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Real in Nursing Journal
Published by Sekolah Tinggi Ilmu Kesehatan Fort De Kock
ISSN : 26859068     EISSN : 26851997     DOI : -
Core Subject : Health,
Nursing
RNJ ini fokus memublikasi hasil penelitian orisinal yang belum diterbitkan di manapun, isu yang dipublikasi oleh RNJ meliputi pengembangan ilmu pengetahuan dan kajian ilmiah di seluruh area bidang keperawatan, yakni, keperawatan dasar, keperawatan medikal bedah, keperawatan maternitas, keperawatan anak, keperawatan jiwa, keperawatan gerontik, keperawatan keluarga, keperawatan komunitas, manajemen keperawatan, dan pendidikan keperawatan.
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Articles 169 Documents
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Korelasi Pengetahuan Tentang Covid-19 Dengan Self-Management Pasien Penyakit Kardiovaskular Muliantino, Mulyanti Roberto; Ananda, Yuanita; Sarfika, Rika
REAL in Nursing Journal Vol 7, No 1 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i1.2775

Abstract

Background: Self-management was essential part of health care in maintenance health status of patients with cardiovascular disease actually in the pandemic era. As the vulnerable population in the COVID-19 pandemic, they need an adequate knowledge of COVID-19 to prevent the infection. Knowledge of COVID-19 in line with the implementation of self-management in maintenance their health status.This study aimed to examine the correlation of knowledge of COVID-19 and self-management in patients with cardiovascular disease as vulnerable population in the pandemic era. Methods: This was cross-sectional study of 374 of patients with cardiovascular disease from Cardiovascular Centre in West Sumatera. We collected the knowledge of COVID-19 and self management using the Covid Related Cardiovascular Knowledge Questionnaire and the Cardiovascular Self Management related COVID-19 Questionnaire. Data were analysis with Spearman’s Rank Correlation. Results: The results showed that mean of knowledge of COVID-19 in patients with cardiovascular disease was 41,28 (SD=3,524) and mean of total self-management in cardiovascular patients was 77.7 (SD = 9.96). The further analyses showed that there was a significant correlation between knowledge of COVID-19 and self-management in cardiovascular patients (r = 0,215; p < 0,001). Conclusion: The degree of knowledge of COVID-19 was related to self-management in patients with cardiovascular disease. Patients with higher knowledge of COVID-19 have better implementation of self management in continuation care. Adequate education programme of COVID-19 infection and prevention was essential in patients with cardiovascular disease as vulnerable population to maintain their health status
Beban Kerja Mental dan Kinerja Perawat Pelaksana Saat Pandemi Covid-19 Huriani, Emil; Mahatir, Mahatir; Affim, Yonna
REAL in Nursing Journal Vol 7, No 1 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i1.2830

Abstract

Background: The COVID-19 pandemic caused an increase in the need for health services and health workers, especially nurses. As a consequence, nurses received heavy pressure and demand to be able to maintain and improve performance in an effort to reduce the spread of COVID-19. Apart from that, high demands from society created a mental workload for nurses. The aim of this study was to determine the relationship between mental workload and the performance of implementing nurses during the COVID-19 pandemic. Methods: This quantitative research with a cross sectional design was conducted on 66 nurses who worked during the COVID-19 pandemic at Andalas University Hospital. Data collection was carried out in August-November 2021. The research instruments were performance questionnaires and NASA-TLX for mental workload. Data analysis used the chi square test. Results: The research results showed that during the COVID-19 pandemic, nurses had moderate performance with the lowest performance sub-variable was implementation. Nurses had a heavy mental workload with the highest sub-variable was mental demands. Conclusion: There was a relationship between mental workload and the performance of implementing nurses during the COVID-19 pandemic (p value = 0.000). It is hoped that Andalas University Hospital will pay more attention to mental workload, especially the mental demands of treating patients during the COVID-19 pandemic.Keywords: Mental Workload, Performance, COVID-19
Survey Empiris Terapi Komplementer Pada Ibu Hamil : Mixed Methods Study Samida, Samida -; Mardison, Lidya; Syukri, Rahmat
REAL in Nursing Journal Vol 7, No 2 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i2.2937

