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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Deteksi Dini Derajat Kesadaran Menggunakan Pengukuran Nilai Kritis Mean Artery Pressure
Martono Martono;
Sudiro Sudiro;
Satino Satino
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1370
Introduction: The Impact of the trauma cranio cerebral can affect the volume autoregulation disorders any intracranial disease that consists of the brain and cerebrospinal fluid and the blood in the veins. The changes one of the volume without followed the response of compensation from the other factors will cause overt increased intracranial pressure changes and the amount of blood flow from the systemic circulation required to give oxygen and glucose intake to the metabolism of the brain. One of the things that is very important in nursing nursery on patients with injury head is to maintain the adequacy of Mean Artery Pressure cerebral. This research aims to know the adequacy of critical value mean artery pressure in detecting the level of consciousness in patients who suffered injury on the head.Methods: This research using explanatory design research with cross sectional approach that explains the influence and the prediction of the adequacy of the critical value mean arteria pressure against the degree of awareness in patients with injury head which numbered 34 samples. This research statistics tests using simple regression.Results: The results of the study showed that there is a positive influence critical value mean artery pressure against the degree of awareness that indicated the value of p=0.00<0.05 and value of mean artery pressure is able to detect the level of consciousness patients injury head of 77.8%.Discussion: Increased critical value mean arterial pressure is more than 65 mmHg can improve mikrosirkulasi and autoreglasi brain, so that prevent the decline of awareness in patients with wounds of the head.
Psychometric Evaluation of the Quality of Nursing Care Scale for Children Hospitalized with Acute Respiratory Infection
dewi elizadiani suza
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1453
Introduction: Psychometric Evaluation of the quality of nursing care scale is a vital key to improve the quality of nursing care for hospitalized acute respiratory infection (ARI) children in order to decrease morbidity and mortality of ARI children, especially in Indonesia.Methods: Construct validity was identified using the exploratory factor analysis (EFA), contrasted group approach, and reliability.Results: Construct validity: 1) EFA found that the QNCS-HARIC consisted of 37 items with four factor and total variance explained of 42.92% and factor loadings ranged from .30 to .70; 2) contrasted group approach found that the mean scores of the 37 items QNCS-HARIC between two groups were significantly different (t = -22.91; p = .000); and 3) Cronbach’s alpha coefficient of the total 37 item QNCS-HARIC was .93. Cronbach’s alpha coefficients of Factor 1, 2, 3, and 4 of the 37 item QNCS-HARIC were .87, .80, .77, and .76, respectively.Conclusion: Although the 37 items QNCS-HARIC model was acceptable, it was less representative, especially in the socio-cultural dimension of ARI children and family because it consisted of only 3 from 10 items which could not measure the complate dimension of the socio-cultural aspect.
Peningkatan Parenting Self Efficacy pada Ibu Pasca Seksio Sesaria melalui Konseling
Diah Astutiningrum;
ELsi Dwi Hapsari;
Purwanta Purwanta
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1906
Introduction: Parenting Self Efficacy (PSE) is the conviction of parents for their ability to manage and perform tasks related to parenting. Pain after caesarean childbirth can reduce the ability and lower confidence in caring for the babies. Counseling on postpartum mother is an effort to increase confidence in caring for the baby. This study was aimed to test the effect of counseling given to mothers after caesarean section to increase PSE.Methods: The study used a quasi experimental with pre-test and post-test with control group. Number of research subjects were 66 divided into an experimental group and control group. Subject who pass the inclusion criteria, given the questionnaire and conducted pre-test with parenting selfefficacy scale (PSEs), given counseling and provide booklets in the experimental group, while the control group only given booklets. Measurements were made with instruments of parenting self-efficacy scale (PSEs). The statistical test used was paired t-test and independent sample t-test.Results: Increased PSE significant score after the intervention in the experimental group and the control group (6.19 ± 0.93 vs 7.54 ± 0.71, P = 0.001; 5.56 ± 0.85 vs 5.87 ± 0 , 68, P = 0.001). Changes in scores after the intervention were significantly higher in the experimental group than the control group (1.35 ± 0.58 vs 0.31 ± 0.26, p = 0.000).Conclusion: Counseling by using booklets effect on parenting self-efficacy in women after caesarean section.
Penambahan Besar Sudut Inklinasi Insole Sepatu Kerja Menurunkan Kadar Glukosa Darah Puasa dan HbA1c
Herdianty Kusuma;
Ahmad Abdullah;
Bambang Purwanto;
Suhartatik Suhartatik
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1899
Introduction: Running downhill improved the expression of glucose transporter 1 (Glut 1) and fasting blood glucose in mouse. Eccentric contraction during running downhill found daily in activity such as down stairs and walking on tiptoe. Descend the stairs and walking on tiptoe are not easy to repeated, single, stable and universal, so that we purposed to replace it with additional insole in shoes for daily activity. The aim of this research was to investigate the effect of the additional shoe insole on fasting blood glucose and HbA1c.Methods: This research using experimental pre and post test design with 12 subject female staff at Medical Faculty of Airlangga University for two weeks and the test was performed in three times. The blood was taken before and after using shoe insole. The shoe insole inclination designed into 50 and 100. All subjects used the shoe insole for a week.Results: The result research showed the fasting blood glucose and HbA1c on subject that use shoe insole lower than control group. The fasting blood glucose and HbA1c on subject that use shoe insole 100 has value p<0,05. Discussion: Application of shoe insole lead to reduce the fasting blood glucose and HbA1c.
