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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.

Arjuna Subject : -

Articles 921 Documents

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The Predictors of Caregiver’s Burden and Depression Level in Caring Elderly People with Dementia at Community Yossie Susanti Eka Putri; Ni Made Riasmini
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga

Introduction: Most older people with dementia in Indonesia stay at home, cared by family members. Family caregivers even experience physical, psychological, social, and fi nancial problems. Care giving demands often lead to caregiver burden and depression. The objective of this study was to determine factors which contribute burden and depression experienced by the caregivers of older people with dementia.Method: Design was descriptive analytic with cross sectional approach. The population were caregivers living with older people with dementia. Sample size were 183 respondents. The independent variables were caregiver’s contextual factors, stressor caregiving, and intervening factor. The dependent variables were the burden of care and level of caregivers’ depression. Data were collected using questionnaire. Data were analyzed using linier regresion.Results: Statistical analyses showed marital status was significantly related to caregivers’ burden. While worked, education, and relationships with older people were significantly related with caregivers’ depression level. Memory and behavior problem, the task of caring and satisfaction of caring were related with caregivers’ burden and depression level. Multivariate analyses show health status was the most factors related to caregivers’ depression level. Memory and behavior problems was main factor related to caregivers’ burden of caring for older people with dementia.Conclusion: The results are expected to provide information about the extent of caregivers’ burden and depression which experienced in care giving, therefore the services can be designed based on the needs of the caregivers of persons with dementia in the community.

Buah Apel (Romebeauty) Menurunkan Kadar Gula Darah Pasien Diabetes Mellitus Harmayetty Harmayetty; Yulis Setiya Dewi; Dwi Astutik
Jurnal Ners Vol. 2 No. 2 (2007): Oktober 2007 - Maret 2008
Publisher : Universitas Airlangga

Introduction: The number of patients with diabetes mellitus (DM) in year 2001 was 5.6 million. In the year 2020, it is expected to reach 8.2 million. The diet of DM patients in Pulorejo village comprised low calorie, sugar free, and low fiber diet. Fiber consumed by these patients was taken from vegetables and banana. Unfortunately, the use of such diet keep the patient's blood sugar level remains increasing. The content of water-soluble fiber (pectin) in apple is higher and is able to reduce blood sugar level. The objective of this study was to analyze the effect of apple consumption on blood sugar level. Method: This study was used a quasy-experimental pre-post test purposive sampling design. Samples who met to the inclusion criteria were 14 persons divided into treatment and control group. Data were analyzed by using Paired t-Test (α=0.05) and Independent t-Test (α=0.05). Result: The result showed that there was an effect of apple consumption on blood sugar level with Paired t-Test (p=0.000) for blood glucose level before and after intervention in treatment group, and (p=0.100) for blood glucose level before and after intervention in control group. The results of Independent t-Test revealed p=0.000 for blood glucose level after intervention in treatment and control groups. Discussion: It’s can be concluded that there was an effect of apple consumption on blood sugar level in DM patients. The apple should be given in the best dose that can reduce blood sugar level, which is 2 x 150 g. The result of this study can be considered in as a material for diet promotion for the patients. Further studies should be developed to measure the variables of stress and sex of the patients.

Factor Analysis about Exclusive Breastfeeding Achievement Level among Mothers Who Provide Breastmilk to Their Children Tiyas Kusumaningrum; Catur Puji Lestari; Agus Sulistyono
Jurnal Ners Vol. 5 No. 1 (2010): April 2010
Publisher : Universitas Airlangga

