Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya
Journal Title : Jurnal Ilmiah Keperawatan ISSN : ISSN 2598-1021 (online) | ISSN 2085-3742 (print) DOI Prefix : Prefix 10.30643/JIKSHT Editor in Chief : Dr. Setiadi, S.Kep., Ns., M.Kep. Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya Frequency : 2 issues per year Citation Analysis : Google Scholar | Garuda | Sinta Jurnal Ilmiah Keperawatan is a peer-reviewed open-access. Every submitted manuscript will be reviewed by at least two peer-reviewers using double blind review method. This journal is published bi-annually (March And October) For authors interested in submitting the manuscript, kindly ­register yourself. The author guidelines can be viewed it here, and the manuscript template can be downloaded here Already have a Username/Password for Jurnal Ilmiah Keperawatan SHT ? go to login
Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya
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Hubungan Dukungan Keluarga Dengan Tingkat Kemandirian Perawatan Diri Pada Anak Berkebutuhan Khusus Di Kabupaten Sidoarjo
Introduction: Anak berkebutuhan khusus adalah anak yang memiliki keterbatasan mental, fisik, dan perilaku hal ini dalam perawatan diri menjadi salah satu tantangan yang dihadapi oleh anak berkebutuhan khusus, dalam melakukan aktivitas sehari-hari khususnya dalam kemandirian perawatan diri. Salah satu faktor yang berperan penting sebagai pendukung kemandirian adalah dukungan keluarga.Tujuan dalam penelitian ini adalah untuk menganalisis hubungan dukungan keluarga dengan tingkt kemandirian perawatan diri pada anak berkebutuhan khusus di Kabupaten Sidoarjo. Methods: Desain penelitian yang digunakan analitik korelasional. Sampel berjumlah 45 responden anak berkebutuhan khusus diambil secara total sampling. Variabel independen adalah dukungan keluarga dan variabel dependen adalah tingkat kemandirian perawatan diri. Instrumen yang digunakan adalah kuesioner dan observasi perawatan diri. Data dianalisis menggunakan uji fisher’s exact test. Results: Hasil penelitian menunjukan dukungan keluarga sebagaian besar cukup dan tingkat kemandirian perawatan diri sebagian besar mandiri. Hasil korelasi fisher’s exact test didapatkan nilai p = 0,002 < α = 0,05 berarti dapat disimpulkan ada hubungan dukungan keluarga dengan tingkat kemandirian perawatan diri pada anak berkebutuhan khusus. Conclusion Implikasi penelitian ini diharapkan orang tua meningkatkan wawasan serta edukasi sebagai upaya dalam meningkatkan tingkat kemandirian perawatan diri pada anak berkebutuhan khusus
Copyright (c) 2026 Dini Mei Widayanti, Yoga Kertapati, Shalsa Adinda Wibisono https://creativecommons.org/licenses/by-sa/4.0
Hubungan Pengetahuan Orang Tua Dan Waktu Penggunaan Gadget Dengan Tingkat Perkembangan Anak Prasekolah Di Kelurahan Gedeg Mojokerto
Introduction : Orang tua umumnya memiliki pengetahuan yang cukup tentang perkembangan anak dan memberikan waktu penggunaan gadget dalam kategori sedang, diikuti dengan banyaknya anak yang memiliki tingkat perkembangan sesuai. Objective : Penelitian ini bertujuan menganalisis hubungan pengetahuan orang tua dan waktu penggunaan gadget dengan tingkat perkembangan anak prasekolah di Kelurahan Gedeg Mojokerto. Method : Penelitian ini menggunakan desain deskriptif korelasional dengan pendekatan cross sectional. Populasi penelitian adalah anak prasekolah usia 3–6 tahun beserta orang tua, dengan sampel 60 responden yang dipilih melalui teknik simple random sampling. Variabel penelitian meliputi pengetahuan orang tua, waktu penggunaan gadget, dan tingkat perkembangan anak. Data dikumpulkan menggunakan kuesioner pengetahuan orang tua, waktu penggunaan gadget, dan KPSP, kemudian dianalisis dengan uji korelasi Spearman Rank pada α = 0,05. Result : Hasil penelitian menunjukkan pengetahuan orang tua berada pada kategori cukup (41,7%), waktu penggunaan gadget anak prasekolah pada kategori sedang (40%), dan tingkat perkembangan anak pada kategori sesuai (45%). Uji statistik menunjukkan adanya hubungan yang signifikan dan kuat antara pengetahuan orang tua dan tingkat perkembangan anak (ρ = 0,001; r = 0,602), serta antara waktu penggunaan gadget dan tingkat perkembangan anak (ρ = 0,001; r = 0,610). Discussion : Implikasi penelitian ini, orang tua diharapkan dapat meningkatkan pengetahuan tentang tumbuh kembang anak serta mengatur penggunaan gadget secara bijak dan konsisten disertai keterlibatan aktif dalam stimulasi perkembangan anak. Tenaga kesehatan perlu memperkuat edukasi, pendampingan, dan pemantauan perkembangan anak secara berkala melalui layanan kesehatan masyarakat.
Copyright (c) 2026 Avinda, Puji https://creativecommons.org/licenses/by-sa/4.0
Manajemen Risiko Electronic Nursing Documentation (END)
Introduction : Electronic Nursing Documentation (END) systems have become a critical component of modern nursing practice, yet their implementation introduces multiple risks that may threaten patient safety and care quality. This study aimed to identify, analyze, and mitigate potential risks associated with END implementation at X Hospital. Method : A descriptive risk management approach was applied using the five-step framework: risk identification, analysis, mitigation, implementation, and evaluation. Data were collected through incident reviews, nurse satisfaction surveys, direct observation, and brainstorming with nursing, IT, and management teams. Risks were analyzed using a 5×5 Risk Matrix and prioritized for mitigation. Result : Ten major risks were identified across technical, clinical, human resource, legal, and organizational domains. The highest-risk events were medication dosage input errors and patient misidentification (risk score 20, “extreme”). Mitigation strategies included user interface redesign, barcode medication administration, auto-logout, patient photo integration, competency-based training, and downtime protocols. After a 12-month phased implementation, expected outcomes included a 75% reduction in END-related incidents, documentation completeness above 95%, and nurse satisfaction improvement to 85%. Discussion : Systematic risk management for END can significantly enhance patient safety and documentation quality. Key success factors include strong managerial commitment, comprehensive nurse training, responsive IT support, and a continuous improvement culture.
