Nunung Ernawati
Poltekes RS Dr. Soepraoen Malang

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Patients Empowerment Based on Experimential Learning to Behavior of Acute Compilation Prevention and Blood Glucose Levels of Patients DM Ernawati, Nunung; Suharto, Suharto; Dewi, Yulis Setiya
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.787 KB) | DOI: 10.20473/%oj.Ners102%y256-264

Abstract

Introduction: Acute complications are common in patients with Diabetes Mellitus (DM). To improve the behavior prevention of complications and control blood sugar levels, patients need to be equipped with knowledge about the disease process to built a positive attitude and good behavior. The aim of this study was to analyze the effect of patient empowerment based on experiential learning behavior on the prevention of complications and blood sugar levels. Methods: This study used a quasi-experimental design with pre-post test approach using control groups. Samples were 46 diabetic patients who take control in poly RS Mardi Waluyo Blitar taken by consecutive sampling. Data were collected using a questionnaire and checklist recall. Data were analyzed using paired t test, wilcoxon signed rank test and mann whitney. Results: The patient empowerment-based experiential learning have a significant impact on the behavior of prevention of complications. Discussion: Methods of experiential learning can be applied to improve the self-care of patients, especially those who have experienced an acute complications, so the patient is easier to implement behavioral prevention of complications and control blood sugar levels.Keywords: patient empowerment, experiential learning, behavioral prevention, blood glucose
Effectiveness of Toileting Training Mediated With Animated Videos Against To Independence Level of Toileting on Pre-School Children Ernawati, Nunung; Permata, Kartika
Journal Of Nursing Practice Vol. 3 No. 1 (2019): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (509.27 KB) | DOI: 10.30994/jnp.v3i1.71

Abstract

Background:The one of development tasks for preschooler that must be passed is toileting activity. Toileting learning need should start at toodler phase, but many children still enuresis experience in the classroom, all students could not do proper toileting, including not knowing how to go to the toilet, not being able to open the pants and not being able to flush the elimination urine and defecatie in Kindergarden-class A of Malang City. Inability to control of elimination urine that cause of pre schooler are less independece for toileting activity.Purpose: to find out the effect of toilet training mediated with animated videos againts to independence level of toileting on pre schooler children in kindergarten-class A of Malang City.Methods: This type of research was analytic observation with a pre-experimental approach. The total population was 38 children, the number of samples 38 children was taken using the total sampling technique. The variable measured is the level of independence of toileting. The data was processed then analyzed using the Wilcoxon test with ? <0.05.Results: Based on the results of the study, the level of independence before toileting learning was done 21% independently and 79% not independently. The level of independence after toileting learning is 100% done independently.Wilcoxon test was analyzed, the level of independence was obtained with a p-value of 0,000 which means that p-value <? so that H0 is rejected, which means there is an influence of the learning activity of animated videos on the level of independence of toileting.Conclusion:Based on the results of the study, to improve children's independence, in terms of toileting, can be done early and in the future learning, animated video media can be used as an alternative as a learning media for pre-schooler.
How Consistent are Perinatal Case Disease Diagnosis Codes Based on ICD 10? A Case Study from Ciremai Hospital Budiyanti, Nita; Nur Afika, Siti; Ernawati, Nunung; Nurulramdhini, Citra
Jurnal Medisci Vol 1 No 2 (2023): Vol 1 No 2 October 2023
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/medisci.v1i2.81

Abstract

The mortality rate of neonatal cases in Indonesia in 2021 reached 20,154 cases, the cause of death was dominated by diagnoses of Low Birth Weight, asphyxia, infections, and congenital abnormalities. In health care practice, the diagnosis of illness during treatment will be recorded in a medical record. The medical record will contain administrative and clinical data, one of which contains the diagnosis code and actions during treatment. The diagnosis code established in the medical record must be precise, accurate, and consistent in accordance with ICD-10. This study included a type of quantitative descriptive research with a sample of 222 infant medical records, the sample technique used was purposive sampling. The results showed that the coding process at Ciremai Hospital in Cirebon City was 100% electronic, where from 222 infant medical record documents there were 167 consistent diagnosis codes and 55 inconsistent diagnosis codes. This is caused by 2 things, namely improper diagnosis codes and improper code reselection. Thus, the determination of the diagnosis code for perinatal cases at Ciremai Hospital in Cirebon City in 2022 shows that the consistency of the diagnosis code of 75% or as many as 167 diagnosis codes is consistent.