Yudianto, Kurniawan
Universitas Padjadjaran

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Diabetes Self-Management and Its related Factors Kurniawan, Titis; Yudianto, Kurniawan
Jurnal Keperawatan Padjadjaran Vol 4, No 3 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (682.794 KB) | DOI: 10.24198/jkp.v4i3.289

Abstract

Self-management is essential in preventing complications among patients with Diabetes Mellitus. The behaviourof patients to implement Diabetes Self-Management (DSM) is influenced by several factors which needsfurther study. This descriptive study aimed to identify factors contributing to DSM among patients with Type2 Diabetes Mellitus (DMT2). 94 respondents were recruited using randomized sampling obtained from aninpatient unit in one hospital in West Java province. Self-rating instruments were used to identify demographydata, knowledge about DSM, self-efficacy scale, and DSM questionnaire. Descriptive analysis was conductedto explain demography data, knowledge, self-efficacy and DSM. Findings indicated respondents demonstratedmoderate level of knowledge (M=7,53), and self-efficacy (M=34,8), and high level of DSM (M=89,28).Post-hoc analysis demonstrated a significant relationship between age (r=-0,209); p=0,043), education level(p=0,008), and self-efficacy (r=0,214; p= 0,038). No significant relationship was not identified with DSM(r=0,317; p=0,187). It is concluded that age, level of education, and self-efficacy were contributed to DSM.
Perilaku Self-Management Pasien Diabetes Melitus (DM) Handayani, Dwi Siwi; Yudianto, Kurniawan; Kurniawan, Titis
Jurnal Keperawatan Padjadjaran Vol 1, No 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (664.754 KB) | DOI: 10.24198/jkp.v1i1.49

Abstract

Diabetes Melitus (DM) merupakan penyakit kronik, oleh karena itu peran self-managementsangat penting dalam perawatan maupun pencegahan komplikasi akibat DM. Penelitian ini bertujuan untuk mengetahui gambaran perilaku self- management.pasien DM dari aspek diet, medikasi, olahraga, pemantauan kadar gula darah dan perawatan kaki. Sebanyak 94 responsden diambil secara acak. Perilaku self-managementdiukur menggunakan kuesioner yang dikembangkan oleh penulis, dengan skor Alpha Chronbach 0,930 dan korelasi inter-item 0,385–0,797 dimana nilai tersebut valid dan reliabel untuk uji instrumen. Hasil penelitian menunjukkan lebih dari setengah responsden (64,9%) melakukan lima aspek self-managementdengan baik. Hampir semua responsden (94,7%) melakukan medikasi dengan baik, lebih dari setengah responsden melakukan diet (69,1%), olahraga (61,7%) dan perawatan kaki (77,7%) dengan baik. Namun hanya 25,5% responsden yang melakukan pemantauan gula darah dengan baik. Hasil penelitian ini dapat menjadi acuan bagi perawat untuk memberikan penyuluhan mengenai pentingnya pemantauan pada gula darah.Kata kunci: Diabetes Melitus, perilaku, self-management AbstractDiabetes Mellitus (DM) is one of the serious health problems in Indonesia. Since DM is a chronic disease, patients’ role (self-management) is very important either for treatment or DM-related complications prevention. This study was purposed to determine the level of patients’ diabetes self-management behavior, including diet, medication, exercise, blood glucose monitoring and foot care. Ninety-four responsdents were recruited randomly by gave the informed consent to diabetes patients. The questionnaire was developed by the researcher, with Chronbach Alpha 0,930 and inter-item correlation 0,385 to 0,797, which mean the instrument was valid and reliable. The results showed that in five aspects, more than half of responsdents (64,9%) reported that they performed good self-management. Almost all responsdents (94,7%) reported good medication, more than half of responsdents did well in diet, exercise (61.7%) and foot care (77.7%). However, only 25.5% responsdents who performed monitoring blood glucose levels properly. It called be good level when it fill the score criteria of the answer.Therefore, it was recommended for nurses and the hospital to develop any program to improve patients’ diabetes self-management behaviors, especially in the monitoring blood glucose.Key words: Behavior, diabetes mellitus, self-management
Relationship between Quality of Nursing Work Life with Nurse Job Satisfaction in Pilot Project of Nurse Clinical Career Implementation Patrisia, Ineke; Susilaningsih, Fransiska Sri; Yudianto, Kurniawan
Jurnal Keperawatan Padjadjaran Vol 6, No 1 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1534.413 KB) | DOI: 10.24198/jkp.v6i1.417