Perilaku Ibu dalam Pemenuhan Kebutuhan Asah, Asih dan Asuh Anak dengan Leukemia
Praba Diyan Rachmawati;
Reza Ranuh;
Yuni Arief
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1898
Introduction: Children with leukemia have a poor quality of live. A long term periode of care, treatment, side effect of treatment and the symptom of the leukemia disease will have an impact on leukemia children quality of life. Parents have an important role in meeting the basic needs of the child by stimulation, emotion and physical. With the fulfillment of the basic needs of children, the quality of life of children with leukemia will increase.Methods: Design used in this study was an observational analytic in Hematology room Dr. Soetomo Hospital. The population was mother of leukemia children Bona 1 hematology room in Dr Soetomo Hospital. Conducted on 17th April- 17th May 2014. Consecutive sampling was used in this study. Sample were 20 mother who met in inclusion criteria. Independent variables were mother’s characteristics, self efficacy source, family centre care, Parental Self efficacy and dependent variables were mother’s behaviour. Data was collected using quetionnaire and analyzed using PLS (Partial Least Square) Regression.Results: Result showed that sources of self-efficacy influence on self-efficacy, self efficacy and mother’s characteristics directly affects the mother’s behaviour. Family centered care can’t directly affect mother’s behaviour.Discussion: It can be concluded that mother’s behaviour model in stimulating, loving and physical caring children with leukemia can be formed from mother’s characteristics, self efficacy source and Parental self efficacy. Parental self efficacy can be increased especially by improving coping mechanisms and vicarious experience.
Model Pembelajaran Reproduksi Sehat Melalui Kelompok Sebaya pada Remaja Putri
awatiful azza;
Cipto Susilo
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1579
Introduction: Teen problems are conditions that need to be considered in national development in Indonesia. Teenagers problems occur, because they are not prepared regarding knowledge of aspects related to the problem of transition from childhood to adulthood. One of the problems faced by teenagers today is about the health of adolescents, especially related to reproductive health.Methods: This study uses a quantitative approach pre experiment with pre - post test design, the purpose of research, construction of models of healthy reproductive learning through peer groups in traditional schools and analyze the application of learning through peer group against knowledge female students about reproductive health. The sample was female students in Boarding school Miftahul Hasan Gunung Sepikul amounted to 50 female students, with purposive sampling technique.Results of analysis using Spearman's rho test ,P value of 0.00 obtained value where the value is < less than 0.05 so it can be concluded that there is a learning effect of reproductive health through peer groups for knowledge female students .Conclusion: Boarding schools need to provide curriculum on reproductive health in order to improve the understanding of female students in healthy living behavior associated with reproductive organs.
Persepsi Anak dan Orang Tua tentang Kualitas Hidup Anak Penderita Diabetes Mellitus Tipe 1
Nur Agustini;
Allenidekania Allenidekania;
Meriam Efendi
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1210
Introduction: Type-1Diabetes mellitus (T1D) management is important to increase the quality of life in diabetic children. This research aimed to explore and to compare the parents and children perspective in the quality of life related to T1D.Methods: Cross sectional method was used to 35 dyad children (8-18 years old) and their parents. Children have been registered in top referral hospital in Indonesia. They filled the PedsQL® Module Diabetes 3.2 by self-report. Data were analyzed by t-test. The characteristic of respondents consist of the children and parents age, length of being diagnoses with T1D and the number of visit in the last 6 months. Quality of life dimensions were measured in the last month since data collected. It consists of sign and symptom, disease and therapy, T1D management concern related to complication and communication.Results: showed that the children mean age was 13.11 + 2.85 years old compared to parents (41.03 + 8.34 years old). The average length of being diagnoses with T1D was 4.54 +2.87 years and the average number of visit in the last 6 months was 5.8 + 1.79. Total score of quality of life from parents and children perspective were 64.41% + 10.97 and 63.09% + 13.25. Moreover, t-test analysis found that there was significant difference in parent perspective compared to the children perspective regarding quality of life related to T1D.Conclusion: children have relatively lower perception in evaluating their quality of life in T1D compared to the parents. Therefore, it is necessary for nurses to explore the influencing factors as well as coping mechanism related to T1D management so that nurses can develop individual nursing plan to increase the T1D children's quality of life.
