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Journal of Nursing Care

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Published by Universitas Padjadjaran

ISSN : - EISSN : 26141698 DOI : -

Core Subject : Health, Science,

Health Professions Nursing Physics Public Health

Journal of Nursing Care (JNC) is a journal of scientific publications that publish every four months (quarterly) using a peer review system for article selection. JNC intended for practitioners, academics, professionals, students or among the general public who are involved and interested in the development of Health and Nursing Science. It can receive relevant articles in the field of health and nursing, which includes research articles.

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Articles 154 Documents

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Spiritual Distress In Breast Cancer Patients Puji Lestari; Aan Nuraeni; Dyah Setyorini
Journal of Nursing Care Vol 1, No 2 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Breast Cancer would affect all aspects of patients’ life including spiritually. This aspect is one of the patients’ main coping sources in dealing with impacts of the disease. However, the spiritual aspect is rarely noticed by nurses, and may lead to patients’ spiritual distress. This study aimed to determine spiritual distress in breast cancer patients who had treatments in a referral hospital in West Java. This study was a descriptive quantitative with cross-sectional approach. The population was in-patient breast cancer patients. Respondents were chosen using the accidental sampling technique. During a month period, 37 patients involved in this study. The data was collected using an instrument which was developed from Spiritual Distress Assessment Tool (SDAT) and analyzed using descriptive quantitative analysis. Almost two-thirds (62.2%) of respondents had low spiritual distress, 32.2% of respondents had moderate spiritual distress and a very small number of respondents (5.4%) had severe spiritual distress. In the term of spiritual distress dimension, “life balance” had the highest mean score (1.86) and the lowest was in “values and beliefs with sub-dimension of need maintain control” (0.89). The conclusion was the majority of patients had low spiritual distress, yet spiritual distress for moderate to severe still could be found in smaller proportion. Life balance was dimension with the highest level of spiritual distress. The patients’ spiritual need would be achieved when patients have a good acceptance and adaptation. Nurses have a role to encourage patients’ acceptance of their illnesses through improvement of the fulfillment of the patient's spiritual needs.

Tingkat Kecemasan pada Andikpas Usia 14-18 Tahun Menjelang Bebas di Lembaga Pembinaan Khusus Anak Kelas II Maya Atikasuri; Henny Suzana Mediani; Nita Fitria
Journal of Nursing Care Vol 1, No 1 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v1i1.15773

Masalah kenakalan remaja telah menjadi salah satu masalah pokok yang dihadapi oleh Indonesia. Kejadian dan kualitas kenakalannya terus meningkat hingga menjurus pada tindak kriminalitas yang menyebabkan remaja terjerat di ranah hukum. Stigma negatif di masyarakat yang diberikan kepada mantan tahanan membuat Andikpas enggan keluar dari LPKA dan cenderung merasakan kecemasan menjelang masa kebebasannya, terlebih lagi usia remaja merupakan usia dimana keadaan emosional dan psikologis yang belum stabil membuat remaja mudah mengalami kecemasan dan berdampak tidak baik jika terus dibiarkan. Tujuan dari penelitian ini adalah untuk mengetahui gambaran tingkat kecemasan pada Andikpas menjelang bebas di LPKA Kelas II Bandung.Metode penelitian yang digunakan adalah deskriptif-kuantitatif dan teknik consecutive sampling dengan populasi Andikpas menjelang bebas sebanyak 56 orang. Instrumen yang digunakan adalah Zung’s Self-Rating Anxiety Scale (ZSAS) dengan skala likert.Hasil penelitian menunjukkan bahwa dari 56 Andikpas yang diteliti hampir setengahnya yaitu 25 Andikpas (44,64%) tidak mengalami kecemasan, sementara sebagian besar Andikpas yang mengalami kecemasan yaitu 19 Andikpas (33,93%) mengalami kecemasan ringan-sedang, dan sebagian kecil yaitu sebanyak 9 Andikpas (16,07%) mengalami kecemasan berat, serta yang paling sedikit yaitu sebanyak 3 Andikpas (5,35%) mengalami panik.Simpulan dari penelitian ini adalah bahwa hampir setengahnya dari Andikpas yang diteliti tidak mengalami kecemasan, namun lebih dari setengahnya juga Andikpas pada penelitian ini mengalami kecemasan baik dari tingkatan ringan sampai dengan panik. Peningkatan program pembinaan dan konseling serta pemberdayaan tenaga kesehatan di LPKA sangat dibutuhkan agar dapat menurunkan tingkat kecemasan pada Andikpas.Kata kunci : Andikpas, kenakalan remaja, menjelang bebas, tahanan. Description of Anxiety Disorder among Inmate 14–18 Years Old Pre Release at Lembaga Pembinaan Khusus Anak Class IIAbstractJuvenile delinquency has become one of the main problems in Indonesia. The incidence and mischievousness quality increase which is lead to crime action. This situation may cause adolescent entangled in the realm of law. The negative stigma in society given to inmates former make inmate reluctant to get out of LPKA and tends to feel anxiety ahead of their pre-release. Adolescent is a phase of a transitional period from children into adulthood where emotional and psychological states are not stable, and anxiety is need to be noticed. Moreover, psychological burden that experienced by adolescent was harder when they lived in LPKA. This study aims to identify anxiety scale of pre-release juvenile inmates at LPKA Class II Bandung.This study use quantitative descriptive research with cross-sectional approach and consecutive sampling technique with 56 pre-release juvenile inmates as population and used Zung’s Self-Rating Anxiety Scale (ZSAS) with Likert Scale as data analyze. The result showed that 25 Andikpas (44.64%) did not experience anxiety, then most of them experienced anxiety with the explenation: 19 Andikpas (33,93%) experience mild-moderate anxiety, 9 Andikpas (16.07%) experiencing severe anxiety, and 3 Andikpas (5.35%) experiencing panic.The conclusion of this study is the level of anxiety experienced by Andikpas is nearly half of Andikpas did not experience anxiety, but more than half of Andikpas in this study experienced anxiety either from mild to panic levels. Improvement of coaching and counseling programs and the empowerment of health workers in LPKA is needed to reduce the level of anxiety in Andikpas.Keyword: Andikpas, inmates, juvenile delinquency, pre-release.

