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Jurnal Keperawatan

keperawatan
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Published by Universitas Muhammadiyah Malang

ISSN : 20863071 EISSN : 24430900 DOI : 10.22219/jk

Core Subject : Health,

Nursing

Jurnal Keperawatan is a peer-reviewed journal published by School of Nursing at the Faculty of Health Science, University of Muhammadiyah Malang (UMM), which is focusing on several issues in nursing field. The first volume was published on 2010, and it is published twice a year, issued on January and July.

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Articles 626 Documents

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KASUS SERIAL RUPTUR LIEN AKIBAT TRAUMA ABDOMEN: BAGAIMANA PENDEKATAN DIAGNOSIS DAN PENATALAKSANAANNYA Aleq Sander, Mochamad
Jurnal Keperawatan Vol 4, No 1 (2013): Januari
Publisher : University of Muhammadiyah Malang

KASUS SERIAL RUPTUR LIEN AKIBAT TRAUMA ABDOMEN: BAGAIMANA PENDEKATAN DIAGNOSIS DAN PENATALAKSANAANNYA Serial cases rupture of spleen due to abdominal trauma: How to diagnose and the treatment? Mochamad Aleq SanderFakultas Kedokteran Universitas Muhammadiyah MalangJalan Bendungan Sutami 188A Malang 65145 e-mail: aleq.sander@yahoo.comABSTRAKSalah satu organ kita yang paling sering mengalami cedera pada suatu trauma tumpul pada daerah perut atau toraks kiri bagian bawah adalah lien. Penyebab utamanya adalah cedera langsung atau tidak langsung yang menyebabkan laserasi kapsul lien dan avulsi pedikel lien sebagian atau menyeluruh. Pada trauma lien yang perlu diperhatikan adalah adanya tanda-tanda perdarahan yang memperlihatkan keadaan hipotensi, syok hipovolemik, dan nyeri abdomen pada kuadran atas kiri dan nyeri pada bahu kiri karena iritasi diafragma. Perdarahan lambat yang terjadi kemudian pada trauma tumpul lien dapat terjadi dalam jangka waktu beberapa hari sampai beberapa minggu setelah trauma. Untuk menentukan diagnosis trauma tumpul maka diperlukan anamnesis adanya riwayat trauma abdomen bagian kiri bawah, pemeriksaan fisik, dan pemeriksaan penunjang, yang menunjukkan tanda-tanda trauma tumpul dengan ruptur lien. Kami melaporkan dua buah kasus ruptur lien akibat trauma tumpul abdomen. Keduanya adalah korban kecelakaan lalu lintas dan masih tergolong usia muda atau produktif. Pada kedua pasien dilakukan tindakan operasi berupa laparotomi eksplorasi dan splenectomy karena didapatkan tanda-tanda syok hipovolemik dan nyeri hebat di daerah abdomen.Kata kunci: trauma tumpul abdomen, laserasi kapsul lien, avulsi pedikel lien, syok hipovolemik, iritasi diafragma, splenectomy.ABSTRACTOne of our organs most frequently injured in blunt trauma to the abdomen or thorax bottom left is a lien. The main cause is the direct or indirect injury that causes a laceration splenic capsule and pedicle avulsion or partial lien. In trauma lien to note is the presence of signs of bleeding that showed hypotensive, hypovolemic shock and abdominal pain in the left upper quadrant and left shoulder pain due to irritation of the diaphragm. Slow bleeding that occurs later in blunt splenic trauma can occur within a few days to a few weeks after the trauma. To determine the required diagnosis of blunt trauma history a history of abdominal trauma bottom left, a physical examination, and investigation, which showed signs of blunt trauma with splenic rupture. We reported two cases of splenic rupture due to blunt abdominal trauma. Both are victims of a traffic accident and is still relatively young age or productive. In two patients underwent surgery in the form of exploratory laparotomy and splenectomy as found signs of hypovolemic shock and severe pain in the abdominal area.Keywords: abdominal blunt trauma, lacerations of the spleen capsule, splenic pedicle avulsion, hypovolemic shock, irritation of the diaphragm, splenectomy

