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Joko Gunawan
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jokogunawan2015@gmail.com
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Kab. belitung timur,
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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.
Arjuna Subject : -
Articles 655 Documents
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.
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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (124.636 KB) | DOI: 10.33546/bnj.184

Abstract

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 CONSUMING TAMARIND AND TURMERIC DRINK ON THE LENGTH OF PERINEAL WOUND HEALING IN POSTPARTUM MOTHERS Dewi Susanti; Onny Setiani; Umaroh Umaroh; Kun Aristiati; Imam Djamaluddin Mashoedi; Mardiyono Mardiyono
Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (500.893 KB) | DOI: 10.33546/bnj.155

Abstract

Background: The incidence of perineal tear is still high in Indonesia. It is therefore the intervention to accelerate wound healing is needed. The use of turmeric and tamarind is considered as the alternative treatment for wound healing. However, little is known about the effect of the combination of turmeric and tamarind. Objective: To determine the effect of consuming turmeric and tamarind on the duration of perineal wound healing. Methods: The study was a quasi-experimental study with one group post-test only design conducted in the working area of the Community Health Center of Ngesrep and Srondol, Semarang City, Central Java, Indonesia in December 2016 until January 2017. There were 28 respondents recruited using consecutive sampling, with 14 randomly assigned in each group. The REEDA scoring system was used to measure the wound healing. Data were analyzed using Independent t-test. Results: The results revealed that the average duration of wound healing in the intervention group was 6.25 days, while in the control group was 8.57 days with p-value 0.000 (<0.05), which indicated that there was statistically significant effect of tamarind turmeric drink of the duration of perineal wound healing in postpartum mothers. Conclusion: There was a significant effect of turmeric tamarinds drink on the duration of perineal wound healing in postpartum mothers. It is therefore suggested to the health providers, especially midwives, to apply this intervention the accelerate healing of perineal wound in postpartum mothers.
THE IMPACT OF HONEY ON CHANGE IN NUTRITIONAL STATUS IN CHILDREN WITH POOR NUTRITION Harmiyati Harmiyati; Ariawan Soejoenoes; Sri Wahyuni M; Kun Aristiati; Soeharyo Hadisaputro
Belitung Nursing Journal Vol. 3 No. 2 (2017): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.728 KB) | DOI: 10.33546/bnj.71

Abstract

Background: Toddlers are vulnerable groups to malnutrition. Thus, to maintain their nutritional status is needed. Honey is considered having health benefits that may increase the nutritional status in children. However, little is known about the impact of honey on nutritional change in Sumbawa, Indonesia. Objectives: The aim of this study is to analyze the effect of honey on changes in nutritional status in children with poor nutrition in the area of the Health Center of Lopok, Sumbawa, Indonesia Methods: This study employed a quasi-experiment design with pretest-posttest with control group. The total sample in this study were 60 children recruited by simple random sampling, divided into 2 groups, namely 30 children in an intervention group and 30 children in a control group. The sampling technique used a simple random sampling. Data were analyzed using Mann Whitney and linear regression test. Results: Findings showed that there were significant mean differences between the intervention and control group in term of weight (intervention 1.316; control 0.903), height (intervention 1.586; control 1.030), weight-for-height (W/H) z-score (intervention 0.713; control 0.595), weight-for-age (W/A) z-score (intervention 0.717; control 0.531), and height-for-age (H/A) z-score (intervention 0.847; control 0.423) with p-value < 0.05. Conclusion: There was a significant effect of honey on changes in nutritional status in children with poor nutrition. It is suggested that health providers may use honey to take care of children under nutrition to increase their appetite and change their nutritional status.
CORONARY HEART DISEASE PATIENTS' LEARNING NEEDS Aan Nuraeni; Ristina Mirwanti; Anastasia Anna
Belitung Nursing Journal Vol. 4 No. 3 (2018): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (458.292 KB) | DOI: 10.33546/bnj.440

