Articles
DEMAND VS SUPPLY PROGRAM KESEHATAN REMAJA DI PUSKESMAS TANAH KALIKEDINDING SURABAYA
Kinanty Putri Sarweni;
Rachmat Hargono
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 5 No. 1 (2017): JURNAL PROMKES
Publisher : Universitas Airlangga
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DOI: 10.20473/jpk.V5.I1.2017.77-88
Adolescence is a period of transition from children to adulthood. In thetransitional period, adolescents often face very complex and difficult issues totackle on their own. Since 2003, Ministry of Health (Kementerian Kesehatan) has developed a model of health services that is competing with Health Care service for Youth (PKPR). Puskesmas Tanah Kalikedinding has promotive and preventive activities especially related to adolescents. PKPR is certainly basedon every need and demand of teenage cadres around Tanah Kalikedinding area.The purpose of this study is to identify the needs and expectations of adolescentcadres on youth health programs. This research past descriptive research usingqualitative approach. The research subjects consist of peer educator of Rumah Remaja, one of innovative program of Puskesmas Tanah Kalikedinding which referto adolescent reproductive health, Adolescent Posyandu cadres, adolescentcadres in Al-Fitroh Pesantren and UKS cadres at SMAN 19 Surabaya. The number of informants used in this study are 6 persons. Data collection was obtained directly from the study sites using in-depth interview techniques and focus groupdiscussions (FGDs) conducted by researchers with related adolescent peer. The results showed that adolescents need activities that always provide innovation, activities are not only curative but more on activities that are promotive and preventive such as counseling teenage health, education,and socialization.Keyword: adolescent, program, health, need, expectation
ANALISIS TINDAKAN WARGA DESA PAYAMAN DALAM MENCEGAH PENYAKIT DBD
Didi Intan Pratiwi;
Rachmat Hargono
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 5 No. 2 (2017): JURNAL PROMKES
Publisher : Universitas Airlangga
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DOI: 10.20473/jpk.V5.I2.2017.181-192
Dengue Hemorrhagic Fever (DHF) is caused by dengue virus carried by Aides Aigepty mosquitoes. Since 2015 there has been a typical DHF in Payaman Village as 3 people and one of them was died in 2016. One typical of DHF has been an Extraordinary Occurrence in the health sector. One that can trigger dengue disease is the low rate of larvae free. Eradication of DHF can be done with Mosquito Nest eradication activity. In this study aims to analyze the actions of villagers who can trigger dengue disease and actions that can prevent dengue disease. The research method used is descriptive quantitative. Data source used is primary data and secondary data. Primary data was collected by interviewing questionnaires in each house. To support the completeness of the data used qualitative methods by conducting in-depth interviews on various related sectors. Secondary data is taken from Payaman Village Dasawisma data and Village Profile data. The results of the study found that the villagers of Payaman, especially RT 15-22 have acts that can trigger dengue fever, such as the handling of late dengue cases, not drain the water reservoir, poor waste management of households, the management of used less precise and laying the animal cage inside the house. While the actions that can be used to prevent dengue fever is using mosquito nets when sleeping and keep fish in water reservoirs. It needs to be improved by changing actions that can trigger dengue disease into actions that can prevent dengue disease that drains the water reservoir, manages household waste well, manages the used goods in the right way and puts the animal cage outdoors. In addition, dengue fever can be prevented by eradicating mosquito breeding and preventing mosquito bites. Growing mosquito breeding and preventing mosquito bites can be done with 3M plus movement.Keywords: dengue fever, payaman village, citizen action, 3M plus
Application Database School Health Program in Primary School Level of Surabaya City
Armyade Armyade;
Chatarina Umbul Wahyuni;
Rachmat Hargono
Jurnal Berkala Epidemiologi Vol. 3 No. 3 (2015): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga
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DOI: 10.20473/jbe.V3I32015.366-376
The School Health Service (UKS) is one of the health activity units at the elementary school level. At present, the UKS program has not been able to contribute optimally in improving the health status of school-age children. This condition is caused because UKS program planning has not been based on data and information related to school-age children's health problems. This study aims to develop a UKS database application at the elementary school level. The scope of this research includes the implementation of the UKS Triad and the recording and reporting system for the UKS elementary school level Implementation Team. This type of research is Action Research. The subject of this research was the implementation team of the UKS in Public Primary School / Elementary School (SDN) of I / 240 Sutorejo Surabaya. Data analysis uses a systems approach which is a process, input, and output. An analysis of the recording system and reporting of the UKS in SDN I/240 Sutorejo found a problem that is the source of data available only in the field of health services, so the analysis cannot be based on the UKS Triad. This research resulted in a prototype of the UKS database that was developed based on the results of the analysis of the recording and reporting system that was running on the UKS in SDN 1/240 Sutorejo implementation team. The UKS database prototype produces health education information, health services, and school environmental health guidance that can be used for UKS program planning for the implementation team and at the Public health center. The use of the UKS database requires supporting facilities including maintenance management systems that aim to make the UKS program sustainable as well as monitoring and evaluating the database system.
