bluuebunny/crossref_metadata_2025 huggingface dataset:
Relationship between Demographic Characteristics and Moral Sensitivity among Professional Nursing Students in Bali
Authors: Yanti Ni Putu Emy Darma , Krisnawati Komang Menik Sri
Published: July 2022

Introduction: Moral sensitivity is indispensably required in nurses for them to be aware of and be able to understand clients’ needs. This study aimed to determine the relationship between demographic characteristics and moral sensitivity among professional nursing students in Bali.Methods: The research used a descriptive-correlation method and a cross-sectional approach. The study population was all professional nursing students in Bali with 162 students as research respondents, sampled using the purposive sampling technique. The dependent variable is the moral sensitivity among professional nursing students and the independent variable is the demographic characteristics consisting of gender, age, religion, and number of siblings. Data were collected by means of a moral sensitivity questionnaire for nursing students developed by Lutzen in 1993 consisting of 27 statements.Results: The results of this study show that there is a significant relationship between religion and moral sensitivity (p=0.027; α=0.05), and that there is no relationship between sex, age, and number of siblings and moral sensitivity (p>0.05; α=0.05).Conclusion: The nursing students’ level of faith and understanding of their respective religious teachings can increase their moral sensitivity in providing nursing care.
Manfaat Irigasi Hangat Durante Operasi Terhadap Pencegahan Hipotermi Pasca Bedah TUR Prostat
Authors: Kusnanto Kusnanto , Harmayetty Harmayetty , Rehatta Nancy M. , Alif Sabilal , Haryanto Joni , Mustofa Slamet
Published: July 2022

Introduction: Trans Urethral Resection Prostate (TURP) is endourology surgery with used electrical power or with laser power. The objective of this study was to analyze the effect of warm irrigation during operation to prevent hypothermi post operation TURP at the Dr. Soetomo Central Hospital of Surabaya.Methods: A quasy experimental, pre and post-test control group non-randomized design was used in this study.  The independent variable was warm irrigation, and the dependent variable was hypothermi. Fourteen sample enrolled by using non-probability purposive sampling. Data were analyzed by using Paired T test with significance level of p < 0.05.Results :The result showed that warm irrigation admitted during operation had effect to the increase body temperature (p=0.000), blood pressure (p=0.000), pulse (p=0.010), respiration (p=0.002), oxygen saturation (p=0.002). Conclusion: warm irrigation is effective to increase body temperature patient with Trans Urethral Resection Prostate (TURP).The Decrease of Anxiety in Secsio Sesaria Mother with "Sayang Bunda" Model
Analisis Beban Kerja Perawat Berdasar Time and Motion Study
Authors: Purwaningsih Purwaningsih , Nursalam Nursalam , Nihayati Hanik Endang , Dewi Yulis Setiya , Sudarsono Sudarsono
Published: July 2022

The objective of this study was to analyze the relationship between working burden with time and motion study. The research’s design was used cross sectional studies with 56 samples of nurse which are taken by using purposive sampling technique. Data were collected for working burden by using observational with time and motion study, for nurses motivation and nursing care quality by using questioners with multiple choices. Data were analyzed by using Spearman’s Rho test with value level of  p<0.05. The result showed that there were no relationship between working burden and nursing care quality with value level of  p>0.05.
Manfaat Senam Lansia Terhadap Kadar Imunoglobulin G (IgG)
Authors: Sukartini Tintin
Published: July 2022

Introduction: The health problem is frequently found for elderly with age more than 55 years old. It has adverse effect on cardiovascular and Immunological system. The objective of this study was to analyze the effect of elderly exercise on the increase of fitness in Elderly.Methods:The design of this study was quasy experiment design involving two groups subject. The study took 12 respondents of elderly recruited by purposive sampling. The independent variable was elderly exercise and the dependent variable was IgG. Data were collected by laboratory test and analyzed by using t-test with significance level of a ≤ 0.05.Result:  showed that elderly exercise had significant effect on the IgG level (p = 0,002).Conclusion: Further studies are recommended on the effect of elderly exercise on the increase immunity system concerning with the role of interferon gamma.
Oksigenasi dengan Bag and Mask 10 LPM Memperbaiki Asidosis Respiratorik
Authors: Setyawan Sunarko , Sukartini Tintin , Sriyono Sriyono , Kusmiati Kusmiati
Published: July 2022

