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All Journal Nurse Media Journal of Nursing Jurnal Radioisotop dan Radiofarmaka Jurnal Keperawatan Soedirman Jurnal NERS Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery) Journal of Health Sciences STRADA Jurnal Ilmiah Kesehatan Indonesian Nursing Journal of Education and Clinic (Jurnal Pendidikan dan Praktik Keperawatan Indonesia)
Kusnanto Kusnanto
Universitas Airlangga
Health Professions Medicine & Pharmacology Nursing Public Health

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Implementation of Health Action Process Approach to Improve Dietary Adherence in Type 2 Diabetic Patient Kusnanto, Kusnanto; Kurnia, Iqlima Dwi; Prasetia, Dwi Indah
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (256.711 KB) | DOI: 10.20473/%oj.Ners102%y272-278

Abstract

Introduction: Type 2 diabetic patients usually unsuccessful to follow the diet recommendation due to lack of motivation, memory and intention. This study attempts to increase the motivation and also to improve intention in dietary adherence through the implementation of Health Action Process Approach (HAPA). Method: This study was a quasy-experiment. The population were type 2 diabetic patients in Puskesmas Krian Sidoarjo in March-April 2015. Respondents were only 16 and had been divided into experiment and control group. The independent variable was the implementation of HAPA. The dependent variable were self-efficacy, dietary adherence and blood sugar levels. The instruments in this study were questionnaires and blood sugar monitoring devices. Data were analyzed using statistical wilcoxon sign rank test and mann whitney u  test with significance level α ≤ 0.05. Result: Wilcoxon sign rank test showed there were differences between pre and post test significantly on self-efficacy (p=0.014), dietary adherence  (p=0.025), blood sugar levels (p=0.009) in  experiment group, while no significant differences in control group. Mann Witney U test showed that there was significant difference on dietary adherence (p=0.002) between two groups. Discussion: In conclusion, the implementation of HAPA can improve dietary adherence in type 2 diabetic patient. Further, following studies are expected with large number respondents and identify the whole variables in the HAPA theory.Keywords: Health Action Process Approach (HAPA), self efficacy, dietary adherence, blood glucose, Diabetes Mellitus (DM)
Acceptance and Commitment Therapy (ACT) for Improving the Quality of Life Patients Suffering Cancer Krisnana, Ilya; Kusnanto, Kusnanto; Suhardin, Saverinus
Jurnal NERS Vol 11, No 1 (2016): Jurnal Ners
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/%oj.Ners111%y118-127

Abstract

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.        Method: 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. Result: 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. 
PENGARUH PENDEKATAN IMPLEMENTATION INTENTION DALAM MANAJEMEN PERAWATAN DIRI PADA PASIEN DIABETES MELLITUS TIPE 2 Purnama Sari, Dewi; Kusnanto, Kusnanto; Yunitasari, Esti
Jurnal Ilmiah Kesehatan (Journal of Health Sciences) Vol 10 No 2 (2017): AUGUST
Publisher : Unusa Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (425.366 KB) | DOI: 10.33086/jhs.v10i2.133

