Journal of Bionursing

Pemberian Audio Al Jarol Miyyah untuk Mengurangi Gangguan Tidur Mahasiswa di Pondok Pesantren Purwokerto

Mahyatus Sunani — 2024-01-31

Background: Globally, there are a third of people in the world who suffer from sleep disorders or difficulty initiating and maintaining sleep. Early adulthood is an at-risk group of sleep disorders. This research aims to determine the effect of Al Jarol Miyyah audio on sleep disorders among university students living in an Islamic boarding school in Purwokerto.

Method: This research applied a quasi-experimental study using a pre-posttest with a control group design. The sample calculation in this study used consecutive sampling. A total of 72 respondents participated in the study, which was divided into intervention and control groups. The data analysis used in this research were univariate analysis and bivariate analysis.

Results: The research showed the influence of implementing Al Jarolmiyyah audio on sleep disorders among students. It was found that there was a decrease in sleep disturbance scores in intervention group respondents after being given Al Jarolmiyyah audio therapy with p-value = 0.001, indicating that there was a difference in sleep disturbance scores before and after giving Al Jarol Miyyah audio.

Conclusion: Al Jarol Miyyah audio therapy can reduce sleep disorders. Future researchers are expected to examine other personal characteristics that can influence sleep disorders, such as gender, and can examine Al Jarol Miyyah audio therapy as another alternative to help treat other physical and psychological disorders

Symptom Burdens among Chronic Kidney Disease Patients undergoing Hemodialysis

Wastu Adi Mulyono — 2024-01-29

Background: The number of patients with chronic kidney diseases keeps growing. Most of the patients received haemodialysis. Despite its benefits, haemodialysis also causes adverse effects which stimulate several disturbing symptoms for patients.

Objective: This study was to portray the main symptoms burdening CKD patients with haemodialysis.

Methods: A descriptive study investigated the symptom burden experienced by 99 CKD patients undergoing haemodialysis. The Dialysis Symptom Index (DSI) was used for assessing experienced burden symptoms.

Results: at least 14 symptoms have burdened more than half of respondents. The big three main symptoms were found. The first common symptom experienced by respondents was fatigue and loss of energy 75.76%, followed by dry skin and decreased sexual interest by a similar percentage 66.67 %.

Conclusion: Chronic illness patients who underwent haemodialysis were mainly burdened with symptoms such as fatigue, lack of energy burdened dry skin and lack of sexual interest. Nurses should keep alert toward burdened symptoms otherwise those will interfere with their quality of life.

Determinan Faktor yang Berhubungan dengan Pengetahuan Wanita Usia Subur tentang Pencegahan Kanker Serviks

Hartati — 2024-01-31

Background: The incidence of cervical cancer has increased in Indonesia. Because women of reproductive age have a high risk of exposure to cervical cancer, various prevention efforts and adequate knowledge are needed.

Aim: The purpose of this study was to analyze the determinant factors associated with knowledge about cervical cancer prevention in women of reproductive age.

Method: This study was descriptive with a cross-sectional approach. The number of respondents was 58, and they were randomly selected. This study analyzed six factors contributing to the knowledge of women of reproductive age level in preventing cervical cancer. In addition, a logistic regression was performed to investigate this study.

Result: The study showed that two variables (age and distance) significantly influence cervical cancer prevention knowledge at p=0.042 and 0,001, respectively. Based on the Pseudo R-Square results, the Nagelkerke value was at 0.538. The study also revealed that women of reproductive age's knowledge about cervical cancer was influenced by 53.8% of age and distance factors.

Conclusions and suggestions: The women's reproductive age and distance to health care facilities have contributing factors to the knowledge level of preventing cervical cancer.

Pengalaman Pasien Dengan Covid-19

Alice Pangemanan — 2024-01-31

Background. Pandemi COVID-19 di tahun 2020 menjadi pengalaman yang mengerikan bagi banyak orang. Tingkat penularan yang tinggi, disertai dengan angka kematian yang tinggi menimbulkan situasi yang mencekam, tidak hanya di Indonesia, tapi juga di seluruh dunia. Penelitian ini bertujuan untuk mengekplorasi pengalaman pasien dengan COVID-19, khususnya mereka yang terkonfirmasi positif pada gelombang awal pandemic.

Methods. Metode kualitatif dengan desain fenomenologi digunakan dalam penelitian ini, dengan wawancara mendalam digunakan dalam proses pengambilan data, dan teknik purposive sampling digunakan untuk perekrutan partisipan. Data telah tersaturasi pada wawancara ke enam, namun wawancara dilanjutkan hingga diperoleh transkrip data 14 partisipan yang dianalisis menggunakan metode tematik analisis.

