bluuebunny/crossref_metadata_2025 huggingface dataset:
Pneumonitis Associated with Fluoropolymer Waterproofing Agents: Case Report
Authors: Almeida Borges Joana , Fradinho Fátima , Ferreira António Jorge
Published: July 2022

Pneumonitis associated with fluoropolymer waterproofing agents, an entity with few reported cases, can result from occupational exposure. This condition has a rapid onset after exposure, usually resolves with supportive treatment but there could be chronic sequelae. The authors report the case of a 48-year-old male patient admitted to hospital with acute onset of dyspnea and chest pain after using an aerosolized fluoropolymer-containing waterproofing product. He presented tachypnea, leukocytosis, elevated C reactive protein, elevated serum lactate dehydrogenase and hypoxemic respiratory failure. Chest computed tomography revealed bilateral ground-glass opacities with peribronchovascular distribution. The patient was treated with oxygen and corticosteroid therapy, with clinical improvement. This chemical pneumonitis represents a diagnostic challenge since it implies a history of exposure to toxic agents and the pathophysiological mechanisms and safe exposure limits are still unknown.
Model of Quality Management System Using Malcolm Baldrige Criteria in Nursing Education in Surabaya
Authors: Hidayat A. Aziz Alimul , Supriyanto Stefanus , Nursalam Nursalam
Published: July 2022

Introduction: Most of the quality of Nursing Education in Surabaya is still at the low level. It is due to the fact that the process and job performances which have not been integrated yet, systematic and fl exible which are in line with the capacity of the organization and the needs of graduates. This study aims to develop a model of quality management systems of Nursing bachelor’s degree program based on the Malcolm Baldrige Criteria For Performance Excellence.Methods: The method used is a cross sectional survey design. This research was conducted with a sample of eight institutions and twenty four of respondents. The data was collected by means of interviews, questionnaires and documentation. Analysis of the data used Partial Least Square (PLS).Results: The results showed that 1) leadership affects the study program as well as the profi le that affects job performances; 2) Leadership affects the strategic planning as well as the strategic planning that affects focus of Human Resources. In addition, the focus of human resources affects the focus process and fi nally affects job performances as well; 3) customer focus affects leadership as well as leadership affects strategic planning. As the impact, strategic planning affects focus of human resources and it affects similarly on the focus process and fi nally affects job performances; 4) All variables are affected by measurements, analysis and knowledge management, except in strategic planning.Conclusion: Based on the above results, the model of quality management system can be developed by using the Malcolm Baldrige criteria for the purpose of increasing the quality of Nursing Study Program. On the other hands, this model can be used as a reference of the organization at the level of Nursing Study Program (Strategic Business Unit) to restructure the performance of the college in global competition.
Validity and Reliability Assessment Tool of Nursing Students Professional Behavior
Authors: Asmara Fatikhu Yatuni
Published: July 2022

Introduction: Shieffield Peer Review Assessment (SPRAT) is an instrument to assess medical student’s performance using Multi Source Feedback (MSF) method. The previous study stated that MSF with SPRAT is an effective tool assessing professional behaviour (PB) of nursing students both in clinical setting and community setting. However it needs more items to be added. Based on that explanation, it needs conducting validity and reliability test to make sure that the tool is valid and reliable.Method: There were two types of validity test used, content validity test and construct validity test as well as reliability test, namely inter-rater reliability test and item covariance test. Participants were four clinical instructors and 116 nursing students. Result: Content validity test showed that two items must be added as part of assessment item, namely diciplines and faithness. Furthermore construct validity test showed that five items were not valid since they had pearson correlation score <0.3. However the items were included as consideration of nursing students’s PB. Inter-rater reliability test and item covariance reliability test showed that the tool was reliable with score 0.460 and 0.912 respectively.Discussion: The assessment tool can be applied to assess PB of nursing students since it valid and reliable. It needs to investigate the effectiveness of the tool in difference of PB of nursing students.
The Application of Nursing Interventions: Generalist Therapy to Against Hopelessness on Elderly
Authors: Agustin Ike Mardiati , Keliat Budi Anna , Mustikasari Mustikasari
Published: July 2022

Introduction: An increasing number of elderly people followed the emergence of mental health problems. One of mental health problem that arises is hopelesness. Nursing action to hopelesness in elderly people in society is not to optimals. The aimed of this paper was gave an overview about the application of nursing intervention: generalist therapy to against hopelesness on elderly. Method: This research was used descriptive analytic design. Population were elders who lived at RW 3 and RW 4, Kelurahan Ciwaringin, Kota Bogor. Samples were 10 respondents, taken according to purposive sampling technique. Independent variable was generalist therapy, while dependent variables were sign and symptoms of hopelessness and ability to cope with hopelessness. Data were collected by using questionnaire, then analyzed by using frequency distribution.Result: The results showed that generalist therapy can decrease elder’s sign and symptoms of hopelessness (21%) and increase their ability to cope with hopelessness (72%).Discussion: It can be concluded that generalist therapy can be used as one of nursing intervention to against hopelesness in the elderly.
Sign and Symptom and Ability to Control Violent Behaviour with Music Therapy and Rational Emotive Cognitive Behaviour Therapy
Authors: Setiawan Heri , Keliat Budi Anna , Wardani Ice Yulia
Published: July 2022