Abstract

Education about self-care DM type 2 has been given, but the failure rate in achieving glycemic control is still high. This leads to the risk of Diabetes Mellitus complications referring to the high cost of care. Action of self-care management of patients with type 2 diabetes is based on the intention. However, intention can not always be an action because of the barrier of self-control (self regulatory problem). Implementation intention becomes an effort in improving the realization of intention into action. This study aims to analyze the influence of implementation intention approach in the self-care management of type 2 Diabetes Mellitus patients. This study uses the quasy experiment method (pre-post test with control design) with comparing the effect of implementation intention in 2 group. The study was conducted in Internal Medicine Outpatient Ward in University of Airlangga Hospital with a total sample of 38 people with hypothesis test formula data proportion of two populations 1 tailed. Variable include action of nutrition management, modification of physical activity, medication adherence and self monitoring blood glucose measures using a questionnaire instrument. Data were analyzed through independent t-test. The result of the research shows that p value < tolerance level with α = 0,05 means that Ho is rejected, so there is an influence between implementation intention approach with nutrition management, modification of physical activity, and medication compliance. Whereas if obtained p value > tolerance level means Ho accepted, so there is no effect of implementation implementation approach with self monitoring of blood glucose. Conclusions: the impelementation intention approach improves the application of self-care management in nutrition management, modification of activity and medication adherence but can not improve action in independent self monitoring blood glucose (SMBG). Reccomendation: Further research can develop SMBG variables by providing standardized assessment based on patient needs and situations; allowing more than 4 weeks, grouping respondents homogeneously based on individual characteristics.  
PENYEMBUHAN LUKA BAKAR PADA TIKUS PUTIH DENGAN MENGGUNAKAN EKSTRAK DAUN PEGAGAN (CENTELLA ASIATICA) 25% DAN EKSTRAK DAUN PETAI CINA (LEUCAENA LEUCOCEPHALA) 30% Kurnianto, Syaifuddin; Kusnanto, Kusnanto; Padoli, Padoli
Jurnal Ilmiah Kesehatan (Journal of Health Sciences) Vol 10 No 2 (2017): AUGUST
Publisher : Unusa Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (391.101 KB) | DOI: 10.33086/jhs.v10i2.137

Abstract

Burns are one of the injuries that require the best care to achieve optimal cure. Several previous studies have suggested that leaf extract of Centella asiatica and chinese petai leaf potential as burning healing agent for mild and moderate degree besides medical treatment. The purpose of this study was to explain the difference of effectiveness of leaf extract of pegagan leaves 25% by giving 30% petai chinese extract to heal burns. The samples were white rats (Rattus norvegicus) with total of 28 tails selected according to inclusion criteria then divided into 4 groups randomly is group of leaf extract of pegagan leaf 25% (K1), 30% petai petroleum extract (K2) Gel base (K3) and control (K4). The design of this study used the randomized posttest only control group design and analyzed using Anova and post Hoc Duncan test. The measured variable is the duration of wound healing. Anova test results and Post Hoc Duncan test duration of burn wound healing show that 30% Chinese petai extract group has significant difference with other group with p-value <0,05. Treatment of burns by using chinese petroleum extract 30% more effective than 25% of pegagan leaf extract in healing burns in white rats (Rattus norvegicus) as evidenced by the fastest healing time of burns.
What is Important For You (WIFY) dan Life Map berbasis Goal Attaintment Model terhadap Self Care Behaviour pada Pasien Diabetes Melitus Tipe 2 Kusnanto, Kusnanto; Arifin, Moh Zen; Suarilah, Ira; Arifin, Hidayat
Jurnal Ilmiah Kesehatan Vol 12 No 1 (2019): Februari 2019
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (200.227 KB) | DOI: 10.33086/jhs.v12i1.793

Abstract

Introduction: Diabetes mellitus was an uncurable metabolic disease but it can be controlled. Diabetes can be controlled independently by diabetic with diabetes self-care behavior. Self-care behavior was challenge problem causing in adherence in majority diabetic clients especially in Persadia Darmo Hospital. Method: Research design was Quasy-Experiment study among type 2 diabetic client. This study involved 30 samples taken by purposive sampling. The independent variable were What is Important For You (WIFY) and Life Map. The dependent variable was self-care behavior. Data were taken by using SDSCA questionnaire then analyzed by using t-test with a= £0.05. Result and Analyze: WIFY and Life Map change self-care behavior in treatment group before and after treatment significantly with p value = 0,024. There was significant difference between treatment and control group of self-care behavior with p value = 0,029. Discussion: It could be concluded that application of WIFY and Life Map with goal attainment model increase self-care behavior in type 2 diabetic clients. The use of this approach could be optimizing diabetic counseling and education for clients. Further research to investigate WIFY and Life map effect on blood glucose level and HbA1c test in Type 2 Diabetic.
Coping Mechanism in Women with Breast Cancer Apriliyanti, Titis Eka; Kusnanto, Kusnanto; Suwito, Joko; Fauzi, Abdul
Journal of Ners and Midwifery Vol 6, No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p408-411

