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Journal of Nursing Care

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Published by Universitas Padjadjaran

ISSN : - EISSN : 26141698 DOI : -

Core Subject : Health, Science,

Health Professions Nursing Physics Public Health

Journal of Nursing Care (JNC) is a journal of scientific publications that publish every four months (quarterly) using a peer review system for article selection. JNC intended for practitioners, academics, professionals, students or among the general public who are involved and interested in the development of Health and Nursing Science. It can receive relevant articles in the field of health and nursing, which includes research articles.

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Articles 197 Documents

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The Incidence of Mucositis in Children with Chemotherapy Treatment Sri Hendrawati; Ikeu Nurhidayah; Henny Suzana Mediani; Ai Mardhiyah
Journal of Nursing Care Vol 2, No 1 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Currently, cancer is the top ten cause of child mortality in Indonesia. Chemotherapy is an effective intervention to treat cancer children, however, has side effects, including mucositis. The prevalence of mucositis in cancer children is estimated to reach 45−80%, which has implications for the children’s’ quality of life. The purpose of this study was to identify the occurrence of mucositis in cancer children who received chemotherapy treatment. The study was conducted at Dr. RSUP Hasan Sadikin Bandung. This research method was descriptive quantitative. The consecutive sampling technique was used to determine the respondent as the study sample so that 60 respondents were obtained. The process of collecting data used the Oral Assessment Guide (OAG) study instrument in the form of a checklist sheet. Data were analyzed using frequency distribution and percentage. The results showed that almost all cancer children with chemotherapy treatment experienced mucositis which is 53 people (88.3%) and a small proportion of 7 people (11.7%) did not experience mucositis. Almost all cancer children who get chemotherapy treatment experience mucositis. Nurses as health workers who are most often with patients should be able to improve nursing care for cancer children who receive chemotherapy treatment in minimizing the occurrence of mucositis by conducting routine mucositis assessment and oral care to improve the quality of life in cancer children

Death Anxiety Level among Patients with Chronic Renal Failure Undergoing Hemodialysis Anneke Dewina; Etika Emaliyawati; Atlastika Praptiwi
Journal of Nursing Care Vol 1, No 1 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Chronic renal failure (CRF) is one of chronic diseases that can decrease the quality of life and trigger anxiety that is formed by negative thinking, including thought of death. The excessive thought of death will cause stress. This situation will have an impact on care planning, preparation for facing death and difficulties in achieving a dignified quality of death. This study aimed to identify the level of death anxiety among CRF patients undergoing haemodialysis. This study used a quantitative descriptive method involving 73 patients recruited by using a consecutive sampling technique. Data were collected by using a Death Anxiety Scale (DAS) Templer instrument that was adapted for haemodialysis patient. Data were analyzed using descriptive statistics (mean, frequency, and percentage).The results of this study showed that nearly half of the patients had moderate death anxiety (n=35), 27.4% respondents (n=20) experienced low death anxiety, and 24.7% respondents (n=18) experienced high death anxiety. Based on the results, it is necessary to manage the death anxiety of CRF patients undergoing haemodialysis. Some potential approaches may include spiritual therapy, group counselling during haemodialysis, cognitive therapy (positive perception strengthening), and health education related to haemodialysis procedures and chronic renal failure.Keyword : Chronic renal failure, death anxiety, haemodialysis. Tingkat Kecemasan Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis dalam Menghadapi KematianAbstrakPenyakit gagal ginjal kronik dapat menurunkan kualitas hidup sehingga memicu kecemasan akibat dari pemikiran negatif termasuk pemikiran akan kematian. Pemikiran kematian yang berlebihan menimbulkan stres tersendiri sehingga berdampak pada perencanaan perawatan, persiapan menghadapi kematian dan sulitnya mencapai kualitas kematian yang bermartabat. Penelitian ini bertujuan untuk mengetahui tingkat kecemasan pasien gagal ginjal kronik yang menjalani hemodialisis dalam menghadapi kematian. Penelitian deskriptif kuantitatif ini melibatkan 73 pasien gagal ginjal kronik yang menjalani hemodialisis diambil dengan teknik consecutive sampling. Pengumpulan data menggunakan instrumen Death Anxiety Scale (DAS) Templer yang diadaptasi untuk pasien hemodialisis. Data dianalisis dengan statistik deskriptif (frekuensi dan persentasi). Hasil penelitian menunjukkan separuh dari jumlah pasien gagal ginjal kronik yang menjalani hemodialisis mengalami kecemasan kematian tingkat sedang (n=35), 27.4% responden (n=20) mengalami kecemasan rendah, dan 24.7% responden (n=18) mengalami kecemasan kematian tinggi. Berdasarkan hasil tersebut perlu dilakukan pengelolaan terhadap kecemasan menghadapi kematian pasien gagal ginjal kronik yang menjalani hemodialisis. Bentuk pengelolaan kecemasan menghadapi kematian diantaranya dengan terapi spiritualitas, konseling kelompok, terapi kognitif (penguatan persepsi positif), dan pemberian pendidikan kesehatan terkait dengan prosedur hemodialisis dan penyakit gagal ginjal kronik.Kata kunci : Gagal ginjal kronik, hemodialisis, kecemasan menghadapi kematian.

