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Critical Medical and Surgical Nursing Journal
Published by Universitas Airlangga
ISSN : 23551992     EISSN : 2656470X     DOI : 10.20473/cmsnj
Core Subject : Health,
Health Professions Nursing
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.
Arjuna Subject : Keperawatan - Critical Care
Articles 101 Documents
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PIJAT PERUT MENURUNKAN TINGKAT KONSTIPASI PADA LANJUT USIA Erna Dwi Wahyuni; Silvia Lusiana Suwandi; Setho Hadisuyatmana
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 6 No. 2 (2018): APRIL 2018
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.627 KB) | DOI: 10.20473/cmsnj.v6i2.12833

Abstract

Introduction: Constipation is one of the results of decreased body structure and function in the elderly. One way that can be used to prevent constipation is by doing abdominal massage. The purpose of this research was to determine the influence of abdominal massage on prevention of constipation for elderly. Method: This research used Quasy experiment method by using pre-test-post-test with control group design. The study population was elderly at the nursing home which had risk of constipation amounted to 38 respondents. The sample was 30 respondents with sample random sampling technique. Independentvariables were abdominal massage and the dependent variable was constipation level. Data were collected using Constipation Assessment Scale. Data were analyzed using the Wilcoxon sign rank test and Mann-Whitney test.Result: The results showed statistic test using Wilcoxon in the treatment group showed there was a decrease of constipation level before and after receiving an abdominal massage, with p-value = 0.001 and in the control group there was no difference of constipation level with p-value = 0.057. The results of MannWhitney, showed a difference in abdominal massages to prevent constipation in the elderly with a value of p = 0.033.Discussion: Stimulation from the outside with abdominal massage can help stimulate the parasympathetic nerve in the intestine and accelerate blood circulation, so that weakened bowel peristaltic becomes increased. In this study, abdominal massage was statistically significant against the prevention of constipation in the elderly but clinicallynot too significant.
MEKANISME KOPING PADA PENDERITA DIABETES MELLITUS DI POLI PENYAKIT DALAM RSUD DR SOEGIRI LAMONGAN Devi Hujratur Rohmah; Abu Bakar; Erna D Wahyuni
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 1 No. 1 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.928 KB) | DOI: 10.20473/cmsnj.v1i1.11963

Abstract

Introduction: Coping mechanism was an individual effort to deal with a stressor. Diabetes mellitus was a degenerative disease that could not be cured and could become a stressor for the patients. If this stressor unhandled it can make the condition of patients become worse.Methods: The object of this research was to know the coping mechanism of diabetic person. Design used in this research was quasy experimental pre post test design. This research was using purposive sampling with five people as the samples. The recording result of interview would be transcribed as the data. Data would be classified depend on the criteria inclusion and would be analyzed by reduction, data serving, and data conclution to get the good result.Result and Analysis: The results showed that interviews with partisipants indicated they have accepted their condition by making efforts to deal with negative feelings experienced through self control, taking a positive appraisal and accepting the responsibility. They tended able to do a good self-management to deal with diabetes mellitus by performing the routine control, dietary changes, looking for information about diabetes mellitus and exercise regularly. Partisipants were also getting support from family, friends, and health professionals.Discussion: coping mechanisms were performed by diabetic person include emotional focused coping to deal with negative emotions and problem focused coping to deal with diabetes itself through management regimen task.
HUBUNGAN DUKUNGAN KELUARGA DENGAN KEPATUHAN MELAKUKAN LATIHAN FISIK DAN TERAPI INSULIN PADA PASIEN DIABETES MELITUS TIPE 1 DI POLIKLINIK PENYAKIT DALAM RSUD DR. ABDOER RAHEM SITUBONDO Annisaa Zahra Firdausi; Sriyono Sriyono; Candra Panji Asmoro
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 4 No. 2 (2016): APRIL 2016
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (474.944 KB) | DOI: 10.20473/cmsnj.v4i2.12396

