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Patients and Their Families’ Perception on The Performance of Nurses with Certified Wound Care Competency Bratajaya, Cicilia Nony Ayuningsih; Ernawati, Ernawati
Jurnal Keperawatan Soedirman Vol 20 No 1 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.1.11383

Abstract

Chronic wound care for patients with diabetes mellitus requires long and challenging treatment. Nurses’ skills and the right approach are certainly needed to enhance the healing process. In Indonesia, there was no study aimed at exploring wound care nurses’ skills. Therefore, this study aimed to explore patients’ experiences with chronic diabetic ulcers treated by wound care nurses. Specifically, to identify important skills of the nurses that would enhance the wound healing process. This qualitative phenomenological study involved seven participants with chronic diabetes mellitus ulcers who received wound care within the last six months which were recruited through purposive sampling. Data was obtained using semi-structured questions and analyzed using the Colaizzi approach. This study emerged with two themes: (1) The indispensable skills for wound healing; and (2) education as a complement to treatment. Hard skills are needed: wound care management, wound evaluation, and digital literacy. Soft skills: team skills, positive work ethics, and social skills; the nature of the disease, frequency of visits, nutrition, and treatment options were the information needed by study participants. In wound care, nurses need specific hard and soft skills. Studies on skills for wound care nurses still need to be carried out in various contexts.
Modulatory Effects of Noni (Morinda citrifolia L.) Fruit Polysaccharide Syrup on IgG Production and T Cell Activity Anwar, La Ode Muhammad; Sasmito, Ediati; Rasydy, La Ode Akbar; Ismoyowati, Tri Wahyuni; Hashim, Salma Hilmy Rusydi; Siregar, Rohani; Hutagaol, Emmelia Kristina; Bratajaya, Cicilia Nony Ayuningsih; Sartika, Aprilina; Sanjaya, Dandi; Rohmah, Hajar Nur Fathur; Ximenes, Joao Manuel Correia
Biosaintifika: Journal of Biology & Biology Education Vol. 17 No. 2 (2025): August 2025
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/biosaintifika.v17i2.26258

Abstract

Noni fruit containing polysaccharides, has the potential to be developed into pharmaceutical products such as SPF syrup. The content of noni fruit polysaccharides is known to increase the proliferation of T lymphocyte cells, the regulation of the immune system molecularly, especially with regard to antibodies (IgG), CD4+, and CD8+, is still not widely studied. The aim of this study was to assess the impact of SPF syrup on the modulation of immunoglobulin G (IgG) and T lymphocytes. The study was conducted on female Wistar rats aged 8-9 months, which were given SPF syrup orally at doses of 25, 50, and 100 mg/kgBB for 31 days. Mice were vaccinated against hepatitis B every week. Blood samples were taken on day 31 to measure IgG levels by the ELISA method and T cells (CD4+ and CD8+) by flow cytometry. The results showed that SPF administration had a significant effect on IgG levels (p<0.05), and there were no significant changes in T lymphocyte cells (CD4+, CD8+) (p>0.05). Histopathological examination showed that long-term induction of hepatitis B caused damage to the liver and kidney, but SPF did not affect the condition of these organs. SPF that contains polysaccharides can be an innovative component in immunostimulant formulations.
Motivasi berhenti merokok pada remaja pesisir pantai sederhana Kabupaten Bekasi Budiarto, Ellang; Agustin, Mely; Bratajaya, Cicilia Nony Ayuningsih; Sartika, Mila
Journal of Holistic and Health Sciences (Jurnal Ilmu Holistik dan Kesehatan) Vol. 9 No. 1 (2025): Journal of Holistic and Health Sciences (Jurnal Ilmu Holistik dan Kesehatan)
Publisher : Sekolah Tinggi Ilmu Kesehatan Holistik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51873/jhhs.v9i1.365

