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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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Action Research: Hypnotherapy to Overcome Pain and Anxiety in Colon Cancer Patients Sakiyan, Sakiyan
IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2015): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Hypnoterapi action research on pain management and anxiety based colon cancer patients in the problems of pain and anxiety often expressed by colon cancer patients who have undergone surgery and is in the process of chemotherapy, anxiety will increase when individuals face the threat of a life change as a result of disease and duration of the treatment process. The root of the problem in this research is how hypnotherapy reduce pain and anxiety in patients with colon cancer in a surgical disease inpatient unit RSU Banyumas. Design a qualitative research approach action research/action research using Elliotâ€ºs Action Research Model, which consists of the process of identifying the initial idea, searching and analyzing facts about pain and anxiety, making planning hypnoterapi, action hypnoterapi, evaluate the success or failure of interventions hypnotherapy, revise ideas, the steps are performed in three cycles. Formulation of the problem in this research is Â«How to decrease pain and anxiety in patients with colon cancermafter hypnotherapy in the inpatient surgical disease RSU BanyumasÂ». Data processing and data interpretation using NVivo software 9.0.204.0. Based on the data obtained during the application of the three cycles of action showed that hypnotherapy is eff ective in reducing pain and anxiety in patients with colon cancer who are undergoing chemotherapy inpatient unit RSU Banyumas. Decrease in pain every cycle between 4 to 6.3, while the average decrease anxiety between 7 to 15.8. Conclusions in hypnotherapy research helpful in reducing pain and anxiety of patients who suff er from colon cancer and is undergoing chemotherapy in RSU Banyumas. Researchers hope hypnoterapi intervention can be arranged with a standard operating procedure nursing care in the health facilities and can be learned by nurses through nursing education curriculum.Keywords: hypnotherapy, colon cancer, pain, anxiety.

HUBUNGAN ANTARA MASALAH GENETIK DAN FAKTOR PSIKOLOGIS DENGAN KEJADIAN OBESITAS PADA SISWA KELAS ENAM SEKOLAH DASAR DI DENPASAR, BALI Rismawan, Made; Susanti, Ni Luh Putu Dina; Astawa, I Gede Satria
IJNP (Indonesian Journal of Nursing Practices) Vol 3, No 1 (2016): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Obesitas pada anak berisiko tinggi menyebabkan terjadinya masalah kesehatan sehingga dapat meningkatkan kejadian Diabetes Mellitus tipe 2, gangguan metabolisme glukosa, penyakit jantung dan penyumbatan pembuluh darah pada anak. Jika obesitas pada anak tidak dideteksi dan dicegah secara dini dapat meningkatkan prevalensi penderita penyakit kronis. Mengidentifikasi hubungan antara masalah genetik dan faktor psikologis dengan kejadian obesitas pada siswa kelas enam sekolah dasar di Denpasar, Bali. Penelitian deskriptif cross-sectional ini melibatkan 382 siswa kelas enam dari delapan sekolah dasar di Denpasar, Bali yang dilaksanakan bulan April sampai Agustus 2015. Data masalah genetik dan faktor psikologis dikumpulkanÂ Â menggunakanÂ Â kuesioner yang dikembangkan oleh peneliti. Variabel penelitian dianalisis menggunakan Pearsonâ€™s Product Moment Correlation Coeicient.Hasil penelitian menunjukkan bahwa nilai r = 0,29, p0,001dan r = 0,30, p 0,001antara Â masalah Â genetik dan faktor psikologis dengan kejadian obesitas pada siswa kelas enam sekolah dasar di Denpasar, Bali. Terdapat hubungan positif yang signifikan antara masalah genetik dan faktor psikologis dengan kejadian obesitas pada siswa kelas enam sekolah dasar di Denpasar, Bali. Promosi kesehatan terutama yang berkaitan dengan masalah genetik dan faktor psikologis harus menjadi prioritas kegiatan di sekolah dasar. Promosi kesehatan dengan melibatkan pihak sekolah, siswa, orang tua dan lingkungan sekitar juga penting dilaksanakan untuk mencegah meningkatnya kejadian obesitas pada siswa sekolah dasar.Kata kunci: masalah genetik, faktor psikologis, obesitas, siswa sekolah dasar.

