Yudianto, Kurniawan
Universitas Padjadjaran

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Journal : Jurnal Keperawatan Padjadjaran

Diabetes Self-Management and Its related Factors Kurniawan, Titis; Yudianto, Kurniawan
Jurnal Keperawatan Padjadjaran Vol 4, No 3 (2016): Jurnal Keperawatan Padjadjaran
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (682.794 KB) | DOI: 10.24198/jkp.v4i3.289

Abstract

Self-management is essential in preventing complications among patients with Diabetes Mellitus. The behaviourof patients to implement Diabetes Self-Management (DSM) is influenced by several factors which needsfurther study. This descriptive study aimed to identify factors contributing to DSM among patients with Type2 Diabetes Mellitus (DMT2). 94 respondents were recruited using randomized sampling obtained from aninpatient unit in one hospital in West Java province. Self-rating instruments were used to identify demographydata, knowledge about DSM, self-efficacy scale, and DSM questionnaire. Descriptive analysis was conductedto explain demography data, knowledge, self-efficacy and DSM. Findings indicated respondents demonstratedmoderate level of knowledge (M=7,53), and self-efficacy (M=34,8), and high level of DSM (M=89,28).Post-hoc analysis demonstrated a significant relationship between age (r=-0,209); p=0,043), education level(p=0,008), and self-efficacy (r=0,214; p= 0,038). No significant relationship was not identified with DSM(r=0,317; p=0,187). It is concluded that age, level of education, and self-efficacy were contributed to DSM.
Perilaku Self-Management Pasien Diabetes Melitus (DM) Handayani, Dwi Siwi; Yudianto, Kurniawan; Kurniawan, Titis
Jurnal Keperawatan Padjadjaran Vol 1, No 1 (2013): Jurnal Keperawatan Padjadjaran
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (664.754 KB) | DOI: 10.24198/jkp.v1i1.49

Abstract

Diabetes Melitus (DM) merupakan penyakit kronik, oleh karena itu peran self-managementsangat penting dalam perawatan maupun pencegahan komplikasi akibat DM. Penelitian ini bertujuan untuk mengetahui gambaran perilaku self- management.pasien DM dari aspek diet, medikasi, olahraga, pemantauan kadar gula darah dan perawatan kaki. Sebanyak 94 responsden diambil secara acak. Perilaku self-managementdiukur menggunakan kuesioner yang dikembangkan oleh penulis, dengan skor Alpha Chronbach 0,930 dan korelasi inter-item 0,385–0,797 dimana nilai tersebut valid dan reliabel untuk uji instrumen. Hasil penelitian menunjukkan lebih dari setengah responsden (64,9%) melakukan lima aspek self-managementdengan baik. Hampir semua responsden (94,7%) melakukan medikasi dengan baik, lebih dari setengah responsden melakukan diet (69,1%), olahraga (61,7%) dan perawatan kaki (77,7%) dengan baik. Namun hanya 25,5% responsden yang melakukan pemantauan gula darah dengan baik. Hasil penelitian ini dapat menjadi acuan bagi perawat untuk memberikan penyuluhan mengenai pentingnya pemantauan pada gula darah.Kata kunci: Diabetes Melitus, perilaku, self-management AbstractDiabetes Mellitus (DM) is one of the serious health problems in Indonesia. Since DM is a chronic disease, patients’ role (self-management) is very important either for treatment or DM-related complications prevention. This study was purposed to determine the level of patients’ diabetes self-management behavior, including diet, medication, exercise, blood glucose monitoring and foot care. Ninety-four responsdents were recruited randomly by gave the informed consent to diabetes patients. The questionnaire was developed by the researcher, with Chronbach Alpha 0,930 and inter-item correlation 0,385 to 0,797, which mean the instrument was valid and reliable. The results showed that in five aspects, more than half of responsdents (64,9%) reported that they performed good self-management. Almost all responsdents (94,7%) reported good medication, more than half of responsdents did well in diet, exercise (61.7%) and foot care (77.7%). However, only 25.5% responsdents who performed monitoring blood glucose levels properly. It called be good level when it fill the score criteria of the answer.Therefore, it was recommended for nurses and the hospital to develop any program to improve patients’ diabetes self-management behaviors, especially in the monitoring blood glucose.Key words: Behavior, diabetes mellitus, self-management
Relationship between Quality of Nursing Work Life with Nurse Job Satisfaction in Pilot Project of Nurse Clinical Career Implementation Patrisia, Ineke; Susilaningsih, Fransiska Sri; Yudianto, Kurniawan
Jurnal Keperawatan Padjadjaran Vol 6, No 1 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1534.413 KB) | DOI: 10.24198/jkp.v6i1.417

