Articles
Development Model of Family Empowerment and Peer Group Support in Independence of Caring on Indonesianâs Migrant Worker (TKI) Infected by HIV
Nursalam, Nursalam;
Yusuf, Ah.;
Widyawati, Ika Yuni;
Asmoro, Candra Panji
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga
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DOI: 10.20473/%oj.Ners102%y265-271
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. This makes the immune system becomes weaker, and people become more liable to infection. A lot of new detected HIV transmission source comes from former workers who work abroad. The challenge in dealing the number of transmission performed comprehensive care of patients and their family empowerment and peer support groups. The aimed of this study was to develop the ability of a family of Indonesian Workers who are infected with HIV and Peer Support Group in independence of care. Methods: This study was used an explanatory design and quasy-experimental. Population in this study were the closest family who care for patients infected with HIV during work abroad as migrant workers in East Java. Samples were selected using simple random sampling technique. The independent variable was the peer group and family support, the dependent variable is the level of independence of care on the respondent. 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 â¤0.05. Results: The results showed that this method can improve the independence of the family of the HIV-infected client care during labor as migrant workers abroad with a significance value of p=0.004. Conclusion: Empowerment of family and peer group support can be used to increase the independence of families and patients in the treatment of HIV-infected patients during work abroad as migrant workers. Future studies are expected to use a larger sample.Keywords: empowerment of the family, peer group support, independence treatment, TKI (Indonesian Labor), Human Immunodeficiency Virus (HIV)
Development Model of Family Empowerment and Peer Group Support in Independence of Caring on Indonesian’s Migrant Worker (TKI) Infected by HIV
Nursalam Nursalam;
Ah. Yusuf;
Ika Yuni Widyawati;
Candra Panji Asmoro
Jurnal Ners Vol. 10 No. 2 (2015): Oktober 2015
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v10i2.1347
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. This makes the immune system becomes weaker, and people become more liable to infection. A lot of new detected HIV transmission source comes from former workers who work abroad. The challenge in dealing the number of transmission performed comprehensive care of patients and their family empowerment and peer support groups. The aimed of this study was to develop the ability of a family of Indonesian Workers who are infected with HIV and Peer Support Group in independence of care.Methods: This study was used an explanatory design and quasy-experimental. Population in this study were the closest family who care for patients infected with HIV during work abroad as migrant workers in East Java. Samples were selected using simple random sampling technique. The independent variable was the peer group and family support, the dependent variable is the level of independence of care on the respondent. 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. Results: The results showed that this method can improve the independence of the family of the HIV-infected client care during labor as migrant workers abroad with a significance value of p=0.004.Conclusion: Empowerment of family and peer group support can be used to increase the independence of families and patients in the treatment of HIV-infected patients during work abroad as migrant workers. Future studies are expected to use a larger sample.
Nurse Behavior in Implementation of Diabetes Mellitus Education Based on Theory of Planned Behavior
Nadia Rohmatul Laili;
Sulistiawati Sulistiawati;
Ika Yuni Widyawati
Jurnal Ners Vol. 12 No. 1 (2017): April 2017
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v12i1.2307
Introductions: Education is the important component in self-management of Diabetes mellitus patients. Nurse as one of the health care provider should take active role in giving adequate education. The aim of this study were to analyze factors influencing nurse’s behavior in implementation of Diabetes mellitus education based on theory of planned behavior.Methods: This study used cross sectional design. Population in this study were all nurses in medicinal public hall whose were assigned to give education toward patients in 62 puskesmas induk in Surabaya city in 2016. Sampling technique used total sampling and 112 nurses obtained as samples. Variables in this study consist of attitude, subjective norm, perceived behavioral control (PBC), intention and practice in DM education. Data collection was using questionnaire and observation sheet and also analyzed using spearman rho with α 0,05.Results: Statistical analysis result shows there is significant relationship between attitudes, subjective norm, perceived behavioral control (PBC) toward intention with p value of 0,022; 0,048; dan 0,000 respectively and there is no significant relationship between intention and practice of Diabetes mellitus education with p value 0,194. Nurse’s attitudes, subjective norm, perceived behavioral control (PBC) had positive effect toward intention of Diabetes mellitus education but intention had no effect toward practice of Diabetes mellitus education in puskesmas.Conclusion: Theory of Planned Behavior (TPB) stated that individual behavior occurred because of intention that could be affected by attitude, subjective norm, and perceived behavioral control (PBC). Future study was expected to use qualitative approach, and related study regarding development of education media in Puskesmas.
