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Model of Caring Behavior Improvement to Achieve the Competence in Critical Care Nursing Herdina Mariyanti; Nursalam Nursalam; Ninuk Dian Kurniawati
Jurnal Ners Vol. 10 No. 1 (2015): April 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (674.867 KB) | DOI: 10.20473/jn.v10i1.2108

Abstract

Introduction: Nursing students need to build their capacity to understand and learn the form of caring of a professional nurse from a different point of view and apply the acquired knowledge into nursing practice. The purpose of the present study was to develop a model of caring behavior improvement in students of professional nursing education program in order to achieve students’ nursing care competence.Methods: The present study used the explanatory survey and pre-experimental research design. Samples were students practicing in the ICU. Independent variables were attitude, personality, motivation and job design. Dependent variables were students’ caring behaviors and competence. Instruments used were a questionnaire for the independent variables and an observation sheet for the dependent variables. Data were analyzed using the Partial Least Square method.Results: Results showed that the loading factor of attitudes, personality, motivation, and job design against students’ caring behavior was > 1.96. The loading factor of students’ caring behaviors against the achievement of students’ competence was > 1.96. There were effects of attitude, personality, motivation and job design on students’ caring behaviors. Additionally, there was a signifi cant effect of caring behaviors on the achievement of student competence.Conclusion: students’ attitudes, personality, motivation and job design would affect the shaping of students’ caring behaviors. Students’ caring behaviors would affect the achievement of student competence.
Family Behavior in Maintenance Status Hb Chronic Renal Failure Patients through Family Centered Care Approach of Diet Fe Management Anggia Fajar Hardianti; Ika Yuni Widyawati; Herdina Mariyanti
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.906 KB) | DOI: 10.20473/jn.v8i1.3887

Abstract

Introduction: Erythropoietic agent as standard practice for anemia treatment, which has a function to increase the value of hemoglobin (Hb) to 12 g/dl in patients with chronic renal failure (CRF), who receiving dialysis treatment. The use of erythropoietin has to keep of the iron/Fe amount in the body. Family who have a duty of care should have knowledge, attitude, and behavior to maintain patient’s Hb by giving support to the patient to obey the Fe diet. The aimed of this study was to investigate the effect of family centered care approach in management Fe diet toward family’s behaviour in maintenance Hb level of CRF patients in hemodialysis ward, Gambiran Hospital, Kediri.Method: This study was used a pre experimental design. Total sample were 10 respondents, who met to inclusion criteria. The independent variables were knowledge, attitude, and psychomotor of family in maintenance of Hb level in CRF’s patients. The dependent variable was Fe diet management with family centered care approach. Data was collected by using a structured questionnaire and home visit observation.Result: Data was analyzed by using Wilcoxon Sign Rank Test with significance level α≤0.05. Results showed that Fe diet management with family centered care approach took effect to family’s knowledge (p=0.011), family’s attitude (p=0.005) and family’s psychomotor (p=0.005) in maintenance Hb level of CRF patients.Conclusion: Family’s knowledge, attitude, and psychomotor were effected by experiences during the care of a patient, not affordable to access information and patient’s own decision. The strengths and weaknesses in the family to got a better plan of care can be made by discuss and sharing among researcher, patient and his family. It can be concluded that Fe diet management with family centered care approach took effect to family’s behaviour. Further studies should involve larger respondents and better measurement tools to obtain more accurate results.
Family Health Tasks Implementation and Medication Adherence of Pulmonary Tuberculosis Patients: A Correlational Study Tintin Sukartini; Nora Dwi Purwanti; Herdina Mariyanti
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1.8175

