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Jurnal Keperawatan Padjadjaran
Jurnal Keperawatan Padjadjaran (JKP) or The Padjadjaran Nursing Journal is a peer review journal providing an open access facility for scientific articles published by the principles of allowing free research available for public to support global scientific exchange. Padjadjaran Nursing Journal (JKP) is published three times a year, specifically in April, August, and December.
Articles
136
Articles
The Effect Of Home Heart Walk On Fatigue Among Heart Failure’s Patients

Aritonang, Yanti Anggraini, Widani, Ni Luh, Adyatmaka, Irene

Jurnal Keperawatan Padjadjaran Vol 6, No 1 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

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Abstract

AbstractHeart failure is a physiologic state in which the heart cannot pump enough blood to meet the metabolic needs of the body. Fatigue is a major problem that arises in heart failure patients. One intervention to reduce fatigue is Home Heart Walk (HHW). The aim of this research was to determine the effect of HHW on fatigue among heart failure’s patients. This research used Pretest-Postest Design Pre-experiment design, at RSUPN Dr Cipto Mangunkusumo & RS PGI Cikini during May-July 2015, involving 50 heart failure patients with functional class 2 & 3.The nurse teached HHW to heart failure patients with a six-minute walking procedure with five meter’s distance in the hospital and then the exercise is continued at home within two days for six weeks. The result obtained majority of the respondents is clasification heart failure’s functional class two (76%). Before & after HHW’s intervention, the majority of normal pulse rate from 90% become 100%.The test results showed there was significant difference in the degree of fatigue before and after HHW‘s intervention (p=0.000) and there is a relationship between respiratory rate on the degree of fatigue (p=0.043). The conclusion is HHW can reduce fatigue in heart failure patients during six weeks. Therefore it is recommended for nurses to teach HHW and motivate patient to have self-exercise.

Comparative Effectiveness of Cognitive Behavioral Therapy 5 Sessions and 12 Sessions Toward to Post Traumatic Stress Disorder on Post Flood Disaster Adolescent

Hayati, Uray Fretty, Fatimah, Sari, Mardhiyah, Ai

Jurnal Keperawatan Padjadjaran Vol 6, No 1 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

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Abstract

AbstractFlood disaster conduced 2375 refugees and traumatic in adolescent with symptoms of Post Traumatic Stress Disorder as many as 15 people in Garut regency. The impact of PTSD on adolescents reduced brain volume, behavioral changed and short-term memory lost. The psychotherapy that proved to be effective overcome PTSD was Cognitive Behavioral Therapy (CBT) 12 sessions but the empirical evidence in Indonesia, the 12 session of CBT intervention was too long, tedious, and caused doubts to the therapist so that 5 session CBT intervention was considered more flexible and efficient. The purpose of this study was compare the effectiveness of PTSD scores pre and post intervention of CBT 5 sessions and 12 sessions toward of PTSD on post flood disaster in adolescent. This research used Quasi Experiment Design with Pre test and Post test approach Two Group Design. The first group was given CBT 5 sessions and the second group was given CBT 12 sessions with the total number of adolescent respondents were 38 people (aged 12–18). The sample was chosen by used Consecutive Sampling at two evacuation sites in Cilawu and Tarogong Kidul subdistrict, Garut regency, West Java, Indonesia. The results of this study pre and post intervention in both groups decreased of PTSD score which difference of median value of 6.00 on CBT 5 session and average difference of 7.58 on CBT 12 session with significancy (p-value < 0.01) and the result analysis test on the effectiveness of both interventions (p-value > 0.05) with significancy number 0.648. The conclusion was no significant difference between the effectiveness of the CBT group of 5 sessions and the CBT group of 12 sessions. There needs comparison of more than 5 sessions and less than 12 sessions for next research.

The Origin and Development of Grounded Theory: A Brief History

Mediani, henny Suzana

Jurnal Keperawatan Padjadjaran Vol 6, No 1 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

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Abstract

AbstractGrounded theory is an inductive research method that provides for the systematic generation of theory using qualitative or/and quantitative data generated from interviews, observation, or written sources such as documents, or some combination there of gained by a rigorous research method. Nowadays there has been much used of grounded theory as qualitative methodology in nursing and other health disciplines, Grounded theory has been an important methodology for nursing research. The aim of this brief article is to explain how grounded theory came about.