Copyright (c) 2026 ryan priambodo, Pudji agung Wibowo, Aris Suprianto, Ana Zakiyah https://creativecommons.org/licenses/by-sa/4.0
Gambaran Kelelahan Pada Anak Penderita Kanker Yang Menjalani Kemoterapi
Introduction: Cancer is a major cause of morbidity and mortality in children worldwide. Chemotherapy is commonly employed as a primary treatment modality in pediatric oncology; however, fatigue is frequently reported as one of its most prominent adverse effects. Objectives: This study aimed to describe the dimensions of fatigue among pediatric cancer patients undergoing chemotherapy. Methods: This descriptive quantitative study used consecutive sampling. A total of 40 pediatric cancer patients undergoing chemotherapy at the Seruni Integrated Cancer Unit of Arifin Achmad General Hospital, Riau Province, were recruited as respondents. Fatigue levels were measured using the Pediatric Quality of Life Inventory (PedsQL) Multidimensional Fatigue Scale and analyzed descriptively. Results: The majority of respondents were aged 5–7 years (35%), male (52.5%), and diagnosed with leukemia (82.5%). The mean total fatigue score was 64.85 (0–100), consisting of General Fatigue (63.58), Sleep/Rest Fatigue (54.65), and Cognitive Fatigue (76.35). Lower scores indicated greater fatigue severity, with the Sleep/Rest dimension representing the most affected domain Conclusions: Pediatric cancer patients undergoing chemotherapy experience varying levels of fatigue across multiple dimensions. These findings highlight the importance of addressing physiological and psychological fatigue-related symptoms to support children’s adaptation during chemotherapy
Copyright (c) 2026 Syalaisha. NF, Agnita Utami, Rani Lisa Indra https://creativecommons.org/licenses/by-sa/4.0
Hubungan Penerapan Feeding Rules Terhadap Perilaku Makan Pada Anak Usia Toddler
Introduction: The toddler period is a golden stage, particularly for the formation of children’s eating habits. The implementation of feeding rules, including schedule, environment, and feeding procedures, plays an important role in shaping healthy eating behavior. Objectives: This study aimed to determine the relationship between the implementation of feeding rules and eating behavior in toddlers. Methods: This research was a descriptive correlational study with a cross -sectional approach. The sample consi sted of 74 mothers who had toddlers in Payung Sekaki, selected using a total sampling technique. The instruments used were the Feeding Practices and Structure Questionnaire (FPSQ) and the Children’s Eating Behavior Questionnaire (CEBQ), both of which had been tested for validity and reliability. Data analysis was conducted using the Chi-Square test. Results: The study showed that among 38 respondents who implemented feeding rules correctly, 28 children (73.7%) were categorized as food enjoyers, while among 36 respondents who did not implement them correctly, 25 children (69.4%) were categorized as food avoiders. The study found a significant relationship between the implementation of feeding rules and eating behavior in toddlers (p = 0.000; α = 0.05). Conclusions: The more accurately parents apply feeding rules, the greater the likelihood that toddlers will develop positive eating behavior.
Copyright (c) 2026 Sri Ardayani, Ganis Indriati, Juniar Ernawaty https://creativecommons.org/licenses/by-sa/4.0
Kebutuhan Keluarga Pasien Kritis Berdasarkan Jenis Kelamin
Introduction: Families of patients suffering from critical illnesses in the Intensive Care Unit (ICU) commonly experience emotional distress, uncertainty, and complex information needs. Gender differences significantly impact the responses of families to critical illness, with women typically showing more emotional involvement and a greater psychological burden than their male counterparts. Objectives: To identify differences in the needs of family members of critically ill patients based on gender Methods: This study, which is cross-sectional and quantitative in nature, explored the needs of 100 family members (50 males and 50 females) of patients receiving care in the ICU at Moewardi Hospital. Data collection was conducted through purposive sampling, employing a validated Indonesian version of the Critical Care Family Needs Inventory (CCFNI). Due to the non-normal distribution of the data, gender-based differences were analyzed using the Mann-Whitney test, with proportional sampling techniques applied to ensure group balance. Results: Women exhibited higher average scores on all subscales of the Critical Care Family Needs Inventory (CCFNI) in comparison to men. Notable differences were identified in the proximity, assurance, family support, and information subscales (p < 0.001), as well as in the comfort subscale (p = 0.032). These results indicate that women have greater emotional, informational, and environmental comfort needs when accompanying critically ill patients. Conclusions: Gender significantly influences the needs of family members of critically ill patients, with women consistently showing elevated levels of need across all domains of the CCFNI. These findings underscore the importance of implementing gender-sensitive, family-centered care strategies to improve the quality of critical care services.
Copyright (c) 2026 Muhammad Luthfi Muflih, Sri Rahayu https://creativecommons.org/licenses/by-sa/4.0
Screen Time and Its Impact on Physical Fitness in Children: A Cross-Sectional Study
Introduction: Rapid advances in digital technology have led to an increase in screen time among children, which is thought to affect their physical activity. However, the direct relationship between screen time and physical capacity in children still needs to be studied further Objectives: This study aims to determine the relationship between screen time duration and physical activity in children aged 10-11 years Methods: This study used a cross-sectional design with a sample of 44 children aged 10-11 years. Physical capacity was measured using the Incremental Shuttle Walk Test (ISWT), while screen time duration was obtained through questionnaires. Spearman's correlation analysis was used to test the relationship between variables Results: This study showed no significant relationship between screen time duration and children's physical capacity as measured by the Incremental Shuttle Walk Test (ISWT) with a correlation coefficient of 0,76 dan p=0,625 Conclusions: High screen time does not have a direct impact on children's physical capacity in the context of this study. However, it is important to continue to encourage adequate physical activity in order to maintain children's health and fitness optimally
Copyright (c) 2026 Dwi Purwantini, Martha Sri Astuti https://creativecommons.org/licenses/by-sa/4.0
Analysis of The Length of Stay of Premature Infants at the NICU of Hospital X in Surabaya
Introduction: Premature infants with low birth weight and immature organ often require a long length of stay (LOS) at the Neonatal Intensive Care Unit (NICU), which results in increased costs, risk of infection, and burden on hospital resources. Objectives: This study aims to analyze the length of stay of premature infants at the NICU of Hospital X in Surabaya. Methods: An analytical observational study with a cross-sectional design. Sample: 51 premature infants treated at the NICU of Hospital X in Surabaya (total sampling). Independent variables: gestational age, birth weight, APGAR score, and nutrition; dependent variable: LOS. Analysis data use : Chi-Square and multiple logistic regression in SPSS 25. Statistical significance was considered at 0.05. Results: The majority of infants (68.7%) had a long LOS (≥21 days). The Chi-Square test showed that gestational age (p=0.032), birth weight (p=0.018), APGAR score (p=0.044), and nutrition (p=0.021) were significantly associated with LOS. Multivariate analysis found that the dominant factor was birth weight <2500 g (OR=4.1; p=0.015), followed by gestational age <32 weeks (OR=2.6; p=0.048) and inadequate nutrition (OR=2.8; p=0.034). Conclusions: LOS in premature infants is mainly influenced by low birth weight, low gestational age, and inadequate nutrition. Efforts to improve early nutrition, close monitoring of VLBW (Very Low Birth Weight) infants, and comprehensive clinical interventions can reduce LOS and the socioeconomic impact on families.
