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Holistic Nursing and Health Science
Published by Universitas Diponegoro
ISSN : -     EISSN : 26224321     DOI : -
Core Subject : Health,
Health Professions Nursing
Holistic Nursing and Health Science Journal (HNHS) (E-ISSN: 2622-4321) is an open access journal (e-journal). HNHS provides a forum for original research and scholarships relevant to nursing and other health-related professions. HNHS journal is published by Department of Master Nursing, Faculty of Medicine, Diponegoro University.
Arjuna Subject : -
Articles 108 Documents
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Studi Kasus: Penerapan Pursed Lip Breathing dan Diaphragmatic Breathing Exercise pada Pasien Congestive Heart Failure dengan Sesak Napas di Instalasi Gawat Darurat Febyastuti, Isna widya; Widyaningtyas, Nur Hafizhah; Zakaria, Eka Dafid
Holistic Nursing and Health Science Vol 6, No 2 (2023): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.6.2.2023.86-95

Abstract

Sesak napas pada pasien Congestive Heart Failure (CHF) terjadi karena ventrikel kiri tidak mampu memompa darah yang datang dari paru – paru sehingga cairan terdorong ke jaringan paru. Selain itu, sesak napas disebabkan  karena  jantung  tidak  dapat  memompa darah  ke  seluruh tubuh  secara  maskimal  sehingga  suplai  oksigen didalam tubuh tidak adekuat yang akan berpengaruh pada sel - sel  dan  organ  dalam  tubuh  mengalami  kekurangan  asupan  oksigen. Pursed Lip Breathing (PLB) dan Diaphragmatic Breathing Exercise (DBE) merupakan intervensi non farmakologi yang dapat menurunkan sesak napas pasien CHF. Studi ini bertujuan untuk mengetahui hasil penerapan kombinasi PLB dan DBE terhadap frekuensi napas, saturasi oksigen dan skala sesak napas pada pasien CHF. Studi ini menggunakan metode studi kasus dengan pengumpulan data dilakukan pengukuran frekuensi napas, saturasi oksigen, dan skala sesak napas dilakukan sebelum dan sesudah intervensi. Intervensi kombinasi PLB dan DBE yang dilakukan selama 5 siklus dimana 1 siklus terdiri dari PLB 5 kali,  dilanjutkan DBE 5 kali dan istirahat selama 2 menit. Studi dilakukan di salah satu rumah sakit di Semarang pada bulan Mei hingga Juni 2023 dengan 5 pasien CHF yang mengalami sesak napas. Setelah dilakukan intervensi menunjukkan terjadinya penurunan frekuensi napas dan skala sesak napas, serta peningkatan saturasi oksigen. Hal ini menunjukkan PLB dan DBE dapat dijadikan sebagai intervensi non farmakologi dalam mengatasi sesak napas pasien CHF. Penelitian selanjutnya diperlukan dengan jumlah responden yang lebih besar untuk meningkatkan keakuratan intervensi.
Tingkat Kemandirian Pasien Dengan Gangguan Mobilitas Fisik Dengan Berbagai Macam Penyakit Lisdiana, Renna; Rofi'i, Muhamad
Holistic Nursing and Health Science Vol 7, No 1 (2024): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.7.1.2024.16-29

