IJNP (Indonesian Journal of Nursing Practices)

Published by Universitas Muhammadiyah Yogyakarta
Online ISSN: 2548-4249
Publications
Frequency distribution of respondents based on age, gender, education, and work period
Respondents Distribution Based on Family Support at RSUD Prof W.Z. Johannes Kupang
Respondents Distribution Based on Nurse Motivation at RSUD Prof W.Z. Johannes Kupang
Article
Background: Coronavirus (COVID19) is a world public health emergency. The coronavirus transmission is highly fast that health workers are at high risk of contracting COVID-19. It raises excessive anxiety for nurses when caring for COVID-19 patients, so one way to help reduce the fears and worries nurses face is by providing support and motivation from their families. Purpose: This study aims to determine the relationship between family support and nurses’ motivation in caring for Patients with COVID19. Methods: The method used was correlational quantitative, involving 84 nurses caring for Patients with COVID19. Result: The results of the spearman rank test showed a p-value of 0,001 ≤ α 0,05, which indicated a relationship between family support and the motivation of nurses in caring for Patients with COVID19. Furthermore,the coefficient correlation (r = 0,362) had a low level of relationship with a positive direction of the relationship. Conclusion: It can be concluded that family support is very important in the psychological dimension by positively affecting nurses' work motivation
 
Characteristics Of Respondents Based On Ages, Sex and Education
Blood Pressure Systolic and Diastolic Before and After Treatment
Results of Paired Sample T-Test
Article
Introduction: Hypertension is a degenerative disease that becomes a major problem in society, especially elderly. Hypertensioncauses complications of cerebral hemorrhage, heart failure, kidney failure, and blindness due to rupture of blood vessels.Objective: Analyze the effect of cucumber juice on blood pressure in elderly with hypertension at Tresna Werdha Budi Sejahtera Social Institution of Banjarbaru South Borneo 2017.Method: Quasi experiments with Ones group pre-post test design. Total of samples are 35 people taken using purposive sampling technique. Normality test using Shapiro-wilk and statistical analyze using Paired t-test. 200g of cucumber juice mix on 100 ml water, drink twice a day during morning and afternoonResult: Systolic blood pressure decreased after cucumber juice therapy with 149,68 mmHg to 136.65 mmHg and p value 0.00 (p<0.05) and diatolic blood pressure decreased after cucumber juice therapy with 95.99 mmHg to 80.09 mmHg and p value p-=0,000. Diastolic blood pressure after giving cucumber juice was 89,08 mmHg (± 3,355 mmHg), lower than diastolic blood pressure before giving cucumber juice which is 95,88 mmHg (± 3,332 mmHg). Conclusion: Cucumber juice can lower blood pressure in elderly hypertension patients.
 
Article
Background: Breastfeeding will provide a wide range of benefits for both mother and baby. Breastfeeding is one of the physical adaptations and processes of changing maternal roles in postpartum mothers. Not all mothers can go through this process correctly. A small amount of milk production on the first day of postpartum is one of the complaints that is often felt by mothers. The hormone prolactin is one of the factors that influence milk production. One way to stimulate the production of the hormone prolactin is by breast treatment. Breast care will affect hypopise to release the hormone progesterone, estrogen, prolactin, and oxytocin more. Objective: The purpose of this study was to identify the effect of pressure on the Jianjing GB-21 acupressure point and Oketani massage on the level of the hormone prolactin. Method: The type of this research is a quasi-experiment with the design used is a pre-post-test design with the control group. Prolactin hormone levels were examined before the intervention (on the first day) and on a ninth day. The examination was carried out using the ELISA (Enzym Linked Immunosorbent Assay) technique. Data obtained was analyzed using an independent sample T-test. Result: The study showed that there was an increase in mean values of maternal prolactin levels after oketani massage intervention and pressure on GB-21 acupressure points. The administration of a combination of interventions, namely Oketani massage and pressure at the GB-21 point, can increase the highest levels of the hormone prolactin, which is 3.41. Whereas in the control group that did not get any intervention, had the lowest levels of the hormone prolactin that is equal to 2,925 Conclusion: it can be concluded that oketani massage and applying pressure at the GB-21 point can increase the levels of the hormone prolactin, respectively.
 
Article
Heart failure is a disease that can caused death. About 5.1 million people in the United States had heart failure. In 2009, one in nine deaths caused by heart failure. In Indonesia, the prevalence of heart failure in 2013 was 0.13%, the estimated number of heart failure patients in Yogyakarta was 6,943 (0.25%). Based on data from 2007 indicated CHF Riskesdas the third cause of death in Indonesia after stroke and hypertension. The purpose of this study to determine the characteristics of heart failure patients in the Poly Heart Gamping Sleman PKU Muhammadiyah Hospital in September-November 2016. The study was conducted using a descriptive design. The sample was 32 respondents. Characteristics of patients with heart failure in Poly Heart PKU Muhammadiyah Hospital Gamping Sleman highest respondent's age range 61-65 years was 59.38%, the highest gender was female 53.12%, the last education was elementary 34.38%, the worst job many are civil servants was 31.25%, stage 2 was 93.75%. The conclusion of this study is that most of the respondents are at the age of 61-65 years old, the sex of the respondents is bigger than the male, the most recent primary school education, the work of most civil servants, and almost all respondents had heart failure stage 2. The results of this study are expected to be a reference to know the description characteristics of patients with heart failure so that prevention or intervention can be done to reduce the recurrence of patients with heart failure.
 
Article
Mutu pendidikan yang rendah merupakan masalah utama dalam dunia pendidikan. Hasil uji kompetensi nasional untuk tingkat diploma keperawatan masih sangat rendah bila dibandingkan tenaga kesehatan lain. Nilai batas lulus untuk D3 Keperawatan masih dibawah 50 yaitu 42,16 dengan prosentase kelulusan hanya 47,81%. Proses belajar mengajar merupakan salahsatu faktor yang berkontribusi terhadap kualitas pendidikan. Tujuan pada penelitian ini adalah untuk mengetahui pengaruh model siklus belajar 5E kombinasi PBL dalam meningkatkan kemampuan kognitif, afektif, dan psikomotor mahasiswa diploma keperawatan. Desain penelitian menggunakan kuasi eksperimen dengan rancangan pretest-posttest control group design. Lokasi penelitian dilakukan di Akper Samawa Sumbawa. 58 mahasiswa didapatkan melalui Total Sampling. Data analisis menggunakan analisis deskriptif, chi square dan t-test. Hasil penelitian menunjukkan nilai rerata kognitif sebelum intervensi adalah 39,28 dan setelah intervensi meningkat menjadi 47,85, nilai rerata afektif sebelum intervensi adalah 45,17 dan setelah intervensi meningkat menjadi 52,89, nilai rerata psikomotor sebelum intervensi adalah 44,39 dan setelah intervensi meningkat menjadi 53,03. Setelah diterapkan intervensi model siklus belajar 5E dengan kombinasi PBL, terdapat peningkatan kognitif, afektif, dan psikomotor yang signifikan dengan nilai p-value 0,041, 0,012 dan 0.000.
 
Number, percentage and depression classification of the respondents classified by depression cut - off point
Means and standard deviations of the educational achievemnet (GPA) between male and female
Means and standard deviations of educational achievement (GPA): A comparison between depression and no depression
Article
Depression is a worlwide mental health problem psychology disorder in adolescent. Depression is one of the emotional problems, hopelessness and helplessness are its main causes. The other word, depression is aprevalent problem among college’s student ability to perform activities of daily life. This descriptive correlationstudyaimedto describetherelationofeducationallevel, academic achievement (GPA) and depression among public school adolescents of Samarinda municipal, East Kalimantan province, Indonesia. A total of 552 adolescents in senior high school aged between 14-19 years were recruited through stratified cluster sampling. The instruments was The Center for Epidemiologic Studies Depression (CES-D). The data were analyzed by statistical method including t-test, Chi-square, and Pearson correlation. The result showed the prevalence of depression in this sample of Indonesian adolescents was 52.7%. Adolescent females showed almost equal prevalence of depression than adolescents’ males (26.6%, 26.1%), respectively. There was significant relationship between adolescents’ depression and educational level (X2= 8.039, p value= 0.018). Specifically, based on the findings suggest interventions program to reduce depression in adolescents by giving health educationwithspecificmentalhealthinschool.Someprograms are able to do in school such as counseling center, stress management program, time management, and screening about negative life events. This strategy need to include the participation of other personnel such as class coordinator and health workers to be successful of program.
 
Article
Background: Stroke is the most common cerebrovascular event. Stroke patients often have biological, spiritual, and psychosocial changes. Psychosocial problems experienced in stroke patients include problems with self-efficacy. Acceptance and Commitment Therapy (ACT) is commonly used to solve psychosocial problems. Objective: This study aims to determine the effect of ACT on the self-efficacy of stroke patients. Methods: This study utilized quantitative and quasi-experimental designs without a control group. The study was conducted in a selected hospital rehabilitation unit in Yogyakarta. The respondents were selected via the purposive sampling technique. The self-efficacy was assessed using The Strategies Used by Patients to Promote Health (SUPPH) questionnaires and statistically tested with the Wilcoxon test. The total number of respondents of this study was 33 stroke patients. The characteristic of respondents was mostly 45 – 64 years old (72.73% ), male (57.6%) and, had a history of stroke for 1 – 6 months (39 %). Result: Wilcoxon test results showed a computed p-value of 0.000 on the effect of ACT on stroke patients’ self-efficacy; thus, the null hypothesis was rejected. In other words, ACT proves its effectiveness in improving stroke patients’ self-efficacy. Conclusion: Based on the data, this research can be concluded that ACT effectively improved the self-efficacy of stroke patients. The researchers recommend utilizing ACT as a nursing intervention for stroke patients in the hospital rehabilitation unit.
 
Smartphone Addiction Proneness of Junior High School Students (n=158)
Differences in Smartphone Addiction Proneness by Individual and Family Characteristics (n=158)
Article
Background: Smartphone addiction leads to physical, psychological, and social consequences for users, particularly for adolescent users, as psychological development is still in the process of maturation. Individual and family characteristics are shown to contribute to shaping adolescent’s behavior related to smartphone usage. Specifically, perceived parenting style and self-regulation have been reported as significant factors influencing smartphone addiction among adolescents. Objective: This study aims to identify the relationship among parenting style, self-regulation, and smartphone addiction proneness in Indonesian junior high school students. Method: This study used a cross-sectional, descriptive study design. Data collection took place in five public junior high schools in Jember from the 7th of January to the 8th of February, 2019. The total sample of this study was 158, purposively asked to fill out three questionnaires: Parental Authority Questionnaire, Self-Regulation Questionnaire, and Smartphone Addiction Proneness Scale. Chi-square test and Pearson’s correlation coefficients were used to test the relationship between two variables. Result: The differences in smartphone addiction proneness between the risk group and non-risk group were significant depending on gender (p=0.004), daily smartphone usage time (p=0.025), and purpose of smartphone usage (p=0.001). A significant negative correlation was found between self-regulation and smartphone addiction proneness (r= -0.448, p=0.001). Conclusion: The current study found that 11.4% of junior high school students in Jember-Indonesia were categorized into risk groups for smartphone addiction. Gender, daily smartphone usage time, and purpose of smartphone usage showed significant differences between the risk group and the non-risk group. However, there was no difference in the parenting style of the mother between the two groups. Self-regulation showed a significant association with smartphone addiction.
 
