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Jurnal NERS

JNERS
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Published by Universitas Airlangga

ISSN : 18583598 EISSN : 25025791 DOI : -

Core Subject : Health,

Nursing

The scope of this journal includes studies that intend to examine and understand nursing health care interventions and health policies which utilize advanced nursing research. The journal also committed to improve the high quality research by publishing analytic techniques, measures, and research methods not exception to systematic review papers.

Arjuna Subject : -

Articles 783 Documents

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Health Behaviors and Clinical Outcomes Among Patients with Myocardial Infarction in Indonesia Herliani, Yusshy Kurnia; Matchim, Yaowarat; Kritpracha, Charuwan
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Introduction: Health behaviors are necessary for preventing possible cardiac events and maintaining health for MI patients. In addition to health behaviors, measuring clinical outcomes is a critical element for optimizing treatment and monitoring the risk factors of a cardiac event. The aims of this study were to (1) describe health behaviors and clinical outcomes among patients with myocardial infarction (MI) in Indonesia; and (2) investigate the relationship between their health behaviors, clinical outcomes, and other selected variables. Method: Sixty hospitalized MI patients participated in this descriptive correlational study. Data were analyzed using descriptive and correlational statistics. Results: The majority of MI patients in this study had a moderate level of total health behaviors, exercise behaviors, dietary behaviors, and stress management. Interestingly, most of the patients had a high level of medication adherence, and smoking cessation. Also, their blood pressure (BP) and body mass index (BMI) of MI patients were at the normal level. In contrast, more than half the patients had a high level of fasting blood glucose and total cholesterol, and a low level of HDL. Moreover, nearly half of the patients presented a high level of LDL, and triglyceride. Exercise behaviors have a negative relationship with total cholesterol, and LDL. Interestingly, gender showed a positive relationship with total health behaviors, and smoking cessation. In addition, monthly incomes show a positive relationship with exercise behavior, and dietary behaviors. The number of times hospitalized appeared to have a positive relationship with systolic BP. Surprisingly, MI treatments showed a positive relationship with total health behaviors, smoking cessation, and BP. Discussion: In conclusion, cardiac rehabilitation should involve health behaviors and clinical outcomes to prevent recurrent cardiac events and maintain health for MI patients.Keywords: Myocardial infarction, Health behaviors, Clinical outcomes

The Level of Asthma Diagnosing System by using Fuzzy Inference System Hanum, Kholida; Subiyanto, Subiyanto
Jurnal NERS Vol 10, No 1 (2015): Vol. 10 Nomor 1 April 2015
Publisher : Universitas Airlangga

Introduction: This paper discuss about fuzzy inference system for the diagnosis of asthmaâs levels. The process of diagnosis was made from symptoms that occur in patients with asthma. Input process, results, and methodology in making this system was done carefully, so this system is expected valid and fi t for medical diagnosis. Method: Methodology in the system including the knowledge base, fuzzyfi er, and inference engine. The symptoms used in diagnostic systems, including shortness of breath, wheezing, level of alertness/unique symptoms, respiratory rate, speech rate, pulse per minutes, and PEF after bronchodilator. And the output of asthmaâs level diagnosis was mild, moderate, severe, and RAI/respiratory failure. The performance of system has been tested in Cilacap Pertamina Hospital, 20 patients with asthma were involved. The results of system and doctorâs opinion who has been treating patients with asthma were compared. Result: The result showed that the system obtained 90%, according to the doctorâs diagnosis. Discussion: This system is expected to help the medical expert or doctor in diagnosing the level of asthma.Â Keywords: Fuzzy inference system, diagnosis, level of asthma

