Jurnal Keperawatan Padjadjaran

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ISSN / EISSN : 2338-5324 / 2442-7276
Published by: Universitas Padjadjaran (10.24198)
Total articles ≅ 357
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Abd Gani Baeda, Eka Nurwahyuni
Jurnal Keperawatan Padjadjaran, Volume 10, pp 37-44; https://doi.org/10.24198/jkp.v10i1.1867

Background: The most commonly used therapy for breast cancer is chemotherapy. Chemotherapy has physical and psychological side effects that affect the psychological well-being of the patient. Resilience plays an important role in changing psychological well-being. Cancer patients who have low levels of resilience will show negative psychological well-being and vice versa. However, the condition of cancer patients undergoing chemotherapy is not yet known whether resilience can change psychological well-being so that they can adapt to the stressors of chemotherapy. Purpose: This study aims to analyze the relationship between resilience and psychological well-being of breast cancer patients undergoing chemotherapy. Methods: This study was conducted using an observational analytic method with a cross-sectional approach. The population in this study were breast cancer patients who underwent chemotherapy sessions 2-6 at one of the hospitals in Malang, Indonesia. A sample of 62 people was obtained by using a stratified random sampling technique based on the chemotherapy sessions the patient underwent. Data Collection used the Connor-Davidson Resilience Scale questionnaire. Data analysis procedures were carried out in univariate and bivariate ways (lambda correlation test). Results: The Univariate analysis showed that the lowest resilience was experienced by respondents who underwent the second chemotherapy session and the bivariate analysis showed that there was a positive correlation between resilience and psychological well-being with p=0.039 and r=0.267. This means that the higher a person’s resilience, the greater the chance of having positive psychological well-being. Conclusion: This study shows that the higher the resilience, the greater the probability of experiencing positive psychological well-being. While the higher the resilience, the more likely it is to experience positive psychological well-being. It is recommended that patients who will undergo chemotherapy are given education related to therapy so that low resilience is not experienced at the beginning of chemotherapy.
Bayhakki Bayhakki, Dini Maulinda, Deswinda Deswinda
Jurnal Keperawatan Padjadjaran, Volume 10, pp 8-14; https://doi.org/10.24198/jkp.v10i1.1922

Background: A bright circumstance, cold temperature with loud noise where there are many activities around could influence baby’s sleep.Objective: This study aimed to identify the effect of using earmuffs and earplugs on the physiological response of preterm infants.Methods: This crossover study involved 15 medically stable preterm infants treated in a closed incubator. It used the consecutive sampling technique where the babies’ physiological response using Anderson Behavioral State Scale was observed for 30 seconds every 15 minutes for two hours of using earmuff and earplug.Results: The result of repeated ANOVA analysis showed that there is no significant difference of pulse repetition frequency before, during, and after using the earmuff and earplug to preterm infants. Meanwhile, statistically, there was a difference in the mean of oxygen saturation during and after using the earmuff with p = 0.019.Conclusion: The use of ear protection (earmuff and earplug) could assist and support premature infants in maintaining physiological condition. This study therefore suggests the use of earplugs earlier on preterm infants.Keywords: earmuffs, earplugs, premature, physiological responses
Putu Inge Ruth Suantika, Yustina Ni Putu Yusniawati
Jurnal Keperawatan Padjadjaran, Volume 10, pp 15-21; https://doi.org/10.24198/jkp.v10i1.1699

Background: The whole world is dealing with the covid-19 pandemic. Therefore, the government has taken a policy to transform the education system from in-class to remote learning. Nursing students are adapting to this system, maintaining learning activities through unfamiliar online methods. One of the subjects they take during this pandemic is MedicalSurgical Nursing. This online learning system has created new challenges in the teaching-learning process on the Medical-Surgical Nursing subject. Students tend to feel disinterested, which leads to a sense of dissatisfaction during online learning.Purpose: This study aimed to analyse the satisfaction of nursing students towards e-learning of the Medical-Surgical Nursing subject during the pandemic.Methods: This research used descriptive analysis with a cross-sectional research design and used self-administered quiestionnaire. The samples of 300 respondents were nursing students at private and public universities in Denpasar. The research started from January to July 2021 form proposal making to data processing This study used univariate and bivariate analysis involving the logistic regression test.Results: There is a relationship between the variables of accessibility, understanding the material, interactivity, and method accuracy. The regression equation is -5.336 + 0.011 for Accessibility, + 0.474 for Material, + 0.021 for Interactivity, + 0.150 for Utility, and - 0.093 for Self-Reliance.Conclusion: The conclusion in this research is that the convenience of obtaining materials is the most signifcant relationsip.
Rosliana Dewi, Santhna Letchmi Panduragan, Nur Syazana Umar, Fera Melinda, Johan Budhiana
Jurnal Keperawatan Padjadjaran, Volume 10, pp 58-65; https://doi.org/10.24198/jkp.v10i1.1971

