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Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery)
Published by STIKes Patria Husada Blitar
ISSN : 2355052X     EISSN : 25483811     DOI : -
Core Subject : Health,
Health Professions Nursing Public Health
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) published by STIKes Patria Husada Blitar. Published three times in a year, its in April, August and December. Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) only receive original manuscripts related to science development and have not been published in domestic and foreign journals. The content of the manuscripts can be in the form of research results to support the progress of science, education and nursing practice and professional midwifery.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 604 Documents
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Program Retensi Perawat untuk Mengurangi Turnover Perawat Non PNS di Rumah Sakit X Ahmad Muslim; Sutinah Sutinah
Journal of Ners and Midwifery Vol 7 No 2 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i2.ART.p162-169

Abstract

Rumah sakit harus mampu mempertahankan pegawai, terutama tenaga kesehatan seperti perawat, hal ini dilakukan agar rumah sakit dapat mempertahankan eksistensinya. Angka turnover yang tinggi merupakan sebuah ancaman bagi rumah sakit, oleh karena itu dibutuhkan program retensi pegawai untuk mempertahankan pegawai dari turnover intention. Penelitian ini bertujuan untuk mengetahui gambaran proses pengembangan perawat non PNS di Rumah Sakit X. Penelitian ini menggunakan metode kualitatif dengan jenis penelitian deskriptif. Data diperoleh melalui wawancara terhadap perawat PNS, perawat non PNS, perawat yang telah resign, dan pihak manajemen Rumah Sakit X. Hasil penelitian ini menunjukkan bahwa Rumah Sakit X telah melaksanakan program retensi pegawai, namun belum bisa menurunkan angka turnover perawat non PNS. Sistem remunerasi yang merupakan program retensi pegawai perlu ditinjau ulang, karena dengan adanya sistem remunerasi, turnover perawat non PNS semakin meningkat. Turnover perawat non PNS di Rumah Sakit X disebabkan oleh kepastian karier dan kesejahteraan pegawai yang kurang. Program retensi pegawai di Rumah Sakit X harus fokus pada faktor penyebab turnover perawat non PNS, agar program retensi pegawai dapat dirancang dengan baik. Pihak manajemen Rumah Sakit X harus melakukan analisa yang tepat dan melihat berbagai dampak yang akan muncul dari penerapan program retensi pegawai tersebut. A hospital must be able to retain employees, especially health workers such as nurses, this is done so that the hospital can maintain its existence. High turnover is a threat to the hospital. Therefore, employee retention programs are needed to keep employees from turnover intentions. This study aims to determine the description of the process of developing non-civil servant nurses in Hospital X. This study uses qualitative methods with a descriptive research type. Data obtained through interviews with civil servant nurses, non-civil servant nurses, nurses who have resigned, and the management of Hospital X. The results of this study indicate that Hospital X has implemented an employee retention program, but has not been able to reduce the turnover rate of non-civil servant nurses. The remuneration system which is an employee retention program needs to be reviewed because, with the remuneration system, the turnover of non-civil servant nurses is increasing. The turnover of non-civil servant nurses at Hospital X was caused by career certainty and lack of employee welfare. The employee retention program at Hospital X must focus on the factors that cause the turnover of non-civil servant nurses so that the employee retention program can be well designed. The management of Hospital X must conduct appropriate analysis and see the various impacts that will arise from the application of the employee retention program.
Kejadian Postpartum Blues pada Ibu Postpartum di RS PKU Muhammadiyah Yogyakarta Dwi Ernawati; Wa Ode Merlin; Ismarwati Ismarwati
Journal of Ners and Midwifery Vol 7 No 2 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i2.ART.p203-212

