Critical Medical and Surgical Nursing Journal
Critical Medical and Surgical Nursing Journal (CMSNJ) (p-ISSN: 2355-1992), (e-ISSN: 2656-470X) was established at the end of 2012 under Universitas Airlangga. The CMSNJ was prepared in response to the development of nursing/health science and technology to contribute to the development of sustainable quality nursing/health resources. CMSNJ is published two times per year every April and October. Articles published in CMSNJ is written in English since Vol. 10 No. 1 April 2021. Contributors for CMSNJ are researchers, lecturers, students, nurse, registered nurse in Indonesia and worldwide.
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<![CDATA[KONSELING MENINGKATKAN PERILAKU IBU DALAM PENCEGAHAN DAN PERAWATAN BALITA INFEKSI SALURAN PERNAFASAN AKUT DI WILAYAH KERJA PUSKESMAS BANGKALAN ]]>
<![CDATA[Khotimatul Husna]]>;
<![CDATA[Ninuk Dian Kurniawati]]>;
<![CDATA[Nuzul Qur'aniati]]>
<![CDATA[ Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 4 No. 2 (2016): APRIL 2016 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/cmsnj.v4i2.12398
<![CDATA[Introduction: Acute respiratory infection (ARIs) is acute infection attacks human respiratory tract. The disease becomes one of the public health problems in Indonesia especially for under-five children. One of the causes of ARI is unsuitable in preventing and caring behavior. It needs special attention because of high disease number in puskesmas. Health education which has been done isspeech method to many people. But personal counseling method has never done. The study aims to analyze behavior of mother in preventing and caring ARI in children under-five in working area Puskesmas Bangkalan.Methods: This research used quasy experimental design and population mother who had children with acute respiratory infection. The sampling used purpossive sampling technique, based on inclusion criteria, used 32 mothers consist of 16 people as experiment group and 16 people as control group. Data collected by questioner and analysed by wilcoxon signed rank test and mann whitney test with significant value p≤0.05. Results: The result statistically showed there was difference between pre and post for knowledge (p=0.025), attitude (p=0.007), and action (p=0.001) in experiment group and there was difference between control and experiment group for knowledge (p=0.007), attitude (p=0.005), and action (p=0.003).Discussion: The results concluded that counselling had effect to preventing and caring behavior of mother in working area Puskesmas Bangkalan. Suggestion for next researcher is we need further experiment about effect of counselling to mother’s behavior using other research method in order to generalizethe result]]>
<![CDATA[PERMAINAN ULAR TANGGA MENINGKATKAN PENGETAHUAN DAN SIKAP ANAK SEKOLAH DASAR DALAM PENCEGAHAN IMPAKSI SERUMEN DI SDN TAMBAKSARI III SURABAYA ]]>
<![CDATA[Norma Astrianingsih]]>;
<![CDATA[Kristiawati Kristiawati]]>;
<![CDATA[Ilya Krisnana]]>
<![CDATA[ Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 4 No. 1 (2015): OKTOBER 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/cmsnj.v4i1.12295
<![CDATA[Introduction: Cerumen impaction is syndrome of hearing due to the build up of ear wax in the ear canal and cause pressure that impair. It is found in elementary school children. Cleanliness of child's ears cannot clean because the children afraid if other objects put in their ears and children’s has less knowledge and attitude about the impact of dirty ears. Health education using the snake ladders game can be applied as a solution to this problem. The purpose of this research is explain effect of snake ladders game towards elementary school children’s knowledge and attitude in the prevention of cerumen impaction at SDN Tambaksari III Surabaya.Methods: This research used quasy experimental design and object of this research is the childrens in third grade at SDN Tambaksari III Surabaya. The sampling used total sampling technique, based on the inclusion criteria, used 32 respondents consist of 16 people as experiment group and 16 people as control group. Data collected by quesioner and analyzed by wilcoxon signed rank test and mann whitney test with significant value p≤0,05.Result: The results showed that there were enhancement for knowledge (p=0.001), and attitude (p=0.001) for post intervention toward the experimental group. These data were strenghted by the result of Mann Whitney U Test statistical analysis that showed the significant differences for knowledge (p=0.000), and attitude (p=0.004).Discussion: It can be concluded that snake ladders game effective to enhance the children’s knowledge and attitude in the prevention of cerumen impaction. The suggestion for next researcher is to give health education using snake ladders for behavior of cerumen impaction’s prevention.]]>
<![CDATA[PENDIDIKAN KESEHATAN DENGAN METODE SYNDICATE GROUP MENINGKATKAN PENGETAHUAN TENTANG PENCEGAHAN ISPA PADA REMAJA PUTRI DI PONDOK PESANTREN ]]>
<![CDATA[Dian Naelatul Karimah]]>;
<![CDATA[Ninuk Dian Kurniawati]]>;
<![CDATA[Laily Hidayati]]>
<![CDATA[ Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 3 No. 1 (2014): OKTOBER 2014 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/cmsnj.v3i1.12208
