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                        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.
                            
                         
                     
                 
                
                            
                    
                        Memory Songs Decrease Depression For Stroke Patients 
                    
                    Harmayetty Harmayetty; 
Ika Yuni Widyawati; 
Anggun Perwita Sari                    
                     Jurnal Ners Vol. 3 No. 1 (2008): April 2008 - September 2008 
                    
                    Publisher : Universitas Airlangga 
                    
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                                DOI: 10.20473/jn.v3i1.4977                            
                                            
                    
                        
                            
                            
                                
Introduction: Biological, physical and phsycosocial changes in stroke patient could be a stressor that induced a depression state. There would be an emotional disturbance in stroke patient and stroke attack would be recurrent, if it was not treated. One of the alternative techniques to reduce depression is musical therapy especially memory songs.Methods: This study was used a quasy experimental pre-post test purposive sampling design. The population was stroke patients who treated in Neurological Ward A and Stroke Unit Dr Soetomo Hospital Surabaya. There were 12 respondents divided into 6 respondents for treatment group and 6 respondents for control group. The independent variable was music (memory song) and dependent variable was depression. Data were collected by using questionnaire which adapted from Hamilton Depression Rating Scale and Geriatric Depression Rating Scale, then analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level α≤0.05.Results: The result showed that there was a difference between pre test and post test in depression (p=0.0196) and there was a difference in the depression between treatment group and control group (p=0.002).Conclution: It can be concluded that music (memory songs) has an effect to the depression of stroke patient. Further studies are needed to concerning other factors that may affect the relaxation technique especially in listening music.
                            
                         
                     
                 
                
                            
                    
                        Good Homosexual Behaviour Decrease Prevalence of Sexual Transmitted Dissease 
                    
                    Purwaningsih Purwaningsih; 
Ika Yuni Widyawati; 
Mohammad Nur Firdaus                    
                     Jurnal Ners Vol. 3 No. 2 (2008): Oktober 2008 - Maret 2009 
                    
                    Publisher : Universitas Airlangga 
                    
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                                DOI: 10.20473/jn.v3i2.4996                            
                                            
                    
                        
                            
                            
                                
Introduction: The homosexual behaviour were become indicators of sexually transmitted diseases’s (STDs) prevalencies. Prevalence of sexually transmitted diseases in homosexual community was very high but until recently study it was conducted sporadically. The objective of this study was to analyze the correlation of homosexual behaviour with prevalence of sexually transmitted diseases (STDs) in Mobile Clinic Community Centre of IGAMA collaborating with Public Health Centre Sumberpucung of Malang Regency. Method:  Analytic design with cross sectional methode was used in this study. The population were all visitors of Mobile Clinic Community Centre of IGAMA collaborating with Public Health Centre Sumberpucung of Malang Regency (353 people). Sample were 40 people who met to the inclusion criteria. The independent variable was homosexual behaviour and the dependent variable was prevalence of sexually transmitted diseases (STDs). Data for homosexual behaviour were collected by using questionnaire and indhept interview with content analyze and data for prevalence of sexually transmitted diseases (STDs) were collected by using laboratorium test for STDs. Result: The research result was presented in the form diagram, table of cross tabulation and analyzed by using Spearman Rho with significance level ρ=0.005. The result showed that there was correlation of homosexual knowledge (ρ=0.001), attitude (ρ=0.000) and  practice (ρ=0.000) with prevalence of STDs. Dsicussion:  It can be concluded that the better knowledge, attitude and practice of homosexual could be decrease prevalence of STDs. Futher studies are recomended to analyze the correlation between homosexual behaviour and prevalence of STDs with Health Believe approach.
                            
                         
                     
                 
                
                            
                    
                        Grieving as an Internal Factor of Nurse-Patient Interaction in a Dialysis Unit 
                    
                    Ika Yuni Widyawati; 
Nursalam Nursalam; 
Kusnanto Kusnanto; 
Rachmat Hargono; 
Pei-Lun Hsieh                    
                     Jurnal Ners Vol. 13 No. 1 (2018): April 2018 
                    
                    Publisher : Universitas Airlangga 
                    
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                                DOI: 10.20473/jn.v13i1.8005                            
                                            
                    
                        
                            
                            
                                
Introduction: The quality of the nurse-patient interaction is one factor that affects the patient adherence, but a study that provides an overview of factors in the nurse-patient interaction in improving or maintaining dialysis patient adherence has not been found. The aim of this study was to provide an overview of the various factors involved in the interaction process between nurses and patients undergoing dialysis in relation to their adherence to fluid and dietary restrictions.Methods: A qualitative research design with an interpretive phenomenology approach was used in this study. The researcher intends to interpret the findings of the research, in this case the activity of the dialysis patients, in order to get a picture of the various factors involved in the process of interaction between nurse and dialysis patient. The unit of analysis used in this study was the disclosure or exposure of the internal factors of the nurse-patient interaction process, especially in relation to fluid and dietary restrictions. There were 15 participants who were selected based on the inclusion criteria. In-depth interviews, with field notes, were used in this study as the data collection method.Results: The analysis of the theme based on the goal of the research includes grieving, needs and values/morals, but in this article, the researchers only describe one theme - grieving.Conclusion: This result provides an overview of the findings on nurse-patient interaction factors that can serve as baseline data for the development of nursing care, both in nursing assessments and interventions aimed at improving dietary adherence and the fluid restriction of dialysis patients.
                            
                         
                     
                 
                
                            
                    
                        Perceived Behavioral Control and Intention Related to The Smoking Behavior of Early Adolescents in North Surabaya 
                    
                    Lisa Setyowati; 
Ika Yuni Widyawati; 
Sylvia Dwi Wahyuni                    
                     Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue 
                    
                    Publisher : Universitas Airlangga 
                    
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                                DOI: 10.20473/jn.v15i1Sp.19012                            
                                            
                    
                        
                            
                            
                                
Introduction: Smoking behavior in adolescents is a phenomenon that should be considered and can be easily found nowadays. The prevalence of teenage smokers aged 10-18 years in Indonesia increases every year. Smoking behavior can have various negative impacts both in terms of health, but also economic, social and psychological. The purpose of this research was to analyze factors related to smoking behavior in adolescents.Methods: A descriptive analysis with a cross-sectional approach was used in this research. 96 early adolescents participated in this research who were selected using a purposive sampling technique. The data was obtained from Belief-based Tobacco Smoking Scale questionnaires then analyzed using regression statistical tests (α<0.05).Results: The results showed that perceived behavioral control and intention are significantly related to the smoking behavior of early adolescents in North Surabaya. The most influencing factor is perceived behavioral control. Weak perceived behavioral control by parents and strong intentions in adolescents to smoke the following month affect the behavior of early adolescents in North Surabaya to smoke.Conclusion: This finding can be used as one of the topics that need to be considered in improving community nursing services in the prevention of smoking phenomena in adolescents by providing adequate information through counseling about smoking cessation and treatment efforts that can be done.