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Jurnal Ners dan Kebidanan Indonesia
Number of Followers: 2  Open Access journalISSN (Print) 2354-7642 - ISSN (Online) 2503-1856 Published by Alma Ata University  [2 journals]
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- Effectiveness of Affirmation Stress Management on The Stress level Among
Caregivers of Shizophrenia Patient
Authors: Mulyanti Ners, Brune Indah Yulitasari, Tri Paryati
Pages: 82 - 86
Abstract: Schizophrenia is a chronic and severe disease so they need caregivers to help their daily activities. Caregivers of patients with schizophrenia have experienced chronic stress in their daily lives. The effects of caregiver of Schizophrenia with high stress level are the disruption of family relationships, constraints in social, leisure and work activities, financial difficulties, and negative impact on their own physical health. Affirmation stress management one of the intervention to reduce the level stress on caregiver of patients with Schizophrenia.This study aimed to prove effect affirmation stress management on the stress level among caregivers of Schizophrenia people.This research was quasi-experimental with one group pretest-postest without control. Subjects of this study were 29 caregivers of schizophrenia patients. Subjects selection technique used purposive sampling. Measuring instruments used perceived stress scale. The technique of data analysis used correlation of paired t-test. The results showed that the average level of stress caregiver before the stress management action was 15.17 (SD: 6.54) and the average stress level after the action was 13.59 (5.39). Statistical test results showed that there were significant differences between the stress level values before and after the affirmative stress management intervention was given (p. Value = 0.015). The conclusion of this research is there was an influence of affirmation stress management on stress level on caregivers of Schizophrenia patient.
PubDate: 2020-08-03
DOI: 10.21927/jnki.2020.8(2).82-86
Issue No: Vol. 8, No. 2 (2020)
- Relationship Between Parents’ Parenting And Independence Level Of
Activity Daily Living (ADL) In Soft Mental Retardation Children
Authors: Desak Made Ari Dwi Jayanti, R. Tri Rahyuning Lestrai, Ni Putu Riskayanti
Pages: 87 - 94
Abstract: ABSTRACTIntroduction: Mental retardation children are children who have a lack of intelligence from the time of their development. Parenting is very influential on the independence of children with mild mental retardation because good parenting from parents will help mild mental retarded children to fulfill their activity daily living needs (ADL) independently. The purpose of this study was to determine the relationship of parenting parents with an independent level of activity daily living (ADL) in children with mild mental retardation in Tabanan 1 State SLB. Method: This study uses descriptive correlational design with cross sectional approach. The number of samples used was 51 respondents, using total sampling technique with a test using Chi-Square. Results: results obtained by parents using democratic parenting as many as 40 respondents (78.4%), while for the level of independence of daily living activities (ADL) in mild mental retarded children categorized as independent as many as 27 people (52.9%), obtained a number p value is 0,002 (p <0,05) so there is a correlation between parenting style with the level of independence of daily living activity (ADL) in mild mental retarded children in SLB 1 Tabanan. Discussion: It is recommended that parents apply proper parenting to their children and provide sertadorongan motivation to their children to explore the potential abilities of children, especially in terms of independence of activity daily living (ADL). Keywords: Parenting, Activity Daily Living, Mild Mental Retardation Children
PubDate: 2020-08-03
DOI: 10.21927/jnki.2020.8(2).87-94
Issue No: Vol. 8, No. 2 (2020)
- Breast Cancer Self-concept at Prof. Dr. W. Z. Johannes Hospital Kupang
Authors: Ni Made Merlin, Antonius Rino Vanchapo
Pages: 95 - 99
Abstract: ABSTRACTBreast cancer is the disease that many women fear the most. Breast cancer significantly affects the psychological states of the patients, including self-concept. Patients with breast cancer commonly experience a negative self-concept due to the disease and side effects of the treatment. However, problems of self-concept among patients with breast cancer are rarely investigated by nurses. Furthermore, no measurement tool specifically measures the self-concept of breast cancer patients. The purpose of this study was to examine the validity and reliability of the self-concept questionnaire. This study used a case study research design to measure the self-concept of breast cancer patients using a newly developed questionnaire, namely the Merlin Breast Cancer Self-Concept Questionnaire. This questionnaire will be tested on breast cancer patients undergoing treatment in the hospital. The result showed a Cronbach’s alpha value of 0.909 for the validity and 0.500-0.790 for the reliability of the instrument. Merlin Breast Cancer Self-Concept Questionnaire was evident to be a valid and reliable instrument to measure self-concept among breast cancer patients. This questionnaire is feasible for use to measure self-concept among breast cancer patients. Implication for practice: This questionnaire will greatly help the clinic nurse in measuring the patient's self concept. Psychological problems especially self-concept can be examined to improve
PubDate: 2020-08-03
DOI: 10.21927/jnki.2020.8(2).95-99
Issue No: Vol. 8, No. 2 (2020)
- The Effect Of Four Square Step Excercise On The Risk Of Falling Elderly At
