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Jurnal NERS
Published by Universitas Airlangga
ISSN : 18583598     EISSN : 25025791     DOI : -
Core Subject : Health,
Nursing
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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Articles 18 Documents
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Search results for , issue "Vol. 15 No. 1 (2020): APRIL 2020" : 18 Documents clear
Modern and Classic Wound Dressing Comparison in Wound Healing, Comfort and Cost Ferdiansyah Mahyudin; Mouli Edward; M Hardian Basuki; Yunus Basrewan; Ansari Rahman
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (70.215 KB) | DOI: 10.20473/jn.v15i1.16597

Abstract

 Introduction: Wound care has also developed rapidly after the dissemination of the concept of TIME (Tissue, Infection, Moisture, and Wound Edge) in modern dressing (MD). The aim of this study was to compare modern dressings (MDs) and classic dressings (CDs) in terms of patient comfort, cost effectiveness and wound healing.Methods: A prospective study design with total of 25 participants. The sampling technique used was consecutive sampling. Patient comfort was assessed through the frequency of wound care and pain scale using the Visual Analogue Scale (VAS). Cost-effectiveness was assessed using direct and indirect costs. Wound healing was assessed using the Bates-Jensen Wound Assessment Tool (BWAT) score. The data was analyzed using the independent t and Mann-Whitney tests.Results: In terms of comfort, the mean for the number of times that wound care was performed and the pain scale in the participants using MD was (3.07 ± 0.88 times and VAS 4.59  ± 0.72, respectively), which is less compared to using CD (4.60  ±  1.84 times each and VAS 5.43  ± 0.75). Referring to the indirect and direct costs, MD (13.67  ± 6.09 and 527.63  ± 84.47, respectively) has the same cost-effectiveness as CD (14.00  ± 7.64 and 482.68 ± 98.08, respectively). In terms of healing, the mean of the BWAT score in MD (31.26  ± 1.69) was better compared to CD (33.07  ± 1.65).Conclusion: The application of MD has the same cost-effectiveness as CD with a more satisfactory outcome for the wounds in terms of comfort and healing.
Self-Efficacy and Health Status in Coronary Artery Disease Patients Wantiyah Wantiyah; Mochamad Riko Saputra; Fitrio Deviantony
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (373.374 KB) | DOI: 10.20473/jn.v15i1.17628

Abstract

Introduction: Coronary Artery Disease (CAD) impairs all aspects of the patient's life due to the decrease in physical function and lower quality of life, indicating an overall decreased health status. Self-efficacy as a psychological factor plays an important role in individuals maintaining a healthy lifestyle and improving their health status. The aim of this study was to analyze the correlation between self-efficacy and the health status of coronary artery disease patients.Methods: This study used an observational analytic research design with a cross-sectional approach. This study involved 112 respondents who were coronary artery disease patients in RSD Dr. Soebandi Jember obtained through the incidental sampling method. The data was collected using Cardiac Self-Efficacy (CSE) and Seattle Angina Questionnaire (SAQ). The data analysis used the Spearman rank test with a 95% CI.Results: The results showed that there was a significant relationship between self-efficacy and health status (p = 0,001, r = 0.307, α = 0,05). Self-efficacy was in good category (71,41 points) while health status was also in the good category (79,56 points).Conclusion: The low positive correlation between the two variables shows that the higher the value of self-efficacy, the higher the value of health status. Good self-efficacy through healthy living behaviors can increase the health status of coronary heart disease patients. It is important for nurses to improve the psychological aspect of the patients including self-efficacy when optimizing their self-care and health status.
Marital Adjustment and Prenatal Breastfeeding Efficacy of First Time Mothers in A Low-Income Community in The Philippines Artemio Jr Morado Gonzales
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1.17191

