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INDONESIA
Jurnal Keperawatan Padjadjaran
ISSN : 23385324     EISSN : 24427276     DOI : -
Core Subject : Health, Science,
Jurnal Keperawatan Padjadjaran (JKP) or The Padjadjaran Nursing Journal is a peer review journal providing an open access facility for scientific articles published by the principles of allowing free research available for public to support global scientific exchange. Padjadjaran Nursing Journal (JKP) is published three times a year, specifically in April, August, and December.
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Articles 10 Documents
Search results for , issue "Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran" : 10 Documents clear
Relationship of Adolescents’ Characteristics, Smartphone Uses and Premarital Sexual Behavior in High School Students Hardiyati Hardiyati; Shelly Iskandar; Taty Hernawaty
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (82.176 KB) | DOI: 10.24198/jkp.v7i1.410

Abstract

Adolescents’ problematic behavior is in relation to premarital sexual behavior. Adolescents’ premarital sexual behavior can cause abortion, unwanted pregnancy, death, potential HIV/AIDS infection as well as moral decency crime in Gowa District. Factors of premarital sexual behavior among adolescents include gender, origin of school, status and frequency of dating, religious norms, household norms, knowledge and the uses of smartphone. This research aims at analyzing adolescents’ characteristics of and the uses of smartphone in relation with premarital sexual behavior among high school students in Gowa District, South Sulawesi Province. It was the correlational design quantitative research. Total samples amounted to 500 high school students in Gowa District, South Sulawesi Province after these were selected with the cluster sampling. The questionnaire used in this research consisted of religious norms (the reliability test results of 0.791, R-value of 0.397–0.678), household norms (the reliability test results of 0.856, R-value of 0.430–0.893), knowledge (the reliability test results of 0.738, R-value of 0.362–0.514), and premarital sexual behavior (the reliability test results of 0.844, R-value of 0,483–0,763), smartphone use with the calculated R value > r table (0.514) the reliability indicates the alpha cronbach’s value> 0.60. The analyzed data use Chi square and logistic regression. The research results show that the premarital sexual behavior has total risk value of 66.0% and the unrisky value of 34.0%. It relates to some adolescents’ characteristics among others frequency of dating (p=0.000), status of dating (p=0.000), religious norms (p=0.000), household norms (p=0.000), knowledge (p=0.000), and smartphone use (p=0.000), the variables of adolescents’ characteristics i.e. gender and the origin of school do not have significant relationship (p> 0.05). The smartphone use is the most significant factor with the premarital sexual behavior (OR=3.583). The smartphone use is the most significant factor with premarital sexual behavior, and therefore, it indicates that teachers at school and parents at home should who carry out the control and adolescent education in the smartphone use are important factors to be upgraded. The school based health education program can avoid the risky premarital sexual behavior, and the program can focus on the control of smartphone use and skill training among adolescents.
Factors that Correlate with The Health Services Seeking on Breast Cancer Patients Dini Fathania; Laili Rahayuwati; Desy Indra Yani
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1059.047 KB) | DOI: 10.24198/jkp.v7i1.841

Abstract

Most cases of breast cancer are found to be in an advanced stage. This is because of the patient delay in coming to health service after the emergence of early symptoms of breast cancer. It is necessary to identify factors that allegedly prevent patients from seeking health services as early as possible. The purpose of this study was to analyze factors related to the search for health services. This research used cross-sectional method. The population of this study was breast cancer patients where the sampling technique using consecutive sampling with the number of samples researched as many as 100 people. Data were obtained through a reliable questionnaire to use (Alpha Cronbach’s questionnaire = 0.92, Alpha Cronbach’s health questionnaire = 0.85). Analysis of this research data using univariate (frequency distribution), bivariate (Chi-Square) and multivariate (logistic regression).The result of bivariate analysis showed that the variables related to health seeking behavior are education (ρ value = 0.02; r = 0.3) and health belief (ρ value = 0.01; r = 0.24). While the variables that most related to health service seeking behavior was health belief (ρ value = 0.02) and OR value 3.46. This could be caused by patient’s health belief in which the patient assumes that the symptoms were not dangerous and the choice of alternative medicine as the first choice and the patient’s fear of treatment due to lack of information that obtained by the patient. It can be concluded that health beliefs are the most correlated factor with health-seeking behavior so it is necessary to consider the prevention efforts of breast cancer especially related to health belief. Community beliefs about routine health checks should be key interventions such as counseling and discussions with the community regarding the importance of routine health screening as part of early detection of disease.
Comparison of Central Venous Pressure (Cvp) Score among Patients on Mechanical Ventilator with Head of Bed (Hob) Elevation 30O; Neutral, Right, and Left Side Positions Setiyawan Setiyawan; Kusman Ibrahim; Titin Mulyati
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1633.935 KB) | DOI: 10.24198/jkp.v7i1.741