Kinerja Bidan dalam Deteksi Dini Penyimpangan Tumbuh Kembang Anak
Sri Utami;
Nursalam Nursalam;
Rachmat Hargono;
Rekawati Susilaningrum
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i2.2510
Background: Children are the future of a nation.They should be able to grow and develop optimally. One effort that can be done to help children grow and develop optimally is through an early detection of deviationsin child’s growth. The purpose of this study was to develop a model of midwife performance improvement through the optimization of self leadership strategy. Method: This study was an observational study with cross sectional design. The subjects were 222 midwives working at the health center services in the area of Surabaya Health Department taken by using proportional random sampling technique. Exogenous variables were job design, history of training of early detection of deviationsin child’s growth, self leadership strategy, midwife skill, midwife activity in early detection of deviationsin child’s growth, andendogenous variable was midwife performance in early detection of deviationsin child’s growth. Data were analyzed using Partial Least Square (PLS). Result: The result of inner model analysis showed that the value of T-statistic of the influence of self leadership strategyon midwife performance improvement, the influence of midwife skill on activity performance improvement, the influence of self leadership strategyon activity performance improvement and on midwife performance improvement was higher than T-table (1.96). Whereas, training of early detection of deviationsin child’s growth did not influence midwife skill improvement since the value of T-statistic was lower than T-table (<1.96). In addition, there was also no influence of job design on midwife skill improvement and on midwife activity performance improvement in early detection of deviationsin child’s growth. Discussion: Optimization of midwife self-leadership ability is a factor to be considered as an effort to improve the performance of midwives in early detection of deviationsin child’s growth.
Predictors of Family Stress in Taking Care of Patients with Schizophrenia
Rizki Fitryasari;
Nursalam Nursalam;
Ah Yusuf;
Rachmat Hargono;
Chong-Mei Chan
Jurnal Ners Vol. 13 No. 1 (2018): April 2018
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v13i1.7762
Introduction: Taking care of schizophrenia patients is challenging and causes stress for the family involved. The study was conducted to identify the predictors of family stress present when taking care of a patient with schizophrenia. The ABCX Stress Theory of Hill was used as the theoretical framework.Methods: This study used a correlational design. The sample was 137 families who were caring for patients with schizophrenia at the Menur Mental Hospital, Surabaya, Indonesia. The sample was obtained by way of purposive sampling. The data was collected by a questionnaire and analysed by multiple regression to determine the relationship of the family’s structure, family knowledge, the burden of care, stigma, social support, the patient's illness duration, the patient’s frequency of relapse and the patient's severity level with family stress.Results: The results showed that the family’s stress was predicted by the family’s structure (p=0.029), stigma (p=0.000), the burden of care (p=0.000), and the patient’s frequency of relapse (p=0.005). The burden of care was the strongest predictor of family stress (Beta= 0.619).Conclusion: The patient's frequency of relapse and stigma were other kinds of family stressor. The stressors stimulated a negative perception, called the care burden. Limited adequacy of the family structure-function will inhibit the family in using other resources, creating family stress. Nurses may develop an assessment format that consists of the family stress predictors in order to create a nursing care plan specific to reframing the techniques of family stress management.
Grieving as an Internal Factor of Nurse-Patient Interaction in a Dialysis Unit
Ika Yuni Widyawati;
Nursalam Nursalam;
Kusnanto Kusnanto;
Rachmat Hargono;
Pei-Lun Hsieh
Jurnal Ners Vol. 13 No. 1 (2018): April 2018
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v13i1.8005
Introduction: The quality of the nurse-patient interaction is one factor that affects the patient adherence, but a study that provides an overview of factors in the nurse-patient interaction in improving or maintaining dialysis patient adherence has not been found. The aim of this study was to provide an overview of the various factors involved in the interaction process between nurses and patients undergoing dialysis in relation to their adherence to fluid and dietary restrictions.Methods: A qualitative research design with an interpretive phenomenology approach was used in this study. The researcher intends to interpret the findings of the research, in this case the activity of the dialysis patients, in order to get a picture of the various factors involved in the process of interaction between nurse and dialysis patient. The unit of analysis used in this study was the disclosure or exposure of the internal factors of the nurse-patient interaction process, especially in relation to fluid and dietary restrictions. There were 15 participants who were selected based on the inclusion criteria. In-depth interviews, with field notes, were used in this study as the data collection method.Results: The analysis of the theme based on the goal of the research includes grieving, needs and values/morals, but in this article, the researchers only describe one theme - grieving.Conclusion: This result provides an overview of the findings on nurse-patient interaction factors that can serve as baseline data for the development of nursing care, both in nursing assessments and interventions aimed at improving dietary adherence and the fluid restriction of dialysis patients.
