cover
Contact Name
Rifky Octavia Pradipta
Contact Email
rifky-op@fkp.unair.ac.id
Phone
+6231-5913257
Journal Mail Official
cmsnj@journal.unair.ac.id
Editorial Address
Kampus C UNAIR, Jalan Mulyorejo, Surabaya, Indonesia, 60115
Location
Kota surabaya,
Jawa timur
INDONESIA
Critical Medical and Surgical Nursing Journal
Published by Universitas Airlangga
ISSN : 23551992     EISSN : 2656470X     DOI : 10.20473/cmsnj
Core Subject : Health,
Critical Medical and Surgical Nursing Journal (CMSNJ) (p-ISSN: 2355-1992), (e-ISSN: 2656-470X) was established at the end of 2012 under Universitas Airlangga. The CMSNJ was prepared in response to the development of nursing/health science and technology to contribute to the development of sustainable quality nursing/health resources. CMSNJ is published two times per year every April and October. Articles published in CMSNJ is written in English since Vol. 10 No. 1 April 2021. Contributors for CMSNJ are researchers, lecturers, students, nurse, registered nurse in Indonesia and worldwide.
Articles 123 Documents
Pengaruh Progressive Muscle Relaxation terhadap Stres dan Penurunan Kadar Gula Darah pada Pasien Diabetes Melitus Tipe 2 Ungkas Herlambang; Kusnanto Kusnanto; Laily Hidayati; Hidayat Arifin; Rifky Octavia Pradipta
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 8 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (363.551 KB) | DOI: 10.20473/cmsnj.v8i1.13400

Abstract

Introduction: Diabetes Mellitus is a disease that occurs because the body is unable to produce insulin or the body cannot use insulin effectively. The purpose of this study was to find out the effect of Progressive Muscle Relaxation (PMR) on stress and blood glucose decrease in patients who have diabetes mellitus type 2 disease.Method: The design of this study is quasi-experimental study. The population of this study were the patients who have type 2 of diabetes mellitus disease at Puskesmas Kedungdoro and Puskesmas Medokan Ayu. There would be 70 respondents chosen based on inclusion and exclusion criteria. The researcher chose the purpose sampling technique in choosing the participants in this research. The independent variable in this study was Progressive Muscle Relaxation (PMR). The dependent variable in this study were stress and blood glucose decrease. The data in this study were collected using questionnaires and measurement of pre-prandial blood glucose level. Data were analyzed using analysis of Wilcoxon and paired t-test for pre-post measurements, then for the inter groups the researcher used Mann-Whitney analysis.Results: The results showed that there was an effect of PMR on stress (p = 0.001) and in decreasing blood glucose (p = 0.021).Discussion: PMR is a relaxation focused on the patient’s attention in distinguishing the group of muscle when they relaxed than while in contraction condition. Thus, the patients are expected to be able to manage the body condition in managing stress and blood sugar decrease. For health officers, they are expected to use the PMR as the combination in reducing stress and blood glucose to improve the quality of life of the patients who have diabetes type 2 disease.
Pengetahuan Bahaya Rokok dan Tindakan Merokok pada Remaja di SMA Negeri 1 GalisPamekasan Friandany Natakusuma Shabir; Abu Bakar; Sukma Randani Ismono
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 1 No. 2 (2013): APRIL 2013
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (85.428 KB) | DOI: 10.20473/cmsnj.v1i2.12141

Abstract

Introduction: Smoking among adolescents had became a global epidemic in Indonesia that lead to disability, illness and death. Smoking prevalence rate among teenagers over the years continued to rise even to the level of concern. The aimes of this research was to analyze the relationship between knowledge of smoking dangers and the act of smoking in adolescents.Methods: This research used a cross sectional design.Sampling technique was used a simple random sampling and the result obtained 218 respondents through May 2012. The sample was student from X, XI science and XI social grades. The data were collected by using quetitionaires and were analyzed by using Spearman Rho with level of significance of p<0,05.Result: The result showed that 58% of respondents had a high level of knowledge, and 66% of respondents were never smoke. Based on the result spearman rho analyzes, there was a relationship between smoking dangers and the act of smoking in adolescents with significant relationshipp=0.025 and level of significant level was p<0.05.Discussion: It can be concluded that a good knowledge about smoking dangers cause adolescence doesn’t smoke. Suggestion for further research, all of the school staffs could contribute to increase the knowledge of the student about the smoking dangers so smoking amongstudents can be minimized.
PENCEGAHAN KEJADIAN DEKUBITUS DENGAN PENGGUNAAN HEEL RING PADA PASIEN YANG TERPASANG TRAKSI SKELETAL Asri Fatonah; Sriyono Sriyono; Deni Yasmara
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 7 No. 1 (2018): OKTOBER 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (341.993 KB) | DOI: 10.20473/cmsnj.v7i1.12885

