Articles
214 Documents
Hubungan Sleep Hygiene Terhadap Tingkat Insomnia pada Lanjut Usia
Setyoadi Setyoadi;
Ni Putu Ika Purnamawati;
Efris Kartika Sari
Jurnal Keperawatan Malang Vol 8 No 1 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang
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DOI: 10.36916/jkm.v8i1.197
Latar belakang: Insomnia merupakan gangguan tidur yang paling sering dialami oleh lanjut usia. Insomnia dapat disebabkan oleh berbagai faktor dan salah satunya adalah kebiasaan sebelum tidur (sleep hygiene). Terdapat 6 komponen yang dinilai dalam kebiasaan sebelum tidur yaitu: pola tidur, penggunaan tempat tidur, tingkat aktivitas, kondisi lingkungan, kondisi psikologi dan diet (konsumsi kopi). Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara kebiasaan sebelum tidur dengan derajat insomnia pada lanjut usia di Posyandu Lansia Kelurahan Tulusrejo Wilayah Kerja Puskesmas Kendalsari Kota Malang. Metode: Desain penelitian yang digunakan adalah observasional melalui pendekatan cross sectional. Sampel dalam penelitian ini adalah 36 lansia lansia yang mengalami insomnia dan dipilih dengan metode purposive sampling. Teknik analisa data menggunakan uji korelasi Spearman Rank. Hasil: Hasil uji statistik didapatkan p value 0.000 dan koefisien korelasi (r) = 0.773 yang artinya terdapa hubungan antara kebiasaan sebelum tidur sengan derajat insomnia pada lansia, dengan arah korelasi posotif (+) yang artinya semakin buruk kebiasaan sebelum tidur maka semakin tinggi derajat insomnianya. Kesimpulan: kebiasaan sebelum tidur memiliki peran penting untuk meningkatkan kualitas tidur lanjut usia. Saran yang dapat diberikan untuk penelitian ini yaitu kader posyandu dapat memberikan edukasi kepada lansia mengenai kebiasaan sebelum tidur yang baik pada lansia yang mengalami insomnia.
Adaptasi Mahasiswa Keperawatan Angkatan 2020 Di Salah Satu Universitas Swasta Indonesia Bagian Barat
Peggy Tahulending;
Defitaria Panggabean;
Riris Jatining Panglipur;
Suge Tertia Orlen Zeva;
Kusman Sudarja
Jurnal Keperawatan Malang Vol 8 No 1 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang
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DOI: 10.36916/jkm.v8i1.202
Background: Adaptation is important for adjustment to change. A student who is pursuing education needs the ability to cope with the changes that occur. Students' inability to adapt has an impact on academic, social adjustment, personal-emotional adjustment, and institutional attachment. Objectives: To describe the adaptation nursing student class of 2020 at one of the Western Indonesian Private Universities. Methods: This study uses a quantitative descriptive method with a cross sectional approach. Population in this study 231 students. Instruments used adapted from the Student Adjustment to College Questionnaire (SACQ). The data analysis technique used is univariate analysis with conducting data from January to April 2022. Results: adaptation of nursing students class of 2020 in college at one of the western Indonesian private universities shows that 147 students obtained moderate results on the four subscales, first academic adjustment (66.7%), social adjustment (81%), personal-emotional adjustment (68%), and institutional attachment (57.8%). Students' Academic Adjustment abilities showed the highest percentage (19.7%) among others subscale and Institutional Attachment abilities showed the lowest percentage (29.3%). Recommendation: In the form of a special basic training program to discuss how to adapt properly in the university environment.
