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Journal : Jurnal NERS

A Nursing Management Model to Increase Medication Adherence and Nutritional Status of Patients with Pulmonary TB Eka Mishbahatul Mar’ah Has
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (268.268 KB) | DOI: 10.20473/jn.v10i1.2159

Abstract

Introduction: High dropout rate, inadequate treatment, and resistance to medication, still become an obstacle in the treatment of pulmonary TB. Pulmonary TB patient care management at home can be done actively through telenursing. N-SMSI (Ners-Short Message Service Intervention) is one of community nursing intervention, in which community nurses send short messages to remind patients to take medication and nutrition. The aim of this study was to analyze the effect of nursing management model N-SMSI to increased medication adherence and nutritional status of patients with pulmonary TB.Methods: This study was used prospective design. The populations were new pulmonary TB patient at intensive phase, at Puskesmas Pegirian Surabaya. Samples were taken by purposive sampling technique; consist of 30 people, divided into treatment and control groups. The independent variable was N-SMSI. The dependent variables were medication adherence collected by using questionnaire and nutritional status by using measurement of body weight (kg). The data were then analyzed by using Wilcoxon Signed Rank Test, Mann Whitney, and Independent t-test with α ≤ 0.05.Results: The results of wilcoxon signed rank test had showed difference in the nutritional status of the treatment group before and after intervention, with p = 0.001. It’s similar with the control group, with p = 0.002. Mann whitney test results had showed no signifi cant difference in nutritional status between treatment and control group, as indicated by the value of p=0.589. While independent t-test had showed difference in compliance between treatment and control group, with p=0.031.Conslusion: N-SMSI can improve medication adherence of patient with Pulmonary TB. This model can be developed by nurse as alternative methods to improve medication adherence in patients with Pulmonary TB. Further research should modify nursing management model which can improve the nutritional status of patient with Pulmonary TB.
Indikator Kualitas Hidup Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa Berdasarkan Strategi Koping Evi Desnauli; Nursalam Nursalam; Ferry Efendi
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.771 KB) | DOI: 10.20473/jn.v6i2.3990

Abstract

Introduction: Chronic kidney disease is a slow, progressive, and irreversible deterioration in renal function. Ultimately, it leads to end stage renal disesase which in this condition need for haemodialysis therapy to replace renal function. The coping of patient who undergo haemodialysis therapy is very important to promote the success of the therapy. The aim of this study was to find out the correlation between coping and quality of life in chronic haemodialysis patient.Method: This study was a cross sectional study. The sample were 13 patients with chronic kidney disease who undergo haemodialysis therapy. Samples were taken by purposive sampling. Independent variable was coping, and the dependent variable was quality of life. The data were collected using questionnaire and analyzed using chi square test or fisher exact test as alternative test from chi square test.Result: The result showed that most of respondents had adaptive coping and good quality of life. The result of fisher exact test showed that p = 0,038 (p < 0.05), it means that there was significant correlation between coping and quality of life of patient with chronic kidney disease who undergo haemodialysis therapy.Discussion: The conclusion of this research was coping could improve the quality of life of patient who undergo haemodialysis therapy. Further studies are recommended to extend this research using another design and sampling, and observe physical and laboratory examination for measuring quality of life to get better understanding.
A Comparative Study of Nursing Educational System in Indonesia and Japan Susiana Nugraha; Mika Tanaka; Ferry Efendi
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 (204.667 KB) | DOI: 10.20473/jn.v3i2.4997

