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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.
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Search results for , issue "Vol 21, No 1 (2018): March" : 8 Documents clear
Berduka pada Perempuan HIV Positif Rizka Ristriyani; Imami Nur Rachmawati; Yati Afiyanti
Jurnal Keperawatan Indonesia Vol 21, No 1 (2018): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i1.543

Abstract

This study aims to identify the intensity of grief response in HIV positive women. The study design was conducted by cross section by consecutive sampling method. The samples were 235 HIV positive women who are patients at Primary Health Care in Jakarta, Indonesia. The result shows that a mean value of denial is 2.25 (SD 0.75) in the range of 2.18 to 2.38; a mean value of resistance is 1.67 (SD 0.89) in the range of 1.84-2.07;  the middle value of sorrow is 2.67 (SD 0.93) in the range 2.26-2.52; and the mean value of acceptance  is 3 (SD 0.72) in the range 2.79-2.98 at the 95% confidence level. Characteristics of respondents shows that more than half of respondents were housewives (65.5%), married 56.2% and 50% of respondents said that they contracted HIV from their spouses. The youngest age in this study was 18 years old and the eldest was 47 years old. The study found that the attitudes of denying was on a moderate scale, anger on a mild scale, sorrow on a moderate scale, and acceptance on near-fullness scale. All of respondents was patient in Primary Care Facilities that might be one of the factors that cause acceptance is close to full. However, further research is needed on what factors can affect the grieving process  of HIV-positive women. Keywords: acceptance, denial, grieving, resistance, sorrow, women with HIV Abstrak Penelitian ini bertujuan untuk mengidentifikasi intensitas respon berduka pada perempuan HIV positif. Rancangan penelitian dilaksanakan dengan potong lintang dengan metode pengambilan sampel secara consecutive sampling. Jumlah sampel penelitian sebanyak 235 perempuan HIV positif yang menjadi pasien di beberapa Puskesmas di Jakarta, Indonesia. Hasil penelitian didapatkan gambaran denial dengan nilai tengah yaitu 2,25 (SD 0,75) berada pada rentang 2,18-2,38; resistance dengan nilai tengah yaitu 1,67 (SD 0,89) berada pada rentang 1,84-2,07; sorrow dengan nilai tengah yaitu 2,67 (SD 0,93) berada pada rentang 2,26-2,52; dan acceptance dengan nilai tengah yaitu 3 (SD 0,72) berada pada rentang 2,79-2,98 pada tingkat kepercayaan 95%. Karakteristik responden menunjukkan bahwa lebih dari separuh responden adalah ibu rumah tangga (65,5%), menikah sebanyak 56,2% dan 50% responden menyatakan tertular HIV dari pasangannya. Usia termuda pada penelitian ini adalah 18 tahun dan yang tertua adalah 47 tahun. Penelitian ini menemukan bahwa sikap menyangkal perempuan HIV positif berada pada skala sedang, kemarahan pada skala ringan, kesedihan mendalam pada skala sedang, dan penerimaan pada skala mendekati penuh. Karakteristik responden seluruhnya berasal dari fasilitas kesehatan primer yang telah mendapatkan pengobatan dan konseling sehingga hal tersebut mendukung acceptance yang penuh pada responden. Namun demikian masih perlu penelitian lebih lanjut mengenai factor-faktor apa saja yang memengaruhi berduka pada perempuan HIV positif. Kata Kunci: penerimaan, berduka, menyangkal, perempuan HIV, marah, kesedihan mendalam
Pelatihan Asuhan Keperawatan Peka Budaya Efektif Meningkatkan Kompetensi Kultural Perawat Enie Novieastari; Jajang Gunawijaya; Agustin Indracahyani
Jurnal Keperawatan Indonesia Vol 21, No 1 (2018): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i1.484