MIRROR THERAPY CAN IMPROVE MUSCLE STRENGTH IN NON-HEMORRHAGIC STROKE PATIENTS
widiyono widiyono;
Vitri Dyah Herawati;
Wiwik Nurani
Jurnal Keperawatan Malang Vol 8 No 1 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang
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DOI: 10.36916/jkm.v8i1.204
Background: Stroke patients experience haemiparesis (muscle weakness on one side of the body). Stroke management is done by pharmacological and non-pharmacological means. Pharmacologically, stroke management can be given fibrinolytics, while non-pharmacologically, exercises such as mirror therapy can be done. Objective: to determine the effect of mirror therapy can increase muscle strength in patients with non-hemorrhagic stroke. Methods: The type of research used is pre-experiment design without control group. The intervention given is the provision of mirror therapy for a duration of 15 minutes 6 times a week. The research was conducted in all internal medicine inpatient rooms at Kustati Islamic General Hospital Surakarta. The population of this study were all non-hemorrhagic stroke patients. This study used purposive sampling technique obtained as many as 35 patients. The instruments used to measure muscle strength are MMT (Manual Muscle Testing) observation sheets and mirror therapy SOPs. The data analysis used was the Wilcoxon Signed Rank Test analysis test. Results: there is an effect of mirror therapy on muscle strength in non haemorrhagic stroke patients at Kustati Islamic General Hospital Surakarta with p-value = 0.001. Conclusion: Mirror Therapy can be used as one of the interventions that can be used by nurses in carrying out nursing care actions for stroke patients in increasing muscle strength.
HEALTH LOCUS OF CONTROL ON COPING MECHANISMS OF CHRONIC RENAL FAILURE PATIENTS WITH HEMODIALYSIS THERAPY AT BLAMBANGAN HOSPITAL BANYUWANGI
Ninis indriani indriani;
Fransiska Erna Damayanti;
Iftitah Saily Zakiah
Jurnal Keperawatan Malang Vol 8 No 1 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang
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DOI: 10.36916/jkm.v8i1.206
Background: Patients with chronic kidney failure (CKD) require hemodialysis therapy for a long time which can cause patients to experience stress. Stressful conditions in patients with CKD affect coping mechanisms. One that affects the coping mechanism of people with CKD is belief (locus of control). Purpose: This study aimed to determine the correlation between the health locus of control and the coping mechanisms of CKD patients undergoing hemodialysis. Method: The type of research used was a correlation study with a cross-sectional research design. The total sample is 88 respondents with a purposive sampling technique. Data collection used the MHLCS (Multidimensional Health Locus of Control Scale) questionnaire and the Jalowiec Coping Scale. Data were analyzed using the Fisher's Exact test. Results: This study showed that almost all respondents have a high health locus of control with coping mechanisms; most of the respondents fall into the adaptive category. The data analysis showed a significant correlation between health locus of control and coping mechanisms in CRF patients on hemodialysis therapy. Conclusion: Hemodialysis patients with high health locus of control have adaptive coping mechanisms. For respondents to remain in adaptive coping, spiritual activities are needed to guide people with CKD so that they are much more willing to accept their health conditions sincerely. Keywords: Chronic kidney failure; hemodialysis; Health locus of control; coping mechanisms
THE RELATIONSHIP BETWEEN NURSE CARING BEHAVIOR AND ANXIETY LEVEL OF PATIENTS IN THE INTENSIVE CARE UNIT (ICU) : LITERATURE REVIEW
YANTI CAHYATI;
Budi Sanjaya;
Ida Rosdiana;
Dimas Prakasa;
Yudi Triguna;
Unang Arifin Hidayat
Jurnal Keperawatan Malang Vol 8 No 1 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang
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DOI: 10.36916/jkm.v8i1.207
Background: Anxiety often occurs in families who accompany patients during treatment in the ICU. This is because someone treated in the ICU is in a sudden, unplanned state. This causes stressors for patients and their families. Nurse intervention can reduce patient and family stressors by providing good health services and focusing on patient-caring behavior. Purpose: This research from the literature review aims to explain the relationship between the caring behavior of nurses and the level of anxiety of patients and families in the Intensive Care Unit Room. Method: The method used is a literature review. The procedure for searching and selecting articles was based on Preferred Reporting Items for Systematic Reviews & Meta-Analyses (PRISMA), so four articles were obtained