Nurse and Health: Jurnal Keperawatan
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    HUBUNGAN GAYA KEPEMIMPINAN DEMOKRATIS DENGAN KINERJA PERAWAT DALAM PENATALAKSANAAN STANDAR PRAKTIK PROFESSIONAL DI RUANG MAWAR MERAH KELAS II RSUD ASEMBAGUS KABUPATEN SITUBONDO

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    Background: Kunci utama dalam peningkatan kualitas pelayanan kesehatan adalah petugas yang mempunyai kinerja tinggi. Kinerja menjadi tolak ukur keberhasilan pelayanan kesehatan yang menunjukkan akuntabilitas lembaga pelayanan dalam kerangka tata pemerintahan yang baik. Sehingga bila kinerja petugas baik maka kualitas pelayanan yang akan diberikan akan baik pula.Purpose: Tujuan penelitian ini adalah untuk mengetahui hubungan gaya kepemimpinan demokratis kepala ruang dengan kinerja perawat dalam penatalaksanaan standar praktik professional di ruang mawar merah kelas II RSUD Asembagus Kab. Situbondo.Method: Desain penelitian ini menggunakan cross sectional. Populasi dalam penelitian ini adalah perawat di ruang mawar merah kelas II RSUD Asembagus Kab. Situbondo. Sampel yang diambil sebanyak 20 orang responden. Metode sampling yang digunakan adalah Non-Probability Sampling tipe Sampling Jenuh. Data penelitian ini diambil dengan menggunakan kuesioner dan observasi. Setelah ditabulasi data yang ada dianalisis dengan menggunakan uji spearman correlation dengan tingkat kemaknaan 0,05.Results: Hasil penelitian menunjukkan gaya kepemimpinan demokratis kepala ruang dengan kategori gaya kepemimpinan demokratis perilaku baik sebanyak 13 responden (65%) dan kinerja perawat pelaksana dengan kinerja baik sebanyak 8 responden (40%). Ada hubungan antara gaya kepemimpinan demokratis kepala ruang dengan kinerja perawat pelaksana dalam penatalaksanaan standar praktik professional di ruang mawar merah kelas II RSUD Asembagus Kab. Situbondo dengan koefisiensi kolerasi sebesar -525 dengan tingkat signifikan 0,018 (Ï< 0,05).Conclusion: Upaya untuk meningkatkan kinerja perawat pelaksana dengan cara mengadakan pelatihan dan seminar kesehatan yang lengkap, mendorong untuk berinisiatif dan kreatif dalam melaksanakan tugas, menetapkan target pencapaian yang layak dan jelas. Dengan gaya kepemimpinan demokratis kepala ruang yang baik dapat meningkatkan kinerja perawat pelaksana dalam pelayanan kesehatan dan akan berdampak pada kepuasan pasien. Key words: Gaya kepemimpinan demokratis, kinerja perawat, standar praktik profesional

    RELATIONSHIP BETWEEN THE ROLE OF FAMILIES IN DIET SUPERVISION AND THE LEVEL OF COMPLIANCE OF DIETARY MANAGEMENT AMONG TYPE 2 DIABETES MELLITUS PATIENTS IN KEBONSARI VILLAGE, CANDI SUB-DISTRICT, SIDOARJO DISTRICT

