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Jurnal Keperawatan Indonesia
Published by Universitas Indonesia
ISSN : 14104490     EISSN : 23549203     DOI : https://doi.org/10.7454/jki
Core Subject : Health,
Focus and Scope Jurnal Keperawatan Indonesia (JKI, or Nursing Journal of Indonesia) contributes to the dissemination of information related to nursing research and evidence-based study on urban nursing issues in low-middle income countries. The scope of this journal is broadly multi-perspective in nursing areas such as Nursing Education, Clinical Practice, Community Health Care, Management and Health System, Health Informatics, and Transcultural Nursing, with a focus on urban nursing issues in low-middle income countries. JKI is committed to communicating and being open to the discussion of ideas, facts, and issues related to health across a wide range of disciplines. The journal accepts original research articles, synthesized literature, and best practice reports or case reports that use the quantitative, qualitative, or mixed-method approach. JKI adheres to journalistic standards that require transparency of real and potential conflicts of interest that authors and editors may have. It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE), the World Association of Medical Editors (WAME), and the Committee on Publication Ethics (COPE). Letters and commentaries about our published articles are welcome. All submitted contributions will undergo a blind peer-review process according to appropriate criteria.
Articles 9 Documents
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Peningkatan Interaksi Ibu-Bayi Dan Kepercayaan Diri Ibu: Efek Pelibatan Ibu Dalam Perawatan Bayi Prematur Di Ruang Perinatologi Zolla Amely Ilda; Yeni Rustina; Elfi Syahreni
Jurnal Keperawatan Indonesia Vol 16, No 3 (2013): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v16i3.327

Abstract

AbstrakPelibatan ibu dalam perawatan bayi prematur merupakan salah satu komponen konsep family centered care. Penelitian ini bertujuan untuk menguji pengaruh pelibatan ibu terhadap interaksi ibu dan bayi dan kepercayaan diri ibu dalam merawat bayi prematur. Desain penelitian yang digunakan adalah kuasi eksperimen one-group pretest-posttest. Penelitian ini melibatkan 16 orang ibu dan bayinya yang dipilih dengan teknik konsekutif di ruang Perinatologi di sebuah RSUP di Jakarta, selama sebulan. Instrumen yang digunakan untuk menilai interaksi ibu-bayi adalah terjemahan Modified Observation of Communication Interaction dan kepercayaan diri ibu diukur menggunakan Maternal Confidence Questionaire yang juga diterjemahkan. Hasil analisis statistik menunjukkan bahwa skala interaksi ibu-bayi dan kepercayaan diri ibu meningkat secara signifikan (p=0,0005). Hasil penelitian ini merekomendasikan upaya peningkatan pelibatan ibu dalam perawatan bayi prematur di ruang Perinatologi.Kata kunci: bayi prematur, interaksi ibu-bayi, kepercayaan diri ibu, pelibatan ibuAbstractEnhancement of Mother-Infant Interaction and Maternal Confidence: The Impact of Mother Involvement in Infant Care in the Neonatology Unit. Mothers’ involvement in premature infant care is one of components of the family centered care. The purpose of this study was to examine the impact of mothers’ involvement on mother-infant interactions and maternal confidence in premature infant care. This study used a quasy experimental with one-group pretest-posttest design. Sixteen participants were selected using consecutive sampling technique in Neonatal Unit Level I-II in General Hospital in Jakarta during one month. Modified Observation of Communication Interaction was translated in to Indonesian and used to observe mother-infant interaction and maternal confidence measured by translated Maternal Confidence Questionaire. The result of statistic analysis showed that mother-infant interactions scale and maternal confidence increase significantly (p=0,0005). This study recommends the improvement of mothers’ involvement in premature infant care in neonatal unit.Key word: maternal confidence, mother involvement, mother-infant interaction, premature infant
Sumber Daya Pasien Memengaruhi Pola Hidup Pasien Setelah Operasi Coronary Artery Bypass Graft Chatarina Setya Widyastuti; Hening Pujasari; Ratna Sitorus
Jurnal Keperawatan Indonesia Vol 16, No 3 (2013): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v16i3.331