Knowledge And Self-Efficacy On “First Responder” In Giving First Aid Nadiya Miftah Karima; Aan Nuraeni; Ristina Mirwanti
Journal of Nursing Care Vol 2, No 1 (2019): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Introduction: “First responder” is a lay person who get trained to do first aid. Doing first aid is influenced by knowledgeand self-efficacy of the helper. However, the study of knowledge and self-efficacy of first aid providers is limited. Thisstudy aimed to asses the knowledge and self-efficacy of first responders in doing first aid. Method: This research usedquantitative description method with cross sectional approach towards 65 first responder in a University in Bandung.The samples were selected using total sampling technique. The data were gathered using questionnaire of FirstAid Knowledge and Wilderness First Self-efficacy Scale. The data were analyzed through quantitative descriptionanalysis, including mean and frequency distribution. Result : The research found that 57 respondents (87,7%) hadlimited knowledge of first aid, in particular about health problems related to environment aspects. Meanwhile 62respondents (95,5%) %) had high self-efficacy especially on the ability to assess vital signs, yet they had low selfefficacy on conduct a spinal assessment (4.5%). Conclusion: There is needs for increasing knowledge about healthproblem related to the environment and self-efficacy about spinal assessment by providing materials and other kindsof learning methods aside from lectures, educational practice as well as experimental learning and simulations.In addition, first responders also need to improve their ability related environment aspects and spinal assessment.

Kajian Kebutuhan Belajar Klien dengan Penyakit Jantung Koroner Rega Dwi Putri; Aan Nur’aeni; Valentina Belinda
Journal of Nursing Care Vol 1, No 1 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v1i1.15771

