bluuebunny/crossref_metadata_2025 huggingface dataset:
Identification of Nursing Problems in Hospitalized Patients with Diabetes Mellitus
Authors: Purwihantoro Sudarmaji Wikan , Nursalam Nursalam , Wulandari Sartika
Published: July 2022

Introduction: One of the duties of nurses when managing patients with diabetes mellitus is establishing a nursing diagnosis. This study aimed to identify the nursing problems that arise in hospitalized patients with diabetes mellitus. Methods:A descriptive analytical study involving 100 medical records of inpatients with diabetes mellitus from June, July and August 2019 was conducted. The data collection was done through an observation sheet according to the Indonesian Nursing Diagnosis Standards (SDKI). Results: There were 30 types of nursing problems identified with the total number of nursing problems found being 332. The most frequent nursing problems were D.0142 Risiko Infeksi (Risk of Infection) 30.12%, D.0027 Ketidakstabilan Kadar Glukosa Darah (Instability of Blood Glucose Levels) 14.16%, D.0011 Risiko Penurunan Curah Jantung (Risk of Decreased Cardiac Output) 12.65%, D.0017 Risiko Perfusi Serebral Tidak Efektif (Risk of Cerebral Perfusion Not Effective) 8.73%, D.0037 and Risiko Ketidakseimbangan Elektrolit (Risk of Electrolyte Imbalance) 4.52%. Conclussion: This research found there to be 30 variations of nursing problems among the hospitalized patients with diabetes mellitus with the most frequent nursing problems in the physiological category and nutrition and fluid sub-categories.
The Effects from Physical Exercise on the Blood Glucose Levels, HbA1c and Quality of Life of Type 2 Diabetes Mellitus Patients: A Systematic Review
Authors: Fajriyah Novita , Sudiana I Ketut , Dwi Wahyuni Erna
Published: July 2022

Introduction: The present study aimed to analyze the effects of aerobic exercise, resistance and a combination of both on blood glucose levels, HbA1c and quality of life for patients with T2DM.Methods: This systematic review used PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis). Scopus, Science Direct and PubMed online databases were extensively searched, focusing on the last five years. The search utilized the phrases "diabetes," "physical exercise,” "glucose" and "quality of life." The inclusion criteria in the study regarding the literature was that it had to be an original article, that the source was a journal, that the article was in English and that it was available in full text.Results: We identified 1017 articles where 17 were considered to be relevant for this systematic review. The combination of resistance and aerobic physical exercise seems to have a greater impact on glucose, HbA1c and quality of life. Aerobic exercise, resistance exercise and a combination of both have benefits when it comes to reducing blood glucose levels and HbA1c, as well as improving the quality of life of patients with T2DM.Conclussion: The type and intensity of the exercise chosen for the management of T2DM must be adjusted to the clinical condition and the patient’s individual physical fitness
Discharge Planning of STEMI Patients by Multidisciplinary Professionals to Improve the Health Services
Authors: Fitriyah Rahmatul , Nursalam Nursalam , Maulidiawati Ita
Published: July 2022

Introduction: Discharge planning starts at admission and begins by determining the educational needs.  The objective of this study was to explore the implementation of discharge planning held by multidisciplinary professionals for STEMI (ST elevation myocardial infarction) patients. Methods: The design of this study was descriptive and the data was collected through in-depth interviews with the participants.Results: The results of the interview were transcribed verbatim, and then a FGD (Focus Group Discussion) was conducted. The participants consisted of11 nurses, 1 nutritionist and 1 pharmacist with a minimum working period of 2-10 years. Sampling started with the purposive sampling method. Several things influence the implementation of discharge planning viewed from the perspective of multidisciplinary professionals according to productivity theory in the organization of a cooperative, namely the motivation of the health workers, the abilities and knowledge of the health workers, the job design and the work schedule involved. Conclussion: . For the future, it is necessary to have digital guideline/tools available that can be easily accessed by multidisciplinary professionals to make the work schedule for health workers optimal to improve the health services.
A Systematic Review of Fatigue in Type 2 Diabetes
Authors: Hidayat Bayu Febriandhika , Sukartini Tintin , Kusumaningrum Tiyas
Published: July 2022

Introduction: Fatigue is often found in people with type 2 diabetes and it is known as Diabetes Fatigue Syndrome. Fatigue is a widespread clinical complaint among people with type 2 diabetes (T2DM). It has been directly related to poor self-reported health and it is likely a key barrier to the successful self-management of diabetes. The aim of this study was to identify fatigue in type 2 diabetes.Methods: The databases used to identify suitable articles were Scopus, Science Direct and PubMed limited articles published between 2012 and 2019 in English with the full text available. The search utilized the keywords of “diabetes, fatigue, diabetes fatigue syndrome, and type 2 diabetes”. Searching for the articles also used “AND”. Following the search, 7 articles met the inclusion criteria.Results: The studies were classified into 3 groups based on the causes of fatigue. The causes of fatigue involve physiological factors, psychological factors and lifestyle factors.Conclusion: Diabetes fatigue syndrome is defined as a multifactor syndrome of fatigue or easy fatigability occurring in persons with diabetes caused by a variety of lifestyle, nutritional, medical, psychological, glycemia/diabetes-related, endocrine, and iatrogenic factors.
Health Promotion Strategies in Integrated Healthcare Program Park of Public Health Center
Authors: Priyanto Kurniawan Edi , Sutrisno Sutrisno , Effendy Mohammad As'ad
Published: July 2022

