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Background: The implementation of ethical principles is crucial in carrying out nursing care, since it is part of the 12 basic competencies, that should be possessed by a nurse. This study aims to analyze the factors associated with the implementation of nurses' ethical principles.Design and Methods: This study used a quantitative research design, with a cross-sectional approach. The participants consisted of 389 nurses, working in the medical ward of the hospitals, in Indonesia. Data were analyzed using the bivariate analysis, t-test, ANOVA and multiple linear regression test.Results: There were no significant relationships between the demographic factors and the ethical behaviour. There was a relationship between caring behaviour and the application of ethical principles (p=0.000, and a correlation coefficient of 0.602).Conclusion: Nurse ethical behaviour was improved, by increasing their caring attitude.

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DAUN KERSEN  (Muntingia calabura L.) SEBAGAI ALTERNATIF TERAPI PADA PENDERITA GOUT ARTRITIS Ilkafah1)1)Fakultas Keperawatan Universitas Hasanuddin ABSTRACT               Gout is a disease that is often suffered by the elderly. Pain is a commonly reported and is caused by increasing uric acid in the blood. Allopurinol is one of the drugs choice for people with gout but that has some side effects so it needs other alternative treatments. Herbal therapy is one type of complementary therapies in nursing, one of which is Muntingia calabura L. The aim of this study was to see the difference in effectiveness of Muntingia calabura L. and allopurinol in reducing uric acid and pain scale in gout patients in Tamalanrea Makassar. This study used an experimental design, randomized two-group design by giving Muntingia calabura L. on 22 respondents and allopurinol 100 mg (twice in one day) in 22 respondents selected by simple random sampling with criterion of sample were pain scale on 1-6 and uric acid value were > 6.5 mg / dl (for female); > 7.5 mg / dl (for male). Giving Muntingia calabura L. for 3 weeks drunk twice in one day. Measurement of pain using Visual Analog Scale (VAS). Uric acid level were measured using laboratory tests. The data were analyzed by paired sample t-test for each intervention and by independent t-test to see the effectiveness difference of both therapies with significant level α <0,05. The statistical results showed a decrease in joint pain scale in cherry leaf group (p = 0,00), but no decrease of pain in allopurinol administration (p = 0.07). Both interventions had an effect on decreasing uric acid value (p = 0,00 ) There was a difference in decreasing the pain scale of both interventions but there was no difference to the decrease in uric acid value.It requires further research upon the benefits of Muntingia calabura L. Keywords: Gout, Muntingia calabura L., Pain Scale, Uric Acid Level ABSTRAKGout merupakan penyakit yang sering diderita oleh lansia. Nyeri merupakan keluhan yang sering dilaporkan. Nyeri tersebut diakibatkan tinginya asam urat dalam darah. Allopurinol salah satu obat pilihan bagi penderita gout tetapi obat tersebut memiliki beberapa efek samping sehingga diperlukan terapi lain selain obat. Terapi herbal adalah salah satu jenis terapi komplementer dalam keperawatan, salah satunya adalah daun kersen. Tujuan penelitian ini adalah untuk melihat perbedaan efektivitas daun kersen dan obat allopurinol dalam menurunkan nilai asam urat dan skala nyeri pada penderita gout di Tamalanrea Makassar. Desain penelitian yang digunakan adalah Experimental Design, rancangan penelitian Randomized Two-group Design dengan cara memberikan rebusan daun kersen pada 22 responden dan obat allopurinol 100 mg (2x sehari) pada 22 responden yang dipilih melalui teknik acak yaitu simple random sampling dengan kriteria sampel skala nyeri 1-6 dan nilai asam urat >6,5 mg/dl (bagi wanita); >7,5 mg/dl (bagi pria). Pemberian air rebusan daun kersen selama 3 minggu diminum 2x sehari. Pengukuran nyeri sendi menggunakan Visual Analog Scale (VAS). Kadar asam urat diukur menggunakan pemeriksaan laboratorium. Analisis penelitian untuk setiap intervensi menggunakan uji Paired Sample T-test dan untuk melihat perbedaan efektivitas kedua terapi menggunakan independent t-test dengan tingkat signifikan α < 0,05. Uji statistik menunjukkan ada penurunan skala nyeri sendi pada kelompok rebusan daun kersen  (p = 0,00), tetapi tidak ada penurunan nyeri pada pemberian allopurinol (p=0,07. Kedua intervensi berpengaruh terhadap penurunan nilai asam urat (p = 0,00). Ada perbedaan penurunan skala nyeri dari kedua intervensi tetapi tidak ada perbedaan untuk penurunan nilai asam urat. Diperlukan penelitian lanjutan mengenai manfaat tanaman kersen Kata Kunci : Daun karsen, Gout, Nilai Asam Urat, Skala Nyeri

