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Belitung Nursing Journal

bnj
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Published by Belitung Raya Publisher

ISSN : 2528181x EISSN : 24774073 DOI : -

Core Subject : Health,

Nursing

BNJ contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. BNJ welcomes submissions of evidence-based clinical application papers, original research, systematic review, case studies, perspectives, commentaries, letter to editor and guest editorial on a variety of clinical and professional topics.

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Articles 23 Documents

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Search results for , issue "Vol. 3 No. 6 (2017): November - December" : 23 Documents clear

EFFECTIVENESS OF PROGRESSIVE MOBILIZATION LEVEL I AND II ON HEMODYNAMIC STATUS AND DECUBITUS ULCER RISK IN CRITICALLY ILL PATIENTS Ni Wayan Rahayu Ningtyas; RR Sri Endang Pujiastuti; Nina Indriyawati
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Background: Patient immobility remains to be one of the primary causes of pressure ulcers. Therefore, mobilization is necessity for patients being treated in the intensive care unit. However, the occurrence of pressure ulcers is dependent on not only the mobilization but also the bed itself and the type of mattress. This study used the same mattress and bed and compared the effectiveness of progressive mobilization with regular mobilization. Objective: This study aims to examine the effectiveness of progressive mobilization level I and II on hemodynamic status and decubitus ulcer risk in critically ill patients. Methods: This was a quasi-experimental study using repeated measure design. There were 40 respondents selected using purposive sampling, which 20 respondents assigned in each group. A Braden scale was used to measure the risk of decubitus ulcer. Paired t-test and repeated measures ANOVA were performed for data analysis. Results: Paired t-test showed that there was a significant difference of systolic pressure, diastolic pressure, MAP, heart rate, and Braden score after given intervention with p-value <0.05. However, repeated ANOVA test showed that diastolic pressure had p-value >0.05, thus could not be continued to post-hoc test. The progressive mobilization of level I and II in critical patients can stabilize systolic pressure (52.46%), stabilize MAP (58.43%), stabilize heart rate (68.99%), and reduce the risk of decubitus (55.03%) for 7 days of recurrent intervention. Conclusion: The progressive mobilization of level I and II can reduce the risk of decubitus and stabilize the patient's hemodynamic status in critical patients.

EFFECTIVENESS OF MUSIC THERAPY ON ANXIETY AND B-ENDORPHIN LEVELS IN PRIMIGRAVIDA DURING THE THIRD STAGE OF PREGNANCY Surya Dayyana; Suryono Suryono; Melyana Nurul Widyawati; Syarief Thaufik Hidayat
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Objective: To examine the effectiveness of music therapy on anxiety and β-endorphin levels in primigravida during the third stage of pregnancy. Methods: This was a quasi-experimental study with pretest-posttest control group design. The research was conducted in December 2016 - January 2017. There were 39 respondents selected using purposive sampling technique, which 13 assigned in the experiment group 1 (music therapy with a sound pressure of 40 dB), experiment group 2 (music therapy with a sound pressure of 62 dB) and control group (health counseling). Anxiety levels were measured using the HARS (Hamilton Anxiety Rating Scale), and β-endorphin hormone levels were measured using ELISA (Enzyme-Linked Immunosorbent Assay) method. Data were analyzed using Paired t-test, One-Way ANOVA test with post-hoc Bonferroni, and Kruskal Wallis test with post-hoc Mann Whitney. Results: Findings revealed that there was a decrease of the mean of anxiety levels in the experiment group 1 from 31.92 (pretest) to 24.69 (posttest), and the experiment group 2 from 34.54 (pretest) to 25 (posttest) with p-value <0.05. There was an increase of the mean of β-Endorphin levels in the experiment group 1 from 53.63 (pretest) to 63.24 (posttest), and the experiment group 2 from 48.55 (pretest) to 64.9 (posttest) with p-value <0.05. However, there was no effect of counseling in the control group on anxiety levels (p=0.413) and β-Endorphin levels (p= 0.394). Conclusion: Music therapy is effective in reducing anxiety levels and increasing β-endorphin levels. Thus, music therapy can be used as an alternative treatment for pregnant mothers at home who experienced anxiety.

