CNJ: Caring Nursing Journal
Caring Nursing Journal (CNJ) is a Journal of Nursing Universitas Muhammadiyah Banjarmasin. This journal publishes research articles in the field of nursing. Covers every aspect relating to nursing science and health of the field of tekait. Caring Nursing Journal (CNJ) is a six-month periodical issue. Articles submitted will be published every April and October. ISSN : 2580-0078.
Articles
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Articles
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HUBUNGAN DISLIPIDEMIA DAN DIABETES MELLITUS DENGAN KEJADIAN PENYAKIT JANTUNG KORONER DI RSUD ULIN BANJARMASIN

husni, husni, Lapau, Buchari, Hardhana, Boga

CNJ: Caring Nursing Journal Vol 2 No 2 (2018)
Publisher : Universitas Muhammadiyah Banjarmasin

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Abstract

Penyakit jantung koroner (PJK) merupakan penyakit jantung yang timbul akibat penyempitan pada arteri koronaria, sehingga mengganggu aliran darah ke otot jantung. Estimasi jumlah penderita penyakit jantung koroner di Provinsi Kalimantan Selatan sebanyak 13.612 orang (0,5%). Terjadi peningkatan kasus PJK di RSUD dari tahun 2011 â?? 2014 (IRNA RSUD Ulin Banjarmasin). Penelitian ini untuk mengetahui hubungan dislipidemia dan diabetes mellitus dengan kejadian penyakit jantung koroner. Jenis penelitian ini merupakan penelitian observasional analitik dengan rancangan studi kasus kontrol. Jumlah sampel 440 orang terdiri 220 kasus dan 220 kontrol. Kasus adalah Pasien yang menderita PJK dan kontrol adalah pasien yang tidak menderita PJK. Pengambilan data bedasarkan catatan buku register poli jantung dan poli penyakit dalam di RSUD. Analisis data dilakukan secara univariat, bivariat dan multivariat. Hasil Penelitian dislipidemia (95% CI : OR = 1,6 - 4,0) dan diabetes melitus (95%CI : OR = 1,4 - 3,2) Pada penelitian ini ditemukan bahwa dyslipidemia dan diabetes mellitus berhubungan sebab akibat dengan kejadian PJK sehingga disarankan bagi masyarakat agar melaksanakan upaya pencegahan diantaranya Melakukan Skrining terhadap makanan  yang mengandung lemak tinggi dan gula berlebih, melakukan olahraga ringan, melakukan pemeriksaan darah minimal 3 bulan sekali.

PENGARUH PEMBERIAN STIMULUS KUTANEUS slow stroke back massage (SSBM) TERHADAP PENURUNAN INTENSITAS NYERI REMATIK PADA LANSIA DI PANTI SOSIAL TAHUN 2018

Mawarni, Tri, despiyadi, despiyadi

CNJ: Caring Nursing Journal Vol 2 No 2 (2018)
Publisher : Universitas Muhammadiyah Banjarmasin

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Abstract

Terdapat tiga keluhan utama pada reumatik yaitu salah satunya adalah rasa nyeri, Saat dilakukan wawancara pada 12 lansia yang mengalami reumatik mereka sering mengalami kaki dan pinggang pegal-pegal, nyeri sendi dan otot, saat sehabis melakukan aktivitas berat atau saat pagi habis bangun tidur. Penelitian untuk mengetahui adakah Pemberian Stimulus Kutaneus Slow Stroke Back Massage (SSBM) Terhadap Pengaruh Penurunan  Intensitas Nyeri Rematik Pada Lansia. Dengan metode penelitian pre eksperimental Design dengan bentuk penelitian yaitu pretest-posttest design. Teknik sampling  nonprobability sampling dengan pendekatan purposive sampling. Hasil penelitian didapat p= 0,005 (p < α = 0,05), sehingga secara statistik dapat disimpulkan bahwa ada pengaruh dalam Pemberian Stimulus Kutaneus Slow Stroke Back Massage (SSBM) Terhadap Penurunan  Intensitas Nyeri Rematik Pada Lansia. Sehingga dapat disarankan pada lansia untuk bisa menggunakan teknik SSMB ini sebagai salah satu intervensi keperawatan dalam mengatasi permasalahan nyeri secara nonfarmakologi.

