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Journal : Critical Medical and Surgical Nursing Journal

PEMBERIAN TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) MENURUNKAN INTENSITAS NYERI PADA PASIEN BEDAH UROLOGI DI RUANG RAWAT INAP MARWAH RSU HAJI SURABAYA Balmar Morangelita Nuach; Ika Yuni Widyawati; Laily Hidayati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 3 No. 1 (2014): OKTOBER 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (655.135 KB) | DOI: 10.20473/cmsnj.v3i1.12200

Abstract

Introduction: Urology surgical is a current surgical procedure for tractus urogenitalis disease. Issue in post urology surgical is a pain. Transcutaneous electrical nerve stimulation (TENS) is one of the nursing intervention that uses low-voltage electrical current for pain relief. TENS can improve pain mechanisms and release of endorphins to reduce pain. The aims of this study was to determine the effect of TENS on pain intensity of postoperative urology surgical patient in Haji Surabaya Public Hospital.Methods: A quasy experiment with non randomized control group pre post design was used in this study. Recruting sample by purposive sampling. There were 12 samples (6 respondents as the control group and 6 respondents as the treatment group) which recruit using purposive sampling. Independent variable was TENS. Dependent variable was pain intensity. The pain was measured by Visual Analog Scale (VAS). Data were analyzed using Wilcoxon Signed Rank Test and Mann Whitney.Result: Results of this study showed that there was a significant effect of TENS on pain intensity of postoperative urology surgical patient in Haji Surabaya Public Hospital. In the treatment group Wilcoxon Signed Rank Test p=0.084 (p<0.05), while in the control group p=0.020 (p<0.05). Mann Whitney=0.003 (p<0.05).Discussion: It can be concluded that there was a significant effect of TENS on pain intensity of postoperative urology surgical patient in Haji Surabaya Public Hospital. TENS is recommended for the independent nursing intervention to reduce postoperative urology surgical pain. Based on this result can be done to further research should analyze several factors that affects pain patients after surgical urology. Variable confounding are ethnic and cultural values, stage of development, environment and individual support, the experience of surgery pain, anxiety and stress, controls complication post surgical happened, alternative medication history, drugshistory, surgical history and disease history.
EDUKASI PERAWATAN KAKI MELALUI MEDIA GUIDANCE MOTION PICTURE DAN LEAFLET TERHADAP PERILAKU PERAWATAN KAKI NON ULKUS PADA PENDERITA DIABETES MELITUS TIPE 2 DI PUSKESMAS LOCERET Yeni Setyorini; Yulis Setiya Dewi; Laily Hidayati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 3 No. 1 (2014): OKTOBER 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (947.16 KB) | DOI: 10.20473/cmsnj.v3i1.12207

Abstract

Introduction: Diabetes mellitus’s with high blood glucose level is at a risk to get ulcus diabeticum because do not do the foot care. The aimed of this research was to examine effectivity of foot care education by guidance motion picture and leaflet media in Diabetes mellitus type 2’s behavior in Puskesmas Loceret.Methods: This research was using quasy-experiment with pretest-posttest control group design. The population were Diabetes mellitus type 2’s at Puskesmas Loceret working area. This research used 3 group, they were treatment group (guidance motion picture+leaflet), positive control group 1 (guidance motion picture), and positive control group 2 (leaflet), each group consisted of 10 respondents taken according to purposive sampling from January-March 2014. Data were collected using questionnaire and observation and then analyzed using Wilcoxon signed rank test and Kruskal-Wallis test with level of significance <0.05.Result: Results showed that increasing knowledge is significant for treatment group (p=0.005), the positive control group 1 (p=0.011), the positive control group 2 (p=0.097). Analysis of attitude for all group (p=0.005). Analysis of action for treatment group (p=0.005), positive control group 1 (p=0.006), the positive control group 2 (p=0.011). There are different effectivity between guidance motion picture+leaflet combination, guidance motion picture, and leaflet in increasing knowledge (p=0.047), attitude (0.022), and action (p=0.037).Discussion: It can be concluded that education with guidance motion picture+leaflet combination, guidance motion picture, and leaflet media influence non ulcus foot care behavior, but for leaflet, it does not influence their knowledge. So, nurses can use one of that media to get effective influence when giving health education to Diabetes mellitus type 2’s. Further research should evaluate other factors of knowledge, attitude, and action also do direct observation of action to gain more accurate data.
PENDIDIKAN KESEHATAN DENGAN METODE SYNDICATE GROUP MENINGKATKAN PENGETAHUAN TENTANG PENCEGAHAN ISPA PADA REMAJA PUTRI DI PONDOK PESANTREN Dian Naelatul Karimah; Ninuk Dian Kurniawati; Laily Hidayati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 3 No. 1 (2014): OKTOBER 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (579.679 KB) | DOI: 10.20473/cmsnj.v3i1.12208

