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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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
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
Overview Of Psychological Well-Being In First-Year Students of STIKes Santa Elisabeth Medan
Introduction: Students are those who pursue knowledge or who study in college. Students who cannot accept the shortcomings that exist in themselves will often feel stressed because these individuals have not been able to adapt to their new environment, so they need good psychological well-being. So in this case it makes the individual feel that he cannot respect himself, then a high psychological well-being is required. Objectives: The purpose of this study was to describe psychological well-being in level 1 students of STIKes Santa Elisabeth Medan. Methods: The research design is descriptive with a cross-sectional approach. The sample of this research was 206 level 1 students of STIKes Santa Elisabeth Medan using a total sampling technique. The measuring instrument for this study used a psychological well-being questionnaire with six dimensions, namely 7 self-acceptance dimensions, 7 statements on positive relationships with other people, 7 statements on independence dimension, 7 statements on environmental mastery dimension, 7 statements on life goals dimension, and 7 personal development dimensions. Statements, the total number of statements is 42. Result: Most research results are psychological well-being in the sufficient category (84.5%). Conclusion: It is hoped that this research can be input for students so that they can adapt to a new environment.
Copyright (c) 2024 Ernita Rante Rupang, Friska Sembiring, Eka Olivia Togatorop https://creativecommons.org/licenses/by-sa/4.0
The Effect of Documentary Short Film on Enhancing Student's Confidence and Willingness to Perform CPR in Rural Areas
Introduction: Out-of-hospital cardiac arrest (OHCA) is a critical emergency condition that necessitates immediate intervention to prevent fatal outcomes. In rural areas, where access to quality educational resources is limited, Documentary Short Films (DSF) can provide essential training that enhances individuals' confidence and willingness to act decisively in emergency situations involving OHCA through CPR. Objectives: To analyze the effect of DSF on enhancing student's confidence and willingness to perform CPR in rural areas. Methods: This study employed a quasi-experimental design utilizing a one-group pretest-posttest framework, conducted at a junior high school in Jember Regency, involving 72 students selected through proportionate stratified random sampling. The educational media utilized was a Documentary Short Film (DSF). Following the administration of a pretest questionnaire and the viewing of the DSF, a post-test was administered one week later to assess changes in self-confidence and willingness to perform CPR. Results The results indicate a significant difference in students' confidence and willingness to perform CPR before and after the educational intervention using the DSF (p < 0.05). The average self-confidence score among respondents rose from 5.78 (2 – 3 questions responding with 'confidence') to 9.43 (4 – 5 questions responding with 'confidence'). Additionally, the average willingness score showed an improvement from 9.13 (3 – 5 questions responding with 'willing') to 15.68 (7 – 8 questions responding with 'willing'). Conclusions: DSF for CPR training effectively enhances rural middle school students' confidence and willingness, improving community emergency response and safety .
Copyright (c) 2025 Yunita Wahyu Wulansari, Guruh Wirasakti, Eky Madyaning Nastiti, Rida Darotin, Feri Ekaprasetia https://creativecommons.org/licenses/by-sa/4.0
The Relationship between Self-Efficacy and the Level of Anxiety of Students Working on Their Thesis
Introduction: A thesis is a graduation requirement for students, which can lead to feelings of anxiety. Approximately 80% of students working on their thesis experience anxiety. The various obstacles encountered during the thesis process create stress, leading to increased anxiety among students. The anxiety experienced by final-year students impacts their level of self-efficacy. Objectives: This study aims to determine the relationship between self-efficacy and levels of anxiety among students working on their thesis at Institut Kesehatan Immanuel. Methods: This research employs a quantitative descriptive correlational approach with a cross-sectional design. The sample was selected using probability sampling techniques, involving 120 respondents. The measurement tools used were the General Self-Efficacy Scale (GSES) and the Zung Self-Rating Anxiety Scale (ZSAS) Results: The results indicated that 59% of students had high self-efficacy, while 61% experienced moderate anxiety. The correlation between self-efficacy and anxiety levels was analyzed using Spearman's correlation test, with a significance value of 0.000 (p<a) and a correlation coefficient of -0.606, indicating a strong negative relationship. This identifies that lower anxiety is associated with higher self-efficacy. Discussion: This research could serve as input for institutions, especially department heads, to develop self-development programs that can be incorporated into each course, and to provide counseling guidance to reduce the anxiety levels of students working on their theses.