Abstract

Introduction: According to Economic Partnership Agreement (EPA) between Indonesia and Japanese governments, Japanese government plans to recruit Indonesian nurses and caregivers to fulfill the demand of those positions at the hospital and health centers. However, to be a qualified worker in Japan, one has to pass a national examination that is conducted by the Minister of Health, Labor and Welfare for a license of a registered nurse within 3 or 4 years of working as a nurse or caregivers, respectively. Method: Having considered that matter, a comparative study of the background of educational systems in Indonesia and Japan is discussed in this paper, with particular reference to the Diploma 3 nursing program. Result: There is no specific difference between Indonesian and Japanese nursing educational systems. Discussion: However, current health condition of the countries remains as the focus of the curriculums where Indonesian nursing education is focusing on communicable disease and surgery nursing, whereas Japanese is focusing on gerontology and chronic disease nursing. In case of qualification method, Japanese nurses should undertake national board examination to be a qualified nurse. On the other hand, there is no national board examination for Indonesian nurses.
Peer Group Support Increase Psychological Responses Changes from Public Servant in Retirement Preparation Phase Nursalam Nursalam; Ferry Efendi; Ulfa Husnul Fata
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 (461.449 KB) | DOI: 10.20473/jn.v3i2.5002

Abstract

Introduction :Retirement is separation process of individual from their work that is being paid from their position or occupation. Retirement may change psychological responses. The aimed of this study was to analyze the influence of peer group support in psychological responses changes from public servant in retirement preparation phase. Method : This study was used an quasy experimental pre-post test purposive sampling design. Population were 18 respondents who will retire on 2009 and 2010 in Mardiwaluyo General Hospital Blitar. Sample were 16 respondents divided into 8 respondents each for treatment and control group. The independent variable was peer group support and dependent variable was psychological responses. Data were collected by using questionnaire before and after peer group support intervention. Data then analyzed by using Mann Whitney U Test and Wilcoxon Signed Rank Test with significance level α≤0.05. Result: The result showed that peer group support didn’t have an influenced in denial respons (p=0.301), anger respons (p=0.317), bargaining respons (p=0.079) and depression respons (p=0.300). Otherwise peer group support have an influenced in acceptance respons (p=0.049). Discussion:  The result of this study has enlightened the important of retirement preparation phase to provide positive psychological responses. Further studies are recommended to extend this recearch with considering biological and spiritual responses.
The Correlation of Organizational Role Stressors with Stress Level of ICU Nurses Nursalam Nursalam; Ferry Efendi; Ni Luh Putu Dewi Puspawati
Jurnal Ners Vol. 4 No. 1 (2009): April 2009 - September 2009
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (303.629 KB) | DOI: 10.20473/jn.v4i1.5020

Abstract

Introduction : Work stress which is often experienced by ICU nurses may affects nurse’s performance, nurse’s health and wealth so that the factors which may affect work stress such as organizational role stressors must be noticed. This study was aimed to explain the correlation between organizational role stressors and work stress level in ICU Nurses.Methods : This study used cross-sectional design  involved 13 respondents, taken by purposive sampling. The independent variable was organizational role stressors  and the dependent variable was work stress. Data were collected by using questionnaires and analyzed using Spearman’s rho with level of significance α ≤ 0.05.Results : Results showed that there was no significant correlation between organizational role stressors and work stress level in ICU nurses with significance value p ≤ 0.139.Conclusion :It can be concluded that the organizational role stressors had no correlation with work stress level because there are so many factors that may affect work stress in ICU nurses. Discussion : Role overload however was experienced by ICU nurses as a mild stressors. This indicates the importance of increasing nurse’s quality and quantity by training and recruiting new nursing staffs.
The Improvement of Student Competency in a Clinical Study in Indonesia: What Factors Played an Important Role? Muhammad Hadi; Achir Yani S Hamid; Sudijanto Kamso; Sutoto Sutoto; Ahmad Watik Pratiknya; Nursalam Nursalam; Ferry Efendi
Jurnal Ners Vol. 12 No. 2 (2017): October 2017
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (13.991 KB) | DOI: 10.20473/jn.v12i2.5813