Copyright (c) 2026 Sisilia Indriasari Widianingtyas, Veronica Tiwi, Cicilia Wahju Dj https://creativecommons.org/licenses/by-sa/4.0
Pengetahuan Ibu Hamil Mengenai Penyakit Herediter: Thalassemia
Introduction: Hereditary diseases are conditions passed from parents to their children through genetic inheritance from early pregnancy. One such condition requiring significant attention is thalassemia, a genetic blood disorder with a substantial economic burden in Indonesia, ranking fifth among non-communicable diseases. Children with thalassemia major require lifelong blood transfusions and iron chelation therapy, resulting in high healthcare costs. Despite this, public knowledge—especially among pregnant women—remains limited, although screening during pregnancy is feasible and essential for early detection and subsequent decision-making. Objectives: This study aimed to assess pregnant women’s knowledge regarding hereditary disease, specifically thalassemia. Methods: A descriptive cross-sectional design was employed, conducted over six months in the working area of Umban Sari Health Center, Meranti Pandak, Pekanbaru. Samples were selected through purposive sampling, and data were collected using a questionnaire on thalassemia. The results were analyzed descriptively and presented in frequency distribution tables. Results: The findings indicated that most respondents (66 participants; 85.7%) had poor knowledge of thalassemia, while a small proportion demonstrated moderate knowledge, and none showed good knowledge. This lack of awareness may be influenced by the respondents’ employment status, as the majority (96.1%) were housewives with limited exposure to health information. Additionally, the low prevalence of thalassemia in the general population may contribute to limited awareness. Conclusion: Pregnant women’s knowledge of thalassemia remains low, emphasizing the need for strengthened health education and targeted awareness programs to support early screening and informed decision-making.
Copyright (c) 2026 Ganis Indriati, Riri Novayelinda, Yufitriana Amir, Widia Lestari, Misrawati, Nurhayati, Danu Mangippu Pasaribu, Ruth Pratiwi Nathasya Manurung https://creativecommons.org/licenses/by-sa/4.0
Hubungan Tingkat Pengetahuan Ibu Tentang Stimulasi Perkembangan Kognitif Anak Terhadap Status Perkembangan Kognitif Anak Usia Prasekolah
Introduction: the cognitive development of preschool-aged children is an essential aspect of grouwth and development, influenced by environmental stimulation particularly the role of mother as primary caregivers. limited maternal knowledge regarding cognitive stimulation may lead to developmental delays in children. Objective: this syudy aimed to determine the relationship between mothers knowledge of cognitive development stimulation and the cognitive status of preschool-aged children at TK Aisyiyah VII, Payung Sekaki District, Pekanbaru. Methods: this research employed a quantitave approach with a descriptive correlational design and a crosssectional method. the study involed 86 respondents (mathers with preschool-aged children) selected using a total sampling technique. data were collected using questionaires on mothers knowledge of cognitive stimulation and preschool children's cognitive development. data analysis was performed using the Chi-Square test. Result: most mostehrs had a low level of knowledge accounting for 33 respondent (38,4%), while the majority of choldrens cognitive development status fell into the fair and poor categories, totaling 62 respondents (72%). the statistical test showed a significant relationship development status of preschool-aged children (p-value = 0,000 < 0,05. mother's knowledge significantly influences the cognitive development of preschool-aged children. conclusions: this study can serve as a reference for healthcare professionals to provide education, guidances, and support to mothers in delivering appropriate cognitive stimulation to ensure optimal child growth and development.
Preschool Children; Cognitive Development; Mothers’ Knowledge
Copyright (c) 2026 Miranda Dwi yana https://creativecommons.org/licenses/by-sa/4.0
Determinant of Mother’s Role in Feeding Practice Among Stunted Children
Background Stunted children require a varied diet, with gradually increasing quantity, consistent food intake, and a balanced macro-micro nutrient ratio. The mother's role in child feeding practices is crucial. The purpose of this study was to examine factors related to the mother's role in feeding stunted children aged 6-24 months. Methods A case-control study involving children aged 6-24 months was conducted. A sample size of 180 children was selected using a stratified random sampling procedure. The research instrument used a questionnaire that had been tested for validity and reliability, with data analysis using linear regression using SPSS 16.0 statistical software. Results Factors related to the mother's role in feeding stunted children based on nutritional status are age, education level, occupation, motivation, mobility, decision making, knowledge, self-esteem, self-efficacy, family type, family role, family stress, family coping, family social support, birth weight, food preparation, and responsive feeding. All of these factors can influence the mother's role in feeding stunted children based on nutritional status with a p value <0.005. Meanwhile, the child's age, birth length, breastfeeding, and child feeding are not factors related to the mother's role in feeding stunted children based on nutritional status.