Characteristics of research and homogeneity of experimental and control group in SMK "A" Pedan Klaten and SMK "B" Klaten 2017.
Article
Background: Dysmenorrhea is a common complaint in young women, characterized by pain. Dysmenorrhea pain has a significant impact on women's lives, such as limitations in daily activities. Primary dysmenorrhea can be treated using yoga and self-tapping. Objective: understanding differences on use of Complementary and Alternative Medicine (CAM), such as yoga and self-tapping towards changing long pain of primary dysmenorrheal. Method: Study was conducted by quasi experiment with nonequivalent pretest-posttest control group design. Study was conducted on November 2016 until February2017 in SMK “A” Pedan Klaten and SMK “B” Klaten. Sample of study amounted 88 respondent divided on 47 respondents on experimental group and 41 respondent as control group. The experimental group was given a yoga intervention; control group was given self-tapping. Measuring tool using Numerical Rating Scale (NRS). Data analysis using t-test for independent sample, Mann-Whitney test and Wilcoxon.Result: Statistically yoga and self-tapping were equally effective in reducing the long pain of primary dysmenorrheal with p values of 0.000 and 0.012 respectively. Clinically yoga is more effective in reducing the long pain of primary dysmenorrhea with mean 1,49 compared with self-tapping 0,46.Conclusion: Yoga become more effective intervention on reduction long pain of primary dysmenorrhea compared to self-tapping.
 
Article
Yogyakarta as a tourism city given more impact on attitude and behavior sexuality among adolescents. Notion and ideas about sexuality much influenced by the Globally issued environment. This study is basically on the attitude and behavior about sexuality among adolescent. It is of public health importance to examine this topic to inform sex education, policymaking, prevention and intervention program. This study explored the characteristics of sexual attitudes, and high risk premarital sexual behaviors among 106 unmarried youth aged 15 to 17 years usedsexual behavior questionnareand adopted from BriefSexual Attitude Scaleto investigate sexual attitudes. The scale measures sexual attitudes on four dimensions, being permissiveness, birth control (sexual practices), communion (investment in relationship), and instrumentality (pleasure-orientation to relationship). This study shown to female prefer low being permissiveness and male prefer high birth control , communion, and instrumentality for aspect sexual attitude. The male shown to prefer high premarital sexual behavior than female. Adolescents still have high risk sexual behavior, so parent, school and government should arrange intervention program together toward sex education for adolescents.
 
Characteristics of subject
Factors affecting quality of life
Characteristics of respondent and quality of life
Article
Background: Coronary artery disease caused disturb of physical, psychological, and social aspects on quality of life. The aims in this study was to examine effecting factors of quality of life (QoL).Methods: In this used the analytic correlation with cross-sectional design. One hundred and three subjects paticipated with purposive sampling (88 male and 23 female). QoL quesioner (SF-36) were used to collect the data. The data were analyzed by multivariate regression.Results: One hundred and three patientss (80 males and 23 female) were enroll on this study. In this study indicates that independent variables were not associated with quality of life (p value > 0.05). The greater quality of life found in patients graduated from university (62,2%) and had much income (51.9%). Other variables like male (57.5%), patients between 48-57 years of ages (68.2%), married patients with coronary artery disease (62.0%), the retired or unemplayee (78.9%), patients with hypertention (57.8%), never taking alcohol (60.8%), never smoking (50%) and never doing exercise (66%) had lower quality of life score.Conclusion: There were no statistically significant factors affecting quality of life in patients with CAD. The more respondents needed to know the factors affecting quality of life
 
Respondent's Characteristics Among PLWHA in Victory Plus Foundation Yogyakarta
Bivariate Analysis of HIV Disclosure and Quality of Life Among PLWHA in Victory Plus Foundation
Article
Background: Victory Plus Foundation is a Non-Government Organization that helps the population directly affected by HIV/AIDS in Yogyakarta. Status disclosure’s research on People Living with HIV/AIDS (PLWHA) in Victory Plus Foundation is scarce. Even though the status disclosure is one of HIV spreading prevention, it has two-sided effects, both negative and positive, so its result can affect the quality of life despite PLWHA having tried to find a support system. Therefore, it is essential to know how the quality of life of PLWHA has opened up their status.Purpose: This study aimed to determine the relationship between HIV status disclosure and the quality of life of PLWHA in the Victory Plus Foundation, Yogyakarta.Method: This descriptive-analytic correlation study with a cross-sectional approach was conducted in June-July 2019 on 68 PLWHA at the Victory Plus Foundation. Purposively, samples were asked to fill out a disclosure questionnaire and WHOQOL-BREF. Univariate data presented in descriptions and Chi-Square tested bivariate data.Result: Most of the HIV status disclosure of PLWHA in the Victory Plus foundation was classified into a moderate category (77.9%) and low quality of life (64 %). The bivariate test result found a significant relationship between the HIV status disclosures with the quality of life in general (p = 0.001) with a moderate relationship closeness (r=0.403).Conclusion: Consequently, there is a relationship between the HIV status disclosures with the quality of life of PLWHA in the Victory Plus Foundation in Yogyakarta.
 
Article
ABSTRAKSebanyak 63,4 juta jiwa (27,7%) penduduk Indonesia adalah remaja yang terdiri dari laki-laki sebanyak 50,70% jiwa dan perempuan sebanyak 49,30% jiwa . Perkiraan persentase remaja yang meningkat dengan pesat dapat menyebabkan remaja rentan menuai berbagai persoalan. Salah satu persoalan tersebut adalah perilaku seksual bebas di kalangan remaja. Sikap jelas sangat mempengaruhi perilaku. Memegang teguh suatu sikap yang mengarah pada suatu objek memberikan satu alasan untuk berperilaku mengarah pada objek itu dengan suatu cara tertentu. Sesuai dengan penjelasan-penjelasan tersebut, remaja sangat penting untuk menentukan sikap terhadap suatu stimulus khususnya stimulus seksual, sehingga perilaku seksual yang menyimpang dapat dicegah dengan segera serta menghapuskan asumsi bahwa hubungan seks hanya sebatas hal yang bersifat rekreatif saja. Tujuan dari penelitian ini adalah untuk mengetahui gambaran sikap seksual remaja. Desain yang digunakan adalah desain deskriptif kuantitatif dengan menggunakan metode cross sectional. Teknik pengambilan sampel dalam penelitian ini adalah simple random sampling. Penelitian dilakukan di SMA “X” Yogyakarta pada bulan Februari 2016. 64 responden (61,5%) dikategorikan rendah pada dimensi permissiveness. 68 responden (65,4%) dikategorikan tinggi pada dimensi birth control. 58 responden (55,8%) dikategorikan tinggi pada dimensi communion. 39 responden (37,5%) dikategorikan rendah pada dimensi instrumentality.Kata Kunci : remaja, sikap seksual, sikap seksual remajaABSTRACTAs much as 63.4 million people (27.7%) of Indo- nesian population is composed of adolescents, boys as many as 50.70% people () and girls as many as 49.30% people. Estimation of the percentage of adolescents are increasing rapidly. It can cause various problems. One of the issue is the sexual behavior among adolescents. The attitude obviously affects behavior. Keep up an attitude that leads to an object gives one reason to the object in a certain way. Appropriate with the explana- tions, adolescents are very important to determine the attitude to a stimulus, especially a sexual stimulus, so the deviant sexual behavior can be prevented immedi- ately and to eliminate the assumption that sex is lim- ited to things that are recreational only. The objective of this study is to know the representation/illustration of sexual behavior of adolescents. This study was used quantitative descriptive design using cross sectional method. The sampling technique in this study was strati- fied random sampling. The study was conducted in SMA “X” Yogyakarta in February 2016. As much as 64 respondents (61.5%) was categorized as low on permis- siveness dimension . As much as 68 respondents (65.4%) was categorized as high on birth control dimensions. As much as 58 respondents (55.8%) was categorized as high on communion dimensions (the close relation- ship between two people). As much as 39 respondents (37.5%) was categorized as low on Instrumentality di- mensions.Key word: adolescent, adolescents sexual attitude, sexual attitude
 
Article
Proses pembelajaran yang ditekankan saat ini adalah student centered learning, pembelajaran ini memberikan kesempatan mahasiswa untuk membangun sendiri pengetahuannya sehingga akan memperoleh pemahaman mendalam. Salah satu pembelajaran inovatif dengan strategi student centered learning yaitu Peer-Assisted Learning (tutor sebaya). Metode PAL mampu meningkatkan pemahaman (secara kognitif) pada tutor dan tutees, dikarenakan konsep-konsep dapat dijelaskan secara sederhana dengan menggunakan bahasa yang paling mudah difahami dan sesuai dengan level mahasiswa. Konsep ini dikenal sebagai konsep keselarasan kognitif (cognitive congruence). Tujuan penelitian ini adalah menganalisis penerapan metode peer-assisted learning (PAL) dalam meningkatkan pencapaian kompetensi kognitif mahasiswa.Penelitian ini menggunakan desain quasy experiment dengan rancangan pre and post-test with control group design. Tehnik sampling menggunakan simple random sampling, dengan sampel sejumlah 60 mahasiswa semester empat yang terbagi menjadi dua kelompok perlakuan dan kontrol. Instrumen penelitian menggunakan multiple choice question. Data dianalisis menggunakan t-test, dengan α = 0.05.Hasil uji statistik menunjukkan bahwa rata-rata nilai pre-test dan post-test mengalami perubahan signifikan (p value 0.000). Nilai rata-rata pre-test (42,40) termasuk dalam kategori tidak kompeten sedangkan nilai rata-rata post-test (84,27) sehingga termasuk dalam kategori kompeten. Sedangkan pada kelompok kontrol sebelum perlakuan nilai mean (40,67) termasuk dalam kategori tidak kompeten. Setelah mendapatkan intervensi non-PAL, nilai mean meningkat menjadi (69,60) termasuk kategori tidak kompeten.Penerapan peer-assisted learning berpengaruh signifikan untuk meningkatkan kompetensi kognitif mahasiswa.
 