Background: Uncontrolled diabetes is at a high risk for complications. This chronic complication can cause a decrease in the quality of life of DM patients. There are several factors that affect the quality of life of people with diabetes. Religiosity, self-care, and coping mechanisms together affect the quality of life. Religiosity is very important for patients to have as a foundation for maintaining quality of life. Self-care is a basic effort to control and prevent complications arising from DM. Coping mechanisms are problem-solving efforts and defense mechanisms used to protect themselves from DM problems. Purpose: This study aims to determine the effect of religiosity, self-care, and coping mechanisms on the quality of life of DM sufferers. Methods: This study uses a quantitative research design and a cross-sectional approach involving 130 respondents, using a total sampling technique. Data was collected using various questionnaires, including a Centrality Religiosity Scale (CRS) questionnaire, Summary of Diabetes Self-Care Activity (SDSCA), Coping Orientation to Problem Experienced (COPE), and Diabetes Quality of Life (DQOL). Inclusion criteria were patients with type 2 diabetes mellitus with blood glucose levels  200 mg/dl and patients with type 2 diabetes who had diabetes > 1 year or more. Path Analysis is used to analyze data. Results: The religiosity of patients with type 2 diabetes has a mean of 49.47, a mean of 42.59 for self-care, a mean of 85.29 for coping mechanisms, and a mean of 42.56 for quality of life. There is an effect of religiosity (p = 0.000), coping mechanisms (p = 0.001), and self-care (p = 0.000) on the quality of life. Conclusion: Religiosity, coping mechanisms, and self-care affect the quality of life of people with Type 2 DM. Efforts that can be made by the hospital to increase health promotion related to improving the quality of life of people with diabetes mellitus.
Risqi Wahyu Susanti, Abd. Gani Baeda, Ekawati Saputri
Jurnal Keperawatan Padjadjaran, Volume 10, pp 1-7; https://doi.org/10.24198/jkp.v10i1.1866

Background: Stroke is a neurological disease that requires immediatetreatment, and family participation is very important when a stroke occursat home.Purpose: This study aims to explore the pre-hospital time experiences ofpatients’ families with stroke in Kolaka Regency.Methods: The study is a qualitative research with a phenomenologicaldesign. A total of 8 participants from families of stroke patients were recruitedusing a purposive sampling approach. Source triangulation was used in thisstudy from stroke patients. Data were collected through in-depth interviewsusing audio-recorded then transcribed verbatim and validated betweenresearchers. The data were analyzed using colaizzi method with a selectiveand focused analysis approach to obtain themes.Results: There are two themes of this study, the frst theme is responses ofstroke and the second theme is medical treatment.Conclusion: It is important that family members have a good responseand knowledge so that when one of their family members has a stroke, theycan be taken to the hospital at the right time. Our suggestion is that it isnecessary to increase family knowledge about stroke to minimize the delayin stroke rescue time.
Joko Sutejo, Setiawan Setiawan, Bustami Syam
Jurnal Keperawatan Padjadjaran, Volume 10, pp 73-82; https://doi.org/10.24198/jkp.v10i1.1962

