bluuebunny/crossref_metadata_2025 huggingface dataset:
Cucumber Juice Decrease Blood Pressure on Essensial Hypertension Patient
Authors: Sudiana I Ketut , Suarilah Ira , Rusdianingseh Rusdianingseh
Published: July 2022

Introduction: Essential hypertension is an intermitten or sustained elevation of dyastolic or systolic blood pressure with unkwown aetiology (idiopathic). Complication can occur such cerebro vascular accident (CVA), heart failure, arterial aneurism till death. High blood pressure should be treaten with medicine or low salt and high potassium diet. One of high potassium diet is cucumber juice. The aimed of this study was to analyze the effect of cucumber juice on blood pressure regulation. Method: A pra experimental (pre-post test one group) purposive sampling design was used in this study. Population were citizen of Pendil village who suffered essential hypertension which comprising 31 respondens. Sample were 14 respondens who met to the inclusion criteria. The independent variable was cucumber (Cucumis sativus) juice and dependent variable was blood pressure regulation. Data were analyzed by using ANOVA test with α=0.05 .Result  The result showed that cucumber juice has an effect on systolic blood pressure regulation (p=0.000) after first week of treatment, systolic blood pressure regulation (p=0.000) after second week of treatment and systolic blood pressure regulation (p=0.000) from first to second week. Discussion: It can be concluded that cucumber juice consumption has an effect on blood pressure regulation among essential hypertension patients. The cucumber juice should be given in the best dose that can reduce blood pressure level, which is 2x200 g/day, as well as for treatment, it can regulate blood pressure level as long as consumed. Further studies should be developed and include the variables of stress, activities and larger responden to obtain more accurate results.
Peer Group Support Increase Self Concept on Post-Radical Hysterectomy Patients
Authors: Yunitasari Esti
Published: July 2022

Introduction: Cervical cancer is one of the disease that can be found among women in all over the world, including in Indonesia. This disease remains a significant problem as the primary cause of death among other cancer diseases in women. Cervical cancer may influence all aspects of human life, whether it is physiological, psychological or social. Stress in patients with cervical cancer is generally increasing due to the rejection of their degrading health condition. The aimed of this study was to analyze the influence of peer group support on the improvement of self concept in patients with post-radical hysterectomy cervical cancer in Obstetric Wards, Dr Soetomo Hospital, Surabaya. Method: A quasy experimental with static group comparison and consecutive sampling design was used in this study. Population in this study was patients with post radical hysterectomy cervical cancer treated in Obstetric Wards, Dr Soetomo Hospital, Surabaya. There were 20 respondents divided into each 10 respondents for control group and treatment group. The independent variable was peer group support and the dependent variable was self concept. Data for self concept were collected by using questionaire then analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level α≤0.05. Result: The results revealed that peer group support had significance influence to the improvement of self concept in post-radical hysterectomy patients (p=0.000). Discussion: It,s can be concluded that peer group support increase of self concept in post-radical hysterectomy patients.
A Comparative Study of Nursing Educational System in Indonesia and Japan
Authors: Nugraha Susiana , Tanaka Mika , Efendi Ferry
Published: July 2022

Introduction: According to Economic Partnership Agreement (EPA) between Indonesia and Japanese governments, Japanese government plans to recruit Indonesian nurses and caregivers to fulfill the demand of those positions at the hospital and health centers. However, to be a qualified worker in Japan, one has to pass a national examination that is conducted by the Minister of Health, Labor and Welfare for a license of a registered nurse within 3 or 4 years of working as a nurse or caregivers, respectively. Method: Having considered that matter, a comparative study of the background of educational systems in Indonesia and Japan is discussed in this paper, with particular reference to the Diploma 3 nursing program. Result: There is no specific difference between Indonesian and Japanese nursing educational systems. Discussion: However, current health condition of the countries remains as the focus of the curriculums where Indonesian nursing education is focusing on communicable disease and surgery nursing, whereas Japanese is focusing on gerontology and chronic disease nursing. In case of qualification method, Japanese nurses should undertake national board examination to be a qualified nurse. On the other hand, there is no national board examination for Indonesian nurses.
Cognitive Therapy Decrease the Level of Depression
Authors: Yusuf Ah. , Nihayati Hanik Endang , Abidin Zaenal
Published: July 2022

Introduction: Aging is a natural process in individuals. Most of the elderly have problems in dealing with this natural process. Lost of occupation, friends and loneliness may result in depression in this age group. Cognitive therapy changes pessimistic idea, unrealistic hopes and excessive self evaluation may result and justify depression. Cognitive therapy may help elderly to recognize the problem in life, to develop positive objective of life and to create more positive personality. The aimed of this study was to analyze the effect of cognitive therapy to reduce the level of depression. Method: This study was used a pre experimental pre post test design. Sample were 10 elderly people who met to the inclusion criteria. The independent variable was cognitive therapy and dependent variable was the level of depression in elderly. Data were collected by using Geriatric Depression Scale (GDS) 15, then analyzed by using Wilcoxon Signed Rank Test with significance levelα≤0.05. Result: The result showed that cognitive therapy has an effect on reducing depression with significance level p=0.005. Discussion: It can be concluded that cognitive therapy was effective in reducing depression level in elderly. Further studies are recommended to analyze the effect of cognitive therapy on decreasing anxiety in elderly by measuring cathecolamin.
Peer Group Support Increase Psychological Responses Changes from Public Servant in Retirement Preparation Phase
Authors: Nursalam Nursalam , Efendi Ferry , Fata Ulfa Husnul
Published: July 2022

