Nursing Research

Nursing Research 1: Peningkatan Self Empowerment dan Kualitas Hidup pasien Diabetes Mellitus tipe II dengan pendekatan Health Promotion Model

Penelitian ini berisikan tentang penelitian mengenai pasien Diabetes Mellitus (DM) yang merupakan salah satu penyakit kronis yang memerlukan kemampuan individu dari pasien untuk mematuhi penatalaksanaan penyakitnya yang dianjurkan oleh dokter. Diabetesi harus mampu melakukan pengelolaan DM tersebut untuk mencegah komplikasi dengan memaksimalkan aspek aspek yang ada dalam dirinya untuk menentukan pilihan yang terbaik. Tujuan penelitian ini untuk mengidentifikasi personal factor, perceived benefits of action, perceived barrier to action dan menganalisis pengaruh penerapan diabetes empowerment education terhadap self empowerment dan kualitas hidup pasien DM tipe 2. Penelitian ini menggunakan desain quasy eksperimen with non randomized control group pretest posttest design. Sampel yang digunakan sebanyak 32 responden dibagi menjadi kelompok kontrol dan perlakuan dengan tehnik sampling purposive. Pengumpulan data self empowerment dengan kuesioner Diabetes Empowerment Scale (DES), sedangkan kualitas hidup menggunakanDiabetes Quality of Life (DQoL). Hasil penelitian kemudian dilakukan analisis dengan Wilcoxon Sign rank test dan Mann Whitney test dengan signifikansi 0,05. Hasil penelitian menunjukkan ada perbedaan self empowerment dan kualitas hidup pasien DM tipe 2 sesudah perlakuan. Analisis dengan Mann Whitney terdapat perbedaan self empowerment kelompok kontrol dan perlakuan (p= 0,029) dan ada perbedaan kualitas hidup pada kelompok kontrol dan perlakuan (p = 0,022).Itu berarti terdapat pengaruh terhadapself empowerment dan kualitas hidup. Kesimpulan dari penelitian adalah diabetes empowerment education meningkatkan self empowerment dan kualitas hidup pada pasien DM. Penelitian lanjutan perlu dilakukan dengan menggunakan parameter yang lebih objektif misalnya kadar gula darah, hemoglobin A1C untuk mengevaluasi efekdiabetes empowerment educationterhadapself empowerement dan kualitas hidup pasien DM.

Publikasi: http://e-journal.unair.ac.id/index.php/JNERS/article/view/14Jurnal Ners, Fakultas Keperawatan Universitas Airlangga Surabaya(Jurnal Terakreditasi B DIKTI) Vol. 10 Nomor 2 Oktober 2015 hal: 279-288 = 10 halaman.ISSN: 2302- 8920. http://e-journal.unair.ac.id/index.php/JNERS/article/view/14

Nursing Research 2: Analisis Korelasi Personal Factor, Perceived Benefit dan Perceived Barrier Dengan Pemberdayaan diri pasien DM tipe II Berbasis Teori HPM

Tujuan penelitian ini untuk menganalisis korelasi personal factor, perceived benefits of action, perceived barrier to action dengan self empowerment pasien DM tipe 2 berbasis teori Health Promotion Model. Penelitian ini menggunakan desain korelasional. Sampel yang digunakan sebanyak 32 responden dengan tehnik sampling purposive. Pengumpulan data personal factor, perceived benefits of action, perceived barrier to actio dengan menggunakan kuesioner sedangkan self empowerment dengan kuesioner Diabetes Empowerment Scale DES. Hasil penelitian kemudian dilakukan analisis dengan uji Kolmogorov Smirnov dan uji Spearman dengan signifikansi 0,05. Hasil penelitian terdapat hubungan signifikan dalam faktor umur, pendidikan, penghasilan, lama menderita DM, perceived benefit dan perceived barrier dengan self empowerment pada pasien DM tipe II. Sedangkan factor yang tidak mempunyai hubungan yang signifikan dengan self empowerment adalah jenis kelamin responden. Dari hasil penelitian ini ada hubungan signifikan antara self empowerment umur, pendidikan, penghasilan, lama menderita DM, perceived benefit dan perceived barrier dengan self empowerment pada pasien DM tipe II dan yangtidak mempunyai hubungan signifikan adalah jenis kelamin dengan pasien DM tipe I.