Introduction: ALO (Acute Lung Oedema) is the most common and remarkably life threatening medical emergency. It is not unusual that clients come to the hospital in critical condition. ALO occurs due to fluid accumulation in the alveoly, thereby impairing gas exchange and the client will experience respiratory acidosis and hypoxemia. The ALO management that must be urgently carried out is high concentration oxygenation with PEEP (Positive End Expiratory Pressure) to prevent alveolar collapse by means of Bag and Mask oxygenation, CPAP (Continous Positive Airway Pressure) mask and mechanical ventilation. The objective of this study was to explain the effect of oxygenation by using 10 lpm (liters per minute) bag and mask on respiratory acidosis improvement in ALO client. Method: A pre-experimental one group pre post test design was used in this study. The population were all ALO clients in ICU (Intensive Care Unit), Adi Husada Kapasari Hospital. There were 12 respondents which taken by using total sampling. Data were collected by using observation on the blood gas analyze (pH, PaCO2 and PaO2) then analyzed by using Paired t-Test with significance level a≤0.05. Result: The result showed that 12 respondents experienced respiratory acidosis and hypoxemia before intervention with 10 lpm bag and mask oxygenation was gave to them. After intervention for 1 hour, the result showed that pH increased (p=0.003), PaCO2 reduced (p=0.004) and PaO2 increased (p=0.005). Discussion: It can be concluded that 10 lpm bag and mask oxygenation had significance effect on the improvement of respiratory acidosis in ALO clients. Further studies should involve more respondents and more reliable measurement tools to obtain better accuracy.
Terapi Aktivitas Kelompok (TAK) Stimulasi Persepsi Meningkatkan Harga Diri Anak di Lembaga Pemasyarakatan
Authors: Yusuf Ah. , Fitryasari Rizki , Sulistyawati Wiwin
Published: July 2022

Introduction: Prison is societal implementer unit which accommodate care and develop the delinquent children. It was recorded that 57% of children at Blitar Child Prison undergo some self concept problems such as low self esteem. This was caused by some factors such as society’s stigmatization toward criminals, development pattern and education, and less support from family. If the self esteem problem is not being overcome soon, the children may  fell useless, disable to control their self and recrime when they are back to society. The objective of this study was to analyze the influence of  GAT (Group Activity Therapy) perception stimulation in increasing the children  self esteem at prison. Method:  A quasy experimental pre post control design was used in this study. Samples were recruited by using total sampling and there were 22 samples as on inclusion criteria. The independent variable was GAT perception stimulation and the dependent variable was increasing self esteem of these childen. Data were collected by using questionnare and analyzed by using Wilcoxon Signed Ranks Test and Mann Whitney U Test with the significance level α≤0.05.Result:  The result showed that controlled group has significance level was p=0.654, it is mean there was no self esteem change before and after GAT perception stimulation was given. Whereas treatment group has significance level was p=0.001, it revealed that  there was self esteem change before and after GAT perception stimulation was given. The result of Mann Whitney U Test showed p=0.000 which means was accepted. Discussion: It can be concluded that perception stimulation can increase the children self esteem at prison. Further studies are recommended to study the effect of GAT perception stimulation modified by skill therapy in increasing children self esteem in prison.
Konsumsi Jus Wortel Selama Kemoterapi Meningkatkan Kadar Hemoglobin Pasien Kanker Serviks Stadium II-B
Authors: Armini Ni Ketut Alit , Yuniarti Sri , Enggusti Alvarea
Published: July 2022

Introduction: Ca Cervix patients who had a chemotherapy may experience depletion of Hb level. Hb level can increase by giving a natural carrot juice.  The nutritional  content of carrot juice such as beta karoten, ferrum, calcium, vitamin B, vitamin C and protein can assist bone marrow produce Hb and lymphosite. The objective of this study was to analyze the effect of carrot juice consumption during chemotherapy on Hb level of patients with Ca Cervix stage II-b. Method: This study used a quasy experimental design and the population was the patients who stayed at gynecology room. The sampling technique was used consecutive sampling, with the total sample were 16 respondents. Data were collected by taken the blood sample and analyzed by using Paired t-Test and Independent t-Test. Result: The result showed that carrot juice influent on the change of rate of Hb with significance level (p=0.005). Discussion: It can be concluded that by giving carrot juice to the patients with experiencing chemotherapy, can increase Hb level. Further studies are recommended to analyze the effect of carrot Juice on patient with low Hb level during Chemotherapy for further possibilities.
Admission Orientation Menurunkan Stres Pasien Awal Masuk Rumah Sakit
Authors: Kusnanto Kusnanto , Guntarlin Siti , Arisandi Dian Nur
Published: July 2022

Introduction: Being hospitalized, some people  may encounter a strange environment and situation which trigger stress to the patients. By giving an orientation, patients will learn how to adapt to this stressful event. Admission Orientation is a type of orientation which can be given to the patient on early stage of  hospitalization. The main purpose of Admission Orientation is to facilitate the patients to cope with hospital environment and situation at first 24-48 hours. The objective of this study was to analyze the effect of admission orientation to reduce the stress level in early hospitalized patients. Method: A quasy experimental design was used in this study. Population had taken from new patient in C (Cempaka) Surgical Ward, on June 2007. Sample were recruited by using total sampling and there were 12 samples who met to the inclusion criterias, divided into 6 samples for intervention group and 6 samples for control group. The independent variable was Admission Orientation and the dependent variable was stress responses. Data were collected by using questionnaire and analyzed by using Wilcoxon Signed Ranks Test and Mann-Whitney U Test with significance level α≤0.05. Result: The result showed that Admission Orientation reduce the stress level in early hospitalized patients with p=0.025 in intervention group, p=0.157 in control group.Discussion: It can be concluded that Admission Orientation reduce patient’s level of stress. Therefore, Admission Orientation should be applied on hospitals as a program that can promote patient’s adaptation in early hospitalization.
Efektifitas Tepid Sponge Bath Suhu 32oC dan 37oC dalam Menurunkan Suhu Tubuh Anak Demam
Authors: Kusnanto Kusnanto , Widyawati Ika Yuni , Cahyanti Indah Sri
Published: July 2022

