Belitung Nursing Journal
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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<![CDATA[EFFECT OF SPIRITUAL BASED MINDFULNESS INTERVENTION ON EMOTIONAL CONTROL IN ADULT PATIENTS WITH PULMONARY TUBERCULOSIS ]]>
<![CDATA[Donatus Korbianus Sadipun]]>;
<![CDATA[Meidiana Dwidiyanti]]>;
<![CDATA[Megah Andriany]]>
<![CDATA[ Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.357
<![CDATA[Background: Emotions have an impact on the healing process as it affects the body's defense system. The work that can be done to control the emotions of pulmonary TB patients is mindfulness with a spiritual approach. Objective: To examine the effect of spiritual based mindfulness intervention on the emotional control in adult patients with pulmonary TB. Methods: This was a pre-experimental study with one group pre-posttest design with a total of 45 adult patients with pulmonary TB recruited purposively in the public health centers. A questionnaire of emotional regulation was used for data analysis. Paired t-test was used for data analysis. Results: There was a significant difference in emotional control between before and after given spiritual based mindfulness intervention with p = 0.000 (<0.05). Conclusion: The spiritual based mindfulness intervention has a significant effect to improve the emotional control of adult patients with pulmonary TB. This can be used as one of the efforts to control the emotions of pulmonary TB patients as well as to speed the healing process.]]>
<![CDATA[EFFECT OF POSITIONING ON BLEEDING COMPLICATION AND LOW BACK PAIN AFTER DIAGNOSTIC CORONARY ANGIOGRAPHY IN PATIENTS WITH CORONARY HEART DISEASE IN AN INTEGRATED HEART CARE CENTER IN INDONESIA ]]>
<![CDATA[Theresia Febriana Christi Tyas Utami]]>;
<![CDATA[Diyah Fatmasari]]>;
<![CDATA[Mardiyono Mardiyono]]>;
<![CDATA[Shobirun Shobirun]]>
<![CDATA[ Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.356
<![CDATA[Background: Coronary angiography can cause complications of arterial and subcutaneous bleeding (hematoma) and back pain. Changing the position of the patient (positioning) in bed can reduce the pain post-diagnostic catheterization complications. Objective: This study was to examine the effect of positioning on bleeding complication and low back pain after diagnostic coronary angiography in patients with coronary heart disease patient in the Integrated Heart Care Center in Indonesia.Methods: This study was a true-experimental study with randomized posttest-only control group design. Thirty respondents were randomly selected using simple random sampling, which 15 respondents were randomly assigned in the experiment group and control group. The experiment group was given a positioning with 150, 300, 450 head-of-bed elevation in left and right lateral position. An arc tool was used to measure the height of head of bed elevation, a measuring cup to measure arterial bleeding using, a perforated transparent plastic with 5 cm diameter to measure subcutaneous bleeding (hematoma), and Numeric Pain Rating Scale to measure low back pain. Data were analyzed using Kolmogorov- Smirnov and Repeated Measured ANOVA.Results: Findings showed that positioning had no effect on arterial hemorrhage (ρ=1.000) and subcutaneous bleeding (hematoma) (ρ=0.999). Repeated ANOVA test results revealed that positioning had a significant effect on low back pain (ρ=0.017). Conclusion: There was no significant effect of positioning on the occurrence of arterial and subcutaneous bleeding (hematoma), but there was a significant effect in reducing low back pain.]]>
<![CDATA[MUSIC AND AROMATHERAPY: A GOOD COMBINATION FOR REDUCING ANXIETY AND STABILIZING NON-INVASIVE HEMODYNAMIC STATUS IN PATIENTS IN THE INTENSIVE CARE UNIT ]]>
<![CDATA[Ferry Kumala]]>;
<![CDATA[Diyah Fatmasari]]>;
<![CDATA[Kurniati Puji Lestari]]>;
<![CDATA[Suharyo Hadisaputro]]>
<![CDATA[ Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.354