Pstw Wana Seraya Denpasar 2019
Authors: Desak Gede Nanda Amaria Dewi, Sang Ayu Ketut Candrawati, Ni Kadek Muliawati
Pages: 100 - 107
Abstract: Elderly undergoes various changes due to the aging process, one of them is the musculoskeletal system which results in the elderly being vulnerable to falls and if not be treated, it can cause injury to the elderly and even death. One way to reduce the level of fall risk in elderly is to do balance exercises, especially four square step exercises which is not only train the muscle strength of elderly but also train the visual coordination. The purpose of this study was to determine the effect of four square step exercises on the fall risk in elderly. This study used a design of pre-experimental one group pre-test and post-test without control group. The study was conducted at PSTW Wana Seraya Denpasar. The respondens in this study selected through purposive sampling technique. Among 36 elderly who living at PSTW Wana Seraya Denpasar, there were 17 people who met the inclusion and exclusion criteria. After calculating the sample, there were 15 samples were obtained. The results of the study, the fall risk in elderly before four square step exercise were 12 respondents (80%) at moderate level and three respondents (20%) at high level. After training, nine respondents (60%) had a moderate fall risk and six respondents (40%) had low fall risk. Based on the results of Wilcoxon signed rank test statistical test, it was obtained p value = 0.003 <α 0.005 which means there is an influence of four square step exercises towards the fall risk in elderly. Based on the results of the study, the four square step exercise is an effective exercise to reduce the fall risk in elderly because it is a light exercise which is easily carried out by the elderly independently. This exercise is recommended to be applied as a method to reduce the fall risk in elderly.
PubDate: 2020-08-03
DOI: 10.21927/jnki.2020.8(2).100-107
Issue No: Vol. 8, No. 2 (2020)
- The Correlation between Insomnia with Blood Pressure in the Elderly in
Banjar Wangaya Kajathe Work Area of Public Health Center III North
Denpasar
Authors: Yuni Antari, Sang Ayu Ketut Candrawati, Putu Gede Subhaktiyasa
Pages: 108 - 115
Abstract: Elderly is a term for an individual who has entered the period of late adolescence or old age. The number of elderly in the province of Bali in 2018 reached 572.518 inhabitants. Elderly degeneration in terms of both aspects of the psychological and physiological aspects. One form of setbacks is a sleep disorder (insomnia). Insomnia is a disorder of the quantity and quality of sleep that inhibit its function. The elderly who suffer from insomnia to be an increase in sympathetic activity will increase blood pressure and decreased parasympathetic activity lowers blood pressure, in which blood pressure is influenced by the autonomous system that is sympathetic and parasympathetic. This study aims to determine the correlation betweeninsomnia with blood pressure in the elderly in Banjar Wangaya Kaja the work area of Public Health Center III North Denpasar. This research is an analytic correlational research aimed to see whether or not the correlation insomnia with blood pressure exist in the elderly by using cross sectional approach. The sample consisted of 88 respondents to the sampling technique used purposive sampling. Collecting data using questionnaires insomnia and blood pressure measurements using a mercury sphygmomanometer. Most elderly people experience severe insomnia that 68 (77.3%), and as many as 58 people (65.9%) of elderly hypertensive level 1. Based on the results-Spearman rank correlation test in getting the results p (value) = 0,000 <0 , 05 then Ho is rejected and Ha accepted which means there is a significant correlation between insomnia with blood pressure in the elderly in Banjar Kaja Wangaya. The results showed a correlation coefficient of r = 0,702,, it means the correlation is in a strong level, the positive direction of correlation means the higher the insomnia in the elderly, the higher blood pressure will be
PubDate: 2020-08-03
DOI: 10.21927/jnki.2020.8(2).108-115
Issue No: Vol. 8, No. 2 (2020)
- Sex And Functional Status As A Predictor Of Death Of People Living With
HIV/AIDS On Arv Therapy In Buleleng Hospital
Authors: Putu Dian Prima Kusuma Dewi, Putu Sukma Megaputri, Ni Ketut Ayu Wulandari, Ni Made Dwi Yunica Astriani, Ari Pertama Watiningsih, Luh Ayu Dianiati
Pages: 116 - 122
Abstract: Cases of death in HIV / AIDS are still a benchmark for the success of treatment. Studies of predictors of death in people with HIV in the general population are still very limited. Longitudinal analytic with a retrospective approach using cohort data of patients receiving antiretroviral drugs at Buleleng General Hospital in the period 2006-2015. Analysis uses logistic regression with SPSS version 17. Results show a total of 1204 that the incidence of total mortality rate is 3 per 100 person years. 50% of deaths occurred at 0.14 years of observation. Men and the general functional status of employment were predictors of death in PLHAs. Men have a risk of death 2.12 times higher than that of women (aOR 2.12 (p 0.01 CI 1.28-3.51). Functional status of beds increases the risk of death aOR 2.14 (CI 1.39-3.29 p 0.01).Men have a risk of death evaluation of the success of antiretroviral therapy considers studies and differences in needs between women and men.The functional status of beds shows a poor clinical condition that increases the risk of death in people with HIV. Evaluation of regularity of treatment and the incidence of gender-based deaths should be done more intensively.