Abstract

Latar Belakang: Salah satu penyebab utama penyakit serius seperti kanker dan penyakit jantung adalah penggunaan tembakau, yang merupakan praktik yang berbahaya bagi kesehatan. Karena pengaruh lingkungan sekitar dan kurangnya pemahaman mengenai konsekuensi merokok, kaum muda sangat rentan untuk memulai perilaku ini. Tujuan Penelitian: Untuk mengidentifikasi faktor-faktor yang mempengaruhi kecenderungan berhenti merokok pada remaja di Pesisir Pantai Sederhana, Kabupaten Bekasi. Metode Penelitian: Metode yang digunakan dalam penelitian ini terdiri dari teknik kuantitatif yang menampilkan desain korelasional deskriptif dan kerangka kerja cross-sectional. Partisipan dalam penelitian ini terdiri dari 81 remaja laki-laki yang merokok, dipilih menggunakan teknik pengambilan sampel yang komprehensif. Data dikumpulkan melalui survei dan dianalisis menggunakan uji Chi-Square. Hasil: Menunjukkan bahwa tidak ada korelasi antara pengetahuan (p=0,334) dan persepsi (p=1,000) terhadap motivasi untuk berhenti merokok (p>0,05). Mengenai dorongan untuk berhenti merokok, terdapat korelasi yang kuat antara lingkungan sosial (p=0,000) dan kerabat dekat (keluarga) (p=0,001) (p>0,05). Simpulan: Elemen kunci dalam meningkatkan motivasi remaja untuk berhenti merokok adalah dorongan yang mereka terima dari keluarga dan teman. Singkatnya, inisiatif yang dirancang untuk membantu remaja menghindari atau berhenti merokok dapat memperoleh manfaat dari fokus pada pengaruh hubungan dekat mereka, seperti keluarga, dan kelompok sebaya mereka.
Dengue hemorrhagic fever: Knowledge, attitude, and practice in Palmeriam, Jakarta, Indonesia Martina, Siska Evi; Bratajaya, Cicilia Nony Ayu; Ernawati, Ernawati
GHMJ (Global Health Management Journal) Vol. 2 No. 1 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35898/ghmj-21184

Abstract

Background: Dengue hemorrhagic fever (DHF) is the most rapidly spreading mosquito-borne viral disease in the world. It is an emerging disease, episodic and occurring annually.  Aims: This study was to examine the knowledge, attitude, and practice of community in Palmeriam, Jakarta regarding dengue hemorrhagic fever. Methods: A community-based cross-sectional study was designed in this study between June to July 2016. Purposive sampling was done to collect data from 148 respondents. Results: This study found that average age was 47 years old, 75% were women, and 46.6% finished secondary high school. In another hand, 23.6% respondents had good knowledge, and 49.3% had a neutral attitude for preventing dengue hemorrhagic fever. The study found that 68.2% respondents had a mid-level of practice prevention dengue hemorrhagic fever and it can be improved. This study indicated that the community was quite familiar with Dengue hemorrhagic fever, but there was confusion about water storage and environment effect. Conclusion: Health promotion program and community participation should improve dengue awareness. Continuous campaign for enhancing the knowledge and attitude would result in better practice for DHF prevention.   Received: 11 December 2017; Reviewed: 05 January 2018; Received in revised form: 14 February 2018: Accepted: 28 February 2018.
Dengue hemorrhagic fever: Knowledge, attitude, and practice in Palmeriam, Jakarta, Indonesia Martina, Siska Evi; Bratajaya, Cicilia Nony Ayu; Ernawati, Ernawati
GHMJ (Global Health Management Journal) Vol. 2 No. 1 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Dengue hemorrhagic fever (DHF) is the most rapidly spreading mosquito-borne viral disease in the world. It is an emerging disease, episodic and occurring annually.Aims: This study was to examine the knowledge, attitude, and practice of community in Palmeriam, Jakarta regarding dengue hemorrhagic fever.Methods: A community-based cross-sectional study was designed in this study between June to July 2016. Purposive sampling was done to collect data from 148 respondents.Results: This study found that average age was 47 years old, 75% were women, and 46.6% finished secondary high school. In another hand, 23.6% respondents had good knowledge, and 49.3% had a neutral attitude for preventing dengue hemorrhagic fever. The study found that 68.2% respondents had a mid-level of practice prevention dengue hemorrhagic fever and it can be improved. This study indicated that the community was quite familiar with Dengue hemorrhagic fever, but there was confusion about water storage and environment effect.Conclusion: Health promotion program and community participation should improve dengue awareness. Continuous campaign for enhancing the knowledge and attitude would result in better practice for DHF prevention. Keywords: Knowledge, Attitude, Practice, Dengue Hemorrhagic Fever. Received: 11 December 2017; Reviewed: 05 January 2018; Received in revised form: 14 February 2018: Accepted: 28 February 2018. DOI: https://doi.org/10.35898/ghmj-21184
FAKTOR YANG BERHUBUNGAN DENGAN PENERAPAN TEORI THE GOAL ATTAINMENT DALAM ASUHAN KEPERAWATAN GANGGUAN TIROID PADA PERAWAT DI JAWA BARAT Wiratikusuma, Yohana; Nony, Cicilia
Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama Vol 13, No 1 (2024): Jurnal Keperawatan dan Kesehatan Masyarakat Cendekia Utama
Publisher : STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jcu.v13i1.1335

