Informatics Publishing Limited

Evi Muslicha ¹, Nursalam ¹, Ahsan ²

Affiliations
1 Universitas Airlangga, Surabaya, ID
2 Universitas Brawijaya, Malang, ID

Abstract

Background: A recurrence was the event of re-emergence of symptoms that have previously been progressed. Early detection of signs of deterioration in conditions and discipline of therapy was needed to prevent recurrence. The inquiry of HIV AIDS patients in ART and treatment was still quite high. This study aimed to develop a model of recurrence prevention in improving adherence and reducing recurrence.

Method: This study used the R & D method. Data were collected through questionnaires on 154 patients and FGD with 15 HIV AIDS teams to develop a mobile SMS-based recurrence prevention model, then conducted trials and evaluations. The evaluation was done by the post-test-only control group design method with a simple random sampling technique to get 50 respondents in each treatment and control group.

Results: The trial was conducted in September 2018. Results of the study were the establishment of a recurrence prevention model through educational text messaging contained information on adherence and recurrence prevention. The information provided were adjusted to the level of disease prevention. Mann Whitney test showed that the educational SMS had an effect on medication adherence (p = 0.001) and control compliance (p = 0.038), but this intervention model did not show a significant difference in the nutritional compliance of the control group and the treatment group (p = 0.287). In addition, the results of the study also showed that there was an influence on the psychosexual response with p-value 0.036. Increased compliance and psychosexual response of patients can be an indicator of recurrence and transmission prevention of HIV AIDS.

Conclusion: A mobile SMS-based recurrence prevention model through educational SMS can improve medication adherence and control compliance, improve transmission prevention behavior, and reduce the risk of recurrence in HIV AIDS patients.

Keywords

Recurrence, Adherence, Compliance, HIV, AIDS, Prevention, SMS.

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Cucu Herawati ¹, Agus Suwandono ², Suhartono Taat Putra ³, Fifin Luthfia Rahmi ⁴, M. Amin Syukur ⁵, Hastaning Sakti ⁶, Nursalam ⁷

Affiliations
1 STIKes Cirebon, Jalan Brigjen Dharsono No. 12B ByPass Cirebon Jawa Barat,, ID
2 Jl Prof H Soedarto, Tembalang, Semarang, ID
3 kampus A Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya, ID
4 Diponegoro University, Jl Sudarto SH, Tembalang, Semarang, Jawa Tengah,, ID
5 Walisongo State Islamic University, Semarang City 50185. Central Java, ID
6 Jl Sudarto SH, Tembalang, Semarang, Jawa Tengah, ID
7 Kampus C Mulyorejo, Surabaya, ID

Abstract

Objective: This study aims analyze the effect of psychoeducation-modification (MP) intervention on the improvement of spiritual response, perception stigma, anxiety level, and cortisol levels among lepers.

Method and Materials: This study was a mixed method design. The first stage used qualitative method to develop a psychoeducation-modification module and the second stage was a quantitative method with quasiexperiment using pre-test post-test with control group design. The population was patients who received MDT (Multi Drugs Therapy) treatment, with a total sample of 35 respondents. Statistical tests used the T test, ANOVA test, and pathway analysis. Interventions for psychoeducation-modification were provided in 5 sessions and each session 60-90 minutes

Results: There were significant differences in mean scores of spiritual response, perception stigma and anxiety levels scores between intervention group and control group (p-value <0.05) and there was no difference in mean scores of cortisol levels intervention group and control group (p-value> 0.05). The psychoeducation modification effect was more targeted at improving emotional and spiritual intelligence which had an impact on the improvement of spiritual response, Perception Stigma, anxiety level and stability in cortisol levels decrease.

Conclusion: Psychoeducation-modification was effective in improving spiritual response, perception stigma, anxiety level, and cortisol levels among lepers compared to intervention using psychoeducation only. It is recommended to integrate psychoeducation modification intervention into the leprosy prevention service program as a holistic service that includes spiritual bio-psycho-social aspects.

Keywords

Intelligence, Spiritual Response, Perception Stigma, Anxiety Level, Cortisol Levels.