Copyright (c) 2024 Herliana Sabila Putri, Ira Ocktavia Siagian, Herwinda Sinaga https://creativecommons.org/licenses/by-sa/4.0
The Relationship between Hemodialysis Adequacy and Quality of Life in Chronic Kidney Disease (CKD) Patients in the Hemodialysis Room at Prof.Dr.I.G.N.G Ngoerah Hospital
Introduction: Hemodialysis (HD) therapy that lasts a lifetime should ideally have a positive impact in the form of improving the patient's quality of life, however, based on research results, poor quality of life in kidney failure patients undergoing hemodialysis still occurs. One of the factors that affects the quality of life in CKD patients is HD adequacy. Objectives: This study was to determine the relationship between hemodialysis adequacy and quality of life in Chronic Kidney Disease (CKD) patients. Methods: The research method used is descriptive correlational with a cross-sectional approach. The total sample was 91 respondents selected using a purposive sampling technique. HD adequacy instrument by inputting data on the HD machine which includes age, height, dry body weight, and setting the Kt/V value adequacy target on the machine greater than 1.8 (for HD 2x/week) while the Quality-of-Life Instrument uses KDQOL-SF which consists of 36 questions. The analytical test used in this research is the Spearman rank correlation test. Results: The HD adequacy results of the majority of respondents were inadequate, namely 58 respondents (63.7%), the majority's quality of life was in the moderate category, namely 68 respondents (74.7%), the results of data analysis showed that there was a significant relationship between HD adequacy and quality of life. In CKD patients (p-value 0.000) with a correlation coefficient of 0.509. Discussion: Achievement of HD adequacy is one of the factors that play a role in improving the quality of life of patients, so it is an important indicator in evaluating the implementation of the HD process.
Copyright (c) 2024 Ni Kadek Muliawati, I Made Sudiarta, Ni Ketut Citrawati https://creativecommons.org/licenses/by-sa/4.0
Pengalaman Ibu Dalam Memberi Makan Pada Anak Cerebral Palsy
Background: Cerebral Palsy is a neuromotor disorder that affects the development of movement, muscle tone and body posture. The prevalence in Indonesia is 1-5 cases per 1000 children diagnosed with CP. This is caused by abnormalities in the developing part of the brain. CP children also experience Oropharyngeal dysphagia which can be characterized by problems in one or all phases of swallowing and chewing food. The aim of this research is to determine mothers' experiences in feeding children with CP. Objective: To find out mothers' experiences in feeding children with Cerebral Palsy. Method: This research is qualitative research with a phenomenological study approach. This research was carried out at YPAC (Foundation for Disabled Children) Semarang. Participants were 3 mothers selected using a purposive sampling technique who had moderate and severe CP children. Data were collected by conducting in-depth interviews using interview guidelines. The results of the interviews were transcribed and analyzed using the Colaizzi method. Results: The characteristics of the participants were 40 years - 46 years and the child with CP was a boy aged 14 years and 2 children with CP were girls aged 14 and 10 years. The study yielded three theree themes: 1) the way mothers process and serve soft and then rough food. 2) The mother's feeling of fear that the child will start eating later than the average age in general. 3) Mother regulates child's food portions. Conclusions: The mother's experience in feeding children with cerebral palsy is very important so that the mother knows how to process and serve food, control the mother's feelings of fear and regulate the child's portions.
