Articles
Self Care Management-Holistic Psychospiritual Care on Independence, Glucose Level, and Hba1c of Type 2 Diabetes Mellitus Patient
Kusnanto Kusnanto
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v7i2.4007
Introduction: Diabetes mellitus is 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 health condition declines physically, psychologically, socially, and spiritually. There were so many interventions implemented but failed to give positive improvement in patient's holistic condition which is lead to complications. The purpose of this research was to improve patient independency in managing the disease and to explain changes in blood glucose and HbA1C levels through self care management-holistic psychospiritual care model.Method: Patient newly diagnose with type 2 diabetes mellitus at Public Health Centre Kebonsari was selected with purposive sampling and divided into two groups. Each group contains 25 patients. Intervention group was given self care management model development with self diabetes management module. The intervention was given five times in three months. Before and after intervention patient was observed for blood glucose level of 2 hours before and after meal, and also HbA1C level. Questionnaire was given to patient. The data then analyzed using wilcoxon, mann whitney, and student-t test.Result: The result of this research showed patient with type 2 diabetes have independency improvement and lower blood glucose level of 2 hours before and after meal and also decreased HbA1C after intervention.Discussion: Self Care Management-Holistic Psychospiritual Care Model improves patient independency in managing their disease, lowering blood glucose and HbA1C levels.
Manfaat Irigasi Hangat Durante Operasi Terhadap Pencegahan Hipotermi Pasca Bedah TUR Prostat
Kusnanto Kusnanto;
Harmayetty Harmayetty;
Nancy M. Rehatta;
Sabilal Alif;
Joni Haryanto;
Slamet Mustofa
Jurnal Ners Vol. 2 No. 1 (2007): April 2007 - September 2007
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v2i1.4941
Introduction: Trans Urethral Resection Prostate (TURP) is endourology surgery with used electrical power or with laser power. The objective of this study was to analyze the effect of warm irrigation during operation to prevent hypothermi post operation TURP at the Dr. Soetomo Central Hospital of Surabaya.Methods: A quasy experimental, pre and post-test control group non-randomized design was used in this study. The independent variable was warm irrigation, and the dependent variable was hypothermi. Fourteen sample enrolled by using non-probability purposive sampling. Data were analyzed by using Paired T test with significance level of p < 0.05.Results :The result showed that warm irrigation admitted during operation had effect to the increase body temperature (p=0.000), blood pressure (p=0.000), pulse (p=0.010), respiration (p=0.002), oxygen saturation (p=0.002). Conclusion: warm irrigation is effective to increase body temperature patient with Trans Urethral Resection Prostate (TURP).The Decrease of Anxiety in Secsio Sesaria Mother with "Sayang Bunda" Model
Manfaat Aromaterapi Lavender Terhadap Penurunan Insomnia pada Lansia
Kusnanto Kusnanto;
Harmayetty Harmayetty;
Ira Suarilah;
Ninuk Dian Kurniawati;
Ulin Marliana
Jurnal Ners Vol. 2 No. 1 (2007): April 2007 - September 2007
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v2i1.4949
Introduction: Insomnia is the primary sleeping problem experienced mostly by elderly. The objective of this study was to examine the effect of lavender aromatherapy for insomnia reduction in elderly.Methods: This study used pre-experimental design, with 15 samples, recruited by using total sampling. The independent variable was aromatherapy and the dependent variable was insomnia. Data were collected by using structured interview with questionnaire and observation. Data were analyzed by using Wilcoxon Signed Rank Test with significance level of p≤0.05.Results:The results showed that lavender aromatherapy given to elderly had beneficial effect on sleep quality and quantity of this age group. The sign and symptoms of insomnia become reduced with significance level of p=0.001.Conclusion: Lavender aromatherapy can be used as alternative intervention for overcoming insomnia in elderly.