<![CDATA[Intoduction: Health education was one of nursing interventions that aimed to change behavior in increasing health status that can be done with syndicate groups discussion learning method. This study was aimed to examine influence of syndicate groups method about ARIs prevention in changing female adolescence’s knowledge and attitude at Amanatul Ummah Educational Institution, Mojokerto.Methods: This study was a quasy-experiment using pretest-posttest controlgroup design. Population was adolescence of Nurul Ummah Boarding School (20 respondents) as the treatment group and adolescence of Amanatul Ummah Boarding School (20 respondents) as the control group, which taken according to simple random sampling. Knowledge and attitude as dependent variables and syndicate groups method as independent variable. Data were collected by using questionnaire then analyzed with level of significance p<0.05 by Wilcoxon sign rank test and Mann Whitney test.Result: Syndicate groups method had effect on knowledge but not on attitude.Wilcoxon test of knowledge for treatment group showed p=0.001, where Mann Whitney posttest showed p=0.000. Otherwise, Wilcoxon test of attitude for treatment group showed p=0.655, where Mann Whitney posttest showed p=0.348.Discussion: The conclusion is health education with syndicate groups method about ARIs prevention in boarding school can increase the level of knowledge but there is no significant change in attitude. Researcher believes that there were other factors that influenced the attitude posttest results, such as: factors of respondents; factors offacilitators, and; weaknesses of the implementation process and method of syndicate groups.]]>
<![CDATA[Perception of People Living With HIV/AIDS Affecting Lost to Follow-Up of ARV Therapy ]]>
<![CDATA[Lilik Manowati]]>;
<![CDATA[Purwaningsih Purwaningsih]]>;
<![CDATA[Abu Bakar]]>
<![CDATA[ Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 8 No. 1 (2019): APRIL 2019 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/cmsnj.v8i1.12403
<![CDATA[ABSTRACTIntroduction: HIV/AIDS sufferers must consume antiretrovirals every day and control routinely each month to take ARVs in the hospital. The condition make patients having a risk of lost to follow up attitude. The purpose of this study was to determine the factors related to the attitude of lost to follow-up on people living with hiv/aids with arv therapy at rsud dr. soetomo surabaya. Method: This study used descriptive correlation design with a cross-sectional approach. The population were 135 patients and 100 patients were required as research participant with consequtive sampling. Independent variables were perceived susceptibility, perceived severity, perceived barrier to action, perceived benefits of action, cues to action, and self efficacy. The dependent variable was lost to follow up behavior. Data were obtained by questionnaire and analyzed with Spearman's Rho. Result: There was a relationship between perceived susceptability (p=0.002), perceived severity (p=0.025), perceived barrier to action (p=0.022) and cues to action (p=0.011) with lost to follow-up behavior. There was no correlation between perceived benefit of action (p=0.196) and self efficacy (p=0.071) with lost to follow-up behavior. Discussion: Knowledge and awareness regarding the importance taking antiretroviral drugs regularly and control routinely needs to be increased for patients with antiretroviral drugs. Further researchers are advised to conduct in-depth research (qualitative research) related to the causes of lost to follow-up behaviour thus.]]>
<![CDATA[Tingkat Kecemasan dan Stabilitas Tanda Vital pada Pasien Pra Operasi Paska Sensory Motor Body Therapy ]]>
<![CDATA[Cipta Perdana Wijaya]]>;
<![CDATA[Nursalam Nursalam]]>;
<![CDATA[Setho Hadisuyatmana]]>
<![CDATA[ Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 1 No. 1 (2012): Oktober 2012 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/cmsnj.v1i1.11974
<![CDATA[Introduction:.Anxiety arises from physical, psychological and other pressure of threats. Anxiety may occure in patients who are planned for surgery, from mild untill severe anxiety, that also involving changes in vital signs. One of the techniques used to reduce the anxiety is sensory motor body therapy. Nevertheless, this therapy has not been proven yet reduce an anxiety of elective surgery patients. Therefore, this study was aimed to investigate the effect of sensory motor body therapy on anxiety level and vital sign of pra operation patients.Method:The research was`used a quasy experiment (pre and post with control group). Sample on this study were 26 respondents which divided into 2 groups, the control and treatment group. The independent variable was sensory motor body therapy whereas the dependent variables were blood pressure, heart rate and respiration rate. The data were collected using Zung self-rating anxiety scale (SAS/ SRAS) and vital signs observation and were then tested using Wilcoxon Signed Rank Test, Mann Whitney Test, Paired t-Test and Independent t-Test with significant level of p<0.05.Result:Sensory motor body therapy has been an effect in anxiety level (p=0.001), systole pressure (p=0.020) and respiration rate (p=0.001). But, it has not been an effect in diastole pressure (p=0.316) and heart rate (p=0.481) because of most patients were in the normal boundary.Discussion:Based on the reseach results, we can conclude that sensory motor body therapy in pra operation have a significant role in controling patients anxiety level, systole pressure and respiration rate. For further study, next researcher can improve a new method of sensory motor body therapy on anxiety in pra operation patient.]]>