Abstract

Latar Belakang: Gangguan tiroid seringkali berdampak pada kualitas hidup dan psikologis. Perawat berperan memberikan asuhan keperawatan yang tepat berlandaskan teori. Penggunaan teori  The Goal Attainment masih kurang disadari, padahal berguna sebagai panduan interaksi perawat - klien. Tujuan:    Mengetahui faktor yang berhubungan dengan penerapan teori The Goal Attainment dalam asuhan keperawatan gangguan tiroid pada perawat. Metode: Kuantitatif deskriptif korelasi desain cross sectional dilakukan Agustus – Desember 2022 di dua Rumah Sakit di Jawa Barat. Sebanyak 106 perawat dengan teknik Simple Random Sampling menjadi responden. Hasil uji valid kuesioner menunjukkan pada pengetahuan ? = 0,580, perilaku ? = 0,922. Analisis data menggunakan uji Kendalls Tau non parametrik korelasi. Hasil: Diketahui tingkat pengetahuan baik dalam penerapan teori The Goal Attainment 63 responden (59,4%), perilaku baik dalam penerapan teori The Goal Attainment sebanyak 57 responden (53,8%), sebagian besar memiliki lama bekerja ? 5 tahun yaitu sebesar 43 perawat (40,6%). Terdapat hubungan yang bermakna antara tingkat pengetahuan perawat P value 0,01 (P- value ? 0,05), perilaku perawat P value 0,01 (P- value ? 0,05)  dan lama bekerja perawat P value 0,05 (P- value ? 0,05)  dengan penerapan teori The Goal Attainment  dalam asuhan keperawatan gangguan tiroid. Kesimpulan: Penerapan teori The Goal Attainment sangat bermanfaat diterapkan dalam asuhan keperawatan gangguan tirod, interaksi perawat dan pasien menjadi kunci kesembuhan pasien melalui komunikasi dan kerjasama yang baik antara perawat, klien, dan keluarganya serta dalam relasi dengan teman sekerja, Peningkatan kemampuan petugas kesehatan dan masyaraka diharapkan dapat memberikan penanganan secara tepat dan cepat bagi masyarakat khususnya klien gangguan tiroid.
Niat Ibu Memberi ASI Eksklusif Berdasarkan Theory of Planned Behavior Marisa, Silva; Bratajaya, Cicilia Nony Ayuningsih
Faletehan Health Journal Vol 11 No 03 (2024): Faletehan Health Journal, November 2024
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v11i03.449

Abstract

Exclusive breastfeeding coverage in Indonesia had not reached the target yet. One of the things that determines the success of mothers in providing exclusive breastfeeding is intention. The study aimed to identify factors related to mother's intention to exclusive breastfeeding based on Theory of Planned Behavior (TPB). This quantitative study used a cross-sectional design. The population were mothers who had 0-6 months old babies. The purposive sampling technique was employed to 124 respondents. The TPB-based questionnaire was made up. The results of the study showed that majority of respondents (107 mothers or 86.3%) had a strong intention to exclusive breastfeeding. The result of data analysis using Kendall's Tau B showed that there was a relationship between attitudes (p-value = 0.000; p < 0.05), perceived perception control (p-value = 0.000; p < 0.05), and intention to exclusive breastfeeding. However, there was no relationship between subjective norms (p-value 0.723; p < 0.05) and intention to exclusive breastfeeding. Thus, health providers should enhance mothers’ awareness through health promotion, and breastfeeding facilities should be available to support exclusive breastfeeding coverage.
Persepsi Pasien tentang Tantangan Perawatan Luka Kronis Diabetes Melitus serta Implikasinya terhadap Kebutuhan Soft-skills Perawat Ayuningsih Bratajaya, Cicilia Nony; Ernawati, Ernawati
Faletehan Health Journal Vol 10 No 02 (2023): Faletehan Health Journal, July 2023
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v10i02.541

