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A Simple Model for Describing Non-Adherence to Medication in Tuberculosis Patients in a Tropical Area, Indonesia Zahroh, Chilyatiz; Ainiyah, Nur; Soleha, Umdatus; Sudiana, I Ketut; Yusuf, Ah
Jurnal Keperawatan Soedirman Vol 18 No 1 (2023): Jurnal Keperawatan Soedirman (JKS)
Publisher : Fakultas Ilmu-ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.211 KB) | DOI: 10.20884/1.jks.2023.18.1.6593

Abstract

Indonesia has the second-highest number of tuberculosis (TB) cases in the world. Many TB patients did not take their medicine at health care centers causing an increase in taking medication. This study aimed to develop a simple model for describing non-adherence to medication in TB patients. This study used an analytical with a cross-sectional approach. The following criteria were used in selecting the respondent: adolescent, able to read and write, and willingness to be a respondent. A total of 93 participants were recruited randomly. Data were collected through questionnaires and analyzed using logistic regression. The predisposing factors were knowledge, attitude, belief (p = 0.000), trust (p = 0.013), and values (p = 0.001). Family support (p = 0.034) and healthcare personnel support (p = 0.022) were reinforcing factors. The enabling factor was the healthcare facility (p = 0.000). This study found that the most dominant factor is knowledge (B = 56.4). The model was Logit (Pi) = 22.363 + 56.4 knowledge (1) + 22.56 belief (1) + 2.9 family support (1) + 0.577 healthcare support (1) + 0.061 healthcare facility (1). This study suggests that TB patients’ knowledge must be increased to improve their TB treatment and management.
ANXIETY RELATED TO ELDERLY SLEEP QUALITY Zahroh, Chilyatiz; Masnia, Azizatul; Nadatien, Ima; Winoto, Priyo Mukti Pribadi
Nurse and Holistic Care Vol. 1 No. 1 (2021): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (240.863 KB) | DOI: 10.33086/nhc.v1i1.2074

Abstract

Background: Elderly face various health problems that need immediate and integrated handling. With increasing age, there will be a decrease in body function in the elderly both physically, physiologically and psychologically. The mental health problem that often occurs in the elderly is feeling worried. Objektif:: This study aims to analyze whether there is a relationship between anxiety levels and sleep quality among the elderly in Surabaya. Methods: The design of this study was analytic correlation with the approach used  cross-sectional. The population Is all elderly in the qoryah thoyyibah kenjeran Surabaya posyandu, which amounted to 44   elderly. The sampel size of this study was 40 respondents, probability sampling technique was simple random sampling, this study contained an independent variable of anxiety level while the dependent variable was sleep quality. data collection instrument using a questionnaire. The data were analyzed using the spearman rank correlation test with a value of a = 0,05. Results: The results of research from 40 respondents showed that half (50%) experienced severe anxiety and almost half (47,5) had moderate sleep quality. Further analysis using the spearman rank test with a significance level of a= 0,05, the value of p=0.02 is obtained, which means p<a the Ho is rejected, which means that there is a relationship between the level of anxiety and the quality of sleep in the elderly at qoryah thoyyibah kenjeran Surabaya Conclusions: The conclusion of this study is that there is relationship between anxiety and sleep quality in the elderly at qoryah thoyyibah kenjeran Surabaya posyandu. It is hoped that the result of this study can develop the ability of further researchers to conduct more specific research related to the relationship between anxiety levels and sleep quality in the elderly.
FAMILY KNOWLEDGE ON PREHOSPITAL STROKE DETECTION CORRELATES WITH HOSPITAL ARRIVAL TIME IN STROKE PATIENTS AT THE NAVAL HOSPITAL DR. RAMELAN, SURABAYA Ainiyah, Nur; Izzah, Shobibatur Rohmah; Zahroh, Chilyatiz; Bistara, Difran Nobel; Faizah, Imamatul
Nurse and Holistic Care Vol. 1 No. 2 (2021): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1729.557 KB) | DOI: 10.33086/nhc.v1i2.2221

