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Publisher Journal of Ners and Midwifery

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234 articles
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Ning Arti Wulandari, Erni Setiyorini
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), Volume 5, pp 212-217; doi:10.26699/jnk.v5i3.art.p212-217

Abstract:Kecelakaan lalu lintas merupakan masalah yang besar namun belum mendapatkan fokus perhatian tatanan kesehatan. Diperkirakan 1,2 juta orang di dunia terbunuh dan 50 juta orang luka-luka setiap tahunnya akibat kecelakaan. Ternyata bukan hanya berkendara di jalan raya saja, berkendaraan di jalur ekstrim seperti yang dilakukan oleh para pecinta trail adventure juga beresiko mengalami kecelakaan. Tujuan penelitian ini mengidentifikasi kemampuan pecinta adventure sebagai medical first responder pada korban kecelakaan. Desain dalam penelitian ini adalah deskriptif eksploratif, dengan jumlah sampel 57 orang anggota CROSSTRABS Komunitas Trail Adventure Blitar Selatan yang diambil dari seluruh populasi. Penelitian ini dilakukan di tanggal 25 November 2018 di Tulungagung dalam acara HOT Enduro 2018, pengumpulan data dengan menggunakan kuesioner. Hasil penelitian ini adalah 81% dari 57 responden memiliki kemampuan kurang, 18% mempunyai kemampuan cukup dan 1% mempunyai kemampuan baik dalam berperan sebagai medical first responder pada korban kecelakaan. Hasil penelitian menunjukkan bahwa kemampuan pecinta trail adventure sebagai medical first responder terbanyak adalah dalam kategori kurang. Oleh sebab itu sangat di perlukan pelatihan tentang medical first respons pada pecinta trail adventure, sehingga kemampuan sebagai medical first responder meningkat.
Tri Nataliswati, Ririn Anantasari
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), Volume 5, pp 188-194; doi:10.26699/jnk.v5i3.art.p188-194

Abstract:Pneumonia adalah penyakit yang bisa terjadi pada segala usia. Salah satu gejala pneumonia adalah meningkatnya RR yang disebabkan oleh inflamasi alveoli penuh cairan yang membuat tubuh sulit mendapatkan oksigen. Tindakan oleh perawat untuk merawat pasien dengn peningkatan RR pneumonia adalah terapi farmakologi menurut instruki dokter, dan tanpa tindakan non-farmakologi untuk mengatasi dengan menaikkan RR seperti melakukan latihan Pursed Lips Breathing. Tujuan dari pembelajaran ini adalah untuk mengetahui efek latihan Pursed Lips Breathing pada perubahan RR pada pasien pneumonia di ruang flamboyan RSUD Lawang. Metode penelitian yang digunakan adalah Quasi Experimental. Dengn tipe metode Nonequivalent Control Group. Jumlah sampel didapat dari 30 responden, mengambil sampel menggunakan metode non probbility sampling dengan accidental sampling. Peralatan yang digunakan dalam penelitian ini adalah jam analog di grup intervensi dan grup kontrol. Analisis data dalam pembelajaran ini menggunakan T-Test Pasangan dan T-Test Individu dengan software SPSS untuk Windows 23.0 dengan level signifikan  = 0,05. Hasil menunjukkan bahwa ada efek dari latihan Pursed Lips Breathing dalam perubahan RR di pasien dengan pneumonia (nilai ρ 0.02
Suprajitno Suprajitno, Nunung Rahayu Ningsih
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), Volume 5, pp 178-181; doi:10.26699/jnk.v5i3.art.p178-181

Abstract:Family support covered informational support, instrumental support, emotional support, and appraisal support needed tuberculosis patients, including support of nutrition fulfillment. The study aimed to know the correlation of information obtained and the family support to the fulfillment of nutrition of tuberculosis patients. The study used correlation design. The sample was the family of tuberculosis patient of first category who was registered to Public Health Center of Blitar city. The sample was 44 respondents selected by simple random sampling. The data collection used the close-ended questionnaire that was developed based on the theory of social support. The result showed that families who had ever received information about nutrition fulfillment was 11.4% (5 families) and had not ever received information was 88.6% (39 families); and the family support to the fulfillment of nutrition of tuberculosis patients of first category was in the category of supportive (59.1%) and non-supportive family was 40.9% (18 families). The correlation value of the Kendall Tau-b was 0.298 (p = 0.014). The family support for the fulfillment of nutrition of tuberculosis patients of first category who support was caused by the information obtained, while who did not support was caused by lack of information about the importance of nutrition fulfillment of tuberculosis patient. A weak correlation was caused by families who had received information about nutrition fulfillment for tuberculosis patients was very little, consequently the support given by the patient as a reward as a family member who was sick was also little. It is recommended that health workers at the Public Health Center give of health education regularly to the family in every drug taking.
Ita Noviasari, I Wayan Arsana Wiyasa, Hidayat Sujuti, Eviana Norahmawati
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), Volume 5, pp 201-206; doi:10.26699/jnk.v5i3.art.p201-206

