Indonesian Nursing Journal of Education and Clinic (INJEC - Association of Indonesian Nurses Education Center, AINEC)
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THE EFFECTIVENESS OF BENSON’S RELAXATION THERAPY TO DECREASE THE LEVEL OF INSOMNIA ON CHRONIC KIDNEY DISEASE PATIENTS UNDERGOING HEMODIALYSIS
No full textAbstractAlmost 50 – 80 % patients with chronic kidney disease undergoing hemodialysis were reported to sleep disorder. Insomnia is the highest prevalence sleep disorder in the dialysis patients. This study aims to determine the effectiveness of Benson’s relaxation of the level of patients’ insomnia with chronic kidney disease in dyalisis patients. The design of this study is quasi-experimental with pretest-posttest design with control group. Fourty-two hemodyalisis patiens were recruited purposively from the hemodyalisis Islamic Hospital, Sultan Agung , Semarang. The sample was divided into two groups (treatment and control). Patients in the treatment group received Benson’s relaxation techniques during hemodialysis for 4 weeks and the control group received routine care. The insomnia severity index was used to measure insomnia level. The result showed that there was significantly different score of insomnia level before and after relaxation Benson in the treatment group (p = 0.000). This study found that relaxation Benson seemed to be effective in decreasing the level of insomnia on chronic kidney disease patients undergoing hemodyalisis. Key words: Benson relaxation, insomnia, hemodialysis, chronic kidney diseas
KUALITAS HIDUP PENDERITA KUSTA BERBASIS TEORI HEALTH BELIEF MODELS (HBM)
No full textIntroduction: Leprosy was a chronic infectious disease that affects the quality of life of patients. Many factors could affect the quality of life of people with leprosy, but there was no specific research that analyzed factors related to quality of life of people with leprosy based on Health Belief Models theory (HBM). This study aimed to analyze factors that related to quality of life of people with leprosy based on Health Belief Model theory (HBM) in Public Health Center in North Surabaya. Methode: This study used descriptive analytic correlational with cross-sectional approach. Sample in this study were 30 patients with leprosy at public health center in North Surabaya. The independent variabels were individual perceived depend on HBM theory and dependent variabel was Quality of Life of Leprosy patients. Data were collected by interviews and using questionnaire. The instrument for collecting Quality of life using WHOQOL BREF and for collecting individual perception using a questionnaire derived from HBM theory. Data were analyzed used statistical Logistic Regression test (p<0,05). Result and Analysis: People with leprosy in public health care in region of North Surabaya 83.3% had good quality of life. There was correlation between quality of life with perceived susceptibility (p = 0.013) and perceived of seriousness (p = 0.004). There is was no correlation that found between quality of life with perceived benefit (p = 0.638) and perceived barriers (p = 0.334). Perceived susceptibility and perceived seriousness could be factors that affect quality of life of people with leprosy. Discussion: It needs to do a research about quality of life of patients with leprosy based on HBM theory using questionnaire that has been tested for validation to determine factors that affect quality of life of patient with leprosy.Keywords: Leprosy, quality of life, HBM, individual perception
IMPROVING SELF-CARE INDEPENDENCY OF TYPE 2 DM PATIENTS BASED ON LASALLIAN EDUCATION MODEL
No full textAbstractThe specific objectives of this study were: (1) Analyze the effectiveness of Lasallian health education in order to increased knowledge and attitude. (2) Analyze the effectiveness of Lasallian health education in order to increase the self-care independency of people with type 2 diabetes mellitus (DM). Research design of this study was Pre-Experiment with target population patients with type 2 DM. 12 participants were recruited in the study with purposive sampling technique. Bivariate test results of knowledge and attitudes before and after giving the Lasallian health education showed significant results with ρ-value of 0.016 (p-value <ά 0.05). Research result of self-care independency of type 2 diabetic patients in before and after giving Lasallian health education show significant result with ρ-value of 0.001 (p-value <ά 0:01). Transformation of people behavior or habit by a health education program should have three important determinant, there are cognitive, affective and psychomotor aspects of participants to motivate and increase self-awareness, and adherence of self-care management and improving of quality of life.Keywords: Type 2 DM, Lasallian Health Education, Knowledge, Attitude, Self-care independency
THE EFFECTIVITY OF BREASTFEEDING TECHNIQUE EDUCATION RELATED TO ONSET OF LACTATION OF CAESAREAN SECTION-DELIVERED MOTHER IN MATARAM CITY GENERAL HOSPITAL