Abstract

Background: Successful stroke management depends on the speed, accuracy, and timeliness of the initial treatment. Stroke patients with immediate medical help can minimize permanent disability and even mortality. Objective: This study analyzes the correlation between family knowledge on prehospital stroke detection with hospital arrival time. Method: The research design was correlational analytic with a cross-sectional approach. This paper was conducted at the Naval Hospital Dr.Ramelan, Surabaya, from January to February 2019, with ethical clearance from the hospital. The independent variable was family knowledge on prehospital stroke detection, and the dependent variable was hospital arrival time. There were 115 population and 111 samples by consecutive sampling technique. The instrument to measure family knowledge was a questionnaire about prehospital stroke detection consisted of 30 items, while to evaluate hospital arrival time was data from the medical record. The data analysis used the Mann-Whitney statistical test with a significance of 0.05. Result: Most respondents had adequate knowledge regarding prehospital stroke detection (54.1%) and early hospital arrival time (59.5%).  There was a correlation between family knowledge on prehospital stroke detection and hospital arrival time in stroke patients (p=0.000). Conclusion: The better family knowledge on prehospital stroke detection, the faster hospital time arrival. Health workers should give health education on prehospital stroke detection to prevent delayed hospital arrival. Further research could involve electronic and social media to improve knowledge on prehospital stroke detection.
THE RELATIONSHIP BETWEEN SELF-EFFICACY AND BLOOD GLUCOSE LEVELS AMONG DIABETES MELLITUS (DM) PATIENTS AT KEDURUS HEALTH CENTER, SURABAYA Nilasari, Vandi Perdana; Zahroh, Chilyatiz; Ainiyah, Nur; Wardani, Erika Martining
Nurse and Holistic Care Vol. 2 No. 2 (2022): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v2i2.3800

Abstract

Background: The decrease in Blood Glucose levels in patients with diabetes mellitus is influenced by self-efficacy. Objective: The purpose of this study was to determine the relationship between self-efficacy and blood glucose levels in patients with diabetes mellitus (DM) at Kedurus Health care Surabaya. Methods: The research design is correlational with cross-sectional. The population of this study to 75 people. With a sample of 63 respondents. Sampling technique with non-probability sampling technique purposive sampling type. The independent variable in this study is self-efficacy. The dependent variable is blood glucose levels in patients with diabetes mellitus type 2 at Kedurus Health Center Surabaya. The research instrument is a questionnaire. Data analysis with spearman Rho statistic test. Result: Based on the spearman rank obtained the level of significance ρ = 0,000 < a = 0,05 which means there is a relationship between self-efficacy and blood glucose levels in patients with diabetes mellitus (DM) at Kedurus health care Surabaya. Conclusion: Self-efficacy will give a good influence, especially on reducing blood glucose levels in patients with Diabetes Mellitus (DM). it is hoped that the support from nurses and good self-efficacy will have an impact on reducing blood glucose and preventing complications in patients with diabetes mellitus.
ANALYSIS OF NURSING CARE FOR THE ELDERLY WITH APPLICATION OF WARM CITRONELLA COMPRESS TO TREAT ACUTE PAIN RHEUMATOID ARTHRITIS IN A NURSING HOME JAMBANGAN SURABAYA Rohmawati, Siti; Zahroh, Chilyatiz; Nurjannah, Siti; Muhith, Abdul
Nurse and Holistic Care Vol. 4 No. 1 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i1.5103

Abstract

Introduction: Rheumatoid arthritis (RA) is an inflammatory disease with symptoms of stiffness and pain in the joints. Individuals typically experience pain and weakness in specific body parts, namely the hands, feet, knees, and shoulders. Complaints of pain characterized by cramps and tingling are sensory complaints. If pain complaints are not treated or medication is not given, the impact will be disruption of physical activity, disruption of sleep patterns, and also disruption of comfort. Objective: To provide an overview of nursing care for the elderly by applying warm lemongrass compresses to treat rheumatoid arthritis pain at the Surabaya Nursing Home. Methods: The research method used is a case study. The subject of this research is Mr. B who is 61 years old with acute pain problems and was given warm lemongrass compresses for three days. Data collection techniques in this research were carried out by interviews and direct observation of patients using gerontic nursing care sheets and pain scale measurements using the numerical rating scale (NRS) method. Results: The results obtained by the client did not appear to be grimacing and were careful with his movements, complaints of pain from scale 2 (moderately increased) to scale 1 (decreased), grimaces from scale 2 (moderately increased) to scale 1 (decreased), restlessness from scale 2 (moderately increased) to scale 1 (decreased), difficulty sleeping from scale 2 (moderately increased) to scale 1 (decreased). Conclusions: Applying warm lemongrass compresses can reduce the intensity of pain complaints improve blood circulation and relax the patient.  Therefore, we hope that nurses will apply warm lemongrass compresses to patients with rheumatoid arthritis.
ANALYSIS OF NURSING CARE FOR THE ELDERLY USING THE IMPLEMENTATION OF VIRGIN COCONUT OIL (VCO) TO OVERCOME SKIN INTEGRITY DISORDER IN DERMATITIS AT THE JAMBANGAN WREDA NURSING HOME, SURABAYA Anggraini, Dewi Puspita; Zahroh, Chilyatiz; Noventi, Iis; Setiyowati, Eppy
Nurse and Holistic Care Vol. 4 No. 2 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i2.5129

