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Indonesian Journal of Nursing Practices
IJNP (Indonesian Journal of Nursing Practices) is a bilingual journal published by Universitas Muhammadiyah Yogyakarta, PPNI (Persatuan Perawat Nasional Indonesia) and AIPNEMA (Asosiasi Institusi Penyelenggara Pendidikan Ners Muhammadiyah). IJNP is published semi-annual (June and December) since 2011. This journal before named Muhammadiyah Journal of Nursing with ISSN print 2356-1114. Then, since 2016, this journal changed to IJNP (Indonesian Journal of Nursing Practices) with ISSN online 2548-592X and ISSN print 2548-4249.
Articles
78
Articles
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Kombinasi Napas Dalam dan Diafragma Efektif Meningkatkan Arus Puncak Ekspirasi (APE) Pada Pasien Penyakit Paru Obstruktif (PPOK)

MJW, Endrian ( STIKes Muhammadiyah Ciamis ) , Noviati, Elis ( STIKes Muhammadiyah Ciamis ) , Kusumawaty, Jajuk ( STIKes Muhammadiyah Ciamis )

IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2018): Indonesian Journal Of Nursing Practices
Publisher : IJNP (Indonesian Journal of Nursing Practices)

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Abstract

AbstrakPenyakitParu Obstruktif Kronis (PPOK) adalah penyakit progresif menahun yang ditandai dengan keterbatasan pernapasan yaitu dispnea berhubungan dengan respon inflamasi dan terpapar polusi atau racun yang terinhalasi. Tujuan penelitian ini yaitu efektifitas kombinasi napas dalam dengan napas diafragma untuk meningkatkan Arus Puncak Ekspirasi (APE). Desain penelitian yaitu menggunakan pre post control dengan beda kelompok, sampel yang digunakan sebanyak 25 orang kontrol dan 25 orang† intervensi total 50 kresponden yang menderita PPOK. Hasil penelitian menunjukan hasi uji wilcoxon untuk grup intervensi P value< 0,05, grup kontrol P value>0,05, untuk uji man witney <0,05. Kesimpulan terapi ombinasi napas dalam dengan napas diafragma terbukti lebih efisien untuk meningkatkkan Arus Puncak Eskpirasi (APE).†AbstractChronic obstructive pulmonary disease (COPD) is a chronic progressive disease characterized by respiratory limitation of dyspnea associated with inflammatory responses and exposure to pollution or toxins inhaled. The purpose of this study is the effectiveness of the combination of deep breath with diaphragm breath to increase the peak flow of expiration (APE). The research design was using pre post control with different group, the sample used was 25 controls and 25 people intervention total 50 kresponden suffering from COPD. The results showed that the test results of wilcoxon for intervention group P value <0,05, control group P value> 0,05, for man witney test <0,05. The conclusion of deep breathing omginations with diaphragmatic breath proves to be more efficient to increase the peak expiration flow† (PEF).

Evaluasi Pencatatan & Pemanfaatan Buku Kesehatan Ibu dan Anak (KIA) Oleh Bidan, Ibu dan Keluarga

Khuzaiyah, Siti ( STIKES Muhammadiyah Pekajangan Pekalongan )

IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2018): Indonesian Journal Of Nursing Practices
Publisher : IJNP (Indonesian Journal of Nursing Practices)

