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IJNP (Indonesian Journal of Nursing Practices)
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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Experiences of Indonesian Adolescents Losing Parents Due to COVID-19: a Phenomenological Study Novianti, Evin; Mustikasari, Mustikasari
IJNP (Indonesian Journal of Nursing Practices) Vol 7, No 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.18245

Abstract

Background: Adolescents losing their parents is the worst event they experience during the COVID-19 pandemic. Adolescents raise a traumatic response after a loss occurs.Objective: This study aims to explore the description of the condition of adolescents in dealing with the loss of parents due to COVID-19.Methods: Qualitative research design with a phenomenological approach. The number of participants is 12 people with the criteria of youth aged 10-19 years consisting of men and women who have lost their parents due to COVID-19. Interview data were processed using the Colaizzi technique.Results: Four themes through the theme analysis, namely adolescents are not ready to face sudden loss, adolescents experience suffering due to the loss of parents, adolescents find it difficult to go through the loss process, and changes occur in adolescents due to the loss of parents.Conclusion: The findings of this study show that the sudden loss of parents due to COVID-19 harms adolescent mental health. As a result, mental health nurses in the community need to detect adolescents early for signs of stress and anxiety due to the loss of parents and take steps to strengthen adolescents' self-defense after loss.
Digital-Based and Direct Education to Enhance Complementary Feeding Knowledge and Practices: A Systematic Review Nurati, Okti Eko; Allenidekania, Allenidekania; Waluyanti, Fajar Tri; Rizany, Ichsan
IJNP (Indonesian Journal of Nursing Practices) Vol 8, No 1 (2024): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i1.21431

Abstract

Background: The practice of infant and young children still does not meet the WHO guidelines, although different types of education have been carried out to increase mothers' knowledge of infant and young children's feeding practices.Objective: To identify the effectiveness of digital education and direct education in increasing the knowledge and practice of infants and children aged 6-23 months.Method: The research design is a systematic review using PRISMA flow. The databases used to search for articles in English published in the period 2013 to 2023 are Pubmed, ScienceDirect, Scopus, and MEDLINE using the search keywords ‘Mother OR maternal’, ‘Children OR infants’, ‘Digital based AND health education method’, and ‘Complementary feeding’. A total of 461 articles were obtained using RCT, quasi-experiment, and combined RCT-cohort research designs. Researchers use the Covidence tool for the data selection process through the extraction. Risk of bias assessment uses the JBI instrument to evaluate articles.Results: Four articles detail the efficacy of digital-based education (utilizing smartphone applications, WeChat, WhatsApp, and digital job aid education), while five articles delve into the effectiveness of direct education approaches (peer counseling, personalized counseling, and home visits). Another article examines the effectiveness of both home visits and interactive voice calls. The research spanned multiple countries, including Indonesia, Bangladesh, India, China, Cambodia, Iran, and Brazil, encompassing a participant pool ranging from 110 to 1885 research subjects. Findings indicate that digital education enhances mothers’ understanding of nutrition, essential knowledge, practices in providing complementary feeding in line with IYCF guidelines, and mother’s confidence in preparing complementary foods. Moreover, direct education increased compliance with suggested feeding practices, encompassing dietary variety, intake of animal protein, and the consumption of iron-rich foods.Conclusion: Nurses can enhance knowledge and practice of complementary feeding by embracing digital education as a potential solution and concurrently promoting cultural sensitivity and tailored education.
The Relationship Between Anemia and Nutritional Status with the Occurrence of Fatigue in Children with Cancer Undergoing Chemotherapy at Dharmais Cancer Hospital in Jakarta Purwati, Nyimas Heny; Natashia, Dhea; Wahyuni, Emmy Putri; Dais, Exsos Grend; Lusty, Junita; Ruriwinita, Ruriwinita; Sofyan, Evi; Fitriana, Anantusia; Karwati, Eti; Fitriyati, Fitriyati; Mursiah, Mursiah
IJNP (Indonesian Journal of Nursing Practices) Vol 7, No 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.20191