General characteristics of cancer patients (n=75)
CAM use among cancer patients (n=75)
Correlation between being informed on CAM and its reported use (n=75)
Article
Background: Previous studies have indicated that the majority of cancer patients have used self-selected Complementary and Alternative Medicine to relieve disease-related symptoms and treatment-related adverse effects untreated by conventional treatment to improve the quality of life. Unfortunately, studies on Complementary and Alternative Medicine use among cancer patients, especially in Yogyakarta, the city with the highest cancer prevalence in Indonesia, are still limited. Objective: This present study aims to identify the correlation between being informed on Complementary and Alternative Medicine and its reported use among cancer patients. Methods: This study was a descriptive correlational study on 75 consenting cancer patients. The respondents were selected using a purposive sampling technique. Data about their Complementary and Alternative Medicine use were collected by administered questionnaires and analyzed using descriptive statistics and bivariate analysis. Results: 25.3% of respondents had used Complementary and Alternative Medicine. Being informed on Complementary and Alternative Medicine and its reported use among cancer patients were significantly correlated (r=0.331; p=0.002). Conclusion: Complementary and Alternative Medicine use among cancer patients was still limited. Health providers need to discuss Complementary and Alternative Medicine use with their patients openly.
 
Article
AbstrakPemasangan infus merupakan tindakan invasif awal yang seringkali dilakukan di Instalansi Gawat Darurat (IGD) guna memenuhi kebutuhan cairan dan elektrolit. Tindakan tersebut dapat menyebabkan nyeri pada anak. Nyeri yang tidak ditangani dapat mengakibatkan dampak yang serius, baik jangka pendek maupun jangka panjang. Perawat perlu menggunakan metode yang tepat untuk mengurangi nyeri pada anak saat pemasangan infus guna meminimalkan dampak tersebut. Tujuan penelitian ini untuk menganalisis perbedaan antara intervensi guided imagery dan ethyl chloride terhadap skor nyeri anak saat pemasangan infus. Penelitian ini menggunakan desain penelitian semu (quasi experiment) dengan postest kelompok kontrol nonekuivalen (after only onequivalent control group design). Jumlah total responden 30 anak yang diambil dengan teknik consecutive sampling. Skor nyeri diukur dengan Wong-Baker face pain rating scale dan dianalisis secara statistik dengan uji post hoc Mann-whitney. Hasil menunjukkan nilai ρ sebesar 0,530 (ρ>0,05) artinya tidak terdapat perbedaan skor nyeri yang bermakna antara kedua intervensi. Hal ini menunjukkan bahwa Guided imagery dapat dijadikan alternatif penatalaksanaan nyeri non farmakologi dan non invasif pada anak saat pemasangan infus di IGD. Abstract The infusion procedures are the first invasive treatment conducted in Emergency Room (ER) to fullfil the need of fluid and electrolyte. Those treatments can cause pain on children. The untreated pain can cause any serious effect, both in short term and long term. Nurses need to use the appropriate method to decrease the pain on children when infusion is installed to decrease those effects. This study is aimed to analyze the differences of children pain score when having infusion procedures with guided imagery and ethyl chloride intervention. This study used quasi experimental study with 30 children as participants by using non equivalent control group design. The group was taken by using consecutive sampling technique. The data was collected by using Wong-Baker face pain rating scale and analyzed by post hoc Mann-Whitney test. The result showed that ρ value were 0,530 (ρ>0,05), of which can be concluded that there is no significant difference on the two interventions. Guided imagery could be used as an alternative pain management for non farmachology and non invasive on children when having the infusion procedures at ER.
 
Article
AbstrakPemasangan infus merupakan tindakan invasif awal yang seringkali dilakukan di Instalansi Gawat Darurat (IGD) untuk memenuhi kebutuhan cairan dan elektrolit. Perawat perlu menggunakan metode yang tepat untuk mengurangi nyeri hebat pada anak saat pemasangan infus. Tujuan penelitian ini untuk menganalisis perbedaan skor nyeri anak saat pemasangan infus dengan intervensi guided imagery dan ethyl chloride. Penelitian ini menggunakan rancangan pre-eksperimental post-test design dengan 30 anak sebagai responden yang diambil melalui consecutive sampling. Data dikumpulkan dengan Wong-Baker face pain rating scale dan dianalisis secara statistik dengan uji post hoc Mann-whitney. Hasil menunjukkan nilai ρ sebesar 0,530 (ρ>0,05) artinya tidak terdapat perbedaan yang bermakna antara kedua intervensi. Guided imagery dapat dijadikan alternatif penatalaksanaan nyeri pada anak saat pemasangan infus di IGD. Kata kunci: Ethyl chloride, Guided imagery, Nyeri pada anak, Pemasangan infus AbstractIntravenous catheter insertion procedure is the first invasive treatment in Emergency Room (ER) to fullfil the need of fluid and electrolyte. Nurses need to used the right method to decrease pain in children underwent IV insertion procedure. The aim of this study was to analyze the differences of children pain score when they had IV insertion with guided imagery and ethyl chloride intervention. This study used pre-experimental post-test treatment with 30 children as a participant by consecutive sampling technique The data was collected using Wong-Baker face pain rating scale and analyzed by post hoc Mann-Whitney test. The result showed that ρ value was 0,530 (ρ>0,05), in which can be concluded that there was no significant differences on two intervention. Guided imagery could be used as an alternative pain management on children when they had IV insertion procedure at ER. Keywords: ethyl chloride, guided imagery, pain in children, procedure of infusion.
 
Article
AbstrakLatar Belakang: Menurut WHO, 5-25% anak usia prasekolah mengalami gangguan perkembangan motorik halus. Perkembangan motorik halus anak salah satunya dipengaruhi oleh penggunaan alat permainan edukatif. Terdapat jenis permainan edukatif yang digunakan dalam menstimulus perkembangan motorik halus anak diantaranya adalah pasir (sandplay). Namun sayangnya dilapangan, kegiatan yang dapat menstimulus perkembangan motorik halus anak masih belum dilakukan dengan adekuat, dalam hal ini frekuensinya masih kurang dari yang digunakan. Sehingga perkembangan motorik halus anak menjadi kurang optimal.Tujuan: Tujuan penelitian ini untuk mengetahui pengaruh penggunaan alat permainan edukatif jenis pasir (sandplay) terhadap perkembangan motorik halus anak usia prasekolah di Taman Kanak-Kanak at Taqwa Mekarsari, Cimahi Jawa Barat.Metode: Penelitian ini menggunakan metode penelitian quasi experiment design dengan rancangan pretest dan posttest. Teknik pengambilan sampel menggunakan purposive sampling sejumlah 17 responden kelompok intervensi permainan edukatif jenis pasir (sandplay). Cara pengumpulan data menggunakan kuisioner dan dengan cara observasi. Penilaian menggunakan lembar instrumen DENVER II yang diambil aspek pengukuran motorik halus. Analisa data yang digunakan adalah uji t 2 sampel dependen dan uji t 2 sampel independen untuk bivariat.Hasil: penelitian membuktikan bahwa terdapat pengaruh intervensi permainan edukatif jenis pasir (sandplay) terhadap perkembangan motorik halus anak usia prasekolah. Berdasarkan hasil penelitian, untuk menstimulus perkembangan motorik halus anak, agar dilakukan dengan menambah frekuensi permainan, dapat menggunakan pasir (sandplay). Kata kunci: Perkembangan motorik halus, stimulus sandplay. AbstractBackground: According to WHO, 5-25% of preschool aged children experience impaired smooth motor development. Fine motor development of the child one of them influenced by the use of educational game tools. There are types of educational games used in stimulating smooth motor development of children such as sand (sandplay). But unfortunately in the field, activities that can stimulate the smooth motor development of children are still not done adequately, in this case the frequency is still less than that used. So the smooth motor development of the child becomes less than optimal.Objective: The purpose of this research is to know the effect of using sand game of sandblast (sandplay) to the fine motor development of preschool age children in Kindergarten at Taqwa Mekarsari, Cimahi, West Java. Method: This research uses quasi experiment design method with pretest and posttest design. The sampling technique used purposive sampling of 17 respondents of intervention group of educational game of sand (sandplay) type. Assessment using the DENVER II instrument sheet taken on the fine motor measurement aspect. Data analysis used is t test of 2 dependent samples and t test 2 independent samples for bivariate. Result: The result of the research shows that there is an influence of sandplay game education to the development of fine motor of children. Based on the results of research, to stimulate the smooth motor development of children, to be done by increasing the frequency of the game, can use sand (sandplay). Keywords : Development of fine motor, sandplay stimulus
 
Article
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 buku Kesehatan Ibu dan Anak (KIA). Tujuan penelitian ini adalah untuk mengetahui gambaran pemanfaatan buku KIA oleh ibu dan keluarga di wilayah kerja Dinas Kesehatan Kabupaten Pekalongan tahun 2016-2017. Jenis penelitian descriptive analytic dengan desain penelitian cross sectional. Tehnik sampling dengan stratified random sampling dengan total sampel 63. Analisis menggunakan analisis univariate. Hasil penelitian 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. Tenaga kesehatan agar selalu menggunkan buku KIA sebagai media edukasi sehingga ibu dan keluarga termotivasi untuk memanfaatkan buku KIA secara lebih optimal. 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. Sampling technique with stratified random sampling with total sample 63. Analysis using univariate 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.
 