Abstract

Introduction: Diabetes mellitus (DM) is one of the chronic disease characterized by elevation of blood glucose concentration. Non-adherence to diabetes treatment increases the risk of disease complication. Family support is an important thing to determine adherence scale in diabetes treatmenteffort. The aim of this study was to identify correlating of family support with physical activity and insulin therapy adherence in patient with type 1 DM.Methods: A cross sectional design was used in this study. The population of this study was all of patient with type 1 diabetes mellitus that ever examination to the internal diseases polyclinic. Total sample was 58 respondents, taken withpurposive sampling technique. The independent variable was family support, and the dependent variables were physical activity adherence and insulin therapy adherence. Data were collecting used questionnaire and analyzed using Spearman’s Rho with α≤0.05.Result: Result showed that 32,76% patient with type 1 DM had good family support, 63,8% had good enough family support, and 3,44% had less family support. Researcher found that 56,9% patient had physical activity adherence and 81,1% patient had insulin therapy adherence (34,5% for good adherence and 46,6% for good enough adherence). Therapy adherence in patient with type 1 DM had significant correlation with family support (ρ=0.000, r=0.553 for physical activity and ρ=0.000, r=0.509 for insulin therapy).Conclusion: It can be concluded that family support has correlation with physical activity and insulin therapy adherence. Further studies need to identify the correlation of that variables to each family support dimension to determine the most influence of family support dimension.
KENYAMANAN PASIEN PRE OPERASI DI RUANG RAWAT INAP BEDAH MARWAH RSU HAJI SURABAYA Ilma Rosida Rahmawati; Ika Yuni Widyawati; Laily Hidayati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 4 No. 1 (2015): OKTOBER 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v4i1.12293

Abstract

Introduction: Preoperation is a phase when the decision for surgical intervention is made and ends when the patient is sent to the operating theatre. The successful operation is determined by the successfull of preparation, including comfort aspect undergoing surgery. The aim of this study was to identify contributing factors of preoperative patient’s comfort at Marwah Room RS HajiSurabaya.Methods: A cross sectional design was used in this study. The population was all of preoperative patient at Marwah Room. Total sample was 26 respondents, taken with consecutive sampling technique. The independent variables were age, surgical experience, anxiety, family support, and pain. The dependent variable was preoperative comfort. Data were collected used questionnaire and observation. Data were analyzed using Spearmen’s Rho and Chi Square testwith α≤0.05.Result: Result showed that age, anxiety, family support, and pain had significantcorrelation with comfort, with level of significant p=0.000, p=0.000, p=0.015, p=0.036 respectively and coefficient correlation of r=0.769, r=0.832, r=0.473, r=0.414 respectively. Surgical experience also had correlation with comfort (p=0.000; x2=15.367).Discussion: Preoperative comfort has correlation with age, surgical experience, anxiety, family support, and pain. Anxiety has the strongest correlation with comfort. Further studies should identify the correlation of that variables to each context of comfort in Kolcaba’s Theory
PEMBERIAN TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) MENURUNKAN INTENSITAS NYERI PADA PASIEN BEDAH UROLOGI DI RUANG RAWAT INAP MARWAH RSU HAJI SURABAYA Balmar Morangelita Nuach; Ika Yuni Widyawati; Laily Hidayati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 3 No. 1 (2014): OKTOBER 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (655.135 KB) | DOI: 10.20473/cmsnj.v3i1.12200

