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Jurnal NERS

JNERS
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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 12 Documents

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Search results for , issue "Vol. 6 No. 2 (2011): Oktober 2011" : 12 Documents clear

Aromacare Melati Meningkatkan Pemenuhan Kebutuhan Tidur pada Lansia Heri Kusnaidi; Joni Haryanto; Makhfudli Makhfudli
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Introduction: Sleep disorder is one of the problems that faced by elderly. Progress of sleep change from time to time, sleep patterns during the aging experience different than younger people. Sleep patterns in elderly decreases according with increasing age and degenerative processes that occur in physiological. Aroma of jasmine is the one of method to increase sleep needs, but giving the aroma of jasmine with nursing intervention that called aromacare to reduce sleep disorder is never investigated.Method: This study used quasy experiment pretest and posttest design. The population were elderly with sleep disorder in Tresna Werdha Puspakarma Service Home Elderly Mataram. The samples were recruited using purposive sampling, total samples were 14 respondents, according to inclusion and exclusion criteria. The independent variable was aromacare of jasmine and the dependent variable was sleep in elderly. Data were collected using structure questionnaire. Data were analyzed by using wilcoxon sign rank test and mann whitney test to fulfillment adequacy of sleep based on quantity, paired t test and independent t test to fulfi llment adequacy of sleep on quantity with significance α ≤ 0.05.Result: Result showed that aromacare of jasmine increase of fulfi llment of the need of sleep in quality (p < 0.016) and also effect the need of sleep in quantity (p < 0.001).Discussion: It can be concluded that aromacare of jasmine has significantly effect on sleep need of the elderly. Further research should measure the effect of aromacare of jasmine on fulfillment of the need of sleep with the rate of melatonin and EEG (Electro Encephalo Gram).

Penurunan Tingkat Depresi pada Lansia dengan Pendekatan Bimbingan Spiritual Syaifuddin Kurnianto; Purwaningsih Purwaningsih; Hanik Endang Nihayati
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Introduction: Depression is mental disorder which comes from complicated stress, it can happen for everyone including the elderly. This problem is frequently not considered as the main point of view to think because it is regarded to get good condition by its way without having serious treatment. On the reality, depression which doesn't get serious treatment to solve well, it can danger the life of the elderly. The purpose of this study was to prove the in fl uence of result in the spiritual guidance in accordance with Islamic religion for the changing score (rank) depression of the elderly who lived in the region of RT 04 Kedung Tarukan Wetan Surabaya.Method: Design used in this study was pre experimental design. Population for this study were all of the elderly who lived in the region of RT 04 Kedung Tarukan Wetan Surabaya. Total sample were 10 respondents, taken according to inclusion criteria. The independent variable was the spiritual guidance in accordance with Islamic religion where as the dependent variable was the changing score (rank) of depression. Data were collected by using structured questionnaire. Data were then analyzed using wilcoxon sign rank test with level of significance of≤ 0.05.Result: The result showed, after giving spiritual guidance in accordance with Islamic religion, the score (rank) of depression for elderly to decrease than before giving spiritual guidance in accordance with Islamic religion with significant value p = 0.005.Discussion: It can be concluded that spiritual guidance in accordance with Islamic religion having strong influence for the changing score (rank) of depression of the elderly before and after it had done. It was suggested for the competence person in RT 04 Kedung Tarukan Wetan Surabaya to do this activity continuously as one of the way to prevent and to solve depression for the elderly who lived in the region of RT 04Kedung Tarukan Wetan Surabaya.

Model Asuhan Keperawatan Terhadap Peningkatan Adaptasi Kognisi dan Biologis pada Pasien Terinveksi HIV Nursalam Nursalam
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Introduction: PAKAR model that focused on coping strategy and social support (nurse, family and patients) lead to positive coping mechanism through the learning process. The purpose of the study was to examine the effect of PAKAR toward adaptive response on PWH infection. PNI and nursing sciences from Roy paradigm were used in this study. Method: Quasy-experimental pre-post-test non randomized control group design is used in this study. Forty (40) PWH infections in Intermediate Department Care for Infection Disease (UPIPI) Dr. Soetomo hospital in Surabaya were selected and non-randomized assignment divided into 2 groups of 20, experiment and control group. In vitro- test were used to measure biological response change: cortical, CD4, IFNγ, and Anti-HIV. Psychological, social, and spiritual response were measured and observed by using questionnaires, in depth interview and Focus Group Discussion. A Multivariate analysis was used to evaluate the data of biological response and non-parametric test: Wilcoxon and Mann Whitney were used to measure cognitive response. Result: Result showed that there were significantly differences on cognitive response between PAKAR and Standard, namely; spiritual response on be patient, social response on emotional stable, and acceptance response on anger and bargaining. In addition, biological response were significantly differences between the groups with F = 0.497 and p = 0.000. The cortical and Anti-HIV variables were the pattern contribution between the groups, with 77.5%. The increase the number of CD4 was found to be the dominance factor that was correlated toward the positive of cognitive response caused by PAKAR. Discussion: PAKAR model that focused on coping strategy and utilizing social support lead to treat cognitive response PWH infection. The model is based on nursing science theory (Roy and Hall) combined with psychoneuroimmunology paradigm that is able to induce immune response modulation, especially the increase of the number of CD4. The increase of CD4 will induce IFN-γ to help macrophage in destroying HIV.