Abstract

Background: The improvement of nursing student competency currently is still being an issue for the majority of nursing education institutions in Indonesia. This is due to partnership with hospitals has not been supported by adequate policies and other factors.Objectives: The purpose of this study was to identify the appropriate model in improving student competency in a clinical study. Design used in this study was observational study with cross-sectional approach.Methods: The research design used cross-sectional approach with involving five hospitals (Fatmawati Jakarta Hospital, Hasan Sadikin Bandung Hospital, Kariadi Semarang Hospital, Sardjito Yogyakarta Hospital, Soetomo Surabaya Hospital) and five universities namely Muhammadiyah Jakarta University, Padjajaran Bandung University, Gadjah Mada Jogjakarta University, Diponegoro Semarang University,  Airlangga Surabaya University. Three hundred and eighty-four participants were recruited from these sites. Data were analyzed  using multiple logistic regression.Results: The result showed that partnership contributed 3,36 times, the patient variations 2,96 times, job description of clinical educator 2,30 times, a role model 2,28 times, expertise of faculty educator  2,08 times, toward the achievement of student competency in clinical study.Conclusions: It can be concluded that partnership aspect, the patient variation, job description of clinical educator, role model, expertise of faculty educator, and level of education have significant role to improve the achievement of student competency in clinical study. The results of this study can be used by nursing educational institutions, hospitals and government to organize nursing education model that has been present for more optimal achievement of student competencies.
Family Process with Breast Cancer Patient in Indonesia Sarah Kartika Wulandari; Yanti Hermayanti; Ahmad Yamin; Ferry Efendi
Jurnal Ners Vol. 12 No. 2 (2017): October 2017
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (15.227 KB) | DOI: 10.20473/jn.v12i2.5970

Abstract

Introduction: Breast cancer occupies the first position in Asia’s women cancer cases in recent years. Signs and symptoms experienced by the patient affect the stress condition of the patient as well as the family as a caregiver. The condition changes to deal with problems during patient assistance as a major problem in an outpatient setting. The demands of adaptation to through the needs during the period of assistance by the family is more complex. The study aimed to determine the experience of stress and adaptation of breast cancer patient’s family.Methods: The qualitative method used with in-depth interviews on seven respondents who were the family caregiver of breast cancer patients. Setting carried out at the shelter house in Bandung. The analysis process used thematic analysis based on Braun & Clarke.Results: The results found five main themes are: 1) Stressor on breast cancer patients, 2) Crisis fulfillment of companion needs, 3) Crisis accompaniment, 4) Coping mechanisms of caregiver, and 5) Ability in adaptation.Conclusion: Family experience in assisting breast cancer patients who undergo outpatient also impact families tension who traversed with a subjective effort optimally to adapt in accompanying patients and the needs of other resource support system. Suggestions for future step are early recognition of stress by health workers especially nurses to be able to provide targeted interventions to develop positive adaptation to clients. The development through research is needed in applying family center care both the outpatient and inpatient care in an integrated manner.
Ethnic Foods Diet Program Improve Self-Efficacy and Diet Compliance Among Type 2 Diabetic Patients Eka Mishbahatul Mar'ah Has; Amira Aulia; Tiyas Kusumaningrum; Ferry Efendi
Jurnal Ners Vol. 14 No. 2 (2019): OCTOBER 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i2.16642

Abstract

A well-balanced diet is one of the four pillars of diabetes self-management. Patient's culture strongly influences intake food. Diabetic dietary guidelines which fit with the patient's culture is expected to improve patient's self-efficacy and diet compliance. This study was aimed to analyze the effect of ethnic foods diet program in improving self-efficacy and diet compliance among Type-2 Diabetes Mellitus (T2DM) patients. This was quasy experiment research with pre and post-test control design. The population was 112 T2DM patients from Sasak Tribes, West Nusa Tenggara. Samples were 36 respondents, divided into intervention (18) and control (18) groups. The independent variable was the ethnic food diet (EFD) program, while the dependent variables were patient's self-efficacy and diet compliance. Data were collected using self-efficacy questionnaire and a 24-hour dietary recall form. Data were then analyzed using Wilcoxon Signed Rank Test and Mann Whitney U Test. The result showed differences in self-efficacy between pre and post-test in the treatment group (p=0,001), but there were no differences in the control group. There were differences in diet compliance in the treatment group (p=0,001), but there were no differences in the control group. There were differences between treatment and control groups on self-efficacy (p=0,000) and diet compliance (p=0,000). Ethnic foods diet program can improve self-efficacy and diet compliance among T2DM patients because more comfortable and easier to be applied. Nurses can apply ethnic foods diet program as an intervention to promote healthy diet for T2DM patients.
The Experiences of Cancer-Related Fatigue among Adult Cancer Patients: A Systematic Review I Komang Leo Triandana Arizona; Tintin Sukartini; Ferry Efendi; Primalova Septiavy Estiadewi; Ni Putu Dian Ayu Anggraeni
Jurnal Ners Vol. 14 No. 3 (2019): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (344.206 KB) | DOI: 10.20473/jn.v14i3.16973

