Iqlima Dwi Kurnia
Department Of Fundamental Nursing, Faculty Of Nursing, Universitas Airlangga, Surabaya, Indonesia

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Journal : Jurnal NERS

Implementation of Health Action Process Approach to Improve Dietary Adherence in Type 2 Diabetic Patient Kusnanto, Kusnanto; Kurnia, Iqlima Dwi; Prasetia, Dwi Indah
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.711 KB) | DOI: 10.20473/%oj.Ners102%y272-278

Abstract

Introduction: Type 2 diabetic patients usually unsuccessful to follow the diet recommendation due to lack of motivation, memory and intention. This study attempts to increase the motivation and also to improve intention in dietary adherence through the implementation of Health Action Process Approach (HAPA). Method: This study was a quasy-experiment. The population were type 2 diabetic patients in Puskesmas Krian Sidoarjo in March-April 2015. Respondents were only 16 and had been divided into experiment and control group. The independent variable was the implementation of HAPA. The dependent variable were self-efficacy, dietary adherence and blood sugar levels. The instruments in this study were questionnaires and blood sugar monitoring devices. Data were analyzed using statistical wilcoxon sign rank test and mann whitney u  test with significance level α ≤ 0.05. Result: Wilcoxon sign rank test showed there were differences between pre and post test significantly on self-efficacy (p=0.014), dietary adherence  (p=0.025), blood sugar levels (p=0.009) in  experiment group, while no significant differences in control group. Mann Witney U test showed that there was significant difference on dietary adherence (p=0.002) between two groups. Discussion: In conclusion, the implementation of HAPA can improve dietary adherence in type 2 diabetic patient. Further, following studies are expected with large number respondents and identify the whole variables in the HAPA theory.Keywords: Health Action Process Approach (HAPA), self efficacy, dietary adherence, blood glucose, Diabetes Mellitus (DM)
Implementation of Health Action Process Approach to Improve Dietary Adherence in Type 2 Diabetic Patient Kusnanto Kusnanto; Iqlima Dwi Kurnia; Dwi Indah Prasetia
Jurnal Ners Vol. 10 No. 2 (2015): Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.711 KB) | DOI: 10.20473/jn.v10i2.1348

Abstract

Introduction:Type 2 diabetic patients usually unsuccessful to follow the diet recommendation due to lack of motivation, memory and intention. This study attempts to increase the motivation and also to improve intention in dietary adherence through the implementation of Health Action Process Approach (HAPA).Method: This study was a quasy-experiment. The population were type 2 diabetic patients in Puskesmas Krian Sidoarjo in March-April 2015. Respondents were only 16 and had been divided into experiment and control group. The independent variable was the implementation of HAPA. The dependent variable were self-efficacy, dietary adherence and blood sugar levels. The instruments in this study were questionnaires and blood sugar monitoring devices. Data were analyzed using statistical wilcoxon sign rank test and mann whitney u  test with significance level α ≤ 0.05.Result: Wilcoxon sign rank test showed there were differences between pre and post test significantly on self-efficacy (p=0.014), dietary adherence  (p=0.025), blood sugar levels (p=0.009) in  experiment group, while no significant differences in control group. Mann Witney U test showed that there was significant difference on dietary adherence (p=0.002) between two groups.Discussion: In conclusion, the implementation of HAPA can improve dietary adherence in type 2 diabetic patient. Further, following studies are expected with large number respondents and identify the whole variables in the HAPA theory.
Personality Factor, Self Efficacy and Prevention of Cervical Cancer among Childbearing Age Women Ni Ketut Alit Armini; Iqlima Dwi Kurnia; Fani Lailatul Hikmah
Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (122.88 KB) | DOI: 10.20473/jn.v11i2.2574