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    Background: The Indonesia Sehat Program is a program to improve the quality of life of the Indonesian people. The target of this program is to improve the health and nutritional status of the community through health and community empowerment efforts supported by financial protection and equitable distribution of health services. The latest estimate of the International Diabetes Federation, there are 382 million people living with Diabetes in the world in 2013. By 2035 this number is expected to increase to 592 million people.Objectives: This study aimed to determine the relationship between the role of families in diet monitoring with the level of compliance with Type II Diabetes Mellitus patients in carrying out the Diabetes Mellitus diet at Kebonsari Candi Sidoarjo.Method: This study used correlational design with a sample of 25 people. Samples were obtained using total sampling method. The instrument used to obtain data in this study is a questionnaire. The data obtained were then analyzed by using the Spearman test with p ≤ 0,01.Results: Families who play an active role in the supervision of diabetic patients with diabetes mellitus are related to the level of patient compliance in the obedient category of 44%. Based on the Spearman Rank test with p <0.01, the correlation level is 0.600. It can be concluded that there is a relationship between the role of families in diet monitoring and the level of adherence to type 2 diabetes mellitus patients in carrying out a diabetes mellitus diet has a strong level of correlation.Conclusion: Families are required to play an active role in supervising diabetics in carrying out the diabetes mellitus diet so that it can prevent complications of the disease and the quality of life of the sufferer. Key words: The Role of Families, Diet Compliance, Type 2 Diabetes Mellitu

    PENGARUH SENAM YOGA TERHADAP DEPRESI PADA LANSIA DI UPT PELAYANAN SOSIAL LANJUT USIA PASURUAN, LAMONGAN

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    Background: Depresi merupakan masalah serius yang perlu segera ditangani sehingga tidak dapat menimbulkan dampak yang merugikan pada lansia. Lansia yang mengalami depresi tidaklah sedikit, sehingga depresi dapat menggangu masalah kesehatan dan kesejahteraan lansia.Purpose: Tujuan dari penelitian ini adalah untuk mengidentifikasi dan menganalisis senam yoga terhadap depresi pada lansia di UPT Pelayanan Sosial Lanjut Usia Pasuruan di Lamongan.Method: Penelitian ini adalah quasy-experimental dengan desain penelitian adalah Pre-Post Test with Control Design. Populasi dalam penelitian ini adalah sebanyak 28 lansia dengan dibagi 2 kelompok yaitu 14 lansia sebagai kelompok perlakuan dan 14 lansia lainnya sebagai kelompok kontol. Alat ukur yang digunakan adalah lembar kuesioner GDS. Data analisis yang digunakan adalah uji t test 2 sampel berpasangan.Results: Hasil penelitian pengaruh senam yoga terhadap depresi pada lansia didapatkan data nilai untuk kelompok perlakuan dan kelompok kontrol diketahui bahwa nilai p value = 0,000 ≤ α = 0,05, maka H1 Diterima dan Ho ditolak yang berati ada pengaruh senam yoga terhadap depresi pada lansia di UPT Pelayanan Lanjut Usia Pasuruan di Lamongan.Conclusion: Dengan melakukan senam yoga terhadap lansia diharapkan terdapat suatu penurunan depresi. Karena dengan melakukan senam yoga secara rutin dapat memberikan suatu ketenangan hati, dapat mengendalikan emosi, serta dapat menjaga keseimbangan kejiwaan lansia didalam dirinya. Juga masih banyak lagi kegunaan senam yoga dalam kesehatan tertama dalam menghadapi stres maupun depresi. Key words: Senam yoga, depresi, lansia

    FACTORS AFFECTING THE SUCCESS OF EXCLUSIVE BREASTFEEDING AMONG BREASTFEEDING MOTHERS IN CHILD’S POLY OF DKT GUBENG POJOK HOSPITAL, SURABAYA