Abstract

Background: Patients with coronary heart disease (CHD) should have good self-management capabilities. This is determined by the effective of health education which is based on the assessment of patients’ learning needs and consideration of health personnel. On the other hand, the study of perceptions of CHD patients’ learning needs in Indonesia is little known. Objective: This study aimed to identify the CHD patients’ learning needs. Methods: This study was a descriptive quantitative with cross-sectional approach. Population was CHD patients in one of the referral hospitals in West Java Indonesia. Samples were recruited using consecutive sampling technique for a 2-month period (n=106). Data were collected using TR-CPLNI instrument and analyzed using descriptive quantitative and Kruskal Wallis test. Results: The order of learning needs based on the highest to the lowest mean was anatomy and physiology of heart (4.42); medication information (4.33); cardiopulmonary information (4.32); life style (4.28); dietary information (4.19); symptom management (4.08); psychology (4.07); and physical activity (3.64). The significant differences (p<0.05) based on ward categories were learning needs of dietary information (p=0.002); physical activity (p=0.009) and symptom management (p=0.037), with the highest needs respectively were in High Care Unit (HCU); HCU; and non-intensive care unit. Conclusions: These eight learning needs were important for CHD patients. However, the priority of the patients’ learning needs were seen by category of ward or recovery phase and illness duration different from each other. Therefore, this can be a consideration in providing education to CHD patients.
SELF MANAGEMENT PROGRAM AMONG TYPE 2 DIABETES MELLITUS PATIENTS: A LITERATURE REVIEW Rian Adi Pamungkas; Dodik Limansyah; Sudarman Sudarman; Brajakson Siokal
Belitung Nursing Journal Vol. 2 No. 3 (2016): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (176.375 KB) | DOI: 10.33546/bnj.18

Abstract

Background: Diabetes mellitus is a crucial problem that leads to serious multiple complication. Self-management program is an essential foundation for the empowerment approach, and necessary for patients to effectively manage their behaviors. Purpose: The purpose of this study is to describe, compare and critique six existing self-management programs that are commonly used to guide self-management for type 2 Diabetes Mellitus (DM) patients. Method: An integrative review was conducted. Relevant studies published in English language and retrieved from CINAHL, PubMed, Science Direct, and Google search were included. Results: Five Randomized Control Trials (RCTs) and one quasi-experimental study were reviewed. Goal setting and action planning combined with other strategies (brief counseling, problem solving, and follow-up strategy) showed more effective to improve behavioral change and several clinical outcomes. Continuing follow-up through telephone-call and face to face follow-up becomes the essential element for successful behavior change. Conclusion: Diabetes self-management program is effective to improve behavioral change and clinical outcomes among patients with type 2 DM. Further research is needed to test the effectiveness of self-management combine with other strategies which are goal setting strategy and follow-up strategy in patients with type 2 DM.
RELATIONSHIP BETWEEN DEMOGRAPHIC CHARACTERISTICS AND SPIRITUAL WELLBEING AMONG CANCER SURVIVORS Eviwindha Suara; Mardiyono Mardiyono; Anggorowati Anggorowati
Belitung Nursing Journal Vol. 3 No. 4 (2017): July - August
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (199.586 KB) | DOI: 10.33546/bnj.74

Abstract

Background: Spiritual wellbeing (SWB) is an important quality-of-life dimension for cancer patients. Therefore, health professionals are demanded to improve SWB in these patients. A deeper understanding regarding the factors associated with SWB is needed. Objective: This study aims to examine the relationships of demographic characteristics of patients and spiritual wellbeing in patients with cancer. Methods: This was a cross-sectional correlational study with 60 respondents recruited using consecutive sampling. A spiritual wellbeing scale (SWBS) was used, and data were analyzed using Kendall's Tau and Spearman's rank. Results: Findings in this study showed that only age was statistically significant with spiritual wellbeing of cancer patients with p-value 0.003 (<0.05). There were no significant relationships of gender, education, occupation, long suffering, and type of cancers with spiritual wellbeing with p-value >0.05. Conclusion: There was a significant relationship between age and spiritual wellbeing in patients with cancer. This study provides the insight of knowledge regarding the factors affecting spiritual wellbeing in patients with cancer.
FACTORS INFLUENCING THE OCCURRENCE OF HYPERTROPHIC SCARS AMONG POSTOPERATIVE PATIENTS IN GARUT, INDONESIA Andri Nugraha; Rizal Chaidir; Urip Rahayu; Santi Rinjani
Belitung Nursing Journal Vol. 3 No. 1 (2017): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (226.579 KB) | DOI: 10.33546/bnj.44