Abstract

Seorang perawat dituntut untuk memiliki kompetensi kultural sehingga memiliki kepekaan terhadap kebutuhan budaya pasien. Artikel ini bertujuan untuk memberikan gambaran peningkatan kompetensi kultural perawat yang masih rendah melalui program Pelatihan Asuhan Keperawatan Peka Budaya pada Pasien dengan Gangguan Respirasi. Desain yang digunakan adalah quasi eksperimen dengan pre dan post test tanpa kelompok kontrol. Program pelatihan ini berlangsung selama 4 minggu melibatkan 93 orang perawat pelaksana dan manajer asuhan keperawatan di sebuah rumah sakit di Jakarta Timur yang dipilih secara purposif. Instrumen kompetensi kultural yang digunakan adalah instrumen yang dikembangkan oleh peneliti pada penelitian sebelumnya. Hasil pengukuran kompetensi kultural perawat sebelum dan setelah pelatihan menunjukkan perbedaan yang bermakna. Kompetensi kultural ditinjau dari aspek  pengetahuan budaya memiliki nilai p< 0,001 (α= 0,05), dari sikap budaya nilai p< 0,01 (α= 0,05),  dan dari aspek keterampilan budaya nilai p< 0,001 (α= 0,05). Kesimpulan yang dapat diambil adalah bahwa kegiatan Pelatihan Asuhan Keperawatan Peka Budaya efektif meningkatkan kompetensi kultural perawat dalam memberikan asuhan keperawatan. Rekomendasi untuk kegiatan selanjutnya adalah perlunya mensosialisasikan model Asuhan Keperawatan Peka Budaya yang digunakan dalam pelatihan ini kepada seluruh perawat agar dapat diterapkan kepada seluruh pasien dengan berbagai gangguan kesehatan. Kata kunci: kompetensi budaya, pelatihan perawat, asuhan keperawatan, peka budaya ABSTRACT Culturally-sensitive nursing care trainings effectively improve nurses’ cultural competency. Nurses are required to have cultural competency in order to provide culturally sensitive nursing care for their patients. The purpose of this study was to improve nurse cultural competences through A Training Program of Culturally Sensitive Nursing Care for Patients with Respiratory Health Problems. The study utilized quasi-experiments design without control. The four-week training program was organized involving 93 nurses at Persahabatan Hospital Jakarta who were selected using purposive sampling. The nurse cultural competency instruments modified by the author from her previous work was used. The results of this study showed that after the training program, the nurse cultural competency increased significantly (p< 0.001 for cultural knowledge, p= 0.003 for cultural attitude, and p< 0.001 for cultural skills). It was found that the training program was effective to increase every aspect of nurse cultural competency. In conclusion, the nursing care training program was effective to increase nurse’s cultural competency. Further programs are needed to improve the program outreach for all nurses and to be applied to the patients with a variety of health problems. Keywords: cultural competency, nurses training, culturally sensitive, nursing care
Kualitas Hidup Pasien Skizofrenia Dipersepsikan Melalui Stigma Diri Ice Yulia Wardani; Fajar Apriliana Dewi
Jurnal Keperawatan Indonesia Vol 21, No 1 (2018): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i1.485

Abstract

Skizofrenia merupakan sekumpulan gejala atau sindrom yang dapat menyebabkan masalah kejiwaan yang sangat serius. Stigma diri muncul akibat efek negatif penilaian orang lain terhadap pasien Skizofrenia sehingga mengakibatkan penurunan kemampuan kerja, fungsi sosial, harga diri, dan harapan. Kualitas hidup pasien Skizofrenia erat kaitannya dengan disabilitas yang dialaminya berupa perubahan kognitif dan persepsi dalam menjalani kehidupan. Penelitian ini bertujuan untuk mengidentifikasi kualitas hidup pasien skizofrenia melalui stigma diri. Desain penelitian ini adalah descriptive corelative dengan pendekatan cross sectional, sampel 92 responden yang dipilih menggunakan teknik consecutive sampling. Analisis uji statistik menggunakan correlation test. Hasil dari penelitian adalah ada hubungan antara stigma diri dengan kualitas hidup pasien Skizofrenia dengan korelasi negatif (r= -0,568, p= 0,00). Level stigma diri termasuk kedalam klasifikasi stigma tinggi dan klasifikasi kualitas hidup yang rendah. Penelitian ini merekomen-dasikan pelaksanaan intervensi keperawatan yang berorientasi pada pasien berupa pencegahan stigma negatif dan peningkatan kualitas hidup.   Abstract Quality of Life Schizophrenia Patients Treated Through Self Stigma. Schizophrenia is a syndrome that could induce seriously psychology problems. Self stigma can induce because of consequence of negative stereotype in patients with Schizophrenia with the result that diminished ability to work, social function, self-esteem and hope. Quality of life in patients with Schizophrenia related to disability because of impaired cognitive and perception in their life. This study was conducted to correlation between self stigmawith quality of life in patients Schizophrenia. Methodology use descriptive correlative with cross sectional study, used 92 patients with a diagnosis of Schizophrenia and used consecutive sampling. Statistical analysis test using correlation test. Result this study, there is significance correlation between self stigma and quality of life (p= 0.00 < 0.005) (r= -0.865). The level of self stigma of patients with schizophrenia was determined to be high, and the self stigma had a negative impact on the quality of life.  This study recommends the implementation of patient oriented nursing interventions in the form of prevention of negative stigma and improvement of quality of life Keywords: internalized stigma, quality of life, Schizophrenia
Terapi Kelompok Asertif Efektif Meningkatkan Kemampuan Asertif dan Resiliensi pada Remaja di SMPN Padangpanjang Rosa Fitri Amalia; Budi Anna Keliat
Jurnal Keperawatan Indonesia Vol 21, No 1 (2018): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i1.509