Implementation of Health Action Process Approach to Improve Dietary Adherence in Type 2 Diabetic Patient Kusnanto, Kusnanto; Kurnia, Iqlima Dwi; Prasetia, Dwi Indah
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Introduction: Type 2 diabetic patients usually unsuccessful to follow the diet recommendation due to lack of motivation, memory and intention. This study attempts to increase the motivation and also to improve intention in dietary adherence through the implementation of Health Action Process Approach (HAPA). Method: This study was a quasy-experiment. The population were type 2 diabetic patients in Puskesmas Krian Sidoarjo in March-April 2015. Respondents were only 16 and had been divided into experiment and control group. The independent variable was the implementation of HAPA. The dependent variable were self-efficacy, dietary adherence and blood sugar levels. The instruments in this study were questionnaires and blood sugar monitoring devices. Data were analyzed using statistical wilcoxon sign rank test and mann whitney uÂ test with significance level Î± â¤ 0.05. Result: Wilcoxon sign rank test showed there were differences between pre and post test significantly on self-efficacy (p=0.014), dietary adherenceÂ (p=0.025), blood sugar levels (p=0.009) inÂ experiment group, while no significant differences in control group. Mann Witney U test showed that there was significant difference on dietary adherence (p=0.002) between two groups. Discussion: In conclusion, the implementation of HAPA can improve dietary adherence in type 2 diabetic patient. Further, following studies are expected with large number respondents and identify the whole variables in the HAPA theory.Keywords: Health Action Process Approach (HAPA), self efficacy, dietary adherence, blood glucose, Diabetes Mellitus (DM)

The Effectiveness of Dhikr Toward Decreasing Anxiety and Labor Pain During Active Phase of First Stage among Primigravida Nurbaeti, Irma
Jurnal NERS Vol 10, No 1 (2015): Vol. 10 Nomor 1 April 2015
Publisher : Universitas Airlangga

Introduction: Childbirth is an event that causes stress to the mother. Anxiety and pain during labor, if not handled properly will disrupt the process of birth. Interventions to do is dhikr to God. The purpose of this study was to determine the effectiveness of dhikr to reduce anxiety and pain during the active phase of labor. Method: The study used a quasiexperimental design involving control groups were measured pretest and posttest. The samples were 40 moeslem primigravida with 37â42 weeks gestation and cervical dilation > 3 cm were taken by purposive sampling. Data was collected using a questionnaire (Taylor Manifest Anxiety Scale) and observation of labor pain (Visual Analog Scale) per hour. Multivariate data analysis using ANOVA test at Î± = 0.05. Results: This study showed that dhikr was effective to reduce the level of anxiety during labor in primigravida (59.8%). The average score of maternal anxiety and pain felt by mothers during childbirth have decreased, with a value of p = 0.001. Analysis and discussion: Primigravida who did dhikr tend to experience mild anxiety during delivery process, while primigravida who did not perform dhikr is likely to experience more severe anxiety. Dhikr is also effective in reducing labor pain during the active phase of labor.Keywords: birth, nursing, dhikr, anxiety, pain

Sign and Symptom and Ability to Control Violent Behaviour with Music Therapy and Rational Emotive Cognitive Behaviour Therapy Setiawan, Heri; Keliat, Budi Anna; Wardani, Ice Yulia
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Introduction: Prevalence of violence is highly occur in mental disorders clients at psychiatric hospitals. The impact is injure to others. This research aims to examine the effectiveness of music therapy and RECBT to sign and symptom and ability to control violent behaviour. Methods: Quasi-experimental research design with a sample of 64 respondents. Result: The study found a decrease symptoms of violent behaviour, ability to control violent behavior include relaxation, change negative thingking, irational belief, and negative behavior have increased significantly than the clients that did not receiving therapy. Discussion: Music therapy and RECBT is recommended as a therapeutic nursing at the clientâs violent behaviour.Key Word: violent, sign and simptom, ability, music therapy, RECBT

Date Seeds Steeping (Phoenix Dactylifera) Strengthen Sperm Cells Membrane and Reduce Malondialdehyde Level Saryono, Saryono; H., Retnani; D., Santoso
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Introduction: Infertility in men is becoming more frequent and are usually caused by high levels of free radicals as a result of diet, smoking or pollution. Oxidative stress can be reduced by antioxidants, but a source of exogenous antioxidants are generally expensive. Date seed known contain a lot of antioxidants. The purpose of this study was to determine the effect of date seed steeping against MDA levels and sperm counts in rats model induced of monosodium glutamate (MSG). Method: This study was a pure experimental method using a post-test only with control group design. The treatments were grouped into 4 groups. Deglet Noor of date seed were used, washed and dried before roasting and smoothed. Sperm count is calculated in accordance research of Rahmanisa and Maisuri, (2013) and MDA examination with the C-18 method of TBARS (Thiobarbituric Acid Reactive Substances). Data were analyzed by one way ANOVA and continued with post hoc test. Results: There were differences in MDA levels and sperm counts between various groups. Giving date seed steeping 10.5 mg/gBW can decrease malondialdehyde levels in experimental animals after MSG induced significantly. The number of sperm increased significantly after the experimental animals were given a dose of date seed steeping 10.5 mg / g. Discussion: Keywords: free radicals, date seeds, malondialdehyde, sperm count, infertility.

