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Journal : Jurnal NERS

Self Management Intervention Increasing Compliance In Patient With Dm Siti Nur Kholifah
Jurnal Ners Vol. 9 No. 1 (2014): April 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.724 KB) | DOI: 10.20473/jn.v9i1.3457

Abstract

Introduction: Diabetes mellitus (DM) was a degenerative disease which often found in the community. Diabetes was caused by unhealthy habits, such as overeating, lack of exercise, and stress. The purpose of this study was to identify selfmanagement as one of the interventions that can improve treatment compliance in patients with diabetes.Methods: This study was used quasy experiments non randomized pretest-posttest design. Samples were 20 families who lived with type 2 diabetes patient. Variable independent was self management intervention and variable dependent was patient complience. Data were collected by using interview, food recall, and observation on behavioral change. Data then analyzed by using paired t-test with α≤0.05.Results: The results had showed that before intervention only 3 (15 %) respondents who obey diabetes diet, then increase to 19 (95 %) respondents after intervention with p value=0.000. Patient’s medication compliance also increased, from 6 (30 % ) respondents before intervention to 20 (100%) respondents after intervention, with p value= 0.000. Patient compliance on exercise also increase from 2 (10%) respondents before intervention, become 19 (95%) respondents after intervention, with p value=0.000.Concluison: Self management intervention could improve patient’s knowledge, problem-solving skills, and self-effi cacy. Self management should be done after the patient had understand their disease and realized the importance of self-care. Community health nurses were expected to implement self management as one of nursing intervention, so that patient compliance on their treatment can be increased.
The Meaning of Sexuality for Javaneese Adolecent at Senior High School, North Surabaya Hilmi Yumni; Siti Nur Kholifah; Asnani Asnani
Jurnal Ners Vol. 9 No. 1 (2014): April 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.951 KB) | DOI: 10.20473/jn.v9i1.3475

Abstract

Introduction: One of reproductive health issues on adolescent in developing countries was sexuality. Issues of sexuality was multifactor, such as cultural factors. Cultural barriers affect the socialization of reproductive health and sexual education in adolescents, because it was considered taboo to talk about it.Methods: This study was a qualitative study. The number of informants as many as 10 adolescent students, one community leader, 2 parent of adolescents, 2 teachers. The data shown is obtained from in-depth interviews. Data were then analyzed by using interactive analysis model, including data reduction, data display, and conclusion.Results: The result had shown that 1) perceptions of sexuality was understood as sexual intercourse or physical activity that was driven by the desire to the opposite sex, perceptions about adolescent promiscuity with regard to sexuality was seen as something that very concern because beyond norms and customs, many sexuality information was obtained from school environment such as peers, media, environment (in this case was people around the house) and none got information from the parents, and the norms-values -culture were believed as self-control in activities related to sexuality such as relationship; 2) adolecent’s behavior related to sexuality was associated with relationship and still done normatively, infl uenced by eastern culture, there was no informant who had sexual intercourse before marriage; 3) psychosexual of adolescent, were affected by social relationships in their environment at home, including closeness to parents, norms, values learned at home.Conclusion: Based on the research results can be given suggestions that one of them needed to talk openly about sex and sexuality information to youth.
Adaptif Conservation (Acm) Model in Increasing Family Support and Compliance Treatment in Patient with Pulonary Tuberculosis in Surabaya City Region Siti Nur Kholifah; Minarti Minarti; Hilmi Yumni
Jurnal Ners Vol. 7 No. 1 (2012): April 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.839 KB) | DOI: 10.20473/jn.v7i1.3999

Abstract

Introduction: Tuberculosis (TB) in Indonesia is still health problem and the prevalence rate is high. Discontinuing medication and lack of family support are the causalities. Numbers of strategies to overcome are seemingly not succeeded. Roles and responsibilities of family nursing are crucial to improve participation, motivation of individual, family and community in prevention, including pulmonary tuberculosis. Unfortunately, models of pulmonary tuberculosis currently unavailable. The combination of adaptation and conservation in complementarily improving family support and compliance in medication is introduced in this study.Method: This research intended to analyze Adaptive Conservation Model (ACM) in extending family support and treatment compliance. Modeling steps including model analysis, expert validation, field trial, implementation and recommending the output model. Research subject involves 15 families who implement family Assistance and supervision in Medication (ASM) and other 15 families with ACM.Result: The study revealed ACM is better than ASM on the case of family support and medication compliances. It supports the role of environment as influential factor on individual health belief, values and decision making. Therefore, it is advised to apply ACM in enhancing family support and compliance of pulmonary TB patients.Discusion: Social and family supports to ACM group obtained by developing interaction through communication. Family interaction necessary to improve family support to pulmonary tuberculosis patients. And social support plays as motivator to maintain compliance on medication