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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 14 Documents

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Search results for , issue "Vol. 7 No. 2 (2012): Oktober 2012" : 14 Documents clear

Assessment of Quality of Life in Cancer Children Mira Irmawati; Irwanto Irwanto; Andy Cahyadi
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: The survival rate of cancer children has increased over the past decade. The assessment of quality of life in childhood cancer survivors is required for understanding children's psychosocial functioning, perception of illness and its effect on daily life. The objective of this study was to assess the quality of life of cancer children.Method: This study was a cross sectional study done to both parents and cancer children 5–18 years old in January-February 2012. Subject and their parents were given the PedsQL 3.0 Cancer Module that was translated in to Indonesia Language. Cronbach's alpha and Pair-t tests were used for analysis.Result: Forty-four cancer children participated, mean age 6.4 years old, 30 (56.6%) were female, 24 (45.3%) suffered from leukemia. No signiﬁcant gender differences were found for all subscales. All subscales showed satisfactory reliability (Cronbach's alpha = 0.615–0.929). The scores from children-report was higher than parents-report for treatment anxiety, cognitive problem and total scale (p<0.05), the overall scores of 61–81. The subscale procedure anxiety, worry, and pain-hurt had low-scores for both children and parent.Disscussion: PedsQL 3.0 Cancer Module is an objective instrument for measuring quality of life in cancer children and their family.

Voluntary Counseling and Testing (Vct) to Prisoner in Class I Prison of Surabaya Abdul Muhith; Linda Prasetyaning; Nursalam Nursalam
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: VCT is one of the efforts of the prison to minimize the risk of HIV/AIDS on Injecting Drug User Prisoners. But there are still obstacles in the implementation of this program in prison. The purpose of this study was to evaluate the VCT in Class I Surabaya Prison.Method: This study used qualitative and quantitative method. Samples to evaluate the VCT Program among Ofﬁ cer, Clinical Ofﬁcers who carry out VCT and NGOs as well as four IDU prisoners selected using purposive sampling. Samples to describe prisoner's characteristic and risk factor of HIV/AIDS from behavior aspect were 60 prisoners. Data were collected by ﬁlling out the questionnaire and in depth interview.Result: The results were analyzed by qualitative descriptive narrative. The results of this study was a major behavioral factors that lead to the incidence of HIV/AIDS on injecting drug user prisoners, unsafe sexual behavior and tattooing.Discussion: As for the evaluation of VCT was not performed well. In terms of input, the human resources sector and source of funds and independent laboratory facilities were deemed less. On process aspects, the sector of pre-and post-test counseling and support programs was still not optimal. In the aspect of output, an indicator to measure the success of VCT, patient satisfaction questionnaire coverage and effort to VCT client was still not implemented. It is necessary to enhance the implementation of VCT and to realize a program especially for drug user prisoners to prevent and control the transmission of HIV/AIDS such as harm reduction program.

The Improvement of Family Coping in Taking Care of Patient Mental Disorder with Spiritual Therapy; Direction, Obedience and Acceptance (Doa) Ah. Yusuf; Suhartono Taat Putra; Yusti Probowati
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: Mental disorder remains a stigma in society, even until now. A family who have a member with mental disorder, will experience continues objective and subjective burden, experience serious stress for a lifetime, which may cause ineffective coping.Method: Design used in this study was experimental (pre post test control group design). The population was every family of patient with mental disorder in Menur Mental Hospital along the year of 2010, has been taking care there twice, in minimum, lived in Surabaya. The samples were chosen by allocation simple random. Samples were 13 persons in each treatment and control group. The intervention was given in 60–120 minute in 8 times meeting with average interval about 1 week. Data analysis was done using paired t-test and independent t-test.Result: Results in this study showed that there was signiﬁcant change in total of family coping (p = 0.040), maintaining family integration, cooperation and an optimistic deﬁnition of the stuation (p = 0.009), maintaining social support, self esteem, and psychological stability (p = 0.230), understanding the medical situations through communication with other parents and concultation with medical staff (p = 0.025).Discussion: The provision of family therapy with spiritual approach (DOA) can increase family coping in taking care of patient with mental disorder.