Abstract

Background: Impaired coping mechanisms often occur in women with breast cancer. The purpose of this study is to determine the description of coping mechanisms in women with breast cancer who undergo chemorepy, radiation or both.Methods: The population in this study were women with breast cancer who underwent chemotherapy, radiation or both. Sampling was done by random sampling where the number of samples is 70. Taking data using the COPE Brief instrument.Result: Four indicators in the destructive category were acceptance (54.3%), denial (61.4%), emotional support (52.9%) and positive reframing (67.1%) while three indicators were mostly in the constructive category, namely self blame (60%), active (64.3) %), and Behavioral disengagement (72.9%).Conclusion: Four destructive indicators indicate poor avoidance and positive thinking in breast cancer patients, while 3 constructive indicators describe good problem solving. Assessment based on this indicator can be taken into consideration in the selection of appropriate interventions to improve coping mechanisms in breast cancer patients.
EFEK IMPLANTASI YTTRIUM DAN CERIUM TERHADAP SIFAT KETAHANAN OKSIDASI MATERIAL FeNiCr SELAMA SIKLUS TERMAL Kambali, Imam; Sujitno, Tjipto; Kusnanto, Kusnanto
Jurnal Radioisotop dan Radiofarmaka Vol 6, No 1 (2003): Jurnal PRR 2003
Publisher : Jurnal Radioisotop dan Radiofarmaka

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2991.138 KB)

Abstract

ABSTRAK EFEK  IMPLANTASI  YTTRIUM DAN CERIUM TERHADAP  SIFAT  KETAHANAN  OKSIDASI MATERIAL  FeNiCr  SELAMA  SIKLUS TERMAL Telah dilakukan penelitian tentang pengaruh implantasi elemen reaktif terhadap sifat ketahanan oksidasi material FeNiCr selama siklus termal. Elemen reaktif yang dipilih sebagai ion dopan adalah yttrium (Y) dan cerium (Ce). Tujuan utama penlitian ini adalah untuk mempelajari efek implantasi ion yttrium dan cerium serta menentukan kondisi optimum penambahan elemen reaktif tersebut untuk peningkatan ketahanan oksidasi material FeNiCr se1ama siklus termal. Sifat ketahanan oksidasi FeNiCr ditentukan dari tiga macam sample yang disediakan, yaitu FeNiCr yang tidak diimplantasi, FeNiCr yang diimplantasi dengan ion yttrium dan FeNiCr yang diimplantasi dengan ion cerium. Masing-masing ion diimplantasikan ke permukaan FeNiCr dengan energi dan arus yang tetap sebesar 100 ke V dan 10 µA, serta dengan waktu implantasi yang bervariasi dari 30 - 210 menit untuk mendapatkan dosis ion antara 0,864 x 1017 - 6,050 X 1017 – 6,050 x 1017 ion/cm2, Setiap sample se1anjutnya dioksidasi selama siklus termal dengan kondisi 7 jam pemanasan, 16 jam pendinginan, laju aliran oksigen sebesar 0,021 cc/det, dan tekanan oksigen sebesar 2 Kg/cm2. Laju oksidasi dan pengelupasan oksida pada sampel ditentukan dari perubahan berat sarnpel  tiap satuan luas permukaan sampe1 sebelum dan sesudah proses oksidasi. Hasil penelitian menunjukkan bahwa implantasi ion Y dan Ce pada material FeNiCr mampu meningkatkan ketahanan oksidasi material tersebut selama siklus termal pada suhu 900°C. Ketahanan oksidasi tersebut lebih baik dibandingkan dengan sample yang tidak diimplantasi. Kondisi optimum penambahan yttrium dan cerium masing-masing dicapai pada dosis 5,186 x 1017 ion/cm2 dan 3,457 x 1017 ion/cm2. Implantasi yttrium mampu menunjukkan efektivitas yang lebih baik dibandingkan dengan cerium dalam meningkatkan ketahanan oksidasi FeNiCr selama siklus termal.Kata kunci: Implantasi, Yttrium, Cerium, Akselerator, Ketahanan oksidasi, FeNiCr, Siklus termal ABSTRACT THE EFFECT OF  YTTRIUM AND  CERIUM  IMPLANTATION  UPON  THE OXIDATION  RESISTANCE  OF  FeNiCr  ALLOY  DURING  THERMAL CYCLING. The investigation on the effect of yttrium (Y) and cerium (Ce) implantations upon the oxidation resistance of FeNiCr alloy during thermal cycling has been carried out. The aims of the investigation were to study effect of  Y and Ce ions implantation as well as to determine the optimum condition of these reactive elements addition to increase the  oxidation resistance of FeNiCr alloy during thermal cycling. The oxidation resistance of FeNiCr was determined from tbe three kinds of prepared-samples, i.e.: non-implanted-FeNiCr, yttrium-ion-implanted-FeNiCr, and cerium-ion-implanted-FeNiCr. The implantation processes were done by using P3TM-BATAN's accelerator. The ions were implanted to the alloy's surface with the constant energy and current of 100 ke V and 10 µA, and with variable time of 30 - 210 minutes respectively, to vary tbe ion doses of 0.864 x 1017 - 6.050 X 1017 ions/cm2• Each sample was tben oxidized during thermal cycling by tbe oxygen flow of 0.021 cc/sec, and with the conditions of heating at 900°C for 7 hours and cooling down for 16 hours. The oxidation rate and oxide spalling were determined from the sample's weight gain per unit area of sample's surface just before and after tbe oxidation process. The result of tbe investigation indicated that Yttrium and cerium ions implantation could increase the oxidation resistance of FeNiCr alloy during thermal cycling at 900°C. This oxidation resistance was better than tbat of non-implanted sample. The optimum condition of yttrium and cerium addition was reached on the ion doses of 5.186 x 1017 ions/cm2 and 3.457 x 1017 ions/cm2 respectively. The yttrium implantation could perform better effectiveness than cerium in the case of enhancing the oxidation resistance of FeNiCr during thermal cycling. Keywords  : Implantation, Yttrium, Cerium, Accelerator, Oxidation resistance, FeNiCr alloy, Thermal cycling.  
Effect of Topical Aromatherapy Turmeric Oil to Pruritus Scale on Chronic Kidney Disease Patients Khoirot, Rysida Ma’rifaul; Kusnanto, Kusnanto; Suprajitno, Suprajitno
Journal of Ners and Midwifery Vol 6, No 3 (2019)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v6i3.ART.p396-400