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Quality of nursing work life plays an important role and must be considered by a hospital organization for the achievement of nurse job satisfaction. The career ladder is one from the source of satisfaction according to Wexley & Yulk (2013) and will impact on service quality. The research method used correlational analysis with cross sectional approach. The number of samples in this study as many as 193 people. The results showed that in general, most of the respondents (98.4%) had a high quality of nursing work life and when viewed from career level category it was found that all clinical nurses 4 (100%) had high quality of work life and clinical nurses 1-3 (97.9%, 98.4%, 98.7%) most of respondents have high quality of work life. The results also showed that in general, most of respondents (79.3%) had nurses' job satisfaction and when viewed from career level category it was found that most of clinical nurses 1-4 (77.1%; 80.3%; 83.3%; 79.5%) were satisfied with their work. Indicators in the nurse's job satisfaction are the main priorities in the aspects of compensation, working conditions, recognition, independence. Indicators that need to be maintained by the management of Hasan Sadikin General Hospital Bandung are supervision technical, moral values, responsibility, advancement, co workers. The correlation between quality of nursing work life variable with nurse’s job satisfaction is weak, significant and unidirectional in the pilot project implementation of clinical nurse career ladder  in Hasan Sadikin General Hospital Bandung. Researchers expect the results of this study can be used as an evaluation for nursing management of Hasan Sadikin General Hospital Bandung. Further research is expected to be able to identify the relationship between the dimensions of the quality of nursing work life with the indicators of nurse’s job satisfaction.
FATIGUE AND WORK SATISFACTION OF EMERGENCY NURSES IN BANDUNG, WEST JAVA, INDONESIA Yudiah, Wiwin; Yudianto, Kurniawan; Prawesti, Ayu
Belitung Nursing Journal Vol 4, No 6 (2018): November-December 2018
Publisher : Belitung Nursing Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (783.402 KB) | DOI: 10.33546/bnj.558

Abstract

Background: Emergency nurses are required to always carry out their roles in a variety of situations and conditions. Nursing services in the emergency unit must be done quickly and accurately. Data showed that the number of patient visits in the Emergency Unit of Hasan Sadikin Hospital in August 2017 was 3,059 (73% of patients with category III) with an average visit of 99 people per day. This causes overcrowding in the emergency unit, which lead to fatigue and influence work satisfaction.Aim: The aim of this study was to determine fatigue and job satisfaction of emergency nurses in Hasan Sadikin Hospital in Bandung, West Java, Indonesia.Methods: This was a quantitative descriptive study, which involved 55 respondents. Fatigue was measured using Individual Strength Checklist Instrument of 20-self-reported questionnaire (CIS20R), and job satisfaction was measured using McCloskey / Mueller Satisfaction Scale (MMSS).Results: The mean value of work fatigue was 3.4 with the highest value at the sub variable of physical activity. In general, the mean value of nurse work satisfaction was 2.66.Conclusion: Emergency nurses in the emergency unit of Hasan Sadikin hospital has high level of fatigue and low work satisfaction. The hospital management is suggested to provide better work schedule for better interaction among nurses, provide opportunities for all staff to be involved in research or other scientific work, and schedule family gatherings regularly to improve togetherness between staff and their families.
Adolescent Moslem Students Sleep Hygiene Behaviour Description At Pondok Pesantren Alfiyah, Siti Nur; Susilaningsih, F. Sri; Yudianto, Kurniawan
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.v1i1.15760