<![CDATA[EKSTRAK LIDAH BUAYA TOPIKAL MEMBERIKAN PENGARUH PADA KONSISTENSI SKAR HIPERTROFIK PASKA LUKA BAKAR ]]>
<![CDATA[Laila Mainur]]>;
<![CDATA[Harmayetty Harmayetty]]>;
<![CDATA[Deni Yasmara]]>
<![CDATA[ Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 6 No. 2 (2018): APRIL 2018 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/cmsnj.v6i2.12829
<![CDATA[Introduction: Post-traumatic burns that already heal, very often happens that an ugly scar in the form of hypertrophic scarring, keloids and are often accompanied by the presence of contractures. Hypertrophic and keloid scar is fibroproliferation abnormalities in the dermis that is unique to humans that may arise as a result of burns. While contractures occur because of the shortening of the pathological scarring that causes deformities and movement disorders such as the limited movement of a body part. cases of burns caused 195,000 deaths/year worldwide, especially in poor and developing countries. This aim of this study was to analyze the effect of topical aloe extract against consistency, height, and pigmentation scarring after burns hypertrophic Poly Plastic Surgeon Dr. Soetomo.Methods: This research was used in the pre-experimental design. The population was all patients with burns and 10 patient samples. It used consecutive sampling. The independent variable was aloe vera topical and the dependent variable was the quality of the hypertrophic scar. Data were collected using the Vancouver Scar Scale and then analyzed using Wilcoxon Signed Ranks and Paired T-Test.Result: The results showed that there was significant effect before and after basting of topical aloe vera on the value of consistency (p=0.005). No significant effect before and after the aloe vera in the pigmentation scores (p=0.317) and height. There was a difference significant hypertrophic scar consistency before and after aloe vera extract. No differences in height and pigmentation significant hypertrophic scars before and after extract of aloe vera extract topical effect on the consistency, but not in height and pigmentation in hypertrophic scarring after burns.Conclusions: Further studies with more samples to determine the substances contained in aloe vera that can accelerate changes in consistency, pigmentation, and height.]]>
<![CDATA[Mobilization in patient with post laparatomy surgery after being given phone alarm socialization ]]>
<![CDATA[Suparno Suparno]]>;
<![CDATA[Yulis Setiya Dewi]]>;
<![CDATA[Ira Suarilah]]>
<![CDATA[ Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 2 No. 2 (2014): APRIL 2014 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/cmsnj.v2i2.12390
<![CDATA[Introduction : Mobilization is important to optimize body’s physiological function. The inhibiting factors of patient who doesn’t less motivation do mobilization are pain of surgery wound, afraid to move the extremity. One effort to improve the mobilization’s need is socialization of phone alarm as a reminder. The aims of this study was to analyze the effect of phone alarm socialization to mobilization in patient with post laparatomy surgery.Method : This study used pre-experiment design through one – shot case study. The samples taken were 14 patients with post laparatomy surgery at Gladiol surgery room in Dr. Soetomo Hospital of Surabaya period December 2013 to January 2014. The independent variable was phone alarm socialization, the dependent variable was mobilization in patients with post laparatomy surgery.Result : Based on this study, the mobilization in patients with post laparotomy surgery after being given phone alarm socialization, they were doing good in 8-24 hours, good enough in 36-48 hours, and less good in 60-72 hours after surgery.Discussion : It can be conclude that phone alarm socilization have effect to the mobilization in patients with post laparatomy surgery. Further research related to the effect of phone alarm socialization to the mobilization of post laparotomy surgery at rehabilitation ward is needed.]]>
<![CDATA[Vital Sign Status by Five Fingers Auditori Hypnosis ]]>
<![CDATA[beny wahyudi]]>;
<![CDATA[Laily Hidayati]]>;
<![CDATA[Abu Bakar]]>
<![CDATA[ Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 8 No. 1 (2019): APRIL 2019 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/cmsnj.v8i1.13116