Copyright (c) 2025 Sutarji Sutarji, Apriyani Puji Hastuti, Dr. Bagus Dadang Prasetiyo, ST, MT https://creativecommons.org/licenses/by-sa/4.0
Non-Exercise Activity Thermogenesis (NEAT) and Prediabetes Risk Among Adolescents
Introduction: Prediabetes is a metabolic condition characterized by elevated blood glucose levels that do not yet meet the criteria for type 2 diabetes. Non-Exercise Activity Thermogenesis (NEAT), which includes daily physical activities outside structured exercise, plays a crucial role in energy expenditure and glucose metabolism. Adolescents are particularly vulnerable to sedentary lifestyles, which may increase the risk of prediabetes. Objective: This study aimed to examine the relationship between NEAT and prediabetes among adolescents at SMAN 1 Menganti, Gresik. Methods: A correlational analytic study with a cross-sectional design was conducted involving (n =101) students aged 15–18 years. NEAT was assessed using the Mifflin-St Jeor equation and daily activity questionnaires, while prediabetes status was determined via fasting blood glucose measurements. Data were analyzed using Spearman’s Rank Correlation, with a significance level of p < 0.05. Results: The results revealed a significant negative correlation between NEAT levels and prediabetes status r = 0.751, p = 0.009. Adolescents with lower NEAT levels had higher fasting blood glucose levels, indicating a greater risk of prediabetes. Conclusion: Enhancing NEAT through daily physical activities outside structured exercise may serve as an effective preventive strategy to reduce prediabetes risk among adolescents. School-based interventions promoting movement throughout the day are recommended to improve long-term metabolic health.
Copyright (c) 2025 Ayu Citra Mayasari, Imroatul Farida, Ceria Nurhayati, Renata Deby https://creativecommons.org/licenses/by-sa/4.0
Hubungan Usia, Aktivitas Fisik, Kebiasaan Merokok, Dan Konsumsi Lemak Dengan Kejadian Hipertensi Pada Dewasa Usia 30-79 Tahun
Introduction: Hypertension is a leading cause of premature death worldwide, with only 21% of sufferers able to control the condition. Muktiharjo Kidul Village in Semarang City has the highest prevalence of hypertension in the Tlogosari Kulon Community Health Center (Puskesmas) coverage area. Objectives: This study aimed to analyze the relationship between age, physical activity, smoking habits, and fat consumption and the incidence of hypertension in adults aged 30–79 years. Methods: The study used an observational design with a cross-sectional approach. Results:the The results showed a significant association between age and physical activity with the incidence of hypertension. Those aged 50–64 years had a 2.9 times greater risk of developing hypertension compared to those aged 30–49 years (OR: 2.908; 95% CI: 1.061–7.969; p: 0.011), and those aged 65–80 years had a 5.7 times greater risk of developing hypertension compared to those aged 30–49 years (OR: 5.730; 95% CI: 1.770–18.550; p: 0.011). Light physical activity increases the risk of hypertension by 5.34 times compared to moderate and vigorous activity (OR: 5.341; 95% CI: 1.429–19.959; p: 0.007). There was no significant association between smoking (p: 0.07) and fat consumption (p: 0.676) and hypertension. Conclusions: This study concluded that there is a significant association between age and physical activity with the incidence of hypertension in adults aged 30-79 years in Muktiharjo Kidul Village.
Copyright (c) 2026 nadia habibah, Sunarto, Kun Aristiati Susiloretni , Susi Tursilowati, Sri Noor Mintarsih https://creativecommons.org/licenses/by-sa/4.0
Analisis Praktik Klinik Dengan Intervensi Inovasi Terapi Position Lateral Dan Suction Terhadap Hemodinamik Pasien Stroke Hemoragik Post Op Craniotomy Diruang Icu RSUD A.M Parikesit Tenggarong : Studi Kasus
Introduction: Hemorrhagic stroke is a type of stroke that has a high mortality rate and disability, especially in patients who require craniotomy. Postoperatively, patients generally experience impaired consciousness and an inability to maintain the airway effectively, which can have an impact on hemodynamic instability. Therefore, innovative interventions such as Lateral Position and Suction (mucus suction) are important in supporting the stability of the patient's condition in the Intensive Care Unit (ICU). Objective: To analyze clinical practice with innovative interventions of Lateral Position and Suction therapy of hemodynamic status of hemorrhagic stroke patients after craniotomy surgery in the ICU of A.M. Parikesit Tenggarong Hospital. Methods: This study used a case study approach in post op craniotomy hemorrhagic stroke patients who were treated in the ICU, with nursing interventions in the form of Lateral Position and Suction according to the protocol. Evaluation was carried out by observing changes in hemodynamic parameters before and after the intervention, including blood pressure, pulse, respiratory rate, and oxygen saturation. Results: Lateral Position and Suction showed significant improvements in the patient's hemodynamic status, especially in increased oxygen saturation, blood pressure stability, and decreased accumulation of secretions in the airway. Conclusion: Lateral Position and Suction Therapy is effective in improving the hemodynamic stability of postcraniotomy hemorrhagic stroke patients. This intervention can be used as one of the independent nursing measures in the management of critical patients in the ICU room.
Copyright (c) 2025 Taharuddin, Faramita Kumala Sari, Annaas Budi Setwayan, Alfi Ari Fahkrur Rizal https://creativecommons.org/licenses/by-sa/4.0
Literatur Review: Kepemimpinan Dalam Konsep Patient Centered Care
Pendahuluan: Beberapa tahun terakhir telah terlihat peningkatan signifikan dalam fokus pada perawatan yang berpusat pada pasien. Namun, implementasinya kompleks. Perawatan yang berpusat pada pasien secara bersamaan digambarkan sebagai fundamental dan sebagai tambahan untuk praktik keperawatan. Meskipun pentingnya kepemimpinan untuk pemberian perawatan yang berpusat pada pasien diakui, lebih sedikit diketahui tentang apa yang diperlukan. Tujuan: Menggambarkan kepemimpinan dalam konteks perawatan yang berpusat pada pasien. Metode: Strategi pencarian berfokus pada dua konsep utama: pemimpin dan perawatan yang berpusat pada pasien, dengan hasil terbatas pada penelitian yang diterbitkan antara 2010 dan 2023. Sintesis data konvergen dilakukan, memungkinkan analisis karakteristik studi dan analisis induktif tematik dari studi kualitatif, kuantitatif dan teoretis dalam satu. Hasil: Sebanyak 27 kajian disertakan. Dalam studi ini, kajian kepemimpinan hampir semuanya terkait dengan posisi formal. Studi yang disertakan merujuk pada beberapa komponen kepemimpinan, termasuk visi dan budaya yang berpusat pada pasien, keterampilan, menjadi panutan, komitmen atau dukungan, keterlibatan klien dan memfasilitasi forum serta kondisi untuk perawatan yang berpusat pada pasien Semua komponen berkaitan dengan interaksi atau hubungan. Ini dapat ditemukan pada tingkat yang berbeda, mulai dari interaksi dengan diri sendiri, kolega, pasien, dalam tim dan dalam organisasi. Kesimpulan: Tinjauan ini menunjukkan kepemimpinan sebagai konsep yang terhubung dengan posisi dan peran formal dan sebagai seperangkat kualitas, karakteristik keterampilan individu. Namun, ini juga menunjukkan pentingnya visi yang berpusat pada pasien dan budaya yang berpusat pada pasien dalam kepemimpinan. Ini termasuk fokus implisit pada nilai-nilai perawatan yang baik dan pada interaksi atau hubungan. Penelitian selanjutnya disarankan untuk menjelaskan dua elemen terakhir dalam gagasan kepemimpinan yang berpusat pada pasien sebagai titik awal untuk meningkatkan praktik dan pelatihan keperawatan.
