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arief yanto
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Media Keperawatan Indonesia
Published by Universitas Muhammadiyah Semarang
ISSN : 27222802     EISSN : 26151669     DOI : https://doi.org/10.26714/mki
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
Media Keperawatan Indonesia is intended to be the university journal for publishing articles reporting the results of research in nursing. Media Keperawatan Indonesia invites manuscripts in the areas of medical-surgical nursing, emergency and disaster nursing, critical nursing, pediatric nursing, maternity nursing, mental health nursing, gerontological nursing, community health nursing, management and leadership nursing.
Arjuna Subject : Keperawatan - Riset dan Teori
Articles 231 Documents
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Self-Efficacy in Disaster Preparedness: Insights from Nurses in Emergency and Intensive Care Units Vranada, Aric; Anggriawan, Ferri; Wang, Tsae-Jyy
Media Keperawatan Indonesia Vol 7, No 3 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.3.2024.186-192

Abstract

Self-efficacy is a critical factor influencing nurses' performance in disaster scenarios, particularly in high-pressure environments like Emergency Departments (ED) and Intensive Care Units (ICU). This study aimed to evaluate the self-efficacy of nurses in disaster preparedness and identify its key predictors, including demographic characteristics, training experience, and professional factors. A cross-sectional survey was conducted among 185 nurses working in the ED and ICU of three hospitals in Yogyakarta, Indonesia. Data were collected from January to February 2024 using a structured questionnaire that included the Disaster Response Self-Efficacy Scale (DRSES). Descriptive statistics summarized demographic data and self-efficacy scores. Inferential analyses, including t-tests, ANOVA, and multiple regression, were performed to explore relationships between self-efficacy and potential predictors, with statistical significance set at p < 0.05. Disaster training experience emerged as the strongest predictor of self-efficacy (β = 0.65, p < 0.001), with nurses who underwent regular training demonstrating significantly higher confidence. Years of experience (β = 0.48, p = 0.01) and age (β = 0.25, p = 0.04) were also positively associated with self-efficacy. However, gender, education level, and marital status showed weak and non-significant correlations (r = 0.12–0.18, p > 0.05). Correlation analysis reinforced the importance of disaster training (r = 0.65, p < 0.001) and professional experience (r = 0.48, p = 0.01) in shaping self-efficacy. The findings underscore the importance of regular disaster training and leveraging professional experience to enhance self-efficacy among ED and ICU nurses. Policymakers and hospital administrators should prioritize targeted training programs to build a resilient nursing workforce capable of responding effectively to disasters
Lavender Aromatherapy and Deep Breathing Relaxation on Reducing The Anxiety of Cancer Patients Syahida, Ilma Yosi; Astuti, Duwi Pudji; Tarnoto, Koko Wahyu; Sulistyowati, Dwi Ariani
Media Keperawatan Indonesia Vol 7, No 2 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.2.2024.93-103

Abstract

Cancer is a disease with an abnormal spread of uncontrolled body tissue cells and attacks adjacent body parts. One of the nursing problems that arise in cancer patients in anxiety. This study aims to determine the effect of lavender aromatherapy and deep breathing relaxation against depression and anxiety levels of cancer patients. This study applied a pre-experimental with one group pretest posttest design with a sample size of 36 respondents. The results showed and impact of lavender aromatherapy and deep breathing relaxation on reducing the anxiety of cancer patients, with a p-value of 0,000, and there is a significant difference in reducing the anxiety level of cancer patients before and after being given the intervention. Cancer patient with anxiety problem. It is recommended to use levender aromatherapy and deep breathing relaxation to relieve their symptoms.
Overview of Fall Risk and Pain Levels in Elderly Patients with Knee Osteoarthritis in General Hospital Putri, Avriza Byan Antama; Soesanto, Edy; Mubin, Mohammad Fatkhul; Ernawati, Ernawati
Media Keperawatan Indonesia Vol 7, No 4 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.4.2024.327-334

