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Journal : Jurnal NERS

Meningkatkan Respon Psikologis Tenaga Kerja Indonesia yang Terinfeksi HIV Melalui Dukungan Keluarga dan Peer Group Support Tintin Sukartini; Nursalam Nursalam; Eka Mishbahatul; Candra Panji Asmoro; Misutarno Misutarno
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (252.491 KB) | DOI: 10.20473/jn.v11i2.2803

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Introduction: Human Immunodeficiency Virus (HIV) is a retrovirus that infects cells of the immune system, destroying or damaging the function of cells of the immune system. A lot of new detected HIV transmission source comes from former workers who work abroad. The challenge is how to improve the psychological response of people living with HIV (PLWHA) to be able to socialize confident and not worry about the stigma. The purpose of this study is to implement the model of family support Indonesian Workers who are infected with HIV and Peer Support Group through modules implemented by families and peer groups. Methods: This study was used a quasy-experimental. Population in this study were the PLWHA who contracted during work abroad as migrant workers in East Java. Samples were selected using simple random sampling technique. The independent variable were the family and peer group support, the dependent variable was the psychological response of respondents. Data were collected using a questionnaire that has been tested for validity and reliability and results were tested using the Wilcoxon Signed Rank Test with alpha ≤0.05 and supported by the implementation of the focus group respondents as a reinforcement of the qualitative results.Results: The results showed that this method can improve psychological response of the PLWHA during labor as migrant workers abroad with a significance value of p=0.040. Qualitative results stated that the majority of respondents found the meaning of life that is surrendered to God Almighty.Discussion: Family and peer group support can be used to increase the psychological response of the PLWHA during work abroad as migrant workers. Future studies are expected to use a larger sample so as to have a control group. 
The Development of Palliative Community Health Nursing to Increase Family’s Autonomy in Caring Patient with Cancer At Home Elida Ulfiana; Eka Mishbahatul Mar’ah Has; Praba Diyan Rachmawati
Jurnal Ners Vol. 8 No. 2 (2013): Oktober 2013
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (267.359 KB) | DOI: 10.20473/jn.v8i2.3835

Abstract

Introduction: Cancer still remains a disease with high mortality rate. Sustainable health services for cancer survivors are important to prevent relapse and improve patient’s quality of life. PCHN (Palliative Community Health Nursing) is a packet of community health nursing services given to the family and cancer’s patient at home, focused on promotive and preventive activities. The aim of this study was to analyze the influence of palliative community health nursing to increase family’s autonomy in caring patient with cancer at home.Method: This study was used pre-experiment design. The populations were family who lived with cancer’s patient post treatment. Samples were taken by purposive sampling technique; consist of 7 people. Variable independent was PCHN. Variable dependent were family’s autonomy in caring patient with cancer at home collected by using observation form. The data were then analyzed by using Wilcoxon Signed Rank Test, with α ≤ 0.05.Results: The results had showed the differences between family’s autonomy in caring patient at home before and after PCHN (p = 0.025).Discussion: PCHN can increase family’s autonomy in caring cancer’s patient at home. The implementation of PCHN through home visit can give informational support about cancer and treatment at home to the families. PCHN can be used as one of method to improve palliative services at community, in order to increase cancer’s patient quality of life. Further research, should develop PCHN which involve multidicipline team, such as health care provider, clergy, and health volunteer.
Analyzed Factors That Leads to the Balanced Scorecard Nursing Care Documentation at Rumah Sakit Jiwa Menur Surabaya Yuli Anggraini; Purwaningsih Purwaningsih; Eka Misbahatul
Jurnal Ners Vol. 5 No. 1 (2010): April 2010
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (210.631 KB) | DOI: 10.20473/jn.v5i1.3929