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Introduction: Cervical cancer is a major cause of morbidity and mortality worldwide. Bad cervical cancer prevention program cause delays in treatment. Thus, leading most of the respondents had cervical cancer in advance stadium. The study aims to determine the correlation of personal factors, self efficacy in the prevention of cervical cancer in women of childbearing age. Methods: The study design was descriptive correlative with cross sectional approach. The population were all women of childbearing age in Puskesmas Kenjeran Surabaya. Samples were 64 respondents gathered by using simple random sampling. The independent variable were the personal factor and self efficacy. The dependent variable was the primary and secondary prevention efforts. Data were analyzed using Spearman's rho test to determine the variables which associated with the prevention of cervical cancer. Results: The results showed the correlation between personal factors and prevention of cervical cancer with p = 0.025 (α ≤ 0.05). While self efficacy had no correlation with the prevention of cervical cancer with p = 0.094 (α ≤ 0.05). Discussion: Personal factors related to the prevention of cervical cancer in women of childbearing age, while self efficacy is not related to the prevention of cervical cancer in women of childbearing age. For the next researcher to use other variables of the theory Health Promotion Model to take steps to prevent cervical cancer.
The Beneficience Of Religious Relaxation: Dzikir To Increase Phsycological Wellness Of Elder Ah. Yusuf; Sriyono Sriyono; Iqlima Dwi Kurnia
Jurnal Ners Vol. 3 No. 1 (2008): April 2008 - September 2008
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (282.134 KB) | DOI: 10.20473/jn.v3i1.4986

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Introduction: Psychological well-being is one of an important part on the positive aging process for elderly. Many older people face stressful situation such as death of family, deterioration of health, decrease of physical ability and psychological problem like loneliness, low self esteem, useless, isolation or difficulty in relationship. Religious relaxation: dzikir is one of the group therapy to fill up psychological necessary by filled up spiritual necessary so they could say thanks to God for everything what they have had now. The aimed of this study was to analyze the effect of religious relaxation: dzikir to increase the level of psychological well being of the elderly.Methods: This study was used a quasy experimental pre post test design. There were 20 respondents which taken by using purposive sampling. The independent variable was religious relaxation: dzikir and the dependent variable was elderly psychological well being. Data were analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U-Test with significance level a≤0.05.Results: The result showed that religious relaxation: dzikir has an effect on increasing the level of psychological well being of the elderly with Wilcoxon Signed Rank Test p=0.004 in treatment group, p=1.000 in control group and the result of Mann Whitney U-Test revealed p=0.000.Conclusion: It can be concluded that religious relaxation: dzikir can increase psychological well-being. Religious relaxation: dzikir help the elderly to develop self acceptance, autonomy, positive relation with others, environmental mastery, purposive in life and personal growth. Researcher suggests the institutional to practice relaxation religious: dzikir to help elderly people to raise psychological well-being.
Exclusive Breastfeeding Associated with the Reduction of Acute Respiratory Tract Infections in Toddlers with High-Risk Factors Abu Bakar; Elfira Fitria Rohma; Iqlima Dwi Kurnia; Siti Nur Qomariah
Jurnal Ners Vol. 13 No. 2 (2018): October 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (170.732 KB) | DOI: 10.20473/jn.v13i2.10888

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Introduction: Acute respiratory tract infections (ARI) is a disease that is the primary cause of death, especially in children. Toddlers can be prevented from developing ARI with increased immunity. Giving breast milk can increase children's immunity, but there are still children who experience ARI. This study aimed to explain the differences in Acute Respiratory Tract Infections (ARI) events in toddlers who are exclusively and non-exclusively breastfed.Methods: The research design used was descriptive-comparative with a retrospective design. The population in this study were all children one to three years of age. A sample of 158 toddlers was recruited by a purposive sampling technique. Data retrieval was done with the criteria that the child had visited a public health centre (puskesmas) or integrated health care service post (posyandu), and does not suffer from a disease such as asthma or have any allergies. The variables were measured using a questionnaire and observation sheet. Data analysis was done by a chi-square test and binary logistic regression.Results: The results showed that there were differences in ARI incidence in toddlers (one to three years) who were exclusively and non-exclusively breastfed with a value of p = 0.003. The air pollution factor proved to be significant, dominantly affecting the incidence of ARI.Conclusion: Differences in ARI incidence in toddlers who are exclusively and non-exclusively breastfed is possible due to air pollution factors. Key implications for nursing practice from this research are improving services, and prevent the occurrence of ARI.
Effect of Combination Mirror Therapy and Cylindrical Grip on Self-Care of Post-Stroke Ischemic Patients Bernadetta Germia Aridamayanti; Nursalam Nursalam; Iqlima Dwi Kurnia
Jurnal Ners Vol. 15 No. 1Sp (2020): Special Issue
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1Sp.18906