Introduction: Prevalence of violence is highly occur in mental disorders clients at psychiatric hospitals. The impact is injure to others. This research aims to examine the effectiveness of music therapy and RECBT to sign and symptom and ability to control violent behaviour.Methods: Quasi-experimental research design with a sample of 64 respondents.Result: The study found a decrease symptoms of violent behaviour, ability to control violent behavior include relaxation, change negative thingking, irational belief, and negative behavior have increased significantly than the clients that did not receiving therapy.Discussion: Music therapy and RECBT is recommended as a therapeutic nursing at the client’s violent behaviour.Discharge Planning Increase Therapy Obedient of Patients
Adherence in Pulmonary Tuberculosis Patients Based on King’s Interacting Systems Theory
Authors: Sukartini Tintin , Sitorus Ratna , Waluyo Agung , Darmawan Ede Surya
Published: July 2022

Introduction: Indonesia is one of largest contributor countries to pulmonary TB cases in the world. One of the factors that cause it is no adherence in the treatment. It is necessary to develop a model in order to improving compliance in patient. For an initial step, it is necessary to explore patient’s adherence that based on King’s interacting systems theory. The objective of this study was to explore the patients experience that cause them obedient the treatment based on King’s interacting systems theory.Method: This research was a qualitative research with descriptive explorative approach. The samples were selected through purposive sampling method. Participants in this study were 8 patients who met the inclusion criteria. In this study, participants were pulmonary TB patients who have undergone treatment for 5-6 months.Results: There were 12 themes in patients compliance based on King’s interacting systems theory; (1) true perception of pulmonary tuberculosis, (2) self-awareness, (3) optimal growth and development, (4) positive self-image, (5) a healthy environment, (6) discipline to take medication, (7) effective coping, (8) open communication with the patient's health workers and family, (9) to perform its role optimally, (10) balancing stress during illness, (11) knowing the health care bureaucracy and (12) able to take decisions.Discussion: The 12 themes describe that adherent patients have interaction systems that were personal systems, interpersonal systems and social systems.
Model of Community Health Nursing Care to Accelerate MDGs on Health Sanitation Behavior Sector
Authors: Martono Martono , Satino Satino
Published: July 2022

Introduction: Health promotion have an important role in order to improve community’s independency on health and healthy lifestyle which influenced by socio-cultural around them. The purpose of this study was to examine the contribution of health volunteer activeness, family empowerment, and healthy lifestyle perception on health sanitation behavior sector, so that can help to accelerate MDGs acheivement.Method: This was explanatory research with cross sectional approach. Ninety nine people were recruited as research samples. Independent variables were health volunteer’s activeness, family empowerment, and health lifestyle perception. While, the dependent variable was health sanitation behavior. Data were collected by using questionnaire. Data were then analyzed by using regression technique.Result: Result had showed that together health volunteer’s activeness, family empowerment, and healthy lifestyle perception have positive contribution to health sanitation behavior (25.4%). While partially, health volunteer’s activeness has result (0.2%), family empowerment (15.3%), and healthy lifestyle perception (9.9%). Discussion: The successfullness of health sanitation on community needs participation from family and community itself. Community health nurses should conduct health promotion as an effort to improve community’s knowledge about health behavior.
Job Stress and Job Satisfaction Among Nurses in Mardi Waluyo Hospital Blitar
Authors: Ahsan Ahsan , Cahyaning Pradyanti Adine Yenie
Published: July 2022

Introduction: Nurses as a professional worker in hospitals are often getting job stress that cause disturbance physiology, psychology, and behavior. A study had shown that job stress in a high level would decrease the job satisfaction. The objectived of this research was to analyze the relation of job stress with the nurse job satisfaction in Mardi Waluyo Hospital in Blitar City.Methods: This research used cross-sectional as the method to conduct this research by examining the relation among variables using Rank-Spearman. Sample of this research was the total sampling, which  the total of all nurses that work in the Hospital, Mardi Waluyo in Blitar City. All of the respondents filled out the questionnaires about stress that occur while working and the job satisfaction. Total of respondents were 61 nurses.Results:  The result of Rank-Spearman showed the value of -0,674; there was an inverted relation among variables with a strong relationship level, The significance in this research was 0,000 with a confidence interval of 95% (p-value).Discussion:  there was the more stress those nurses got, then there would be less job satisfaction.
Persepsi Anak dan Orang Tua tentang Kualitas Hidup Anak Penderita Diabetes Mellitus Tipe 1
Authors: Agustini Nur , Allenidekania Allenidekania , Efendi Meriam
Published: July 2022