Abstract

Quality of nursing work life plays an important role and must be considered by a hospital organization for the achievement of nurse job satisfaction. The career ladder is one from the source of satisfaction according to Wexley & Yulk (2013) and will impact on service quality. The research method used correlational analysis with cross sectional approach. The number of samples in this study as many as 193 people. The results showed that in general, most of the respondents (98.4%) had a high quality of nursing work life and when viewed from career level category it was found that all clinical nurses 4 (100%) had high quality of work life and clinical nurses 1-3 (97.9%, 98.4%, 98.7%) most of respondents have high quality of work life. The results also showed that in general, most of respondents (79.3%) had nurses' job satisfaction and when viewed from career level category it was found that most of clinical nurses 1-4 (77.1%; 80.3%; 83.3%; 79.5%) were satisfied with their work. Indicators in the nurse's job satisfaction are the main priorities in the aspects of compensation, working conditions, recognition, independence. Indicators that need to be maintained by the management of Hasan Sadikin General Hospital Bandung are supervision technical, moral values, responsibility, advancement, co workers. The correlation between quality of nursing work life variable with nurse’s job satisfaction is weak, significant and unidirectional in the pilot project implementation of clinical nurse career ladder  in Hasan Sadikin General Hospital Bandung. Researchers expect the results of this study can be used as an evaluation for nursing management of Hasan Sadikin General Hospital Bandung. Further research is expected to be able to identify the relationship between the dimensions of the quality of nursing work life with the indicators of nurse’s job satisfaction.
Implementation of Roles and Functions of Case Managers Susilaningsih, Fransisca Sri; Dayfi, Brilyan Anindya; Yudianto, Kurniawan
Jurnal Keperawatan Padjadjaran Vol 6, No 3 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1620.848 KB) | DOI: 10.24198/jkp.v6i3.403

Abstract

Case management is an intervention strategy used by health care providers and systems to support clients, coordinate health services, and facilitate results in both price and quality. In this model of care, the case manager plays an important role in ensuring that the case management service flow is well implemented. This study aims to see how the role of case managers in carrying out their functions such as utility assessment, planning, facilitation and advocacy, service coordination, evaluation, and post-discharge follow-up. The research method used is the mixed method sequential exploratory design. This method explores the work experience of a case manager in the field, then composes a measuring instrument, and then seeks to quantify the role and function of the case manager. The population in this study was the case managers in the Kemuning and Fresia Building at Dr. Hasan Sadikin General Hospital Bandung amounting to 36 people. The research sample was divided into two, in the qualitative stage the number of participants as many as 5 people was determined by purposive sampling technique, and the quantitative stage used a total sampling of 36 people. The results showed that the qualitative analysis of the assessment function identified indicators of ability to collect data, analysis, and stratification of patients; in the planning function the ability to determine goals, take joint decisions and identify problems were identified; in the facilitation function and advocacy, the ability to be identified as an educator, protector of patient rights and solution provider were identified; in the service coordination function, the ability for team communication and communication between lines were identified; in the evaluation function the ability to evaluate patients and self-evaluation were identified; and in the post-discharge follow-up function the ability related to continuity of service was identified. In the implementation, the case manager carries out those functions, 4 functions are still carried out improperly by most respondents such as the joint decision making, team communication, patient evaluation, and self-evaluation.
Quality of Nurse Work Life in Pangandaran Health Center Somantri, Irman; Yudianto, Kurniawan
Jurnal Keperawatan Padjadjaran Vol 6, No 3 (2018): Padjadjaran Nursing Journal
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (44.688 KB) | DOI: 10.24198/jkp.v6i3.621

Abstract

Quality service is the main goal of the health care system, where the purpose of service quality is to ensure that the services or products of nursing services are produced according to the patient’s standards / desires. The purpose of this study was to find out the quality of work life of nurses in the Puskesmas.This study uses correlative design that connects the characteristics with the quality of the work life of nurses. The research sample was 48 nurses in Puskesmas who were taken by total sampling. Comparative test was carried out using Mann Whitney, Kruskall Wallis and Spearman tests adjusted for the type of dataThe results are displayed in the form of numerical data tables consisting of middle values, deviations and probability values. The total quality of work life of nurses in Pangandaran Health Center was 145.83 where the value obtained was below the average standard value of 150. Likewise for the aspect of work environment, relations with managers, work conditions and job perceptions which had a mean below the standard mean while the support service aspect has an average of 19.31 while the average standard is 18. Based on the comparative analysis, gender and age have no relationship with the quality of work life (p Value> 0.005), while the level of education, the number of teams and salaries have a relationship with quality working life of nurses in Pangandaran Health Center (p Value <0.001). This means that nurses have not felt well in their work, except in the aspect of support service in this aspect nurses have felt satisfied and prosperous in getting support from other teams / officers. Likewise, the level of education, the number of teams and salaries have an influence on the quality of the worker’s life.