Articles
<![CDATA[Psycoeducative Family Therapy Mempengaruhi Pengetahuan, Dukungan Keluarga dan Stigma Kusta ]]>
<![CDATA[Mega Arianti Putri]]>;
<![CDATA[Harmayetty Harmayetty]]>;
<![CDATA[Budi Utomo]]>
<![CDATA[ Jurnal Ners Vol. 11 No. 1 (2016): April 2016 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v11i1.1701
<![CDATA[Introduction: A person with leprosy present disability and lesions caused by related nerve damage. Without treatment leprosy can permanently damage skin, feet and eyes. Leprosy-related documents show that stigma is typically a very deep rooted social process. It refers to unfavourable attitudes and beliefs directed toward someone or something. The stigma against leprosy not only burdens the affected individuals but also their family members. This research aims was to analyze the influence of family on knowledge psychoeducative intervention, family support and the self stigma.Methods: The design was a quasy experiment. The samples were the intervention and the comparison group each of 30 respondents. The sample consisted of respondent and respondent's family. Sampling technique is using purposive sampling. The research instrument was a questionnaire used by researchers.Results: The result showed that not only psychoeducative family influence level of knowledge, support family and self stigma. The other factor are family characteristics and respondent characteristics. The statistical result shown that a significant relationship between psychoeducative family with knowledge (p=0,000), family support (p=0,000) and the stigma of leprosy (p=0,004).Conclusion: Level of knowledge, family support and self stigma have relations to each other. Families who have less knowledge about leprosy will influence to be given family support. Leprosy patients who have high self stigma caused by lack of knowledge and they feel there have not symphaty, attention and support from their families.]]>
<![CDATA[The Incidence of VAP after VAP Bundle Intervention Among Patients with Mechanical Ventilation ]]>
<![CDATA[Diah Susmiarti]]>;
<![CDATA[Harmayetty Harmayetty]]>;
<![CDATA[Yulis Setiya Dewi]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.2106
<![CDATA[Introduction: Ventilator Associated Pneumonia (VAP) is a nosocomial infection in patients who use ventilator for more than 48 hours. The aimed of the study was to determine VAP incidence after VAP bundle application.Methods: This study used one-shot case study posttest only designed with samples of 6 individuals beginning on December 31, 2013 up to January 31, 2014. The totally score of CPIS assessment revealed that 4 of 6 patients was not diagnosed with VAP and 2 were diagnosed with VAP.Results: The results showed that the application of VAP bundle has infl uence in preventing VAP incidence. The totally score of CPIS assessment revealed that 4 of 6 patients was not diagnosed with VAP and 2 were diagnosed with VAP.Conclusion: This study need to be backed up furthermore with a larger sample size and continuous CPIS assessment is needed to identify VAP caused by bacteria, especially the late-onset bacteria, in patients using mechanical ventilation in longer a time.]]>
<![CDATA[Intervensi Keperawatan Truncal Control Exercise terhadap Fungsi Ekstremitas Atas, Keseimbangan, dan Berjalan pada Klien Pascastroke ]]>
<![CDATA[Kusnanto Kusnanto]]>;
<![CDATA[Ganda Ardiansyah]]>;
<![CDATA[Harmayetty Harmayetty]]>
<![CDATA[ Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v11i2.2617
<![CDATA[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.]]>
<![CDATA[Jigsaw Puzzle Improve Fine Motor Abilities of Upper Extremities in Post-Stroke Ischemic Clients ]]>
<![CDATA[Kusnanto Kusnanto]]>;
<![CDATA[Eska Dwi Prajayanti]]>;
<![CDATA[Harmayetty Harmayetty]]>
<![CDATA[ Jurnal Ners Vol. 12 No. 1 (2017): April 2017 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v12i1.2790
<![CDATA[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.]]>
<![CDATA[Elderly Fall Risk Assessment (Elderly) Scale using Hendrich Falls Fall and Morse Scale ]]>
<![CDATA[Vivi Armany Dessy]]>;
<![CDATA[Harmayetty Harmayetty]]>;
<![CDATA[Ika Yuni Widyawati]]>
<![CDATA[ Jurnal Ners Vol. 8 No. 1 (2013): April 2013 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v8i1.3885