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Introduction: Stroke is the leading cause of disability at a productive age. Hemiparesis upper limb is an example of a disability that is found post-stroke, which limits self-care such as eating, bathing, toileting and dressing. The purpose of this study was to determine the effect of a combination of mirror therapy and cylindrical grip on improving self-care of post-stroke patients.Methods: The design of this study was quasi-experimental (pre-post test with control group design). The population was post-stroke patients who experience upper limb hemiparesis in the Medical Rehabilitation Poly. A sample of 66 respondents (33/33) was chosen using purposive sampling. The independent variable was a combination of mirror therapy and cylindrical grip, and the dependent variable was self-care. Data were collected using a self-care questionnaire with strong validity and reliability. Analysis was undertaken using Kolmogorov Smirnov and Wilcoxon Sign Rank Test. Interventions were given three times a week for a month.Results: In the intervention and control groups there were significant differences between self-care before and after the intervention with a value of 0.000 (p <0.05).Conclusion: The increase in the intervention group can be seen from the sub-variables in self-care toileting, which involves cleaning the genitalia area after defecation/urination. This intervention stimulates the finger sensory and motor nerves so that they can perform self-care to the maximum. A combination of mirror therapy and cylindrical grip has been shown to improve self-care.
Parental Interactions Associated with Adolescent Health Risk Behavior: Premarital Sexual and Aggressive Behavior Ilya Krisnana; Praba Diyan Rachmawati; Iqlima Dwi Kurnia; Nur Sayyid J Rummy
Jurnal Ners Vol. 16 No. 2 (2021): OCTOBER 2021
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v16i2.22785

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Introduction: Interactions within the family will determine the behavior of adolescents. Lack of interaction in adolescents is a risk factor for adolescent behaving deviant, among others, unmerried sexual and aggressive behaviors. The purpose of this study was to analyze the relationship between parental interaction and the premarital sexual and aggressive behavior among adolescents.Methods: A cross-sectional approach was taken. The sample consisted of 744 adolescents from junior high school and senior high school in Java Island aged 13 - 19 years old who had completed a Google form. The independent variable was parent interaction while the dependent variable was premarital sexual and aggressive behaviors. The PACHIQ-R questionnaire was used for measuring parent interaction. While the dependent variable was using checklist questionnaire. The data was analyzed using Spearman Rank correlation with a level of significance α=0.05.Results: The results show that there is a correlation between the parent interactions and premarital sexual (p=0.007; r=0.100) and aggressive behavior among adolescents (p=<0.001;r=0.156). Parental interaction has an association on the adolescent’s behavior, especially in terms of premarital sexual and aggressive behavior.Conclusion:Nurses need to provide education not only to parents, but also for adolescents to prevent premarital sexual and aggressive behaviors among adolescents in any media that available.
Determinants of parents’ readiness for face-to-face learning among elementary school children during the new normal Kurnia, Iqlima Dwi; Arief, Yuni Sufyanti; Rachmawati, Praba Diyan; Krisnana, Ilya; Istiqomah, Yutri; Ananta , Syafira Dwi; Pratuma , Rithpho
Jurnal Ners Vol. 19 No. 3 (2024): AUGUST 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i3.50630