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Abstract

AbstrakAngka Kematian Ibu (AKI) di Indonesia saat ini masih tinggi 359/100.KH. Pelayanan kesehatan antenatal di Fasilitas Kesehatan pemerintah maupun swasta dan praktik perorangan/kelompok perlu dilaksanakan secara komprehensif dan terpadu, mencakup upaya promotif, preventif, kuratif sekaligus rehabilitative. Salah satu instrument untuk menurunkan AKI/AKB adalah buku  Kesehatan Ibu dan Anak (KIA). Tujuan penelitian ini adalah untuk mengetahui gambaran pemanfaatan buku KIA oleh ibu dan keluarga di wilayah  kerja Dinas Kesehatan Kabupaten Pekalongan tahun 2016-2017. Jenis penelitian descriptive analytic dengan desain penelitian cross sectional.  Tehnik sampling dengan stratified random sampling dengan total sampel 63. Analisis  menggunakan analisis univariate. Hasil penelitian  ini menunjukkkan pemanfaatan buku KIA menunjukkan lebih dari separuh ibu kadang-kadang memanfaatkan buku KIA (58,7%) dan 33,3 % ibu dan keluarga embaca buku KIA bersama dengan Bidan.  Tenaga kesehatan agar selalu menggunkan buku KIA sebagai media edukasi sehingga ibu dan keluarga termotivasi  untuk memanfaatkan buku KIA secara lebih optimal.  Abstract.Mortality Mother Rate (MMR) in Indonesia in by 2012 is 359 / 100,000 KH. Antenatal health services in public and private health facilities and individual / group practices need to be implemented comprehensively and integrated, including promotive, preventive, curative and rehabilitative efforts. One of the instruments to decrease MMR/IMR is Maternal and Child Health Book (MCH/KIA book). The purpose of this research is to know the description of MCH book recording and utilization by health officer and family in the working area of Pekalongan Regency Health Office 2016-2017. The study design was cross sectional. Sampling  technique with stratified random sampling with total sample 63. Analysis using  univariate  analysis. The results of this study indicate that the use of MCH books shows that more than half of mothers sometimes use the MCH handbook (58.7%) and 33.3% of mothers and families read the MCH handbook along with the midwife. Health workers should always use the MCH book as an educational medium so that mothers and families are motivated to use the MCH handbook more optimally.

Gambaran Skor Nyeri Anak Saat Pemasangan Infus Dengan Intervensi Guided Imagery dan Ethyl Chloride

Khasanah, Nopi Nur ( Sultan Agung Islamic University ) , Astuti, Indra Tri ( Sultan Agung Islamic University )

IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2018): Indonesian Journal Of Nursing Practices
Publisher : IJNP (Indonesian Journal of Nursing Practices)

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Abstract

AbstrakPemasangan infus merupakan tindakan invasif awal yang seringkali dilakukan di Instalansi Gawat Darurat (IGD) untuk memenuhi kebutuhan cairan dan elektrolit. Perawat perlu menggunakan metode yang tepat untuk mengurangi nyeri hebat pada anak saat pemasangan infus. Tujuan penelitian ini untuk menganalisis perbedaan skor nyeri anak saat pemasangan infus dengan intervensi guided imagery dan ethyl chloride. Penelitian ini menggunakan rancangan pre-eksperimental post-test design ¬†dengan 30 anak sebagai responden yang diambil melalui consecutive sampling. Data dikumpulkan dengan Wong-Baker face pain rating scale dan dianalisis secara statistik dengan uji post hoc Mann-whitney. Hasil menunjukkan nilai ŌĀ sebesar 0,530 (ŌĀ>0,05) artinya tidak terdapat perbedaan yang bermakna antara kedua intervensi. Guided imagery dapat dijadikan alternatif penatalaksanaan nyeri pada anak saat pemasangan infus di IGD.¬†Kata kunci: Ethyl chloride, Guided imagery, Nyeri pada anak, Pemasangan infus¬†AbstractIntravenous catheter insertion procedure is the first invasive treatment in Emergency Room (ER) to fullfil the need of fluid and electrolyte. Nurses need to used the right method to decrease pain in children underwent IV insertion procedure. The aim of this study was to analyze the differences of children pain score when¬† they had IV insertion with guided imagery and ethyl chloride intervention. This study used pre-experimental post-test treatment with 30 children as a participant by consecutive sampling technique¬† The data was collected using Wong-Baker face pain rating scale and analyzed by post hoc Mann-Whitney test. The result showed that ŌĀ value was¬† 0,530 (ŌĀ>0,05), in which can be concluded that there was¬† no significant differences on two intervention. Guided imagery could be used as an alternative pain management on children when they had IV insertion procedure¬† at ER.¬†Keywords: ethyl chloride, guided imagery, pain in children, procedure of infusion.

Edukasi Komprehensif dalam Meningkatkan Kepatuhan Diet Pasien Hemodialisis

Relawati, Ambar ( Universitas Muhammadiyah Yogyakarta ) , Pangesti, Agnes Widhiya ( Universitas Muhammadiyah Yogyakarta ) , Febriyanti, Seli ( Universitas Muhammadiyah Yogyakarta ) , Tiari, Sita ( Universitas Muhammadiyah Yogyakarta )

IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2018): Indonesian Journal Of Nursing Practices
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Abstract

