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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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (287.327 KB) | DOI: 10.20473/jn.v11i2.2617

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.209 KB) | DOI: 10.20473/jn.v12i1.2790

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (286.487 KB) | DOI: 10.20473/jn.v9i1.2965

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.884 KB) | DOI: 10.20473/jn.v8i1.3877

Abstract

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.
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.319 KB) | DOI: 10.20473/jn.v7i2.4007

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (272.736 KB) | DOI: 10.20473/jn.v2i1.4941

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (285.796 KB) | DOI: 10.20473/jn.v2i1.4949

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (159.674 KB) | DOI: 10.20473/jn.v2i2.4956

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (123.928 KB) | DOI: 10.20473/jn.v2i2.4971

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.173 KB) | DOI: 10.20473/jn.v3i1.4972

Abstract

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.
Co-Authors Abdul Fauzi Abu Bakar Adelia, Gizka Agnestria Winarto Agostinha Soares Agustin, Leni Ah Yusuf Ahsan Ahsan Ahsan Ahsan Akbar Nur Andang Widiharto Angga Miftakhul Nizar Anita Joeliantina Apriliyanti, Titis Eka Aria Aulia Nastiti arif, yulastri Arifin, Hidayat Arifin, Moh Zen Arijanto Jonosewojo Ayu Dewi Nastiti Bakhtiar, Arief Bambang Purwanto Burhanudin, Akim Candra Panji Asmoro, Candra Panji Dewanti, Nisa 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 Hafez, Faringga Ismail Al Hakim Zulkarnain Hakim Zulkarnain Handini Indah Rahmawati Hapsari, Veneranda Rini Harmayetty, Harmayetty Hartono Hartono 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 Iqlima Dwi Kurnia Jamasri . Jewarut, Siprianus Joko Suwito Joni Haryanto Kadek Ayu Erika Khoirot, Rysida Ma’rifaul Kinanthi Rosyana Komang R. Ningrat Krihariyani, Dwi Kurniawati, Ninuk Dian Lailatun Ni&#039;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 Malinda Kurnia Putri Mangestuti Agil Manggu, Blasius Margareta Kewa Lamak Margaretha Lidya Sumarni Maulana Arif Murtadho Maya Sari 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 Nisfil Mufidah Nur, Akbar Nurcahyo, Azriel Christian Nursalam . Nursalam, Nursalam Oedojo Soedirham Oscarito, Oscarito P, Noviyanti P, Noviyanti. Padoli Padoli Padoli Padoli, Padoli Pei-Lun Hsieh Pradanie, Retnayu Putri Mei Sundari Rachmat Hargono Rahman, Handono Fatkhur Ratna Puji Priyanti Retno Dwi Susanti Rifky Octavia Pradipta Risa, Yulia Rospita Riyanti, Tetik Rizky Fitryasari Rondhianto Rondhianto Roni Yuliwar RR Dian Tristiana Rysida Ma’rifaul Khoirot S.Pd. M Kes I Ketut Sudiana . Sabilal Alif Sari, Ade Malia Saverinus Suhardin Silvester, Silvester 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 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 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 Yanis Kartini Yeni Erlina Yulis Setiya Dewi Yuyun Diatiningsih Zahrotun Ulum