Abstract

Early mobilization is important for critical patients to improve cough reflexes, eliminate bronchial secretions, facilitate work of mucociliary drainage muscles, and to prevent associated pneumonia ventilators and pressure sores. However, at the same time the patient often experiences vital signs change due to fluctuating conditions. Central Venous Pressure (CVP) measurement is oftenly needed to monitor central circulatory system. Unfortunately, in the clinical setting, the patient’s position must be changed first in a 30o neutral head of bed (HoB) position rather than left or right side HoB position. This study aims to examine the differences in of CVP score among patients on mechanical ventilation at HoB position elevation 30o in a neutral, right side, and left side position. This quantitative comparative study involved 24 subjects who were recruited consecutively. Data were analyzed using ANOVA. The results showed that the mean CVP value at neutral HoB position elevation was 13.5 ± 3.96, right sight HoB elevation was 12.8 ± 4.16, and left side HoB elevation was 14.4 ± 4.17. There was a significant difference (p <0.05) among those three positions. Post hoc analysis test found the HoB position 30o neutral vs left side possition was higher and signifficantly difference with HoB elevation 30o neutral vs right side positions (p<0.05). This study suggested nurses need to consider the change of CVP values while changing patiens’ position of HoB elevation 30o neutral, right side, and left side positions. Athough there was statistically difference among three positions, in fact, the value difference was less than 1 cmH2O which clinically did not see any differences.
pengaruh akupresur titik Nei Guan terhadap mual muntah akibat kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah Triliana Purwadesi Yuliar; Susi Susanah; Ikeu Nurhidayah
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1740.024 KB) | DOI: 10.24198/jkp.v7i1.657

Abstract

Salah satu pengobatan penyakit kanker pada anak adalah kemoterapi yang memiliki  efek samping mual muntah. Mual muntah pada penyandang kanker anak usia sekolah dapat mengakibatkan gangguan nutrisi, emosional, bermain dan fungsi sekolah. Hal ini dapat menurunkan kualitas hidup anak. Salah satu terapi adjuvan yang dapat menurunkan mual muntah setelah pemberian kemoterapi adalah akupresur yang bersifat non invasif dan tidak membahayakan. Akupresur titik Nei guan menggunakan metode penekanan pada pergelangan tangan.  Penelitian ini dilakukan untuk mengetahui pengaruh pemberian akupresur Nei Guan terhadap mual muntah kemoterapi emetogenik tinggi pada penyandang kanker anak usia sekolah.            Desain penelitian adalah kuasi eksperimen melalui pendekatan pre-post test design study with control dengan single blind. Responden terbagi atas kelompok kontrol dan kelompok intervensi yang masing-masing berjumlah 15 orang. Kedua kelompok mendapatkan antiemetik yang sama. Pengukuran mual dilakukan 3 kali pada pagi dan malam hari menggunakan instrumen Pediatric Nausea Assessment Tools (PeNAT), sedangkan interval muntah didokumentasikan setiap muntah dan retching. Data dianalisis dengan uji Mann Whitney dan uji t independent.            Hasil analisis pada kelompok kontrol menunjukkan rerata nilai mual cenderung mengalami kenaikan dan interval muntah yang lebih cepat dibandingkan dengan kelompok intervensi. Hasil kesimpulannya adalah secara klinis terdapat pengaruh akupresur titik Nei Guan terhadap mual muntah akibat kemoterapi emetogenik tinggi pada penyandang kanker  anak usia sekolah meskipun secara statistik belum bermakna (nilai p>0,05). Perawat diharapkan dapat melakukan monitoring mual muntah berkelanjutan dan akupresur dapat dipertimbangkan sebagai terapi adjuvan selain pemberian terapi farmakologi untuk menurunkan mual muntah.
Mucositis Effect on Quality of Life of Hospitalized Children with Cancer Who Received Chemotherapy Sri Hendrawati; Ikeu Nurhidayah; Henny Suzana Mediani; Ai Mardhiyah; Nenden Nur Asriyani Maryam
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1628.721 KB) | DOI: 10.24198/jkp.v7i1.1036

