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Deep Breathing Exercise in Improving Physical Changes in PulmonaryTuberculosis Patients Muhamad Ihlasul Amal; Kusnanto Kusnanto; Tiyas Kusumaningrum
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 4 No. 2 (2016): APRIL 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (519.87 KB) | DOI: 10.20473/cmsnj.v4i2.12397

Abstract

Introduction: Pulmonary Tuberculosis is caused by Mycrobacterium Tuberculosis lead to lung parenchymal inflammation and reduce the total functional lung. Deep breathing exercises (DBE) is a pulmonary rehabilitation that can be used as an alternative method to maintain the lung function of patients with pulmonary tuberculosis.Methods: This study used a quasy experiments design. The population was all patients with pulmonary tuberculosis in Puskesmas Perak Timur Surabaya. The sample was selected using purposive sampling technique. DBE is the independent variable. The dependent variable were the physical changes include peak expiratoty flow rate (PEFR), oxygen saturation, respiratory rate (RR), breath sounds, and dyspnea. Data was collected by observation tools (pulse oximetry, peak flow meters). Data was analyzed using Independent T-test, Paired T-test, Chi Square, and McNemar.Results: The results showed a significant change in breath sounds (p=0,031) and dyspnea (p=0.031) after given DBE, but no significant difference in PEFR (p=0.155), oxygen saturation (p=0,730) and respiratory rate (p=0.125) after given DBE.Conclusions: Nurses can use the DBE as respiratory management intervention in patients with pulmonary tuberculosis and as a basis for making SOP DBE in patients with pulmonary tuberculosis.
Edukasi Kesehatan: Perawatan Kaki terhadap Pengetahuan, Sikap dan Tindakan Pencegahan Ulkus Kaki Diabetik Munali Munali; Kusnanto Kusnanto; Hanik Endang Nihayati; Hidayat Arifin; Rifky Octavia Pradipta
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 8 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.634 KB) | DOI: 10.20473/cmsnj.v8i1.13241

Abstract

Introduction: People with diabetes mellitus were at 15% risk of developing diabetic foot ulcers. Diabetic foot ulcers can be prevented if people with DM have the knowledge, positive attitude and thus able to perform the diabetic foot care. The aim was to determine the effect of health education on knowledge, attitudes and preventionof diabetic foot ulcers of people with diabetes mellitus. Method: quasi-experiment research design pretest-posttest control group design. Sample was DM patients who visited the Bangkalan City Health Center, recruited by purposive sampling technique with sample size of 35 people in the treatment group and 35 people in the control group. Independent variable was the health education and the dependent variables were knowledge, attitudes and of diabetic foot ulcers. Data were collected with questionnaires andthen analyzed by Wilcoxon Sign Rank Test and Mann-Whitney Test.Result: The results showed that there was an effect of health education on knowledge (p=0.000), attitudes (p=0.000) and preventive actions (p=0.000) of diabetic foot ulcers.Conclussion: Health education was important as an effort to persuade DM patients to take charge on their knowledge and attitude foot care by firstly enhancing.
Pengaruh Hiperbarik Oksigen terhadap Psikologis Penderita Ulkus Kaki Diabetik Dismalyansa Dismalyansa; Kusnanto Kusnanto; Retnayu Pradanie; Hidayat Arifin
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 8 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (15.979 KB) | DOI: 10.20473/cmsnj.v8i1.13277