Abstract

AbstrakBedah pintas koroner atau coronary artery bypass graft (CABG) adalah tindakan pembedahan untuk mengatasi dampak sumbatan arteri koroner pada klien dengan gangguan sindroma koroner akut. Dampak dari pembedahan ini menuntut klien untuk dapat menyesuaikan pola hidupnya agar gangguan berulang dapat dihindari. Tujuan penelitian ini untuk mengetahui faktor-faktor yang memengaruhi pola hidup pasien setelah operasi CABG. Penelitian dengan metode deskriptif analitik ini menggunakan pendekatan cross sectional. Sebuah kuesioner yang sudah valid dan reliabel telah digunakan untuk mengumpulkan data. Sampel penelitian ini adalah 61 pasien yang dipilih dengan teknik convenience sampling. Data dianalisis dengan uji Chi-square. Hasil penelitian menunjukkan ada hubungan antara sumber daya yang dimiliki pasien dengan pola hidup pasien setelah operasi CABG (p= 0,005; α= 0,05). Berdasarkan temuan ini direkomendasikan agar perawat sebaiknya memperhatikan sumber daya yang dimiliki pasien seperti keuangan, keterjangkauan fasilitas kesehatan, waktu, kekuatan fisik dan informasi saat memberikan pendidikan kesehatan terkait pola hidup yang harus dijalankan pasien.Kata kunci: coronary artery bypass graft (CABG), dukungan, pengetahuan, pola hidup, sikap, sumber dayaAbstractPatients Resources Affecting their Life Style after Coronary Artery Bypass Graft Surgery. Coronary artery bypass graft (CABG) is a surgical intervention to solve the impact of coronary artery occlusion in patients with acute coronary syndrome. The impact of the surgery demands clients to adjust their life style in order to prevent recurrent attack. The objectives of the research were to determine the factors that influence the lifestyle of patients after CABG surgery. This analytical descriptive study employed a cross sectional approach. A valid and reliable questionnaire was used to collect data. The sample of this study was 61 patients who were selected with a convenience sampling technique. Data were analyzed with Chi-square test. The results showed that there is significant relationship between patient resources with the lifestyle of patients after CABG surgery CABG (p= 0.005; α= 0.05). A recommendation is directed to nurses who are in a better position to always consider patient’s resources such as finance, affordability of health facilities, time, physical strength and information when providing health education about the patient lifestyle.Keywords: coronary artery bypass graft (CABG), support, knowledge, lifestyle, attitudes, resources
Efektivitas Kompres Iodine Terhadap Zona Hambat Staphylococcus Aureus Pada Ulkus Diabetikum Asep Kuswandi; Kusmiyati Kusmiyati; Holikin Holikin
Jurnal Keperawatan Indonesia Vol 16, No 3 (2013): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v16i3.323