Penyakit Jantung Koroner (PJK) merupakan penyakit yang harus dikontrol seumur hidup. Hal ini membutuhkan kepatuhan dari penderitanya, salah satu cara untuk meningkatkan kepatuhan adalah melalui pendidikan kesehatan, namun demikian pendidikan kesehatan seringkali kurang efektif karena tidak melalui hasil kajian kebutuhan terlebih dahulu. Penelitian ini bertujuan mengidentifikasi kebutuhan belajar klien dengan PJK di salah satu rumah sakit di Kota Bandung. Metode dalam penelitian ini deskriptif kuantitatif. Sampel dalam penelitian ini adalah klien PJK yang menjalani rawat inap dan rawat jalan. Teknik sampling dilakukan dengan consecutive sampling, pengambilan data dilakukan selama 30 hari dan didapatkan sebanyak 105 responden. Pengumpulan data menggunakan instrumen A Turkish Version of the Cardiac Patients Learning Needs Inventory (TR-CPLNI). Analisis data menggunakan mean dan distribusi frekuensi dengan persentase. Hasil penelitian menunjukkan bahwa terdapat lima kebutuhan belajar dengan mean tertinggi, yaitu kebutuhan tentang anatomi dan fisiologi jantung (4,41±0,71); kebutuhan tentang informasi obat (4,34±0,76); kebutuhan informasi tentang gaya hidup (4,30±0,77); kebutuhan tentang informasi diet (4,19±0,82); serta kebutuhan tentang manajemen gejala (4,08±0,93), dan kelima kebutuhan ini masuk kedalam kategori kebutuhan belajar yang penting bagi pasien PJK. Berdasarkan hasil penelitian dapat disimpulkan bahwa seluruh kebutuhan belajar pasien PJK berdasarkan persepsi pasien adalah penting, termasuk didalamnya kebutuhan tentang informasi anatomi dan fisiologi jantung yang menjadi kebutuhan belajar yang paling penting dirasakan oleh pasien PJK. Tenaga kesehatan perlu memenuhi dan menyusun program pendidikan kesehatan bagi pasien PJK, meliputi seluruh kebutuhan belajar pasien ini.Kata kunci: Kajian, kebutuhan belajar, penyakit jantung koroner. Study of The Learning Needs for Clients with Coronary Heart DiseaseAbstractCoronary Heart Disease (CHD) is a disease that must be controlled. This requires adherence from the sufferer, and one of efforts improving adherence can be done through health education. However, health education is often less effective because it is not based on the needs assessment. The purpose of the study was identified the learning needs of clients with CHD in one hospital in Bandung. The method of the research used quantitative descriptive method. The samples was patients with CAD who undergone inpatient and outpatient. The sampling technique used consecutive sampling, data retrieval for 30 days and obtained of 105 respondents. The data was collected by A Turkish Version of the Cardiac Patients Learning Needs Inventory (TR-CPLNI) instrument. Data was analized using mean and frequency distribution with percentage. The results showed that there were five learning needs with the highest mean, namely the need for anatomy and cardiac physiology (4.41±0.71); the need for drug information (4.34±0.76); need for information about lifestyle (4.30±0.77); the need for dietary information (4.19±0.82); and the need for symptom management (4.08±0.93), and these needs were in important category according to patients perception. Based on the results of the study it can be concluded that all the learning needs of CHD patients based on patient perception was important and the need for information on cardiac anatomy and physiology became the most important learning need felt by CHD patients. Health workers need to meet and develop health education programs for CHD patients covering all the learning needs of these patients.Keywords: Coronary heart disease, learning needs.

Cost Analysis of Nursing Practice by Applying Reuse and Repack Methods on Sterile Practice Materials in the Clinical Laboratory Henny Yulianita; Afif Amrullah; Dyah Setyorini
Journal of Nursing Care Vol 1, No 3 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

The activity of nursing practice in the laboratory, required sterile equipment that is still wrapped neatly. Equipment had broken wrap, will be discarded. Although the equipment is still good and feasible to be reused. Reuse and repack is a method of repackaging of used sterile equipment.This method is expected to reduce the cost of practice and reduce environmental waste. This study aims to analyze the cost of nursing practice by applying reuse and repack methods on sterile practice materials. This study is a field study using observation method on the practice of urinary catheter insertion and nasogastric tube installation conducted by nursing students in the clinical laboratory. The number of students involved as many as 74 people. Instrument tool pricing standards based on online rates published by health equipment standard sites. Findings Through the application of reuse and repack methods, the cost of the practice of urinary catheter insertion can be saved by 1.6 million (90%) and the cost of installation practice can be saved by 3.6 million (85%) for once practice. The results of the cost analysis of nursing practice in the laboratory using reuse and repack methods on the practice of urinary catheter insertion and the practice of ngt installation can save the cost of nursing practice.