Article
AbstrakMasalah gizi kurang balita merupakan masalah aktual di wilayah Kulon Progo, Yogyakarta. Tujuan penelitian ini untuk mengetahui faktor yang mempengaruhi status gizi balita. Penelitian ini menggunakan cross sectional, sampel balita 12-59 bulan sebanyak 155 orang. Data diperoleh melalui kuesioner, status gizi diukur dengan indeks Berat Badan/Umur. Hasil menunjukkan terdapat hubungan bermakna antara usia balita, riwayat pemberian ASI, asupan makanan, persepsi ibu, pola pengasuhan dengan status gizi balita. Faktor dominan yang mempengaruhi status gizi adalah asupan makanan. Diperlukan peran perawat komunitas dalam edukasi dan pemberdayaan untuk meningkatkan status gizi balita.Kata kunci: faktor status gizi, gizi kurang, balita AbstractUndernutrition was still a prior problem in Kulon Progo,Yogyakarta. The objectives of this study were to determine nutritional status in children under five years and related factors. Cross sectional study was conducted with 155 children under five years. Nutritional status was assessed using anthropometric measure- ment. There was a significant association between child’s age, exclusife breastfeeding, child’s dietary intake, caregivers’ practice and mother’s perception with child’s nutritional status and child’s dietary energy intake was the most factor that significant correlated. These findings indicates that the roles of com- munity nurses are needed to improves children nutritional status using education and partnership.Keywords: factors of nutritional status, undernutrition, children under five years
 
Article
Remaja hamil dengan status pernikahan dan primigravida, menjadikan remaja rentan selain dari kehamilan resiko tingginya, juga dengan kecenderungan rendahnya kemampuan pengambilan keputusan di keluarganya. Rendahnya otonomi ini cenderung mempengaruhi pemanfaatan ANC mereka. Studi deskripsi korelasi ini bertujuan menguji hubungan antara otonomi wanita dan pemanfaatan ANC, yang dilakukan dari bulan September sampai Oktober, 2015, pada 85 primigravida remaja yang menikah dengan usia kehamilan > 28 minggu, di seluruh Puskesmas Kabupaten Pekalongan, melalui analisis Chi Square. Hasil studi menunjukkan 31,8% remaja tidak adekuat dalam memanfaatkan ANC. Hal ini dihubungkan dengan indeks otonomi wanita keseluruhan (p-value = 0.013, X2= 6.168), terutama untuk dimensi familial health care decision making power (p-value = 0.000, X2= 31.264). Hasil ini menunjukkan pentingnya remaja memiliki kekuatan pengambilan keputusan dalam keluarga terutama selama kehamilannya, ini dipengaruhi pula oleh suami dan keluarga yang tinggal satu rumah. Direkomendasikan deskripsi Otonomi wanita ini menjadi bahan dalam konsultasi pernikahan kepada remaja dan keluarga. Abstract Pregnant adolescents with marital status and primigravida, making adolescent vulnerable apart from high risk pregnancies, as well as the low propensity of decision-making power in their family. This low autonomy tends to affect their ANC utilization. This correlation study aims to examine the relationship between women autonomy and ANC utilization, conducted from September to October, 2015, among 85 married teenage primigravida, gestational age> 28 weeks, across Pekalongan District, through Chi Square analysis. The results showed that 31.8% of adolescents had inadequate ANC utilization. It related to the overall women autonomy index (p-value = 0.013, X2 = 6.168), especially for familial dimension of health care decision making power (p-value = 0.000, X2 = 31.264). Results indicate the importance of women autonomy among married adolescents especially during pregnancy, that is influenced by husband and family who live with them. Thus, this woman's autonomy should include in wedding consultations to teenagers and families
 
Article
AbstrakLatar Belakang: Ketergantungan merokok yang tinggi akan menyebabkan semakin sulitnya berhenti merokok. Ketergantungan merokok rendah akan semakin mudah berhenti merokok. Remaja dan perokok lansia mempunyai riwayat lama waktu penggunaan nikotin yang berbedaTujuan: Tujuan penelitian ini adalah mengetahui perbedaan tingkat ketergantungan merokok antara perokok remaja dengan perokok lansia.Metode: Jenis penelitian ini descriptive comparative dengan pendekatan cross sectional. Sampel penelitian berjumlah 76 responden yang terdiri atas 38 responden perokok remaja dan 38 responden perokok lansia dengan menggunakan metode purposive sampling sampling. Instrumen dalam penelitian ini berupa kuesioner merokok yaitu Fagerstrom Test for Nicotine Dependence (FTND). Uji statistik menggunakan Mann Whitney.Hasil: Penelitian ini mendapatkan hasil berupa tingkat ketergantungan merokok pada lansia lebih tinggi dari pada remaja (3.16 ± 1.82 Vs. 5.42 ± 2.18; P-Value < 0.001).Kesimpulan: berdasarkan hasil penelitian ini maka dapat disimpulkan ada perbedaan tingkat ketergantungan merokok antara perokok remaja dengan perokok lansia. Sehingga pada perokok remaja lebih mudah dalam berhenti merokok. AbstractBackground: The high of smoking dependency will be more difficult to stop smoking. The low of smoking dependence will be easier to stop smoking. Adolescent and elderly have the differences of length of use the nicotine. Objective: The objective of this study wants to identify the difference of smoking dependence level between adolescent with elderly smokers. Method: This research was descriptive comparative with cross sectional design. The research sample was 76 respondents with 38 adolescent smokers and 38 elderly smokers which chosen by purposive sampling techniques. The instrument in this research used The Fagerstrom Test for Nicotine Dependency (FTND). The data was analyzed by Mann Whitney. Result: The mean and standard deviation of adolescent smokers was 3.16 ± 1.824 and elderly smokers were 5.42 ± 2.17. The results of statistical tests with Mann Whitney are P-Value 0,000 (P <0.05) which means there are significant difference. Conclusion: The smoking dependence level in elderly smokers higher than adolescent smokers. Therefore, adolescent smokers are easier to stop smoking.
 
Article
Hemodialysis is a treatment that must be done by patients with chronic renal failure. Hemodialysis can changes the various aspects of life of patients, and it cause anxiety. One of the method that can used to reduce anxiety is Benson relaxation techniques. This technique is a combination of relaxation and elements of religious beliefs espoused. To determine the effect of Benson relaxation techniques for anxiety in patients undergoing hemodialysis therapy. Quasi Experiment pre post test design with comparison groups with simple randomization tech- niques conducted, the number of respondents is 30 people were di- vided into intervention group (n = 14) were given relaxation Benson for 2 weeks every day at 6 am and 5 pm and the comparison group (n = 16) were not given the intervention. Anxiety measurements performed twice pretest and posttest with Analog Anxiety Scale (AAS). The average of respondent’s anxiety pre dan post relaxation tecnic Benson in the inter- vention group 21,93 and 13,59. And in the comparison group 17,19 and 12,94. This study showed that there was a significant decrease in anxiety scores in the intervention group p=0.001 (p<0.05) and com- parison group p=0,014 (p<0,05). The study showed that the interven- tion group obtained a average difference of 8.36, while in the control group obtained a average difference of 4.25 with p value 0.118 (p> 0.05). There are no significant differences in the average difference of anxiety in both groups. Benson relaxation techniques have no effect to the de- crease anxiety scores of hemodialysis patients.Keywords: Chronic renal failure, Benson relaxation, Anxiety Analog Scale. ABSTRAKHemodialisis adalah pengobatan yang harus dilakukan oleh pasien dengan gagal ginjal kronis. Hemodialisis dapat mengubah berbagai aspek kehidupan pasien, dan menyebabkan kecemasan. Salah satu metode yang dapat digunakan untuk mengurangi kecemasan adalah teknik relaksasi Benson. Teknik ini merupakan kombinasi relaksasi dan unsur-unsur keyakinan agama yang dianut. Untuk mengetahui pengaruh teknik relaksasi Benson untuk kegelisahan pada pasien yang menjalani terapi hemodialisis. Kuasi eksperimen pra desain post test dengan kelompok perbandingan dengan teknik pengacakan sederhana yang dilakukan, jumlah responden adalah 30 orang yang dibagi menjadi kelompok intervensi (n = 14) diberi relaksasi Benson selama 2 minggu setiap hari pada pukul 6 pagi dan 5 sore dan perbandingan kelompok (n = 16) tidak diberi intervensi. Pengukuran kecemasan dilakukan dua kali pretest dan post test dengan Analog Skala kecemasan (AAS). Rata-rata kecemasan responden pra Dan pasca relaksasi tecnic Benson pada kelompok intervensi 21,93 dan 13,59. Pada kelompok pembanding 17,19 dan 12,94. Studi ini menunjukkan bahwa ada penurunan yang signifikan dalam skor kecemasan pada kelompok intervensi p = 0,001 (p<0,05) dan kelompok pembanding p = 0,014 (p <0,05). Studi ini menunjukkan bahwa kelompok intervensi diperoleh perbedaan rata-rata 8,36, sedangkan pada kelompok kontrol diperoleh perbedaan rata-rata 4,25 dengan nilai p 0,118 (p> 0,05). Tidak ada perbedaan yang signifikan dalam perbedaan rata-rata kecemasan pada kedua kelompok. teknik relaksasi Benson tidak berpengaruh terhadap nilai penurunan kecemasan pasien hemodialisis.Kata kunci: Gagal ginjal kronis, Benson relaksasi, Kecemasan Analog Scale.
 
Article
AbstrakPenyakitParu Obstruktif Kronis (PPOK) adalah penyakit progresif menahun yang ditandai dengan keterbatasan pernapasan yaitu dispnea berhubungan dengan respon inflamasi dan terpapar polusi atau racun yang terinhalasi. Tujuan penelitian ini yaitu efektifitas kombinasi napas dalam dengan napas diafragma untuk meningkatkan Arus Puncak Ekspirasi (APE). Desain penelitian yaitu menggunakan pre post control dengan beda kelompok, sampel yang digunakan sebanyak 25 orang kontrol dan 25 orang intervensi total 50 kresponden yang menderita PPOK. Hasil penelitian menunjukan hasi uji wilcoxon untuk grup intervensi P value< 0,05, grup kontrol P value>0,05, untuk uji man witney <0,05. Kesimpulan terapi ombinasi napas dalam dengan napas diafragma terbukti lebih efisien untuk meningkatkkan Arus Puncak Eskpirasi (APE). AbstractChronic obstructive pulmonary disease (COPD) is a chronic progressive disease characterized by respiratory limitation of dyspnea associated with inflammatory responses and exposure to pollution or toxins inhaled. The purpose of this study is the effectiveness of the combination of deep breath with diaphragm breath to increase the peak flow of expiration (APE). The research design was using pre post control with different group, the sample used was 25 controls and 25 people intervention total 50 kresponden suffering from COPD. The results showed that the test results of wilcoxon for intervention group P value <0,05, control group P value> 0,05, for man witney test <0,05. The conclusion of deep breathing omginations with diaphragmatic breath proves to be more efficient to increase the peak expiration flow (PEF).
 
The analysis result pre effectively procedure of IG vs CG to haematom incidents (n=121)
The analysis result of post procedure of the affectivity IG vs CG to haematom incidents (n=121)
The analysis result of the effect IG to the change of the size of diameter in all patient with hematoma incidents n=121
Article
Background: Haematoma is the main vascular complication in the patients after percutaneous coronary intervention (PCI). This incidents is important to be prevented and be overcome because the internal bleeding is not easy to be control and it can be make extend the mass of patients to inpatient in the hospital. Artery-femoral Band (arfeband) is a device designed that worthy and safe to keep the stability of haemostasis after PCI. Aim: it is to know the influence of use arfeband to haematoma incidents in patients after PCI. Methods: this research used the quasy - experiment pre-post control trial design, it involves 121 patients after the elective of PCI that receives the intervention group (IG) and control group (CG) that is done for 6 hours after the removal of the sheath femoral artery, 60 IG used arfeband and 61 CG with the sand bag. The measurement of diameter haematoma is done when before and after intervention. Results: this research shows that before the intervention, there are no differences that significant between IG and CG p=0,909. There are the significant differences to haem atom incidents after the use of IG with P<0,05, OR 0,398 with CI 95% 0,172 – 0,919. It means that arfeband is reducing the haematoma incidents for 60,2 %. The size of the diameter of pre and post procedure, it is decrease in average of 30,4(±13,6)mm to be 10,9 (±15,9) p<0,05. Conclusion: The intervention of use arfeband influences to decrease the haematoma incidents significantly after percutaneous coronary intervention (PCI).
 