Analyzing Factor that Affecting of Ventilator Associated Pneumonia

Kumaladewi, Yuliyana, Fatimah, Sari, Nuraeni, Aan

Jurnal Keperawatan Padjadjaran Vol 6, No 1 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

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Abstract

AbstractBackground: Ventilator associated pneumonia (VAP) has been known to be the most common nosocomial infection in Intensive Care Unit (ICU). VAP increases length of care, cost, morbidity and mortality of patients in ICU. The ICU of RSMH Palembang have already been doing prevention of VAP incidence through VAP bundles, but the number of incidence were still high. Purpose: This study aimed to identify the factors associated with VAP incidence among the patients in ICU RSMH Palembang. Method: this study was quantitative study with kohort prospective approach. Samples were recruited from ICU RSMH Palembang using consecutive sampling technique for 4 months period (n=61). Data were collected using a questionnaire package consisting of a demographic questionnaire, CPIS instrument, APACHE II, an observation sheets that measure duration of using antibiotics, duration of using ventilator, reintubation and hand hygiene compliance. Data were analyzed using descriptive quantitative and logistic regression analysis. Results: VAP occured in 12 patients (19.7%). Bivariate test result with α:5% have shown that APACHE II (p:0.043), duration of using antibiotic (p:0.023), duration of using ventilator (p:0.001) and reintubation p:(0.001) were related to the incidence of VAP. Logistic regression analysis shows that reintubation (OR=0.035; CI 95%:0.28-0.658; p=0.013) and duration of ventilator > 5 days (OR=0.082; CI 95%: 0.09-0.74; p=0.026) were significant factor that affecting VAP. Conclusion. Reintubation was the most related factor with VAP incidence. It is recommended for doctors and nurses to conduct a proper and thorough assessment before extubation to minimalize the risk of reintubation.

Development of Team Cohesiveness Measurement Instruments in Interprofessional Collaborative Practice in Health Care

susilaningsih, francisca sri, Mediani, Henny Suzana, Kurniawan, Titis

Jurnal Keperawatan Padjadjaran Vol 6, No 1 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

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Abstract

AbstractHealth care management has an obligation to always provide safe, sustainable, comprehensive, quality and satisfactory health care for both the service user and care provider. The management and culture are built through the Interprofessional Health Care Collaborative Practice Model (MPIPK), which are implemented through four model components, i.e. the clinical pathway of patient management, team management of patients, patient care integrated documentation, and interdisciplinary patient problem solving through interdisciplinary case conference forums. In order to realize interprofessional collaboration practices, a cohesive climate is required that supports group functions and performances, and an instrument is needed to measure the team cohesiveness of this model. This research was conducted to develop a team cohesiveness measurement instrument in the interprofessional collaboration of health care. The instrumentation research design was carried out through the following steps: 1) Preparations of the instrument design commenced from the synthesis theory related to collective culture and individual culture on four components of the model; 2) Validation of the contents of the instrument with related experts; 3) Construct validation with 237 healthcare practitioners in an accredited hospital setting. Expert judgment results on instrument relevance (CVI) ranged from 0.77 to 0.91, the essence of instrument contents (CVR) was in range (+) 0.27 - 0.63, CVI and CVR scores indicated the relevant and essential content of the instrument. Test results of all constructed items were valid (0.283 - 0.847) and reliable, α Cronbach on 4 components (0.792 - 0.963) so, it is feasible to be used to measure the team cohesiveness.

The Factors that are Related to Self-Care Agency in Patients with Hypertension

Kharisna, Dendy, Ropi, Helwiyah, Rahayu, Urip

Jurnal Keperawatan Padjadjaran Vol 6, No 1 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

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Abstract

Uncontrolled hypertension leads to complex problems experienced by patient as the complication of the hypertension. The patient’s ability to do self-care (self-care agency) is essential and recommended to control hypertension. Age, sex, education, occupation, marital status, decision making, duration of hypertension, lifestyle, and insurance availability are contributed to the self-care agency. Nurses and patients should be able to know and understand these self-care agency related factors. The aim of this study was to identify self-care agency relating factors of hypertension patients in Pekanbaru. This study conducted using a quantitative approach with cross sectional design and involving 100 hypertension patients who recruited using purposive sampling techniques. Self-care agency was measure using exercise of self-care agency (ESCA) questionnare. Data were analyzed using Spearman test and Chi Square test to determine the relation of each factors on self-care agency and multivariate logistic regression test to determine the most related factors on self-care agency. The result showed that there were a significant different of age (p=0.048), education (p=0.002), gender (p= 0.025), health insurance (p=0.027), and life style (p=0.003) with self-care agency. Meanwhile, there were no signifcant different of occupation (p=1.000), decision making (p=0.800), marital status (p=1.000), and duration of hypertension (p=0.567) with self-care agency. Multivariate analysis revealed that the most influence factor for self-care agency is life style. This study suggest the nurses in improving self-care agency of hypertension patients must concern about patient lifestyle and help patient to modify their lifestyle.