Publikasi:  Jurnal Kesehatan Gaster Stikes Aisyiyah Surakarta, Vol XI.No 2. Agustus 2014, No.ISBN: 1858-3385. Web http://www.jurnal.stikes-aisyiyah.ac.id/index.php/gaster/article/view/76

Nursing Research 3: Effect of Pranayama Breathing Toward Peak Expiratory Flow Rate (PEFR) And The Frequency Of Recurrence Of Patients with Asthma Bronchiale Based On Adaptation Nursing Theory’’Model

Breathing Exercise have been widely used as complementary therapy people with asthma bronchiale. The goal this research is to analize effect of pranayama breathing Peak expiratory flow rate (PEFR) and the frequency of recurrence in patients with asthma bronkiale. This study used a design draft Pre Experimental Design with One Group Pre- Post Test. The samples in this study used purposive sampling technique with 10 respondents, while the instrument measured the value of PEFR used a flow meter and the frequency of recurrence in patients with asthma bronchiale checklist sheet and analyzed using the dependent sample t test (paired t test) with α 5%. The results showed that most respondents (90%) showed PEFR values increased and 70% of respondents experienced a decrease in the frequency of recurrence of Bronchial Asthma after intervening pranayama breathing. From the analysis of Paired T Test on PEFR values obtained p = 0.001 and the frequency of recurrence of asthma obtained p = 0.003 so it can be concluded that there is the effect of pranayama breathing with PEFR values and the frequency of recurrence of Asthma Bronchiale. There is a significant influenced on pranayama breathing with PEFR values and the frequency of recurrence of patient AsthmaBronchiale. Based on adaptation nursing theory, Pranayama relates to the process of adaptive coping mechanisms to minimized the frequency of recurrence and maximize lung function, the nurse helps strengthen coping regulator is to provide Pranayanama exercises and cognator aspects, by providing information to avoid the trigger factor for asthma bronchiale.

Publikasi Penelitian: International  Nursing Conference 2014 “Increasing Role Of Nurse in The Era of Globalization Trough Inte-professional Collaboration in the Perspective of Agricultural NursingUniversitas Jember, No ISBN: 978-602-9030-57-0. Publikasi: http://www.stikes-khkediri.ac.id

Nursing Research 4: Model Peningkatan Resiliensi Anak Usia Sekolah Pasca Letusan Gunung Kelud Kediri Berbasis Disaster Nursing Competency

Anak – anak lebih rentan dibandingkan orang dewasa dan menerima dampak yang paling berat dalam kejadian traumatis pasca bencana alam. Hal ini merupakan bagian dari fokus disaster nursing competency yang belakang ini menjadi trend dalam keperawatan di Indonesia karena letak posisi Indonesia mempunyai peluang terjadi bencana alam . Tujuan penelitian ini untuk mengidentifikasi pengembangan model resiliensi dan PTSD pada anak usia sekolah korban letusan gunung Kelud Kediri berbasis disaster nursing competency. Penelitian ini merupakan explanatory research di SDN Asmorobangun Puncu didaerah Kali Lahar I Gunung Kelud. Sampel yang digunakan sebanyak 41anak diambil dengan tehnik proportionate stratified random sampling. Pengumpulan data menggunakan kuesioner resiliensi dengan kuesioner CYRM – 28  dan PTSD diukur PTSD Checklist – Civilian Version (PCL-C). Tehnik analisis dalam penelitian ini adalah model persamaan structural berbasis variance atau Partial Least Square (PLS). Hasil penelitian menunjukkan karakteristik responden mempunyai pengaruh signifikan dengan resiliensi (t = 1,97) dan kejadian PTSD anak usia sekolah (t = 1,976). Resiliensi dipengaruhi komponen faktor individu, hubungan dengan primary care, dan konteks spiritual, pendidikan dan kultur. Resiliensi mempunyai hubungan signifikan dengan kejadian PTSD pada anak usia sekolah. Oleh karena itu pengembangan model peningkatan resiliensi anak usia sekolah di daerah rawan bencana dapat dilakukan oleh perawat dengan melakukan pendidikan dan promosi kesehatan sebagai bagian dari disaster nursing competencie. Perawat dapat meningkatkan program promosi kesehatan dengan menerapkan strategi psychological care sebagai upaya promotif maupun rehabilitatif.

