervention, the means of pretest score in both groups were 14.33+2.17 and 14.39+2.28 for knowledge, 26.17+2.31 and 26.50+3.17 for attitude, and 10.00+2.91 and 10.50+3.45 for practice. There was no significant difference scores of knowledge (p=0.941), attitude (p=0.924), and practice (p=0.635) between two groups before giving intervention. However, after giving intervention, these scores have changed to 19.00+1.72 and 14.89+2.29 for knowledge, 26.97+2.25 and 26.61+2.81 for attitude, 15.33+3.80 and 10.50+3.45 for practice and there was higher significance scores of knowledge (p=0.000), attitude (p=0.003), and practice (p=0.000) after giving intervention.Conclusions: Coaching is the suitable method to increase Muslim inpatients knowledge, attitude, and ability to practice Salat. This study recommends the nurse to do coaching as a nursing intervention in helping patient to perform Salat
Exclusive Breastfeeding Associated with the Reduction of Acute Respiratory Tract Infections in Toddlers with High-Risk Factors Abu Bakar; Elfira Fitria Rohma; Iqlima Dwi Kurnia; Siti Nur Qomariah
Jurnal Ners Vol. 13 No. 2 (2018): October 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (170.732 KB) | DOI: 10.20473/jn.v13i2.10888

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Introduction: Acute respiratory tract infections (ARI) is a disease that is the primary cause of death, especially in children. Toddlers can be prevented from developing ARI with increased immunity. Giving breast milk can increase children's immunity, but there are still children who experience ARI. This study aimed to explain the differences in Acute Respiratory Tract Infections (ARI) events in toddlers who are exclusively and non-exclusively breastfed.Methods: The research design used was descriptive-comparative with a retrospective design. The population in this study were all children one to three years of age. A sample of 158 toddlers was recruited by a purposive sampling technique. Data retrieval was done with the criteria that the child had visited a public health centre (puskesmas) or integrated health care service post (posyandu), and does not suffer from a disease such as asthma or have any allergies. The variables were measured using a questionnaire and observation sheet. Data analysis was done by a chi-square test and binary logistic regression.Results: The results showed that there were differences in ARI incidence in toddlers (one to three years) who were exclusively and non-exclusively breastfed with a value of p = 0.003. The air pollution factor proved to be significant, dominantly affecting the incidence of ARI.Conclusion: Differences in ARI incidence in toddlers who are exclusively and non-exclusively breastfed is possible due to air pollution factors. Key implications for nursing practice from this research are improving services, and prevent the occurrence of ARI.
Co-Authors Achmad Sigit Sugiharto Achmad Tirmidzi Alit Armini, Ni Ketut Arief, Yuni Sufyanti beny wahyudi Budi Utomo Candra Panji Asmoro, Candra Panji Choirina Nur Aziza Dani S. Widodo Deka Ade Yussmawan Deni Yasmara Desak Putu Kuniawati Devi Hujratur Rohmah Dimas Satrya Sukma Wijaya Dinda Dhia Aldin Kholidiyah Dwi Puji Lestari Dwi Retno Sulistyaningsih Dwi Yoga Setyorini Eka MHas Elfira Fitria Rohma Elida Ulfiana Elin Hidayat Eni Puji Lestari Erna D Wahyuni Erna Dwi W Fadli Maulana Agitiyo Fawas Murtadho Santoso Friandany Natakusuma Shabir Hanny Handiyani Hariawan, Hamdan Harmayetti Harmayetti Harmayetty, Harmayetty Hasanudin Hasanudin Herdina Mariyanti Herminia Maria Hersinta Retno Martani Hirdes Harlan Yuanto Ika Nur Pratiwi Indarwati , Retno Iqlima Dwi Kurnia Jefry Mahardika Joni Haryanto Jumain Jumanto Jumanto Juniyaska Hari Pratama Konita Shafira Krisna Yetti Kristiawati Kristiawati Kurniawati, Ninuk Dian Kusnanto Kusnanto Lailatun Ni&#039;mah Lailatun Ni'mah Lailatun Ni’mah Laily Hidayati Lilik Manowati Makhfudli Makhfudli Masita Widiyani Merryana Adriani Mira Utami Ningsih Navy Sealsi Adinda Prisca Marina Nihayati, Hanik Endang Ninuk Dwi Kurniati Nursalam Nursalam Nursalam, Nursalam Nurwahidah Nurwahidah Oedojo Soedirham Pradanie, Retnayu Puji Astuti Purwaningsih - R. Yoga Adita Pratama Rachmat Hargono Rheyma Sinar Al Fitri Rini Purwanti Rizki Puji Agustin Rosiska Pangestu S.Pd. M Kes I Ketut Sudiana . Sabila Nisak Siti Nur Qomariah Siti Nur Qomariah Sukma Randani I Sukma Randani Ismono Tadi Tadi Thome, Angela Librianty Tifanny Gita Sesaria Tifanny Gita Sesaria Tifanny Gita Sesaria Tifany Hayuning Ratri Tintin Sukartini Sukartini, Tintin Sukartini Titiek Berniyanti Ujang Sumarwan Wahyu Dini Candra Susila Wahyuni, Erna Dwi Wieji Santosa Wisnu Guntur Prakoso Yulis Setiya Dewi Yuyun Diatiningsih