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All Journal International Journal of Public Health Science (IJPHS) International Journal of Evaluation and Research in Education (IJERE) NURSCOPE: Jurnal Penelitian dan Pemikiran Ilmiah Keperawatan JURNAL PENELITIAN ILMU PENDIDIKAN Jurnal Keperawatan Indonesia Nurse Media Journal of Nursing Jurnal Pendidikan dan Pembelajaran Khatulistiwa (JPPK) Jurnal Radioisotop dan Radiofarmaka Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) Jurnal NERS Jurnal Imejing Diagnostik Briliant: Jurnal Riset dan Konseptual Jurnal Penelitian Kesehatan Suara Forikes JURNAL MEDIA INFORMATIKA BUDIDARMA Jurnal Keperawatan Padjadjaran Jurnal Bidang Pendidikan Dasar SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Ganaya: Jurnal Ilmu Sosial dan Humaniora Sebatik Nurse and Health: Jurnal Keperawatan Hearty : Jurnal Kesehatan Masyarakat Jurdimas (Jurnal Pengabdian Kepada Masyarakat) Royal Jurnal Medika Malahayati JISIP: Jurnal Ilmu Sosial dan Pendidikan Journal of Health Sciences Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Poltekita : Jurnal Ilmu Kesehatan Building of Informatics, Technology and Science Abdi Wiralodra : Jurnal Pengabdian Kepada Masyarakat Likhitaprajna: Jurnal Ilmiah Fakultas Keguruan Ilmu Pendidikan Universitas Wisnuwardhana Malang Critical Medical and Surgical Nursing Journal Babali Nursing Research REKA ELKOMIKA: Jurnal Pengabdian kepada Masyarakat Jurnal Pengabdian Masyarakat dalam Kesehatan Jurnal Sosial dan Teknologi MAHESA : Malahayati Health Student Journal Jurnal Jendela Pendidikan Jurnal Pengabdian Masyarakat Nusantara Jurnal Ekonomi Journal of Research in Social Science and Humanities Journal of Education Research Kreasi: Jurnal Inovasi dan Pengabdian Kepada Masyaraka Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia) Journal of Global Pharma Technology Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Computer & Science Industrial Engineering Journal Strada Jurnal Ilmiah Kesehatan (SJIK) Folia Medica Indonesiana

Kusnanto Kusnanto

Department Of Fundamental, Critical, And Medical-Surgical Nursing, Faculty Of Nursing, Universitas Airlangga, Kampus C Mulyorejo, Surabaya Telp. (031) 5913257, 5913754 Fax. (031) 5913257, Indonesia

Author-ID : 302576

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Implementation of Health Action Process Approach to Improve Dietary Adherence in Type 2 Diabetic Patient Kusnanto, Kusnanto; Kurnia, Iqlima Dwi; Prasetia, Dwi Indah
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Introduction: Type 2 diabetic patients usually unsuccessful to follow the diet recommendation due to lack of motivation, memory and intention. This study attempts to increase the motivation and also to improve intention in dietary adherence through the implementation of Health Action Process Approach (HAPA). Method: This study was a quasy-experiment. The population were type 2 diabetic patients in Puskesmas Krian Sidoarjo in March-April 2015. Respondents were only 16 and had been divided into experiment and control group. The independent variable was the implementation of HAPA. The dependent variable were self-efficacy, dietary adherence and blood sugar levels. The instruments in this study were questionnaires and blood sugar monitoring devices. Data were analyzed using statistical wilcoxon sign rank test and mann whitney uÂ test with significance level Î± â¤ 0.05. Result: Wilcoxon sign rank test showed there were differences between pre and post test significantly on self-efficacy (p=0.014), dietary adherenceÂ (p=0.025), blood sugar levels (p=0.009) inÂ experiment group, while no significant differences in control group. Mann Witney U test showed that there was significant difference on dietary adherence (p=0.002) between two groups. Discussion: In conclusion, the implementation of HAPA can improve dietary adherence in type 2 diabetic patient. Further, following studies are expected with large number respondents and identify the whole variables in the HAPA theory.Keywords: Health Action Process Approach (HAPA), self efficacy, dietary adherence, blood glucose, Diabetes Mellitus (DM)