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    Background. The survival of children to grow and develop and get good care is needed to achieve a healthy generation. The success of exclusive breastfeeding in infants 0-6 months in Indonesia still does not meet expectations due to a poor knowledge of the importance Exclusive Breastfeeding and their perception of infant formula is better than breast milk. The low achievement of breastfeeding (ASI) exclusively due to several factors, namely low knowledge of the mother of the importance of breastfeeding, the sex of the baby, birth weight or premature birth, culture that does not support, families that do not support, and social change that happening in the community.Objective. This study aimed to examine predictive factors toward the success of exclusive breastfeeding among breastfeeding mothers in Child’s Poly DKT Gubeng Pojok Hospital, Surabaya.Methods. The design of this study is a cross-sectional study. The variables studied were age, occupation, level of education, family support, and exclusive breastfeeding success. The results of this study were analyzed using the Stepwise Multiple Regression method with SPSS 21.Result. Family support (β = 0.78, p < .001) were significant predictor of exclusive breastfeeding success and accounted 75.9% in the variance of exclusive breastfeeding success (R2 = .759, F (4, 27) = 9.18, p < .001).Conclusion. The importance of family support in supporting the success of exclusive breastfeeding in infants 0-6 months. For this reason, health workers are expected to improve their approach to families so that they want to provide support to breastfeeding mothers. Keywords: Exclusive breastfeeding, infants 0-6 months, factors affecting, breastfeeding mother

    PENGARUH HEALTH EDUCATION TERHADAP PERILAKU VULVA HYGIENE SAAT MENSTRUASI ANAK SD UMUR 11 – 13 TAHUN DI SDN MOJOSARI KABUPATEN MOJOKERTO

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    ABSTRACTBackground: Perawatan vulva hygiene saat menstruasi seharusnya mengganti pembalut secara teratur yaitu sebanyak 3-4 kali sehari. Kenyataannya anak mempunyai perilaku yang buruk pada hygiene saat menstruasi seperti tidak sering mengganti celana dalam dan pembalut sehingga akan menimbulkan mikroorganisme seperti bakteri, jamur, virus yang berlebihan dan dapat mengganggu organ reproduksi.Purpose: Penelitian ini bertujuan untuk mengetahui pengaruh health education terhadap perilaku vulva hygiene saat menstruasi anak SD umur 11 – 13 tahun di SDN Mojosari.Method: Desain penelitian yang digunakan dalam penelitian ini adalah Pra Eksperimental dengan metode One group Pretest-Postest Desain. Populasi dalam penelitian ini adalah anak perempuan berumur 11 – 13 tahun yang sudah menstruasi di SDN Mojosari, menggunakan metode Non-Probability Sampling. Sampel sebanyak 16 siswi. Setelah data terkumpul, maka dilakukan pengolahan data melalui tahapan editing, coding, scoring dan tabulating. analisis data menggunakan Uji t-test untuk menguji hipotesis komparatif bila datanya berbentuk nominal.Results: Hasil penelitian menunjukkan bahwa sebagian kecil perilaku vulva hygiene anak berumur 11 – 13 tahun saat menstruasi responden adalah positif sebanyak 4 orang (25,0%). Diatas setengah perilaku vulva hygiene anak berumur 11 – 13 tahun   saat menstruasi responden adalah positif sebanyak 11 orang (68,8%).  Ada pengaruh health education terhadap perilaku vulva hygiene anak berumur 11 – 13 tahun saat menstruasi di SDN Mojosari dengan hasil uji t-test nilai sig. 0,016 < α 0,05.Conclusion: Berdasarkan hasil penelitian ini diharapkan siswi untuk selalu menjaga daerah kewanitaan dengan melakukan vulva hyiene dengan tepat dan benar sesuai dengan ketentuan dari tenaga kesehatan terutama pada saat menstruasi. Key words: Health Education, Vulva Hygiene, Perilaku

    HUBUNGAN STRATEGI MEKANISME KOPING DENGAN TINGKAT KECEMASAN MENGHADAPI PEMBELAJARAN KLINIK PADA MAHASISWA SEMESTER IV PROGRAM STUDI ILMU KEPERAWATAN STIKES DIAN HUSADA MOJOKERTO

