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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,
Health Professions Nursing
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.
Arjuna Subject : Keperawatan - Keperawatan (Lain-Lain)
Articles 9 Documents
 1 
Search results for , issue "Vol 19, No 3 (2016): November" : 9 Documents clear
Pemantauan Intake Output Cairan pada Pasien Gagal Ginjal Kronik dapat Mencegah Overload Cairan Fany Angraini; Arcellia Farosyah Putri
Jurnal Keperawatan Indonesia Vol 19, No 3 (2016): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i3.475

Abstract

Pola diet tidak sehat  pada masyarakat perkotaan merupakan salah satu faktor risiko penyakit tidak menular DM dan Hipertensi. Kedua penyakit tersebut menjadi dua penyebab utama kerusakan pada ginjal yang dapat berlanjut kepada tahap gagal ginjal (GGK). Pasien GGK seringkali mengalami masalah overload cairan yang dapat menimbulkan masalah kesehatan lainnya bahkan dapat berujung dengan kematian. Oleh karena itu, dibutuhkan program pembatasan cairan yang efektif dan efisien untuk mencegah komplikasi tersebut, diantaranya melalui upaya pemantauan intake output cairan. Penulisan karya ilmiah ini menggunakan metode studi kasus dengan tujuan menggambarkan metode pemantauan intake output cairan pasien GGK dengan menggunakan fluid intake output chart. Pemantauan tersebut terbukti efektif untuk menangani overload cairan pada klien, dibuktikan dengan berkurangnya manifestasi overload cairan pada klien.AbstractFluid Intake Output Monitoring of Chronic Renal Failure Patients can Prevent Fluid Overload. Unhealthy diet in urban society as one of risk factor noncommunicable disease, such as Diabetes and Hypertension. Both of them is leading causes of kidney disease and it can be End Stage Renal Disease stage (ESRS). ESRD patient often experience fluid overload state, that can cause another health problem even it can be cause of death. That’s way, it is important to make effective and efficient fluid restriction program to prevent the complication, one other thing is fluid intake output monitoring. This scientific paper use case study method to describe analysis of clinical practice in fluid intake output monitoring by using fluid intake output chart. Monitoring is proven effective to treat fluid overload, it is shown by decreasing of patient’s fluid overload clinical manifestation Keyword: Diabetes, ESRD, Fluid Overload, Fluid intake output chart, Fluid intake output monitoring, Hypertension, Unhealthy diet, Urban Society
Penurunan Depresi pada Lansia Harga Diri Rendah melalui Terapi Aktivitas Kelompok dan Terapi Kognitif Suzanna Suzanna; Mustikasari Mustikasari; Ice Yulia Wardhani
Jurnal Keperawatan Indonesia Vol 19, No 3 (2016): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i3.470

Abstract

Penelitian ini bertujuan untuk mengidentifikasi penurunan depresi pada lansia harga diri rendah melalui Terapi Aktivitas elompok (TAK) stimulasi persepsi dan Terapi Kognitif Perilaku. Desain penelitian  menggunakan quasi experiment with pre post test control group, dengan sampel berjumlah 28 orang pada kelompok intervensi dan 28 orang pada kelompok kontrol. Alat pengumpul yang digunakan Geriatric Depression Scale (GDS). Data dianalisis menggunakan uji T-Test. Hasil penelitian menunjukkan ada penuruan bermakna kondisi depresi lansia harga diri rendah pada kedua kelompok dengan penurunan sebesar 67,4% kelompok intervensi dan 31,9% kelompok kontrol (p value < 0,05), dan ada hubungan bermakna antara karakteristik lansia (jenis kelamin, pendidikan, status perkawinan, pekerjaan dan penyakit fisik penyerta) dengan depresi pada lansia harga diri rendah (p value < 0,05). TAK stimulasi persepsi harga diri rendah dan terapi kognitif perilaku direkomendasikan untuk depresi pada lansia harga diri rendah.Abstract Decrease in Elderly Depression through Therapy Low Self-Esteem Group Activities and Cognitive Therapy. The aim of this study was to determine the influence of Therapy of Group Activities (TGA) stimulatiing low self esteem perception and Cognitive Behavioral Therapy (CBT) for depression in elderly low self esteem. The research design was quasi experiment with pre-post test control group. The sample of this research are  28 respondents in the intervention group and 28 respondents in control group. Data collection with Geriatric Depression Scale (GDS) and were analyzed using T-test. The results showed significant decrease of elderly depression low self-esteem in both groups with a decrease of 67.4% intervention group and 31.9% of controls (p value <0.05) and significant relationship exists between elderly characteristics (gender, education, marital status, employment and comorbid physical illness) with depression in elderly low self-esteem (p value <0,05). Therefore, TGA stimulating low self-esteem and perception of cognitive behavioral therapy are recommended for depression in the elderly low self esteem. Keywords: Therapy of Group Activities, cognitive behavioural therapy, depression, low self esteem 
Peningkatan Efikasi Diri dan Penurunan Depresi pada Remaja dengan Cognitive Behavior Therapy Florensa Florensa; Budi Anna Keliat; Ice Yulia Wardani
Jurnal Keperawatan Indonesia Vol 19, No 3 (2016): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i3.474