Results. Empat tema ditemukan dalam penelitian ini, yaitu 1) Gangguan fisik, 2) Pengalaman psikologis, 3) Dukungan sosial, dan 4) Pengelaman spiritual, dengan 9 subtema dan 27 pernyataan signifikan.

Conclusion. Pengalaman para partisipan menjadi pelajaran yang berharga untuk menghadapi kondisi serupa di kemudian hari. Peran setiap orang menjadi penting dalam proses pencegahan dan penanganan pandemic.

Combined Relaxation and Music Therapy (Autoresic) Lowered Blood Pressure Among Hypertension Elderlies

Sherina Mustikasari — 2024-01-29

Background: Elderly is someone who has reached the age of over 60 years and has experienced changes, both natural changes or changes resulting from disease processes. The elderly are more at risk or more likely to experience various diseases, especially degenerative diseases. One of the degenerative diseases that is often experienced by the elderly is hypertension. Non-pharmacological management with complementary therapies that can be used to treat high blood pressure is autogenic relaxation therapy, progressive muscle relaxation and music therapy. This study aims to determine the effect of a combination of autogenic relaxation therapy, progressive muscle relaxation and music therapy (Autoresis) to reduce blood pressure in the elderly.

Objective: To determine the effect of providing a combination of autogenic therapy, progressive muscle relaxation and music therapy (Autoresik) on clients with uncontrolled hypertension.

Method: The research method used was a case study method and used a quantitative approach with a quasi-experimental pretest-posttest design. This intervention was given for 6 days with a duration of ± 20 - 30 minutes per day. This intervention is given for 6 days with a duration of ± 20 – 30 minutes per day. The data analysis used in this research is the Wilcoxon test.

Results: The client's blood pressure after being given the intervention decreased with an average blood pressure of 167 mmHg (systolic) and 93 mmHg (diastolic). The results of the Wilcoxon test showed that the Sig (2-tailed) value for systolic and diastolic was 0.001, where this value was <0.05.

Conclusion: There is a significant effect of giving a combination of autogenic relaxation therapy, progressive muscle relaxation and music therapy (Autoresik) on blood pressure in the elderly who experience hypertension

Studi Kasus Implementasi Konseling Seksualitas Menggunakan Model PLISSIT Terhadap Kualitas Hidup Seksual pada Klien dengan Kanker Payudara

Christin Silitonga — 2024-01-31

Background: Breast cancer is a type of cancer that is the biggest cause of cancer-related death in women. Breast cancer is not caused by a definite cause. One of the recommended treatments for breast cancer is chemotherapy which can reduce body image and affect the quality of the patient's sexual life. Sexuality counseling is needed to identify sexual problems and restore sexual relations between patients and partners. The sexuality counseling model that can be used is the Permission, Limited Information, Specific Suggestion and Intensive Therapy (PLISSIT) model.

Method: Case studies apply implementation based on evidence based practice (EBP) in nursing care. Nursing intervention using the PLISSIT sexuality counseling model was carried out to 1 respondent in Kemutug Kidul Village 1/3 on 2, 3, and 4 Desember 2022. The data collection instrument used was the Sexual Quality of Life-Female questionnaire (SQOL-F).

Results: After the intervention of sexuality counseling using the PLISSIT model for 3 days, there was an increase in the results of the SQOL-F questionnaire from 51 (moderate) to 68 (good). The PLISSIT model intervention does not cause side effects for clients and their partners.

Conclusion: The application of sexuality counseling interventions using the PLISSIT model resulted in an increase in the quality of sexual life in clients with post-mastectomy breast cancer and those undergoing chemotherapy.

Pendampingan dan Monitoring Antenatal Care Untuk Meningkatkan BB Janin Pada Remaja Dengan Kehamilan Tidak Diinginkan: A Case Report

Zahra Berliana Setyo Putri — 2024-01-31

Background: Unwanted pregnancy in adolescence is an unplanned pregnancy that occurs outside of marriage. It can increase the risk of abortion, maternal and infant deaths, and the birth of low birth weight (LBW) also feel guilty and ashamed. So, pregnant teenagers don’t want to have antenatal check-ups. Management that can be carried out with assistance through providing education, monitoring fetal weight, and Antenatal Care (ANC) motivation.

Goal: This case report aims to determine the effect of assistance by providing education, monitoring fetal weight, and ANC motivation on adolescence with unwanted pregnancy.

Results: It was found that the results of 2 months mentoring session had an impact on increasing teenagers' knowledge about the pregnancy nutrition so that there was a significant increase in fetal weight and completing minimal standards of ANC visits.

Conclusion: Mentoring and ANC monitoring can reduce the risk of LBW births and increase ANC visits.