Abstract

Introduction: Urology surgical is a current surgical procedure for tractus urogenitalis disease. Issue in post urology surgical is a pain. Transcutaneous electrical nerve stimulation (TENS) is one of the nursing intervention that uses low-voltage electrical current for pain relief. TENS can improve pain mechanisms and release of endorphins to reduce pain. The aims of this study was to determine the effect of TENS on pain intensity of postoperative urology surgical patient in Haji Surabaya Public Hospital.Methods: A quasy experiment with non randomized control group pre post design was used in this study. Recruting sample by purposive sampling. There were 12 samples (6 respondents as the control group and 6 respondents as the treatment group) which recruit using purposive sampling. Independent variable was TENS. Dependent variable was pain intensity. The pain was measured by Visual Analog Scale (VAS). Data were analyzed using Wilcoxon Signed Rank Test and Mann Whitney.Result: Results of this study showed that there was a significant effect of TENS on pain intensity of postoperative urology surgical patient in Haji Surabaya Public Hospital. In the treatment group Wilcoxon Signed Rank Test p=0.084 (p<0.05), while in the control group p=0.020 (p<0.05). Mann Whitney=0.003 (p<0.05).Discussion: It can be concluded that there was a significant effect of TENS on pain intensity of postoperative urology surgical patient in Haji Surabaya Public Hospital. TENS is recommended for the independent nursing intervention to reduce postoperative urology surgical pain. Based on this result can be done to further research should analyze several factors that affects pain patients after surgical urology. Variable confounding are ethnic and cultural values, stage of development, environment and individual support, the experience of surgery pain, anxiety and stress, controls complication post surgical happened, alternative medication history, drugshistory, surgical history and disease history.
Efektifitas Pemberian Self Help Group dengan Acceptance and Commitment Therapy terhadap Interdialytic Weight Gain Heriberta Tuto Suban; Harmayetty Harmayetty; Lailatun Ni'mah
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 8 No. 1 (2019): APRIL 2019
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (47.906 KB) | DOI: 10.20473/cmsnj.v8i1.12373

Abstract

ABSTRAKPendahuluan: permasalahan yang sering terjadi pada klien yang menjalani hemodialisis (HD) adalah terjadinya  penambahan berat badan atau Interdialytic Weight Gain (IDWG) karena  ketidak patuhan klien dalam pembatasan cairan. Untuk itu diterapkan Self help Group (SHG) dan Acceptance and Commitment Therapy (ACT).Tujuan penelitian adalah mengetahui perbedaan efektifitas pemberian Self Help Group dengan Acceptance and Commitment Therapy terhadap penurunan IDWG klirn yang menjalani HD.Metode: desain penelitian quasy experimental the pretest-posttest one control group disgn. Jumlah responden 57 orang dengan menggunakan purposive sampling. Variabel independen adalah SHG dan ACT, sedangkan variabel dependen IDWG. Untuk variabel independen menggunakana instrumen Satuan Acara Kegiatan,  sedangkan untuk variabel dependen menggunakan instrumen timbangan BB dan lembar observasi IDGW. Uji statistik untuk SHG dan pembanding  menggunakan Wilcoxon Signed­_Rank Test dengan tingkat kemaknaan p≤0,005, untuk ACT menggunakan  Paired T Test dengan tingkat kemaknaan p≤0,005 dan untuk perbandingan antara  SHG, ACT dan Pembanding menggunakan Mann Withney dengan tingkat kemaknaan p ≤ 0,005.Hasil: Wilcoxon Signed Rank Test  kelompok SHG p=0,002, hasil Paired T Test kelompok ACT p= 0,000, hasil Wilcoxon Signed Rank Test   kelompok pembanding p= 0,224. Hasil statistik Mann Whithney antara SHG- ACT didapatkan nilai p= 0,838, uji Mann Whithney SHG-pembanding p= 0,044 uji Mann Whithney ACT-pembanding p=0,015. Hasil uji statistik ini menunjukan bahwa antara SHG dan ACT keduanya efektif terhadap penurunan IDWG namun pemberian ACT lebih efektif terhadap IDWG dengan p=0,015.Diskusi: Penerapan SHG dan ACT efektif terhadap penurunan IDWG pada klien yang menjalani HD, sehingga diharapkan SHG dan ACT dapat diterapkan untuk mengantisipasi IDWG yang berlebihan pada klien yang menjalani HD. Kata Kunci: Self Help Group, Acceptance and Commitment Therapy, Penyakit Ginjal Kronis, Interdialytic Weight Gain , Hemodialisis        ABSTRACTIntroduction: Problem  that often occurs in hemodialysis clients is the occurrence of Interdialytic Weight Gain (IDWG) due to client’s nonadherence in fluid restrictions. For this reason, Self Help Group (SHG) and Acceptance and Commitment Therapy (ACT) are applied. The purpose of the study is to determine the differences in the effectiveness of SHG with ACT towards the decrease of IDWGs in clients hemodialysis Method: the study used the quasi-experimental method with the pretest-posttest one control group design. The number of respondents is 57 people who were determined by using purposive sampling. The independent variables are SHG and ACT, while IDWG is the dependent variable. The instrument used for independent variables is activity event unit, while weight scale and IDGW observation sheets were used for the dependent variable. Statistical test using Wilcoxon Signed_Rank Test with significance level p≤ 0.005 to compare between SHG and the comparator, Paired T Test with significance level p≤ 0.005 for ACT, and Mann Withney with significance level p ≤ 0.005 to compare between SHG, ACT, and the comparator.Result: Wilcoxon Signed Rank Test of SHG’s group obtained p = 0.002, Paired T Test of ACT’s group obtained p = 0.000, Wilcoxon Signed Rank Test of comparator’s group obtained p = 0.224. Statistical test using Mann Whithney between SHG-ACT obtained p = 0.838, Mann Whithney test between SHG-comparator obtained p = 0.044, while Mann Whithney test between ACT-comparator obtained p = 0.015. The results of these statistical tests show that both SHG and ACT are effective against the decline of IDWG, but ACT is more effective than SHG with p= 0.015Discussion: the application of SHG and ACT is effective against the decrease of IDWG in clients Hemodialysis, therefore it is expected that both SHG dan ACT can be applied to anticipate excessive IDWG in clients who undergo HD.    
KADAR GLUKOSA DARAH MENCIT (MUS MUSCULUS) DIABETES MELLITUS PASKA PEMBERIAN MODEL LATIHAN ISOMETRIK Sonia Hardiyanti; Harmayetty Harmayetty; Ika Yuni Widyawati
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 1 No. 1 (2012): Oktober 2012
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.036 KB) | DOI: 10.20473/cmsnj.v1i1.11971