Abstract

Pendahuluan: Diabetes Mellitus (DM) dengan Ulkus Kaki Diabetes (UKD) dapat berakibat pada gangguan psikologis. Terapi Hiperbarik Oksigen (HBO) dapat mempercepat penyembuhan luka sehingga psikologis pasien dapat membaik. Penelitian ini bertujuan menjelaskan pengaruh hiperbarik oksigen terhadap psikologis penderita UKD. Metode: Penelitian ini menggunakan desain quasi experimental dengan pendekatan non-equivalent control group design. Sampel sebanyak 70 pasien pasien DM dengan UKD. Variabel indepeden adalah terapi HBO dan dependen adalah psikologis penderita UKD. Data dikumpulkan melalui kuesioner WHOQOL-BREF. Data dianalisis dengan Wilcoxon signed rank test dan Mann Whitney U test. Hasil: Intervensi HBO meningkatkan psikologis pasien UKD (p=0,012) dan terdapat perbedaan yang signifikan antara kelompok kontrol dan perlakuan yang signifikan (0,040). Diskusi: Pasien DM dengan UKD yang diberi HBO menunjukkan perbaikkan psikologis yang terlihat dari pasien lebih sehat, semangat, dan terdapat perbaikan UKD. HBO dapat dijadikan sebagai pilihan pengobatan dalam meningkatkan respon psikologis penderita UKD.
Kecerdasan Spritual dalam Self-Management pada Pasien Diabetes Melitus Tipe 2 Mohammad Dheni Ardhiyanto; Kusnanto Kusnanto; Aria Aulia Nastiti; Hidayat Arifin
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 8 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (16.729 KB) | DOI: 10.20473/cmsnj.v8i1.13278

Abstract

Introduction. Kesadaran pasien DM tipe 2 yang kurang dan lamanya menderita merupakan faktor yang menghambat penderita DM tipe 2 sehingga tidak menjalankan self-management dengan baik. Tujuan dari penelitian ini adalah untuk mengetahui hubungan kecerdasan spiritual dan lama menderita dengan self-management pada penderita Diabetes mellitus (DM) tipe 2. Methods. Rancangan penelitian menggunakan cross sectional. Populasinya adalah pasien diabetes melitus tipe 2. Total sampel adalah 167 responden, diambil sesuai kriteria inklusi dan ekslusi. Teknik sampling yang digunakan adalah purposive sampling. Variabel independen adalah kecerdasan spiritual dan lama menderita. Variabel dependen adalah self-management. Data dikumpulkan dengan menggunakan kuisioner Kecerdasan Spiritual dan The Summary of Diabetes Self Care Activities (SDSCA), dan dianalisis menggunakan analisis spearman rho. Results.Hasil menunjukan bahwa ada hubungan kecerdasan spiritual dengan self-management (p=0,000) dan tidak ada hubungan lama menderita dengan self-management diet (p=0,879). Discussion. kecerdasan spiritual yang tinggi dapat membuat penderita DM tipe 2 memiliki self-management yang baik. lama menderita DM belum tentu membuat penderita DM memiliki self-management baik. selama penderita DM tipe 2 memiliki kesadaran untuk mejalankan self-management dengan baik, komplikasi dapat dicegah
Pengaruh Progressive Muscle Relaxation terhadap Stres dan Penurunan Kadar Gula Darah pada Pasien Diabetes Melitus Tipe 2 Ungkas Herlambang; Kusnanto Kusnanto; Laily Hidayati; Hidayat Arifin; Rifky Octavia Pradipta
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 8 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.551 KB) | DOI: 10.20473/cmsnj.v8i1.13400

Abstract

Introduction: Diabetes Mellitus is a disease that occurs because the body is unable to produce insulin or the body cannot use insulin effectively. The purpose of this study was to find out the effect of Progressive Muscle Relaxation (PMR) on stress and blood glucose decrease in patients who have diabetes mellitus type 2 disease.Method: The design of this study is quasi-experimental study. The population of this study were the patients who have type 2 of diabetes mellitus disease at Puskesmas Kedungdoro and Puskesmas Medokan Ayu. There would be 70 respondents chosen based on inclusion and exclusion criteria. The researcher chose the purpose sampling technique in choosing the participants in this research. The independent variable in this study was Progressive Muscle Relaxation (PMR). The dependent variable in this study were stress and blood glucose decrease. The data in this study were collected using questionnaires and measurement of pre-prandial blood glucose level. Data were analyzed using analysis of Wilcoxon and paired t-test for pre-post measurements, then for the inter groups the researcher used Mann-Whitney analysis.Results: The results showed that there was an effect of PMR on stress (p = 0.001) and in decreasing blood glucose (p = 0.021).Discussion: PMR is a relaxation focused on the patient’s attention in distinguishing the group of muscle when they relaxed than while in contraction condition. Thus, the patients are expected to be able to manage the body condition in managing stress and blood sugar decrease. For health officers, they are expected to use the PMR as the combination in reducing stress and blood glucose to improve the quality of life of the patients who have diabetes type 2 disease.
Spirituality Level, Family Support, and Spiritual Self Care Behavior among Patient with Diabetic Ulcers Ika Nur Pratiwi; Kusnanto Kusnanto; Malinda Kurnia Putri
Babali Nursing Research Vol 1 No 2 (2020): July
Publisher : Babali Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (246.665 KB) | DOI: 10.37363/bnr.2020.1226