Abstract

Sekitar 71% dari 229 remaja SMA di kota Depok, Jawa Barat mengalami depresi. Depresi terjadi karena berbagai faktor diantaranya efikasi diri yang rendah. Cognitive Behavior Therapy (CBT) merupakan terapi yang dilakukan untuk meningkatkan efikasi diri dan mengatasi depresi. Penelitian ini bertujuan untuk mengetahui perubahan efikasi diri dan depresi setelah mendapat CBT. Metode penelitian: quasi eksperimen dengan pre-post test with control group pada penerapan CBT yang dilakukan secara berkelompok. Uji analisis yang digunakan adalah dependen dan independent sample t-Test, chi-square dan pearson product moment. Responden penelitian ini adalah remaja kelas VIII SMPN Kota Bogor. Sampel penelitian sebesar 72 remaja. Hasil penelitian menunjukkan peningkatan efikasi diri remaja yang mendapat CBT lebih tinggi dibanding remaja yang tidak mendapat CBT, depresi remaja yang mendapat CBT lebih rendah dibandingkan penurunan depresi pada remaja yang tidak mendapat CBT. Peningkatan efikasi diri mempunyai hubungan yang kuat dalam menurunkan depresi pada remaja dengan arah hubungan negatif. CBT direkomendasikan pada remaja dengan efikasi diri rendah dan depresi. Abstract Improved Self-Efficacy and Decrease of Depression in Teenagers with Cognitive Behavior Therapy. Research shows that in the city of Depok, West Java, there is 71% of 229 high school adolescents with depression. Depression occurs due to various factors such as low self-efficacy. Cognitive Behavior Therapy (CBT) is the treatment carried out to improve the self-efficacy and depression. This study aims to determine the change in self-efficacy and depression after receiving CBT. Research methods: a quasi experimental pre-post test with control group on the application of CBT is done in groups. The analysis used is dependent and independent sample t-test, chi-square and Pearson product moment. The respondents of this study were adolescents class VIII SMPN Bogor. This sample is 72 adolescents with low self-efficacy and depression. The results showed an increase in self efficacy teen gets CBT significantly higher than adolescents who did not receive CBT, depressed adolescents who received CBT were significantly lower than the decrease in depression in adolescents who did not receive CBT.  Increased self-efficacy has a strong relationship in reducing depression in adolescents with a negative direction. CBT is recomended in adolescents with loh self-efficacy and depression.  Keywords: adolescents, self-efficacy, depression and Cognitive Behavior Therapy
Penyuluhan Kesehatan Langsung dan melalui Media Massa Berpengaruh terhadap Perawatan Hipertensi pada Usia Dewasa Di Kota Depok Sri Haryani; Junaiti Sahar; Sukihananto Sukihananto
Jurnal Keperawatan Indonesia Vol 19, No 3 (2016): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i3.469

Abstract

Penyuluhan kesehatan merupakan cara yang digunakan untuk menyampaikan informasi kesehatan. Penyuluhan dapat dilakukan langsung melalui metode tatap muka atau dengan menggunakan media massa sebagai sarana dalam penyampaian informasi. Pada kenyataannya belum diketahui cara mana yang paling efektif dalam penyuluhan kesehatan untuk perawatan hipertensi usia dewasa. Penelitian ini bertujuan untuk mengetahui pengaruh penyuluhan kesehatan langsung dan melalui media massa dengan perawatan hipertensi pada usia dewasa. Penelitian ini menggunakan  desain cross sectional. Responden yang terlibat adalah 122 usia dewasa yang merupakan total populasi. Hasil penelitian menunjukkan bahwa penyuluhan kesehatan langsung dan melalui media massa berhubungan secara bermakna dengan perawatan hipertensi pada usia dewasa. Penyuluhan kesehatan melalui media cetak merupakan faktor dominan pada perawatan hipertensi. Penelitian ini merekomendasikan untuk dilakukannya penyuluhan kesehatan secara berkala melalui selebaran, majalah dan poster.  AbstractThe influence of Direct Health Education and Using Mass Media to Treatment of Hypertension at the Age of Adult. Health education is a means of conveying health information to public. Health education can be done through giving face-to-face information to the adult patients and also by using mass media as supporting facilities in forwarding the information. However, it is not yet identified which method of education is more beneficial for the treatment of hypertension in adult. This study aimed to determine the influence of direct and mass media health education to the hypertension treatment in adult. This study used cross sectional design involving the total population of  122 adults. The results of the study showed that direct and mass media health education were significantly associated with hypertension treatment in adult. Health education via printed media became a dominant factor in the treatment of hypertension. This research recommends that regular health education should be done by means of leaflets, magazines and posters. Keywords: electronic media, print media, health education, face-to-face, hypertension, adult.
Umur Orang dengan HIV AIDS (ODHA) Berhubungan dengan Tindakan Pencegahan Penularan HIV Yowel Kambu; Agung Waluyo; Kuntarti Kuntarti
Jurnal Keperawatan Indonesia Vol 19, No 3 (2016): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i3.473