Abstract

Introduction: Based on the latest research, exercise had significant effect to decrease blood glucose. The aimed of this study was to investigate the effect of isometric exercise model on blood glucose in Diabetic Mice (Mus musculus).Methodes: This research was used a true experimental study with randomize post-test only control group design. The sample was male mice (Mus musculus) in 20-27 grams weight. 27 male mice were divided into three groups; the first group was normal group (control) that injected by NaCl as placebo, the second group was diabetic mice and the third group was diabetic mice with exercise. Both second group and third group were injected by streptozotocin (STZ) to induce Diabetes Mellitus. After 2x24 hours injected, all groups were given oral glucose (Dextrose-40% or D40). One hour after they given by D40, the third group was treated by isometric exercise used treadmill for 23.31 minutes with 21 cm/second speed and 0° elevation angle. Then the blood samples of all groups were taken to measure the blood glucose level. Data were analyzed by One Kolmogorov-Smirnov test, ANOVA test, and Least Significance Difference (LSD) with significance level of α<0.05.Result: The result of One Kolmogorov-Smirnov test showed that there was p=0.94 in normal group, p=0.50 in diabetic group, and p=0.19 in diabetic with exercise group. The result of ANOVA test was p=0.08. The result of LSD for blood glucose revealed was p=0.23 for diabetic group and diabetic with exercise group. The researcher had an assumption that probably it happened because of in second group there were two mice that had normal blood glucose levels and in the third group the initial blood glucose levels were unknown, hence they probably could had normal blood glucose levels too. Discussion: It can be concluded that there is no effect of isometric exercise to decrease blood glucose. Further research should investigate more about the frequency and intensity of isometric exercise that could has effect to decrease blood glucose.
HUBUNGAN PENGETAHUAN PERAWAT TENTANG PEMBERIAN LABEL TRIASE DENGAN TINDAKAN PERAWAT BERDASARKAN LABEL TRIASE DI IGD RUMAH SAKIT PETROKIMIA GRESIK Erna Dwi Wahyuni; Abu Bakar; Wieji Santosa
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 4 No. 1 (2015): OKTOBER 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.07 KB) | DOI: 10.20473/cmsnj.v4i1.12816

