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Hypertensive patients: self-care experience in rural community Susanto, Joko; Makhfudli, Makhfudli; Ilkafah, Ilkafah; Tyas, Anestasia Pangestu Mei; Yusuf, Ah.; Iswatun, Iswatun
International Journal of Public Health Science (IJPHS) Vol 14, No 2: June 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i2.24171

Abstract

Hypertension is a chronic disease that often occurs in the world. Individual involvement in self-care is very important, in controlling blood pressure. The inability to carry out treatment will increase the risk and complications. The aim study is to explore the experiences and behavior of self-management and self-care of hypertension patients. The study is qualitative research with a phenomenological approach. The technique for taking participants was a purposive sampling of ten hypertensive patients. Data was collected using semi-structured interviews and then analyzed thematically based on the methodological framework of constructivist basic theory. Participant statements describing patient experiences in self-care include six themes, namely the cause of recurrences, emotional response, social support, self-care behavior, barriers to self-care, access to health facilities. The support factors of social support from family, health workers, and affordability of health services greatly influence self-care. An adequate support system, especially from nurses, is needed by patients because it will increase active participation so that patients will try to improve their care and skills in self-care.
VARIATIONS OF NURSING DIAGNOSIS LANGUAGE IN STROKE PATIENTS BASED ON SDKI (STANDARD DIAGNOSIS NURSING INDONESIAN) Ilkafah, Ilkafah; Qur'aini, Ouvin; Susanto, Joko; Pangestu Mei Tyas, Anestasia; Harisa, Akbar
Journal of Vocational Nursing Vol. 5 No. 1 (2024): MAY 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v5i1.55014

Abstract

Introduction: The nursing system in Indonesia has an SDKI (Standard Diagnosis Nursing Indonesia) as the basis for determining nursing diagnoses. Inappropriate enforcement of nursing diagnoses based on the SDKI causes the objectives of the SDKI to not be fully achieved. Stroke is a state of cerebrovascular disease that can occur due to death in brain tissue caused by a lack of blood flow and oxygen flow to the brain. This study aims to find out the description of variations in writing nursing diagnoses in stroke patients based on the SDKI in Hospital RSUD Dr. Soegiri Lamongan. Methods: This research method is a documentation study, of 125 medical records of stroke patients at Hospital RSUD Dr. Soegiri Lamongan from August 2021 to February 2022, totaling 125 medical records. The data collection used consecutive sampling. The research was carried out in the working area of Hospital RSUD Dr. Soegiri Lamongan in March 2022. Results: The results showed that nursing diagnoses in patients with hemorrhagic stroke and non-hemorrhagic stroke were based on the SDKI Hospital RSUD Dr. Soegiri Lamongan, which are mostly written by nurses are impaired physical mobility (63%), variations in writing nursing diagnoses according to the SDKI (66%) and not according to the SDKI (34%), signs and symptoms in patients with hemorrhagic stroke and non-hemorrhagic stroke are mostly experienced weakness in moving the right extremity (31%). Conclusions: Nurses in establishing nursing diagnoses are appropriate based on the SDKI.
Indonesian Nursing Diagnosis Standards for COVID-19 in Patients in East Java, Indonesia Susanto, Joko; Ilkafah, Ilkafah; Tyas, Anestasia Pangestu Mei; Makhfudli, Makhfudli; Yusuf, Ah.
Jurnal Keperawatan Soedirman Vol 20 No 2 (2025): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2025.20.2.10179