Abstract

Postpartum blues dikategorikan sebagai sindroma gangguan mental ringan yang sering dialami oleh wanita pasca persalinan  sehingga sering tidak dipedulikan, tidak terdiagnosa dan tidak tertangani, apabila postpartum blues ini tidak sembuh selama 2 minggu maka akan berubah menjadi postpartum depression dan postpartum psycosis. Penelitian ini bertujuan untuk mengetahui gambaran kejadian postpartum blues pada ibu postpartum. Desain penelitian yang digunakan deskriptif kuantitatif dengan pendekatan waktu cross sectional. Tempat penelitian di RS PKU Muhammadiyah Yogyakarta. Jumlah sampel 30 responden dengan teknik pengambilan sampel quota sampling. Analisa data menggunakan analisis univariate. Hasil penelitian ini menunjukkan bahwa sebagian responden mengalami  postpartum blues (53,3%) dengan resiko sedang mengalami depresi postpartum (43,3%) dan resiko berat untuk mengalami depresi postpartum (10%). Pada penelitian ini didapatkan 53,3% dari seluruh ibu postpartum di RS PKU Muhammadiyah Yogyakarta mengalami postpartum blues. Rekomendasi dari penelitian ini adalah adanya skrining postpartum blues oleh tenaga kesehatan sebelum ibu nifas di perbolehkan pulang dan ada kunjungan nifas bagi ibu ibu yang terdeteksi postpartum blues saat di rumah sakit. Postpartum blues is categorized as a mild mental disorder syndrome that is often experienced by postpartum women so that it is often ignored, undiagnosed and untreated, if the postpartum blues is not healed for 2 weeks it will turn into postpartum depression and postpartum psycosis. This study aims to determine the description of the incidence of postpartum blues in postpartum mothers. The research design used is quantitative descriptive with cross sectional time approach. Research site at PKU Muhammadiyah Hospital Yogyakarta. The number of samples was 30 respondents with a quota sampling technique. Data analysis uses univariate analysis. The results of this study indicate that some respondents experienced postpartum blues (53.3%) with a moderate risk of experiencing postpartum depression (43.3%) and a severe risk for experiencing postpartum depression (10%). Conclusions and Recommendations from the results of the above study it can be concluded that 53.3% of all postpartum mothers in PKU Muhammadiyah Yogyakarta Hospital experienced postpartum blues. The recommendation of this study is that health workers related to postpartum mothers should pay more attention to psychological adaptation of postpartum mothers and to be able to overcome the problems of postpartum blues
Edukasi Berpengaruh terhadap Pemberian Stimulasi Perkembangan Anak Usia 12-24 Bulan oleh Ibu di Posyandu Desa Tambakrejo Kabupaten Puworejo Nidatul Khofiyah
Journal of Ners and Midwifery Vol 7 No 2 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i2.ART.p231-238

Abstract

Pemberian stimulasi merupakan hal penting yang dibutuhan anak dalam masa pertumbuhan dan perkembangannya. Pemantauan pertumbuhan dan perkembangan anak yang dilaksanakan secara tepat dan terarah menjamin tumbuh kembang anak lebih optimal yang menjadikan anak berkualitas, cerdas, bertanggung jawab dan berdaya guna bagi nusa dan bangsa. Tujuan penelitian ini adalah melihat pengaruh edukasi terhadap pemberian stimulasi pada anak usia 12-24 bulan oleh ibu. Penelitian ini menggunakan quasi eksperimen dengan non-equivalent control group design. Sampel penelitian adalah ibu yang memiliki balita usia 12-24 bulan di Posyandu Desa Tambakrejo dengan jumlah sampel 20 responden untuk masing-masing kelompok intervensi dan kelompok kontrol. Instrumen dalam penelitian ini menggunakan SAP dan booklet untuk panduan pemberian edukasi stimulasi dan kuesioner terstruktur untuk data pemberian stimulasi oleh ibu. Analisis menggunakan uji Independen T-Test. Hasil penelitian ini menyatakan bahwa terdapat perbedaan yang signifikan pada perilaku pemberian stimulasi sebelum dan setelah diberikan intervensi edukasi stimulasi pada ibu. Peran kader berpengaruh terhadap pemberian stimulasi oleh ibu kepada anak, sehingga perlu pembinaan untuk kader tentang pemberian stimulasi perkembangan anak yang baik dan terarah melalui pelatihan-pelatihan. Provision of stimulation is an important thing that is needed by children in their growth and development. Monitoring the growth and development of children carried out correctly and directed to ensure the development of children is more optimal that makes children of quality, intelligent, responsible and efficient for the homeland and the nation. The purpose of this study is to look at the effect of education on the provision of stimulation in children aged 12-24 months by mothers. This research method uses quasi-experimental with non-equivalent control group design. The study sample was mothers who have children aged 12-24 months in Posyandu Tambakrejo Village with a sample of 20 respondents for each intervention and control groups. The instruments in this study used SAP, booklet and structured questionnaires. The analysis uses the Independent T-Test. The results of this study stated that there were significant differences in the behavior of stimulation before and after the stimulation education intervention was given to the mother. The role of cadres influences the provision of stimulation by the mother to the child, so there is a need for coaching for cadres about providing stimulation of good and directed through training.
Peningkatan Vaskularisasi Perifer dan Pengontrolan Glukosa Klien Diabetes Mellitus Melalui Senam Kaki Taufan Arif
Journal of Ners and Midwifery Vol 7 No 1 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i1.ART.p082-088