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    Background: Coping is the process of facing the difficulties of life in an attempt to overcome or live. Coping mechanism is a mechanism that consciously or not, to use a person in coping with stress or anxiety (Weller, 2005). In fact, there are some students who cannot cope with his anxiety so well that using negative coping mechanisms strategy.Purpose: This study aimed to determine the correlation of strategy coping mechanisms dealing with anxiety level students learning in clinical studies IV semester of nursing STIKES Dian Husada Mojokerto.Method: In this study, the research design used is analytic correlation with cross-sectional approach. This study is the student population by 67 students. Sampling technique using cluster random sampling with a sample of 58 respondents. The research data was taken with HRSA questionnaire sheet and questionnaire. Analysis of data using statistical test Spearman Rho.Results: The results showed the majority of respondents (63.8%) had a maladaptive coping mechanism-strategies as many as 37 respondents and the majority of respondents (60.3%) had mild anxiety level as many as 35 respondents. Results of this study no relationship strategy coping mechanisms to face the anxiety level of clinical learning in students of fourth semester School of Nursing STIKES Dian Husada Mojokerto. This study used Spearman Rho test p value obtained was 0.013 <α = 0.05.Conclusion: From the results, there is a relationship strategy coping mechanisms to face the anxiety level of learning clinic in the fourth semester student of School of Nursing STIKES Dian Husada Mojokerto. This study provides implications for the educators that research results be used as a reference in the plan to reduce student anxiety in the face of clinical learning. Key words: Strategy coping mechanisms, level anxiety, facing student learning clinic

    EFFECTIVENESS OF BREAST CARE ON THE SMOOTH DELIVERY OF BREAST MILK

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    The breastfeeding program for babies is very encouraged by the government on the grounds that there are many benefits of breastfeeding that can be given to babies. One of the supporting factors for the success of the program is to prepare the breast so that it can produce abundant milk and contains lots of nutrients. Preparation of pregnant women to provide quality breastfeeding is by treating the breast during pregnancy in the final trimester of pregnancy. Warm massage and compresses on the breast have several effects, including improving blood flow and making the nipple more elastic and not easily scratched when breastfeeding later.Key words: Pregnant women, breast care, breastfeeding

    ROLE OF FAMILY IN IMPLEMENTATION OF DIABETES EXERCISE IN TYPE 2 DIABETES MELITUS PATIENTS

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    Introduction: Diabetes mellitus is a group of metabolic diseases characterized by an increase in blood glucose levels (hyperglycemia), which occurs due to abnormal insulin secretion, insulin activity and both (Brunner & Suddarth, 2014). The role of the family is needed for diabetics related to well-being and health where the family environment is a place for individuals to learn for life (Friedman, 2010). The role of the family is the most powerful indicator in giving a positive impact on the implementation of diabetes exercise which acts as a glicemic control which is controlling and regulating blood sugar levels.Objective: The aim of the study was to describe the role of families in implementing diabetes exercise in type 2 Diabetes Mellitus (DM) patients at Gayungan Health Center, Dukuh Menanggal, Surabaya.Method: The design of this study used descriptive research. The population is all families who have family members with diabetes mellitus cases with a large sample of 4O people. Sampling using the Total sampling technique The variables studied were the role of family in implementing diabetes exercise. Data collection is done by distributing questionnaires.Results: The results of the study showed that of the 40 respondents in the Gayungan Community Health Center working area in Dukuh Menanggal dated 40% the role of good family, 32.5% was sufficient, 27.5 was lacking in supporting the implementation of diabetes exerciseConclusion: The family role of almost half is in the good category. The family should play an active role in the management of diabetes exercises in family members who suffer from diabetes mellitus so that blood glucose levels can be controlled properly. Keywords: The role of the family, diabetes exercise, diabetes mellitus

    THE EFFECT OF PREGNANCY EXERCISE ON THE SMOOTH DELIVERY OF THE SECOND STAGE OF CHILDBIRTH PROCESS IN EKA MEDIKA PRATAMA CLINIC, PUNGGING VILLAGE, MOJOSARI SUB-DISTRICT, MOJOKERTO DISTRICT