Copyright (c) 2025 Dwi Siwi Murni Hastuti, Elisma Theresia Aritonang, Erna Irawati, Shindi Hapsari https://creativecommons.org/licenses/by-sa/4.0
Student Experience In Clinical Practice Model Preceptorship In Stikes Hang Tuah Surabaya
Introduction: Preceptorship is a clinical teaching model in nursing that serves as a strategic approach to enhance nursing students' competencies. This model aims to develop students into professional nurses who are knowledgeable, responsible, and capable of improving the quality of nursing services in clinical settings. Objectives: The study aimed to describe the experiences of nursing students during clinical practice using the preceptorship model at a hospital in Surabaya, Indonesia. Methods: This descriptive study involved nursing students in their final academic year. A total population of 81 students was included using probability sampling with a simple random sampling technique. Data were collected through a structured questionnaire and analyzed descriptively. Results: The study found that 77 students (95.1%) actively participated in clinical practice, 62 students (76.5%) were able to manage cases independently, 74 students (91.4%) demonstrated the ability to apply clinical knowledge and skills, and 71 students (87.7%) were able to interact effectively with their preceptors. Conclusions: The preceptorship model enabled students to be fully engaged in learning and healthcare service delivery, increased their confidence in case management, and allowed them to integrate theoretical knowledge into real clinical situations. Positive interaction with preceptors significantly supported students’ development of clinical skills and professional competence.
Copyright (c) 2025 Imroatul Farida, Setiadi, Ferlinda Putri Heviyanti https://creativecommons.org/licenses/by-sa/4.0
The Impact of Social Media Use on Adolescent Mental Health
Information and Communication Technology has developed extremely rapidly, especially for social media. Such development can lead to increased dependence on electronic devices influencing adolescent mental health. The purpose of the study was to analyze the relationship between social media usage and adolescent mental health in SMP Negeri 2 Jombang. In this study, the correlation analytic quantitative research design with the cross-sectional approach was utilized. There were 320 in total students, and 76 students were the sample by the cluster random sampling technique. Statistical tests were performed by Spearman's Rank. There were 57.9% students who experienced mild social media addiction. Simultaneously, 38.2% of students experienced mild depressive symptoms. The Spearman's Rank statistical test analysis findings revealed (ρ) = 0.000 < (α) 0.05, which confirms that teen mental health is correlated with social media use. The value of r is 0.402, and the level of correlation is moderate. Social media use and teen health were related as the more frequently one used social media, the greater the possibilities that they would be affected by seeing others' success, bodies, and lifestyles and become possible stressors leading to depression or mental illnesses. Preventive and promotive measures were needed for the early detection of mental disorders in adolescents to avert more complex mental health problems.
Copyright (c) 2025 Muhammad Syahruzzidan As Syauqi, Pepin Nahariani Nahariani https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Pelatihan Berbasis 3S ( SDKI , SLKI , SIKI ) Terhadap Pengetahuan Perawat Tentang Pendokumentasian Asuhan Keperawatan Praktik Mandiri
Introduction:The documentation is a comprehensive record of the patient’s condition and can be used as evidence of accountability. In Indonesia, many nurse do not document nursing orphanage properly. Implementation of nursing documentation is due to various factors, one which is knowledge. One of factor in improving the knowledge of nurses in documenting nursing orphanages is through training Objectives: This study aims to find out the impact of 3S based training (SDKI, SLKI, SIKI) on nurses knowledge of documentation of nursing care independent practice Methods: The method used is quantitative research, pre-esperimental research design with one-group pretest-posttest research design using Wilcoxon test. The population used in this research was 54 independent practice nurses from DPK PPNI Tanggul. The sample for this research consisted of 15 respondents who had been selected using purposive sampling in accordance with the inclusion criteria, namely nurses who were present and committed to participating in the training and mentoring process. Results:In the study showed before given training , knowledge of nurses category good is 2 respondents (13.3%). After conducting the training , knowledge of nurse category good as 11 respondents (73.33%). The Wilcoxon test results obtained a p-value of 0.003 ≤ 0.05 which means there is a difference between the pre-test and post- test results Conclusions: The importance of training for nurses is to increase their knowledge in nursing documentation, so that nurses are expected to be able to implement related nursing documentation.
Copyright (c) 2025 Emi Eliya Astutik, M.Elyas Arif Budiman, Prestasianita Putri, Ahmad Efrizal Amrullah https://creativecommons.org/licenses/by-sa/4.0
Application Of Group Supportive Therapy On Family Self-Efficacy In Caring For Children With Special Needs Atslb Tunas Mulia Nganjuk
ABK require different treatment than children in general. This makes parents have to play a bigger role in providing care. Parental self-efficacy greatly influences parenting patterns in educating ABK. Parents with low self-efficacy tend to treat their children badly. In contrast, parents with high self-efficacy will show sensitivity, responsiveness and active coping. This research was conducted to determine the application of supportive group therapy to family self-efficacy in caring for children with special needs at SLB Tunas Mulia Nganjuk. This research method uses a quantitative approach with a pre-experimental one-group pretest-posttest design with a simple random sampling technique of 32 respondents. The research subjects were parents of students at SLB Tunas Mulia Nganjuk. The research instrument is a self-efficacy questionnaire. Data analysis was carried out using the Wilcoxon statistical test. The research results of 32 respondents before being given group supportive therapy treatment fell into the moderate category with 29 respondents (91%). The low category was 2 respondents (6%), and the high category was 1 respondent (3%). Self-efficacy increased to the high category after being given group supportive therapy treatment by 29 respondents (91%). The medium category was 3 respondents (9%). The Wilcoxon statistical test shows a result of 0.000. The value is 0.000 <0.05, then the hypothesis is accepted, which means that providing supportive group therapy has an influence in increasing family self-efficacy in caring for children with special needs at SLB Tunas Mulia Nganjuk.