for analysis in the database used in this study, namely Google Scholar, which was limited to publication in the last five years from 2018 to 2023, full-text articles in English. English and Indonesian. Results: The review results of the four articles stated that the analysis of the Univariate and Bivariate statistical tests explained a correlation between respondents' perceptions of nurse caring and the level of anxiety in patients and families with a P value <0.05. Discussion: Nurses providing nursing care are able to provide care with affection, understanding, problem-solving, giving support, giving appreciation, giving attention, and communication which can provide a sense of security and comfort for patients and their families. The existence of sufficient caring behavior from nurses will minimize the incidence of anxiety. Conclusion: There is a relationship between caring behavior and decreased family anxiety in patients treated in the ICU
Evaluasi Kepatuhan Pelaksanaan Program Vaksinasi Covid-19 I
IGAA Sherlyna Prihandhani;
Made Oktaviani Bulan Trisna
Jurnal Keperawatan Malang Vol 8 No 2 (2023): Jurnal Keperawatan Malang (JKM) (As you go)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang
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DOI: 10.36916/jkm.v8i2.209
The implementation of the COVID-19 vaccination program is expected to gradually reach all target targets. To strengthen the prevention program through vaccination, 5M health protocols also need to be implemented to minimize the spread of COVID-19. The success of the Covid-19 vaccination program will be measured by identifying which parties are working with the government to foster cooperation, and this will provide an overview of how the policy or program is implemented. his research is qualitative. This study aims to evaluate the implementation of the primary and booster vaccination programs is important to prevent non-compliance with vaccination patients to minimize the transmission of COVID-19. This program is carried out for a week by giving interviews to vaccination program holders at UPTD Puskesmas. Data will be analyzed univariately in the elaboration Evaluation of the implementation of the primary and booster vaccination programs in terms of patient compliance at the Mengwi I Health Center. The output of this study shows that the achievement indicator of success in winning the primary reaches 100%, but for the implementation of booster activation, the indicator of success only reaches 70%. The implementation of primary vaccination is carried out more evenly when compared to the implementation of booster vaccinations. Thus, It is hoped that the administration of vaccines can be carried out evenly so that a healthy community is created and the whole community receives vaccinations
Dukungan Keluarga Dengan Kualitas Hidup Pada Pasien Kanker Payudara Yang Menjalani Kemoterapi
Hendra Dwi Cahyono;
Ni Putu Ira;
Hendro Prasetyo
Jurnal Keperawatan Malang Vol 8 No 1 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang
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DOI: 10.36916/jkm.v8i1.210
Strong support from the family plays a protective role in overcoming the impact of life stress and improving the patient's life. The many impacts of chemotherapy treatment that is undertaken, will become a long-term problem that will affect the patient's quality of life. In unfavorable psychological conditions due to chemotherapy, cancer patients need the support of the closest people, the family is the patient's closest person who will provide comfort and peace. Prevalence of RS. Level III Baladhika Husada Jember in the Medical service section in January. There will be 2,142 cases of breast cancer in 2021. As for the number of breast cancer patients recorded in medical record data, patients undergoing chemotherapy in the Flamboyan Room have increased every month. In October 2021 there were 198 patients, in November 206 patients, in December 212 patients. This research method is correlation with cross-sectional approach. with 86 samples using a non-probability sampling technique with consecutive sampling and using a measuring instrument used on variables using a questionnaire. The results of the analysis using the Spearman Rank Tests ? 0.05 obtained a p-value ( 0.00 < ? ( 0.05) so that it can be concluded that there is a relationship between family support and quality of life in breast cancer patients undergoing chemotherapy at a level hospital. III Baladhika Husada Jember.Support given by the family can be in the form of attention or playing an active role in the treatment and therapy programs currently being undertaken by breast cancer patients.Involvement of family members in motivating them to maintain their condition and perform chemotherapy.