Abstract

Background: Pregnancy is a period that starts from the process of conception (conception) until before the fetus is born and is a physiological state. Improper handling of pregnant women is caused by less or even no ANC treatment during pregnancy. Many efforts can be made by pregnant women to overcome various complaints during pregnancy, one of which is complementary therapy or traditional medicine passed down from the family and culture of the local community. This study aims to conduct an empirical survey of complementary therapies for pregnant women in the work area of Muara Tembesi Health Center. Methods: This type of research is Mixed methods with an Exploratory design which was carried out in November 2023 with the population of all pregnant women and the local community. This sampling uses purposive sampling techniques with quantitative samples of 50 respondents and qualitative 16 informants. The instruments used are interview protocols and questionnaires. Qualitative data analysis using the Miles & Huberman model and univariate quantitative data analysis. Results: The research results show that the common complaints of pregnant women are nausea, vomiting, fatigue, dizziness, heartburn, emotional disturbances, aches or pain in the legs, back and waist and leg edema. Meanwhile, the complements used by pregnant women are adjusted to the type of complaints experienced, including consumption of boiled ginger water (78%), lemongrass infusion (34%), betel infusion (8%), half-cooked free-range chicken eggs (60%), fruit and vegetables ( 56%), and massage therapy (52%). Conclusion: It is expected that pregnant women can apply complementary therapies in health services in the form of integrative services.
Hubungan Mekanisme Koping dengan Kecemasan Pada Pasien Penyakit Ginjal Kronik Yang Menjalani Hemodialisa Mailani, Fitri; Refnandes, Randy; Ranita, Nada Dwi
REAL in Nursing Journal Vol 6, No 3 (2023): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v6i3.2771

Abstract

Background: Patients with chronic kidney disease undergoing hemodialysis often experience anxiety. The response made by patients in facing anxiety can involve adaptive coping mechanisms or maladaptive coping mechanisms. The difference in these abilities affects the level of anxiety experienced by patients. The objective of this research is to determine the relationship between coping mechanisms and anxiety levels in patients with chronic kidney disease undergoing hemodialysis at Dr. M Djamil Padang General Hospital. Methods: The research method is quantitative with a cross-sectional study design. The analysis used is Spearman's correlation. The sample in the study consisted of 134 respondents using a purposive sampling technique. Data collection utilized the Brief COPE Questionnaire to assess coping mechanisms and the Zung Self Rating Anxiety Scale (ZSAS) Questionnaire to assess anxiety. Results: Based on the research results, the median value of coping mechanisms is 58.00, indicating maladaptive coping mechanisms, while the median value for anxiety is 62.00, indicating a moderate level of anxiety in patients. Bivariate analysis showed a significant relationship between coping mechanisms and anxiety in patients undergoing hemodialysis, with an average correlation strength and a negative direction (p-value = 0.000 and r = -0.506), meaning that the lower the coping mechanisms, the higher the anxiety experienced by hemodialysis patients. Conclusion: Promotive and preventive efforts are needed to address anxiety in patients undergoing hemodialysis. Healthcare professionals can contribute to this by conducting health education activities on anxiety management and coping mechanisms.Keywords: Anxiety, Coping Mechanisms, Hemodialysis
Pengaruh Konsumsi Telur Ayam Rebus dan Madu Pada Remaja Puteri dengan Anemia Defisiensi Zat Besi Sartika, Tri
REAL in Nursing Journal Vol 7, No 1 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i1.2949

Abstract

Background: Anemia is a condition in which the number of red blood cells or the concentration of hemoglobin in them is lower than normal. Anemia in teenagers is still very high at over 20%. In detail, anemia in children aged 5 to 14 years is 26.8%, aged 15 to 24 years is 32%, meaning that 3 out of 10 people experience anemia. The impact of anemia if it occurs in adolescent girls and women of childbearing age is decreased body endurance, decreased fitness and agility of thinking, as well as decreased learning achievement and work productivity/performance. This research aims to find out the effect of consuming boiled chicken eggs and honey on adolescent girls with iron deficiency anemia. Methods:The research design used wa a pre-experimental design with the form of a one group pretest-posttest design at Sriwijaya Junior High School, Palembang, South Sumatra, The number of samples in the research was 13 respondents. The instrument used was an observation sheet, a tool for measuring Hb levels using an Hb Meter (Easytouch GCHb Model ET-321).  The researcher carried out bivariate analysis, namely using the paired T test. Results: The average Hb in the first measurement (pretest) was 11.46 gr/dL, with a standard deviation of 0.32 gr/dL. In the second measurement (posttest), an average Hb level was found to be 11.73 gr/dL, with a standard deviation of 0.31 gr/dL. It can be seen that the mean difference between the first and second measurements is 0.26, with a standard deviation of 0.34. Conclusion: The statistical test results obtained a value of 0.014, so it can be concluded that there was a significant difference between the HB levels of the first and second measurements at Sriwijaya Junior High School, Palembang, South Sumatra.Pengaruh Konsumsi Telur Ayam Rebus dan Madu Pada Remaja Puteri dengan Anemia Defisiensi Zat Besi
Breastfeeding Exclusive Status and Stunting Incidence Among Children Aged 24-36 Months in West Gunungsitoli, Nias Tarigan, Yenni Gustiani; Etty, Christina Roos; Purba, Ivan Elisabeth; Riaprilany, Nibenia
REAL in Nursing Journal Vol 7, No 1 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i1.2841