Abstract

AbstrakUlkus diabetikum merupakan salah satu komplikasi kronis diabetes melitus dan menjadi penyebab amputasi kaki. Infeksi pada ulkus tersebut umumnya disebabkan oleh Staphylococcus aureus. Salah satu teknik pencegahan amputasi kaki diabetes adalah perawatan ulkus. Berbagai jenis bahan kompres ulkus diabetikum yang telah dikenal selama ini adalah:kompres madu, gula, Iodine, dan NaCl 0,9%. Penelitian ini bertujuan mengetahui efektifitas bahan kompres ulkus terhadap daya hambat Staphylococcus aureus. Penelitian ini merupakan penelitian eksperimen in vitro menggunakan satu faktor perlakuan yaitu zona hambat bahan kompres terhadap Staphylococcus aureus pada ulkus diabetikum. Enam jenis bahan yang diuji adalah aquadest, gula, Iodine 10%, campuran gula dan Iodine 10 %, madu, dan NaCl 0,9 %. Eksperimen dilakukan sebanyak 10 kali untuk mengetahui rerata luas daya hambatnya selama 24 jam. Sampel diambil dari ulkus diabetikum. Staphylococcus aureus diisolasi dari ulkus tersebut untuk eksperimen dengan berbagai bahan kompres ulkus. Hasil penelitian menunjukkan bahwa zona hambat madu rata-rata sebesar 0,4 mm, gula 3,0 mm, aquadest 0,0 mm, NaCl 0,9% 0,0 mm, Iodine 10% 8,3 mm dan campuran gula-Iodine 6,0 mm. Zona hambat terluas dihasilkan dari uji menggunakkan Iodine 10% (8,3 mm). Sementara campuran gula Iodine 10% menghasilkan zona hambat seluas 6 mm dan gula menghasilkan 3 mm. Penelitian ini merekomendasikan jika ditemukan Staphylococcus aureus maka dilakukan kompres Iodine 10% dengan kasa steril. Penelitian selanjutnya dengan metode in vivo perlu dilakukan untuk mengetahui efektifitas cairan Iodine pada ulkus diabetikum.Kata Kunci: kompres ulkus, staphylococcus aureus, ulkus diabetikum, zona hambatAbstractEffectivity of Iodine Compress to Blocking Zone of Staphylococcus aureus in Diabetes Ulcers. Diabetic foot ulcers is one of diabetes chronic complications that might lead to leg amputations. Staphylococcus aureus is known as the cause of infection in diabetic foot ulcers. One of techniques to prevent diabetic foot amputations is wound care. Various materials are known to be used to compress diabetic foot ulcers. These include of using honey, sugar, 10% of Iodine and 0.9% of NaCl. This study aimed ttify to identify the effectiveness of various wound care materials to block Staphylococcus aureus. This is an in vitro experiment study to investigate the effetiveness of six wound care materials used to wounds compress: distilled water, sugar, 10% of Iodine, a mixture of sugar and Iodine, honey and 0.9% of NaCl. Experiments were carried out in 10 times to determine the average size of block area in 24 hours. Staphylococcus aureus were isolated and soiled with various wound compressss materialls. The results showed that honey produced 0.4 mm of a blocking zone, 3.0 mm for glucose, 0.0 mm for distilled water, 0.0 mm for 0.9% of NaCl, 8.3 mm for 10% of Iodine, and 6.0 mm for mixed-Iodine Sugar. Ten percents of Iodine produced the widest zone to block Staphylicoccus aureus. This study recommends of apllying a 10% of Iodine compress if there is a positive culture of Staphylococcus aureus. A further in vivo study is a necessity to investigate the effectiveness of Iodine to diabetes foot ulcers.Keywords: blocking zone, diabetic foot ulcers, Staphylococcus aureus, wound compress
Penurunan Kecemasan Ibu Hamil Risiko Tinggi Dalam Menghadapi Persalinan Melalui Paket “Harmoni” M.M. Setyaningsih; Setyowati Setyowati; Kuntarti Kuntarti
Jurnal Keperawatan Indonesia Vol 16, No 3 (2013): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v16i3.328