Introduction: Tepid sponge bath is a therapeutic bath by washing all around of the body with warm water to decrease body temperature. Warm water that used were 32oC (nail warm) and 37oC (warm). The aimed of this study was to compare the effectivity of tepid sponge bath with 32oC and 37oC warm water on decreasing body temperature at toddler with fever.Methods: A quasy experimental pre post test design was used in this study. The population was toddler who had body temperature ≥38oC which treated in anggrek pediatric room dr. Iskak public hospital Tulungagung. There were 26 respondents recruited by using purposive sampling technique and divided into two group, each of 13 respondents received tepid sponge bath with 32oC and others received tepid sponge bath with 37oC warm water. The independent variable was tepid sponge bath and dependent variable was body temperature. Data were collected by using digital termometere and noted in respondent observation, then analyzed by using Paired t-Test and Mann Withney U-Test.Results: The result showed that there was an effectivity on decreasing body temperature by giving tepid sponge bath with 32oC and 37oC warm water with significance level p=0.000 and there was a difference decreasing body temperature among both of them with significance level p=0.016.Conclusion: It can be concluded that tepid sponge bath with 37oC warm water was more effective than tepid sponge bath with 32oC warm water. Further studies should be observed the effectivity of tepid sponge bath with more specific age, fever character and more time and respondent.
The Beneficience Of Religious Relaxation: Dzikir To Increase Phsycological Wellness Of Elder
Authors: Yusuf Ah. , Sriyono Sriyono , Kurnia Iqlima Dwi
Published: July 2022

Introduction: Psychological well-being is one of an important part on the positive aging process for elderly. Many older people face stressful situation such as death of family, deterioration of health, decrease of physical ability and psychological problem like loneliness, low self esteem, useless, isolation or difficulty in relationship. Religious relaxation: dzikir is one of the group therapy to fill up psychological necessary by filled up spiritual necessary so they could say thanks to God for everything what they have had now. The aimed of this study was to analyze the effect of religious relaxation: dzikir to increase the level of psychological well being of the elderly.Methods: This study was used a quasy experimental pre post test design. There were 20 respondents which taken by using purposive sampling. The independent variable was religious relaxation: dzikir and the dependent variable was elderly psychological well being. Data were analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U-Test with significance level a≤0.05.Results: The result showed that religious relaxation: dzikir has an effect on increasing the level of psychological well being of the elderly with Wilcoxon Signed Rank Test p=0.004 in treatment group, p=1.000 in control group and the result of Mann Whitney U-Test revealed p=0.000.Conclusion: It can be concluded that religious relaxation: dzikir can increase psychological well-being. Religious relaxation: dzikir help the elderly to develop self acceptance, autonomy, positive relation with others, environmental mastery, purposive in life and personal growth. Researcher suggests the institutional to practice relaxation religious: dzikir to help elderly people to raise psychological well-being.
Good Homosexual Behaviour Decrease Prevalence of Sexual Transmitted Dissease
Authors: Purwaningsih Purwaningsih , Widyawati Ika Yuni , Firdaus Mohammad Nur
Published: July 2022

Introduction: The homosexual behaviour were become indicators of sexually transmitted diseases’s (STDs) prevalencies. Prevalence of sexually transmitted diseases in homosexual community was very high but until recently study it was conducted sporadically. The objective of this study was to analyze the correlation of homosexual behaviour with prevalence of sexually transmitted diseases (STDs) in Mobile Clinic Community Centre of IGAMA collaborating with Public Health Centre Sumberpucung of Malang Regency. Method:  Analytic design with cross sectional methode was used in this study. The population were all visitors of Mobile Clinic Community Centre of IGAMA collaborating with Public Health Centre Sumberpucung of Malang Regency (353 people). Sample were 40 people who met to the inclusion criteria. The independent variable was homosexual behaviour and the dependent variable was prevalence of sexually transmitted diseases (STDs). Data for homosexual behaviour were collected by using questionnaire and indhept interview with content analyze and data for prevalence of sexually transmitted diseases (STDs) were collected by using laboratorium test for STDs. Result: The research result was presented in the form diagram, table of cross tabulation and analyzed by using Spearman Rho with significance level ρ=0.005. The result showed that there was correlation of homosexual knowledge (ρ=0.001), attitude (ρ=0.000) and  practice (ρ=0.000) with prevalence of STDs. Dsicussion:  It can be concluded that the better knowledge, attitude and practice of homosexual could be decrease prevalence of STDs. Futher studies are recomended to analyze the correlation between homosexual behaviour and prevalence of STDs with Health Believe approach.
Berg Balance Test (Bbt) and Time Up and Go Tes (Tugt) as Falls Prediction on Elderly
Authors: Nursalam Nursalam , Indarwati Retno , Kristi Mikhael Caraka
Published: July 2022

