Nursing Sciences Journal (NSJ) is a peer-reviewed journal devoted to publish research papers in nursing areas and related healthcare issues. NSJ is published 2 issues per years (April and October). Nursing Sciences Journal (NSJ), is a peer-reviewed journal devoted to publish research papers in nursing areas such as fundamental and basic nursing, adult or medical surgical nursing, neonatal and pediatric nursing, maternity nursing, mental health and psychiatric nursing, family and community health nursing, geriatric nursing, nursing administration and management, oncology nursing, transcultural nursing, HIV/AIDS and tropical diseases - and related healthcare issues such as health professional, health policy or healthcare system, women's health and education with focus on national or regional trend and issues. ISSN : 2598-8212 EISSN : 2598-8220 Published By : Universitas KADIRI
THE EFFECTIVENESS OF ISOMETRIC HANDGRIP AND WALKING EXERCISES ON BLOOD PRESSURE IN ELDERLY PATIENTS WITH HYPERTENSION
Hypertension in the elderly is one of the global health challenges with a high prevalence. This study aims to evaluate the effectiveness of isometric handgrip exercise and walking exercise in reducing blood pressure in the elderly with hypertension. The research method used a quasi-experimental design with three intervention groups: (1) isometric handgrip exercise, (2) walking exercise, and (3) a combination of both. A total of 36 elderly were randomly selected and equally divided into the three groups. The intervention was conducted for eight weeks with analysis using Shapiro Wilk test, One Way Anova and Wilcoxon Test The results showed that the isometric handgrip and combination exercise groups had a significant decrease in systolic and diastolic blood pressure (p<0.05). Meanwhile, walking exercise also had a positive effect, although not significant in all weeks of evaluation. The combination of both interventions showed the most optimal results, especially at weeks 5 and 8. This study concludes that isometric handgrip exercise and its combination with walking exercise are effective for lowering blood pressure in elderly with hypertension. It is recommended that this intervention be applied as a non-pharmacological therapy in elderly health services, with assistance by health workers to improve compliance and effectiveness of the program.
Copyright (c) 2025 Erni Rahmawati, Lily Herlinah, Nurhayati, Dhea Natashia, Syamsul Anwar https://creativecommons.org/licenses/by-sa/4.0
THE EXPERIENCE OF THE DAYAK PEOPLE IN HEALING ILLNESSES THROUGH THE TRADITIONAL RITUALS OF THE DAYAK NGAJU: A PHENOMENOLOGICAL STUDY
Background: The Dayak Ngaju community in Palangka Raya, continues to practice traditional healing rituals despite the availability of modern healthcare services. Preferences for rituals such as Sangiang, Nyadiri, and Balian reflect the community's strong cultural identity and belief in supernatural healing. Objective: This study aims to explore the subjective experiences of the Dayak Ngaju people in undergoing healing processes through traditional rituals. Methods: This research employed a qualitative approach with an phenomenological design. A total of 10 participants were selected using purposive sampling. Data were collected through in-depth interviews, observation, and field notes. Thematic analysis using Colaizzi’s method was applied, involving seven stages. Results: Thematic analysis revealed nine key themes: (1) cultural background and connection, (2) factors influencing the choice of ritual, (3) personal experiences with ritual healing, (4) traditional healing practices of Dayak Ngaju, (5) meaning and beliefs about rituals, (6) interaction with modern healthcare systems, (7) sociocultural influences, (8) hopes for the future of the tradition, and (9) expectations and utilization. The findings underscore the importance of integrating transcultural perspectives into nursing practice and highlight the need for culturally sensitive care, improved cultural competence among healthcare providers, and collaborative approaches between traditional healers and medical professionals within inclusive healthcare systems