<![CDATA[Background: Combining musical and aromatherapy therapy is expected to have a stronger effect in the reduction of anxiety and non-invasive hemodynamic stability. Objective: To examine the effect of the combination of music and aromatherapy on anxiety and non-invasive hemodynamic in patients in the intensive care unit. Methods: This was a quasi-experimental study with non-equivalent group. An experimental group was given a combined musical and aromatherapy, while a control group was given music therapy. Thirty respondents were selected using accidental sampling, with 15 randomly assigned in the music group and the combination group. HARS scale (Hamilton Anxiety Rating Scale) was used to measure anxiety. Non-invasive hemodynamic status such as blood pressure and heart rate were documented in the observation sheet. Paired t-test and one-way ANOVA were used for data analysis. Results: There were significant effects of combination therapy on anxiety (p=0.001), diastole (p=0.004) and heart rate (p=0.031), but no significant effect on systole (p=0.387). The music therapy alone had a significant effect on anxiety (p=0.001), systole (p=0.047), and diastole (p=0.037). Conclusion: The combination of music and aromatherapy had a greater effect than the music therapy alone in decreasing anxiety and stabilizing diastolic blood pressure and heart rate. This therapy can be used as an alternative in nursing interventions and as an input to develop standard of operational procedure for anxiety and non-invasive hemodynamic stability.]]>
<![CDATA[PAIN CHARACTERISTICS ON PATIENT UNDERTAKING HEMODIALYSIS ]]>
<![CDATA[Afifah, Fatin Hapsah]]>;
<![CDATA[Nurjannah, Intansari]]>;
<![CDATA[Sunaryo, Ery Yanuar Akhmad Budi]]>
<![CDATA[ Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.337
<![CDATA[Background: Research in pain especially in patients undertaking hemodialysis is important to be conducted in order to help the process of their hemodialysis therapy. Aim: The aim this study was to describe pain characteristic on hemodialysis patient using Visual Analogue Scale (VAS) and mnemonic PQRST (Provocation, Quality, Regio, Radiation and Time). Methods: This was a descriptive quantitative cross-sectional research. The number of respondents were 72 and they routinely undertook hemodialysis therapy twice a week. The study was conducted in one central hospital in Yogyakarta Indonesia on February to March 2017. Univariate analysis was used to describe respondents’ pain characteristic. Results: The majority of respondents (51.39%) experienced moderate pain, followed by mild pain (33.33%) and severe pain (15.28%). The most painful characteristic in the provocation aspect was movement (87.50%), and the quality of pain was knife-like pain (83.33%). Moreover, hand was the major area of pain (84.72%), and there was no radiation of pain (91.67%). Most of pain was intermittent (97.22%). Of 53% of respondents expressed that the pain had an impact on their lives, specifically in their activities (52.63%), followed by others (15.79%), nausea/vomiting (15.79%), sleep disturbance (13.16%), and appetite (13.16%). However, the pain did not have an impact on their emotion. Conclusion: The respondents experienced mostly moderate pain. The percentage of pain characteristics on PQRST mnemonic was above 80%, and more than half of the respondents experienced moderate pain. Majority of the respondents felt the impacts of the pain in their lives.]]>
<![CDATA[EXPERIENCE OF BARRIERS TO HYPERTENSION MANAGEMENT IN MINANGKABAU ETHNIC GROUP IN PAYAKUMBUH INDONESIA: A PHENOMENOLOGICAL STUDY ]]>
<![CDATA[Vera Kurnia]]>;
<![CDATA[Dewi Suza]]>;
<![CDATA[Yesi Ariani]]>
<![CDATA[ Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.313
<![CDATA[Background: Understanding barriers to hypertension managements remains important to reduce the hypertension rate in community. Minangkabau is one of the ethnic groups in West Sumatra Indonesia that has a high proportion of people with hypertension although its management has been implemented. Objective: This study aims to explore the experiences of barriers to hypertension management in Minangkabau ethnic group in Payakumbuh, Indonesia. Methods: This was a phenomenological study with twelve respondents selected using purposive sampling. Data were collected using in-depth interview. Colaizzi’s content analysis method was used for data analysis. Results: Five themes were emerged from the data, namely: (i) lack of self-motivation in the management of hypertension, (ii) disobedience in the management of hypertension, (iii) culture pattern of food intake, (iv) lack of social support, and (v) excessive stress and anxiety. Conclusions: The barriers to hypertension management in Minangkabau ethnic group are closely related to its culture both in lifestyle and in food intake of the family members and the community. Nurses are expected to always give health education about hypertension and finding the way to control it.]]>
<![CDATA[EFFECT OF MINDFULNESS INTERVENTION ON THE INTENSITY OF PAIN IN NASOPHARYNGEAL CANCER PATIENTS UNDERGOING RADIATION TREATMENT ]]>