The Effect of the Foot Reflection Therapy toward Systolic Blood Pressure in Patients with Primary Hypertension Liota Marsha Renardiyarto; Dwi Ari Murti Widigdo; Tulus Puji Hastuti
Journal of Nursing Care Vol 1, No 3 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Hypertension is a high blood pressure disorder which disrupts blood flow resulting in blocking of oxygen and nutrition carried by the blood to body tissue. Based on Dinas Kesehatan Jawa Tengah's data, hypertension became one of the health issues with a percentage of 37%. One of non-pharmacological therapy is foot-reflexology therapy. This method gives a relaxation effect that could make blood circulating better, decay the blocking in blood vessel, nourish muscles and nerves, and strenghten heart activity. Objective: To determine the effect of foot reflection therapy toward systolic blood pressure in primary hypertension patient at Ngadirojo, Secang, Magelang Method: This study used the pre-experiment method with one group pre-test post-test design without a control group. Simple random sampling technic was used to get 46 subjects. Result: Wilcoxon Test result showed different significant in this study between pre-post test foot reflection therapy by p=0.000 (p<0.05). It meant there was an effect of foot-reflection therapy on systolic blood pressure in primary hypertension. The average of blood pressure decrease was 3,7 mmHg. Although, the results of this study showed that there was a significantly different decrease in this decrease was not clinically significant. The recommendation is made to conduct a study in a combination of pharmacology and non-pharmacology intervention to lower blood pressure.

Self-Management and Self-Efficacy In Hemodialysis Patients agavia kristi purba; Etika Emaliyawati; Aat Sriati
Journal of Nursing Care Vol 1, No 2 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Introduction, the success of treatment in chronic renal failure patients with hemodialysis required the existence of self-management and self-efficacy. Previous studies showed that self-efficacy had the influence to bring up self-management behavior. The purpose of this study was to determine patients’ self-management and self-efficacy in chronic renal failure patients who had hemodialysis at Advent’s Hospital Bandung. Methods, this study was a quantitative descriptive research. The study samples were chosen using consecutive sampling technique. The number of samples was 75 patients. Data were collected using the SMBQ and PEPPI+Life Options DeNovo instruments. Data were analyzed using the quantitative descriptive approach with mean value and frequency distribution. The results of self-efficacy in patients with chronic renal failure with hemodialysis was high (54.7%) and the self-management behavior was in a good category (53.3%). The conclusion of this study is that the patient has a good self-management as well as self-efficacy. However, this study found the poor category of the partnership in caring aspect. Recommendation There is a need for a strategy to improve the self-management in the partnership in caring aspect by providing emotional support, educating patients related to treatment and care, and evaluating patients’ health development periodically.

Illness Cognition pada Pasien dengan Penyakit Jantung Koroner Putri Puspa Delima; Aat Sriati; Aan Nur’aeni
Journal of Nursing Care Vol 1, No 1 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v1i1.15763