Introduction: Type-1Diabetes mellitus (T1D) management is important to increase the quality of life in diabetic children. This research aimed to explore and to compare the parents and children perspective in the quality of life related to T1D.Methods: Cross sectional method was used to 35 dyad children (8-18 years old) and their parents. Children have been registered in top referral hospital in Indonesia. They filled the PedsQL® Module Diabetes 3.2 by self-report. Data were analyzed by t-test. The characteristic of respondents consist of the children and parents age, length of being diagnoses with T1D and the number of visit in the last 6 months.  Quality of life dimensions were measured in the last month since data collected. It consists of sign and symptom, disease and therapy, T1D management concern related to complication and communication.Results: showed that the children mean age was 13.11 + 2.85 years old compared to parents (41.03 + 8.34 years old). The average length of being diagnoses with T1D was 4.54 +2.87 years and the average number of visit in the last 6 months was 5.8 + 1.79. Total score of quality of life from parents and children perspective were 64.41% + 10.97 and 63.09% + 13.25. Moreover, t-test analysis found that there was significant difference in parent perspective compared to the children perspective regarding quality of life related to T1D.Conclusion: children have relatively lower perception in evaluating their quality of life in T1D compared to the parents. Therefore, it is necessary for nurses to explore the influencing factors as well as coping mechanism related to T1D management so that nurses can develop individual nursing plan to increase the T1D children's quality of life.
Acceptance And Commitment Therapy (ACT) Meningkatkan Kualitas Hidup Pasien Kanker
Authors: Suhardin Saverinus , Kusnanto Kusnanto , Krisnana Ilya
Published: July 2022

Introduction: Cancer is a chronic disease that affects physical, psychological, social, and economic life of individual and then contributes to life quality. Psychotherapy is important in improving the life quality of cancer patients. One of psychotherapy that can be given is the implementation of ACT (Acceptance and Commitment Therapy). The aim of this study is to analyze the application of ACT in improving the life quality of cancer patients at the Puskesmas Pacarkeling Surabaya. Methods: This research method used pre-experimental with one group pre-post test design. The population of cancer patients enrolled in the Puskesmas Pacar Keling. Samples were 12 people whom are determined based on the inclusion criteria. The Independent variable is application of ACT and the dependent variable is life quality. Data collection and implementation of ACT were conducted in puskemas and home visits. The collected data was analyzed by Paired T test with significance level α=0.05.Results: Result showed that there was change in increasing life quality of cancer patients significantly after giving implementation of the ACT. The result of Paired t-test showed the life quality of patients had a significance level of p=0.000. These result demonstrate the value of p <0.05, so the research hypothesis is accepted.Discussion: It can be concluded that the application of ACT can improve the life quality of cancer patients. Health workers (nurses) need to master the implementation of the ACT as a therapeutic modality.
Knowledge-Management-Based-Nursing Care Model Improves Patient Adherence to Tuberculosis Treatment
Authors: Kurniawati Ninuk Dian , Bakar Abu , MHas Eka , Ulfiana Elida , Hidayati Laily , Endang Hanik , Pradanie Retnayu , Kristiawati Kristiawati , W Erna Dwi
Published: July 2022

Introduction: Pulmonary tuberculosis remains prominent as one of public health problems in the world. Patients’ non-compliance to treatment is a significant contributor to drug resistance. This study aimed to develop and to test the efficacy of a nursing care model to prevent non-compliance.Methods:  This study consisted of two phases: phase one, model development, used a descriptive analytic, and phase two, model testing, employed a quasi-experimental design. Participants, comprised both patients and nurses at two health care centres in Surabaya, were recruited by consecutive sampling. Data were collected by interview, self-administered-questionnaires, check-list and focused group discussion. Data analyses were performed using both partial least squares and Wilcoxon signed rank test.Results: The model was statistically effective to improve nearly all aspects of patients’ compliance to TB treatment (knowledge, discipline in taking medications regularity of controls, and abilities to monitor the results of treatment with p < 0.05), except for abilities to cope with drug adverse effects (p = 1.000). This is possible because seldom do patients aware of the medication side effects, so their experiences were probably limited.Conclusion: This study concludes that the KM nursing care model was proven effective to improve patients’ adherence to treatment. Future study is suggested to evaluate the impact of the KM nursing care model in bigger population.
Psychometric Evaluation of the Quality of Nursing Care Scale for Children Hospitalized with Acute Respiratory Infection
Authors: Suza Dewi elizadiani
Published: July 2022

Introduction: Psychometric Evaluation of the quality of nursing care scale is a vital key to improve the quality of nursing care for hospitalized acute respiratory infection (ARI) children in order to decrease morbidity and mortality of ARI children, especially in Indonesia.Methods: Construct validity was identified using the exploratory factor analysis (EFA), contrasted group approach, and reliability.Results: Construct validity: 1) EFA found that the QNCS-HARIC consisted of 37 items with four factor and total variance explained of 42.92% and factor loadings ranged from .30 to .70; 2) contrasted group approach found that the mean scores of the 37 items QNCS-HARIC between two groups were significantly different (t = -22.91; p = .000); and 3) Cronbach’s alpha coefficient of the total 37 item QNCS-HARIC was .93. Cronbach’s alpha coefficients of Factor 1, 2, 3, and 4 of the 37 item QNCS-HARIC were  .87, .80, .77, and .76, respectively.Conclusion: Although the 37 items QNCS-HARIC model was acceptable, it was less representative, especially in the socio-cultural dimension of ARI children and family because  it consisted of only 3 from 10 items which could not measure the complate dimension of the socio-cultural aspect.
Model Kesehatan Keselamatan Kerja Berbasis Agricultural Nursing: Studi Analisis Masalah Kesehatan Petani
Authors: Susanto Tantut , Purwandari Retno , Wuryaningsih Emi Wuri
Published: July 2022