Abstract

Introduction: Patients with diabetic ulcers tend to experience problems in implementing spirituality practices. Patients with diabetic ulcers also experience weaknesses and impaired mobilization that have an impact on family dependence and decreased self-efficacy. The purpose of this study was to determine the relationship between spirituality level and family support with spiritual self-care behavior in diabetic ulcer patients. Methods: A descriptive correlation design with a cross-sectional approach. In a total of 92 patients with diabetic ulcers in Sidoarjo General District Hospital in June-July 2019 recruited. Independent variables were the level of spirituality and family support. The dependent variable was spiritual self-care behavior. Data obtained through the Daily Spiritual Experience Scale (DSES) questionnaire, family support questionnaire, and Spiritual Self Care Practice (SSCPS) questionnaire. Data were analyzed using the Chi-square test of categorical variables with a p-value ≤ 0.05 and logistic regression for multivariate analysis. Results: The study showed there was a significant relationship between spirituality level (p = 0,000) and family support (p = 0,001) with spiritual self-care behavior in diabetic ulcer patients. The result of regression analysis showed the respondents with a high level of spirituality would increase 0.138 times of the spiritual self-care behavior probability. Conclusion: The level of spirituality and family support can promote individual coping to be more positive which may accelerate the process of receiving and healing wounds.
How Did I Feel Before Becoming Diabetes Resilience? A Qualitative Study in Adult Type 2 Diabetes Mellitus Hidayat Arifin; Kusnanto Kusnanto; Ika Yuni Widyawati
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 5, No 1 (2020): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (142.752 KB) | DOI: 10.24990/injec.v5i1.280

Abstract

Introduction: Diabetes resilience is a condition where people with diabetes can accept their incurable disease as well. It is characterized by regular blood sugar, a diet-controlled, active, and not stressful. However, various kinds of feelings must be passed to become diabetes resilience. The study aimed to know what adult type 2 diabetes mellitus (T2DM) felt before becoming resilient. Methods: A qualitative phenomenology design was conducted to observe the experience of adult T2DM before becoming resilient. The total participants were ten T2DM patients obtained through snowball sampling. The data collection was conducted through in-depth interviews with interview guidelines and analyzed using qualitative thematic analysis. Results: The results of the study found two major themes namely psychological response and diet. Participants felt quite severe stress when diagnosed with diabetes mellitus and felt difficulty when undergoing diabetes mellitus treatment. In addition, changes in diet are also felt very difficult by participants in undergoing a diabetes mellitus diet. Conclusions: Psychological responses and diet are the hard parts felt by the participants. Increasing understanding, support, and acceptance can be one strategy to increase diabetes resilience in participants.
Diabetes Resilience Training on Self-Care, Glycemic Control, and Diabetes Burnout of Adult Type 2 Diabetes Mellitus Hidayat Arifin; Kusnanto Kusnanto; Erna Dwi Wahyuni; Rifky Octavia Pradipta
INDONESIAN NURSING JOURNAL OF EDUCATION AND CLINIC (INJEC) Vol 4, No 2 (2019): INJEC
Publisher : Asosiasi Institusi Pendidikan Ners Indonesia (AIPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.536 KB) | DOI: 10.24990/injec.v4i2.252