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Fitri Chandra ¹, Nursalam ¹, Slamet Riyadi Yuwono ²

Affiliations
1 Airlangga University, Surabaya, ID
2 Politics of Health, Ministry of Health of the Republic of Indonesia, Surabaya, ID

Abstract

Introduction: Preceptorship is an intense partner of people who are more skilled or experienced with fewer skills or experience, with goals agreed upon by people who have less experience to add and develop specific competencies, with increasing numbers of new nurses in the Lavalette hospital then increasing also the problems that exist in the Lavalette hospital. The most common problem experienced by preceptors is the schedule of guidance with new nurses is not the same as the preceptor schedule when serving, preceptors undergo expert level education and most of the reasons are due to lack of information on preceptorship training, unbalanced preceptor ratios with new nurses, so that preceptors do not know the task in detail. The purpose of this study was to develop a preceptorship method based on experiential learning to improve the competence of preceptor clinics.

Method: This type of research a Research and Development research (R & D). The sampling method used was purposive sampling with 112 people divided into two groups (control group and treatment group). The intervention of the control group was applied every day for 4 meetings, and the treatment group was applied 4 times.

Result and Analysis: The independent t-test results in the control group were p <0.05 in the experiential learning variable.

Discusion and Conclusions: In this study is the development of the preceptorship method based on experiential learning simultaneously will affect the increase in the competence of preceptor clinics.

Keywords

Preceptor, Preceptorship, Experiential Learning, Clinical Competence.

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Ernawati ¹, Kristanti Wanito Wigati ¹, Austana Nur Hafizh ¹, Budi Santoso ¹, Nursalam ¹

Affiliations
1 Universitas Airlangga, ID

Abstract

Background: Preeclampsia is one of the main causes of maternal and neonatal morbidity and mortality in developing countries. The infant mortality rate in Indonesia has decreased but is still quite high. The purpose of this study was to analyze the factors that contribute to the death of infants from mothers with preeclampsia.

Method: This research is a design retrospective cross-sectional study conducted in women with a history of preeclampsia are recorded in the data Dr. Soetomo hospital over a period of one year. Total respondents were 32 4. Demographic data on preeclamptic mothers (gestational age, age, parity and mode of delivery) and infant mortality data were collected which were then analyzed descriptively and chi-square test.

Results: The results showed a significant relationship between maternal age with preeclampsia (p = 0.005), age of maternal pregnancy with preeclampsia (p = 0.000) and mode of delivery of mothers with preeclampsia (p = 0.000) with the incidence of death in infants, and none a significant relationship between maternal parity status with preeclampsia (p = 0.043) with the incidence of death in infants.

Conclusion: factors that contribute to infant mortality from mothers with preeclampsia are age, gestational age, and mode of delivery.

Keywords

Contributing Factors, Preeclampsia, Neonatal Death.

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Agus Rachmadi ¹, Ita Ratnasari ², Nursalam ³, Arief Wibowo ⁴

Affiliations
1 Doctoral student, Public Health Faculty, Universitas Airlangga, Surabaya, ID
2 Health Polytechnic Banjarmasin, Ministry of Health, ID
3 Faculty of Nursing, Universitas Airlangga, Surabaya, ID
4 Public Health Faculty, Universitas Airlangga, Surabaya, ID

Abstract

Chronic kidney failure is progressive and irreversible which caused metabolism disorder as well as electrolyte imbalance. This condition makes the patients to conduct hemodialysis. Patients with hemodialysis must have the ability to do self‑care for fluid limitation management. Self‑care deficit in managing fluids can cause interdialytic weight gain. The aim of this study was to measure the correlation between self‑care for fluid limitation and interdialytic weight gain among chronic kidney disease patients with hemodialysis in Ratu Zalecha hospital Martapura. This study used cross‑sectional study, total sampling and the final sample was 50 respondents. Data were collected in 2018. We used Spearman Rank Correlation to analyze the data. The result showed that there was a correlation of self‑care for fluid limitation and interdialytic weight gain among patients with hemodialysis in Ratu Zalecha Hospital Martapura (p‑value< 0,000; r= 0,589). The capability of self‑care for fluid limitation and increase self‑confidence among patient with hemodialysis to prevent interdialytic weight gain is needed.