Partisipasi pasien PJK dalam program rehabilitasi jantung fase II di salah satu rumah sakit di Kota Bandung masih rendah. Hal tersebut dapat dipengaruhi oleh berbagai faktor. Illness cognition diyakini sebagai predictor partisipasi pasien PJK dalam mengikuti rehabilitasi jantung. Illness cognition dapat memengaruhi strategi koping pasien PJK untuk memilih tindakan yang akan dilakukan, baik itu berpartisipasi aktif ataupun pasif dalam mengikuti rehabilitasi jantung. Tujuan penelitian ini untuk melihat gambaran illness cognition pasien PJK. Penelitian ini merupakan penelitian deskriptif kuantitatif dengan pendekatan cross sectional. Pemilihan responden dilakukan dengan menggunakan teknik consecutive sampling dan didapatkan sebanyak 66 responden dalam waktu satu bulan. Data diambil dengan menggunakan Illness Cognition Questionnairre (ICQ). ICQ memiliki nilai validitas 0,65 – 0,79 dan nilai reliabilitas 0,88 – 0,91. Data dianalisis menggunakan distribusi frekuensi, nilai mean, dan standar deviasi. Hasil penelitian menunjukkan bahwa illness cognition pasien PJK memiliki nilai mean dan standar deviasi dari yang tertinggi ke yang terendah adalah sebagai berikut, persepsi tentang manfaat (20,52±2,89), penerimaan (18,82±3,02), dan ketidakberdayaan (12,94±4,72). Nilai tersebut mencerminkan bahwa illness cognition pasien PJK memiliki aspek positif lebih tinggi daripada aspek negatif. Berdasarkan penelitian ini disimpulkan bahwa illness cognition pada pasien PJK yang menjalani perawatan di rumah sakit ini secara umum baik. Hal ini dimungkinkan oleh karena koping yang dikembangkan adaptif. Tingginya aspek ketidakberdayaan pada sebagian pasien PJK dapat diturunkan melalui peningkatan kondisi fisik, psikologis, dan spiritual serta meningkatkan keterlibatan keluarga dalam menangani masalah terkait penyakit.Kata kunci : Ilness cognition, penyakit jantung koroner, rehabilitasi Ilness Cognition in Patient with Coronary Heart DeseaseAbstractParticipation of CHD patients in cardiac phase II rehabilitation program in one hospital in Bandung is low. It can be influenced by various factors. Illness cognition is believed as a predictor of the participation of CHD patients to follow cardiac rehabilitation. Illness cognition can affect the coping strategies of CHD patients used in choosing the action to be performed, whether it participates actively or passively in following cardiac rehabilitation. The purpose of this study was to identify the illness cognition of CHD patients. This research was a quantitative descriptive research with cross sectional approach. Respondents were selected using consecutive sampling technique and it was obtained 66 respondents within one month. Data were obtained using Illness Cognition Questionnairre (ICQ). ICQ has a validity of 0.65 - 0.79 and a reliability of 0.88 - 0.91. Data were analyzed using frequency distribution, mean, and standard deviation. The results showed that the illness cognition of CHD patients mean and standard deviation from the highest to the lowest was as follows, perceived benefits (20.52 ± 2.89), acceptance (18.82 ± 3.02), and helplessness (12.94 ± 4.72). These results reflected that the illness cognition of CHD patients had a higher positive aspect than the negative aspect. Based on this research, it was concluded that illness cognition in CHD patients undergoing hospitalization was generally good. This was probably due to the use of adaptive coping. The high aspect of helplessness in some CHD patients can be decreased by improving physical, psychological and spiritual conditions and increasing family involvement in dealing with disease-related problems.Keywords : Coronary heart desease , illness cognition, rehabilitation

The Professional Quality of Life of Nurses who Work in the Intensive Care Unit and Emergency Unit Astri Eka Wulandari; F. Sri Susilaningsih; Irman Somantri
Journal of Nursing Care Vol 1, No 3 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Nurses need compassion when providing health services. Compassion felt by nurses can be Compassion Satisfaction (positive aspects) and Compassion Fatigue (negative aspects), and may affect nursing care and Nurses’ Professional Quality of Life. The tendency to negative aspects will be felt by the nurses themselves, patients and hospitals. The purpose of this study was to determine the quality of life of professionals (Professional Quality of Life) nurses in the Intensive Care Unit (ICU) and Emergency Room (ER) of the Kota Bandung Hospital. This research was a quantitative descriptive study. Involving 62 nurses from ICU and ER through total sampling technique with a response rate of 97%. Data was collected using Professional Quality of Life (ProQol) version 5 then analyzed with descriptive statistics. The results showed that 20.97% had a positive Professional Quality of Life according to the Stamm combination interpretation while outside of Stamm's interpretation, 32.26% tended to be positive. According to the results of the average score of each sub-variable, Compassion Satisfaction was in the medium category. The highest average score of compassion satisfaction was ICU nurses, the highest secondary traumatic stress was PICU/NICU nurses and the highest average score of burnout was emergency nurses. Hospitals need to conduct regular reviews of nurse Professional Quality of Life and conduct counseling programs for nurses who have ProQol towards negative and risky aspects.