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    Background. In childbirth, there are several factors that can affect the smooth delivery of the second stage, one of which is influenced by straining factors that can be anticipated by doing pregnancy exercise, in which pregnancy exercise can affect the slow pace of the second stage of childbirth process.Objectives. The purpose of this study was to determine the effect of pregnancy exercise on the smooth delivery of the second stage of childbirth process in Eka Medika Pratama Clinic, Pungging Village, Mojosari Sub-District, Mojokerto District.Methods. The method used in this study is analytic with a case control approach using research instruments in the form of questionnaires and observation sheets with a check list. The sample is some of the mothers who do pregnancy exercise and do not do pregnancy exercise during pregnancy in Eka Medika Pratama Clinic, Pungging Village, Mojosari Sub-District, Mojokerto District.Results. The results of data collection were processed by chi-square statistical test (X²) with a significance level of α = 0.05. The results of the study showed a significant relationship between pregnancy exercise and the smoothness of the second stage of childbirth process with a value of P = 0.007.Conclusion. Most of the respondents who do pregnancy exercise undergo the second stage of childbirth process more quickly than mothers who are not doing pregnancy exercise. Suggestions given in the results of this study are expected midwives provide counseling to pregnant women about the importance of doing pregnancy exercise during pregnancy to facilitate the second stage of childbirth process. Keywords: Pregnancy exercise, smooth delivery, second stage of childbirth proces

    HUBUNGAN PERSALINAN PREMATUR DENGAN KEJADIAN ASFIKSIA NEONATORUM DI RUANG BERSALIN RSU DR. WAHIDIN SUDIRO HUSODO KOTA MOJOKERTO

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    ABSTRACTBackground: Persalinan prematur merupakan masalah yang selalu menjadi perhatian karena menjadi salah satu penyebab utama kematian neonatal. Persalinan prematur adalah persalinan yang terjadi ketika usia kehamilan belum mencapai 37 minggu. Persalinan prematur menjadi penyebab tingginya angka kematian bayi (AKB) karena kondisi bayi yang masih lemah karena imaturitas organ, salah satunya adalah paru-paru.Purpose: Tujuan penelitian ini adalah mengetahui adakah hubungan persalinan prematur dengan kejadian asfiksia neonatorum.Method: Desain penelitian yang digunakan adalah Cross-Sectional, yaitu suatu jenis penelitian yang menekankan pada waktu pengukuran/observasi data variabel independen dan variabel dependen hanya satu kali dalam satu saat. Dalam penelitian ini sampel diambil dengan teknik consecutive sampling, variabel dalam penelitian ini ada 2 yaitu variabel independent (variabel bebas) adalah persalinan prematur dan variabel dependent (variabel tergantung) adalah kejadian asfiksia neonatorum. Cara pengambilan data dengan menggunakan lembar observasi secara langsung kepada responden. Pengolahan data menggunakan uji korelasi Spearman.Results: Hasil penelitian menunjukkan bahwa hubungan persalinan prematur dengan kejadian asfiksia neonatorum yaitu asfiksia ringan terjadi pada 4 bayi (100%) yang dilahirkan oleh ibu yang mengalami persalinan dengan usia kehamilan 32-36 minggu. Dengan menggunakan uji Korelasi Spearman dengan tingkat kemaknaan/signifikasi 0,00 (α<0.05), yang berarti bahwa Ho ditolak dan Hi diterima. Serta didapatkan hasil koofisien korelasi (Ï) = 0,875, yang menyatakan bahwa terdapat hubungan sangat kuat antara dua variabel yaitu persalinan prematur dengan kejadian asfiksia neonatorum.Conclusion: Berdasarkan hasil penelitian, ibu hamil dan keluarga diharapkan untuk teratur melakukan kunjungan ANC, serta bagi tenaga kesehatan untuk mempertahankan pro aktif dalam memberikan ANC Terpadu, sehingga resiko dapat terdeteksi lebih awal dan komplikasi akan mendapat penanganan secepatnya. Key words: Persalinan premature, asfiksia neonatorum

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