Abstract

Pendahuluan: Diabetes Mellitus merupakan penyakit metabolik kronis. Diabetic foot ulcers merupakan komplikasi yang sering terjadi akibat kadar glukosa yang tidak terkontrol.  Tujuan penelitian menjelaskan pengaruh senam kaki terhadap status vaskularisasi perifer dan glukosa darah. Metode: Penelitian menggunakan quasy experimental pre-post test control group design. Populasi berjumlah 30 responden yang terbagi dalam kelompok perlakuan dan kontrol. Teknik sampling menggunakan purposive sampling. Kriteria inklusi meliputi klien DM berusia >45 tahun, DM tipe II, dan glukosa darah acak < 300 mg/dl. Kriteria eksklusi meliputi klien ulkus diabetikum, GDA >300 mg/dl, gout artritis. Intervensi senam kaki diberikan 3 kali seminggu selama 4 minggu. Pengukuran variabel capilarry refill time menggunakan observasi penekanan ujung jari. Pengukuran variabel glukosa menggunakan glukosa stick-test. Analisis data menggunakan Wilcoxon & mann whitney test digunakan mengukur variabel capillary refill time. Independent & paired t-test digunakan mengukur variabel glukosa. Hasil: Uji variabel CRT menggunakan Mann-Whitney test menunjukkan nilai p = 0.022 yang berarti ada pengaruh senan kaki tehadap capillary refill time. Hasil uji variabel Glukosa darah menggunakan paired t test menunjukkan p=0.004, dan independent t test menunjukkan p=0.012 yang berarti ada pengaruh senam kaki terhadap kadar glukosa darah. Diskusi: Senam kaki terbukti meningkatkan Nitric Oxode Syntesis, vasodilatasi arteri, terjadi pembakaran gula darah yang mengakibatkan turunnya gula darah, afinitas oksigen hemoglobin, dan viskositas darah. Sebaliknya, terjadi peningkatan sirkulasi darah, saturasi oksigen, perfusi jaringan, dan sistem imunitas sehingga dapat mencegah ulkus kaki diabetik. Dalam upaya preventif, sebaiknya dinas kesehatan khususnya puskesmas untuk menyediakan media promosi kesehatan melalui penyediakan booklet senam kaki kaki. Introduce: Diabetes Mellitus was a chronic metabolic disease. Diabetic foot ulcers were a complication that often results from uncontrolled glucose levels. This study was to explain the effect of foot exercises on the status of peripheral vascularization and blood glucose. Methods: The study was quasy experimental design. The population were 30 respondents divided into treatment and control group. The sampling technique uses purposive sampling. Inclusion criteria included client DM aged >45 years, DM type II, and random blood glucose <300 mg/dl. Exclusion criteria included respondents who had complications of diabetic foot ulcer, random blood glucose > 300 mg / dl, gout arthritis. Measurement of capillary refill time variables using fingertip emphasis observation. Measurement of random blood glucose variables using a glucose stick test.Data analysis using wilcoxon & mann whitney test was used to measure the capillary refill time variable. Independent & paired t-test was used to measure glucose variables. Interventions were given 3 times a week for 4 weeks. Result: In the CRT variable using the Mann-Whitney test showed a p value = 0.022 which means that there was an effect of foot exercises on the status of peripheral vascularization. On the blood glucose variable using paired t test showed p = 0.004, and independent t test showed p = 0.012 which means there is an influence of foot exercises on blood glucose levels. Discuss: Foot have been shown to increase Nitric Oxode Syntesis, arterial vasodilation, blood sugar burning which results in a decrease in blood sugar, oxygen affinity of hemoglobin, and blood viscosity. Conversely an increase in blood circulation, oxygen saturation, tissue perfusion, and immune system can prevent diabetic foot ulcers. In a preventive effort the health department, especially the puskesmas, should provide health promotion media through the provision of foot exercise exercises.
Pengaruh Program Pembentukan Kepribadian dan Kepemimpinan (P2KK) terhadap Soft Skill Mahasiswa Lilis Setyowati; Nadia Mar'atu Sholihah; Nur Aini
Journal of Ners and Midwifery Vol 7 No 2 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i2.ART.p276-284