Keywords

Self‑care, Fluid limitation, Interdialytic weight gain, hemodialysis

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Deasy Irawati ¹, Hidayat Suyuti ², Titi Maharrani ³, Fitriah ¹, Ani Media Harrumi ³, Suryaningsih ¹, Nursalam ⁴

Affiliations
1 Bangkalan Midwifery Diploma Study Program, the Health Ministry Polytechnic of Surabaya, ID
2 Master Program in Biomedical Sciences, Brawijaya University, ID
3 Soetomo Midwifery Diploma Study Program, Health Ministry Polytechnic of Surabaya, ID
4 Faculty of Nursing, Universitas Airlangga, ID

Abstract

Introduction: Preeclampsia is one of the complications that occur in pregnancies. This study was aimed to study the factors that affect the of giving ethanol extract with black cumin (Nigella sativa) against sFlt‑1 level and VEGF serum on laboratory mice induced preeclampsia. Method: Laboratory experimental research with post test only control group design. This study used 30 BALB/C laboratory mice, divided into 6 groups, namely negative controls: pregnant mice injected serum from normal pregnant women, positive controls; mice modeled preeclampsia, and treatment groups 1, 2, 3 and 4 are preeclampsia mice received a dose of 500 mg, 1000 mg, 1500 mg and 2000 mg/kg weight of Nigella sativa ethanol extract for 5 days. Statistical analysis using ANOVA Result: The mean serum sFlt‑1 level in mice modeled preeclampsia and treatment group dose 500mg, 1000mg, 1500mg and 2000mg (2510.3+182.2 pg/mL, 2142.5+171.9 pg/mL, 1309+161.3 p/mL, and 1500+169.9, respectively) pg/mL) showed a significant difference (p<0.05) and found a decrease in serum sFlt‑1 levels with increasing doses. The mean serum VEGF levels in preeclampsia mice and treatment groups were 500 mg, 1000 mg, 1500 mg and 2000 mg (50.25±2.85b pg/mL, 60.18±4.81c pg/mL respectively, 71.89±2.38d pg/mL, 66.51±1.87 e pg/mL) showed a significant difference (p<0.05) and found an increase in serum VEGF levels as the dose increased. Conclusion: Giving of Black Cumin extract (Nigella sativa) decreases serum sFlt‑1 levels and increases serum VEGF levels in preeclampsia mice model and the effect is dependent dose.

Keywords

sFlt‑1, VEGF, Nigella sativa, preeclampsia.

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Dwi Putri Rahayu Tampubolon ¹, Lilik Herawati ², Nursalam ³, Ernawati ⁴

Affiliations
1 Student in Midwifwery Program, Department Faculty of Medicine Universitas Airlangga, ID
2 Physiology Department Faculty of Medicine, Universitas Airlangga, ID
3 Faculty of Nursing, Universitas Airlangga, ID
4 Obstetrics and Gynecology Department Faculty of Medicine Universitas Airlangga, ID

Abstract

Objective: To evaluate the role of MAP, ROT, and BMI in preeclampsia screening in low resources setting. Method and Material: This is a retrospective study conducted on 1011 pregnant women who had an antenatal care at Public Health Center in Indonesia. Data taken from public health medical report. The sample groups were 45 preeclampsia patients who have had complete screening of MAP, ROT and BMI. The control groups were normal pregnant women who attained same inclusion criteria. Results: The pre eclampsia group had positif MAP and obesity result respectively 95.6% and 40% of patients, but in control group only had 40% and 11.1% of patient have positive MAP and obesity respectively. Statistical test illustrates a significant association between MAP and BMI screening with the incidence of preeclampsia (p 0.0001, OR = 32.250 and p 0.002, OR = 5.333).Whereas positive ROT showed in 40% PE groups and 57.8% control group. There is no association between ROT screening and the incidence of preeclampsia (p 0.092). Conclusion: MAP and BMI can be used as baseline screening tools of preeclampsia in low resources setting. But ROT is not associated with the incidence of preeclampsia.

