Nurse and Holistic Care
“Nurse and Holistic Care" is a Scientific Journal managed by Institute for Research and Community Services of Nahdlatul Ulama University, Surabaya. The scope of this journal is articles in the fields of health, public health, midwifery and nursing (basic nursing, medical surgical nursing, pediatric nursing, maternity nursing, family and community health nursing, emergency and critical nursing, mental health nursing, gerontological nursing, and also nursing management). This journal is published in print and online every 4 months (3 times in a year), namely April, August and December. Each issue contains a minimum of 6 articles.
Articles
85 Documents
SPIRITUAL APPROACH TO REDUCE ANXIETY IN PREGNANT MOTHER WITH LONG-STANDING BABY IN WANDANPURO VILLAGE: A CASE STUDY
Suhaelah, Suhaelah;
Hidayah, Ridhoyanti
Nurse and Holistic Care Vol. 2 No. 3 (2022): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya
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DOI: 10.33086/nhc.v2i3.3644
Background: Pregnancy is a phase that causes many changes in a woman's life, from physical, psychological, hormonal, and social changes. Anxiety is a psychological manifestation that is commonly found in pregnant women. Pregnant women's anxiety because the baby lies transversely will increase the risk of umbilical cord prolapse during labor. Objective: The purpose of this study was to determine the spiritual approach to reduce anxiety in pregnant mother with long-standing baby in Wandanpuro village. Methods: The writing methodology uses the analytical method of nursing care with a descriptive design. The participants were pregnant women with anxiety due to the transverse position of the baby. History of previous deliveries: The client has usually given birth, with the baby being breech in the first delivery and coiling the umbilical cord in the second. The lack of socializing with the surrounding environment and husband involvement significantly causes anxiety, stress, and depression in pregnant women. The anxiety problem, in this case, was then followed up with nursing interventions according to the nurse's competence, namely an anxiety implementation strategy (SP) for clients and families in the form of spiritual activities. Result: The most preferred therapy and considered most effective by clients for overcoming the anxiety of spiritual activities are regular worship, namely praying five times a day and routine dhikr after every prayer. The factor of faith has a broad and robust influence on health. Conclusion: Spiritual support will form an adaptive coping mechanism for an event threatening the client's survival.
FAMILY SUPPORT AND INCREASING HYPERTENSION DIET BEHAVIOR AMONG ELDERLY
Urifah, Siti;
Nasrudin, Nasrudin;
Prihar Ninuk, Devin;
Widodo, Heri
Nurse and Holistic Care Vol. 2 No. 3 (2022): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya
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DOI: 10.33086/nhc.v2i3.3659
Background: Hypertension is one of health problems that often occurs among elderly group. Complications caused by hypertension such as heart disease, kidney failure, diabetes mellitus, stroke and even death. The hypertension diet pattern is one of interventions to keep a normal blood pressure level, which also as a strategy to prevent related complications. Objective: The purpose of this study was to determine the correlation between family support and increasing hypertension diet behavior among the elderly in the village of Ngimbang, Tuban, East Java. Methods: The research design used a correlational analytic design with a cross sectional approach. This study was conducted at June 2022 in Ngimbang Village, Tuban-East Java, Indonesia. The population of this study was 23 elderlies in Ngimbang village who had hypertension, the sampling technique used total sampling and obtained a sample of 23 people. Data collection of both dependent data (family support) and independent data (diet behavior) used questionnaires and it was adopted from Utari (2017). Data analysis used Chi Square statistical test with (ρ < α = 0.05). Result: The result of this study showed that most of the elderly aged 60-70 years and the majority were women. The degree of hypertension was majority at 1st and 2nd. Moreover, half of the respondents have good family support and 78.3% of them were in good hypertension diet behavior. The results of statistical analysis tests showed that there was a relationship between family support and dietary behavior in elderly people with hypertension with ρ-value = 0.014 (ρ < α = 0.05). Conclusion: Collaboration between health workers and community leaders or cadres should be needed to provide counseling to the elderly and the families about good eating habits in the elderly who suffer from hypertension, so that with good eating habits it is hoped that blood pressure can be controlled and reduce the risk of complications.