THE EFFECT OF GREEN COLOR BREATHING THERAPYTOWARDS REDUCTION OF STRESS LEVELS IN HEMODIALIZED PATIENTS Suli, Didik Prasetyo; Aini, Nur; Prasetyo, Yoyok Bekti
Jurnal Keperawatan Vol 10, No 2 (2019): Juli
Publisher : University of Muhammadiyah Malang

Hemodialysis therapy is a lifelong therapy for the patient. One therapy that can be used in lowering stress levels and not yet widely used in Indonesia is color therapy (chromotherapy). The research design was quasi experimental with a pre-post test with control group design. The total sample of 12 intervention groups and 13 control groups was taken by purposive sampling technique. The study was conducted in March 2017 at Dr. Soepraoen Malang Hospital. The variables observed were a decrease in stress levels using the DASS questionnaire. Data were analyzed by the Mann-Whitney test. The results showed that at pretest the majority of the intervention groups were at moderate stress levels of 5 people (41,7%), while in the control group 8 people (61,5%). After posttest the stress level in the intervention group fell to normal 8 people (66,7%) while in the control group it remained. The results of statistical tests obtained p value 0.001 < ? 0.05 so it can be concluded that there is an effect of giving green color breathing therapy to decrease stress levels. Green color affects the central nervous system by using the retinohypothalamic tract as the main pathway of the color transmission mechanism to the limbic system and the endocrine system, so it will provide a calming effect, cause a sense of comfort, and reduce stress.

PENERAPAN FAMILY-CENTER NURSING THEORY PADA KASUS KELUARGA DENGAN BALITA SULIT MAKAN (STUDI KASUS) Bekti Prasetyo, Yoyok
Jurnal Keperawatan Vol 1, No 2 (2010): Juli
Publisher : University of Muhammadiyah Malang

Penerapan Family-Center Nursing Theory pada Kasus Keluarga dengan Balita Sulit Makan (Studi Kasus)Applying Family-Center Nursing Theory At Family Case With Children Under Five Years Old Eating Disorders (Case Study)Yoyok Bekti PrasetyoProgram Studi Ilmu Keperawatan Fakultas Ilmu Kesehatan Universitas Muhammadiyah MalangJl. Bendungan Sutami 188A Malang 65145e-mail: yybekti_pras@yahoo.comABSTRAKMasalah sulit makan merupakan masalah yang umum terjadi pada anak usia prasekolah. Struktur peran anggota keluarga terutama ibu sangat berpengaruh terhadap gangguan sulit makan pada anak. Tujuan studi kasus untuk mengetahui diagnosa keperawatan keluarga, mengidentikasi tindakan keperawatan, melakukan evaluasi pada kasus keluarga dengan balita sulit makan. Metode yang digunakan dengan pendekatan asuhan keperawatan keluarga meliputi tahapan yaitu pengkajian, perencanaan, pelaksanaan, dan evaluasi. Hasil berupa diagnosa keperawatan yang dapat diidentifikasi ada dua yaitu: kurang pengetahuan dan resiko gangguan nutrisi. Tindakan keperawatan yang dapat dilakukan adalah aplikasi terapi modalitas (terapi perilaku, food combining), konseling dan choaching. Kesimpulan dan saran meliputi strategi intervensi meliputi penerapan terapi modalitas (food combining), terapi perilaku, konseling dan (coaching), pemberdayaan masyarakat untuk mencapai kompetensi komunitas, membangun koalisi untuk mencapai tujuan yang diinginkan dengan berbagai pihak yang potensial. Penerapan terapi modalitas food combining pada agregat balita sulit makan memerlukan modifikasi dan kombinasi dengan terapi modalitas perubahan perilaku. Pemberian menu seimbangan dan modifikasi perilaku yang maladaptif menjadi perliku adaptif akan menciptakan suatu terapi yang handal untuk mengatasi masalah sulit makan pada agregat balita.Kata kunci: gangguan sulit makan, asuhan keperawatan keluargaABSTRACTDifficult problem eat is common problem happened at age child of prasekolah. Structure role of family member especially mother very have an effect on to difficult trouble eat at child. Target of case study to know diagnosa treatment of family, treatment action mengidentikasi, evaluate at family case with difficult balita eat. Used method with approach of upbringing treatment of family cover step that is study, planning, execution, and evaluation. Result of in the form of diagnosa treatment of which can identified by there is two that is: less and trouble risk of nutrisi. Action treatment of which can conducted by is therapy application of modalitas (behavioral therapy, combining food), and konseling of choaching. Conclusion and suggestion cover intervention strategy cover applying of therapy of modalitas (combining food), behavioral therapy, and konseling ( coaching), enableness of society to reach community interest, developing coalition to reach wanted target by various potential side. Applying of therapy of modalitas combining food at aggregate of balita difficult eat to need combination and modification with therapy of modalitas change of behavior. Gift of well-balanced menu and behavioral modification which is maladaptif become my innuendo of adaptif will create an reliable therapy to overcome difficult problem eat at aggregate of balita.Keywords: eating disorder, family-center nursing