Introduction: Diabetes mellitus (DM) is a chronic disease with many complications. Self-efficacy is a psychosocial aspects refer to patient’s belief about their ability to do Diabetes managements. Self-efficacy can be enhanced by providing a mutual support from other Diabetic patients. This study aimed to analyze the influence of peer group support on self-efficacy, glicemic control and self-care activities of Diabetic patients. Method: This research was a pre-experimental with one-group pre-post test design and was evolved 29 respondents. Peer Group Support indicators were checking in, presenting problems, clarifying issues, sharing experiences, action planning and checking out. Implementation of peer group support activity was 60 minutes meeting, once a week for totally 6 weeks. The datas were analyzed by Wilcoxon signed rank test and Spearman’s Rho test with significance values p≤ 0.05. Result: Self efficacy, self care activities, and blood glucose level were increased (p=0.000). Discussion: Peer group support was recommended to enhance self-efficacy and self-management of diabetic patients. Further research is needed about health promotion for improving self-efficacy.Keywords: peer group support, self-efficacy, glicemic control, self care activities, Diabetes Mellitus (DM)

The decrease in the functional capacity of the heart to pump blood accompanied by symptoms of dyspnea causes heart failure patients to have physical limitations. This condition causes the patient to be unable to carry out self-care optimally, thus requiring the help of others, especially family. The study aimed was to identify the relationship between family support and behavior self-care of heart failure patients. The research design used a cross-sectional with many samples as many as 104 respondents. The research variable is family support, and self-care behavior measured using a questionnaire was declared valid and reliable. Data analysis used the Spearman rank test. The results study 53,8% of respondents moderate family support, and 47,1% of respondents have fewer self-care behavior skills. The Spearman Rank test results obtained p=0,000, with a correlation coefficient value of 0,709. The study concluded a relationship between family support and the self-care behavior of patients with heart failure, the relationship positively and strong. Better family support provides better self-care behavior will be. Nurses have a role to motivate families to be actively involved during the patient's self-care process while in the hospital or at home. Self-care for patients that can be carried out by the family in the form of caring for the family with the patient's condition, accepting the family with the patient's condition, providing assistance and seeking information about the patient's illness.

Latar Belakang: Prevalensi penyakit kronis terutama diabetes melitus (DM) dan hipertensi pada lanjut usia (lansia) terus meningkat. Hal ini berisiko menimbulkan kecacatan, penurunan kualitas hidup, bahkan kematian. Sebagian besar lansia mengeluh mengalami gangguan tidur sehingga mempengaruhi status kesehatan dan kualitas hidup. Aspek psikologis diidentifikasi sebagai salah satu faktor penyebab utama masalah tidur pada lansia penderita DM dan hipertensi.Tujuan: Menganalisis hubungan kondisi psikologis dengan kualitas tidur lansia penderita DM dan hipertensi.Metode: Penelitian dilakukan dengan pendekatan cross sectional di Puskesmas Sukodadi Kabupaten Lamongan pada bulan Oktober‒Desember 2019. Sampel penelitian adalah 104 lansia kelompok prolanis secara purposive sampling. Instrumen penelitian menggunakan kuesioner psychological distress dan Pittsburg Sleep Quality Index (PSQI). Analisis data dengan uji Spearman.Hasil: Sebagian besar 65,4% lansia mengalami tekanan psikologis ringan, dan 54,8% lansia memiliki kualitas tidur baik. Hasil uji Spearman rho p=0,004 dan r=0,282, berarti terdapat hubungan kondisi psikologis dengan kualitas tidur lansia penderita penyakit kronis, kekuatan korelasi lemah dan bersifat positif.Kesimpulan: Kondisi psikologis secara statistik berhubungan dengan kualitas tidur pada lansia penderita penyakit kronis pada kelompok prolanis.

Introduction: Patient with Chronic Kidney Disease (CKD) will get a failure to breathing because of fluid accumulation in the lung. Patients with CKD will not be able to breathe normally, so the main problem that often occurs is an ineffective breathing pattern.  This study aims to explore nursing care for patients with ineffective-breathing pattern in patient with CKD at Soegiri Lamongan hospital. Methods: The design of this research is qualitative with a case study, the methods of data collection through interviews, observations, physical examinations and documentation studies. The data obtained were analyzed by comparing case reviews and literature reviews. Results: The results of the problems for nursing diagnosis that arise are CKD with ineefective-breathing pattern. Interventions that are emphasized and carried out in the field in the case study are providing a semi-fowler/ fowler position, and maintaining oxygen therapy. Final evaluation of nursing diagnoses in patients with problems resolved and goals achieved according to the specified time criteria. Conclusions: The study indicated that ineefective breathing pattern can be solved by positioning a semi-fowler or half-sitting position, decrease fluid intake and correcting anemia. Suggestions for nurses to focus in developing science and technology to be applied to all nursing personnel in providing nursing care for ineffective breathing patterns for patients with chronic kidney disease.