The Correlation Between Coping Strategy and Stress of Parents Who Have Children with Autism Windi Dwirexsi; Mamat Lukman; Imas Rafiyah
Journal of Nursing Care Vol 1, No 3 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Autism was a very complex neurobiological developmental disorder. Parents with autistic children have a higher stress level than parents who have normal children, so use the effective coping strategy for parents who had an autistic child would make them prevented the excessive stress. Aim of the research was to find out relation of coping strategy and parents’ stress who had an autistic children. The research design was correlational design with a cross-sectional approach. Data collection used a questionnaire of the Coping Health Inventory for Parents and Parental Stress Scale. Result of study showed that coping strategy and parents’ stress who had an autistic child were mostly at range of medium coping strategy (57.7%) and moderate stress (76.9%). Result of Spearman’s Rank correlation test showed a negative relation between coping strategy and parents’ stress (r=0.699; p=0.000). There was a correlation between coping strategy and parents’ stress who had an autistic child in this research, which meant the better coping strategy the lower parents’ stress who had an autistic child. Based on these results, autistic agencies should be better able pay attention to improve ability of parents’ coping strategy who had autistic children.

Spiritual Needs of Patients with a Colostomy in a Public Hospital Rahmatia Mozaike; Chandra Isabella; Atlastieka Praptiwi
Journal of Nursing Care Vol 1, No 2 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

An intestinal stoma is an opening of the intestinal tract into the abdominal wall for patients with feces production problems. The process might change patients’ physical, psychological, social, and spiritual. Patients have limitations in daily activities, changes in elimination, depression, feeling hopeless, ashamed with the colostomy bag, and may also affect to their religious and spiritual. For example their religious rituals and belief in God. The aim of this study was to identify the spiritual need of patients with a colostomy in a public hospital in Bandung. This was a descriptive quantitative study, The population was patients with a colostomy who hospitalized in a public hospital in Bandung. The samples were chosen using the accidental sampling (n=42) technique. The study instrument was Spiritual Needs Questionaire (SpNQ), that consists of 19 questions with 4 dimensions (religious needs, inner peace, existential, and actively giving). Data were analyzed using statistics descriptive and presented in a table of distribution frequency. The study found that patients with a colostomy had the spiritual need for all dimension including the religious dimension (88,1%), inner peace (57,1%), existential (54,8%), and actively giving (52,4%). Patients with a permanent colostomy had higher scores on the spiritual needs than those temporary colostomy patients. It can be concluded that the religious dimension is the highest relevance of the spiritual needs. According to this study results, it is expected that nurses can improve the spiritual services in nursing care including assessing patients’ spiritual needs and facilitating patients to fulfill their spiritual needs. The facilitation includes providing an opportunity for praying together, spiritual books, helping patients for ritual worship, establishing therapeutic communication, giving patients their own time, and creating a quiet place.

Spiritual Well-Being Of Health Failure Patients Agung Maulana Yusuf; Tuti Pahria; Aan Nuraeni
Journal of Nursing Care Vol 2, No 1 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Introduction: Decreasing heart function raises problems both physical, psychological and spiritual. Patients faced this health issue, and they need an individual’s spirit and encouragement related to self- management and illness. The purpose of this study was to describe the spiritual well-being of heart failure patients. Method: The method used in the research was a quantitative descriptive method with a cross-sectional approach. The population in this research was all patients with heart failure who underwent inpatient and outpatient care. Samples were taken by consecutive sampling technique for one month and 61 respondents were obtained. Data were collected by using the Spirituality Index of Well-Being instruments. Univariate data analysis uses the mean values and frequency distribution. Result: The result showed that patients with heart failure who had high spiritual well-being were 53 people (86,9%). In life scheme sub-variable, 55 people (90,2%) were included in the high category. In self-efficacy sub-variable, 48 people (78,7%) were included in high category but 13 people (21,3%) were into the low category with a low mean score of 3 statements. Conclusion: almost all respondents have high spiritual well-being reinforced by life scheme but there is a part of self-efficacy that still needs to be improved such as the knowledge about how to overcome the burden of life, the ability to help themselves, and the understanding related to the disease. Therefore, it is important to give information related to the patient’s illness to improve the patients’ spiritual well-being which can affect the health condition of the patient. In addition, physical, psychological and social management also have an important role in improving self-efficacy.