Abstract

School activities and socialization consume a lot of time for adolescents and leave a little time for adolescents to rest or sleep. Changes in environment, independence and changes in sleep patterns commonly occur for students who undergo pesantren activities, thus affecting the quantity and sleep quality of students. Sleep deprivation is associated with poor sleep hygiene behaviour. This study used descriptive quantitative method with single variable. Sampling technique used at this study is stratified random sampling. This study involved as many as 161 adolescent moslem students at the age of 11-20 years in Pondok Pesantren Darul Hikmah Tanjungmekar Tanjungkerta Sumedang Distric. Data collected by using Adolescent Sleep Hygiene Scale Questionnaire and analyzed by using mean value. The result of this study showed that more than half of the respondents had good sleep hygiene practices (68,3%). There are four aspects of adolescent moslem students sleep hygiene in good category : cognitive/emotional aspect, sleep environment aspect, sleep stability aspect and substance use aspect. Two aspects of sleep hygiene in bad category are in the daytime sleep aspect and bedtime routine aspects. Meanwhile physiological aspect and behavioural arousal aspect have an almost balance values. Monitoring moslem students sleep schedule not to exceed 24.00, providing separate room for moslem study self study, habits of toothbrush before bed, monitoring of cigarette use in cottage environment, not providing tea at dinner time, and monitoring of moslem students activity outside school or cottage Pesantren is a thing that should be attention.Keyword: Adolescent, moslem students, sleep hygiene. Gambaran Sleep Hygiene Santri Remaja Pondok PesantrenAbstrakAktivitas sekolah dan sosialisasi yang dilakukan oleh remaja mengakibatkan banyaknya waktu yang tersita dan hanya sedikit waktu yang disisakan untuk beristirahat ataupun tidur. Perubahan lingkungan, kemandirian dan perubahan pola tidur yang tajam biasa terjadi bagi siswa yang menjalani kegiatan pesantren, sehingga berpengaruh terhadap kuantitas dan kualitas tidur siswa. Kekurangan tidur ini berhubungan dengan buruknya perilaku sleep hygiene. Penelitian ini bertujuan untuk mengetahui gambaran 8 aspek sleep hygiene, serta gambaran sleep hygiene berdasarkan latar belakang demografi santri. Penelitian ini menggunakan desain deskriptif kuantitatif dengan variabel tunggal. Adapun teknik sampling yang digunakan yaitu stratified random sampling. Penelitian dilakukan terhadap 161 santri remaja usia 11-20 tahun di Pondok Pesantren Darul Hikmah Tanjungmekar Kecamatan Tanjungkerta Kabupaten Sumedang. Data dikumpulkan menggunakan kuesioner Adolescent Sleep Hygiene Scale serta dianalisis menggunakan nilai mean. Hasil penelitian ini menunjukkan bahwa sebanyak 68,3% responden memiliki praktik sleep hygiene yang baik. Aspek-aspek sleep hygiene santri yang berada dalam kategori baik terdapat pada aspek kognitif emosional, aspek lingkungan tidur, aspek stabilitas tidur dan aspek penggunaan substansi. Adapun 2 aspek sleep hygiene yang berada dalam kategori buruk terdapat pada aspek tidur siang dan aspek rutinitas sebelum tidur. Sedangkan aspek fisiologis dan aspek perilaku penggugah memiliki hasil yang hampir seimbang. Memantau jadwal tidur santri agar tidak melebihi pukul 24.00, menyediakan ruangan terpisah bagi santri untuk belajar mandiri, pembiasaan sikat gigi sebelum tidur, pemantauan penggunaan rokok di lingkungan pondok, tidak menyediakan teh pada saat jam makan malam, dan pemantauan kegiatan santri diluar jam sekolah ataupun pondok pesantren merupakan hal yang sebaiknya pengurus pondok pesantren perhatikan.Kata kunci : Remaja, santri, sleep hygiene.
Learning Concentration Level of Students at Faculty of Nursing Universitas Padjadjaran (An Overview of The Z Generation) Hanifah, Asti; Widianti, Efri; Yudianto, Kurniawan
Journal of Nursing Care Vol 1, No 3 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1323.832 KB) | DOI: 10.24198/jnc.v1i3.18456

Abstract

Generation Z is a generation that has grown in the digital era and is dependent on the internet. One of the features of the internet that is most accessed by this generation is social media. Social media as the information source has a negative impact, especially related to academic processes in the university, namely the learning concentration disorder. Students as part of the Z gene is a population that uses various gadgets (gadgets), so that they are at risk of experiencing learning concentration disorders. The purpose of this study was to describe the level of concentration of learning in students of the Nursing Faculty of Padjadjaran University. This research is quantitative descriptive. The sample was taken using the proportionate stratified random sampling technique from the population of the Nursing Faculty of Padjadjaran University (n = 240). Data were collected using concentration learning questionnaires and analyzed descriptively. The results showed that 40 students (16.7%) had low levels of learning concentration, 166 students (69.2%) with moderate learning concentration levels and 23 (14.2%) with high levels of learning concentration. The conclusion of this study is that most of the Nursing Faculty students of Padjadjaran University have a moderate level of learning concentration. It is recommended to apply varied methods and learning styles in learning activities so that the level of concentration of student learning can be increased.
Study of Elderly Needs to Service of Santun Lansia Health Center Yudianto, Kurniawan; Salim, Fadiah Izzati; Sari, Citra Windani Mambang
Journal of Nursing Care Vol 1, No 3 (2018): Journal of Nursing Care
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1312.187 KB) | DOI: 10.24198/jnc.v1i3.18523