Abstract

Introduction : A large number of patients with chronic kidney disease suffer from uremic pruritus, which adversely affects the quality of life and comfort of patients with a potential psychological, functional and social impact, which results in increased morbidity. The purpose of this study was to determine the effect of the administration of turmeric essential oil aromatherapy which was applied topically pruritus, comfort and quality of life of CKD patients.Methods : This study used a quasi-experimental design with 2 groups (intervention and control), conducted in CKD patients receiving hemodialysis therapy. A total sample of 72 respondents with the division of each group of 36 people. The intervention was carried out independently by the patient for 2 weeks. Measurement using 5-D pruritus scale questionnaire.Results : This study showed a decrease in pruritus scale in 51 respondents (70.8%) after 2 weeks of therapy. Independent t statistical test obtained a significance value of 0.046 (p <0.05).Conclusion: Topical aromatherapy of turmeric oil affects pruritus scale on patients with chronic kidney disease who experience uremic pruritus.
PENINGKATAN STABILITAS POSTURAL PADA LANSIA MELALUI BALANCE EXERCISE Kusnanto, Kusnanto; Indarwati, Retno; Mufidah, Nisfil
Nurse Media Journal of Nursing Vol 1, No 2 (2007): MEDIA NERS
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.22 KB) | DOI: 10.14710/nmjn.v1i2.716

