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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903 Documents
<![CDATA[PERAN KELUARGA DAN KUALITAS HIDUP PASIEN KANKER SERVIKS ]]>
<![CDATA[Kusumaningrum, Tiyas]]>;
<![CDATA[Pradanie, Retnayu]]>;
<![CDATA[Yunitasari, Esti]]>
<![CDATA[ Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/%oj.Ners111%y112-117
<![CDATA[Introduction. Cervical cancer diagnosis has been a major burden both for patients and their family. For patients, cervical cancer obliterated some of their role as a wife and a mother. Most patients with advance cancer have low score of quality of life indicating they have problems. Family must take care of their beloved ones dealing with the diagnosis, treatment, and side effects of cervical cancer. Family as a caregiver might be ill prepared to undertake that role. The objective of this research was to identify the correlation of family health task on quality of life in patients with cervical cancer. Methods. This research employed cross-sectional design. Population in this research was all patients with cervical cancer in gynecology ward Dr Soetomo Hospital in Surabaya. Participant for this research were patients with cervical cancer and their family. Data were taken by structured interview using Fact Cx for Quality of life and family health task question form. Linear regression analysis was applied with level of significance â¤0.05. Results. Most family had moderate level of family health task while most patients also have moderate level of quality of life. Unfortunately there are no significance correlations of family health task on quality of life in patients with cervical cancer. Discussion. Quality of life in patient with cervical cancer was not affected directly by their family health task. Nonetheless patient gratefully thanks family for their support during their cancer treatments. Keywords: family health task, fact cx, family support, quality of life, cervical cancer]]>
<![CDATA[HUBUNGAN EKSPRESI HSP 70 DAN EKSPRESI RESEPTOR OPIOID MU PADA PENURUNAN NYERI TERAPI BEKAM BASAH ]]>
<![CDATA[Subadi, Imam]]>;
<![CDATA[Laswati, Hening]]>;
<![CDATA[JM, Harjanto]]>
<![CDATA[ Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/%oj.Ners111%y34-39
<![CDATA[Latar belakang. Terapi bekam basah banyak digunakan untuk mengurangi nyeri, namun mekanisme penurunan nyeri terapi bekam basah belum jelas. Peregangan dan tusukan pada terapi bekam basah menimbulkan stres pada sel. Sel yang mengalami stres mengekspresikan HSP 70 dan reseptor opioid mu.Tujuan penelitian. Penelitian ini bertujuan membuktikan korelasi peningkatan ekspresi HSP 70 dan peningkatan reseptor opioid mu pasca terapi bekam basah.Bahan dan Metode. Jenis penelitian ini adalah penelitian eksperimental dengan rancangan randomized control group post test only design. Dua puluh empat tikus jenis Wistar (Rattus norvegicus) secara random dibagi menjadi tiga kelompok yang masing-masing terdiri dari 8 ekor tikus yaitu kelompok kontrol negatif (tikus normal), kelompok induksi nyeri dengan Complete Freundâs Adjuvant (CFA) saja (kontrol positif) dan kelompok yang diberi induksi nyeri dan terapi bekam basah (10 tusukan dan tekanan negatif: - 200 mmHg, 5 menit). Sampel diambil dari kulit dan dilakukan pemeriksaan imunohistokimia dengan antibodi monoklonal anti reseptor opioid mu. Waktu reaksi ambang nyeri diukur memakai hot-plate. Data dianalisa dengan Anova oneway dan Pearson Correlation dengan menggunakan SPSS versi 17.Hasil. Penelitian ini menunjukkan bahwa terdapat peningkatan ekspresi HSP 70 (20,25 ± 3,53; p< 0.05) dibandingkan kelompok kontrol positif (10,50 ± 2,44; p< 0,05) dan peningkatan ekspresi reseptor opioid mu (21,00 ± 6,34; p< 0.05) dibandingkan kelompok kontrol positif ( 4,25 ± 3,58; p< 0.05). Terdapat peningkatan waktu reaksi ambang nyeri (22,81 ± 6,34; p< 0,05) dibandingkan kontrol positif (11,78 ± 3,56). Terdapat korelasi antara peningkatan ekspresi HSP 70 dan peningkatan reseptor opioid mu  (β= 0.893; p= 0.000) dan ada korelasi antara peningkatan reseptor opioid mu dengan waktu reaksi ambang nyeri (β= 0.713; p= 0.002).Kesimpulan. Terjadi peningkatan ekspresi HSP 70 dan reseptor opioid mu pada terapi bekam basah dan terdapat korelasi antara peningkatan ekspresi HSP 70 terhadap ekspresi reseptor opioid mu.Kata kunci : HSP 70, reseptor opioid mu dan bekam basah ]]>
