Holistic Nursing and Health Science
Holistic Nursing and Health Science Journal (HNHS) (E-ISSN: 2622-4321) is an open access journal (e-journal). HNHS provides a forum for original research and scholarships relevant to nursing and other health-related professions. HNHS journal is published by Department of Master Nursing, Faculty of Medicine, Diponegoro University.
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<![CDATA[Hubungan Kepatuhan Menjalani Terapi Hemodialisis dengan Kualitas Hidup Pasien Penyakit Ginjal Kronik di Masa Pandemi Covid-19 ]]>
<![CDATA[Wella Susantri]]>;
<![CDATA[Bayhakki Bayhakki]]>;
<![CDATA[Rismadefi Woferst]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 5, No. 2 (2022): November ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.5.2.2022.216-225
<![CDATA[Introduction : The COVID-19 pandemic became one of the highest causes of death in early 2020. The spread is so fast and uncontrollable that it is the reason for many people to stay at home and avoid places with the highest spread, one of which is the hospital. In this condition, many people delay treatment, choose alternatives, and decide to no longer be in the hospital environment. This also applies to patients with chronic kidney failure, where sufferers are required to continue to take therapy to achieve a good quality of life. However, with the COVID-19 situation, most sufferers postpone therapy so they don't get infected. Compliance with therapy is very important for people with CKD to be able to achieve a good quality of life. This study aims to determine the relationship between compliance with hemodialysis therapy and the quality of life of CKD patients undergoing hemodialysis therapy during the COVID-19 period. Method: The research design used is descriptive correlational with a cross sectional approach. The sample in this study was a total sampling of 70 respondents. This study used the KDQL questionnaire to measure quality of life and The End-Stage Renal Disease Adherence Questionnaire (ESRD-AQ) questionnaire to measure adherence. The analysis used was bivariate analysis using the chi-square test. Results: Iit was found that 71.4% adhered to hemodialysis therapy and, 54.3% have a good quality of life. The statistical test results showed that there was a significant relationship between adherence to hemodialysis therapy and the quality of life of CKD patients where the p-value was 0.026 < α (0.05). Conclusion: There is a significant relationship between adherence and quality of life of CKD patients undergoing hemodialysis therapy. Nurses have an important role in motivating CKD patients to comply with hemodialysis therapy.Keywords: Hemodialysis Therapy, Adherence, Quality of Life, Chronic Kidney Disease.]]>
<![CDATA[Pengaruh Edukasi 1000 Hari Pertama Kehidupan (HPK) Terhadap Pengetahuan Dan Sikap Wanita Usia Subur (WUS) ]]>
<![CDATA[Diah Ulfa Hidayati]]>;
<![CDATA[Fitria Yulastini]]>;
<![CDATA[Evalina Fajriani]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 5, No. 2 (2022): November ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.5.2.2022.169-177
<![CDATA[Introduction: Indonesia's health development still facing various challenges, one of which is the high incidence of stunting in children under five. Based on a preliminary study conducted in Perina Village, Jonggat District, Central Lombok Regency, mothers' knowledge and attitudes about caring for the first 1000 days of life (HPK) were still low. The low knowledge and attitude of mothers about nutrition in 1000 HPK can lead malnutrition conditions that occur since in the womb and early period after birth so it can affect growth and development problems in the future. The government has promoted the "1000 HPK Movement" as an effort to improve nutrition, but the problem of nutrition in society has not been optimally resolved. To support the government's program, it is necessary to conduct education as an effort to increase mothers' knowledge and attitudes about 1000 HPK.Methods: This research is a pre-experimental study with one group pretest-posttest design. This research was conducted in Perina Village, Jonggat District, Central Lombok Regency in August 2022. The population in this study were all women of childbearing age (WUS) who live in Perina Village. The sample in this study were 30 respondents who were taken by purposive sampling technique with predetermined inclusion and exclusion criteria. The independent variable in this study was the education of 1000 HPK and the dependent variable was the knowledge and attitudes of WUS. The 1000 HPK education was carried out using the discourse method with leaflets as media. Pretest and posttest with questionnaires were given before and after education to measure the level of knowledge and attitudes of WUS about 1000 HPK. Data analysis used the Wilcoxon test in the SPSS 23 program.Results: There are differences in WUS knowledge and attitudes before and after treatment. From the results of the Wilcoxon test, the value of p = 0.000 was obtained for the knowledge variable and p = 0.001 for the attitude variable.Conclusion: There is an effect of education on WUS knowledge and attitudes about 1000 HPK. Education about 1000 HPK must be carried out regularly with a variety media to increase people's knowledge and attitudes as an effort to prevent stunting and other nutritional problems.Keywords: 1000 HPK, Education, Women of Childbearing Age (WUS).]]>
