bluuebunny/crossref_metadata_2025_split huggingface dataset:
The Level of Asthma Diagnosing System by using Fuzzy Inference System
Authors: Hanum Kholida , Subiyanto Subiyanto 
Published: July 2022

Introduction: This paper discuss about fuzzy inference system for the diagnosis of asthma’s levels. The process of diagnosis was made from symptoms that occur in patients with asthma. Input process, results, and methodology in making this system was done carefully, so this system is expected valid and fi t for medical diagnosis.Methods: Methodology in the system including the knowledge base, fuzzyfi er, and inference engine. The symptoms used in diagnostic systems, including shortness of breath, wheezing, level of alertness/unique symptoms, respiratory rate, speech rate, pulse per minutes, and PEF after bronchodilator. And the output of asthma’s level diagnosis was mild, moderate, severe, and RAI/respiratory failure. The performance of system has been tested in Cilacap Pertamina Hospital, 20 patients with asthma were involved. Results: The results of system and doctor’s opinion who has been treating patients with asthma were compared. Result: The result showed that the system obtained 90%, according to the doctor’s diagnosis.Conclusion: This system is expected to help the medical expert or doctor in diagnosing the level of asthma.
Ar Rahman-Based Dysmenorrhea Gymnastic to Reduce Pain
Authors: Sumaryani Sri , Puspita Sari Praditiana Indah 
Published: July 2022

Introduction: More than 50% dysmenorrhea are caused by excessive amounts of prostaglandin hormone during menstruation. The combination of dysmenorrhea gymnastics and Qur'an Surah Ar-Rahman relaxation techniques is a new innovation in non-pharmacological therapy to overcome dysmenorrhoea. The purpose of this study was to determine the level of pain differences on respondents who were given dysmenorrhea gymnastics treatment, Al Quran Surah Ar-Rahman recitation, and dysmenorrhea gymnastics combined with Al Quran Surah Ar-Rahman recitation. Method: The research was conducted from March to May 2015 with quasi-experimental pretest-posttest control group design. The samples were 62 respondents, divided into 3 groups: 18 respondents in group of dismenorrhea gymnastic, 23 respondents in group of Al-Qur an Surah Ar-Rahman, and 21 respondents in group of dismenorrhea gymnastic combined with Al Quran Surah Ar-Rahman recitation. Statistical test used wilcoxon and kruskal wallis test with significance level α <0.05.Result: The results showed that the Ar Rahman-based dysmenorrhea gymnastics statistically proven can reduce menstrual pain more effectively compared with other interventions: menstrual gymnastics only and murrotal only, with p = 0.001 and the mean rank pre intervention is 31,31, and mean rank post intervention is 19,50.Discussion: Nurses may give non pharmacologic alternative therapies to reduce dysmenorrhea by providing intervention Ar Rahman-based dysmenorrhea gymnastic.
Faktor Pencetus Gejala dan Perilaku Pencegahan Systemic Lupus Erythematosus
Authors: Sari Ni Putu Wulan Purnama 
Published: July 2022

Introduction: Systemic Lupus Erythematosus (lupus) and its unpredictable flares have lowering the patients’ quality of life significantly. Precipitating factors’ exposures need to be reduced by doing preventive behaviors to reduce the frequency of lupus flare. This study aimed to analyze the correlation between precipitating factors and preventive behavior in lupus patients. Method: This is a cros-sectional study. Population was all lupus patients doing regular check-up in Rheumatology Unit of Dr. Soetomo Public Hospital, Surabaya. Sample was lupus patients who did regular check-up in the period of October-December 2014 and matched to sample’s criteria. Sample size was 36 enrolled by means of total sampling. Independent variabel: precipitating factors of lupus flare; dependent variable: knowledge of lupus, attitude (self-efficacy) and preventive action towards exposures. Instruments used were questionnaire of lupus precipitating factors and ODAPUSHEBI (part 1,2,3). Data analysis used Spearman Rho correlation with α<0.05. Result: Most respondents are late adulthood, get married, high school graduates and actively working. The majority had lupus for 1-2 years. Precipitating factors were mostly physical stres (66.7%). Symptom of lupus that most often relapse was joint pain. Knowledge of lupus in all respondents was high, as for attitude mostly were high and most respondents doing optimal preventive action. There was no correlation between the precipitating factors of lupus flare with lupus knowledge (p=0.342) and attitude (p=0.651). There was a weak but significant correlation between the precipitating factors with preventive action (r = 0.360; p=0.031). Discussion: Precipitating factors of lupus flare vary among patients so that preventive actions taken adjust to the type of exposure. The preventive action taken optimally could minimize the recurrence of lupus flare. There is a correlation between the precipitating factors of flare with preventive action in lupus patients.
Effectiveness of Mobile App-Based Interventions to Support Diabetes Self-Management: A Systematic Review
Authors: Amalindah Dia , Winarto Agnestria , Rahmi Anggun Hidayatur 
Published: July 2022