Article
AbstrakLatar Belakang: Dismenore/ nyeri pada saat menstruasi merupakan keluhan yang sering dialami perempuan. Dismenore terjadi akibat adanya peningkatan prostaglandin. Efek yang ditimbulkan adalah nyeri, mual, muntah, sakit kepala, diare, tidak enak badan, bahkan bisa pingsan. Terapi murottal dan aromaterapi merupakan cara nonfarmakologi untuk menurunkan intensitas dismenore. Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan intensitas dismenore setelah diberikan terapi murottal dan aromaterapi lavender pada mahasiswi Ilmu Keperawatan angkatan 2016 Universitas Muhammadiyah Yogyakarta.Metode: Penelitian ini menggunakan desain penelitian eksperimental dengan one-group pre-post test design. Sampel pada penelitian ini sebanyak 20 orang yang diambil dengan purposive sampling. Uji yang digunakan adalah uji Wilcoxon dengan α=0,05.Hasil: Hasil penelitian menunjukan bahwa rata-rata intensitas dismenore sebelum dilakukan intervensi 5,40 sedangkan sesudah intervensi 2,90. Terdapat perbedaan rata-rata sebelum dan sesudah intervensi. Hasil analisis statistik didapatkan p value= 0,000 < 0,05.Kesimpulan: Terdapat pengaruh pemberian murottal dan aromaterapi lavender terhadap intensitas dismenore pada mahasiswi Ilmu Keperawatan angkatan 2016 Universitas Muhammadiyah Yogyakarta. AbstractBackground: Dysmenorrhea/ pain during menstruation is a common complaint of women. Dysmenorrhea occurs due to increased prostaglandins. The effects are pain, nausea, vomiting, headache, diarrhea, malaise, and even fainting. Murottal and aromatherapy therapy is a non-pharmacological way to reduce the intensity of dysmenorrhea. Objective: This study aims to determine the difference in the intensity of dysmenorrhea after being given murottal therapy and aromatherapy lavender in the student of Nursing Muhammadiyah University of Yogyakarta. Method: This research uses experimental research design with one-group pre-post test design. Sample in this research is 20 people taken with purposive sampling. The test used is Wilcoxon test with α = 0.05. Result: The results showed that the average intensity of dysmenorrhea before intervention 5.40 while after intervention 2.90. There is an average difference before and after the intervention. The result of statistical analysis got p value = 0.000 <0.05. Conclusion: There are effects of giving murottal and aromatherapy lavender to the intensity of dysmenorrhea in the student of Nursing Muhammadiyah University of Yogyakarta.
 
Article
AbstrakLatar belakang: Pemberian Air Susu Ibu (ASI) merupakan cara yang paling efektif untuk memastikan kesehatan dan keselamatan anak. ASI memiliki manfaat nutrisional dan non nutrisional baik untuk kesehatan anak dan Ibu. WHO merekomendasikan ASI eksklusif sampai usia 6 bulan dilanjutkan sampai 2 tahun. Data WHO menyatakan pemberian ASI eksklusif di ASI tenggara seperti Myanmar mencapai 23,6%, Kamboja 65,2% Indonesia 41,5% jumlah penurunan pemberian ASI eksklusif tidak hanya terjadi di negara maju namun juga terjadi di negara berkembang seperti di Indonesia. Breastfeeding Self-Efficacy merupakan faktor yang paling kuat yang dapat mempengaruhi proses menyusui dan keberhasilan pemberian ASI eksklusif.Tujuan: Mengetahui Faktor yang mempengaruhi Breasfeending Self Efficacy (BSE) dalam Pemberian Asi Eksklusif Pada Ibu Hamil Trimester 3.Metode: Penelitian ini merupakan penelitian deskriptif analitik non eksperimental, rancangan cross sectional. Jumlah responden sebanyak 58 responden dengan teknik accidental sampling. Instrumen dalam penelitian ini menggunakan kuesioner. Analisis penelitian dengan uji Kendall,s Tau dan uji Chi-Square. Hasil: Hasil statistic menunjukkan bahwa factor yang berhubungan dengan Breasfeending Self Efficacy (BSE) adalah motivasi ibu, dukungan suami dan dukungan petugas kesehatan.Kesimpulan: Adanya hubungan antara motivasi ibu, dukungan suami dan dukungan petugas kesehatan dalam breasfeeding Self Efficacy (BSE). Pelajaran ini memberikan bukti bahwa faktor yang mempengaruhi breasfeeding Self Efficacy (BSE) adalah dibutuhkannya motivasi dari ibu, dukungan suami dan dukungan tenaga kesehatan. Breasfeeding Self Efficacy (BSE) merupakan factor yang paling berpengaruh terhadap proses menyusui dan tercapainya keberhasilan pemberian ASI eksklusif dikemudian hari. AbstractBackground: The provision of breast milk is the most effective way to ensure children's health and safety. ASI has nutritional and non-nutritional benefits both for the health of children and mothers. WHO recommends exclusive breastfeeding until the age of 6 months is continued for up to 2 years. WHO data states that exclusive breastfeeding in southeast ASI such as Myanmar reaches 23.6%, Cambodia 65.2% Indonesia 41.5%, the decrease in exclusive breastfeeding does not only occur in developed countries but also occurs in developing countries such as Indonesia. Breastfeeding Self-Efficacy is the most powerful factor that can affect the breastfeeding process and the success of exclusive breastfeeding. Objective: To find out the factors that influence Breasfeending Self Efficacy (BSE) in giving exclusive breastfeeding to trimester 3 pregnant women.Method: This study is a non-experimental analytic descriptive study, cross sectional design. The number of respondents is 58 respondents with accidental sampling technique. The instrument in this study used a questionnaire. Research analysis with Kendall test, s Tau and Chi-Square test.Results: Statistical results show that the factors associated with Breasfeending Self Efficacy (BSE) are mother's motivation, husband's support and support from health workers.Conclusion: There is a relationship between maternal motivation, husband's support and support of health workers in breedingfeeding Self Efficacy (BSE). This lesson provides evidence that the factors that affect Self-efficacy breeding (BSE) are the need for motivation from the mother, husband's support and support from health workers. Breasfeeding Self Efficacy (BSE) is the most influential factor in the breastfeeding process and the achievement of the success of exclusive breastfeeding in the future.
 
Article
AbstrakLatar Belakang: Rumah sakit yang terakreditasi dalam sistem akreditasi KARS 2012 mengarahkan kegiatan RS agar memberikan pelayanan yang memenuhi standar kualitas jaminan rasa aman. Keamanan pelayanan di RS salah satunya peningkatan komunikasi efektif antar perawat, sehingga tidak terjadi kesalahan informasi saat handover dan menjamin keselamatan pasien karena belum maksimalnya penerapan komunikasi SBAR.Tujuan: Penelitian ini bertujuan untuk mengeksplorasi penerapan komunikasi SBAR pada perawat dalam melaksanakan handover di RSUD Banjarmasin.Method: Penelitian ini dilakukan dengan menggunakan metode kualitatif dengan pendekatan fenomenologi.Hasil: Hasil penelitian mengidentifikasi sebanyak enam tema, yaitu Pengalaman penerapan komunikasi SBAR dalam handover; Manfaat penerapan komunikasi SBAR dalam handover; Hambatan penerapan komunikasi SBAR dalam handover; Tantangan penerapan komunikasi SBAR dalam handover; Cara beradaptasi penerapan komunikasi SBAR dalam handover; Harapan penerapan komunikasi SBAR dalam handover.Kesimpulan: Rekomendasi peneliti sebaiknya pihak manajemen khususnya bidang keperawatan melakukan perbaikan fasilitas pada format dokumentasi SBAR dan melakukan sosialisasi manfaat komunikasi SBAR ke ruangan yang belum menerapkan komunikasi SBAR dalam melaksanakan handover. AbstractBackground: Accredited hospitals in KARS 2012 accreditation system direct RS activities to provide services that meet safety assurance standards. Safety of service in the hospital one of them is increasing the effective communication between nurses, so that there is no information error when handover and guarantee patient safety because not maximal application of SBAR communication. Objective: The purpose of the study explored the application of SBAR communication to nurses in implementing handover at Banjarmasin General Hospital. Method: The research was conducted using qualitative method with phenomenology approach. Result: The research results identify as many as six themes, namely: Experience of SBAR communication implementation in handover; Benefits of implementing SBAR communication in handover; Barriers to the implementation of SBAR communication in handover; Challenges of implementing SBAR communication in handover; How to adapt the implementation of SBAR communication in handover; Expectations of SBAR communication in handover. Conclusion: Recomendation Management, especially in the field of nursing should make facility improvements on the SBAR documentation format and socialize the benefits of SBAR communication to a room that has not implemented SBAR communication in implementing handover.
 
Characteristics of participants
Article
Background: Nurses are the majority of human resources in the hospitals whose role determines the quality of health care and they are most closely associated with patients. They are the most dominating human resources in hospital who have the most frequent interaction with the patients. Therefore, the primary indicator of the hospitals' quality service is in its nursing services. The capabilities and competencies of the nurses can be assessed through a nursing logbook strategy. Objective: This research aimed to explore the implementation of performance assessments using the nursing logbook. Method: This research was conducted using a qualitative method with a phenomenological approach. Data collection was conducted from November to December 2017 by using in-depth interviews with six participants who were selected by using purposive sampling techniques. The participants were nurses in Dr. H. Moch. Ansari Hospital. Results: The research results covered six themes, namely the existence of a nursing logbook for nurses, the purpose and the benefit of logging book in nursing, the relationship between a nursing logbook and credentials, the implementation of nursing logbook, the constraints or the barriers in the implementation of the nursing logbook, and the expectations of nurses towards the nursing logbook. Conclusion: The system of implementing the logbook as a tool for the nurses' performance assessment is not optimal due to the limited socialization to the nurses in the hospital.
 