Abstract

Introduction: Cancer-related fatigue (CRF) is one of the symptoms commonly experienced and it is a subjective feeling felt by cancer patients. The aim of this systematic review was to summarize how fatigue has been described from the perspective of adult cancer patients, the impact of fatigue on their quality of life, what the patient reported as contributing factors and potential coping strategies to reduce fatigue.Methods: A systematic review is in line with PRISMA guidelines. Five databases were systematically searched (Scopus, PubMed, Springerlink, ProQuest and Science Direct) from January 2009 to February 2019 for qualitative studies describing the experience of adult cancer patients using a predefined search strategy and any relevant keywords.Results: In total, 13 out of 4692 studies were included. The ages of the included patient cancer ranged from 26 to 84 years. The majority of studies used in-depth interviews and semi-structured interviews to elicit the participant’s experiences of fatigue. Four themes were identified: the perception of cancer-related fatigue, the etiology of cancer fatigue, impact and coping strategies.Conclusion: Fatigue is impactful on quality of life from the perspective of cancer patients. Future research should focus on the prospective exploration of the impact of fatigue on woman's and men's health and identifying approaches to reduce fatigue. 
A Systematic Review of Foot Exercises with Group Support to Improve the Foot Health of Diabetes Mellitus Patients Rohmatul Faizah; Ferry Efendi; Suprajitno Suprajitno
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.18996