Abstract

Establishing the correct nursing diagnosis in patients with COVID-19 is crucial for determining the most effective nursing care to help patients recover optimally. The research aims to describe and analyze nursing diagnoses in COVID-19 patients treated in isolation rooms and Intensive Care Units (ICUs). This research used secondary data analysis from 296 hospital medical records of COVID-19 patients at dr. Soegiri Lamongan Hospital from February to August 2021. The researchers employed a simple random sampling technique to collect the data and analyzed it using descriptive statistics. The research revealed that the common symptoms and nursing diagnoses among hospitalized COVID-19 patients included hyperthermia, coughing, shortness of breath, decreased consciousness, ineffective airway clearance, impaired gas exchange, self-care deficit, impaired spontaneous ventilation, spontaneous circulatory disorders, knowledge deficit, and shock risk. The results of this study provide information about variations in nursing diagnoses among COVID-19 patients. Thus, nurses can use this primary data to develop comprehensive standards of nursing care for COVID-19 patients.
APPLICATION OF INDONESIAN NURSING DIAGNOSIS STANDARDS IN NURSING DIAGNOSIS DOCUMENTATION IN CHILDREN WITH DENGUE HEMORRHAGIC FEVER Tyas, Anestasia Pangestu Mei; Nuriantari, Risma Dysta; Mardhika, Amellia; Ilkafah, Ilkafah; Fadliyah, Lailatul; Sulpat, Emuliana
Journal of Vocational Nursing Vol. 5 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v5i2.63513

Abstract

Introduction: The Indonesian National Nurses Association has developed nursing language standards adapted to cultural differences and uniqueness of Indonesian nursing services, namely the Indonesian Nursing Diagnostic Standards. Dengue Hemorrhagic Fever cases in Indonesia have experienced a shortening cycle, which has led to a rise in the incidence rate (IR) and a fall in the case facility rate (CFR). This study was to learn how to describe the application of the Indonesian Nursing Diagnosis Standards (SDKI) in documenting nursing diagnoses in children with Dengue Hemorrhagic Fever (DHF). Methods: Retrospective descriptive research design with secondary data.  The secondary data used in the study, namely sourced from medical records from February 1, 2021 - March 31, 2022. The number of samples is 30 medical records using the total sampling technique. Data collection using observation sheet. Data analysis uses univariate analysis. Results: Most of the priority nursing diagnosis labels in DHF pediatric patients are by the Indonesian Nursing Diagnosis Standards, namely hyperthermia. However, all the writing of actual nursing diagnoses does not comply with the Indonesian Nursing Diagnosis Standards, which consists of writing three parts: [problems] related to [cause/related factors] as evidenced by [signs/symptoms], but the writing of nursing diagnoses is only in the form of problems or problems and causes. Conclusions: There needs to be a refreshing knowledge about the Indonesian Nursing Diagnosis Standards to improve the knowledge and skills of nurses in documenting nursing diagnoses.
MOTIVATION OF NURSES IN PROVIDING FIRST AID TO PATIENTS EXPERIENCING CARDIAC ARREST Putri, Ivananda Siera Lisna; Okviasanti, Fanni; Ilkafah, Ilkafah; Harianto, Susilo; Purwanto, Cucuk Rahmadi; Muhalla, Hafna Ilmy; Nasir, Abd; Iswatun, Iswatun
Journal of Vocational Nursing Vol. 5 No. 2 (2024): OCTOBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v5i2.63841

Abstract

Introduction: Cardiac arrest is often found in patients in the inpatient room of Ibnu Sina Hospital, Gresik. Nurses as the first responders who find cardiac arrest in the treatment room must have high work motivation to provide first aid to patients before the code blue team arrives. The purpose of this study was to obtain a description of the work motivation of nurses in providing first aid to patients experiencing cardiac arrest in the inpatient room of Ibnu Sina Hospital, Gresik. Methods: This study used quantitative research with a descriptive approach. The sample of this study was some of the nurses in the inpatient room of Ibnu Sina Hospital, Gresik, which was taken using a purposive sampling technique of 55 respondents who had met the inclusion and exclusion criteria. The data collection instrument used a questionnaire. The data was processed using SPSS v.25 for frequency and percentage. Results: The results showed that most respondents had good work motivation, with 53 respondents (96.4%) providing first aid to patients experiencing cardiac arrest. Conclusions: Nurses are expected to maintain work motivation in providing first aid to patients experiencing cardiac arrest, especially in inpatient rooms, through good collaboration between teams, always receiving positive support in the form of recognition of achievements from colleagues, and increasing periodic certification training related to handling cardiac arrest patients because patient safety is the main priority.
Upaya Peningkatan Kualitas Hidup dan Kesejahteraan Psikologis Lansia dengan Diabetes Melitus melalui Mindfulness Meditation Susanto, Joko; Iswatun, Iswatun; Umam, Khotibul; Wijayanti, Endah Sri; Mardhika, Amellia; Tyas, Anestasia Pangestu Mei; Fadliyah, Lailatul; Ilkafah, Ilkafah; Makhfudli, Makhfudli
Jurnal Pengabdian Masyarakat Bangsa Vol. 3 No. 7 (2025): September
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v3i7.2931

