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IJNP (Indonesian Journal of Nursing Practices)

ijnp
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Published by Universitas Muhammadiyah Yogyakarta

ISSN : 25484249 EISSN : 2548592X DOI : 10.18196/ijnp

Core Subject : Health,

Dentistry Nursing

IJNP (Indonesian Journal of Nursing Practices) is a bilingual journal published by Universitas Muhammadiyah Yogyakarta, PPNI (Persatuan Perawat Nasional Indonesia) and AIPNEMA (Asosiasi Institusi Penyelenggara Pendidikan Ners Muhammadiyah). IJNP is published semi-annual (June and December) since 2011. This journal before named Muhammadiyah Journal of Nursing with ISSN print 2356-1114. Then, since 2016, this journal changed to IJNP (Indonesian Journal of Nursing Practices) with ISSN online 2548-592X and ISSN print 2548-4249.

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Articles 191 Documents

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Factors Affecting Quality of Life in Patients with Coronary Artery Disease Teguh Santoso; Untung Sujianto; Dwi Susilawati
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 3 (2017): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Background: Coronary artery disease caused disturb of physical, psychological, and social aspects on quality of life. The aims in this study was to examine effecting factors of quality of life (QoL).Methods: In this used the analytic correlation with cross-sectional design. One hundred and three subjects paticipated with purposive sampling (88 male and 23 female). QoL quesioner (SF-36) were used to collect the data. The data were analyzed by multivariate regression.Results: One hundred and three patientss (80 males and 23 female) were enroll on this study. In this study indicates that independent variables were not associated with quality of life (p value 0.05). The greater quality of life found in patients graduated from university (62,2%) and had much income (51.9%). Other variables like male (57.5%), patients between 48-57 years of ages (68.2%), married patients with coronary artery disease (62.0%), the retired or unemplayee (78.9%), patients with hypertention (57.8%), never taking alcohol (60.8%), never smoking (50%) and never doing exercise (66%) had lower quality of life score.Conclusion: There were no statistically significant factors affecting quality of life in patients with CAD. The more respondents needed to know the factors affecting quality of life

Status Cairan Pada Pasien Pasca Pembedahan di RS PKU Muhammadiyah Gamping Endar Kurianto; Arianti Arianti
IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 2 (2018): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

AbstrakLatar belakang : Tindakan pembedahan dapat menimbulkan ketidakseimbangan cairan dan elektrolit yang akan menyebabkan gangguan fisiologis yang berat apabila tidak diatasi. Pemantauan status kebutuhan cairan pada pasien pasca pembedahan diperlukan untuk memenuhi dan mempertahankan kebutuhan cairan dalam tubuh. Tujuan penelitian ini untuk mengetahui status cairan pada pasien pasca pembedahan di RS PKU Muhammadiyah Gamping.Metode : Penelitian ini menggunakan deskriptif analitik dengan rancangan survei dan pendekatan cross-sectional, sampel dalam penelitian ini adalah 44 responden. Pengambilan data menggunakan metode wawancara dan observasi menggunakan lembar observasi pemantauan status cairan berdasarkan kebutuhan cairan dan balance cairan. Analisa data menggunakan metode univariat untuk menghitung distribusi frekuensi variabel yang telah ditetapkan.Hasil : Mayoritas responden memiliki kebutuhan cairan cukup dengan presentase sebanyak 31 orang (70,5 %) dan balance cairan kurang dengan presentase sebanyak 29 orang (65,9 %).Kesimpulan : Mayoritas responden pasca pembedahan di RS PKU Muhammadiyah Gamping memiliki kebutuhan cairan cukup, namun status balance cairan kurang. Diharapkan perawat dapat melakukan pengukuran kebutuhan cairan dan balance cairan pasien dengan tepat, selain itu peneliti selanjutnya dapat melakukan penelitian lanjutan terkait faktor-faktor yang mempengaruhi balance cairan pada pasien pasca pembedahan.Kata kunci : Pembedahan, pasca pembedahan, cairan, kebutuhan cairan, balance cairan AbstractBackground: Surgery can cause fluid and electrolyte imbalances that will cause severe physiological disturbances if not treated. Monitoring fluid status in postoperative patients is needed to meet and maintain fluid requirements in the body. The purpose of this study was to determine fluid status in postoperative patients in PKU Muhammadiyah Gamping Hospital.Method : This study used descriptive analytic with survey design and cross-sectional approach, the sample in this study were 44 respondents. Retrieval of data using interview method and observation using observation sheet monitoring fluid status based on fluid requirements and fluid balance. Data analysis uses the univariate method to calculate the specified frequency distribution of variables.Result : The majority of respondents have enough fluid requirement with a percentage of 31 people (70.5%) and less fluid balance with a percentage of 29 people (65.9%).Conclusion: The majority of respondents after surgery at PKU Muhammadiyah Gamping Hospital had sufficient fluid requirements, but the balance status of fluids was lacking. It is expected that nurses can properly measure the fluid needs and fluid balance of patients, besides that the next researcher can conduct further research related to the factors that affect fluid balance in postoperative patients. Keywords: Surgery, post operative, fluid, fluid requirement, fluid balance

