Pengaruh Open Suction System terhadap Kolonisasi Staphylococcus aureus pada Pasien dengan Ventilator Mekanik di Ruang Intensive Care Unit (ICU) RSD dr. Soebandi Jember (The Effect of Open Suction System on Staphylococcus aureus Colonization in Patients wi

Patients who are treated using mechanical ventilation is more prone to pnumonia nosocomial infection. It is the highest contributing symptoms to mortality found at the Intensive Care Unit (ICU). The bacteria which accounts for the infection is Staphylococcus aureus. One of the avaliable treatments for preventing the incidence of pneumonia nosocomial infection is using the Open Suction System. This research employed pre-experiment design and was set using the one group pretest-posttest design. The sampling collection technique used in this research was consecutive sampling. The statistical testing employed by this research was the dependent t-test. The result showed that the p value = 0,025 < α and t value = +3,177, indicating that there was significant effect of open suction system on the colonization of Staphylococcus aureus in patients with mechanical ventilation at intensive care unit RSD dr. Soebandi Jember. Open suction system could increase the colonization of Staphylococcus aureus with an average 33,33 CFU/ml. The result of this research helps to provide consideration in fixing the Standard Operating Procedure of open suction system in patients with mechanical ventilation at ICU because open suction system has better capability to prevent pneumonia nosocomial than closed suction system if applied with appropriate procedure Keywords: open suction system, mechanical ventilation, Staphylococcus aureus colonization

Pengaruh Therapeutic Exercise Walking terhadap Sirkulasi Darah Perifer pada Pasien Diabetes Melitus Tipe 2 di Kelurahan Gebang Kecamatan Patrang Kabupaten Jember. (The Effect of Therapeutic Exercise Walking on Pheripheral Blood Circulation in Patients wit

Pathological change experienced by patients with type 2 diabetes mellitus is impaired peripheralblood circulation, especially in the lower limbs and feet. Peripheral blood circulation can be examinedby measuring Ankle Brachial Index (ABI). Therapeutic exercise walking is one of physical activitieswhich can improve blood circulation. This research goal was to analyze the effect of therapeuticexercise walking on peripheral blood circulation in patients with type 2 diabetes mellitus. Theresearch design was randomized control group pretest-posttest design. The sample size was 15respondents as control group and 15 respondents as treatment group. Data was analyzed by usingdependent t-test and independent t-test with significant level of 0.05. This result showed a significantincrease of ABI after therapeutic exercise walking in the treatment group (p= 0.001). However therewas a significant decrease of ABI between pretest and posttest in control group (p=0.010).Independent t-test indicated a significant difference of ABI between treatment group and controlgroup (p=0.000). So, it can be concluded that there is an influence of therapeutic exercise walking onthe peripheral blood circulation in patients with type 2 diabetes mellitus. Nurses should applytherapeutic exercise walking to improve peripheral blood circulation in patients with type 2 diabetesmellitus.Keywords: type 2 diabetes mellitus, therapeutic exercise walking, ankle brachial inde

Pengaruh Terapi Suportif Kelompok terhadap Kecemasan pada Klien Pasca Bencana Banjir Bandang di Perumahan Relokasi Desa Suci Kecamatan Panti Kabupaten Jember (The Effect of Supportive Group Therapy toward the Client’s Anxiety after Flash Flood Disaster

Anxiety as psychosocial problems were emerged as stimulated by stress after flash flood disaster. Supportive group therapy is an effective method to solve some psychosocial problems. This research was intended to analyze the effect of supportive group therapy toward the client’s anxiety after flash flood disaster at relocation housing in Suci Village. The research used quasi-experimental non equivalent with control group design with 36 respondents divided into 2 groups: 13 respondents in intervention group, and 23 respondents in control group. Data were analyzed by using paired t-test and Independent t-test with 95% of CI. The research showed that p value of paired t-test in experimental group is 0,000 and 0,004 in control group, while p value of independent t-test was 0,000 (

Pengaruh Perencanaan Diet Diabetes Mellitus dengan Model Self Care terhadap Diet Self Care Behavior dan Kolesterol Total pada Klien dengan Diabetes Mellitus Tipe 2 di Wilayah Kerja Puskesmas Rambipuji Kabupaten Jember (The Influence of Diet Planning Diabe