COMBINATION OF COLD PACK, WATER SPRAY, AND FAN COOLING ON BODY TEMPERATURE REDUCTION AND LEVEL OF SUCCESS TO REACH NORMAL TEMPERATURE IN CRITICALLY ILL PATIENTS WITH HYPERTHERMIA Nur Eka Dzulfaijah; Mardiyono Mardiyono; Sarkum Sarkum; Djenta Saha
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Objective: To examine the effect of the combination of cold pack, water spray, and fan cooling on body temperature reduction and level of success to reach normal temperature in critically ill patients with hyperthermia. Methods: This was a randomized control trial (RCT) with pretest posttest control group design and repeated measurement, conducted on December 2016 – January 2017. There were 32 respondents selected using total sampling, with 16 respondents randomly assigned in the experiment and control group. A digital thermometer was used to measure hyperthermia. Paired t-test, Repeated ANOVA with post hoc, and Mann Whitney were used for data analysis. Results: Findings showed that the mean of body temperature in the experiment group in pretest was 38.762 oC and decreased to 37.3 oC after given intervention for 60 minutes. The mean difference of body temperature was 1.4625, with p-value 0.000 (<0.05). In control group, the mean of body temperature in pretest was 38.669 oC and decreased to 38.188 oC given intervention for 60 minutes. The mean difference of body temperature was 0.4812, with p-value 0.000 (<0.05). Conclusion: There was a significant effect of the combination of cold pack, water spray, and fan cooling on body temperature reduction and level of success to reach normal temperature in critically ill patients with hyperthermia. This combination is more effective than water compress alone.

EFFECT OF COMBINATION OF BREAST CARE AND OXYTOCIN MASSAGE ON BREAST MILK SECRETION IN POSTPARTUM MOTHERS Kadek Yuli Hesti; Noor Pramono; Sri Wahyuni; Melyana Nurul Widyawati; Bedjo Santoso
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Background: Optimal nutrition from an early age can be achieved through exclusive breastfeeding. Lack of milk production is one reason why mothers decide to give formula milk to their babies. In fact, 60% of mothers were unable to breastfeed optimally, thus, breast care and oxytocin massage are proposed to increase milk secretion in postpartum mothers. Objective: To examine the effect of combination of breast care and oxytocin massage on breast milk secretion in postpartum mothers. Methods: This was a quasi-experimental study with non-randomized control trial with pretest-posttest control group, conducted in the working area of the Community Health Center of Batealit of Jepara Indonesia from December 5, 2016 to January 15, 2017. There were 44 postpartum mothers recruited in this study using purposive sampling, which 22 assigned in the experiment and control group. Data were analyzed using dependent t-test and Mann Whitney test. Results: There was a significant increase of breast milk secretion in the experiment and control group with p-value 0.000 (<0.05). In the experiment group, there was an increase of breast milk secretion from 17.09 to 220.91 cc, and in the control group there was also an increase from 17.09 to 72.00 cc. The mean difference of breast milk secretion between pretest and posttest in the experiment group was 203.82 and in the control group was 54.90 with p-value 0.000 (<0.05) Conclusion: There was a significant increase of breast milk secretion in postpartum mothers after given the combination of oxytocin massage and breast care in the experiment group compared with the education and counseling about breast care in the control group. Thus, this result can be used as an evidence to perform oxytocin massage and breast care to increase the secretion of breast milk in postpartum mothers.

THE ASSOCIATION OF ISLAMIC BASED CARING MODEL AND COMMITMENT TO ORGANIZATION IN STAFF NURSES Yuda Ayu Timorita; Tri Hartiti; Bambang Edi Warsito; Suhartini Ismail
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Background: Strong organizational commitment is needed by hospitals to attract and retain nursing staffs in order to consistently deliver good quality of nursing services. The decrease in organizational commitment among nurses can cause many losses to the organization, including increased organizational spending, breakdown in patient care, and cause performance trends that appear not for the benefit of the organization or unit, but more for personal self-interest. Objective: To analyze the relationship of the application of Islamic Based Caring (IBC) model with organizational commitment among nurses. Methods: This was a correlation analytic research with cross sectional design. There were 108 nurses selected using a proportionate stratified random sampling. Islamic Based Caring was measured using a questionnaire developed based on the theory of Suhartini Ismail (2016), and organizational commitment was measured using a questionnaire developed based on the concept of Caldwell, O’Reilly & Chatmann (1990) and Mowday, Porter dan Steers (1982) in Asmaningrum (2009). Logistic regression and forward stepwise (conditional) method were used for data analysis. Results: There was a statistically significant correlation of a healing presence (p=0.000), caring relationship (p=0.010), caring environment (p=0.045) and belief in God (p=0.000). Belief in God (Allah SWT) has the highest correlation (OR=6.660) with organizational commitment among nurses. Conclusion: There is a positive and significant relationship between the implementation of Islamic Based Caring with the organization's commitment among nurses.

