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Java Nursing Journal
Published by Global Indonesia Healthcare
ISSN : -     EISSN : 29884152     DOI : https://doi.org/10.61716/jnj.v1i2
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing
nursing science, nursing management principles, nursing policy, Nursing Ethics, health care, nursing education, and nursing practice in Asian communities worldwide to a broad international audience. Article Review in Nursing, Medical surgery nursing, Nursing Anesthesia, advanced nursing, Complementary Nursing, Community Nursing, Pediatric Nursing, Basic nursing, Psychiatric nursing, Maternity Nursing, Nursing Management, Gerontology Nursing, Oncology Nursing, Law Nursing, and Informatic Nursing.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 103 Documents
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Motivation and Independence in Learning in Nursing New Students Komariah, Ade; Fiana, Marista; Ningsih, Rastia
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.35

Abstract

Background: In the first year of study, students face academic, social adjustment, campus environmental, and learning system changes that require them to study independently, which can lead to conflicts between students who are still adjusting to their new role and those who must complete nursing tasks. Purpose: This research aims to determine learning independence which is influenced by learning motivation in new students of the Bachelor of Nursing study program. Methods: A total of 120 new students from the class of 2023 were involved in this research. The instruments used are the learning independence scale and the learning motivation scale. The data analysis used is assumption testing, hypothesis testing and difference testing. The results show: 1) based on the assumption test that the research data is proven to be normal and linear. Findings: based on hypothesis testing that there is a positive relationship between learning motivation and learning independence (r = 0.770; p < 0.01), and there is an influence of learning motivation on learning independence of (R² = 0.592; p < 0.01); 3) based on different tests that there are differences in learning independence based on student demographic factors [F= 1.321, p< 0.05]. Conclusion: This study shows that learning motivation helps new students learn independently. Students with high intrinsic and extrinsic motivation gain from learning freedom, and vice versa
The Relationship Between Anxiety Levels and Pre-operative Sleep Quality Disorders for Spinal Anesthesia Patients Pratama, Ilham; Susanto, Amin; Budi, Martyarini
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.36

Abstract

Background: According to data, the number of surgery patients has increased significantly over time. All hospitals worldwide recorded 140 million patients in 2017, 148 million in 2019, and 1.2 million in Indonesia. Surgery might threaten a person's body, integrity, or life and generate anxiety. Patients can be anxious before surgery under anaesthesia. Chronic anxiety can create stress and sleep difficulties. People with sleep issues are young adults. Sleep disorders are conditions that cause discomfort or interfere with a desirable lifestyle due to alterations in rest patterns. Purpose: Understanding how worry affects preoperative sleep quality in spinal anaesthesia patients at Hj. Anna Lasmanah Banjarnegara Hospital. Methods: This type of research is descriptive correlation using a cross sectional design by distributing questionnaires of anxiety level (APAIS) and sleep quality (AIS). Findings: the findings regarding the anxiety levels of the 65 participants indicated that among the total of 65 respondents, 23 individuals (or 35.4%) reported having moderate anxiety. Furthermore, in terms of sleep quality disorders, moderate insomnia was reported by most respondents, comprising 28 individuals (43.1%). The significance value of p = 0.000 (<0.05) obtained from the Spearman's Rho correlation test indicates that anxiety levels and sleep quality disorders are significantly associated in preoperative spinal anaesthesia patients. Conclusion: There is a strong relationship between anxiety level and preoperative sleep quality disorders in spinal anesthesia patients.
The Relationship Between Pre-Anesthesia Anxiety and the Incidence of Post-Operative Nausea and Vomiting (PONV) in Patients Undergoing General Anesthesia at Islamic Hospital Purwokerto Mutia, Lisa; Novitasari, Dwi; Burhan, Asmat
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.37