Abstract

Lansia dengan diabetes melitus mempunyai tingkat kesejahteraan psikologis dan kualitas hidup yang cenderung rendah. Pengabdian masyarakat ini bertujuan untuk meningkatkan kesejahteran psikologis dan kualitas hidup lansia penderita diabetes melitus melalui intervensi mindfulness meditation. Kegiatan pengabdian masyarakat dilaksanakan di Desa Pangkatrejo Kecamatan Lamongan Kabupaten Lamongan. Kegiatan diikuti oleh 35 lansia penderita diabetes melitus. Kegiatan pengabdian masyarakat meliputi pelatihan mindfulness meditation dan pendampingan serta evaluasi kegiatan dengan menggunakan kuesioner kesejahteraan psikologis, kualitas hidup, pemeriksaan fisik dan laboratorium. Mindfulness meditation dapat meningkatkan kesejahteraan psikologis dan kualitas hidup lansia. Mindfulness meditation dapat dijadikan sebagai terapi komplementer alternatif untuk menangani permasalahan psikososial, karena berguna untuk mencapai ketenangan pikiran dan membantu penderita menyalurkan energi positif sehingga dapat memperbaiki kualitas hidup lansia dengan diabetes melitus melitus.
WORK STRESS AMONG NURSES IN RURAL HOSPITAL Ilkafah, Ilkafah; Andrianto, Rohmad; Susanto, Joko; Tyas, Anestasia Pangestu Mei; Harisa, Akbar
Journal of Vocational Nursing Vol. 4 No. 1 (2023): MAY 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v4i1.44660

Abstract

Introduction: Work stress is part of a work problem or negligence usually causes the safety of patients who experience fatigue to nurses in hospitals, stressed nurses usually cause injury to patients because nurses not focus on serving patients, are less friendly, often dizzy, and if the number of patients too much of it is one of the things that affect work stress. This study aims to determine the description of work stress on nurses at rural hospital in Lamongan. Methods: The study is a quantitative descriptive research design, using a questionnaire and distributed to 97 nurses who are on inclusion criteria. Results: The results of this study were divided into 3 codes which were low, moderate, and high and the results of the study showed that the indicators of psychological symptoms were 80 respondents with a percentage of 82.5% in the low category, while the moderate category was 17 respondents with a percentage of 17. .5%, for indicators of physical symptoms as many as 94 respondents with a percentage of 96.9% in the low category, while for the moderate category as many as 3 respondents with a percentage of 3.1% in the moderate category, for indicators of behavioral symptoms as many as 97 respondents with a percentage of 100, 0% is included in the low category. Conclusion: Most of the results of the research on nurses at RSUD Dr. Soegiri Lamongan low work stress with a percentage of 100.0% .
NURSING CARE OF HYPERTHERMIA IN CHILDREN FEBRILE SEIZURES: A CASE REPORT Tyas, Anestasia Pangestu Mei; Rosa , Lailatul Fitria; Mardhika , Amellia; Sulpat , Emuliana; Fadliyah, Lailatul; Susanto , Joko; Ilkafah, Ilkafah
Journal of Vocational Nursing Vol. 4 No. 1 (2023): MAY 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v4i1.45277