PENGARUH ACTIVE CYCLE OF BREATHING TECHNIQUE TERHADAP PENINGKATAN NILAI VEP1, JUMLAH SPUTUM, DAN MOBILISASI SANGKAR THORAKS PASIEN PPOK Huriah, Titih; Ningtias, Dwi Wulandari
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 2 (2017): Indonesian Journal of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ijnp.v1i2.3437

ABSTRAKÂ Salah satu bagian integral dari manajemen COPD adalah membersihkan jalan nafas untuk mengatasi gejala klinis seperti produksi sputum dan sesak napas yang menyebabkan penurunan VEP1, produksi sputum yang berlebihan, dan terganggunya mobilisasi toraks. Perawat dapat membantu pasien PPOK untuk memulihkan kondisi fisiknya dan memperbaiki pola nafasnya dengan memutus mata rantai keluhan yang ada dengan Active Cycle of Breathing Technique (ACBT). Tujuan penelitian ini untuk mengetahui pengaruh ACBT terhadap peningkatan nilai VEP1, pengurangan jumlah volume sputum, dan peningkatan mobilisasi sangkar toraks pada penderita PPOK. Penelitian ini merupakan penelitian Quasi Experiment dengan rancangan preâ€“post test with control group design. Sebanyak 30 orang pasien dibagi kedalam 2 kelompok yaitu 15 responden untuk kelompok intervensi dan 15 responden untuk kelompok kontrol dengan menggunakan teknik quota sampling. Analisis yang digunakan adalah uji t-test. Kelompok intervensi diberikan terapi ACBT dan farmakologi dan kelompok kontrol hanya diberikan terapi farmakologi. ACBT memberikan pengaruh yang bermakna terhadap jumlah sputum dan ekspansi toraks pada kelompok intervensi daripada kelompok kontrol dengan nilai p = 0,026 untuk jumlah sputum dan p = 0,004 untuk ekspansi toraks,Â sedangkan pada nilai VEP1, ACBT tidak memberikan pengaruh yang bermakna dengan nilai p = 0,058. Active Cycle of Breathing Technique (ACBT) efektif dalam membantu pengeluaran sputum dan meningkatkan ekspansi toraks pasien PPOK, tetapi kurang efektif dalam meningkatkan nilai VEP1.ABSTRACTÂ Airway clearance is an integral part of the management of COPD to cope clinical symptoms such as sputum production and shortness of breath that causes impairment VEP1, excessive sputum production, and impaired toraks mobilization. Nurses can help COPD patients to break the chain of the existing complaint with the Active Cycle of Breathing Technique (ACBT). The purpose of this study was to determine the effect of ACBT in increasing VEP1, reducing amount of sputum, and increasing mobilization of the thoracic cage in COPD patients. This is a Quasi Experimental study with pre-post test with control group design. The 30 participants were divided into experimental group (15 subjects) and control group (15 subjects) by using quota sampling. The experimental group received ACBT and pharmacological therapy and the control group just received pharmacological therapy. Result findings show that ACBT give a significant effect on the amount of sputum and thoracic expansion in the intervention group than the control group, with p = 0.026 and p = 0.004 respectively, while for the value of VEP1, ACBT not provide significant effect with p = 0.058. ACBT effective in helping expenditures sputum and increasing thoracic expansion COPD patients, but less effective in enhancing the VEP1.