Abstract

Introduction: Triage is a selection system and patient selection to determine the level of severity and handle patient priority. There is an error in sorting triage so that should be handled on an out patient poly but it handled in emergency room so that there are patients who need immediate care treatment cannot handled well. The purpose of this study was to analyze the relationship between knowledge about labeling triage and action based on labeling Emergency Room. Methods: This study used descriptive correlation design with cross sectional method. The population was nurse in emergency room at Petrokimia Hospital Gresik. Total sampling was used in this study. The sample in this study were 12 respondents. The independent variable was knowledge about labeling triageand the dependent variable was action based on labeling emergency room. The instrument of this study used questionnaire and observation paper then analyzed using Spearman Rho statistical test with level of significant of p<0.05. Result: The results of this study showed that there was very strong relationship between knowledge about labeling triage and action based on labeling emergency room (p=0.002; r=0.802).Conclusions: From the result of this study were expected the description for nurses that so the influence of knowledge and attitude in handling emergency patients. Nurses were motivated to do better action by increasing knowledge of discussions and continuing formal education.
Kebiasaan Makan Sayur Blendrang berhubungan dengan Tekanan Darah Pasien Hipertensi Deka Ade Yussmawan; Abu Bakar; Erna Dwi Wahyuni
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 2 No. 2 (2014): APRIL 2014
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/cmsnj.v2i2.12387

Abstract

Introduction: Hypertension is a real condition with increased blood pressure in the arteries. Puskesmas Ngrambe is one of Puskesmas with highest case of hypertension at Ngawi. Hypertension is largely due to modern lifestyle , excess weight and diet, included blendrang habits consumptions. This study was aimed to investigate correlating blendrang habits consumption with hypertension incidence on hypertension patients at Puskesmas Ngrambe.Method: This study used a cross-sectional design. The indepedent variable is blendrang consumptions, and the dependent variabel is hypertension incidence.  Total sampel was 34 respondents, taken according inclusion criteria by purposive sampling. Data were analyzed using Spearman's Rho test with a significance level of α = 0.05.Result: The results showed that p=0.004. It can be concluded that blendrang habits consumption was a significant corelations with hipertension incidence on Hypertension patients at Puskesmas Ngrambe.Discussion: Recommended for health practisioner to provide health promotion knowledge about hypertension and nutrition to reduce cases of hypertension. Further research expected to analysis other factors related to hypertension incidence at Puskesmas Ngrambe.
PERAWATAN KATETER URINE INDWELLING DENGAN CHLORHEXIDINE GLUCONATE 2% DALAM MENCEGAH INFEKSI SALURAN KEMIH DI RUANG RAWAT INAP RSUD TAMAN HUSADA BONTANG Noviani Nastiti Susantiningdyah; Ninuk Dian Kurniawati; Sriyono Sriyono
Critical Medical and Surgical Nursing Journal (CMSNJ) Vol. 3 No. 2 (2015): APRIL 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (136.745 KB) | DOI: 10.20473/cmsnj.v3i2.12238

Abstract

Introduction: Urinary tract infections that occur in hospitals are mostly caused by the installation of indwelling urinary catheter. Indwelling urinary catheter care is one way to prevent the occurrence of catheter-associated urinary tract infections. This study aimed to determine the effect of indwelling urinary catheter care by using clorhexidine gluconate 2% on the incidence of urinary tract infections at inpatient rooms of RSUD Taman Husada Bontang.Methods: The research employed a quasyexperiment posttest only design. Technique of sampling used non-probability sampling: consequtive sampling. The independent variabel was indwelling urinary catheter care. The dependent variabel was urinary tract infections. Data were collected by using colony count and types of bacteria on the fourth day. Data were analyzed by using Mann Whitney test with level of significance α<0,05.Results: The results showed that there was no difference in urinary tract infections between patients in treatment group who received indwelling urinary catheter care by using chlorhexidine gluconate 2% and patients in control group who received standard catheter care (p=0.138).Conclusion: Agent of perineal care does not influence the incidence of catheter associated urinary tract infections. Further studies should involve larger respondents and consider the characteristics of respondents such as using antibiotic, diabetes mellitus and urine production to obtain more accurate results.

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