Abstract

Intoduction: Health education was one of nursing interventions that aimed to change behavior in increasing health status that can be done with syndicate groups discussion learning method. This study was aimed to examine influence of syndicate groups method about ARIs prevention in changing female adolescence’s knowledge and attitude at Amanatul Ummah Educational Institution, Mojokerto.Methods: This study was a quasy-experiment using pretest-posttest controlgroup design. Population was adolescence of Nurul Ummah Boarding School (20 respondents) as the treatment group and adolescence of Amanatul Ummah Boarding School (20 respondents) as the control group, which taken according to simple random sampling. Knowledge and attitude as dependent variables and syndicate groups method as independent variable. Data were collected by using questionnaire then analyzed with level of significance p<0.05 by Wilcoxon sign rank test and Mann Whitney test.Result: Syndicate groups method had effect on knowledge but not on attitude.Wilcoxon test of knowledge for treatment group showed p=0.001, where Mann Whitney posttest showed p=0.000. Otherwise, Wilcoxon test of attitude for treatment group showed p=0.655, where Mann Whitney posttest showed p=0.348.Discussion: The conclusion is health education with syndicate groups method about ARIs prevention in boarding school can increase the level of knowledge but there is no significant change in attitude. Researcher believes that there were other factors that influenced the attitude posttest results, such as: factors of respondents; factors offacilitators, and; weaknesses of the implementation process and method of syndicate groups.
KENYAMANAN PASIEN PRE OPERASI DI RUANG RAWAT INAP BEDAH MARWAH RSU HAJI SURABAYA Ilma Rosida Rahmawati; Ika Yuni Widyawati; Laily Hidayati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 4 No. 1 (2015): OKTOBER 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v4i1.12293

Abstract

Introduction: Preoperation is a phase when the decision for surgical intervention is made and ends when the patient is sent to the operating theatre. The successful operation is determined by the successfull of preparation, including comfort aspect undergoing surgery. The aim of this study was to identify contributing factors of preoperative patient’s comfort at Marwah Room RS HajiSurabaya.Methods: A cross sectional design was used in this study. The population was all of preoperative patient at Marwah Room. Total sample was 26 respondents, taken with consecutive sampling technique. The independent variables were age, surgical experience, anxiety, family support, and pain. The dependent variable was preoperative comfort. Data were collected used questionnaire and observation. Data were analyzed using Spearmen’s Rho and Chi Square testwith α≤0.05.Result: Result showed that age, anxiety, family support, and pain had significantcorrelation with comfort, with level of significant p=0.000, p=0.000, p=0.015, p=0.036 respectively and coefficient correlation of r=0.769, r=0.832, r=0.473, r=0.414 respectively. Surgical experience also had correlation with comfort (p=0.000; x2=15.367).Discussion: Preoperative comfort has correlation with age, surgical experience, anxiety, family support, and pain. Anxiety has the strongest correlation with comfort. Further studies should identify the correlation of that variables to each context of comfort in Kolcaba’s Theory
The factors related to gastritis incident on santriwati 12-15 years old Desak Noman Tri Bulan Trisna Wardhana; Makhfudli Makhfudli; Laily Hidayati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 2 No. 2 (2014): APRIL 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v2i2.12391