Introduction :Retirement is separation process of individual from their work that is being paid from their position or occupation. Retirement may change psychological responses. The aimed of this study was to analyze the influence of peer group support in psychological responses changes from public servant in retirement preparation phase. Method : This study was used an quasy experimental pre-post test purposive sampling design. Population were 18 respondents who will retire on 2009 and 2010 in Mardiwaluyo General Hospital Blitar. Sample were 16 respondents divided into 8 respondents each for treatment and control group. The independent variable was peer group support and dependent variable was psychological responses. Data were collected by using questionnaire before and after peer group support intervention. Data then analyzed by using Mann Whitney U Test and Wilcoxon Signed Rank Test with significance level α≤0.05. Result: The result showed that peer group support didn’t have an influenced in denial respons (p=0.301), anger respons (p=0.317), bargaining respons (p=0.079) and depression respons (p=0.300). Otherwise peer group support have an influenced in acceptance respons (p=0.049). Discussion:  The result of this study has enlightened the important of retirement preparation phase to provide positive psychological responses. Further studies are recommended to extend this recearch with considering biological and spiritual responses.
The Effect of Wound Incision Care Using Honey and Povidone Iodine 10%
Authors: Zakariya M. , Sudiana I Ketut , Wahyuni Erna Dwi
Published: July 2022

Introduction : Povidoe iodine often used in incision treatment. This study was aimed to explain the differences between honey and povidone iodine 10% on incision healing, were unknown.Method : This study used a true experiment design with 18 samples of 3 years old-male guinea pigs, divided into three groups. One-control group and 2 treatment groups. This classification was done randomize. The independent variable was used of honey and 10-% povidon iodin and the dependent variable was inflammation phase (squeezing, edema, plasma of incision) and proliferation (granulation, incision edge unification, skin structure) were assessed in the third and sixth days.  Data were collected by using observation of the signs both of inflammation and proliferation phase and analyzed using Chi Square with level of significance α ≤ 0.05.Result : Results showed that there was no significant difference in the third and sixth days inflammation. In contrast, a significant difference was obtained in the third and sixth days proliferation. Granulation (p< 0,05), incision edge unification (p< 0,05), establishment of skin structures (p< 0,05).Conclusion: It can be concluded that the honey usage was proven to be more effective in accelerated incision healing, increasing proliferation and reduce any infection risks. For future research there is neeed to conduct a microscopically observation of numerous changes in collagen, PMN-cell (neutrophile) and MN-cell (lymphocyte and monocyte), inflammation and proliferation as well as incision healing process.
The Effect of Combination Between Chlorine 0.5% and Alcohol 70% to Bacteria’s Growth
Authors: Muzhidah Muzhidah , Sukartini Tintin , Sunarno Arie
Published: July 2022

Introduction : Desinfection process at laringoscope by using alcohol 70% was not effective for hidrofil’s viruses. The activity mechanism of alcohol 70% is protein denaturation, baktericid for vegetative’s and tuberculoside’s cell. Decontamination with chlorine 0.5% and alcohol 70% have an enzyme inactivity, protein denaturation and inactivity sour of nukleat, so that alcohol desinfectan 70% and chlorine 0.5% much better in pursuing growth of microorganism, but the effectivities of chlorine 0.5% and alcohol 70% for amount of germ’s colony at laringoskop still need furthermore clarification. Objective of this study was aimed to explain the effectiveness of combination of alcohol 70% disinfectant and chlorine 0.5% to decrease germ’s colony in  laringoscope.Methods : A quasy eksperimental (control group pre-post test) total sampling design was used in this study. Population were all of laringoscope which used at room operate of emergency departemen 5th floor Dr. Soetomo general hospital of Surabaya. The independent variable was 1) combination of alcohol 70% disinfectant and chlorine 0.5%, 2) alcohol 70% disinfectant only and dependent variable was germ’s colony. Data were analyzed by using Paired t-Test with significance level p<0.05.Results : The result showed that there was an effectiveness combination of chlorine 0.5% and alcohol 70% to decrease germ’s colony (p=0.000) and the effectiveness of alcohol 70% to decrease germ’s colony (p=0.591). Conclusion: It can be concluded that combination of chlorine 0.5% and alcohol 70% more effective to decrease germ’s colony in  laringoscope. It is recomended that the existence of periodical inspection of laryngoscope to decrease risk of nosocomial infection.
Disposable Diaper Impact The Toddler’s Toilet Training Readiness
Authors: Arief Yuni Sufyanti , Qur'aniati Nuzul , Hidayati Wahyuning
Published: July 2022