Abstract

Introduction: Dermatitis can disrupt skin integrity, with sufferers feeling itchy, damage to the skin layer, and decreased skin elasticity causing the skin to become dry and scaly. Objective: This study aims to provide nursing care by administering virgin coconut oil (VCO) to elderly people suffering from dermatitis to overcome skin integrity disorders at the Surabaya Nursing Home. Methods: The research method used is a case study. The subject of this research is Mrs. T is 77 years old with problems with skin integrity disorders and was given virgin coconut oil (VCO). The assessment was conducted through interviews and direct observation of the patient using a gerontic nursing care sheet and applying VCO according to the SOP. Results: The results obtained in this study were, after 5 days of intervention, giving virgin coconut oil (VCO) 2x a day, the results were obtained with reduced itching, and elasticity from scale 2 (quite decreased) to scale 5 (increased) as evidenced by visible skin. Quite moist which was initially dry and scaly, tissue damage from scale 2 (quite increased) to scale 5 (decreased) it was proven that inflammation around the skin area decreased which initially had a red rash, damage to the skin layer from scale 2 (quite increased) to scale 5 (decreased) results showed that the reddish rash on the skin decreased, the blackened wound spots decreased. Conclusions: The use of virgin coconut oil reduces itching, increases skin elasticity, reduces tissue damage, and reduces damage to the skin layer.
ANALYSIS OF FAMILY NURSING CARE WITH THE IMPLEMENTATION OF BRISK WALKING EXERCISE ON CLIENTS HYPERTENSION TO OVERCOME MANAGEMENT INEFFECTIVE HEALTH IN THE TANDES AREA Wulandari, Dhian; Rusdianingseh; Nety Mawarda Hatmanti; Chilyatiz Zahroh
Nurse and Holistic Care Vol. 3 No. 2 (2023): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v3i2.5146

Abstract

Background: Hypertension sufferers who rarely exercise, smoke, consume alcohol, are overweight, cannot manage stress, often stay up late, do not comply with taking medication and eat whatever they want without paying attention to salt intake can cause uncontrolled blood pressure which can lead to hypertension complications and even death. This behavior is an ineffective health management caused by lack of exposure to information related to hypertension and ineffective health care patterns in the family. Objective: The aim of this research is to analyze family nursing care by applying brisk walking exercise to hypertensive clients to overcome ineffective health management in the Tandes Subdistrict, Surabaya. Methods: The research design used a case method with the subject used being 1 patient with ineffective health management nursing problems. The research was conducted in the Tandes area for 2 weeks with data collection methods including assessment. diagnosis, intervention, action and evaluation. Result: The results of case studies on hypertensive clients with ineffective health management nursing problems show that after being given nursing care therapy by implementing 5 family tasks using a modified brisk walking exercise, the results of improved health management were obtained, which was indicated by the client and family understanding more about hypertension (understanding, risk factors, signs of symptoms and diet), the client's body looks fitter, the client's blood pressure which was initially 170/100 mmHg at the time of the assessment gradually dropped to 140/90 mmHg, the client began to pay attention to diet, the family was willing to help with treatment and took the client for control to a health facility nearest. Conclusion: Evidence based nursing implementation of brisk walking exercise which is carried out with a training frequency of 3 times a week, for 15-30 minutes with an average walking speed of 4-6 km/hour is shown to be effective in reducing ineffective health management.
ANALYSIS OF TUBERCULOSIS FAMILY NURSING CARE WITH THE APPLICATION OF EFFECTIVE COUGH AND CHEST PHYSIOTHERAPY TO OVERCOME IN AFFECTIVE RESPIRATORY CLEAR IN BANYU URIP SURABAYA Setiadi, Nanang Nurrachmat; Rusdianingseh; Hatmanti, Nety Mawarda; Zahroh, Chilyatiz
Nurse and Holistic Care Vol. 3 No. 3 (2023): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v3i3.5194

