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Jurnal Keperawatan Padjadjaran

jkp
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Published by Universitas Padjadjaran

ISSN : 23385324 EISSN : 24427276 DOI : -

Core Subject : Health, Science,

Health Professions Neuroscience Nursing Public Health

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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Articles 400 Documents

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Effect of Family Support Intervention towards Quality of Life with Elderly’s Hypertension in Community Raden Siti Maryam; Yeti Resnayati; Ni Made Riasmini; Citra Windani Mambang Sari
Jurnal Keperawatan Padjadjaran Vol. 6 No. 3 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

The quality of life of the elderly is influenced by physical, psychological, social and environmental factors. These four factors desperately need family support as a support system for the elderly. This study aims to determine the effect of family support intervention on the quality of life of elderly hypertension in Community Area Cipayung Puskesmas East Jakarta. The research method used quasi-experiment with control group design. The sampling strategy used multistage random sampling with 30 samples for the intervention group and 30 for the control group. This study were implemented during four weeks. Statistical test using dependent t-test and independent t-test. There was a significant difference in the mean elderly quality of life with hypertension after the intervention of family support program in the intervention group compared with the control group (M= 93.67 ± 6.08, p-value 0.012). In conclusion, this study showed that there were differences in mean older people quality of life with hypertension in the intervention group compared with the control group after the intervention of family support program. The resulting family support interventions can serve as the foundation for policy and health service providers in order to implement various interventions related to family empowerment to improve the quality of life older people with hypertension in the community.

Nurses’ Life Experiences as Persons in Charge of Mental Health Programs in Community Health Center Habsyah Saparidah Agustina; Suryani Suryani; Efri Widianti
Jurnal Keperawatan Padjadjaran Vol. 7 No. 2 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

At present, Mental health issue becomes one of the main issues in public health issues in community health centers such as the complexity of the issues in the work of nurses in charge of mental health programs. The purpose of this study was to explore the nurse’s life experience as a person in charge of mental health programs in community health centers. The research design used descriptive phenomenology. The study population was nurses responsible for mental health programs in community health centers, experienced in taking care of people with mental disorders for at least six months, and at least had a Diploma in nursing. The number of participants was determined by purposive sampling technique to obtain seven participants. The experiences of nurses were explored through in-depth interviews, and data were analyzed using the Colaizzi method of analysis. Study results found five themes: (1) feeling burdened by the responsibility for mental health programs; (2) feeling insecure due to the lack of knowledge; (3) feeling there were many barriers and constraints in caring for people with mental illness during the recovery period; (4) hoping to collaborate with relevant government institutions; and (5) being more grateful for caring for people with mental illness. In conclusion, nurses are responsible for mental health programs even though they feel burdened with their workload, but they can still do their jobs because they always have hope and are grateful. The nurses are trained nurses and can collaborate with relevant government institutions.

Relationship of Family Support Towards Self-Management and Quality of Life of Patients with Type 2 Diabetes Mellitus Ahmad Yamin; Citra Windani Mambang Sari
Jurnal Keperawatan Padjadjaran Vol. 6 No. 2 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

DM disease will be suffered for life, so the patient is expected to establish self-management behavior in managing the disease. Self-management behavior in patient tends to decline with increasing complications perceived by patients. The presence of social support one of important factors to improve adherence of self-management Diabetes patients. The purpose of this study was to assess the relationship of social support towards self-management and the quality of life in DM patients in Bandung. This research used correlational approach with purposive technique sampling. Numbers of respondent were taken from the region of 10 Puskesmas with highest DM in Bandung on 92 patients who came to Puskesmas. The questionnaires used were Hensarling Diabetes Family Support Scale (HDFSS), Summary of Diabetes Self-management Activities Measure (SDSCA) and SF-36. The analysis used analysis using frequency distribution, and Spearman-rho. Most respondents (51.1%) had social support below the group median. Most respondents (50%) had a quality of life below the group median. Most respondents (52.2%) had DM self-management behavior below the group median. Bivariate results showed no relationship between social support support and self-management and quality of life of respondents (p value = 0.801). There is no significant relationship between social support and self-management and quality of life. Therefore, the studies are expected to be recommendations of this study was integrate nursing care to improve self-management and quality of life of DM patients.