Introduction : Toilet training is an important developmental milestone in every child’s life. The children who wear cloth diapers than disposable diaper are out of diaper 12 months earlier because they can feel the wetness when they urinate. Kinds of underwear may facilitate the development of toileting skill. The objective of this study was to learn differentiation about toilet training practised between the toddler who ever wear disposable diaper and the toddler who never wear disposable diaper.Methods : This study used case control design. Population was consist of 45 toddler in 24-36 month old. The samples were 34 respondents, 21 toddler as 1st group  who ever wear disposable diaper and 13 toddler as 2nd group who never one, taken according to inclusion criteria. The independent variables were wear disposable diaper and never one. The dependent variable was toilet training practised such as the toileting skill of toddler, method of toilet training by the parent, toddler readiness to start toilet training and the parents and environment readiness to start toilet training for toddler. Data were taken by using questionnaire and analysed using Mann Whitney test with significance level of  α<0.05.Results : The result showed that there was no differentiation about the toileting skill of toddler (p=0.631), method of toilet training (p=0.249), and the parents and environment readiness to start toilet training (p=0.207) between the groups. There was differentiation about the toddler readiness to start toilet training between the groups with significance level p=0.000.Conclusion : It can be concluded that there are no differentiation about the toilet training practiced beetwen the groups. Discussion : Disposable diaper has influences in the toddler readiness to start toilet training. It has no influences in the toileting skill of toddler, method of toilet training by the parent, and the parents and environment readiness to start toilet training.
Motoric Stimulation Related to Fine Motoric Development on Child
Authors: Triharini Mira , Pradanie Retnayu , Sari Dwiyanti Permata
Published: July 2022

Introduction: Motor developmental stimulation is an activity undertaken to stimulate the children basic skills and so they can grow and develop optimally. Children who obtain a direct stimulus will grow faster than who get less stimulus. Mother’s behavior of stimulation is very important for children, it is considering as the basic needs of children and it must be fulfilled. Providing good stimulation could optimize fine motor development in children. The purpose of this study was to analyze mother’s behavior about motor stimulation with fine motor development in toddler age 4-5 years old.Method: Design have been  used in this study was cross sectional. Population were mothers and their toddler in Group A of Dharma Wanita Persatuan Driyorejo Gresik Preschool. Sample were 51 respondents recruited by using purposive sampling technique according to inclusion and exclusion criteria. The independent variable was mother’s behavior about motor stimulation whereas dependent variable was fine motor development in toddler. The data were collected using questionnaire and conducting observation on fine motor development based on Denver Development Screening Test (DDST). Data then analyzed using Spearman Rho (r) test to find relation between mother’s behaviors about stimulation motor on their toddler fine motor development.Result: Results  of this study showed that there were correlations between mother’s knowledge and fine motor development in toddler (p=0.000), between mother’s attitude and fine motor development in toddler (p=0.000), and between mother’s actions and fine motor development in toddler (p=0.000).Conclusion: In sort study found that there were relation between fine motor development and mother’s behavior. Discussion: Therefore mother’s behavior needed to be improved. Further research about stimulation motor and fine motor development aspects in toddler is required.
The Role of Direct Observed Treatment in Tuberculosis Treatment Successful at Community
Authors: Nursalam Nursalam , Makhfudli Makhfudli , Rato Dominikus
Published: July 2022

Introduction : The succeeded of the tuberculosis treatment depends on the obedience of the patient in taking the tuberculosis’s medication assisted by the direct observed treatment shortcourse (DOTS) to refrain resistancy and dropping out of the program. The aimed of this study was to analyze the correlation between DOTS’s role with the successfullness of lung’s tuberculosis treatment program at Bajawa city.Methods : A cross sectional simple random sampling design was used in this study. Population were all the Direct Observed Treatment Supervisors and patients who have had finished their treatment of tuberculosis. Sample were 43 respondents. The independent variables in this study were the role of the DOTSs, education level, family support, motivation and the DOTSs attitude. The dependent variables were the patient’s obedience in taking medication and the evaluation of the acid fast bacterias in their sputum. Data were collected by using questionnaire and observation sputum the to evaluate acid fast bacteria. Data were analyzed by using Spearman Rho with significance level with α<0.05.Results : The result showed that role of the DOTSs had significance correlation with the succeeding program of tuberculosis (r=0.023), education level had significance correlation (r=0.043), family support as the DOTS had significance correlation (r=0.021), motivation (r=0.032) and attitude (r=0.014).Conclusion: It can be concluded that the role of the DOTS has correlation with succesing tuberculosis treatment. Discussion : The role of PMO cause the succesfully of Tb treatment for the community in Bajawa City, Ngada NTT.
Individual Characteristic and Reward System Relate to Nurses’ Performance
Authors: Kusnanto Kusnanto , Guntarlin Siti , Purnihasti Endah
Published: July 2022