Abstract

Background: In tuberculosis, excessive secretion production can cause airway obstruction, resulting in the problem of ineffective airway clearance. One of the nursing interventions that can be applied to clear sputum in the airways is chest physiotherapy and effective coughing techniques. Effective cough techniques and chest physiotherapy to make things easier expelling sputum so that the breathing process can run well so that it meets the body's oxygen needs. Objective: The aim of the research was to determine the application of effective coughing and chest physiotherapy to reduce the ineffectiveness of airway clearance in tuberculosis clients carried out independently. Methods: This research method uses a descriptive method with a case study approach. The instrument used is an observation sheet. The number of respondents included one tuberculosis family with a nursing diagnosis of ineffective airway clearance. Result: The results of applying effective cough techniques and chest physiotherapy given twice per day for three days with a duration of 10 to 15 minutes for each appointment showed that complaints of coughing and shortness of breath were reduced and it was easier to expel phlegm. Conclusion: The application of effective coughing techniques and chest physiotherapy has proven effective in reducing ineffective airway clearance in tuberculosis clients. Effective cough techniques and chest physiotherapy can be used as alternative measures to overcome ineffective airway clearance.
ANALYSIS OF FAMILY NURSING WITH THE APPLICATION OF MUSIC THERAPY TO SCHIZOPHRENIA CLIENTS TO OVERCOME DISORDER OF SENSORY PERCEPTION Efendi, Yumita; Setiyowati, Eppy; Rusdianingseh; Zahroh, Chilyatiz
Nurse and Holistic Care Vol. 4 No. 3 (2024): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/nhc.v4i3.4762

Abstract

Introduction: Auditory hallucinations are a common sensory perception disorder affecting approximately 70% of individuals diagnosed with schizophrenia. Various factors contribute to hallucinations, including physical, emotional, intellectual, social, and spiritual dimensions. Objective: This study aims to evaluate the effectiveness of music therapy in mitigating sensory perception disorders in individuals with schizophrenia. Methods: A descriptive case study approach was employed. Data were collected through interviews, observations, and physical examinations involving clients and their families. The Standard Operating Procedure (SOP) for Classical Music Therapy was utilized. The study focused on a single individual experiencing auditory hallucinations within a family setting. Results: Implementing music therapy over four days (one session per day, approximately 13 minutes) resulted in reduced auditory disturbances, decreased anxiety, improved sleep quality, and a decline in the Auditory Hallucination Rating Scale (AHRS) score from 24 to 11, along with a reduction in the Hamilton Rating Scale for Anxiety (HRS-A) score from 26 to 12. Conclusions: Classical music therapy effectively reduces auditory hallucinations and alleviates anxiety in individuals with schizophrenia. Therefore, it is recommended as a non-pharmacological intervention and an independent nursing practice for managing sensory perception disorders.
Combination of Spiritual Benson Relaxation and Lavender Aromatherapy (SBR-LA) on Anxiety, Sleep Quality and Blood Pressure in Hypertension Patients Muhammad Basuni; Eppy Setiyowati; Chilyatiz Zahroh
Journal Of Nursing Practice Vol. 8 No. 4 (2025): July
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i4.556