THE RELATIONSHIP BETWEEN SELF-EFFICACY AND BLOOD GLUCOSE LEVELS AMONG DIABETES MELLITUS (DM) PATIENTS AT KEDURUS HEALTH CENTER, SURABAYA
Nilasari, Vandi Perdana;
Zahroh, Chilyatiz;
Ainiyah, Nur;
Wardani, Erika Martining
Nurse and Holistic Care Vol. 2 No. 2 (2022): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya
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DOI: 10.33086/nhc.v2i2.3800
Background: The decrease in Blood Glucose levels in patients with diabetes mellitus is influenced by self-efficacy. Objective: The purpose of this study was to determine the relationship between self-efficacy and blood glucose levels in patients with diabetes mellitus (DM) at Kedurus Health care Surabaya. Methods: The research design is correlational with cross-sectional. The population of this study to 75 people. With a sample of 63 respondents. Sampling technique with non-probability sampling technique purposive sampling type. The independent variable in this study is self-efficacy. The dependent variable is blood glucose levels in patients with diabetes mellitus type 2 at Kedurus Health Center Surabaya. The research instrument is a questionnaire. Data analysis with spearman Rho statistic test. Result: Based on the spearman rank obtained the level of significance ρ = 0,000 < a = 0,05 which means there is a relationship between self-efficacy and blood glucose levels in patients with diabetes mellitus (DM) at Kedurus health care Surabaya. Conclusion: Self-efficacy will give a good influence, especially on reducing blood glucose levels in patients with Diabetes Mellitus (DM). it is hoped that the support from nurses and good self-efficacy will have an impact on reducing blood glucose and preventing complications in patients with diabetes mellitus.
CHARACTERISTICS OF EATING PATTERN AND FOOD VARIETY IN TODDLER WITH NUTRITION PROBLEMS
Yolanda, Henny;
Karjono, M.;
Supinganto, Agus;
Mulianingsih, Misroh;
Haris, Abdul;
Hayana
Nurse and Holistic Care Vol. 2 No. 3 (2022): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya
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DOI: 10.33086/nhc.v2i3.3689
Background: Developmental disorders such as malnutrition in a child's early years can have a detrimental impact on all developmental domains, as these years contain the most rapid changes in brain development. Behavior in implementing balanced nutrition by restraining consumption of vegetables, fish and fruit by maximizing local food, or local food with regional specialties according to local conditions. Objective: The aim of this study was to determine the characteristics of eating pattern and food variety in toddler with nutritional problems. Methods: This study used descriptive analysis design with cross-sectional approach. This study was conducted on 1-31 August 2022 with 54 participants of mothers and children (12-48 months). The instruments in this study used 24-hour food recall instrument. The analysis of this study used descriptive analysis. Result: The characteristic of complementary feeding of children with nutrition problems was good eating patterns and 4 varieties of food every time they eat. Conclusion: Food variety in children with nutritional problems was good eating patterns with an average consumption of 4 types of food at each meal.
THE EFFECT OF PHYSICAL ACTIVITY ON BLOOD SUGAR AND CHOLESTEROL LEVELS AMONG PEOPLE WITH DIABETES MELLITUS
Suprayitna, Marthilda;
Fatmawati, Baiq Ruli;
Prihatin, Kurniati
Nurse and Holistic Care Vol. 2 No. 3 (2022): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya
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DOI: 10.33086/nhc.v2i3.3704
Background: Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia which can cause acute and chronic complications. Uncontrolled hyperglycemia could lead to high cholesterol that forms in fat metabolism to accumulate and threaten blood vessels. Physical activity is one of the pillars of diabetes mellitus management to reduce blood sugar and cholesterol. Objective: This research aimed to determine the effect of physical activity on blood sugar and cholesterol levels in diabetes mellitus patients in the working area of Cakranegara Public Health Center. Methods: This research is Quasi-experimental with one group pretest-posttest design without a control approach. The numbers of samples used in this research were 17 people, selected by purposive sampling technique. Data analysis used in this research were univariate and bivariate using Paired T-Test. Result: Based on the Paired T-test analysis, it shows that physical activity was proven to have an effect in reducing blood sugar levels with a ρ-value of 0.000 (<0.05) and cholesterol with a ρ value of 0.000 (<0.05). Conclusion: Based on the results, physical activity reduced blood sugar and cholesterol levels in patients with diabetes mellitus.