Abstract:Rhodamin B is harmful to the body because it is proven can increase the oxidative stress on various reproductive chain. Rhodamin B contains compounds of chlorine (Cl), is dangerous and halogen compounds are reactive. Damage to the hypothalamus will interfere with the secretion of FSH and LH cause the follicle ripening so distracted that result in a decrease in the hormone estrogen. The hormone estrogen plays an important role in the menstrual cycle and proliferation of the endometrium. This research aimed to prove the effect of Extra Virgin Olive Oil (EVOO) with the expression of estrogen receptors α and endometrial thickness of Rattus norvegicus exposed by rhodamin B. The design used true experimental with an approach of post test only control group design. The research used white rat (Rattus norvegicus wistar strain) as the sample. The results showed that EVOO could become an alternative to prevent oxidative stress due to exposure of rhodamin B.Keywords: Rhodamin B, Extra Virgin Olive Oil (EVOO), Estrogen receptors α, the thickness of the Endometrium
Ahmaniyah Ahmaniyah, Kamilah Hidajati, Ari Suwondo
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), Volume 5, pp 195-200; doi:10.26699/jnk.v5i3.art.p195-200

Abstract:The incidence of iron deficiency anemia in term infants from 0-6 months is 40.8%. Efforts to reduce anemia in infants and toddlers is by ensuring the baby gets blood from the placenta through the umbilical cord. Labor occurs when oxygen shifts from the heart to the lungs 8-10% of the fetal period to 50% in neonates. Immediate cord clamping vascular resistance from the disconnected placenta which results in the increased of resistance of the baby's vascular system and eliminates about 1/4 of the volume of blood and iron in the neonate. The time of cutting the umbilical cord is a determining factor for placental transfusion to the baby. Delay cord clamping and umbilical cord milking are expected to provide iron reserves in infant. The aim of this study was to determine the differences in umbilical cord milking and delayed cord clamping. The design used experimental study with posttest-Only Control Group. The sampling technique used simple random sampling differs into treatment group and control group. The treatment group was umbilical cord milking and the control group was delayed cord clamping. The highest average of Hb levels in the umbilical cord milking group was 17.3mmHg and the delayed cord clamping group was 15.75 mmHg. Difference test on umbilical cord milking group and delayed cord clamping group used independent T-test obtained P
Livana Ph, Triana Arisdiani
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), Volume 5, pp 207-211; doi:10.26699/jnk.v5i3.art.p207-211

Abstract:ABSTRAK: Pasien post operasi akan mengalami ansietas setelah prosedur pembedahan dilakukan. Ansietas yang terjadi atas tindakan pembedahan dapat menyebabkan kesehatan pasien dan keluarga. Ansietas tersebut ditandai dengan pernyataan pasien tidak mau melakukan pergerakan secara dini karena takut menimbulkan nyeri, khawatir jahitannya akan lepas, dan khawatir lukanya tidak segera sembuh. Tujuan penelitian adalah untukuntuk mengetahui hubungan dukungan keluarga dengan ansietas pasien post operasi dalam melakukan mobilisasi dini. Desain yang digunakan adalah cross sectional dengan jumlah sampel 167 responden. Teknik sampling yang digunakan secara consecutive sampling. Analisa data menggunakan uji chi-square. Hasil analisa menunjukkan nilai p value = 0,575 artinya tidak ada hubungan antara dukungan keluarga dengan tingkat ansietas pasien post operasi dalam melakukan mobilisasi dini. Perawat diharapkan lebih sering memotivasi pasien untuk melakukan mobilisasi dini demi membantu mempercepat proses penyembuhan.Kata kunci : Ansietas, Mobilisasi Dini, Dukungan Keluarga, Post Operasi Postoperative patients will experience anxiety after surgical procedure. Anxiety that occurs during surgery can lead to the health of patients and families. The anxiety is marked by the statement that the patient will not move early because of fear of causing the pain, worry that the seam will be loose, and worried that the wound does not heal immediately. The purpose of this study was to determine the relationship of family support with postoperative patient anxiety in early mobilization. The design used was cross sectional with 167 respondents. The sampling technique used consecutive sampling. Data analysis using chi-square test. The result of analysis shows that p value = 0,575 means that there is no relation between family support and postoperative patient anxiety level in early mobilization. Nurses are expected more often to motivate patients to mobilize early to help speed up the healing process.Key words : Anxiety, Early Mobilization, Family Support,Post Operative
Chilyatiz Zahroh, Kartika Faiza
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), Volume 5, pp 182-187; doi:10.26699/jnk.v5i3.art.p182-187