Correlation of E-Learning Courses toward Nursing Students’ Cognitive Skills Fahni Haris; Sri Yusrian
IJNP (Indonesian Journal of Nursing Practices) Vol 3, No 2 (2019): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Background: E-learning is one of the new learning methods in the Indonesian education system. This system has been used to increase students’ understanding levels. The researcher has noticed that students had a lack of cognitive level due to the misinterpretation and mis-extrapolation of the materials. E-learning shall improve students’ cognitive level in courses. The researcher is interested in exploring the correlation between the effectiveness of online classes and nursing students’ cognitive level. Objective: This study aims to identify the relationship between the effectiveness of online courses through the e-learning system and students’ understanding level at Universitas Muhammadiyah Yogyakarta. Method: This study implemented a quantitative method with a cross-sectional design along with The Pearson product-moment correlation to measure the correlation strength. Results: The researcher found E-learning adequate to be applied to nursing students of Universitas Muhammadiyah Yogyakarta (85.8% out of total respondents, N=288). The average score of the seven components measured (productivity, quality, efficiency, flexibility, eminence, development, and satisfaction) was 68.54, while the average rating of students’ cognitive level was 53.92.Conclusion: There was a significant correlation between e-learning as an education system and nursing students’ cognitive level.

Physical Rehabilitation Outcomes in Patients with Dementia Following Hip Fracture Surgery: A Review Wantonoro, Wantonoro; Dewi, Suarse; Suryaningsih, Endang Koni; Suprayitno, Edy
IJNP (Indonesian Journal of Nursing Practices) Vol 4, No 2 (2020): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Background: Dementia patients were reported of having high risk for hip fracture. Rehabilitation programs were still being debated for this vulnerable population and the recovery outcomes in this frail elderly population are varied, thus evidenced-based outcomes for this issue are needed.Objective: To investigate rehabilitation programs, especially on physical function outcomes in patients with dementia following hip fracture surgery.Method: PubMed, Scopus and MEDLINE (EBSCO) databases were searched from January 2000 to June 2020 concerning rehabilitation intervention program in dementia patients who received hip surgical treatment. The studies included have the following criteria, (1) investigating physical outcomes of rehabilitation programs (2) Randomized controlled trials (RCTs) study design, (3) study involving dementia patients following hip fracture surgery (4) English full-text journal.Results: Six studies were included in this review. Most study focused on interdisciplinary or multidisciplinary rehabilitation program. Physical outcomes of rehabilitation programs seem to improve physical function, maintaining physical ability for ambulation, and decrease the risk of falls in mild or moderate dementia patients following hip fracture surgery. However, the physical function of older persons with dementia confirmed to be lower than those without dementia.Conclusion: Rehabilitation may show benefit for physical function in elderlywith mild or moderate dementia following hip fracture surgery, and this population needs to be included in the clinical rehabilitation program. Investigating and establishing the strategies to improve outcomes for dementia population is needed for future study.Â

Efektivitas Konseling DM dalam Meningkatkan Kepatuhan dan Pengendalian Gula Darah pada Diabetes Melitus Tipe 2 Sucipto, Adi
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 1 (2014): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Background. Diabetes mellitus (DM) is a chronic metabolic disease characterized by elevated levels of glucose in the blood. Poor adherence to treatment of patients with type 2 diabetes causes uncontrolled blood glucose soincreasing the risk of various complications. One major factor is the failure of a treatment noncompliance to therapy is planned. Counseling is one way to improve the knowledge , attitudes and patient compliance.Objective. This study aimed to evaluate the eff ectiveness of counseling in improving compliance and diabetes control blood sugar in patients with type 2 diabetes.Research Design. This study is an experimental study with a quasi experiment design with pre and post test control group design prospectively performed in Dr Soeradji Tirtonegoro Klaten from March to December 2014. Thesample consisted of 44 respondents, with 22 intervention and 22 control group. The measurement results were analyzed using the paired t test to test blood sugar levels 2 hours post- prandial ( GDPP ) and Mac Nemar test for levels of patient compliance.Results. The analysis showed there are signifi cant diff erence before and after adherence counseling in the intervention group (p diet =0.001; p control = 0.002; p = 0.000 pill count; GDPP p = 0.000 ) and have not signifi cant diff erence in the exercise group (p value =0.549)Conclusions. This study indicates that counseling is very eff ective in improvingdiabetes diet compliance, control and pill count and post prandial blood sugar complianceb(GDPP) and are not eff ective in improvingbexercise compliance of patients .Keywords: counseling, compliance, diabetes mellitus