No full textIntroduction: Globally, World Health Organization (WHO) and United Nations Children (UNICEF) have urged about giving exclusive breastfeed for newborn baby. Indonesian Government had already targeted 80% of the newborn to be given exclusive breastfeed. But the reality told that exclusive breastfeed program wasn’t done well. Although there were a lot of benefits for giving exclusive breastfeed especially for newborn baby and mother, but in fact there were still a lot of mothers that didn’t give it to their baby. One of the reasons was caused by the lactation onset. The woman that did her delivery by caesarean section would have slower onset of lactation compared to normal delivery, because surgical procedure would resist breast milk production process.Objective: To identify the effectivity of breastfeeding technique education related to lactation onset of caesarean section-delivered mother in Mataram City General Hospital.Research method: This research was a quasi-experimental research. This research was held in Mataram City General Hospital. There were 24 intervention and 24 control samples. The independent variable was breastfeeding technique education, and the dependent variable was onset of lactation of caesarean section-delivered mother. Other variables measured were age, occupation, education, number (times) of giving birth, and caesarean section delivery. Sample collection technique was using consecutive sampling and data analysis was using univariable and bivariable chi-square.Result: There was significant relation between breastfeeding technique education and onset of lactation of caesarean section-delivered mother in the intervention group (chi square score = 0,026), but there was no significant relation between breastfeeding technique education and onset of lactation of caesarean section-delivered mother in the control group (chi square score = 0,563).Conclusion: There was significant effect of breastfeeding education for mother that was given intervention, like counseling, compared to control group that was only given leaflet related to mother’s Onset of lactation after caesarean section delivery. Keyword : Breastfeeding Education, Onset of lactation, Caesarean Sectio
PERAN KEPERAWATAN DALAM MENUNJANG PEMBANGUNAN KESEHATAN PARIWISATA BERBASIS MASYARAKAT DI BALI
No full textPeran perawat dalam memberikan pelayanan keperawatan kepada wisatawan belum terlihat nyata. Salah satu kemungkinan yang terjadi karena belum jelasnya pemahaman, batasan dan kemampuan perawat dalam menunjang kesehatan pariwisata. Penelitian ini bertujuan untuk mengidentifikasi peran perawat dalam memberikan pelayanan kesehatan pariwisata, serta memahami tentang faktor-faktor yang berhubungan dengan kemampuan perawat dalam memberikan pelayanan keperawatan baik kepada wisatawan, pelaku wisata maupun masyarakat sebagai tujuan wisata.Penelitian ini merupakan penelitian crossectional study. Pengambilan data dilaksanakan pada 4 Puskesmas wilayah tempat wisata baik di Gianyar, Denpasar, Badung dan Bangli terhadap 32 perawat yang bertugas di Puskesmas dengan teknik purposive sampling.Hasil penelitian menunjukkan bahwa dari 32 responden perawat di Puskesmas sebanyak 40% perawat melaksanakan tugas sebagai pemberi pelayanan keperawatan, 30% peran sebagai pendidik masyarakat, 20% sebagai advokat serta 10% sebagai konselor. Sebanyak 60% kemampuan perawat sudah baik, 25% cukup dan 15% kemampuan perawat masih kurang. Terdapat hubungan yang bermakna antara umur (p: 0,002, OR:2,2), pendidikan (p: 0,001, OR:2,3), serta kemampuan bahasa asing (p: 0,000, OR:3,4), dengan kemampuan perawat dalam memberikan pelayanan keperawatan baik kepada wisatawan, pelaku wisata maupun masyarakat.Dari hasil penelitian ini dapat disimpulkan bahwa sebagian besar perawat berperan sebagai pemberi pelayanan kesehatan dan kemampuannya sudah baik. Kemampuan berbahasa asing yang kurang berpotensi 3 kali menyebabkan pelayanan keperawatan yang diberikan juga kurang. Kondisi ini perlu mendapatkan perhatian baik dari dinas kesehatan, dinas pariwisata maupun pihak terkait lainnya membekali perawat dengan pendidikan serta pelatihan yang memadai mengenai perkembangan terkini tentang kesehatan wisata serta kemampuan berbahasa asing.Kata kunci : Peran Keperawatan, Kesehatan Pariwisat
THE EFFECT OF EXERCISE CONSULTATION PROGRAM ON EXERCISE BEHAVIORAL CHANGES IN PATIENTS OF TYPE 2 DM WITH OVERWEIGHT : TRANSTHEORETICAL MODEL APPROACH
No full textThe purpose of this quasi- experimental study was to determine the effect of exercise consultation program based on Transtheoretical Model (TTM) approach on exercise behavioral change, blood glucose and body mass index (BMI) in patients of T2DM with overweight. The two comparison groups, quasi-experimental study were purposively designed for pre-test/post-test procedures; 61 patients of T2DM allocated into the experimental (31 patients) and the control (30 patients) groups. While the experimental group received the exercise consultation for 12 weeks, the control group received routine care. Comparative assessments on differences in exercise behavioral changes, blood glucose and BMI were examined both within and between groups using Chi-Square test and t-test. After receiving exercise consultation program, 54.8 % of participants of the experimental group had progressed to the action stage of change of TTM, while the majority of the participants in the control group (43.3%) remained in the same stages of TTM, and only 3.3 % of the participants had progressed to the maintenance stage. This proportion of exercise behavior change between the groups was significantly statistical different (Chi-Square = 000, p .05). In conclusion, the exercise consultation program could promote the exercise behaviors. This also improves health outcome on blood glucose among patients of T2DM who.Keywords: transtheoretical model; physical exercise; type 2 diabete