The Effect of Logotherapy to Diabetes Mellitus Client’s Meaning of Life Ah Yusuf; Rr. Dian Tristiana; Leni Anitasari; Ira Suarilah
Jurnal Keperawatan Padjadjaran Vol. 7 No. 2 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Diabetes mellitus is a chronic disease that caused meaning of life disturbance. Logotherapy is an intervention that could affect people life perspective. The purpose of this study was to analyze the effect of logotherapy implementation to the meaning of life in diabetes mellitus client. This study used quasy-experimental pretest-post-test with control group. The dependent variable was meaning of life, and the independent variable was the implementation of logotherapy. Sample in this study was 30 respondents, were taken by using consecutive sampling. The meaning of life were taken by using Purpose in Life Test (PIL Test) then analyzed by using Wilcoxon Sign Rank Test and Mann Witney U statistic test, a= £0.05. The result showed logotherapy had significant effect on meaning of life in the treatment group (p=0,001). Statistical test Mann Whitney U Test showed that there was a difference meaning of life in control group and the treatment group after implementation of logotherapy. It could be concluded that the implementation of logotherapy has an effect to increasing the meaning of life in diabetes mellitus client. Further study was recommended to developing deeper study that related to logotherapy in diabetes mellitus client.

Comparison of Central Venous Pressure (Cvp) Score among Patients on Mechanical Ventilator with Head of Bed (Hob) Elevation 30O; Neutral, Right, and Left Side Positions Setiyawan Setiyawan; Kusman Ibrahim; Titin Mulyati
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Early mobilization is important for critical patients to improve cough reflexes, eliminate bronchial secretions, facilitate work of mucociliary drainage muscles, and to prevent associated pneumonia ventilators and pressure sores. However, at the same time the patient often experiences vital signs change due to fluctuating conditions. Central Venous Pressure (CVP) measurement is oftenly needed to monitor central circulatory system. Unfortunately, in the clinical setting, the patient’s position must be changed first in a 30o neutral head of bed (HoB) position rather than left or right side HoB position. This study aims to examine the differences in of CVP score among patients on mechanical ventilation at HoB position elevation 30o in a neutral, right side, and left side position. This quantitative comparative study involved 24 subjects who were recruited consecutively. Data were analyzed using ANOVA. The results showed that the mean CVP value at neutral HoB position elevation was 13.5 ± 3.96, right sight HoB elevation was 12.8 ± 4.16, and left side HoB elevation was 14.4 ± 4.17. There was a significant difference (p <0.05) among those three positions. Post hoc analysis test found the HoB position 30o neutral vs left side possition was higher and signifficantly difference with HoB elevation 30o neutral vs right side positions (p<0.05). This study suggested nurses need to consider the change of CVP values while changing patiens’ position of HoB elevation 30o neutral, right side, and left side positions. Athough there was statistically difference among three positions, in fact, the value difference was less than 1 cmH2O which clinically did not see any differences.

Relationship between Academic Stress, Family and Peer Attachment with Internet Addiction in Adolescents Putri Ariani; Suryani Suryani; Taty Hernawaty
Jurnal Keperawatan Padjadjaran Vol. 6 No. 3 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Biological, psychological and social changes make adolescents at risk of various health problems in the community. The ease of internet access nowadays makes adolescent more vulnerable to internet addiction. In Indonesia, many studies examine the relationship between internal factors such as low self-esteem, loneliness and the type of personality with internet addiction. Further research is still needed that focuses on external factors such as academic stress, family and peer attachment. This study aimed to examine the relationship of academic stress, family and peer attachment with internet addiction in high school adolescents in Andir District, Bandung City. The study used a quantitative correlational design with a cross-sectional approach. The population was high school adolescents. A total sample of 367 adolescents was determined using the slovin formula with alpha Cronbach 0.05. Respondents were recruited using random cluster sampling. Data were analyzed using Rank Spearman and Logistic Regression. Statistical tests of academic stress variables showed, family and peer attachments were significantly related with internet addiction in adolescents (p = 0.000); family attachment variable was significantly related to internet addiction in adolescents (p = 0.000), and peer attachment was significantly related with internet addiction in adolescents (p = 0.000). Logistic regression tests showed the family attachment variable had a significant influence on internet addiction in high school adolescents. In conclusion, there are correlations between academic stress, family and peer attachment to internet addiction. The family attachment has the most significant influence with internet addiction in high school adolescents. It is essential for community mental health nurses to conduct health education to families related to the result of this study

