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The Effects of Combination of Range Motion and Deep Breathing Exercise on Pain in Post-Orthopedic Surgery Patients Sasongko, Hery; Sukartini, Tintin; Wahyuni, Erna Dwi; Putra, Made Mahaguna
Indonesian Journal of Medicine Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Broken bones can cause soft tissue edema, bleeding in the muscles and joints, tendon rupture, damage to nerve tissue and damage to the vasculer and surgery are ways that are carried out to restore the movement function of extremitas and the impact that occurs due to these actions is pain. Acute pain is still found in postoperative non-pathological fracture patients who have received analgesic ketorolac.Subjects and Method: This was a quasy experiment study conducted at Dr. Soetomo Hospital, Surabaya, East Java. A sample of 46 patients post orthopedic surgery was selected for study by purposive sampling. The dependent variable was pain. The independent variables were range of motion and deep breathing exercises. Pain was measured by visual analog scale (VAS). The data were analyzed by t-test.Results: After treatment, pain level in the inter­vention group (mean = 2.43; SD = 1.41) was lower than the control group (mean= 3.48; SD= 1.38) with p= 0.014.Discussion: Combination of range of motion and deep breathing relaxation therapy effective to reduce pain among post orthopedic surgery patients.Correspondence: Hery Sasongko. Masters Program in Nursing, Universitas Airlangga. Email: herysasongko.ners­@gmail.com.Indonesian Journal of Medicine (2019), 4(1): 46-53https://doi.org/10.26911/theijmed.2019.04.01.08
Pengaruh Edutainment Ular Tangga Terhadap Perilaku Remaja Tentang Personal Hygiene Menstruasi Zuhriya, Cholilatul; Armini, Ni Ketut Alit; Wahyuni, Erna Dwi
Jurnal Keperawatan Muhammadiyah Vol 3, No 2 (2018): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v3i2.1763

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Background:  Teenagers have problems related to personal hygiene during menstrual periods due to lack of explanation and health services. Lesser sources of information lead to lower knowledge and will impact on the attitudes and actions of teenagers. Edutainment of ladders snakes can be applied as a solution to this problem. Objective: The purpose of this study was to explain  the effect of  ladders snakes edutainment to teenagers behavior about personal hygiene menstruation. Methods: Quasy experiment was used to design this study with the sample consist of 33 respondents for each treatment and control group.  Data were obtained from questionnaire to measure teenagers’ knowledge, attitude, and action about  personal hygiene menstruation. Analysis data of this study was using nonparametric method based on Wilcoxonn Signed Rank tests and Mann Whitney U-Test with significance value α ≤ 0,05. Results:  The results of the study showed an increase in knowledge (p = 0,000), attitudes (p = 0,000), and action (p = 0,000) after intervention of the treatment group. This data is also reinforced by statistical analysis Mann Whitney U-Test shows significant differences for knowledge (p = 0,000), attitude (p = 0,000), and action (p = 0,000). Conclusion:  The conclusion is edutainment of ladder snakes has an effect on improving teenagers behavior about personal hygiene of menstruation. As an educator, nurse could be use edutainment of ladder snakes for  alternative for gives entertain health education on school.
PENGARUH PENDIDIKAN KESEHATAN MEDIA BOOKLET TERHADAP PENGETAHUAN DAN SIKAP KELUARGA TENTANG SPEECH THERAPY PADA PASIEN STROKE DI IRNA SERUNI A RSUD DR. SOETOMO SURABAYA (The Influence Of Health Education With Booklet Media On Knowledge And Attitudes Towa Nimah, Lailatun; Nurwahyuni, Tutuk; Wahyuni, Erna Dwi
JURNAL NERS LENTERA Vol 6, No 1 (2018)
Publisher : JURNAL NERS LENTERA