Red Rosella Tea and Avocado As Simvastatin Therapy Support Reduce Total Cholesterol
Budi Artini;
Elyana Asnar;
Ika Yuni Widyawati
Jurnal Ners Vol. 12 No. 1 (2017): April 2017
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v12i1.2316
Introduction: Hypercholesterolemia is a condition characterized by high levels of total cholesterol in the blood. Many studies have proven that steeping tea rosella and flesh of an avocado can reduce total cholesterol levels. This study was conducted to determine the effectiveness of therapy companion rosella tea and avocado in lowering total cholesterol levels in hypercholesterolemia clients.Methods: This type of research is a quasi-experimental study with pre-post test control group design. The population study was a client with hypercholesterolemia in the working area of menganti health centers. First sample group consisted of nine respondents received the drug Simvastatin 10 mg and rosella tea consumed as much as 2 g 1x / day. The second group consisted of nine respondents received the drug Simvastatin 10 mg and avocado meat weighing 330 grams were consumed 1x / day. The control group consisted of 11 respondents have a drug Simvastatin 10 mg oral 1x daily at night before bed. All groups examined total cholesterol levels before treatment and after treatment on day 15.Results: The results of one-way ANOVA test showed a significant difference between before and after treatment in the first group (p=0,001) and second group (p= 0,005), and there is no significant difference before and after treatment in the control group (p= 0,248). The difference between the three groups showed p= 0.025.Conclusion: The conclusion of this study is giving rosella tea and avocado has the same effectiveness in lowering total cholesterol levels so that health workers can suggest the use of rosella tea and avocado as a companion therapy to reduce total cholesterol level.
Kesejahteraan Psikologis pada Pasien Diabetes Mellitus Tipe 2 di Puskesmas Mulyorejo Surabaya
Rr Dian Tristiana;
Kusnanto Kusnanto;
Ika Yuni Widyawati;
Ah Yusuf;
Rizky Fitryasari
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i2.2607
Introduction: Living with chronic diseases such as Diabetes mellitus type 2 will make patients experience change or imbalance include biological, psychological, social and spiritual. One of psychology aspects in patients with Diabetes mellitus type 2 is psychological well being (PWB). Emotional response of type 2 DM patients since the early diagnosis to begin undergoing the treatment will be different for each person. Type 2 DM patients need a good transition process to achieve well being state. The transition from a healthy to a diseased condition is needed for the successful self care management of type 2 DM patients. The purpose of this research was to explore the description of PWB in patients of type 2 Diabetes mellitus in six aspects of PWB and PWB facilitate and inhibitor factors in type 2 DM patients.Methods: This research used qualitative design research with case studies approach. The subject of research was seven participants who met the inclusion criteria. Data collection was done by structured interview and observation. Data analysis was done by thematic analysis.Result and Analysis: This study generated 14 themes. The result showed that the process of type 2 DM patients subjected to the process of transition from a healthy condition into ill condition. The transition process started with cyclic lose response which influence type 2 DM patient to self control and make a right decision-making to self care. Self-control would make type 2 DM patients able to adapt and engage with new experiences that become a new habit for type 2 DM patients and will facilitate type 2 DM patients in adapting to the internal and external environment and make type 2 DM patients have a positive hope in their life.Conclusion: finding in this study would hopefully be beneficial for professional health staff to make assessment about PWB in type 2 DM patients, nurse hopefully can assist patients in transition with the condition of type 2 DM. Need further research about the relation between self acceptance and self control, activation process till engagement to new habit in type 2 DM patients, perceived support to PWB in type 2 DM patient DM.