Introduction: Diabetes is a major health problem worldwide due to its rapidly growing prevalence and high disease burden. Nowadays, the evolution of mobile technology provides a large number of health-related mobile applications (apps) mainly focusing on the self-management of diabetes. The aim of this paper is to systematically review the effectiveness of mobile app-based self-management interventions on clinical and/or psychological outcomes in patients with type 1 and type 2 diabetes.Methods: A systematic search of four databases (Scopus, Medline, CINAHL, and Proquest) was conducted using the terms "diabetes" AND "self-management" AND "mobile applications" OR "mobile based" OR “smartphone”. Studies published in English from 2016 to 2020 were considered. Only randomized controlled trials (RCTs) for patients with type 1 and type 2 diabetes that reported any of the study outcomes were included. Using our search strategies, we identified 4339 articles. After removing duplicate studies, a total of 12 articles met the inclusion and exclusion criteria included in the review.Results: The majority measured self-monitoring of blood glucose monitoring frequency, glycated hemoglobin (HbA1c) and/or psychological or cognitive outcomes. The most positive findings were associated with mobile app-based health interventions as a behavioral outcome, with some benefits found for clinical and/or psychological diabetes self-management outcomes for patients with type 1 and type 2 diabetes mellitus.Conclusion: Therefore, more research with larger and longer studies to develop the ideal mobile-app based self-management tool for diabetes is needed.
The Influence of Impedance and Enhancement Factors of Discharge Planning Implementation at Hospital: A Systematic Review
Authors: Soebagiyo Hari , Nursalam Nursalam , Ahsan Ahsan 
Published: July 2022

Introduction: Discharge Planning is one of various nursing duty agendas, starting from when patients are admitted to hospital up to being allowed to go home. The phenomenon of implementation discharge planning for patients today is not optimal whereby nurses just do limited implementation of routine activities in the form of information on re-control. Based on those facts, the author wishes to study the analysis of impedance and enhancement factors in discharge planning implementation at hospitals.Methods: The researcher conducted investigation in February 2020 and involved exploration of some scientific papers journal from ScienceDirect, ProQuest, Scopus, and, PubMed as references with keywords nursing discharge planning, enhancement and impedance factors, implementation, and, hospital. This paper identified15 relevant research articles from 500 original full texts between 2010 and 2018 and analyzed inclusion criterion of enhancement and impedance factors in discharge planning implementation. It involves three RCTs, eight descriptive, and four qualitative research papersResults: As a result, there are found eight enhancement and five impedance factors influencing in discharge planning implementation. Meanwhile, from 3250 research respondents, 2125 persons reports enhanced factors contrary 1.125 samples imply impedance factors.Conclusion: The implementation discharge planning is influenced by some factors that should be given attention by nurses to do discharge planning properly.
A Systematic Review of the Factors Associated with Cervical Cancer Screening Uptake among Women in Low and Middle-Income Countries
Authors: Faradisa Elok , Ardiana Husna , Priyantini Diah , Fauziah Anis , Susanti Inta 
Published: July 2022

Introduction: This review aims to explore the factors influencing cervical screening uptake among women in low and middle-income countries.Methods: The studies were systematically identified by searching electronic databases with the keywords “cervical cancer AND screening AND low of income countries AND middle of income countries.” The results consisted of 94 articles from Scopus, 100 articles from Science Direct, 74 articles from EBSCO, and 32 articles from PubMed. Following this, 16 studies were included in this systematic review with the inclusion criteria being quantitative or qualitative studies exploring the factors influencing woman’s cervical cancer screening uptake covering women in low- and middle- income countries, a clear study outcome and details on the associated factors, barriers to, and facilitators of screening uptake.Results: Knowledge about the disease and its prevention, knowing someone with cervical cancer and someone who has ever been screened, attitude and perception, husband approval, advice from the health care providers, and the distance to health care service were all important factors related to cervical cancer screening uptake in low and middle-income countries. The uptake of cervical cancer screening services was poor in low and middle-income countries. There is a need to strengthen the knowledge and awareness of woman related to cervical cancer screening services.Conclusion: The available evidence shows that intrapersonal and organizational factors are the most important factors that influence woman to undergo cervical cancer screening.
A Systematic Review: The Experience of Patient with Diabetic Foot Ulcers
Authors: Alfaqih Mohamad Roni , Kusnanto Kusnanto , Padoli Padoli 
Published: July 2022