Abstract

Introduction: Treatment that must continue, control, and diet that must be obeyed by people with DM can cause boredom (burnout) - inability to care for themselves, and blood sugar that is not controlled. The purpose of this study was to determine the effect of diabetes resilience training on self-care, glycemic control, and diabetes burnout of adult type 2 diabetes mellitus. Methods: This study was a quasi-experimental design. The total samples were 70 respondents (treatment and control) obtained by cluster sampling. The independent variable was diabetes resilience training and dependent variables were self-care, glycemic control, and diabetes burnout. The intervention provided for one month with four meetings. Instrument used self-care questionnaire of Self-Care Inventory-Revised (SCI-R), glycemic control questionnaire used an observation sheet for fasting blood sugar, and diabetes burnout questionnaire used Diabetes Distress-Screening Scale (DDS17). Data were analyzed with Wilcoxon signed ranks test, Mann Whitney U Test, Independent-sample t-test, and 1-Sample K-S. Results: There was an effect of diabetes resilience training on self-care (p = 0.003; p <0.05), glycemic control (p = 0.020; p <0.05), and diabetes burnout (p = 0,000; p <0.05). Conclusions: Diabetes resilience training provided by researchers to respondents can improve good self-care behavior, decreased glycemic control values, and decreased distress (diabetes burnout) in adult type 2 diabetes mellitus.  Based on the results, it is recomandation to nurses and health care provider to implementation the diabetes resilience training regularly.
Professional Self-Concept Model on Working Productivity of Clinical Nurses Kusnanto Kusnanto; I Gede Juanamasta; Slamet Riyadi Yuwono; Yulastri Arif; Kadek Ayu Erika; Hidayat Arifin
Journal of Global Pharma Technology Volume 12 Issue 09 (2020) Sept. 2020
Publisher : Journal of Global Pharma Technology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (529.069 KB)

Abstract

Introduction: The nurses' professional self-concept is concerned with how individuals perceive themselves as professionals and in nursing is about what nurses feel about themselves as nurses. The purpose of this study is to develop a professional self-concept model on the productivity of the nurse's work. Methods: An explanatory design with cross-sectional approach. Samples were 311 nurses in inpatient room with simple random sampling. Data analysis using Partial Least. Organizational aspects (0.4397). Results: Characteristics of the work (0.1978) and the organizational environment (0.5391) were affects the nurses' professional self-concept. The self-concept of professional nurses affects work productivity (0.4953). Conclusion: Organizational characteristics, work characteristics, and organizational environment have a relationship with professional self-concept of nurses. Furthermore, the self-concept of professional nurses has a relationship and can enhance nurse work productivity. Professional self-concept nurses form a professional identity in nurses who increase nurse productivity at work.
Potential of Quercetin in Bitter Melon (Momordica charantia L) as an Antidiabetic: In Silico Study Roni Yuliwar; I Ketut Sudiana; Kusnanto Kusnanto; Dwi Krihariyanie; Hidayat Arifin
Journal of Global Pharma Technology Volume 12 Issue 11 (2020) Nov. 2020
Publisher : Journal of Global Pharma Technology

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Purpose: The purpose of this study is to predict the in silico molecular interactions of bitter melon quercetin with GLP-1 receptors using the comparable compounds of myricetin and allosteric modulators. Methods: The in silico test was used to predict the quercetin molecular interactions by docking using the Molegro Virtual Docker computer program. The receptor used was human GLP-1, code PDB: 5VEX with allosteric modulators ligand (97V_1201 [A]). As part from predicting molecular interactions, this study also carried out the prediction of its pharmacokinetic properties (ADME) and the toxicity of quercetin and myricetin using the pkCSM online tool program. The data analysis was performed by comparing the docking bond energies between quercetin, the allosteric modulator ligands and the myricetin comparators at the target receptor. The lower the bond energy of the ligands to the target receptor, the more stable the bonds are. This can be used to predict the biological activity of the compound. Results: The in silico test results showed that the bond energy of quercetin = -70.2678 kcal/mol, myricetin = -105,298 kcal/mol and allosteric modulators = -126,992 kcal/mol. Conclusions: The above test results indicate that quercetin has antidiabetic potential by activating the GLP-1 receptor although it is lower than the myricetin and allosteric modulators. The results of the in silico test using the pkCSM online tool program showed that the quercetin compound had good pharmacokinetic properties and a low toxicity level.
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