Abstract

Introduction : Gastritis is a gastrointestinal tract disease which is often found on community. In developing country, gastritis often occurs at young age. In Pondok Pesantren Assalafi Al Fitrah Surabaya, gastritis was the most cases on santriwati 12-15 years old. The factors related to gastritis were food pattern, stress, medication adherence, and the use of Non Steroid Anti Inflammatory Drug (NSAID). This study was aimed to investigate factors correlating with gastritis incident on santriwati 12-15 years old in Pondok Pesantren Assalafi Al Fitrah Surabaya.Method : Design used in this study was descriptive analytic design with cross sectional approach. The population was all santriwati 12-15 years old who got gastritis in September 2013. Total sample was 30 respondents, taken according to inclusion criteria. The independent variables were food pattern, stress, medication adherence, and the use of Non Steroid Anti Inflammatory Drug (NSAID). The dependent variable was gastritis incident. Data were collected using structured questionnaire.Result : Data were then analyzed using Spearman’s rho test with level of significance < 0,05. Result showed that gastritis incident did have correlation with food pattern (ρ = 0,000), stress (ρ = 0,031) and medication adherence (ρ = 0,000). The use of Non Steroid Anti Inflammatory Drug (NSAID) has no correlation with gastritis incident (ρ = 0, 171).Discussion : It can be concluded that gastritis incident has correlation with food pattern, stress, and medication adherence, but has no correlation with the use of Non Steroid Anti Inflammatory Drug (NSAID). Further studies should involve larger respondents and better measurement tools to obtain more accurate results.
Self-Efficacy of Instrument Nurse during the Assignment of Earthquake Disaster in Nusa Tenggara Barat (NTB) Laily Hidayati; Andri Setiya Wahyudi; Achmad Tirmidzi
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 (58.923 KB) | DOI: 10.20473/cmsnj.v8i1.12438

Abstract

Introduction: Nurse is the spearhead of hospital services at disaster, which is also links to the Integrated Emergency Response System (SPGDT). This study aims to describe self efficacy of instrument nurse during the assignment period. Method: The study used a qualitative design with descriptive phenomenology approach. The study population was instrument nurse assigned to the earthquake in West Nusa Tenggara (NTB), the study sample was obtained by snowball sampling, participants were 16 instrument nurse. Method of collecting data using in-depth interview. Data collection tools used are voice recorder, interview guideline, and field note. Data is processed by thematic analysis according to Colaizzi. Results: Nurses' self efficacy can be seen from a positive assessment of their capabilities as evidenced by expressing understanding, forming a team, and establishing an emergency response team. In addition, nurse have high motivation to do assignments, and nurse show a positive attitude when appointed to work in NTB. Discussion: Knowledge, attitudes, and motivation of nurses, will be build a nurse self efficacy. Nurses who have high self efficacy, are confident in their abilities in carrying out their duties, will be able to carry out their duties well despite the demands and high workload.
Efektifitas Penggunaan ATS (Australasian Triage Scale) Modifikasi Terhadap Response Time Perawat Di Instalasi Gawat Darurat Sofiyanti Normalinda Banoet; Harmayetty Harmayetty; Laily Hidayati
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 (30.324 KB) | DOI: 10.20473/cmsnj.v8i1.12618

Abstract

Introduction: Triage is the process of sorting patients according to their severity. However, the phenomena that occur in the emergency room of some hospitals are different, triage is not carried out according to the standards. This is due to many factors, one of which is the triage model used. The purpose of this study was to look at the relationship between the use of Standard Operations Procedure for admitting new patients using ATS triage which was modified with the speed of response of nurses in the Emergency Installation. Method: This study used a correlative analytical design with a case study approach. The total population is 31 people and a sample of 28 people was obtained through inclusion and exclusion criteria. The independent variable in this study was the use of ATS (Australasian Triage Scale) and the dependent variable in this study is the nurse's Response Time. Data obtained by means of sample observation and analyzed using the Spearman correlation test rho. Results: There was no association between the use of ATS (Australasian Triage Scale) modification and the response time of nurses in the morning shift (p = 0.720), day shift (p = 0.866) and night shift (p = 0.173).Discussion: From the results of the study there was no relationship between the use of ATS (Australasian Triage Scale) and the response time of nurses in the morning, afternoon and night shift. The use of ATS modification and the response time of nurses that are appropriate and fast are found in morning service. This is caused by several factors both from the nurses themselves and from the hospital. Most nurses do not get training in Triage and this affects nurses' skills in sorting patients.
PENDIDIKAN KESEHATAN DENGAN MEDIA AUDIOVISUAL MENINGKATKAN PERILAKU IBU DALAM PENANGANAN INFEKSI SALURAN PERNAFASAN AKUT PADA BALITA DI KELURAHAN LEBIJAGA KABUPATEN NGADA Kristina Blandina Wea; Kristiawati Kristiawati; Laily Hidayati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 6 No. 2 (2018): APRIL 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (542.002 KB) | DOI: 10.20473/cmsnj.v6i2.12830