Abstract

Background: The challenge of fatigue significantly affects children undergoing cancer treatment, impacting their overall well-being and quality of life. Unlike their healthy counterparts, pediatric cancer patients grapple with the demanding impacts of chemotherapy, leading to anemia and nutritional deficiencies that exacerbate fatigue. Beyond fatigue, chemotherapy alters appetite, nutrient utilization, and mental function. Fatigue's multidimensional impact, marked by reduced energy and increased need for rest, can detrimentally affect the quality of life for pediatric patients. Understanding these challenges is essential for devising tailored strategies that comprehensively address the unique needs of children undergoing cancer treatment, enhancing their overall well-being and quality of life.Objective: This research aims were to determine the relationship between anemia and nutritional status with the occurrence of fatigue in children with cancer undergoing chemotherapy at Dharmais Cancer Hospital in Jakarta.Methods: An analytical cross-sectional study conducted in August 2022 included a sample of 24 children selected through accidental sampling. Demographic and disease characteristics, such as age, gender, cancer type, cancer stage, and treatment duration, were collected through a questionnaire. Anemia was determined by hemoglobin levels (12 mg/dl), and nutritional status was assessed using Body Mass Index. Fatigue was measured with tailored instruments for different age groups: the Parent Fatigue Scale (PFS) for children under 7 years and the Child Fatigue Scale (CFS) for those aged 7 years and older. Statistical analyses included univariate assessment, bivariate analysis with the chi-square test, and logistic regression.Results: Demographic analysis revealed a predominantly male sample (70.8%) with a significant adolescent presence (41.7%) and a prevalence of leukemia (37.5%). Most participants were in early cancer stages (58.3%), undergoing treatment for over a year (62.5%). Anemia was common (54.2%), and 58.3% were underweight. High fatigue prevalence was observed (62.5%). Chi-square analysis found no significant gender or cancer stage differences in fatigue. Age and treatment duration showed no significant associations with fatigue. Logistic regression revealed a significant association between anemia and fatigue in the first model (p = 0.022, Exp. B = 0.104). The second model, incorporating nutritional status, showed a non-significant relationship with anemia but a notable association with normal nutritional status and fatigue (p = 0.022, Exp. 0.059). This underscores the crucial role of nutritional interventions in mitigating fatigue.Conclusion: This study highlights a significant relationship between anemia and nutritional status with fatigue in children undergoing chemotherapy. These findings underscore the importance of considering anemia and nutritional interventions when providing care to pediatric cancer patients undergoing chemotherapy. Nurses play a vital role in addressing these concerns and enhancing the overall well-being of children with cancer.
Self-Efficacy and Mental Health of Mothers with Infants 0-6 Months on Breastfeeding Status: A Comparative Study Pratiwi, Bintang Agustina; Kartini, Apoina; Jati, Sutopo Patria; Sriatmi, Ayun
IJNP (Indonesian Journal of Nursing Practices) Vol 8, No 1 (2024): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i1.20671

Abstract

Background: Exclusive breastfeeding coverage in Bengkulu City has decreased over the last three years. Mothers' confidence in their abilities and good mental health become an essential part of supporting exclusive breastfeeding.Objective: This study aims to examine the differences between self-efficacy and mental health of mothers based on their breastfeeding status, located in Bengkulu City.Methods: The researchers employed a cross-sectional approach to analyze the study. The sample consisted of 72 mothers with infants aged 0-6 months. The researchers selected the samples using a purposive sampling technique. Data collection was carried out using a digital questionnaire (via Google Forms) through validity and reliability tests. Data were analyzed using an independent t-test. The mean self-efficacy score of partially breastfeeding mothers is lower than that of exclusively breastfeeding mothers. The mean mental health score of partially breastfeeding mothers is higher than that of exclusively breastfeeding mothers.Results: The results of the independent t-test found that the average self-efficacy score of exclusively breastfeeding mothers was 55.58, and the average mental health score of partially breastfeeding mothers was 10.32.Conclusion: There was a difference in the self-efficacy and mental health scores of partially and exclusively breastfeeding mothers. A high self-efficacy score indicates high maternal confidence. Meanwhile, high mental health scores indicate that mothers experience symptoms of psychological disorders. The achievement of successful exclusive breastfeeding is closely related to boosting self-assurance and preserving a mother's mental well-being.
Empowering Natural Medicine: Combining Brotowali Extract (T.Crispa) with Lampung Natural Zeolite to Improve Diabetic Wound Healing Mulyati, Lia; Wulandari, Afni; Devi, Fitria Kusuma; Rahayuningrat, Nurunnisa
IJNP (Indonesian Journal of Nursing Practices) Vol 8, No 1 (2024): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i1.19586