Abstract

Background: Stunting occurs when the fetus is still in the womb and only appears when the child is two years old. Stunting in toddlers needs special attention because it can hinder children's physical and mental development. Stunting is associated with an increased risk of morbidity and death as well as hampered growth of motor and mental abilities which carries a risk of decreased intellectual abilities, productivity and increased risk of degenerative diseases. The study objective was to determine the relationship between exclusive breastfeeding and stunting incidence among children aged 24 to 36 months in West Gunungsitoli. Methods: This was observational study with a cross sectional design. The study population was all mothers who had stunted toddlers aged 24 to 36 months with sample of 42 respondents. We used univariate and bivariate analysis for data analysis. Chi square test was used to analyze the relationship with α =0.05. Results: The results of this study were 78.6% of stunted toddlers were not given exclusive breast milk and only 21.4% were given. There were 69% of stunted toddlers had a short height and 31 % toddlers with very short height. Conclusin: However, there was a relationship between exclusive breastfeeding and stunting incident in West Gunungsitoli with a p-value=0.032. Therefore, it is recommended that all mothers in West Gunungsitoli need to be given education about the importance of giving exclusive breast milk to babies.Keywords: Exclusive breastfeeding, stunting, toddlers.
Pengaruh Pendidikan Kesehatan terhadap Fungsi Perawatan Kesehatan Keluarga dengan Tuberkulosis Paru: Laporan Kasus Zahra, Muna Az; Lukman, Mamat; Sari, Sheizi Prista
REAL in Nursing Journal Vol 7, No 2 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i2.3069

Abstract

Background: Tuberculosis (TB) is a public disease that can be transmitted through air transmission, resulting in high morbidity and mortality in developing countries. Increased TB transmission due to poor health care functions for families with pulmonary TB. Providing health education is an effort to increase family awareness so the aim of this research is to determine the effect of health education on the health care function of families with pulmonary TB. This study used a descriptive design, namely a case report, on 1 family with pulmonary TB problems for 10 days and a health education intervention with a family health care function approach. After health education was carried out, there was an increase in knowledge and good behavior in families regarding the care and prevention of pulmonary TB transmission so that the family's health care function also showed a corresponding increase. In conclusion, health education can influence the function of family health care in the treatment and prevention of pulmonary TB because good knowledge shows good behavioral changes accompanied by family confidence and awareness to improve the health status of the family together.
Implementasi Terapi Progressive Muscle Relaxation (PMR) Untuk Menurunkan Kadar Glukosa Darah Dan Stres Pada Pasien Diabetes Mellitus Tipe 2 Lenggogeni, Devia Putri; Gusty, Reni Prima; Erwanto, Ramadhinda Putri
REAL in Nursing Journal Vol 6, No 3 (2023): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v6i3.2697