THE ROLE OF EDUCATION IN IMPROVING THE KNOWLEDGE OF CHILDREN ABOUT THE IMPORTANCE OF VEGETABLES Mahaji Putri, Ronasari; Maemunah, Neni
Jurnal Keperawatan Vol 8, No 1 (2017): Januari
Publisher : University of Muhammadiyah Malang

PENDIDIKAN KESEHATAN DALAM MENINGKATKANPENGETAHUAN ANAK TENTANG PENTINGNYA SAYURThe Role of Education in Improving the Knowledge of Childrenabout the Importance of VegetablesRonasari Mahaji Putri 1, Neni Maemunah 21,2Universitas Tribhuwana Tunggadewi,Prodi Ilmu Keperawatan MalangJalan Telaga Warna Blok C 651441e-mail: putrirona@gmail.comABSTRAKSayuran merupakan salah satu jenis makanan yang memberikan dampak baik bagi kesehatan anakusia pra sekolah. Kesulitan makan sayur pada anak usia pra sekolah menjadi permasalahantersendiri. Tujuan penelitian adalah untuk mengetahui pengaruh pendidikan kesehatan terhadappeningkatan pengetahuan anak tentang pentingnya sayur. Jenis penelitian ini adalah praeksperiment dengan rancangan one group pre test post test desain. Sampel adalah anak pra sekolah4-6 tahun di RA Al Madaniyah sebanyak 49 anak.Teknik pengambilan sampel dengan samplingjenuh. Analisa data menggunakan uji t test sampel berpasangan, dengan SPSS for Window versi17 Hasil penelitian menunjukkan bahwa hampir seluruh 83,7% anak mempunyai pengetahuantentang jenis sayur yang kurang; sebagian besar 55,1% anak mempunyai pengetahuan kurangtentang manfaat sayur ;sebagian besar 69,4% tidak menjawab saat ditanya dampak kurangnyakonsumsi sayur; dan hasil analisa data diketahui bahwa ada pengaruh pendidikan kesehatanterhadap peningkatan pengetahuan anak ( p value sebesar 0,00; kekuatan hubungan 0,519).Pentingnya pendampingan dan motivasi orang tua dalam mengenalkan sayur pada anak prasekolah, melalui penyampaian informasi singkat secara kontinyu mengenai jenis, manfaat dandampak sayur setiap kali acara makan. Diharapkan dengan pengenalan sayur sejak dini, akanterbentuk kebiasaan mengkonsumsi sayur.Kata kunci: Pendidikan kesehatan,pengetahuan,pentingnya sayur,anak pra sekolahABSTRACTVegetables are one of the types of foods that give a good impact for the health of pre-school agechildren. Difficulty on eating vegetables at pre-school age children into its own problems. Theresearch goal was to determine the effect of health education to increase knowledge of childrenabout the importance of vegetables. The research is a pre-experimental design with one grouppretest posttest design. Samples are preschoolers 4-6 years at RA Al Madaniyah as 49. Samplingtechnic used saturated sampling. Data were analyzed using paired sample t test, with SPSS forWindow version 17. The results showed that nearly all 83.7% of children had less knowledgeabout types of vegetables; majority of 55.1% had less knowledge about the benefits of vegetables;the majority of 69.4% did not answer when asked about the impact the lack of consumption ofvegetables; and the data analysis result showed that there is an influence of health education inorder to increase knowledge of children (p value of 0.00; the strength of the relationship 0.519).Mentoring and motivation of parents in introducing vegetables on pre-school children isimportant, about continuous brief information related to types, benefits and impacts of vegetablesin any kind of meal. It is expected with the introduction of vegetables early on, will form the habitof eating vegetables.Keywords: health education, knowledge, vegetables, preschoolers