<![CDATA[Introduction: Incidence of falls in elderly become a serious problem for patients hospitalised with limited activity. There was now the patients instruments to measure risk of fall for elderly patients. The aimed of the study was to examine the differences of risk fall to the elderly by using instrument Hendrich Falls Scale (HFS) and Morse Falls Scale (MFS).Methods: A comparative-longitudinal design was used in this study. The population were elderly patients in the treatment room D2 and D3 Adi Husada’s Hospital. There were 20 elderlys as a respondents which taken by using purposive sampling technique. Dependent variable was the value of measuring the risk of falling and independent variable was the instrument of HFS and MFS. Data were analyzed by using Wilcoxon Signed Rank Test with significance level α≤0.05.Result: The results showed that HFS’s instrument compared with MFS in the fi rst day are equally sensitive on the presented 100%, second day: 80%, third day: 31.3%, fourth day: 20%. HFS specificity of MFS on first day compared only 64% than MFS was 100%. The statistical results tests on the both scale of assessment indicated that there were differences the value on first day p=0.180, second day p=0.58, third and fourth day p=0.001.Conclusion: The use of MFS was more sensitive than HSF for detection of elderly patients with falling risk. The conclution of this results MFS’s instrument was more sensitive to assess elderly with risk of fall because MFS,s points more detailed assessment. It is recommended that elderly patients with falling risk need to assess by using MFS. Further research to focus on the risk of fall assessment using HFS and MFS categories.]]>
<![CDATA[Range of Motion Exercise of Arms Increases the Muscle Strength for Post Stroke Patients ]]>
<![CDATA[Judi Nurbaeni]]>;
<![CDATA[I Ketut Sudiana]]>;
<![CDATA[Harmayetty Harmayetty]]>
<![CDATA[ Jurnal Ners Vol. 5 No. 1 (2010): April 2010 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v5i1.3919
<![CDATA[Introduction: Someone attached by stroke can’t do their activity fluently because stroke can cause the weakness of motor and sensor function. This condition cause physical defect and give effect in social and economic too, because someone who suffered stroke usually still in productive age. The objective of this study was to examine the effect of arm range of motion in the muscle strength of post stroke patient.Methods: Pre experimental pre–post test design was used in this study. Population of this study was post stroke patient in Wijayakusuma ward dr. Soedono Hospital and total samples were 11 respondents. Independent variable was arm range of motion exercise, dependent variable was strength of arm muscle. Data were collected by observation with manual muscle testing of Lovelt, Naniel and Worthinghom and then analyzed using wilcoxon signed rank test with signi fi cant level of α ≤ 0.05.Result: The result showed that 11 respondents had increased their strength of muscle (p = 0.04).Conclusion: It can be concluded that the strength of muscle increased after get arm range of motion exercise. When range of motion had been done Ca+ will be activated by cell so that happen integrity of muscle protein. If Ca+ and troponin had been activated, actin and myosin would have been defensed, so that can moved the skeletal and followed by muscle contraction, expand, outgrow and had a tonus. This condition can showed the strength of muscle.]]>
<![CDATA[Manfaat Irigasi Hangat Durante Operasi Terhadap Pencegahan Hipotermi Pasca Bedah TUR Prostat ]]>
<![CDATA[Kusnanto Kusnanto]]>;
<![CDATA[Harmayetty Harmayetty]]>;
<![CDATA[Nancy M. Rehatta]]>;
<![CDATA[Sabilal Alif]]>;
<![CDATA[Joni Haryanto]]>;
<![CDATA[Slamet Mustofa]]>
<![CDATA[ Jurnal Ners Vol. 2 No. 1 (2007): April 2007 - September 2007 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v2i1.4941
<![CDATA[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]]>
<![CDATA[Manfaat Aromaterapi Lavender Terhadap Penurunan Insomnia pada Lansia ]]>
<![CDATA[Kusnanto Kusnanto]]>;
<![CDATA[Harmayetty Harmayetty]]>;
<![CDATA[Ira Suarilah]]>;
<![CDATA[Ninuk Dian Kurniawati]]>;
<![CDATA[Ulin Marliana]]>