The Role of Endoscopic Procedure in Diagnosing Gastrointestinal Disorder in Children Alpha Fardah Athiyyah; Andy Darma; Reza Ranuh; Subijanto Subijanto
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: Gastrointestinal endoscopy in children requires more than the technical expertise needed to pass an endoscope through a smaller digestive tract lumen. Children require more careful attention to patient preparation and sedation compared with adults. The incidence of various disease varies through childhood and differs from the adult. Aim of this study is to elucidate proﬁle esophagoduodenoscopic dan colonoscopic procedures in diagnosing gastrointestinal tract disorder in children in Soetomo Hospital, including role of nursing team role these procedures.Method: This study is a descriptive study which is done in Gastroenterlology Division Soetomo Hospital in October 2009–March 2012 for patients undergoing esophagoduodenoskopy and colonoscopy. Age, sex, indication, preparation, sedation, results, complication data were collected. Data from pathological examination were also collected. Data analysis were done descriptively such as mean, median and percentage, and presented in tables.Result: There were 114 patients undergo esophagoduodenoscopy procedure and 7 patients undergo colonoscopy procedures. The most indication for esophagoduodenoscopy was recurrent abdominal pain (71.1%) and for colonoscopy was chronic diarrhea (42.8%). Nill by mouth for 6 hours is preparation for esophagoduodenoscopy and for colonoscopy needs bowel preparation a day before. Bowel preparation is using Biphosphate Sodium Phosphate oral and enema. Most of all sedation was done by anasthesiologist. Nursing team role were start from preparation, relaxing patient, and monitoring during and after procedure. Chronic gastroduodenitis was found on 110 (96.4%) cases, 15 cases of it accompanied nodularity. Seventy cases (64.9%) from 114 cases of biopsy result were Helicobacter pylore positive, and 21 cases of it has Barret's esophagus. Colonoscopy procedure results 5 (71.4%) cases were colitis, and 3 of them are amoebic colitis. Discussion: Diagnosis of sructural and histological abnormalities could be establish with endoscopic procedure. This is an important role in diagnosing gastrointestinal disorder in children and nursing team have important role in it.

The Development of Nutrition Demand Enquiry Model for Preschool-Aged Children Based on Health Promotion Model Eka Mishbahatul Mar'ah Has; Florentina Sustini; Ni Ketut Alit Armini
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: Preschool-aged children are not able to manage their nutrition independently. They need help, especially from their mother. Mother's behavior has effect on preschool's nutritional status. The aim of this study was to develop nutrition demand enquiry model for preschool-aged children based on Health Promotion Model.Method: Design used in this research was an observational analytic with cross sectional approach that was conducted in Karangturi Village, Gresik, East Java. The population was mothers of preschool aged children listed on Integrated Health Post for Underﬁves (Posyandu Balita) along April–May 2012. Simple random sampling was used to take the sample. Sample size was 90 respondents. The independent variables were personal factors (age, motivation, and ethnicity), perceived beneﬁt, perceived barrier, perceived self-efﬁcacy, and commitment. The dependent variable was mother's behavior on nutrition of preschool children. Data were collected using questionnaire and food recall 24 hour. Data were analyzed using PLS (Partial Least Square) Regression.Result: The result showed that 1) personal factors had correlation with perceived beneﬁt, perceived barrier, and perceived self-efﬁcacy; 2) perceived beneﬁt and perceived barrier had correlation with commitment; 3) commitment had no correlation with mother's behavior on nutrition. Perceived beneﬁt and perceived barrier had direct correlation with mother's behavior on nutrition. Discussion: It can be concluded that mother's perceived beneﬁt and perceived barrier was correlated with mother's behavior on nutrition. Nurses are key health care professionals responsible for increasing health education activities about how to manage nutrition of preschool age children. So, mother should have good behavior on preschool age children's nutrition.