Keywords

Preeclampsia Screening, MAP, ROT, BMI

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Agus Rachmadi ¹, Ita Ratnasari ², Nursalam ³, Arief Wibowo ⁴

Affiliations
1 Doctoral Student, Public Health Faculty, Universitas Airlangga, Surabaya, Indonesia, Health Polytechnic Banjarmasin, Ministry of Health, ID
2 Health Polytechnic Banjarmasin, Ministry of Health, ID
3 Faculty of Nursing, Universitas Airlangga, Surabaya, ID
4 Public Health Faculty, Universitas Airlangga, Surabaya, ID

Abstract

Chronic kidney failure is progressive and irreversible which caused metabolism disorder as well as electrolyte imbalance. This condition makes the patients to conduct hemodialysis. Patients with hemodialysis must have the ability to do self-care for fluid limitation management. Self-care deficit in managing fluids can cause interdialytic weight gain. The aim of this study was to measure the correlation between self-care for fluid limitation and interdialytic weight gain among chronic kidney disease patients with hemodialysis in Ratu Zalecha hospital Martapura. This study used cross-sectional study, total sampling and the final sample was 50 respondents. Data were collected in 2018. We used Spearman Rank Correlation to analyze the data. The result showed that there was a correlation of self-care for fluid limitation and interdialytic weight gain among patients with hemodialysis in Ratu Zalecha Hospital Martapura (p-value< 0,000; r= 0,589). The capability of self-care for fluid limitation and increase self-confidence among patient with hemodialysis to prevent interdialytic weight gain is needed.

Keywords

Self-care, Fluid limitation, Interdialytic weight gain, hemodialysis

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Deasy Irawati ¹, Hidayat Suyuti ², Titi Maharrani ³, Fitriah ¹, Ani Media Harrumi ³, Suryaningsih ¹, Nursalam ⁴

Affiliations
1 Bangkalan Midwifery Diploma Study Program, the Health Ministry Polytechnic of Surabaya, ID
2 Master Program in Biomedical Sciences, Brawijaya University, ID
3 Soetomo Midwifery Diploma Study Program, the Health Ministry Polytechnic of Surabaya, ID
4 Faculty of Nursing, Universitas Airlangga, ID

Abstract

Introduction: Preeclampsia is one of the complications that occur in pregnancies. This study was aimed to study the factors that affect the of giving ethanol extract with black cumin (Nigella sativa) against sFlt-1 level and VEGF serum on laboratory mice induced preeclampsia. Method: Laboratory experimental research with posttest only control group design. This study used 30 BALB/C laboratory mice, divided into 6 groups, namely negative controls: pregnant mice injected serum from normal pregnant women, positive controls; mice modeled preeclampsia, and treatment groups 1, 2, 3 and 4 are preeclampsia mice received a dose of 500 mg, 1000 mg, 1500 mg and 2000 mg/kg weight of Nigella sativa ethanol extract for 5 days. Statistical analysis using ANOVA Result: The mean serum sFlt-1 level in mice modeled preeclampsia and treatment group dose 500mg, 1000mg, 1500mg and 2000mg (2510.3+182.2 pg/mL, 2142.5+171.9 pg/mL, 1309+161.3 p/mL, and 1500+169.9, respectively) pg/mL) showed a significant difference (p<0.05) and found a decrease in serum sFlt-1 levels with increasing doses. The mean serum VEGF levels in preeclampsia mice and treatment groups were 500 mg, 1000 mg, 1500 mg and 2000 mg (50.25±2.85b pg/mL, 60.18±4.81c pg/mL respectively, 71.89±2.38d pg/mL, 66.51±1.87 e pg/mL) showed a significant difference (p<0.05) and found an increase in serum VEGF levels as the dose increased. Conclusion: Giving of Black Cumin extract (Nigella sativa) decreases serum sFlt-1 levels and increases serum VEGF levels in preeclampsia mice model and the effect is dependent dose.