The Effects of Sundanese Kacapi Suling “Ayun Ambing” Music Therapy to The Level of Anxiety on Chronic Renal Failure Patient Undergoing Hemodialysis

Alamsah, Mustopa Saepul, Rahayuwati, Laili, Purba, Chandra Isabella Hostanida

Jurnal Keperawatan Padjadjaran Vol 6, No 1 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

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Abstract

ABSTRACT One of the most common psychological problems found in patients with chronic renal failure (ESRD) undergoing hemodialysis is anxiety. Unresolved anxiety can have a negative impact on physiological and psychological conditions that can aggravate the condition of the disease. Traditional Sundanese music therapy Kacapi Suling "Ayun Ambing" has a slow tempo and soft so that it can be used as a therapy. The purpose of this study was to determine the effect of the music therapy Sunda Kacapi Suling "Ayun Ambing" to the anxiety level of patients undergoing hemodialysis.The design used was a Quasy Experimental, with a pretest-posttest control group design approach, involved 46 patients divided into control groups (23) and intervention groups (23) taken by purposive sampling. The intervention group get given Sundanese Kacapi Suling "Ayun Ambing" of music a week 2 times with time 30 minutes for 2 weeks. Anxiety levels were measured using HARS (Hamilton Anxiety Rating Scale) before and after intervention. The control group received standard interventions provided by the Hospital. Data were analyzed univariate and bivariate with Paired t test, Independent t test and Mann Whitney test.Characteristics of respondents between the intervention group and the homogeneous control did not differ significantly. Differences of average before and after in two groups with the tested paired t test showed no significant difference with p value <0.05 whereas for differences in the average change of scores between the intervention and control group with independent t test showed there was a significant difference with p value 0.05.In conclusion, Sundanese Kacapi Suling "Ayun Ambing" of music intervention has an influence on the anxiety with patient undergoing hemodialysis. An implication of this research was that Sundanese Kacapi Suling Music could be considered and applied as a complementary theraphy to decrease the anxety of client, particularly ESRD undergoing hemodialysis. Sundanese Kacapi Suling "Ayun Ambing" of music intervention can also be used as an intervention alternative in a further research in order to overcome health therapies such as anxiety and pain. Keywords: Chronic Kidney Failure, Hemodialysis, Anxiety, Music Kacapi Suling

The Relation of The Family Resilience with Substance on Skizofrenia Patients in The Psikiatri Unit

Nurmaela, Nurmaela Mela, Suryani, Suryani, Rafiyah, Imas

Jurnal Keperawatan Padjadjaran Vol 6, No 1 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

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Abstract

AbstractSchizophrenic patients experience relapse after returning from the Hospital. The family is the immediate neighborhood with schizophrenic patients. Families who can not adapt to stress, then can not perform its functions properly, including the function of family care. The functioning of the family care can be seen from the level of resilience. The aim of this study was to identify the relationship between family resilience and recurrence in schizophrenic patients.This research uses correlational design with cross sectional survey. The population in this study was the family of schizophrenic patients at RSUD Arjawinangun District Cirebon. Sample determination using power analysis with alpha 0.05 and power 0.08 got sample counted 88 family. The sampling technique uses consecutive sampling. The correlation test used is Rank Spearman test. The instrument used is Family Resilience Assessment Scale which has been modified by previous researchers in Indonesia.The results of the research showed that most of the resilience of the family were tough (76.1%) and some were not tough (23.9%). The recurrence of schizophrenic patients rarely relapsed (73.9%) and a small fraction (26.1%). Rank Spearman correlation test results obtained p value = 0.001 and correlation coefficient value of 0.88, which means there is a significant relationship between family resilience with recurrence in schizophrenic patients.The conclusions of the study are resilient family resilience, allowing a rare relapse in schizophrenic patients. Arjawinangun Hospital Management Cirebon Regency in making policies to not only pay attention to the needs of patients, but also the needs of families.

Effect of Wound Care Using Robusta Coffee Powders on Diabetic Ulcer Healing

Yulianti, Yeni Yeni, Ibrahim, Kusman, Kurniawan, Titis

Jurnal Keperawatan Padjadjaran Vol 6, No 1 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

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Abstract

Diabetic Gangrene Ulcers are chronic wounds with proinflammatory wound environment caused by elevated levels of  TNF-α, which tends to occur in delay in wound healing, and infection susceptibility. This research aims to determine the effect of wound care using Robusta coffee powder as an adjuvant  to the healing of diabetic ulcers gangrene.32 patients were included in this Quasi-experiment with Pretest-Posttest Control Group Design approach and the sampling was done by consecutive sampling method at random. The object was divided into 2 groups, namely the intervention group and the control group performed on patients undergoing treatment in the surgical and inpatient wards, Regional public hospital, Sekarwangi. The intervention group received wound treatment with Robusta coffee powder while the control group received conventional wound treatment for 2 weeks, during which also has been done assessment of wound scores with wound assessment Bates Jensen at the time of pretest and posttest.            Characteristics of respondents between the intervention group and the homogeneous control did not differ significantly. The difference of mean score of pretest and posttest score in two groups with t test showed there was significant difference with p value <0,05, whereas for difference of mean score between group of intervention and control with independent t test showed there is difference significantly.            There is influence of wound care using Robusta coffee powder as adjuvant to healing diabetic ulcers gangrene in Regional public hospital, Sekarwangi, Sukabumi. Therefore, it is important for the hospital to consider wound care using Robusta coffee powder on diabetic ulcer gangrene wounds as it can accelerate wound healing.  Keywords: Robusta cofee, Wound healing, Diabetic ulcers, Wound assessment Bates Jensen

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

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Abstract

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 nurses 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.