Manajemen Nyeri Non Invasive Pada Ibu Post Partum dengan Pendekatan Evidence Based Practice Nikmatur Rohmah
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Introduction: Pain is a sensation of discomfort that most post-partum mothers complain about, in the case of prolonged pain, the risk of post-partum blues is higher. The usage of evidence based practice method gives a bigger opportunity for nurse and medical attendants to think more critically in making decisions and in performing the appropriate treatment in accordance with the patient's problem and uniqueness. This research aimed to applicate management of non-invasive pain on post partum mother through the approach of evidence based practice.Method: This was a case-study, performed to client Mrs. A P1-1 A0 post sectio caesarea day 1 as there is an indication of suspect cepalo pelvis disproportion secondary arrest. Data were collected at maternity room, dr. Soebandi Regional General Hospital. Using interview, observation, and physical examination. Data analysis was conducted through a descriptive analysis.Result: Through a careful nursing, it is found out that pain location and spreading that generally spotted at the patient’s back during the contraction in the uterus, occurred around the shoulders when evidence-base practice is applied. The basic principle of applying an intervention to non invasive pain based on evidence–base practice are: cutaneous stimulation and distraction, while massaging area was set on the face, while the distraction media was interaction with the baby. Evaluation on evidence –based practice showed that pain is reduced to scale 2, while face and mobilitation become more relaxed.Discussion: Massage was intended to stimulated the production of endorphine and dinorphine that play an important roke to block the pain transmission through the descendent control system. Interaction with the baby was intended to function as a distraction media to dominate the incoming impuls into the ascendant control system,which further may close the gate of the pain transmitter. Both of the interventions were axpected to work synergically in reducing pain, since post-partum pain can be relieved more quickly when more than one technique are applied. Thus, to reduce post-partum pain, facial massage and interaction with the baby as non–invasive treatments are of important, respectively.

Analisis Faktor Risiko Kehamilan Ektopik Budi Santoso
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Introduction: Ectopic pregnancy is a pregnancy with extrauterine implantation. This situation is gynecologic emergency that contributes to maternal mortality. Therefore, early recognition, based on identification of the causes of ectopic pregnancy risk factors, is needed.Methods: The design descriptive observational. The samples were pregnant women who had ectopic pregnancy at Maternity Room, Emergency Unit, Dr. Soetomo Hospital, Surabaya, from 1 July 2008 to 1 July 2010. Sampling technique was total sampling using medical records.Result: Patients with ectopic pregnancy were 99 individuals out of 2090 pregnant women who searched for treatment in Dr. Soetomo Hospital. However, only 29 patients were accompanied with traceable risk factors.Discussion:. Most ectopic pregnancies were in the age group of 26-30 years, comprising 32 patients (32.32%), then in age groups of 31–35 years as many as 25 patients (25.25%), 18 patients in age group 21–25 years (18.18%), 17 patients in age group 36–40 years (17.17%), 4 patients in age group 41 years and more (4.04%), and the least was in age group of 16–20 years with 3 patients (3.03%). A total of 12 patients with ectopic pregnancy (41.38%) had experience of abortion and 6 patients (20.69%) each in groups of patients with ectopic pregnancy who used family planning, in those who used family planning as well as ectopic pregnancy patients with history of surgery. There were 2 patients (6.90%) of the group of patients ectopic pregnancy who had history of surgery and history of abortion. The incidence rate of ectopic pregnancy was 4.73%, mostly in the second gravidity (34.34%), whereas the nulliparous have the highest prevalence of 39.39%. Acquired risk factors, i.e. history of operations was 10.34%, patients with family planning 20.69%, patients with history of abortion 41.38%, patients with history of abortion and operation 6.90% patients with family and history of abortion was 20.69%.