<![CDATA[Hubungan Self-Efficacy dengan Academic Resilience Dimediasi Self-Regulated Learning pada Mahasiswa di Masa Pandemi COVID-19 ]]>
<![CDATA[Betty Erda Yoelianita]]>;
<![CDATA[Ervia Toga]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 5, No. 2 (2022): November ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.5.2.2022.226-237
<![CDATA[Introduction: The COVID-19 pandemic had affected of higher education, especially nursing students in online clinical practice learning. The impact of online learning was students difficulties and limitations in direct clinical learning. A significant decrease in the statistical value of nursing practice pre-pandemic and during the pandemic in this situation, students with adaptive responses through their capacity used self-regulated learning (SRL) and academic resilience strategies. This study aimed to examine the role of SRL as a mediator of the correlation between self-efficacy and academic resilience at bachelor of nursing students during the Covid-19 pandemic. Methods: This study used a quantitative approach with a cross-sectional study design. The research sample consisted of 138 bachelor of nursing students at a health institution in East Java, taken using purposive sampling techniques. The inclusion criteria were bachelor of nursing students, who had practiced clinial at hospitals or other practice areas, during the Covid-19 pandemic. The research instrument used self-efficacy scale (17 items), academic resilience scale (25 items), and SRL scale (39 items). Data analysis used analyze regression Process Hayes Version 4.0 with the IBM SPSS (Statistical Program for Social Science) version 25 program for windows. Results: The results showed that there was a positive and significant correlation between self-efficacy and academic resilience, either directly (β=1.396, p=0.000) or partially mediated by SRL (β=0.7126, p=0.000), which mean that students with high self-efficacy can increase academic resilience with the mediating role of SRL.Conclusion: Self-efficacy has a positive and significant effect on academic resilience, either directly or partially mediated by SRL.  Keywords: Academic Resilience, Self-Efficacy, Self-Regulated Learning.]]>
<![CDATA[Kelelahan pada Pasien Congestive Heart Failure ]]>
<![CDATA[Mauludina Putri Setianingsih]]>;
<![CDATA[Yuni Dwi Hastuti]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 5, No. 2 (2022): November ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.5.2.2022.178-187
<![CDATA[Introduction: Fatigue is a characteristic symptom and is often found in CHF patients and has a negative effect on daily activities, disease prognosis, and patient's quality of life. However, fatigue is a common symptom that is often overlooked and ignored. Limited study explored fatigue in CHF patients. The aim of this study was to explore fatigue in CHF patients. Methods: The research design is a descriptive survey. The total research sample is 85 respondents. Data were taken using a Multidimensional Assessment Fatigue (MAF) questionnaire with univariate data analysis in the form of a frequency distribution. Respondents involved in the study were patients aged >18 years who suffered from CHF based on a doctor's diagnosis and confirmed by medical records. Results: The majority of respondents are elderly with female gender, work as household workers, and heve income less than Rp1,500,000/month. Examination of vital signs performed on the majority of CHF patients showed normal temperature (36.5℃ - 37.5℃), pre-hypertensive blood pressure (120/80 - 139/89 mmHg), normal pulse (60-100x/min), and normal respiratory rate (12-20x/minute). Most patients have a CHF duration of 1–3 years, and are in grades 2 and 3 based on the New York Association (NYHA) classification. The results of this study were 65.9% of CHF patients experienced moderate fatigue, 17.6% severe fatigue, and 16.5% mild fatigue. Conclusion: Health services can consider efforts to improve the quality of nursing services in overcoming or minimizing fatigue experienced by CHF patients. These efforts can be a therapy, evidence-based health education, or fatigue monitoring for preventing a worsening of disease prognosis and improving the patient's quality of life. Keywords: CHF, Fatigue, Multidimensional Assesment Fatigue.]]>
<![CDATA[Pengetahuan Ibu Primigravida tentang Preeklamsia di Nusa Tenggara Barat ]]>
<![CDATA[Baiq Mira Novyanti]]>;
<![CDATA[Tri Nur Kristina]]>;
<![CDATA[Sari Sudarmiati]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 5, No. 2 (2022): November ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.5.2.2022.238-245
<![CDATA[Introduction: Preeclampsia causes of the most maternal mortality rate in Indonesia. One of factors that lead to high rates of preeclampsia is the lack of knowledge of the mother. Low knowledge can result in mothers not being able to recognize the signs and symptoms of preeclampsia early. The study of maternal knowledge about preeclampsia in Eastern Indonesia is limited, so this study aims to determine the knowledge of primigravida mothers about preeclampsia in Eastern Indonesia.Methods: This research is quantitative descriptive. Respondents in this study were 90 primigravida mothers who did examinations at the Pratama Asy-Syfa clinic and the Ampenan health center in Mataram City. The sampling method used purposive sampling, data collection with questionnaires that had been tested for validity and reliability, and distributed through Whatsapp groups using google form.Results: The knowledge score with the knowledge level classification was good as many as 19 people (31.7%), 33 people (55%), and 8 people lacking (13,3%).Conclusion: Most of the primigravida mothers have sufficient knowledge but there are still those who have less knowledge, so efforts are needed to increase the knowledge of primigravida mothers about preeclampsia. Keywords: Pregnant Women, Knowledge, Attitude.]]>