Evaluasi Pencatatan & Pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) Oleh Bidan, Ibu dan Keluarga Khuzaiyah, Siti; Khanifah, Milatun; Chabibah, Nur
IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2018): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

AbstrakAngka Kematian Ibu (AKI) di Indonesia saat ini masih tinggi 359/100.KH. Pelayanan kesehatan antenatal di Fasilitas Kesehatan pemerintah maupun swasta dan praktik perorangan/kelompok perlu dilaksanakan secara komprehensif dan terpadu, mencakup upaya promotif, preventif, kuratif sekaligus rehabilitative. Salah satu instrument untuk menurunkan AKI/AKB adalah bukuÂ Kesehatan Ibu dan Anak (KIA). Tujuan penelitian ini adalah untuk mengetahui gambaran pemanfaatan buku KIA oleh ibu dan keluarga di wilayahÂ kerja Dinas Kesehatan Kabupaten Pekalongan tahun 2016-2017. Jenis penelitian descriptive analytic dengan desain penelitian cross sectional.Â Tehnik sampling dengan stratified random sampling dengan total sampel 63. AnalisisÂ menggunakan analisis univariate. Hasil penelitianÂ ini menunjukkkan pemanfaatan buku KIA menunjukkan lebih dari separuh ibu kadang-kadang memanfaatkan buku KIA (58,7%) dan 33,3 % ibu dan keluarga embaca buku KIA bersama dengan Bidan.Â Tenaga kesehatan agar selalu menggunkan buku KIA sebagai media edukasi sehingga ibu dan keluarga termotivasiÂ untuk memanfaatkan buku KIA secara lebih optimal.Â Â Abstract.Mortality Mother Rate (MMR) in Indonesia in by 2012 is 359 / 100,000 KH. Antenatal health services in public and private health facilities and individual / group practices need to be implemented comprehensively and integrated, including promotive, preventive, curative and rehabilitative efforts. One of the instruments to decrease MMR/IMR is Maternal and Child Health Book (MCH/KIA book). The purpose of this research is to know the description of MCH book recording and utilization by health officer and family in the working area of Pekalongan Regency Health Office 2016-2017. The study design was cross sectional. SamplingÂ technique with stratified random sampling with total sample 63. Analysis usingÂ univariateÂ analysis. The results of this study indicate that the use of MCH books shows that more than half of mothers sometimes use the MCH handbook (58.7%) and 33.3% of mothers and families read the MCH handbook along with the midwife. Health workers should always use the MCH book as an educational medium so that mothers and families are motivated to use the MCH handbook more optimally.

Nurseâ€™ Knowledge and Their Performance on Cardiopulmonary Resucitation (CPR) in Critical and Emergency Care Unit Andriyani, Selvya Hesti; Setyorini, Fitri Ariani; Dewi, Enita; Pratiwi, Arum
IJNP (Indonesian Journal of Nursing Practices) Vol 3, No 1 (2019): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Background: Knowing the important relation between knowledge and skill is important because it reflexes the action that nurses do to save people life. Objective: This research aimed to determine the relationship between the nurse's knowledge level and their performance on cardiopulmonary resuscitation in critical and emergency care unit. Method: The study was quantitative descriptive with the cross-sectional design used sequential sampling with 30 nurses in critical and emergency care unit. The data were analyzed using the Fisher Exact Test. Data was taken from questioner and observational assessment using a standard operating procedure which was developed by a hospital. Results: The results of this study found that there were 63.3% respondents which all of them had poor knowledge also poor performance on doing cardiopulmonary resuscitation. Conclusion: There is a relation between nurseâ€™s knowledge level and the nurseâ€™s performance on undertaking cardiopulmonary resuscitation. The more knowledge they have the better performance they have on cardiopulmonary resuscitation. Routine training and evaluation may be useful to increase nursesâ€™ knowledge and skills.