Periurethral Cleaning Solution against Bacteria Colonization Count in the Periurethral Area Prior to Urinary Catheterization
Full text linkIntroduction: Patient safety is an important element that must be noted when providing care to patients, including by the nurse. The purpose of this study was to compare the effectiveness of cleaning periurethral with povidone iodine 10 %, povidone iodine 2% and normal saline against bacteria colonization before catheterization. Methods: This study used a quasi-experimental pre- and post-intervention design with a control group. Periurethral swabs were obtained from a total of 60 patients (povidone iodine 10 % as a control group, 20; povidone iodine 2%, 20; normal saline, 20). Results: Through a paired t-test, it can be seen that there was a significant decrease (p-value: 0.00; p .05) in the bacterial colonization count. Discussion: Povidone-iodine 2% is the most effective solution for us to reduce bacterial colonization in the periurethral area rather than another solution. The recommendation is to test for bacteria colonization in the urine culture using the different periurethral cleaning solutions.
THE EFFECTIVENESS OF BREATHING EXERCISES TO VALUE INCREASING CAPACITY ON CHRONIC OBSTRUCTIVE LUNG CLIENTS IN PULMONARY DISEASE TREATMENT CENTER (BP4) LUBUK ALUNG WEST SUMATERA
No full textABSTRACTChronic Obstructive Pulmonary Disease (COPD) is a chronic lung disease characterized by the air flow resistance in the airway that is not fully reversible, progressive and associated with an abnormal inflammatory response to noxious particles and gases. Pulmonary rehabilitation is a program of management of stable COPD clients, one of which is by six minutes-walk of breathing exercises aimed at training the respiratory muscles, controlling, reducing symptoms and improving functional capacity optimally. The purpose of this study was to assess the effectiveness of the influence of breathing exercises and the six minutes-walking to increase lung capacity in clients with respiratory problems in the Central Treatment for Lung Disease (BP4) Lubuk Alung West Sumatra. The research design was Quasi Experiment. The number of samples was 38 respondents divided into intervention group and control group. Breathing exercises is done three times a week for 12 weeks, research evaluation exercises valued before and 12 weeks after the six minutes-walking breathing exercise. The results of research showed the average of lung capacity value average increased with a difference before and after exercise about 133.33 ml / min, and there was a different breathing exercises p value (0.00) after being given six minutes of breathing exercises. It is expected that clients are able to implement the six minutes of breathing exercises independently at home.Keywords : COPD , breathing exercises , the six minutes-walking , lung capacit
LEADERSHIP, MOTIVATION, AND WORK LOAD ON NURSES PERFORMANCE IN DOCUMENTING NURSE CARE
Full text linkIntroduction: Nurse has plays important role on implementing and documenting nursing care. Nurses performance is influenced by several factors such as leadership, motivation and work expenses. This study aimed to analyze the effect of leadership, motivation and work expenses on nurses performance in documenting nursing care in Ruang Rawat Inap Penyakit Dalam X Hospital, Surabaya.Method: The design of this study was cross sectional with 16 sample size of nurse who were taken by using purpossive sampling technique. Independent variables of this study were leadership, motivation and work expenses and the dependent variable was nurses performance. Data were taken by using questionnaire and observation then analyzed by using Linear Regression statistic test (p≤0.005). Result: The result showed that leadership had effect on nurses performance (p= 0.028) with moderate coefficient correlate. Motivation (p= 0.111) and work expenses (0.170) had no effect on nurses performance. Conclution: It can be concluded that leadership has effect on nurses performance and motivation and work expenses has no effect on nurses performance. Therefore, the results of this study suggest nurse can increase performance on documenting nursing fit to the leadership in workplace and also hospital can arrange training relate to the leadership. the further research can develop a better research relate this study.Keyword: leadership, motivation, work expenses, nurses performanc