<![CDATA[DETEKSI DINI DERAJAT KESADARAN MENGGUNAKAN PENGUKURAN NILAI KRITIS MEAN ARTERY PRESSURE ]]>
<![CDATA[Martono, Martono]]>;
<![CDATA[Sudiro, Sudiro]]>;
<![CDATA[Satino, Satino]]>
<![CDATA[ Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/%oj.Ners111%y73-78
<![CDATA[ABSTRACTABSTRAKPendahuluan: Dampak Trauma cranio cerebral dapat mempengaruhi gangguan autoregulasi volume intrakranial yang terdiri dari otak, cairan serebrospinal dan darah dalam pembuluh darah. Perubahan salah satu volume tersebut tanpa diikuti respon kompensasi dari faktor yang lain akan menimbulkan perubahan tekanan intrakranial dan jumlah aliran darah dari sirkulasi sistemik yang diperlukan untuk memberi oksigen dan glukosa yang adekuat untuk metabolisme otak. Salah satu hal yang sangat penting dalam asuhan keperawatan pada pasien dengan cidera kepala adalah menjaga kecukupan Mean Arteri Pressure serebral. Penelitian ini bertujuan untuk mengetahui kecukupan nilai kritis mean artery pressure dalam mendeteksi tingkat kesadaran pada pasien yang mengalami cidera kepala. Metode: Penelitian ini menggunakan disain explanatory research dengan pendekatan cross sectional yang menjelaskan pengaruh dan prediksi kecukupan nilai kritis mean arteria pressure terhadap derajat kesadaran pada pasien cidera kepala yang berjumlah 34 sampel. Uji statistik penelitian ini menggunakan regresi sederhana. Hasil: Hasil penelitian menunjukkan bahwa ada pengaruh yang positif nilai kritis mean artery pressure terhadap derajat kesadaran yang ditunjukkan nilai p=0.00<0.05 dan nilai mean artery pressure mampu mendeteksi tingkat kesadaran pasien cidera kepala sebesar 77.8%. Diskusi: Peningkatan nilai kritis Mean Arterial Pressure lebih dari 65 mmHg dapat memperbaiki mikrosirkulasi dan autoreglasi otak, sehingga mencegah terjadinya penurunan kesadaran pada pasien cidera kepala.Kata kunci: mean artery pressure (MAP), kesadaran, cidera kepala ABSTRACTIntroduction: The Impact of the trauma cranio cerebral can affect the volume autoregulation disorders any intracranial disease that consists of the brain and cerebrospinal fluid and the blood in the veins. The changes one of the volume without followed the response of compensation from the other factors will cause overt increased intracranial pressure changes and the amount of blood flow from the systemic circulation required to give oxygen and glucose intake to the metabolism of the brain. One of the things that is very important in nursing nursery on patients with injury head is to maintain the adequacy of Mean Artery Pressure cerebral. This research aims to know the adequacy of critical value mean artery pressure in detecting the level of consciousness in patients who suffered injury on the head. Method: This research using explanatory design research with cross sectional approach that explains the influence and the prediction of the adequacy of the critical value mean arteria pressure against the degree of awareness in patients with injury head which numbered 34 samples. This research statistics tests using simple regression. Result: The results of the study showed that there is a positive influence critical value mean artery pressure against the degree of awareness that indicated the value of p=0.00<0.05 and value of mean artery pressure is able to detect the level of consciousness patients injury head of 77.8%. Discussion: Increased critical value mean arterial pressure is more than 65 mmHg can improve mikrosirkulasi and autoreglasi brain, so that prevent the decline of awareness in patients with wounds of the head.Keywords: mean artery pressure (MAP), consciousness injury head]]>
<![CDATA[The effectiveness of psycho education towards depression, anxiety and stress level of patients with pulmonary tuberculosis ]]>
<![CDATA[Suryani, Suryani]]>;
<![CDATA[Widianti, Efri]]>;
<![CDATA[Widianti, Efri]]>;
<![CDATA[Hernawati, Taty]]>;
<![CDATA[Hernawati, Taty]]>;
<![CDATA[Sriati, Aat]]>;
<![CDATA[Sriati, Aat]]>