Introduction: The number of mother who breastfeed their babies exclusively in Indonesia is low. It caused by many factors such as high intensity of formula milk advertisement, lack of awareness about the importance of breastfeeding, working mother, social culture, family support and the role of health care provider. The purpose of this research was to analyze factors related with successfulness level of exclusive breastfeeding.Methods: Design used in this research was analytic retrospective. The population were all mothers at Pacarkeling Public Health Center area. Sample obtained through purposive sampling. Total sample was 61 respondents. Independent variables were knowledge, information and promotion, family support, social cultural, role of health provider, work/occupation, education and breast physiology anatomy. The dependent variable was exclusive breastfeeding.Results: The result indicated that exclusive breastfeeding achievement level was related with information and promotion (r = 0.271), family support (r = 373), health care provider role (r = 231), mother occupation (r = 251), anatomy and physiology of breast (r = 293), while the knowledge (r = 108), social cultural (r = 180) and education (r = 093) not significantly related.ConclusionIn conclusion, there was a positive correlation between information and promotion, family support, health care provider role, mother’s occupation, anatomy and physiology of breast with successfulness level of exclusive breastfeeding. While the knowledge, social cultural and education did not indicate significant result. Therefore it is suggested to increase the quantity and quality of information and promotion about exclusive breastfeeding to the society, health care provider and pregnant and breastfeeding mother.

Admission Orientation Menurunkan Stres Pasien Awal Masuk Rumah Sakit Kusnanto Kusnanto; Siti Guntarlin; Dian Nur Arisandi
Jurnal Ners Vol. 2 No. 2 (2007): Oktober 2007 - Maret 2008
Publisher : Universitas Airlangga

Introduction: Being hospitalized, some people may encounter a strange environment and situation which trigger stress to the patients. By giving an orientation, patients will learn how to adapt to this stressful event. Admission Orientation is a type of orientation which can be given to the patient on early stage of hospitalization. The main purpose of Admission Orientation is to facilitate the patients to cope with hospital environment and situation at first 24-48 hours. The objective of this study was to analyze the effect of admission orientation to reduce the stress level in early hospitalized patients. Method: A quasy experimental design was used in this study. Population had taken from new patient in C (Cempaka) Surgical Ward, on June 2007. Sample were recruited by using total sampling and there were 12 samples who met to the inclusion criterias, divided into 6 samples for intervention group and 6 samples for control group. The independent variable was Admission Orientation and the dependent variable was stress responses. Data were collected by using questionnaire and analyzed by using Wilcoxon Signed Ranks Test and Mann-Whitney U Test with significance level α≤0.05. Result: The result showed that Admission Orientation reduce the stress level in early hospitalized patients with p=0.025 in intervention group, p=0.157 in control group.Discussion: It can be concluded that Admission Orientation reduce patient’s level of stress. Therefore, Admission Orientation should be applied on hospitals as a program that can promote patient’s adaptation in early hospitalization.

The Changes of Behaviors and Cognitive Functions by Cognitive Behavioural Therapy in the Drug Abusers Herni Susanti
Jurnal Ners Vol. 5 No. 2 (2010): Oktober 2010
Publisher : Universitas Airlangga

Introduction: This study was aimed to find out the effect of CBT on the behaviors i.e. depressive, agressive and antisocial behaviors as well as cognitive functions of patients who were treated in rehabilitation unit at a drug addiction hospital (Rumah Sakit Ketergantungan Obat) in Jakarta.Method: The research design was Quasi experimental pre-post test without control group by providing intervention: CBT for 6 sessions (10–12 times intervention). The population was all patients in the rehabilitation unit with a nursing diagnosis: low self esteem and/or inffective coping strategies. There were 23 participants who involved in this investigation. The data was analized by using dependent and independent sample t, and anova tests.Result: The results showed that p value for depressive behaviours, agressive behaviurs, antisocial behaviors, and cognitive functions were 0.914; 0.001; 0.039; 0.003 respectively. The outcomes indicated that there was significant impact of CBT on agressive behaviors, antisocial behaviors, and cognitive functions (α = 0.05, p value < 0.05), but not on depressive behaviors (α = 0.05, p value > 0.05).Discussion: It is argued that depressive symptoms might not be apparent for the users in rehabilitative phase. The findings also showed that there was significant relation between antisocial behaviors and the length of drug usage. This affirms exsiting concepts in that long drug usage brings about serious damage in the users' behaviors and cognitive functions. It is recommended, therefore, to include CBT as an important intervention for clients with drug abuse problems who are cared in rehabilitation center.The Changes of Behaviors and Cognitive Functions by Cognitive Behavioural Therapy in the Drug Abusers