Abstract

Introduction: Non-adherence medication is found among patients with pulmonary tuberculosis. Various factors influence patient adherence to medication. The purpose of this study was to analyze the relationship between family health tasks to medication adherence among patients with pulmonary tuberculosis.Methods: The design of this study was cross-sectional, with 45 sample size of pulmonary tuberculosis patients at Polyclinic of Pulmonary Disease in Haji General Hospital Surabaya taken by using a purposive sampling technique. Independent variables of this study were family health task which includes five dimensions, recognizing the family member health problem, making decisions for appropriate treatment measures, caring for sick family members, modifying the healthy environment and utilizing the healthcare facilities. The dependent variable was medication adherence. Data were taken using the questionnaires then analyzed by Spearman rho test.Results: There was a relation between tasks of family health: recognizing the family member health problem (p=0.001), taking decisions for appropriate treatment measures (p=0.000), caring for sick family members (p=0.003), modifying the healthy environment (p=0.006), and utilizing the healthcare facilities (p=0.001) with medication adherence in patients with pulmonary tuberculosis.Conclusion: The research of this study suggests the hospital arrange health education for the family and the patient to increase the quality of health services. The family can provide a conducive environment for the patient and further research can develop better research by using other methods such as direct observation, demonstration, and simulation.
Walking Exercise Programme (WEP) Menurunkan Cancer Related Fatigue (CRF) Pada Pasien Kanker Payudara Di RSUD. Ibnu Sina Gresik Indah Sri Wahyuni; I Ketut Sudiana; Herdina Mariyanti
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 1 No. 1 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.545 KB) | DOI: 10.20473/cmsnj.v1i1.11967

Abstract

Introduction: Development of cancer and the side effect of chemotherapy could lead to Cancer Related Fatigue (CRF) in breast cancer patient that getting worse due to inactivation. Hence, exercise was needed. This aimed of this was to analyze the effect of Walking Exercise Program (WEP) to Cancer Related Fatigue.Methode: This study was used quasy experimental design and the population was breast cancer patient undergoing chemotherapy in RSUD Ibnu Sina Gresik in June 2012. The 10 respondents who met inclusion criteria were taken with matching allocation technique and divided into control and case group. CRF were collected by a subjective instrument called Brief Fatigue Inventory (BFI), then analyzed using Wilcoxon signed rank test and Mann Whitney test with signification value was α≤0,05.Result: Result of Wilcoxon signed rank test showed that CRF scale in pre-test was different compared to CRF in post-test of case group (p=0.043). Mann Whitney test showed the comparison of post-test scores in both of groups was different (p=0.009). It can be concluded that WEP has effect to CRF.Discussion: The result showed that WEP could decrease CRF in breast cancer patient undergoing chemotheraphy in RSUD. Ibnu Sina Gresik. It is recommended to apply WEP as one of fatigue management in breast cancer patient undergoing chemotherapy. Further study should use WEP and psychosocial therapy to manage CRF in each fatigue dimension to reduce more scale of fatigue in patient.
EDUKASI DALAM MENINGKATKAN KEPATUHAN INTAKE CAIRAN PASIEN PENYAKIT GINJAL KRONIK (PGK) ON HEMODIALISIS Desak Putu Kurniawati; Ika Yuni Widyawati; Herdina Mariyanti
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 3 No. 2 (2015): APRIL 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (108.747 KB) | DOI: 10.20473/cmsnj.v3i2.12237

Abstract

Introduction: One of the causes of death in patients with chronic kidney disease on hemodialysis was due to the problem of uncontrolled fluid intake. The prevalence at Dr. Soetomo reported hospital as much as 80% increase weight more than 6%. Nursing education in fluid restriction was expected to improve adherence to fluid intake, and therefore contributes to the achievement of the ideal IDGW was less than 2%.Method: Design in this study was pre-experiment. The population in the study were all patients with chronic kidney disease undergoing hemodialysis. The samples obtained were 28 respondents who met to the inclusion and exclusion criteria. Purposive sampling technique was used in this study. The independent variabel was education. The dependent 2 variabel was Inter Dialitic Weight Gain, Qb and systolic blood pressure. Body weight was observered before and after hemodialysis. Blood pressure was observered during hemodialysis. Data were analyzed using Wilcoxon Signed Rank test with significant level of p=0.005.Result: The results showed that IDWG (p=0.157); Qb (p=0.007) and systolic blood pressure (p=0.021). IDWG patients did not undergo significant changes before and after education. Qb and systolic blood pressure of patients experiencing significant changes before and after education. Nursing educations provides significant effect on the patient's fluid intake compliance with indicator Qb and systolic blood pressure.Conclusions: Nursing educations would provide significant effect on compliance if supported by many factors such as family support advocates, social support and motivation of the patients.The provision of education should be carried out continuously and sustainably to obtain optimal results in patients undergoing regular hemodialysis , especially in terms of compliance with hemodialysis therapy and fluid therapy regimen , in order to achieve adequate dialysis. In a subsequent study can be developed not only limited to the provision of education to the patient but also involve the patient's family .
DUKUNGAN SOSIAL DAN MOTIVASI BERHUBUNGAN DENGAN KEPATUHAN PEMBATASAN ASUPAN CAIRAN PADA PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS Hartin I.K Nadi; Ninuk Dian Kurniawati; Herdina Mariyanti
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 (537.208 KB) | DOI: 10.20473/cmsnj.v6i2.12828