Abstract

Background: Hypertrophic scar causes physical and psychological problems. Thus, understanding the factors related to the occurrence of hypertrophic scar tissue is needed. Little is known about its influencing factors in Indonesia, especially in Garut. Objective: This study aims to examine the relationships between hypertrophic scar and its influencing factors, and identify the most dominant factor of the occurrence of hypertrophic scars. Methods: This was an observational case control study using retrospective approach in Polyclinic of Surgery of Regional Public Hospital of dr. Slamet of Garut Regency. There were 40 samples recruited in this study by purposive sampling, which was divided to be case group (20 patients) and control group (20 patients). Data were collected using Stony Brook Scar Evaluation Scale by observation and documentation of the medical records of patients. Data were analyzed using logistic regression analysis. Results: Findings indicated that there were significant relationships between the surgical wound infection (p = 0.02), family history (p = 0.026), and type of suture (p = 0.043) with the occurrence of hypertrophic scars. The most dominant factor on the occurrence of hypertrophic scars was type of suture, acid polyglactin 910. The variables that had no significant relationships with the occurrence of hypertrophic scar tissue were age (p = 0.34), area of surgical wound (p = 0.177), and smoking habit (p = 0.479). Conclusion: There were significant relationships between infection of surgical wound, genetic history, the type of suture, and the occurrence of hypertrophic scar tissue. The most dominant factor that influenced the occurrence of hypertrophic scar tissue was the type of suture. Therefore, it is suggested to health professionals to modify the using of acid polyglactin 910 sutures, and nurses particularly need to provide the information regarding the family history and genetic-related hypertrophic scar, and prevent the infection of surgical wound after operation.
EFFECT OF LO'I KARANA ON PAIN LEVEL IN POSTPARTUM MOTHERS Rini Hendari; Dahlan H Ahmad; A Haris
Belitung Nursing Journal Vol. 4 No. 2 (2018): March - April
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (195.598 KB) | DOI: 10.33546/bnj.465

Abstract

Background: Lo'i karana is one type of traditional therapies that has existed for more than one hundred years in the midst of society of Bima and Dompu to overcome the discomfort due to labor. However, lack of research has been conducted to examine its effect on pain in postpartum mothers. Objective: To examine the effect of Lo’i karana on muscle pain in postpartum mothers. Methods: This was a quasi-experimental study with posttest only control group design. Thirty mothers were selected using purposive sampling, which 10 assigned in 3 groups (standard-dose group, minimal-dose group, and maximal-dose group). Wong-Baker Faces Pain rating scale was used to measure pain on day 1 and day 3. Kruskal-Wallis Test and Mann Whitney test were used for data analysis. Results: There were significant effects of Lo’i karana in minimal, standard and maximal dosage on pain level in the first day (p=0.004) and the third day (p=0.009) in postpartum mothers. The results revealed that the higher doses were used for the treatment, the less pain of the mothers would be. Conclusion: Lo’i karana has a significant effect in reducing pain level in postpartum mothers. It is recommended that this intervention can be applied as a part of nursing intervention in caring postpartum mothers.
SELF-EFFICACY, PSYCHOLOGICAL STRESS, FAMILY SUPPORT, AND EATING BEHAVIOR ON TYPE 2 DIABETES MELLITUS Kusuma Wijaya ridi Putra; Chanandchidadussadee Toonsiri; Suwanna Junprasert
Belitung Nursing Journal Vol. 2 No. 1 (2016): January - February
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.195 KB) | DOI: 10.33546/bnj.5

Abstract

Background: Diabetes mellitus (DM) is one of the leading causes of death and it is caused by genetics, nutrition, and unhealthy behaviors. Therefore, changes in lifestyle associated with eating behaviors in diabetes mellitus patients greatly impact on their quality of life. There are many factors related with changes in lifestyle of diabetes mellitus patients, especially eating behaviors. Purpose: This study aims to examine the relationships between self-efficacy, psychological stress, family support, and eating behaviors among type 2 diabetes mellitus (T2DM) patients in Sidoarjo, Indonesia. Method: A total of 117 T2DM patients from the Sidoarjo Community Health Center were included in the analysis. Using SPSS IBM 21.0 program, Pearson product moment correlation was performed to analyze data. Results: The findings showed that self-efficacy and family support had a positive relationship with eating behaviors (r = .692, p < .001; r = .683, p < .001, respectively). Psychological stress had a negative relationship with eating behaviors (r = -.327, p < .001). Conclusion: Self-efficacy, family support, and psychological stress had relationships with eating behaviors. Nurses should pay attention to these factors that make T2DM patients having a long-term commitment in healthy eating behaviors.

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