<![CDATA[Anna Jumatul Laely]]>;
<![CDATA[Awal Prasetyo]]>;
<![CDATA[Chandra Bagus Ropyanto]]>
<![CDATA[ Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.128
<![CDATA[Background: Physical responses that occur in patients with nasopharyngeal cancer are the emergence of pain due to the effects of treatment. The problem of pain in these patients at the stage of treatment remains critical to solve because it can cause comorbidity, psychological trauma and mortality. Mindfulness intervention is considered useful in transforming consciousness into the stage of acceptance. Objective: This study aims to determine the effect of mindfulness intervention on the intensity of pain in nasopharyngeal cancer patients undergoing radiation treatment. Methods: This was a quasi-experimental study with pretest posttest control group design. Thirty patients were selected using consecutive sampling, which divided into experiment and control group. Visual Analogue Scale (VAS) was used to measure pain. Each respondent received mindfulness intervention for six sessions, divided into three meetings. Paired t-test was used for data analysis. Results: The results showed a significant reduction of pain from 4.12 (moderate pain) to 3.06 (mild pain) in the experiment group. There was a significant difference in pain level before and after mindfulness intervention (p= 0.001). Conclusion: Mindfulness is effective in reducing pain intensity level in nasopharyngeal cancer patients undergoing radiation therapy.]]>
<![CDATA[ABORTION AND ITS INFLUENCING FACTORS: A QUALITATIVE STUDY IN THE DETENTION CENTER ]]>
<![CDATA[Rini Hendari]]>;
<![CDATA[Dahlan H Ahmad]]>;
<![CDATA[Martiningsih Martiningsih]]>
<![CDATA[ Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.351
<![CDATA[Objective: This study was to explore the actions and factors causing abortion, killing and disposal of babies qualitatively in the detention center of Class II B, Raba Bima, West Nusa Tenggara, Indonesia. Methods: This was a descriptive qualitative study with six respondents who were purposively selected. Content analysis was used for data analysis. Member-checking and crosscheck triangulation were performed to ensure the trustworthiness of the data. Results: Findings emerged from data, namely: factors that cause adolescent abortion, killing and disposal of baby (internal factors, family factors and partner factors), the way to do those actions (to take medicine, by the help of health workers, shaman and the nearest person), and behavior after doing abortion, killing and disposal of baby. Conclusion: Understanding the factors affecting abortion, killing and disposal of baby among adolescents and the way how they did them as well as their behavior after all of these activities might help health practitioners to find the strategies to reduce the incidence of unwanted pregnancy which lead to abortion, killing and infant disposal.]]>
<![CDATA[COMPARISON OF EFFECTIVENESS OF A PROGRESSIVE MOBILIZATION AND MOZART MUSIC THERAPY ON NON-INVASIVE HEMODYNAMIC STATUS CHANGES IN PATIENTS WITH HEAD INJURY IN THE INTENSIVE CARE UNIT ]]>
<![CDATA[Novi Indriani]]>;
<![CDATA[Bedjo Santoso]]>;
<![CDATA[Arwani Arwani]]>;
<![CDATA[Mardiyono Mardiyono]]>
<![CDATA[ Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.359
<![CDATA[Background: The instability of hemodynamic status in patients with head injury with decreased consciousness has an effect on the increase of intracranial pressure. The recovery of hemodynamic status can be done through nursing intervention either by providing a sensory stimulus (music therapy) or motor stimulus (progressive mobilization). Objective: To compare the effectiveness of progressive mobilization of level I with Mozart's music therapy on non-invasive hemodynamic status changes in patients with head injury with decreased awareness. Methods: This was a quasi-experimental study with pretest-posttest design. There were 34 samples selected using consecutive sampling, which 17 samples assigned in a group of progressive mobilization and group of music therapy. Paired t-test and Wilcoxon test were used for paired group, and Independent t-test and Mann-Whitney test for unpaired group. Results: Progressive mobilization of level I had significant effect on changes in systolic blood pressure (p = 0.0001), diastolic blood pressure (p = 0.002) and MAP (p = 0.019), and no significant effect on heart rate (p = 0.155), respiration (p = 0.895) and oxygen saturation (p = 0.248). Mozart's music therapy had a significant effect on changes in systolic blood pressure (p = 0.0001), diastolic blood pressure (p = 0.0001), respiration (p= 0.032) and oxygen saturation (p = 0.008), but no effect on MAP (p = 0.561). There was a significant difference between the two interventions in the systolic blood pressure and heart rate variables (p <0.05), while the diastolic blood pressure, MAP, respiration and oxygen saturation variables did not show a difference (p> 0.05). Conclusion: The Mozart's music therapy is more effective on non-invasive hemodynamic status changes in patients with head injury with decreased consciousness compared with progressive mobilization of level I.]]>