Acceptance and Commitment Therapy (ACT) for Improving the Quality of Life Patients Suffering Cancer Krisnana, Ilya; Kusnanto, Kusnanto; Suhardin, Saverinus
Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/%oj.Ners111%y118-127

Introduction: Cancer is a chronic disease that affects physical, psychological, social, and economic life of individual and then contributes to life quality. Psychotherapy is important in improving the life quality of cancer patients. One of psychotherapy that can be given is the implementation of ACT (Acceptance and Commitment Therapy). The aim of this study is to analyze the application of ACT in improving the life quality of cancer patients at the Puskesmas Pacarkeling Surabaya. Â Â Â Â Â Â Method: This research method used pre-experimental with one group pre-post test design. The population of cancer patients enrolled in the Puskesmas Pacar Keling. Samples were 12 people whom are determined based on the inclusion criteria. The Independent variable is application of ACT and the dependent variable is life quality. Data collection and implementation of ACT were conducted in puskemas and home visits. The collected data was analyzed by Paired T test with significance level Î±=0.05. Result: Result showed that there was change in increasing life quality of cancer patients significantly after giving implementation of the ACT. The result of Paired t-test showed the life quality of patients had a significance level of p=0.000. These result demonstrate the value of p <0.05, so the research hypothesis is accepted. Discussion: It can be concluded that the application of ACT can improve the life quality of cancer patients. Health workers (nurses) need to master the implementation of the ACT as a therapeutic modality.Â

Acceptance And Commitment Therapy (ACT) Meningkatkan Kualitas Hidup Pasien Kanker Saverinus Suhardin; Kusnanto Kusnanto; Ilya Krisnana
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga

Introduction: Cancer is a chronic disease that affects physical, psychological, social, and economic life of individual and then contributes to life quality. Psychotherapy is important in improving the life quality of cancer patients. One of psychotherapy that can be given is the implementation of ACT (Acceptance and Commitment Therapy). The aim of this study is to analyze the application of ACT in improving the life quality of cancer patients at the Puskesmas Pacarkeling Surabaya. Methods: This research method used pre-experimental with one group pre-post test design. The population of cancer patients enrolled in the Puskesmas Pacar Keling. Samples were 12 people whom are determined based on the inclusion criteria. The Independent variable is application of ACT and the dependent variable is life quality. Data collection and implementation of ACT were conducted in puskemas and home visits. The collected data was analyzed by Paired T test with significance level α=0.05.Results: Result showed that there was change in increasing life quality of cancer patients significantly after giving implementation of the ACT. The result of Paired t-test showed the life quality of patients had a significance level of p=0.000. These result demonstrate the value of p <0.05, so the research hypothesis is accepted.Discussion: It can be concluded that the application of ACT can improve the life quality of cancer patients. Health workers (nurses) need to master the implementation of the ACT as a therapeutic modality.

Implementation of Health Action Process Approach to Improve Dietary Adherence in Type 2 Diabetic Patient Kusnanto Kusnanto; Iqlima Dwi Kurnia; Dwi Indah Prasetia
Jurnal Ners Vol. 10 No. 2 (2015): Oktober 2015
Publisher : Universitas Airlangga

Introduction:Type 2 diabetic patients usually unsuccessful to follow the diet recommendation due to lack of motivation, memory and intention. This study attempts to increase the motivation and also to improve intention in dietary adherence through the implementation of Health Action Process Approach (HAPA).Method: This study was a quasy-experiment. The population were type 2 diabetic patients in Puskesmas Krian Sidoarjo in March-April 2015. Respondents were only 16 and had been divided into experiment and control group. The independent variable was the implementation of HAPA. The dependent variable were self-efficacy, dietary adherence and blood sugar levels. The instruments in this study were questionnaires and blood sugar monitoring devices. Data were analyzed using statistical wilcoxon sign rank test and mann whitney u test with significance level α ≤ 0.05.Result: Wilcoxon sign rank test showed there were differences between pre and post test significantly on self-efficacy (p=0.014), dietary adherence (p=0.025), blood sugar levels (p=0.009) in experiment group, while no significant differences in control group. Mann Witney U test showed that there was significant difference on dietary adherence (p=0.002) between two groups.Discussion: In conclusion, the implementation of HAPA can improve dietary adherence in type 2 diabetic patient. Further, following studies are expected with large number respondents and identify the whole variables in the HAPA theory.