Studi Kasus Terapi Kombinasi Hypnobreastfeeding dan Pijat Oksitosin untuk Meningkatkan Produksi ASI pada Ibu Menyusui di RW 03 Desa Banteran

Siti Juwayriyah — 2024-01-31

Background: The problem of the mother not producing breast milk will interfere with the fulfillment
of the baby's needs. Babies can only consume breast milk for the first six months. The increasing
number of mothers who cannot provide exclusive breastfeeding will have a health impact on the baby.
Giving a combination of hypnobreastfeeding and oxytocin massage can increase breast milk production
so mothers can overcome the problem of breast milk not coming out and meet the nutritional needs
of babies.
Method: The method used for this research is qualitative research on the application of EvidenceBased Practice in community and maternity nursing.
Results: The combined intervention of hypnobreastfeeding and oxytocin massage proved to be able to
increase breast milk production within 3 consecutive days. The average increase in breast milk production
was 71 -83 ml.
Conclusion: There was an increase in breast milk production after the combined therapy of
hypnobreastfeeding and oxytocin massage. The client felt calmer, more comfortable, peaceful, and
relaxed while breastfeeding.

Studi Kasus: Pemberian Terapi Inhalasi Uap Minyak Eucalyptus terhadap Peningkatan Bersihan Jalan Napas pada Anak dengan ISPA

Hasna Nabila — 2024-02-17

Background: Acute Respiratory Infections (ARI) are a major cause of morbidity and mortality in infectious diseases worldwide. Ineffective airway clearance is a problem that is often experienced by patients with ARI. Eucalyptus oil inhalation therapy for children with ARI is a complementary therapy in the management of ineffective airway clearance.

Objective: To apply eucalyptus oil inhalation therapy to improve airway clearance in children with ARI.

Method: The method used in compiling this paper used a case study by applying interventions in accordance with evidence based in nursing.

Result: After carrying out nursing intervention namely eucalyptus oil inhalation therapy for 3 days of morning and afternoon therapy, the results showed that there was an increase in airway clearance namely improved breathing frequency and decreased sputum production.

Conclusion: There was an increase in airway clearance in both clients namely of improved breathing frequency and decreased sputum production after being given eucalyptus oil inhalation therapy.

Studi Kasus Penerapan Terapi Pursed Lips Breathing dan Meniup Balon terhadap Perubahan Frekuensi Napas dan Kedalaman Napas Pada Anak ISPA

Adha Dwi Febriani — 2024-02-17

Background: Acute respiratory infection (ARI) is an infectious disease of the airway and usually occurs in children under five years of age. The execution of children with ISPA disorders is one of them with supporting pharmacological and non-pharmacological treatments. This case study aims to apply the influence of pursed lips breathing therapy with modified balloon blowing on changes in frequency and depth in the children of the ISPA dean. Methods: Methods used by researchers using Evidence Based Nursing (EBN). The respondents were three to five-year-olds with ISPA disorder with inefficient walking problems and ineffective breathing patterns. Pursed lips breathing technique with modified balloon blowing is performed for 3 cycles in 1 cycle for 20 seconds. Results: After 14 nursing visits in 7 days in the morning and afternoon, i.e. pursed lips breathing with a modified balloon blowing technique, the result was that there was a change in the frequency of breathing on the first day of the intervention at An. A. 38 times/ minutes and a decrease on the seventh day to 24 times/ minute.

Pengaruh Penerapan Teknik Butterfly Hug dan Promosi Koping pada Pasien Gagal Ginjal Kronik Dengan Masalah Ketidakberdayaan

Ardina Mispa Uji Mar'atussolikha — 2024-01-31

The Effect of Applying the Butterfly Hug Technique and Promoting Coping in Chronic Kidney Disease Patients with Helplessness Problems

Ardina Mispa Uji Mar’atussolikha¹, Reza Fajar Amalia², Koernia Nanda Pratama³

Background. Long-term treatment programs for patients with chronic kidney disease not only cause physical impacts but can also trigger the emergence of psychosocial problems, namely helplessness. The research aims to determine the effectiveness of applying the butterfly hug technique and promoting coping in chronic kidney disease patients with helplessness problems.

Methods. A case study using the implementation of evidence-based practice in nursing care.

Results. After intervention with the butterfly hug technique and coping promotion in chronic kidney disease patients with helplessness problems for seven days, there was a significant increase in the patient's empowerment. That indicated by the evaluation score of the helplessness response after suffering from chronic kidney failure. Before the intervention, a score of = 39 was at a moderate level of helplessness. After the intervention, a score of = 60 it means that the less helpless the patient responds, the more empowered the patient is.