Improving Student Nurses’ Clinical-Reasoning Skills: Implementation of a Contextualised, Guided Learning Experience Indriani Yauri; Robyn Nash; Joanne Ramsbotham
Jurnal Keperawatan Padjadjaran Vol. 7 No. 2 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Well-developed clinical reasoning skills are central to the process of clinical judgement. However, the results of recent studies suggest that curricula and teaching approaches that support student nurses’ development of clinical reasoning skills have not yet been fully achieved. Cognitive apprenticeship offers a new approach to facilitate the development of complex thinking skills, for example, reasoning skills in making clinical decisions. This study examined the effect of an educational intervention utilizing principles of cognitive apprenticeship on students’ ability to apply clinical reasoning skills within the context of a purpose-built clinical vignette.A quasi-experimental, non-equivalent control-group design was used to evaluate the effect of the educational intervention on students’ accuracy, inaccuracy and self-confidence in clinical reasoning. Eighty-five undergraduate nursing students participated in the study. A purpose-built clinical vignette was utilised to collect data from study participants. Mixed-Design ANOVA with a significant level of p< 0.05 was employed. Both quantitative and qualitative data were collected. A statistically significant increase in students’ accuracy in clinical reasoning was found after the six-weeks educational intervention. Examination of the quantitative data at time 2 discovered a statistically significant higher accuracy in clinical reasoning score (p<0.00) of the intervention group as compared to the control group. Results from inaccuracy and self-confidence in clinical reasoning did not reach significance. Results from the qualitative data are reported separately. It is argued that interplay of small group discussion of domain specific case-scenarios and the provision of guided learning experience may play a role in achieving partially successful results. This study makes an important contribution to nursing education by providing evidence to understand how best to facilitate nursing students’ development of clinical reasoning.

Factors Associated with Death Anxiety in Elderly Batak Tribe who Live in Bandung Mamat Lukman; Ferdinan Sihombing; Lia Meilianingsih
Jurnal Keperawatan Padjadjaran Vol. 6 No. 2 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Death is something definite. Awareness about the certainty of the coming death raises different responses depending on each person, including the elderly. Differences in social background, beliefs, and life experiences have shaped their respective levels of spirituality elderly, but the elderly still be experiencing anxiety to face the death. Not infrequently the death anxiety felt excessively, causing symptoms that can be observed.This study aimed to analyze the factors associated with death anxiety in elderly Batak tribe who live in Bandung, which includes the quality of life, life satisfaction, and culture. The study employed a descriptive correlational design, particularly cross-sectional design. There were 98 elderly who served as participants. The samples were chosen by using accidental sampling methods and criteria for inclusion. The data were analyzed by using Chi-square and binary logistic regression.The results showed that there was correlation between life satisfaction, and culture with death anxiety in elderly Batak tribe who live in Bandung (the two of factors has p value < 0.001 each) and with the binary logistic regression analysis of the factors known that the satisfaction of life is the most dominant factor that associated with death anxiety with OR value of 0.122. Community nurses need to pay attention to the improvement of satisfaction of life of the elderly.The conclusion this research is High satisfaction of life of elderly people have an impact on reducing the risk of death anxiety in elderly people, without forgetting other factors.