Copyright (c) 2024 Nyoman Sri Wahyuni, Eka Wahyuningrum, Andri Kenti Gayatina https://creativecommons.org/licenses/by-sa/4.0
Implementasi Interprofesional Colaboration Melalui Clinical Meeting Terhadap Kepuasan Keluarga Pasien Ruang Rawat Inap Rumah Sakit Semarang
Introduction: Satisfaction is one of the indicators of hospital services, especially the satisfaction given by patients and families. The existence of data on high-risk inpatients in the Intensive Care room with the high-risk, high volume, and high-cost categories in July 2023 amounted to 45 cases, August 52 cases, September 39 cases, so it requires the implementation of Interprofessional Collaboration through clinical meetings on the satisfaction of patient families in the Inpatient Room of Telogorejo Hospital Semarang. Methods: The research method was carried out as a quasi-experiment on 20 people in the treatment group who were given clinical meetings and 20 people in the control group who were given family education. Data were analyzed from the questionnaire instrument using Wilcoxon and Mann-Whitney. Results: The results showed that there was a difference in family satisfaction after a clinical meeting with a p-value of 0.003 and there was a difference in family satisfaction after being given family education with a p-value of 0.004. In the analysis of the two groups, there was an influence on the implementation of interprofessional collaboration through clinical meetings and family education with a p-value of 0.001. Discussion: Intense exposure to gadgets has limited stimulus and optimization of social development. Therefore, synergy between the school and parents in establishing policies regarding the use and supervision of gadgets is needed, as an effort to prevent the use of gadgets from replacing direct social interactions that are essential for children's development.
Copyright (c) 2024 Imrotun, Fery Agusman Metuho Mendrofa, Shindi Hapsari, Susi Nurhayati https://creativecommons.org/licenses/by-sa/4.0
Perbedaan Efektivitas Terapi Musik Klasik Dan Murottal Al Qur’an Terhadap Intensitas Nyeri Disminore Pada Remaja Putri Di SMK Kesehatan Kader Bangsa Palembang Tahun 2022
Introduction: Prevalence of dysmenorrhea According to data from the World Health Organization (WHO), there were 1,769,425 people (90%) of women who experienced dysmenorrhea with 10-15% experiencing severe dysmenorrhea. Objectives: This study aims to determine the differences in the effectiveness of classical music therapy and murottal al-Qur'an on the intensity of dysmenorrhea pain in adolescent girls. Methods: This type of research is a Quasi Experiment with a two-group pretest-posttest research method design. The population in this study were all young women who experienced dysmenorrhea pain who met the inclusion criteria of researchers, with sampling using the Lemeshow formula so that 30 respondents were obtained and divided into 2 intervention groups, namely 15 respondents in the classical music therapy intervention group and 15 respondents in the classical music therapy group. respondent group murottal al-Qur'an, the sampling technique used is purposive sampling. The research instrument used the NRS (Numeric Rating Scale) checklist sheet. Data analysis used independent T-Test test and Paired T-Test Results: The results of the Paired T-Test analysis in the classical music therapy group with a sig value of 0.041 and in the Murrotal Al-Qur'an Therapy group with a sig value of 0.002, meaning that the two intervention groups have a significant effectiveness on pain intensity in adolescent girls. The results of the independent T-Test show a p-value of 0.878, meaning that there is no difference between classical music therapy and murrotal Al-Qur'an therapy because they both can reduce the intensity of dysmenorrhea pain in adolescent girls at SMK Kesehatan Kader Bangsa Palembang in 2022
Copyright (c) 2024 Andre Utama Saputra Utama, Ranida Arsi, Yeni Elviani https://creativecommons.org/licenses/by-sa/4.0
Fungsi Afektif Keluarga berhubungan dengan Perilaku Manajemen Perawatan Diri pada Lansia dengan Hipertensi
Introduction: Self-care management is needed to improve the quality of life of elderly people with hypertension, however, the self-care management behavior displayed by elderly people with hypertension tends to be poor. The family is an important figure to take into account in fulfilling optimal self-care management for hypertensive elderly people. Objectives: This research aims to analyze the relationship between family affective function and self-care management behavior of elderly people with hypertension. Methods: This research used a cross-sectional design with a sample of 150 respondents taken using simple random sampling. Data were analyzed using the gamma correlation test. Results: There is a relationship between family affective function and self-care management behavior in elderly people with hypertension with p-value = 0.000 ≤ 0.05. Discussion: Good family affective function tends to increase hypertension self-care management behavior. Elderly people with hypertension should always maintain maximum self-care management behavior. Families should maintain closeness to elderly people who suffer from hypertension in their family. Families should always respond well to the existing needs of elderly people with hypertension in their families.