Introduction: Aging process represent the natural process which cannot obtivated. It caused by biological factor that goes naturaly and continuously that influence the anatomical, biochemical and physiological change. The natural change in this aspect giving contribution of falling on elderly. The objective of this study was to compare falls prediction on elderly using Berg Balance Test and Time Up and Go Test. Method: Design used in this study was comparative study design. The population was 28 elderly. Total sample was 20 elderly enrolled by means of purposive sampling, taken according to inclusion criteria. The independent variabels were Berg Balance Test and Time Up and Go Test The dependent variabels were falls prediction, falls, and falls influence factors. Data were colected using Berg Balance Test, Time Up and Go Test and questionnaire that modify from Minnesota Safety Council  Fall Prevention Checklist.  Data were then analyzed using kruskall-wallis test and mann-withney test with level of significance α≤0.05. Result: The result showed that Berg Balance Test (BBT) and Time Up and Go test (TUGT) had differences falls prediction with significance level of  p=0.014. :The  dominant factors that caused of falls was gait. Time Up and Go Test (TUGT) has valid prediction than Berg Balance Test (BBT) it showed by difference smaller score from comparator test score. Discussion: It can be concluded that TUGT more appropriate than BBT to predict the falls insident in elderly. Further studies should be consider to used carioca activity model as falls prevention in elderly.
Asthma Risk Factors and Prevention Behaviour Relate to Asthma Level of Control
Authors: Nursalam Nursalam , Hidayati Laily , Sari Ni Putu Wulan Purnama
Published: July 2022

Introduction : Asthma’s symptoms are commonly persistent in each asthmatic client, but they could be controlled. This control directly refers to asthma level of control. It could be affected by asthma risk factors and preventive behavior to exposures, but the correlation between them is still unclear because the development of asthma is not fully understood and very complex. The objective of this study was to explain the correlation between asthma risk factors and preventive behavior to exposures to asthma level of control.Method : This study used cross-sectional design and involved 41 respondents which are taken by simple random sampling. Data were collected using questionnaires and then analyzed by using Spearman Rho correlation with level of significance ≤0.05.Result : Result showed that asthma risk factors had correlation with asthma level of control (p=0,032), but preventive behavior to exposures had no correlation with asthma level of control (p=0,095).Conclusion :  It can be concluded that asthma level of control has correlation with asthma risk factors. Preventive behavior has no correlation with asthma level of control could be caused by the differences between the respondents preventive behavior and the recommended one. It indicates possible errors or unsuitability in preventive behavior to asthma risk factor exposures. However, preventive behavior to asthma risk factors exposures is still necessary in order to decrease asthma symptoms.
Effectivenes of Aerobic and Yoga Exercise to Increase Cardiorespiration Stamina in Carier Women
Authors: Yunitasari Esti , Qur'aniati Nuzul , Arunia Ida
Published: July 2022

Introduction : Cardiorespiratory endurance is one of the components of fitness. Cardiorespiratory endurance is considered to have relation with health because the low grade of fitness connected to high risk of immature death especially cardiovascular disease. Sport such as aerobic exercise and yoga exercise is one of efforts to increase cardiorespiratory endurance. This study was aimed to analyze the effectiveness aerobic exercise and yoga exercise to increase of cardiorespiratory endurance in female employee.Method : The design of the study was Quasy Experimental by using non-probability sampling (purposive sampling). Total sample of this study were 21 respondents. Seven respondents as treatment aerobic exerciser, 7 respondents as treatment yoga exerciser and 7 respondents as control group. The independent variables were aerobic exercise and yoga exercise. The dependent variables were the increase cardiorespiratory endurance. The data were collected and analyzed by using paired t test and anova with significance level a < 0,05.Result : The result showed that there were no differences effectiveness aerobic exercise and yoga exercise to increase cardiorespiratory endurance for female employee which were indicated by pulse (p=0,388), blood pressure systole (p= 0,520), blood pressure diastole (p=0,131) and respiration (p=0,432).Conclusion :  It can be concluded that both of gymnastic aerobic and yoga effective on increasing immunity of cardiovascular for the female. Discussion : Female employee can consider aerobic and yoga as an effort to increase cardiorespiratory endurance.
Factors Analyze about Willingness of Elderly to Stay in Elderly Folk Home
Authors: Sudiana I Ketut , Indarwati Retno , Rachmania Diana
Published: July 2022

Introduction : Moving to the new house is not easy for the elderly, especially moving to the elderly folk home. A lot of elderly refuse to stay in the elderly folk home. Some conditions which make the elderly give their willingness to stay in the elderly hostels such as economic status, family condition, and self desire. But that factors are unclear until now. The aim of this study was to analyze factors related to willingness for elderly living in the elderly hostels.Method : Design used in this study was cross sectional. The population were all of the elderly live in elderly folk home Hargo Dedali Surabaya. Samples were taken using purposive sampling and there were 20 respondents. Data were collected using structured questionnaire and then analyzed using Spearman’s rho test and logistic regression test with level of significance α≤ 0.05.Result : Result showed that the dominant factor of willingness of elderly living in the eladerly folk home was self desire with level of significance ρ=0.02, followed by economic status (ρ=0.031) and than family condition (ρ=0.032).Conclusion : It can be concluded that self desire was the major factor related to willingness of elderly living in the elderly folk home. Discussion : Further studies should be appraising how far the motivation appear from the elderly until they decided to live in the elderly folk home.
Counseling Improves Anemia Prevention Behavior of Pregnant Women
Authors: Triharini Mira , Kusumaningrum Tiyas , Octaviani Christine
Published: July 2022