Paramater on Maternal Delivery Referral Process Zubaidah Zubaidah; Mohammad Hakimi; Abdul Wahab
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: The rate of maternal mortality in Indonesia according to 2002–2003 Indonesian Demographic and Health Survey (IDHS) was 307 per 100,000 live births. The direct causes of maternal deaths, among others, are prolonged labor, hemorrhage, infection, and preeclampsia. Referral system includes referring responsibility to better facilitated healthcare sites to obtain more adequate services. However, maternal referral process in Banjar District still faces some problems such as referral health providers with inadequate skills of handling emergency cases, insufﬁcient means of transportation, and no referral letter or partograph. Usually, when referred, the pregnant woman is only accompanied by her family so that she is brought to the referral site without being equipped with infusion. The objective of the study was to evaluate the parameter of maternal delivery referral in Ratu Zalekha Martapura District Hospital.Method: This study used observational study with a cross-sectional study design using quantitative and qualitative approaches. Samples were 107 delivering women referred to hospitals selected with non probability sampling. Data were analyzed with Chi-square (χ) and logistic regression test.Result: Quality maternal referral process resulted in healthy women 78.8%. Post delivery women's health was greater in quality maternal referral process (RP = 2.1; 95% CI = 1.28–3.52). Normal delivery had an opportunity towards post delivery women's health (RP = 1.6; 95% CI = 1.13–2.20). In addition, time needed to reach the referral sites and referral birth attendants were signiﬁcantly associated with maternal referral process (p = 0.002 and p = 0.002). Meanwhile, women's condition when referred was insigniﬁcant statistically.Discussion: Quality maternal referral process could likely improve post delivery women's health.Normal delivery affected the women's health condition.

Profile of Patients at Pediatric Emergency Services Soetomo Hospital Surabaya Ira Dharmawati; Arina Setyaningtyas; Neurinda Permata Kusumastuti
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: Installation service system at the Emergency Department (ED) Soetomo Hospital is a coordinated and integrated system under one roof. Include emergency medical and emergency surgery in a very important component of health services at each hospital. The information published on the patient proﬁle and the usefulness of emergency care services indeveloping countries and developed countries is still very rare. This study aimed to describe the characteristic of patients attending the ED at Soetomo hospital Surabaya.Method: This study was a retrospective study. The proﬁle of patients visiting the ED for 1 year were recorded and presented descriptively.Result: The total number of patients visiting the hospital was 5,835, with a monthly average of 486 patients. The children at the age of 1–5 years presented the largest age group (33.6%). The main diagnosis was respiratory tract infection (31%), diarrhea (17.%), followed by seizure (12.4%). The overall mortality rate was 1.7%.Discussion: Respiratory tract infection in children at the age of 1–5 years still count as a major problem at Soetomo Hospital Surabaya.

Men`S Physical, Psychological and Social Response to Vasectomy Acceptor of Family Planning Program in Sukoharjo Central Java Winarsih Nur Ambarwati
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: Indonesia is on the fourth position in the world as the most populated nation in 2009. Great number of people with lack of skill would give potential burden in the nation development. Generally, the outcome of Indonesian Family Planing Program(FPP) acceptor to Indonesian women is sufﬁcient which is ranging to 59 percent of the total 60,3 percent of participants but if compared to men's participation in is still insigniﬁcant. Husband's participation as participant is still low 1.3% consisted of 0.9 percent condom user, 0.4 percent vasectomy user. To describe experiences of Indonesian men following vasectomy in relation to their physical, psychological and social responses to vasectomy.Method: The research design of this research uses descriptive qualitative study. The sample selection was done using theoretical sampling technique. The data collection instrument of grounded theory research is the researcher herself, while other instruments are namely ﬁeld report, audiotape, videotape, and notes. The data analysis is utilized Colaizzi`s method. Result: Numbers of participants were 7 persons. Physical change after the vasectomy surgery is on general physical change (there is no change felt, the body's stamina raises, healthier, less energy, or weary) and physical change on reproduction organ is none. Sexual ability has no change, it increases, it also decreases. The sexual satisfaction is the same, more satisﬁ ed, or less satisﬁed. The characteristic change of spermatid is the same, there is change (lesser quantity, more dissolved), and ignore it. All participants said that they feel more comfortable in doing sex after vasectomy surgery. Most participants feel conﬁdence of their sexual ability. The participants' perspective had no difference and feel difference, or there is a change. Most participants stated that vasectomy is the right decision, but few felt disappointed. The social environment response toward men as the acceptor of vasectomy is that the society support it and few contradict it.Discussion: vasectomy no hazard to physic, psycology, social, and wife. Vasectomy is a good one of methode contraception to men.