Abstract

In Indonesia, 22.5 million people experience disabilities with the highest incidence occurring in those aged 60 years and over (elderly). Meanwhile, the most common impairment or limitation of function experienced by persons with disabilities in Indonesia is impaired walking (immobility). This mobility impairment can affect a person's independence in fulfilling their daily activities.This study aims to determine the level of independence of activity of daily living (ADL) in patients who experience impaired physical mobility. This research is quantitative research with a descriptive survey design. The sampling technique used purposive sampling technique with a total sample of 102 patients who experienced impaired physical mobility aged ≥ 60 years and domiciled in the Sukra Health Center work area. Measurement of ADL independence using the Katz Index questionnaire, which has been back translated and tested for construct validity with a calculated r value of 0.580-0.740 > r table 0.361 which means it is valid. Data were analyzed univariately and cross-tabulated. The results showed that the majority of patients with impaired physical mobility experienced total dependence in performing ADL (23.5%). Total dependence was more experienced by patients aged > 90 years (24.7%), female (26.1%), suffered a stroke (42.6%), lived with family (27.1%), usually assisted by other people (nurses/neighbors/helpers) (50%), and had been hospitalized less than 1 year ago (35%). Patients with impaired physical mobility are expected to be able to fulfill all activities daily living either independently or with the help of others.
Perilaku Sedentary pada Remaja Akhir Berdasarkan Banyaknya Akun Media Sosial yang Dimiliki Etika, Arif Nurma; Agnes, Yeni Lufiana Novita; Yunalia, Endang Mei; Prayogi, Ines Septiya
Holistic Nursing and Health Science Vol 6, No 2 (2023): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.6.2.2023.76-85

Abstract

Non-communicable diseases including cardiovascular disease, diabetes and cancer are the number 1 killers in the world. According to the Indonesian Ministry of Health, the incidence of non-communicable diseases in Indonesia increase every year. One of the main factors causing non-communicable diseases is sedentary lifestyle. Sedentary lifestyle are activities that all types of activities need very little caloric (< 1.5 METs). Currently, the use of social media among adolescents is massive. This study aims to identify sedentary behavior in late adolescents based on the amount of social media they have. This research was a correlational analytical research with a cross sectional approach. The sample were 193 students of the Faculty of Health in Kediri. The data were collected using snowball sampling. The instrument used in this study was a modified Sedentary Behaviour Questionary (SBQ). The data obtained were analyzed using the Spearman Rank Test. The results of this study showed that 49.7% performed high sedentary behavior. 42% of late adolescences have 4/more social media accounts, 90.7% of late adolescences use social media daily. The results of the Spearman rank test obtained p-value: 0.031 so there was a relationship between the amount of social media and sedentary behavior, and also p-value: 0.036, Correlation Coefficient: 0.615 so that there was a strong relationship between frequent use of social media with sedentary behavior. From the results of the study, it is recommended to reduce the intensity of social media, so that sedentary behavior can also be minimized, and prevent non-communicable diseases.
Peer Education with Smart Card Effects on the Stigma of HIV/AIDS among Non-HIV Inmates Anisah, Retno Lusmiati; Andriany, Megah; Sofro, Muchlis Achsan Udji; Piriyasart, Jitlada
Holistic Nursing and Health Science Vol 7, No 1 (2024): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.7.1.2024.30-39

Abstract

Inmates with HIV/acquired immunodeficiency syndrome (AIDS) are often exposed to psychosocial problems due to stigma. Limited study proved effect of peer education with smart card on the stigma of HIV/AIDS among non-HIV inmates. The purpose of this study was to know the effects of peer education with smart card method on the stigma of HIV/AIDS among inmates. The study design was pre-experimental design. The sample was 94 male inmates without HIV taken using purposive sampling. The stigma was measured used the Visser Personal and Perceived Community Stigma questionnaire. Non-HIV prisoners was educated regarding using HIV/AIDS Smart Cards, Anti-HIV/AIDS Stigma and Discrimination Cards as well as involving a positive HIV for hand shaking role play. Data were analyzed using the Wilcoxon signed rank test. The results showed significant differences between the pre and post-test on personal and perceived community stigma. The findings recommend for correctional nurses to imply this intervention in preventing the stigma of HIV/AIDS and future studies to examine this intervention toward other outcomes such as discrimination in correctional settings.
Penilaian Tingkat Kecemasan pada Lanjut Usia dengan Arthritis di Kota Banda Aceh Fazillah, Abrar; Nurhasanah, Nurhasanah; Febriana, Dara
Holistic Nursing and Health Science Vol 7, No 1 (2024): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.7.1.2024.40-47