Introduction: The majority of Indonesian labor force at rural area works in the agricultural sector that risk for health problems related to interaction of farmer and environment. It is necessary to approach health care safety based on primary health care for to prevent and reduce the risks of accidents or illness. This study identifies farmer’s health problem and their factors for developing occupational health nursing model-based agricultural nursing at rural area of Jember.Methods: A cross-sectional study of 169 farmers was done to investigate sociodemographic, lifestyles, environment of living and worked, health status and health problem. Data collected by the self administered questionnaire, physical assessment, and blood test. The descriptive and comparative analyses include chi-square tests and ogistic and multinomial regression analyses were used to assess the relationships between factors to the presence of health problems. Results: There was differences between sociodemographic, environment of living and worked and the health problems of farmers (p<0.05). Almost 37.9% of farmers is illness. Among 28.5% of underweight and 9.5% of overweight that related to age, drink of coffe, and excess day of work. 62.6% of anemia that related to gender and smoking habit. Meanwhile, 45.2% of sistolic hypertension and 35.8% diastolic hypertension that caused by worked of overload. Furthermore, 50.3% of pain on join and bone related to age and recess of worked.Discussion: The health problems of farmers was characterized of nutritional problem, anemia, hypertension, and pain that related to sociodemographic environment of biologic, psychologic, and worked. Agricultural nursing model could be develop for assessesment of related factors that formulated diagnoses of health problems on farmers at rural area.
Perilaku Ibu dalam Pemenuhan Kebutuhan Asah, Asih dan Asuh Anak dengan Leukemia
Authors: Rachmawati Praba Diyan , Ranuh Reza , Arief Yuni
Published: July 2022

Introduction: Children with leukemia have a poor quality of  live. A long term periode of care, treatment, side effect of treatment and the symptom of the leukemia disease will have an impact on leukemia children quality of life. Parents have an important role in meeting the basic needs of the child by stimulation, emotion and physical. With the fulfillment of the basic needs of children, the quality of life of children with leukemia will increase.Methods: Design used in this study was an observational analytic in Hematology room Dr. Soetomo Hospital. The population was mother of leukemia children Bona 1 hematology room in Dr Soetomo Hospital. Conducted on 17th April- 17th May 2014. Consecutive sampling was used in this study. Sample were 20 mother who met in inclusion criteria. Independent variables were mother’s characteristics, self efficacy source, family centre care, Parental Self efficacy and dependent variables were mother’s behaviour. Data was collected using quetionnaire and analyzed using PLS (Partial Least Square) Regression.Results: Result showed that sources of self-efficacy influence on self-efficacy, self efficacy and mother’s characteristics directly affects the mother’s behaviour. Family centered care can’t directly affect mother’s behaviour.Discussion: It can be concluded that mother’s behaviour model in stimulating, loving and physical caring children with leukemia can be formed from mother’s characteristics, self efficacy source and Parental self efficacy. Parental self efficacy can be increased especially by improving coping mechanisms and vicarious experience.
Penambahan Besar Sudut Inklinasi Insole Sepatu Kerja Menurunkan Kadar Glukosa Darah Puasa dan HbA1c
Authors: Kusuma Herdianty , Abdullah Ahmad , Purwanto Bambang , Suhartatik Suhartatik
Published: July 2022

Introduction: Running downhill improved the expression of glucose transporter 1 (Glut 1) and fasting blood glucose in mouse. Eccentric contraction during running downhill found daily in activity such as down stairs and walking on tiptoe. Descend the stairs and walking on tiptoe are not easy to repeated, single, stable and universal, so that we purposed to replace it with additional insole in shoes for daily activity. The aim of this research was to investigate the effect of the additional shoe insole on fasting blood glucose and HbA1c.Methods: This research using experimental pre and post test design with 12 subject female staff at Medical Faculty of Airlangga University for two weeks and the test was performed in three times. The blood was taken before and after using shoe insole. The shoe insole inclination designed into 50 and 100. All subjects used the shoe insole for a week.Results: The result research showed the fasting blood glucose and HbA1c on subject that use shoe insole lower than control group. The fasting blood glucose and HbA1c on subject that use shoe insole 100 has value p<0,05. Discussion: Application of shoe insole lead to reduce the fasting blood glucose and HbA1c.
FRONT MATTER
Authors: Front Matter Jners
Published: July 2022

-
Factors Related to the Utilization of the Integrated Health Services Center for the Elderly
Authors: Cahyawati Sunik , Rumaolat Windarti , Jalaludin Rumi Nur Sayid , Rumaolat Wiwi
Published: July 2022

