Jurnal Keperawatan Padjadjaran
Jurnal Keperawatan Padjadjaran (JKP) or The Padjadjaran Nursing Journal is a peer review journal providing an open access facility for scientific articles published by the principles of allowing free research available for public to support global scientific exchange. Padjadjaran Nursing Journal (JKP) is published three times a year, specifically in April, August, and December.
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<![CDATA[Knowledge, Attitude and Practice of Evidence-Based Nursing Practice and Barriers ]]>
<![CDATA[Dwi Novrianda]]>;
<![CDATA[Hermalinda Herman]]>
<![CDATA[ Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran ]]>
Publisher : <![CDATA[Faculty of Nursing Universitas Padjadjaran ]]>
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DOI: 10.24198/jkp.v7i3.884
<![CDATA[Professional nurses, one of the human resources in the health sector, are obliged to carry out the nursing process, especially nursing, based on scientific evidence. This study aimed to describe the knowledge, attitudes, and practice of evidence-based practice and its barriers to the hospital. Quantitative research with a descriptive approach was conducted at Dr. M. Djamil Hospital, Padang. A consecutive sampling technique was utilized, with 139 selected nurse practitioners, and only 90 nurses filled in the questionnaires. The instruments used were Evidence-Based Practice Profiles (EBP2) and the BARRIERS Scale. Characteristics of respondents were 70.0% diploma education; mean age was 36.7 (SD=7.95) years and 13.35 (SD=8.37) years of working time. The mean attitude towards EBP was higher than the mean of EBP knowledge/understanding, confidence, understanding of research terms, and practice towards EBP (3.32; 2.93; 2.72; 2.53; 1.95). Therefore, there is a definite need for improving knowledge, comprehending EBP, and research terminology to overcome the obstacles of EBP implementation in the nursing service practice.]]>
<![CDATA[Nursing Modality Therapy (Spiritual Deep Breathing) Resolve Student Distress ]]>
<![CDATA[Kushariyadi Kushariyadi]]>;
<![CDATA[Grysha Viofananda Kharsima Ade Agung]]>;
<![CDATA[Faizatul Mazuin]]>;
<![CDATA[Fitriany Fitriany]]>
<![CDATA[ Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran ]]>
Publisher : <![CDATA[Faculty of Nursing Universitas Padjadjaran ]]>
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DOI: 10.24198/jkp.v7i3.988
<![CDATA[The condition of nursing faculty students has many academic tasks such as attending classes, taking exams, socializing, adjusting to fellow students with different characteristics and backgrounds, developing talents and interests through non-academic activities. This condition causes students to not be able to manage time well so that they experience distress. Quasy experiment research used two groups pre-post-test design. The sample included 15 control groups and 15 treatment groups. The sampling technique uses simple random sampling. Research variables include spiritual deep breathing therapy and distress rate. The instrument uses depression anxiety stress scale-42 (DASS-42) in the form of a Likert scale. This type of unfavorable questionnaire contains 42 questions. The spiritual instrument deep breathing therapy is about 20 minutes a day for seven days. Statistical test using Wilcoxon signed rank test against both groups. There was a significant effect on the treatment group (p-value 0.001). In the control group there was no effect (p-value 0.263). Distress conditions in a person can be overcome with one therapy such as spiritual deep breathing therapy. Spiritual deep breathing therapy as a therapy for nursing modalities can optimize oxygen demand for cells that are distressed, blood flow to the muscles decreases otherwise blood flows to the brain and skin increases so as to provide a sense of warmth, comfort and calm.]]>
<![CDATA[Determinant Factors of Depression in Patients with Coronary Heart Disease ]]>
<![CDATA[Aan Nur'aeni]]>;
<![CDATA[Ristina Mirwanti]]>;
<![CDATA[Anastasia Anna]]>;
<![CDATA[Ikeu Nurhidayah]]>
<![CDATA[ Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran ]]>
Publisher : <![CDATA[Faculty of Nursing Universitas Padjadjaran ]]>
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DOI: 10.24198/jkp.v7i3.1194
<![CDATA[Depression has been related to poor quality of life and recurrence in CHD patients. It is important to explore factors associated with the depression to prevent problems and to assist with appropriate intervention. Furthermore, the determinants of depression in CHD patients in Indonesia are still unknown. This study aimed to identify the determinants of depression in CHD patients in Indonesia. This study was a quantitative study with a cross-sectional approach. Samples were recruited from outpatient care in a referral hospital in Bandung using a consecutive sampling technique for a-2 month period (n=101). Data were collected using a questionnaire package consisting of a demographic questionnaire, Beck Depression Index [BDI] (II), Zung Self-rating Anxiety Scale, Seattle Angina Questionnaire, and Spirituality Index of Well-Being. Data were analyzed using mean, frequency distribution, chi-square and logistic regression analysis. In terms of its association with depression in CHD patients, low spiritual well-being had the highest odds ratio [OR] (OR = 9.3, 95% CI = 2.968 - 29.451, p <0.01); non-anxious state and medication history had low ORs (sequentially OR = 0.2, 95% CI = 0.067 - 0.644, p < 0.01; OR=0.2 95% CI = 0.062 - 0.772, p < 0.01); PCI (percutaneous coronary intervention) with medication had the lowest OR value (OR = 0.02, 95% CI = 0.002 - 0.278, p <0.01). On the other hand, unmarried status and male gender were identified as confounding variables. Low spiritual well-being was a major predictor of depression in CHD patients, whereas no anxiety, and history of medication, consist of CHD medication and reperfusion therapy contributed to a lower risk of depression. It is recommended to include strategies in improving spiritual well being and managing anxiety to reduce the risk of depression among CHD patients.]]>
