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Joko Gunawan
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INDONESIA
Belitung Nursing Journal
ISSN : 2528181x     EISSN : 24774073     DOI : -
Core Subject : Health,
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 9 Documents
Search results for , issue "Vol. 4 No. 4 (2018): July - August" : 9 Documents clear
VALIDITY AND RELIABILITY OF SHORTENED GENERAL COMFORT QUESTIONNAIRE IN INDONESIAN VERSION Eria Riski Artanti; Intansari Nurjannah; Subroto Subroto
Belitung Nursing Journal Vol. 4 No. 4 (2018): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (234.626 KB) | DOI: 10.33546/bnj.437

Abstract

Background: Comfort is one of nurses’ concerns in each of nursing care activity. There are several different instruments to measure patient’s comfort. Tools regarding comfort however, have not been developed and tested in Indonesian. Objectives: This study aimed to assess the validity and reliability of the Shortened General Comfort Questionnaire (SGCQ) in Indonesian version. Methods: SGCQ was translated and back translated to Indonesian before it was used for this study. Three experts (two lecturers and one clinician) were recruited to measure the content validity of SGCQ in Indonesian version. S-CVI and I-CVI analyses were used to measure the content validity of this instrument, and Pearson correlation was used for the construct validity. Content validity of instruments consists of relevance, accuracy, clarity, credibility and equivalency. Reliability analysis of this instrument was performed using Cronbach’s alpha in 71 patients undergoing hemodialysis. Results: Result show that an I-CVI score was 1, which implies that each item of relevance, accuracy, clarity, credibility, and equivalency was acceptable. In addition, the S-CVI score was also 1, which implies that the validity of this instrument was acceptable. Cronbach’s alpha score was also showed 0.769 means that the SGCQ instrument in the Indonesian language is reliable because the score was in the range of 0.7–0.95. Conclusion: SGCQ in Indonesian version has acceptable validity and reliability and it can be used to measure patient’s comfort level in Indonesian.
EFFECT OF SELF DEVELOPMENT PROGRAM AND TRAINING USING VIDEO MODELING METHOD ON DRESSING SKILLS IN CHILDREN WITH INTELLECTUAL DISABILITY Latifah Susilowati; Anik Rustiyaningsih; Sri Hartini
Belitung Nursing Journal Vol. 4 No. 4 (2018): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (248.955 KB) | DOI: 10.33546/bnj.331

Abstract

Background: Children with intellectual disability has adaptation function problem, namely self-care skill dressing. Inability to dressing could affect social relationship and dependency with others. The effort to improve self-care skill could be done through self-development program and training using video modeling. Objective: This study was to investigate the effect of self-development program and training using video modeling on dressing skills in intellectual disability children. Methods: This was a quasi-experimental study with pretest posttest control group design. Sixty-two children aged between 6-12 years with intellectual disability were recruited using purposive sampling. Participants were divided into two groups (experimental group=31, control group=31). The experimental group was given training using video modeling in 4 sessions, with each for 50 minutes; and self-development program in 4 sessions, in 50 minutes per each, while control group was given self-development program for 8 sessions, with each for 50 minutes. Observation checklist of dressing skill before and after intervention was adopted from Nursing Outcome Classification in Indonesian version. Data were analyzed using Mann-Whitney to compare posttest score between experimental and control group. Results: The result showed there was a significant difference after intervention between experimental and control group (p=0.041). Eight dressing skills items increased including gets clothing from closet, gets clothing from drawer, puts clothing on upper body, buttons clothing, puts clothing on lower body, uses zipper, uses fastener, and removes clothes from upper body. Conclusion: Self-development program and training using video modeling could increase dressing skills in intellectual disability children aged 6-12 years.
EFFECTIVENESS OF SUCTION ABOVE CUFF ENDOTRACHEAL TUBE (SACETT) IN PREVENTING VENTILATOR ASSOCIATED PNEUMONIA IN CRITICAL PATIENTS IN INTENSIVE CARE UNIT Arfiyan Sukmadi; Rr Sri Endang Pujiastuti; Aris Santjaka; Supriyadi Supriyadi
Belitung Nursing Journal Vol. 4 No. 4 (2018): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1019.894 KB) | DOI: 10.33546/bnj.503

