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LENGTH OF DIABETES, DIABETIC PERIPHERAL NEUROPATHY
Get PDFIntroduction: Diabetic mellitus is a metabolic disease. Diabetic mellitus also a crhonic disease and have a complications. One of the complication is diabetic peripheral neuropathy. 60-70% patient with diabetic mellitus also has diabetic peripheral neuropathy. Factors that contribute of diabetic peripheral neuropathy incident are length of diabetes, ages, and poor of glucose control. This study aims to knew correlate beetwen length of diabetes with diabetic peripheral neuropathy incident. Method: This study used cross sectional design with 79 respondents and recruited by simple random sampling methode. Data were collected from patients with diabetic mellitus. Diabetic peripheral neuropathy was measured by diabetic neuropathy symptom (DNS). Results: Chi square test analysis showed no significant correlate beetwen length of diabetes with diabetic peripheral neuropathy incident (p value > 0.05). Discussion: It can be inferred that length of diabetes is not only one risk factors that contributed diabetic peripheral neuropathy incident. Therefore, need more reseacrh to correlate beetwen diabetic peripheral neuropathy incident with the other factors.
Key words: diabetic mellitus, diabetic peripheral neuropathi, length of diabete
THE APPLICATION OF CLOSE SUCTION TO HELP INEFFECTIVENESS OF AIRWAY CLEARANCE IN PATIENTS WITH VENTILATOR IN THE INTENSIVE CARE UNIT
Get PDFIntroduction: Endotracheal tube in patients with ventilator is a foreign thing in respiratory tract secretions that can increase the production of the airway and cause airway clearance ineffectiveness problems that require suction action. The close suction technique is used in patients who are using ETT type. Close suction system is one of technique suction that applied without opening the ventilator connector in patients with ventilator in Intensive Care Unit. The purpose of this case study is to evaluate breath sounds, RR, SpO2 before and after implementation of technique close suction in patients with ventilator in the Intensive Care Unit of Dr Mohammad Soewandhie Hospital Surabaya. Method: Research method was a case study in patients with early pulmonary edema eclampsia who use a ventilator. The instrument used is the observation sheet. Result: The results of the case study showed before the close suction action Ronchi breath sounds in the right lung field left, RR 27 x / min, and SpO2 90%. After applying technique close suction action on the first day with the results of SpO2 95%, RR 22 x / min, still no sound Ronchi in both lung fields, day 2 with the results of SpO2 97%, RR 20 x / min, there was the sound of a smooth Ronchi left lung, day 3 with the results of the oxygen saturation of 100%, RR 18 x / min and vesicular breath sounds. Discussion: Based on these results it can be concluded that the provision of closed suction system technique is effective in addressing the problem of ineffectiveness airway clearance. However, in patients with pulmonary infection that uses a ventilator with thick secretions should be given nebulizer prior to close suction action.
Key words: closed suction system, ineffective airway clearance, ventilator, intensive care uni
DIFFERENCES IN ORGANIZATION LEARNING (OL), LEARNING ORGANIZATION (LO), AND FASTER LEARNING ORGANIZATION (FLO) ON NURSING SERVICES
Get PDFABSTRACT
Introduction: The management of the organization is required as part of efforts to maintain the existence and continuity of the organization amid the global era and the era of competition. The hospital is one of the important health care network, laden with tasks, burdens, profession, problems and expectations of patients. The complexity of the problem of health care need to be followed by the management of health personnel in it. Hospital as an organization in a competitive era needs to maintain sustainability by ensuring that these organizations learn faster (faster learning). Building a learning culture within the organization can begin with a true understanding of the organizational learning process and create a learning organization. The purpose of writing this article is to understand the difference between organizational learning (OL), learning organization (LO), and Faster learning organization (FLO). Method: The study used 17 Articles that met inclusion criteria. Those Articles retrieved 326 Articles from different databases for example Scince Direct, Google Scolar, Springer Link, Pro Quest, and Ebsco Host using search article strategy approach and different key words, such as knowledge, management, organization, learning, and Faster learning. Result : The fundamental difference between OL and OL, LO is that the emphasis on learning processes within the organization, while LO focuses on the condition of the organization as a place for learning. Discussion: These can not be separated between the process and the learning context. In OL needs to understand knowledge management (KM) and single-double loop learning, while at the LO is necessary to understand the organizational conditions for the process of OL and good KM.