Publikasi: Jurnal Sainmed Kopertis VII Jawa Timur, Volume 7, Nomor 2 Desember 2015 hal: 41-45= 5 halaman.ISSN: 2085-3602, Web: http://dev2.kopertis7.go.id/jurnal_lengkap-Sainmed-

Nursing Research 5: Improving Empowerment Of Mother Larvae Observer Through Education And Training Approach

Background: Dengue Haemorrhagic Fever (DHF) are found as major health problem in Indonesia. Outbreaks of dengue fever in Kediri on the category of exceptional conditions. Based on data of Public Health Office Kediri mentioned, the case of DHF on January 2015 increased at Subdistrict Pare. The purpose of this research was to enhance empowerment mother larvae observer through education and training. Methods: This study used Pre Experimental Design with One Group Pre-Post Test. Samples were taken by using purposive sampling technique with 20 respondent. Independent variable was education and training approach, while the dependent variables were knowledge, motivation and perfomance indicator. Data were collected using questionnaires. Data were analyzed using Wilcoxon Signed Rank Test with significance level 0,05. Results: Based on the result showed that education and training approach had significant effect to mother larvae observer’s knowledge (p = 0,000), motivation (p =0,000), and perfomance indicator (p=0,001). Conclussion: Giving education and training approach can improve knowledge, motivation and perfomance on mother larvae observer. Education and training approach are part of the health promotion efforts as a nurse educator to increase the participation of cadres for mosquito eradication. Further researchers can perform similar research with experiment research by modifying other variable and improving mother larvae observer’s empowerment with other strategy.

Publikasi:  Prosiding The 1st International Conference STIKES Hangtuah Surabaya ISBN: 978-602-72856-0-6. (www: stikeshangtuah-sby.ac.id/ download.php ). Publikasi: www.stikes-khkediri.ac.id

Nursing Research 6: Simulated Of Disaster Management Effect Of Critical Thinking Skills at S1 Keperawatan STIKES Karya Husada Kediri At Disaster Preparadness Phase

Indonesia is an archipelago with 17,504 islands from Sabang to Merauke. Indonesia also has more than 400 volcanoes and 130 of them including an active volcano. Most of the volcano is located on the seabed. Indonesia is the meeting place of two series of active volcanoes (Ring of Fire). The geographical situation of Indonesia frequently affected by disasters, both catastrophic volcanic eruptions, tsunamis, floods, fires and others. The number of casualties due to natural disasters indicates that the people on disaster preparedness is still very bad. Health Officer is one profession that required readiness in collaboration with relevant agencies during the disaster. To anticipate that health workers need to apply the techniques help better, and have a broad insight on disaster management. The purpose of the study determine the effect of simulated disaster management towards critical thinking skills of nursing students S1 Keperawatan STIKES Karya Husada Kediri. This study used a design of experiments Quasy by applying simulation disaster management in the intervention group. Monitoring of critical thinking using the checklist sheet made during pre-test and post-test and then analyzed with the Wilcoxon test. From the results of statistical tests on the results get pvalue = 0.000 is less than α = 0.05, which means there are significant of simulated disaster management at critical thinking skills in students. Provision of disaster management simulation can train skills, gain an understanding of a concept or principle, trained to solve problems, increase the activity of learning, providing motivation to learn, train for its collaboration, creativity and, trained to develop a tolerance so as to improve students’ critical thinking skills in S1 Keperawatan STIKES Karya Husada Kediri.