<![CDATA[THE CORRELATION OF PARENTING STYLE WITH COGNITIVE DEVELOPMENT IN CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER ]]>
<![CDATA[Dwi Fitri Genisti]]>;
<![CDATA[Ni Komang Sukra Andini]]>;
<![CDATA[Ni Luh Gede Puspita Yanti]]>
<![CDATA[ Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.107
<![CDATA[Background: Child development is a very important phase, in which children learn various skills as future generations. One of disorders that can impede child development process is Attention Deficit Hyperactivity Disorder (ADHD). Children with ADHD have problems with cognitive abilities, of which about 20-60% of them have learning disorders. The efforts to support cognitive development in children with ADHD is by approaching the child's environment through parenting style. Objective: This study aimed to determine the correlation of parenting style with cognitive development in the children with ADHD in SLB Negeri 1 Denpasar, Bali, Indonesia. Methods: This study used a correlational design with cross sectional approach. The sample size of 30 respondents were selected using a purposive sampling technique. Data were collected using parenting style questionnaire (PSQ) and average value of odd semester report of 2016/2017 academic year. Results: It was found that most parents with democratic parenting style were 19 people (63.3%), authoritarian style were 7 people (23.3%), and permissive style were 4 people (13.3%). The result of the contingency coefficient test obtained p-value of 0.039 (p <0.05) and correlation value of 0.501, which indicated that there was a high correlation between parenting style with cognitive development in children with ADHD. Conclusion: It is suggested that parents of ADHD children should be able to provide good parenting style for their children, especially for the cognitive development.]]>
<![CDATA[EXPOSURE TO MASS MEDIA AS A DOMINANT FACTOR INFLUENCING PUBLIC STIGMA TOWARD MENTAL ILLNESS BASED ON SUNRISE MODEL APPROACH ]]>
<![CDATA[Ni Made Sintha Pratiwi]]>;
<![CDATA[Lilik Zuhriyah]]>;
<![CDATA[Lilik Supriati]]>
<![CDATA[ Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April ]]>
Publisher : <![CDATA[Belitung Raya Foundation, Indonesia ]]>
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DOI: 10.33546/bnj.372
<![CDATA[Background: The person suffering mental disorders is not only burdened by his condition but also by the stigma. The impact of stigma extremely influences society which is considered to be an obstacle in the mental disorder therapy. Stigma as the society adverse view towards severe mental disorders is related with the cultural aspect. The interaction appeared from each component of nursing model, called sunrise model, is a model developed by Madeleine Leininger that connects with the wide society views about severe mental disorders condition. Objective: The aim of this study was to analyze the factors related to public stigma and to find out the dominant factors related to public stigma about severe mental illness through sunrise model approach in Indonesia. Methods: This study used observational analytical design with cross sectional approach. There were 150 respondents contributed in this study selected using purposive sampling technique. Spearman Rank and multiple logistic regression were used for data analysis. Results: The results showed a significant relationship between mass media exposure, spiritual well-being, interpersonal contact, attitude, and knowledge with public stigma about mental illness. The result of multiple logistic regression revealed that the low exposure of mass media had the highest OR value at 26.744. Conclusion: There were significant correlations between mass media exposure, spiritual well-being, interpersonal contact, attitude, and knowledge with public stigma toward mental illness. Mass media exposure was a dominant factor influencing public stigma toward mental illness.]]>