Abstract

Hyperglycemia and stress conditions are some of the problems often found in type 2 diabetes mellitus (DM) patients that can worsen the patient's condition. One of the non- pharmacological therapies that can be done to reduce and control blood glucose levels and stress is progressive muscle relaxation (PMR). The implementation of PMR is to determine the effect of PMR therapy on blood sugar levels and stress in patients with type 2 diabetes. The implementation of PMR therapy was carried out for six days every day for 15-30 minutes. Blood sugar levels were measured with a glucometer, and stress was measured with the DASS-42 questionnaire. The results on blood sugar levels was known before the implementation of PMR were 173 mg/dL, while after it was done that blood sugar levels were 98 mg/dL. Furthermore, based on the results of the DASS-42 questionnaire, the patient's stress score before the implementation of PMR was 21, and the stress score after the application of PMR was 15. The results of the implementation of PMR actions showed that PMR therapy is effective in reducing and controlling blood sugar and stress levels of patients with type 2 diabetes, so it can be recommended to patients with type 2 diabetes to apply PMR as additional non-pharmacological therapy to control blood sugar and stress.Keywords: type 2 diabetes mellitus, progressive muscle relaxation, blood glucose, stress
Pain Management on Elderly People: Caregivers Readiness on Managing Pain at Home Kartika, Imelda Rahmayunia; Sa'adiah, Halimahtun; Febrina, Wiwit
REAL in Nursing Journal Vol 7, No 1 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i1.2960

Abstract

Background: The diseases that appear in the elderly tend to create excessive and chronic pain with the prevalence of pain occurs in people over 65 years of age. Families as caregivers have to pay more attention to the condition of the elderly so that they need readiness and skills on managing pain at home. Caring on the elderly was very complex and requires patience, including in pain treatment. This study was to overview the family readiness on managing pain for the elderly people.Methods: This study used an analytic descriptive design with a sample of 98 caregivers who cared for the elderly with pain at home. The research instrument used the Nursing Outcomes Classification on a 5-likert scale which asked about family readiness in caring for the family. Data analyzed by using descriptive frequency analysis.Results: A total of 53 people (54.1%) caregivers stated that they were not prepared to care for elderly people with pain at home. It was explained that caregivers mostly stated that they did not know about the disease process of elderly pain and the recommended treatment procedures on managing the pain (each mean of 1.923 and 2.000). Meanwhile, caregivers generally accepted the condition as taking on the role of home care (mean: 3.317).Conclusion: It was concluded that caregivers tended to not have the readiness in taking care of elderly pain at home. It is expected that caregivers can increase knowledge about pain management and be ready to provide home care to the elderly.Keywords: Pain management, caregivers, readiness, elderly, home
Effect of Structured Nursing Intervention on Knowledge and Treatment Adherance Among Patients With End Stage Renal Disease in Kano Metropolis Aikawa, Hussaini Muhammad; Kombo, Salihu Abdulrahman Abdulrahman; Sani, Dalhat Khalid; Dalhatu, Adamu; Sani, Sani Mohammed; Abdurrashid, Idris
REAL in Nursing Journal Vol 7, No 1 (2024): REAL in Nursing Journal
Publisher : Universitas Fort De Kock Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32883/rnj.v7i1.2906

Abstract

Background: Chronic Renal Failure is a progressive irreversible deterioration in renal function in which the body’s power to maintain metabolic, fluid, and electrolyte balance fails, resulting in uremia which contributes to the patient's dependence upon hemodialysis for the maintenance of the internal milieu and to avoid uremia. Patients with end-stage renal disease (ESRD) are characterized by low levels of physical activity and a continuous decline in physical function. The main aim of the study was to assess the effect of structured nursing intervention on treatment adherence among patients with end-stage renal disease in Kano Metropolis. Methods: This study utilized a two-group pretest-post-test quasi-experimental design. Patients receiving dialysis care at Muhammadu Abdullahi Wase Teaching Hospital and Abubakar Imam Urology Hospital were purposively selected as experimental and control groups respectively. A total of 422 participants were estimated and selected for the study and equally shared among the two groups, i.e. 211 for the control and 211 for the experimental group. All statistical data were analyzed and described using simple frequencies, Chi-square, T-test and regressions. Results: Regarding treatment adherence, the pre-intervention mean score was 52.9 and 50.00, and the post-intervention score was 73.2 and 54.6 in the intervention and control groups, respectively. The effectiveness of the intervention was tested using unpaired t-test which was found to be significantly effective (p<0.005). Conclusion: Based on the findings of the study, the structured nursing intervention was effective in improving the level of knowledge regarding the disease and treatment adherence (p<0.005) among patients with end-stage renal disease in the Kano metropolis. It is therefore recommended that the nephrology nurses, hospital administrators, and the general public join hands to make the services accessible and affordable to these patients to maintain their normal life activities through good adherence to the treatment regimen.

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