Abstract

Knee osteoarthritis is a degenerative disease that is often experienced by the elderly, causing pain and increasing the risk of falls, which has a significant impact on quality of life. This study aims to describe the risk of falls and pain levels in elderly people with knee osteoarthritis in general hospitals. This research uses a descriptive design with a cross sectional approach. Data collection was carried out by studying medical records and interviews from 150 elderly patients suffering from knee osteoarthritis. The risk of falling was measured using the Morse Falls Scale, while the level of pain was measured using the Numeric Rating Scale. The results showed that 49.3% of patients had a low risk of falling and 56.7% experienced mild pain. The majority of patients were aged 71-90 years, with 78.7% of them being women. This study shows that the majority of elderly patients with knee osteoarthritis have a low risk of falls and mild to moderate levels of pain, with age and gender playing an important role in the prevalence of this condition.
Overview of Depression Level in Knee Osteoarthritis Patients in Geriatric Polyclinic in General Hospital Fadilah, Rakha Ariq; Yanto, Arief; Mubin, Mohammad Fatkhul; Rahayu, Desi Ariyana
Media Keperawatan Indonesia Vol 7, No 3 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.3.2024.213-219

Abstract

Knee osteoarthritis (OA) is one of the most prevalent degenerative conditions among the elderly, significantly impacting both mental and physical health, including an elevated risk of depression. This study aims to assess the prevalence of depression distribution among patients with knee osteoarthritis attending the geriatric polyclinic at a Regional General Hospital in Indonesia. A descriptive cross-sectional study design was employed. Data were collected through medical record reviews and structured interviews. The findings revealed that 61.3% of patients experienced mild depression, 35.3% were categorized as having no depression, and 3.3% had moderate depression, with no cases of severe depression identified. The majority of patients were classified as older adults (aged 75–90 years, 60%) and predominantly female (78.7%). In conclusion, knee osteoarthritis is most commonly observed in the older age group and among females. Most patients present with mild depression, which tends to worsen with advancing age, influenced by chronic pain and functional limitations.
Ankle Brakhial Indext (ABI): a tools for detect peripheral arterial disease (PAD) Wahyuni, Riska; Khasanah, Nopi Nur; Amal, Ahmad Ikhlasul
Media Keperawatan Indonesia Vol 7, No 2 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.2.2024.164-174

Abstract

Peripheral Arterial Disease (PAD) is a common complication among patients with type 2 diabetes mellitus, characterized by atherosclerosis that leads to the narrowing of the arteries in the legs and feet. PAD complications include pain, neuropathy, and potential limb amputation. This study reviews the effectiveness of the Ankle-Brachial Index (ABI) as a diagnostic tool for PAD detection in diabetic patients. A literature review was conducted, sourcing 266 articles from PubMed, Google Scholar, and ScienceDirect databases within the 2019-2024 period; six articles met the inclusion criteria. The analysis indicates that ABI is a sensitive and accurate diagnostic method, particularly for patients with an ABI <0.9 who are at higher risk of cardiovascular complications. PAD risk factors include older age, hypertension, and smoking. ABI also shows high concordance with Doppler Ultrasonography (DUS) for various degrees of arterial stenosis. In conclusion, ABI is a reliable, non-invasive diagnostic tool for early PAD detection in diabetic patients. Routine use of ABI in screening programs may help prevent further complications through early diagnosis and intervention, especially for patients with diabetes mellitus.
Lifestyle Differences Between Rural and Urban Communities In Hypertension Prevention Baidhowy, Arief Shofyan; Maftuhah, Wahyu Haniq; Armiyati, Yunie; Soesanto, Edy
Media Keperawatan Indonesia Vol 7, No 4 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.4.2024.243-350

Abstract

Indonesian society is undergoing an epidemiological transformation as the burden of disease shifts from infectious diseases to non-communicable diseases. Hypertension has become a global problem and is one of the non-communicable diseases that requires special attention. The management of risk factors for hypertension is lifestyle. Rural and urban play an important role in lifestyle changes so that people in both places are at risk of hypertension. So it is necessary to see the differences in the lifestyles of urban and rural communities to prevent hypertension. The purpose of this study was to determine the differences in lifestyle that occur in urban and rural communities in preventing hypertension. This research is a type of descriptive analytic with a cross-sectional design. The sample in this study were 150 respondents selected by stratified random sampling technique. The results of this study show there is a significant relationship between lifestyle in rural and urban communities. Rural and urban lifestyles affect the prevention of patients with hypertension.
The Impact of Body Mass Index on Osteoarthritis Severity Levels Juhro, Siti; Al Jihad, Much Nurkharistna; Machmudah, Machmudah; Alfiyanti, Dera
Media Keperawatan Indonesia Vol 7, No 4 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.4.2024.276-281