Elderly Fall Risk Assessment (Elderly) Scale using Hendrich Falls Fall and Morse Scale
Vivi Armany Dessy;
Harmayetty Harmayetty;
Ika Yuni Widyawati
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v8i1.3885
Introduction: Incidence of falls in elderly become a serious problem for patients hospitalised with limited activity. There was now the patients instruments to measure risk of fall for elderly patients. The aimed of the study was to examine the differences of risk fall to the elderly by using instrument Hendrich Falls Scale (HFS) and Morse Falls Scale (MFS).Methods: A comparative-longitudinal design was used in this study. The population were elderly patients in the treatment room D2 and D3 Adi Husada’s Hospital. There were 20 elderlys as a respondents which taken by using purposive sampling technique. Dependent variable was the value of measuring the risk of falling and independent variable was the instrument of HFS and MFS. Data were analyzed by using Wilcoxon Signed Rank Test with significance level α≤0.05.Result: The results showed that HFS’s instrument compared with MFS in the fi rst day are equally sensitive on the presented 100%, second day: 80%, third day: 31.3%, fourth day: 20%. HFS specificity of MFS on first day compared only 64% than MFS was 100%. The statistical results tests on the both scale of assessment indicated that there were differences the value on first day p=0.180, second day p=0.58, third and fourth day p=0.001.Conclusion: The use of MFS was more sensitive than HSF for detection of elderly patients with falling risk. The conclution of this results MFS’s instrument was more sensitive to assess elderly with risk of fall because MFS,s points more detailed assessment. It is recommended that elderly patients with falling risk need to assess by using MFS. Further research to focus on the risk of fall assessment using HFS and MFS categories.
Family Behavior in Maintenance Status Hb Chronic Renal Failure Patients through Family Centered Care Approach of Diet Fe Management
Anggia Fajar Hardianti;
Ika Yuni Widyawati;
Herdina Mariyanti
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v8i1.3887
Introduction: Erythropoietic agent as standard practice for anemia treatment, which has a function to increase the value of hemoglobin (Hb) to 12 g/dl in patients with chronic renal failure (CRF), who receiving dialysis treatment. The use of erythropoietin has to keep of the iron/Fe amount in the body. Family who have a duty of care should have knowledge, attitude, and behavior to maintain patient’s Hb by giving support to the patient to obey the Fe diet. The aimed of this study was to investigate the effect of family centered care approach in management Fe diet toward family’s behaviour in maintenance Hb level of CRF patients in hemodialysis ward, Gambiran Hospital, Kediri.Method: This study was used a pre experimental design. Total sample were 10 respondents, who met to inclusion criteria. The independent variables were knowledge, attitude, and psychomotor of family in maintenance of Hb level in CRF’s patients. The dependent variable was Fe diet management with family centered care approach. Data was collected by using a structured questionnaire and home visit observation.Result: Data was analyzed by using Wilcoxon Sign Rank Test with significance level α≤0.05. Results showed that Fe diet management with family centered care approach took effect to family’s knowledge (p=0.011), family’s attitude (p=0.005) and family’s psychomotor (p=0.005) in maintenance Hb level of CRF patients.Conclusion: Family’s knowledge, attitude, and psychomotor were effected by experiences during the care of a patient, not affordable to access information and patient’s own decision. The strengths and weaknesses in the family to got a better plan of care can be made by discuss and sharing among researcher, patient and his family. It can be concluded that Fe diet management with family centered care approach took effect to family’s behaviour. Further studies should involve larger respondents and better measurement tools to obtain more accurate results.