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Introduction: Stroke included into the blood vessel disease. Stroke is the leading cause ofcommunication disorder that aphasia and dysarthria. Speech therapy is absolutely necessary to overcome communication disorders. Family empowerment through health education is very important to optimize speech therapy. This study aimed to determine the influence of health education with booklets on knowledge and attitudes of families of stroke on speech therapy at IRNA Seruni A Hospital Dr. Soetomo Surabaya. Method: The design of this study is pre-experimental with intervention Health education use booklet, design were analyzed by Wilcoxon sign rank test. The population in this study were all cases of stroke. The sampel in this study were the patient?s familiy with aphasia five person and dysartria 11 person who taken by consecutive sampling. Independent variables was health education with booklet media and dependent variable were the knowledge and attitude.Result: The results showed that the health education with booklet media about speech therapyhas significant influence to improve the knowledge (aphasia p = 0,038; dysartria p = 0,003) dan attitude (aphasiap = 0,042; dysartriap = 0,003)..Instrument use questionare. Discussion: It can be concluded that health education with booklet media on speech therapyhas influence in increasing of knowledge and attitudes of families on speech therapy. therefore, for future research needs to do research on the effect of health education with booklet media on behavior / psychomotor family of speech therapy.
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

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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.
Life Experiences of Patients Suffering end Stage Renal Disease Yulis Setiya Dewi; Harmayetti Harmayetti; Ninuk Dian Kurniawati; Erna Dwi Wahyuni; Deni Yasmara; Abu Bakar; Sukma Randani I
Jurnal Ners Vol. 8 No. 1 (2013): April 2013
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.535 KB) | DOI: 10.20473/jn.v8i1.3888

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Introduction: Haemodialysis (HD) is one of therapies to sustain life for people with End Stage Renal Disease (ESRD). HD and ESRD are the source of the stressor for the patients. The purpose of this study was to gain insight about the life experiences of patients suffering from ESRD and coping that they used in dealing with stressors.Methods: This study employed hermeneutic phenomenological study as methodology. Samples were taken at RSU Dr. Soedono Madiun in December 2010–May 2011 using purposive sampling. Participants in this study amounted to 9 people who all male and had suffered kidney failure and undergoing HD for more than 2 years. Data were processed and analysed through the nine stages data interpretation according collaizi.Results: Client's life experiences with HD and coping strategies they used to cope with critical situations have been identified and grouped into several themes. The first theme was the reaction of participants when receiving the diagnosis should undergo HD including: sad, rejection, fear, shock and feelings of resignation and hope. The second theme was perceived to critical situations by clients include shortness of breath, weakness, body swelling, itching, diarrhea and could not urinate. Last theme was the meaning of life in hemodialysis derived from attitudinal values (the values to be) and experiential values (the values of appreciation).Conclusion: Ways in which clients address critical situations were quite diverse. Emotional informational, instrumental supports from spouse or significant other were needed by participants to overcome the critical situation. This study suggests that nurse should perform therapeutic communication to HD patients so that patients may cope with the disease more positively.
The Analysis of Job Satisfaction Nurse Based on Organizational Climate Nursalam Nursalam; Yety Elina; Erna Dwi Wahyuni
Jurnal Ners Vol. 5 No. 2 (2010): Oktober 2010
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (197.68 KB) | DOI: 10.20473/jn.v5i2.3938

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Introduction: Organizational climate is a perception of the organization's members about their organization and it will be able to influence their attitude. Conducive organizational climate is important to improve job satisfaction. Nurse's job satisfaction is needed to increase quality of health service care. The purpose of the study is to analyze the correlation between organizational climate and job satisfaction of nurse.Method: This study was a quantitative research that used a descriptive method with cross sectional survey design. The population was all nurses in IRNA Bedah of RSUD Kabupaten Sampang that consists of 15 people. The sample were 11 people recruited by using purposive sampling. The data was collected by using organizational climate questionnaire and job satisfaction questionnaire, interval scale was used with Likert scoring. The statistic analysis used Spearman's rho and content analysis.Result: The result of the statistic test shows that organizational climate had p = 0.003 which reveals that there was a correlation between organizational climate and job satisfaction of nurse in IRNA Bedah of RSUD Kabupaten Sampang, with r2 = 0.799 (within a range 0.60–0.799). It means that both variable had a strong positive correlation.Discussion: In conclusion, there was a positive correlation between organizational climate and job satisfaction with strong correlation. The writer suggests the next researchers to study dimension of organizational climate from Pines (1982), and factors to influence job satisfaction from McClelland (1962) so that they will be able to compare the correlation between organizational climate and job satisfaction by using another theory.The Analysis of Job Satisfaction Nurse Based on Organizational Climate
Musik Langgam Jawa dalam Upaya Pemenuhan Kebutuhan Tidur Lansia Nursalam Nursalam; Joni Haryanto; Retno Indarwati; Erna Dwi Wahyuni
Jurnal Ners Vol. 2 No. 2 (2007): Oktober 2007 - Maret 2008
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (84.945 KB) | DOI: 10.20473/jn.v2i2.4968