Introduction: One form of community empowerment effort in the field of health is to develop an Integrated Healthcare Program. Integrated Healthcare Program Park in East Java quantitatively until the year 2014 has exceeded as many as 12,227 or an increase of 22.27% from the declaration of movement activities of 10,000 starting from 2012. However, qualitatively in that year there were only 23% in the optimal category. To optimize function of Integrated Healthcare Program Park it is necessary to have a Companion Officer in the monitoring and assisting cadres. This study is to know the implementation of health promotion strategy in Integrated Healthcare Program Park at Public Health CenterMethods: Data were collected by in-depth interviews. Implementation of empowerment activities found the training of companion officers and cadres are uneven.Results: Activity of developing the social support found the existence of problems because of the absence of early child development cadres and insufficient means of educational game tools. Advocacy activities conducted policy proposals on the establishment of early child development cadres.Conclusion: Partnership activities have created a good coordination between companion officers with the stakeholders, but there are problems in the mechanism of distributing incentives for companion officers and cadres.
The Correlation Between Stimulation, Nutritional Status and Child Development
Authors: Saputro Heri , Fazrin Intan , Yalestyarini Eva Agustina
Published: July 2022

Introduction:Developmental disorder could be affected by many factors, such as stimulation and nutritional status. This study aimed to determine the correlation between stimulation, nutritional and development of children aged 3 to 6 years old.Methods: The study design was an analytic survey with cross-sectional approach. Population was parents having children aged 3 to 6, as many as 419 in Sonorejo Village, the Work Area of the UPTD Puskesmas Grogol, Kediri Regency. Sample used were 109 respondents taken by simple random sampling technique. Independent variables were stimulation and nutritional status collected using questionnaire. Dependent variable was development of children aged 3 to 6 years old, collected using observation. Data were analyzed using ordinal regression test.Results: Results showed roughly half of respondents (52, 47.7%), with good stimulation, those with normal nutritional status 80 respondents (73.4%) and having appropriate development 88 respondents (80.7%). There was an effect caused by stimulation and nutritional status for development of children aged 3 to 6 years. Results  from the statistical test showed p value 0.000 for stimulation factor. This means that stimulation was a dominant factor for children's development.Conclusion: stimulation and nutritional status are very important for development of children aged 3 to 6 years old. This study suggested that parents should be more active in joining with health service centers so they can give an appropriate stimulation and increasing nutritional status for their children, so they can have   optimal growth and development.
Latihan Nafas Modifikasi Meniup Balon Terhadap Pengembangan Paru pada Pasien Hematothoraks dan Pneumothoraks
Authors: Sukartini Tintin , Sriyono Sriyono , Nursalam Nursalam , Kurniawati Ninuk Dian , Sukrisno Adi
Published: July 2022

Collaps is a condition of the absence of air in alveoli. Lung collaps result from the presence of air or blood in the cavity. Modified ballon blowing respiratory exercise is intended to improve lung ventilation,increase vital capacity and preven atelectasis. The objective of this study was to analyze the effect of modified ballon blowing respiratory on lung compliance in pneumothorax and haemathorax. A quasy experimental design was used in this study  with 10 respondens who met the inclusion criteria. The independent variabel was modified ballon blowing respiration exercise and the dependent variable was lung compliance  by observing thorax foto, repiratory rate and vital capacity. Data were analyzed by using t test, Mc.Nemar and chi square test. The results showed that modified ballon blowing respiratory execise is effective to assit lung compliance with significant level on vital capacity (p=0.018).
Manfaat Aromaterapi Lavender Terhadap Penurunan Insomnia pada Lansia
Authors: Kusnanto Kusnanto , Harmayetty Harmayetty , Suarilah Ira , Kurniawati Ninuk Dian , Marliana Ulin
Published: July 2022

Introduction: Insomnia is the primary sleeping problem experienced mostly by elderly. The objective of this study was to examine the effect of lavender aromatherapy for insomnia reduction in elderly.Methods: This study used pre-experimental design, with 15 samples, recruited by using total sampling. The independent variable was aromatherapy and the dependent variable was insomnia. Data were collected by using structured interview with questionnaire and observation. Data were analyzed by using Wilcoxon Signed Rank Test with significance level of p≤0.05.Results:The results showed that lavender aromatherapy given to elderly had beneficial effect on sleep quality and quantity of this age group. The sign and symptoms of insomnia become reduced with significance level of p=0.001.Conclusion: Lavender aromatherapy can be used as alternative intervention for overcoming insomnia in elderly.
Efektifitas Distraksi Visual dan Pernafasan Irama Lambat dalam Menurunkan Nyeri Akibat Injeksi Intra Kutan
Authors: Rohmah Nikmatur
Published: July 2022