DAFTAR NAMA MITRA BESTARI SEBAGAI PENELAAH AHLI TAHUN 2013 Mitra Bestari, Daftar Nama
Jurnal Keperawatan Vol 4, No 2 (2013): Juli
Publisher : University of Muhammadiyah Malang

Daftar Nama Mitra Bestari Sebagai Penelaah Ahli Tahun 2013 Naskah yang dimuat dalam Jurnal Keperawatan telah ditelaah oleh para mitra bestari (peer reviewer) sebagai berikut:1. Dr. Yati Afiyanti, S.Kp, MN (Universitas Indonesia)2. Dr. Tri Hartiti, SKM, M.Kep (Universitas Muhammadiyah Semarang)3. Dr. Ahsan M.Kes (Universitas Brawijaya)4. Dr. Titin Andri Wihastuti, S.Kep, M.Kes (Universitas Brawijaya) 5. Intansari Nurjanah, BN, MSN, PhD (Universitas Gajah Mada Yogyakarta)6. Moh. Affandi, S.Kep, Ns, MAN (Universitas Muhammadiyah Yogyakarta)7. Prof. Dr. Sujono, M.Kes (Universitas Muhammadiyah Malang)Penyunting Jurnal Keperawatan menyampaikan penghargaan yang setinggi-tingginya dan terima kasih yang sebesar-besarnya kepada para Mitra Bestari.

PROFILE OF COLO-RECTAL CANCER AT HASAN SADIKIN HOSPITAL BANDUNG Sander, Mochamad Aleq
Jurnal Keperawatan Vol 3, No 1 (2012): Januari
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v3i1.1048

Colo-rectal cancer represent one of the most third malignancy in the world and second caused of death in US. In Indonesia amount of colo-rectal cancer was sequence to 10 (2.75%) after others cancer (cervix, breast, lymph, skin, nasofaring, ovarium, soft tissue, and thyroid). Key success in treatment of this cancer was that they found in early stage and followed curative therapy. Unfortunately in Indonesia they came after advanced stage and they had low survival. Colo-rectal cancer need multimodalities and in Indonesia not yet found uniformity in approach of therapy. The aim of research is to know the epidemiology, clinical symptom, diagnosis, therapy, prognosis. Descriptive study with retrospective design. Total sampling was all outpatient in digestive department of Hasan Sadikin Hospital of Bandung with colo-rectal cancer from January 2005 up to December 2008. 163 eligible respondens who had age below 40 yo 19 (11,7%) and above 55 yo 61 (37,4%). Female 89 (54,6%). Rectum was the most location that is 115 (70.6%). A lot of stadium was Dukes B2 that is 33 (20,2%). The most clinical manifestation was defecate blood that is 76 (46,6%). Adenocarcinoma well differentiated was the most common type of histology that is 93 (57,1%). Miles Procedure was 21 (12.9%) and hemicolectomy and colostomy were 19 (11,7%). The prognosis was healing 90 (55,2%), not yet healed 24 (14,7%), not control 38 (23,3%), and who control in the other place 2 (1,2%). Conclusion: mostly of colo-rectal cancer was found in fifth decade. A lot of cancer location was rectum and adenocarcinoma as a type of histology. Dukes B2 and defecate blood had most proportion, blood excision biopsy, and followed by radical mastectomy were the most therapy procedure. Miles procedure was the most common therapy in rectal cancer.