Abstract

Introduction: All women should be offered support to breastfeed their babies to increase the duration and exclusivity of breastfeeding. This study aims to assess the level of marital satisfaction and its influence to prenatal breastfeeding self-efficacy in   first time mothers during late pregnancy.Methods: A descriptive correlational was conducted among 128 simple randomized prim gravid women who agreed to participate and had prenatal care check-up in the health center at the time of data gathering. The instruments used were 15-item Marital Adjustment Test (MAT) to measure marital adjustment and 14-item Breastfeeding Self efficacy Scale-Short Form (BSES-SF) as a measure of breastfeeding self-efficacy. Pearson’s correlation coefficient was utilized to test the relationships between the sample’s marital adjustment scores to correlate with BFSE of the respondents. Fisher’s t test was utilized to determine the significance of correlations. A p-value of equal to or less than .05 was considered statistically significant.Results: The study revealed that the sampled mothers have a high level of marital adjustment score (112.05± 21.83). Prenatal mothers responded in the study were highly confident and have high self-efficacy in breastfeeding first child currently bearing (4.55±.51). Lastly, it was found that there is no significant correlation between marital adjustment and prenatal breastfeeding self-efficacy (β=-.052, p-value=.280).Conclusion: It was found  that there is a high level of marital adjustment and breastfeeding self-efficacy among sampled mothers. However, there is no significant correlation between marital adjustment and prenatal breastfeeding self-efficacy. The study suggests incorporating co-parenting intervention involving father’s involvement and assistance with breastfeeding when creating interventions in breastfeeding.
Family Health Tasks Implementation and Medication Adherence of Pulmonary Tuberculosis Patients: A Correlational Study Tintin Sukartini; Nora Dwi Purwanti; Herdina Mariyanti
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1.8175

Abstract

Introduction: Non-adherence medication is found among patients with pulmonary tuberculosis. Various factors influence patient adherence to medication. The purpose of this study was to analyze the relationship between family health tasks to medication adherence among patients with pulmonary tuberculosis.Methods: The design of this study was cross-sectional, with 45 sample size of pulmonary tuberculosis patients at Polyclinic of Pulmonary Disease in Haji General Hospital Surabaya taken by using a purposive sampling technique. Independent variables of this study were family health task which includes five dimensions, recognizing the family member health problem, making decisions for appropriate treatment measures, caring for sick family members, modifying the healthy environment and utilizing the healthcare facilities. The dependent variable was medication adherence. Data were taken using the questionnaires then analyzed by Spearman rho test.Results: There was a relation between tasks of family health: recognizing the family member health problem (p=0.001), taking decisions for appropriate treatment measures (p=0.000), caring for sick family members (p=0.003), modifying the healthy environment (p=0.006), and utilizing the healthcare facilities (p=0.001) with medication adherence in patients with pulmonary tuberculosis.Conclusion: The research of this study suggests the hospital arrange health education for the family and the patient to increase the quality of health services. The family can provide a conducive environment for the patient and further research can develop better research by using other methods such as direct observation, demonstration, and simulation.
Exploring the Influencing Factors on Breast Self-Examination Among Myanmar Women: A Qualitative Study Nyein Moh Moh Myint; Nursalam Nursalam; Eka Mishbahatul Mar’ah Has
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1.18863

Abstract

Introduction: Breast self-examination (BSE) is the most sensitive and cost-effective method to diagnose breast cancer at an early stage in healthcare resources’ limited setting. However, the practice of BSE is low in Myanmar. Although various international studies were conducted to clarify the influencing factors in irregular BSE practice, there is a range of different factors and the answer is not yet clear. Hence, this study is aimed to explore the influencing factors on the practice of breast self-examination among Myanmar women.Methods: A qualitative exploratory-descriptive study was conducted on eight women through in-depth semi-structured interviews between February 2020 and March 2020. The samples were women who lived in the rural area of Myanmar and purposive sampling technique was used. Data were analyzed using Colaizzi’s method, which consisted of seven stages.Results: Four themes emerged as the results of the in-depth interview, namely knowledge of breast cancer, knowledge regarding breast self-examination, barriers to performing regular BSE and ways to improve BSE practice.Conclusion: This study showed that the women were inadequate in knowledge and practice regarding BSE and breast cancer. Some barriers of BSE practice are rooted in the inadequate skill of BSE and the women’s attitude.  Greater understanding about breast cancer and improving the confidence of women in BSE will lead to better prognosis. Hence, healthcare authorities and providers should encourage a formal health education program and the results from this study hope to be useful in future rural health education programs of BSE practice.
Indicators and Index of Elderly Well-Being to Support an Age–Friendly City Pipit Festi Wiliyanarti; Hari Basuki Notobroto; Hamidah Hamidah; Erfan Rofiqi
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1.16683