<![CDATA[ Jurnal Ners Vol. 2 No. 1 (2007): April 2007 - September 2007 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v2i1.4949
<![CDATA[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. ]]>
<![CDATA[Buah Apel (Romebeauty) Menurunkan Kadar Gula Darah Pasien Diabetes Mellitus ]]>
<![CDATA[Harmayetty Harmayetty]]>;
<![CDATA[Yulis Setiya Dewi]]>;
<![CDATA[Dwi Astutik]]>
<![CDATA[ Jurnal Ners Vol. 2 No. 2 (2007): Oktober 2007 - Maret 2008 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v2i2.4955
<![CDATA[Introduction: The number of patients with diabetes mellitus (DM) in year 2001 was 5.6 million. In the year 2020, it is expected to reach 8.2 million. The diet of DM patients in Pulorejo village comprised low calorie, sugar free, and low fiber diet. Fiber consumed by these patients was taken from vegetables and banana. Unfortunately, the use of such diet keep the patient's blood sugar level remains increasing. The content of water-soluble fiber (pectin) in apple is higher and is able to reduce blood sugar level. The objective of this study was to analyze the effect of apple consumption on blood sugar level. Method: This study was used a quasy-experimental pre-post test purposive sampling design. Samples who met to the inclusion criteria were 14 persons divided into treatment and control group. Data were analyzed by using Paired t-Test (α=0.05) and Independent t-Test (α=0.05). Result: The result showed that there was an effect of apple consumption on blood sugar level with Paired t-Test (p=0.000) for blood glucose level before and after intervention in treatment group, and (p=0.100) for blood glucose level before and after intervention in control group. The results of Independent t-Test revealed p=0.000 for blood glucose level after intervention in treatment and control groups. Discussion: It’s can be concluded that there was an effect of apple consumption on blood sugar level in DM patients. The apple should be given in the best dose that can reduce blood sugar level, which is 2 x 150 g. The result of this study can be considered in as a material for diet promotion for the patients. Further studies should be developed to measure the variables of stress and sex of the patients.]]>
<![CDATA[Modifikasi Miring Kiri dan Elevasi Kepala Menurunkan Back Pain Post Percutaneous Coronary Intervention ]]>
<![CDATA[Harmayetty Harmayetty]]>;
<![CDATA[Sriyono Sriyono]]>;
<![CDATA[Adi Cahyo Fajarianto]]>
<![CDATA[ Jurnal Ners Vol. 2 No. 2 (2007): Oktober 2007 - Maret 2008 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v2i2.4957
<![CDATA[Introduction: Modified left lateral position and head elevation is a very important for 6 hours patient immobility after percutaneous coronary intervention. Patient immobility have higher risk of discomfort or back pain and leg pain. The objective of this study was to identify the effect of modified left lateral position and head elevation on pain reduction after percutaneous coronary intervention (PCI) with vascular closure device. Method: A quasy experimental design was used in this study with population were percutaneous coronary intervention (PCI) patient in Surabaya International Hospital. There were 20 respondents who met to the inclusion criteria which taken by using purposive sampling technique and divided into two groups, 10 respondents as experiment group and 10 respondents as control group. Data were collected by using questionnaire and observation for pain respons and distal pulsation (dorsalis pedis artery), then data were analyzed by using Mann Whitney U test and Independent t-Test with significance level a=0.01. Result: The results showed that there was a significance effect of modified left lateral position and head elevation on reducing back pain with Mann Whitney U test (p=0.00) and there was a significance effect of modified left lateral position and head elevation on the change of dorsalis pedis pulsation with Independent t-Test (p=0.00). Discussion: It can be concluded that modified left lateral position and head elevation reduce back pain on patients post percutaneous coronary intervention. Further studies should be developed to identify the effect of modified left lateral position and head elevation on other variables of pain and stress.]]>
