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Suharto Suharto
Faculty of Medicine, Universitas Airlangga
Nursing

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Development of the Mind-Body-Spiritual (MBS) Nursing Care Model for Coronary Heart Disease Patients Ninuk Dian Kurniawati; Nursalam Nursalam; Suharto Suharto
Jurnal Ners Vol. 13 No. 2 (2018): October 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.229 KB) | DOI: 10.20473/jn.v13i2.6607

Abstract

Introduction: Patients with coronary heart disease (CHD) may experience various physical, psychological or spiritual issues. A holistic mind-body spiritual nursing care (MBS) model is needed to help patients' cope with the issues. This study aimed to develop an MBS nursing care model for CHD patients.Method: The study employed a crossectional design with 110 CHD patients participated in the study. Respondents were asked to fill out questionnaires to gather the required data. Criteria for respondent selection were Moslem, aged 40-75 year, medical diagnosis of CHD, and haemodynamically stable. The independent variables were focal, contextual and residual stimuli, while the dependent variables were coping and spirituality. Data were analyzed using partial least square.Results: The results show that the mind-body-spiritual nursing care formed focal stimuli. Spirituality is formed by focal, contextual, residual stimuli and coping style. Nursing care significantly affects spirituality, shown by T-statistics of 6.795. Spirituality can be explained by patience, endeavour toward wellness, and offer the results only to God by 72%, while the rest is explained by other factors.Conclusion: MBS nursing care model has a strong relationship with spirituality. This model needs to be applied in a further research to see its effectiveness in improving spirituality and expression of cardiovascular risk inflammatory markers.
Differences Between NRS-2002 and MUST in Relation to the Metabolic Condition of Trauma Patients Oktaffrastya Widhamurti Septafani; Suharto Suharto; Harmayetty Harmayetty
Jurnal Ners Vol. 13 No. 1 (2018): April 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (767.166 KB) | DOI: 10.20473/jn.v13i1.7518

Abstract

Introduction: Flow phase with high cardiac output and increased metabolic conditions. When metabolic conditions are not stable there will be a long duration of complications until death. One of the benefits of Nutrition Risk Screening (NRS-2002) is reliable inpatient care for critical patients. While the Malnutrition Universal Screening Tool (MUST) shows speed in the classification of nutritional disorders.Methods: This study used the observational design method. The sampling technique in this study used Consecutive sampling in accordance with the criteria consisting of 31 respondents. This was to determine the specificity and sensitivity values of NRS 2002 and MUST using contingency table analysis and for the Area Under Curve (AUC) using Receiver Operating Characteristic (ROC) curve analysis.Results: The sensitivity values in MUST was predicted for metabolic conditions which was higher than when using NRS 2002, but the specificity and value of AUC (Area Under Curve) was higher using NRS 2002 than using MUST when it came to predicting metabolic conditions.Conclusions: There were differences in effectiveness between use of Nutritional Risk Screening (NRS-2002) with the Malnutrition Universal Screening Tool (MUST) in relation to changes in metabolic conditions of trauma patients. NRS-2002 is more effective than MUST. NRS 2002 has the ability to identify patients more precisely who are likely to have a negative outcome.
Co-Authors Harmayetty, Harmayetty Kurniawati, Ninuk Dian Nursalam, Nursalam Oktaffrastya Widhamurti Septafani