Introduction: The health service center for elderly is a public health center program for the elderly so they can be are ready to face old age independently and healthy. The objective of the research was to find out if there was a relationship between the use of health services centers for the elderly and attitudes, family support, the role of cadres, and access distance to health services for elderly people.Methods: The method used was quantitative with a cross-sectional design; the sample  contained 121 respondents, elderly people aged over 60 , the study time was 4 weeks. The instrument used was a questionnaire. The variables were elderly people’s attitudes, cadre roles, family support and the distance to the health service. The analysis was done using chi-square with a significant p-value (α <0,05).Results: The study obtained a significant relationship between the attitudes of the elderly p-value (0.001), family support p-value (0.00), the role of cadre p-value (0.00) and the use of the elderly health services center while the distance to the Integrated health center was not significantly related p-value (0.513).Conclusion: There is a relationship between the attitudes of the elderly, family support, the role of cadres to the use of elderly health services center while there is no relationship between the distance to access the health services center and the use of elderly.
The Correlation of Spiritual Status and Anxiety Level in Patients with Pulmonary Tuberculosis
Authors: Widyastuti Merina , Hastuti Puji , Ayu Candra Kirana Sukma , Hervi Farendita Nevinda
Published: July 2022

Introduction: Pulmonary tuberculosis (TB) is an infectious disease caused by the mycobacterium tuberculosis. The increasing prevalence of tuberculosis and infectious disease overall is causing patients to experience anxiety. Someone who experiences anxiety will find support in their religious beliefs. The purpose of this research was to analyze the relationship between spirituality and the anxiety level of patients with pulmonary tuberculosis.Methods: The study design was analytical observational research with a cross-sectional approach. The independent variable was spirituality and the dependent variable was anxiety. The population of this research was 55 people with pulmonary tuberculosis. The sample totaled 49 people. The retrieval of the data was conducted on 1-31 May 2018 using the Simple Sampling Random technique. The research instrument used the anxiety questionnaire DASS 21 and spiritual questionnaire DSES and the results were tested using Spearman Rho CorrelationsResults: The statistical results with ρ = 0.01 with ρ ≤ 0.05. The results of this study show that the majority of the anxiety levels experienced are normal and that the spiritual outcomes for the majority are at a high level. This shows the relationship between the anxiety level and the spirituality of the patients with pulmonary tuberculosis at Puskesmas Perak Timur Surabaya.Conclusion: The result of the correlation coefficient was 0.552. The implication that the research indicates is that high spiritual intelligence causes someone to reduce their anxiety. Expected health workers can provide more education about the treatment o further reduce the anxiety levels of pulmonary tuberculosis patients.
Systematic Review of Family Members in Improving the Quality of Life of People with T2DM
Authors: Sinawang Gabriel Wanda , Kusnanto Kusnanto , Pratiwi Ika Nur
Published: July 2022

ABSTRACTIntroduction: Many patients with type 2 diabetes (T2DM) experience psychological issues affecting their ability to cope and manage their disease. Unfortunately, healthcare providers, including nurses, often report a lack of resources to provide sufficient support. During short and busy consultations, nurses and physicians often focus on etiology, diagnosis, pathophysiology, and treatment of the disease, while patients are more concerned with the consequences and impact on their daily life and family relations. The study aimed to find out forms of family support to improve the quality of live T2DM.Methods: Articles were framework using POCOT searching Science Direct, Scopus, Google Scholar databases, limited to the last 5 years and framework using POCOT. The articles were from 2015 to 2020 and the language used was English. The study focused on family support and Diabetic Mellitus type 2 (T2DM).Results: From 359 articles, 15 articles were included, most of the findings of the studies showed that family plays an important role in increasing self-efficacy so it contributes to blood sugar control which supports T2DM patients’ quality of life. The support that has been carried out by the family includes communication in the patient's treatment program, diet and blood sugar check, motivation in physical activity, support for medical expenses, accompanying them for controls. Patients with higher perceived diabetes-specific family and friend support had healthier behaviors.Conclusion: Family support helps improve the quality of life and reduce physical and psychological complications in people with T2DM.
Pelvic Floor Muscle Training (PFMT) to Reduce Urinary Incontinence Post Radical Prostatectomy in Patients with Prostate Cancer: A Systematic Review
Authors: Pratiwi Dian Retno , Yusniar Firda , Susanti Ika Adelia , Sukartini Tintin
Published: July 2022