ITEM ANALYSIS AND INTERNAL CONSISTENCY OF CHILDREN’S SLEEP HABIT QUESTIONNAIRE (CSHQ) IN INDONESIAN VERSION Sri Hartini; Sunartini Sunartini; Elsisabeth Siti Herini; Satoshi Takada
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Background: The Children’s Sleep Habit Questionnaire (CSHQ) has been utilized for assessing sleep behavior problems in children aged 4-10 years in many countries. However, a proper tool to detect of sleep behavior problems in Indonesian children has not been proven. Aims: The aim of our study was to test the item analysis and internal consistency of the Children’s Sleep Habit Questionnaire (CSHQ) in Indonesian version. Methods: We used a cross-sectional design and 305 mothers of pre- and primary school children in Yogyakarta Indonesia participated in this study. The Indonesian version of the Children’s Sleep Habit Questionnaire was used for assessing the sleep behavior problems in children. Internal consistency was evaluated by using the Cronbach α method. The internal consistency was tested with Cronbach alpha coefficients. Pearson’s Product Moment was completed to estimate the correlation between all items of CSHQ with Subscales and total scores of CSHQ. Results: Internal consistency of all items of the Children’s Sleep Habit Questionnaire was 0.80. Internal consistency of subscales ranged from 0.42 (parasomnias) to 0.66 (night wakening). 31 of 33 items had significant positive correlation with total score of Children’s Sleep Habit Questionnaire. Inter-subscales with the highest correlation were sleep onset delay with parasomnias, parasomnias with sleeps disordered breathing, and sleep disorder breathing with night waking. Conclusions: The Indonesian version of the Children’s Sleep Habit Questionnaire is suitable for screening sleep behavior problems in Indonesian children aged 4-10 years.

EFFECT OF YOGA AND ACUPRESSURE ON PAIN AND FUNCTIONAL CAPABILITY OF LOWER BACK IN PREGNANT MOTHERS DURING THE THIRD TRIMESTER OF PREGNANCY Dewi Candra Resmi; Suharyo Hadisaputro; Runjati Runjati
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Objective: To examine the effect of yoga and acupressure in lower back pain and functional capability in pregnant women during the third semester of pregnancy. Methods: A quasi-experimental design with pretest posttest with non-equivalent control group. The research was conducted at the Community Health Center of Kalikajar I, Selomerto I and Garung I in Wonosobo regency Indonesia in January 2017. The samples of this research were 42 pregnant women in trimester III selected using purposive sampling, which 14 samples assigned in the yoga group, acupressure group, and control group. A Visual Analog Scale (VAS) was used to measure pain level, and Oswestry Disability Index to measure functional capability of lower back. Data were analyzed using paired t-test and one-way ANOVA. Results: Findings showed that there was a statistically significant effect of yoga, acupressure, and pregnancy exercise (control group) in reducing lower back pain and lower back functional capability with p <0.05. Pregnancy exercise (mean=-1.43) was more effective in reducing lower back pain compared with yoga (mean=-2.29) and acupressure (mean=-2.71); and acupressure (mean=-14.29) was more effective in improving lower back functional capability than yoga (mean=-6.57) and pregnancy exercise (mean= -13.29). Conclusion: There were significant effects of yoga, acupressure, and pregnancy exercise in reducing pain and in improving the functional ability of the lower back. It is recommended for midwife to use these interventions as an alternative to deal with back pain and functional capability in pregnant women, especially in the Community Health Center in Wonosobo regency, Indonesia.

