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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<![CDATA[The Increase of Self Personal Hygiene Patient with Hallusination by Nursing Methods of Partisipatif and Rewards Approach ]]>
<![CDATA[Sirajudin Noor]]>;
<![CDATA[Heny Desyi Rubiyana]]>;
<![CDATA[Adijani al-Alabij]]>
<![CDATA[ Jurnal Ners Vol. 7 No. 1 (2012): April 2012 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v7i1.4003
<![CDATA[Introduction: The number of mental disorder has been increased dramatically and it is predicted that one out of four citizen suffered with mental disorder. The commonest problem for the patient schizophrenia with hallusination is unfullfill of basic needs. The objective of the study was to analyse the effect of partisipatif and reward approach on the need of basic human in term of feeding, toileting, dressing, bathing, and moving patient with halusination Sambang Lihum hospital in Banjarmasin.Methods: Design of the study was pra-experimental, static-group comparison design. Fifty five (55) sampel was recruited by purposive sampling for patient schizophrenia with halusination stabil condition and calm.The sample were divided into two goups contol and intervention group. Data were collected by check list and observation of the status of self personal care. Data were analysed by wilcoxon and Mannwhitney with significancy level α < 0.05.Result: Result showed that methods of partisipatif and rewards effect on the self personal hygiene for the patient with hallusination, with p = 0.001.Conclusion: Partisipatif and reward methods was effective on the increase of self personal hygienne for the patient with hallusination.]]>
<![CDATA[The Risk Factors of Diabetes Mellitus in Adolescent Senior High School in Malang City ]]>
<![CDATA[Dyah Widodo]]>;
<![CDATA[Ekowati Retnaningtyas]]>;
<![CDATA[Ibnu Fajar]]>
<![CDATA[ Jurnal Ners Vol. 7 No. 1 (2012): April 2012 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v7i1.3997
<![CDATA[Introduction: Diabetes mellitus is a disease caused by a hormonal disorder that affects insulin. 5.7% of the total population of Indonesia, including teenagers is a big challenge for the health sector to do the step in anticipation of the complexity of health problems caused by diabetes mellitus in Indonesia. This study aims to analyze the risk factors of diabetes mellitus in adolescent senior high school in the city of Malang.Methods: This research was correlational research design, sampled in this study was partly teenagers is high school class in Malang city area drawn at random sampling with a large sample of 375 respondents. Research conducted at government senior high school 6 and 9 (SMU Negeri 6 and SMU Negeri 9) in the city of Malang, in May–August, 2011. Data collection techniques using questionnaires; measurements: weight, height, abdominal circumference/waist, blood pressure and food consumption survey (Recording of Present Food Intake) of the diet for three days. Data was analyzed by descriptive and analytic Spearman Rho correlation with alpha 0.05.Result: The results showed that a BMI (body mass index) and waist circumference (central obesity) related to the risk of diabetes mellitus in teens senior high school in Malang with 0.000 p-values < α 0.05. However, there is no relationship between blood pressure, physical activity, frequency of fruit and vegetable consumption, family history of diabetes mellitus and the risk of diabetes mellitus in teens senior high school in Malang.Conclusion: Recommended for teens to pay attention to healthy eating and balanced, in order to awake the ideal body weight and abdominal circumference are normal, so that avoid the risk of diabetes mellitus.The Effect of Family Therapy with Spiritual Approach Toward Family’s Health Belief Model in Taking Care of Patient with Schizophrenia]]>
<![CDATA[Protein Expression Er (Estrogen Receptor) in Breast Cancer Degree of Malignancy Mild, Moderate, and Severe ]]>
<![CDATA[Imam Susilo]]>
<![CDATA[ Jurnal Ners Vol. 7 No. 1 (2012): April 2012 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v7i1.4004
<![CDATA[Introduction: Mammary carcinoma is the most common malignancy and main mortality cause in women. Hormonal status (ER and PR expression) was long used as patient suitability for hormonal therapy. However, lately there have been many patients with ER and PR negative. This study wanted to prove the relevance of protein expression of ER (estrogen receptor) with the histopathological degree of malignancy of breast invasive ductal cancer and the prognosis of breast cancer with ER protein expression of positive and negative.Methods: In this retrospective and cross sectional analytical study retrieved data about hormonal status (ER expression) and histopathological grading of infiltrating ductal carcinoma patients. This study consisted of 201 patients with mammary carcinoma who referred to medical records Department Pathology Anatomic of Faculty Medicine Airlangga University/Dr. Soetomo General Hospital Surabaya on 1 January 2010–31 December 2010 and their medical record suitable with inclusion criterias. The data was categorized into several groups based on the ER expression result.Results: Most of the sample was in 41–50 year age group (37.31%), and 54,7% of them were in poor expression. The relationship of estrogen receptor (ER) with the degree of histopathology infiltrating ductal carcinoma patients, obtained p-value = 0.001 (p < 0.5) and the 2 × 2 table is only moderate and severe degrees compared with the results of ER expression results obtained p = 0.001 (p < 0.5) and odds ratio of 0.362 (CI: 0194-0675).Conclusion: This study found significant correlation between ER expression with histopathological grading of infiltrating ductal carcinoma patients.]]>