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Introduction: This study aimed to identify factors influencing the readiness of parents with elementary school-age children for face-to-face learning using the Health Promotion Model (HPM). Methods: This was a cross-sectional study. The study population consisted of parents of elementary school students in Surabaya. A purposive sampling method was used to select 395 respondents. The independent variables included motivation, parental knowledge, perceived benefits, perceptions of barriers, self-efficacy, interpersonal factors, situational factors, and commitment. The dependent variable was parental behavior in face-to-face learning readiness. Data were collected using a validated and reliable questionnaire. Data analysis was conducted using a logistic regression test, with a significance level of α ≤ 0.05. Results: Most parents were 37 years old, and children in the 5th grade of elementary school. Most of the parents' motivation was in the sufficient category (57%). The parents’ knowledge of COVID-19 was good (66.8%). Most parents had a good perception of benefits (68.4%), and the perception of barriers was sufficient (59.7%). Good self-efficacy was observed in only 49% of cases, and interpersonal and situational factors accounted for 99.7% and 100%, respectively. Meanwhile, regarding parental readiness for face-to-face learning, the majority exhibited good behavior (96.2%). The factors that influenced parental behavior in face-to-face learning readiness were parental knowledge (0.010), perceived benefits (0.019), and commitment (0.029). Conclusions: Good knowledge, perceived benefits, and parental commitment are factors that influence parents' readiness to participate in face-to-face learning.  Keywords: COVID-19, face-to-face learning, good health and well-being, Health promotion model (HPM), parents
Parental support and influencing factors for school-age children's healthy movement behavior: a cross-sectional study Rachmawati, Praba Diyan; Krisnana, Ilya; Pradanie, Retnayu; Qur'aniati, Nuzul; Arief, Yuni Sufyanti; Biru, Mustika Milenia Dwi Tunjung; Asih , Meirina Nur; Rithpho, Pratuma; Kurnia, Iqlima Dwi
Jurnal Ners Vol. 19 No. 4 (2024): NOVEMBER 2024
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v19i4.57686

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Introduction: Optimizing healthy lifestyles in children requires parental support for healthy movement behaviors. This study analyzed factors influencing parental support for school-age children's movement activities. Methods: This study employed an analytic descriptive design with a cross-sectional approach, involving a sample of 355 mothers with school-age children. The independent variables included family, child, and environmental factors, whereas the dependent variable was parental support for healthy movement behaviors, as assessed through a questionnaire. Data analysis was performed using binary logistic regression with backward elimination. Results: The factors that significantly influenced parental support for their children's engagement in light physical activities included the children's own level of participation in such activities (OR=2.52, 95% CI=0.76-6.67). Factors affecting support for moderate to vigorous activities were maternal exercise habits (OR=3.37; 95% CI=1.18-9.65), children's sports habits (OR=5.18; 95% CI=1.64-16.26), and the presence of personal gadgets (OR=0.45, 95% CI=0.23-0.86). Parental support for preventing sedentary behaviors was influenced by parental knowledge (OR=2.33; 95% CI=1.34-4.05), mother's sleep duration (OR=2.46; 95% CI=1.27-4.75), and gadgets (OR=0.55; 95% CI=0.31-0.95). Factors affecting support for adequate sleep included children's light activities (OR=3.42; 95% CI=1.27-9.23) and their ownership of personal gadgets (OR=0.44; 95% CI=0.24-0.79) Conclusions: Parental support is influenced by the knowledge and physical activity habits of both mother and child, as well as gadget use and maternal sleep patterns. Pediatric nurses can enhance this support through health education focused on promoting healthy movement behaviors within families.
The correlation between parents interaction conflict with online game addiction in adolescents Kurnia, Iqlima Dwi; Ardi, Bangun Mukti; Krisnana, Ilya; Nastiti, Aria Aulia; Rithpo, Pratuma; Arief, Yuni Sufyanti
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.26785

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Introduction: The prevalence of online game addiction has increased among adolescents in Indonesia. This study aimed to analyze the correlation between parent conflict and online game addiction among adolescents. Methods: This study used a cross-sectional, correlational design. The inclusion criteria in this study were as follows: (1) adolescents between the ages of 13-19 and who were male, and (2) adolescents who were willing to become respondents. Eighty adolescents were approached according to the inclusion criteria, and 73 respondents were eligible for this study. The data collection method used was a questionnaire filled out by adolescents. The questionnaire was adapted to adolescents and to determine adolescents' perceptions of interaction conflict. Statistical analysis was performed using Spearman's rank test with α=0.05. Results: Parental interaction conflict was positively related to online game addiction among adolescents (p = 0.004). The majority of respondents who experienced online game addiction in the fair category had low interaction conflicts with their parents. Conclusions: Conflict of interaction with parents can cause adolescents to become addicted to online games. Parents are expected to engage in good interactions in accordance with the stages of adolescent development. Parents should be able to complete their problem interactions well.