Abstract

Introduction: The decubitus on the heel area can impact to the users of traction skeletal in patients with musculoskeletal injuries. The position of prolonging elevation and pressure make poor vascular circulation flow. The use of heel ring can reduce the pressure and static resistance. The purpose of this study was to determine the effect of the heel ring on the incidence of decubitus in patients with skeleton traction installed in the Bedah Flamboyan Ward, Dr. Soetomo Hospital, Surabaya.Methods: A pre-experimental with one group pre-post test design was used in this study. The population in this study were patients with skeleton traction installed of Bohler Braun frame. There were 14 samples who met the inclusion criteria. The independent variable was heel ring and the dependent variable was the incidence of decubitus. Data was collected using observation sheet of incidence of decubitus then analyzed using with Wilcoxon Signed Rank Test with significance level <0.05.Results: Almost half (35.71%) encounter level 1of decubitus before using the heel ring, and 100% no incidence of decubitus after use the heel ring. The result showed that there was an effect after the use of heel ring to the incidence of decubitus with p=0.025.Conclusion: The heel ring can be prevented decubitus in patients with traction skeleton. The result of this study can be a reference for standardizing the operating procedure, especially for the patient's traction skeleton.
Pendidikan Kesehatan Metode Demonstrasi dan Ceramah Meningkatkan Kemampuan Latihan Batuk Efektif pada Anak Usia Sekolah Syahtya Dzulandita Magfiroh; Ninuk Dian Kurnawati; Kristiawati Kristiawati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 1 No. 1 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (264.993 KB) | DOI: 10.20473/cmsnj.v1i1.11965

Abstract

Introduction: Cough is one of clinical manifestations of respiratory tract infection. Technique of effective cough helps remove pleghm more easily during cough. However, the optimum implementation of effective cough has not been performed well. Changing the behavior of practicing effective cough to students needs a lot effort. One of it is by giving health education using the demonstration and lecture. The aimed of this study was to analyze the effectiveness of health education the knowledge, attitudes and actions of practicing effective cough between the demonstration method and lecture to students. Method: A quasy experiment research design was used in this study. The sample was students of SDN Grogol Sidoarjo and there were 44 students. Purposive sampling was used in this study. Data were obtained using questionnaires and standard operational procedures.Result: The effectiveness of health education between the demonstration used and lecture were analyzed using Mann Whitney U Test. The results showed that demonstration and lecture were effective to change knowledge, attitudes and actions of students with p=0.004, p=0.003, and p=0.003 respectively. Discussion: The author concluded that the demonstrations and lecture can enhance the ability to perform effective cough practice. However, the demonstration is more effective to be applied to students in order to improve their ability to practice effective cough because demonstration directly exhibit something that’s followed by students in order to the knowledge or skill is easier to br memorized.
Deep Breathing Exercise in Improving Physical Changes in PulmonaryTuberculosis Patients Muhamad Ihlasul Amal; Kusnanto Kusnanto; Tiyas Kusumaningrum
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 4 No. 2 (2016): APRIL 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (519.87 KB) | DOI: 10.20473/cmsnj.v4i2.12397

Abstract

Introduction: Pulmonary Tuberculosis is caused by Mycrobacterium Tuberculosis lead to lung parenchymal inflammation and reduce the total functional lung. Deep breathing exercises (DBE) is a pulmonary rehabilitation that can be used as an alternative method to maintain the lung function of patients with pulmonary tuberculosis.Methods: This study used a quasy experiments design. The population was all patients with pulmonary tuberculosis in Puskesmas Perak Timur Surabaya. The sample was selected using purposive sampling technique. DBE is the independent variable. The dependent variable were the physical changes include peak expiratoty flow rate (PEFR), oxygen saturation, respiratory rate (RR), breath sounds, and dyspnea. Data was collected by observation tools (pulse oximetry, peak flow meters). Data was analyzed using Independent T-test, Paired T-test, Chi Square, and McNemar.Results: The results showed a significant change in breath sounds (p=0,031) and dyspnea (p=0.031) after given DBE, but no significant difference in PEFR (p=0.155), oxygen saturation (p=0,730) and respiratory rate (p=0.125) after given DBE.Conclusions: Nurses can use the DBE as respiratory management intervention in patients with pulmonary tuberculosis and as a basis for making SOP DBE in patients with pulmonary tuberculosis.
KEPATUHAN MEDIKASI PENDERITA DIABETES MELLITUS TIPE 2 BERDASARKAN TEORI HEALTH BELIEF MODEL (HBM) DI WILAYAH KERJA PUSKESMAS MULYOREJO SURABAYA Zahrotun Ulum; Kusnanto Kusnanto; Ika Yuni Widyawati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 4 No. 1 (2015): OKTOBER 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (685.607 KB) | DOI: 10.20473/cmsnj.v4i1.12294