Introduction : Nurses are one of the most important profession in health care system. Lack of reward systems and different of individual nurse’s characteristic will be contributed to the quality of nursing service given. This study was aimed to explain the correlation between individual characteristic and nurse reward system with nurse’s performance at RSUD Bontang.Methods : This study used cross-sectional design  involved 39 respondents, taken by purposive sampling. The independent variable were individual characteristic and nurse reward system and the dependent variable was nurse’s performance. Data were collected by using questionnaires and analyzed using linier regression with level of significance α≤0,05.Results : Results showed that there were significant correlation between nurse’s performance with individual characteristic and reward system.Conclusion : It can be concluded that individual nurse’s characteristic and nurse reward system had correlation between nurse’s performance nursing care quality. Discussion : Individual characteristic factors (sex, age, education, seniority or work period) and nurse’s reward system must be considered to make judgement policy efficiency by human research. Further research must be done for identification factors who related nurse’s performance.
String Bean Juice Decreases Blood Glucose Level Patients with Diabetes Mellitus
Authors: Harmayetty Harmayetty , Krisnana Ilya , Anisa Faida
Published: July 2022

Introduction: Type 2 diabetes mellitus is deficiency of insulin and caused by decreases of insulin receptor or bad quality of insulin. As a result, insulin hormone does not work effectively in blood glucose regulation. String bean juice contains thiamin and fiber may regulate blood glucose level. The aim of this study was to analyze the effect of string bean juice to decrease blood glucose level of patients with type 2 diabetes mellitus. Method: This study employed a quasy-experimental pre-post test control group design and purposive sampling.  The population were all type 2 diabetes mellitus patients in Puskesmas Pacar Keling Surabaya. Sample were 12 patients who met inclusion criteria. The independent variable was string bean juice and dependent variable was blood glucose level. Data were analyzed by using Paired T-test with significance level of α≤ 0.05 and Independent T-test with significant level of α≤0.05. Result: The results showed that string bean juice has an effect on decreasing blood glucose between pre test and post test for blood glucose with independent T-test is p=0.003.In conclusion, string bean juice has an effect on blood glucose level in patients with type 2 diabetes mellitus.Discussion: The possible explanation for this findings is string bean juice contains two ingredients: thiamine and fiber. Thiamine helps support insulin receptors and glucose transporter in cells hence GLUT-4 could translocated to the cell membrane brought glucouse enter to the  intracellular compartment, that leads to blood glucouse level well regulated.  Dietary fiber reduces food transit time so slowing the glucose absorption. Therefore blood glucose level will be decreased.
Crossword Puzzle Increase Attention of Children with ADHD
Authors: Yusuf Ah. , Bahiyah Khoridatul , Wadmi IGA
Published: July 2022

Introduction: Attention deficit is one of three main problems of children with Attention Deficit Hyperactivity Disorder (ADHD). Children experience difficulty of paying attention and concentrating to one or more things or objects. As a results these children cannot perform the task well. Crossword puzzle is one of games that may increase attention and concentration. The aim of this study was to analyze the effect of crossword puzzle to increase attention of children with ADHD. Method: Pre-experimental design was employed in this study. The population was ADHD students in Cakra Autisme Therapy. Seven students were recruited by means of purposive sampling. The independent variable was crossword puzzle and the dependent variable was the increase of attention. Data were collected using observation sheet and analyzed using Wilcoxon Signed Rank Test with level of significance of α≤ 0.05. Result: Result showed that crossword puzzle could increase attention. Respondent’s attention improved from less to good attention, particularly in playing activities (p=0.014).This finding suggests that there was differences of attention between pre and post-test. It can be concluded that crossword puzzle can increase attention of the students with ADHD.Discussion: It is recommended for teachers and parents of ADHD children to give them crossword puzzle game everyday at school or at home. Further studies should involve larger sample size and employs another game not only to increase attention, but also reduce hyperactivity and impulsivity of ADHD child.
Nurse’ Caring Behaviour Improve The Satisfaction of Patient’s Mother
Authors: Arief Yuni Sufyanti , Ertawati Ertawati , Laili Durrotul
Published: July 2022

Introduction: Satisfaction of  mother is the success indicator of nursing care in children ward. Most research show that nurses have a low motivation to provide on others caring behaviour. They pay more attention to curing. Thus most patient’s mother still not satisfied with the nurse care behavior.  The aim of this study was to investigate correlation between nurse caring behaviour with satisfaction of patients’ mother in nursing care services.Method: A correlation study design was used in this study.There were 27 respondents who met the inclusion criteria. The independent variable was the nurse caring behavior  and the dependent variable was satisfaction of patients’ mother. Data were collected by using questionnaire then analyzed by using Spearman Rank Correlation with significance level of α≤0.05. Result: The result showed that the nurse caring behaviour and the patients’ mother satisfaction had significance correlation (p=0.038). It can be concluded that nurse caring behaviour correlates to patient’s mother satisfaction in children ward. Discussion: Nurses should apply caring behavior for the patients and family to built patients’ mother satisfaction.
Satria Nusantara Breathing Exercise Improves the Senior Citizens’ Level of Fitness
Authors: Kusnanto Kusnanto , Makhfudli Makhfudli
Published: July 2022

