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NURSING CARE OF CONTINUOUS URINARY INCONTINENCE IN THE ELDERLY POST-ISCHEMIC STROKE A CASE REPORT Anestasia Pangestu Mei Tyas; Fatimahndya Maulitha De Arisandy; Ilkafah Ilkafah; Amellia Mardhika; Emuliana Sulpat
Journal of Vocational Nursing Vol. 3 No. 1 (2022): MAY 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v3i1.35938

Abstract

Introduction : Continuous urinary incontinence is the continued and uncontrolled passing of urine without distension and a feeling of fullness in the bladder due to neurological dysfunction. This condition is often found in the elderly post-ischemic stroke. The study aimed to describe nursing care of continuous urinary incontinence in the elderly post-ischemic stroke in Lamongan. Methods : This study used a case study approach (case report) on a participant through the nursing process approach. The sample in this study is one patient, an elderly post-ischemic stroke. This research was conducted in 2021 in Lamongan with three visits to patients' homes for seven days. Data collection techniques include interviews, observation, and physical examination. This research instrument uses the gerontic nursing care format and sandvik severity index. Results : Continuous urinary incontinence nursing care with the main intervention for urinary incontinence treatment (I.04163) and the supporting intervention is pelvic muscle exercises (I.07215) can be applied to elderly post-ischemic stroke according to the expected outcomes. The continuous urinary incontinence has a partially resolved on the third home visit. The client can hold urine several times when the bladder feels full, reduced the frequency of night urination, and rarely wakes up because of wet diapers. Sandvik Severity Index shows a value of 4 (moderate incontinence). Conclusions: Improving nursing care need for collaboration between patients, families, and health workers in performing pelvic muscle exercises independently, continuously, and regularly to increase the strength of the detrusor-sphincter muscles and showed improvement in urinary continence.
Kejadian Anemia Kehamilan Dengan Perdarahan Postpartum Sulpat, Emuliana; Kusumaningrum, Andri Tri; Harianto, Susilo; Mardhika, Amelia; Fadliyah, Lailatul; Pangestu , Anestasia
Jurnal Keperawatan Muhammadiyah Vol 9 No 2 (2024): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v9i2.22922

Abstract

Objective: Death of pregnant women due to bleeding is the main cause in Lamongan. The biggest cause is postpartum hemorrhage due to nutritional deficiencies, especially anemia. Anemia is one of the four main nutritional problems in Indonesia which has a fairly high prevalence and is often caused by nutritional deficiencies, especially iron. This study aims to determine the relationship between anemia in pregnancy and the incidence of postpartum hemorrhage. Methods: Design a case-control study with a retrospective observational approach, collecting data on maternal medical records in January-December 2021 in Bulutigo Laren-Lamongan Village, using a Simple Random Sampling technique with a sample size of 146 mothers who were divided into case groups and control groups. The dependent variable is anemia of pregnancy and the independent variable is postpartum hemorrhage. The research instrument used a check list to assess the incidence of anemia and an observation sheet to assess the incidence of postpartum hemorrhage. Data were analyzed by Chi Square test with ️ = 0.05. Results: The results of statistical tests showed that there was a significant relationship between anemia and the incidence of postpartum hemorrhage. The combined odds ratio (OR) showed that the effect of anemic pregnant women on postpartum hemorrhage was 45.7 times higher than that of non-anemic mothers (95% CI: 16.05-117.94; p<0.000). Conclusion: Pregnant women with anemia are 45.7 times more likely to experience postpartum hemorrhage than pregnant women who do not experience anemia. Anemia of pregnancy can be detected by regular antenatalcare (ANC) examinations
RELATIONSHIP LEVEL OF PARENTAL KNOWLEDGE ABOUT THE FUNCTION OF PLAYING WITH THE PROVISION OF APE (EDUCATIONAL GAME TOOLS) CHILDREN AGED 4-6 YEARS IN BALONG TUNJUNG VILLAGE, BENJENG DISTRICT, GRESIK Emuliana Sulpat; Fitria Listianingsih
Journal of Vocational Nursing Vol. 2 No. 1 (2021): May 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v2i1.25933