A DESCRIPTION OF THE PREVENTION PRACTICE DENGUE HEMORRHAGIC FEVER (DHF) IN ENDEMIC AREAS Ernawati, Ernawati; Nony, Cicilia; Martina, Siska Evi
Jurnal Keperawatan Vol 9, No 1 (2018): JANUARI
Publisher : University of Muhammadiyah Malang

Dengue Hemorragic Fever (DHF) is a disease that spread rapidly. The way of spreading dengue fever through Aedes Aegypti mosquito bites. During the year of 2005-2009, the incident of DHF in DKI Jakarta was always high. It is a challenge for local government in Jakarta to solve the problem. Controling the growth of dengue virus through PSN (Pemberantasan Sarang Nyamuk) movement requires perseverance, motivation, and community participation. Therefore, research which describe about health behavior related practice of DHF prevention in society is need to be conducted. This quantitative research with cross sectional method aim to describe the DHF prevention practice in an endemic DHF place. The purposive sampling method was used to gain 148 research participants. This study found that 68,69% research participants have prevention practices at a moderate level, and there are still 15% have bad prevention practices. Based on this it is expected that assistance and support of health workers can improve the prevention practice of DHF.

PARADIGMA BARU MANAJEMEN OCCUPATIONAL HEALTH NURSING DALAM PEMBELAJARAN COMMUNITY OF NURSING Hardy MN, Syaifoel
Jurnal Keperawatan Vol 3, No 2 (2012): Juli
Publisher : University of Muhammadiyah Malang

PARADIGMA BARU MANAJEMEN OCCUPATIONAL HEALTH NURSING DALAM PEMBELAJARAN COMMUNITY OF NURSINGNew Paradigm of Occupational Health Nursing In Community NursingSyaifoel Hardy MNPost Grad.Hospital & Healthcare Management Occupational Health Chief Nurse-Qatar Petroleum, member of American Association of Occupational Health Nurse (AAOHN), Registered Nurse of Qatar. ABSTRAKOccupational Health Nurse (OHN) adalah registered nurse yang secara independen mampu mengobservasi serta melakukan assessment terhadap kesehatan pekerja terkait dengan pekerjaan yang mereka lakukan, bahaya serta risikonya di tempat kerja (OSHA, 2009). Kompetensi yang mencakup pengetahuan, ketrampilan, training serta pengalaman registered nurses ini digolongkan dalam kemampuan mengenal dan mencegah efek yang diakibatkan oleh hazards exposure serta kepiawaian dalam menangani kasus-kasus penyakit atau luka yang disebabkan oleh kecelakaan kerja. Kecelakaan atau penyakit-penyakit sebagai dampak di tempat kerja ini perlu penanganan serius sebagaimana rekomendasi ILO (2010). Di samping itu, meningkatnya jumlah industri, di kota-kota besar, di negara-negara berkembang dan maju, menjadikan peranan Occupational Health Nurses semakin penting dan menantang di sektor industri (AAOHN, 2011). Permasalahan yang dihadapi oleh pendidikan perawat di Indonesia terkait dengan kompetensi ini adalah selama di bangku kuliah, perolehan materi Occupational Health Nursing (OHN) kurang proporsional, up to date, yang mengacu kepada basic pillars. Basic pillar ini meliputi fitness to work, health promotion and protection, management of ill health, serta health surveillance. Mengintegrasikan keempat pilar ini dalam Keperawatan Komunitas dapat dikategorikan sebagai sebuah paradigma baru pembelajaran selama di bangku kuliah. Konsep baru ini bertujuan menjadikan perawat Indonesia lebih professional serta siap dalam menghadapi era globalisasi di berbagai bidang industri di masa depan.Kata kunci : Occupational health nursing, perawatan komunitas, basic pillars, paradigma. ABSTRACTOccupational Health Nurse (OHN) is registered nurse that independently assess towards health condition of employee related to the harm and risk factor in work place (OSHA, 2009). Competence that integrating knowledge, skill, training and also experience for registered nurses, grouped in understanding capability and avoiding impact that caused by hazards exposure and skillfulled in organize case diseases or wound that caused by work accident. Accidents and diseases as a result in workplace must be seriously organized as recommended by ILO (2010). In the other hand, increase manufacture in the big city, in developing countries, make Occupational Health Nurses more important and fourmos in manufacture (AAOHN, 2011). Problems that are faced nursing education in Indonesia correlated with competence in bachelor nursing science, perolehan materi Occupational Health Nursing (OHN) unproportional, up to date, that focused on basic pillars. Basic pillar including the fitness to work, health promotion and protection, management of ill health, also health surveillance. Integration of this four components in community nursing can be catagorized as new learning paradigm in study. This new concept aims to make Indonesian nurse more professional and get ready in facing new globalization era in any other field.Key words: Occupational health nursing, community nurse, basic pillars, paradigm.