Peer Group Support on Self-Efficacy, Glicemic Control and Self Care Activities in Diabetes Mellitus Patients Ilkafah Ilkafah; Kusnanto Kusnanto
Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v9i2.2584

Introduction: Diabetes mellitus (DM) is a chronic disease with many complications. Self-efficacy is a psychosocial aspects refer to patient’s belief about their ability to do Diabetes managements. Self-efficacy can be enhanced by providing a mutual support from other Diabetic patients. This study aimed to analyze the influence of peer group support on self-efficacy, glicemic control and self-care activities of Diabetic patients.Method: This research was a pre-experimental with one-group pre-post test design and was evolved 29 respondents. Peer Group Support indicators were checking in, presenting problems, clarifying issues, sharing experiences, action planning and checking out. Implementation of peer group support activity was 60 minutes meeting, once a week for totally 6 weeks. The datas were analyzed by Wilcoxon signed rank test and Spearman’s Rho test with significance values p≤ 0.05.Result: Self efficacy, self care activities, and blood glucose level were increased (p=0.000).Discussion: Peer group support was recommended to enhance self-efficacy and self-management of diabetic patients. Further research is needed about health promotion for improving self-efficacy.

Kesejahteraan Psikologis pada Pasien Diabetes Mellitus Tipe 2 di Puskesmas Mulyorejo Surabaya Rr Dian Tristiana; Kusnanto Kusnanto; Ika Yuni Widyawati; Ah Yusuf; Rizky Fitryasari
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Living with chronic diseases such as Diabetes mellitus type 2 will make patients experience change or imbalance include biological, psychological, social and spiritual. One of psychology aspects in patients with Diabetes mellitus type 2 is psychological well being (PWB). Emotional response of type 2 DM patients since the early diagnosis to begin undergoing the treatment will be different for each person. Type 2 DM patients need a good transition process to achieve well being state. The transition from a healthy to a diseased condition is needed for the successful self care management of type 2 DM patients. The purpose of this research was to explore the description of PWB in patients of type 2 Diabetes mellitus in six aspects of PWB and PWB facilitate and inhibitor factors in type 2 DM patients.Methods: This research used qualitative design research with case studies approach. The subject of research was seven participants who met the inclusion criteria. Data collection was done by structured interview and observation. Data analysis was done by thematic analysis.Result and Analysis: This study generated 14 themes. The result showed that the process of type 2 DM patients subjected to the process of transition from a healthy condition into ill condition. The transition process started with cyclic lose response which influence type 2 DM patient to self control and make a right decision-making to self care. Self-control would make type 2 DM patients able to adapt and engage with new experiences that become a new habit for type 2 DM patients and will facilitate type 2 DM patients in adapting to the internal and external environment and make type 2 DM patients have a positive hope in their life.Conclusion: finding in this study would hopefully be beneficial for professional health staff to make assessment about PWB in type 2 DM patients, nurse hopefully can assist patients in transition with the condition of type 2 DM. Need further research about the relation between self acceptance and self control, activation process till engagement to new habit in type 2 DM patients, perceived support to PWB in type 2 DM patient DM.