Introduction: Pelvic floor muscle training (PFMT) is an important rehabilitative approach as it plays a crucial role in the male urinary mechanism and urinary continence as well as strength. The purpose of this study was to assess the effectiveness of PFMT in the treatment of urinary incontinence post radical prostatectomy in patients with prostate cancer.Methods: Studies were systematically identified by searching electronic databases with the keywords “pelvic floor muscle training” AND “urinary incontinence” AND “radical prostatectomy” and consisted of 103 articles from Scopus, 60 articles from Science Direct, 34 articles from EBSCO, and 195 articles from Pro Quest. The data sources were limited to articles published from 2011 to 2020 and those published in English.Results: Fifteen studies were included in this systematic review with inclusion criteria being patients diagnosed with prostate cancer, men with urinary incontinence after radical prostatectomy, types of study: Randomized Controlled Study (RCT) and protocol study, intervention: PFMT and main outcome: continence rate. Twelve of fifteen articles suggest PFMT is significantly more effective than the standard care in improving recovery of continence in patients undergoing radical prostatectomy.Conclusion: PFMT is effectively carried out with a duration of 10-45 minutes per day with 10 contractions in a lying, sitting, and standing position with three sets, time of contractions 5-10 seconds and relaxation 5-10 seconds. The benefits of this review are that PFMT is suitable, well accepted and achievable for the patients who experience incontinence after radical prostatectomy.
Effect of Leg Exercise on the Lower Limb Circulation of Patients with Diabetes Mellitus: A Systematic Review
Authors: Trisnawati Ida , Sudiana I Ketut , Supriyanto Supriyanto
Published: July 2022

Introduction: Hyperglycemia is one of the typical symptoms of patients with diabetes mellitus.  This systematic review aims to systematically review the research evidence related to the effects of leg exercise on increasing the value of the ankle-brachial index in patients with diabetes mellitus.Methods:  This study used a systematic review with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) approach. We identified 85 articles from Scopus, 34 from Pubmed and 401 from ProQuest. The keywords used in the search were "Foot Exercise", "Buerger Allen Exercise" and "Diabetes Mellitus". The inclusion criteria for this study were 1) Interventions with a focus on the Buerger Allen Exercise and 2) papers published in English. The deadline for publication was between 2014 and 2019.Results: After going through the selection process, 8 articles were deemed to be relevant for inclusion in this systematic review. One effort to overcome the interference of lower limb circulation is through physical exercise in the form of leg exercises. The exercises that can be applied are Buerger Allen Exercises.Conclussion: The simplest examination that can be done to detect any interference with lower limb circulation is to measure the value of the Ankle Brachial Index (ABI)
Effect of Physical Exercise on Insulin Sensitivity and the Modifiable Cardiovascular Risk Factors of Patients with T2DM: A Systematic Review
Authors: Sukma Samudera Wahyu , Efendi Ferry , Indarwati Retno
Published: July 2022

Introduction:  This study was undertaken to verify effect of regular exercise training on insulin sensitivity and the modifiable cardiovascular risk factors, and to determine if there was any effect from the different regular exercises. Methods: A database search using PRISMA examined articles from Scopus, ScienceDirect and ProQuest. The inclusion criteria were that the article used a randomized controlled trial within the last 10 years, that the respondents were people with type 2 diabetes mellitus and that only physical exercise was the intervention involved. In total, 1,303 articles were screened and 16 articles were included that fit the criteria of inclusion in this systematic review. Results: Based on the review of the 15 articles, the findings show that regular exercise training has some benefits related to glycemic control. It can reduce insulin resistance, plasma insulin, fasting blood glucose, postpandrial blood glucose and hbA1c. . Moreover, physical exercise has other benefits for people with type 2 diabetes mellitus, such as an increased peak oxygen consumption (VO2 peak) and decreased c-reactive protein (CRP) level. Conclusion: Regular exercise training has benefits for people with type 2 diabetes mellitus and it can allow them to achieve of optimal glycemic control by improving insulin resistance and decreasing the cardiovascular risk factors. Physical exercise such as combined exercises (aerobic and resistance exercise) or a single exercise such as aerobic exercise can be recommended to improve insulin sensitivity and the modifiable cardiovascular risk factors in patients with T2DM.
The Relationship between Parenting Style and Sexual Behavior before Marriage in Teenagers
Authors: Zubaidah Zubaidah , Maria Insana , Rusdiana Rusdiana
Published: July 2022

Introduction: The purpose of this study was to learn about the relationship between parent style and sexual behavior before marriage among the teenagers in SMKN 3 Banjarbaru.Methods: The design of this study was analytical with a cross-sectional approach. The population consisted of 810 teen classes X, XI, XII with the sample totaling as many as 226 teen classes X and XII in SMKN 3 Banjarbaru. The sample was determined using a stratified random sampling technique. The independent variable was parenting style and the dependent variable was sexual behavior before marriage. The data was collected using a questionnaire.  The analysis was done using Spearman Rho.Results: Sex before marriage is a bad behavior.Conclusion: There is a significant relationship between the parenting style used and sex before marriage in terms of the behavior of teenagers in SMKN 3 Banjarbaru
Yoga Exercise Fulfillment of the Sleep Needs in Elderly
Authors: Sukartini Tintin , Indarwati Retno , Anggraheni Anggraheni
Published: July 2022