pengaruh akupresur titik Nei Guan terhadap mual muntah akibat kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah Triliana Purwadesi Yuliar; Susi Susanah; Ikeu Nurhidayah
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Salah satu pengobatan penyakit kanker pada anak adalah kemoterapi yang memiliki efek samping mual muntah. Mual muntah pada penyandang kanker anak usia sekolah dapat mengakibatkan gangguan nutrisi, emosional, bermain dan fungsi sekolah. Hal ini dapat menurunkan kualitas hidup anak. Salah satu terapi adjuvan yang dapat menurunkan mual muntah setelah pemberian kemoterapi adalah akupresur yang bersifat non invasif dan tidak membahayakan. Akupresur titik Nei guan menggunakan metode penekanan pada pergelangan tangan. Penelitian ini dilakukan untuk mengetahui pengaruh pemberian akupresur Nei Guan terhadap mual muntah kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah. Desain penelitian adalah kuasi eksperimen melalui pendekatan pre-post test design study with control dengan single blind. Responden terbagi atas kelompok kontrol dan kelompok intervensi yang masing-masing berjumlah 15 orang. Kedua kelompok mendapatkan antiemetik yang sama. Pengukuran mual dilakukan 3 kali pada pagi dan malam hari menggunakan instrumen Pediatric Nausea Assessment Tools (PeNAT), sedangkan interval muntah didokumentasikan setiap muntah dan retching. Data dianalisis dengan uji Mann Whitney dan uji t independent. Hasil analisis pada kelompok kontrol menunjukkan rerata nilai mual cenderung mengalami kenaikan dan interval muntah yang lebih cepat dibandingkan dengan kelompok intervensi. Hasil kesimpulannya adalah secara klinis terdapat pengaruh akupresur titik Nei Guan terhadap mual muntah akibat kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah meskipun secara statistik belum bermakna (nilai p>0,05). Perawat diharapkan dapat melakukan monitoring mual muntah berkelanjutan dan akupresur dapat dipertimbangkan sebagai terapi adjuvan selain pemberian terapi farmakologi untuk menurunkan mual muntah.

Implementation of Roles and Functions of Case Managers Fransisca Sri Susilaningsih; Brilyan Anindya Dayfi; Kurniawan Yudianto
Jurnal Keperawatan Padjadjaran Vol. 6 No. 3 (2018): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Case management is an intervention strategy used by health care providers and systems to support clients, coordinate health services, and facilitate results in both price and quality. In this model of care, the case manager plays an important role in ensuring that the case management service flow is well implemented. This study aims to see how the role of case managers in carrying out their functions such as utility assessment, planning, facilitation and advocacy, service coordination, evaluation, and post-discharge follow-up. The research method used is the mixed method sequential exploratory design. This method explores the work experience of a case manager in the field, then composes a measuring instrument, and then seeks to quantify the role and function of the case manager. The population in this study was the case managers in the Kemuning and Fresia Building at Dr. Hasan Sadikin General Hospital Bandung amounting to 36 people. The research sample was divided into two, in the qualitative stage the number of participants as many as 5 people was determined by purposive sampling technique, and the quantitative stage used a total sampling of 36 people. The results showed that the qualitative analysis of the assessment function identified indicators of ability to collect data, analysis, and stratification of patients; in the planning function the ability to determine goals, take joint decisions and identify problems were identified; in the facilitation function and advocacy, the ability to be identified as an educator, protector of patient rights and solution provider were identified; in the service coordination function, the ability for team communication and communication between lines were identified; in the evaluation function the ability to evaluate patients and self-evaluation were identified; and in the post-discharge follow-up function the ability related to continuity of service was identified. In the implementation, the case manager carries out those functions, 4 functions are still carried out improperly by most respondents such as the joint decision making, team communication, patient evaluation, and self-evaluation.

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Contact Name
Novita Kamaruddin

Contact Email
novita.trivita@gmail.com

Phone
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Journal Mail Official
jkp.fkep@unpad.ac.id

Editorial Address
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Location
Kota bandung,

Jawa barat

INDONESIA