Abstract

Introduction: Foot problems are a process and complication in patients with diabetes mellitus (DM). Foot complications can be prevented by routine foot exercises. Group support is needed to increase the routine of foot exercise. The effects of foot exercise can be seen by measuring the Ankle Brachial Pressure Index and foot sensation. The objective of this systematic review was to identify the prevention of DM foot complications in an easy way so then he patient can do it independently.Methods: The method used in this study was a systematic review focused on 2015 – 2019 using the PRISMA method. The literature was obtained from Scopus, Science Direct and Proquest. The results found 25 items of literature on foot exercise which was reduced to 4 studies on preventing damage to the feet of DM patients through routine foot exercise. The literature of this study is supported by 3 other studies that state that foot health can also be used to examine the foot’s blood circulation status and sensation.Results: These results have been presented concerning 7 studies regarding special group support in the form of exercise therapy for patients with DM. This study explains the prevention of foot complications through foot exercise. Group support is needed provide motivation to conduct routine foot exercise.Conclusion: Foot exercise can accelerate the blood circulation as can be seen by the Ankle Brachial Pressure Index score and the increase in the neurological system of the foot through foot sensation status.
Co-Authors AA Sudharmawan, AA Abu Bakar Achir Yani S. Hamid Achmad Haidar Ulinuha Adi Sukrisno Aditha Angga Pratama Ah Yusuf Ah Yusuf, Ah Ahmad Watik Pratiknya Ahmad Yamin Ahsan Akasyah, Wildan Amira Aulia Anna Kurniati Aprilia, Nur Ravica Apriyanto, Yogo Ardhiyeni Hesti Oktavia Arief Hargono Arief, Yuni Sufyanti Arifin, Hidayat Arsi Susilawati Arta S. Rini Arwan Setyo Nugroho Asih, Meirina Nur Asroful Hulam Zamroni Astutik, Erni Aziz Nashiruddin Habibie Bushy, Angeline Dewi Sartika Lestari Ismail, Dina Dima Kristianingrum, Niko Diyan Indriyani, Diyan Eka Misbahatul Eka Misbahatul M Has Eka Mishbahatul Mar'ah Has Elida Ulfiana Erlysa Diah Pangestuti Ernawati, Rini Esti Yunitasari Evi Desnauli Evi Tunjung Fitriani Fakhrun Nisa Fakhrun Nisa Farhan Ardiansyah Felipe-Dimog, Eva Feriani, Pipit Fiddaroini Fitri Mailani Fomocao, Alfred O. Gudia, Amel Dawod Kamel Hardiyanti, Vina Hari Basuki Notobroto Hidaayah, Nur I Gede Juanamasta I Komang Leo Triandana Arizona I Komang Leo Triandana Arizona Ilya Krisnana, Ilya Indarwati , Retno Indira Murty, Maulida Irawan Faisal Adi Israfil, Israfil Iswatun, Iswatun JOKO SUSANTO Joni Haryanto Karingga, Devangga Darma Keloay, Maitha Annthonette Wulan Khotibul Umam Laely, Anna Jumatul Liang, Fu-Wen Lidwina Dewiyanti Wea Mabda Novalia Istafa Made Mahaguna Putra Makhfudli Makhfudli Maratus Sholihah Ramadhani Maria N. Bwariat Marni Martin, Nelson Martono Martono Maryuni, Maryuni Maskur, Ach McKenna, Lissa Mika Tanaka Milanti, Ariesta Muhadi, Muhadi Muhammad Hadi Mutia, Jeihan Nafidatun Naafi&#039;a Nanik Lestari Nanik Lestari Neisya Pratiwindya Sudarsiwi Nia Pristina Nihayati, Hanik Endang Noor, Muhammad Arifin Novita Kamaruddin Novy Loudoe Nursalam . Nursalam Nursalam Nursalam, Nursalam Nurul Hidayati Nurul Hikmatul Qowi Nuzul Qur'aniati Permata, Putri Indah Perreira, Sebastio Pi-Ming Yeh Pinto Baptista, Edinha da Silva Praba D. Rachmawati Praba Diyan Rachmawati Praba Diyan Rachmawati, Praba Diyan Primalova Septiavy Estiadewi Punomo Punomo Puspawati, Ni Luh Putu Dewi Qorinah Estiningtyas Sakilah Adnani Qur'aniati, Nuzul Rahayu, Fitri Kurnia Reny Maharani Reny Mareta Sari, Reny Mareta Resubun, Clara Cassandra Rifky Octavia Pradipta Rika Sarfika RIO ADY ERWANSYAH RISKA WAHYUNI Rista Fauziningtyas, Rista Rohmatul Faizah Rosyidawati, Fitri RR Dian Tristiana Rukanah, Rukanah Safaah, Nurus Sahrir Ramadhan Saifudin, I Made Moh. Yanuar Sarah Kartika Wulandari Sari, Dianis Wulan Saskiyanti Ari Andini Saverinus Suhardin Sekar A. N Sari Setho Hadisuyatmana Setyoadi Setyoadi Sismulyanto Siti Nur Kholidah Soares, Domingos Srihayati, Yati Sriyono Sriyono Sudijanto Kamso Suprajitno Suprajitno Susanti, Ika Adelia Susiana Nugraha Sutoto Sutoto Suyanto Suyanto Sylvia Dwi Wahyuni Telvie L. kasenda Tianingrum, Niken Agus Tintin Sukartini Sukartini, Tintin Sukartini Tiyas Kusumaningrum Tri Johan Agus Yuswanto Tumulak, Ma‑Am Joy Ulfa Husnul Fata Vina Hardiyanti Vitayanti Fattah Wahyu Sukma Samudera Wahyuni, Erna Dwi Wijaya, Nindy Eka Wulandari, Shenda Maulina Yanti Hermayanti Yanuar Aga Nugraha Yulia Yunara Yulis Setiya Dewi