Abstract

Introduction: Nursing documentation is an important aspect of nursing practice so that should be assessed comprehensively. The objective of the study was to analyze the causing factor of nursing care documentation at Rumah Sakit Jiwa Menur Surabaya through balanced scorecard.Methods: This research was an analytical descriptive conducted out on January 2010 at Rumah Sakit Jiwa Menur Surabaya that measured nursing care documentation through four perspectives of balanced scorecard by distributing quisioner to 55 nurses and 69 customers (patient families) using inclusion criteria, and holding personal interview to 3 structural offi cial, 2 functional official, and 6 ward supervisors. Data of nurse education, percentage of trained nurse was gained by checklist. Data were analyzed using content analysis to fi nd the causing factor of nursing documentation within balanced scorecard.Result: The result showed that financial, internal business processes, and learning and growth perspectives had causal relationship with nursing care documentation at Rumah Sakit Jiwa Menur Surabaya, but customer perspective didn’t have direct causal relationship with it.Conclusion: It can be concluded that impractical nursing documentation form especially in dimension of time on assessment, implementation, and evaluation, and comprehension on assessment, absence of physical nursing standards, limited knowledge on nursing documentation evoked by absence of inhouse training about nursing documentation, ineffective supervision and audit were factors which affecting nursing documentation at Rumah Sakit Jiwa Menur Surabaya. The researcher recommended that the hospital manager should modificate the nursing documentation form using NIC & NOC of NANDA and computerized system, compose physical nursing standards, carry out advanced nursing education and inhouse training about nursing care documentation, improve supervision program, and nursing documentation audit.
The Reduction of Cholesterol with Cupping Therapy on Cholesterol Reduction in Patients with Hypercholesterolemia Zahid Fikri; Nursalam Nursalam; Eka Mishbahatul Mar'ah Has
Jurnal Ners Vol. 5 No. 2 (2010): Oktober 2010
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (201.636 KB) | DOI: 10.20473/jn.v5i2.3958

Abstract

Introduction: Hypercholesterolemia is a risk factor causes of death at younger ages. Hypercholesterolemia may increase the risk of atherosclerosis, coronary heart disease, pancreatitis (pancreas inflammation in organs), diabetes mellitus, thyroid disorders, liver disease and kidney disease. Many patients with hypercholesterolemia using cupping therapy. Cupping therapy is alternative treatment process of throwing dirty blood from the body through the skin surface. The objective of this study was to determine the effect of cupping therapy to decrease cholesterol levels in patients with hypercholesterolemia.Method: Design used in this study was quasy experimental design. The population is all patients with hypercholesterolemia in the health center plaza Gresik. The total sample is 18 respondents, taken according to inclusion criteria. Independent variable is the cupping therapy. The dependent variable was the decrease in cholesterol levels. Data were collected using a questionnaire and observation of cholesterol. Data were analyzed using independent t-test and paired t tests with signi fi cance level α < 0.05.Result: The results show that cholesterol levels in patients with hypercholesterolemia treated groups decreased majority. Independent statistical analysis using t-test showed p = 0.001 and with the Paired t-test p value = 0.003.Discussion: This result means that there are significant effects of cupping therapy on cholesterol reduction in patients with hypercholesterolemia aged 45 years and over. Further research needs to be done in control diet, lifestyle and daily activities for the success of cupping therapy.
The Development of Nutrition Demand Enquiry Model for Preschool-Aged Children Based on Health Promotion Model Eka Mishbahatul Mar'ah Has; Florentina Sustini; Ni Ketut Alit Armini
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.051 KB) | DOI: 10.20473/jn.v7i2.4010

Abstract

Introduction: Preschool-aged children are not able to manage their nutrition independently. They need help, especially from their mother. Mother's behavior has effect on preschool's nutritional status. The aim of this study was to develop nutrition demand enquiry model for preschool-aged children based on Health Promotion Model.Method: Design used in this research was an observational analytic with cross sectional approach that was conducted in Karangturi Village, Gresik, East Java. The population was mothers of preschool aged children listed on Integrated Health Post for Underfives (Posyandu Balita) along April–May 2012. Simple random sampling was used to take the sample. Sample size was 90 respondents. The independent variables were personal factors  (age, motivation, and ethnicity), perceived benefit, perceived barrier, perceived self-efficacy, and commitment. The dependent variable was mother's behavior on nutrition of preschool children. Data were collected using questionnaire and food recall 24 hour. Data were analyzed using PLS (Partial Least Square) Regression.Result: The result showed that 1) personal factors had correlation with perceived benefit, perceived barrier, and perceived self-efficacy; 2) perceived benefit and perceived barrier had correlation with commitment; 3) commitment had no correlation with mother's behavior on nutrition. Perceived benefit and perceived barrier had direct correlation with mother's behavior on nutrition. Discussion: It can be concluded that mother's perceived benefit and perceived barrier was correlated with mother's behavior on nutrition. Nurses are key health care professionals responsible for increasing health education activities about how to manage nutrition of preschool age children. So, mother should have good behavior on preschool age children's nutrition.
The Independence of Post Sectio Caesarea Mother with Discharge Planning Based on Orem's Self Care Theory Tinok Ayu Putri W; Nursalam Nursalam; Eka Mishbahatul Mar'ah Has
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (241.75 KB) | DOI: 10.20473/jn.v7i2.4019