Abstract

Latar Belakang : Program Pembentukan Kepribadian dan Kepemimpinan (P2KK) merupakan program pembentukan karakter yang bertujuan mengembangkan keterampilan soft skill mahasiswa. Sampai saat ini, evaluasi ketercapaian tujuan  program masih belum  diteliti. Penelitian ini bertujuan untuk mengetahui pengaruh P2KK terhadap soft skill mahasiswa FIKES Universitas Muhammadiyah Malang (UMM). Metode : Desain penelitian yang digunakan adalah pre-eksperimental one group pre-post test design. Pengambilan sampel pada penelitian ini menggunakan sampling kuota.  Jumlah sampel yang digunakan sebanyak 100 mahasiswa FIKES Universitas Muhammadiyah Malang angkatan 2018 yang mengikuti P2KK angkatan 24 dan 25. Pengumpulan data menggunakan kuesioner LEQ (Life Effectiveness Questionnaire) dengan analisa data menggunakan uji wilcoxon.Kegiatan P2KK dilaksanakan selama 6 hari dan selama kegiatan tersebut mahasiswa harus tinggal di asrama. Hasil : Soft skill  mahasiswa FIKES Universitas Muhammadiyah Malang sebelum mengikuti P2KK 72% memiliki kategori sedang dengan nilai rata-rata 140 dan soft skill setelah P2KK 76% memiliki kategori sedang dengan nilai rata-rata 15. Berdasarkan hasil analisa data menggunakan uji wilcoxon didapatkan hasil yang signifikan (p=0,00), artinya terdapat perbedaan soft skill sebelum dan setelah P2KK. Diskusi : Terdapat pengaruh P2KK terhadap soft skill mahasiswa FIKES Universitas Muhammadiyah Malang dengan  metode  pendekatan  experiental learning  yang  dapat meningkatkan soft skill. Pengaruh yang paling signifikan terdapat pada atribut mengontrol emosi. Disarankan pihak UPT. P2KK untuk  mengevaluasi metode kegiatan sehingga dapat meningkatkan atribut soft skill yang kurang. Introduction : The Personality Development and Leadership Program (P2KK) is a character-building program to develop student skills to prepare them in the work requirements. The evaluation of the achievement of program objectives has not been studied before. This study aimed to determine the effect of P2KK on soft skills of the Faculty of Health Science (FIKES) students at the University of Muhammadiyah Malang (UMM). Methods : The research design was a pre-experimental one group pre-post test design. The sampling method was quota sampling technique. We included 100 students of Class 2018 of the FIKES UMMwho participated in P2KK in 24 and 25 groups. We collected the Life Effectiveness Questionnaire (LEQ) and the Wilcoxon test was used to analyze the data. Results : Soft skills of the students before taking P2KK 72% had a moderate category with an average value of 140 and soft skills after P2KK 76% had a moderate category with an average value of 15. Based on the results of data analysis using the Wilcoxon test, the result was significant (p = 0.00) indicating that the soft skills before and after P2KK were different. Discussion : P2KK influenced the soft skills of FIKES UMM students by an experiential learning approach that able to improve their soft skills. The most significant influence is on the emotional control attribute. Suggested that the UPT P2KK to evaluate the method of activities so as to increase the attributes of soft skills that are lacking.
Hubungan Tingkat Kecacatan dan Lama Menderita Kusta dengan Depresi Penderita dan Mantan Penderita Kusta Nawang Wulandari; Muhammad Su'udi
Journal of Ners and Midwifery Vol 6 No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p357-363