Abstract

Introduction: Increasing the life expectancy of the elderly raises complex problems concerning the life aspects of the elderly, family, community, and government. A well-being indicator for the elderly is needed as a measurement tool to facilitate Indonesian elderly individuals to becoming more prosperous. The purpose of this study was to develop well-being indicators and to formulate the elderly well-being Index.Methods: This study used an explanatory research design with a quantitative approach. In total, 400 respondents were collected using multistage random sampling. The physical well-being variable used the Mini-Mental State Examination (MMSE) instrument, Barthel’s index, and the Disease Complaint questionnaire. In addition, a psychology and social well-being instrument, social well-being instrument, and spiritual instrument were employed. Confirmatory Factor Analysis was used to verify the factor structure of all of the observed variables.Results: The results showed that the indicators for elderly well-being are demographic with the following factor loading: (λ) 0.32, social environment (λ)=0.51, health services (λ)=0.55, physical well-being (λ=0.36 psychological well-being (λ)=0.46, social well-being (λ)=0.45 and spiritual well-being (λ)=0.50. The indicators and index can be used as an effort to drive the program, so then the elderly can become productive, prosperous, and meaningful.Conclusion: The elderly well-being index is expected to be a programmatic instrument that can measure and evaluate the welfare of the elderly. This will increase the elderly health program that is available to achieve more holistic well-being and an age-friendly city. 
Fear of Falling Among the Elderly in a Nursing Home: Strongest Risk Factors Anastasia Putu Martha Anggarani; Raditya Kurniawan Djoar
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1.13689

Abstract

Introduction: The aging process causes a decrease in physical abilities which can cause fall events. Fall events are influenced by fear of falling. Some risk factors of fear of falling were age, gender, balance while walking, use of a walker, depression and a history of previous falls. This study aim was to identify risk factors related to fear of falling among the elderly in nursing home.Methods: A cross-sectional study was used in this study. Respondents were elderly   aged ≥60 years, can communicate well, able to read and write and not being sick which causes balance disorders and pain when walking. Respondents totaled 155 obtained by proportional random sampling. A questionnaire was used to retrieve data such as age, gender, use of a walker, depression, previous fall history and balance walking. Results: The results showed a significant relationship between all of these risk factors with the fear of falling (p <0.05) and the power of significance for each variable was different. The age variable was power significance 0.228, gender C = 0.2, previous fall history C = 0.374, use of a walker C = 0.367, balance walking C = 0.355 and depression rs = 0.196. There are three risk factors most closely associated with fear of falling in terms of balance walking (B = 1.424 Exp(B) = 4,153), use of a walker (B = 1,365 Exp(B) = 3,914) and previous fall history (B = 1.425 Exp(B) = 4.159). These factors had strength of 27%.   Conclusion: Balance walking, use of a walker and previous fall history were the strongest risk factors.
The Effectiveness Chewing gum versus Cryotherapy on Salivary Volume among Patient with Head and Neck Cancer undergoing Radiotherapy Dwi Uswatun Sholikhah; I Ketut Sudiana; Ninuk Dian Kurniawati
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1.19444