Abstract

The need of diabetic ulcer treatment was inline with the escalation of chronic wounds incidence in patients with diabetes mellitus. This study aimed to explore patients’ perception regarding nurses’ challenges to provide chronic diabetic wound care and the implications of the need of nurses’ soft-skills on it. This research was a phenomenological desciptive qualitative study with Colaizzi approach. The target population were diabetic clients who had wound care in the clinic within the last 6 months. The sampling technique was total sampling. 7 participants were interviewed. Besides suffering from diabetic ulcer, the participants realized that nurses faced various diabetic wound conditions, patients’ pain complaints, and challenges in performing wound care in which they had implication on the need for nurses’ soft skills. This study produced the theme of “the suffer of patients with diabetic chronic wound” with the subthemes of “wound pain”, “old wound cleansing”, “long recovery”, “doubts about healing”, “body image problem”, and “fear of amputation”. Meanwhile, on the theme of “challenges for wound nurses”, several sub-themes were emerged, namely: “wound conditions”, “patients’ complaints of pain”, and “the nature of wound care activities”. A humanist approach through the nurses' soft-skills could help patients and their families deal with chronic diabetic wounds to achieve an optimal wound healing.
Peningkatan Bblr Dengan Pmk Menggunakan Kain Stretchy Wrap Yang Dilakukan Orang Tua Di Rumah Sakit X Dewi, Anita Puspita; Simangunsong, Lilis; Bratajaya, Cicilia Nony Ayuningsih
Innovative: Journal Of Social Science Research Vol. 5 No. 4 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i4.21212

Abstract

LBW is a baby born with a weight below normal (<2,500 grams) and it has a higher risk of morbidity and mortality compared to babies with normal weight. Therefore various methods are needed in caring for LBW babies, one of which is the kangaroo method of care. KMC is a method that makes direct contact between the baby's skin and the mother's skin and places the baby in that area. Kangaroo Mother Care (KMC) has benefits for improving vital signs and weight of low birth babies. The purpose of this study was to determine the effectiveness of kangaroo mother care by parent with stretchy wrap onnweight gain in LBW babies at the X Hospital. The design of this study was a quasi-experimental one group pretest posttest design with a cross-sectional approach with a sample of 20 respondents, sampling using the total sampling technique. The results obtained the average weight before kangaroo method treatment was 2275 grams and after kangaroo method treatment the average baby weight increased to 2329 grams, with an average increase of 10.50 gramss for 4 days with a duration of 1 hour where the p value is 0.000 (<0.05). Iit is said that kangaroo Mother care by parent with stretchy wrap on weight gain in LBW babies at X Hospital is effective. To conclude, KMC with stretchy wrap could be an alternative to increase weight of newborn baby with LBW.
Faktor Risiko Pradiabetes pada Mahasiswa Keperawatan Universitas X di Cikarang, Jawa Barat Bratajaya, Cicilia Nony Ayuningsih
Jurnal Kedokteran Meditek Vol 29 No 3 (2023): SEPTEMBER
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v29i3.3004

Abstract

Prevalensi pradiabetes usia muda meningkat. Oleh karena itu, skrining pradiabetes perlu dilakukan pada remaja, terutama mahasiswa keperawatan. Sebagai calon tenaga kesehatan, mereka adalah duta kesehatan.  Penelitian ini bertujuan untuk menganalisis faktor yang berhubungan dengan risiko pradiabetes pada mahasiswa S-1 reguler keperawatan di Cikarang, Jawa Barat. Penelitian kuantitatif dengan desain cross-sectional ini menggunakan metode total sampling pada 170 responden yang memenuhi kriteria inklusi. Pengumpulan data menggunakan instrumen Prediabetic Test Screening Tools yang sudah teruji validitas dan reliabilitasnya. Hasil penelitian menunjukkan usia (r= 0,168; p= 0,029), riwayat keluarga diabetes melitus (r= 0,273; p= 0,001), riwayat keluarga hipertensi (r= 0,250; p= 0,001), IMT (r= 0,354; p= 0,001), lingkar pinggang (r= 0,428; p= 0,001), aktivitas fisik (r= 0,352; p= 0,001), konsumsi makanan manis (r= 0,225; p= 0,002), serta konsumsi sayur dan buah (r= 0,404; p= 0,001) memiliki hubungan signifikan dengan risiko pradiabetes. Tidak ada hubungan antara jenis kelamin dan risiko pradiabetes (r= 0,012; p= 0,875). Risiko pradiabetes memiliki nilai tinggi pada individu tidak rutin olahraga (OR= 27,61; 95% CI 3,65-208,47) dan lingkar pinggang lebih dari (OR= 17,33 CI 4,99-60,21). Mahasiswa keperawatan memiliki tugas memberi contoh rutin berolahraga, mengurangi makanan manis, serta konsumsi sayur dan buah setiap hari.