Introduction: The objective of this study is to examine the effectiveness of visual distraction usage and slow rhytm respiratory on pain relief which is caused by intra cutan injection.Methods: A quasy experimental design was used in this study. Sample of this study were 78  students of Nursing Academy Jember Muhammadiyah University at the second semester, recruited by using total sampling. Data were collected by using observation  and questionnaire, then analyzed with Independent t-Test with significance level p<0.05.Results: The result showed that visual distraction and slow rhytm respiratory technique had significantly effect on the effort of decreasing pain  (p= 0.000), and there was a correlation between  visual distraction and slow rhytm respiratory technique had significantly effect with the effort of decreasing pain (p=0.019).Conclusion: slow rhytm respiratory technique was more effective than visual distraction technique to relief pain.
Efektivitas Penurunan Stres Hospitalisasi Anak dengan Terapi Bermain dan Terapi Musik
Authors: Arief Yuni Sufyanti , Sudiana I Ketut , Kristiawati Kristiawati , Indah Dewi
Published: July 2022

Introduction: Hospitalization in pediatric patients may caused an anxiety and stress in all age levels. Several techniques can be applied to reduced hospitalization stress in children, such as playing therapy and music therapy. The objective of this study was to analyze the difference of effectiveness between both therapies in reducing the hospitalization stress in 4-6 years old children. Method: A quasy-experimental pre-posttest design was used in this study. There were 18 respondents, divided into three groups, i.e. group one receiving playing therapy, group two receiving music therapy and the last group as control group. Data were collected by using observation sheet before and after intervention to recognize the hospitalization stress. Data were analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level of α<0.05. Result: Result showed that playing therapy and music therapy had significant effect to reduce the hospitalization stress with p=0.027 for play therapy, p=0.024 for musical therapy, and p=0.068 for control. Mann Whitney U Test revealed that there were no difference in the effectiveness of play therapy and musical therapy in reducing the hospitalization stress with p=0.009 for play therapy and control group, p=0.012 for music therapy and control group, and p=0.684 for playing therapy and musical therapy. Discussion: It can be concluded that play therapy and musical therapy are equally effective to reduce the hospitalization stress in children. It’s recommended for nurses in pediatric ward to do  playg therapy and musical therapy periodically.
Teknik Distraksi Audio Visual Menurunkan Tingkat Kecemasan Anak Usia Sekolah yang Menjalani Sirkumsisi
Authors: Juanita Farida
Published: July 2022

Introduction: Circumcision is one of minor surgery that usually done for school age children. Most of the children appear to be anxious enough. Audio-visual distraction is one of the methods that researcher want to applied to decrease children’s anxiety level during circumcision. The objective of this study was to identify the effect of audio-visual distraction to decrease children’s anxiety level during circumcision. Method: Non randomized pretest-posttest control group design was used in this study. There were 21 children divided into two groups, control group (n=13) receive intervention as usual, otherwise the intervention group (n=8) receive audio-visual distraction during circumcision. By using self report (scale of anxiety) and physiological measures of anxiety (pulse rate per minute), children are evaluated before and after the intervention. Result:  The result showed that audio-visual distraction is efective to decrease the anxiety level of school age children during cicumcision with significance difference on the decrease of anxiety level between control and intervention group (p=0.000) and significance difference on the pulse rate per minute between control and intervention group (p=0.006). Discussion: It can be concluded that by applying the audio-visual distraction during circumcision could be minimized the children’s anxiety. The audio visual is needed for children to manage and reduce anxiety during invasive therapy through mecanism of distraction.
Stres Memperlambat Penyembuhan Luka Paska Seksio Sesarea
Authors: Yusuf Ah. , Armini Ni Ketut Alit , Nurfianti Arina
Published: July 2022

Introduction: Decision for cesarean section may lead to the stress for women in delivery. Stress response requires longer recovery time in post cesarean section patients. Most of patients who experience stress before and after surgical is associated with wound healing delay. When this condition continues, the wound will have a higher risk of infection. The objective of this study was to analyze correlation between stress and wound healing phase in post cesarean section patients. Method: A cross sectional design was used in this study. The population were women with cesarean section, both elective or emergency, in Delivery Room I RSU Dr. Soetomo Surabaya. Samples were recruited by using purposive sampling, with 28 samples who met to the inclusion criterias. The observed variables were stress and wound healing phase in post cesarean section patient. Stress data were collected by interview and wound healing measurement done by observation on the 3rd day post cesarean section. Result: The result showed that women with stress experience wound healing delay. The characteristic of wound healing delay was prolonged on inflammation phase, nevertheless there was presence of granulation tissue. Spearman’s rho correlation showed that correlation value r=0.675 with p=0.000. Discussion: It can be concluded that there was strong significant correlation between stress and wound healing phase in post cesarean section patients. It is important to give this information to the patients with cesarean section in order to prevent stress and delay in wound healing phase.
Musik Langgam Jawa dalam Upaya Pemenuhan Kebutuhan Tidur Lansia
Authors: Nursalam Nursalam , Haryanto Joni , Indarwati Retno , Wahyuni Erna Dwi
Published: July 2022