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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).
Classical Music Decrease Stress Level And Blood Pressure Primigravida In The Third Trimester Ni Ketut Alit Armini; Erna Dwi Wahyuni; Praba Diyan Rachmawati
Jurnal Ners Vol. 3 No. 1 (2008): April 2008 - September 2008
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.149 KB) | DOI: 10.20473/jn.v3i1.4984

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Introduction: Many changes in psychology and biology increase primigravida’s stress in the third trimester. The stress response makes blood pressure being unstable, it causes bad effect for pregnancy. Classical music can be used as one of relaxation facilities that can reduce stress. The aimed of this study were to analyze the effect of classical music on stress level and blood pressure.Methods: This study was used a quasy experimental purposive sampling design. The sample in this study were 14 pregnancy women in the third trimester in RSIA Cempaka Putih Permata Surabaya. The independent variable in this study was classical music and the dependent variable were stress level and blood pressure. Data were analyzed by Wilcoxon Signed Rank Test, Mann Withney U Test, Paired t Test and Independent t Test with significance level α≤0.05.Results: The result showed that the stress level in controlled group with p=0.567 and intervention group with p=0.025. The result of blood pressure in controlled group with p=0.522 in systolic blood pressure, p=0.35 in diastolic blood pressure and intervention group showed p=0.103 in systolic blood pressure and p=1.00 in diastolic blood pressure.Conclusion: It can be concluded that listening classical music can reduce stress level, stabilize blood pressure, although blood pressure hasn’t significant result but mean of blood pressure show that it was stable. Further studies should be considered to used cortisol to identify stress biology response spesifically. 
The Effect of Wound Incision Care Using Honey and Povidone Iodine 10% M. Zakariya; I Ketut Sudiana; Erna Dwi Wahyuni
Jurnal Ners Vol. 4 No. 1 (2009): April 2009 - September 2009
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (293.688 KB) | DOI: 10.20473/jn.v4i1.5004

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Introduction : Povidoe iodine often used in incision treatment. This study was aimed to explain the differences between honey and povidone iodine 10% on incision healing, were unknown.Method : This study used a true experiment design with 18 samples of 3 years old-male guinea pigs, divided into three groups. One-control group and 2 treatment groups. This classification was done randomize. The independent variable was used of honey and 10-% povidon iodin and the dependent variable was inflammation phase (squeezing, edema, plasma of incision) and proliferation (granulation, incision edge unification, skin structure) were assessed in the third and sixth days.  Data were collected by using observation of the signs both of inflammation and proliferation phase and analyzed using Chi Square with level of significance α ≤ 0.05.Result : Results showed that there was no significant difference in the third and sixth days inflammation. In contrast, a significant difference was obtained in the third and sixth days proliferation. Granulation (p< 0,05), incision edge unification (p< 0,05), establishment of skin structures (p< 0,05).Conclusion: It can be concluded that the honey usage was proven to be more effective in accelerated incision healing, increasing proliferation and reduce any infection risks. For future research there is neeed to conduct a microscopically observation of numerous changes in collagen, PMN-cell (neutrophile) and MN-cell (lymphocyte and monocyte), inflammation and proliferation as well as incision healing process.
The Development of a Six Sigma–Based Ulcus Decubitus Prevention Model to Respond to Adverse Events Martini Sriwulaningdyah; Erna Dwi Wahyuni
Jurnal Ners Vol. 12 No. 2 (2017): October 2017
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.189 KB) | DOI: 10.20473/jn.v12i2.5241