<![CDATA[Tera Gymnastic Effective for Patient with Hypertension ]]>
<![CDATA[Hesti Platini]]>;
<![CDATA[Sandra Pebrianti]]>;
<![CDATA[Indra Maulana]]>
<![CDATA[ Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran ]]>
Publisher : <![CDATA[Faculty of Nursing Universitas Padjadjaran ]]>
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DOI: 10.24198/jkp.v7i3.991
<![CDATA[Hypertension is a cardiovascular disease globally. Hypertension is remains silent killer, the clinical strategy to focusing on new and improved treatments is exercise. Tera gymnastics is a physical and mental exercise, combining the movement of body parts with breathing techniques and rhythms through the concentration of thought that is carried out regularly, harmoniously, correctly and continuously, Physical activity can reduce high blood pressure. Some study showed Regular physical activity is an effective intervention with respect to these factor, decreasing mortality rate for cardiovascular disease and all cause of disease in hypertensive patient. Gymnastic Tera exercise can help to control metabolic variable related to hypertension. The study was use quasy experimental design with one group pretest-posttest. The study was conducted in Puskesmas Pasundan Garut. Sampling in this study is subjects that is criteria patients has hipertension with 8 weeks treatment so will take methode of concecutive sampling with 15 respondents for intervention group and 15 for control group. The sample were age 30-55 years. The Intervention was gymnastic tera exercise. The Blood pressure function was evaluated before and after the training period. The data were analyzed by using t-test paired. The result showed a significant difference before and after tera gymnastic exercise in patient with hypertension I (p=000.0). Result of systolic blood presure when in mean SD pretest is 146.00 higher than post test is 136.00 in intervention group. The tera gymnastic exercise conditioning program achieved effect in this population. The reduction of blood pressure after exercise is of great clinical relevance. The increased riskof physical inactivity in controlling hypertension in our study suggest that general practitioners must be in the habit of prescribing practice of physical exercise. Physical activity has been shown to have beneficial effect on blood pressure. patients are followed up regularly to confirm that they are adhering to the management plan and the blood pressure targets.]]>
<![CDATA[Relationship External Factors with Internet Addiction in Adolescent Age 15-18 Years ]]>
<![CDATA[Masdum Ibrahim]]>;
<![CDATA[Suryani Suryani]]>;
<![CDATA[Aat Sriati]]>
<![CDATA[ Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran ]]>
Publisher : <![CDATA[Faculty of Nursing Universitas Padjadjaran ]]>
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DOI: 10.24198/jkp.v7i3.1105
<![CDATA[The internet is one form of evolution in the development of communication and technology that affects humans. One result of the internet is a significant change in the pattern of primary social interactions between individuals. The convenience provided by the internet indirectly causes individuals to have high levels of addiction to the internet and tend to show symptoms of addiction. In Indonesia, internet addiction is mainly found in groups of adolescents aged 15-22 years. This study aims to determine the relationship of external factors: academic stress, family attachments and peers with internet addiction in high school adolescents aged 15-18 years. The study design was carried out using a correlational research design with a cross sectional approach. Respondents who contributed in this study were 97 senior high school students. With sample selection, random sampling is done. The statistical test used was chi-square. The results of this study prove that academic stress has a significant relationship with internet addiction value X2 = 7.91 and P = 0.019 <0.05. Family attachments did not have a relationship with internet addiction, the value of X2 = 0.046 and P 1,000> 0.05 and peers did not have a relationship with internet addiction X2 = 0.241 and P = 0.657. Based on the results of this study, it can be said that the school through the school committee to share information or share about the problem of teenagers who experience academic stress, internet addiction, impact and how to overcome them also evaluate the learning process.]]>
<![CDATA[Relationship between Workload Performance and Job Satisfaction ]]>
<![CDATA[Asma Safdar]]>;
<![CDATA[Fransisca Sri Susilaningsih]]>;
<![CDATA[Titis Kurniawan]]>
<![CDATA[ Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran ]]>
Publisher : <![CDATA[Faculty of Nursing Universitas Padjadjaran ]]>