Odd Ratio (OR) Changes in Each
Article
Background: Hospital put patient safety as priority such as decubitus prevention to provides excellent service. The incidence of decubitus commonly occurs, such as in Western Europe generally occurs about 49%, 22% in North America, 50% in Australia, 29% in Jordan, and 33% in Indonesia. Nursing interventions to prevent decubitus is an indicator to assure the quality of nursing care. Nurses influenced by various factors toward decubitus prevention. Objectives: Aim’s of this study is to analyze the factors that influence nurses through decubitus prevention on bed rest patient. Methods: The population was all nurses in Intensive Care Unit at Ulin Hospital Banjarmasin (n=30) this study used a cross sectional approach. Instrument research is a questionare and abservastion sheet which adopted from NPUAP 2014. The statistical test used multiple logistic regression with significance level of 0,05. Results: A multivariate results found that factors associated with decubitus prevention are knowledge (0,401), attitude (0,464), encouragement nurses (0,530), and facilities and infrastructure (0,530), p-value < 0,05. Conclusions: The most related factors that influence toward decubitus prevention are knowledge, attitude, facilities and infrastructure, and encouragement nurses. Keywords: decubitus prevention, facilities and infrastructure support, fellow nurse supports, knowledge, nurse’s attitude
 
Description of characteristics of respondents in Nurses (n=40).
Article
Background: Death is a psychological and physical event that affects patients caring for, especially in Emergency Departement (ED) and the Intensive Care Unit (ICU). Patients and families need the end of life care from a health professional, including nurses. Nurses need to have knowledge, skill, attitude, and interpersonal competencies to provide end of life care. Objective: This study aimed to explored differences of attitudes towards dying care between ED and ICU ward nurses in a rural hospital. Method: Variable in this study was the nurse's attitude. This study used a quantitative comparative cross-sectional research design. The samples were 24 nurses from the emergency ward and 16 from the intensive care unit who were recruited by total sampling. Data were collected to use Frommelt Attitudes Towards the Care of the Dying Care Form B Indonesian version (FATCOD-BI). Result: The results revealed that nurses' attitudes toward caring for dying patients in the ED were 101.42±6.646 (30-150) on average, and in the intensive care unit was 106.44±7.633 (30-150) on average. Nurses in the ICU had a more positive attitude than the ED (p = 0.034). There are differences between the proportion of respondents based on gender, level of education, length of time working in the emergency ward, and ICU. The result showed gender, level of education, and range of time working could influence nurses' attitudes towards caring for dying patients in the emergency ward and ICU. Conclusion: There is a difference between nurses' attitudes towards EOLC in the ED and ICU room at rural hospitals. Moreover, the ICU nurses have a more positive attitude than ED nurses.
 
Respondents Characteristic (n=85)
The Perception of Respondents (N=85)
The Knowledge of Respondents
Article
Background: Complementary and Alternative Medicine (CAM) is a part of the health system that is well known and useful worldwide. One of the therapies used by many people is wet cupping therapy (hijamah). Nowadays, wet cupping therapy (hijamah) is taught in nursing and medical school.Objective: The study investigates the perception, attitude, and knowledge of nursing students toward wet cupping therapy (hijamah).Method: This study was quantitative research that uses descriptive research design and cross-sectional approaches. The sampling technique used was purposive sampling with 85 respondents. The data were collected using questionnaires and analyzed with bivariate analysis.Result: The result showed that the perceptions of the respondents were mostly in the average category, with the best perception of respondents is in the benefit component (76.5%). Respondents have good view of cupping therapy as is useful as a form treatment, and is more practical and affordable. The respondents' attitudes and knowledge were in the average category, which was 58.8% and 68.2%. This study showed that most respondents already understand that cupping (hijamah) is a treatment with contraindications to specific health conditions. Respondents also could show the basic scientific concepts of cupping and hadiths that explained cupping. However, some respondents still think that cupping (hijamah) can be applied for all ages.Conclusion: In conclusion, respondents' perceptions, attitudes, and knowledge toward wet cupping therapy (hijamah) were still insufficient in some aspects.
 
Article
The smoking prevalence among youth aged more than 15 years old and so, raising 34,8 % of male and 2,7 % among those female one. Thus, health education program is needed in order to improve youth knowledge on the negative impacts of smoking. This study has been conducted among students of Mexhanical Engineering school in Uni- versitas Muhammadiyah Yogyakarta. This study was a quasy-experimen- tal study. The sample were 52 students who smoked and were divided into two groups, intervention and control gruop. The sampling tech- nique used was random sampling method. Test analysis used Wilcoxon test and Mann-Whitney for attitude. Results : The analysis test showed there was a significant effect of Self Help Group (SHG) on attitude with p=0,000 (0,05). There was a differences on knowledge between inter- vention and control groups with p=0,000 (p<0,05). This new inven- tion on health education method using social media, is important to be developed. Facebook as one of the easy platform of social media to access, will giving more benefit to the community in achieving distance health education.
 
The frequency distribution of nurses' attitudes towards care of the dying based on total FATCOD, family FATCOD and patient FATCOD (n=217)
Descriptive statistic score of the Frommelt attitudes towards care of the dying (FATCOD) (n=217)
Association between demographic characteristics of participants and attitudes towards death and dying (í µí±› = 217)
Article
Background: The increment of terminal health problems causes the demand for palliative care to increase. Nurses’ attitudes toward palliative care have critical implications on the quality of care for terminally ill patients. This study aimed to investigate non-palliative care nurses’ attitudes towards death and dying patients in palliative care in Indonesia. Method: A cross-sectional design was performed in four general hospitals, five primary health centers, and three nursing homes in Yogyakarta. Systematic random sampling was the method employed. The research instrument used Frommelt Attitudes towards Care of the Dying (FATCOD). FATCOD is a 30-item tool using a five-point Likert scale to indicate respondents' attitudes toward caring for dying patients. Attitudes had two categories, namely favorable (≥ mean score of the total score of (FATCOD) Scale) and unfavorable ( mean score of the total score of (FATCOD) Scale). Two hundred seventeen (217) non-palliative care nurses completed the FATCOD and a ten-item demographic questionnaire. The data analysis used descriptive statistics, chi-square, and linear regression. Results: The total FATCOD score achieved in this study was 111.29±9.44 (range 30–150). Concerning nurses’ attitudes towards the family members of terminally ill dying patients, the score was 39.85 (±4.12) out of a possible 50. Besides attitudes towards patient care provision, the score was 71.43 (±6.39) out of a possible 100. The nurses' attitudes towards the dying patients showed that the favorable and unfavorable attitudes had almost the same percentage. Of significance, working experience variables were associated with attitudes in the total FATCOD and patient FATCOD. Working experience and level of education were related to attitudes towards the family FATCOD. Conclusion: Non-palliative care nurses had a favorable attitude towards palliative care. The ministry of health should give awareness by providing various training, workshop, formal and informal education about PC for nurses.
 
Article
AbstrakLatar Belakang: Edukasi diabetes bermanfaat pada perbaikan dalam pengelolaan diabetes secara mandiri serta peningkatan pengendalian kadar gula darahnya. Tetapi, sampai dengan saat ini belum terdapat penelitian dan publikasi mengenai proses bagaimana penderita diabetes di Indonesia mempelajari tentang penyakitnya.Tujuan: Adapun tujuan dari penulisan artikel ini adalah untuk menyampaikan hasil penelitian melalui sebuah storyline/alur cerita yang dikembangkan dari sebuah penelitian grounded theory.Metode: Studi penelitian yang dimaksud ini bertujuan untuk memahami lebih baik proses bagaimana penderita diabetes mempelajari mengenai penyakitnya melalui metodologi grounded theory. Dua puluh enam partisipan diperoleh melalui metode purposive dan theoretical sampling. Wawancara dilakukan kepada partisipan.Hasil: hasil penelitian menunjukan pengembangan sebuah teori “Learning, choosing, and acting: self-management of diabetes in Indonesia” (Mempelajari, memilih dan bertindak: manajemen diri diabetes di Indonesia) yang merupakan proses penderita diabetes mempelajari tentang penyakitnya, yang bersifat siklus dan linier.Kesimpulan: Sebuah storyline atau alur cerita digunakan untuk menjelaskan teori mengenai proses mempelajari, memilih dan bertindak dalam manajemen diri diabetes ini. Rekomendasi ditekankan pada perbaikan dalam memberikan edukasi pada penderita diabetes. AbstractBackground: Diabetes education is beneficial to enhance both knowledge and attitudes towards self-care management and glycemic control improvement. However, little is known about the process of how people with diabetes in Indonesia receive and engage in education that promotes their health. Objective: The purpose of this article is to share the findings in the form of a storyline developed from a grounded theory study. Method: The aim of the study was to better understand this process using grounded theory methodology. Twenty-six participants were recruited through purposive and theoretical sampling methods. The participants were interviewed.Result: The results showed a cyclic and dynamic process that lead to the development of a theory entitled Learning, choosing, and acting: self-management of diabetes in Indonesia. Conclusion: This theory will be explicated using a storyline, along with recommendations to help improve the provision of diabetes education.
 
Characteristics of respondents (n=93)
Description of Waiting Time and Patient Satisfaction (n= 93)
Correlation between Waiting Time and Patient Satisfaction (n= 93)
Article
Background: Outpatients often complain about hospital services, one of which is waiting time. High complaints have an impact on patient satisfaction. Currently, in several outpatient rooms at the hospital, long queues and long waiting times frequently occur. Objective: This study aims to determine the correlation between waiting time and patient satisfaction at Public Hospital. Method: This study used a non-experimental approach with a cross-sectional design. Samples were 93 patients selected by using random sampling technique at the public hospital in Banjarbaru city. The instruments used were the patient satisfaction questionnaire and waiting time observation. Data were analyzed using the chi-square test. Results: The results showed that 35 (37.6%) patients felt the standard waiting time according to regulations from the ministry of health (60 minutes), while 55 (59.1%) patients were satisfied with the services provided. There was a significant relationship between waiting time and patient satisfaction (p-value = 0.021). Conclusion: It can be concluded that there is a relationship between waiting time and patient satisfaction. Hospitals can implement online registration and manage the arrival of doctors in outpatient care so that waiting times and patient satisfaction can be managed according to minimum service standards
 
Article
Abstract Coverage of cervical cancer screening in Indonesia has only reached 5% and cervical cancer in Indonesia is still relatively high. The aimed of this cross-sectional study were to explore perceived barriers of cervical cancer screening and regular screening history among 384 married women in Sleman, Yogyakarta. Data were collected using modified questionnaire items from Champion Health Beliefs Model Scale. Results showed that only 13.8% of respondent have regular screening. Most of respondent in both group Regular and Non-regular/Never had screening perceived that they preferred a female doctor to conduct a screening. Significant association was found between perceived barriers for screening and women’s regular screening history (p-value =0.000). Important barriers reported from this study were male physicians, time-consuming for screening procedure, and embarrassment. Effort to increase screening need to focus on women who have high perceived barriers so that cervical cancer screening’s promotion can be achieved.
 