Abstract

When a person become elderly people will slowly decline in physical function and psychological aspect affecting the economic and social conditions. The purpose of this study is to identify the needs of the elderly to Age-friendly Community Health Center (Puskesmas Santun Lansia) services in Puskesmas Puter. This research using quantitative descriptive method with 96 respondents who were taken by purposive sampling technique. The data collection technique using a questionnaire based on the concept of Age-friendly Community Health Center. Results were analyzed using univariate analysis with mean/median.The result showed that 86.5% of elderly people requiring Age-friendly Community Health Centerservices and 47% of elderly people consider it important. All of respondent require servicing at dimensions promotive, preventive, rehabilitative, and ease of service. While the dimensions of curative required by all respondents. Most elderly people consider it important dimension of service on promotive, preventive, curative, rehabilitative, and ease of service.Based on research, it is expected the collaboration between the City Health Department and Community Health Center in the development of special program for elderly to improve quality of care for the elderly.
The Relationship Between Adversity Quotient and Career Adaptability of Internship Nursing Students Shalihah, Annida Nur; Yudianto, Kurniawan; Hidayati, Nur Oktavia
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.v1i1.15761

Abstract

A competitive job market is a challenge that needs to be faced by every university graduate. It is expected that every graduate has capability to keep face with expansion in job sectors. To be able to adapt to the job situation, a specific intelligence to face in facing every challenge and obstacle namely adversity quotient, is required. This study aimed to identify the correlation between adversity quotient (AQ) and career adaptability of internship nursing students. This study was descriptive correlational. Samples were recruited using a total sampling tecnique (n=142). Data were collected using a questionnaire consisting of a demographic survey, an Adversity Response Profile (ARP) Quick TakeTM and a Career Adapt-Abilities Scale (CAAS). Data were analyzed using descriptive statistics and Rank Spearman correlation test. The result of this study indicated that no students were in quitter category, only 0,7% of them were in quitter to camper transition, 76,8% of them were campers, 21,8% of the students were in camper to climber transition, 0,7% of all respondents were climbers. No students had a very low career adaptability, only 1,4% of them had a low career adaptability, while the proportions of students with a high and very high career adaptability were 75,4% and 23,2 % respectively. No significant correlation was found between AQ and career adaptability (p value >0,05; Spearman’s ρ +0,122). It can be concluded that most of internship nursing students at Faculty of Nursing Universitas Padjadjaran were campers and had a high level of career adaptability. There was also no significant correlation between AQ and career adaptability. Further research needs to explore about contributing factors related to career adaptability in internship nursing students.Keywords: Adversity quotient, career adaptability, internship nursing student. Hubungan Adversity Quotient dan Adaptabilitas Karier pada Mahasiswa Profesi NersAbstrakDalam menghadapi pasar kerja yang semakin ketat, setiap lulusan universitas diharapkan memiliki kemampuan untuk menghadapi tantangan dan beradaptasi dengan perkembangan pada dunia kerja. Untuk mengatasi hal tersebut diperlukan adanya kecerdasan dalam menghadapi setiap tantangan dan hambatan yang disebut adversity quotient (AQ). Penelitian ini bertujuan untuk mengetahui hubungan AQ dan adaptabilitas karier pada mahasiswa profesi ners. Penelitian ini menggunakan metode deskriptif korelatif. Responden penelitian berjumlah 181orang mahasiswa program profesi ners angkatan 32 dan 33 di Fakultas Keperawatan Universitas Padjadjaran yang di ambil dengan teknik total sampling dengan response rate 78,45%. Instrumen yang digunakan pada penelitian ini yaitu Adversity Response Profile (ARP) Quick TakeTM dan Career Adapt-Abilities Scale (CAAS). Teknik analisis data yang digunakan dalam penelitian ini menggunakan skoring ARP QuickTakeTM, skoring CAAS, serta uji korelasi Rank Spearman. Hasil penelitian menunjukkan bahwa tidak seorangpun responden yang berada pada kategori quitter, sebanyak 0,7% dari responden berada pada kategori transisi quitter ke camper, pada kategori camper sebanyak 76,8%, pada kategori transisi camper ke climber sebanyak 21,8%, dan pada kategori climber sebanyak 0,7%. Tidak ada mahasiswa dengan adaptabilitas karier sangat rendah, hanya 1,4% mahasiswa dengan adaptabilitas karier rendah, sedangkan mahasiswa dengan adaptabilitas karier tinggi dan sangat tinggi masing-masing proporsinya sebanyak 75,4% dan 23,2%. Tidak terdapat hubungan bermakna antara AQ dan adaptabilitas karier (p value >0,05; Spearman’s ρ +0,122). Simpulan dari penelitian ini yaitu sebagian besar mahasiswa profesi ners Fakultas Keperawatan Universitas Padjadjaran memiliki AQ dengan kategori camper dan memiliki adaptabilitas karier tinggi. Meskipun demikian, tidak terdapat hubungan bermakna antara AQ dan adaptabilitas karier. Bagi peneliti selanjutnya diharapkan untuk melakukan penelitian terkait faktor-faktor yang mempengaruhi adaptabilitas karier pada mahasiswa profesi ners.Kata kunci: Adversity quotient, adaptabilitas karier, mahasiswa profesi ners.
Implementation of Roles and Functions of Case Managers Susilaningsih, Fransisca Sri; Dayfi, Brilyan Anindya; Yudianto, Kurniawan
Jurnal Keperawatan Padjadjaran Vol 6, No 3 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1620.848 KB) | DOI: 10.24198/jkp.v6i3.403