Key words: knowledge, management, organization, learning, and learning faste
PARENT’S PLAN ACTION DURING ACUTE LYMPHOBLASTIC LEUKEMIA: FROM HOME TO COMPLEMENTARY MEDICINE
Get PDFAt least, children with acute lymphoblastic leukemia (ALL) force the children to follow long period protocols. This situation was complex due to children and parents. When they permit the treatment, it make more easy to survive but depend on parents support. This research is to explore parents caring role on children with ALL. This qualitative study held in Yogyakarta at June 2014, data collected by indepth interview with 8 parent’s from children with ALL. Data was recorded, transcribing and analized using collaizi method. During the illness, parent caring the children at home with independendent care, bringing to the hospital and giving complementary medicine. At early treatment they decide to go to traditional medicine, but at present it didn’t show more benefit than follow the ALL protocol’s. Complexity situation of treatment cause parents role strain. They face this stressor by delegating caring role of health children and economic function to the other family members.. Parent changing role during caring the children was one way to maintain family structure.
Key words: parents, action, role, leukemi
Metodologi Penelitian Ilmu Keperawatan
Get PDFPeran sebagai peneliti yang dilakukan kalangan perawat masih sering terlupakan dan terabaikan, meski telah menjadi hal yang takterpisahkan dalam melakukan kegiatan sehari-hari. Hal ini terjadi karena perawat masih belum mempunyai kemampuan yang memadai dalam penelitian, khususnya pemahaman tentang lingkup masalah penelitian ilmu keperawatan dan penerapan metodologi penelitian keperawatan yang sesuai.
Buku Metodologi Penelitian Ilmu Keperawatan:Pendekatan praktis edisi 4 inimerupakan upaya penulis untuk mendorong para teman-teman sejawat untuk bersama-sama belajar tentang metodologi penelitian ilmu keperawatamn dan menyosialisasikan kepada profesi kesehatan lain maupun pemerhati tentang keperawatan khususnya tentang kaidah ilmu: ontologi dan epistemologi ilmu keperawatan. Sekiranya akan terdapat suatu pengakuan profesional bahwa "ilmu keperawatan merupakan ilmu yang terpisah dari ilmu kedoktran.
Saya menyampaikan banyak terimakasih kepada semua pihak yang telah mendukung saya untuk dapat menyeselaikan penulisan buku ini.Ucapan terima kasih saya sampaikan kepada seluruh Pengelola dan Staf PSIK FK UNAIR, Rekan-rekan perawat (PPNI) di Jawa Timur,Intitusi pendidikan Akademi Keperawatan & Kebidana. Taklupa saya sampaikan terima kasih kepada keluarga saya tercinta: istri dan anak-anak yang telah memberikan inspirasi kepada saya untuk menulis buku ini.
Saya menyadari buku ini masih jauh dari sempurna. Sebagai manusia yang memiliki keterbatasan, saya sebagai penulis mohon masukan dan saran yang saya tulis dari para pakar yang kurang sesuai, untuk itu saya mohon maaf dan rasa terima kasih serta hormat kepada semua pihak. Masukan serta saran sangat saya harapkan dari semua pihak pengguna buku ini
THE RELATION OF ANALYSIS FACTOR TO STUDENT SNACKING CONSUMPTION
Get PDFSnacks and food which are sold in school mostly consumed by students.
The unhealthy random snacking may cause them at risk of health problems.This
study was aimed to analized factors that related to students’ action in snack
consumption.
Correlation design is applied in this study. The population in this research
is children who are in grade 2,3,4,5, and 6 in elementry school of SDN I/92
Pacarkembang Surabaya. The total sampling is 258 respondents that qualified
inclusion with stratified random sampling. The independent variabels are student’s
knowledge, student’s attitude, mother’s role, teacher’s role, and peer’s role. The
dependent variabel is student snacking consumption. Data are collected by
structured questionnaire. Then, it is analyzed using spearman rho correlation test
with significance level α ≤ 0,05.
Result shows that student knowledge (ρ= 0,000), student attitude
(ρ= 0,000), mother’s role (ρ= 0,009), teacher’role (ρ= 0,000), and peer’s (ρ= 0,01)
did have correlation with student snack consumption.
In conclusion student’s knowledge, student’s attitude, mother’s role,
teacher’s role, and peer’s role has correlation to student snack consumption in
which students snack consumption is supported by predisposition factors; good
knowledge and attitude of student. Then, good role of mother, teacher and peer are
reinforcing factors. Further studies enabling factor of snack consumption can be
used to obtain more accurate result.
Keywords: knowledge, attitude, mothers, teachers, peers, snacking consumptio
COUNSELING EFFECT ON MOTHER KNOWLEDGE, ATTITUDE AND ACTION IN NUTRITION MEET FOR MALNUTRITION CHILDREN IN PUSKESMAS SITURAJA DISTRICT SUMEDANG
Get PDFIntroduction: Malnutrition is most often suffered by children’s. One of the causes of malnutrition in children is mother's knowledge and attitudes about nutrition and maternal behavior in feeding. One treatment of malnutrition by improving knowledge, attitudes and actions through the mother's nutritional counseling program. This study aims to identify the effect of counseling on knowledge, attitudes and actions in meeting the nutritional needs of the mother for the child malnutrition. Method :This study is quasi experimental with pre-posttest design. The data was collected using 4 pieces of questionnaires. Subjects were divided into 2 groups, that selected by simple random sampling technique. Counseling is done as much as 3 sessions with pre and post-test. Result : The results Wilcoxon test showed that with increased knowledge (p=0.000), attitude (p=0.000) and action (p=0.000) in the intervention group. Furthermore, Mann-Whitney test showed there are differences in knowledge (p=0.000), attitude (p=0.000) and the action (p=0.000) between the intervention group and the control group. Conclusion: The conclusions of this study are significantly influence counseling on knowledge, attitudes and actions in meeting the nutritional needs of the mother for the child malnutrition.