Introduction: Quality and quantity of sleep dissorder are the commonest problems that faced by elderly. These problems can increase activity of sympathetic nerve and muscle stress. Javanese traditional music is one of the method to increase the fulfillment of the need of sleep. The objective of this study was to analyze the effect of Javanese traditional music on the fulfillment of the need of sleep in elderly. Method: Design of this study was a pre experimental design. The population was elderly with sleep disorders in Panti Sosial Tresna Werdha Blitar. There were 12 respondents which recruited by using purposive sampling who met to the inclusion criteria. The independent variable of this study was the Javanese traditional music and the dependent variable was the fulfillment of sleep in elderly. Data were collected by using structured questionnaire and biophysiological measurement and then analyzed by using Wilcoxon Signed Rank Test and Paired t-Test with level of significance α≤0.05. Result: The result showed that there was an effect of Javanese traditional music on quality of sleep (p=0.001), had an effect to increase the duration of sleep (p=0.00001), beside that it could reduce heart rate (p=0.001) and respiratory rate (p=0.00001). However, Javanese traditional music did not had significant effect to reduce sistolic blood pressure (p=0,104) and diastolic blood pressure (p=0339). Discussion: Conclution: Javanese traditional music had significant effect on the fulfillment of the need of sleep in elderly. Further research should measure the effect of Javanese traditional music on the fulfillment of the need of sleep with the rate of melatonin and EEG (Electro Encephalo Graphy).
Progressive Muscle Relaxation Increase Peak Expiratory Flow Rate On Chronic Obstructive Pulmonary Disease Patients
Authors: Sukartini Tintin , Widyawati Ika Yuni , Sari Yani Indah
Published: July 2022

Introduction: Limited progressive air flow in Chronic Obstructive Pulmonary Disease (COPD) can caused by small airway disease (bronchiolitis obstructive) and loss of elasticity of the lung (emphysema). Further it can be decreasing the quality of life in COPD patients because dyspnea and uncomfortable in activity. Progressive muscle relaxation (PMR) is one of the relaxation technique that can repair pulmonary ventilation by decreasing chronic constriction of the respiratory muscles. The objective of this study was to analyze the effect of progressive muscle relaxation on raised peak expiratory flow rate (PEFR).Methods: A pre-experimental one group pre-post test design was used in this study. Population was all of the COPD patients at Pulmonary Specialist Polyclinic Dr Mohamad Soewandhie Surabaya. There were 8 respondents taken by using purposive sampling. PEFR was counted by using peak flow meter every six day. Data were analyzed by using Paired t-Test with significance level  p≤0.05.Results: The result showed that PMR had significance level on increasing of PEFR (p=0.012).Conclusion: It can be concluded that PMR has an effect on raise PEFR. Further studies are recommended to measure the effect of PMR on respiratory rate (RR), heart rate (HR) subjective dyspnoe symptoms, forced expiration volume on the first minute (FEV1) and mid maximum flow rate (MMFR) in COPD patients.
Applied Behaviour Analyze Method Increase Social Interaction Children With Autisme, 2-5 Years Old
Authors: Bahiyah Khoridatul , Yusuf Ah. , Kusmawati Sri
Published: July 2022

Introduction: Autism is social interaction disorder in children. They were seemingly living in their own world. ABA method was a technique to decrease behaviour disorder or social interaction in autism children. The aimed of this research was to evaluate correlation between ABA method implementation and parents role with social interaction development in children with autism.Methods: This research was used a cross sectional with purposive sampling. There  were 22 respondents who met to the inclusion criteria. The independent variable was ABA methode and the dependent variable was social interaction development. Data were collected by using questionnaire and observation, then analyzed by using Spearman Rho Correlation with significance level α≤0.05.Results: The result showed that there was a correlation between ABA method and social interaction development in autism children with p<0.30.Conclution: It can be concluded that ABA method has a correlation with social interaction in autism children. It is recommended that ABA method can be used as a technique to decrease social interaction disorder on autism children.
Kegel’s Exercise Decrease Urinary Incontinence For Postpartum Mother
Authors: Armini Ni Ketut Alit , Yunitasari Esti , Masadah Masadah
Published: July 2022