<![CDATA[Psychological Respons (Anxiety And Depression) and Biological Respons (Cortisol, Ifn-Γ And Tnf-Α) in Ischemic Stroke Patients by Home Care Holistic Model Approach ]]>
<![CDATA[Luluk Widarti]]>;
<![CDATA[Moh. Hasan Mahfoed]]>;
<![CDATA[Kuntoro Kuntoro]]>;
<![CDATA[Ketut Sudiana]]>
<![CDATA[ Jurnal Ners Vol. 7 No. 1 (2012): April 2012 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v7i1.3993
<![CDATA[Introduction: The patient with stroke often experience on psychological disorder such as anxiety and depression that lead to biologycal aspects such as on cytokin. The objective of the study was to analyse the corelation between psychological respons (anxiety and depression) and biological respons (cortisol, ifn-γ dan tnf-α) in ischemic stroke patients by home care holistic model approach.Method: This study applied an experimental research with quasy experimental design. The study was conducted in the area of Surabaya by selecting ischemic stroke patients after being hospitalised at ”A-Seruni room, Medic IRNA, Dr. Soetomo hospital”. A sample of size 40 was patients divided equally into two groups, control and treatment groups. The treatment and control groups respectively received holistic home care and home care. The depression and anxiety level were measured by using questionnaires and observation technique, while Cortisol level, IFN-γ and TNF-α levels were measured by using ELISA quantitative technique. The data was analyzed by using Levene’s test for homogeneity of variance, t-test and correlation test.Result: The statistical analysis shows there was a significant difference between psychological response in control group after intervension with p = 0.000 for anxiety, and p = 0.000 for depression. For biological response, there is a significant difference p = 0.007 for cortisol and p = 0.000 for TNF-α. However, there is no significant difference in IFN-γ with p = 0.425. The correlation test result shows there was signi fi cant correlations between anxiety and biological responses such as Cortisol with r = 0.724 and p = 0.038; IFN-γ with r = 0.475 and p = 0.034; TNF-α with r = 0.592 and p = 0.006. Furthermore, there was positive correlation between depression and biological responses such as Cortisol with r = 0.705 and p = 0.033; IFN-γ with r = 0.454 and p = 0.044, TNF-α with r = 0.561 and p = 0.010.Conclusion: Holistic home care could improve the psychological responses by decreasing anxiety and depression level and also could improve biological responses by decreasing Cortisol, IFN-γ and TNF-α level in ischemic stroke patients.]]>
<![CDATA[Quality of Nursing Care Based on Analysis of Nursing Performance and Nurse and Patient Satisfaction ]]>
<![CDATA[Abdul Muhith]]>;
<![CDATA[Nursalam Nursalam]]>
<![CDATA[ Jurnal Ners Vol. 7 No. 1 (2012): April 2012 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v7i1.3998
<![CDATA[Introduction: Nurses who frequently often contact to patients and most of their time serve patients in 24 hours, have an important role in caring for the patient. Patient satisfaction as quality indicator is the key success for competitiveness of service in hospital. The aim of this research was to develop nursing service quality model based on the nursing performance, nurse and patient satisfaction.Methods: The research method used cross sectional study, at 14 wards of Gresik Hospital. Research factors were namely: oganization characteristic (organization culture and leadership), work factors (feedback and variety of nurses work), nurse characteristics (motivation, attitude, commitment and mental model), nursing practice, interpersonal communication, nurse and patient satisfaction. Statistical analysis of study data was analyzed by Partial Least Square (PLS).Results: The results of nursing performance revealed that nurse characteristic were not affected by organization culture and leadership style, nurse characteristics were affected by work factors, nurse characteristics affected nursing quality service (nursing practice, nursing professional, nurse and patient satisfaction), nurse satisfaction did not affect nursing professionals.Conclusion: Based on the overall results of the development of nursing care model that was originally only emphasizes the process of nursing care only, should be consider the input factor of organizational characteristics, job characteristics, and characteristics of individual nurses and consider the process factors of nursing care standards and professional performance of nurses and to consider the outcome factors nurse and patient satisfaction. So in general the development model of quality of existing nursing care refers to a comprehensive system of quality.]]>