Manajemen Cairan pada Pasien Hemodialisis Untuk Meningkatkan Kualitas Hidup di RSUD Dr. Harjono Ponorogo Isroin, Laili
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 2 (2015): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Patients with chronic renal failure require renal replacement therapy for life. One of renal replacement therapy is hemodyalisis. Patient who is experiencing hemodialisa will experience degradation of quality of life. Haemodialysis patientsâ€™s quality of life are fl uctuating because their health is infl uenced by physical, psychological, level of independence, social relationships, personal beliefs and their relationship with the environment. Fluid management assists patient on adapating the change of their health status and improve their quality of life.The aim of this study was to determine the eff ect of fl uid management therapy to the quality of life on hemodialysis patient. This study used an experimental research design with pre-test post-test approach to controls. Samples were divided into 2 groups: an intervention group of 6 people and a control group of 5 people were randomly assigned. The data was taken on 2 periods: the fi rst was before interventions were given, and the second was after 12-16 times of haemodyalisis after the interventions were given. The results showed that the quality of life of patients treated group was higher (53.82) than the control group (39.33). There were no differences in changes in quality of life based on the KDQOL SF-36 questionnaire, between treatment groups with the control group.Keywords: Chronic renal failure, hemodyalsis, fluid management, quality of life

THE FACTORS THAT INFLUENCE THE IMPLEMENTATION OF SMOKE FREE CAMPUS POLICY IN UNIVERSITY OF MUHAMMADIYAH YOGYAKARTA Ema Waliyanti; Yudan Hari Sandika
IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 2 (2015): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Smoking is one of the problems in society today that difficult to resolve. There are 6 million deaths each year are caused by smoking. The number of smokers in Indonesia continues to grow, which is dominated by the age of 15 years and above. To overcome these problems the government issued a policy banning smoking in the learning process. Universitas Muhammadiyah Yogyakarta (UMY) was one of the places that already have implemented smoke-free campus since 2011, but until now there is smoke in campus. This study was to determine the factors that affect the implementation Kawasan Bersih Bebas Asap Rokok (KBBR) in UMY.This study was a qualitative research with phenomenological approach. The data were taken using the method discussion focus groups, depth interviews and observation. Participants in this study were determined by purposive sampling counted 20 participants consisting of students and campus employees in UMY. The validity of the data in this study was done by using triangulation, triangulation methods and peer debriefing. Data analysis was performed with the help of software open code version 4.2. These results indicate that the factors that affect the implementation KBBR in UMY was knowledge of KBBR, attitudes toward KBBR, lack of socialization and prohibition signs of KBBR, the absence of strict sanctions against violators KBBR and environmental influences. This shows that UMY needs to improve socialization and give strict punishment for violation of KBBR.Keywords: Factors, KBBR, UMY

The Effect Benson Relaxation Technique With Anxiety In Hemodyalisis Patients In Yogyakarta Anisa Nuri Kurniasari; Anita Kustanti; Harmilah Harmilah
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 1 (2016): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