Introduction: Aging is a slowly losing process of the ability of tissues to regenerate and keep their normal structure and function in order to stand on from any disturbance, including infection. In older people degeneration of organs like muscles, bones, heart, blood vessels and nerve systems cause decrease in hearty. Satria nusantara gym are an alternative solution to increase hearty. The objective of this study was to examine the effect of satria nusantara gym  on fitness level to old people. Method: The research use the pre eksperimental design by using approach of one group pre test post test design. Sampling technique in this research is non probability sampling by using saturated sampling. Samples taken as much 20 old people which is following satria nusantara gym. Data were analyzed  using paired t- test with significance level α≤0.05. Result: The result showed that satria nusantara gym  give positive effect to old people. It can be cocluded that satria nusantara gym cause increase fitness level to old people. Discussion: It’s recommended further research need more variable  for representative result.
Curcuma and Honey Increases Body Weight of Toddler
Authors: F Renny , Arief Yuni Sufyanti , Armini Ni Ketut Alit
Published: July 2022

Introduction: Toddler may have poor appetite and picky eater stage. It will influence the children food intake and thereby they loss weight. As a result they may get a growth and developmental disorder. Curcuma honey can increase appetite and influence body weight. The purpose of this study was to analyze the influence of giving curcuma honey in increasing body weight in toddler.Methods: Quasy experimental design was used in this study. Sample was 10 toddlers and divided into two groups. Independent variable was the giving of curcuma honey and dependent variable was the increase of body weight in toddler (1–3 years). Data were collected by appetite and bodyweight observation and analyzed using paired t-test and independent t-test with significance level ofα ≤ 0.05.Results: Result showed that the giving of curcuma honey had a significant effect to increase toddler’s body weight (p = 0.001).Conclusion: It can be concluded that curcuma honey could increase body weight of toddler by increasing the toddler’s appetite. Honey contains high level of glucose and fructose that can help digestion proccess and curcuma contains curcuminoid and asiri oil that help the work of the bile and pancreas, that made the increasing in apetite and fi nally the increasing in body weight.
Factor Analysis about Exclusive Breastfeeding Achievement Level among Mothers Who Provide Breastmilk to Their Children
Authors: Kusumaningrum Tiyas , Lestari Catur Puji , Sulistyono Agus
Published: July 2022

Introduction: The number of mother who breastfeed their babies exclusively in Indonesia is low. It caused by many factors such as high intensity of formula milk advertisement, lack of awareness about the importance of breastfeeding, working mother, social culture, family support and the role of health care provider. The purpose of this research was to analyze factors related with successfulness level of exclusive breastfeeding.Methods: Design used in this research was analytic retrospective. The population were all mothers at Pacarkeling Public Health Center area. Sample obtained through purposive sampling. Total sample was 61 respondents. Independent variables were knowledge, information and promotion, family support, social cultural, role of health provider, work/occupation, education and breast physiology anatomy. The dependent variable was exclusive breastfeeding.Results: The result indicated that exclusive breastfeeding achievement level was related with information and promotion (r = 0.271), family support (r = 373), health care provider role (r = 231), mother occupation (r = 251), anatomy and physiology of breast (r = 293), while the knowledge (r = 108), social cultural (r = 180) and education (r = 093) not significantly related.ConclusionIn conclusion, there was a positive correlation between information and promotion, family support, health care provider role, mother’s occupation, anatomy and physiology of breast with successfulness level of exclusive breastfeeding. While the knowledge, social cultural and education did not indicate significant result. Therefore it is suggested to increase the quantity and quality of information and promotion about exclusive breastfeeding to the society, health care provider and pregnant and breastfeeding mother.
Training of Growth Record Changes a Behaviour for Posyandu’s Cadres
Authors: Nursalam Nursalam , Agustina Dinna , Armini Ni Ketut Alit
Published: July 2022

Introduction: Most Posyandu’s cadres cannot fill growth record of children correctly due to lack of training. The objective of this study was to explain the effect of training about growth record filling to behaviour changing of Posyandu cadres.Methods: This research used quasy experimental method. The population of this research were all Posyandu cadres. Sample was taken by simple random sampling then 20 respondents divided into treatment group and control group. Independent variable in this research was the training for cadres filling growth record of children and dependent variable was the behaviour changing of Posyandu’s cadres. Data were taken by using the questionnaire and directly the interview to respondent then be analyzed by using Wilcoxon Signed Ranks Test and Mann Whitney U Test, with signi fi cant level α ≤ 0.05.Results: The result showed that training for cadres about filling growth record had significant effect to the cadre’s behaviour (knowledge α = 0.007, attitude α = 0.005, and action α = 0.007). But, it had no signi fi cant effect on control group (knowledge α = 0.157, attitude α = 0.102, action α = 1.00).Conclusion: It can be concluded that training of cadre about filling growth record could change the Posyandu’s cadres behaviour. Public health centers need to conduct training which have compatible content with the standard of Government Health Departement. Further studies should involve larger respondents to obtain more accurate result.
Active Lower Range of Motion Reduce the Sign and Symptom of Diabetic Neuropathy
Authors: Widyawati Ika Yuni , Irawaty Dewi , Sabri Luknis
Published: July 2022