Abstract

AbstrakKondisi risiko tinggi pada kehamilan akan memengaruhi kondisi psikososial pada ibu, pasangan dan keluarganya. Masalah psikososial ini memerlukan intervensi khusus agar tidak memperburuk kondisi fisik ibu hamil yang dapat berpengaruh pada persalinannya. Tujuan penelitian ini untuk mengetahui pengaruh pemberian paket “Harmoni” pada ibu hamil risiko tinggi terhadap kecemasan ibu menghadapi persalinan. Intervensi ini meliputi pendidikan kesehatan tentang kehamilan risiko tinggi, berbagai tehnik relaksasi, bentuk dukungan kepada ibu dan cara meningkatkan kepercayaan diri. Pendidikan kesehatan ini diberikan dengan metode yang bervariasi. Penelitian kuasi eksperimen ini menggunakan sampel masing-masing sejumlah 20 ibu hamil risiko tinggi pada kelompok kontrol dan intervensi yang diambil secara consecutive sampling. Kecemasan diukur dengan modifikasi Hamilton Rating Scale for Anxiety (HRSA). Hasil penelitian menunjukkan ada pengaruh signifikan pada kelompok intervensi (p= 0,03; α= 0,05) setelah mendapatkan perlakuan. Paket “Harmoni” ini dapat digunakan sebagai media dalam pendidikan kesehatan psikososial bagi ibu hamil risiko tinggi dalam menghadapi persalinannya.Kata kunci: Kecemasan Menghadapi Persalinan, Kehamilan Risiko Tinggi, Paket “Harmoni”AbstractProviding “Harmony” Package Decrease Childbirth Anxiety of High Risk Pregnant Women. High risk on pregnancy influences psychosocial condition of the mother, husband and their family. This psychosocial condition needs specific intervention to prevent worsening physical condition that affecting labor. The study purposed to examine the effect of intervention namely “Harmony” package for high-risk pregnant women toward their childbirth anxiety This intervention includes education about high risk pregnancy, various relaxation techniques, kind of mother support, and how to improve self confidence. This education was provided with several methods. A quasi-experimental design used sample of each 20 pregnant women in the control and intervention group were taken by consecutive sampling. Anxiety was measured with modified Hamilton Rating Scale for Anxiety (HRSA). The result showed that there is a significant effect of the “Harmony” package to the childbirth anxiety among the high risk pregnant women (p= 0,03; α= 0,05). "Harmony" Package is suggested to apply as psychosocial education for high-risk pregnant women to assist them in dealing with childbirth anxiety.Keywords: Childbirth Anxiety, “Harmony” Package, High-Risk Pregnancy
Simulasi Penetapan Kewenangan Klinik Efektif Sebagai Alat Sosialisasi Sistem Kredensial Profesi Keperawatan Yuhanti Yuhanti; Yulistiana Rudianti; Prisca Yohana Endiarti; Sisilia Indriasari W; Astrid Pratidina Susilo; Herkutanto Herkutanto
Jurnal Keperawatan Indonesia Vol 16, No 3 (2013): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v16i3.330

Abstract

AbstrakSistem kredensial dengan pembatasan kewenangan klinik berbasis profesionalisme bertujuan menjamin akuntabilitas tenaga profesional keperawatan dan memastikan bahwa pasien mendapatkan layanan yang aman. Sistem ini disosialisasikan melalui “Lokakarya Penetapan Kewenangan Klinik ” yang menggunakan metode pembelajaran inovatif dalam bentuk simulasi. Simulasi merupakan bentuk yang belum umum digunakan untuk sosialisasi walaupun sangat bermanfaat sebagai metode pemelajaran. Penelitian ini bertujuan untuk menguji efektifitas Lokakarya Penetapan kewenangan klinik dengan metode simulasi sebagai bentuk sosialisasi sistem kredensial bidang keperawatan dalam meningkatkan pengetahuan peserta. Metode yang digunakan adalah pre test and post test without control. Sebelum dan sesudah lokakarya, pengetahuan partisipan diukur dengan test tentang sistem kredensial. Hasil pre test dan post test dianalisis dengan uji t berpasangan.Penelitian ini menemukan adanya perbedaan bermakna antara pengetahuan pre test dan post test, artinya lokakarya penetapan kewenangan klinik dengan metode simulasi efektif menyosialisasikan sistem kredensial. Metode simulasi dapat digunakan untuk melengkapi metode yang sebelumnya dilakukan dalam rangka sosialisasi sistem kredensial.Kata kunci:  lokakarya penetapan kewenangan klinik, simulasi, sistem kredensial, sosialisasi AbsractSimulation of Determination Clinical Authority Effective as  Dissemination Tool the System Credentials Nursing Profession. The credentialing system with the delineation of clinical privilege is based on the principles of professionalism. It aims to ensure the accountability of nurses and patient safety. This system is introduced in “Clinical Privilege Workshop” which used simulation as learning approach. Because simulation is seldom used as a tool to disseminate an innovation, this study aimed to test the effectiveness of simulation method to disseminate credential system in nursing. This study used  pre test and post test without control. Before and after workshop, participants’ knowledge was measured using a knowledge test related to credentialing system. Paired t-test was used for the analysis. This study revealed there is a significant difference between the pre and post test, it means Clinical Privilege Workshop with simulation effectively disseminates the credentialing system. Simulation methods can be applied to complete methods existing used in order to support the dissemination of the nursing credential system. Keywords: “clinical privilege” workshop, credential system, simulation,
Memperbaiki Saturasi Oksigen, Frekuensi Denyut Jantung, dan Pernafasan Neonatus yang Menggunakan Ventilasi Mekanik Dengan Terapi Musik Rahmadevita S.A.M; Yeni Rustina; Elfi Syahreni
Jurnal Keperawatan Indonesia Vol 16, No 3 (2013): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v16i3.324