Intervensi Keperawatan Truncal Control Exercise terhadap Fungsi Ekstremitas Atas, Keseimbangan, dan Berjalan pada Klien Pascastroke Kusnanto Kusnanto; Ganda Ardiansyah; Harmayetty Harmayetty
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Introduction: Poststroke clients will have impaired postural body that can have affect to their balance, ability to gait and function of the upper limb. Truncal control exercise can improve and maintain body postural be good. Rehabilitation poststroke still focusing on upper and lower limbs exercise of hemiplegia compared postural body’s repair.Methods: This type of research used experimental with quasy control group pretest – postest design. The number of samples obtained with consecutive sampling techniques that appropriate criteria research consists of 20 respondents (n = 10 treatment-and n-control = 10). The independent variable is the truncal control exercise. The dependent variable is the function of the upper limb, balance, and gait. Data were collected by using observation and checklist sheets. Data were analyzed using independent t-test and paired t-test with α = 0,05.Results: The results of statistical tests performed in the treatment group and the control was obtained p-value of the functional capabilities of the upper limb = 0.270 and p-value of performance of upper limb function = 0.289. The results of statistical tests performed in the treatment group and the control was obtained p-value of balance = 0.017. The results of statistical tests performed in the treatment group and the control was obtained p-value of gait = 0.026.Discussion: Nursing interventions truncal control exercise have less effective results to changes in upper limb function, but it is effective to balance and walk clients pascastroke. Nursing interventions truncal control exercise can be continued as a form of collaborative action for medical-surgical nurse with physiotherapy to optimize rehabilitation programs of posstroke clients with balance and gait problems in clinic or home’s client.

Jigsaw Puzzle Improve Fine Motor Abilities of Upper Extremities in Post-Stroke Ischemic Clients Kusnanto Kusnanto; Eska Dwi Prajayanti; Harmayetty Harmayetty
Jurnal Ners Vol. 12 No. 1 (2017): April 2017
Publisher : Universitas Airlangga

Introduction: Ischemic stroke is a disease caused by focal cerebral ischemia, where is a decline in blood flow that needed for neuronal metabolism, leading to neurologic deficit include motor deficit such as fine motor skills impairment. Therapy of fine motor skills disorders is to improve motor function, prevent contractures and complications. These study aimed to identify the effect of playing Jigsaw Puzzle on muscle strength, extensive motion, and upper extremity fine motor skills in patients with ischemic stroke at Dr. Moewardi Hospital, Surakarta.Methods: Experimental Quasi pre-posttest one group control. The number of samples were 34 respondents selected using purposive sampling technique. The samples were divided into intervention and control groups. The intervention group was 17 respondents who were given standard treatment hospital and played Jigsaw Puzzle 2 times a day for six days. Control group is one respondent given by hospital standard therapy without given additional Jigsaw Puzzle game. Evaluation of these research is done on the first and seventh day for those groups.Results: The results showed that muscle strength, the range of joint motion and fine motor skills of upper extremities increased (p = 0.001) significantly after being given the Jigsaw Puzzle games. These means playing Jigsaw Puzzle increase muscle strength, the range of joint motion and upper extremity fine motor skill of ischemic stroke patients.Conclusion: Jigsaw puzzle game administration as additional rehabilitation therapy in upper extremity fine motor to minimize the occurrence of contractures and motor disorders in patients with ischemic stroke. Jigsaw puzzle game therapy capable of creating repetitive motion as a key of neurological rehabilitation in Ischemic Stroke. This study recommends using jigsaw puzzle game as one of intervention in the nursing care of Ischemic Stroke patients.

Knowledge, Self Efficacy and Stress in Patient with Leprosy through Implementation of Support Group using Adaptation Theory Margareta Kewa Lamak; Kusnanto Kusnanto; yulis Setiya Dewi
Jurnal Ners Vol. 9 No. 1 (2014): April 2014
Publisher : Universitas Airlangga