Conclusion. Applying the butterfly hug technique can encourage patients to develop positive feelings such as more confident, calm, more accepting their current conditions, and able to communicate better with other people. Meanwhile, coping promotion helps patients to use their abilities and support systems to overcome stressors. Therefore, the combination of the butterfly hug technique with coping promotion is recommended for patients with chronic kidney disease by helplessness problems because it has been proven effective, does not cause dangerous side effects, and is easy to do.

Keywords: butterfly hug, coping promotion, chronic kidney disease, helplessness.

¹Student, Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University ventilator University, Purwokerto

²Lecturer, Psychiatric Nursing Division, Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto

³Lecturer, Community Health Nursing Division, Department of Nursing, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto

Effect of Beet Juice on Hemoglobin Levels Among Anemia Pregnant Women in Kemutug Kidul Baturraden

Farahia Ghaisani Nur Amalia — 2024-03-07

Background. Anemia in pregnancy is the condition of the mother with a hemoglobin (Hb) level of <11 g% in the first and third trimesters, while in the second trimester the hemoglobin level is <10.5 g%. The impact of anemia in pregnancy can reduce the immune system resulting in fetal death in the womb, abortion, birth defects, low birth weight. During childbirth, anemia can cause uterine inertia, the mother becomes weak, causing prolonged labor, while during the puerperium bleeding can occur.

Objective. Reporting case of juice effect serving among anemia pregnant women

Methods. This research was conducted with a case study on a pregnant woman with anemia in Kemutug Kidul Baturraden Village. The intervention given was in the form of beet juice which was consumed once a day in the morning for 7 consecutive days. Monitoring is carried out every day via Whatsapp to ensure that clients carry out according to the program.

Results. The results of the hemoglobin examination before the intervention were 10,5 g/dL and after the intervention had increased to 11,1 g/dL.

Conclusion. Giving beet juice is effective for increasing hemoglobin levels in pregnant women with anemia.

Cultural Competence in Nursing: Unlocking the Key Factors - A Systematic Review

Yunita Peggy Tappy — 2024-01-31

Background: Cultural competence is increasingly recognized as a vital skill for nurses to effectively interact with patients from diverse cultural backgrounds. This demand for cultural competence extends globally, with an increasing emphasis on nurses' ability to navigate cross-cultural encounters. There is a need for a greater comprehension of the essential components that influence nurses' development of cultural competence, despite the fact that research on cultural competence and its effect on patient satisfaction already exist

Objective: The objective of this study is to identify and understand the key factors influencing nurses' development of cultural competence.

Method: A systematic literature research was done to find the factors that might affect nurses' cultural competency in order to fill this gap.

Results: A search of electronic databases yielded 59 scientific articles, including six papers revealing a range of key factors influencing cultural competence in nursing practice. These factors encompassed various dimensions, including individual nurse attributes, educational interventions, and organizational support.

Conclusion: By recognizing these factors, healthcare organizations can design targeted interventions and educational programs to promote cultural competence among nursing professionals. Ultimately, this research contributes to the advancement of nursing practice and improves patient outcomes, fostering an inclusive and equitable healthcare environment for diverse populations.

Hubungan Aktivitas Fisik Terhadap Kadar High Density Lipoprotein (HDL) pada Pasien Dislipidemia: Literature Review

Maulana Rhaka Rahmansyah — 2024-01-31

Background: Dyslipidemia is a disruption in lipid metabolism due to the interaction of genetic factors and environmental factors in the form of increased levels of total cholesterol, triglycerides, LDL, and decreased levels of HDL. Indonesian people tend to have low physical activity due to advances in technology, especially in the fields of electronics and transportation, and a lazy lifestyle. Low physical activity can cause an imbalance in lipids which causes HDL levels.

Objective: This research was conducted to determine the relationship between physical activity and HDL levels in patients with dyslipidemia through a literature study

Methods: This research uses a literature review as a research methodology to answer research questions

Results: Based on the Pubmed, science direct, and Sagejournal databases, 7865 article results were obtained that matched search keywords with publication years from 2014-2023. Next, articles were identified based on accessible articles and full text obtained from 3473 journals. The articles were screened again based on the title and abstract and selected 27 appropriate articles, then re-identified based on the research objectives, resulting in 7 articles that met the objectives.

Conclusion: The effective duration of physical activity is moderate duration ≥ 600 METs a week (±0.82–0.94 mg/dL) and high duration ≥ 3000 METs a week (±0.64–0.84). Some effective physical activities are water resistance (±8.08), resistance training (±7.00 mg/dL), water aerobics (±4.49 mg/dL), jogging (+2.1-3.3 mg/dL), swimming (+ 1.6–3.3 mg/dL), dance-dance revolution (+1.5–3.4 mg/dL), international standard dancing (+1.0–2.7 mg/dL), and cycling (+0.6–1.8 mg/dL). Regular physical activity can increase HDL levels