Abstract:Abstact : Uric acid is a condition of the end result of purine metabolism that can cause pain symptoms unbearable, swelling and hot feeling in the joints. This makes the elderly experience a decrease in ability to perform daily activities. so that warm compress are needed on the elderly. This study aimed to determine the effectiveness of giving warm compress to reduce uric acid pain. This study used Pre-Experiment with One-group approach of pre-post test design. The population was all elderly people with uric acid disease in Paguyuban Budi Luhur Surabaya as 30 elderly. The sample was 30 respondents. The independent variable was warm compress and the dependent variable was pain. The instruments to measured pain used pain scale. The results showed 30 respondents, mostly (70%) after warm compresses had moderate pain scale and nearly half (30%) had mild pain. The test results by wilcoxon sign rank test with significance value α = 0.05. Obtained value ρ = 0.000, which meant ρ <α then H0 rejected meant there was an effect of warm compress to the reduction of pain in people with uric acid disease in Paguyuban Lansia Budi Luhur Surabaya. The conclusion of this study was the warm compresses could affect the reduction of pain in someone suffering from uric acid disease, so it is expected to Paguyuban Lansia can apply and improve the provision of warm compresses to elderly people with gout disease.Keywords: Gout Arthritis, uric acid, Warm Compress, Pain ReductionAbstrak: Asam urat merupakan kondisi hasil metabolisme akhir purin yang dapat menyebabkan gejala nyeri tidak tertahankan, pembengkakkan dan rasa panas di persendian. Hal tersebut membuat lansia mengalami penurunan kemampuan dalam melakukan aktivitas sehari-hari sehingga pemberian kompres hangat diperlukan terhadap lansia. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian kompres hangat terhadap penurunan nyeri asam urat. Desain penelitian ini menggunakan Pra-Experimen dengan pendekatan One-group pra-post test design. Populasinya adalah seluruh lansia penderita penyakit asam urat di Paguyuban Budi Luhur Surabaya sebesar 30 lansia, besar sampel 30 lansia. Teknik pengambilan sampel menggunakan Total Sampling. Variabel independen kompres hangat dan variabel dependen nyeri. Instrumen menggunakan Pre-Post pemberian kompres hangat. Hasil penelitian menunjukkan dari 30 responden, sebagian besar (70%) setelah dilakukan kompres hangat skala nyeri sedang dan hampir setengahnya (30%) nyeri ringan. Hasil uji wilcoxon sign rank test dengan nilai kemaknaan α = 0,05. Didapatkan nilai ρ = 0,000 yang berarti ρ < α maka H0 ditolak artinya ada pengaruh kompres hangat terhadap penurunan nyeri pada penderita penyakit asam urat di Paguyuban Lansia Budi Luhur Surabaya. Simpulan penelitian ini adalah pemberian kompres hangat dapat mempengaruhi penurunan nyeri pada seseorang yang menderita penyakit asam urat, sehingga diharapkan Paguyuban Lansia dapat menerapkan serta meningkatkan pemberian kompres...
Anastasia Suci Sukmawati, Ega Pebriani, Arif Adi Setiawan
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), Volume 5, pp 117-122; doi:10.26699/jnk.v5i2.art.p117-122

Abstract:Older will experiencing physical, psychological, and psychosocial changes will cauthat will lead to the new problem. Anxiety is one of the problems among older people. Complementary therapy is used to reduce a person’s anxiety, namely yoga, meditation, aromatherapy, and relaxation through massage. This study was conducted to determine the effect of Swedish massage on the level of elderly anxiety. Methodology: The design of this study was a quasy experiment with one group pretest-post test design. Respondents in this study were elderly who experienced anxiety by using a total sampling technique in which as many as 15 elderly at the Nursing home of Social Service Center (BPSTW) Budi Luhur Bantul Unit Yogyakarta. The Standard operational procedure of Swedish massage therapy used as a guidance of intervention, while HARS instruments was used to measure the level of anxiety among older people. Respondents measured their level of anxiety before and after a Swedish massage for 1 week. The results of the study were analyzed by Wilcoxon test. Results: There were 8 people (53.3%) in the medium level of anxiety before the Swedish massage given). The anxiety level of older people after intervention was mild level of anxiety as many as 8 people (53.3%). Changes in anxiety levels before and after Swedish massage intervention showed a difference of 2.00. Wilcoxon test results were obtained with a p-value of 0.008
Abdul Muhith, Arief Fardiansyah, Nurul Mawaddah, Mulyatin Mulyatin
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), Volume 5, pp 137-143; doi:10.26699/jnk.v5i2.art.p137-143