Abstract

Kurangnya kemampuan remaja dalam berperilaku asertif menyebabkan terjadinya penyimpangan perilaku seperti tidak mampu mengungkapkan keinginan dengan baik, melanggar hak orang lain dan meminta dengan paksa. Untuk mengatasi hal tersebut perlu ditingkatkan kemampuan asertif dan resiliensi pada remaja dengan terapi kelompok asertif. Tujuan penelitian untuk mengetahui pengaruh terapi kelompok asertif terhadap kemampuan asertif dan resiliensi pada remaja. Penelitian ini menggunakan desain penelitian Quasi Experimental Pre test-Pos test with control group. Kelompok intervensi dan kelompok kontrol masing-masing terdiri dari 42 orang. Terapi kelompok asertif dilakukan sebanyak 6 sesi. Hasil penelitian didapatkan terjadi peningkatan secara signifikan terhadap kemampuan asertif (p= 0,000) dan kemampuan resiliensi (p= 0,015) pada kelompok intervensi. Sedangkan pada kelompok kontrol tidak ada perbedaan secara signifikan antara hasil pre test dan post test. Selain itu ditemukan terdapat korelasi yang positif (r= 0,396) antara kemampuan asertif dengan kemampuan resiliensi. Terapi ini direkomendasikan pada pelayanan kesehatan di masyarakat khususnya kepada anak remaja. Kata Kunci: Asertif, resiliensi, remaja, terapi kelompok asertif Abstract  The Effect of Assertive Group Therapy on Assertive and Resilience Ability of Adolescent in Padangpanjang Junior High School. Adolescent’s lack of ability in assertive behaviour causes deviant behaviour e.g. unable to express wishes, violate other people right and ask forcefully. One solution to overcome this is that assertive ability and resilience need to be improved through assertive group therapy. This study aims to find the effect of assertive group therapy on assertive ability and resilience of adolescents. Quasi Experimental Pre and Post-test with control group was used. Intervention has been performed to 42 participants while 42 others were as a control group. Six sessions of assertive group therapy has been done. The findings show that a significant increase of assertive ability in intervention group has been found (p= 0.000) while ability resilience also raises significantly (p= 0.015). On the other hand, no significant difference is noted between pre-test and post-test in control group since the value of assertive and resilience ability are (p= 0.287) and (p= 0.658) respectively. Moreover, a positive correlation (r= 0.0396) has been found between assertive ability and resilience ability. The therapy is recommended as one of health care treatment in society particularly for adolescent.  Keywords: adolescent, assertive, assertive group therapy, resilience
Penerapan Mobile Video Efektif Meningkatkan Pengetahuan dan Sikap Ibu Dalam Menurunkan Lama Diare Balita di Wilayah Puskesmas Kedaton Bandar Lampung Yuli Lestari; Nani Nurhaeni; Happy Hayati
Jurnal Keperawatan Indonesia Vol 21, No 1 (2018): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i1.546