<![CDATA[Clinical Profile of Children Presenting with Intoxication on Emergency Departement Soetomo Hospital in 2011 ]]>
<![CDATA[Ira Dharmawati]]>;
<![CDATA[Neurinda Permata Kusumastuti]]>;
<![CDATA[Arina Setyaningtyas]]>
<![CDATA[ Jurnal Ners Vol. 7 No. 1 (2012): April 2012 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v7i1.4005
<![CDATA[Introduction: Acute poisoning in children is an important pediatric emergency and is a world wide problem, the majority of these poisoning incidents are unintentional and preventable. Based on data from WHO, the mortality of children under 4 years varies between 0.3–7% per 100,000 population in some countries in the world. The incidence, clinical profile and the type of poison and the output of poisoning cases in children in Surabaya until now there is no definitive data. The objective of the study was to study the clinical profile and outcome of childhood poisoning and intoxication in Soetomo hospital.Method: Design used in the study was a retrospective study done in children between 1 month and 18 years old of age who were admitted in emergency departement Soetomo hospital with diagnosis of acute poisoning between January until Desember 2012. Patients were profiled according to age, sex, poison consume and outcome.Result: There were 12 patients enrolled in the study. Male: female ratio was 2:1. The mean age of presentation was 53 months. Hydrocarbon poisoning was the commonest poisoning seen in (41.7%) patients followed by organophospat (33.3%) poisoning. During treatment, 58.3% received antibiotics, 25% patients who poisoning with organophosphat received antidots and 50% from all sample received antagonist histamin H2 because of stomached. Overall survival was 91,6%.Discussion: Hydrocarbon is the commonest agent involved in childhood poisoning. Overall, the outcome is good with 91,6% survival in our hospital.]]>
<![CDATA[The Improvement of The Self-Care Agency for Patients with Ischemic Stroke After Applying Self–Care Regulation Model in Nursing Care ]]>
<![CDATA[AV. Sri Suhardingsih]]>;
<![CDATA[Moh. Hasan Mahfoed]]>;
<![CDATA[Rahmat Hargono]]>;
<![CDATA[Nursalam Nursalam]]>
<![CDATA[ Jurnal Ners Vol. 7 No. 1 (2012): April 2012 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v7i1.3994
<![CDATA[Introduction: The patiens with ischemic stroke caused a dependence in a need of self-care for the aspect of physically, psychologically, socially and spiritually. Nursing care approach will encourage patiens to became independence in self-care. The purpose of this research was to examine the improvement of the self care agency of the patients with ischemic stroke after aplying a nursing care of self care regulation model.Method: An experimental research with quasy experimental design was applied in the study. The study was conducted in the area of Surabaya by selecting 40 patients of ischemic stroke being hospitalized in stroke Unit IRNA MEDIK RSUD Dr. Soetomo Surabaya and selected by consecutive sampling. Sample of 40 patients were divided equally into two groups, namely treatment and control groups. The selection of sample was matching based on age and sex. Independent variable in the study were self-care regulation: interpretation coping and appraisal. While dependent variable was self-care agency of the patients with ishemic stroke. Data was analysed by wilcoxon signed rank, Mann-Whitey test and modeling by SEM - PLS.Result: The result showed that there were significant differences on the increase of self care agency between the groups. The group model that aplying a nursing care of self-care regulation gained the value of R2 = 0.857 and the standart nursing care gained the value of R2 = 0.614, so it could be inferred that the best model was self care regulation model, with the differentiation R2 = 0.243.Discussion: It was concluded that the nursing care of self care regulation model could self-care agency up to 24.3% than the standard of nursing care. It is recomended that Self-care regulation model can be used as a standard of nursing care in health care institutions both in hospitals and in clinics.]]>
<![CDATA[Adaptif Conservation (Acm) Model in Increasing Family Support and Compliance Treatment in Patient with Pulonary Tuberculosis in Surabaya City Region ]]>
<![CDATA[Siti Nur Kholifah]]>;
<![CDATA[Minarti Minarti]]>;
<![CDATA[Hilmi Yumni]]>
<![CDATA[ Jurnal Ners Vol. 7 No. 1 (2012): April 2012 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v7i1.3999