<![CDATA[ Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/%oj.Ners111%y128-133
<![CDATA[Pulmonery Tuberculosis is a chronic pulmonary disease that affects physicallly and psychosocially for the patients . Until now, the governmentâs programs in overcoming this disesase still focus on treatment and prevention of infection. The programs has not yet to lead to a psychosocial problem of the patients whereas the psychosocial impact has a big influence on treatment compliance and prognosis of patients with Pulmonery Tuberculosis. This study was quassy experiment to test the effect of psychoeducation on the level of stress, anxiety and depression of Patients with pulmonary tuberculosis. 74 patients with Pulmonery Tuberculosis involved in this study divided into two group (37 involved in intervention and 37 involved as control group). The result of the study showed that psychoeducation was effective in reducing stress, anxiety and depression of the patients with Pulmonery Tuberculosis. Psycho education should be provided for patients with pulmonary tuberculosis at the Community health Center.  Keywords:   intervention, psychoeducation, pulmonary tuberculosis,     ]]>
<![CDATA[Peran Keluarga dan Kualitas Hidup Pasien Kanker Serviks ]]>
<![CDATA[Tiyas Kusumaningrum]]>;
<![CDATA[Retnayu Pradanie]]>;
<![CDATA[Esti Yunitasari]]>;
<![CDATA[Sih Kinanti]]>
<![CDATA[ Jurnal Ners Vol. 11 No. 1 (2016): April 2016 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v11i1.1920
<![CDATA[Introduction. Cervical cancer diagnosis has been a major burden both for patients and their family. For patients, cervical cancer obliterated some of their role as a wife and a mother. Most patients with advance cancer have low score of quality of life indicating they have problems. Family must take care of their beloved ones dealing with the diagnosis, treatment, and side effects of cervical cancer. Family as a caregiver might be ill prepared to undertake that role. The objective of this research was to identify the correlation of family health task on quality of life in patients with cervical cancer.Methods. This research employed cross-sectional design. Population in this research was all patients with cervical cancer in gynecology ward Dr Soetomo Hospital in Surabaya. Participant for this research were patients with cervical cancer and their family. Data were taken by structured interview using Fact Cx for Quality of life and family health task question form. Linear regression analysis was applied with level of significance ≤0.05.Results. Most family had moderate level of family health task while most patients also have moderate level of quality of life. Unfortunately there are no significance correlations of family health task on quality of life in patients with cervical cancer.Discussion. Quality of life in patient with cervical cancer was not affected directly by their family health task. Nonetheless patient gratefully thanks family for their support during their cancer treatments.]]>
<![CDATA[A Nursing Management Model to Increase Medication Adherence and Nutritional Status of Patients with Pulmonary TB ]]>
<![CDATA[Eka Mishbahatul Mar’ah Has]]>
<![CDATA[ Jurnal Ners Vol. 10 No. 1 (2015): April 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v10i1.2159
<![CDATA[Introduction: High dropout rate, inadequate treatment, and resistance to medication, still become an obstacle in the treatment of pulmonary TB. Pulmonary TB patient care management at home can be done actively through telenursing. N-SMSI (Ners-Short Message Service Intervention) is one of community nursing intervention, in which community nurses send short messages to remind patients to take medication and nutrition. The aim of this study was to analyze the effect of nursing management model N-SMSI to increased medication adherence and nutritional status of patients with pulmonary TB.Methods: This study was used prospective design. The populations were new pulmonary TB patient at intensive phase, at Puskesmas Pegirian Surabaya. Samples were taken by purposive sampling technique; consist of 30 people, divided into treatment and control groups. The independent variable was N-SMSI. The dependent variables