Abstract

Gangguan afektif komorbid seperti depresi, stress, kecemasan serta penggunaan obat-obatan pada lansia dengan arthritis rheumatoid dianggap menjadi faktor yang bisa mempengaruhi kecemasan pada lansia. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana tingkat kecemasan pada lanjut usia dengan arthritis di Kota Banda Aceh. Penelitian ini menggunakan desain deskriptif eksploratif dengan pendekatan cross-sectional study. Sampel dalam penelitian ini adalah lansia di Kecamatan Baiturrahman yang berjumlah 100 orang dan penelitian ini menggunakan Teknik Accidental Sampling. Instrumen yang digunakan Geriatric Anxiety Scale (GAS). Hasil menunjukkan bahwa terdapat 43 responden (43,0%) mengaku tidak pernah mengalami kecemasan, 32 responden (32,0%) dinyatakan mengalami kecemasan ringan, 8 responden (8,0%) memiliki tingkat kecemasan tingkat sedang dan 17 responden (17,0%) mengalami kecemasan berat yang diakibat dari arthritis yang dideritanya. Penelitian ini diharapkan mampu menjadi masukan bagi masyarakat luas. Kemudian untuk masyarakat lebih memahami dan memiliki wawasan untuk selalu menjaga pola makan, olahraga teratur, menjaga kalsium tetap terpenuhi selalu mengontrol kadar asam urat dalam tubuh dan juga memeriksa sesuatu yang tidak wajar apabila menyebabkan nyeri sendi ke pelayanan kesehatan terdekat. Sehingga dapat mencegah komplikasi yang nanti nya bisa saja terjadi.
Gambaran Lifestyle Behavior, Strategi Koping dan Subjective Well-being Remaja Selama Pandemi Covid-19 di Kota Banda Aceh Hidayati, Rahma; Asniar, Asniar; Rachmalia, Rachmalia
Holistic Nursing and Health Science Vol 6, No 2 (2023): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.6.2.2023.61-75

Abstract

Introduction: Adaptation to new situations caused by the Covid-19 pandemic limits adolescents' spaces in performing daily routines. This limitation also impacts their subjective well-being. Subjective well-being relates to lifestyle behavior and coping strategies. Therefore it is essential to assess in defining appropriate nursing interventions for adolescents. This study aimed to describe lifestyle behavior, coping strategies, and subjective well-being during the Covid-19 pandemic in Banda Aceh City. Methods: This study employed a descriptive exploratory design with a cross-sectional approach, involving 168 adolescents selected by snowball sampling. Data was collected by using a self-report questionnaire distributed by google form.Results: The study findings show that most of the adolescents tried to obey the regulations during the Covid-19 pandemic (63.1%); few of the respondents planned their daily routines (19.0%); were involved in different activities (10.7%), and only a few who do physical activity regularly (21.4%). Adolescents often shared their feelings (31.5%) and reviewed their relationships with their families (38.7-42.3%). In terms of social and school interactions, adolescents maintained contact with their friends and teachers (35.1-43.5%). The adolescents maintained school obligations at home (49.4%),  and this period did not affect their educational path (50.0%). In addition, most adolescents reported slight changes in subjective well-being (41.1%) and mild anxiety (38.1%). Discussion/Suggestion: This study highlights several conditions that need consideration from relevant stakeholders, including community health nurses or school health nurses, in designing interventions to prevent poor lifestyle behaviors and improve adolescents' adaptive coping and subjective well-being. Consequently, nurses should collaborate with families, school boards, public health centers, district health offices, and other government sectors in implementing health promotion programs for adolescents during the Covid-19 pandemic, particularly in improving lifestyle behaviors, adaptive coping, and subjective well-being.
Hubungan Tingkat Pendidikan Ibu dengan Pengetahuan, Sikap, dan Praktik Pencegahan Demam Berdarah Dengue di Kota Banda Aceh Funna, Desya Amalia; Asniar, Asniar; Alam, Teuku Samsul
Holistic Nursing and Health Science Vol 7, No 1 (2024): June
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.7.1.2024.48-58