Factors Correlated to Job Stress among ICU Nurses in Surabaya Indonesia
Yulis Setiya Dewi;
Rachmat Hargono;
Ainur Rusdi
Jurnal Ners Vol. 14 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i1.12125
Introduction: Job stress is a major barrier to the attainment of safety, health, andwellness among nurses. Understanding factors job stress among nurses is veryimportant to provide alternatives solution to ease the stress in the future. However,there are limited studies with respect to factors related to stress in Intensive CareUnit (ICU) nurses particularly in Indonesian context. This study aimed to identifyfactors correlated to job stress among ICU nurse in three public hospitals.Methods: A correlational study was carried on ICU nurses who hands-on ICUnursing care. Data were collected using questionnaires. Descriptive statistic andSpearman correlation were used to analyze the correlation between perceived jobburden, working condition, quality of nursing work life, perceived organizationalsupport, and stress among ICU nurses.Results: A total of 91 respondents (32 male and 59 female) were involved to thestudy comprises of two different educational backgrounds (59 Diploma III and 32Bachelor degree). The statistical analysis using Pearson correlation found thatworkload (0.003), working condition (0.000), quality of nursing work life (0.000),perceived organizational support (0.000) significantly correlated to job stressamong ICU nurses.Conclusion: All studied factors correlated to job stress among ICU nurses. Allfactors had moderate correlation with nurses’ job stress and working condition hashighest strong correlation compare to the other factors. Its implies from the resultthat management of the hospital may provide more attention to job stress amongnurses to maintain optimum performance to provide nursing care for patientsparticularly critically ill patients in ICU.
Developing Family Resilience Models: Indicators and Dimensions in the Families of Pulmonary TB Patients in Surabaya
Dhian Satya Rachmawati;
Nursalam Nursalam;
Muhammad Amin;
Rachmat Hargono
Jurnal Ners Vol. 14 No. 2 (2019): OCTOBER 2019
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v14i2.16549
Introduction: Family resilience is the process of adaptation and coping in the family as a functional unit. A lack of family involvement in the care programs for TB sufferers is one of the factors of concern. The purpose of this study was to analyze the indicators of the family resilience of patients with pulmonary TB.Methods: This study used an observational analytical method with a cross-sectional approach. The study population was the families of new pulmonary TB sufferers in the Surabaya area, taken using the rule of the thumb guideline with a sample of 130 respondents. The sampling technique using was systematic random sampling. The variables in this study were the stages of family resilience: survival, adaptation, acceptance, growing stronger and helping others, which were measured using a questionnaire. The data was analyzed using second CFA.Results: The results showed that the family resilience model is also the fit model. This refers to the results of the goodness of fit test. Family Resilience = 0.724 Survival, Family Resilience = 0.762 Adaptation, Family Resilience = 0.945 Acceptance, Family Resilience = 0.783 Growing Stronger and Family Resilience = 0.879 Helping Others.Conclusion: The results of this study provide information on the stages of family resilience and the ability of each stage so then it can be used as a reference when developing family nursing care plans for patients with pulmonary TB.
SELF-EFFICACY OF STROKE PATIENTS AT THE INPATIENT INSTALLATION ROOM OF SURABAYA HAJI GENERAL HOSPITAL
Jumain Main;
Rachmat Hargono;
Abu Bakar
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 4 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher
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DOI: 10.35654/ijnhs.v2i4.154
Stroke is a nerve function disorders that impact on the quality of life. This study aimed to describe the level of self-efficacy among stroke patients at the Inpatient Installation room of Surabaya Haji Hospital. A descriptive survey study was applied in this study. Seventy samples were selected by using a consecutive sampling technique. The investigation started from February 20 to March 20, 2019. Data were analyzed using descriptive statistics. The results reported that most of the patients were low self-efficacy (70,0%), while 30% of patients were moderate self-efficacy (30,0%). In conclusion, it showed that the majority of patients were low self-efficacy and need to be considered by healthcare providers before designing the nursing intervention. Keywords: self-efficacy, stroke patients
FAMILY CAREGIVER-BASED PREVENTION AMONG AMONG LEPROSY PATIENTS IN SAMPANG DISTRICT: FAMILY CAREGIVER INDEPENDENCE THAT CARING FOR LEPROSY PATIENT
Achmad Ali Basri;
Rachmat Hargono;
Elida Ulfiana;
Merryana Adriani;
Retno Indarwati;
Setho Hadisuyatmana;
Nina Agustina
International Journal of Nursing and Health Services (IJNHS) Vol. 2 No. 4 (2019): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher
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DOI: 10.35654/ijnhs.v2i4.160
Disease with high stigma, leprosy has a totality effect in patient life. Families are components that a higher risk of contracting leprosy. Purpose of study to get prevention strategies for family caregiver that caring for leprosy patient based on culture in sampang district. A qualitative with phenomenology approach was applied in this study. We conducted the in-depth interview, group discussion forum and expert discussion to explore themes. Using the Collaizi analysis, 15 participants based on the saturation data were selected in this study. The results showed those 2 themes and 4 sub-themes in the study. The first themes such as discipline treatment with sub themes were medication adherence and prohibition during treatment. The second theme such as disease course with sub themes were perceived symptoms and treatment experience. Prevention family caregiver based in culture approach is needed for nurses and family caregiver, improve caring for leprosy patients’ ability. Keywords: Family caregiver, Transcultural Nursing, Leprosy, Phenomenology Study