Introduction: Pregnancy closely associated with anemia, where the condition of mothers with Hb under 11gr% in 1st and 3rd trimester or Haemoglobin (Hb) levels below 10.5 g% in 2nd trimester. Knowledge, attitudes and practices of pregnant women on  preventing anemia during pregnancy is one of the factors that influence incidence of anemia which affects the health of babies. Objective of this study was to explain the effect of counseling toward anemia prevention behaviour (knowledge, attitude, practice) of pregnant women. Method: A pre-experimental (one group pretest-posttest) simple random sampling design was used in this study. Population of this study was all pregnant women in Mrs. Wolita midwife practice Surabaya ( as many as 30 pregnant women a month). Sample of these 28 pregnant women were recruited over period of this study. Independent variable was counseling, while the dependent variable were knowledge, attitudes and practice. Data were collected by using questionnaires and analyzed with the Wilcoxon Signed Rank Test with significance level of  α ≤0.05. Result: The result showed that counseling effected behaviour (knowledge, attitude and practice) of pregnant women on anemia prevention with significance level p=0.000 (knowledge); p=0.007 (attitude) and p=0.027 (practice). It can be concluded that counseling or health education about prevention of pregnancy anemia is needed for pregnant women. Discussion: It is recomended that regular counseling must be provided by counselor to prevent anemia during pregnancy. Haemoglobin of pregnant women should also be checked regularly in the midwife practices, as a first step effort to decrease the incidence of anemia in pregnant women.
Nutritional Status Effects the Age of Menarche
Authors: Yunitasari Esti , Indarwati Retno , Sofia Devi Rahma
Published: July 2022

Introduction: The improved nutritional status, which shown by increasing BMI and body fat percentage associated to a decrease in menarche's. This study was aimed to analyse correlation between the nutritional status with the age of menarche. Method:. Design used in this study was cross-sectional. Samples in this study were student at traditional muslim school and  were taken using purposive sampling, that was based  from inclusion and exclusion criteria. Data were analyzed using Spearman Rank Correlation with significance level  α ≤ 0.05. Result: The result showed that most (73%) of the students at traditional muslim boarding school had normal nutritional status. The majority of samples  got menarche at age > 13 years old. The result showed that there was correlation between nutritional status and age of menarche (p: 0.001).  It can be concluded that the girl’s muslim boarding school with better nutritional status got earlier the age of menarche. Discussion: It is recommended to do routine evaluation about nutritional status in muslim boarding school and to pay attention about consumption since early ages so the students at traditional muslim school would not get menarche in later time.
Family Social Support Reduces Post Judegemental Stress in Teenagers
Authors: Nursalam Nursalam , Armini Ni Ketut Alit , Fauziningtyas Rista
Published: July 2022

Introduction: Justicial proceeding is able to make any stress or anxiety for everyone that through on it, especially if the process happens on teenagers. The stressor which can make stress in justicial proceeding are the justicial proceeding that doesn’t go along with UU RI No. 3 tahun 1997, i. e. children justicial process, fearness of parents and friend lost, worried about his future, and new neighborhood that is not appropriate with the child’s psychology development. The presence of family is very important to give a social support to the arrested teenagers.The objective of this study was to know the correlation between family social support and post judegement stress in teenagers and  the factors of stress in teenagers. Method: This study use Cross Sectional design. Population had taken from teenagers from 13 until 17 years old. Sample was comprised in to 12 individuals who fit with the inclusion criteria. The independent variable in this study was family social support and factors of stress in teenagers, and the dependent variable was post judgement stress in teenagers. Data was collected by  measurement using Mood and Feeling Questionnaire (MFQ) for stress, questionnaire of family social support, and interviewed. They were analyzed by Spearman’s test with significance level  α<0.05 and content analysis for interview result. Result: The result showed that there is a correlation between family social support and post judgement stress in teenagers with significance level p=0.013.It means, Content analysis’ results showed that the factors which related with stress in teenagers are environment, caring type, interfamily member’s relationship, bad event, and characteristic of children. Discussion: Higher family social support makes  teenagers have higher self esteem and more optimistic view, so the teenagers will able to face their problem.
Technical Indicators of Cardio-Pulmonary Resuscitation (Cpr) with Traveling Time 20, 40 and 60 Km/H
Authors: Apriyanto Yogo , Nursalam Nursalam , Sunarno Arie
Published: July 2022