Introduction: Trauma to the uretra and bladder may occur during the birth process when the infant passes through the pelvis. About 40% of women face urinary incontinence after childbirth. The aimed this study was to analyze the effect of keagle exercise to descent of urinary incontinence postpartum.Methods: This study was used a quasy experimental sampling design. The population was all the mother after childbirth which has urinary incontinence. There were 14 respondents who met to the inclusion criteria. The independent variable was keagle exercise and the dependent variable was descent of urinary incontinence postpartum. Data were taken by structured interview with questionare and observation then analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level of α≤0.05.Results: The result showed that after the application of keagle exercise, 100% of experimental group was had descent of urinary incontinence with Wilcoxon Signed Rank Test p=0.016 for capacity to urine preserve and p=0.020 for urine frequency in twenty four hours, then with Mann Whitney U Test p=0.026.Conclusion: It can be concluded that keagle exercise has an effect to descent urinary incontinence postpartum. It is recommended to provide keagle exercise to mother after childbirth during hospitalize and further studies are recomended to find the difference of capacity to urine preserve and the frequency to urinate in twenty four hours prior to keagle exercise.
The Beneficience Of Family Social Support Toward Anticipatory Behaviour Of Pregnancies Sign’s Alert In Primigravida
Authors: Aditiawarman Aditiawarman , Armini Ni Ketut Alit , Kristanti Yunita Ike
Published: July 2022

Introduction: Complication in pregnancy can be endangering both mother and fetus. Pregnant woman and her family must be able to recognize risk factors of the complication. Family support make pregnant woman feel more confident, happy and ready to face her pregnancy. The aimed of this study was to learn the influences of social family support toward anticipatory behavior of pregnancies sign’s alert in primigravida.Methods: A quasy experimental purposive sampling design was used in this study. There were 20 respondents who met the inclusion criteria. They were divided into 2 groups, intervention and control groups, each comprising 10 respondents. The independent variable in this study was social family support and the dependent variable was the anticipatory behavior of pregnancies sign’s alert in primigravida. Data were collected by using questionnaire, observation and structured interview and then analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level α≤0.05.Results: The result showed that the social family support influencing the knowledge of pregnant woman with significant level p=0.011, social family support also influencing the attitude of pregnant woman with significant level p=0.008 and the action of pregnant woman p=0.017. There were difference knowledge, attitude and action between intervention and control groups after treatment with significant level p=0.000 for knowledge, p=0.015 for attitude and p=0.002 for action.Conclusion: It can be concluded that social family support influence anticipatory behavior (knowledge, attitude and action) of pregnancies sign’s alert in primigravida. Further studies should be concern to the other factors that influencing the anticipatory behavior of pregnancies sign’s alert in primigravida, both of internal and external factors.
Peer Group Support Change Perception Of Homeless And Beggar
Authors: Purwaningsih Purwaningsih , Mar’ah Has Eka Mishbahatul , Ni’mah Lailatun
Published: July 2022

Introduction: Homeless and beggar are social problem in our society. The reason of people who becomes homeless and beggar can be influenced by internal factors such as lazy to work, mental and physical illness. Meanwhile, it also can be influenced by external factors, such as economy, geography, social, education, pshycology, culture and religion. The aimed of this study was to analyze the effect of peer group support to perception about the homeless and beggar.Methods: A quasy experimental two group pre-post test purposive sampling design was used in this study. The subjects were homeless and beggar which stay at Lingkungan Pondok Sosial (Liponsos) Keputih-Surabaya for at least three day. There were 16 respondent who met to the inclusion criteria which divided into two group (controlled and treatment). Data were analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level α≤0.05.Results: The result showed that controlled group has significance level p=0.109 and treatment group has significance level p=0.017, statistically by using Mann Whitney U Test showed p=0.021.Conclusion: It can be concluded that peer group support can change the perception about the homeless and beggar who stayed at Liponsos Surabaya. Peer group support can used continuously as social activity at Liponsos.
Marketing Strategy to Increase Bed Occupancy Rate
Authors: Purwaningsih Purwaningsih , Yunitasari Esti
Published: July 2022

Introduction: A hospital is an institution for health care providing treatment by specialized staff and equipment, more often but not always providing for longer-term patient stays. Today, hospitals are very complex institution, not only survive in dynamic environment but also make a profit based on their services. The aimed of this research was to know marketing mix concept (product, price, place, promotion, people, process and provision of customer service) in formulating marketing strategy to increased Bed Occupancy Rate of Obstetric Gynecology Ward 2.Methods: The population are health care personnel including midwife, midwife associate, administrator and also client or consumer. The variable were product, price, place, promotion, people, process and provision of customer service. Data were collected by using structured questionnaire.Results: The result showed that product (type of services, infrastructure and facility), relative price, comfortable and safe place, targeted promotion, trained human resources, standard process and provision of customer service are an important aspect to implement strategy marketing to increase Bed Occupancy Rate. The result of this study has enlightened the importance of strategy marketing in health care services based on seven principle of marketing mix.Conclution: Implementation of marketing mix in obstetric gynecology ward 2 need to be considered.
The Difference between Bacterial Growth in Humidifier and Non Humidifier at the Patient Who Got Oxygen Therapy
Authors: Bakar Abu , Yetti Krisna , Handiyani Hanny
Published: July 2022

