Jurnal NERS
The scope of this journal includes studies that intend to examine and understand nursing health care interventions and health policies which utilize advanced nursing research. The journal also committed to improve the high quality research by publishing analytic techniques, measures, and research methods not exception to systematic review papers.
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Peran Keluarga dan Kualitas Hidup Pasien Kanker Serviks
Tiyas Kusumaningrum;
Retnayu Pradanie;
Esti Yunitasari;
Sih Kinanti
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1920
Introduction. Cervical cancer diagnosis has been a major burden both for patients and their family. For patients, cervical cancer obliterated some of their role as a wife and a mother. Most patients with advance cancer have low score of quality of life indicating they have problems. Family must take care of their beloved ones dealing with the diagnosis, treatment, and side effects of cervical cancer. Family as a caregiver might be ill prepared to undertake that role. The objective of this research was to identify the correlation of family health task on quality of life in patients with cervical cancer.Methods. This research employed cross-sectional design. Population in this research was all patients with cervical cancer in gynecology ward Dr Soetomo Hospital in Surabaya. Participant for this research were patients with cervical cancer and their family. Data were taken by structured interview using Fact Cx for Quality of life and family health task question form. Linear regression analysis was applied with level of significance ≤0.05.Results. Most family had moderate level of family health task while most patients also have moderate level of quality of life. Unfortunately there are no significance correlations of family health task on quality of life in patients with cervical cancer.Discussion. Quality of life in patient with cervical cancer was not affected directly by their family health task. Nonetheless patient gratefully thanks family for their support during their cancer treatments.
Implementasi Sistem Manajemen Mutu Pelayanan Keperawatan Melalui Kepemimpinan Mutu Kepala Ruangan
Aziz Alimul Hidayat;
Ana Pratiwi;
Ratna Agustin
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1450
Introduction: The quality management system is an order that ensures the achievement of goals and quality objectives which are planned in nursing care. One of the factors that may affect the implementation of quality management systems in the inpatient units is the quality leadership of head nurse. This study aims to determine the effect of the quality leadership of the head nurse to the implementation of quality management systems of nursing cares in hospital.Methods: The research method uses analytical research with cross-sectional approach. The sample of this study consists of eight wards; They are Multazam pavillion, Arofah, Sakinah, Shofa Marwah, Annisa, Mina, Ismail, and ICU which meet with the inclusion and exclusion criteria. The data was taken by using simple random sampling. The data collection by using questionnaires, interviews and observation. Data analysis used a simple statistical linear regression tests with a significance the value of α ≤ 0.05.Results: The results showed that the quality of leadership of the head of wards is mostly good (50%) and the implementation of quality management system of nursing care is mostly good (62.5%). Results of analysis of the simple linear regression test on the influence of leadership quality of the head nurse through the implementation of the quality management system of inpatient units (ρ = 0.024).Conclusion: The results of this study expect the nurses to increase the commitment and responsibility in implementing the quality management system of nursing cares in the inpatient units so as to achieve the excellent quality of nursing cares and can boost confidence, satisfaction of patients, families, and communities on nursing care.
Model Family Centered Maternity Care sebagai Strategi Optimalisasi Competent Mothering
Asmuji Asmuji;
Diyan Indriyani
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1905
Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support.Methods: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents.Results: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00.Conclusion: This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively.
Model Kesehatan Keselamatan Kerja Berbasis Agricultural Nursing: Studi Analisis Masalah Kesehatan Petani
Tantut Susanto;
Retno Purwandari;
Emi Wuri Wuryaningsih
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1468
Introduction: The majority of Indonesian labor force at rural area works in the agricultural sector that risk for health problems related to interaction of farmer and environment. It is necessary to approach health care safety based on primary health care for to prevent and reduce the risks of accidents or illness. This study identifies farmer’s health problem and their factors for developing occupational health nursing model-based agricultural nursing at rural area of Jember.Methods: A cross-sectional study of 169 farmers was done to investigate sociodemographic, lifestyles, environment of living and worked, health status and health problem. Data collected by the self administered questionnaire, physical assessment, and blood test. The descriptive and comparative analyses include chi-square tests and ogistic and multinomial regression analyses were used to assess the relationships between factors to the presence of health problems. Results: There was differences between sociodemographic, environment of living and worked and the health problems of farmers (p<0.05). Almost 37.9% of farmers is illness. Among 28.5% of underweight and 9.5% of overweight that related to age, drink of coffe, and excess day of work. 62.6% of anemia that related to gender and smoking habit. Meanwhile, 45.2% of sistolic hypertension and 35.8% diastolic hypertension that caused by worked of overload. Furthermore, 50.3% of pain on join and bone related to age and recess of worked.Discussion: The health problems of farmers was characterized of nutritional problem, anemia, hypertension, and pain that related to sociodemographic environment of biologic, psychologic, and worked. Agricultural nursing model could be develop for assessesment of related factors that formulated diagnoses of health problems on farmers at rural area.