Abstract

Introduction: Adherence play important role at therapeutic management of patients with type 2 Diabetes mellitus. The purpose this study was to identify and to analyse the factors associated with medication adherence.Methods: Design of the the study was descriptive analytic with cross-sectionalapproach. The population was patients with type 2 Diabetes mellitus in Puskesmas Mulyorejo Surabaya. Twenty eight as sample respondents were chosen by purposive sampling technique. The X variables in this study were age, sex, ethnicity, salary, knowledge, duration of illness, perceived susceptibility, perceived seriousness, perceived benefit, perceived barriers, self-efficacy, and family support. The Y variable was medication adherence of patients with type 2 Diabetes mellitus. Data were collected by using questionnaire and analyzed using chi square and spearman’s rho test with a degree of significance α<0.05.Result: Factors associated with medication adherence were sex, salary, knowledge, perceived seriousness, perceived benefit, self-efficacy, and family support. Factors not associated with mediacation adherence were age, ethnicity, duration of illness, perceived susceptibility, and perceived barriers. Perceived seriousness showed the strongest association with medication adherence (r=0.565).Discussion: Seven of twelve X variables were associated with perceived seriousness being the strongest association and five variables were not associated. It is expected that health care service develop the management of health service based on family and community to improve adherence at patients with type 2 Diabetes mellitus. Further research is suggested to enhance and develop the program to increase medication adherence.
EDUKASI PERAWATAN KAKI MELALUI MEDIA GUIDANCE MOTION PICTURE DAN LEAFLET TERHADAP PERILAKU PERAWATAN KAKI NON ULKUS PADA PENDERITA DIABETES MELITUS TIPE 2 DI PUSKESMAS LOCERET Yeni Setyorini; Yulis Setiya Dewi; Laily Hidayati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 3 No. 1 (2014): OKTOBER 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (947.16 KB) | DOI: 10.20473/cmsnj.v3i1.12207

Abstract

Introduction: Diabetes mellitus’s with high blood glucose level is at a risk to get ulcus diabeticum because do not do the foot care. The aimed of this research was to examine effectivity of foot care education by guidance motion picture and leaflet media in Diabetes mellitus type 2’s behavior in Puskesmas Loceret.Methods: This research was using quasy-experiment with pretest-posttest control group design. The population were Diabetes mellitus type 2’s at Puskesmas Loceret working area. This research used 3 group, they were treatment group (guidance motion picture+leaflet), positive control group 1 (guidance motion picture), and positive control group 2 (leaflet), each group consisted of 10 respondents taken according to purposive sampling from January-March 2014. Data were collected using questionnaire and observation and then analyzed using Wilcoxon signed rank test and Kruskal-Wallis test with level of significance <0.05.Result: Results showed that increasing knowledge is significant for treatment group (p=0.005), the positive control group 1 (p=0.011), the positive control group 2 (p=0.097). Analysis of attitude for all group (p=0.005). Analysis of action for treatment group (p=0.005), positive control group 1 (p=0.006), the positive control group 2 (p=0.011). There are different effectivity between guidance motion picture+leaflet combination, guidance motion picture, and leaflet in increasing knowledge (p=0.047), attitude (0.022), and action (p=0.037).Discussion: It can be concluded that education with guidance motion picture+leaflet combination, guidance motion picture, and leaflet media influence non ulcus foot care behavior, but for leaflet, it does not influence their knowledge. So, nurses can use one of that media to get effective influence when giving health education to Diabetes mellitus type 2’s. Further research should evaluate other factors of knowledge, attitude, and action also do direct observation of action to gain more accurate data.
Pengaruh Hiperbarik Oksigen terhadap Psikologis Penderita Ulkus Kaki Diabetik Dismalyansa Dismalyansa; Kusnanto Kusnanto; Retnayu Pradanie; Hidayat Arifin
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 8 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (15.979 KB) | DOI: 10.20473/cmsnj.v8i1.13277