Abstract

Background: Diabetic ulcers are a serious complication that often occurs in people with diabetes mellitus. The complication leads to amputation and causes disability in about 30% of patients.Objective: The study aims to test the effectiveness of an ointment formulation containing brotowali extract with a combination of Lampung natural zeolite (ZAL) in the healing process of diabetic ulcers.Methods: The research method used is quasi-experimental with a control group. The sample of this study used mice, with a total of 6 in each group. Before the intervention, blood sugar levels in the samples were increased by injecting streptozotocin. The study was conducted for 14 days. The Mann-Whitney test was used to analyze the data obtained.Results: The results showed a significant difference in the percentage of wound closure between the control group and the intervention group with p=0.002.Conclusion: Based on these findings, it can be concluded that an ointment formulation containing brotowali extract with a combination of ZAL effectively accelerates the wound healing process in diabetic mice.  Brotowali extract ointment with a combination of Lampung natural zeolites can be used as an alternative in wound care for patients with diabetes mellitus based on herbs and local wisdom so that it will be more easily accepted in the community.
Teacher Experience of Guidance and Counseling in Treating Youth with Cyberbullying Case Rinjani, Santi; Suryani, Suryani; Sriati, Aat; Nugraha, Andri
IJNP (Indonesian Journal of Nursing Practices) Vol 7, No 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.17675

Abstract

Background: Cyberbullying in adolescents may cause depression, decreased academic achievement, withdrawal from the environment, family and the presence of suicidal ideation. The success of teachers in dealing with cyberbullying is unknown.Objective: To explore the Guidance and Counseling Teachers experience in dealing with adolescents with cyberbullying incidents.Methods: This study used a qualitative descriptive approach with a phenomenological approach and data were collected through in-depth interviews with 8 Guidance and Counseling Teachers who deal with adolescents with cyberbullying incidents. Data analysis in this study used the Colaizzi method.Results: In this study, there were five essential themes in this research including cyberbullying is not a serious problem, various problems faced in dealing with cyberbullying, emotional responses to cyberbullying victims, cyberbullying victims are weak emotional mentality students and lack of coordination between parents, teachers subjects and Guidance and Counseling teachers.Conclusion: The problem of cyberbullying has considered as unserious problem and there is a lack of coordination between parents, subject teachers and guidance and counseling teachers. So that special training is needed to deal with cyberbullying, there are guidelines, clear cyberbullying prevention strategies and the existence of government agencies that specifically handle cyberbullying case.
Nurses' Perceptions of Pediatric Palliative Care with Cancer In Hospitals In Bandung City Abas, Latifa Hidayani; Mediani, Henny Suzana; Agustina, Hana Rizmadewi
IJNP (Indonesian Journal of Nursing Practices) Vol 8, No 1 (2024): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i1.19333

Abstract

Background: Pediatric palliative care (PPC) has seen significant progress in recent decades. Despite the improvements in care, nurses still feel anxious, fearful, and hesitant in providing PPC. More research efforts are needed to identify and explore nurses' perceptions of PPC in children with cancer.Objective: The aim of this study was to explore nurses' perceptions of palliative care in children with cancer.Methods: This study was a descriptive qualitative study. Participants were selected using purposive sampling. They were eleven nurses from Kenanga Room 2 of Hasan Sadikin Hospital, Bandung. Data were collected using semi-structured interviews and analyzed using thematic analysis method. The research was conducted from March to April 2023.Results: This study identified four main themes and nineteen subthemes. The themes in this study are (1) Nurses' understanding of PPC, (2) Barriers to the implementation of PPC in children with cancer (3) Nurses' needs and expectations for PPC improvement, and (4) Roles and responsibilities of nurses in PPC.Conclusions: This study described the clinical reality of nurses providing PPC to children with cancer in one of the hospitals in Indonesia. The findings suggested that addressing these challenges could lead to significant improvements in pediatric palliative care practices in the hospital setting.
Smoking History as The Main Factors of Chronic Kidney Disease in Hemodialytic Patients Trisnawati, Aprilia; Sari, Yeni Kartika; Nurmawati, Thatit; Ta'adi, Ta'adi
IJNP (Indonesian Journal of Nursing Practices) Vol 8, No 1 (2024): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i1.20198