Abstract

Introduction: Discharge planning is one of nursing intervention that aim to promote the independence of patient's self care-activities after discharge from hospital. This study was aimed to examine the effect of discharge planning on wound care independence of post sectio caesarea mother at Melati Room, Dr. Soegiri Hospital, Lamongan.Method: Design of this study was quasy experiment. The population were post sectio caesarea mother at Melati Room Dr. Soegiri Hospital Lamongan, since May – June 2012. The samples were taken by purposive sampling technique. Fourteen responsdents matched with the inclusion criteria and divided into treatment and control groups. The datas were collected by using questionnaire and observation sheet. Then datas were analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level of α ≤ 0.05.Result: The result of this study showed that post sectio caesarea mother knowledge had significance level of p = 0.027 in treatment group, and in control group was p = 0.034, for post sectio caesarea patient's skill p = 0.015 in treatment group and in control group was p = 0.017. The result of Mann Whitney U test was p = 0.001, it means there was different in knowledge, and skill of wound care on post sectio caesarea patient between treatment and control groups.Discussion: It can be concluded that there are significant effect of wound care independence of post sectio caesarea patient with discharge planning approach based on orem's self care theory to improve patient's independence. Hospital need to develop discharge planning procedure to meet the needs of patient with post sectio caesarea wound and decrease the number of surgical wound infection.
Peer Group Support Change Perception Of Homeless And Beggar Purwaningsih Purwaningsih; Eka Mishbahatul Mar’ah Has; Lailatun Ni’mah
Jurnal Ners Vol. 3 No. 1 (2008): April 2008 - September 2008
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (336.854 KB) | DOI: 10.20473/jn.v3i1.4985

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Introduction: Homeless and beggar are social problem in our society. The reason of people who becomes homeless and beggar can be influenced by internal factors such as lazy to work, mental and physical illness. Meanwhile, it also can be influenced by external factors, such as economy, geography, social, education, pshycology, culture and religion. The aimed of this study was to analyze the effect of peer group support to perception about the homeless and beggar.Methods: A quasy experimental two group pre-post test purposive sampling design was used in this study. The subjects were homeless and beggar which stay at Lingkungan Pondok Sosial (Liponsos) Keputih-Surabaya for at least three day. There were 16 respondent who met to the inclusion criteria which divided into two group (controlled and treatment). Data were analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level α≤0.05.Results: The result showed that controlled group has significance level p=0.109 and treatment group has significance level p=0.017, statistically by using Mann Whitney U Test showed p=0.021.Conclusion: It can be concluded that peer group support can change the perception about the homeless and beggar who stayed at Liponsos Surabaya. Peer group support can used continuously as social activity at Liponsos.
Self-Care Needs in Patients with Physical Immobilization Novia Shinthia Dewie; Eka Misbahatul Mar'ah Has
Jurnal Ners Vol. 12 No. 2 (2017): October 2017
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (475.525 KB) | DOI: 10.20473/jn.v12i2.6518