Abstract

Introduction: Febrile seizures occur due to increased temperature due to extracranial processes. There is a predisposition Familial and more common in boys than girls. Prolonged and repeated attacks can cause severe disturbances in the child's brain, so the child has a mental disability. This case study aims to apply hyperthermia nursing care for children with febrile seizures in the pediatric inpatient room at Lamongan Hospital. Methods: The research design used is to study cases with a nursing care approach. The sample in this study was one child patient with febrile seizures: data collection techniques using interviews, observation, documentation studies, and physical examination. The research instrument used the pediatric nursing care assessment format. Results: After implementing nursing for 3x24 hours, the nursing diagnosis of hyperthermia is resolved. The risk of injury does not occur during the treatment period because the body temperature has reached 36.5 0 C, and the patient has never had another seizure. Conclusions: It is necessary to collaborate with professional care providers and family participation for the success of nursing care according to nursing care standards to prevent happening seizures repeated.
THE RELATIONSHIP OF NURSES' CARING BEHAVIORS AND THE IMPLEMENTATION OF PATIENT SAFETY IN EMERGENCY DEPARTMENT (ED) Ilkafah, Ilkafah; Indira Pramesty, Permata; Rahmadi Purwanto, Cucuk; Pangestu Mei Tyas, Anestasia; Susanto, Joko
Journal of Vocational Nursing Vol. 6 No. 1 (2025): MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i1.70520

Abstract

Introduction: Patient safety remains a primary concern in healthcare, focusing on the prevention of medical errors and adverse side effects affecting patients. Despite numerous efforts to improve patient safety, incidents continue to occur, resulting in significant harm to patients. One critical factor in addressing this issue is the role of caring behaviors. Nurses' caring behaviors can serve as a strategy to enhance patient safety. This study aimed to investigate the relationship between nurses' caring behaviors and the implementation of patient safety protocols in the Emergency Department (ED) of Dr. Soegiri Lamongan Hospital. Methods: A correlational research design was employed using a cross-sectional approach. The study involved 28 nurses working in the Emergency Room. The instruments used included the CBI-24 (Caring Behavior Inventory) and a patient safety implementation questionnaire based on the International Patient Safety Goals (IPSG). Data were analyzed using univariate analysis (frequency distribution and percentage) and bivariate analysis (Coefficient of Contingency, with a p-value < 0.05). Results: The results showed that most nurses exhibited caring behaviors, with 18 respondents (64.3%) demonstrating these behaviors, and the majority had implemented patient safety protocols, with 21 respondents (75%) adhering to these measures. The coefficient of contingency test yielded a p-value of 0.023. Conclusions: A significant relationship was found between nurses' caring behaviors and the implementation of patient safety in the Emergency Department. This study highlights the critical role that nurses' caring behaviors play in enhancing patient safety. It is recommended that nurses continue to improve their caring behaviors and implement patient safety measures effectively. This approach will contribute to providing professional and cautious services, thereby improving the overall quality and safety of patient care.
ANALYSIS OF FACTORS RELATED TO EMOTIONAL DEVELOPMENT IN ELEMENTARY SCHOOL CHILDREN Tyas, Anestasia Pangestu Mei; Putri Sherly, Pratama; Mardhika, Amellia; Fadliyah, Lailatul; Sulpat, Emuliana; Ilkafah, Ilkafah
Journal of Vocational Nursing Vol. 6 No. 2 (2025): OCTOBER 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v6i2.78665

Abstract

Introduction: Middle childhood is a crucial period for developing emotions, including recognizing, expressing, and regulating them. Several factors influence a child’s emotional development. This study aimed to analyze the factors related to emotional development in elementary school children. Methods: This study employed an observational analytical design with a cross-sectional approach. The sample consisted of 55 respondents selected using purposive sampling according to predetermined inclusion criteria. The independent variables were the child’s sex, gadget use, parents’ age, occupation, and education level. The dependent variable was emotional development. Data were collected using questionnaires assessing the child’s sex, parents’ age, education, and occupation, as well as the Pediatric Symptom Checklist–17 (Indonesian version) and a questionnaire on gadget use. Data were analyzed using the chi-square test and multiple logistic regression with the assistance of SPSS. Results: There was a significant relationship between gadget use and emotional development among children at school (p = 0.006), with an odds ratio of 5.365. This indicates that children who use gadgets are five times more likely to experience emotional problems than those who do not. Conclusions: It is necessary to establish parenting patterns for gadget use in the digital era, including setting clear rules and time limits, accompanying children during gadget use, selecting age-appropriate content, supervising online activities, and serving as role models for the wise use of gadgets to support the emotional development of school-aged children.