HYPNODIALYSIS FOR ANXIETY RELIEF AND ADHERENCE TO MEDICATION, KIDNEY DIET AND FLUID INTAKE IN PATIENTS WITH CHRONIC KIDNEY DISEASE Siti Hajar Wati; Mardiyono Mardiyono; Warijan Warijan
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Objective: To examine the effectiveness of hypnodialysis on anxiety levels and adherence to medication, kidney diet and fluid intake in patients with chronic kidney disease. Methods: This was a randomized controlled trial study conducted from November to December 2016. Thirty respondents recruited using simple random sampling, which 17 respondents assigned randomly in the experiment and control group. The Hamilton Anxiety Rating Scale (HARS), Morisky scale, adherence to kidney diet questionnaire, adherence to fluid intake questionnaire were used as instruments for this study. Paired t-test and repeated ANOVA were used for data analysis. Results: Findings showed that there was a statistically significant effect of hypnodialysis in reducing anxiety levels and improving adherence to medication, kidney diet, and fluid intake in patients with chronic kidney disease with p-value 0.000 (<0.05), which its effect started from day 7 (posttest 1). Conclusion: Hypnodialysis may decrease anxiety levels and improve medication adherence, kidney diet and fluid intake. Therefore, hypnodialyis can be alternative treatment for patients with chronic kidney disease.

DARK CHOCOLATE’S EFFECT ON MENSTRUAL PAIN IN LATE ADOLESCENTS Sandy Isna Maharani; Noor Pramono; Sri Wahyuni
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Background: Menstrual pain can be severe enough to interfere with everyday activities for a few days every month, particularly in activities in homes and schools for late adolescents. Dark chocolate is considered effective in reducing menstrual pain. However, little is known about its effect. Objective: This study aimed to examine the effect of dark chocolate on menstrual pain in late adolescents. Methods: This was a true experiment study with randomized pretest-posttest with control group design. This study was conducted from September to November 2016 at the Bhakti Husada Boarding School of Poltekkes Kemenkes Semarang. There were 50 samples recruited by simple random sampling, with 25 randomly assigned to the experiment and control group. Numeric Rate Scale (NRS) was used to measure pain. Independent t-test and Mann-Whitney were used to examine the effect of intervention. Results: There were significant differences in menstrual pain (p <0.001) before and after treatment. The mean of menstrual pain in the treatment group (2.76 ) was lower than the menstrual pain in the control group (5.36) with p <0.001. Conclusion: Dark chocolate could reduce menstrual pain significantly in the late adolescents.

EFFECTIVENESS OF LAVENDER AROMATHERAPY AND CLASSICAL MUSIC THERAPY IN LOWERING BLOOD PRESSURE IN PREGNANT WOMEN WITH HYPERTENSION Sri Maisi; Suryono Suryono; Melyana Nurul Widyawati; Ari Suwondo; Suryati Kusworowulan
Belitung Nursing Journal Vol. 3 No. 6 (2017): November - December
Publisher : Belitung Raya Foundation, Indonesia

Background: Hypertension during pregnancy remains high in Indonesia. It is a major cause of maternal death. Aromatherapy lavender and classical music therapy are considered effective in lowering blood pressure in hypertension. Objective: To examine the effect of lavender aromatherapy and classical music therapy in lowering blood pressure in pregnant women with hypertension. Methods: A quasi-experimental study with pretest-posttest control group design. There were 52 pregnant women selected using simple random sampling, divided into lavender aromatherapy group, classical music group, combination of aromatherapy and music group, and control group. Sphygmomanometer was used to measure blood pressure. Mann Whitney and Post Hoc test were used for data analysis. Results: Results showed that four groups had a significant decrease in systolic blood pressure after given intervention with p-value <0.05. The mean decrease of systolic blood pressure among four groups was: lavender group (5.77 mmHg), music group (7.23 mmHg), combination group (9.54 mmHg), and control group (3.67 mmHg); and the mean decrease of diastolic blood pressure was: the lavender group (2.77 mmHg), music group (0.61 mmHg), combination group (8.23 mmHg), and control group (3.42 mmHg). Conclusion: There was a significant effect of lavender aromatherapy and classical music therapy in lowering blood pressure in pregnant women with hypertension. However, the combination of both interventions was more effective than lavender aromatherapy or music therapy alone.

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Home Page

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Contact Name Joko Gunawan

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Contact Name
Joko Gunawan

Contact Email
jokogunawan2015@gmail.com

Phone
-

Journal Mail Official
editorbnj@gmail.com

Editorial Address
-

Location
Kab. belitung timur,

Kepulauan bangka belitung

INDONESIA