Abstract

Introduction: Adherence on fluid intake restriction is one of the problems of chronic kidney disease patients on hemodialysis. Poor adherence could lead to treatment failure this inturn lower quality of life for patients, increase morbidity and mortality. Social support and motivation are important factors of adherence on fluid intake restriction among patients with chronic kidney disease undergone hemodialysis. The aimed of this study was two fold. Firstly, it aimed to identify the relationship between social support and motivation with adherence on fluid intake restriction among patients with chronic kidney disease undergone hemodialysis. Secondly it analyzed relationship between both variable.Methods: This study used cross-sectional design. Samples were patients with chronic kidney disease undergone hemodialysis at RSUD Dr. M.M. Dunda Limboto, Kabupaten Gorontalo. The independent variables were social support and motivation. The dependent variable was adherence on fluid intake restriction. Sample were 19 individuals, recruited using consecutive sampling. Data were collected through questionnaire and analyzed by of Spearmen Rho statistical test with significance level of α<0.05.Result: Result of the research showed that there was a relationship between social support and motivation with adherence on fluid intake restriction among patients with chronic kidney disease undergone hemodialysis with significance level p=0.000 it means the relationship between two variable was reliable. The higher the social support, the better patients adherence on fluid restriction. The limitation of this research was small sample size to be used.Conclusion: It can be conclude that there was relationship between social support and motivation with adherence on fluid intake restriction among patients with chronic kidney disease undergone hemodialysis. Further studies should involve more respondents.
Konversi Dokumentasi Keperawatan Berbasis Elektronik Kalimah, Siti; Fitryasari P.K, Rizki; Mariyanti, Herdina
Journal of Telenursing (JOTING) Vol 6 No 1 (2024): Journal of Telenursing (JOTING)
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/joting.v6i1.9444

Abstract

This research aims to improve the quality of nursing services, increase time and cost efficiency, optimize patient data management, improve care coordination, and provide better outcomes for patients overall. The method used was a systematic review carried out using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) method. The databases used are Scopus, Science Direct, Pubmed and the Ners journal. The research results show that electronic-based documentation offers optimization for nurses in providing nursing care to patients. This includes more effective and efficient documentation, more integrated nursing care, and reducing the use of paper (paperless) which can contribute to reducing the impact of global warming and reducing hospital expenditure. In conclusion, changing nursing documentation in paper form to electronic documentation in hospitals requires careful preparation. Preparation for preparing the instruments used, supporting infrastructure and the readiness of nurses to carry out nursing documentation. Keywords: Nursing Documentation,Electronic Nursing Documentation
Telehealth interventions on pain in postoperative orthopedic surgery patients: A systematic review Qothrunnadaa, Azka; Abidah, Aqmarina; Tisel, Yulmira Maria; Tabik, Albertina Dete; Dewi, Yulis Setiya; Mariyanti, Herdina
Science Midwifery Vol 13 No 3 (2025): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i3.2014