Abstract

Pendahuluan: Diabetes Mellitus (DM) dengan Ulkus Kaki Diabetes (UKD) dapat berakibat pada gangguan psikologis. Terapi Hiperbarik Oksigen (HBO) dapat mempercepat penyembuhan luka sehingga psikologis pasien dapat membaik. Penelitian ini bertujuan menjelaskan pengaruh hiperbarik oksigen terhadap psikologis penderita UKD. Metode: Penelitian ini menggunakan desain quasi experimental dengan pendekatan non-equivalent control group design. Sampel sebanyak 70 pasien pasien DM dengan UKD. Variabel indepeden adalah terapi HBO dan dependen adalah psikologis penderita UKD. Data dikumpulkan melalui kuesioner WHOQOL-BREF. Data dianalisis dengan Wilcoxon signed rank test dan Mann Whitney U test. Hasil: Intervensi HBO meningkatkan psikologis pasien UKD (p=0,012) dan terdapat perbedaan yang signifikan antara kelompok kontrol dan perlakuan yang signifikan (0,040). Diskusi: Pasien DM dengan UKD yang diberi HBO menunjukkan perbaikkan psikologis yang terlihat dari pasien lebih sehat, semangat, dan terdapat perbaikan UKD. HBO dapat dijadikan sebagai pilihan pengobatan dalam meningkatkan respon psikologis penderita UKD.
Kepatuhan Pengelolaan Penyakit Diabetes mellitus Tipe II melalui Peer Group Support di Wilayah Kerja Puskesmas Kebonsari Surabaya Yuyun Diatiningsih; Kusnanto Kusnanto; Abu Bakar
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 1 No. 1 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.183 KB) | DOI: 10.20473/cmsnj.v1i1.11973

Abstract

Introduction: Diabetes Mellitus is a chronic disease that cannot be cured so that compliance is required to manage the disease. Patient compliance is in accordance with the provisions of the behavior of health workers. The aimed of this study was to analyze the effect of peer group support on the compliance of type 2 Diabetes mellitus disease management.Methods: This research was used a quasy experiment pre post test designed. The selection of sample using a purposive sampling and was obtained 16 respondents from 77 population. The independent variable was a peer group support that carried out for two weeks while dependent variable was dietary compliance, exercise and drugs consumption which data was collected by observation sheet. The data were analyzed using Wilcoxon Signed Rank Test and Mann Whitney U Test with significantvalue of ≤α 0.05.Result: The results showed that there was increase of dietary compliance (p=0.012) but there was no effect of peer group support for dietary compliance (p=0.14), the increase of exercise compliance (p=0.012) and there was effect of peer group support for exercisecompliance (p=0.004), and the increase of drugs consumption compliance (p=0.027) and there was effect of peer group support for drugs consumption compliance (p=0.048).Discussion: It can be concluded that peer group support had good effect to improve dietary compliance, exercise, and drugs consumption so that blood sugar could be controlled. Larger respondents, more proper instruments and longer duration of study will be needed to get a better result of the further research.
DUKUNGAN SOSIAL DAN MOTIVASI BERHUBUNGAN DENGAN KEPATUHAN PEMBATASAN ASUPAN CAIRAN PADA PASIEN PENYAKIT GINJAL KRONIK YANG MENJALANI HEMODIALISIS Hartin I.K Nadi; Ninuk Dian Kurniawati; Herdina Mariyanti
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 6 No. 2 (2018): APRIL 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (537.208 KB) | DOI: 10.20473/cmsnj.v6i2.12828

Abstract

Introduction: Adherence on fluid intake restriction is one of the problems of chronic kidney disease patients on hemodialysis. Poor adherence could lead to treatment failure this inturn lower quality of life for patients, increase morbidity and mortality. Social support and motivation are important factors of adherence on fluid intake restriction among patients with chronic kidney disease undergone hemodialysis. The aimed of this study was two fold. Firstly, it aimed to identify the relationship between social support and motivation with adherence on fluid intake restriction among patients with chronic kidney disease undergone hemodialysis. Secondly it analyzed relationship between both variable.Methods: This study used cross-sectional design. Samples were patients with chronic kidney disease undergone hemodialysis at RSUD Dr. M.M. Dunda Limboto, Kabupaten Gorontalo. The independent variables were social support and motivation. The dependent variable was adherence on fluid intake restriction. Sample were 19 individuals, recruited using consecutive sampling. Data were collected through questionnaire and analyzed by of Spearmen Rho statistical test with significance level of α<0.05.Result: Result of the research showed that there was a relationship between social support and motivation with adherence on fluid intake restriction among patients with chronic kidney disease undergone hemodialysis with significance level p=0.000 it means the relationship between two variable was reliable. The higher the social support, the better patients adherence on fluid restriction. The limitation of this research was small sample size to be used.Conclusion: It can be conclude that there was relationship between social support and motivation with adherence on fluid intake restriction among patients with chronic kidney disease undergone hemodialysis. Further studies should involve more respondents.

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