Abstract

Introduction: Play is an activity where the child can perform or practice skills, express thoughts, be creative, prepare to play and behave maturely, the results of a preliminary study in Benjeng 50 parental (64.70%) do not know the function of play for children. The research objective is to determine the relationship between the level of parental knowledge and the provision of APE. Methods: The design of this study was a correlation study with a Cross Sectional approach, with all parent populations of 34 respondents, a sample of 20 respondents.  Sampling using simple random sampling technique, data taken using questionnaire and observation sheets, then analyzed by spearman test with a significance level a α = 0.05. Results: The results showed that (50%) of respondents had a moderate level of knowledge about the function of play and (65%) respondents gave APE. The statistical test result obtained rs = 0,499 and p= 0,025, where p> 0,05. Conclusion: This study is a relationship between the level of knowledge of parents about the function of play and the provision of APE,  in Balong Tunjung Village, Benjeng  , Gresik.
DESCRIPTION OF KNOWLEDGE ABOUT THE POST PLACENTA IUD (INTRA UTERINE DEVICE) CONTRACEPTIVE METHOD FOR PREGNANT Fadliyah Laila; Amellia Mardhika; Emuliana Sulfat; Iswatun Iswatun; Endah Sri Wijayanti; Nela A. S
Journal of Vocational Nursing Vol. 2 No. 1 (2021): May 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jovin.v2i1.26215

Abstract

Introduction: Post-placental IUD is a long-term contraceptive method with an effective pregnancy prevention 0.6-0.8 pregnancies / 100 women. Installation that is carried out when the mother gives birth has an impact on the coverage of contraceptive use from an early age. Post-placental IUD contraceptives are not only effective in the long term for up to 10 years but are also affordable contraceptives for people from low to high economies status. Currently, these contraceptives can be purchased or installed for free. Contraception does not interfere with milk production, does not require routine follow-up to the hospital, contraceptive examinations can be done independently. The purpose of this study was to describe the knowledge about the post-placenta IUD contraceptive method. Methods: This study used a descriptive design, with a population of 98 people and a sample of 54 people. The sampling used is purposive sampling. Collecting data with a closed questionnaire. Data processing and data analysis by editing, scoring, coding, tabulating and presented in narrative form then draw conclusions. Results: Based on the results of the study, it was found that most (78.1%) pregnant women had less knowledge about Post Placenta IUD contraception. Conclusion: The reference of this study is to increase knowledge about the Post Placenta IUD (Intra Uterine Device) contraceptive method in pregnant women. Periodic health education regarding this contraceptive method during pregnancy so that at delivery, post placenta IUD contraception can be immediately installed. 
OPTIMIZING ELDERLY HEALTH THROUGH NUTRITIONAL COUNSELING EFFORTS AND EARLY DETECTION: OPTIMALISASI KESEHATAN LANSIA MELALUI UPAYA PENYULUHAN ZAT GIZI DAN DETEKSI DINI Rindayati; Abd Nasir; Susilo Harianto; Emuliana Sulpat; Hafna Ilmy Muhalla; Sofiatun
Darmabakti Cendekia: Journal of Community Service and Engagements Vol. 6 No. 2 (2024): DECEMBER 2024
Publisher : Faculty of Vocational Studies, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/dc.V6.I2.2024.148-153

Abstract

Background: Elderly are susceptible to various health problems, where one aspect that greatly influences the health of the elderly is the fulfillment of proper nutritional needs. Objective: This activity aims to increase knowledge about optimizing the health of the elderly through nutritional counseling and early detection status. Method: The method used is to provide counseling through lectures and then discussion sessions. The evaluation of this activity using a pre-test and post-test were carried out 10 questions with a score of 10 for each question. The total score was averaged to obtain the mean score. Early detection through measuring body weight, cholesterol levels, blood sugar and uric acid to determine the health problems of the elderly. Results: The results of the activity were that the elderly who attended 76 people experienced an increase in knowledge about nutrients, from the answers to questions given to 15 counseling participants. Health checks found values above normal, namely 7 people's weight, 9 people's blood pressure, 6 people's blood sugar, 8 people's cholesterol, and 5 people's uric acid, while values below normal were 4 people's weight. This activity also increased participants' knowledge from an average pretest score of 56 to a post-test of 85. Conclusion: Nutrition counseling and health checks have the potential to have a positive impact on the health and quality of life of the elderly. The importance of nutritional education and early detection of elderly health problems so that the quality of life of the elderly is maintained.
Coping Strategies of Women with Breast Cancer Undergoing Chemotherapy During the COVID-19 Pandemic: A Qualitative Study Harianto, Susilo; Nursalam, Nursalam; Maryam, Dewi; Nasir, Abd; Purwanto, Cucuk Rahmadi; Muhalla, Hafna Ilmy; Sulpat, Emuliana; Mardhika, Amellia; Soares, Domingos
Nurse Media Journal of Nursing Vol 15, No 1 (2025): (April 2025)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v15i1.56922