THE EFFECT OF HEMODIALYSIS THERAPY ON CHANGES IN ELDERLY URIC ACID LEVELS PRE AND POST IN PATIENTS WITH CHRONIC RENAL FAILUREAGED 45-59 YEARS OLD IN GENERAL HOSPITAL

rahman, agus fathur

CNJ: Caring Nursing Journal Vol 2 No 2 (2018)
Publisher : Universitas Muhammadiyah Banjarmasin

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Abstract

Chronic renal failure is a characteristic, progressive, and irreversible disorder that causes the kidneys ability to remove waste products and maintain fluid and electrolyte balance. The frequent impact is accumulation of metabolic waste, including uremia, excess fluid load, acidosis, hyperkalemia, and hyperuricemia. The aim of the study was to determine and examine more deeply the effect of hemodialysis therapy on changes in elderly uric acid levels in patients with chronic renal failure, a perception that has been focused on gout for several years as a sign of vascular problems in patients with kidney failure.This type of study was  Quasy Experimental study with Pre and post test without control approach. The sample in the study were 15 respondents with purposive sampling technique. The results of the study was Wilcoxon test obtained p value of 0.003 (<0.005) there was a significant effect after hemodialysis, which was reduce in uric acid levels, in the elderly who got hemodialysis therapy in RSUD Kotabaru in 2018. The conclusion of this study is that there is an effect of hemodialysis therapy on changes in uric acid levels in men aged 45-59 years with chronic renal failure at Kotabaru Hospital. It was suggested to the hospital to continue to improve hemodialysis therapy services and to pay attention to uric acid levels to determine changes in uric acid levels so as to support the success of hemodialysis therapy.

Manajemen Keperawatan IMPLEMENTASI RENCANA STRATEGIS PELAYANAN KEPERAWATAN DALAM PERSPEKTIF KEPEMIMPINAN KEPALA RUANGAN BERBASIS BUDAYA ORGANISASI DI RUMAH SAKIT BUNGA KOTA CITRA

Azhar Noor, Muhammad Saubari, Wahyudin, Wahyudin, Riyadi, Machli

CNJ: Caring Nursing Journal Vol 2 No 2 (2018)
Publisher : Universitas Muhammadiyah Banjarmasin

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Abstract

Organizational culture in which there is a relationship between humans can cause why a strategy can be implemented in a hospital. Leadership as one aspect of human relations determines a strategic plan that is technically imperfect if implemented properly, it will get better results compared to a perfect strategic plan but only on paper. This study uses ethnographic studies to explore the implementation of the strategic plan of nursing services in the perspective of the leadership of the head of the room based on organizational culture at one hospital in Kalimantan. Data retrieval uses indepth interviews, observations, and documentation. The focus of this research is divided into subfocus procedures, personnel, strategies or methods, staff structuring, direction, leadership style, values, assumptions, artifacts, and rituals. The results of this study indicate that the organizational culture is less conducive due to members who are just waiting for instructions from the leadership resulting in the leadership of the head of the room in administrator style. Whereas the implementation of the strategic plan depends on how the human resources in the hospital carry it out, especially how the leadership.

THE INFLUENCE OF PATIENT SAFETY CULTURE MODEL TOWARD PRESSURE ULCER RISK PREVENTION IN A GOVERNMENT HOSPITAL IN BANJARMASIN

Saherna, Jenny, Annisa, Rina

CNJ: Caring Nursing Journal Vol 2 No 2 (2018)
Publisher : Universitas Muhammadiyah Banjarmasin