Abstract

Background: The mechanical ventilator is an indispensable breathing tool in the Intensive Care Unit (ICU). But the mechanical ventilator is associated with the risk of Ventilator Associated Pneumonia (VAP). VAP occurs due to poor hygiene of the endotracheal tube (ETT). ETT hygiene should be maintained to inhibit bacterial development in the lungs using suction above cuff endotracheal tube (SACETT) to prevent VAP. Objective: To analyze the effectiveness of SACETT in preventing Ventilator Associated Pneumonia (VAP) in critical patients in the ICU. Methods: This was a quasi-experimental study with posttest only with control group design with 15 samples in intervention group (SACETT and Chlorhexidine 0.2%) and 15 in control group (ETT, Open Suction, and Chlorhexidine 0.2%) with purposive technique sampling. The Simplified Clinical Pulmonary Infection Score (CPIS) was used to measure VAP. Results: This study illustrates that there was no VAP incidence in the intervention group, and as much as 13.3% VAP in the control group. SACETT was more effective in preventing VAP than in standard ETT on day 4 (p = 0.001). Conclusion: SACETT is more effective in preventing VAP than standard ETT in the fourth day in patients with neurological, cardiovascular, urinary, digestive, and immune system disorders.
THE IMPLEMENTATION OF THERAPEUTIC COMMUNICATION OF NURSES TO THE PARENTS OF PEDIATRIC PATIENTS IN PRE-OPERATIVE STAGE Fanny Adistie; Henny Suzana Mediani; Ikeu Nurhidayah; Sri Hendrawati
Belitung Nursing Journal Vol. 4 No. 4 (2018): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.97 KB) | DOI: 10.33546/bnj.439

Abstract

Background: The pre-operative care aims at preparing the patient and family to face the surgery. In providing nursing care to the pediatric patients, it is better and is recommended that the nurse demonstrate a therapeutic communication. Objective: This study aims to identify the implementation of the therapeutic communication by nurses to the parents of the pediatric patients who will undergo surgery in the pediatric surgical ward based on the perspective and expectation of the parents. Methods: The study used a mixed method, with the strategy of sequential explanatory. The quantitative study involved 101 respondents. The implementation of therapeutic communication is measured by using the questionnaire of therapeutic communication implementation. The qualitative study was conducted to six participants as samples, with analysis interactive model technique. Results: The result of quantitative study found that 53.5% identified poor therapeutic communication being implemented by nurses to the parents of the patients. The result of the qualitative study foundthat parents expect comprehensive therapeutic communication from nurses, both in terms of language or behavior in any delivery of information or actions to be performed. Conclusion: The result of this study is expected to be an input for the health care institutions, especially to make it as a reference for consideration in making the standard operating procedures on the implementation of therapeutic communication to improve the nurses’ quality of care.
PREDICTION MODEL OF OBESITY AMONG TEACHERS IN SENIOR HIGH SCHOOL IN KENDARI La Banudi; Wenny Ino Ischak; Suriana Koro; Purnomo Leksono
Belitung Nursing Journal Vol. 4 No. 4 (2018): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (277.094 KB) | DOI: 10.33546/bnj.501