<![CDATA[Hubungan antara Efikasi Diri dengan Mobilisasi Dini pada Pasien Paska Bedah Mayor ]]>
<![CDATA[Nur Aas Aisah]]>;
<![CDATA[Chandra Bagus Ropyanto]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 5, No. 2 (2022): November ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.5.2.2022.188-196
<![CDATA[Introduction: Self-efficacy affects the ability to perform early mobilization in patients after digestive surgery. The characteristics of pain are different in digestive and major surgical pain. Pain can effect self-efficacy and early mobilization.  The purpose of this study is to analyze the relationship between self-efficacy and early mobilization of major post-surgical patients.Methods: The study used a correlation descriptive design with a cross sectional approach with a total sample of 62 post operation patients aged 21-65 years who were compos mentis. The research instrument for self-efficacy used The General Self-Efficacy Scale (GSE), while early mobilization used Cumulated Ambulation Afternoon (CAS). Data were analyzed used Spearman rho.Results: The results showed that the mean self-efficacy score was 36,56 and the average value of early mobilization was 2.02. The results of correlation test obtained p value=0.172 with r=0.181.Conclusion: The conclusion of this study is that there was no significant relationship between self-efficacy with early mobilization. The suggestion in the study is to examine other factors that can affect early postoperative mosbilization. Keywords: Early Mobilization, Major Post-Surgical, Self-Efficacy.]]>
<![CDATA[Koping Positif Warga Binaan Pemasyarakatan dalam Menghadapi Stigma dan Diskriminasi ]]>
<![CDATA[Veronika Nitsae]]>;
<![CDATA[Megah Andriany]]>;
<![CDATA[Muhammad Mu’in]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 5, No. 2 (2022): November ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.5.2.2022.197-207
<![CDATA[Introduction: Stigma and discrimination are more common among women and affect the development of coping skills for women with HIV. Research related to coping strategies for prisoners with HIV in prisons is still very limited. This study aimed to identify the positive coping methods used and the reasons for using these coping strategies in dealing with stigma and discrimination against female inmates with HIV.Methods: This research method is a qualitative descriptive phenomenological design. The population of this study was female inmates living with HIV with a total of eight participants. Sampling was done by purposive sampling technique. Data was collected through in-depth interviews and analyzed using the Colaizzi technique.Results: The results of the study found two themes: (1) don't care and stay away from people who cause stigma to avoid problems; (2) attract sympathy and be honest with others to lighten the burden on the mind.Conclusion: Indifference certainly does not always have positive but also negative implications such as the emergence of disputes or divisions and individualism among prisoners. Meanwhile, active coping such as telling the truth can improve prisoners' physical and psychological well-being. The development of intervention programs such as narrative enhancement and cognitive therapy (NECT), family therapy, spiritual emotional freedom technique (SELF), and HIV peer support groups in prisons to develop active coping for female inmates with HIV in facing internal and public stigma is urgently needed. Keywords: Coping, Correctional Setting, Discrimination Stigma, HIV.]]>
<![CDATA[Gambaran Kepatuhan Pelaksanaan Protokol Kesehatan Pencegahan COVID-19 pada Masyarakat Pasca Vaksinasi ]]>
<![CDATA[Ni Luh Ketut Ayuniati]]>;
<![CDATA[Ni Luh Putu Thrisna Dewi]]>;
<![CDATA[Theresia Anita Pramesti]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 5, No. 2 (2022): November ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.5.2.2022.145-156
<![CDATA[Introduction: Corona Virus Disease-19 (COVID-19) has experienced an increase in the number of cases in the world and in Indonesia in particular. Vaccination efforts are carried out by the government to reduce the transmission of COVID-19 transmission, reduce morbidity and death rates and achieve herd immunity. The problem in the field is that people who have been vaccinated have begun to neglect the implementation of health protocols. Limited study explored compliance to implement COVID-19 health protocols post vaccination. The purpose of this study was to determine the description of compliance with the implementation of the COVID-19 preventive health protocol in the post-vaccination community in the Unit Pelaksana Teknis Daerah (UPTD) work area of Rumah Sakit Umum (RSU) Payangan. Methods: the research