Introduction: Humidifier is a device for delivering oxygen to the patients. Before using it, the humidifier tube should fill with sterile water. There was a recent study that administering oxygen less than five liter per minutes, the tube was not load with the sterile water. This research aim was to describe the difference between bacterial growth in the humidifier and non humidifier at the patient who got oxygen therapy. Method: The design was the analytic survey with purposive sampling method. The samples were 24 patients. They were divided into two groups. Group one, consisted of 12 patients with humidifier and the others with non humidifier. The instrument was culture equipments diagnostic test and observation guidance. The hypothesis was there was no difference bacterial growth existence in humidifier and non humidifier at the patient who got oxygen therapy. Result: The results showed that there was no significance difference of bacterial growth at time of zero hour (p=0.131). Meanwhile, there was significance different of bacterial growth at time of 12 hour (p=0.046), and time of 24 hour (p=0.046). There was also significance different between bacterial growth in humidifier and non humidifier at the patient who got oxygen therapy (p=0.010). Discussion : The conclusion is a non humidifier device could prevent bacterial and reduce nosocomial infection. It was recommended that hospital should use non humidifier and the humidifier had to disinfect and change the water every 12 hours.
Group Activity Therapy (Gat) Socialization Session 6 Increase Socialization Ability on Child of Mental Retardation
Authors: Yusuf Ah. , Bahiyah Khoridatul , Ola Yustina Barek
Published: July 2022

Introduction: The main problem that experienced by child of mental retardation was slowness development of socialization ability especially the ability to cooperate. This disability happened because less of stimulation activity and because of  the extraordinary school give more lessons to increase intelligence ability. Group Activity Therapy (GAT) Socialization is a therapy given to child of mental retardation to train their cooperate in playing group and increased their socialization ability (cooperate). Method: This study used Quasy Experimental design. The population was the students of 1-5 class at Karya Bhakti extraordinary school. The sample was recruited with purposive sampling consist of 20 respondents according the inclusions criteria and divided into treatment and control groups. The Independent variable was GAT Socialization session 6 and the dependent variable was the increased of socialization ability (cooperate). Data were collected with observation sheet and analyzed with Wilcoxon Signed Rank Test and Mann Whitney U Test with level of significance p<0.05.Result : The result showed that given GAT Socialization could  increased the socialization ability (cooperate) with the result of statistical test showed significance level p=0.004, that means there was differences of the socialization ability pre and post test and between treatment  and control group, showed the result of statistical test with significance level p 0.031. Discussion:  It can be conclude that GAT Socialization could increase socialization ability (cooperate). Recommendation for teachers could give the lessons in one group and not only individual. Important to do for further research until GAT Socialization session 7 for increased socialization ability.
Breathing Exercise Relaxation Increase Phsycological Response Preschool Children
Authors: Arief Yuni Sufyanti , Qur’aniati Nuzul , Kristiningsih Fransisca
Published: July 2022

Introduction: Being hospitalize will be made the children become stress. Hospitalization response of the child particularly is afraid sense regard to painfull procedure and increase to attack the invasive procedure. The aimed of this study was to describe the influence of breathing exercise relaxation technique regarded to phsycological receiving responses in the preeliminary school chidren while they were receiving invasive procedure. Method: A quasy experimental purposive sampling design was used in this study. There were 20 respondents who met to the inclusion criteria. The independent variable was the breathing exercise relaxation technique and the dependent variable was phsycological receiving responses. Data for phsylogical response were collected by using observation form then analyzed by using Wilcoxon Signed Rank Test and Mann Whitney U Test with significance level α≤0.05. Result :  The result showed that breathing exercise relaxation technique had significance influence to phsycological response (p=0.000). Discussion: It,s can be concluded that breathing exercise relaxation technique has an effect to increase pshycological response in preeliminary school children who received invasive procedure.
Behavior of Family in Practice Hepatitis B Immunization at Baby 0-7 Days Old
Authors: Kusnanto Kusnanto , Ulfiana Elida , Hadarani M.
Published: July 2022

Introduction: Result of coverage hepatitis B immunization  at 0-7 days old babies in Puskesmas Banjarbaru Banjarbaru city South Kalimantan until year 2008 was under 40%. The cause of unsuccessfully of giving hepatitis B immunization  at 0-7 days old babies was the behavior of the family. This research aimed to explain family behavior in execution immunization at 0-7 days old babies in region of Puskesmas Banjarbaru. Method: The design used in this research was analytic design. total sample were 30 respondents. Variable in this research were behavior of family in practice hepatitis B immunization  at baby 0-7 days old, which covers  knowledge, attitude and practice in hepatitis B immunization  at baby 0-7 day old. The data was collected by questionnaire and analyzed by using statistical test chi-square with level of significance α≤0.05. Result: The result showed a correlation between knowledge and attitude about hepatitis B immunization  at 0-7 days old babies (x2=0.000). Discussion: There was correlation between knowledge and hepatitis B immunization performed by the family to the  baby ages  0-7 days old (x2=0.015). A correlation between attitude with family practice with giving hepatitis B immunization  at baby ages 0-7 days old (x2=0.000).
The Correlation of Lovaas Method Application with The Obedient of Autism Child
Authors: Yusuf Ah. , Bahiyah Khoridatul , Isna Laila
Published: July 2022