Clinical Features of Children with Diphtheria on Soetomo Hospital Dwiyanti Puspitasari; Erna Supatmini; Dominicus Husada
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: Diphtheria is an important disease in children that could lead to fatal disease. East Java Province was declared to have Diphtheria outbreak in 2011 with increasing morbidity and mortality, including on Soetomo Hospital. Our paper aimed to describe the proﬁ le of diphtheria cases in children admitted at dr Sutomo Hospital.Method: This descriptive study reviewed all medical records of diphtheritic patients admitted to Dr. Soetomo Hospital, January 2004–December 2010, of concerns were clinical presentations, age, sex, immunizations status, complications, and outcomes.Result: From 148 diphtheria cases, 22.3% were bacteriologically proven; 53.4% were male with sex ratio 1.1:1. The age proportion of ≤ 5 years old, 5- ≤ 10 years old, and > 10 years old were 61.5%, 31.8%, and 6.7%. Fever occurred in 99% cases, sore throat, stridor and bullneck occurred respectively in 62.2%, 39.9%, and 29.7% cases. There were 56.8% severe and 41.9% moderate diphtheria. Subjects were immunized in 84%, but none of them have adequate immunization. Myocarditis, being one of the commonest complications occurred in 11.4% cases and tracheostomy was the second (4.0%). All of the death cases (7.9%) were unvaccinated and in severe form.Discussion: The mostly prevalent clinical manifestations in diphtheria children were fever and sore throat. Half of the cases came with severe diphtheria and most cases were inadequately vaccinated. Death occurred in the unvaccinated and severe form.

Self Care Management-Holistic Psychospiritual Care on Independence, Glucose Level, and Hba1c of Type 2 Diabetes Mellitus Patient Kusnanto Kusnanto
Jurnal Ners Vol. 7 No. 2 (2012): Oktober 2012
Publisher : Universitas Airlangga

Introduction: Diabetes mellitus is a kind of incurable chronic disease that actually manageable. The global prevalence tends to increase due to less self management of the disease and the impact of it was health condition declines physically, psychologically, socially, and spiritually. There were so many interventions implemented but failed to give positive improvement in patient's holistic condition which is lead to complications. The purpose of this research was to improve patient independency in managing the disease and to explain changes in blood glucose and HbA1C levels through self care management-holistic psychospiritual care model.Method: Patient newly diagnose with type 2 diabetes mellitus at Public Health Centre Kebonsari was selected with purposive sampling and divided into two groups. Each group contains 25 patients. Intervention group was given self care management model development with self diabetes management module. The intervention was given ﬁve times in three months. Before and after intervention patient was observed for blood glucose level of 2 hours before and after meal, and also HbA1C level. Questionnaire was given to patient. The data then analyzed using wilcoxon, mann whitney, and student-t test.Result: The result of this research showed patient with type 2 diabetes have independency improvement and lower blood glucose level of 2 hours before and after meal and also decreased HbA1C after intervention.Discussion: Self Care Management-Holistic Psychospiritual Care Model improves patient independency in managing their disease, lowering blood glucose and HbA1C levels.

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Jawa timur

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Home Page

OAI Link

Editorial Team

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Contact Name Ferry Efendi

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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

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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