were medication adherence collected by using questionnaire and nutritional status by using measurement of body weight (kg). The data were then analyzed by using Wilcoxon Signed Rank Test, Mann Whitney, and Independent t-test with α ≤ 0.05.Results: The results of wilcoxon signed rank test had showed difference in the nutritional status of the treatment group before and after intervention, with p = 0.001. It’s similar with the control group, with p = 0.002. Mann whitney test results had showed no signifi cant difference in nutritional status between treatment and control group, as indicated by the value of p=0.589. While independent t-test had showed difference in compliance between treatment and control group, with p=0.031.Conslusion: N-SMSI can improve medication adherence of patient with Pulmonary TB. This model can be developed by nurse as alternative methods to improve medication adherence in patients with Pulmonary TB. Further research should modify nursing management model which can improve the nutritional status of patient with Pulmonary TB.]]>
<![CDATA[How do Families Assess and Manage the Pain of Cancer Patients? ]]>
<![CDATA[Titan Ligita]]>;
<![CDATA[Ariyani Pradana Dewi]]>;
<![CDATA[Tri Rina Febriyanti]]>
<![CDATA[ Jurnal Ners Vol. 9 No. 2 (2014): Oktober 2014 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v9i2.2677
<![CDATA[Introduction: Pain assessment and pain management for patients living with cancer performed by nurses have been improved gradually. This strategy needs the roles of both nurses and families of patients living with cancer. Prior to the application of effective pain management, it is vital to perform pain assessment. The involvement of families in patients care may assist nurses to optimize caring and thus the patients are monitored continuously. But, there is still limited study about the involvement of families in pain assessment and pain management. This study was aimed to explore how the family performed pain assessment and pain management for patients living with cancer.Method: This was a phenomenology study and also used purposive sampling methods. Participants were family members of patients living with cancer around Pontianak - Indonesia. The datas were collected through in-depth interview in order to revealed some themes/context and was analyzed through Thematic Analysis.Result: The highlighted contexts in this study were the meaning of pain, the impact of pain, the process of pain assessment and pain management carried out by the families, as well as the facilitating factors and the barriers in assessing and managing the pain.Discussion: Experiences of the families in assessing and managing the pain may provide information for nurses about how to fulfil the needs of the family on skills needed. Therefore, the consistency and continuity of pain assessment and pain management are important. Consequently, the nurses must ensure that the family are ready to take care the patients, so that the pain control can be optimal dn side effects can be avoided. The accurity of information about the patients provided by the family may determine the nurse to make decisions in providing best practice for the patients in controlling their pain.]]>
<![CDATA[Kesejahteraan Psikologis pada Pasien Diabetes Mellitus Tipe 2 di Puskesmas Mulyorejo Surabaya ]]>
<![CDATA[Rr Dian Tristiana]]>;
<![CDATA[Kusnanto Kusnanto]]>;
<![CDATA[Ika Yuni Widyawati]]>;
<![CDATA[Ah Yusuf]]>;
<![CDATA[Rizky Fitryasari]]>
<![CDATA[ Jurnal Ners Vol. 11 No. 2 (2016): Oktober 2016 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v11i2.2607