Diet in The Intensive Phase of Pulmonary Tuberculosis Patients Desy Indra Yani; Hilman Saiful Islam; Citra Windani Mambang Sari
Journal of Nursing Care Vol 1, No 2 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Diet is an important component in the treatment of tuberculosis (TB). The diet is a daily nutrition fulfillment. The nutrition means macronutrient and micronutrient. The lack of macronutrient and micronutrient intake in tuberculosis patients could be a high risk for patients. Lack of nutrition can be addressed from the low level of BMI in TB patients. Both malnutrition and TB influence each other, malnutrition increases the risk for TB and TB could cause malnutrition. The aim of this study was to describe the diet of tuberculosis patients in the intensive phase. The study was conducted in two primary health cares in Bandung city. This study was a descriptive-quantitative research that used consecutive sampling method. The samples were 36 TB patients in the intensive phase. The data was gathered using 3 days food record and analyzed using the descriptive statistics method. The study’s result indicated that 86,1% of TB patients consumed calories less than their need, 80,6% of TB patients consumed carbohydrates meet the needs, 83,3% of TB patients consumed protein less than necessity, 55,6% of TB patients consumed fat meet their needs, and 100% of TB patients consumed vitamin D less their need. The study results showed that the diet of TB patients was less than their need. This study concludes that in general, the diet in TB patients is still less than their need, especially protein and vitamin D. While carbohydrates and fat met the patients’need. Based on this result, the researcher recommends that the primary health care in Bandung city should provide counseling services about various food types that need to be consumed by TB patients to fulfill calory, protein, and vitamin D daily needs.

Mobile Health Application in Implementation of Maternity Nursing Care: Literature Review Lina Anisa Nasution; Rr. Tutik Sri Hariyati
Journal of Nursing Care Vol 1, No 1 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v1i1.15762

Indonesia is a developing country with relatively high maternal mortality number. One of the influencing factors for that condition is health services at antenatal, intranatal and postnatal period has not been optimized yet. The optimization effort has been done in several countries through health service based on utilization of mobile phone technology called mobile health. The literature study aimed to present information from previous studies about implementation and benefits of mobile health in the maternity nursing care. The literature sources divided into three country categories including Western, non Western and Indonesia and consist of 30 online literatures. The implementation of mobile health in maternity nursing care showed positive impact in knowledge, motivation, and health behavior of the mother. Indonesia as developing country which can be strategic country in utilizing mobile health because of mostly Indonesian is mobile phone users. Nurse in corporation with cross sectors is supposed to develop mobile health in many strategic topics specifically in the effort of reducing the Maternal Mortality Rate (MMR) in Indonesia.Keywords : Information technology, maternity, mobile-health, nursing care. Studi Literatur: tentang Implementasi Aplikasi “Mobile Health” di Pelayanan Keperawatan MaternitasAbstrakIndonesia adalah salah satu negara berkembang dengan Angka Kematian Ibu (AKI) yang relatif tinggi. Salah satu faktor yang mempengaruhi tinnginya AKI di Indonesia adalah belum optimalnya pelayanan kesehatan pada masa kehamilan, bersalin, dan postpartum. Upaya untuk meningkatkan pelayanan kesehatan dibeberapa negara dilakukan dengan menggunakan teknologi berbasis telepon genggam atau disebut dengan “mobile health”. Study literatur ini bertujuan untuk menginformasikan penelitian-penelitian yang sudah dilakukan berkaitan dengan aplikasi dan keuntungan “mobile health” dalam keperawatan maternitas. 30 penelitian berasal dari media online, dibagi menjadi tiga kategori yaitu artikel dari negara Barat, negara non-Barat, dan Indonesia. Implementasi penggunaan “mobile health” pada pelayanan keperawatan maternitas menunjukkan dampak yang positif terhadap pengetahuan, motivasi, dan perilaku kesehatan ibu. Indonesia sebagai negara berkembang sangat strategis untuk pengembangan “mobile health” dikarenakan sebagian besar penduduk Indonesia adalah pengguna telepon genggam. Perawat dapat bekerjasama dengan sektor lain untuk mengembangkan program “mobile health” dengan berbagai topik khususnya berkaitan dengan upaya untuk menurunkan AKI di Indonesia.Kata kunci: Teknologi informasi, maternitas, mobile health, pelayanan keperawatan.