<![CDATA[Introduction: Five-finger hypnosis is a relaxation technique that can provide a relaxing and calming effect by recalling pleasant experiences that have been experienced so that they can have a positive effect on the vital-sign of respondents with fractures. The purpose of this study was to determine the effect of the influence of five-finger hypnosis auditory on vital signs: blood pressure, pulse frequency, respiratory frequency, and pain in clients with limb fractures. Method: This research uses quasi-experiment with post test only non-equivalent control group design. The total population is 57 patients and 54 respondents were obtained with consecutive sampling. The independent variable is a five-finger hypnosis auditory intervention and the dependent variable is systolic blood pressure, diastolic, frequency of frequency, respiratory frequency, and pain. Data were obtained from the Numeric Rating Scale (NRS) and observation sheets. Then the data were analyzed by the Mann-Whitney U Test. Result: There were differences between the treatment and control groups on systolic (p=0.002), diastolic (p=0.003), pulse frequency (p=0.003), respiratory frequency (p=0.000) and pain (p=0.001). Discussion: So the hypnosis auditory as a relaxation technique can have a positive influence on the respondent's vital sign which includes systolic blood pressure, diastolic, pulse frequency, respiratory frequency, and pain. It is expected that nurses can apply this therapy as a non-pharmacological therapy to patients with extremity fractures and other researchers can apply to patients with all types of fractures as well as the development of cultural cultures.]]>
<![CDATA[Anorectal Malformation (ARM), parent’s knowledge, Post PSARP care ]]>
<![CDATA[Samiatin Samiatin]]>;
<![CDATA[I Ketut Sudiana]]>;
<![CDATA[Harmayetty Harmayetty]]>
<![CDATA[ Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 3 No. 2 (2015): APRIL 2015 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/cmsnj.v3i2.12242
<![CDATA[Introduction: Anal imperfect or without anal is congenital anomaly which more as known as anorectal malformation. Anorectal incident bas happen in 1 of 4000 to 5000 live birthing. Number of anal dilatation patients in the surgical clinic was about 10 patient’s average a day at Dr. Soetomo General Hospital. The studied aims to determine the relation between parent’s knowledge and anal dilatation Care post PSARP in Surgical Polyclinic Soetomo General Hospital.Methods: This study used a cross-sectional design. Population is taken from the patient's parents by post PSARP anal dilatation criteria’s. Total number of population sample were 21 people included. Samples were taken using consecutive non-random sampling. The independent variable was the knowledge of the parents. The dependent variable was the treatment anal dilatation Post PSARP. Knowledge of data collected by using questionnaires, whereas treatment with observation anal dilatation action on phantom. The data was analyzed by using Spearman's Rho Test with significance level α ≤ 0.05. Results: Spearman Rho test results showed a significant level p=0.045≤0.05 which means there are had a relation between parent’s knowledge with anal dilatation care post PSARP. The correlation coefficient r=0.442, this means there are had a variable correlation between parent’s knowledge with anal dilatation care post PSARP.Conclusion: The parent’s knowledge be affected by age, gender, education, jobs, experience and the information. It is suggested for further research to use the same issue with different method, except consecutive non random sampling method and from the different sciences because there are no anal dilatation research in Indonesia.]]>
<![CDATA[Studi Fenomenologi Pengalaman Ibadah Pasien Islam yang di Rawat dengan Pendekatan Spiritual Islam di Rumah Sakit Aisyiah Bojonegoro dan Rumah Sakit Haji Surabaya ]]>
<![CDATA[Abu Bakar]]>;
<![CDATA[Ninuk Dian Kurniawati]]>
<![CDATA[ Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 1 No. 2 (2013): APRIL 2013 ]]>
Publisher : <![CDATA[Universitas Airlangga ]]>
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DOI: 10.20473/cmsnj.v1i2.12173
<![CDATA[Background : Nursing theory of caring in the context of Islamic culture can be interpreted as the nurse facilitates the patient's worship and in turn, the nurse received a reward from God for this action (Lovering, 2008). Islamic nursing still not fully implemented inIslamic hospitals. This study aimed to understand the Islamic patients’ worship experience.Method : The method used in this study was phenomenological study. Sample consisted 5 patients and 6 nurses who met inclusion criteria, recruited bypurposive sampling. This study was conducted at Haji General Hospital Surabaya and AisyiahIslamic Hospital Bojonegoroduring August to December 2013. Data were collected by interviewing respondents and analyzed using the seven step of qualitative data analysis by Collaizi.Result : The results showed that not all respondents conductIslamic worship during hospitalization, particularly the obligation performing prayers five times a day. This is due to physical weaknesses, and feel of uncleanliness. These conditionswere also weakened by the lack of spiritual nursing care by nurses. Nurses had provide patients with prayer time reminder, prayer kit,Qibla direction,wudoo kit, but nurses did not conduct Islamic caring assessment and nursing diagnosis. Moreover, spiritual nursing process was not documented because of the high workload.Discussion : Further discussion about Islamic nursing care and how it is fulfilled is needed. This can be about the best way to introduce worship to Moslem patients and how to perform it during illness. Nurses should also conduct a proper assessment about the patient’s spiritual needs and implementation of worshipand how they want these needs to be helped be nurses.]]>