Introduction: Ambulances had special rule of velocity. Ambulances could accelerate over 80 km/h and could break through traffic light. During transport the patient might be got cardiac arrest. Almost all of the pre hospital nurses had reported that doing CPR during transport was difficult. The objective of this study was to analyze the effect of traveling time 20 km/h, 40 km/h and 60 km/h on technical indicators of CPR.Methods: Design used in this study was pre-experiment. The population were nurses in ambulances 118 of Dr. Soetomo hospital Surabaya. A total of 14 respondents were taken as samples by purposive sampling. The independent variable was effectiveness of traveling time, while the dependent variable were technical indicators of CPR: Tidal Volume (TV), landmark hand position, deep of chest compression and chest compression rhythm in manekin. Data were measured by observation sheet and then analyzed using Chi-square test with level of significance α ≤ 0.05.Result: The result showed that travelling time 20 km/h and 40 km/h had a significant effect on technical indicators of CPR, but not at 60 km/h.Conclusion: It could be concluded, the faster the travelling time, the more difficult to perform CPR. Further study should involve the travelling time and the accuracy of CPR technical indicators to treat and safe the patients, either in traumatic or non traumatic case.
Cooperative Play Affects Social Interaction of Children Who Have Introvert Personality
Authors: Rahmawati Ira , Yusuf Ah. , Krisnana Ilya
Published: July 2022

Introduction: One of school age children may developing task is learning to interact with their peer groups. The introvert have problem with their social interaction. One ways that can increase the social skill is play activities with social situation. So social play activities: cooperative play can be one of alternative solution to increase social interaction of children with introvert symptom. This study was aimed to explain effect of social play activities: cooperative play on social interaction of children with introvert symptom.Methods: Quasy experiment design was used in this study. The population was school aged children with introvert symptom in SDN Kendangsari III/278 Surabaya. Total sample was 23 respondents consist of 12 respondents as treatment group and 11 respondents as controlled group. The independent variable was social play activities: cooperative play. The dependent was social interaction of children with introvert symptom. The Data was analyzed by Wilcoxon Signed Rank Test and Mann Whitney U Test with level significance ofα ≤ 0.005.Result: Result showed that social play activities: cooperative play had significant effect on social interaction of children with introvert symptom (increased). Wilcoxon Signed Rank Test showed treatment group had p = 0.002 and controlled group had p = 1.00. Mann Whitney U Test showed p = 0.002.Conclusion:  It concluded that social play activities: cooperative play can be one way to change social interaction of children with introvert symptom. Further studies should involve larger respondents and better measurement tools to obtain more accurate results.
Analyzed Factors That Leads to the Balanced Scorecard Nursing Care Documentation at Rumah Sakit Jiwa Menur Surabaya
Authors: Anggraini Yuli , Purwaningsih Purwaningsih , Misbahatul Eka
Published: July 2022

Introduction: Nursing documentation is an important aspect of nursing practice so that should be assessed comprehensively. The objective of the study was to analyze the causing factor of nursing care documentation at Rumah Sakit Jiwa Menur Surabaya through balanced scorecard.Methods: This research was an analytical descriptive conducted out on January 2010 at Rumah Sakit Jiwa Menur Surabaya that measured nursing care documentation through four perspectives of balanced scorecard by distributing quisioner to 55 nurses and 69 customers (patient families) using inclusion criteria, and holding personal interview to 3 structural offi cial, 2 functional official, and 6 ward supervisors. Data of nurse education, percentage of trained nurse was gained by checklist. Data were analyzed using content analysis to fi nd the causing factor of nursing documentation within balanced scorecard.Result: The result showed that financial, internal business processes, and learning and growth perspectives had causal relationship with nursing care documentation at Rumah Sakit Jiwa Menur Surabaya, but customer perspective didn’t have direct causal relationship with it.Conclusion: It can be concluded that impractical nursing documentation form especially in dimension of time on assessment, implementation, and evaluation, and comprehension on assessment, absence of physical nursing standards, limited knowledge on nursing documentation evoked by absence of inhouse training about nursing documentation, ineffective supervision and audit were factors which affecting nursing documentation at Rumah Sakit Jiwa Menur Surabaya. The researcher recommended that the hospital manager should modificate the nursing documentation form using NIC & NOC of NANDA and computerized system, compose physical nursing standards, carry out advanced nursing education and inhouse training about nursing care documentation, improve supervision program, and nursing documentation audit.
Level of Knowledge about Nutritional Need for Elderly Based on Bloom Domain
Authors: Herminaju Ketjuk
Published: July 2022

Introduction: There are still a lot of elderly people who tend not to think about the nutrients they need. The objective of this study was to determine the level of knowledge based on Bloom. Domain about nutrition in the elderly Posyandu.Method: Design research was descriptive analytical. Population were selected all listed in the elderly in the village Posyandu Rejotangan district, 34 respondents. Variable was the level knowledge domain from Bloom. The data were collected by questionnaire and they were analyzed by using the descriptive statistical.Result: The result of these studies showed the level of knowledge (C1–C6) seniors about nutrition were categorized with the value – average 56%.Discussion: It can be concluded that from all of the domain from Bloom, the level of knowledge of Elderly was categorized on suffi cient level. It is recommended that the involment of the is important to improve the delivery of information through extension or move the elderly to be more active in following Posyandu.
The Effectivity of Group Conseling on Improving Patient Behavior for Prevention Dpd
Authors: Ningsih Mira Utami , Bakar Abu , Makhfudli Makhfudli
Published: July 2022