Abstract

Case management is an intervention strategy used by health care providers and systems to support clients, coordinate health services, and facilitate results in both price and quality. In this model of care, the case manager plays an important role in ensuring that the case management service flow is well implemented. This study aims to see how the role of case managers in carrying out their functions such as utility assessment, planning, facilitation and advocacy, service coordination, evaluation, and post-discharge follow-up. The research method used is the mixed method sequential exploratory design. This method explores the work experience of a case manager in the field, then composes a measuring instrument, and then seeks to quantify the role and function of the case manager. The population in this study was the case managers in the Kemuning and Fresia Building at Dr. Hasan Sadikin General Hospital Bandung amounting to 36 people. The research sample was divided into two, in the qualitative stage the number of participants as many as 5 people was determined by purposive sampling technique, and the quantitative stage used a total sampling of 36 people. The results showed that the qualitative analysis of the assessment function identified indicators of ability to collect data, analysis, and stratification of patients; in the planning function the ability to determine goals, take joint decisions and identify problems were identified; in the facilitation function and advocacy, the ability to be identified as an educator, protector of patient rights and solution provider were identified; in the service coordination function, the ability for team communication and communication between lines were identified; in the evaluation function the ability to evaluate patients and self-evaluation were identified; and in the post-discharge follow-up function the ability related to continuity of service was identified. In the implementation, the case manager carries out those functions, 4 functions are still carried out improperly by most respondents such as the joint decision making, team communication, patient evaluation, and self-evaluation.
Quality of Nurse Work Life in Pangandaran Health Center Somantri, Irman; Yudianto, Kurniawan
Jurnal Keperawatan Padjadjaran Vol 6, No 3 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (44.688 KB) | DOI: 10.24198/jkp.v6i3.621

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Quality service is the main goal of the health care system, where the purpose of service quality is to ensure that the services or products of nursing services are produced according to the patient’s standards / desires. The purpose of this study was to find out the quality of work life of nurses in the Puskesmas.This study uses correlative design that connects the characteristics with the quality of the work life of nurses. The research sample was 48 nurses in Puskesmas who were taken by total sampling. Comparative test was carried out using Mann Whitney, Kruskall Wallis and Spearman tests adjusted for the type of dataThe results are displayed in the form of numerical data tables consisting of middle values, deviations and probability values. The total quality of work life of nurses in Pangandaran Health Center was 145.83 where the value obtained was below the average standard value of 150. Likewise for the aspect of work environment, relations with managers, work conditions and job perceptions which had a mean below the standard mean while the support service aspect has an average of 19.31 while the average standard is 18. Based on the comparative analysis, gender and age have no relationship with the quality of work life (p Value> 0.005), while the level of education, the number of teams and salaries have a relationship with quality working life of nurses in Pangandaran Health Center (p Value <0.001). This means that nurses have not felt well in their work, except in the aspect of support service in this aspect nurses have felt satisfied and prosperous in getting support from other teams / officers. Likewise, the level of education, the number of teams and salaries have an influence on the quality of the worker’s life.