Abstract

Introduction: Acute Respiratory Infection (ARI) or respiratory infection is a major cause of morbidity and mortality in toddlers. ARI is a disease that often occurs both in adults and in children. Health education on the treatment of ARI in toddlers is very important to improve the knowledge, attitude, and skill of mothers in handling toddlers with ARI. The aimed of this study was to determine the effect of health education with audio-visual media on knowledge, attitude, and skill of mothers in the treatment of ARI in children under five years in Lebijaga Ngada.Methods: A quasi-experimental design was used in this study. The sample was 26 mothers of infants and toddlers who have a history of respiratory infection. The number of respondents was divided into 13 as the control group and 13 as the treatment group. Sampling was done by purposive sampling. The independent variable was health education using audiovisual media and the dependent variable was knowledge, attitude, and skill. Data were obtained through a questionnaire and analyzed using the Wilcoxon Signed Rank test and Mann Whitney U test with a significance level of α<0.05.Results: Health Education managed to increase knowledge with the results of Wilcoxon test p=0.001 The results of Mann Whitney p=0.000. It was similar happened to the attitude of the mother. The value Wilcoxon Signed Ranks Test for skill show significant value p=0.007 and Mann Whitney test results obtained significant value p = 0.000 which means effect obtained after the intervention. Conclusion: The results of can be concluded, there were effects of audiovisual on knowledge, attitude, and skill of mothers in the treatment of ARI in children under five years in Lebijaga Ngada Regency. Therefore, audiovisual media can be used by nurses as a good extension media in integrated service post.
Encourage Healthy Indonesia Program through Improved Professional Competencies and Strengthening the Professionalism of Nurses in Sampang Regency – Madura Laily Hidayati; Ninuk Dian Kurniawati; Abu Bakar; Achmad Tirmidzi; Hasanudin Hasanudin
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 7 No. 1 (2018): OKTOBER 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (423.358 KB) | DOI: 10.20473/cmsnj.v7i1.12901

Abstract

Introduction: Sampang is one of the districts in East Java that has many problems faced, especially in the health sector. With a population of 947,614 inhabitants, Sampang facing the issue of professionalism of health workers, nurses 'career paths, high prevalence of Tuberculosis, and high incidence ofdisasters (floods) in Sampang Regency that require nurses' readiness and ability in an emergency situation. Nurses as the frontline of health services are required to be able to demonstrate their professionalism through the effectiveness and success of the actions taken. This activity aimed to increase professionalism and encourage nurses to improve their competence through continuing education and training.Method: Faculty of Nursing Universitas Airlangga in collaboration with the Sampang Health Departement held conference and workshop on the topics: (1) nurse professionalism: assessment of legal aspects and nursing ethics; (2) nurse career paths; (3) comprehensive treatment of tuberculosis includes bio-psycho-socio-spiritual; (4) wound care; and (5) update on basic life support based on the 2015 AHA Guidelines. The target was 152 nurses at the primary health care in the working area of the Sampang District Health Office who are selected and identified according to the competencies. The activities were carried out during the period of July-August 2018.Result: A series of education and training programs produced output in the form of increasing knowledge and attitudes about nurse professionalism and career paths, increasing knowledge and attitudes about handling Tuberculosis patients, and increasing nurses' competence in wound care and BLS (Basic Life Support).Discussion: In the future, sustainable education and training activities are needed for nurses and other health workers in accordance with the latest developments in science and health technology to create professional nurses/health workers who encourage the achievement of the Healthy Indonesia program.
Vital Sign Status by Five Fingers Auditori Hypnosis beny wahyudi; Laily Hidayati; Abu Bakar
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 (62.22 KB) | DOI: 10.20473/cmsnj.v8i1.13116