Introduction: Sleep disorder is one among problems faced by elderly. Yoga is one of methods which can be chose to fulfill the need of sleep. The objective of this study was to analyze the effect of yoga exercise on the fulfillment of the sleep needs in elderly. Method: The design used in this study was pre experimental. The population was elderly with sleep disorder in Panti Werdha Mojopahit Mojokerto. The sample was recruited using purposive sampling,15 respondents, taken according to the inclusion criteria. The independent variable of this study was yoga exercise and the dependent variable was the fulfillment of sleep in elderly. Data were collected by using structured questionnaire and the measurement of respondent vital sign, and were then analyzed using Wilcoxon Signed Rank Test and Paired t-Test with level of significance α≤0.05. Result: Result showed that yoga exercise increases the fulfillment the need of sleep beside it could reduce heart rate (p=0.001), and respiratory rate (p=0.001). Discussion: However, yoga exercise did not reduce of systolic (p=0.433) and diastolic blood pressure (p=0.055).
Povidone Iodine 1 % and Normal Saline as a Gargling Solution to Prevent Oral Mucousitis
Authors: Nursalam Nursalam , Ertawati Ertawati , Kristyaningsih Putri
Published: July 2022

Introduction: Oral mucositis could affect children’s health status. The purpose of this study was to identify the difference of effectiveness between gargling with povidone iodine 1% and normal saline solutions in 5-15 years old children who received chemotherapy.Method: This study used pre-experiment static group comparison design. There were 18 respondents who divided into 2 treatment groups and 1 control group. The independent variable was gargling use solutions of povidone iodine 1% and normal saline and the dependent variable was oral mucositis.The level of mucositis measured using multiple variable mucositis rating scales then analyzed by means of statistical test mann whitney u test with significance level of α≤0.05.Result:  The result showed that there were no difference between gargling use solutions of povidone iodine 1% and normal saline (p=0.930). Thus normal saline as good as povidone iodine 1% to prevent oral mucositis. It can be concluded that there was no difference between the use of povidone iodine 1% and normal saline as mouthwash to prevent oral mucositis.Discussion:  It is recommended that patient with chemotherapy should be gorgled with povidone iodine and normal saline.
Perception of TB BTA (+) Patients about Treatment with Healing Status
Authors: Purwaningsih Purwaningsih , Nihayati Hanik Endang , Mu’jizah Khikmatul
Published: July 2022

Introduction: Tuberculosis (Tb) is infection disease that remains a major global public-health problem. Although it is curable and preventable, Tb remains a major cause of morbidity and mortality. Wrong perception about TB and treatment often make non-adherence to treatment regimen. This study was aimed to analyze the correlation between perception of Tb BTA (+) patients about treatment with healing status. Method: This research used cross sectional-retrospective design. The sample were 23 Tb BTA (+). The independent variable was perception of Tb BTA (+) patients about treatment and dependent variable was healing status. The data were analyzed by Kolmogorov-Smirnov test with significance α≤ 0.05. Result: The result showed that perception of Tb BTA (+) patients about treatment did not has significance level with healing status (p=1,00). It can be concluded that perception of Tb BTA (+) patients about treatment did not has correlation with healing status. Discussion: It is recommended to the Turen public health center about TB programme to include health education for TB patients and family regularly in addition to increase patients adherence.
Comparison of Nursing Staff Calculation Based on the Time and Motion Study and Douglas Method
Authors: Purwaningsih Purwaningsih , Bahiyah Khoridatul , Lamak Margaretha Kewa
Published: July 2022

Introduction: The increase of the quality of service requires human resource with good quality and quantity. In health service, nursing staff need can be calculated by using many methods, such as Gillies method, ratio method, nursing workshop method, Thailand and Philippine method, Nina method, and Douglas method. Besides those six methods, nursing staff need can be calculated by calculating worktime and workload. This method is called Time and Motion Study. Douglas method is used to calculate nursing staff need at IRNA Bedah A Dr. Soetomo Hospital. The objective of this study was to compare the calculation of nursing staff need using Douglas method and Time and Motion Study. Method: This study used  descriptive design with observational approach. Samples, taken by total sampling, were 12 nurses at IRNA Bedah A Dr. Soetomo hospital for Time and Motion Study and all patients at IRNA Bedah A. Data for Douglas method were collected by using classification of  patient’s dependence into 3 categories, i.e; self care, partial care, and total care. Data for Time and Motion Study were collected by using observation of nurse’s activities and calculate nurse’s worktime and nurse’s workload. The results showed that according to Douglas method, IRNA Bedah A needed 16 nurses, and according to Time and Motion Study, IRNA Bedah A needed 14 nurses. The mean of patient’s dependence in one week was 13 patients with self care, 3 patients with partial care, and 4 patients with total care. Result: Total productive time of the nurses at IRNA Bedah A was 3.83 hours in the morning, 2.37 hours in the afternoon, and 5.25 hours at night. Nurse’s workload at IRNA Bedah A was 34.62%. It can be concluded that calculation by using method Douglas shows that IRNA Bedah A needs more nurses compared with calculation by using Time and Motion Study. Discussion: Time and Motion Study is more effective than Douglas method to calculate nursing staff need. Most patients at IRNA Bedah A is self care. Most nurse’s activity at IRNA Bedah A is non-productive activity. Most of the nurse’s activities at IRNA Bedah A have done based on the standard of procedure. Nurse’s workload at IRNA Bedah A is underload.
Relaxation Affirmation Technique Increases Self Efficacy of Patients with Nasopharingeal Cancer
Authors: Yusuf Ah. , Suarilah Ira , Rahmat Pandu
Published: July 2022