Abstract

Sifat penyakit yang kronis dan kecacatan yang ditimbulkan dari penyakit kusta dapat mengganggu penampilan dan fungsi tubuh penderitanya, ditambah persepsi yang negatif dari masyarakat menimbulkan dampak negatif dalam kesehatan jiwa. Penderita akan merasa rendah diri, tekanan batin dan merasa tidak berguna baik dalam lingkungan keluarga maupun masyarakat, kondisi ini yang dapat mencetuskan depresi. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat kecacatan dan lama menderita dengan depresi penderita dan mantan penderita kusta di Kecamatan Ponggok Kabupaten Blitar. Jenis penelitian ini adalah analitik observasional dengan pendekatan cross sectional. Sampel yang digunakan sebanyak 26 responden diambil dengan teknik purposive sampling. Metode pengambilan data menggunakan kuesioner Zung Self-Rating Depression Scale (ZSDS) dan dianalisis menggunakan uji korelasi Spearman. Hasil analisis tingkat kecacatan dan lama menderita dengan depresi sama-sama didapatkan nilai p<0,05 yang berarti ada hubungan antara tingkat kecacatan dan lama menderita dengan depresi penderita dan mantan penderita kusta. Depresi dipengaruhi oleh banyak faktor diantaranya pendidikan, jenis kelamin, status perkawinan, dukungan, pendapatan, dan karakteristik penyakit sendiri. Peningkatan ketahanan terhadap depresi melalui self efficacy sangat diperlukan untuk meningkatkatkan kepercayaan diri penderita dan mantan penderita dalam mengatasi masalahnya. The chronic nature of disease and disability resulting from leprosy can disrupt the appearance and function of the sufferer's body, and the negative perception of the community has a negative impact on mental health. Patients will feel inferior, inner pressure and feel useless in both the family and community environment, this condition can trigger depression. This study aims to determine the relationship between the level of disability and length of suffering with depression sufferers and former leprosy sufferers in Ponggok District Blitar. This type of research is observational analytic with cross sectional approach. The sample used by 26 respondents was taken by purposive sampling technique. The data collection method uses the Zung Self-Rating Depression Scale (ZSDS) questionnaire and analyzed using the Spearman correlation test. The results of the analysis of the level of disability and duration of suffering with depression both obtained p values <0.05 which means there is a relationship between the level of disability and duration of suffering with depression sufferers and former leprosy sufferers. Depression is influenced by many factors including education, gender, marital status, support, income, and the characteristics of the disease itself. Increased resistance to depression through self-efficacy is needed to increase the confidence of sufferers and former sufferers in overcoming their problems.
Efektifitas Spiritual Hipnoterapi terhadap Penurunan Nyeri Dismenore pada Mahasiswi Kebidanan Iva Gamar Dian Pratiwi; Laylatul Hasanah
Journal of Ners and Midwifery Vol 7 No 2 (2020)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v7i2.ART.p264-269