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Abstract

The basic purpose of bedrest for the patient supposed to the patient lies on the back in the bed for 24 hours to minimize all the patientâ??s organ system. The unsafety behavior, careless, lack of attention or motivation from the nurse to the patient can cause adverse event, such as pressure ulcer for the patient. Patient safety culture model for the nurse is better to decrease the number of accidents, the failed and also to optimally the service to the patient.  The purpose of this study focused to examine the influence of patient safety culture model toward pressure ulcer risk prevention. This field research is mixed methods research model sequential explanatory. It used total sampling technique of 102 nurses in the five wards and quota sampling to select 3 informants from the patient culture control team in a Government Hospital. Multiple linear regression analyses were performed to identify qualitative data. Semi-structured guide in-depth interview used to collect the qualitative data. The summary of multiple linear regression analysis of all independent variables indicated that perceptions of patient safety were the most influential indicator to pressure ulcer risk prevention. The in-depth interview also indicated nursesâ?? perceptions of patient safety as an important factor that influences incident reporting, resources, and patient involvement as important factors that influence patient safety culture application on pressure ulcer risk prevention.   Key Words     : Patient Safety Culture Model, Pressure Ulcer Risk The basic purpose of bedrest for the patient supposed to the patient lies on the back in the bed for 24 hours to minimize all the patientâ??s organ system. The unsafety behavior, careless, lack of attention or motivation from the nurse to the patient can cause adverse event, such as pressure ulcer for the patient. Patient safety culture model for the nurse is better to decrease the number of accidents, the failed and also to optimally the service to the patient.  The purpose of this study focused to examine the influence of patient safety culture model toward pressure ulcer risk prevention. This field research is mixed methods research model sequential explanatory. It used total sampling technique of 102 nurses in the five wards and quota sampling to select 3 informants from the patient culture control team in a Government Hospital. Multiple linear regression analyses were performed to identify qualitative data. Semi-structured guide in-depth interview used to collect the qualitative data. The summary of multiple linear regression analysis of all independent variables indicated that perceptions of patient safety were the most influential indicator to pressure ulcer risk prevention. The in-depth interview also indicated nursesâ?? perceptions of patient safety as an important factor that influences incident reporting, resources, and patient involvement as important factors that influence patient safety culture application on pressure ulcer risk prevention.   Key Words     : Patient Safety Culture Model, Pressure Ulcer Risk

the Effect of Implementation of Discharge Planning with Family Centered Nursing Approach to Drug Compliance Level of Anti Hypertension Drugs in Elderly at Ulin Banjarmasin Hospital

negara, candra kusuma, basid, abd

CNJ: Caring Nursing Journal Vol 2 No 1 (2018)
Publisher : Universitas Muhammadiyah Banjarmasin

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Abstract

ABSTRACT Elderly is a natural process of growing flowers, elderly tend to experience health problems resulting from decreased body function due to aging process one of the effects of blood pressure lability occur. High blood pressure is a chronic disease that can not heal, can only be controlled by way of obedience to take anti-hypertensive drugs. There are several models of nursing concept one family centered nursing that is family model of caring for the family. This research is an experimental research included in quantitative research method with Quasi Eksperiment design. This research uses pre-test and post-test with control group design, and uses questionnaires to measure compliance and family roles. The questionnaire has met the requirements of the validity and reliability test. Of the 20 respondents, there were 14 (70%) female respondents and 6 (30%) male responder. A total of 15 (75%) respondents were aged 60-70 years, 5 (25%) responder was> 70 years old. The average test result of two samples in experimental group of mean result is 15,20 with std value. deviation 3.047, for the control group value is known the mean value of 15.20 std value. deviation 4,458 with t-count value is 0,059 and obtained value p value is at 0,02 this value <from p value 0,05 meaning Ha accepted which mean there is difference of mean between two samples. These results indicate that there is Influence of Implementation of Discharge Planning with Family Centered Nursing Approach to Drug Compliance Level of Anti Hypertension Drug at elderly in Ulin Banjarmasin Hospital.

THERAPY ACUPRESSURE AND MUROTTAL AL-QURAN ON THE PAIN INTENSITY AND ENDORPHIN URINE

kurniyawan, enggal hadi, Haryanto, Joni, Sriyono, Sriyono, MN, Kholid Rosyidi, Afandi, Alfid Tri

CNJ: Caring Nursing Journal Vol 2 No 1 (2018)
Publisher : Universitas Muhammadiyah Banjarmasin

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Abstract

Most of the post-ORIF patients experience pain during wound care. Therapy analgesics and Complementary Alternative Medicine can be used to reduce pain during wound care. Acupressure and murottal Al-Quran are an alternative therapy that can be used to reduce pain. This study aims to explain the effect of acupressure and murottal Al-Quran in reducing the intensity of pain during wound care in patients post ORIF and increase levels of β-endorphins in urine. This research uses the Quasi-Experimental approach with pre-test-post-test. This research was conducted in dr. Soebandi Hospital. The sample of research was done by consecutive sampling technique, consist of 28 respondents. Data were collected using structured questionnaires, numeric pain scales, ELISA kits, and analyzed by ANOVA test. Acupressure, murottal Al-Quran, and a combination of acupressure and murottal Al-Quran have significantly reduced the intensity of pain during wound care in patients post ORIF. There is no intervention more effective between acupressure, murottal al-Quran and combination of acupressure and murottal al-Quran in reducing pain intensity. Acupressure, murottal Al-Quran, combined acupressure and murottal Al-Quran significantly can not increase β-endorphin level in urine. Acupressure, murottal Al-Quran, and a combination of acupressure and murottal Al-Quran are a good alternative therapy used to reduce pain intensity during wound care in patients post-ORIF but this intervention still can not increase β-endorphin in urine.