PubDate: 2020-08-03
DOI: 10.21927/jnki.2020.8(2).116-122
Issue No: Vol. 8, No. 2 (2020)
- Mobile Phone Text Messaging Cross Platform Intervention for Cervical
Cancer Screening: Changes in Knowledge and Attitude in Rural Areas
Pre-Post Intervention
Authors: Niken Bayu Argaheni, Firman F Wirakusumah, Maringan D.L. Tobing, Herry Herman, Deni K. Sunjaya, Yudi Mulyana Hidayat
Pages: 123 - 133
Abstract: The key to the success of cervical cancer control programs is screening followed by adequate treatment. The socio-economic status gap and the low level of education lead to limited awareness and understanding of women of childbearing age. Increasing the capacity of knowledge of women of childbearing age through health education either directly or indirectly is important. Therefore, there is need to develop health education by utilizing the rapidly growing media today such as through the application of cross platform messages on smartphones. This study aims to analyze the effect of the application of health education on detection of cervical cancer through the application of cross-platform messages to increase knowledge and attitude of Women in Childbearing Age. A quasi-experimental research of pre-posttest design with control groups conducted consisting of 72 subjects of Women in Childbearing Age. Fogg's Behavior Model was the conceptual framework that guided the development of the cross-platform messaging intervention. A series of checklist from expert panel conducted to inform the development of the cross-platform messaging intervention. The messages are delivered for a 7-day period in the morning. Data collection using a checklist instrument. Univariable analysis through Rasch and bivariable modeling using numerical categorical comparative test, difference using T test. Findings revealed a significant increase in participants’ knowledge and attitude of cervical cancer screening. Women of Childbearing Age whose health education through cross-platform application has a 3.5 times probability of knowledge and good attitude compared to women of childbearing age who are not getting health education through cross-platform applications. Health education through cross-platform messaging services can be a cheap and effective method to improve the knowledge and attitude of women of childbearing age, as well as reaching individuals who have never done early detection of cervical cancer.
PubDate: 2020-08-03
DOI: 10.21927/jnki.2020.8(2).123-133
Issue No: Vol. 8, No. 2 (2020)
- The effect of baby solus per Aqua (Baby spa) to sensory skill, fine motor
skill and gross motor skill in children aged 6-24 months di Wawa Holistic
Care Mojokerto
Authors: lida khalimatus sadiya, Tria Wahyuningrum, Lutfi Wahyuni, Yunika Nurtyas
Pages: 134 - 140
Abstract: Background: Supporting of baby growth must be done in a comprehensive and quality manner that can be done through stimulation activities. Stimulation that is easily given actively to infants can be through tactile stimulation in the form of massages. Massage therapy can be combined with water therapy, which is a baby spa. Baby spas can be used to support the success of sensory skills, fine motor skills and gross motor skills.Objective: The study was to determine the effectiveness of Baby Spa on sensory skills, fine motor skills and gross motor skills in children aged 6-24 months.Method: The design used in this study was a pre-experimental design with a two-group pre-post-test approach. The variables in this study are the baby spa, sensory skills, fine motor skills and gross motor skills. Respondents were children aged 6 to 24 months totaling 29 children for the treatment group and 29 children for the control group. The treatment group will be treated eight times (2 times baby spa and six times massage). Previously conducted a pre-test, then after eight treatments carried out a post-test with an observation of sensory skills, fine motor skills and gross motor skills — data analysis using the Mann-Whitney test.Results: The results of data analysis on the sensory skill obtained p-value = 0.962 indicates that the baby spa is less effective against increasing sensory skills, while the fine motor skill p-value = 0,000 and gross motor skill obtained p-value = 0,000 means that the baby spa is effective against increasing fine motor skills and gross motor skills in children aged 6 to 24 months.Conclusion: That the Baby Spa is very effective against increasing fine motor skills and gross motor skills but the sensory skills are less effective. So you need sensory skill stimulation with baby spas and other methods.