Literature Review: Stress and Mother Life Quality with Thalassemia Children Major Ages 0–18 Years Inni Zakiyah; Henny Suzana Mediani; Wiwi Mardiah
Journal of Nursing Care Vol 1, No 3 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Thalassemia is a blod disorder which various countries pay specific attention to, both develoing and developed countries. Children with thalassemia need long-term treatment and excessive cost. It has become a burden for the family. Mother as a caregiver for thalassemia child is often confrontedby a stressful life related to the child’s illness and the following treatment as well as other couses of stress; such as fear of loss, anxiety, frustration and sadness, and overwhelmed thinking of the child’s recovery can affect the mother’s daily activities, also the quality of life. This systematic review aimed to identify the stress and quality of life of mother with thalassemia children aged 0–18 years. Articles were collected through Google Scholar, PubMed, Proquest, Ebscho databases using the keyword Stress, Qulity of Life, Mother with Thalassemia Child including both quantitative and qualitative studies. The used articles only which were full-text, written in English, and published in 2007 until 2017. There were five articles met the criteria. The results of literature review revealed that the stress faced by the mothers especially when the children must undergo the blood transfusion for once a month. Stress was shown with psychological symptoms that can affect health. The mother’s stress was assessed using the Parental Stress Scale (PSS), and for the quality of life measured by HRQOL SF-12v2, with Likert scale, the lowest score 0 and the highest 100. Found that if the mother’ quality of life also decreased. Conclusion: mothers with thalassemia children then to experience stress, resulting in both physical and psychological impact on the mothers’ health, thus affecting the quality of life. By this literature review, expected that will be more research related to stress and quality of life of mothers with thalassemia children, thus reducing stress on mothers that affect the quality of life.

Parents’ Self Esteem of Children with Cleft Lip and Palate Gadis Pratiwi Priyono; Imas Rafiyah; Ikeu Nurhidayah
Journal of Nursing Care Vol 1, No 2 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jnc.v1i2.17129

Cleft lip and palate are congenital abnormalities that occur in children. Success in the management and treatment of this disorder requires the role of parents. However, often parents are embarrassed and have low self-esteem, so it would interfere with the success process of treatment and child care with clefts. This study aimed to determine the parents’ self-esteem of children with cleft lip and palate in the Yayasan Pembina Penderita Celah Bibir dan Langit-langit (YPPCBL) Bandung. This research was a descriptive quantitative study. The study population was parents of children with cleft lip and palate. A total of 30 respondents participated in this study which was chosen with total sampling method. Parental self-esteem was measured using modified instruments based on Coopersmith's theory, with validity values of r = 0.977 and Cronbach's α = 0.989. Data were analyzed using frequency distribution. The results showed 18 respondents (60%) had high self esteem and 12 respondents (40%) with low self esteem. This research would be an evaluation material for YPPCBL Bandung in maintaining and improving parents' self-esteem of children having clefts. With high self-esteem, it is potential for nurses to increase parental participation as a primary caregiver of children with clefts, it would also improve the success of care and children’s quality of life.

Physical Responses Following Post-Partum Administration of Rectal Misoprostol in RSKIA Kota Bandung West Java, Indonesia Slamet Riyanto; Restuning Widiasih
Journal of Nursing Care Vol 1, No 2 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Background Postpartum haemorrhage is identified as one of main causes of maternal mortality especially in low income countries including Indonesia. The use of rectal misoprostol is a considerable intervention to prevent postpartum haemorrhage. However, administering misoprostol would cause various considerable responses that need intensive observation to prevent high risk condition of post-partum women. Limited studies in Indonesia assessed responses of post-partum women’s after misoprostol administration. This study aimed to identify physical responses of post-partum women after misoprostol administration. Methods, This descriptive quantitative study involved 30 post-partum women. They were chosen using consecutive sampling technique. The data collection instruments were an observation form and a semi-structured interview form. Using those instruments women’s physical responses observed on the minute of 15, 30, 45, 60, 90 and the hour of 2, 3, and 4 after post- partum. The data were analysed using frequency distribution. Results The study found that there were different physical responses of women after rectal misoprostol administration including nausea, vomiting, diarrhoea, headache and fever, especially in the minute of 15 and the hour of 2. The most prominent physical responses were nausea, and followed by headache and fever. Conclusion This study finding is a significant information for health professionals especially nurses. Nurses could develop an anticipatory guide in anticipating any effects that may risk to postpartum patients.

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Contact Name Restuning Widiasih, Ph.D

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Contact Name
Restuning Widiasih, Ph.D

Contact Email
restuning.widiasih@unpad.ac.id

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Journal Mail Official
jnc.fkep@unpad.ac.id

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Location
Kota bandung,

Jawa barat

INDONESIA