Abstract

Background: The anaesthetic method employed during surgical procedures may cause pre-anaesthesia apprehension to increase, which is strongly associated with the occurrence of post-operative nausea and vomiting (PONV), which signifies alterations in psychological and physiological responses. Purpose: To examine the correlation between pre-anaesthesia anxiety and the occurrence of post-operative nausea and vomiting among Islamic Hospital Purwokerto patients undergoing general anaesthesia. Implementing Methods: By utilising a total sampling technique and an analytical approach with a cross-sectional design, 59 patients undergoing surgery under general anaesthesia in April 2023 were included. We gathered primary data by administering pre-anesthesia and post-anesthesia PONV questionnaires to patients in the inpatient ward. Findings: Most patients analysed by patient characteristic analysis were between the ages of 36 and 45 (33.90%), female (62.71%), had completed secondary school (54.24%), and were classified as ASA 2 (84.05%). The majority (72.88%) underwent moderate surgery, and all patients received 100% family support. Panic (49.2%), severe anxiety (42.4%), and moderate anxiety (8.5%) were the most prevalent responses. Moderate (6.7%), severe-to-moderate (28.8%), and severe (64.4%) nausea and vomiting were reported by the majority. A significant relationship exists between pre-anaesthesia anxiety and the incidence of post-operative nausea and vomiting (PONV) in patients undergoing general anaesthesia at Islamic Hospital Purwokerto, as indicated by the chi-square statistic = 0.016). Conclusion: The chi-square statistic indicates a significant relationship between pre-anaesthesia anxiety and the incidence of PONV in patients undergoing general anaesthesia at Islamic Hospital Purwokerto.
Description of Hemodynamic Changes in Section Caesarea Patients with Spina; Anesthesia in Sijunjung Regional General Hospital Nofyanto, Deden; Sukmaningtyas, Wilis; Triyudono, Danang
Java Nursing Journal Vol. 2 No. 1 (2024): November - February 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i1.38

Abstract

Background: Every anesthetic action must Background: Every anesthetic action must pay attention to the patient's condition because this anesthetic action causes effects on all body systems, including hemodynamic changes in the patient's body. To see if there are hemodynamic changes that occur, blood pressure and pulse monitoring can be done during the Sectio Caesarea surgery process. Purpose: to know the description of hemodynamic changes in Sectio Caesaria patients with spinal anesthesia at Sijunjung Regional General Hospital. Methods: The type of research used is observational research with descriptive research type. The population in this study were all patients with cesarean section with spinal anesthesia at the Sijunjung Regional General Hospital in July - August with a sample size of 20 patients. Research instruments used ECG monitors and observation sheets using descriptive data analysis. Findings: blood pressure and pulse of respondents before spinal anesthesia were seen entirely, namely 20 respondents (100%) with normal blood pressure and pulse and after spinal anesthesia as many as 14 people (70%) experienced hypotension and 6 respondents (30%) with normal blood pressure. While the pulse rate in respondents after spinal anesthesia was 11 people (50%) experiencing tachycardia and 9 people (45%) with a normal pulse. Conclusion: then it means that there is a picture of hemodynamic changes in sectio caesaria patients with spinal anesthesia at the Sijunjung Regional General Hospital.
Overview of Induction Drug Dosage Types with the ERACS (Enhanced Recovery After Caesarean Surgery) Sectio Caesarean Method in Post Sectio Caesarean Patients at Hermina General Ayu Kartika Sari, Venna; Suandika, Made; Burhan, Asmat; Tri Yudono, Danang
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.39