Background: The nurse manager is one of the nurses who has authority to implement a nursing management system in a nursing organization to achieve goals based on the input, process and output stages, whether the Covid-19 pandemic has positive and negative impacts on the implementation of the nursing management system. Nursing management is a form of coordination and integration in achieving nursing care and nursing services. Purpose: The purpose of this study is to explore the experience of nurse managers in implementing nursing management system in the COVID-19 wards. Methods: This study used a phenomenological descriptive design and in-depth interview data collection methods. Furthermore, the implementation of this research was carried out in 10 hospitals in North Sumatera, especially Medan City, Deli Serdang Regency and Serdang Bedagai Regency. The participants involved in this study were 20 participants and used the Collaizzi data analysis method. Results: This study revealed 7 themes related to the experience of nurse managers running a nursing management system in the COVID-19 treatment room ; (1) Requires extra high discipline to carry out nursing management functions, (2) There is a psychological disorder for nurse manager to carry out nursing management, (3) Requires moral and material support in carrying out their duties, (4) Performs various efforts to disseminate information on nursing care management systems, (5) Experiences more benefits in implementing nursing management in the COVID-19 ward, (6) Faces complicated obstacles in carrying out nursing management, and (7) Has high expectations in carrying out increasingly complex management functions.Conclusion: From the themes above, the researcher concludes that the nursing management system in the COVID-19 treatment room involves psychological feelings, requires extra self-preparation, requires support from all parties in providing nursing care, improving nursing services to the fullest and can develop the concept of nursing management system during a pandemic.
Ali AlKhabbaz, Batool M. Almusa, Edric D. Estrella
Jurnal Keperawatan Padjadjaran, Volume 10, pp 45-57; https://doi.org/10.24198/jkp.v10i1.1946

Background: Hypertension is one of the major killers around the world resulting in 7.6 million deaths and 92 million disability-adjusted life years (DALYs) per year (Lawes et al., 2001). Mindfulness-based interventions (MBIs) have been studied as nonpharmacological modalities of lowering blood pressure. However, the evidence about the different modalities of MBIs is still unclear. Purpose: The aim of this review is to identify the evidence about the effect of different MBIs on lowering blood pressure among different populations including hypertensive patients and healthy individuals. Methods: Pubmed, Cochrane Central Register of Controlled Trials (Ovid) and EBSCO databases were systematically used to search by using the keywords “(mindfulness) AND (blood pressure)”. All trials published from 1989 to July 2021 that reported the effect of MBIs on blood pressure as primary or secondary outcomes were included. Trials that did not report their results in English were excluded. Titles and abstracts were first screened for eligibility. Eligible studies were then fully reviewed and summarized. Results: A total of 53 research articles were included in this review with 3947 participants. They include patients with hypertension, cardiovascular diseases, obesity, cancer, stress, diabetes, pregnancy and healthy individuals. Articles were classified and sorted according to the modality of MBI used for better comparison. Conclusion: MBI modalities that are instructor guided and include breathing and/or physical exercises might result in a significant reduction of BP, especially among patients with HTN and/or anxiety. This effect could be complemented by other pharmacological and non-pharmacological interventions.
Diana Rhismawati Djupri, , Hanik Rohmah Irawati, Irfan Said
Jurnal Keperawatan Padjadjaran, Volume 10; https://doi.org/10.24198/jkp.v10i1.1938

Background: Dysmenorrhea is cramping pain and is often followed by lowerback pain, nausea and vomiting, headache and diarrhea. Dysmenorrhearefers to the overall pain symptoms that arise during menstruation, there are2 types of dysmenorrhea, namely, primary and secondary dysmenorrhea.is a cyclic menstrual pain without pathological abnormalities in the pelvis iscalled Primary dysmenorrhea. There are 2 types of Management primarydysmenorrhea which are pharmacological and non-pharmacological.The treatment for Non-pharmacological can be done with pelvic rockingexercise and Buteyko Exercise. The movements in pelvic rocking exerciseand Buteyko Exercise can stimulate the body to release endorphins whichfunction as natural sedative hormones, and can also facilitate blood flow tothe uterus so that pain is reduced.Purpose:The effect of pelvic rocking exercise and Buteyko Exercise onreducing pain in primary dysmenorrhea was The purpose of this research.Methods: This research is a quantitative study with a quasi-experimentaldesign, pre-test and post-test designs. Nonequivalent control group design.The amount of the sample are 58 people by using purposive samplingtechnique. The research instrument used a standard operating proceduresheet for pelvic rocking exercise and Buteyko Exercise, a monitoring sheet,a stop watch and a numeric rating scale pain measurement sheet. Thehypothesis is tested by using the independent T Test.Results: Before the intervention, the p-value was 0.063. The results of thisresearch was p value 0.001.Conclusion: This research can also be used as input for nurses to make newdecisions in improving the quality of nursing care with non-pharmacologicaltherapeutic approaches. There is an effect of pelvic rocking exercise andButeyko Exercise on reducing pain in primary dysmenorrhea. The results ofthis research can be used as a contribution of thoughts and references as amore in-depth study of pain reduction in primary dysmenorrhea.
Faisal Amir, Sitti Sulaihah, Rahmad Wahyudi
Jurnal Keperawatan Padjadjaran, Volume 10, pp 27-36; https://doi.org/10.24198/jkp.v10i1.1920