Abstract

AbstrakNeonatus yang menggunakan ventilasi mekanik akibat gangguan pernapasan mengalami masalah oksigenisasi dan frekuensi denyut jantung. Berbagai upaya perlu dilakukan agar neonates tenang sehingga kebutuhan oksigen dapat diminimalkan, salah satu upaya tersebut adalah terapi musik. Penelitian ini bertujuan untuk menguji pengaruh terapi musik terhadap saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan neonatus yang menggunakan ventilasi mekanik. Penelitian kuasi eksperimen dengan rancangan pretest-posttest without control meibatkan 13 neonatus yang dipilih secara konsekutif. Intervensi yang diberikan adalah terapi musik dengan Brahm’s Lullaby selama 30 menit dengan headphone. Pengumpulan data menggunakan observasi dan dianalisis dengan Paired t test. Hasil penelitian menunjukkan adanya perbedaan bermakna antara rerata saturasi oksigen, frekuensi denyut jantung dan frekuensi pernafasan sebelum dan setelah pemberian terapi musik. Pada saturasi oksigen terjadi peningkatan, sedangkan pada frekuensi denyut jantung dan pernapasan mengalami penurunan. Terapi musik dapat digunakan sebagai pendamping terapi medis untuk memperbaiki oksigenisasi pada neonatus yang menggunakan ventilasi mekanik.Kata kunci: denyut jantung neonatus, pernapasan, saturasi oksigen, terapi musik, ventilasi mekanikAbstractImproving Oxygen Saturation, Heart Rate, and Respiratory Rate of Neonates Using Mechanical Ventilation with Music Therapy. Neonates using mechanical ventilation cause of respiratory disorder experience oxygenation and heart rate problems. Interventions should be made in order to calm neonates so that the need of oxygen can be minimized, one of these interventions is music therapy. This study aimed to identify the effect of music therapy on oxygen saturation, heart rate and respiratory rate of neonates using mechanical ventilation. This quasi experiment study with a pretest-posttest design without control involved 13 neonates selected by consecutive sampling. Data collected through observation and analyzed by paired t test. There was a significant difference on the average of oxygen saturation, heart rate and respiratory rate of infants using mechanical ventilation before and after music therapy (p value <0,05). Music therapy can be used as a complementary medical therapies to improve oxygenation in neonates using mechanical ventilation.Key words: heart rate, mechanical ventilation, music therapy, neonate, oxygen saturation, respiratory rate
Self-Efficacy Ibu Dalam Upaya Pencegahan Diare Pada Anak Usia Kurang Dari 5 Tahun Ragil Aprilia Astuti; Elfi Syahreni
Jurnal Keperawatan Indonesia Vol 16, No 3 (2013): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v16i3.329