Copyright (c) 2025 Lingga Kusuma wardani kusuma, Putri Ayu Venty El Hanief, Fajar Rinawati https://creativecommons.org/licenses/by-sa/4.0
Kemampuan Mobilisasi Dini Dan Tingkat Nyeri Pasien Post Sectio Caesarea Dengan Metode ERACS Di RSIA Azzahra Palembang
The ERACS method is the latest birthing method resulting from innovation and development of the ERACS (Enhanced Recovery After Caesarea Section) concept. With the ERACS method, patients can mobilize as early as possible and also overcome post-operative pain. Mobilization is a person's ability to move freely and is a prominent factor in accelerating recovery after surgery and anesthesia. While post-operative pain is something that is feared by patients, pain also causes patients to be afraid to move and do activities, especially in the first 24 hours after surgery. The purpose of this study was to determine the ability of early mobilization and pain in post-cesarean section patients with the ERACS method at RSIA Azzahra Palembang in 2024. This study used a descriptive analytical design with a cross-sectional approach. The sample collected was 77 respondents with the accidental sampling technique. The data analysis carried out was Univariate Analysis where out of 77 patients, 74 respondents were able to mobilize early and 3 patients were unable to mobilize early while for pain from 77 respondents, 72 respondents experienced mild pain and 5 respondents experienced moderate pain. From the results of this study, it can be concluded that patients are able to perform early mobilization and are free from post-cesarean section pain using the eracs method at RSIA Azzahra Palembang.
Copyright (c) 2025 Ranida Arsi, Annisa Rizkiyani, Eka Rora Suci Wisudawati, Andre Utama saputra https://creativecommons.org/licenses/by-sa/4.0
Hubungan Maternal Role Attainment dengan Kenaikan Berat Badan pada bayi BBLR
Introduction: Weight gain in LBW (Low Birth Weight) babies felt more incompatible with the target that should be achieved to pursue their growth and development to be the same as babies that born normally. This related to the achievement of the mother's role (Maternal Role Attainment) which is a developmental and interactional process where every time a mother touches her baby will create an ability to parenting and take care of her baby including forming roles. Objectives: The purpose of this research is to analyze the relationship between Maternal Role Attainment with the weight gain in LBW babies at Neonate Poly in RSU Haji Surabaya Methods: The design of this research is analytic obesity with cross sectional approach. The sampling technique uses simple random sampling. The population of this research was 35 mothers with LBW babies that controlled at Neonate Poly in RSU Haji Surabaya. The instrument that used was a questionnaire for the achievement of the mother's role and observation using a weight scale. Then the data were tested using the Rho Correlation Spearmen. Results: The result showed that 14 respondents (40.0%) had good mother’s role achievement and 21 LBW babies (60.0%) had compatible weight gain. The result obtain <0.001 (ρ <0.05), means that maternal role attainment is related to weight gain in LBW babies at Neonate Poly in RSU Haji Surabaya. Conclusions: The implication of this research is to give an idea to the mother and family with LBW babies that the achievement mother’s role to parenting her baby can be achieved if every factor of Maternal Role Attainment are fulfilled.
Copyright (c) 2025 Siti Noviyanti Nanik, Diyah Arini, Qori’Ila Saidah, Dwi Ernawati, Faridah https://creativecommons.org/licenses/by-sa/4.0
Hubungan Spiritualitas dengan Kesejahteraan Psikologis pada Remaja di Madrasah Aliyah Unggulan Amanatul Ummah Surabaya
Introduction: A high spiritual condition is something to achieve good psychological well-being. Psychological well-being can be equated with mental health. Adolescents who have good mental health will have all aspects of their psychological well-being fulfilled. Objectives: The study aim to analyzed the relationship between spirituality and psychological well-being in adolescents at the Madrasah Aliyah Unggulan Amanatul Ummah Surabaya Methods: This research design used an analytical observational design approach Cross Sectional. This research was conducted at Madrasah Aliyah Unggulan Amanatul Ummah Surabaya with a population of 200 respondents, using the technique Probability Sampling with approach Stratified Random Sampling The results obtained were 133 samples. Instrument used Daily Spiritual Experience Scale (DSES) to measure spirituality and Ryff Psychological Well-being Scale (RPWS) to measure psychological well-being. Results: The research results showed that the majority of respondents had high spirituality and moderate psychological well-being. Statistical test results using Spearman Rho The results obtained were ρ 0.000 (ρ≤0.05), there was a relationship with a correlation coefficient of r 0.348, which means there is a sufficient relationship (0.26–0.50) between the spirituality variable and psychological well-being. Conclusions: High spirituality is able to provide good psychological well-being in adolescents, so that spirituality can be increased and monitored to create high psychological well-being in adolescents .