Abstract

HIV/AIDS mengancam eksistensi manusia, sehingga perlu dilakukan tindakan pencegahan penularannya. Tujuan penelitian adalah mengidentifikasi faktor-faktor yang memengaruhi tindakan pencegahan penularan HIV oleh ODHA. Desain penelitian adalah deskriptif analitik cross sectional. Teknik pengambilan sampel adalah consecutive sampling. Penelitian dilakukan pada dua rumah sakit Pemerintah dan satu Klinik Yayasan Sosial Agustinus di Sorong Papua Barat. Jumlah responden yang diperoleh 75 orang. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan tindakan pencegahan penularan HIV adalah umur (p= 0,040; α= 0,05). Pada analisis regresi logistik ganda diketahui bahwa umur merupakan faktor yang paling mempengaruhi tindakan pencegahan penularan HIV (p= 0,031; α= 0,05; 95% CI: 1.169-26.423). Umur muda berisiko menularkan HIV karena cenderung melakukan seks tidak aman. Perawat dalam memberikan asuhan keperawatan harus berfokus pada intervensi konseling bagaimana menghindari perilaku seks tidak aman. Abstract  Age People with HIV AIDS (PLWHA) Precautions in Connection with HIV Infection. HIV/AIDS has threaten the human existence, so it necessary to actions to prevent the HIV transmissions. The aim of this study was to determine the factors that influence the act of HIV transmission prevention by PLWHA. The study design was cross sectional analytic descriptive approach. The sampling technique is consecutive. The study was conducted at two government hospitals and one private clinic in Sorong. The number of respondents is 75 people. The results showed that factors correlated to the prevention of HIV transmission is age (p= 0,040; α= 0,05). In multiple logistic regression analysis it is known that age is a factor that most influences the actions of prevention of HIV transmission (p= 0,031; α= 0,05; 95% CI: 1.169-26.423). The young age due to become infected with HIV were more likely to perform unsafe sex. The provision of nursing care  shlould be focused on the interventions counseling how to avoid unsafe sex. Keywords: HIV transmission, PLWHA, prevention
Gambaran Prosedur Pemasangan Akses Intravena yang Dilakukan Oleh Perawat Kepada Balita: Pilot Studi Atika Widyanti; Nur Agustini
Jurnal Keperawatan Indonesia Vol 19, No 3 (2016): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i3.468

Abstract

Prosedur pemasangan intravenous line merupakan sebuah prosedur tindakan invasif yang dapat mengakibatkan trauma dan gambaran yang negatif pada balita dan orangtua. Penelitian ini bertujuan untuk melihat gambaran prosedur pemasangan intravenous line yang dilakukan oleh perawat kepada balita di rumah sakit. Penelitian ini menggunakan desain penelitian deskriptif pada 40 responden dengan metode analisis data univariat. Hasil penelitian menunjukkan sebanyak 55% responden mempunyai gambaran yang baik tentang prosedur pemasangan intravenous line yang dilakukan oleh perawat kepada balita. Berdasarkan hasil penelitian ini prosedur pemasangan IV line sebagian besar sudah dilaksanakan dengan baik oleh perawat. Penelitian ini dapat menjadi informasi dan hasil evaluasi bagi perawat tentang prosedur pemasangan intravenous line kepada balita. Abstract Description of Intravenous Line’s Procedure doing by Nurses to Toddlers: Pilot Study. Intravenous line’s procedure is an invasive procedure that can traumatize and gives negative perception for children under five years old and their parents The purpose of this study was to describe intravenous line’s procedure done by nurses towards children under five years old at hospital. This descriptive study was collected from 40 respondents by using univariate analysis. The result of this study showed that 55% respondent had positive image about intravenous line’s procedure done by nurses toward children under five years old. Based on the result showed a lot of nurses have performed intravenous line’s procedure well. This study can be used as information and evaluation’s result for nurses about intravenous line’s procedure toward children under five years old. Keywords: children under five years old, hospital, intravenous line’s procedure, nurse, parent
Stigmatisasi dan Perilaku Kekerasan pada Orang dengan Gangguan Jiwa (ODGJ) di Indonesia Muhammad Arsyad Subu&#039;; Dave Holmes; Jayne Elliot
Jurnal Keperawatan Indonesia Vol 19, No 3 (2016): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i3.481