Abstract

Penanganan diare yang tepat dan edukasi manajemen diare pada ibu dapat menurunkan angka kesakitan dan kematian balita karena diare. Penelitian ini bertujuan untuk menguji efektifitas edukasi video penanganan diare terhadap pengetahuan dan sikap ibu dalam penanganan diare, serta lama diare balita. Desain penelitian menggunakan pre-post test dengan kontrol group. Total sampel sejumlah 71 responden dibagi kelompok intervensi dan kontrol yang dipilih menggunakan teknik consecutive sampling. Hasil penelitian menunjukkan terdapat perbedaan bermakna antara pengetahuan dan sikap sebelum dan sesudah edukasi pada kelompok intervensi (pengetahuan: p= 0,002; sikap p= 0,008); terdapat perbedaan bermakna antara selisih skor pengetahuan dan sikap antar kelompok (pengetahuan p= 0,008; sikap p= 0,001), namun tidak ada perbedaan yang bermakna antara lama diare kelompok kontrol dengan intervensi (p= 0,796). Edukasi video efektif meningkatkan pengetahuan dan sikap, namun tidak pada variabel lama diare. Edukasi melalui  audiovisual dapat dipertimbangkan sebagai asuhan keperawatan karena keefektifannya dalam meningkatkan pengetahuan dan sikap ibu menangani anak diare. Abstract Application Of Mobile Video Effective To Increase The Knowledge And Attitude In Managing Diarrhea Of The Mothers And To Reduce Diarrhea Duration Of Under Five Children. Proper handling of diarrhea and education of diarrhea management in mothers can decrease morbidity and mortality of children under five due to diarrhea. This study aimed to examine the effectiveness of video education about management of diarrhea toward knowledge and attitude of the mother, and duration diarrhea of under five children. The design applied a pre and post-test with the control group. The total sample was 71 respondents divided to control group and interventions were selected by consecutive sampling technique. The results showed that there were significant differences between knowledge and attitude before and after education in interventions (knowledge: p= 0.002; attitude p= 0.008). There was a significant difference between score knowledge and attitude control group and interventions (knowledge p= 0.008; attitude p= 0.001), but there was no significant difference between duration diarrhea control group and interventions (p= 0.796). Video education enhanced knowledge and attitude of the mother, but not to the duration of diarrhea. Audiovisual can be considered as a nursing intervention because its effectiveness to increase knowledge and attitude of the mother in handling the children with diarrhea. Keywords: Audiovisual Education, Attitude, Diarrhea Management, Duration of Diarrhea
Relaksasi Otot Progresif Menurunkan Stres Keluarga yang Merawat Pasien Gangguan Jiwa Livana PH; Novy Helena Catharina Daulima; Mustikasari Mustikasari
Jurnal Keperawatan Indonesia Vol 21, No 1 (2018): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i1.362

Abstract

Abstrak Gangguan jiwa merupakan penyakit tidak menular yang menjadi masalah kesehatan masyarakat, baik didunia maupun di Indonesia. Jumlah gangguan jiwa di kabupaten Kendal meningkat sehingga meningkatnya stres pada keluarga. Penelitian bertujuan untuk menilai efektifitas relaksasi otot progresif dalam menurunkan stres keluarga yang merawat pasien gangguan jiwa. Desain penilitian quasi eksperiment pre-post test with control group dengan 96 sampel secara purposive sampling, 48 kelompok intervensi dan 48 kelompok kontrol. Hasil penelitian relaksasi otot progresif sangat efektif menurunkan stres keluarga yang merawat pasien gangguan jiwa dibanding kelompok yang tidak mendapatkan perlakuan (p= 0,001).  Rekomendasi penelitian relaksasi otot progresif diberikan pada keluarga pasien gangguan jiwa untuk mengatasi stres keluarga dalam merawat pasien gangguan jiwa.  Abstract Effect of progressive muscle relaxation to the level of family stress in caring for clients of mental disorders in Psiciatry Polyclinic Regional General Hospital Kendal. Mental disorders are not contagious disease that is public health problem, both in the world and in Indonesia. In kendalthe number of mental disorders increase so increasing the level of family stress. The purpose of this study to identify the effect of progressive muscle relaxation on the level of family stress in caring for clients of  mental disorders in Psiciatry Polyclinic Regional General Hospital Kendal. Quasi experiments research design pre-post test with control group with 96 sampelsby purposive sampling,48groups received therapyand 48 groups did not receive therapy. The results showed that a progressive muscle relaxation exercise significant difference between the stress levels in the group who received and did not receive therapy (p= 0.001).  Tthis research did recommendated to families who are clients of mental disorders as aprimary care giver stress levels of families cope with caring  for clients in mental disorders with progressive muscle relaxation therapy.Keywords: progressive muscle relaxation, stress, client family mental disorder
Regulasi Diri pada Penyakit Kronis - Systemic Lupus Erythematosus : Kajian Literatur Atikah Fatmawati
Jurnal Keperawatan Indonesia Vol 21, No 1 (2018): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i1.542