Introduction : Autism is a behavioral dissorder which can be identified by three factors i.e.: communication, socialize and stereotyping. Lovaas method was a structural method, having a well-composed material which can be implemented one on one with very clear instructional steps. This study was aimed to explain the correlation of lovaas method implementation with the obedience in children with autism.Methods : This study used cross sectional  design involved 15 respondents for children with autism and 15 respondents of therapist who met inclusion criteria, taken by accidental sampling.  The independent variable was lovaas method and the dependent variable was the obedience. Data were collected by using observation and questionaire. Data were  analyzed using Gamma and Somers’d test with level of significance α ≤ 0.05.Results : Results showed that there was moderate correlation between lovaas method implementation with the obedience in children with autism (p = 0.026). Conclution: It can be concluded that lovaas method has correlation with the obedience in children with autism. Discussion : Lovaas method can shape obedience with reinforcement when children can respond order from therapist which is having more authority in giving rewards. For further studies the implementation of lovaas method should be intended to reveal other possible capacity in children with autism.
Education Package Reduce Physical and Psychological Complaint In Cervical Cancer Patient with Chemotherapy
Authors: Triharini Mira
Published: July 2022

Introduction : Patient with cervix cancer who receives chemotherapy experience problems in physical or psychological. Physical complaints such as nausea, vomiting and fatigue. Psychological responses such as anxiety and depression can be reduced by providing education about the care package for themselves at home. The education package at the gynecology ward RSU Dr. Soetomo Surabaya has been developed which contains about nutrition, activity, psychological aspects and progressive muscle relaxation exercise. The objective of this study explore the relationship of the educational package with physical and psychological complaints of cervical cancer patients with chemotherapy.Methods :  This research use cross-sectional design. The sampling technique used total population. The sample was taken from those suitable with  inclusion criteria, with the total sample 25 patients. Data were collected by using a questionnaire. Data analysis using the T test and chi-squere.Results : Results showed that there are differences level of nausea, vomiting, fatigue and the entry psychological response to the respondents before and after intervention (p<0.05). The results showed that there is relationship between age with anxiety (p=0,032), relationship between the status of work with fatigue (p=0,003) and relationship between the frequency of chemotherapy with fatigue (p=0,015).Conclusion : It can be concluded that education package can reduce physical and psychological complaint in serviks cancer patient with chemoteraphy. Discussion : Implications the results of this research is the educational package can be developed as part of the nursing care of cervical cancer patients with chemotherapy to reduce physical and psychological complaints.
Health Believe Model Implementation on The Analyze of Family Decision to Visit The Public Health Center
Authors: Purwaningsih Purwaningsih , Armini Ni Ketut Alit , Susanti Susanti
Published: July 2022

Introduction : Dengue Haemorhagic Fever (DHF) is one of infecsius deseases. These deseases can have serious complications and kill the patients. Dengue Haemorhagic Fever (DHF) deseases that is suffered to the patients has become a heavy complication in Tembok Dukuh village. By the health belief model implementation, the patients got earlier response as soon as possible. The objective of the study was to analyze family’s decision for visiting Puskesmas in earlier response of Dengue Haemorhagic Fever (DHF). This descriptive analytic was conducted at work area of Puskesmas Tembok Dukuh Surabaya. The population was the family with Dengue Haemorhagic Fever (DHF) patient from Januari 2007 until July 2009.Methods : Clustered design was used to take the sample. Total sample were 65 respondents, taken according to inclusion criteria. The independent variables were health belief model about perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers, and cues to action. The dependent variable was family’s decision for visiting Puskesmas in earlier response of Dengue Haemorhagic Fever (DHF). Data was collecting using structured questionnaire. Data that had collected were later analyzed with frequency distribution of each category.Results : Result showed that perceived susceptibility most family was in middle category, perceived seriousness most family was in high category, most of family got the benefits, most of family also got the barriers, and all of the respondents have cues to action. The family’s decision to visit Puskesmas for the earlier Dengue Haemorhagic Fever (DHF) response  was founded in a few of family.Conclusion:  It can be concluded that most of the family didn’t have a steady decisison to visit Puskesmas for the earlier Dengue Haemorhagic Fever response. It can be proved by there are most of family chose the others health service. Discussion : Health workers in Desease Eradication Departement (P2M) should sosialize the Puskesmas program  related with the earlier Dengue Haemorhagic Fever (DHF) response. So that, the family has believed that visiting Puskesmas is important for the earlier Dengue Haemorhagic Fever (DHF) response.
The Benefit of Family Nursing Care in Improve Knowledge and Prevent the Deformity of Leprosy Patient
Authors: Nursalam Nursalam , Makhfudli Makhfudli , Alamsyah Indra
Published: July 2022