Background: From the beginning of its initial appearance until mid-2021,Corona Virus Disease-19 (Covid-19) is a feared outbreak around the world, including in Indonesia and particularly in Madura. The negative perception of stress will further weaken self-strength both physically and mentally so that resilience and coping mechanisms tend to be maladaptive.Purpose: This study aimed to analyze the spiritual culture of Madurese communities in resilience and physical health.Methods: This analysis will later become the basis in the formulation of a model of spiritual cultural towards resilience, and physical health. In the design of explanatory observational research, the frst stage is to explain the construct and its contributing indicators. The second stage is to conduct FGD with respondents as well as to consult with experts. The populationis a community on the island of Madura with a sample consisting of 400 respondents using probability sampling, namely cluster random sampling based on a predetermined population area. The exogenous variable is the culture of spirituality. Endogenous variables are resilience and physical health. Data were collected using questionnaire research and analyzed using structural models with SmartPLS (Partial Least Square) software.Results: The results showed that spirituality culture factors had a positive effect on resilience with a coefcient of 0.449. Spirituality culture factors had a positive effect on physical health with a coefcient of 0.161, and resilience factors had a positive effect on physical health with a coefcient of 0.172.Conclusion: This indicates that the higher the spiritual culture of the Madurese community, the higher the resilience, psychological well-being, and physical health, especially during the COVID-19 pandemic.
Idhfi Marpatmawati, Suryani Suryani, Efri Widianti
Jurnal Keperawatan Padjadjaran, Volume 10, pp 66-72; https://doi.org/10.24198/jkp.v10i1.1714

Background: Indonesia has a suicide rate that continues to increase so suicide attempts need to be made. One of the early prevention steps is to find suicidal ideation. ATTS is a multi-dimensional measuring tool by measuring Cognitive, Affective and Behavioral aspects that is easy to fill, fast and precise in measuring attitudes towards suicide in the general population through large surveys than other instruments and ATTS is also not yet developed in Indonesia. Therefore, with the Rasch Model that can perform analysis at the item and respondent level, it is expected to produce a psychometric tool in preventing suicide in Indonesia.Purpose: The purpose of this study is to test the validity and reliability of the adaptation of the Attitudes Toward Suicide (ATTS) instrument into Indonesian using the RASCH model approach. Method: The method used is non-experimental with an analytical observational approach which is carried out cross-sectionally using the RASCH model with winstep software. The number of samples used was 243 residents with inclusion criteria of being adults (20-40 years) and knowing about suicide cases in Plered District, one of the sub-districts in Purwakarta Regency which had several suicide cases in 2020. This instrument consists of 73 questions.Result: The results showed a value of scale-level (S-CVI) = 0.89 and content validity ratio (S-CVR/UA) = 0.72. This value indicates a good quality of content validity. Analysis based on RASCH shows very good item reliability with a value of 0.98 but the result of person reliability is 0.27 which is caused by the lack of variation in respondents' answers in filling out the questionnaire. This also has an impact on Cronbach's alpha value = 0.32. The analysis is elaborated into four factors consisting of summary statistics, unidimensionality, item size, and Differential Item Functioning (DIF). The results show ideal results, but the pattern of person responses that are not diverse from the respondents causes a logit distribution that is not too far away and the variance is not large.Conclusion: it can be concluded that the consistency of respondents' answers is weak but the quality of the instrument questions in terms of reliability is good and can still be used to measure ATTS.
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