Job Stress and Job Satisfaction Among Nurses in Mardi Waluyo Hospital Blitar Ahsan, Ahsan; Cahyaning Pradyanti, Adine Yenie
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Introduction: Nurses as a professional worker in hospitals are often getting job stress that cause disturbance physiology, psychology, and behavior. A study had shown that job stress in a high level would decrease the job satisfaction. The objectived of this research was to analyze the relation of job stress with the nurse job satisfaction in Mardi Waluyo Hospital in Blitar City. Methods: This research used cross-sectional as the method to conduct this research by examining the relation among variables using Rank-Spearman. Sample of this research was the total sampling, whichÂ the total of all nurses that work in the Hospital, Mardi Waluyo in Blitar City. All of the respondents filled out the questionnaires about stress that occur while working and the job satisfaction. Total of respondents were 61 nurses.Results:Â The result of Rank-Spearman showed the value of -0,674; there was an inverted relation among variables with a strong relationship level, The significance in this research was 0,000 with a confidence interval of 95% (p-value). Discussion:Â there was the more stress those nurses got, then there would be less job satisfaction.Key words :Job Stress, Job Satisfaction, Nurse

An Ergonomic Desk and Chair Prototype to Improve Seating Position on Senior High School Students at Kabupaten Gresik Nilamsari, Neffrety; Soebijanto, Soebijanto; S.M., Lientje; B.R., Setokoesoemo
Jurnal NERS Vol 10, No 1 (2015): Vol. 10 Nomor 1 April 2015
Publisher : Universitas Airlangga

Introduction: The need of desks and chairs at school which appropriate with studentâs anthropometry are very important. Desks and chairs which not suit with studentâs anthropometry will lead to fatigue. At Kabupaten Gresik, the provision of desks and chairs which suit with studentâs anthropometry still less in number. This study was aimed to provide recomendation for an ergonomic desk and chair prototype to improve seating position on senior high school students at Kabupaten Gresik. Method: This was preexperiment research with one group pre post test design. Research subjects were students at SMAN 1 Menganti and SMAN 1 Cerme, Kabupaten Gresik, 139 students were involved. Result: The recomendation of ergonomic desks and chairs specifi cation according to studentâs anthropometry were: 1) Prototypechair N, length = 48 cm, wide = 43 cm, cushion baseâs height from floor surfaces = 47 cm, bag keeperâs height from floor surfaces =3cm, bag keeperâs wide= 43 cm, bag keeperâs length = 47 cm, cushionâs wide = 41 cm, cushionâs length = 46cm, handrestâs height = 22 cm, handrestâs length = 30 cm, backrestâs height = 38 cm, backrestâs wide = 43 cm, cushionâs foam thickness = 4 cm, backrestâs foam thickness = 4 cm; 2) Prototype desk N, length = 50 cm, wide = 66 cm, back sectionâs height = 85 cm, front sectionâs height = 75 cm, footrest from fl oor surfaces = 10 cm, drawerâs height = 10cm, front bamperâs height = 40 cm, and tableâs angle = 10o. Discussion: An ergonomic desks and chairs are very important for students at school, it will help teaching learning process run well and comfortable. The measurement of desk and chair must be reviewed after fi ve years, because of studentâs anthropometric development. So then students will feel no fatigue.Keywords: ergonomy, senior high school studentâs seating position

Improving Self Empowerment And Quality Of Life Of Patients With Type 2 Diabetes Mellitus With DEE Based On Health Promotion Model Nuari, Nian Afrian; Kartikasari, Melani
Jurnal NERS Vol 10, No 2 (2015): Vol. 10 Nomor 2 Oktober 2015
Publisher : Universitas Airlangga