Women’s Health Behaviour in The Perinatal Period Restuning Widiasih; Ermiati, Ermiati,; Anita Setyawati
Journal of Nursing Care Vol 1, No 1 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v1i1.15759

Background Indonesia failed to achieve the maternal mortality rate target as the MDGs’ agreement in 2015. The Ministry of Health has developed health promotion and illness prevention programmes to improve women’s health and wealthiness. However, only few studies provide information of women’s health behaviour related to a health promotion and an illness prevention in the perinatal period comprehensively. This study aimed to determine women’s health behaviour related to the health promotion and the illness prevention in the perinatal period; pre, intra, and postnatal. Method This study applied a descriptive quantitative approach. Samples were chosen using the Convenience sampling method. 51 women from Sukapada, Bandung were involved in this study. Data were collected using a questionarrie and analysed using a frequency distribution. Result This study found that the majority of respondents (96%) visited health services for prenatal visit. Women also concerned with other health activities including having tetanus vaccination (49%), consuming Iron tables and nutrisious food (65% and 61% respectively), and having give birth at health facilities (100%). In contrast, this study also found that women’s participation in prenatal classes was limited (25%). In addition, to prevent prenatal and postnatal complications, women need to have a good understanding of dangerous signs in pregnancy and postpartum. However, the majority of them had limited health literacy about it. Conclusion Women’s health behaviour in the perinatal period is varied. Health education programmes are required for increasingwomen’s health literacy and awareness of health promotion and illness prevention in this period.Keywords: Health promotion, illness prevention, perinatal period. “Health Behaviour” Perempuan Usia Produktif saat Periode PerinatalAbstrakLatarbelakang, Target Millennium Development Goals tahun 2015 berkaitan dengan Angka Kematian Ibu tidak dapat dicapai oleh Indonesia. Kementerian kesehatan Republik Indonesia mengembangkan berbagai program promosi kesehatan dan pencegahan penyakit untuk meningkatkan kesehatan dan kesejahteraan perempuan. Namun, riset yang menginformasikan tentang perilaku kesehatan pada perempuan yang komprehensif berkaitan dengan promosi kesehatan dan prevensi pada periode perinatal masih terbatas. Penelitian ini bertujuan untuk mengidentifikasi perilaku perempuan berkaitan dengan promosi dan prevensi kesehatan pada periode perinatal yang meliputi: hamil, melahirkan, postpartum. Metode, Penelitian ini merupakan penelitian deskriptif kuantitatif. Sampel dipilih dengan menggunakan metode Convenience sampling. Sebanyak 51 perempuan dari Sukapada, Bandung berpartisipasi dalam penelitian ini. Data dikumpulkan menggunakan kuesioner dan kemudian dianalisa dalam bentuk distribusi frekwensi. Hasil menunjukan sebagian besar perempuan (96%) melakukan kontrol kehamilan, 49% mendapatkan immunisasi TT, 65% mengkonsumsi tablet Fe, 61% mengkonsumsi makanan bergizi, dan seluruh perempuan (100%) melahirkan dengan ditolong oleh pertugas kesehatan. Namun sebaliknya, sebagian kecil perempuan (25%) berpartisipasi dalam kelas prenatal. Selain itu, dalam upaya pencegahan komplikasi kehamilan dan postpartum, perempuan diharapkan memiliki pengetahuan tentang tanda bahaya kehamilan dan postpartum. Pada kenyataan nya hasil penelitian ini menunjukkan sebagian besar responden tidak mengetahui tanda bahaya pada kehamilan dan postpartum. Kesimpulan, perilaku perempuan dalam promosi dan prevensi kesehatan di masa perinatal berbeda-beda hal tersebut mungkin disebabkan oleh factor seperti pengetahuan kesehatan. Program pendidikan kesehatan berkaitan dengan periode perinatal dibutuhkan untuk meningkatkan pengetahuan dan kesadaran perempuan berkaitan dengan upaya promosi kesehatan dan pencegahan penyakit pada periode tersebut.Kata kunci: Promosi kesehatan, pencegahan penyakit, periode perinatal.

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