The Correlation between The Knowledge Level of Diabetes Management toward The Preprandial Glucose Levels Haris, Fahni; Kristianti, Linda Yuli
IJNP (Indonesian Journal of Nursing Practices) Vol 4, No 1 (2020): Indonesian Journal Of Nursing Practices
Publisher : Universitas Muhammadiyah Yogyakarta

Background: Knowledge about diabetes mellitus affects the lifestyle of patients who suffer from diabetes mellitus. Knowledge is one of the essential factors that determine health management for patients.Objective: This study aimed to determine the relationship between the knowledge level of diabetes mellitus (DM) management and preprandial glucose levels.Method: This study uses a quantitative cross-sectional method in which the correlation between the knowledge level and the preprandial glucose levels was calculated.Â Sixty-eight respondents were selected using purposive sampling. The knowledge level of DM management was measured using a questionnaire which consists of 28 questions. The value of the preprandial glucose level was measured using a test tool (easytouchÂ®). The data were analyzed using Pearson product-moment correlation test. The study was conducted from January to February 2019.Result: The result shows that respondents have a high level of knowledge of diabetes management, in which the score is 20.37 on average. The respondents have an average preprandial glucose level of 139.72 dl/mg. The Pearson product-moment correlation test shows a significant correlation between the knowledge of DM management and the preprandial glucose level with the coefficient correlation at -0.422, and p0.001 (Ï0.05).Conclusion: There is a correlation between the knowledge level of diabetes management toward preprandial glucose levels.

The Role Of The Pediatric Nurse In Discharge Planning; Identifying Gaps In Sri Lanka Subasinghe, Kalpana Jeewanthi; Pathiranage, A.M. Shyama Deepanie
IJNP (Indonesian Journal of Nursing Practices) Vol 5, No 1 (2021): June
Publisher : Universitas Muhammadiyah Yogyakarta

Background: Pediatric discharge planning is a complex process, and that nurses need lengthy preparations. Role confusion among nurses will disrupt the smooth planning of the discharge. In Sri Lanka, although there is a possibility of reducing health costs through effective discharge planning led by pediatric nurses, it is questionable whether Sri Lankan nurses have clarified their role in this process.Method: This systematic review was conducted to map the different roles of nurses in the pediatric discharge planning process. Electronic databases of PubMed and CINAHL were searched for peer-reviewed journal articles among the pediatric population from 2005-2019, using the keywords such as discharge planning, pediatric nurse, care transitions, transitional care, and Sri Lankan nurse.Results: Articles that resulted in the word combination â€˜Discharge planning and pediatric nursing (n=329) were used for screening. Two hundred and forty articles out of the nursing scope and sixty articles that do not describe an apparent nursing involvement in the discharge process were excluded, based on abstract review and full-text review, respectively. Sixteen studies were included in the final review. Few literature was found on the topic among Sri Lankan pediatric population. Four main categories of nursesâ€™ roles were identified with the thematic analysis: discharge educator, discharge collaborator, post-discharge care coordinator, and family counselor.Â Conclusion: In Sri Lanka, no such defined roles of a nurse have been established yet in the discharge planning of pediatric patients. These roles may help nurses carry out discharge planning effectively, and future studies are needed on this topic in Sri Lanka.

Latihan Sepeda Statis Meningkatkan Peak Expiratory Flow (PEF) dan Mengurangi Frekuensi Kekambuhan pada Penderita Asma Maulani, Maulani
IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 1 (2014): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Background. Asthma is an infl ammatory airways disease characterized by widespread narrowing of the airways, which is caused by bronchospasm, mucosal edema, and mucus hypersecretion are strong relapse, recurrent and reversible. Value of peak expiratory fl ow (PEF) is one indication of airway obstruction. Asthma management in addition to pharmacotherapy also do sports like gymnastics with asthma and exercise bike. Exercise statis bike improves cardiorespiratory work include increased heart rate. Exercise statis bike can gradually increase the intensity of peak expiratory fl ow and reduce the frequency of recurrence.Method. The aim of research was to assess the eff ectiveness of the exercise bike to increase Peak expiratory fl ow (PEF) and the frequency of recurrence than gymnastics asthma. This study used a quasi- experimental method with pretest- posttest design with control group. Number of respondents by 28 people. PEF value measurements used a peak flow meter Philips respironics, and note the frequency of recurrence with observation record sheet. Measured before exercise and after axercise.Result. The results of this research showed a signifi cance value (P= 0.000) of PEF, the frequency of recurrence (p=0.001) (p0.05) significantly different before and after the exercise bike. Unpaired t-test significance value of PEF (p=0359), Frequency of recurrence (p=0.050) (p 0.05). There were no significant differences after exercise between the treatment and comparison groups.Conclusions. Exercise statis bike can increase the value of PEF and reduce the frequency of recurrence in patients with asthma.Keywords: Exercise Statis Bike, Exercise Asthma Gymnastics, Peak Expiratory Flow (PEF), The Frequency Of Relapses, Asthma.