Abstract

Dengue fever (DHF), one of the most concerning health problems in Indonesia.Individual knowledge, attitudes, and practices related to DHF are important factors that can influence the occurrence of DHF cases. Meanwhile, one of the determinants contributing to determining knowledge, attitudes, and practices is the level of educationand relationship these factors were not tested yet in Banda Aceh.Therefore, this studyfocusedon determining the relationship between mothers' education level and knowledge, attitudes, and practices of DHF prevention in Banda Aceh.This research was a descriptive correlative study with a cross-sectional approach involving 228 mothers living in villages with a high risk of DHF, selected using a proportional random sampling technique. Data were collected using a self-report questionnaire containing 62 statements to measure knowledge, attitudes, and practices of DHF prevention, then analyzed using the Kruskal Wallis test.The data analysis showed a relationship between the mother's education level and knowledge (p-value 0.00) about DHF and DHF prevention practices (p-value 0.033). Still, there was no relationship between the mother's education level and attitude (p-value 0.754) against DHF in Banda Aceh. This study indicates that maternal education factors need to be considered in planning community nursing interventions to increase knowledge and practice of dengue preventionthat is adjusted to the level of education of mothers in the community.
Hubungan Sikap Perawat dengan Praktik Kolaborasi Interprofesi di Ruang IGD Samarinda Abidah, Aqmarina; Widyastuti, Dwi; Milkhatun, Milkhatun; Maisyarah, Siti
Holistic Nursing and Health Science Vol 7, No 2 (2024): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.7.2.2024.88-97

Abstract

Praktik kolaborasi interprofesi dapat meningkatkan keoptimalam pemberian pelayanan kesehatan yang cepat dan tepat khususnya di Instalasi Gawat Darurat (IGD), namun  hingga saat ini praktik kolaborasi interprofesi masih belum terimplementasikan dengan baik. Hal tersebut memberi dampak pada pelaksanaan tugas tenaga kesehatan yang tumpang tindih dan tidak menutup kemungkinan mempengaruhi respond time pasien di IGD. Sikap perawat dalam menjalankan praktik kolaborasi interprofesi merupakan salah satu hal fundamental yang menentukan praktik kolaborasi interprofesi berjalan dengan baik atau buruk. Hasil penelitian sebelumnya tentang hubungan sikap perawat dan praktik kolaborasi interprofesi di Kota Samarinda masih sangat terbatas dan masih sedikit penelitian mengenai komponen yang ada pada sikap perawat. Penelitian ini bertujuan utnuk mengetahui sikap perawat dengan praktik kolaborasi interprofesi di ruang IGD Samarinda. Desain penelitian ini ialah penelitian kuantitatif dengan pendekatan cross sectional, populasi penelitian ialah seluruh perawat di ruang IGD salah satu rumah sakit di kota Samarinda dengan sampel 54 perawat IGD. Variabel yang digunakan terdiri dari variabel dependen (Praktik kolaborasi interprofesi) dan variabel independen (Sikap perawat). Pengumpulan data dengan metode angket menggunakan kuesioner kuesioner The Jefferson Scale of Attitudes Toward Physician Nurse Collaboration (JSAPNC) dan kuesioner Collaborative Practice Assesment Tool (CPAT) kemudian dilakukan uji statistik dengan uji korelasi Kendall Tau. Hasil uji statistik kendall tau ialah P-value = 0,015 < α = 0,05, terdapat hubungan sikap perawat dengan praktik kolaborasi interprofesi di ruang IGD Samarinda dengan korelasi positif dan kekuatan hubungan yang lemah. Peneliti selanjutnya diharapkan dapat mengikutsertakan tenaga medis dan tenaga kesehatan lain yang terlibat di pelayanan kesehatan sebagai responden.
Gambaran Health Literacy pada Anak Usia Sekolah di Kabupaten Aceh Besar, Provinsi Aceh Nadhifatusysyarfi, Rifa’; Asniar, Asniar; Ridwan, Arfiza
Holistic Nursing and Health Science Vol 7, No 2 (2024): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/baf.%v.%i.%Y.%p