Kejadian Ventilator Associated Pneumonia (VAP) pada Klien dengan Ventilasi Mekanik Menggunakan Indikator Clinical Pulmonary Infection Score (CPIS) Dally Rahman; Emil Huriani; Ema Julita
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Introduction: Ventilator Associated Pneumonia (VAP) is defined as nosocomial pneumonia that occurs 48 hours after using mechanical ventilation. The incident of VAP in Dr. M. Djamil Padang Hospital was still high when compared to other hospitals that reached only 9%. Nursing intervention that can be used to avoid VAP is endotracheal secretions suctioning. However, the results of the intervention has not been evaluated by using standardized measuring tool. The purpose of this study was to determine the description of signs differences of VAP on first and third day to clients with mechanical ventilation who were performed endotracheal secretions suctioning in ICU Dr. M. Djamil Hospital Padang 2011. Method: The type of this study was a descriptive analytic. The samples were 15 who had a mechanical ventilation during minimal 3 days. Respondents were derived by Accidental Sampling by using Simplified Version of CPIS as a measuring tool. The statistic test is paired t-test. Result: The result of this study showed that there was a significant difference of the signs of VAP on the first and the third day with p=0,048 (< 0.05). Discussion: There were significant difference on symptom of VAP in mechanically ventilated patient in day 1 and day 3. Simplified version of CPIS was sensitive in early determining VAP. Simplified Version of CPIS are expected to be included in standard procedures of patient management and assessment intervention of endotracheal secretions suctioning.

Stres Dapat Mengganggu Proses Spermatogenesis pada Mencit Yuni Sufyanti Arief
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Introduction: This study aimed to determine the effect of stress on the process of spermatogenesis and testosterone levels of mice (Mus musculus) male.Method: This was an experimental study using a completely randomized design. The variables examined were the number of spermatogenic cells (spermatogonia, spermatocytes, and spermatids oval) and testoseron levels. Data analysis using oneway analysis of variance (ANOVA), test a small real difference (LSD) 5%, and the kruskal wallis test. This study used 36 mice (Mus musculus) male age 2 months with 20–40 gram body weight divided into 4 groups. The control group (subcutaneous injection of 0.1 ml physiological saline), subcutaneous epinephrine injection group 0.001 mg/20 g BW, subcutaneous epinephrine injection group 0.005 mg/20 g BW, the subcutaneous injection of epinephrine 0.01 mg/20 BB gr.Result: The results show that the analysis of spermatogenic cells (spermatogonia, spermatocytes, and spermatids oval), that repeated exposure to epinephrine with different doses showed that there was a significant decrease. The average decline in a row in the treated group (P1, P2, P3) compared with the control group (K0) for spermatogonia was 28.8%, 42.4%, 45.5%, to spermatocytes was 13.7%, 37.4%, 38.9% and for oval spermatids was 33.3%, 44.2%, 50.4% Having followed by LSD 5% found that there were significant differences for almost all groups except the pair P2–P3 groups for the number of spermatogonia, spermatocytes, and partner groups P1–P2 and P2–P3. As for the blood serum levels of testosterone hormone mice showed no significant decrease.Discussion: Administration of high doses of epinephrine (as stressor) can lead to bottlenecks in the process of spermatogenesis as indicated by decreased number of spermatogenic cells but not cause a decrease in testosterone levels.

Pencegahan Iritasi Mukosa Hidung pada Pasien yang Mendapatkan Oksigen Nasal Ninuk Dian Kurniawati; Abu Bakar
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Introduction: The provision of oxygen therapy is traditionally use a humidifier to moisten the oxygen and prevent irritation of the nasal mucosa. Recent research proves that the use of a maximum of 4 lpm nasal oxygen without using a humidifier (non humidifier) up to 8 hours does not cause irritation of the nasal mucosa and prevent colonization of bacteria in the humidifier. The purpose of this study was to determine the effectiveness of nasal oxygen administration using a non-humidifier more than 8 hours in the prevention of irritation of the nasal mucosa.Method: This study employed an analytic survey with cross-sectional study design. As many as 20 patients at inpatient wards of Port Health Center Hospital Surabaya were recruited as sample by means of consecutive sampling. Inclusion criteria was patients must not suffer from upper respiratory tract infection and do not suffer from impaired immunity. Independent variables were oxygen flow and long of oxygen therapy. Dependent variable was irritation of the nasal mucosa. Data were analyzed with descriptive statistics and tested with spearman rho correlation test.Result: The results showed that the use of oxygen up to 140 hours with 4 LPM had no effect on the nasal mucosa such as signs of irritation and complaints of discomfort in the nose area.Discussion: It can be concluded that the use of non-humidifier for a maximum of 140 hours with flow maximum of 4 lpm is effective in preventing irritation of the nasal mucosa. Further research on the effectiveness of non humidi fi ers in the elderly population and children under five years of age is needed.