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DOI: 10.24198/jkp.v7i3.1178
<![CDATA[In Pakistan’s public health care delivery system, charge nurses hold a very challenging position to perform their workload. They have to work very hard to accomplish nursing and non-nursing care tasks which are imposed on them by the system. Overstretching of workload deprives them from concentration which is badly needed for their performance and this creates dissatisfaction which negatively impact on the quality of nursing care. As a result, this study intends to analyses the relationship between workload performance (WLP) and job satisfaction (JS). This correlation study involved 105 charge nurses in Nishtar Medical College and Hospital Multan Pakistan recruited by convenience sampling. Nurses’ WLP were collected by using self-developed instrument, and JS were collected by using modified Spector 1985. The collected data were analyze descriptively (mean, SD, frequencies, percentage) and inferentially (Pearson’s correlation). The results suggested that nurses’ WLP (average time consumption) in the morning (93.83%) and evening shift (95.63%) were higher compared with night shift (70.69%). Additionally, the proportion of time consumed in the morning and evening shift were higher on nursing care activities (Morning = 57.10%, Evening =52.1%) rather than non-nursing care activities. Oppositely, in the night shifts nurses consumed more than half of their time in non-nursing care activities (55. 66%). Charge nurses observed on moderate level of job satisfaction (mean = 38.6, SD = 5.42). There was no statistically significant correlation between nurses’ job satisfaction and workload performance (p =.137). The findings conclude nurses’ high workload and moderate level of job satisfaction and no statistically significant correlation between both. The results suggested that, it is important for hospital management to adopt some better strategies in order to improve WLP and JS.]]>
<![CDATA[The Different of Finger Handheld and Deep Breathing Relaxation Techniques Effect on Reducing Heart Rate and Stress Levels in Primary Hypertension Patients ]]>
<![CDATA[Arif Setyo Upoyo]]>;
<![CDATA[Agis Taufik]]>
<![CDATA[ Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran ]]>
Publisher : <![CDATA[Faculty of Nursing Universitas Padjadjaran ]]>
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DOI: 10.24198/jkp.v7i3.996
<![CDATA[Stress and hypertension have a reciprocal relationship where hypertension can increase stress, and stress will also increase blood pressure. Therefore we need an effort to control stress in patients with hypertension to prevent increasing blood pressure that can cause complications such as congestive heart failure, myocardial infarction, and stroke. The study aimed to determine the difference between finger handheld and deep breathing relaxation techniques to decrease heart rate and stress levels of primary hypertension patients. The research design used a quasi-experimental design. The research was conducted in Kembaran and East Purwokerto District, Banyumas, Indonesia. There were 50 respondents (25 finger handheld relaxation group and 25 respondents in deep breathing relaxation group). Heart rate and stress levels were measured before and after treatment using heart rate (HR) recordings on digital tensimeter and Subjective Units of Distress Scale (SUDS). Data analyzed using a paired t-test and independent t-test. The results showed there were significant differences in HR and stress levels before and after finger handheld relaxation (p = 0,000). There were significant differences in HR (p = 0.010) and significant levels of stress (p = 0.000) before and after deep breathing relaxation. There was a significant difference in HR (p = 0.02) but there was no significant difference in stress levels (p = 0.23) after treatment (post-test) between those who received finger handheld and deep breathing relaxation techniques. Conclusion: finger handheld and deep breathing relaxation techniques are equally effective in reducing stress levels in primary hypertension patients. Finger handheld relaxation technique is more effective in reducing HR than a deep breathing relaxation technique.]]>
<![CDATA[An Exploration the Risk of Cardiovascular Disease in HIV-Positive Persons in Indonesia using Heart Rate Variability ]]>
<![CDATA[Linlin Lindayani]]>;
<![CDATA[Irma Darmawati]]>;
<![CDATA[Heni Purnama]]>;
<![CDATA[Pujowati Pujowati]]>;
<![CDATA[Taryudi Taryudi]]>
<![CDATA[ Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran ]]>
Publisher : <![CDATA[Faculty of Nursing Universitas Padjadjaran ]]>
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DOI: 10.24198/jkp.v7i3.1199