Copyright (c) 2025 Ellyza Audia, Dya Sustrami, Nur Muji Astuti https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Buku Pemilkek (Pengetahuan Kehamilan KEK) Terhadap Pengetahuan Dan Sikap Mengenai Kekurangan Energi Kronis Pada Ibu Hamil Di Wilayah Puskesmas Cilongok II
Latar Belakang: Kehamilan sebagai suatu proses bertemunya sel telur dan spermatozoa di dalam rahim seorang wanita. Kehamilan sebagai sesuatu yang terjadi secara fisiologis dan alami. Salah satu masalah dalam kehamilan yaitu KEK. KEK merupakan kondisi indeks masa tubuh (IMT) pada orang dewasa berada dibawah angka normal <17,00 yang disebabkan karena kekurangan gizi dalam jangka waktu yang lama. Tingginya KEK dipengaruhi oleh beberapa faktor, faktor yang berhubungan erat dengan terjadinya KEK pada ibu hamil adalah pengetahuan gizi. Dimana pengetahuan juga mempengaruhi perilaku dan sikap ibu hamil. Salah satu usaha untuk meningkatkan pengetahuan yaitu dengan edukasi menggunakan buku Pemilkek (Pengetahuan Kehamilan KEK). Tujuan: Untuk mengetahui pengaruh buku pengetahuan kehamilan KEK terhadap pengetahuan dan sikap pada ibu hamil mengenai KEK di wilayah Puskesmas Cilongok II. Metode: Penelitian ini menggunakan pendekatan Pre Experimental dengan desain rancangan one group pre-post tes design. Sampel penelitian ini adalah 88 ibu hamil di wilayah puskesmas cilongok II yang diambil menggunakan teknik simple random sampling. Analisis yang digunakan adalah Uji Wilcoxon Signed Rank Test. Hasil: Terdapat pengaruh yang signifikan terhadap pengetahuan ibu hamil sebelum dan sesudah diberikan intervensi edukasi dengan media buku dengan p value = 0,000 (p<0,05). Terdapat pengaruh yang signifikan terhadap sikap ibu hamil sebelum dan sesudah diberikan intervensi edukasi dengan media buku dengan p value = 0,000 (p <0,05). Kesimpulan: Terdapat pengaruh yang signifikan intervensi edukasi dengan media buku terhadap pengetahuan dan sikap ibu hamil
Copyright (c) 2025 Gendis Zenipia Artha, Reni Purwo Aniarti, Happy Dwi Aprilina, Devita Elsanti https://creativecommons.org/licenses/by-sa/4.0
Analisis Faktor-Faktor Kualitas Hidup Pasien Pasca-Stroke
Introduction: Stroke is a leading cause of disability and death worldwide and a significant health problem in Indonesia, affecting various aspects of life. The overall impact of stroke is not limited to physical aspects but also includes psychological, social, and environmental dimensions, all of which contribute to the decline in the quality of life of post-stroke patients. The decline in quality of life among stroke patients is a serious concern as it plays an essential role in determining their survival and well-being. Objectives: This study aims to analyze the factors affecting the quality of life of post-stroke patients at the Neurology Clinic of RSUD Tabanan. Methods: This research uses a descriptive correlational design with a quantitative approach. The sample consists of 36 post-stroke patients at the Neurology Clinic of RSUD Tabanan. Data were collected using the SS-QOL questionnaire with a non-probability sampling technique, specifically purposive sampling. Data analysis was performed using the Chi-Square test. Results: The results show that the quality of life of most post-stroke patients at the Neurology Clinic of RSUD Tabanan falls within the good category, accounting for 77.8% (28 patients). Among the 12 characteristic factors analyzed, only age shows a significant relationship with the quality of life of post-stroke patients at the Neurology Clinic of RSUD Tabanan (p = 0.001). Conclusions: Age is significantly related to the quality of life of post-stroke patients compared to other factors. Age influences the quality of life of post-stroke patients due to its association with physiological factors, such as the body's recovery ability and susceptibility to complications, as well as social aspects, such as individual roles and responsibilities
Copyright (c) 2025 Ni Putu Ayu Mawar Ariasih, Ni Luh Putu Thrisna Dewi, Ni Luh Putu Dewi Puspawati https://creativecommons.org/licenses/by-sa/4.0
Hubungan Dukungan Keluarga terhadap Kesiapsiagaan Lansia dan Ibu Hamil dalam Menghadapi Bencana Erupsi Gunung Berapi
Introduction: Preparedness among vulnerable populations living on volcanic slopes faces serious challenges, given the high potential for disasters such as volcanic eruptions. Vulnerable groups, such as the elderly and pregnant women, often have limited mobility and access to information, which makes it more difficult for them to respond quickly in the event of a disaster. The impact on pregnant women and the elderly is more severe compared to other age groups. This is due to the limitations of both the elderly and pregnant women. This requires the preparedness of pregnant women and the elderly in dealing with disasters. Objectives: research to determine the relationship of family support to the preparedness of pregnant women and the elderly. Methods: The research is quantitative correlation. The population is all pregnant women and the elderly who live in Balerante village, totaling 35 people. The sampling technique is total sampling with Kendall Tau analysis. Results: The majority of mothers aged 20-35 years were 95%, high school education as many as 10 respondents (67%), multigravida as many as 8 respondents (54%) and had no complications as many as 14 respondents (93%). The results showed that the family support of pregnant women was mostly good as many as 8 respondents (53%), and the majority in the elderly family support was good as many as 12 respondents (60%). The majority of pregnant women's good preparedness is in the moderately prepared category, namely 9 respondents (60%) and the majority in the elderly with the Ready category, namely a total of 12 respondents (40%). The results of the p value = 0.001 for pregnant women and for the elderly the p value = 0.009. Conclusions: Family support plays an important role in the preparedness of vulnerable groups, as families can provide emotional support, information, and resources needed to prepare for volcanic eruptions.