ANALISA ASPEK BALITA TERHADAP KEJADIAN INFEKSI SALURAN PERNAFASAN AKUT (ISPA) DI RUMAH ., Agrina; ., Suyanto; ., Arneliwati
Jurnal Keperawatan Vol 5, No 2 (2014): Juli
Publisher : University of Muhammadiyah Malang

ANALISA ASPEK BALITA TERHADAP KEJADIAN INFEKSI SALURAN PERNAFASAN AKUT (ISPA) DI RUMAHAnalyzing of Under Five Children Aspect to Acute Respiratory Infection Desease Incidentat HomeAgrina(1) , Suyanto(2), Arneliwati(3)(1)Keperawatan Komunitas PSIK UR(2,3)Kesehatan Masyarakat FK UREmail: 1)agrinas76@gmail.comABSTRAKISPA di Indonesia selalu menempati urutan pertama penyebab kematian dan sering menempati urutan pertama angka kesakitan balita. Penelitian bertujuan untuk melihat hubungan antara usia dan status gizi balitaterhadap kejadian infeksi saluran pernafasan akut (ISPA) di rumah. Desain penelitian yang digunakan adalah deskriptif korelasi pada 262 balita di wilayah kerja Puskesmas Sidomulyo. Alat pengumpul data yang digunakan adalah kuisioner yang berisi karakteristik balita, status gizi, dan kejadian ISPA yang dialami balita dalam 3 bulan.Analisa data yang digunakan adalah analisis univariat dan bivariate (chi square). Mayoritas responden berada pada usia bayi sebanyak 156 orang (59,5%), kejadian ISPA pada balita sebanyak 60 orang (22,9%), status gizi balita adalah baik sebanyak 229 orang (87,4%). Hasil penelitian juga menunjukkan adanya hubungan yang sangat signifikan antara usia anak, status gizi, dengan kejadian ISPA di rumah (p value<0,05). Perlu adanya upaya untuk meningkatkan status gizi dan kemampuan ibu dalam merawat balita agar kejadian ISPA dapat dicegah sehingga komplikasi ISPA dapat dihindariKata kunci: ISPA, balita, pengetahuan ibu merawat, status giziABSTRACTAcute Respiratory Infection (ARI) desease is the first cause of death and often ranks first under five childrenmorbidity in Indonesia. The purpose of study is to examine the relationship between age and nutritional status on the incidence of acute respiratory infections (ARI) at home. Design research is descriptive correlation in 262 infants in Puskesmas Sidomulyo. Data collection by a questionnaire that contains the characteristics of children, nutritional status, and respiratory events experienced by children in 3 months. Analysis of the data used univariate and bivariate analysis (chi-square). The results showed that the majority of respondents were in the age of the baby as much as 156 people (59.5%), the incidence of respiratory infection in infants as many as 60 people (22.9%), good nutritional status of children is as much as 229 people (87.4%). The results also showed a highly significant relationship between age, nutritional status, with ARI in the home (p value <0.05). It is important an effort to improve the nutritional status and mother?s ability to care for under five children that can be prevented complications of ARIKeywords: ARI, mother?s knowledge to take care under five children, nutritional status

REDAKSI VOL10 NO1 Rosyidul 'Ibad, Muhammad
Jurnal Keperawatan Vol 10, No 1 (2019): JANUARI
Publisher : University of Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jk.v10i1.8031

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