Abstract

Stabilitas postural adalah masalah yang umum pada lansia. Balance exercise dapat dijadikan alternative latihan bagi lansia. Latihan ini meliputi 5 gerakan (plantar flexion, hip flexion, hip flexion, knee flexion dan side leg raise). Penelitian ini bertujuan untuk menganalisa efek dari balance exercise terhadap peningkatan stabilitas postural pada lansia. Penelitian ini menggunakan design pre eksperimen. Populasi yang digunakan adalah lansia di Panti Wreda Bangkalan. Total sampel adalah 11 responden, yang diambil berdasarkan kriteria inklusi. Variabel dependen adalah balance exercise dan variabel independen adalah stabilitas postural. Stabilitas postural diukur menggunakan 2 tes, yaitu tes Tinetti dan TUGT (Time Up and Go Test). Data dianalisa menggunakan paired t test dengan level signifikan 0,05. Hasil penelitian menunjukkan bahwa balance exercise secara signifikan dapat meningkatkan stabilitas postural. Pada tes Tinetti (p=0,000) dan di TUGT (p=0,001). Sehingga dapat disimpulkan bahwa terdapat hasil yang signifikan antara balance exercise dengan peningkatan stabilitas postural pada lansia. Hal ini disebabkan Karena balance exercise dapat membuat otot lansia menjadi hipertrofi. Hipertrofi dapat meningkatkan kekuatan otot sehingga stabilitas postural lansia dapat meningkat. Penelitian yang akan datang diharapkan melibatkan lebih banyak responden dengan waktu penelitian yang lebih lama dan pengukuran yang lebih baik untuk memastikan hasil yang lebih akurat.
Theory of Planned Behavior Development Model to Compliance Behavior in Vap Prevention at ICU Kusnanto, Kusnanto; Suadyani, I Ketut; Wahyuni, Erna Dwi; Arifin, Hidayat
Jurnal Keperawatan Soedirman Vol 15, No 1 (2020)
Publisher : Jurusan Keperawatan FIKES UNSOED

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jks.2020.15.1.1044

Abstract

Background: Ventilator-Associated Pneumonia (VAP) was the leading cause of death in Healthcare-Associated Infections (HCAI) requiring treatment in its specific prevention. Prevention of VAP had not been done optimally, such as nurses had not done hand hygiene and oral care according to procedure, head elevation not yet done as indicated. Purpose: applying Theory of Planned Behavior to nurse compliance behavior to prevent VAP case in ICU of Catholic Hospital Surabaya. Methods: The study was explanative observational with cross-sectional approach. The population was associate nurses working in the ICU and obtained 30 sample with total sampling. The research variables were general attitude, age, education, experience, knowledge, attitude toward VAP, subjective norm, perception to control, intention, preventive compliance behaviour VAP. Instruments in the form of questionnaires and observations. Data analyzed using bivariate Chi-Square (p<0,05) and Partial Least Square. Results: The results showed that: 1) attitudes, age and experience were associated with intentional support factors (p <0.05), while education and knowledge were not related to intentional support factors 2) intentional support factors related to intention (p <0, 05) 3) Intention related to VAP prevention compliance behavior (p <0.05). Conclusion: Nurse compliance behavior in VAP prevention consider their background factor, support factor of intention, and intention.
Co-Authors Abu Bakar Agnestria Winarto Andang Widi Harto Apriliyanti, Titis Eka Arifin, Hidayat Arifin, Moh Zen Dewi Purnama Sari Dismalyansa, Dismalyansa Dwi Indah Prasetia, Dwi Indah Esti Yunitasari Fauzi, Abdul Harmayetty, Harmayetty Hidayat Arifin Ilya Krisnana, Ilya Imam Kambali Indarwati , Retno Iqlima Dwi Kurnia Jamasri . Khoirot, Rysida Ma’rifaul M, Irfan Fahmuddin M.W. Wildan Mishbahatul, Eka Nisfil Mufidah Padoli Padoli, Padoli Pradanie, Retnayu Rifky Octavia Pradipta Saverinus Suhardin, Saverinus Suadyani, I Ketut Suarilah, Ira Subarmono Subarmono Suprajitno Suprajitno, Suprajitno Suwito, Joko Syaifuddin Kurnianto Tifanny Gita Sesaria Tjipto Sujitno Wahyuni, Erna Dwi Yeni Erlina