Abstract

Introduction: Five-finger hypnosis is a relaxation technique that can provide a relaxing and calming effect by recalling pleasant experiences that have been experienced so that they can have a positive effect on the vital-sign of respondents with fractures. The purpose of this study was to determine the effect of the influence of five-finger hypnosis auditory on vital signs: blood pressure, pulse frequency, respiratory frequency, and pain in clients with limb fractures. Method: This research uses quasi-experiment with post test only non-equivalent control group design. The total population is 57 patients and 54 respondents were obtained with consecutive sampling. The independent variable is a five-finger hypnosis auditory intervention and the dependent variable is systolic blood pressure, diastolic, frequency of frequency, respiratory frequency, and pain. Data were obtained from the Numeric Rating Scale (NRS) and observation sheets. Then the data were analyzed by the Mann-Whitney U Test. Result: There were differences between the treatment and control groups on systolic (p=0.002), diastolic (p=0.003), pulse frequency (p=0.003), respiratory frequency (p=0.000) and pain (p=0.001). Discussion: So the hypnosis auditory as a relaxation technique can have a positive influence on the respondent's vital sign which includes systolic blood pressure, diastolic, pulse frequency, respiratory frequency, and pain. It is expected that nurses can apply this therapy as a non-pharmacological therapy to patients with extremity fractures and other researchers can apply to patients with all types of fractures as well as the development of cultural cultures.
Co-Authors Abu Bakar Abu Bakar Achmad Tirmidzi Ajeng Triska Permata Sari Alfi Rahmawati Mufidah Alfrida Semuel Rabung Alit Armini, Ni Ketut Alya Annisa Ilma Andri Setiya Wahyudi Anestasia Pangestu Mei Tyas Anita Dewi Anggraini Anita Dewi Anggraini Anita Fatarona Arifin, Hidayat Arina Qona'ah Arina Qona'ah Arina Qonaah Arinda Naimatuz Zahriya Asmoro, Candra Pandji Astin Thamar Genakama Balmar Morangelita Nuach beny wahyudi Candra Pandji Asmoro Desak Noman Tri Bulan Trisna Wardhana Dian Naelatul Karimah Dorkas Day Mbati Eka MHas Elida Ulfiana Elok Agustina Rahayu Eni Puji Lestari Erna Dwi W Esti Yunitasari evi novia rahmawati Fadli Maulana Agitiyo Febrina Ramadhani S.Kep Gevi Melliya Sari Harmayetty, Harmayetty Hasanudin Hasanudin Hilda Mazarina Devi Hurnawijaya Hurnawijaya Husna Ardiana Ika Endah Kurniasih Ika Nur Pratiwi Ika Yuni Widyawati Ilma Rosida Rahmawati Iqlima Dwi Kurnia Ishomatul Faizah Joni Haryanto Kartika Indaswari Dewi Khoirunisa, Navisa Kristiawati Kristiawati Kristina Blandina Wea Kurniawati, Ninuk Dian Kusnanto Kusnanto Lailatun Ni&#039;mah Lailatun Ni’mah Lailatun Ni’mah Makhfudli Makhfudli Marini Stefani Baker Maulana Arif Murtadho Merdianti, Retty Merryana Adriani Muhammad Amin Muhammad Amin Muhammad Amin Ni Putu Wulan Purnama Sari Nihayati, Hanik Endang Nimah, Lailatun Nursalam . Nursalam, Nursalam Pradanie, Retnayu R Endro Sulistyono Retty Merdianti Rifky Octavia Pradipta Rr Soenarnatalina M Rr Soenarnatalina M S. Soedarsono S.Pd. M Kes I Ketut Sudiana . Sabila Nisak Sariati Sariati Setho Hadisuyatmana Siti Nur Qomariah Soedarsono Soedarsono Sofiyanti Normalinda Banoet Suhendra Agung Wibowo Tintin Sukartini Sukartini, Tintin Sukartini Ungkas Herlambang Yeni Setyorini Yulis Setiya Dewi