Copyright (c) 2025 Devi Permatasari, Puput Risti Kusumaningrum, Cahyo Pramono, Ahmad Izzudin https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Senam Asma Terhadap Kualitas Hidup Dan Kepatuhan Minum Obat Pada Penderita Asma
Asthma is a chronic inflammatory disease of the respiratory tract and is a world health problem not only in developed countries but also in developing countries.This type of research is a quasi-experimental with a quasi-experimental design with a pretest-posttest design with a control group design. The population in this study were asthma patients at the Pematang Panggang IV Health Center Mesuji Raya OKI based on medical record data for 2022 new patients so that a total sample of 100 patients, with a sampling technique using purposive sampling and calculations using the Slovin formula to obtain 50 respondents with each both the intervention and control groups, namely as many as 25 people. The results showed that there was an increase in the average value (mean) both in quality of life and adherence to taking medication in asthma patients between before and after being given asthma exercise in the intervention group respondents. Based on the results of the independent sample t-test, it shows that there is an effect of asthma exercise on the quality of life of asthma patients in the working area of ​​the Pematang Panggang IV Health Center as evidenced by a significance value of 0.018 (sig <0.05). Likewise, there is an effect of asthma exercise on medication adherence of asthma patients in the working area of ​​Pematang Panggang IV Health Center as evidenced by a significance value of 0.027 (sig <0.05)
Copyright (c) 2025 Andre Utama Saputra, Yulinda Ariyani, Ranida Arsi, Yeni Elviani https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Aromatheraphy Lemon Terhadap Mual Muntah Ibu Hamil Trimester I Di Puskesmas 7 Ulu Kota Palembang
Introduction: Pregnancy is a process of physiological changes such as nausea, vomiting, dizziness, back pain, black spots on the face, leg cramps, weight gain, insomnia, and frequent urination. The cause of nausea and vomiting is due to an increase in the hormone estrogen and Human Chorionic Gonadrotropin (HCG). Nausea and vomiting can be prevented by pharmacological and non-pharmacological methods. Non-pharmacological treatment for nausea and vomiting is lemon aromatherapy. Objectives: This study aims to determine the effect of giving lemon aromatherapy on reducing nausea and vomiting in first trimester pregnant women at the 7 Ulu Community Health Center, Palembang City in 2024. Methods: This research uses a quasi-experiment using a research design (pretest-posttest with control group). This research was divided into 2 groups, namely the intervention group and the control group. The sample in this study consisted of 28 respondents who were divided into 2 groups, the sampling technique was purposive sampling. Data analysis technique using the Wilcoxon test. Results: The results of the research after carrying out a significant test using the Wilcoxon test showed that there was a significant influence or change with a p-value of 0.001, which means <0.05. Conclusions: From the results of this research, it is hoped that pregnant women in the first trimester can apply lemon aromatherapy as an alternative non-pharmacological therapy to treat nausea and vomiting in pregnant women in the first trimester.
Copyright (c) 2025 Dita Rahmalia Putri, Ranida Arsi, Fitri Afdhal, Alkhusari Alkhusari https://creativecommons.org/licenses/by-sa/4.0
A Literature Review: The Relationship of Family Resilience with The Incidence of Stunting in Children
Introduction: family is the factor that influences the growth of children in a family. Stunting is a condition that must be of special concern because it can resistor the physical development and mental of children. The family's role and function in increasing family resilience is very needed in the compliance nutritional status of children under five. Objectives: The aim of this study was to see the relationship between family resilience and the incidence of stunting in children. Methods: This study used a literature review method, and the literature search procedure was conducted using databases such as PubMed and Google Scholar. Keywords included "family resilience," "family role," "family function," "stunting," "malnutrition," and "food security." Inclusion criteria covered peer- reviewed quantitative studies (cross-sectional, case-control, cohort) published between 2016–2021 in English or Indonesian, with full-text availability. Exclusion criteria included non-full-text articles, narrative reviews, case reports, and unrelated topics. Results: Results 8 journals sorted by research topic. 2 journals discuss the role of family and family support on nutritional status related to stunting and 6 journals discuss food security related to stunting. The findings indicate that multiple aspects of family resilience, including family roles, food security, parenting, and dietary diversity, play a crucial role in preventing stunting. Conclusions: From this study it was concluded that there was a relationship between family resilience with stunting in children.
Copyright (c) 2025 Laili Rahayuwati, Alfiani Hidayanti, Arlette Suzy Puspa Pertiwi, Vira Amelia, Don Prisno, Myra D. Oruga https://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Self Concept, Social Support, and Psychological Well-being of Empty-nest Elderly
Introduction: The aging process in the elderly includes changes in physical appearance, health conditions, cognitive function, social-emotional function, and interpersonal relationships. On elderly who live alone or are called empty-nest elderly this can encourage changes in an individual's views and attitudes towards themselves, as well as support from other people received by the elderly, which can give rise to psychological phenomena in the form of feelings of sadness, loss, and loneliness which are often not realized. Objectives: This study aims to determine the relationship between self-concept and social support on the psychological well-being of empty-nest elderly. Methods: This research is a quantitative study with a cross-sectional design using a purposive random sampling technique with a total of 108 empty-nest elderly as respondents. The data were analyzed using the Sommers'd Gamma test. Results: The results of the research show that there is a significant relationship between self-concept and psychological well-being (memengaruhi=0.048, p<0.05) with a moderate degree of correlation (coefficient r=0.362) and a significant relationship to social support (memengaruhi=0.003, p<0.05) with a strong degree of correlation (coefficient r=0.548). Conclusions: Self-concept and social support have a significant influence on the psychological well-being of elderly empty nesters, therefore it is hoped that society can facilitate elderly people to have a good self-concept and provide strong social support to increase the level of psychological well-being of empty-nest elderly.
Copyright (c) 2025 Ardina Mispa Uji Mar’atussolikha, Lita Heni Kusumawardani, Koernia Nanda Pratama https://creativecommons.org/licenses/by-sa/4.0
Peningkatan Self-Efficacy Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis melalui Therapeutic Patient Education
Introduction: Self-efficacy is reported as the factor that most influences hemodialysis patient adherence. Interventions to improve self-efficacy have been developed, including through education. The education provided must be structured and include psychosocial aspects to increase self-efficacy, one of the interventions that can be done is Therapeutic Patient Education (TPE). Objectives: This study aims to determine the effectiveness of therapeutic patient education in Increasing the self-efficacy of patients with chronic kidney disease who are undergoing hemodialysis. Methods: This type of research is a Quasy-Experiment with a pre-test and post-test without a control group approach. 63 respondents were involved in the study. The inclusion criteria in this study were patients who regularly attended hemodialysis sessions, aged 18-65 years, and underwent hemodialysis for more than 3 months, while the exclusion criteria included patients who experienced intradialytic complications and patients who were not willing to become respondents. Data collection used the General Self-Efficacy Scale. Bivariate analysis used paired t-test. Results: Bivariate analysis using the paired t-test found that there was a difference in mean self-efficacy between before (mean 26.70, SD 5.732) and after the Therapeutic Patient Education (TPE) intervention (mean 33.24, SD 4.102, t = 16.393, df 62). The value of p=0.000 (<0.05) indicates that the Therapeutic Patient Education (TPE) intervention is effective in increasing the self-efficacy of chronic kidney disease patients undergoing hemodialysis. Conclusions: Therapeutic Patient Education (TPE) effectively increases the self-efficacy of chronic kidney disease patients undergoing hemodialysis.
Copyright (c) 2024 Dewin Safitri, Nurul Jamil https://creativecommons.org/licenses/by-sa/4.0