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Wuryaningsih, Sri Hardi
Poltekkes Kemenkes Surabaya
Humanities Dentistry Electrical & Electronics Engineering Engineering Health Professions Medicine & Pharmacology Nursing Public Health Veterinary Other

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The development of assessment instrument for postpartum patients with severe preeclampsia-eclampsia based on need for help and self-care models Endah Suprihatin; Sri Hardi Wuryaningsih
Jurnal Ners Vol. 17 No. 1 (2022): APRIL 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i1.35029

Abstract

Introduction: One of the causes of the high mortality rate of patients with severe preeclampsia-eclampsia in the postpartum period is the inaccurate assessment of the patient's need for help and independence in self-care. This study aimed to develop specific assessment instruments for postpartum patients based on Wiedenbach’s need for help and Orem’s self-care models. Methods: This study used a research and development (R&D) approach. The samples were 30 midwives and 100 documents of postpartum patients with preeclampsia from Airlangga University Hospital, Surabaya, and 30 midwives from Haji Hospital Surabaya. Data were collected through document tracking and interviews. Data were analyzed with R&D methods. Results: The results showed that the mean rank value of the new assessment instrument was higher (29.72) than the old assessment instrument (19.93). A significant difference was found between the new assessment instrument and the old assessment instrument (Wilcoxon test value -5.379 with p < 0.001). The new instrument had functionality, efficiency, and usability for assessment of the need for help and self-care of postpartum patients with severe preeclampsia and eclampsia. Conclusions: Postpartum patients with severe preeclampsia-eclampsia should be assessed by the specific assessment instruments based on Wiedenbach’s need for help and Orem’s self-care models.
Optimisation of the role of families of chronic hypertension patients based on the mcmaster model of family functioning in self-care agency Proboningsih, Jujuk; Sriyono, Sriyono; Ambarwati, Rini; Wuryaningsih, Sri Hardi; Joeliantina, Anita
Jurnal Ners Vol. 20 No. 2 (2025): VOLUME 20 ISSUE 2 MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i2.65083

Abstract

Introduction: This study aims to analyse the impact of the McMaster Model of Family Functioning (MMFF) on the self-care agency of patients with chronic hypertension in Surabaya. Methods: This study employs an analytical observational design with a cross-sectional approach, involving 300 respondents from families of patients with hypertension who meet the inclusion criteria. The independent variables examined include the six dimensions of the McMaster Model of Family Functioning (MMFF): problem-solving, communication, family roles, affective responsiveness, affective involvement, and behaviour control. Meanwhile, the dependent variable is self-care agency, which consists of medication, physical activity, and diet. Hypothesis testing was conducted using SEM-PLS, which was processed with SmartPLS 4.0.4 software. Results: The analysis results indicate that the MMFF has a positive and significant effect on self-care agency, with a coefficient of 0.340 (CI = 0.247 – 0.445). The effect size result obtained an effect size value of 0.131. Structured and adaptive family support, particularly in communication and affective involvement, has enhanced patients' motivation to adhere to medication and engage in self-care activities. Conclusions: This study expands on previous research on the role of family support in self-care agencies, by involving the McMaster Family Function Model (MMFF) to analyse the specific role of family functions in improving self-care agencies in chronic hypertension patients, thus providing a more comprehensive, contextual, and relevant perspective for family-based interventions. These results also enrich other theoretical studies, namely the Family-Centred Care (FCC) Model, Social Support Theory, and Health Belief Model (HBM).
Co-Authors Alif Nurul Lailia Alif Nurul Lailia almaarij, adelia suci Ambarwati, Rini Anita Joeliantina Endah Suprihatin Endah Suprihatin Endah Suprihatin Endah Suprihatin Hamid, Irfany Nurul Hanafiyah, Farah Indrayani, Siska Irine Christiany, Irine Jujuk Proboningsih, Jujuk Kiaonarni Ongko Waloya, Kiaonarni Ongko Nathacia Vicky Putri Hermawan Nur Hasanah NURSEHA NURSEHA Padoli Padoli padolipdl Palupi, Jennie Prinata, Prena Siswari Yuniarti Soelistyowati, Endang Sriyono Sriyono Syiska Atik Maryanti Yuniarti, Siswari Zahratul, Sintya