Introduction: Dengue Hemorrhage Fever is a disease with prevalence that keep on higher and spread wider. Prevention and control of DHF are affected by environment and social-behavioral factors. So that, some efforts are needed to increase people awareness in prevention of DHF by giving health education. This study was aimed to fi nd out the difference effectiveness of elucidation and group counseling method to emendation of patriarch behavior in DHF prevention. Method: This study used pre-post test design. The population is patriarch in Monjok Pemamoran Village RT 01. Samples were 40 patriarchs taken by purposive sampling. Independent variables were elucidation and group counseling. Dependent variables were patriarch behavior including knowledge, attitude and practice. Data were collected using questionnaire and observation sheet then analyzed using Wilcoxon Signed Rank Test and Mann Whitney U-test.Result: The result revealed that there are significant effect of elucidation and group counseling to emendation of patriarch behavior in DHF prevention. Except in patriarch’s practice, there were no difference effectiveness of elucidation and group counseling to emendation of patriarch’s knowledge and attitude. There was difference effectiveness of elucidation and group counseling method to emendation of patriarch’s practice in prevention of DHF.Discussion: From this study in can be concluded that, both elucidation and group counseling can affect patriarch’s behavior in prevention of DHF but group counseling method is more effective. That’s why, it is hoped that paramedic can apply that method to society in purpose to increase prevention and control of DHF and prevents the outbreak.
Studi Fenomenologi: Kebijakan Pemerintah dalam Pemberian Jaminan Pemeliharaan Kesehatan bagi Masyarakat Miskin yang Mengalami Masalah Kesehatan Jiwa
Authors: Hamid Achir Yani S. , Mustikasari Mustikasari , Panjaitan Ria Utami , Purwadi Purwadi
Published: July 2022

Introduction: Limited of government’s budget for psychiatric patients has contributed to the expenses should be paid from out of pocket of the poor patients. The purpose of this research was to describe the Government policy on health social security insurance for the poor people experiencing psychiatric problems in DKI Jakarta.Methods: Qualitative research method was used with phenomenology approach to identify and describe the themes relevant to government public policy in providing health insurance for poor people with mental health problems. An in-depth interview and focus group discussion were used to collect data from different informants: service user, healthcare provider, local government policy maker. The qualitative data was analyzed using content analysis.Results: The study revealed the following themes: from user perspective (understanding of psychiatric disorder, social security network/JPKM, right and obligation, the advantage and barrier for receiving services, expectation from care provider, social support and expected future direction); from the perspective of healthcare provider (understanding of social security network/JPKM, types of provided health services, recording and reporting, referral system, cost, and the criteria of poor people), from local government and health office perspective (understanding of JPKM for poor family, scope of work, working procedure, recording and reporting, cost, accountability, poor people criteria, the relationship between central Government policy with local government policy.Conclusion: The finding of this study recommend the need for leveling socialization of JPKM, the budget transparences, improving the healthcare providers’ knowledge on the mental health psychiatric problems and its needs.
Penurunan Tingkat Depresi pada Lansia dengan Pendekatan Bimbingan Spiritual
Authors: Kurnianto Syaifuddin , Purwaningsih Purwaningsih , Nihayati Hanik Endang
Published: July 2022

Introduction: Depression is mental disorder which comes from complicated stress, it can happen for everyone including the elderly. This problem is frequently not considered as the main point of view to think because it is regarded to get good condition by its way without having serious treatment. On the reality, depression which doesn't get serious treatment to solve well, it can danger the life of the elderly. The purpose of this study was to prove the in fl uence of result in the spiritual guidance in accordance with Islamic religion for the changing score (rank) depression of the elderly who lived in the region of RT 04 Kedung Tarukan Wetan Surabaya.Method: Design used in this study was pre experimental design. Population for this study were all of the elderly who lived in the region of RT 04 Kedung Tarukan Wetan Surabaya. Total sample were 10 respondents, taken according to inclusion criteria. The independent variable was the spiritual guidance in accordance with Islamic religion where as the dependent variable was the changing score (rank) of depression. Data were collected by using structured questionnaire. Data were then analyzed using wilcoxon sign rank test with level of significance of≤ 0.05.Result: The result showed, after giving spiritual guidance in accordance with Islamic religion, the score (rank) of depression for elderly to decrease than before giving spiritual guidance in accordance with Islamic religion with significant value p = 0.005.Discussion: It can be concluded that spiritual guidance in accordance with Islamic religion having strong influence for the changing score (rank) of depression of the elderly before and after it had done. It was suggested for the competence person in RT 04 Kedung Tarukan Wetan Surabaya to do this activity continuously as one of the way to prevent and to solve depression for the elderly who lived in the region of RT 04Kedung Tarukan Wetan Surabaya.
Indikator Kualitas Hidup Pasien Gagal Ginjal Kronis yang Menjalani Hemodialisa Berdasarkan Strategi Koping
Authors: Desnauli Evi , Nursalam Nursalam , Efendi Ferry
Published: July 2022