Article
Massage bayi merupakan ungkapan kasih sayang seorang ibu melalui sentuhan. Kepuasan ibu akan tercapai apabila dapat melakukan massage bayi sendiri sehingga menambah hubungan kasih sayang dan kedekatan antara ibu dan bayi. Tujuan penelitian ini mengetahui gambaran kepuasan ibu dalam melakukan massage bayi. Penelitian ini merupakan penelitian kuantitatif jenis deskriptif. Tehnik pengambilan sampel yaitu accidental sampling sebanyak 43 responden. Analisis univariat untuk mendeskripsikan kepuasan ibu dalam melakukan massage bayi. Ibu yang memiliki tingkat kepuasan rendah 39,5%, sedangkan ibu yang memiliki tingkat kepuasan tinggi 60,5%. Hasil analisis data didapatkan bahwa ibu yang melakukan massage secara mandiri pada bayi, kemudian diukur tingkat kepuasannya sebagian besar ibu merasakan puas yaitu ditunjukkan dengan ibu yang merasa senang dan bayi yang nyaman saat dipijat serta diajak berkomunikasi oleh ibu. Bagi tenaga kesehatan untuk meningkatkan pelayanan dan pendampingan untuk memberikan pelatihan kepada ibu untuk melakukan massage bayi sehingga makin banyak ibu yang terampil serta memfasilitasi sarana dan prasarana untuk memberikan pelayanan dan pendampingan dalam pelatihan kepada ibu untuk massage bayi.
 
Article
Intisari Insomnia merupakan salah satu gangguan tidur yang dapat disebabkan oleh stres, masalah sekolah maupun pekerjaan, kesehatan, merokok, ataupun efek samping dari pengobatan. Insomnia berdampak pada kualitas hidup seseorang seperti penurunan konsentrasi. Berdasarkan Statistic by Country for Insomnia terdapat 10% kejadian insomnia yang ada di Indonesia. Penelitian ini bertujuan untuk mengetahui hubungan antara derajat insomnia dengan konsentrasi belajar pada mahasiswa keperawatan di Yogyakarta. Penelitian ini merupakan penelitian kuantitatif menggunakan rancangan korelasional dengan pendekatan cross sectional. Sampel dalam penelitian ini sebanyak 91 responden yang dipilih menggunakan teknik proportional stratified random sampling pada semua mahasiswa keperawatan di salah satu Program Studi Ilmu Keperawatan swasta di Yogyakarta. . Pengambilan data dilakukan dengan kuesioner Insomnia Rating Scale dan kuesioner konsentrasi belajar yang telah diuji validitas dan reliabilitas. Analisis data menggunakan uji statistik Spearman Rank. Hasil penelitian menunjukkan 57,1% mahasiswa mengalami insomnia kategori ringan dan 73,6% mahasiswa memiliki tingkat konsentrasi belajar kategori cukup. Analisa dengan Spearman Rank diperoleh p value 0,013 (<0,05) yang berarti bahwa terdapat hubungan antara derajat insomnia dengan konsentrasi belajar mahasiswa keperawatan di Yogyakarta. Berdasarkan hasil penelitian dapat disarankan bagi peneliti selanjutnya untuk menggali lebih dalam tentang faktor-faktor yang mempengaruhi derajat insomnia dan konsentrasi belajar pada mahasiswa sehingga konsentrasi belajar tidak terganggu.Abstract Insomnia is one of the sleep problem that caused by stress, school or job problem, health problem, smooking, and also side effects from medication. Insomnia affect quality of life such as lowering someone concentration. Based on Statistic by Country for Insomnia, found as much as 10% incident of insomnia in Indonesia. The aim of this researce was To determine the correlation between insomnia severity with learning concentration among nursing students in Yogyakarta. This research was quantitative study with correlational design used cross-sectional approach. The sample of this research were 91 respondens colecting using proportional stratified random sampling technic. The data were collected by questionnaires that have been tested for validity and reliability. Data analysis using Spearman Rank statistical test. The results of this study show that more than a half of the participants have insomnia severity in the low category (57,1%) and learning concentration in the moderate category (73,6%). Analysis by Spearman Rank showed p value 0,013 (<0,05). There was correlation between insomnia severity and learning concentration among nursing students in Yogyakarta, so it is recommended for suggestions for further researchers to explore more deeply about the factors that affect the degree of insomnia and concentration of learning on the students to have a good learning concentration.
 
Article
Cooperative Learning Jigsaw type is an innovative learning, the five principal elements of cooperative jigsaw can improve learning outcomes, interpersonal skills, self esteem and motivation. The purpose of research to determine the effect of cooperative learning on learning outcomes and self-esteem students Stikes Surya Global Yogyakarta. The research design is Quasy Experimental design of posttest pretest with control group design, research subjects of Stikes Surya Global 2nd semester with total sampling, the number of respondents is 221 students. Data analysis using Wilcoxon Signed Rank Test and Mann Whitney Test. The results showed that there were significant differences between intervention group and control group with P = 0.000 for cognitive learning and P = 0.000 for self esteem. The conclusion of this research is Cooperative Learning Jigsaw improve cognitive and student’s self esteem Stikes Surya Global Yogyakarta.
 
Article
AbstrakLatar belakang: Letusan gunung berapi pada tahun 2010 meningkatkan kesadaran akan kebutuhan untuk mendidik populasi rentan dalam kesiapsiagaan bencana. Wanita dan bayinya terutama berisiko terkena bahaya karena bencana alam. Penelitian saat ini menunjukkan bahwa populasi rentan biasanya kurang siap untuk kejadian bencana besar.Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui efektivitas dari intervensi pendidikan singkat yang ditujukan untuk meningkatkan tingkat kesiapsiagaan bencana dari wanita hamil dan pasca melahirkan.Metode: 30 wanita hamil dan pasca melahirkan dibagi menjadi kelompok intervensi dan kelompok kontrol. Pretest diukur dengan menggunakan instrumen kesiapan keluarga, dan post-test dilakukan pada 30 hari paska-intervensi. Skor dinilai berdasarkan jumlah item yang berhasil diselesaikan pada instrumen kesiapsiagaan.Hasil: Perbedaan signifikan ditemukan pada skor pretest dan posttest pada keluarga yang menerima intervensi (p = 0,000). Skor posttest secara signifikan lebih tinggi daripada skor pretest, menunjukkan bahwa intervensi berhasil meningkatkan tingkat kesiapan keluarga untuk menghadapi bencana jangka pendek secara keseluruhan pada populasi ini. Kata kunci: Letusan gunung berapi, kehamilan, paska melahirkan, bencana AbstractBackground: Volcanic eruption in 2010 heightened awareness of the need to educate vulnerable populations on disaster preparedness. Women and their infants are notably at risk for harm due to natural disasters. Current research suggests that the vulnerable populations usually less prepared for a major disaster event. Objective: The purpose of this study was to determine the short-term effectiveness of a brief education intervention aimed at increasing levels of disaster preparedness of the pregnant and post-partum women.Method: 30 pregnant and postpartum women assigned to control and intervention group Families were surveyed prior to the intervention using instrument on family preparedness, and at 30 days post-intervention. A Preparedness Score was assigned to each family based on the number of items completed on the preparedness instrument.Result: Significant differences were found between pre- and posttest scores for families that received the intervention (p= 0.000). Posttest scores were significantly higher than pretest scores, suggesting that the intervention was successful in increasing short-term overall levels of family disaster preparedness in this population. Keywords: Volcanic eruption, pregnant, post-partum, disaster
 
Article
Abstrak Prevalensi gizi lebih pada remaja setiap tahunnya mengalami peningkatan. Gizi lebih merupakan suatu masalah yang kompleks yang dipengaruhi oleh banyak faktor, salah satunya kurangnya konsumsi sayuran dan buah. kurangnya konsumsi sayuran dan buah di asumsikan tidak adanya keyakinan (self-efficacy) pada remaja untuk mengonsumsi sayuran dan buah karena beberapa hal. Tujuan dari penelitian ini adalah untuk mengetahui hubungan self-efficacy dengan konsumsi sayuran-buah dan kejadian gizi lebih. Metode yang digunakan adalah crossectional. Jumlah sampel yang digunakan adalah 156 remaja kelas 7 dan 8. Tekhnik pengambilan sample yang digunakan adalah stritified propotional random sampling. kuesioner yang digunakan adalah Self-efficacy for fruit, vegetable and water intake dan food recall. Penelitian ini menunjukan bahwa self-efficacy berhubungan dengan konsumsi sayuran dan buah dan kejadian gizi lebih (OR=9,467, 2,093). Hasil regersi logistik menunjukan preferensi merupakan variabel confounding pada konsumsi sayuran dan buah. sedangkan jenis kelamin, genetik dan konsumsi sayuran dan buah merupakan variabel confounding dari gizi lebih.Abstract The prevalence of overweight in adolescents each year has increased. Overweight is a complex issue that is influenced by many factors, one of the cautions is the lack of consumption vegetables and fruit. Lack of consumption vegetables and fruit in the adolescents is assumed to be absence of confidence (self-efficacy) in adolescents to eat vegetables and fruit for several reasons. The purpose of this study was to determine the relationship self-efficacy with vegetable-fruit consumption and the incidence of overweight. The method of research used way cross sectional. A total samples of 156 teenagers grade 7 and 8 in Junior high schools was involved in this study. Using stratified proportional random sampling. The questionnaires used are Self-efficacy for Fruit, Vegetable and Water Intake and Food Recall. This study showed that self-efficacy associated with the consumption of vegetables and fruit and the incidence of overwight (OR=9,467, 2,093).. The results of regresion logistic showed preferences had confounding variable in the consumption of vegetables and fruit. whereas gender, genetics and consumption of vegetables and fruit is a confounding variable of nutrition
 
Distribution of Participans Based on the Breastfeeding Myths andFailure Exclusive Breastfeeding
Article
Background: Failure of exclusive breastfeeding is still high in Pekalongan regency, Central Java Indonesia. The one of reasondue to the existing myth about breast milk and breastfeeding activity in society culture.Objective: This study aimed to determine the relationship between myth about breastfeeding and failure of exclusive breastfeeding.Method: This cross-sectional study design conducted among 151 mothers with infant 6-12 month age which selected by cluster sampling, in Buaran Community Health Center in Pekalongan Regency Central Java Indonesia, from January to May 2017. An instrument used was a questionnaire developed by the reseacher. Result: The results showed 70.1% participants failed exclusive breastfeeding, 56.9% of them believed negative myths about exclusive breastfeeding by p = 0.001 (95% CI: 1,757-8,057). The characteristic of participants was in reproductive age (81,5%), multiparous (71,5%), unemployed (70,9%), and from extended family (66,9%). Most of the participants had a vaginal delivery (86,8%). There was asignificant relationship between myths about breastfeeding and failure of exclusive breastfeeding. Breastfeeding education should deliver in community-based, in terms of growing breastfeeding culture, in Indonesian society.
 