Copyright (c) 2024 Irwina Angelia Silvanasari, Nurul Maurida, Trisna Vitaliati, Achmad Ali Basri https://creativecommons.org/licenses/by-sa/4.0
Hubungan Dukungan Keluarga dengan Motivasi Remaja dalam Pencegahan Pernikahan Usia Dini di Kabupaten Karangasem
Introduction: Indonesia remains among the top 10 countries in the world for early marriage instances in 2022 with 1.74 million marriages. Family support is still a significant factor in the case of early marriage and plays a useful role in preventing early marriage for adolescents. Objective: The purpose of the study is to determine the correlation between family support and the motivation of adolescents in preventing early marriage at SMA Negeri 1 Abang Karangasem. Method: This study used analytic correlation with a cross-sectional approach. There were 253 respondents recruited as a sample of the study which was selected through a random sampling technique. The data were collected using the Perceived Social Support from Family (PSS-Fa) questionnaire and a motivation questionnaire. The data were analyzed using Spearman’s rho. Result: The finding showed that there was a correlation between family support and the motivation of adolescents in preventing early marriage with a p-value of 0.001 with a closeness of 0.382 and a positive correlation (+), which meant that the better the family support, the higher the motivation of adolescents in preventing early marriage. Conclusion: There is a correlation between family support and the motivation of adolescents in preventing early marriage at SMA Negeri 1 Abang Karangasem.
Copyright (c) 2024 Ni Komang Ayu Juniari, I Kadek Nuryanto, Ni Komang Tri Agustini https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Terapi Pendamping Aktivitas Fisik Home-Based Walking Exercise Selama 45 Menit Terhadap Kadar Glukosa Darah Acak pada Pasien Diabetes Melitus Tipe 2
Introduction: Type 2 diabetes mellitus is often called the mother of all diseases which can result in complications. The risk of complications increases over the age of 40 years, so physical activity is needed to improve blood flow and increase the effectiveness of insulin use in the body. Objectives: This study aimed to determine the effect of home-based walking exercise companion physical activity therapy for 45 minutes on random blood glucose levels in patients with type 2 diabetes mellitus. Methods: This research design uses a quasi-experimental one-group pretest-posttest. The sampling technique uses a non-probability sampling technique: purposive sampling. The sample for this study was 19 patients with type 2 diabetes mellitus at the Puskesmas Lidah Kulon. Data were collected using an observation sheet on the results of random blood glucose clinic examinations. Statistical test data analysis used the Wilcoxon signed rank test with α < 0,05. Results: The results of the study showed that the average random blood glucose level before implementation was 247,9474 and after implementation, it was 196,8947. The statistical test results obtained p value 0,00<0,05, which means H1 is accepted. Discussion: The results of the study show that home-based walking exercise companion physical activity therapy for 45 minutes affects reducing random blood glucose levels in patients with type 2 diabetes mellitus
Copyright (c) 2024 Novia Rofiqoh Arifah, Ach. Arfan Adinata, Moch. Bahrudin, Sri Utami https://creativecommons.org/licenses/by-sa/4.0
Pengaruh Pendidikan Kesehatan Terhadap Perilaku Perawatan Gigi Anak Sekolah Dasar
Introduction: The purpose of the study was to analyze the impact of dental health education on the dental care behavior of fifth-grade students at Anak Saleh Elementary School, Malang City. Methods: The research used in this research is Quasi-Experimental Design, with a Pretest Posttest Nonequivalent Control Group Design. The research sample consisted of 54 respondents from fifth-grade elementary school students. The data analysis technique uses the paired sample t-test. Results: The research results showed that the majority of respondents had dental care behavior in the adequate category, 29 respondents or 53.7% before dental health education. The majority of respondents had dental care behavior in the good category, with 34 respondents or 63.0% after dental health education. The influence of education about dental health on dental care behavior in fifth-grade elementary school children at Saleh Children's Elementary School, Malang City with a Sig value. (2-tailed) of 0.000 < 0.05. Discussion: Dental health education in elementary schools is made a routine agenda every year.
Copyright (c) 2024 Delima Br Sihombing, Regista Trigantara, Andi Surya Kurniawan https://creativecommons.org/licenses/by-sa/4.0