<![CDATA[Introduction: Tuberculosis (TB) in Indonesia is still health problem and the prevalence rate is high. Discontinuing medication and lack of family support are the causalities. Numbers of strategies to overcome are seemingly not succeeded. Roles and responsibilities of family nursing are crucial to improve participation, motivation of individual, family and community in prevention, including pulmonary tuberculosis. Unfortunately, models of pulmonary tuberculosis currently unavailable. The combination of adaptation and conservation in complementarily improving family support and compliance in medication is introduced in this study.Method: This research intended to analyze Adaptive Conservation Model (ACM) in extending family support and treatment compliance. Modeling steps including model analysis, expert validation, field trial, implementation and recommending the output model. Research subject involves 15 families who implement family Assistance and supervision in Medication (ASM) and other 15 families with ACM.Result: The study revealed ACM is better than ASM on the case of family support and medication compliances. It supports the role of environment as influential factor on individual health belief, values and decision making. Therefore, it is advised to apply ACM in enhancing family support and compliance of pulmonary TB patients.Discusion: Social and family supports to ACM group obtained by developing interaction through communication. Family interaction necessary to improve family support to pulmonary tuberculosis patients. And social support plays as motivator to maintain compliance on medication]]>
<![CDATA[The Compliance Chronic Renal Failure Patient on Restrictions Liquids in Hemodialysis Therapy ]]>
<![CDATA[Endang Sri P Ningsih]]>;
<![CDATA[Agus Rachmadi]]>;
<![CDATA[Hammad Hammad]]>
<![CDATA[ Jurnal Ners Vol. 7 No. 1 (2012): April 2012 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v7i1.3995
<![CDATA[Introduction: Nonadherence is a rampant problem among patients undergoing dialysis and can impact multiple aspects of patient care, including medications, and treatment regimens as well as dietary and fluid restriction. The purpose of this descriptive correlative research, on hemodyalysa patient with chronic renal failure was to know the influencing factors of compliance patient to fluid restriction.Methods: This study used descriptive correlative design, Data was analysed by using distibution frequency and chi square for analysys relation between variable.Results: The result revealed there were nor significant statistic difference at p > 0.05 between age, gender, education level, frequency of hemodyalysa and health education from nurse to compliance patient to fluid restriction (p = 0.647; p = 0.717; p = 0.345; p = 0.774; p = 0.273).Conclusion: Level of patient adherence to therapy not influenced by demographi factor but by the quality of interaction health workers and other factors. This study recommended for further analysis of the factors that influence the level of compliance of the patient as psychological factors (belieft , motivation), socio-economic, and social support.]]>
<![CDATA[The Increasing of Preschool Multiple Intelligences by Educative Playing Instrument Stimulation ]]>
<![CDATA[Yuni Sufyanti Arief]]>;
<![CDATA[Ilya Krisnana]]>;
<![CDATA[Heny Ferdiana]]>;
<![CDATA[Praba Diyan Rachmawati]]>
<![CDATA[ Jurnal Ners Vol. 7 No. 1 (2012): April 2012 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v7i1.4001
<![CDATA[Introduction: Multiple Intelligences can be incresed by playing stimulation with educative playing instrument. Educative playing is the activity that uses educate ways and instrument. Educative playing very important to increase speech development, cognitive, socialisation with the environment and also increse the streght and skill of child’s body.Methods: Design used in this study was quasy experiment design. The population was preschool children 4–5 years old in working area of Mojo Public Health Centre of Surabaya. The sample was preschool children 4–5 years old that spesific in inclution criteria of this study. Data were analyzed by wilcoxon signed rank test to compare the ordinal data pre and post intervention and mann withney u-test that compare between intervention group and control group with level of signifi cance of α ≤ 0.05.Results: The result of speech development that analyzed by Wilcoxon signed rank test showed that controlled group had p = 0.157 and intervention group had p = 0.005 and the result of mann whitney test was p = 0.03. The result of kinesthetic development by wilcoxon signed rank test showed that controlled group has p = 0.317 and intervention group has p = 0.005, and analyzed by mann whitney test in kinesthetic development showed the result of p = 0.02.Conclusion: Educative playing instrument (picture cards, play dough, origami and meronce) increased speech and fine motoric development of preschool children 4–5 years old in Mojo Indah Kindergarten of Surabaya. Educative playing instrument is the activity that makes the playing function optimally in child development and this activity can increase the child development such as physical, speech, cognitive and social adaptation.]]>