Knowledge-Management-Based-Nursing Care Model Improves Patient Adherence to Tuberculosis Treatment
Ninuk Dian Kurniawati;
Abu Bakar;
Eka MHas;
Elida Ulfiana;
Laily Hidayati;
Hanik Endang;
Retnayu Pradanie;
Kristiawati Kristiawati;
Erna Dwi W
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1350
Introduction: Pulmonary tuberculosis remains prominent as one of public health problems in the world. Patients’ non-compliance to treatment is a significant contributor to drug resistance. This study aimed to develop and to test the efficacy of a nursing care model to prevent non-compliance.Methods: This study consisted of two phases: phase one, model development, used a descriptive analytic, and phase two, model testing, employed a quasi-experimental design. Participants, comprised both patients and nurses at two health care centres in Surabaya, were recruited by consecutive sampling. Data were collected by interview, self-administered-questionnaires, check-list and focused group discussion. Data analyses were performed using both partial least squares and Wilcoxon signed rank test.Results: The model was statistically effective to improve nearly all aspects of patients’ compliance to TB treatment (knowledge, discipline in taking medications regularity of controls, and abilities to monitor the results of treatment with p < 0.05), except for abilities to cope with drug adverse effects (p = 1.000). This is possible because seldom do patients aware of the medication side effects, so their experiences were probably limited.Conclusion: This study concludes that the KM nursing care model was proven effective to improve patients’ adherence to treatment. Future study is suggested to evaluate the impact of the KM nursing care model in bigger population.
Improving Quality of Life on Cancer Patient by Implementation of Psychosexual Health Care
Yati Afiyati;
Budi Keliat;
Ida Ruwaida;
Imami Nur Rachmawati;
Nur Agustini
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1904
Introduction: The contribution of nurses in improving the quality of life of patients with cancer has caused them to have needs of getting knowledge and skills to provide services on psychosexual health care. Training on psychosexual health care has been developed, implemented and given to oncology nurses in Indonesia in order to fulfill the needs so that the nurses are able to provide psychosexual health care to cancer survivors and their spouse.Method: The training utilized a method of pre- and post-test evaluation to identify outcomes including changes of evaluation scores of knowledge, belief, practice, and self-efficacy of trainees before and after receiving psychosexual health care training.Result: The training has been implemented on 46 oncology nurses in Indonesia so that they can have knowledge, practice, belief and self-efficacy in providing psychosexual health care to patients with cancer and their spouse. After training and mentorship had been provided, there were significant changes on knowledge, belief and self-efficacy in providing psychosexual health care services to patients with cancer and their spouse; however, there were no significant changes on practices.Discussion: The training has become a standard nursing care for cancer in Indonesia and has provided scientific evidences that nurses have contribution in improving quality of life of patients with cancer by providing a comprehensive nursing care through implementation of psychosexual health care in their daily nursing care for patients with cancer and their spouse.
Profil EKG Pasien Hipertensi di Poliklinik Jantung
Fira Soraya;
Elyana Asnar;
Muhammad Aminuddin
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1179
Introduction: It covers 31.7% of people with hypertension in Indonesia. Hypertension can cause changes in the anatomy and/or function of the heart, that may cause morbidity and/or mortality. The changes itselves can be diagnosed with electrocardiography (ECG). Based on that background, the objective of this study is to recognize the ECG profile of hypertension patients in Cardiology Outpatient Clinic RSUD Dr. Soetomo Surabaya.Methods: The design of this study was observational descriptive study. The samples were obtained through primary and secondary data from patients’ medical history within the period of 1st until 31st March. The collected data was managed based on gender, age and the present of left ventricular hypertrophy.Results: There were 140 hypertension patients throughout this study period. The prevalence of hypertension was the same between men and women. The highest prevalency of hypertension was in age 51 to 60. Two ECG results showed left ventricular hypertrophy and 138 ECG results showed other than left ventricular hypertrophy, such as arrhythmia and atrial fibrillation.Conclusion: The results show that there is no different between men and women, where other previous researches show that the result is different between men and women. This can be caused by many factors.