Abstract

AbstrakPenyakit Systemic Lupus Erythematosus (SLE) adalah salah satu penyakit yang terkait dengan sistem imun. Penyakit SLE masih tergolong penyakit yang awam di Indonesia. Banyak faktor yang memengaruhi terjadinya kasus SLE di Indonesia, antara lain belum terpenuhinya kebutuhan pasien dan keluarganya tentang informasi, pendidikan, dan dukungan yang terkait dengan SLE. Hal ini diperlukan agar pasien mudah dalam penanganan penyakit terkait. Artikel dikumpulkan melalui database elektronik CINAHL, ScienceDirect, dan Proquest menggunakan kata kunci manajemen diri, sistemik lupus erythemathosus, kelelahan, dan depresi. Kriteria inklusi adalah penelitian terhadap jurnal yang diterbitkan pada periode antara tahun 2008-2017. Upaya mengurangi efek negatif penyakit kronis mutlak diperlukan. Salah satunya adalah penerapan program manajemen diri pada pasien SLE. Telah terbukti bahwa penerapan manajemen diri memiliki efek dalam mengurangi kelelahan dan depresi, dan meningkatkan keterampilan mengatasi dan efikasi diri. Pengetahuan dan pemahaman tentang program keperawatan yang relevan dalam pengelolaan penyakit kronis harus dikembangkan dalam lingkup praktik dan penelitian. Oleh karena itu, partisipasi aktif pasien dan keluarga merupakan komponen penting dalam keberhasilan program pengobatan. Kata kunci : depresi, kelelahan, manajemen diri, regulasi diri, dan sistemik lupus erythemathosus Abstract  Self Regulation in Chronic Illness - Systemic Lupus Erythematosus: Literature Review. Systemic Lupus Erythematosus (SLE) is one of the diseases that associated with immune system. SLE is still classified as a disease that lay in Indonesia. Many factors that cause this disease are not detected, one of which has not fulfilled the needs of patients and family of information, education, and support that is associated with SLE. This is necessary to enable the patient in self-management related illness. Articles were collected through electronic databases CINAHL, Science Direct, and ProQuest using keywords self-management, systemic lupus erythematosus, fatigue, and depression. The inclusion criteria were studies to journals published in the period between the years 2008-2017. Efforts to reduce the negative effects of chronic disease is absolutely necessary. One is the application of self-management program in patients with SLE. It has been proven that the application has an effect in reducing fatigue and depression, and increasing coping skills and self-efficacy. Knowledge and understanding of relevant nursing programs in chronic disease self-management should be developed within the scope of practice and research. So that the active participation of the patient and family is an important component in the success of a treatment program. Keywords : depression,  fatigue, self management, self regulation, and systemic lupus erythemathos
Facilitated Tucking Effective to Pain Relief on The Preterm Infants in Perinatal Unit in Jakarta Eva Oktaviani; Yeni Rustina; Defi Efendi
Jurnal Keperawatan Indonesia Vol 21, No 1 (2018): March
Publisher : Faculty of Nursing Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/jki.v21i1.539

Abstract

Most preterm infants often need to be hospitalized more than one week in intensive care, so they undergo numerous repeated painful procedures such as blood collection. The study aimed to identify the effect of facilitated tucking for pain respond that is physiological parameter and duration of crying in preterm infants during blood collection. The study design was quasi experimental with nonequivalent control group pretest-posttest design. Fourty babies were divided into two groups; the intervention group (n= 20) who received facilitated tucking during blood collection and the control group (n= 20) without facilitated tucking, with consecutive sampling technique. Statistical analyses used were General Linear Model+post hoc, Mann-Whitney, and Independent T-Test. There were significant means the difference in the heart rate, oxygen saturation, and duration of crying infants between non-intervention and intervention group. Duration of crying infants in intervention is shorter than the control group. Facilitated tucking is effective in pain reduction and crying time during blood collection. This finding implies a part of developmental care and should be attention for promoting pain management infants. Keywords: developmental care, facilitated tucking, pain, preterm infantsEfektivitas Facilitated Tucking Terhadap Respon Nyeri Bayi Prematur Selama Pengambilan Darah di Unit Perinatal di Jakarta. Mayoritas bayi prematur akan mengalami perawatan yang lama di ruang intensif, sehingga terpapar sejumlah prosedur menyakitkan berulang yang menimbulkan respon nyeri salah satunya pengambilan darah. Tujuan dari penelitian ini untuk mengidentifikasi pengaruh penerapan facilitated tucking terhadap respon nyeri berupa parameter fisiologis dan lama menangis selama dilakukan pengambilan darah. Desain penelitian adalah quasi experimental dengan nonequivalent control group pretest-posttest design. Empat puluh bayi pada sampel penelitian dibagi menjadi dua kelompok; kelompok intervensi (n= 20) dengan facilitated tucking dan kelompok kontrol (n= 20) tanpa facilitated tucking, diambil secara consecutive sampling. Analisis menggunakan uji General Linear Model+post hoc, Mann-Whitney, dan Independent T-Test. Ada perbedaan signifikan rerata frekuensi nadi, saturasi oksigen, dan lama menangis antara kedua kelompok selama pengambilan darah. Lama menangis pada kelompok intervensi menjadi lebih singkat. Facilitated tucking efektif mengurangi nyeri dan lama menangis selama pengambilan darah. Facilitated tucking dapat diterapkan sebagai bagian dari asuhan perkembangan untuk mendukung program pengendalian nyeri pada neonatus. Kata kunci: asuhan perkembangan, bayi prematur, facilitated tucking, nyeri

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