Abstract

The caesarean section method is recognized recently with the concept of ERACS (Enhanced Recovery After Cesarean Surgery). The surgery process is more convenient because there is less pain and the postoperative recovery process is faster than the traditional method. The ERACS concept was developed from the ERAS (Enhanced Recovery After Surgery) concept and applied to gastrointestinal surgery. It has been shown to minimize hospital admissions and complications after surgery, which results in improved patient satisfaction. The design of this study was quantitative non- experimental using descriptive methods conducted in September 2023 with a population of all adult patients undergoing surgery under general anesthesia and a sample of 70 respondents. This method is used to study populations by collecting data to clarify and test hypotheses. This study focuses on describing the types and induction drugs with the ERACS method. in post-cesarean section patients at Hermina General Hospital Yogyakarta. Data were collected using observation techniques recorded in the observation sheet and then analyzed using the frequency distribution test using SPSS version 23. The results showed that most of the respondents in this study were women aged 26-35 years as many as 38 respondents (54.3%). Based on other respondent characteristics, it was also found that the results of blood pressure <130 and <90 mmHg were (52.9%), which is 37 respondents, followed by a pulse of 80-100x/min as many as 40 respondents (57.1%), spo2> 95% as many as 65 respondents (92.9%) ASA 1 as many as 46 respondents (65.7%), and the average use of morphine and fentanyl was (100%) using a combination of morphine drugs with a dose of 0.1mg and fentanyl with a drug dose of 25mcg. Keywords: ERACS, Maternity, Post-Cesarean Section
Integrating Zinc Cream-Chitosan and Cadexomer Iodine for Treating Infections in Diabetic Foot Ulcers: A Case Report Bahri, Khairul; Fajar, Kana; Intan Asri Nurani; Rizki Hidayat
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.40

Abstract

Background: The incidence of Diabetes Mellitus is reported to be increasing. These wounds can be challenging to heal and may lead to amputation if not treated appropriately. Treating wound infection requires careful antiseptic wound washing, removal of dead tissue, and the use of topical antimicrobial dressings. Aim in this case, we reported a case of diabetic foot ulcer infection used zinc cream-chitosan and cadexomer iodine. Case: A 76-year-old woman with a history of diabetes mellitus presented to the Wound, Ostomy and Continence Care Department at Wocare Indonesia in Bogor with an infected diabetic foot ulcer. The wound is classified as unstageable due to the presence of 100% slough tissue covering the entire wound bed. Additionally, there is erythema and oedema in the wound area, moderate purulent exudate, and slight bleeding. The wound emits an odour detectable within a distance of less than one meter. ABPI 0.67. The wound local infection assessment used NERDS and infection used WIFi classification. The primary dressing used for wound care was zinc cream-chitosan and cadexomer iodine 0.9%. Dressing changes were performed once every three days. Conclusion: The study examined the effectiveness of using zinc cream-chitosan and cadexomer iodine 0.9% to treating infection in diabetic foot ulcer wounds. The NERDS score decreased from 5 to 3, and the WIFi Classification decreased from 4 to 2, indicating an improvement in wound healing and patient quality of life with diabetic foot ulcers.
An Overview Caring Behavior of Anesthesiologist in Spinal Anesthesia Patients at RSUD Cilacap Alverina, Frianca; Suryani, Roro Lintang; Burhan, Asmat
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.42

Abstract

Background: Care becomes a phenomenon that affects how we think, feel, and relate to others, so basically care can be described as the ability to genuinely dedicate ourselves to other people, remain vigilant in supervision, have empathy for other individuals, and have a sense of compassion that is important in care practice. Important aspects faced include knowledge, learning through experience, patience, honesty, trust, humility, hope, and the ability to innovate. Failure to treat anesthetic meetings with patients can have a serious impact on the patient's experience during medical procedures. Aim: What is the description of the caring behavior of anesthesiologists in spinal anesthesia patients at Cilacap Hospital. Method: This research uses descriptive methods using cross sectional survey design approaches. The sampling technique was carried out using sequential samples with a total of 65 patients. Findings: The results of the study were based on the age of 32 respondents (49.2%), gender of 33 respondents (50.8%), and educational level of 30 respondents (46.2%). Conclusion: The conclusion was that the majority of respondents assessed that the anesthesia in the District Hospital of Cilacap behaved treating respondents, which is 61 respondents (93.8%).
Description of Parenteral Anxiety With Children Who Will Undergo Anxiety Sukma Satriyawan, Ade; Lintang Suryani, Roro; Novitasari, Dwi; Suandika, Made
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.45