Aromaterapi Menurunkan Tingkat Nyeri Kepala Penderita Migren
Joni Haryanto;
Kusnanto Kusnanto;
Ira Suarilah;
Ratna Puji Priyanti
Jurnal Ners Vol. 2 No. 2 (2007): Oktober 2007 - Maret 2008
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v2i2.4956
Introduction: Migraine was one of the headache type which is often griped by most of young woman. Migraine could influence activity, degrading work productivity, bothering work, family and social life, and there was possibility to loose job opportunity and decreased salary. Aromatherapy was one of the alternative that could be taken to decrease the migraine pain. Aromatherapy was trust directly influent brain to changed someone’s emotion and mood. The objective of this study was to analyze the effect of aromatherapy to decrease the migraine pain. Method: This study was used a quasy-eksperimental design. There were 12 respondents who met the inclusion criteria, divided into treatment and control group. The independent variable was giving aromatherapy and the dependent variable was decrease pain level of migraine patients. Data were obtained by using observation and questionare, then analyzed by using Wilcoxon Signed Rank Test with level of significanceα ≤0.05, Mann-Withney U Test with level of significance <0.05. Result: The result showed that giving aromatherapy had strong influence to decrease pain level of migraine patients, with the result of statistical test had same significant level p=0.014. The result showed that there was differences of post test pain level post test between treatment and control group, with the result of statistical test had same significant level p=0.011. Discussion: It can be concluded that giving aromatherapy could decrease pain level of migraine patient. Recommendation for the nurses and other health profession to use aromatherapy as alternative medication of migraine naturally. Further studies need to be conducted regarding aromatherapy in decreasing pain level of migraine patients to help assisted curing prosess.
Admission Orientation Menurunkan Stres Pasien Awal Masuk Rumah Sakit
Kusnanto Kusnanto;
Siti Guntarlin;
Dian Nur Arisandi
Jurnal Ners Vol. 2 No. 2 (2007): Oktober 2007 - Maret 2008
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v2i2.4971
Introduction: Being hospitalized, some people may encounter a strange environment and situation which trigger stress to the patients. By giving an orientation, patients will learn how to adapt to this stressful event. Admission Orientation is a type of orientation which can be given to the patient on early stage of hospitalization. The main purpose of Admission Orientation is to facilitate the patients to cope with hospital environment and situation at first 24-48 hours. The objective of this study was to analyze the effect of admission orientation to reduce the stress level in early hospitalized patients. Method: A quasy experimental design was used in this study. Population had taken from new patient in C (Cempaka) Surgical Ward, on June 2007. Sample were recruited by using total sampling and there were 12 samples who met to the inclusion criterias, divided into 6 samples for intervention group and 6 samples for control group. The independent variable was Admission Orientation and the dependent variable was stress responses. Data were collected by using questionnaire and analyzed by using Wilcoxon Signed Ranks Test and Mann-Whitney U Test with significance level α≤0.05. Result: The result showed that Admission Orientation reduce the stress level in early hospitalized patients with p=0.025 in intervention group, p=0.157 in control group.Discussion: It can be concluded that Admission Orientation reduce patient’s level of stress. Therefore, Admission Orientation should be applied on hospitals as a program that can promote patient’s adaptation in early hospitalization.
Efektifitas Tepid Sponge Bath Suhu 32oC dan 37oC dalam Menurunkan Suhu Tubuh Anak Demam
Kusnanto Kusnanto;
Ika Yuni Widyawati;
Indah Sri Cahyanti
Jurnal Ners Vol. 3 No. 1 (2008): April 2008 - September 2008
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v3i1.4972
Introduction: Tepid sponge bath is a therapeutic bath by washing all around of the body with warm water to decrease body temperature. Warm water that used were 32oC (nail warm) and 37oC (warm). The aimed of this study was to compare the effectivity of tepid sponge bath with 32oC and 37oC warm water on decreasing body temperature at toddler with fever.Methods: A quasy experimental pre post test design was used in this study. The population was toddler who had body temperature ≥38oC which treated in anggrek pediatric room dr. Iskak public hospital Tulungagung. There were 26 respondents recruited by using purposive sampling technique and divided into two group, each of 13 respondents received tepid sponge bath with 32oC and others received tepid sponge bath with 37oC warm water. The independent variable was tepid sponge bath and dependent variable was body temperature. Data were collected by using digital termometere and noted in respondent observation, then analyzed by using Paired t-Test and Mann Withney U-Test.Results: The result showed that there was an effectivity on decreasing body temperature by giving tepid sponge bath with 32oC and 37oC warm water with significance level p=0.000 and there was a difference decreasing body temperature among both of them with significance level p=0.016.Conclusion: It can be concluded that tepid sponge bath with 37oC warm water was more effective than tepid sponge bath with 32oC warm water. Further studies should be observed the effectivity of tepid sponge bath with more specific age, fever character and more time and respondent.