Introduction: The aimed of this study for the 56 members of PERSADIA Surabaya was to determine the effect of active lower range of motion exercise on the signs and symptoms of diabetic neuropathy in type II Diabetes Mellitus's patients.Method: A quasy experimental pre-post test design with a consecutive sampling technique was used in this study.Result: The results showed that there was a significant differences between control and treatment groups for muscle strength with p value 0.047 but not for tendon reflexes, protective sensation, ankle brachial index and diabetic polyneuropathy complaints.Discussion: It can be concluded that active lower range of motion exercise has an effect on muscle strength in patients with type II of Diabetes Mellitus with microvascular complications.
Grant of Sucrose and Non-Nutritive Sucking to Pain Response and the Long Cries of Neonates to Invasive Procedures
Authors: Kristiawati Kristiawati , Yetti Krisna , Pujasari Hening
Published: July 2022

Intoduction: Hospitalized neonates may experience pain caused by invasive procedures. Sucrose and non-nutritive sucking are non-pharmacological analgesics. The aimed of this study was to examine the effectiveness of sucrose and non-nutritive sucking administration on pain and crying duration of neonates during invasive procedures.Method: The study used quasi-experimental design with post-test only control group design approach. This study used nonprobability sampling technic with consecutive sampling. The sample consisted of 45 neonates, divided into three groups, each group of 15 neonates.Result: The results showed that the pain response and the crying duration were insignificantly different between the sucrose group and the NNS, respectively p = 0.635 and p = 0.848.Discussion: Age was identified as a confounding variable that effected pain responses. Provision of sucrose and NNS proven to reduce pain as non-pharmacological pain management for neonates during invasive procedures.
The Decrease of Anxiety in Secsio Sesaria Mother with "Sayang Bunda" Model
Authors: Setyorini Dhiana , Bahrudin Moch.
Published: July 2022

Introduction: Mother with secsio sesaria will find an problem, both a physical and psychological problems. A psychological problem that often happen in mother with secsio sesaria is an Anxiety problem. The aimed of this study was to know the effectiveness of "SAYANG BUNDA" in reducing the anxiety of seccio caesaria mother.Method: Quasy Experimental Pretest-Postest with contol group design was used in this study. The population in this study was mother with electif sectio sesaria who pregnant examinated in Darmo Hospital, William Both Hospital, Suwandi Hospital, Bunda Hospital and Darus Syifa' Hospital of Surabaya. Total sample was 60 people divided into 30 of intervention group and 30 of control. The samples was taken by Quota sampling. The effectiveness of "SAYANG BUNDA" to decrease anxiety was analyzed by using t test (independent samples t-test).Result: The Results of homogeneity test found that between control and intervention groups were homogeneous (p ≥  0.05). The results of this study indicate that there were signi fi cant differences on anxiety between control and intervention group (p = 0.00), the control group had an average higher anxiety than the intervention group after getting "SAYANG BUNDA". Similarly to the level of anxiety, anxiety levels decreased after getting "SAYANG BUNDA" (p = 0.018).Discussion: "SAYANG BUNDA" effective for reducing anxiety in women with secsio sesaria. The implication of this study is health education with "SAYANG BUNDA" can be applied to mothers with planned elective cesarean section at the time of antenatal education.
The Puberty Experience of Adolescent Fenomenology Study in Purwokerto
Authors: Triyanto Endang
Published: July 2022

Introduction: Puberty as a period of transition from childhood to adulthood and the most difficult stages in human growth and development. Teenagers undergo during puberty will experience many physical and psychological changes that are very fast. The purpose was to explore experience of adolescents during their puberty.Method: Phenomenological method was used for data analysis. Participants are adolescents who are undergoing puberty in Purwokerto by purposive sampling. Data was collected by open ended depth interviews.Result: Researchers found four themes: changes in puberty, adolescent psychological problems, the perceived role of family and family behaviors that adolescents are expected to undergo during puberty. Adolescent girls experience menarche at age 12, while teenage boys have wet dreams at the age of 14 years.Discussion: Changes in the form of adolescent psychosexual fascination with the opposite sex and appearance. Adolescent social change seen with increasing activity with friends and peers. Researchers suggest the formation of peer counselor adolescents, clinical consultation and promotion of adolescent family development tasks.
Kepemimpinan Efektif dan Motivasi Kerja dalam Penerapan Komunikasi Terapeutik Perawat
Authors: Farida Farida
Published: July 2022