Abstract

AbstrakDiare merupakan masalah kesehatan global pada anak balita. Kematian balita akibat diare di dunia mencapai 1,9 juta per tahun. Tindakan pencegahan diare oleh ibu merupakan kunci dalam mengurangi kematian anak akibat diare. Penelitian ini menggambarkan self-efficacy ibu dalam pencegahan diare pada balita di Rowokele, Kebumen. Penelitian ini menggunakan metodologi deskriptif sederhana dengan pendekatan l potong lintang pada 162 partisipan ibu dengan teknik simple random sampling. Instrumen penelitian adalah kuesioner maternal self-efficacy for preventing diarrhea dengan reliabilitas 0,959. Hasil penelitian menunjukan tingkat self-efficacy terbagi menjadi 3 (tiga) yaitu rendah (63,6%), sedang (12,3%), dan tinggi (24,1%). Hasil ini merekomendasikan bahwa self efficacy ibu perlu ditingkatkan oleh tenaga kesehatan di tingkat masyarakat.Kata kunci: diare, pencegahan diare, self-efficacyAbstractMothers’ self efficacy in preventing diarrhea among an under under-5-year-old child. Diarrhea is a global health problem among an under-5-year-old child. It causes the death for almost 1.9 millions every year. Diarrhea prevention is a key factor in reducing mortality caused by diarrhea. This study aimed to describe maternal self-efficacy for preventing childhood diarrhea in Rowokele, Kebumen. This was a simple descriptive approach study, applied a cross sectional method, and involved 162 partisipants of mother who were gathered using a simple random sampling. A maternal self-efficacy instrument which reliability was 0,959 for preventing childhood diarrhea used in this study. The result shows that mothers have had low self-efficacy (63,6%), middle self-efficacy (12.3%), and high self-efficacy (24,1%). It is recommended that mother’s knowledge of diarrhea should be improved by public health service.Keywords: diarrhea, diarrhea prevention, self-efficacy
Kejadian Pradiabetes Pada Usia Dewasa Menengah Berdasarkan Karakteristik dan Perilaku Perawatan Kesehatan Keluarga Sovia Sovia; Etty Rekawati; Kuntarti Kuntarti
Jurnal Keperawatan Indonesia Vol 16, No 3 (2013): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v16i3.325

Abstract

AbstrakPradiabetes adalah kadar glukosa darah individu lebih tinggi dari normal, tetapi belum mencapai batas diagnosis diabetes. Perilaku perawatan kesehatan keluarga merupakan upaya promosi kesehatan keluarga dalam pencegahan pradiabetes. Penelitian ini bertujuan untuk mengetahui hubungan karakteristik keluarga dan perilaku perawatan kesehatan keluarga dengan kejadian pradiabetes pada usia dewasa menengah. Desain penelitian deskriptif observasional dengan pendekatan cross sectional. Sampel penelitian sebanyak 156 orang dewasa menengah, diambil menggunakan teknik cluster sampling. Hasil penelitian menunjukkan bahwa ada hubungan antara tipe keluarga (OR= 2,070; 95% CI 0,957-4,478), penghasilan keluarga (OR= 0,512; 95% CI 0,243-1,079), pengetahuan keluarga (OR= 7,025; 95% CI 3,109-15,876), dan praktik perawatan kesehatan keluarga (OR= 2,863; 95% CI 1,285-6,379) dengan kejadian pradiabetes. Upaya untuk meningkatkan perilaku perawatan kesehatan keluarga yang lebih efektif perlu disusun oleh tim di pelayanan kesehatan primer melalui program promosi kesehatan seperti pendidikan kesehatan, pembentukan kelompok pendukung, pemberdayaan masyarakat, kemitraan, dan intervensi keperawatan (penyusunan menu makanan sehat, aktivitas fisik, dan perawatan kaki).Kata kunci: perilaku perawatan kesehatan keluarga, pradiabetes, tipe keluarga, usia dewasa menengahAbstractPrevalence of prediabetes at middle-aged adults based on family characteristics and family health care behaviors. Prediabetes is a situation where glucose level higher than normal level, but does not satisfy the criteria for diabetes. Family health care behaviors are health promotion efforts in the family to prevention of prediabetes. The aim of the research was to determine the association between family characteristics and family health care behaviors, and prediabetes at middle-aged adults. The research used observational descriptive design with cross sectional approach. Total sample of 156 people were taken using a cluster sampling technique. The results showed that the type of family (OR= 2.070), family knowledge (OR= 7.025), and practice of family health care (OR= 2.863) are the dominant factors in the incidence of prediabetes. It is important to improve the behavior of family health care through developing health promotion program such as health education, the establishment of support groups, community empowerment, partnership, and nursing interventions.Keywords: family characteristics, family health care behaviors, middle-aged adults, prediabetes
Newborn Individualized Developmental Care and Assessment Program (Nidcap) Terhadap Hasil Jangka Panjang Perkembangan Bayi Prematur: Suatu Telaah Defi Efendi; Yeni Rustina
Jurnal Keperawatan Indonesia Vol 16, No 3 (2013): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v16i3.326