Pendekatan Modelling Keperawatan Anak Terhadap Pengetahuan, Kemampuan Praktik dan Percaya Diri Ibu dalam Menstimulasi Tumbuh Kembang Bayi 0–6 Bulan Ariyanti Saleh
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Introduction: The first five years of age of a child is a critical time that will affect the child growth development process. Any untreated disorders may impair the process that subsequently influences quality of life of the child in the future. Therefore, it is imperative for a mother to optimize the growth development process. This study aimed to identify the effectiveness of health education with modelling approach on mother's knowledge, practice ability and maternal confidence of infant (0-6 months) growth and development.Method: A quasy eksperimental pre-post with control group design was used. The intervention given was health education with modelling approach related to lactation management and infant growth development stimulation. The research was conducted in Maros Regency wiht 81 samples (41 in the treatment group and 40 in the control group).Result: The wilcoxon test reveals that there was a signi fi cant difference between treatment and control group, accordingly, knowledge (p = 0.00, p = 0.01), practice ability (p = 0.00, p = 0,006) and maternal confidence (p = 0.03, p = 0.03). In addition, from mann whitney test, between the two group, the data obtained are: knowledge (p = 0,950), practice ability (p = 0.00) and maternal con fi dence (p = 0,061).Discussion: Health education with modelling approach conducting by nurse was effective in increasing knowledge, practice ability, maternal confidence breastfeeding and baby stimulation, which was in turn can optimize baby growth and development. That is why, community health nurses role should be increase by making community health nursing program as one of primary public health centre program.

Regulasi Tekanan Darah pada Penderita Hipertensi Primer dengan Smoothie Pisang (Musa Paradisiaca) Eni Puji Lestari; Abu Bakar; Laily Hidayati
Jurnal Ners Vol. 6 No. 2 (2011): Oktober 2011
Publisher : Universitas Airlangga

Introduction: Hypertension is a major problem that often happen in Indonesia. Hypertension can cause many complications. In Indonesia almost patients with hypertension got farmacologic therapy, but there is no difference. Banana smoothie is one of nonfarmacologic therapy that can be used to lower blood pressure. The purpose of this study was to analyze the effect of banana smoothie on regulation in patients with primary hypertension.Method: This study used quasy experimental design. The population in this study were patients with primary hypertension in Kedungturi village Taman Sidoarjo. The sampling technique used nonprobability sampling type of purposive sampling. The total number of sample were 16 respondents who were selected based on inclusion and exclusion criteria.Result:The Result of paired t-test at the systolic blood pressure and diastolic blood pressure in experiment group showed p value = 0.000. Independent t test between experiment group post-test and control group post-test showed p value = 0.000 for systolic blood pressure and p value = 0.002 for diastolic blood pressure. This result showed that there was a difference value of pretest and post-test systolic and diastolic blood pressure. With the result of independen t-test we know that there is a difference value between exsperiment and control blood pressure.Discussion: This study explain that there was significant effect of banana smoothie to regulate blood pressure in patients with primary hypertention. Banana smoothie can regulate the blood pressure because of high kalium substance. The function of kalium is to reduce the effect of natrium so the blood pressure can down. It can be conclude that banana smoothie can regulate the blood pressure in patients with primary hypertention. In further day patients with hypertension can choose banana smoothie to regulate their blood pressure.

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Ferry Efendi

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Editorial Address
Fakultas Keperawatan Universitas Airlangga Kampus C Mulyorejo Surabaya 60115

Location
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Jawa timur

INDONESIA

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Home Page

OAI Link

Editorial Team

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Reviewer

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Contact Name Ferry Efendi

Contact Email ferry-e@fkp.unair.ac.id

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Journal Mail Official ners@journal.unair.ac.id

Editorial Address Fakultas Keperawatan Universitas Airlangga Kampus C Mulyorejo Surabaya 60115

Location Kota surabaya, Jawa timur INDONESIA

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Abstract

Contact Name
Ferry Efendi

Contact Email
ferry-e@fkp.unair.ac.id

Phone
-

Journal Mail Official
ners@journal.unair.ac.id

Editorial Address
Fakultas Keperawatan Universitas Airlangga Kampus C Mulyorejo Surabaya 60115

Location
Kota surabaya,

Jawa timur

INDONESIA