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Introduction: The quantity of unfulfilment of self-care in patients with physical immobilisation can decrease the quality indicator of nursing care. Self-care for physically immobilised patients is affected by basic condition factors. The study aimed to analyse the factors that can affect the fulfilment of self-care needs in patients with physical immobilisation.Methods: The study design was descriptive cross-sectional, with purposive sampling technique and the samples were 36 nurses and 36 physically immobilised patients. The independent variable was the fulfilment of self-care needs. Dependent variables were patient demography (age, sex), nurse (knowledge, action, motivation), and health care factors (occupation design/nursing care method). The instrument used was a questionnaire and observation form. Data were then analysed using double linear regression analysis, with significance ɑ ≤ 0.05.Results: From the double linear regression test result was obtained p-value (Sig) = 0.000 R Square = 0.889. Partially it was obtained p-value of age p(sig)=0,005, sex p(Sig)=0.038, knowledge p(Sig)=0.889, action p(Sig)= 0.000, and motivation p(Sig)=0.003.Conclusion: Factors of patients (age, sex) and nurses (action, motivation) influence the fulfilment of self-care needs for patients with physical immobilisation. However, nurses’ knowledge does not have any influence. The study result can be considered as input for nurses in developing the quality of nursing care in the fulfilment of self-care needs.
Ethnic Foods Diet Program Improve Self-Efficacy and Diet Compliance Among Type 2 Diabetic Patients Eka Mishbahatul Mar'ah Has; Amira Aulia; Tiyas Kusumaningrum; Ferry Efendi
Jurnal Ners Vol. 14 No. 2 (2019): OCTOBER 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v14i2.16642

Abstract

A well-balanced diet is one of the four pillars of diabetes self-management. Patient's culture strongly influences intake food. Diabetic dietary guidelines which fit with the patient's culture is expected to improve patient's self-efficacy and diet compliance. This study was aimed to analyze the effect of ethnic foods diet program in improving self-efficacy and diet compliance among Type-2 Diabetes Mellitus (T2DM) patients. This was quasy experiment research with pre and post-test control design. The population was 112 T2DM patients from Sasak Tribes, West Nusa Tenggara. Samples were 36 respondents, divided into intervention (18) and control (18) groups. The independent variable was the ethnic food diet (EFD) program, while the dependent variables were patient's self-efficacy and diet compliance. Data were collected using self-efficacy questionnaire and a 24-hour dietary recall form. Data were then analyzed using Wilcoxon Signed Rank Test and Mann Whitney U Test. The result showed differences in self-efficacy between pre and post-test in the treatment group (p=0,001), but there were no differences in the control group. There were differences in diet compliance in the treatment group (p=0,001), but there were no differences in the control group. There were differences between treatment and control groups on self-efficacy (p=0,000) and diet compliance (p=0,000). Ethnic foods diet program can improve self-efficacy and diet compliance among T2DM patients because more comfortable and easier to be applied. Nurses can apply ethnic foods diet program as an intervention to promote healthy diet for T2DM patients.
Exploring the Influencing Factors on Breast Self-Examination Among Myanmar Women: A Qualitative Study Nyein Moh Moh Myint; Nursalam Nursalam; Eka Mishbahatul Mar’ah Has
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.v15i1.18863

Abstract

Introduction: Breast self-examination (BSE) is the most sensitive and cost-effective method to diagnose breast cancer at an early stage in healthcare resources’ limited setting. However, the practice of BSE is low in Myanmar. Although various international studies were conducted to clarify the influencing factors in irregular BSE practice, there is a range of different factors and the answer is not yet clear. Hence, this study is aimed to explore the influencing factors on the practice of breast self-examination among Myanmar women.Methods: A qualitative exploratory-descriptive study was conducted on eight women through in-depth semi-structured interviews between February 2020 and March 2020. The samples were women who lived in the rural area of Myanmar and purposive sampling technique was used. Data were analyzed using Colaizzi’s method, which consisted of seven stages.Results: Four themes emerged as the results of the in-depth interview, namely knowledge of breast cancer, knowledge regarding breast self-examination, barriers to performing regular BSE and ways to improve BSE practice.Conclusion: This study showed that the women were inadequate in knowledge and practice regarding BSE and breast cancer. Some barriers of BSE practice are rooted in the inadequate skill of BSE and the women’s attitude.  Greater understanding about breast cancer and improving the confidence of women in BSE will lead to better prognosis. Hence, healthcare authorities and providers should encourage a formal health education program and the results from this study hope to be useful in future rural health education programs of BSE practice.