Introduction: Assumption of leprosy that it is uncurable, hereditary, cursed, and impure disease causes the patients angry, disappointed even being introvert and leads them to a treatment adherence. The goal of this study was to explain the increasing of knowledge, self efficacy and the decreasing of stress in patient with leprosy by support group in Leprosy Hospital of Sumberglagah.Methods: This study was a quasy experiment study using pre test and post test nonequivalent control. Total sample was 28 respondents in inpatient ward and outpatient. The instruments were questionnaire and cortisol level. Data were then analyzed descriptively and statistically using Wilcoxon test, Mann-whitney test, paired test and independent t test with α 0,05.Results: Results showed that mean of age was 40,92 years old. Almost all of respondents were in primary education. Knowledge pre and post was 57,14% good; 100% good (p = 0,041). Self effi cacy pre and post was 42,86% high; 28,57% high (p = 0,307). Stres level pre and post was 35,71% normal; 50% normal (p = 0,046). Mean of cortisol level pre and post was 66,35 ± 28,72; 71,80 ± 23,84 (p = 0,598).Discussion: It can be concluded that support group increases knowledge and decreases stress but doesn’t increase self effi cacy and decrease cortisol level in patient with leprosy in Leprosy Hospital of Sumberglagah.

Promoting Psycho-Social-Spiritual Response in Patients with Type 2 Diabetes Mellitus through Aplication on Self Care Management Modul Kusnanto Kusnanto
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga

Introduction: Diabetes mellitus was a kind of incurable chronic disease that actually manageable. The global prevalence tends to increase due to less self management of the disease and the impact of it was severe health condition. There were so many interventions implemented but failed to give optimal improvement in patient’s condition and there are so many DM patients have insufficient ability to manage their own disease. Patients need to have knowledge, skills, and self confident to be able to manage their disease. Patient’s self-management depends on patient’s education, empowerment, and self monitoring in evaluating their self-care management. The purpose of this research was promoting patient’s psychological, social, and spiritual conditions through Self Care Management. Improvement in psychological, social, and spiritual conditions in patients with DM will lead to better level of blood glucose and HbA1C.Methods: Patient newly diagnose with Type 2 DM at Puskesmas Kebonsari was selected with purposive sampling and divided into two groups. Each group contains 25 patients. Intervention group was given Self Diabetes Management Module. Before and after intervention patient was given Questionnaire. The data then analyzed using Student-T test, McNemar and Chi-Square.Results: The result of this research showed patient have constructive coping, increase interpersonal relation. Patients also have better acceptance about the disease and involve in its management.Conclusion: Self Care Management Module promotes psychological, social, and spiritual conditions in patients with type 2 DM.