<![CDATA[Cardiovascular disease is the highest cause of death in HIV patients compared to the general population. The number of HIV patients suffering from cardiovascular disease is almost twice as high as patients who are not HIV-positive.The purpose of this study was to identify the risk of cardivascular disease in patients with HIV using ECG short term. This study was used a descriptive comparative to patients with HIV and healthy people as controls in West Java. The inclusion criteria are patients with HIV over the age of 30 years. The exclusion criteria were people with HIV diagnosed with heart disease or being treated for the heart disease. While the inclusion criteria for healthy people as controls are over 30 years of age, do not suffer from cardivascular disease or under treatment of cardiovascular disease. The measurement of heart rate variability is carried out in a supine position in a quiet temperature-controlled room (25-270 C), a 5-minute electrocardiograph (ECG) is recorded using lead II. Differences of heart rate variability indicator were measure using man-whitney test. A total of 20 patients with HIV and 20 healthy people recruited using convinience sampling. The majority of people with HIV were male and aged range between 27 to 51 years old. The results of heart rate variability based on time domain analysis showed that the means normal to normal (NN) was significantly lower in HIV patients compared to controls (978 vs ?? vs 902 ms; p<0.05). No differences were found between groups regarding Standard deviation of NN (SDNN), Square root of the mean squared difference of successive NN-intervals (RMSSD) and Percent of differences between adjacent NN intervals greater than 50 ms (pNN50). This study presence of autonomic dysfunction as showed in heart rate variability indicator in a group of HIV compared to the healthy group. Eearly identification of the risk of CVD is important and may inform the implementation of preventive measure by identification of high-risk people who may be candidate for intervention.]]>
<![CDATA[Characteristics of Patients, Self-Efficacy and Quality of Life among Patients with Type 2 Diabetes Mellitus ]]>
<![CDATA[Karina Megasari Winahyu]]>;
<![CDATA[Revi Anggita]]>;
<![CDATA[Giri Widakdo]]>
<![CDATA[ Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran ]]>
Publisher : <![CDATA[Faculty of Nursing Universitas Padjadjaran ]]>
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DOI: 10.24198/jkp.v7i3.1175
<![CDATA[Diabetes mellitus as a chronic disease requires a long-term care, which influence the quality of life (QOL). A mechanism perceived by the patients who engage in long-term treatment, such as self-efficacy (SE) is prerequisite for the success of disease management. The study aimed to identify the relationship between characteristics of patients, SE and domains of QOL among patients with type 2 diabetes mellitus (T2DM) living in community. The study used a correlational analytical with a cross-sectional approach and recruited 105 patients with type 2 diabetes in Sukasari Public Health Center, Tangerang. Self-administered questionnaires were used to measure sociodemographic of T2DM patients, while the Diabetes Management Self-Efficacy Scale (DMSES) UK and Asian Diabetes Quality of Life (Asian DQOL) were used to measure SF and QOL, respectively. Data were analyzed using Spearman Rank-Order Correlation. The study revealed that characteristics of patients, including age and period of illness were negatively associated with memory and cognition domains of QOL, while years of education positively associated interpersonal relationship domains of QOL. For SE, it was positively significant associated with diet habit, energy, and financial aspects domains of QOL. The SE was positively associated with the QOL (r=0.31; p-value ≤ 0.01). The SE is relationship with QOL of T2DM. Therefore, health care provider should need to maintain the domains of QOL through improving SE, while considering the characteristics of T2DM patients, including age, period of illness, and years of education.]]>
<![CDATA[Determinant Factors of Fertility in Reproductive Age Women ]]>
<![CDATA[Rindang Ekawati]]>;
<![CDATA[Laili Rahayuwati]]>;
<![CDATA[Ikeu Nurhidayah]]>;
<![CDATA[Habsyah Saparidah Agustina]]>;
<![CDATA[Endah Rahayu]]>
<![CDATA[ Jurnal Keperawatan Padjadjaran Vol. 7 No. 3 (2019): Jurnal Keperawatan Padjadjaran ]]>
Publisher : <![CDATA[Faculty of Nursing Universitas Padjadjaran ]]>
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DOI: 10.24198/jkp.v7i3.1274
<![CDATA[The target of the 2015 Medium-Term National Development Plan is the fertility rate of 2.1 children. However, based on The Indonesian National Demographic and Health Survey 2017, the fertility rate of West Java Province is similar to the national, which is 2.4 children. West Java is a barometer of the national fertility rate since one-fifth of Indonesia's population is in West Java. This study aims to analyze the factors that influence fertility (number of children ever born). The design of this study was cross-sectional. Data derived from the 2018 Survey of Accountability Programs Performance covered 12,350 women aged 15-49 years. The sample was 9,814 woman who had been married. Data analysis used univariate, bivariate and multivariate analyses with a confidence level of 0.05. Bivariate results found that five variables that affected fertility were the age of first marriage, frequency of marriage, use of contraceptive, ideal family size, and wealth index, while the area of residence was not related to fertility. Indeed there are three most dominant factors that have been related to fertility were the age of first marriage, frequency of marriage, and the use of contraceptives. The conclusion was that women who marry at an older age and use contraception have lower fertility rates. This study can be considered in population control policies, especially to improve health promotion programs regarding the ideal marriage age for women and the use of contraception as an effort to control the population rate. This study can be considered in population policies.]]>