Psycoeducative Family Therapy Mempengaruhi Pengetahuan, Dukungan Keluarga dan Stigma Kusta
Mega Arianti Putri;
Harmayetty Harmayetty;
Budi Utomo
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1701
Introduction: A person with leprosy present disability and lesions caused by related nerve damage. Without treatment leprosy can permanently damage skin, feet and eyes. Leprosy-related documents show that stigma is typically a very deep rooted social process. It refers to unfavourable attitudes and beliefs directed toward someone or something. The stigma against leprosy not only burdens the affected individuals but also their family members. This research aims was to analyze the influence of family on knowledge psychoeducative intervention, family support and the self stigma.Methods: The design was a quasy experiment. The samples were the intervention and the comparison group each of 30 respondents. The sample consisted of respondent and respondent's family. Sampling technique is using purposive sampling. The research instrument was a questionnaire used by researchers.Results: The result showed that not only psychoeducative family influence level of knowledge, support family and self stigma. The other factor are family characteristics and respondent characteristics. The statistical result shown that a significant relationship between psychoeducative family with knowledge (p=0,000), family support (p=0,000) and the stigma of leprosy (p=0,004).Conclusion: Level of knowledge, family support and self stigma have relations to each other. Families who have less knowledge about leprosy will influence to be given family support. Leprosy patients who have high self stigma caused by lack of knowledge and they feel there have not symphaty, attention and support from their families.
Psikoedukasi Menurunkan Tingkat Depresi, Stres dan Kecemasan pada Pasien Tuberkulosis Paru
Suryani Suryani;
Efri Widianti;
Taty Hernawati;
Aat Sriati
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1455
Introduction: Pulmonery Tuberculosis is a chronic pulmonary disease that affects physicallly and psychosocially for the patients . Until now, the government’s programs in overcoming this disesase still focus on treatment and prevention of infection. The programs has not yet to lead to a psychosocial problem of the patients whereas the psychosocial impact has a big influence on treatment compliance and prognosis of patients with Pulmonery Tuberculosis.Methods: This study was quassy experiment to test the effect of psychoeducation on the level of stress, anxiety and depression of Patients with pulmonary tuberculosis. 74 patients with Pulmonery Tuberculosis involved in this study divided into two group (37 involved in intervention and 37 involved as control group). Results: of the study showed that psychoeducation was effective in reducing stress, anxiety and depression of the patients with Pulmonery Tuberculosis.Conclusion: Psycho education should be provided for patients with pulmonary tuberculosis at the Community health Center.
Self Management Program Meningkatkan Koping, Niat dan Kepatuhan Berobat Pasien PJK
Hanim Mufarokhah;
Suhartono Taat Putra;
Yulis Setiya Dewi
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1902
Introduction: Management coronary artery disease required lifelong treatment. The successful management of CHD requires efective coping, intention and medication adherence of CHD’s patients. This study aimed to explain the changes of coping, intention, and medication adherence in patients with CHD after giving self management programme in RSUD Jombang based on Theory Planned Behavior.Methods: This study used a quasy experimental pretest-posttest control group design and 28 respondens selected by consecutive sampling. Independent variable was self management programme while dependent variables were coping, intention, medication adherence. Data were collected by using questonnaires measuring coping level, intention and medication adherence. The statistical test used was Mann Whitney, Wilcoxone Signed Rank and t-Test.Results: The result showed that 1) self management programme improve the level of coping in patients with CHD (p < 0,001), 2) self management programme improve the level of intention in patients with CHD (p < 0,001), 3) self management programme improve the level of medication adherence in patients with CHD (p < 0,001).Conclusion: To change a behavior requires improvement of coping and intentions. This is in according to the Theory of Planned Behavior that behavior change is influenced by the attitude toward the behavior, subjective norm, perceived behavioral control and intention.