Abstract

Background: A person's anxiety due to an illness is one of the causes of hypertension or an increase in blood pressure above the normal limit in all age groups. Hypertension that is not recognized and is not treated immediately can cause various kinds of comorbidities. Therefore, apart from pharmacological treatment, non-pharmacological therapy is also needed to reduce anxiety and blood pressure and improve the quality of sleep for hypertension sufferers. Purpose: The aim of this research is Explain the influence of Combination Of Spiritual Benson Relaxation and Lavender Aromatherapy (SBR-LA) on anxiety, sleep quality and blood pressure in hypertension patients. Methods: This research is quantitative research that uses a quasi-experiment research design with a pretest - posttest control group design approach. The entire population of hypertension patients in TNI AL Dr.Oepomo Hospital many as 97 people. The sample size was 44 respondents. The sampling technique is purposive sampling. The research independent variables are: Combination Of Spiritual Benson Relaxation And Lavender Aromatherapy  (SBR-LA) and the dependent variables are anxiety, sleep quality and blood pressure. Analysis used the paired t-test with a significant p value <0.05. Results: The results of research using the paired t-test show that there is an effect of giving The Effect of the Combination of Spiritual Benson Relaxation and Lavender Aromatherapy (SBR-LA)which is significant for anxiety with p value = 0.000, sleep quality with p value = 0.000 and systolic blood pressure p value = 0.000, diastolic blood pressure p value = 0.000. Conclusion: The Effect of the Combination of Spiritual Benson Relaxation and Lavender Aromatherapy (SBR-LA) Effectively reduces anxiety levels, improves sleep quality and lowers blood pressure in hypertension patients. This technique is very easy to do, so it can be applied as a nursing intervention in inpatient rooms to develop nursing knowledge in hospitals.
Co-Authors Abdul Muhith Achmad Hidayatullah, Achmad Adibaba, Niken Afiyah, R. Khairiyatul Ah Yusuf, Ah Algristian, Hafid Alkatiri, Wardah Aminah Hidayat, Siti Andikawati Fitriasari Andikawati Fitriasari Andini Hardiningrum Andini Hardiningrum Andin Anggraini, Dewi Puspita Arif Bachtiar, Imandra Barokaniah Rizky Dianty Bastiana Bastiana Binti Nur Kholifah Budury, Syiddatul Damawiyah, Siti Diah Retno Kusumawati Diah Retno Kusumawati Difran Nobel Bistara Efendi, Yumita Eppy Setiyowati Ernawati, Yayuk Faiza, Kartika Faricha, Lailatul Fasya, Abdul Hakim Zakkiy Fauziah, Ardianti Firdaus Hatmanti, Nety Mawarda Hidaayah, Nur Hidayatih, Nurul Husnia Susi Hartati Imamatul Faizah Imandra Arif Bachtiar Ismi Aziziah Izzah, Shobibatur Rohmah Kamariyah, Nurul Kartika Faiza Khamida Khamida Khamida, Khamida Krisnawati, Dyah Ika Kunti Fatimah Azzahro Kurnianingsih, Mardiah Fajar Kurniasari, Diyan Wahyu Kusumawati, Diah Retno Lailatul Faricha Lisnawati, Diana Arum M. Djali Yusup Iskandar Muda Machmudah Machmudah Masnia, Azizatul Mawarda Hatmanti, Nety Mufidah Sheena Andani Prastini Muhammad Basuni Muhammad Basuni Muhammad Luthfi MULYADI Mulyadi Mulyadi Nadatien, Ima Nahdatien, Ima Najmiatu Zuhriyah Nanang Rokhman Saleh NASIR, MOH. Nathalya Dwi Kartika Sari Nerisafitra, Paramitha Nilasari, Vandi Perdana Noventi, Iis Novi Puspitasari Novia Wahyu Febryanti Nur Ainiyah Nur Ainiyah Nur Hidayah Nurjanah, Siti - Permana, Arief Candra Prihatini Prihatini, Prihatini Priyo Mukti Pribadi Winoto Putri, Alvianita Mulya Ragil Putri Fitriyanti Ratna Yunita Sari Risti Puji Listari Rohmawati, Riska Rosalinda, Ayu Syafitri Rusdianingseh S.Pd. M Kes I Ketut Sudiana . Septianingrum, Yurike Serli Mei Anggraini Setiadi, Nanang Nurrachmat Shobihatus Syifak Siti Aminah Hidayat Siti Helmyati Siti Muflihah, Siti SITI NURJANAH Siti Nurjanah Siti Nurjannah SITI ROHMAWATI Soleha, Umdatus Subai?ah, Subai?ah Subai’ah Subai’ah Subai’ah, Subai’ah Sudarianik, Sudarianik Sukma Cahya Ramadhan Wardani, Erika Martining Winarningsih, Wiwik Winoto, Priyo Mukti Pribadi Wulandari, Dhian Zulkarnain, Eva Vera