COMPARISON OF THERAPY GUIDED IMAGERY WITH SLOW DEEP BREATHING RELAXATION IN REDUCE PLEASE PATIENT SCALE LAPARATOMI IN SEMICIDE ROOM ULIN BANJARMASIN 2017

Daud, Izma, Muthmainnah, Muthmainnah

CNJ: Caring Nursing Journal Vol 2 No 1 (2018)
Publisher : Universitas Muhammadiyah Banjarmasin

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Abstract

Surgical action is always associated with incisions / incisions that are traumatic or violent to the patient who cause various complaints and symptoms. One of the most common complaints is pain (Sjamsuhidajat and Jong, 2005). Guided imagery is a technique that uses the imagination of an individual with a guided imagination to reduce stress. This study aims to determine the effect of combination therapy of slow deep breathing and guided imagery relaxation on the scale of pain in patients post laparatomi surgery. Method: Using Quasi Experiment pre post test, sample of intervention group 33 respondents and control group 33 respondents. The intervention group was given combination therapy of slow deep breathing and guided imagery relaxation and analgetic according to room SOP and control group only given analgetic according to room SOP. Data analysis using Mann-Whitney Test with 95% confidence degree. Results: There was a significant difference in mean pain scale before and after the intervention of Slow deep breathing Relaxation, and there was also a significant difference in mean postoperative pain scale of laparotomy before and after intervention in the guided imagery group.

Basambur Healing Rituals on Etnomedicine of Dayak Paramasan Meratus: Collective Mindset Effect on Perception Response

Anshari, Muhammad

CNJ: Caring Nursing Journal Vol 2 No 1 (2018)
Publisher : Universitas Muhammadiyah Banjarmasin

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Abstract

The situational meaning of the disease can cause distress, the meaning is generated from the perception process. Perception can be affected by the mindset. To explain the effect of the collective mindset (belief and value) on the perceptual response. The research was conducted in the Dayak Paramasan community of Banjar District. pre-experimental one group pre-post test. Subjects were 12 people with acute respiratory diseases. The research instrument used questionnaire. Data analysis techniques using different test paired sample t test. There is difference of pre-post belief and value variable (sig. 0,000 <0,05). There is difference of pre-post value of perception variable (sig. 0,000 <0,05).  The relationship of change of mindset (belief and value) to change of perception variable showed strong and significant relationship (p <0,05); value (r = 0.892), belief (r = 0.908). Ritual basambur can strengthen the collective mindset (belief and value). The dominant mindset will induce perception to establish a positive quality of perception stress. Through the path of HPA axis the body provides a positive stress response quality as well as decreasing the status of distress to support healing.

Perbandingan jumlah limfosit dan interleukin-6 setelah aerobik ringan dan sedang pada remaja

Harun, lukman

CNJ: Caring Nursing Journal Vol 2 No 1 (2018)
Publisher : Universitas Muhammadiyah Banjarmasin

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Abstract

Regular physical exercise may boost the immune system, exercise can cause physiological changes are quite large in the immune system, regular physical exercise can increase levels of Interleukin-6 and Total Lymphocyte as cytokines and adaptive defense in the immune system. This study aims to determine differences in the levels of interleukin-6, and the number of lymphocytes against mild and moderate aerobic exercise Sampling using a hypothesis test two independent groups tail with 9 people in this inklusi.Penelitian criteria using Quasi experimental design with posttest study design with Control Group. The test results comparing the levels of interleukin-6 Kruskal-Wallis test is used for the distribution of datatidak Normal. Shows that p = 0.031. This means that the average levels of IL-6 in the three groups differed significantly (p <0.05). Lymphocytes Indicate the number of test results that the results of the analysis of the test Analysis of Variance (ANOVA) showed that the value of p = 0.001. It simply means that the average number of lymphocytes in the three groups differed significantly (p <0.05).