<![CDATA[Introduction: Living with chronic diseases such as Diabetes mellitus type 2 will make patients experience change or imbalance include biological, psychological, social and spiritual. One of psychology aspects in patients with Diabetes mellitus type 2 is psychological well being (PWB). Emotional response of type 2 DM patients since the early diagnosis to begin undergoing the treatment will be different for each person. Type 2 DM patients need a good transition process to achieve well being state. The transition from a healthy to a diseased condition is needed for the successful self care management of type 2 DM patients. The purpose of this research was to explore the description of PWB in patients of type 2 Diabetes mellitus in six aspects of PWB and PWB facilitate and inhibitor factors in type 2 DM patients.Methods: This research used qualitative design research with case studies approach. The subject of research was seven participants who met the inclusion criteria. Data collection was done by structured interview and observation. Data analysis was done by thematic analysis.Result and Analysis: This study generated 14 themes. The result showed that the process of type 2 DM patients subjected to the process of transition from a healthy condition into ill condition. The transition process started with cyclic lose response which influence type 2 DM patient to self control and make a right decision-making to self care. Self-control would make type 2 DM patients able to adapt and engage with new experiences that become a new habit for type 2 DM patients and will facilitate type 2 DM patients in adapting to the internal and external environment and make type 2 DM patients have a positive hope in their life.Conclusion: finding in this study would hopefully be beneficial for professional health staff to make assessment about PWB in type 2 DM patients, nurse hopefully can assist patients in transition with the condition of type 2 DM. Need further research about the relation between self acceptance and self control, activation process till engagement to new habit in type 2 DM patients, perceived support to PWB in type 2 DM patient DM.]]>
<![CDATA[Implementasi Sistem Manajemen Mutu Pelayanan Keperawatan Melalui Kepemimpinan Mutu Kepala Ruangan ]]>
<![CDATA[Aziz Alimul Hidayat]]>;
<![CDATA[Ana Pratiwi]]>;
<![CDATA[Ratna Agustin]]>
<![CDATA[ Jurnal Ners Vol. 11 No. 1 (2016): April 2016 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v11i1.1450
<![CDATA[Introduction: The quality management system is an order that ensures the achievement of goals and quality objectives which are planned in nursing care. One of the factors that may affect the implementation of quality management systems in the inpatient units is the quality leadership of head nurse. This study aims to determine the effect of the quality leadership of the head nurse to the implementation of quality management systems of nursing cares in hospital.Methods: The research method uses analytical research with cross-sectional approach. The sample of this study consists of eight wards; They are Multazam pavillion, Arofah, Sakinah, Shofa Marwah, Annisa, Mina, Ismail, and ICU which meet with the inclusion and exclusion criteria. The data was taken by using simple random sampling. The data collection by using questionnaires, interviews and observation. Data analysis used a simple statistical linear regression tests with a significance the value of α ≤ 0.05.Results: The results showed that the quality of leadership of the head of wards is mostly good (50%) and the implementation of quality management system of nursing care is mostly good (62.5%). Results of analysis of the simple linear regression test on the influence of leadership quality of the head nurse through the implementation of the quality management system of inpatient units (ρ = 0.024).Conclusion: The results of this study expect the nurses to increase the commitment and responsibility in implementing the quality management system of nursing cares in the inpatient units so as to achieve the excellent quality of nursing cares and can boost confidence, satisfaction of patients, families, and communities on nursing care.]]>
<![CDATA[Model Family Centered Maternity Care sebagai Strategi Optimalisasi Competent Mothering ]]>
<![CDATA[Asmuji Asmuji]]>;
<![CDATA[Diyan Indriyani]]>
<![CDATA[ Jurnal Ners Vol. 11 No. 1 (2016): April 2016 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/jn.v11i1.1905
<![CDATA[Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support.Methods: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents.Results: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00.Conclusion: This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively.]]>