Abstract

Mucositis is very common in children with cancer who received chemotherapy. Mucositis in children renders other health problems such as pain, eating problems, insomnia, and emotional problems that directly determine children’s quality of life. The purpose of this research was to identify how the effects of mucositis on quality of life in children with cancer who received chemotherapy. The method used in this research is correlative descriptive analytic with cross-sectional design. Samples taken in this research utilized consecutive sampling technique. The children with cancer who met the inclusion criteria were approached to participate in this research. Sixty children with cancer hospitalized in Dr. Hasan Sadikin Hospital Bandung recruited in this research. Mucositis identification utilized Oral Assessment Guide (OAG). Data quality of life (QoL) would be assessed with PedsQoL Cancer Module 3.0. Data were analyzed by Chi-square correlation test. There are 53 children (88.3%) who experienced mucositis. In contrast, there are only 7 children who didn’t experience mucositis (11.7%). Based on this survey, there are 37 children (61.7%) have bad quality of life. Otherwise, 23 children (38.3%) have good quality of life. This research found that there is a significant relationship between mucositis and QoL of children with cancer. Accordingly, the relationship between mucositis cases and QoL of children with cancer valued at 0.006 (p<0.05). Mucositis cause low QoL in children with cancer compared to them without mucositis. Nurse should increase nursing care for children with mucositis as the side effect of chemotherapy. Suggested efforts are to prevent mucositis complication that will impact QoL, such as giving oral care with honey, keeping humid oral mucosa, and preventing infection
Food and Activities Taboos among Sundanese Pregnant Women Mira Trisyani Koeryaman; Kim Hee Kyung; Restuning Widiasih
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1615.18 KB) | DOI: 10.24198/jkp.v7i1.993

Abstract

Taboos are found everywhere including Indonesia. There are different types of taboos in Indonesia especially during pregnancy. This study aimed to identify the practice of taboos related to food and activities among Sundanese pregnant women in West Java, a province with the largest population. A cross-sectional study was conducted with 312 pregnant women, who come to antenatal care at maternal and child health clinics of hospital, health care center and private midwifery clinics at four districts area in West Java province (Cianjur, Bandung, Sumedang and Garut) from October–December 2014. The data were selected purposively used the questionnaires included important demographic characteristics and questions regarding food and activities taboos during pregnancy. SPSS Win.12.0 were used for data analysis. The practice of food and activities taboo among pregnant women showed were about 29.4% very often, 42.1% often, 22.4% rarely, and 6.1% never in avoid to eat certain foods and to do particular activities during pregnancy. No statistically significant association was found between food and activities taboo during pregnancy and data demographics of respondents (p>.05). Still often done by pregnant women in avoid to eat certain foods and restriction to do particular activities. To assess the true picture we need to conduct larger studies in the community with interview method. These findings would be an important information for nurses in developing health education in maternal periods, and considering women’s culture and beliefs in nursing care plan.
Nursing Students’ Roles and Experiences of Disasters in A Nursing School Sri Hindriyastuti; Jamie Ranse; Mayumi Kako; Alison Hutton
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (12.646 KB) | DOI: 10.24198/jkp.v7i1.997

Abstract

Due to its location in the ‘Pacific Ring of Fire”, Indonesia is frequently prone to natural disasters. Therefore, Indonesian nurses need to have the ability to assist in disaster situations as they are considered an important element of the workforce in disaster preparedness and response. However, the current nursing curricula in Indonesia does not adequately prepare nurses to respond in these situations. The primary aim of this study is to understand the experiences of Master of Nursing students’ roles and experiences in disaster settings in a nursing school in East Java, Indonesia. A single-case study design has been used. Data colection occurred via semi-structured interviews. The participants were enrolled in the Master of Nursing in a School of Nursing at a University in East Java. The data for the study were thematically analysed. Four main themes were identified: ‘personal feelings’, ‘working outside their scope of practice’, ‘lack of disaster preparedness’, and ‘a lack of mental health knowledge and care’. This study found that the Master of Nursing students in a nursing school in East Java, Indonesia were not adequately prepared for responding to disaster situations. This study found that a lack of disaster preparedness, working outside scope of practice, and a lack of mental health knowledge were the prominent issues for these Master of Nursing students. As well as commencing disaster training earlier in their education, providing training in the psychological context of disaster preparedness is recommended.
The Experience of Symptom Cluster and Symptom Alleviation Self-Care in Patients with Head and Neck Cancer: A Qualitative Study Wyssie Ika Sari; Suhartini Ismail
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1641.379 KB) | DOI: 10.24198/jkp.v7i1.858