Introduction: Chronic kidney disease is a slow, progressive, and irreversible deterioration in renal function. Ultimately, it leads to end stage renal disesase which in this condition need for haemodialysis therapy to replace renal function. The coping of patient who undergo haemodialysis therapy is very important to promote the success of the therapy. The aim of this study was to find out the correlation between coping and quality of life in chronic haemodialysis patient.Method: This study was a cross sectional study. The sample were 13 patients with chronic kidney disease who undergo haemodialysis therapy. Samples were taken by purposive sampling. Independent variable was coping, and the dependent variable was quality of life. The data were collected using questionnaire and analyzed using chi square test or fisher exact test as alternative test from chi square test.Result: The result showed that most of respondents had adaptive coping and good quality of life. The result of fisher exact test showed that p = 0,038 (p < 0.05), it means that there was significant correlation between coping and quality of life of patient with chronic kidney disease who undergo haemodialysis therapy.Discussion: The conclusion of this research was coping could improve the quality of life of patient who undergo haemodialysis therapy. Further studies are recommended to extend this research using another design and sampling, and observe physical and laboratory examination for measuring quality of life to get better understanding.
The Compliance Chronic Renal Failure Patient on Restrictions Liquids in Hemodialysis Therapy
Authors: Ningsih Endang Sri P , Rachmadi Agus , Hammad Hammad
Published: July 2022

Introduction: Nonadherence is a rampant problem among patients undergoing dialysis and can impact multiple aspects of patient care, including medications, and treatment regimens as well as dietary and fluid restriction. The purpose of this descriptive correlative research, on hemodyalysa patient with chronic renal failure was to know the influencing factors of compliance patient to fluid restriction.Methods: This study used descriptive correlative design, Data was analysed by using distibution frequency and chi square for analysys relation between variable.Results: The result revealed there were nor significant statistic difference at p > 0.05 between age, gender, education level, frequency of hemodyalysa and health education from nurse to compliance patient to fluid restriction (p = 0.647; p = 0.717; p = 0.345; p = 0.774; p = 0.273).Conclusion: Level of patient adherence to therapy not influenced by demographi factor but by the quality of interaction health workers and other factors. This study recommended for further analysis of the factors that influence the level of compliance of the patient as psychological factors (belieft , motivation), socio-economic, and social support.
The Risk Factors of Diabetes Mellitus in Adolescent Senior High School in Malang City
Authors: Widodo Dyah , Retnaningtyas Ekowati , Fajar Ibnu
Published: July 2022

Introduction: Diabetes mellitus is a disease caused by a hormonal disorder that affects insulin. 5.7% of the total population of Indonesia, including teenagers is a big challenge for the health sector to do the step in anticipation of the complexity of health problems caused by diabetes mellitus in Indonesia. This study aims to analyze the risk factors of diabetes mellitus in adolescent senior high school in the city of Malang.Methods: This research was correlational research design, sampled in this study was partly teenagers is high school class in Malang city area drawn at random sampling with a large sample of 375 respondents. Research conducted at government senior high school 6 and 9 (SMU Negeri 6 and SMU Negeri 9) in the city of Malang, in May–August, 2011. Data collection techniques using questionnaires; measurements: weight, height, abdominal circumference/waist, blood pressure and food consumption survey (Recording of Present Food Intake) of the diet for three days. Data was analyzed by descriptive and analytic Spearman Rho correlation with alpha 0.05.Result:  The results showed that a BMI (body mass index) and waist circumference (central obesity) related to the risk of diabetes mellitus in teens senior high school in Malang with 0.000 p-values < α 0.05. However, there is no relationship between blood pressure, physical activity, frequency of fruit and vegetable consumption, family history of diabetes mellitus and the risk of diabetes mellitus in teens senior high school in Malang.Conclusion: Recommended for teens to pay attention to healthy eating and balanced, in order to awake the ideal body weight and abdominal circumference are normal, so that avoid the risk of diabetes mellitus.The Effect of Family Therapy with Spiritual Approach Toward Family’s Health Belief Model in Taking Care of Patient with Schizophrenia
Self Care Management-Holistic Psychospiritual Care on Independence, Glucose Level, and Hba1c of Type 2 Diabetes Mellitus Patient
Authors: Kusnanto Kusnanto
Published: July 2022

Introduction: Diabetes mellitus is a kind of incurable chronic disease that actually manageable. The global prevalence tends to increase due to less self management of the disease and the impact of it was health condition declines physically, psychologically, socially, and spiritually. There were so many interventions implemented but failed to give positive improvement in patient's holistic condition which is lead to complications. The purpose of this research was to improve patient independency in managing the disease and to explain changes in blood glucose and HbA1C levels through self care management-holistic psychospiritual care model.Method: Patient newly diagnose with type 2 diabetes mellitus at Public Health Centre Kebonsari was selected with purposive sampling and divided into two groups. Each group contains 25 patients. Intervention group was given self care management model development with self diabetes management module. The intervention was given  ﬁve times in three months. Before and after intervention patient was observed for blood glucose level of 2 hours before and after meal, and also HbA1C level. Questionnaire was given to patient. The data then analyzed using wilcoxon, mann whitney, and student-t test.Result: The result of this research showed patient with type 2 diabetes have independency improvement and lower blood glucose level of 2 hours before and after meal and also decreased HbA1C after intervention.Discussion: Self Care Management-Holistic Psychospiritual Care Model improves patient independency in managing their disease, lowering blood glucose and HbA1C levels.