Publikasi:  International Nursing Conference “Improving Quality of Nursing Care Through Competencies in Facing Globalization Era, Universitas airlangga Surabaya, ISSN: 2407-0629. Publikasi: http://www.stikes-khkediri.ac.id"

Nursing Research 7: Quality Work Life Dan Kepuasan Kerja Perawat Di Rumah Sakit

Kepuasan kerja merupakan suatu perasaan suka atau puas terhadap pekerjaan yang dialami oleh individu . Hal ini berdampak pada pelayanan kesehatan serta keberlangsungan operasional rumah sakit, oleh karena itu manajemen rumah sakit sudah seharusnya memberdayakan sistem quality of work life agar tidak terjadi penurunan kepuasan kerja yang mampu berdampak pada penurunan kinerja dan hasil kerja. Tujuan penelitian ini untuk mengetahui hubungan quality of work lifedengan kepuasan kerja perawat di RS Amelia Pare. Metode penelitian yang digunakan adalah studi korelasional dengan teknik <em>purposive sampling dan jumlah sampel 30 responden. Alat ukur yang digunakan kuesioner dan dianalisis dengan uji statistik spearman rho. Berdasarkan hasil penelitian didapatkan sebagian besar (60%) yaitu 18 responden memiliki quality of work lifedan kepuasan kerja sangat baik, hampir sebagian (30%) yaitu 9 responden memiliki quality of work life dan kepuasan kerja yang baik dan sebagian kecil (10%) yaitu 3 responden memiliki quality of work life cukup baik. Hasil analisis dengan uji spearman rho didapat p value = 0,007, α: 0,05, dan cc = 0,479, H1 diterima. Hal ini berarti ada hubungan antara  quality work life dengan kepuasan kerja perawat. Diharapkan untuk tercapainya pelayanan kesehatan yang optimal serta kinerja yang baik atau hasil kerja yang memuaskan maka diharapkan rumah sakit menerapkan dan memperhatikan quality of work life untuk meningkatkan kepauasan kerja dari perawat, sehingga tujuan dari perawat dan rumah sakit akan tercapai.

Publikasi: Jurnal Kesehatan dan Kebidanan, STIKES Patria Husada BlitarVolume 3, Nomor 1 April 2016, hal: 41-45= 5 halaman. ISSN: 2355-0523. Web: stikespatriahusadablitar.ac.id

Nursing Research 8: Efektisitas Patrissage Terhadap Intensitas Nyeri Dismenore Primer

Dysmenorrhea is the most common gynecologic problem in mestruating woman. Primer dysmenorrheal is usually defined as cramping in lower abdomen occurring at the onset of menstruation in the absence of pelvic disease. This pain caused by increasing of prostaglandin level that makes uterus contraction. During contraction, the vessels are constricted so the blood supplies to uterus decreased and  it makes ischemic of endometrium tissue. There are some pain management techniques by pharmacology and non pharmacology. One of non pharmacology is Petrissage. Petrissage are massage movements with applied pressure which are deep and compress the underlying muscles. They are all performed with the padded palmar surface of the hand, the surface of the finger and also the thumbs. The aim of the research is to know if patrissage on the back can decrease pain intensity on primer dysmenorrhea. This research was pre experiment design that using pre-test and post-test one group design method. The samples were consisted of 16 respondents that picked by purposive sampling. The data were collected using observation with pain scale and interview. The result before the petrissage therapy showed 50 % respondents were suffering severe pain, 37,5 % respondent were suffering moderate pain, and 12,5 % respondent  mild pain. After had therapy 43,75 % were suffering moderate pain, 43,75 % were suffering mild pain, 6,25 % were suffering severe pain, and 6,25 % were suffering no pain. Using wilcoxon Matced Paired Test analyzes with SPSS for windows (α = 0,05) there was pain intensity differences before and after patrissage on back (Z counted = -3,573), Z table = -, 1645, Z counted < Z table so Ho rejects). The conclusion is patrissage decrease pain intensity on primer dysmenorrheal.

Publikasi: Semiloka Nasional Pemberdayaan Masyarakat Sehat melalui Keperawatan Kesehatan Perempuan Nasional ,Universitas Airlangga, Surabaya, ISBN: 978-602-98539-9-5, Publikasi: http://www.stikes-khkediri.ac.id