AbstrakMakan makanan yang benar pada pasien yang menjalani hemodialisis dapat meningkatkan dialisis dan kesehatan pasien. Ketidakpatuhan pelaksanaan diet merupakan salah satu permasalahan pada pasien gagal ginjal kronis yang menjalani hemodialisis. Ketidakpatuhan tersebut dapat disebabkan kegagalan terapi sehingga dapat menurunkan kualitas hidup pasien, meningkatkan angka mortalitas dan morbiditas. Salah satu intervensi keperawatan yang dapat digunakan untuk mengatasi masalah ketidakpatuhan diet adalah dengan memberikan edukasi komprehensif tentang diet pasien hemodialisis.Tujuan dari penilitian ini adalah untuk mengetahui adanya pengaruh edukasi komprehensif terhadap kepatuhan diet pasien hemodialisis.Penelitian ini merupakan quasy eksperimen dengan desain penelitian pre-post test dengan mengunakan kelompok kontrol dan kelompok intervensi. Sampel yang digunakan sebanyak 24 responden, yang dipilih melalui purposive sampling. Instrumen yang digunakan pada penelitian ini adalah kuesioner. Analisa data pada penelitian ini menggunakan uji statistik T-Test.Hasil analisis paired t-test menunjukkan nilai p=0,000 (p<0,05) pada kelompok intervensi dan p=0,103 (p>0,05) pada kelompok kontrol, artinya terdapat perbedaan yang signifikan pada kelompok intervensi sebelum dan setelah edukasi. Kesimpulan dari penelitian ini adalah terdapat pengaruh edukasi komprehensif terhadap kepatuhan diet pasien hemodialisis.  Abstract Eating the right foods in patients undergoing hemodialysis can improve dialysis and patient health. Non-compliance with diet is one of the problems in patients with chronic renal failure undergoing hemodialysis. This disobedience can be caused by failure of therapy so that it can reduce the patients quality of life, increase mortality and morbidity. One nursing intervention that can be used to overcome the problem of non-compliance with diet is to provide comprehensive education about the diet of hemodialysis patients.The purpose of this study was to determine the effect of comprehensive education on the compliance of hemodialysis patients diets.This research is an experimental quasy with pre-post test research design using the control group and intervention group. The sample used was 24 respondents, selected through purposive sampling. The instrument used in this study is a questionnaire. Data analysis in this study uses the T-Test statistical test.The results of paired t-test analysis showed that p = 0.000 (p <0.05) in the intervention group and p = 0.103 (p> 0.05) in the control group, meaning that there were significant differences in the intervention group before and after education. The conclusion of this study is that there is an effect of comprehensive education on adherence to the diet of hemodialysis patients.

The Influence of Use Artery-Femoral Band (ARFEBAND) to Haematom Incident in Patients Aafter Percutaneus Coronary Intervention (PCI)

Junait, Junait ( Master Student of Nursing Diponegoro University of Semarang ) , Purnomo, Hery Djagat ( The Internist, the Consultant of Gastro-Hepatology Dr. Kariadi Hospital of Semarang ) , Ropyanto, Chandra Bagus ( Lecturer of Nursing in Diponegoro University of Semarang )

IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2018): Indonesian Journal Of Nursing Practices
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Abstract

AbstractBackground: Haematoma is the main vascular complication in the patients after percutaneous coronary intervention (PCI). This incidents is important to be prevented and be overcome because the internal bleeding is not easy to be control and it can be make extend the mass of patients to inpatient in the hospital. Artery-femoral Band (arfeband) is a device designed that worthy and safe to keep the stability of haemostasis after PCI. Aim: it is to know the influence of use arfeband to haematoma incidents in patients after PCI. Methods: this research used the quasy - experiment pre-post control trial design, it involves 121 patients after the elective of PCI that receives the intervention group (IG) and control group (CG) that is done for 6 hours after the removal of the sheath femoral artery, 60 IG used arfeband and 61 CG with the sand bag. The measurement of diameter haematoma is done when before and after intervention. Results: this research shows that before the intervention, there are no differences that significant between IG and CG p=0,909. There are the significant differences to haem atom incidents after the use of IG with P<0,05, OR 0,398 with CI 95%¬† 0,172 ‚?? 0,919. It means that arfeband is reducing the haematoma incidents for 60,2 %. The size of the diameter of pre and post procedure, it is decrease in average of 30,4(¬Ī13,6)mm to be 10,9 (¬Ī15,9) p<0,05. Conclusion: The intervention of use arfeband influences to decrease the haematoma incidents significantly after percutaneous coronary intervention (PCI).¬†