Abstract

Salah satu efek stigmatisasi gangguan jiwa adalah perilaku kekerasan yang dilakukan oleh penderita terhadap orang orang di sekitarnya termasuk keluarga, perawat dan masyarakat. Sebaliknya, penderitamengalamikekerasan dari keluarga, masyarakat dan profesional keperawatan. Penelitian ini bertujuan memahami dampak stigmatisasi dalam hubungannya dengan perilaku kekerasan terhadap penderita; serta untuk mengetahui perilaku kekerasan yang dilakukan oleh penderita terhadap orang lain. Penelitian ini menggunakan Constructivist Grounded Theory. Metode pengumpulan data termasuk wawancara semi-terstruktur, dokumen reviw, catatan lapangan, dan memo. Analisis data menggunakan metode Paillé. Perilaku kekerasan adalah efek stigmatisasi termasuk kekerasan diri sendiri dan kekerasan terhadap keluarga, masyarakat dan tenaga kesehatan.Kekerasan fisik juga dialami penderita dari orang lain. Dampak stigmatisasi dimanifestasikan dengan perilaku kekerasan yang dilakukan oleh penderita, keluarga, staf rumah sakit, masyarakat, dan aparat.Hasil temuan ini relevan untuk para perawat jiwa yang memberikan asuhan keperawatan terhadap pasien perilaku kekerasan.Penelitian lanjut diperlukan untuk melihat perspektif keluarga, masyarakat dan staf pemerintah  terkait stigma dengan perilaku kekerasan.  Abstract Stigmatization and Violent Behavior on Mental Illness Patient in Indonesia. An effect of stigmatization of mental illness is violent behavior conducted by patients toward other people around them including families, nurses and communities. Conversely, patients experienced violence conducted by families, communities and nursing professionals. This study aims to understand the effects of stigmatization on violent behavior towards sufferers; and to investigate violent behavior committed by sufferers against other people. This study used Constructivist Grounded Theory. Methods of data collection are semi-structured interviews, document review, field notes, and memos. Data analysis used Paillé. Violent behavior is the effect of stigmatization including self-harm and violence against families, communities and health professionals. Physical abuse is experienced by sufferers from others. The impact of stigmatization is manifested by violent behavior committed by patients, families, staff, community and authorities. Findings are relevant to psychiatric nurses who provide care to the patients with violent behavior. Further research is needed to see the perspective of families, communities and government to understand stigma in relation to violent behavior. Keywords: Mental Illness, violent behavior, stigma, stigmatization
Peningkatan Keselamatan Diri Perawat melalui Optimalisasi Fungsi Manajemen Mayanti Mahdarsari; Hanny Handiyani; Hening Pujasari
Jurnal Keperawatan Indonesia Vol 19, No 3 (2016): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i3.472