Hubungan Antara Perawatan Kaki dengan Risiko Ulkus Kaki Diabetes di Rumah Sakit PKU Muhammadiyah Yogyakarta Arianti Arianti
IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2015): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Background: Diabetes Melitus (DM) is one of chronic diseases that exist in all countries in the world and keep growing signifi cantly from year to year. There were 366 million people with diabetes mellitus worldwide in 2011, and is expected to increase to 552 million people in 2030. Most of the people with diabetes live in low and middle income countries. Indonesia has 7.3 million people with diabetes in 2011, and is predicted to increase to 11.8 million in 2030. Long term complication from diabetes, both microvascular and macrovascular, can cause insuffi ciently blood supply to hills which can culminate to ulcer infection and will end with an amputation.Goal:The purpose of this research is to know the relationship between foot care and ulcer risk of diabetes foot.Methode: This research method is non experimental- correlational with cross sectional design. In this research, there are 45 respondents.Result:Based on bivariate analysis, it is known that self foot care (p=0.003) and footwear choice and usage (p=0.009 have significant correlation with ulcer risk of diabetic foot. Continued with multivariate analysis, self foot care related to ulcer risk with p0.005 (p=0.01). People with diabetes who get good foot care have chance to prevent diabetes foot ulcer risk 14 times compared with people with diabetes who get poor foot care.Conclusion: The conclusion of this study are highly correlated independently foot care in the prevention of diabetic ulcers. Based on this study are expected for nurses to conduct a study to diabetic foot conditions and provide education about diabetic foot care.Key words: foot care, foot ulcer, diabetes melitus.

Pengembangan Model Konservasi Discharge Planning Terstruktur Terhadap Individual And Family Self Management Diabetic Foot Ulcer Yohanes Andy Rias; Elsye Maria Rosa; Falasifah Ani Yuniarti
IJNP (Indonesian Journal of Nursing Practices) Vol 3, No 1 (2016): Muhammadiyah Journal of Nursing
Publisher : Universitas Muhammadiyah Yogyakarta

Background : Diabetic foot ulcers generally causing low selfmanagementbehaviorsandqualityoflife, requiring of nursing intervention to improve individual and family selfmanagement. The intervention is the process of behavioral changes in patients and families through health education. Health education for participants and families can be implemented through discharge planning to provide the information, to identify needs and to plan the return and to prepare participants to leave the health service, beginning at admission until discharge, including diabetic foot ulcers client.Objective: To develop a model of the structured discharge planning conservation for individual and family self-management of diabetic foot ulcers.Research Methodology: This study using action research design by collecting data through The Conceptual Content Cognitive Map (3CM) and Triangulation followed by presenting descriptive data. The number of participants in this study are 4 patient and 4 family for pre action research with accidental sampling, 6 nursing for action research with purposive sampling, 4 experts for triangulation with accidental sampling, and 10 nursing and practitioners with accidental sampling for validation of structured discharge planning conservation tools for individual and family self- management of diabetic foot ulcers.Results: There are categories of participants needs in the individual and family selfmanagement, which are:(a) knowledge, (b) beliefs, (c) self-regulation, (d) social facilities, (e) self management behaviors. The results of action research is the completion of discharge planning conservation tools that structured by four cycles of study.Conclusion: The presence of structured discharge planning conservation tools expected to increase individual and family self management. Necessary to implementation and validatin of tools model structured discharge planning conservationKeywords: Diabetic foot ulcers, Tools, Structured discharge planning conservation, Individual and family self management.

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