Aloe Vera Juice Decrease The Amount Of Blood Glucose Level In Patient With Diabetic Type Ii
Kusnanto Kusnanto;
Sriyono Sriyono;
Dian Eko Puji Astuti
Jurnal Ners Vol. 3 No. 1 (2008): April 2008 - September 2008
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v3i1.4974
Introduction: Aloe vera is a tropical plant that known can decrease the amount of blood glucose level in patient with diabetic type II. Diabetes mellitus is a disease cause by an increasing amount of blood glucose level that is reduce by conditions of the insulin. The aimed of this study was to analyze the effect of Aloe vera administering on decreasing blood glucose level for Diabetes mellitus type II patient.Methods: A quasy experimental non randomized control group pre post test design was used in this study. There were 20 respondents divided into 3 group of treatment. Each group is given 100 gr/day 200 gr/day and 300 gr/day Aloe vera juice respectively. Data were collected by using observation and analyzed by using One way Anova and Paired t-Test with significance level α≤ 0.005.Results: The result showed that Aloe vera juice administering can decrease blood glucose level, with 100 gr/day, 200 gr/day, 300 gr/day (p=0.000). Conclusion: It can be proven that Aloe vera juice administering can decrease blood glucose level, it’s because the content of Aloe vera more complete and effect from alprogen which impede absorption glucose and blood glucose level. Further study are recommended to measure the effect of Aloe vera juice on blood glucose level with more consider on gender, age, total calorie consumption, obesity, activities, and stress.
Behavior of Family in Practice Hepatitis B Immunization at Baby 0-7 Days Old
Kusnanto Kusnanto;
Elida Ulfiana;
M. Hadarani
Jurnal Ners Vol. 3 No. 2 (2008): Oktober 2008 - Maret 2009
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v3i2.4998
Introduction: Result of coverage hepatitis B immunization at 0-7 days old babies in Puskesmas Banjarbaru Banjarbaru city South Kalimantan until year 2008 was under 40%. The cause of unsuccessfully of giving hepatitis B immunization at 0-7 days old babies was the behavior of the family. This research aimed to explain family behavior in execution immunization at 0-7 days old babies in region of Puskesmas Banjarbaru. Method: The design used in this research was analytic design. total sample were 30 respondents. Variable in this research were behavior of family in practice hepatitis B immunization at baby 0-7 days old, which covers knowledge, attitude and practice in hepatitis B immunization at baby 0-7 day old. The data was collected by questionnaire and analyzed by using statistical test chi-square with level of significance α≤0.05. Result: The result showed a correlation between knowledge and attitude about hepatitis B immunization at 0-7 days old babies (x2=0.000). Discussion: There was correlation between knowledge and hepatitis B immunization performed by the family to the baby ages 0-7 days old (x2=0.015). A correlation between attitude with family practice with giving hepatitis B immunization at baby ages 0-7 days old (x2=0.000).
Individual Characteristic and Reward System Relate to Nurses’ Performance
Kusnanto Kusnanto;
Siti Guntarlin;
Endah Purnihasti
Jurnal Ners Vol. 4 No. 1 (2009): April 2009 - September 2009
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v4i1.5019
Introduction : Nurses are one of the most important profession in health care system. Lack of reward systems and different of individual nurse’s characteristic will be contributed to the quality of nursing service given. This study was aimed to explain the correlation between individual characteristic and nurse reward system with nurse’s performance at RSUD Bontang.Methods : This study used cross-sectional design involved 39 respondents, taken by purposive sampling. The independent variable were individual characteristic and nurse reward system and the dependent variable was nurse’s performance. Data were collected by using questionnaires and analyzed using linier regression with level of significance α≤0,05.Results : Results showed that there were significant correlation between nurse’s performance with individual characteristic and reward system.Conclusion : It can be concluded that individual nurse’s characteristic and nurse reward system had correlation between nurse’s performance nursing care quality. Discussion : Individual characteristic factors (sex, age, education, seniority or work period) and nurse’s reward system must be considered to make judgement policy efficiency by human research. Further research must be done for identification factors who related nurse’s performance.
Satria Nusantara Breathing Exercise Improves the Senior Citizens’ Level of Fitness
Kusnanto Kusnanto;
Makhfudli Makhfudli
Jurnal Ners Vol. 4 No. 2 (2009): Oktober 2009
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v4i2.5033
Introduction: Aging is a slowly losing process of the ability of tissues to regenerate and keep their normal structure and function in order to stand on from any disturbance, including infection. In older people degeneration of organs like muscles, bones, heart, blood vessels and nerve systems cause decrease in hearty. Satria nusantara gym are an alternative solution to increase hearty. The objective of this study was to examine the effect of satria nusantara gym on fitness level to old people. Method: The research use the pre eksperimental design by using approach of one group pre test post test design. Sampling technique in this research is non probability sampling by using saturated sampling. Samples taken as much 20 old people which is following satria nusantara gym. Data were analyzed using paired t- test with significance level α≤0.05. Result: The result showed that satria nusantara gym give positive effect to old people. It can be cocluded that satria nusantara gym cause increase fitness level to old people. Discussion: It’s recommended further research need more variable for representative result.