Type 2 diabetes is a chronic disease caused by insulin resistance in the body. Diabetes Diet for a client with diabetes mellitus type 2 is used to look at dietary self-care behaviors and control the total cholesterol is a risk factor for cardiovascular disease. The purpose of the study was to analyze the effect of the diet plan for diabetes self-care behaviors and total cholesterol diets client type 2 diabetes mellitus in Puskesmas Rambipuji Jember. The study design was quasi-experimental with equivalent control group pretest posttest design. The treatment group was given treatment (application of diet diabetes mellitus), in the untreated control group. The results showed significant differences in dietary self-care behaviors between the treatment group and the control group, but for total cholesterol was no significant difference between the treatment and control groups. The results of the independent t-test on the variable dietary self-care behaviors scored 2,555 t (p = 0.016), while the value of t -0997 total cholesterol (p = 0328). There is influence of a diet plan to diet diabetes with self care model for self-care behaviors and total cholesterol in type 2 diabetes mellitus client.   Keywords: diabetes mellitus type 2, diabetes diet plan, dietary self-care behavior, total cholestero

Pengaruh Diabetes Self Management Education and Support (DSME/S) terhadap Diabetes Distress pada Pasien Diabetes Melitus Tipe 2 di RSD dr. Soebandi Jember (The Effect of Diabetes Self Management Education and Support [DSME/S] on Diabetes Distress in Patie

Diabetes Mellitus (DM) is a chronic disease that requires a continous self-care. A low level ofknowledge about self-care can worsen health condition and cause diabetes distress. The continuingstress can cause hyperglycemia that lead to complications of DM. DSME/S is a structured healtheducation that facilitates DM patients in implementing and maintaining their behavior for sustainableself-care. This research aimed to analyze the effect of DSME/S on diabetes distress in patients withtype 2 DM. This research was quasi experimental with non randomized control group pretestposttest design. Thirty respondents in this study were divided into 15 respondents as theintervention group and 15 respondents as the control group by consequtive sampling technique.DSME/S was conducted in 6 sessions: 4 sessions in the hospital and 2 sessions at respondent'shouse. The data were analyzed by using dependent t test and independent t test with significancelevel of 0.05. The result of dependent t test revealed a significant difference of diabetes distressbetween pretest and posttest both in the intervention group (p=0.001) and in the control group(p=0.046). Furthermore, independent t test showed a significant difference between interventiongroup and control group (p=0.001). The decrease of diabetes distress was higher in the interventiongroup than control group. This result indicates that there was a significant effect of DSME/S ondiabetes distress in patients with type 2 DM. Nurses are expected to apply DSME/S as a dischargeplanning to reduce diabetes distress in patients with type 2 DM.Keywords: diabetes distress, DSME/S, Diabetes Mellitu

Pengaruh Model Pembelajaran Problem Based Instruction (PBI) terhadap Pengetahuan dan Sikap Remaja tentang HIV/AIDS di SMP Achmad Jani Puger Kabupaten Jember (The Effect of Model Learning: Problem Based Instruction (PBI) towards Knowledge and Attitude of

AIDS remains ranked as the third most deadly disease in Indonesia. The disease is caused by the HIV that can lead to lower a person's immune status to trigger an opportunistic infections and cause of death. The incidence of HIV disease in 2014 has reached 32,711 cases, at the age of 14-19 years of 1,717 cases (5.24%). Lack of knowledge among teenagers about HIV/AIDS makes their behavior leads to negative interactions or risk to free sex, misuse of syringes, and other related problems. Problem-based instruction (PBI) as a learning model is expected to change knowledge and attitudes of teenagers on HIV / AIDS. The results of dependent t-test t value -3.8380 for knowledge, and the value of t -22.174 for attitudes which means an increase in value after a given model of PBI with a mean difference -6.800 and -24.000 respectively for knowledge and attitudes. The p value 0.000 for the results obtained knowledge and attitudes.The p value wa

Perbedaan Tingkat Perkembangan Sosial Anak Obesitas dan Tidak Obesitas pada Usia Sekolah di Sekolah Dasar Katolik Maria Fatima Jember (The Difference Level of Social Development of Obese and Non-Obese Childhood at School Age in Elementary School Katolik M