Introduction : Leprosy is one of contagious illness which generates complex situation. The main problem of this study was faced by family in taking care of leprosy. Purpose of this research was to analyze the effect of applied family nursing care to knowledge and prevent dissability patient of leprosy.Method : Design used in this reseach was pre experiment. The population of this study was all family and patient of leprosy in Puskesmas Taliwang-Nusa Tenggara Barat,  whom deal directly with the client. Data were analyzed using wilcoxon signed rank test and fisher exact probability test with level of significance α ≤ 0,05.Result : Results showed that applied family nursing care is an early preventing and continued care is one of the methods to increase family knowledge and  prevent the dissability of leprosy reaction to the patient.Conclusion : It is recomended that the  involvement of the family in caring is important.
The Correlation of Organizational Role Stressors with Stress Level of ICU Nurses
Authors: Nursalam Nursalam , Efendi Ferry , Puspawati Ni Luh Putu Dewi
Published: July 2022

Introduction : Work stress which is often experienced by ICU nurses may affects nurse’s performance, nurse’s health and wealth so that the factors which may affect work stress such as organizational role stressors must be noticed. This study was aimed to explain the correlation between organizational role stressors and work stress level in ICU Nurses.Methods : This study used cross-sectional design  involved 13 respondents, taken by purposive sampling. The independent variable was organizational role stressors  and the dependent variable was work stress. Data were collected by using questionnaires and analyzed using Spearman’s rho with level of significance α ≤ 0.05.Results : Results showed that there was no significant correlation between organizational role stressors and work stress level in ICU nurses with significance value p ≤ 0.139.Conclusion :It can be concluded that the organizational role stressors had no correlation with work stress level because there are so many factors that may affect work stress in ICU nurses. Discussion : Role overload however was experienced by ICU nurses as a mild stressors. This indicates the importance of increasing nurse’s quality and quantity by training and recruiting new nursing staffs.
Brain Storming and Demonstration Change Mother’s Behavior Toward Breastmilk Companion Food
Authors: Triharini Mira , Pradanie Retnayu , Zahrah Halimatus
Published: July 2022

Introduction: Infant on 0-6 months must be gotten exclusive breast milk from their mother for growth and development status. It was mean that no other food for infant. The objective of this study was to expalain the the effect of brain storming and demonstration about exclusive breastfeding on mother’s behaviour ( knowledge, attitude and practice) in giving breastmilk companion food for infant (0-6 month) at Bung Baruh’s Village,  Pamekasan. Method: This study used one group pre-test post-test design. Population were mothers in those area, and sample were 32 respondents who met the inclusion criteria. The independent variable were health education with brain storming and demonstration methods. The dependent variable were mother’s behaviour (knowledge, attitude and practice) in giving food beside mother’s milk for infant. The data were analyzed by using Wilcoxon Signed Rank Test with significance level α≤ 0.05. Result: The result showed that brain storming and demonstration had effect on mother’s behaviour  (knowledge p=0.000; attitude p= 0.033; and practice p=0.000) in giving breastmilk companion food for infant (0-6 month). It can be concluded that brain storming and demonstration has an effect on mother’s behaviour ( knowledge, attitude and practice) in giving breastmilk companion food for infant (0-6 month). Discussion: Brainstorming can be alternative choice for changing mother’s health behaviour.
Guava Juice Reduces Cholesterol Level for Elderly with Hypertension
Authors: Afitasari Dian Rahma , Yusuf Ah. , Effendi Fery
Published: July 2022

Introduction: Hypertensive disease is closely related to high cholesterol level, which may act as one of causes of death in elderly. The objective of this study was to analyze the effect of guava juice on the reduction of cholesterol level of hypertensive elderly at Community Health Center, Pacar Keling, Surabaya.Methods: Quasy–experimental was used in this study. Sample comprised of 14 respondents who met the inclusion criteria. The independent variable was guava juice and the dependent variable was cholesterol level. Data were collected using questionnaire and observation. Data were analyzed by Paired t–Test and Independent t–Test with signi fi cance level of α < 0.05.Results: The result showed that guava juice gave a significant effect to cholesterol level of elderly with hypertension (p = 0.000).Conclusion: It can be concluded that guava juice can reduce cholesterol level in elderly with hypertension. The reduction of cholesterol level may result from vitamin C, pectin, and potassium contained in guava juice, which have effect on cholesterol regulation in the body. Guava juice can be provided as daily diet for elderly. Further studies are suggested to investigate other variables, such as diet consumed, age, activity, and obesity.