Introduction: The objective of this study was to identify effective leadership and the work motivation with the implementation of therapeutic communication,Methods: Design used in this study was descriptive design of the correlation with the approach cross sectional study. The population of this study was all of the practising nurse in the in-patient (hospitalized) ward at the Dr. Iskak Tulungagung hospital. All datas were taken by using the method of total population of the 98 practising nurses.Results: The result of this study showed that the big proportion of the practising nurses whose ages are less than 30 years old, graduated from Diploma, status are single (unmarried), duration of work was less or same as 6 years, generally never followed a training of communication, whereas effective leadership was in the good category and the category of work motivation wasn’t better. Analysis using chi-square with alpha 0,05 showed that there was relations between the age, old the work, effective leadership and the work motivation and the implementation of therapeutic communication. The marital status and training had not relationship with the implementation of therapeutic communication.Conclusion: It is suggested that hospital should encoverage nurse manager to promote therapeutic communication among nurses.
Dampak Psikososial Akibat Bencana Lumpur Lapindo
Authors: Mundakir Mundakir
Published: July 2022

Introduction: Lapindo mud disaster that occurred since 29 May 2006 is considered as the longest disaster that occurred in Indonesia. This disaster has caused damage and lost of property which has been affecting the viability of the residents of the affected areas. Psychosocial well being is one af the impacts of disaster. Research was conducted using qualitative design with descriptive phenomenology method. The purpose required of this research was to identify the psychological impact, social impact, and hope for the settlement of problems and health services.Method: Number of participants were involved in this research based on the saturation of data was 7 people. This study used purposive sampling technique using the key informant. Procedure of data collection techniques using depth interviews with a semi-structured form of used questions. The Digital Voice Record was utilized to record the interviews, and verbatim transcripts made and analyzed using the methods of Colaizi (1978, in Daymon and Dolloway, 2008).Result: This study revealed 9 theme of core and 2 additional theme. Nine the core theme is emotional changes, cognitive changes, coping mechanism, changes in family function, changes in social relationships, social support, hope to the problem to the government and PT Lapindo, physical health service needs and psychological health.Conclusion: While two additional theme that is risk and growth trouble, and distres spiritual. Conclusion of this research society of victim of mud of Lapindo experience of impact of psikosoial and hope to government and PT Lapindo settle the payment phase II (80%) and also provide service of health of physical and also psikososial. This research recommend the importance of intervention of psikososial to society of victim and research of continuation after society of victim take possession of new residences.
Modul Anticipatory Guidance Merubah Pola Asuh Orang Tua yang Otoriter dalam Stimulasi Perkembangan Anak
Authors: Hasinuddin M. , Fitriah Fitriah
Published: July 2022

Introduction: Anticipatory guidance is a method used by nurses to help parents provide the development of behavior change towards a better understanding of their children. The purpose of this study was to analyze the provision modul of anticipatory guidance to parents and their effects on patterns of authoritarian parenting in stimulating development in kindergarten Dharmawanita Bangkalan Regency.Methods: The design in this study was experimental pre post test with control group. The population was the parents of students in Dharmawanita Bangkalan kindergarten in 2010. Respondents were 15 people in the treatment group and 15 people in control group who meet the inclusion criteria. Data collected by using a questionnaire. Data then analyzed using Wilcoxon and Mann Whitney test.Result: The result showed that the differences in upbringing the parents before and after the anticipatory guidance given p value of 0.001, whereas in the control group there was no difference with a p value of 0.083. To find out the difference of counselling terms between treatment and control groups were performed by mann whitney test with p-value (0,004) < α (0.05).  Conclusion:  Based on these results we can conclude that modul of anticipatory guidance has an impact on the upbringing of parents in stimulating growth in children in kindergarten Dharmawanita Bangkalan. Research on the effect of anticipatory guidance by the nurse to child development is necessary as a follow up of this research by considering the factors that in fl uence the development of the child itself.
Model Asuhan Keperawatan Terhadap Peningkatan Adaptasi Kognisi dan Biologis pada Pasien Terinveksi HIV
Authors: Nursalam Nursalam
Published: July 2022

Introduction: PAKAR model that focused on coping strategy and social support (nurse, family and patients) lead to positive coping mechanism through the learning process. The purpose of the study was to examine the effect of PAKAR toward adaptive response on PWH infection. PNI and nursing sciences from Roy paradigm were used in this study. Method: Quasy-experimental pre-post-test non randomized control group design is used in this study. Forty (40) PWH infections in Intermediate Department Care for Infection Disease (UPIPI) Dr. Soetomo hospital in Surabaya were selected and non-randomized assignment divided into 2 groups of 20, experiment and control group. In vitro- test were used to measure biological response change: cortical, CD4, IFNγ, and Anti-HIV. Psychological, social, and spiritual response were measured and observed by using questionnaires, in depth interview and Focus Group Discussion. A Multivariate analysis was used to evaluate the data of biological response and non-parametric test: Wilcoxon and Mann Whitney were used to measure cognitive response. Result: Result showed that there were significantly differences on cognitive response between PAKAR and Standard, namely; spiritual response on be patient, social response on emotional stable, and acceptance response on anger and bargaining. In addition, biological response were significantly differences between the groups with F = 0.497 and p = 0.000. The cortical and Anti-HIV variables were the pattern contribution between the groups, with 77.5%. The increase the number of CD4 was found to be the dominance factor that was correlated toward the positive of cognitive response caused by PAKAR. Discussion: PAKAR model that focused on coping strategy and utilizing social support lead to treat cognitive response PWH infection. The model is based on nursing science theory (Roy and Hall) combined with psychoneuroimmunology paradigm that is able to induce immune response modulation, especially the increase of the number of CD4. The increase of CD4 will induce IFN-γ to help macrophage in destroying HIV.
Pendekatan Modelling Keperawatan Anak Terhadap Pengetahuan, Kemampuan Praktik dan Percaya Diri Ibu dalam Menstimulasi Tumbuh Kembang Bayi 0–6 Bulan
Authors: Saleh Ariyanti
Published: July 2022