Introduction: Diabetic foot ulcers can have an impact on the individual responses related to the disease process and healing. The response depends on the perception of the disease, its severity, the environmental factors and the level of family support. The response that often occurs is the existence of fear and anxiety which is due to the stress experienced by the individual. The purpose of this study was to explore the experience of patients with diabetic foot ulcers.Methods: This study used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) approach. The methods used to arrange this systematic review included (1) the identification of the variables in the literature, (2) the identification of the relevant literature based on the topic and title, (3) obtaining the literature in full-text form and (4) conducting an analysis of the results from the literature. The databases used to identify suitable articles were Scopus, Google Scholar, Pubmed, ProQuest and Ebscohost.Results: Based on the 15 articles reviewed, the results explains that the majority of patients who experience DM with the complication of diabetic ulcers experience stress, depression and anxiety. They also have a financial burden, feel helplessness, blame themselves and feel that there is uncertainty their life. They need support from their family and wider social support.Conclusion: However, from the experience of the patients with diabetic foot ulcers, they must be able to adapt to a limited life. They must also have a good coping style and an adaptive response in order to survive and heal their diabetic ulcers.
Psychosocial Interventions to Promote Recovery for Patient With Schizophrenia: A Systematic Review
Authors: Iskandar Iskandar , Rohmana Devis Yulia , Yusuf Ah , Fitryasari Rizki 
Published: July 2022

Introduction: Managing Cancer and Living Meaningfully (CALM) is a supportive-expressive psychotherapy designed to address such barriers and to facilitate communication of mortality-related concerns in patients facing advanced disease and their primary caregivers. The study was meant to review the benefits of the CALM psychotherapy on patients with advanced or metastatic cancer and caregivers. Methods: This study was done through a systematic review with The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) approach. It broadly used Scopus, Science Direct, and ProQuest database. The search utilized the Boolean phrases “cancer”, “living meaningfully”, and “psychotherapy” throughout the title, abstract, or keywords. The consideration criteria in the literature study were: an original article, the source from journals, article in English, and available in full text. We obtained 97 articles, and 11 were considered relevant for this systematic review.Results: The findings from the results of this study are that CALM has several psychological benefits for patients with advanced cancer, including: can reduce anxiety and depression, relieve distress, promote psychological growth and well-being, and improve quality of life. Based on these findings, it can be concluded that the CALM psychotherapy has many benefits for patients with advanced cancer and their caregivers and can be used as additional therapy to improve the quality of life to face the end-of-life.Conclusion: CALM may be a feasible intervention to benefit patients with advanced cancer. It may help them overcome obstacles in communication and alleviate death-related distress.
Family Experience of Caring for a Diabetes Mellitus Patient: A Qualitative Study
Authors: Wulandari Indah , Kusnanto Kusnanto , Wibisono Sony , Puspitasari Titin 
Published: July 2022

Introduction: Diabetes mellitus is a chronic disease that requires lifelong care. The treatment of diabetes mellitus patients at home requires a family role so then the patients can optimize their care. The diabetes complications can be reduced as a result. The aim of this study was to explore the family experience of treating diabetes mellitus patients at home.Methods: A semi-structured phenomenological approach including inductive thematic analysis was used in this research. Thirteen family members of diabetes patients participated in the discussion. Participant recruitment was focused on families that have treated diabetes patients for more than 1 year with no complications. Data saturation occurred after 2-3 meetings per participant.Results: The experiences of the family members while caring for diabetes mellitus patient can be used to determine the presence of 5 themes: family feelings that appear when caring for diabetes mellitus patients, patient adherence to taking medication, patient’s disobedience of their diet, patient’s disobedience of activity and the family expectations of the futureConclusion: In every theme, family experience obstacles arise between the families’ wants and the patients’ needs. Diet and activity became a major obstacle to diabetic care at home. Some topics needed more attention, such as the information and support provided for the family.
Knowledge and Skill in Relation to the Speed and Accuracy of the Nurses When Assessing Using an Early Warning System (EWS)
Authors: Q.Y QolbiNur , Nursalam Nursalam , Ahsan Ahsan 
Published: July 2022