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Introduction: Based on the number of incidences of Ulcus Decubitus in 2015 which was 2.4 ‰ and 1.59 ‰ in 2016, the incidences of Ulcus Decubitus is an indicator of patient safety. In one of the public hospitals in Surabaya, it showed that the achievement of a Ulcus Decubitus indicator had not been reached yet (the standard is 1.5 ‰ per year). One of the efforts that can be done to prevent the occurrence of ulcus decubitus is by way of Six Sigma-based ulcus decubitus prevention.Methods: The design of this research was an explanatory research study using a cross-sectional approach. The research respondents were nurses at Inpatient Wards (4 Rooms); 57 nurses via the Purposive Sampling technique. The research data was analysed with Partial Least Square (PLS)Results: Individual factors (Path Coefficient 0,200 t: 6,580), organisational factors (Path Coefficient 0,373 t: 9,278) and management factors (Path Coefficient 0.099 t: 2.184) are all significantly correlated with the Six Sigma-based Ulcus decubitus prevention.Conclusions: Individual, Organisational and Management factors are important factors in the Six Sigma-based Ulcus Decubitus prevention model. It needs advanced research to find out how much the influence of Six Sigma-based Ulcus Decubitus prevention implementation will decrease the incidences of Ulcus Decubitus.
Co-Authors Abit Mawan Dayoko Abu Bakar Ah. Yusuf Alit Armini, Ni Ketut Amellia Mardhika Anestasia Pangestu Mei Tyas Anita Dwi Ariyani Arifin, Hidayat Arina Qona'ah Ayu Permata Sari Candra Panji Asmoro, Candra Panji Deka Ade Yussmawan Deni Yasmara Devi Rahmaningrum Wardani Dimas Satrya Sukma Wijaya Dinda Berlian Primadiana Dinda Dhia Aldin Kholidiyah Dwi Ferafurisca Desi Dwi Susi Pristiwatin Eka Misbahatul Mar'ah Has Elok Faradisa Endang Susiana Ferry Efendi Gunawan Gunawan Hadisuyatmana, Setho Hakim Zulkarnain Haris Widodo Harmayetti Harmayetti Hery Sasongko Hidayat Arifin Hidayat Arifin Hikmah Lia Basuni I Ketut Sudiana I Ketut Sudiana Ika Yuni Widyawati Indarwati , Retno Intan Widiastuti Joni Haryanto Kinanthi Rosyana Konita Shafira Kurniawati, Ninuk Dian Kusnanto Kusnanto Kusnanto Kusnanto Lailatun Ni'mah Lucy Kartika Dewi M. Zakariya Mabda Novalia Istafa Made Mahaguna Putra Makhfudli Makhfudli Martini Sriwulaningdyah Nadia Rohmatul Laili Nadia Rohmatul Laili Nadia Rohmatul Laili Nadia Rohmatul Laily Neisya Pratiwindya Sudarsiwi Nihayati, Hanik Endang Nimah, Lailatun Novita Fajriyah Nursalam Nursalam Nursalam Nursalam Nursalam, Nursalam Nurwahyuni, Tutuk Praba Diyan Rachmawati, Praba Diyan Ratri Ismiwiranti Rifky Octavia Pradipta Rizki Dwi Cahyono Sena Wahyu Purwanza, Sena Wahyu Silvia Lusiana Suwandi Sriyono Sriyono Suadyani, I Ketut Sukma Randani I Tintin Sukartini Wieji Santosa Wimar Anugrah Romadhon Wimar Anugrah Romadhon Yety Elina Yonia Rafika Nanda Yulis Setiya Dewi Zuhriya, Cholilatul