Abstract

Background: Obesity that occurs in adolescents (age >18 years) shows a significant increase, from 12% in 2007 to 13% in 2010 and 19% in 2019 in males, and from 13% to 28% in 2013 in females. Objective: To analyze the prediction model of obesity among teachers in senior high school in Kendari, Indonesia. Methods: This was a prediction cross-sectional study. There were 250 high school teachers were recruited from 12 senior high schools using a purposive sampling. The instruments used were questionnaires (food frequency, consumption recall, and activities recall questionnaire), Seca weight scale, anthropometry microtoice, meter, computer program, and stationery. Data were analyzed using Chi-Square. Results: Findings showed that there was a significant correlation between age group (p = 0.05), knowledge (p= 0.02), stress (p= 0.05) and diet (p= 0.013). The prediction factor of obesity among high school teachers was that teachers with an upper age (age> 45 years) were likely to be obese 2.64 times than teachers at a young age (age <45 years). If teachers experienced stress, they would suffer from obesity 2.17 times compared with teachers with no stress. Conclusion: Factors associated with obesity in high school teachers in Kendari Indonesia were age, knowledge, stress and dietary factors. Factors that were not related with obesity were attitudes about nutrition, activity and smoking habits. The highest predictors of obesity were age and stress.
FACTORS RELATED TO RESILIENCE IN TYPE 2 DIABETES MELLITUS PATIENTS IN DENPASAR BASED ON SELF-CONCEPT MODE OF ROY ADAPTATION MODEL Ni Made Candra Yundarini; Noorhamdani Noorhamdani; Heri Kristianto
Belitung Nursing Journal Vol. 4 No. 4 (2018): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (247.096 KB) | DOI: 10.33546/bnj.436

Abstract

Background: Patients with type 2 Diabetes mellitus are impaired both physically and psychologically. Based on preliminary studies carried out in public health centers in Denpasar, Bali, out of 10 patients interviewed, 70% of the patients with type 2 diabetes mellitus expressed their difficulties in adapting to the current state of the disease. One of the capabilities that must be owned by the patients to be able to adapt to the stressor is resilience. Roy adaptation model could be used in order to explain factors associated with resilience in patients with type 2 diabetes mellitus. Objective: To analyze the factors associated with resilience in patients with type 2 diabetes mellitus in Denpasar based on self-concept mode of Roy adaptation model. Methods: It used an observational analytic design with cross-sectional approach. Respondents used in this study were type 2 diabetes mellitus patients in four selected public health centers in Denpasar, Bali. 125 samples obtained by cluster sampling technique were used in this study. Conor-Davidson Resilience Scale-2 (CD-RISC-2), Illness Identity Questionnaire (IIQ) and Functional Assessment of Chronic Illness Therapy-Spiritual Well-being (FACIT-Sp) questionnaires were used in order to measure resilience, self-concept, and spirituality respectively. Pearson Product Moment test was used for bivariate analysis to determine the relationship between self-concept and spirituality and resilience in patients with type 2 diabetes mellitus. Multiple Linear Regression was used for multivariate analysis in order to find the most dominant factor related to resilience based on self-concept mode of Roy adaptation model. Results: The results of this study showed a significant relationship between self-concept and spirituality with resilience in patients with type 2 diabetes mellitus (p = 0.000). These two variables have r values equal to 0.599 and 0.597 respectively. Multiple linear regression showed that self-concept was the dominant factor related to resilience based on self-concept mode of Roy adaptation model with beta value equals to 0.687. Conclusion: There was a significant relationship between factors associated with resilience in patients with type 2 diabetes mellitus in Denpasar based on self-concept mode of Roy adaptation model.
EFFORT TO REDUCE ANXIETY LEVELS AMONG MOTHERS USING FEBRILE CONVULSIONS EDUCATIONAL PACKAGE Siti Rofiqoh; Isyti’aroh Isyti’aroh
Belitung Nursing Journal Vol. 4 No. 4 (2018): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (506.272 KB) | DOI: 10.33546/bnj.386