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Background: Chemotherapy is the primary treatment for breast cancer to prevent cancer progression, but health protocols, such as social distancing during the COVID-19 pandemic, hinder timely treatment. Although many qualitative studies have investigated the experiences of breast cancer patients during the COVID-19 pandemic, few have explored the coping strategies of women undergoing chemotherapy during this time.Purpose: This study explored the coping strategies of women with breast cancer undergoing chemotherapy during the COVID-19 pandemic.Methods: A qualitative phenomenological design was employed to explore the experiences of women living with breast cancer and their coping mechanisms. Purposive sampling was used to recruit participants who met the following criteria: (1) women diagnosed with breast cancer who had chosen to undergo chemotherapy and (2) women attending chemotherapy sessions at the treatment center. Patients with a history of severe chemotherapy side effects were excluded from the study. Data were collected through in-depth, semi-structured interviews with 25 participants, and transcripts were analyzed using thematic analysis.Results: Four key themes emerged from the data analysis, including (1) feeling the uncertainty of life, (2) emotional turbulence, (3) surviving under pressure, and (4) accepting the situation. Participants demonstrated positive adaptive coping strategies to manage the challenges of breast cancer and chemotherapy during the COVID-19 pandemic.Conclusion: Surviving and accepting conditions were identified as vital coping mechanisms that help women with breast cancer maintain their quality of life during the COVID-19 pandemic. These strategies play a crucial role in maintaining mental well-being amid uncertain and stressful circumstances.
THE RELATIONSHIP BETWEEN FAMILY SUPPORT AND PREGNANT WOMEN'S BEHAVIOR IN EFFORT PREVENT ANEMIA Sulpat, Emuliana; Bella Nurramdhani, Putri; Mardhika, Amellia; Fadliyah, Lailatul; Harianto, Susilo; Pangestu Mei Tyas, Anestasia
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.v5i1.54765

Abstract

Introduction: Anemia experienced by pregnant women will hurt the baby, namely the risk of premature birth, low birth weight, and an increased risk of perinatal death. This study aims to determine the relationship between family support and the behavior of pregnant women in efforts to prevent anemia. Methods: This study used analytical research with a cross-sectional approach, the population in this study was all pregnant women in Madiun. This study used purposive sampling techniques. The sample used in this study was 112 respondents. To find out the relationship between variables in this study, the Chi-Square statistical test was used with the result that if the p-value is 0.05, it means that there is a significant relationship between the two variables. Results: The results of the study using the Chi-Square correlation test showed that the Fischer Exact Test value was 0.001. Because the Chi-Square test value is 0.001 < 0.005, it can be concluded that there is a relationship between family support and the behavior of pregnant women in efforts to prevent anemia. Conclusions: Families are expected to always provide motivation, help, and accompany pregnant women so that pregnant women feel safe, comfortable, and calm.
THE RELATIONSHIP BETWEEN ADOLESCENTS' KNOWLEDGE LEVELS OF SEXUAL DEVELOPMENT AND ANTICIPATION OF THE RISK OF SEXUAL HARASSMENT Fadliyah, Lailatul; Puspitaningtyas, Danty Indra; Sulpat, Emuliana; Mardhika, Amellia; Sarofah, Eka; Ma'rifah, Umi; Nur Rochmayanti, Shinta
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.v5i2.62126

Abstract

Introduction: Adolescence is a transition period from childhood to adulthood that includes changes both biologically, intellectually, psychosocially, and economically. In this period, individuals have reached sexual and physical maturity. Negative behavior carried out by adolescents is risky behavior in having sexual intercourse. The purpose of this study was to determine the relationship between the level of adolescent knowledge about the development of sexuality (physical changes) and anticipation of the risk of sexual harassment. Methods: This research is an analytical research with a cross-sectional design. Population in this study were 92 junior high school students in grades 7 and 8 in Kediri Regency. Sampling technique used was Purposive sampling, with a sample size of 80 students. The data collection technique used a questionnaire. The analysis test used was the Chi-Square Test. Results: Results of the study found that 47 respondents had low knowledge levels (58.75%), and 46 respondents had poor anticipation of sexual harassment (78.0%). Bivariate analysis with Chi-Square obtained p value = 0.000 (significance t < 0.05). Conclusions: There is a relationship between the level of adolescent knowledge about sexual development (physical changes) and anticipation of the risk of sexual harassment.
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.