Article
ABSTRAK 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 pre–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, 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.ABSTRACT 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.
 
Article
AbstrakLatar Belakang: Hipertensi adalah salah satu penyakit paling mematikan di dunia dan saat ini terdaftar sebagai penyakit pembunuh ketiga setelah penyakit jantung dan kanker. Perawatan hipertensi membutuhkan waktu lama dan menimbulkan banyak komplikasi. Oleh karena itu perlu intervensi non-farmakologis yang alami untuk mengendalikan tekanan darah tinggi. Hipertensi dapat dikontrol dengan terapi non-farmakologis menggunakan teknik relaksasi pernapasan dalam yang dikombinasikan dengan zikir.Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui efektivitas pernapasan dalam lambat dengan zikir penurunan tekanan darah.Metode: Metode penelitian ini menggunakan Quasi eksperimental dengan kelompok kontrol. Teknik pengambilan sampel menggunakan purposive sampling. Ukuran sampel terdiri dari 30 peserta yang dibagi menjadi 2 kelompok dengan masing-masing 15 peserta. Kelompok intervensi mendapat pengobatan pernapasan dalam lambat dengan zikir sedangkan kelompok kontrol hanya mendapat pengobatan pernapasan dalam lambat. Intervensi selama 14 hari. Pengukuran yang dilakukan adalah pengukuran tekanan darah menggunakan sphygmomanometer dan stetoskop. Analisis yang digunakan adalah Mann Whitney untuk tekanan darah.Hasil: Hasil penelitian Setelah intervensi diberikan ada penurunan tekanan darah dengan nilai p 0,000 (systole) dan 0,045 (diastole).Kesimpulan: Intervensi non-farmakologis pada pernapasan dalam yang lambat dengan zikir lebih efektif untuk menurunkan tekanan darah pada pasien dengan hipertensi. Hasil penelitian ini dapat diterapkan sebagai terapi non-farmakologis pada pasien dengan hipertensi dan bahan ajar perawatan tambahan untuk hipertensi AbstractBackground: Hypertension is one of the most deadly diseases in the world and is currently listed as the third killer disease after heart disease and cancer. Treatment of hypertension takes a long time and causes many complications. Therefore natural non-pharmacological interventions are needed to control high blood pressure. Hypertension can be controlled by non-pharmacological therapy using deep breathing relaxation techniques combined with zikir.Objective: The purpose of this study was to determine the effectiveness of slow breathing with a decrease in blood pressure zikir. This research method use Quasi experimental with a control group. The sampling technique use purposive sampling. The sample size consisted of 30 participants divided into 2 groups with 15 participants each. The intervention group received treatment for slow breathing with remembrance while the control group only received slow breathing treatment. Intervention for 14 days. Measurements taken are blood pressure measurements using a sphygmomanometer and stethoscope. The analysis used was Mann Whitney for blood pressure.Results: After the intervention were given there was a decrease in blood pressure with a value of p 0.000 (systole) and 0.045 (diastole). Conclusion: Non-pharmacological interventions in slow deep breathing with remembrance are more effective for reducing blood pressure in patients with hypertension. The results of this study can be applied as non-pharmacological therapy in patients with hypertension and additional treatment teaching materials for hypertension
 
Article
Bullying causes many negative impacts to the victims, one of them is anxiety. Anxiety influence learning achievement for student. Therefore, it is important to take therapy to reduce anxiety. This study aims to determine the effectiveness of cognitive therapy in reducing anxiety in adolescents’ victims of bullying. Subjects in this study were SMA’S students who are victims of bullying. The research design used True Experimental Pre-Post Test With Control Group. Sample was 22 respondents with simple random sampling technique. Researchers used Olweus Bully / Victims Questionnaire to identify students who are victims of bullying and HARS (Hamilton anxietyrating scale) (rxx '= 0.617) to identify anxiety before and after therapy. The results of this study was cognitive therapy reduce anxiety level in adolescent’s victim of bullying (p-value= 0,002). Another finding in this study, there was a difference of quantitative meetings on respondents when getting therapy, it depends on the number of negative thoughts and the ability of respondents to control negative thoughts.
 
Article
AbstrakLatar belakang : Tindakan pembedahan dapat menimbulkan ketidakseimbangan cairan dan elektrolit yang akan menyebabkan gangguan fisiologis yang berat apabila tidak diatasi. Pemantauan status kebutuhan cairan pada pasien pasca pembedahan diperlukan untuk memenuhi dan mempertahankan kebutuhan cairan dalam tubuh. Tujuan penelitian ini untuk mengetahui status cairan pada pasien pasca pembedahan di RS PKU Muhammadiyah Gamping.Metode : Penelitian ini menggunakan deskriptif analitik dengan rancangan survei dan pendekatan cross-sectional, sampel dalam penelitian ini adalah 44 responden. Pengambilan data menggunakan metode wawancara dan observasi menggunakan lembar observasi pemantauan status cairan berdasarkan kebutuhan cairan dan balance cairan. Analisa data menggunakan metode univariat untuk menghitung distribusi frekuensi variabel yang telah ditetapkan.Hasil : Mayoritas responden memiliki kebutuhan cairan cukup dengan presentase sebanyak 31 orang (70,5 %) dan balance cairan kurang dengan presentase sebanyak 29 orang (65,9 %).Kesimpulan : Mayoritas responden pasca pembedahan di RS PKU Muhammadiyah Gamping memiliki kebutuhan cairan cukup, namun status balance cairan kurang. Diharapkan perawat dapat melakukan pengukuran kebutuhan cairan dan balance cairan pasien dengan tepat, selain itu peneliti selanjutnya dapat melakukan penelitian lanjutan terkait faktor-faktor yang mempengaruhi balance cairan pada pasien pasca pembedahan.Kata kunci : Pembedahan, pasca pembedahan, cairan, kebutuhan cairan, balance cairan AbstractBackground: Surgery can cause fluid and electrolyte imbalances that will cause severe physiological disturbances if not treated. Monitoring fluid status in postoperative patients is needed to meet and maintain fluid requirements in the body. The purpose of this study was to determine fluid status in postoperative patients in PKU Muhammadiyah Gamping Hospital.Method : This study used descriptive analytic with survey design and cross-sectional approach, the sample in this study were 44 respondents. Retrieval of data using interview method and observation using observation sheet monitoring fluid status based on fluid requirements and fluid balance. Data analysis uses the univariate method to calculate the specified frequency distribution of variables.Result : The majority of respondents have enough fluid requirement with a percentage of 31 people (70.5%) and less fluid balance with a percentage of 29 people (65.9%).Conclusion: The majority of respondents after surgery at PKU Muhammadiyah Gamping Hospital had sufficient fluid requirements, but the balance status of fluids was lacking. It is expected that nurses can properly measure the fluid needs and fluid balance of patients, besides that the next researcher can conduct further research related to the factors that affect fluid balance in postoperative patients. Keywords: Surgery, post operative, fluid, fluid requirement, fluid balance
 
Article
Abstrak Latar Belakang: hipertensi adalah suatu keadaan dimana tekanan darah sistolik lebih dari atau sama dengan 140 mmHg, dan tekanan darah diastolic lebih dari atau sama dengan 90 mmHg. World Health Organization (WHO) melaporkan terdapat 12,8% kematian yang diakibatkan oleh hipertensi di seluruh dunia, dan sebanyak 40 % orang dewasa telah menderita hipertensi. Tujuan Penelitian: untuk mengetahui pengaruh jalan kaki terhadap tekanan darah pada lansia dengan hipertensi di Balai Pelayanan Sosial Tresna Werdha (BPSTW) unit Budhi Luhur, Kasongan, Bantul, Yogyakarta. Metode Penelitian: jenis penelitian ini adalah kuantitatif dengan pendekatan time series design (desain rangkaian waktu). Populasi dalam penelitian ini sebanyak 88 responden dengan sampel sebanyak 12 responden yang diambil dengan menggunakan teknik purposive sampling. Hasil Penelitian: hasil uji Wilcoxon pada sampel didapatkan hasil untuk systole dengan nilai z hitung = -2,271 dan p value sebesar 0,023 = α < 0,05. Selain itu hasil untuk diastole dengan nilai z hitung = -2,530 dan p value sebesar 0,011 = α < 0,05 yang artinya ada pengaruh antara jalan kaki terhadap tekanan darah pada lansia hipertensi. Kesimpulan: jalan kaki mempengaruhi perubahan tekanan darah (turun) pada lansia dengan hipertensi. Abstract Background: hypertension is a State where the systolic blood pressure is greater than or equal to 140 mmHg, diastolic blood pressure and greater than or equal to 90 mmHg. The world health organization (WHO) report there is 12.8% of deaths caused by hypertension worldwide, and as much as 40% of adults had suffered from hypertension. Purpose: to know how the walk against the blood pressure in the elderly with hypertension in the House social services Tresna Werdha (BPSTW) unit Budhi Sublime, Kasongan, Bantul, Yogyakarta. Method: the type of this research is quantitative approach to time series design (circuit design time). The population in this research as much as 88 respondents with samples as many as 12 respondents taken using purposive sampling technique. Results: Wilcoxon test results on samples obtained results for the z value of systole count =-2.271 and p value = 0.023 α < 0.05. In addition the results to calculate the z value of diastole =-2.530 and p value = 0.011 α < 0.05 meaning there influence between walk against blood pressure in elderly hypertension. Conclusion: walking affects blood pressure changes (down) on the elderly with hypertension.
 
Characteristics of respondents
Article
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 nurse’s knowledge level and the nurse’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 nurses’ knowledge and skills.
 
Article
Background: Disaster might cause many impacts for vulnerable people, especially children (pediatric population).Objective: This paper aims to explain how should nurse do in caring for children in disaster management. Method: This review is conducted by searching many literatures from Science direct, ProQuest, PubMed, and google scholar about children and care for pediatric population. Result: Management for children in disaster should consider to many important things, such as: physical condition, psychology, development and behavior. Health practitioner include nurse should care for and involve families, consider to physical and psychological need and protect children from exploitation or any harms to prevent Post Traumatic Distress Syndrome (PTSD) in disaster management. Nurse should pay more attention for children as a unique vulnerable population by considering all aspects of pediatric and involve their families in disaster management.
 
Top-cited authors
Nina Dwi Lestari
  • Universitas Muhammadiyah Yogyakarta
Enita Dewi
  • Universitas Muhammadiyah Surakarta
Arum Pratiwi
  • Universitas Muhammadiyah Surakarta
Selvya hesti Andriyani
  • Universitas Muhammadiyah Surakarta
Mukhripah Damaiyanti
  • Universitas Muhammadiyah Kalimantan Timur