Abstract

Osteoarthritis (OA) is a degenerative joint disease characterized by cartilage damage, with pain being one of the most frequent complaints among patients. Globally, approximately 151.4 million people suffer from OA, including 27.4 million in Southeast Asia, making it a leading cause of disability among adults. Body Mass Index (BMI) is a significant risk factor influencing the development and severity of OA. This study aimed to analyze the relationship between BMI and osteoarthritis severity. A descriptive cross-sectional design was employed, with data collected from medical records of 106 osteoarthritis patients, selected through total sampling. Data were analyzed using the Kolmogorov-Smirnov test for normality, followed by the Pearson correlation test for normally distributed data. The analysis revealed a significant relationship between BMI and the degree of osteoarthritis (p = 0.001, r = 0.308), indicating a low-strength correlation. These findings suggest that higher BMI is associated with increased severity of osteoarthritis. Further research and targeted interventions are recommended to manage BMI as part of osteoarthritis prevention and treatment strategies.
Core Competencies in Disaster Nursing among Nurses at a General Hospital in Coastal Areas Bahlail, Rezka; Somantri, Irman; Mulya, Adelse Prima
Media Keperawatan Indonesia Vol 7, No 3 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.3.2024.193-201

Abstract

Indonesia is known as a country with a high risk of natural disasters. Nurses as the main element in health care, hold an important role in disaster management. Therefore, nurses who are competent in disaster management are needed. This study aimed to describe core competencies in disaster nursing in facing natural disasters among nurses in a general hospital that is located near the coastal areas. A descriptive quantitative research method was used in this study. Samples were recruited using the simple random sampling technique. The data were collected using DNCCS and analyzed using univariate data analysis. 120 nurses who participated in this study had a higher score (mean = 246.52). Uniquely, nurses who had parcipated in disaster training actually had a lower score (mean = 246.43). In contrast to nurses who had participated in disaster volunteering, they had a higher score overall even though they were small (n=25). Overall, nurses have a high level of preparedness in disaster management. The lack of participation of nurses in disaster volunteers is a serious concern, so it is suggested to the Nursing Division to involve nurses in disaster volunteer both local and national scale disasters.
Implementation of Five Moments and Six Steps Hand Hygiene Among Nurses in Two Hospitals in South Sulawesi Province Prayuda, Maesar; Tombong, Andi Baso
Media Keperawatan Indonesia Vol 7, No 2 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.2.2024.104-113

Abstract

Hand hygiene is a simple step that is most effective to prevent patients from HAIs in hospitals. Therefore, its practice must be implemented by healthcare providers continuously. Its compliance among nurses must always be monitored to optimise safe health care and services, protecting providers and patients during hospitalization. This study aims to identify the implementation of five moment's and six step's hand hygiene by nurses in the inpatient rooms of two hospitals with different ownership status in the South Sulawesi Province. The study used a descriptive quantitative method with an observational approach. This study used a quota sample of 76 nurses and used the WHO adaptation of the Hand Hygiene Compliance (KKT) observation sheet. The study found that the implementation of five moment's hand hygiene by nurses at Hospitals A and B accounted for 15.2% and 8.8%, respectively, and the implementation of six step's hand hygiene was 9.9% and 7%. Hand hygiene compliance by inpatient nurses at Hospital A and Hospital B is in the non-compliant category, not in accordance with WHO recommendations, which are ≥85%. Further research is recommended to focus on factors related to compliance in implementing hand hygiene in hospitals as well as research in developing programs to improve hand hygiene compliance for nurses in health care facilities.
Assessing Independence in Instrumental Activities of Daily Living (IADL) Among Elderly Patients with Knee Osteoarthritis: A Study at the Geriatric Clinic Hidayana, Angga Sri; Yanto, Arief; Hartiti, Tri; Pohan, Vivi Yosafianti
Media Keperawatan Indonesia Vol 7, No 4 (2024)
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/mki.7.4.2024.335-342

Abstract

Knee osteoarthritis is a common degenerative condition among the elderly, leading to a significant decline in functional ability and increased dependency in daily activities. This study aimed to analyze the level of independence and pain distribution among elderly patients with knee osteoarthritis at the Geriatric Polyclinic of a General Hospital. A descriptive design was utilized, using secondary data from 150 elderly patients diagnosed with knee osteoarthritis. Independence levels were assessed using the Instrumental Activities of Daily Living (IADL) scale, while pain location data were retrieved from medical records. The findings revealed that 72.7% of patients maintained independence, while 27.3% required assistance, with bilateral pain reported in 87.3% of cases. Most patients were aged 71–90 years, with a predominance of females (78.7%). These results indicate that the majority of elderly patients with knee osteoarthritis remain functionally independent, although age and gender significantly influence the prevalence and severity of the condition.

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