Abstract

Background: The high risk of death and treatment costs for chronic kidney disease make a global problem. History of hypertension, diabetes mellitus, smoking, and energy supplement drinks are factors that cause chronic kidney disease that can be controlled. Consequently, it is important to identify factors associated with poor outcomes among hemodialytic patients.Objective: This study aims to determine the main factors associated with chronic kidney disease in a private hospital in Blitar.Methods: The study was a cross-sectional study. 132 patients were purposively selected in the study. Data was analyzed using logistic regression.Results: The multivariate analysis showed that a smoking history accompanied by another factor increases the risk of Chronic Kidney Disease.  Diabetes Mellitus history (OR: 3.04), Hypertension history (OR: 1,4), Smoking History (OR:0,3), Drinking energy supplement history (OR:0.3) were significant variables on patients undergoing maintenance hemodialyis.Conclusions: The foremost common cause of patients undergoing maintenance hemodialysis is smoking history. More education is needed for society to avoid chronic kidney disease by exercising health control regularly, stopping smoking, and having a healthy lifestyle.
Integrated Management for Patients with Diabetes Mellitus: A Literature Review Haris, Fahni; Fadhilah, Ais Izza; Relawati, Ambar; Irawati, Kellyana; Rahman, Ferry Fadzlul; Rusyani, Yeni; Pentrakan, Amarawan
IJNP (Indonesian Journal of Nursing Practices) Vol 7, No 2 (2023): December
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v7i2.20213

Abstract

Background: Many factors contribute to DM, such as age, heredity, high-calorie meals, an unhealthy lifestyle, obesity, and stress.  Inadequate glycemic control contributes to elevated blood glucose levels and potential complications. However, many people of DM had unmet proper DM management regularly due to many factors.Objective: This study reviewed published articles about integrated management for people with DM through three databases.Methods: We identified 1902 articles, and 13 articles were selected for full-text analysis.Results: We found that in integrated DM management for patients with DM, they highly recommend to monitoring their blood glucose, doing exercise, dietary plan, coping strategy, and continuous health education were the most effective DM management strategies to lowering HbA1c levels.Conclusion: Nurses as healthcare providers should engage with people with DM to ensure they have good knowledge and understanding of how to maintain their disease.
Determinants of Depression Levels in Breast Cancer Survivors Widodo, Dyah; Djuwadi, Ganif; DK, Farida Halis; Budianto, Bachtiar
IJNP (Indonesian Journal of Nursing Practices) Vol 8, No 1 (2024): June
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v8i1.20695

Abstract

Background: Breast cancer is one type of malignancy in breast tissue that is experienced by many women throughout the world, including in Indonesia. Breast cancer shows high morbidity and mortality rates. The East Java Provincial Health Office noted that breast cancer cases have increased from year to year.  The conditions and the process of cancer treatment can lead to psychological problems, including depression.Objective: This research aims to analyze the determinant factors that influence depression levels in breast cancer survivors.Methods: This study utilized the correlation method. The study was conducted in East Java. 158 respondents were selected using a purposive sampling technique. The instrument used in this research was a questionnaire that has been tested for validity and reliability. The data collection method used was face-to-face. Data analysis was carried out using SPSS software, including cross-tabulation and multivariate linear regression test with alpha 0.05.Results: Research findings show that marital status (p=0.021) is related to social support (p=0.002), physical condition (p=0.003), and the level of depression, but there was no relationship between age (p=0.281), the level of education (p=0.752) and the length of illness (p=0.265) and depression levels in breast cancer survivors.Conclusion: It is concluded that the determinants of factors that influence the level of depression are marital status, social support, and physical condition in survivors of breast cancer. Breast cancer survivors are expected to maintain their enthusiasm and not give up to avoid depression, which can reduce their health status.

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