Abstract

Background: Parents often experience anxiety when seeing their children having febrile convulsion. It may be due to lack of knowledge about febrile seizure and the way of handling it. Objective: This study aims to analyze the education package of febrile convulsion and its effect on mother’s anxiety. Methods: This was a quasi-experimental study with pretest posttest with control group design. Eighty-one participants were selected, which randomly assigned to be two groups that 41 participants in control group and 40 participants in intervention group. Anxiety was measured using State Anxiety Inventory in Indonesian version. Data were collected from March to Mei, 2017. Data were analyzed using Wilcoxon-test. Results: The results showed that the mean of anxiety level in the intervention group before intervention was 77.40 and decreased to 35.78 after intervention, while the mean of anxiety level in the control group was 68.17 before intervention and decreased slightly to 64.17 after intervention. The p-value of the difference between control and intervention group was 0.001 (<0.05). Conclusion: There was a significant effect of education package about febrile convulsion on mother's anxiety level. It is suggested that febrile convulsion educational package can be used as an alternative therapy to reduce anxiety levels among mothers.
BALINESE TRADITIONAL TREATMENT (BALIAN) IN PATIENTS WITH MENTAL DISORDERS Ni Made Sri Muryani; Indah Winarni; Setyoadi Setyoadi
Belitung Nursing Journal Vol. 4 No. 4 (2018): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (204.05 KB) | DOI: 10.33546/bnj.425

Abstract

Background: Balinese believe that mental disorders are caused after being possessed and cursed by one’s ancestors, so Balinese choose traditional Balinese treatment (balian/shaman) in handling patients with mental disorders. Objective: The purpose of this research was to explore deeply about the use of balian in treating patients with mental disorder. Methods: A qualitative method with an interpretive phenomenological approach was used. In-depth interview technique with semi-structured interview guidelines was used for data collection. Data were analyzed using Interpretative Phenomenological Analysis (IPA) approach. Results: Five themes emerged, including 1) ancestors’ curse, 2) possessed by a spirit, 3) believe that balian has healing power, 4) balian becomes the first choice prior to the hospital, and 5) the use of traditional and medical treatment at once. Conclusion: Balian became the first choice in treating patients with mental disorders. It is because Balinese still believes that mental disorders caused by the ancestors’ curse and possessed by the spirit.
THE EFFECTS OF SPIRITUAL COUNSELING ON THE ANXIETY LEVEL OF PATIENT’S FAMILY AT THE INTENSIVE CARE UNIT (ICU) OF DR. DRADJAT PRAWIRANEGARA HOSPITAL IN SERANG, BANTEN PROVINCE, INDONESIA Lukmanulhakim Lukmanulhakim; Delly Arfa Syukrowardi
Belitung Nursing Journal Vol. 4 No. 4 (2018): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.514 KB) | DOI: 10.33546/bnj.404

Abstract

Background: Critical nursing is a specific service in giving a holistic nursing service to fulfill human response to a life-threatening problem. A critical nurse can give a social support to patient’s family through assessment, counseling, and supporting group. Counseling is combination between high technology physical caring and emotional caring, which is needed by patients and the family. Spiritual counseling is a complementary medication preferred by the family of patient who is in acute and critical care. Objective: The study aimed to identify the effects of spiritual counseling on the anxiety level of patient’s family at the ICU of dr. Dradjat Prawiranegara Hospital in Serang, Banten Province, Indonesia. Methods: The study was a pre-experimental research with one group pre-test and post-test design. The samples were 25 respondents selected using consecutive sampling technique during one month (May to June 2016). The data of anxiety level were collected using HAR-S (Hamilton Rating Scale for Anxiety) questionnaire. The data were analyzed using parametrical t-test paired sample for the variable of anxiety before and after giving spiritual counseling. Meanwhile, the variable of respondents’ characteristics to anxiety was analyzed by using independent sample test. Results: The study found that the mean of respondents’ anxiety level before spiritual counseling was 33.44 and the standard deviation was 5.213. Meanwhile, after conducting spiritual counseling, the mean was 18.60 and the standard deviation was 2.582. Bivariate analysis result showed a significant difference between anxiety level of patient’s family in ICU (Intensive Care Unit) before and after conducting spiritual counseling in which p value was 0.000, with the mean value of 14.840 and SD of 5.437. Conclusion: Nurses should be more capable in implementing the intervention of spiritual counseling to patient’s family. Spiritual counseling can give a positive alteration to the family emotional situation. It impacts on the decrease of patient’s family anxiety level. By the decrease of family anxiety level, the possibility of doing mistake in decision-making is expected to be avoided.

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