Obesity has become a serious problem in developing countries at this time. Obesity is a condition of excess fat due to an imbalance of inputs and energy use. Obesity in children has an impact on child development, especially in the physical and psychosocial aspects. Social development is one of the important aspects of child development at school age. The purpose of this research was an analyzed the differenced level of social development of obese and non-obese childhood at school age in elementary school Katolik Maria Fatima Jember. Design of this research was descriptive analytic by using cross sectional. Method of collecting samples by using simple random sampling. Data were analyzed by using Mann Whitney (α=0,05). The result of statistic test showed that p value=0.000 (p value ≤ 0,05), that mean a significant differences level of social development of obese and non-obese childhood at school age in Elementary School Katolik Maria Fatima Jember. Pediatric nurse is one of the health services should be able to improve the health of children by pressing the prevalence of obese children in Indonesia and deliver information to teachers and parents about the importance of child development, especially social development of childhood.   Keywords: obesity, child development, social development

Pengaruh Metode Contextual Teaching and Learning (CTL) dengan Pendekatan Somatis, Auditori, Visual, Intelektual (SAVI) Terhadap Kesiapsiagaan Bencana (medical first respondent) Gunung Meletus pada Karang Taruna di Desa Rowosari Kecamatan Sumber Jambe Kabu

Preparedness is a activities undertaken to anticipate disasters through the organization as well as through measures appropriate and useful. Build preparedness is an important element, but it is not easy to do because it involves the mental attitude and culture and discipline in a society. Preparedness is the most strategic stages because it determines the resilience of the community members in facing a calamity. This research aims to improve the knowledge and attitude of disaster preparedness in the youth in the village of Rowosari. This study design is a pre-experimental design with one group pretest posttest. The study sample as many 20 karang taruna and using simple random sampling. The data analysis uses dependent t-test, with an average increase in the value of disaster preparedness 1 hour after the intervention with a value of 45.25 pretest and the posttest-1 value of 89, the value of one week after the intervention values of 45.25 pretest and posttest-2 values 87, 65, a decline in the average value of disaster preparedness at posttest -1, posttest with a value of 89.3 posttest-1 and posttest- 2 87.65 value. This result shows that the value of p 0:00 &lt; 0:05 (a). The conclusion from this research is that there is a very significant influence on disaster preparedness mountain erupted after the intervention given by the CTL method SAVI approach. The recommendation of this study is the method of CTL with SAVI approach recommended in the community to improve the knowledge and attitude of disaster early warning, transportation evacuation and disaster preparedness bandaged splint.   Keywords: disaster preparedness, contextual learning methods, methods of somatic visual auditory intellectua

Pengaruh Pelatihan Perawatan Tali Pusat dengan Metode Simulasi terhadap Keterampilan Merawat Tali Pusat pada Ibu Primigravida Trimester II-III di Wilayah Kerja Puskesmas Ledokombo Kabupaten Jember (The Influence of Umbilical Cord Care Training (UCCT) by S

Umbilical cord care is a treatment of newborn baby’s umbilical cord started when umbilical cord was cut off or dried up. A well took umbilical cord care allow baby to heal faster. Umbilical Cord Care Training (UCCT) by simulation method aims to provide skill in performing umbilical cord care of primigravida in preventing infections and tetanus neonatorum. This research was intended to analyze the influence of UCCT to umbilical cord caring skill of 2nd and 3rd trimester primigravida. This was a quasy experimental study with non-randomized control group and pretest-posttest design. The samples were 32 primigravide picked out by multistage random sampling and divided into two groups. Data were analyzed by Wilcoxon match pair test and Mann Whitney U test with 95% of CI. The result showed p value of Wilcoxon match pair test in experimental group was 0,000 and 1,000 in control group, while by Mann Whitney obtained p value of 0,000 (a=0,05). It can be concluded that there was an influence of UCCT to primigravida’s skill in performing umbilical cord care. Hereby, suggested to nurses to give UCCT by simulation method at maternal and child health center to prepare primigravida on caring newborn baby to prevent infections and tetanus   Keywords: umbilical cord care training, simulation method, skil