The Effect of Cucumber Juice (Cucumis Sativus) Toward Hypertension of Elderly at Tresna Werdha Budi Sejahtera Social Institution of Banjarbaru South Borneo 2017

Negara, Candra Kusuma ( HEALTH SCIENCE INSTITUTE OF CAHAYA BANGSA BANJARMASIN ) , Erna, Erna ( HEALTH SCIENCE INSTITUTE OF CAHAYA BANGSA BANJARMASIN ) , Anna, Anna ( HEALTH SCIENCE INSTITUTE OF CAHAYA BANGSA BANJARMASIN )

IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2018): Indonesian Journal Of Nursing Practices
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Abstract

AbstractIntroduction: Hypertension is a degenerative disease that becomes a major problem in society, especially elderly. Hypertensioncauses complications of cerebral hemorrhage, heart failure, kidney failure, and blindness due to rupture of blood vessels.Objective: Analyze the effect of cucumber juice on blood pressure in elderly with hypertension† at Tresna Werdha Budi Sejahtera Social Institution of Banjarbaru South Borneo 2017.Method: Quasi experiments with Ones group pre-post test design. Total of samples are 35 people taken using purposive sampling technique. Normality test using Shapiro-wilk and statistical analyze using Paired t-test. 200g of cucumber juice mix on 100 ml water, drink twice a day during morning and afternoonResult: Systolic blood pressure decreased after cucumber juice therapy with 149,68 mmHg to 136.65 mmHg and p value 0.00 (p<0.05)† and† diatolic blood pressure decreased after cucumber juice therapy† with 95.99 mmHg to 80.09 mmHg and p value p-=0,000. Diastolic blood pressure after giving cucumber juice was 89,08 mmHg (Ī 3,355 mmHg), lower than diastolic blood pressure before giving cucumber juice which is 95,88 mmHg (Ī 3,332 mmHg). Conclusion: Cucumber juice can lower blood pressure in elderly hypertension patients.

Perilaku Cyberbullying Dengan Media Instagram Pada Remaja Di Yogyakarta

Fitransyah, Retha Rizky ( Universitas Muhammadiyah Yogyakarta ) , Waliyanti, Ema ( Universitas Muhammadiyah Yogyakarta )

IJNP (Indonesian Journal of Nursing Practices) Vol 2, No 1 (2018): Indonesian Journal Of Nursing Practices
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Abstract

Adolescents cyberbullying behavior on social media has become one of unresolved problems. Factors that influence adolescents in cyberbullying includes high use of social media, low empathy, and experience of being bully victims. This situation can give a negative impact to victims psychological. This research use a qualitative method of the phenomenology approach. The data retrieval is done by deep interviews and observations through the social media Instagram informants. The informant in this research amount 5 students consisting of senior high school and junior high school in Yogyakarta determined by purposive sampling. The validity of data is done by using triangulation methods and peer debriefing. The data analysis researchers using open code software 4.03.        The results of research through observation on social media Instagram showed the types of cyberbullying carried out by adolescents in Yogyakarta such as : 1). Make rude comments, 2). Update instastory, 3).Upload photos, and 4). Comment on photos. In addition, the results of the research through deep interviews showed that the behavior of adolescent cyberbullying was influenced by several factors such as 1). The intensity of social media use, 2). The ability of empathetic actors, and 3). Character of the victim. Cyberbullying behavior in adolescents such as uploading photos, rude comments, updating instastories, and commenting on photos by using harsh words has a negative impact on both perpetrators and victims so they need more attention from schools and parents. Based on the results of the research, it can be suggested for the future researchers to be able to intervene through health promotion on social media related to cyberbullying behavior so that there is no increase in cyberbullying on social media besides that parents can build effective communication and provide moral support so that teens avoid cyberbullying behavior.