Abstract:Psychiatric intensive care unit nurses are in a limited environment that allows nurses close to patients to be able to observe the client's condition and evaluate the treatment and medical actions taken. If the nurse is not prepared with this condition, it can cause tension to the nurse which results in stress. One of the tasks of mental nurses is the handling of violent behavior (aggressive), the poor perception of nurses makes work stress (Muhith, 2015) This study aims to the relationship between Patient Violence Behavior with Stress on nurses in Intensive Psychiatry Care Unit (IPCU) RS Dr.Radjiman Wediodiningrat Lawang. This research design use cross sectional approach. The population of this study is 40 people, with a sample of 28 people, is simple random sampling. The independent variable is Patient's Violence Behavior, while the dependent variable is Stress the questioner. Data analysis using Spearman correlation test. Spearman correlation test results obtained r= 0.738 p = 0.000 (p
Miftachul Ulum
Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), Volume 5, pp 111-116; doi:10.26699/jnk.v5i2.art.p111-116

Abstract:Physical confinement is an act of restraint, isolation, and neglect that accompanies such activities. The number of people with physical confinement in the Blitar City in 2015 reached 16 people and in 2016 reached 9 people. The family has an important role in the prevention of the physical confinement because it is one of the preventive efforts to reduce the number of the illegal physical confinement. The purpose of this study was to find out how was the family efforts in preventing illegal physical confinement to people with Mental Disorders. Method: The research method used descriptive design, with a family population having the family member with a severe mental disorder. The data collection used questionnaires with 30 sample taken using quota sampling technique. Result: the efforts to study people with mental disorders are 60% less, the family was largely unable to identify how personal hygiene was met, the procedure for taking medication and especially not able to recognize the signs and symptoms of people with mental disorders who experienced a raging attack; Family efforts in planning actions were still found to be 30% less; Family efforts in caring for people with mental disorders were 30% less; Family efforts in modifying the environment around people with mental disor- ders were 46.7% less; Family efforts in utilizing health facilities were 10% less. Public Health Care of Kepanjen Kidul is expected to awake the community through the improvement of health education activities for people with mental disorder treatment in the family without any physical confinement.Keywords: family effort, prevention of physical confinement, people with mental disorderAbstrak: Pasung merupakan tindakan pengekangan, pengisolasian dan penelantaran yang menyertai tindakan tersebut. Jumlah Orang Dengan Gangguan Jiwa (ODGJ) yang dipasung di kota Blitar tahun 2015 mencapai 16 orang dan tahun 2016 mencapai 9 orang. Keluarga memiliki peranan penting dalam pencegahan tindakan pasung, karena merupakan salah satu upaya preventif yang bertujuan untuk menurunkan angka pasung. Tujuan penelitian ini untuk mengetahui upaya keluarga dalam pencegahan tindakan pasung pada ODGJ. Metodologi: Metode penelitian menggunakan rancangan deskriptif, dengan populasi keluarga yang mempunyai anggota keluarga mengalami gangguan jiwa berat. Pengumpulan data menggunakan kuesioner dengan sampel sebanyak 30 responden, diambil menggunakan teknik quota sampling. Hasil : Hasil penelitian Upaya dalam melakukan pengkajian terhadap ODGJ adalah 60% kurang; Upaya keluarga dalam merencanakan tindakan masih ditemukan 30% kurang; Upaya keluarga dalam merawat ODGJ 30% kurang; Upaya keluarga dalam memodifikasi lingkungan sekitar ODGJ 46,7% kurang; Upaya keluarga dalam memanfaatkan fasilitas kesehatan 10% kurang. Diskusi : UPTD Kesehatan Kecamatan Kepanjen Kidul diharapkan dapat menyadarkan masyarakat melalui peningkatan kegiatan penyuluhan kesehatan tentang perawatan ODGJ dalam keluarga tanpa...
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