Marketing Strategy to Increase Bed Occupancy Rate Purwaningsih Purwaningsih; Esti Yunitasari
Jurnal Ners Vol. 3 No. 1 (2008): April 2008 - September 2008
Publisher : Universitas Airlangga

Introduction: A hospital is an institution for health care providing treatment by specialized staff and equipment, more often but not always providing for longer-term patient stays. Today, hospitals are very complex institution, not only survive in dynamic environment but also make a profit based on their services. The aimed of this research was to know marketing mix concept (product, price, place, promotion, people, process and provision of customer service) in formulating marketing strategy to increased Bed Occupancy Rate of Obstetric Gynecology Ward 2.Methods: The population are health care personnel including midwife, midwife associate, administrator and also client or consumer. The variable were product, price, place, promotion, people, process and provision of customer service. Data were collected by using structured questionnaire.Results: The result showed that product (type of services, infrastructure and facility), relative price, comfortable and safe place, targeted promotion, trained human resources, standard process and provision of customer service are an important aspect to implement strategy marketing to increase Bed Occupancy Rate. The result of this study has enlightened the importance of strategy marketing in health care services based on seven principle of marketing mix.Conclution: Implementation of marketing mix in obstetric gynecology ward 2 need to be considered.

Studi Fenomenologi: Kebijakan Pemerintah dalam Pemberian Jaminan Pemeliharaan Kesehatan bagi Masyarakat Miskin yang Mengalami Masalah Kesehatan Jiwa Achir Yani S. Hamid; Mustikasari Mustikasari; Ria Utami Panjaitan; Purwadi Purwadi
Jurnal Ners Vol. 6 No. 1 (2011): April 2011
Publisher : Universitas Airlangga

Introduction: Limited of government’s budget for psychiatric patients has contributed to the expenses should be paid from out of pocket of the poor patients. The purpose of this research was to describe the Government policy on health social security insurance for the poor people experiencing psychiatric problems in DKI Jakarta.Methods: Qualitative research method was used with phenomenology approach to identify and describe the themes relevant to government public policy in providing health insurance for poor people with mental health problems. An in-depth interview and focus group discussion were used to collect data from different informants: service user, healthcare provider, local government policy maker. The qualitative data was analyzed using content analysis.Results: The study revealed the following themes: from user perspective (understanding of psychiatric disorder, social security network/JPKM, right and obligation, the advantage and barrier for receiving services, expectation from care provider, social support and expected future direction); from the perspective of healthcare provider (understanding of social security network/JPKM, types of provided health services, recording and reporting, referral system, cost, and the criteria of poor people), from local government and health office perspective (understanding of JPKM for poor family, scope of work, working procedure, recording and reporting, cost, accountability, poor people criteria, the relationship between central Government policy with local government policy.Conclusion: The finding of this study recommend the need for leveling socialization of JPKM, the budget transparences, improving the healthcare providers’ knowledge on the mental health psychiatric problems and its needs.