Introduction: The first five years of age of a child is a critical time that will affect the child growth development process. Any untreated disorders may impair the process that subsequently influences quality of life of the child in the future. Therefore, it is imperative for a mother to optimize the growth development process. This study aimed to identify the effectiveness of health education with modelling approach on mother's knowledge, practice ability and maternal confidence of infant (0-6 months) growth and development.Method: A quasy eksperimental pre-post with control group design was used. The intervention given was health education with modelling approach related to lactation management and infant growth development stimulation. The research was conducted in Maros Regency wiht 81 samples (41 in the treatment group and 40 in the control group).Result: The wilcoxon test reveals that there was a signi fi cant difference between treatment and control group, accordingly, knowledge (p = 0.00, p = 0.01), practice ability (p = 0.00, p = 0,006) and maternal confidence (p = 0.03, p = 0.03). In addition, from mann whitney test, between the two group, the data obtained are: knowledge (p = 0,950), practice ability (p = 0.00) and maternal con fi dence (p = 0,061).Discussion: Health education with modelling approach conducting by nurse was effective in increasing knowledge, practice ability, maternal confidence breastfeeding and baby stimulation, which was in turn can optimize baby growth and development. That is why, community health nurses role should be increase by making community health nursing program as one of primary public health centre program.
Aromacare Melati Meningkatkan Pemenuhan Kebutuhan Tidur pada Lansia
Authors: Kusnaidi Heri , Haryanto Joni , Makhfudli Makhfudli
Published: July 2022

Introduction: Sleep disorder is one of the problems that faced by elderly. Progress of sleep change from time to time, sleep patterns during the aging experience different than younger people. Sleep patterns in elderly decreases according with increasing age and degenerative processes that occur in physiological. Aroma of jasmine is the one of method to increase sleep needs, but giving the aroma of jasmine with nursing intervention that called aromacare to reduce sleep disorder is never investigated.Method: This study used quasy experiment pretest and posttest design. The population were elderly with sleep disorder in Tresna Werdha Puspakarma Service Home Elderly Mataram. The samples were recruited using purposive sampling, total samples were 14 respondents, according to inclusion and exclusion criteria. The independent variable was aromacare of jasmine and the dependent variable was sleep in elderly. Data were collected using structure questionnaire. Data were analyzed by using wilcoxon sign rank test and mann whitney test to fulfillment adequacy of sleep based on quantity, paired t test and independent t test to fulfi llment adequacy of sleep on quantity with significance α ≤ 0.05.Result: Result showed that aromacare of jasmine increase of fulfi llment of the need of sleep in quality (p < 0.016) and also effect the need of sleep in quantity (p < 0.001).Discussion: It can be concluded that aromacare of jasmine has significantly effect on sleep need of the elderly. Further research should measure the effect of aromacare of jasmine on fulfillment of the need of sleep with the rate of melatonin and EEG (Electro Encephalo Gram).
The Increase of Self Personal Hygiene Patient with Hallusination by Nursing Methods of Partisipatif and Rewards Approach
Authors: Noor Sirajudin , Rubiyana Heny Desyi , Al-Alabij Adijani
Published: July 2022

Introduction: The number of mental disorder has been increased dramatically and it is predicted that one out of four citizen suffered with mental disorder. The commonest problem for the patient schizophrenia with hallusination is unfullﬁll of basic needs. The objective of the study was to analyse the effect of partisipatif and reward approach on the need of basic human in term of feeding, toileting, dressing, bathing, and moving patient with halusination Sambang Lihum hospital in Banjarmasin.Methods: Design of the study was pra-experimental, static-group comparison design. Fifty ﬁve (55) sampel was recruited by purposive sampling for patient schizophrenia with halusination stabil condition and calm.The sample were divided into two goups contol and intervention group. Data were collected  by check list and observation of the status of self personal care. Data were analysed by wilcoxon and Mannwhitney with signiﬁcancy level α < 0.05.Result: Result showed that methods of partisipatif and rewards effect on the self personal hygiene for the patient with hallusination, with p = 0.001.Conclusion: Partisipatif and reward methods was effective on the increase of self personal hygienne for the patient with hallusination.