Co-Authors Abdul Fauzi Abu Bakar Adelia, Gizka Agnestria Winarto Agostinha Soares Agustin, Leni Ah Yusuf Ahsan Ahsan Ahsan Ahsan Akbar Nur Alfianus, Paulus Amrazi Zakso Andang Widiharto Angga Miftakhul Nizar Anita Joeliantina Apriliyanti, Titis Eka Aria Aulia Nastiti arif, yulastri Arifin, Hidayat Arifin, Moh Zen Arijanto Jonosewojo Arip, Pathul Ayu Dewi Nastiti Bakhtiar, Arief Bambang Purwanto Bambang Purwanto Burhanudin, Akim Cahyaningtyas, Christian Candra Panji Asmoro, Candra Panji Dewi Purnama Sari Dian Eko Puji Astuti Dian Nur Arisandi Dismalyansa Dismalyansa Dismalyansa, Dismalyansa Dismalyansa, Dismalyansa Dwi Indah Prasetia Dwi Indah Prasetia, Dwi Indah Eka Mishbahatul Mar'ah Has Elfa Lailatul Izza Elfa Lailatul Izza Elida Ulfiana Elisa Sulistia Fitri Endah Purnihasti Eska Dwi Prajayanti Esti Yunitasari Fauzi, Abdul Febrina Secsaria Handini Gabriel Wanda Sinawang Ganda Ardiansyah Gudiato, Candra Ha, Tjia Chiu Hafez, Faringga Ismail Al Hakim Zulkarnain Hakim Zulkarnain Handini Indah Rahmawati Hapsari, Veneranda Rini Harmayetty, Harmayetty Hartono Hartono Hendrikus Torimtubun HERAWATI, LILIK Herdina Maryanti I Gede Juanamasta Ika Nur Pratiwi Ika Yuni Widyawati Ilkafah Ilkafah, Ilkafah Ilya Krisnana, Ilya Imam Kambali Indah Sri Cahyanti Indah Wulandari Indarwati , Retno Innani Wildania Husna Iqlima Dwi Kurnia Jamasri . Jewarut, Siprianus Joko Suwito Joni Haryanto Kadek Ayu Erika Khoirot, Rysida Maâ€™rifaul Kinanthi Rosyana Komang R. Ningrat Krihariyani, Dwi Kurniawati, Ninuk Dian Kusumawati, Made Dian Lailatun Ni'mah Lailatun Ni'mah Laily Hidayati M, Irfan Fahmuddin M. Bagus Qomaruddin M. Bagus Qomaruddin M. Hadarani M.W. Wildan Made Dian Kusumawati Made Mahaguna Putra Makhfudli Makhfudli Mangestuti Agil Manggu, Blasius Margareta Kewa Lamak Margaretha Lidya Sumarni Maulana Arif Murtadho Melati, Felisitas Victoria Melati, Felisitas Viktoria Merryana Adriani Mira Mira Moh Zen Arifin Mohamad Roni Alfaqih Mohammad Dheni Ardhiyanto Muhamad Ihlasul Amal Muhamad Zainudin Muhammad Amin Muhammad Amin Muhammad Sajidin Munali Munali Nancy M. Rehatta Nihayati, Hanik Endang Nimah, Lailatun Nisa Dewanti Nisfil Mufidah Nur, Akbar Nurcahyo, Azriel Christian Nursalam . Nursalam, Nursalam Oedojo Soedirham Oscarito, Oscarito P, Noviyanti Padoli Padoli Padoli Padoli, Padoli Pei-Lun Hsieh Pradanie, Retnayu Purnasari, Pebria Dheni Putri Mei Sundari Putri, Malinda Kurnia Rachmat Hargono Rahman, Handono Fatkhur Ratna Puji Priyanti Retno Dwi Susanti Rifky Octavia Pradipta Rikianto, Johan Risa, Yulia Rospita Riyanti, Tetik Rizky Fitryasari Rondhianto Rondhianto Roni Yuliwar RR Dian Tristiana Rustiyarso, Rustiyarso Rysida Maâ€™rifaul Khoirot Rysida Ma’rifaul Khoirot S.Pd. M Kes I Ketut Sudiana . Sabilal Alif Sabinus Beni Sari, Ade Malia Saverinus Suhardin Silvester Silvester, Silvester Silvia, Claudia Sinarta, Febrianita Siokalang, Maria Siska Dwi Purwaningtyas Siti Guntarlin Siti Guntarlin Siti Nur Qomariah Slamet Mustofa Slamet Riyadi Yuwono Slamet Riyadi Yuwono Soenarnatalina Melaniani Solly Aryza Sony Wibisono Sriyono Sriyono Suadyani, I Ketut Suarilah, Ira Subarmono Subarmono Sugianto, Welly Sulistiawati Sulistiawati Sumarni, Margaretha Sumarni, Margaretha Lydia Suprajitno Suprajitno Suprajitno Suprajitno, Suprajitno Susanti, Ika Adelia Suwito, Joko Suyatno Suyatno Syaifuddin Kurnianto Tifanny Gita Sesaria Tifanny Gita Sesaria Tifanny Gita Sesaria Tintin Sukartini Sukartini, Tintin Sukartini Titin Puspitasari Titis Eka Apriliyanti Tiyas Kusumaningrum Tjipto Sujitno Torimtubun, Hendrikus Totok Victor Didik Saputro Tri Johan Agus Yuswanto Ulin Marliana Ungkas Herlambang Usman Usman Vuspitasari, Benedhikta Kikky Wabula, La Rakhmat Wahyuni, Erna Dwi Waluyo Waluyo Waluyo Waluyo Yanis Kartini Yeni Erlina Yosua Damas Sadewo Yulis Setiya Dewi Yuyun Diatiningsih Zahrotun Ulum

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