Kesediaan Siswa Sekolah sebagai Bystander Resusitasi Jantung Paru (RJP) di Kabupaten Jember
Yunita Wahyu Wulansari
Jurnal Keperawatan Malang Vol 8 No 2 (2023): Jurnal Keperawatan Malang (JKM) (As you go)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang
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DOI: 10.36916/jkm.v8i2.211
Background: Out-of-hospital cardiac arrest (OHCA) is a global health problem with a high incidence and mortality rate as well as survival rates. The willingness of the community as a bystander to perform CPR on victims of OHCA is an important factor in increasing the survival rate. Purpose: To identify the student’s willingness as bystanders Cardio Pulmonary Resuscitation (CPR) in Jember Regency. Methods: This research is a quantitative research with a cross-sectional approach in the form of analytical descriptive. The number of respondents was 245 students of class VIII SMP Negeri in Jember Regency using simple random sampling. Result: The results showed that the majority of school students were willing to do CPR as bystanders as much as 66.1%. The unavailability of school students as bystanders for Cardio Pulmonary Resuscitation (CPR) was influenced by experience and training, respectively, as much as 100% of the total 158 students who answered not willing. Conclusion: This study shows that the majority of students in SMP N Jember Regency are not willing to be CPR bystanders, so training or learning with appropriate methods is needed to increase the number of CPR bystanders who are willing to help victims of OHCA. Key words: bystander, CPR, students
Aplikasi Musik Instrumental Dalam Menurunkan Ansietas Pada Pasien Prioritas 4 di Ruang Unit Gawat Darurat
Tambi, Imelda Feneranda;
Hurai, Rufina;
Ismiati, Theresia Tutik
Jurnal Keperawatan Malang Vol 8 No 1 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang
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DOI: 10.36916/jkm.v8i1.190
Background: The Emergency departments have a busy, noisy environment and can cause anxiety to patients. Patients who come to the emergency room have increased anxiety due to the unfamiliar environment, crowds, and actions that are carried out quickly. The increasing level of anxiety can have an effect on the pain experienced by the patient. Priority 4 patients usually suffer from an acute incident with a stable condition and often have a long waiting time. Management of anxiety and pain in patients is not only done by using medical and invasive therapy. Independent nursing interventions can also be carried out by nurses. Interventions to deal with anxiety in the emergency room are very important. The actions taken should be able to help the patient to adjust to the emergency room environment and the various actions taken. Purpose: To determine the effect of music therapy to reduce anxiety in priority 4 patients in the emergency department. Methods:This research method was quasi-experimental, the sampling technique used is purposive sampling. The population in this study was priority 4 patients in the Emergency Room. The instrument used to measure anxiety was the State Anxiety Scale. This study consisted of a control group and a treatment group of 45 respondents. Data analysis used the Wilcoxon test and used SPSS 23 software. Result:There is an influence of Instrumental Music Application in Reducing Anxiety in Priority 4 Patients in the Emergency Room with a significance value of 0.013 Conclusion: The Use of Instrumental Music Can Reduce Anxiety in Priority 4 Patients in the Emergency Room Music therapy can be given as a nurse's independent intervention to prioritize 4 patients in emergency departments. Music therapy canreduce the patient's anxiety level about noise and the actions taken in the emergency room Keywords: Anxiety, Emergency Departements, Music Intervention
Studi Kasus: Penerapan Teori Self-Care Orem Pada Pasien Post Operasi Katup Mitral
Dwitanta, Sucipto;
Nurachmah, Elly;
Adam, Muhamad
Jurnal Keperawatan Malang Vol 8 No 2 (2023): Jurnal Keperawatan Malang (JKM)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat STIKes Panti Waluya Malang
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DOI: 10.36916/jkm.v8i2.196
Background: After surgery, patients are often immobile due to possible postoperative complications and activity restrictions, so that the patient's physical capacity is at risk of decreasing. To maintain conditions that remain optimal even within limitations,patients are required to continue to be able to independently perform self-care. So that this can be realized with the nursing theory developed by Dorothea E. Orem about self-care Purpose: The aim of this study was to find out the application of Orem's self-care theory to patients after mitral valve surgery. Method: The design in this study uses the case study method. This study focuses on nursing care which emphasizes the use of Orem's self-care theory in practice. The subject in this study was one postoperative mitral valve patient who was treated in the postoperative unit with an implementation time of seven days. Results: In the results of applying Orem's self-care theory, five main nursing diagnoses were found. Most of the nursing problems are rooted in problems with decreased cardiac output due to post-surgical complications, but the complications are gradually improving. The application of Orem's self-care theory provides a systematic pattern of thinking in determining diagnoses and nursing interventions that must be carried out by nurses. Conclusion: The application of Orem's self-care model appears to have an effect on the nursing process, specifically in postoperative mitral valve cases in identifying problems in fulfilling self-care. The application of this model can provide benefits in encouraging patients to carry out activities that are in accordance with the patient's abilities and tolerance.