Abstract

Dismenore atau nyeri haid yaitu ketidaknyamanan yang sering dialami remaja khususnya perempuan. Dismenore pada remaja terjadi 60% - 90% dan mengganggu aktivitas sehari hari. (Lestari H. Metusala, J.&Suryanto, 2010). Dari hasil penelitian, di Indonesia angka kejadian dismenore sebesar 64,25%, diantaranya 54,89% dismenore primer, 9,36% dismenore sekunder (Ningsih 2011). Wanita membutuhkan obat untuk mengurangi rasa nyeri baik dengan farmakologi maupun non farmakologi. Pengobatan yang di butuhkan wanita yaitu pengobatan yang tidak bersifat invasive dan yang cocok dengan pasien nyeri yang memerlukan penanganan holistik untuk mengintervensi psikis serta mencegah terjadinya konsumsi obat-obatan analgetik yang tidak rasional, pengobatan tersebut yaitu hipnoterapi.( Lucas N.N&Sugianto,2017). Penelitian ini bertujuan untuk menganalisa efektifitas spiritual hipnoterapi terhadap penurunan disminore. Jenis Penelitian  ini adalah penelitian kuantitatif pra experimental dengan pendekatan cross sectional. Rancangan penelitian yang digunakan adalah one group pretest posttest, jumlah sampel 30 responden. Tekhnik sampling yang digunakan purposive sampling yang sesuai kriteria inklusi. Penelitian ini dilakukan bulan April sampai Oktober 2019. Intrumen yang digunakan adalah kuesioner penilaian nyeri Visual Analog Scale (VAS) dengan skala Numeric Rating Scale (NRS). Hasil analisa data dengan Wilcoxon signed rank test didapatkan hasil p = 0,000<0,005 maka dapat disimpulkan bahwa spiritual hipnoterapi efektif dalam menurunkan nyeri dismenore pada mahasiswi Kebidanan. Dysmenorrhea or menstrual pain is discomfort that is often experienced by adolescents, especially women. Dysmenorrhea in adolescents occurs 60% - 90% and interferes with daily activities. (Lestari H. Metusala, J. & Suryanto, 2010). From the results of the study, in Indonesia the incidence of dysmenorrhea was 64.25%, including 54.89% of primary dysmenorrhea and 9.36% of secondary dysmenorrhea (Ningsih 2011). Women need drugs to reduce the pain, both with pharmacology and non-pharmacology, one of which is hypnotherapy. This study aims to analyze the spiritual effectiveness of hypnotherapy against decreasing dysminorrhea. This type of research is a pre-quantitative quantitative research with cross sectional approach. The research design used was one group pretest posttest, with a sample of 30 respondents. The sampling technique used is purposive sampling that matches the inclusion criteria. This research was conducted from April to October 2019. The instrument used was the Visual Analog Scale (VAS) pain assessment questionnaire with the Numeric Rating Scale (NRS). The results of data analysis with the Wilcoxon signed rank test showed p = 0,000 <0.005, so it can be concluded that there is a meaningful effectiveness of spiritual hypnotherapy for the reduction of dysmenorrhea pain in Midwifery students.
Effect of Topical Aromatherapy Turmeric Oil to Pruritus Scale on Chronic Kidney Disease Patients Rysida Ma’rifaul Khoirot; Kusnanto Kusnanto; Suprajitno Suprajitno
Journal of Ners and Midwifery Vol 6 No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p396-400

Abstract

Introduction : A large number of patients with chronic kidney disease suffer from uremic pruritus, which adversely affects the quality of life and comfort of patients with a potential psychological, functional and social impact, which results in increased morbidity. The purpose of this study was to determine the effect of the administration of turmeric essential oil aromatherapy which was applied topically pruritus, comfort and quality of life of CKD patients.Methods : This study used a quasi-experimental design with 2 groups (intervention and control), conducted in CKD patients receiving hemodialysis therapy. A total sample of 72 respondents with the division of each group of 36 people. The intervention was carried out independently by the patient for 2 weeks. Measurement using 5-D pruritus scale questionnaire.Results : This study showed a decrease in pruritus scale in 51 respondents (70.8%) after 2 weeks of therapy. Independent t statistical test obtained a significance value of 0.046 (p <0.05).Conclusion: Topical aromatherapy of turmeric oil affects pruritus scale on patients with chronic kidney disease who experience uremic pruritus.
Coping Mechanism in Women with Breast Cancer Titis Eka Apriliyanti; Kusnanto Kusnanto; Joko Suwito; Abdul Fauzi
Journal of Ners and Midwifery Vol 6 No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p408-411