Keywords

sFlt-1, VEGF, Nigella sativa, preeclampsia

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Dwi Putri Rahayu Tampubolon ¹, Lilik Herawati ², Nursalam ³, Ernawati ⁴

Affiliations
1 Student in Midwifwery Program, Universitas Airlangga, ID
2 Physiology Department Faculty of Medicine, Universitas Airlangga, ID
3 Faculty of Nursing, Universitas Airlangga, ID
4 Obstetrics and Gynecology Department Faculty of Medicine Universitas Airlangga, ID

Abstract

Objective: To evaluate the role of MAP, ROT, and BMI in preeclampsia screening in low resources setting. Method and Material: This is a retrospective study conducted on 1011 pregnant women who had an antenatal care at Public Health Center in Indonesia. Data taken from public health medical report. The sample groups were 45 preeclampsia patients who have had complete screening of MAP, ROT and BMI. The control groups were normal pregnant women who attained same inclusion criteria. Results: The preeclampsia group had positif MAP and obesity result respectively 95.6% and 40% of patients, but in control group only had 40% and 11.1% of patient have positive MAP and obesity respectively. Statistical test illustrates a significant association between MAP and BMI screening with the incidence of preeclampsia (p 0.0001, OR = 32.250 and p 0.002, OR = 5.333).Whereas positive ROT showed in 40% PE groups and 57.8% control group. There is no association between ROT screening and the incidence of preeclampsia (p 0.092). Conclusion: MAP and BMI can be used as baseline screening tools of preeclampsia in low resources setting. But ROT is not associated with the incidence of preeclampsia.

Keywords

Preeclampsia Screening, MAP, ROT, BMI

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Ernawati ¹, Nursalam ², Aric Vranada ³

Affiliations
1 Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia; Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, ID
2 Faculty of Nursing, Universitas Airlangga, ID
3 Faculty of Nursing and Health Sciences, Universitas Muhammadiyah Semarang, ID

Abstract

People living with HIV/AIDS (PLWHA) faces powerless. Those aggravated with social problems from the family and community. Support from family allows them to have greater acceptance related to the disease. The Aimed of study to explore family stigma from PLWHA perspective in the North Coastal of Central Java. Method of research used qualitative with case study approach was conducted at Kudus district. Purposive sampling was applied to recruit participant. In-depth interview with semi-structured questions was attempted to 15 migrant workers also been carried out to families and case manager for triangulation. Thematic of manual content analysis was used. The stigmatization among gender showed different result in the context of family. Families were more tolerance and accepted the males with HIV/AIDS without any stigmatization. The culture of lower class of family have good attitude which potentially to be developed such as skills of understanding, being empathy and willing to care. There are specific programs needed which could encourage family empowerment to develop integrated community-based care for PLWHA.

Keywords

Empathy, Stigma, PLWHA, Reducing Stigma, HIV/AIDS

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Tri Anjaswarni ¹, Nursalam ¹, Sri Widati ², A. Yusuf ²

Affiliations
1 Universitas Airlangga, ID
2 Public Health Universitas Airlangga, ID

Abstract

Now a days juvenile delinquency is increasing in terms of number and type. Delinquency and criminality among teenagers are generally categorized as deviant behavior in society and can be interpreted as a form of teenage resistance to normative rules and values that apply in society. Many risk factors are related to deviant behavior.

Objective: This study aimed to analyze the risk factors that influence the occurrence of juvenile delinquency.

Method:This study used a cross-sectional design and a simple random sampling technique. The calculation results involved 295 samples. The independent variables were individuals, families, school environments, peer groups, coping mechanisms, lifestyles, and technologies. The dependent variable was juvenile delinquency. The data was collected using a questionnaire. The analysis used a multiple linear regression test with a significance level of α≤0.05.

Results:Of the seven variables, six of them significantly influence juvenile delinquency. Technology is the variable that has the greatest influence on the occurrence of teenager wear.

Conclusion: Technology is the most influential factor. These results indicate a significant shift in the causes of juvenile delinquency from family and peer factors to technological factors. This is quite reasonable because technology is a major need and is a trend for teenagers at this time.

Keywords

Risk factors, delinquency, juvenile.

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