method was descriptive research. The research sample were 268 people who had met the criteria of completed vaccinated, be able to use Whatsapp and aged 20-70 years old with the Simple Random Sampling sample technique. Data was collected with questionnaires, namely questionnaires to identify the characteristics of respondents and questionnaires to assess community compliance with implementing COVID-19 prevention health protocols and analysed by statistical test. Results: the results were obtained from 268 respondents, most of the people were obedient in using masks (83.2%), obediently washing hands (93.3%), obedient in maintaining distance (60.4%) and obedient in maintaining health (83, 2%). Conclusion: compliance in maintaining distance is the lowest compliance, the number of traditional and cultural activities in the community, economic demands and fulfilment of needs causes people to gather. It is very important to increase public supervision in implementing Health protocols and providing facilities and facilities. ]]>
<![CDATA[Pengaruh OTOF (One Team Student One Family) terhadap Pengetahuan Ibu dengan Balita Mencegah Stunting ]]>
<![CDATA[Akhmad Yanuar Fahmi Pamungkas]]>;
<![CDATA[Desi Trianita]]>;
<![CDATA[Atik Pramesti Wilujeng]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 5, No. 2 (2022): November ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.5.2.2022.208-215
<![CDATA[Introduction: The incidence of stunting is caused by several factors, one of which is the family factor. Mothers as the main caregivers for toddlers have a very important role in preventing stunting in children. Efforts to improve mothers' knowledge and skills in preventing stunting in toddlers continue to be carried out, but innovation is needed to increase mothers' understanding of the growth and development of toddlers so that stunting in toddlers can be prevented. One of the educational method innovations that can be carried out effectively is based on empowerment, namely 1 student 1 family, but there has been no research on a student team 1 family. The purpose of this study was to determine the effect of the OTOF (One Team Student One Family) on the level of knowledge among mothers of toddlers.Methods: This research was conducted in the working area of the Kertosari Public Health Center, Banyuwangi Regency from the beginning of June to the end of October using a pre and post-test quasy experiment with group control and using an independent t test. The population is all mothers who have toddlers. Sampling with stratified random sampling technique 61 respondents consisting of 31 interventions and 30 controls. The data collection instrument was Stunting Related Knowledge Questionnaire that has been declared valid and reliable the intervention used is to empower health students (nursing, analyst, midwifery, pharmacy and nutrition) according to their ability to carry out Health Education to 1 family. Results: The results showed that after giving the OTOF treatment the knowledge of the mother of toddlers increased and after being tested with the paired t-test, the result was p = 0.00 which means that there is an effect.  Conclusion: The conclusion is the results of the study show that there is an effect of the OTOF on the knowledge of mothers of children under five. Keywords: Mother Knowledge, OTOF, Stunting.]]>
<![CDATA[Hubungan Pembelajaran Daring terhadap Keluhan Musculoskeletal Disorders (MSDs) pada Mahasiswa Keperawatan ]]>
<![CDATA[Putri Sallamah Nursiam]]>;
<![CDATA[Annas Sumeru]]>;
<![CDATA[Galih Noor Alvian]]>
<![CDATA[ Holistic Nursing and Health Science Vol. 5, No. 2 (2022): November ]]>
Publisher : <![CDATA[Master of Nursing, Faculty of Medicine, Universitas Diponegoro, Indonesia ]]>
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DOI: 10.14710/hnhs.5.2.2022.157-168
<![CDATA[Introduction: The implementation of online learning cannot be separated from the use of electronic devices (mobile phones, tablets or laptops) and internet connections. The duration and position of the student body during online learning are often not ergonomic, so there is a risk of Musculoskeletal Disorders (MSDs) complaints.The study to measure the effect of online learning to MSDs’ complaints yet performed, specifically in nursing. This study aims to analyze the relationship between the duration and body position of using a laptop/smartphone during online learning at Nursing Department in Unsoed. Methods: This research is a quantitative research with a cross sectional design. Subject was selected by using probability sampling technique with stratified random sampling of 129 respondents. The instrument used was a questionnaire on body position using a laptop, body position using a smartphone, and perceived MSDs complaints which were modifications of a similar research. Data was analyzed by somers’d test.Results: The results found there are significant relation between the duration of using a laptop/smartphone during online learning to MSDs complaints (p=0,001), body position using laptop during online learning to MSDs complaints (p=0,000), and body position using smartphone when online learning to MSDs complaints. (p=0,005).Discussion: There are significant relation between duration, body position using laptops, body position using smartphones with MSDs complaints at Nursing Department in Unsoed.]]>