Abstract

AbstrakNeonates Intensive Care Units (NICU) merupakan tempat penting untuk bayi prematur yang sekaligus merupakan tempat berbahaya akibat karakteristik NICU. NICU dapat meningkatkan risiko gangguanperkembangan bayi. Gangguan ini dapat dicegah melalui penerapan asuhan perkembangan. Newborn Individualized Developmental Care and Assessment Program (NIDCAP) merupakan metode asuhan perkembangan yang dianggap sebagai salah satu pendekatan terbaik dalam pemberian asuhan perkembangan dengan pertimbangan NIDCAP mampu memberikan pelayanan secara individual berdasarkan isyarat bayi dengan pendekatan perawatan berfokus keluarga. Pengukuran efektifitas NIDCAP didasarkan pada respon neurobehavioral bayi prematur saat berada di NICU. NIDCAP terbukti dapat memperbaiki pola tidur bayi, dan respons fisiologis bayi seperti saturasi oksigen, pernafasan, dan nadi. Hasil studi literatur menunjukkan bahwa asuhan perkembangan dengan menggunakan metode NIDCAP tidak berpengaruh terhadap hasil perkembangan bayi prematur jangka panjang. Studi dan pengkajian yang mendalam diperlukan untuk menemukan asuhan perkembangan dengan menggunakan metode yang lebih efektif dan efisien.Kata Kunci: Bayi prematur, hasil jangka panjang, Newborn Individualized Developmental Care and Assessment Program (NIDCAP)AbstractA Review: Newborn Individualized Developmental Care and Assessment Program (NIDCAP) to Development of Long-Term Results Premature Infants. Neonatal Intensive Care Unit (NICU) is both vital spot for preterm infant and also dangerous spot which caused by NICU’s characteristics. NICU increases the risk of infant developmental disturbance. Infant developmental disturbance can be prevented by implementing Developmental care in NICU setting. Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is method who beingregarded as one of the best approach for delivering developmental care with those consideration NIDCAP is able to give an individual service base on the infant cues trough family-centered care approach. The measurement of NIDCAP effectiveness is shown by the infant’s neurobehavioral response in the NICU. NIDCAP can repair the baby’s sleep-awake pattern, and her physiological response such as oxygen saturation, respiration rater, and hearth rate. This study show that the implementation of developmental care using the NIDCAP method doesn’t affect to the long-term outcome for the preterm infants. The further research is needed to find out the other developmental care method which is more effective and efficient.Keywords: Long-term outcome, Newborn Individualized Developmental Care and Assessment Program (NIDCAP), preterm infant.

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