Abstract

Background: Pediatric pain associated with invasive medical procedures is a significant cause of anxiety for parents. Most parents experience preoperative anxiety and fear. Purpose: The study aims to describe the anxiety of parents with children who will undergo anesthesia at IBS RSU Afdila Cilacap 2023. Methods: The research conducted is Quantitative research with descriptive design. The approach that will be used during the research is cross sectional, the sample in this study is using the Total Sampling method as many as 31 respondents. Data were collected using a questionnaire instrument used in this study, the Indonesian version of the Hamilton Anxiety Rating Scale (HARS) parental anxiety questionnaire sheet. Result: The results of most of the moderate anxiety were 17 respondents (54.8%), at the age of the child most children aged 12-18 years with moderate parental anxiety as many as 9 respondents (29.0%), in the gender of the parents most female gender with moderate anxiety as many as 12 respondents (38.7%), the employment of parents most private jobs with moderate anxiety as many as 12 respondents (38.7%). Conclusion: there is still severe anxiety in as many as 7 respondents from this study, so there must be treatment or intervention to reduce parental anxiety in children who will undergo surgery.
Description Of Age And Bmi In The Hypothermia And Normothermia Group In Caesarea Sectio Patients With Spinal Anesthesia Jaya Zega, Firman; Mixrova Sebayang, Septian; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.46

Abstract

Background: Hypothermia results in increased risk of bleeding, myocardial ischemia, longer post-anesthesia recovery, impaired wound healing, and increased risk of infection. This is due to the influence of anesthetic use, age, nutritional status, and body mass index. The research aims to determine the description of age and BMI in the hypothermia and normothermia groups in caesarean section patients with spinal anesthesia at the Efarina Etaham Pematang Siantar Hospital. Methods: This type of research is descriptive with a cross sectional approach. The study population was all 40 caesarean section patients with spinal anesthesia in September 2023. The research sample used a total sampling method, namely the entire population was the research sample of 40 respondents. Data analysis using univariate analysis. Findings: The results of the research showed that the body temperature of the respondents experienced hypothermia after anesthesia, the majority aged >35 years, all of them experienced hypothermia as many as 11 respondents (100.00%) and the minority of respondents aged <20-35 years as many as 2 respondents (15.38%) and as many as 25-35 years old. 2 respondents (12.50%). Body temperature after spinal anesthesia showed that the body temperature of the respondents experienced hypothermia, the majority of BMI <18.5 or underweight category were 11 respondents (91.67%) and the minority were Normal BMI (BMI 18.5-22.9) as many as 4 respondents (14.29%). Conclusion: Body temperature changes when spinal induction anesthesia is given.
Relationship Between Length of Surgery and Shivering in Postoperative Abdominal Surgery Patients Yuswanto, Subur; Triyudono, Danang; Kemal Firdaus, Eza
Java Nursing Journal Vol. 2 No. 2 (2024): March - June 2024
Publisher : Global Indonesia Health Care (GOICARE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61716/jnj.v2i2.47

Abstract

Background: Abdominal surgery is a type of major surgical operation performed in the abdominal area with incision in the wall layer. The surgery has a risk, one of which is the incidence of shivering and the long period of surgery causes a continuous process of losing body heat. Objective: to know the relationship between the length of surgery and the incidence of shivering in postoperative abdominal surgery patients in the central surgical installation of RSUD Hj. Anna Lasmanah Banjarnegara. Methods: This research design uses cross sectional. Sampling technique with total sampling obtained 50 with abdominal surgery... Instruments include age, gender, BMI, type of anesthesia, length of surgery and incidence of shevering. Findings: age with the majority of the early adult category 26-35 years at 14 (28.0%) for the majority of female gender at 35 (70%) and the highest BMI with normal at 31 (62%).The length of operation of postoperative abdominal surgery patients with the majority in the fast category less than 1 hour at 29 (58%). Conclusion: there is a relationship between the length of surgery and the incidence of shivering in abdominal surgery patients in the Central Surgical Installation of Hj. Anna Lasmanah Banjarnegara Hospital with a p_value of 0.004 (<0.05) with a relationship in the moderate category with rho 0.416 with a relationship in the moderate category with rho 0.416

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