Acceptance And Commitment Therapy (ACT) Meningkatkan Kualitas Hidup Pasien Kanker
Saverinus Suhardin;
Kusnanto Kusnanto;
Ilya Krisnana
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1341
Introduction: Cancer is a chronic disease that affects physical, psychological, social, and economic life of individual and then contributes to life quality. Psychotherapy is important in improving the life quality of cancer patients. One of psychotherapy that can be given is the implementation of ACT (Acceptance and Commitment Therapy). The aim of this study is to analyze the application of ACT in improving the life quality of cancer patients at the Puskesmas Pacarkeling Surabaya. Methods: This research method used pre-experimental with one group pre-post test design. The population of cancer patients enrolled in the Puskesmas Pacar Keling. Samples were 12 people whom are determined based on the inclusion criteria. The Independent variable is application of ACT and the dependent variable is life quality. Data collection and implementation of ACT were conducted in puskemas and home visits. The collected data was analyzed by Paired T test with significance level α=0.05.Results: Result showed that there was change in increasing life quality of cancer patients significantly after giving implementation of the ACT. The result of Paired t-test showed the life quality of patients had a significance level of p=0.000. These result demonstrate the value of p <0.05, so the research hypothesis is accepted.Discussion: It can be concluded that the application of ACT can improve the life quality of cancer patients. Health workers (nurses) need to master the implementation of the ACT as a therapeutic modality.
Ekspresi HSP 70 dan Ekspresi Reseptor Opioid Mu pada Penurunan Nyeri Terapi Bekam Basah
Imam Subadi;
Hening Laswati;
Harjanto JM
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1901
Introduction: Wet cupping therapy widely used to reduce the pain, but the mechanisms of pain reduction on wet cuppig therapy is unclear. Stretching and punctures on wet cupping therapy cause stress on the cell. Cells that are stressed express HSP 70 and mu opioid receptors. This study aims to prove the correlation increased expression of HSP 70 and an increase in post-mu opioid receptor wet cupping therapy.Methods: The study is an experimental research design with randomized control group post-test only design. Twenty-four rats type Wistar (Rattus norvegicus) were randomly divided into three groups, each consisting of eight mice are negative control group (normal mice), group induction of pain with Complete Freund's Adjuvant (CFA) alone (positive control) and group by induction of pain and bekam basah therapy (10 puncture and negative pressure: - 200 mmHg, 5 minutes). Samples were taken from the skin and immunohistochemical examination with the monoclonal antibody anti mu opioid receptors. The reaction time pain threshold measured using a hot-plate. Data were analyzed by oneway ANOVA and Pearson Correlation using SPSS version 17.Results: This study shows that there is an increased expression of HSP 70 (P <0.05) compared to the positive control group (p <0.05) and increased expression of mu opioid receptors ( p <0.05) compared to the positive control group (p <0.05). There is an increased pain threshold reaction time (p <0.05) compared to the positive controls (11.78 ± 3.56). There is a correlation between an increased expression of HSP 70 and an increase in mu opioid receptor (β = 0893; p = 0.000) and there was a correlation between the increase in mu opioid receptor with a reaction time of pain threshold (β = 0713; p = 0.002).Discussion: Wet cupping therapy increase HSP 70 expression, opioid mu receptor, and decrease pain level.
The Incident of Diarrhea among Cervical Cancer Patients Post Chemoterapy Treatment
ni ketut alit armini;
Masfin Muhayanah;
Aria Nastiti
Jurnal Ners Vol. 11 No. 1 (2016): April 2016
Publisher : Universitas Airlangga
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DOI: 10.20473/jn.v11i1.1357
Backgrounds : Cervical cancer is second most diseases suffered by women. Chemotherapy is primary treatment for cervical cancer. Chemotherpy has some side effect, and one of them is diarrhea. Diarrhea make cervical cancer suffered more. The purpose of this research was to analyze the correlation of factor’s that cause diarrhea on cervical cancer.Methods : This research uses descriptive analitic method with retrospective design. The population in this research is all patients who had post first chemotherapy. Sample in this study were 21 respondents, with purposive sampling. Variable independent were type of chemotherapy drugs, character of chemotheraphy, staging, stress and dietary. Variable dependent was diarrhea. Data collected using quesionare. Data were analyzed using chi square test with level of significant α≤0,05.Results : The result of the study reveals that type of the chemotherapy drug p:0,598, character of chemotheraphy p:0,336,. Staging has correlation with diarrhea significant of p:0,022. Stress and dietary analysisis presented p:0,00. It means that there was significant correlation with diarrhea.Conclusion : It can be concluded that diarrhea incident related to staging, stress and dietarry. There‘s no correlation between type of chemotherapy drug, character of chemotheraphy with diarrhea Further studies should give health education about dietary causing diarrhea, chemotherapy procedural and sides effect’s, increase supports for patient with cervical cancer.