Keywords : Counseling, knowledge, attitude, action, malnutritio
THE EFFECT OF DHIKR ON COGNITIVE RESPONSE, CORTISOL LEVEL AND SCORE OF DEPRESSION IN PATIENTS WITH HEART FAILURE
Get PDFIntroduction: Depression is common comorbid conditions in patients with heart failure (HF). Low depression scores were found in HF patients who practices dhikr. Objective of this study is to explain the low depression scores were found in HF patients who practices dhikr.
Methode: This research type is quasi experiment. Sample size of 18 respondents, consist of 9 respondents of control group and 9 respondents of treatment group. The independent variable is the intervention of dhikr and the dependent variables are cognitive response, cortisol level, and depression. Cognitive response and depression scores data were collected using questionnaires, whereas cortisol level with venous blood sampling, measured by enzyme linked fluorescent immunoassay (ELFA) methode. Statistic analysis in this study was using t-Test, Mann Whitney, and Wilcoxon Sign Rank Test with significance level of α < 0,05.
Result and analysis: The result showed that: 1) dhikr improves the cognitive response in patients with HF (p = 0,000), 2) dhikr decrease the level of cortisol in patients with HF (p = 0,015), 3) dhikr decrease the level of depression in patients with HF (p = 0,000).
Discussion and conclusion: Dhikr improves cognitive response in patients with heart failure in the form of right stress perception. Right stress perception make adaptive stress response in the form of decrease levels of cortisol and depression. Further research is needed to use dhikr intervention as alternative solution to cope with depression in larger population of patients with heart failure by either increasing the research methode, sample size, as well as the range of the study population.
Keyword : dhikr, cognitive response, level of cortisol, depression, heart failur
ANALYSIS FACTORS AFFECTING DIPHTHERIA EPIDEMIC IN BANGKALAN MADURA
Get PDFIntroduction: Diphtheria is a disease caused by Corynebacterium diphtheriae. in 2012 this disease became epidemic in several regions of East Java, including Bangkalan, Situbondo, Jombang and Surabaya. Method: This study was an applied research using secondary data drawn from Puskesmas Bangkalan in 2013. Results: The results showed that the human resources versus the target number PIN (p = 0.048) and immunization coverage have a relationship with the incidence of diphtheria in Bangkalan (p = 0.041). Discussion: High immunization coverage is expected to reduce the incidence of the disease are immunized. The full immunization coverage have a significant influence on the case of diphtheria. The results of this study are expected in improving health promotion in order to reduce cases of diphtheria in East Java
Key word : dihtheria, epidemi
THE EFFECT OF PEER GROUP DISCUSSION TO IMPROVE ADOLESCENT’S KNOWLEDGE AND ATTITUDE ABOUT FREE SEX PREVENTION ON 8th GRADE STUDENT’S AT SMP PANCA JAYA SURABAYA
Get PDFIntroduction: Adolescence is a stage of transition from children to adulthood. Lack of knowledge about free sex prevention can increase free sex behavior in the future among adolescence. This study was aimed to analyze the effect of peer group discussion to improve adolescent’s knowledge and attitude about free sex prevention on 8thgrade student’s at SMP Panca Jaya Surabaya. Method: This study was used quasy experimental design. Population were all of adolescence 8th grade and through multistage random method derived A 8th grade and D 8th grade as affordable population. 50 respondent involved, taken according to purposive sampling, devided into 27 respondent on experiment group and 23 respondent on control group. The independent variable of this research was peer group discussion and dependent variable were knowledge and attitude. Data were collected by questionnaires and analyze using Wilcoxon Signed Rank Test and Mann Whitney U Test with significant level α=<0,05. Result: Wilcoxon signed rank test showed that peer group discussion had effect on adolescent’s knowledge (p= 0,022) but not on attitude (p=0,157). Mann Whitney U Test showed there was difference result between experiment group and control group on knowledge (p=0,022) but the result is not significant on attitude (p=0,424). Conclusion: It can be concluded that peer group discussion can be used as a method of health education in providing information about free sex prevention in adolescence especially to increase their knowledge. Nurses should do preventive action to decrease free sex cases in adolescence.
Key word: Peer group discussion, adolescence, free sex prevention behavio