THE INFLUENCE OF EDUCATION AND SUPPORT GROUP BASED ON SELF-EFFICACY THEORY ON THE QUALITY OF LIFE AMONG CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS: A NARRATIVE REVIEW
Dewi, Arie Kusumo;
Tamara, Elok
Nurse and Holistic Care Vol. 2 No. 3 (2022): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya
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DOI: 10.33086/nhc.v2i3.3859
Background: Support group is a therapeutic process in a group that has the same problems to condition and provide reinforcement to the group or individual in the group according to the problem so as to achieve effective coping skills against the problem or trauma experienced and improve the patient’s quality of life. Objective: This review was to summarize and identify the current literature related to the influence of education and support group based on self-efficacy theory on the quality of life among chronic kidney disease patients undergoing hemodialysis. Methods: Data sources included two electronics databases: Google Scholar and Elsevier to search literature published between 2015 and 2022. A narrative review process was extract and analyze the data of all included studies. Result: The search found three articles that met the inclusion and exclusion criteria, including articles published in 2015 until 2022 and full-text form. Articles that meet the criteria are then analyzed narratively. Data search using keywords and criteria in the electronic data based above, resulted in 3 articles. From these articles, the interventions carried out, namely the Education, Support Group, Hemodialysis, Chronic Kidney Disease. Conclusion: The support group program has proven to be effective in increasing the patient’s ability to manage his condition and improve the quality of life.
REDUCING BLOOD PRESSURE IN ELDERLY WITH STAGE 2 PRIMARY HYPERTENSION USING SLOW DEEP BREATHING EXERCISE INTERVENTION
Niluh Gita Dharmahita Krisnadeva;
Ridhoyanti Hidayah
Nurse and Holistic Care Vol. 3 No. 1 (2023): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya
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DOI: 10.33086/nhc.v3i1.3850
Background: Elderly with hypertension is a phenomenon that is currently widely encountered in society. Uncontrolled hypertension in the elderly can cause various conditions that will affect the productivity and quality of life of the elderly. Objective: The purpose of this scientific work is so that students are able to carry out gerontic nursing care, namely assessment, diagnosis, intervention, implementation and evaluation in the elderly with hypertension. Methods: The method used is a case study of nursing care for the elderly with hypertension. This research was conducted by providing slow deep breathing exercise interventions to the elderly with hypertension as an effort to reduce blood pressure. There is non-pharmacological nursing care to maintain normal blood pressure so that the elderly can maintain their condition. Slow deep breathing exercise is a relaxation technique to lower blood pressure. Result: After being given the slow deep breathing exercise intervention to the client for 11 days and carried out 2 times a day there was a decrease in blood pressure in the client with the average decrease in systolic blood pressure in the client was 16.7 mmHg and the average decrease in diastolic blood pressure in the client was 6 ,7 mm Hg. Conclusion: It is recommended for nurses to provide slow deep breathing exercise therapy to elderly clients with hypertension as a companion to hypertension treatment to reduce blood pressure.