Abstract

Indikator mutu pelayanan dinilai dari perilaku tenaga kesehatan khususnya perawat dalam menjaga keselamatan dirinya. Budaya organisasi, komunikasi antar perawat, pengendalian, dan hubungan tim serta pelatihan yang kurang  dapat memengaruhi perilaku perawat dalam menjaga keselamatan diri. Jika keselamatan dan kesehatan perawat tidak diperhatikan akan terjadi peningkatan absensi, ketidakpuasan bekerja, produktifitas dan konsentrasi perawat dalam bekerja menurun. Penelitian bertujuan mengidentifikasi determinan perilaku perawat dalam menjaga keselamatan dirimenggunakan metode analitik korelatif pada 105 perawat pelaksana di rumah sakit dengan metode accidental sampling. Alat ukur menggunakan kuesioner dan lembar observasi. Data dianalisis menggunakan independent t test dan uji chi-square. Faktor-faktor yang mempengaruhi perilaku perawat dalam menjaga keselamatan diri:budaya organisasi (p= 0,004; CI = 1,831-38,404), komunikasi (p=0,003; CI = 1,776-14,845), pengendalian (p=0,012; CI = 1,457-14,790), hubungan tim (p=0,016; CI= 1,337- 9,035), serta pelatihan (p=0,014; CI =1,365 – 8,924). Hasil ini dapat menjadi dasar bagi rumah sakit untuk meningkatkan perilaku perawat menjaga keselamatan diri. Abstract Improving Nurses Safety through Organization Culture, Communication, Controlling Function, Team Relationships and Training. Indicators of service quality assessed from the behavior of health personnels in maintaining their safety. Organizational culture, communication between nurses, controlling function, team relationshipst hat are less and less training can influence the behavior of nurses in maintaining personal safety. If the safety and health of nurses are not considered to be an increase in attendance, unsatisfactory work, productivity and concentration of nurses in work declined. This study aimed to identify the determinants of nursing behavior in maintaining personal safety by using correlative analytic methods to 105 nurses at hospital with accidental sampling method. Data collected from questionnaires and observation sheets were analyzed using independent t test and chi-square test. Factors that influenced nurses’ behavior in maintaining personal safety were organizational culture (p = 0,004 ; CI = 1,831-38,404), communication (p= 0,003 ; CI = 1,776-14,845), controlling function (p= 0,012 ; CI = 1,457-14,790), team relationships ( p= 0,016 ; CI = 1,337-9,035), and training (p= 0,014 ; CI = 1,365-8,924). These results can be the basis for hospitals to improve the behavior of the nurses keep personal safety. Keywords: behavior, determinants, nurse, safety.
Dukungan Keluarga Memengaruhi Kepatuhan Pasien Hipertensi Fitra Yeni; Miftahul Husna; Dachriyanus Dachriyanus
Jurnal Keperawatan Indonesia Vol 19, No 3 (2016): November
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v19i3.471

Abstract

Hipertensi adalah keadaan meningkatnya tekanan darah sistolik lebih besar dari 140 mmHg dan atau diastolik lebih besar dari 90 mmHg. Keefektifan terapi pasien hipertensi ditentukan oleh kepatuhan, dan dukungan keluarga dapat menjadi faktor yang sangat berpengaruh. Penelitian ini bertujuan untuk membuktikan seberapa besar hubungan dukungan keluarga dengan kepatuhan pada pasien hipertensi. Ini merupakan penelitan deskriptif korelatif dengan pendekatan cross sectional dan jumlah sampel sebanyak 59 orang. Pengumpulan data dilakukan di Puskesmas Padang Pasir Kota Padang tanggal 4-30 April 2013 dengan menggunakan kuesioner. Analisa data penelitian terdiri dari analisa univariat yang menggambarkan dukungan keluarga dan kepatuhan responden sedangkan analisa bivariat menggunakan uji korelasi Rank Spearman (r). Hasil penelitian menunjukkan sebanyak 54% responden mendapatkan dukungan keluarga dengan kategori sedang dan 59 % responden mempunyai kepatuhan dengan kategori sedang. Hasil uji statistik didapatkan nilai (r) = 0,786. Disimpulkan bahwa dukungan keluarga mempunyai hubungan sangat kuat dengan kepatuhan dan terdapat hubungan searah, sehingga semakin tinggi dukungan keluarga maka semakin tinggi kepatuhan. Dukungan keluarga berkontribusi sebesar 61,8% terhadap kepatuhan. Keluarga harus lebih memperhatikan pemberian dukungan informasional terhadap pasien hipertensi.  Abstract Family Support Affect Patient Compliance with Hypertension. Hypertension is a state of increased systolic blood pressure greater than 140 mmHg and or diastolic greater than 90 mmHg. The effectiveness of treatment is determined by the compliance of hypertensive patients, and family support can be a very influential factor. This study aims to determine the relationship of family support with adherence in hypertensive patients. The study was a descriptive correlative with cross sectional approach and sample are 59 people. Data collection was conducted at Puskesmas Padang Pasir from 4 to 30 April 2013, collected using questionnaires. Data analysis consisted of univariate analysis that describes the family support and adherence respondents then bivariate analysis using Rank Spearman (r) correlation test. The results showed 54% of respondents have family support with medium category and 59% respondents have compliance with medium category. Statistical test results obtained values (r) = 0.786. Concluded that family support has a very strong relationship with compliance and there is a direct relationship, so higher family support make impact higher compliance. Family support accounted for 61.8% of compliance. Family should pay more attention to providing informational support to patients with hypertension Keywords: adherence, hypertension, family support

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