ABSTRACTHemodialysis is a treatment that must be done by patients with chronic renal failure. Hemodialysis can changes the various aspects of life of patients, and it cause anxiety. One of the method that can used to reduce anxiety is Benson relaxation techniques. This technique is a combination of relaxation and elements of religious beliefs espoused. To determine the effect of Benson relaxation techniques for anxiety in patients undergoing hemodialysis therapy. Quasi Experiment pre post test design with comparison groups with simple randomization tech- niques conducted, the number of respondents is 30 people were di- vided into intervention group (n = 14) were given relaxation Benson for 2 weeks every day at 6 am and 5 pm and the comparison group (n = 16) were not given the intervention. Anxiety measurements performed twice pretest and posttest with Analog Anxiety Scale (AAS). The average of respondent’s anxiety pre dan post relaxation tecnic Benson in the inter- vention group 21,93 and 13,59. And in the comparison group 17,19 and 12,94. This study showed that there was a significant decrease in anxiety scores in the intervention group p=0.001 (p0.05) and com- parison group p=0,014 (p0,05). The study showed that the interven- tion group obtained a average difference of 8.36, while in the control group obtained a average difference of 4.25 with p value 0.118 (p 0.05). There are no significant differences in the average difference of anxiety in both groups. Benson relaxation techniques have no effect to the de- crease anxiety scores of hemodialysis patients.Keywords: Chronic renal failure, Benson relaxation, Anxiety Analog Scale. ABSTRAKHemodialisis adalah pengobatan yang harus dilakukan oleh pasien dengan gagal ginjal kronis. Hemodialisis dapat mengubah berbagai aspek kehidupan pasien, dan menyebabkan kecemasan. Salah satu metode yang dapat digunakan untuk mengurangi kecemasan adalah teknik relaksasi Benson. Teknik ini merupakan kombinasi relaksasi dan unsur-unsur keyakinan agama yang dianut. Untuk mengetahui pengaruh teknik relaksasi Benson untuk kegelisahan pada pasien yang menjalani terapi hemodialisis. Kuasi eksperimen pra desain post test dengan kelompok perbandingan dengan teknik pengacakan sederhana yang dilakukan, jumlah responden adalah 30 orang yang dibagi menjadi kelompok intervensi (n = 14) diberi relaksasi Benson selama 2 minggu setiap hari pada pukul 6 pagi dan 5 sore dan perbandingan kelompok (n = 16) tidak diberi intervensi. Pengukuran kecemasan dilakukan dua kali pretest dan post test dengan Analog Skala kecemasan (AAS). Rata-rata kecemasan responden pra Dan pasca relaksasi tecnic Benson pada kelompok intervensi 21,93 dan 13,59. Pada kelompok pembanding 17,19 dan 12,94. Studi ini menunjukkan bahwa ada penurunan yang signifikan dalam skor kecemasan pada kelompok intervensi p = 0,001 (p0,05) dan kelompok pembanding p = 0,014 (p 0,05). Studi ini menunjukkan bahwa kelompok intervensi diperoleh perbedaan rata-rata 8,36, sedangkan pada kelompok kontrol diperoleh perbedaan rata-rata 4,25 dengan nilai p 0,118 (p 0,05). Tidak ada perbedaan yang signifikan dalam perbedaan rata-rata kecemasan pada kedua kelompok. teknik relaksasi Benson tidak berpengaruh terhadap nilai penurunan kecemasan pasien hemodialisis.Kata kunci: Gagal ginjal kronis, Benson relaksasi, Kecemasan Analog Scale.

The Relation of Educational Level, Academic Achievement (GPA) and Depression Among Public School Adolescent Mukhripah Damaiyanti; Dwi Rahmah Fitriani
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 3 (2017): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Depression is a worlwide mental health problem psychology disorder in adolescent. Depression is one of the emotional problems, hopelessness and helplessness are its main causes. The other word, depression is aprevalent problem among college’s student ability to perform activities of daily life. This descriptive correlation study aimed to describe the relation of educational level, academic achievement (GPA) and depression among public school adolescents of Samarinda municipal, East Kalimantan province, Indonesia. A total of 552 adolescents in senior high school aged between 14-19 years were recruited through stratified cluster sampling. The instruments was The Center for Epidemiologic Studies Depression (CES-D). The data were analyzed by statistical method including t-test, Chi-square, and Pearson correlation. The result showed the prevalence of depression in this sample of Indonesian adolescents was 52.7%. Adolescent females showed almost equal prevalence of depression than adolescents’ males (26.6%, 26.1%), respectively. There was significant relationship between adolescents’ depression and educational level (X²= 8.039, p value= 0.018). Specifically, based on the findings suggest interventions program to reduce depression in adolescents by giving health education with specific mental health in school. Some programs are able to do in school such as counseling center, stress management program, time management, and screening about negative life events. This strategy need to include the participation of other personnel such as class coordinator and health workers to be successful of program.

Implementation of Pushing Reminder Technique for Women During The First Stage of Labor and Perineal Rupture Events Ratnasari, Febi; Imanuddin, Bayu; Febriyani, Fitria
IJNP (Indonesian Journal of Nursing Practices) Vol 4, No 2 (2020): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Background: Rupture of the birth canal or perineal tear cannot be considered a minor injury because it contributes to maternal morbidity and mortality. The perineal rupture causes pain and can increase until the seventh day. Perineal rupture also causes 4-5% of mortality in postpartum mothers.Objective: The purpose of this study is to find out the effect of pushing reminder technique implementation on women during the first stage of labor and perineal rupture event.Method: The research method used was pre-experimental with Â intact group comparison design (post-test only control with 15 control respondents and 15 intervention respondents).Results: The results showed that the average age of the respondents was 26 years old with status as a housewives (93.3%), and the majority of the educational background was high school graduate (86%). By using the Mann-Whitney test, the results of alpha is 0.05 (0.369), so there is no relationship between the reminder of pushing technique and the occurrence of perineal rupture.Conclusion: There are other factors that affected the tears of the perineum such as babyâ€™s weight, previous history of perineal rupture, the rigidity of perineal muscles and lack of skills of health care providers to hold the perineum at the moment of babyâ€™s head expulsion, this indicated that is no relationship between the reminder of pushing technique and the occurrence of perineal rupture.Recommendation: It is adviced for Public Health Care Center is to provide educational media containing information for pregnant woman in a form of electronic media in the waiting room and through education of pregnant women regarding labor and perineum tear so that pregnant women understand the causes of perineal tear.

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