DESCRIPTION OF THE MOTIVATION OF HYPERTENSION AND DIABETES MELLITUS PATIENTS IN FOLLOWING PROLANIS ACTIVITIES
Zuliani, Zuliani
Nurse and Holistic Care Vol. 3 No. 1 (2023): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya
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DOI: 10.33086/nhc.v3i1.3910
Background: Prolanis is a health service system to maintain the health of people with chronic diseases. Prolanis will not run well without community participation, while the participation of people with hypertension and diabetes mellitus in participating in Prolanis activities is influenced by motivation. Objective: The purpose of this study was to describe the motivation of people with hypertension and diabetes mellitus in following Prolanis activities at the Nurwachid Inpatient Primary Clinic. Methods: This research design used descriptive. The research was conducted in August 2022 at the Nurwachid Inpatient Primary Clinic. The population in this research is the Prolanis program participants. The sampling technique used total sampling obtained a sample of 45 respondents, consisting of 25 participants diabetes mellitus and 20 participants sufferer hypertension. Motivational instruments with questionnaires, Analysis of statistical test data with univariate. Result: The results showed that more than half of the respondents had good motivation (53.3%), and most of the respondents had good participation (73.3%). Conclusion: It is hoped that Prolanis officers will improve their special services in carrying out Prolanis activities, so that Prolanis participants are motivated which will lead to increased participation in participating in Prolanis activities. Thus, facilitating monitoring and evaluation in providing guidance and health services.
APPLICATION OF PROGRESSIVE MUSCLE RELAXATION TO REDUCING THE ANXIETY OF HYPERTENSION CLIENTS
Isrianawati, Erny;
Rusdianingseh, Rusdianingseh;
Hatmanti, Nety Mawarda;
Khafid, M.
Nurse and Holistic Care Vol. 3 No. 1 (2023): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya
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DOI: 10.33086/nhc.v3i1.3935
Background: Families with hypertension will cause anxiety or anxiety which can affect the stability of blood pressure. One of the managements of anxiety with psychotherapy methods is by doing progressive muscle relaxation therapy. Progressive Muscle Relaxation to get a feeling of relaxation, so as to reduce anxiety and stress. Objective: The aim of the study was to determine the application of progressive muscle relaxation therapy to reduce anxiety in hypertensive clients. Methods: This research method uses a descriptive method with a case study approach. The instruments used were HARS questionnaire sheets and Progressive Muscle Relaxation SOP sheets. The number of respondents was 1 person with hypertension with an anxiety nursing diagnosis. Result: The results of applying progressive muscle relaxation given 2 times per day for 7 days with a duration of 30-45 minutes each meeting showed a decrease in anxiety level from moderate anxiety to mild anxiety, followed by a decrease in blood pressure. Conclusion: The application of progressive muscle relaxation has proven effective in reducing anxiety in hypertensive clients. This therapy can be used as an adjunct to overcome anxiety which is useful for reducing blood pressure of hypertensive clients.
KNOWLEDGE, FAMILY SUPPORT, AND COMPLIANCE FOR PULMONARY TUBERCULOSIS MEDICATION AMONG PULMONARY TUBERCULOSIS PATIENTS
Zatihulwani, Eliza Zihni;
Sari, Gevi Melliya;
Rustanti, Elly;
Putra, Kusuma Wijaya Ridi
Nurse and Holistic Care Vol. 3 No. 1 (2023): Nurse and Holistic Care
Publisher : Universitas Nahdlatul Ulama Surabaya
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DOI: 10.33086/nhc.v3i1.4538
Background: Tuberculosis (TB) is a disease caused by the bacterium Mycobacterium tuberculosis, which is an aerobic bacterium that can live mainly in the lungs or in various other organs of the body. According to the Health Profile of East Java Province in Pasuruan Regency in 2020, based on the achievement of TB treatment success rates as many as 18 districts/cities that have reached the target of treatment success of 91.510%. Objective: The purpose of this study was to determine the relationship between knowledge and family support with adherence to taking anti-tuberculosis drugs in TB patients in the Rembang Public Health Center, Pasuruan Regency. Methods: This study used a cross sectional research design with a sample of 27 respondents with pulmonary TB undergoing treatment at the Rembang Public Health Center. Data was collected using a questionnaire with an ordinal scale which was then analyzed using the Spearman Rank statistical test. Result: Data collection of knowledge with medication adherence with a correlation coefficient of .505 with a significant p-value = .000. Collecting data on family support with medication adherence with a correlation coefficient of .487 with a significant p-value = .000. Conclusion: It was concluded that there was a relationship between knowledge and family support with adherence to taking anti-tuberculosis drugs. The higher a person's education and family support, the more quickly they receive and understand information so that the knowledge and support from their family is also higher.