Introduction: Errors when filling in or interpreting the results of the EWS assessment causes delays and inaccuracies for the nurses when providing a clinical response. The aim of this study was to explain the relationship between the nurse’s knowledge and skill with the speed and accuracy of the nurse when assessing via EWS.Methods: This study used a correlation design with a cross-sectional approach. The sample consisted of 104 nurses working in the inpatient ward of internal medicine according to the inclusion criteria. The sample was obtained through purposive sampling. The independent variable was the nurses’ knowledge and skill while the dependent variable was the nurse’s speed and accuracy when assessing using the EWS. The instruments used were questionnaires and observation sheets. The data was analyzed using Spearman Rho.Results: The results of the study showed that there was a very strong correlation between the knowledge-accuracy of the nurses when assessing using the EWS (r = 0.805; p = 0.000) and the nurse's skill-accuracy when assessing using the EWS (r = 0.823; p = 0.000). There was a strong correlation between the knowledge-speed of nurses assessing using the EWS (r = 0.269; p = 0.006) and the nurse's skill and speed when assessing using the EWS (r = 0.262; p = 0.007).Conclusion: The nurse’s knowledge and skill has a stronger relationship with accuracy when assessing using the EWS when compared to the nurses' speed.
The Effect of a Combination of Group Therapy and Support on the Self-Efficacy and Deviant Behavior of Adolescents
Authors: Kusumawardani Winda , Nursalam Nursalam , Nihayati Hanik Endang 
Published: July 2022

Introduction: The purpose of this study was to investigate the effect of combination therapy and supportive group therapy on the self-efficacy and deviant behavior among adolescents.Methods: The design of this study was quasi-experimental (pre-post test with a control group design). The population was based on the inclusion criteria of young men aged 15-19 years old in high school in Surabaya and the exclusion criteria was adolescents with physical disabilities, mental disorders and illness. A sample of 62 respondents (31/31) was collected using purposive sampling. The independent variable was a combination of group therapy and supportive therapy. The dependent variable was self-efficacy and deviant behavior. The intervention was given 4 times over 4 weeks and the control group was given a standard intervention. The data was collected using a self-efficacy questionnaire. The analysis was conducted using MANOVA.Results: In the intervention and control groups, there was a significant difference between self efficacy and deviant behavior in the adolescents before and after the intervention with a value of 0,000 (p <0.05).Conclusion: The increase in self-efficacy in the intervention group can be seen from the magnitude of the sub-variables. The deviant behavior variable decreased. The increase in the self-efficacy intervention group was due to the presence of facilities that helped the students to find information and explore their potential. The decrease in the deviant behavior variables is due to their increased knowledge and the positive support from their peer groups.
Manfaat Irigasi Hangat Durante Operasi Terhadap Pencegahan Hipotermi Pasca Bedah TUR Prostat
Authors: Kusnanto Kusnanto , Harmayetty Harmayetty , Rehatta Nancy M. , Alif Sabilal , Haryanto Joni , Mustofa Slamet 
Published: July 2022

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

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

Introduction: The health problem is frequently found for elderly with age more than 55 years old. It has adverse effect on cardiovascular and Immunological system. The objective of this study was to analyze the effect of elderly exercise on the increase of fitness in Elderly.Methods:The design of this study was quasy experiment design involving two groups subject. The study took 12 respondents of elderly recruited by purposive sampling. The independent variable was elderly exercise and the dependent variable was IgG. Data were collected by laboratory test and analyzed by using t-test with significance level of a ≤ 0.05.Result: showed that elderly exercise had significant effect on the IgG level (p = 0,002).Conclusion: Further studies are recommended on the effect of elderly exercise on the increase immunity system concerning with the role of interferon gamma.
Terapi Aktivitas Kelompok (TAK) Stimulasi Persepsi Meningkatkan Harga Diri Anak di Lembaga Pemasyarakatan
Authors: Yusuf Ah. , Fitryasari Rizki , Sulistyawati Wiwin 
Published: July 2022

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