Abstract

This systematic review evaluates the effectiveness of telehealth interventions in managing pain among postoperative orthopedic surgery patients. The introduction highlights the transformative potential of digital health technologies, such as telemedicine and mobile health applications, in improving access, quality, and efficiency of healthcare, particularly for pain management and patient adherence. The methods section outlines a structured literature search across Scopus, PubMed, and Proquest databases, adhering to PRISMA guidelines, with inclusion criteria focusing on randomized controlled trials (RCTs) and quasi-experimental studies involving adult orthopedic patients aged 18–60 years. Ten studies met the criteria, demonstrating varied telehealth approaches, including mobile apps, video consultations, and remote monitoring. Results indicate significant pain reduction and improved clinical outcomes in telehealth groups compared to standard care, with enhanced patient adherence, functional recovery, and reduced opioid use. However, variability in intervention duration and pain measurement tools underscores the need for standardization. The conclusion affirms telehealth as a valuable tool for postoperative pain management, emphasizing its role in education, monitoring, and psychosocial support. Future research should explore combined interventions and economic impacts to optimize implementation.
Effects of Digital Intervention on Improving Self-Management Patients with Peritoneal Dialysis: A Systematic Review Efendi, Cahyaningsih; Kurniawati, Ninuk Dian; Mariyanti, Herdina
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4911

Abstract

Continuous Ambulatory Peritoneal Dialysis (CAPD) is an effective alternative for renal failure patients to undergo treatment with more independence and flexibility. However, the success of CAPD is highly dependent on the patient's skills and knowledge. Many patients lack sufficient information, which may hinder the effectiveness of the dialysis process. The Objectives of this study is to determine the best way to use digital interventions to enhance self-management capabilities in peritoneal dialysis patients. A systematic review following the PRISMA 2020 guidelines was conducted. Article selection used PICO. The research focused on peritoneal dialysis patients and how the use of applications to improve self-management skills. article searches in 2015-2024 in 4 databases, namely EBSCO, Proquest, Scopus, and Pubmed databases. MeSH was used in the medical domain for keyword search. Papers were evaluated for quality using the Jonna Briggs Institute (JBI) framework. There were 7 relevant papers found in the literature search. Implementing digital interventions in healthcare in peritoneal dialysis patients has been used worldwide. Digital interventions used include the use of mobile health text messages, websites and apps. Significant improvements in peritoneal dialysis-related knowledge as well as patient satisfaction are characteristic of most therapies. The resulting impact of digital interventions varies widely with the attitudes and decision-making of individuals undergoing peritoneal dialysis. Digital interventions present a new approach to enhancing self-management capabilities in patients with chronic kidney disease who use peritoneal dialysis. The use of technology can provide the necessary support to manage their condition effectively.
PSIKOEDUKASI BERBASIS AUDIOVISUAL DALAM MENINGKATKAN PENGETAHUAN DAN MOTIVASI PENDERITA DALAM PENGOBATAN DAN PENCEGAHAN PENULARAN PENYAKIT TUBERKULOSIS Hidayati, Laily; Ulfiana, Elida; Bakar, Abu; Mariyanti, Herdina
BESIRU : Jurnal Pengabdian Masyarakat Vol. 2 No. 12 (2025): BESIRU : Jurnal Pengabdian Masyarakat, Desember 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/besiru.v2i12.2080

Abstract

Sejak 2021 jumlah penderita Tuberkulosis (TB) di Indonesia menempati peringkat kedua setelah India. Capaian treatment success rate TB juga hanya 86,5% pada tahun 2023. Namun permasalahan TB tidak hanya terkait pengobatan, masalah sosio-psiko-spiritual turut menjadi determinan yang memengaruhi keberhasilan pengobatan TB. Kegiatan ini bertujuan meningkatkan  pengetahuan penderita TB tentang penyakit, pengobatan dan cara pencegahan penularannya, hingga perbaikan motivasi penderita TB untuk sembuh. Tim pelaksana memberikan psikoedukasi berbasis audiovisual dengan pendekatan Acceptance and Commitment Theraphy (ACT) yang dilaksanakan dalam 4 sesi berfokus pada edukasi tentang TB secara berkelompok (SGD), termasuk manfaat, dukungan, hambatan, kerentanan dan keseriusan yang dihadapi pasien selama pengobatan, serta perilaku pencegahan penularan TB. Kegiatan dihadiri oleh 36 penderita TB, 5 kader kesehatan, dan 10 orang mahasiswa keperawatan, sedangkan psikoedukasi diberikan oleh tiga orang dosen dari Fakultas Keperawatan Universitas Airlangga Surabaya. Hasil kegiatan menunjukkan peningkatan pengetahuan penderita TB tentang penyakit, pengobatan dan cara pencegahan penularannya, serta motivasi untuk menuntaskan pengobatan.