Introduction: Patient with nasopharynx cancer may experience emotional distres. Emotional distres and anxiety may lead to decrease self-efficacy. Clients with a negative perception of the health or low self-efficacy would become apathetic and disability in soluns problem as compensation of getting that disease. The purpose of this study was the relaxation affirmations techniques in order to increase self-efficacy patient with nasopharynx cancer.Methods: This study used pra-experiment pre-post test design. Population was taken from patient with nasopharynx cancer of Ear Nose and Throat (ENT) Patient Departement Dr. Soetomo Hospital at Surabaya. Sample comprised of 19 respondents who selected based on inclusion criteria. Independent variable was the relaxation affirmations. Dependent variable was self efficacy of nasopharyngeal cancer patients. Data were collected using the observation sheet.Results: The results showed that there was a significant influence of relaxation affirmation in increased self-effi cacy patient with nasopharynx cancer, with p = 0.008.Conclusion: Based on that results, it can be concluded that relaxation affirmations help patients nasopharyngeal cancer in THT Patient Departement Dr. Soeotomo Hospital at Surabaya in improving self-efficacy so that they would have ability to accept reality and belief in health pattern for optimalizing quality of life. Relaxation affirmations techniques including diaphragma breathing and affirmation decrease sympatic nerve activity and increase positive firm belief in patient.
The Analysis of Job Satisfaction Nurse Based on Organizational Climate
Authors: Nursalam Nursalam , Elina Yety , Wahyuni Erna Dwi
Published: July 2022

Introduction: Organizational climate is a perception of the organization's members about their organization and it will be able to influence their attitude. Conducive organizational climate is important to improve job satisfaction. Nurse's job satisfaction is needed to increase quality of health service care. The purpose of the study is to analyze the correlation between organizational climate and job satisfaction of nurse.Method: This study was a quantitative research that used a descriptive method with cross sectional survey design. The population was all nurses in IRNA Bedah of RSUD Kabupaten Sampang that consists of 15 people. The sample were 11 people recruited by using purposive sampling. The data was collected by using organizational climate questionnaire and job satisfaction questionnaire, interval scale was used with Likert scoring. The statistic analysis used Spearman's rho and content analysis.Result: The result of the statistic test shows that organizational climate had p = 0.003 which reveals that there was a correlation between organizational climate and job satisfaction of nurse in IRNA Bedah of RSUD Kabupaten Sampang, with r2 = 0.799 (within a range 0.60–0.799). It means that both variable had a strong positive correlation.Discussion: In conclusion, there was a positive correlation between organizational climate and job satisfaction with strong correlation. The writer suggests the next researchers to study dimension of organizational climate from Pines (1982), and factors to influence job satisfaction from McClelland (1962) so that they will be able to compare the correlation between organizational climate and job satisfaction by using another theory.The Analysis of Job Satisfaction Nurse Based on Organizational Climate
Islamic Caring Model on Increase Patient Satisfaction
Authors: Abdurrouf Muh. , Nursalam Nursalam , Purwaningsih Purwaningsih
Published: July 2022

Introduction: Patient satisfaction was important aspect that must be considered by health service providers, patients who were not satisfied will leave the hospital and be a competitor's customers so be able caused a decrease in sales of products/services and in turn could reduce and even loss of profit, therefore, the hospital must provided the best service so that it could increase patient satisfaction. The purpose of this study was to exams the effect of Islamic caring model on increase patient satisfaction.Methods: This study was used pre-experimental design, the respondents were 31 patients in the treatment group assigned Islamic caring and 31 patients with a kontrol group that were not given Islamic caring Inpatient Surgical Sultan Agung Islamic Hospital Semarang by using consecutive sampling techniques, patient satisfaction data collected through questionnaires and analyzed with Mann-Whitney test, as for finding out the Islamic caring for patient satisfaction were analyzed with spearmen's rho test.Results: The results showed that there was a significant influence of Islamic caring for perceived disconfirmation (p=0,000) there was a perceived disconfirmation influence on patient satisfaction significantly (p=0,000), there was a significant influence of Islamic caring for patient satisfaction in the treatment group with a kontrol group (p=0.001).Conclusion: Discussion of this study was Islamic caring model effect on the increase perceived disconfirmation and patient satisfaction, Perceived disconfirmation effect on patient satisfaction, patient satisfaction who given Islamic caring was increase, patients given Islamic caring had higher satisfaction levels than patients who not given Islamic caring. Suggestions put forward based on the results of the study of Islamic caring model could be applied in Sultan Agung Islamic Hospital as a model of nursing care, Islamic caring behavior can be learned and improved through training and commitment and could be applied in providing nursing care, further studies of other variables that had not been examined in accordance expectancy-disconfirmation theory according Wodruff and Gardial 2002 of comparison standard and satisfaction outcome.