Active Lower Range of Motion Reduce the Sign and Symptom of Diabetic Neuropathy
Ika Yuni Widyawati;
Dewi Irawaty;
Luknis Sabri
Jurnal Ners Vol. 5 No. 2 (2010): Oktober 2010
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v5i2.3930
Introduction: The aimed of this study for the 56 members of PERSADIA Surabaya was to determine the effect of active lower range of motion exercise on the signs and symptoms of diabetic neuropathy in type II Diabetes Mellitus's patients.Method: A quasy experimental pre-post test design with a consecutive sampling technique was used in this study.Result: The results showed that there was a significant differences between control and treatment groups for muscle strength with p value 0.047 but not for tendon reflexes, protective sensation, ankle brachial index and diabetic polyneuropathy complaints.Discussion: It can be concluded that active lower range of motion exercise has an effect on muscle strength in patients with type II of Diabetes Mellitus with microvascular complications.
Efektifitas Tepid Sponge Bath Suhu 32oC dan 37oC dalam Menurunkan Suhu Tubuh Anak Demam
Kusnanto Kusnanto;
Ika Yuni Widyawati;
Indah Sri Cahyanti
Jurnal Ners Vol. 3 No. 1 (2008): April 2008 - September 2008
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v3i1.4972
Introduction: Tepid sponge bath is a therapeutic bath by washing all around of the body with warm water to decrease body temperature. Warm water that used were 32oC (nail warm) and 37oC (warm). The aimed of this study was to compare the effectivity of tepid sponge bath with 32oC and 37oC warm water on decreasing body temperature at toddler with fever.Methods: A quasy experimental pre post test design was used in this study. The population was toddler who had body temperature ≥38oC which treated in anggrek pediatric room dr. Iskak public hospital Tulungagung. There were 26 respondents recruited by using purposive sampling technique and divided into two group, each of 13 respondents received tepid sponge bath with 32oC and others received tepid sponge bath with 37oC warm water. The independent variable was tepid sponge bath and dependent variable was body temperature. Data were collected by using digital termometere and noted in respondent observation, then analyzed by using Paired t-Test and Mann Withney U-Test.Results: The result showed that there was an effectivity on decreasing body temperature by giving tepid sponge bath with 32oC and 37oC warm water with significance level p=0.000 and there was a difference decreasing body temperature among both of them with significance level p=0.016.Conclusion: It can be concluded that tepid sponge bath with 37oC warm water was more effective than tepid sponge bath with 32oC warm water. Further studies should be observed the effectivity of tepid sponge bath with more specific age, fever character and more time and respondent.
Progressive Muscle Relaxation Increase Peak Expiratory Flow Rate On Chronic Obstructive Pulmonary Disease Patients
Tintin Sukartini;
Ika Yuni Widyawati;
Yani Indah Sari
Jurnal Ners Vol. 3 No. 1 (2008): April 2008 - September 2008
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v3i1.4973
Introduction: Limited progressive air flow in Chronic Obstructive Pulmonary Disease (COPD) can caused by small airway disease (bronchiolitis obstructive) and loss of elasticity of the lung (emphysema). Further it can be decreasing the quality of life in COPD patients because dyspnea and uncomfortable in activity. Progressive muscle relaxation (PMR) is one of the relaxation technique that can repair pulmonary ventilation by decreasing chronic constriction of the respiratory muscles. The objective of this study was to analyze the effect of progressive muscle relaxation on raised peak expiratory flow rate (PEFR).Methods: A pre-experimental one group pre-post test design was used in this study. Population was all of the COPD patients at Pulmonary Specialist Polyclinic Dr Mohamad Soewandhie Surabaya. There were 8 respondents taken by using purposive sampling. PEFR was counted by using peak flow meter every six day. Data were analyzed by using Paired t-Test with significance level p≤0.05.Results: The result showed that PMR had significance level on increasing of PEFR (p=0.012).Conclusion: It can be concluded that PMR has an effect on raise PEFR. Further studies are recommended to measure the effect of PMR on respiratory rate (RR), heart rate (HR) subjective dyspnoe symptoms, forced expiration volume on the first minute (FEV1) and mid maximum flow rate (MMFR) in COPD patients.