Abstract

Background: Impaired coping mechanisms often occur in women with breast cancer. The purpose of this study is to determine the description of coping mechanisms in women with breast cancer who undergo chemorepy, radiation or both.Methods: The population in this study were women with breast cancer who underwent chemotherapy, radiation or both. Sampling was done by random sampling where the number of samples is 70. Taking data using the COPE Brief instrument.Result: Four indicators in the destructive category were acceptance (54.3%), denial (61.4%), emotional support (52.9%) and positive reframing (67.1%) while three indicators were mostly in the constructive category, namely self blame (60%), active (64.3) %), and Behavioral disengagement (72.9%).Conclusion: Four destructive indicators indicate poor avoidance and positive thinking in breast cancer patients, while 3 constructive indicators describe good problem solving. Assessment based on this indicator can be taken into consideration in the selection of appropriate interventions to improve coping mechanisms in breast cancer patients.
Aromaterapi Lavender dalam Upaya menurunkan Nausea dan Vomiting Pasien Kanker Payudara yang Menjalani Kemoterapi di RSUD Dr. Soetomo Surabaya Anisa Ain; Desak Gede Agung; Esty Yunitasari
Journal of Ners and Midwifery Vol 6 No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p401-407

Abstract

Kanker payudara merupakan jenis kanker yang umum terjadi wanita. umumnya pasien yang menjalani kemoterapi mengalami gejala akibat proses penyakit atau efek samping pengobatan seperti nausea dan vomiting. Tujuan penelitian ini adalah untuk menjelaskan pengaruh aromaterapi lavender terhadap nausea dan vomiting pada pasien kanker payudara yang menjalani kemoterapi. Metode: penelitian ini adalah penelitian true experimental dengan desain randomized pre-post test with control group. Sampel penelitian melibatkan pasien kanker payudara yang menjalani kemoterapi one day care di RSUD dr. Soetomo Surabaya. Sampel dibagi menjadi 2 kelompok, kelompok aromaterapi (n = 20) dan kelompok kontrol (n = 20).  Aromaterapi lavender dilakukan mandiri oleh pasien dirumah setiap dua kali sehari selama tiga minggu berturut-turut (21 hari). Instrumen mengukur nausea dan vomiting menggunakan Rhodes Index Nausea, Vomiting and Retching. Data dianalisis menggunakan uji pair t test dan independent t test. Hasil: Skor nyeri pre kelompok aromaterapi 17.60 ± 3,05 dan post 8,40 ± 4,74 (p value <0,001). Independent t test menunjukkan nilai p value 0,001 (< 0,05). Kesimpulan: studi ini menunjukkan aromaterapi lavender inhalasi yang diterapkan secara berkesinambungan selama tiga minggu berturut-turut mampu menurunkan nausea dan vomiting pasien kanker payudara yang menjalani kemoterap Background: Breast cancer is the most common type of cancer suffered by women. Cancer patients generally experience side effects of chemotherapy such as nausea and vomiting. Aim : The purpose of this study was to determine the effect of aromatherapy on nausea and vomiting of breast cancer patients undergoing chemotherapy. Method: this study is a true experimental study with a randomized pre-post-test design with a control group. The study sample was breast cancer patients with one day care chemotherapy at RSUD dr. Soetomo Surabaya. The sample was divided into 2 groups, the aromatherapy group (n = 20) and the control group (n = 20) collected consecutively in August to September 2019. Inhalation lavender aromatherapy is performed independently by patients at home every 2 times a day for 3 consecutive weeks (21 days). The instrument measures nausea and vomiting using the Rhodes Index Nausea, Vomiting and restcing. data analysis using paired t test. Results: The aromatherapy group had a mean difference of pre-post test -9.20, higher than the control group 0.30. Paired t test showed that there were significant differences in mean pre and post test in the aromatherapy group with p value <0.001 compared to the control group p 0.741 (> 0.05). Conclusion: lavender aromatherapy inhaled continuously for three consecutive weeks can reduce the nausea and vomiting of breast cancer patients undergoing chemotherapy

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