Factors Affecting Quality of Life in Patients with Coronary Artery Disease

Santoso, Teguh ( Diponegoro University ) , Sujianto, Untung ( Diponegoro University ) , Susilawati, Dwi ( Diponegoro University )

IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 3 (2017): Indonesian Journal Of Nursing Practices
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Abstract

Background: Coronary artery disease caused disturb of physical, psychological, and social aspects on quality of life. The aims in this study was to examine effecting factors of quality of life (QoL).Methods: In this used the analytic correlation with cross-sectional design. One hundred and three subjects paticipated with purposive sampling (88 male and 23 female). QoL quesioner (SF-36) were used to collect the data. The data were analyzed by multivariate regression.Results: One hundred and three patientss (80 males and 23 female) were enroll on this study. In this study indicates that independent variables were not associated with quality of life (p value > 0.05). The greater quality of life found in patients graduated from university (62,2%) and had much income (51.9%). Other variables like male (57.5%), patients between 48-57 years of ages (68.2%), married patients with coronary artery disease (62.0%), the retired or unemplayee (78.9%), patients with hypertention (57.8%), never taking alcohol (60.8%), never smoking (50%) and never doing exercise (66%) had lower quality of life score.Conclusion: There were no statistically significant factors affecting quality of life in patients with CAD. The more respondents needed to know the factors affecting quality of life

Gambaran tingkat pengetahuan kesehatan reproduksi remaja pada siswa SMP di Yogyakarta

Lukmana, Cahya Indra ( Universitas Muhammadiyah Yogyakarta ) , Yuniarti, Falasifah Ani ( Universitas Muhammadiyah Yogyakarta )

IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 3 (2017): Indonesian Journal Of Nursing Practices
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Latar Belakang : Jumlah remaja di Indonesia sangat besar, maka remaja sebagai penerus bangsa perlu disiapkan menjadi manusia yang sehat jasmani, rohani, dan mental serta spiritual. Remaja merupakan masa peralihan dari masa anak-anak menuju masa dewasa dengan masa transisi yang unik dan ditandai oleh berbagai perubahan secara fisik, emosi dan psikis.Tujuan : Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan siswa tentang kesehatan reproduksi di salah satu SMP swasta di YogyakartaMetode penelitian : Penelitian ini menggunakan jenis penelitian non eksperimental yang bersifat deskriptif dengan pendekatan cross sectional. Penelitian ini dilakukan di salah satu SMP Swasta berbasis  Islam Yogyakarta, dengan jumlah responden 90 siswa. Alat ukur yang digunakan adalah kuisioner dengan menggunakan skala ordinal. Teknik pengambilan sampel menggunakan simple random sampling.Hasil : Penelitian ini menunjukkan  bahwa pengetahuan siswa dalam kategori baik ada 15 orang (16,7%), cukup ada 71 orang (78,9%), dan kurang ada 4 orang (4,4%).Kesimpulan : Pada penelitian ini rata-rata tingkat pengetahuan siswa tentang kesehatan reproduksi remaja adalah cukup. Hal ini dipengaruhi oleh beberapa faktor salah satunya adalah sumber informasi yang di dapat oleh siswa.

Differences Use of Yoga and Self-Tapping Towards Long Pain of Primary Dysmenorrhea on Adolescent

Ulaa, Mar√ʬĬôatun ( School of Nursing STIKes Muhammadiyah Palembang ) , Lismidiati, Wiwin ( School of Nursing Faculty of Medicine, Universitas Gadjah Mada ) , Hapsari, Elsi Dwi ( School of Nursing Faculty of Medicine, Universitas Gadjah Mada )

IJNP (Indonesian Journal of Nursing Practices) Vol 1, No 3 (2017): Indonesian Journal Of Nursing Practices
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Background: Dysmenorrhea is a common complaint in young women, characterized by pain. Dysmenorrhea pain has a significant impact on womens lives, such as limitations in daily activities. Primary dysmenorrhea can be treated using yoga and self-tapping.¬†Objective: understanding differences on use of Complementary and Alternative Medicine (CAM), such as yoga and self-tapping towards changing long pain of primary dysmenorrheal. ¬†Method: Study was conducted by quasi experiment with nonequivalent pretest-posttest control group design. Study was conducted on November 2016 until February2017 in SMK ‚??A‚?Ě Pedan Klaten and SMK ‚??B‚?Ě Klaten. Sample of study amounted 88 respondent divided on 47 respondents on experimental group and 41 respondent as control group. The experimental group was given a yoga intervention; control group was given self-tapping. Measuring tool using Numerical Rating Scale (NRS). Data analysis using t-test for independent sample, Mann-Whitney test and Wilcoxon.Result: Statistically yoga and self-tapping were equally effective in reducing the long pain of primary dysmenorrheal with p values of 0.000 and 0.012 respectively. Clinically yoga is more effective in reducing the long pain of primary dysmenorrhea with mean 1,49 compared with self-tapping 0,46.Conclusion: Yoga become more effective intervention on reduction long pain of primary dysmenorrhea compared to self-tapping.