Introduction: Diabetes Mellitus (DM) is a chronic disease that requires individual ability of patients to adhere treatment of the disease recommended by doctors. Patient should be able to manage the diabetes to prevent complications by maximizing existing aspects within themselves to determine the best option available. The purpose the study was to analyze the effect of diabetes empowerment education to self empowerment and quality of life of patients with type 2 DM at the Puskesmas Bendo Kediri. Method: This study used quasy experiment design with non randomized control group pretest posttest design. Total sampel was 32 respondents divided into control group and experiment group, sampleÂ recruited by purposive sampling. Data were collected using questionnaire with DES (Diabetes Empowerment Scale) and DQoL (Diabetes Quality of Life). Data were then analyzed using Wilcoxon Sign rank test and Mann Whitney with level of significance of 0,05. Result: The results showed that there was a differences in self empowerment and quality of life of patients with type 2 DM after intervention. Mann Whitney analysis result`s showed that there are differences in self empowerment between control and experiment groups (p = 0,029) and there was a difference in the quality of life between control and experiment groups (p = 0,022). It can be referred from it that DEE influences self empowerment and quality of life of type 2 DM patients. Discussion: It can be concluded that diabetes empowerment education increasing selfempowerment and quality of life of patients with DM type 2. Further studies should usingÂ more objective parameters such as changes in blood sugar levels, hemoglobin A1C values to evaluate the effect of diabetes empowerment education on self-empowerment and quality of life of patients with DM. Â Keywords: diabetes, education, self empowerment, quality of life, HPM,DEE

The Changes of Premenstrual Symptoms after Aerobic Exercise Intervention Noor, Sirajudin; Norfitri, Raihana
Jurnal NERS Vol 10, No 1 (2015): Vol. 10 Nomor 1 April 2015
Publisher : Universitas Airlangga

Introduction: Premenstrual syndrome (PMS) is a group of physical symptoms, emotions and behaviors that occur cyclically during the luteal phase of the menstrual cycle and disappear after menstruation happened. Those symptoms might cause suffering for women and thus require treatment. Aerobic physical activity can raise the level of endorphins, decrease estrogen, increase oxygen transport in muscle and improve psychological well-being. The purpose of this study is to identify the differences in the effect of aerobic exercise and health education on the symptoms of premenstrual syndrome. Method: This study used quasy ekspriment with pre-posttest control group design. The research was conducted by comparing the symptoms of PMS complaints before and after treatment in the control group (education health) and the experimental group (aerobics).The research performed at the Academy of Nursing Intan Martapura and Midwifery Academy Banjarbaru with all students who registered as a student of the Academy of Nursing Intan Martapura and Midwifery Academy Banjarbaru as the subjects. The technique sampling used in this study was purposive sampling The number of sample was 40 respondents. Result: Based on pearson correlation test in cases and controls prior to treatment showed Î± > 0.05 (0.862), meant there was no correlation PMS between cases and controls. After treatment in cases and controls showed Î± <0.05 (0.018), mean there was a correlation between gymnastics aerobics with PMS complaints andPMS symptoms complaints, with the weak level of strength 0,373. From the comparative t-test in cases and controls prior to treatment showed signs â¥ 0.05 (0.862), means there was no difference of PMS complaints in cases and control group. After the treatment in cases and controls showed signs of < 0.05 (0.018), which means there was differences in symptoms of premenstrual complaints on cases that do aerobics with controls who received health education. From Paired t-test on cases before and after treatment in the form of aerobics showed sign result 0.000 < 0.05, which means that there were differences in symptoms of premenstrual complaints and menstrual complaints before and after aerobics exercise. In control group before and after treatment showed a sign of health education 0.056 â¥ 0.05 meant no differences on PMS complaints and PMS symptoms complaints between before and after the education. Analysis and Discusssion: For the students who had health complaints of PMS symptoms, it is suggested to perform regular aerobic exercise as one way to reduce the symptoms of PMS complaints.Keywords: PMS symptoms complaints, aerobics, health education

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Editorial Address Fakultas Keperawatan Universitas Airlangga Kampus C Mulyorejo Surabaya 60115

Location Kota surabaya, Jawa timur INDONESIA

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Contact Name
Ferry Efendi

Contact Email
ferry-e@fkp.unair.ac.id

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Journal Mail Official
ners@journal.unair.ac.id

Editorial Address
Fakultas Keperawatan Universitas Airlangga Kampus C Mulyorejo Surabaya 60115

Location
Kota surabaya,

Jawa timur

INDONESIA