Abstract

Patients with head and neck cancer usually experience physical and psychological changes and adjustments related to the disease and management of therapy. The patients will experience symptom cluster and will use effective symptom alleviation self-care to relieve the symptoms. The proper identification of symptom cluster and the effectiveness of using symptom alleviation self-care will be the basis for the success of disease management. This study aimed to investigate the symptom cluster and symptom alleviation self-care in patients with head and neck cancer, and which has an impact on the quality of life. This research was a pilot study using a qualitative design and involved five patients at the public hospital in Semarang, Indonesia. The qualitative design has been chosen to explore the varied of symptom experienced by the patients about the nature, number, location, duration and intensity of experiences, which may different experiences of symptom cluster and symptom alleviation self-care for each patient with Head and Neck Cancer. Data were collected through semi-structured interviews and analyzed used the qualitative content analysis process. Three themes were identified in this study, including: the patients’ experience of symptom cluster, the patients’ experience of symptom alleviation self-care, and the impaired quality of life domain. The results of this study showed that the patients’ experience sickness and gastrointestinal symptom cluster during illness and undergoing therapy, as well as variations in the symptom alleviation self-care, including: diet/ nutrition/ lifestyle changes, mind/ body/ spiritual control, biological treatment, herbal treatment, and prescribed medicine. The symptom cluster and symptom alleviation self-care has an impact on the patients’ outcome that is the quality of life. This study showed that the experience of symptom cluster and symptom alleviation self-care varied and highly individualized, which has an impact on the quality of life. The importance of proper identification about symptom cluster and the effectiveness of using symptom alleviation self-care by the nurses will be the basis for the success of disease management to improve the patients’ quality of life. Therefore, optimizing the nurses’ role is needed as the basis for the development of symptom management nursing programs.
The Effect of the E-Patuh Application on HIV/Aids Patients’ Adherence in Consuming Antiretroviral Alfian Alfian; Kusman Ibrahim; Imas Rafiyah
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1664.516 KB) | DOI: 10.24198/jkp.v7i1.809

Abstract

Medication adherence is behavior that refers to client obeys in following a medication, and makes lifestyle changes in accordance of recommendations from health care providers. Antiretroviral adherence is paramount for HIV/AIDS patients. The effects were often a problem in antiretroviral treatment and toxicity and often be the reason for replacing or stopping antiretroviral treatment. This study aimed to determine the “E-Patuh” Applications effect on antiretroviral adherence in patients Of HIV/AIDS In West Java. The research design was a quasi-experimental with nonequivalent control group design. The location of this research was in RSUD Kota Bandung and in RSUD Kota Banjar. The respondents was selected without randomization and used purposive sampling technique. Respondents in this study were 30 respondents. Data were obtained using self-report questionnaires. The intervention group was monitored a 30-day android-based E-Patuh application and monitored on an E-Patuh website and then measured adherence value with self-report. Data were analyzed using SPSS 22 with chi-square test. The results showed a significant difference between adherence value before and after application of E-Patuh in the intervention group with (p <0.05) with obtained p value = 0,006. The results of this study prove a positive effect on the using of E-Patuh applications against ARV medication adherence in the intervention group with the support system of the E-Patuh application. The used of E-Patuh is helpful in improving ARV adherence in HIV/AIDS patients. The features contained in E-Patuh were directly reminiscent of the timing of taking medication for PWLH. E-Patuh should be consideration for PLHIV and health care providers in hospitals to improve ARV adherence to reduce mortality rates in people living with HIV.
The Mental Burden of Parents of Children with Thalassemia Gita Septyana; Ai Mardhiyah; Efri Widianti
Jurnal Keperawatan Padjadjaran Vol. 7 No. 1 (2019): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1643.765 KB) | DOI: 10.24198/jkp.v7i1.1154

Abstract

Thalassemia is an inherited blood disorder in which there is a chronic abnormality of red blood cells. When a child suffers from a severe illness, the family usually acts as caregivers, which put them at risk of experiencing a burden of care. This study aims to identify the level of charge perceived by parents caregivers of children with thalassemia. A quantitative approach was used in this research to obtain data by using a continuous sampling. The samples in this research consisted of 71 parents of children with thalassemia, who are either their biological father or mother who attended thalassemia center on August 30, 2017 - September 13, 2017. The instrument was used in this research was modified from a Caregiver Burden Scale instrument (developed by Elmstahl). The data obtained were analyzed using a descriptive statistical technique in which parents burden is categorized into three levels: mild, moderate, and severe levels of burden, and they are measured in percentage. The result showed that 36 respondents (50.7%) perceived a mild level of burden, 31 respondents (43.7%) perceived moderate level of burden, and four respondents (5.6%) saw the severe level of burden. This study concludes that most respondents perceived a mild and moderate level of burden, but in terms of responsibility, economy, expectation, and anxiety, they showed a severe degree of burden. Nurses are suggested to maintain or alleviate the burden by providing education, counseling, emotional support and adaptive coping mechanisms for parents of children with thalassemia.

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