Abstract

Introduction: Hyposalivation is a common problem experienced by head and neck (H&N) cancer patients undergoing radiotherapy. Hyposalivation can cause negative effects on the physical aspects of making oral mucositis, pain during eating and talking as well as psychological effects that cause feeling of discomfort sadness and, ultimately, depression. Many nonpharmacological interventions can be done for hyposalivation that occur in patients, among which are chewing gum and cryotherapy because they are easy to do, easy to access, inexpensive and have minimal side effects. However, the effectiveness of these interventions is not yet clear. Hence, this study is aimed to determine the effectiveness of chewing gum versus cryotherapy to increase salivary volume in H&N cancer patients undergoing radiotherapy.Methods: A quasi-experimental time series group design to determine the most effective time to influence the increase in salivary volume. This research was conducted on 36 respondents H&N cancer undergoing radiotherapy with four times measurement are pretest-posttest on the 3rd, 5th, and 7th day of intervention between February and March 2020. Subjects were chosen using consecutive sampling. Chewing gum group will chew gum six (6) pieces/day and cryotherapy group will suck on ice cubes five (5) minutes before and after radiotherapy. The spitting method was used to collect saliva and the data were analyzed using General Linear Model-Repeated Measure (GLMRM).Results: Chewing gum is more effective to increase salivary volume than cryotherapy. The GLMRM within subjects at four (4) times measurement showed a significant difference between chewing gum and cryotherapy group with p value <0.05 on the 7th day. Subjects in the chewing gum group had better salivary volume increment than cryotherapy group.Conclusion: This study showed that chewing gum is more effective to increase salivary volume on patient H&N cancer undergoing radiotherapy because chewing gum has higher salivary volume increment than cryotherapy groups
The Effects of Acceptance and Commitment Therapy (ACT) on Depression in TB-HIV Co-infection Patients Avin Maria; Untung Sujianto; Niken Safitri Dyan Kusumaningrum
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1.17793

Abstract

Introduction: The most common psychological problem in TB-HIV coinfection patients is depression. Acceptance and Commitment Therapy (ACT) is an intervention that encourages participants to change their relationships with their thoughts and physical sensations through mechanisms of acceptance and value-based action. This present study has been carried out to investigate the effectiveness of ACT in treating TB-HIV coinfection patients.Methods: This research was a quasi-experiment. This study involved 62 respondents diagnosed TB-HIV coinfection by doctor, experienced mild depression to severe depression, able to communicate well and have not hearing loss. ACT was given by a researcher with six sessions) one session per day) held in the intervention group. Data were collected using Beck Depression Inventory (BDI) questionnaires. Data analysis use paired t-test   to determine the differences in value of depression on pre-test and post-test in each group. Data were analyzed using the independent t-test to determine the effect of ACT on depression.Results: The majority of respondents were male (66.1%). Most of the early adult and older adult respondents had moderate depression, while middle-aged adult mostly had severe depression (50%). The fully unemployed respondents had severe depression (100%). The analysis results showed that there was a more significant decrease in depression in the intervention group given ACT compared to the control group (p value =0.00).Conclusion: ACT has an effect on reduce depression of TB-HIV coinfection patients. ACT is recommended to be developed as a nursing intervention that can be given to patients who are depressed.
The Relationship Between Fulfilment of Basic Needs with the Incidence of Stunting In Toddlers Endang Surani; Endang Susilowati
Jurnal Ners Vol. 15 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i1.17286

Abstract

Introduction: The prevalence of toddlers who very short and short at the age of 0-59 months in Indonesia is still high. One cause of stunting is lack of nutrition, mainly in the first 1000 days of life. The purpose of this study was to identify the relationship between the fulfilment of basic needs with the incidence of stunting in toddlers.Methods: A quantitative analytic research methods using cross-sectional approach was applied on this study. The sample was100 toddlers collected by purposive sampling technique. The questionnaires were used to measure the fulfilment of the basic needs of children and included questions about physical, emotion  and stimulation. The data were analysed using Chi-Square.Results: There was a relationship between fulfilment of the basic needs in physical and emotion category with stunting (p value of 0.000), while there was no relationship between fulfilment of basic needs in the category of stimulation with stunting (p value of 0.090).Conclusion: The fulfilment of the basic needs of physical and emotion affects the condition of toddlers with stunting. Thus, all of children should get exclusive breastfeeding, appropriate complementary feeding, early childhood education programme, attend an  Integrated Healthcare Centre routinely, have adequate access to immunisation services.

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