Abstract

Masalah kesehatan anak, seperti obesitas, kekurangan gizi, dan rendahnya literasi kesehatan, merupakan isu global yang memengaruhi kesehatan anak usia sekolah. kemampuan literasi kesehatan anak sangat menentukan perilakunya dalam mengatasi permasalahan kesehatan baik dalam mengambil keputusan atau melaksanakan praktik harian. Namun demikian, belum banyak bukti yang menunjukkan gambaran tingkat health literacy pada anak usia sekolah dasar khususnya di Kabupaten Aceh Besar, Provinsi Aceh. Penelitian ini bertujuan untuk mengetahui gambaran tingkat health literacy di Kecamatan Blang Bintang Kabupaten Aceh Besar. Penelitian ini menggunakan metode kuantitatif dengan desain deskriptif dan pendekatan cross-sectional. Populasi terdiri dari 350 siswa kelas 5 dan 6, dengan sampel sebanyak 176 siswa yang dipilih menggunakan proportionate random sampling berdasarkan tabel Cohen. Pengumpulan data dilakukan dengan kuesioner Instrument Pengkajian Literasi Kesehatan pada Anak Usia Sekolah. Data dianalisa menggunakan analisis univariat. Hasil penelitian menunjukkan bahwa umumnya siswa memiliki tingkat health literacy yang baik (51,1%). Hal ini menunjukkan bahwa tingkat health literacy pada anak usia sekolah di Kecamatan Blang Bintang Kabupaten Aceh Besar telah memadai. Oleh karena itu, direkomendasikan kajian lebih lanjut mengenai tingkat health literacy siswa sekolah untuk melihat distribusi literasi kesehatan di Provinsi Aceh, beserta disparitas dan determinannya.
A Literature Review: Factors Affecting Parental Behaviour in Early Detection of Children with Retinoblastoma Qur'aniati, Nuzul; Sutianingsih, Sutianingsih; Kurnia, Iqlima Dwi; Rachmawati, Praba Diyan; Mundakir, Mundakir
Holistic Nursing and Health Science Vol 7, No 2 (2024): November
Publisher : Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/hnhs.7.2.2024.71-87

Abstract

Introduction: In Indonesia, retinoblastoma is a type of cancer with a high incidence and is the most common cause of death after leukaemia. Early detection of retinoblastoma in children is a health practise that involves identifying or screening for retinoblastoma symptoms in order to avoid consequences. However, a delay in early detection contributes to the high prevalence of disease metastases and negative consequences. This literature review aims to look at the factors affecting parental behaviour in early detection of children with retinoblastoma.Methods: This literature review searched three databases, including Web of Science, PubMed, and Google Scholar, for publications published between 2016 and 2020. The PICOS framework was utilised to set inclusion criteria while reviewing papers. The 14 papers fulfilled the inclusion criteria and. The Joanna Briggs Institute Critical Appraisal were utilised to assess study quality.Results: The review's findings revealed that parental behaviour in early detection of children with retinoblastoma is influenced by internal and external factors. The internal factors include parents' or caregiver' socioeconomic status, level of education, individual beliefs, and the age at which a child receives his or her initial diagnosis. Then, the examples of external factors include distance, the support of a healthcare provider, and the source of health information.Discussion: Internal and environmental factors influence parental behaviour in the early detection and treatment of retinoblastoma. Early detection of retinoblastoma can be sped up by providing information about early symptoms, time of diagnosis, risk factors, complications, and therapy.

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