PubDate: 2020-08-03
DOI: 10.21927/jnki.2020.8(2).134-140
Issue No: Vol. 8, No. 2 (2020)
- Factors Related To Hypertension Management Efforts In Female Workers At
Bringharjo Traditional Market Yogyakarta
Authors: Indah Wijayanti
Pages: 141 - 151
Abstract: Background: Hypertension is a condition of blood pressure in blood vessels increases chronically. Yogyakarta has a population of high blood pressure or hypertension reaches until 7,464 people, stating that hypertension in population aged >15 years is more common in women (63.96%) than men (36.04%) (Year Health Profile 2014 Yogyakarta City).Objective: To determine the risk factors associated with hypertension management efforts in female workers at Bringharjo Traditional Market.Method: An observational analytic study with a cross sectional approach. The population of this study is all female workers at Bringharjo Market with quantities of 4,140 people. The sampling technique uses Simple Random Sampling technique that is 365 people. The data collection tool is a questionnaire. The data were analyzed using chi square test.Results: Factors related to hypertension management efforts included blood pressure level p = 0.049, age p = 0.000, education p = 0,000, family history p = 0,000, service access p = 0.167, insurance ownership p = 0.171, information sources p = 0.118 and knowledge p = 0.010. There is a relationship between blood pressure level, age, education, family history and knowledge with hypertension management efforts. While health services access, insurance ownership and information sources have no relationship with hypertension management efforts.Conclusions and suggestions: There is a relationship between blood pressure level, age, education, family history and knowledge with hypertension management at Bringharjo Traditional Market, but there is no relationship between health services access, insurance ownership, and information sources, with respondents of hypertension management at Bringharjo Traditional Market. The results of this study are expected to be used as additional references and for respondents who are not yet aware of hypertension management to carry out routine checks and take medication regularly.
PubDate: 2020-08-03
DOI: 10.21927/jnki.2020.8(2).141-151
Issue No: Vol. 8, No. 2 (2020)
- Evaluation Of Integrated Management Implementation In Hospital In The
Health Center Of Sleman D.I Yogyakarta District
Authors: Casnuri Casnuri, Puspito Panggih Rahayu
Pages: 152 - 159
Abstract: Integrated Management of Sick Toddler (MTBS) is an integrated approach whose governance is carried out on sick toddlers with outpatient facilities. MTBS is used as a service standard for sick infants and toddlers as well as a guideline for nursing staff (midwives and nurses) especially in primary health care facilities. In 2006 the MTBS program socialization and training for puskesmas staff were conducted, where each puskesmas was represented by 1 medical staff and 2 paramedics. MTBS aims to reduce morbidity and mortality due to diarrhea, pneumonia, DHF and infections. IMR in Sleman Regency is better than the national target. In 2015 there were 14,134 live births and 51 (3.61%) stillbirths. This tends to decrease from 2014 when the number of live births was 14,406 with 67 infant deaths (4.65%). The death was caused by diarrhea, pneumonia, DHF and infections. This shows that there is still a need to increase the role of cross-program and cross-sectoral efforts to reduce infant mortality, which is to evaluate the implementation of IMCI or MTBM in the Sleman D.I Yogyakarta Public Health Center.Research Purpose investigate the factors in the implementation of IMCI at the Sleman D.I Yogyakarta Public Health Center.Research Methods is descriptive qualitative. The main Informantts were 25 MTBS officers, 25 Puskesmas heads, and 1 Kasie Kesga District Health Office, Sleman D.I Yogyakarta with in-depth interviews.Research result: All puskesmas in Sleman Regency have implemented MTBS services according to service procedures with different achievements in each puskesmas. This is due to the disorderly officers in conducting data recapitulation. The achievement of the MTBS program in Sleman Regency was 65.39%.Conclusion: The MTBS program at the Sleman district health center has been implemented well due to several factors, namely Human Resources, both the number of trained health workers and the quality of the competencies of health workers, leadership support in the form of facilities and infrastructure, as well as funding support in increasing competence.
PubDate: 2020-08-03
DOI: 10.21927/jnki.2020.8(2).152-159
Issue No: Vol. 8, No. 2 (2020)
