RARAS MERBAWANI, RARAS
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The Degree of Diabetic Wounds Affects Kidney Function Damage Windartik, Emyk; Rahmawati, Ima; Jariyah, Ita Ainun; Merbawani, Raras; Lestari, Indah; Ro’ifah, Ifa; Andriyanto, Arief
Nurse Media Journal of Nursing Vol 9, No 2 (2019): (DECEMBER 2019)
Publisher : Department of Nursing, Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (394.149 KB) | DOI: 10.14710/nmjn.v9i2.24210

Abstract

Background: The peripheral neuropathy is the cause of hospitalization for patients with diabetes mellitus (DM) and damages kidney function due to the circulatory system with high sugar levels. High sugar levels in DM patients with diabetic wounds can trigger glomerular damage resulting in the decrease of kidney function.Purpose: This study aims to analyze the relationship between the degree of diabetic wounds and kidney functions in patients with DM.Methods: A cross-sectional study was conducted on 723 DM patients who experienced diabetic wounds in a hospital in Mojokerto, East Java, Indonesia. A purposive sampling technique was used to recruit the samples. The data of this study were medical records of diabetic patients. A simple linear regression test was employed to analyze the data.Results: The result showed that the degree of diabetic wound was significantly related to kidney function damage (p=0.000). The relationship between the degree of diabetic wounds and the decline in kidney function was shown by an R-squared value of 0.768, meaning that the degree of diabetic wound affected the decline of kidney function by 76.8%, while the 23.2% was affected by other factors.Conclusion:The degree of diabetic injury affects the decline of kidney function in DM patients by 76.8%. Nurses should do health promotion about controlling blood sugar levels in DM patients with the prevention of four pillars of diabetes, including education, nutrition, physical activity, and stress. 
Implementation of Primary Team Professional Nursing Practice Methods In Hospital: A Systematic Review Merbawani, Raras; Munfadlila, Asef Wildan
Journal Of Nursing Practice Vol. 5 No. 1 (2021): Journal Of Nursing Practice
Publisher : Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v5i1.145

Abstract

Background: The hospital is a health service organization that provides comprehensive health services that achieve promotive, preventive, curative and rehabilitative aspects for the community. The application of the Professional Nursing Practice Method (MPKP) can illustrate the efforts of various countries to improve the quality of nursing care and the working environment of nurses in hospitals.Purpose: The purpose of this study was to determine the application of MPKP in hospitals.Methods: This research design uses a literature review, which is a series of studies relating to the method of collecting library data, or research whose research objects are explored through various library information (books, encyclopedias, scientific journals, newspapers, magazines, and documents) from several journals that have been researched by previous researchers who have been screened with inclusion and exclusion criteria using several databases namely google shoolar, lib UI, and SINTA which will be used as a literature review in this study. There are 155 journals according to keywords which are screened into 10 journals according to the theme and analyzed which examines the application of the Professional Nursing Practice Method (MPKP).  Results: The results showed that the implementation of MPKP was in the good category and was more dominant, namely 40% in the nursing care system. In the application of the maximum Professional Nursing Practice Method (MPKP) and good categories, nurses have to make professional values, professional relationships, management approaches, nursing care systems, and reward compensation systems according to nursing standards by looking at performance and determining the appropriate MPKP model.  Conclusion: The better the implementation of the Professional Nursing Practice Method (MPKP) is carried out, the better the services provided by the hospital to patients