Discharge Planning Increase Therapy Obedient of Patients Nursalam Nursalam; Sumiatun Sumiatun; Amirul Musrini
Jurnal Ners Vol. 3 No. 2 (2008): Oktober 2008 - Maret 2009
Publisher : Universitas Airlangga

Introduction: Discharge planning is a nurses learning process of patients hospitalized in the hospital. Discharge planning includes all treatments given to the patients from the time of admission, during hospitalization, until the time of discharge. The aimed of this study was to evaluate the patient’s compliance for therapy (oral and injection medicine, nutrition and activities). Method: A quasy experimental purposive sampling design was used in this study. There were 14 respondents with DHF and GE who met to the inclusion criteria. The independent variable was Discharge planning and the dependent variable was patient’s compliance for therapy. Data were collected by using questionaire of medicine, nutrition and activity then analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level α≤0.05. Result: The result showed that discharge planning had significance influence to patient’s compliance for therapy (p= 0.028). Discussion: It can be concluded that discharge planning has an effect to increase patient’s compliance for therapy (oral and injection medicine, nutrition and activities).

Self Concept, Social Support, and Anxiety in Dealing with Fractured Patient Dini Kurniawati
Jurnal Ners Vol. 7 No. 1 (2012): April 2012
Publisher : Universitas Airlangga

Introduction: The self-concept on fractured-patient is the way of the patient views himself as a whole. The view may cause the patient to feel less confident and may lead the patient to experience anxiety. Such condition requires serious attention in the form of social support. The objective of this research was to identify the association of the self-concept, social support, and anxiety in dealing with fracturedpatient.Methods: This research employed correlational design. The samples of this research were in-patients who suffered from femur fractures, underwent treatments for at least three days, aged 25–45 and were conscious and, willing to be involved in the research. The technique used in this research was purposive sampling.Result: Results of the research, when analyzed statistically using the regression analysis, revealed that the correlation between the self-concept and anxiety generated rx1y = –0.476 with p = 0.007 (p < 0.01). Furthermore, the correlation between social support and anxiety generated rx2y = –0.531 with p = 0.003 (p < 0.01) while the correlation among self-concept, social support, and anxiety generated F = 4,758 at p = 0.009 (p < 0.01). The determination coeffi cient (R2) = 0.293 while the figures of the effective contribution (EC) were as follows: the effective contribution (EC) of the self-concept to anxiety was 1.051%, while the effective contribution (EC) of the social support to anxiety was 28.216%.Conclusion: The higher the one’s self-concept, the lower the anxiety level would be, and vice versa. The same thing applied to the relation between social support and anxiety. The higher the social support one got, the lower the anxiety level would be. The correlation between self-concept and social support and anxiety in dealing fractured patient existed. Self-concept contributed to anxiety. According to the behavioral theories, anxiety arouses from one’s fear of being rejected or not being accepted in terms of interpersonal relationship. Therefore, the high self-concept (high self acceptance) lowers the fear for rejection (anxiety).

The Correlation of Organizational Role Stressors with Stress Level of ICU Nurses Nursalam Nursalam; Ferry Efendi; Ni Luh Putu Dewi Puspawati
Jurnal Ners Vol. 4 No. 1 (2009): April 2009 - September 2009
Publisher : Universitas Airlangga

Introduction : Work stress which is often experienced by ICU nurses may affects nurse’s performance, nurse’s health and wealth so that the factors which may affect work stress such as organizational role stressors must be noticed. This study was aimed to explain the correlation between organizational role stressors and work stress level in ICU Nurses.Methods : This study used cross-sectional design involved 13 respondents, taken by purposive sampling. The independent variable was organizational role stressors and the dependent variable was work stress. Data were collected by using questionnaires and analyzed using Spearman’s rho with level of significance α ≤ 0.05.Results : Results showed that there was no significant correlation between organizational role stressors and work stress level in ICU nurses with significance value p ≤ 0.139.Conclusion :It can be concluded that the organizational role stressors had no correlation with work stress level because there are so many factors that may affect work stress in ICU nurses. Discussion : Role overload however was experienced by ICU nurses as a mild stressors. This indicates the importance of increasing nurse’s quality and quantity by training and recruiting new nursing staffs.

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Editorial Address Fakultas Keperawatan Universitas Airlangga Kampus C Mulyorejo Surabaya 60115

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Contact Name
Ferry Efendi

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

Phone
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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