Copyright (c) 2025 Erlina Cahayani, Achir Yani, Muhammad Syafwani https://creativecommons.org/licenses/by-sa/4.0
THE EFFECTIVENESS OF POSITIVE DEVIANCE (HEARTH) TO REDUCE MALNUTRITION IN UNDER FIVE CHILDREN
Positive deviance (pos gizi) merupakan program gizi yang berbasis keluarga dan masyrakat bagi balita yang mengalami gizi kurang. Tujuan penelitian yakni menganalisis keefektivan intervensi positive deviance (pos gizi) sebagai penatalaksanaan gizi kurang pada balita. Jenis penelitian yang digunakan yakni quasi experimental dengan menggunakan rancangan one group pre post test design. Intervensi positive deviance (pos gizi) diberikan selama 2 minggu (12 hari). Jumlah perhitungan subjek dengan G-power didapatkan minimal 10 responden, responden diambil secara total sampling, dan didapatkan 12 balita yang mengalami gizi kurang dengan BB/TB pada rentang Z score = -2 s/d =-3. Data pengetahuan, sikap, dan perilaku orang tua dikumpulkan dengan kuesioner dan dianalisis dengan uji T dependen. Sedangkan data berat badan dan tinggi badan diukur sebelum dan setelah intervensi dengan analisis GLM-RM. Hasil penelitian adalah terdapat peningkatan berat badan dan tinggi badan sebelum dan setelah intervensi positive deviance (pos gizi) karena makanan yang diberikan kandungan gizinya disesuaikan kebutuhan nutrisi balita. Selain itu terjadi peningkatan pengetahuan, sikap dan perilaku ibu sehingga praktik dalam memberikan makanan untuk balita menjadi lebih baik. Kesimpulannya bahwa positive deviance (pos gizi) sebagai salah satu intervensi komprehensif yang dapat diterapkan untuk mengatasi gizi kurang pada balita di masyarakat.
Copyright (c) 2025 Fresty Africia, Lily Herlinah, Nurhayati, Dhea Natashia, Syamsul Anwar https://creativecommons.org/licenses/by-sa/4.0
TEPID WATER SPONGE AND ALOE VERA COMPRESSES FOR REDUCING BODY TEMPERATURE IN TODDLERS: A COMPARATIVE STUDY
Infants often experience fever, which if left untreated can cause seizures. Febrile seizures can cause brain abnormalities. Non-pharmacological methods such as compresses are used to reduce fever, including tepid water sponges and aloe vera compresses, but further research is needed on which compress method is more effective in reducing fever. The purpose of this study was to analyze the effectiveness of tepid water sponges and aloe vera compresses in reducing body temperature in toddlers with febrile seizures. This study adopted a true experiment using a pretest-posttest design with two control groups, using purposive sampling. A sample of 30 people was taken from the population of toddlers treated at Dr. Doris Sylvanus Regional General Hospital. The instruments used were observation sheets, thermometers, aloe vera gel, SOP for tepid water sponges, and SOP for aloe vera compresses, which were analyzed using the Wilcoxon Rank and Mann Whitney tests. The results showed that there was a significant decrease in body temperature with the tepid water sponge intervention and the aloe vera compress intervention. Based on the mean rank for aloe vera compresses > than the mean rank for tepid water sponges, it means that aloe vera compresses are more effective than tepid water sponges, so they can be recommended as a safe and easy-to-apply non-pharmacological method. Healthcare workers and families are advised to use aloe vera compresses as a practical alternative for treating fever in toddlers at home and in healthcare facilities, and to integrate them into education and guidelines for caring for children with fever.
Copyright (c) 2025 Oktaviona, Hamzah, Muthmainnah https://creativecommons.org/licenses/by-sa/4.0
IMPROVING QUALITY OF LIFE WITH NON-PHARMACOLOGICAL APPROACH FOR ADULT WITH HEMOPHILIA: A SYSTEMATIC REVIEW
Factor VIII/IX deficiency in hemophilia make patients susceptible to joint bleeding (hemarthrosis), especially in the knee, elbow and ankle joint. Repeated bleeding episodes trigger chronic joint damage (arthropathy) and pain, thus disrupting functional status, limiting social life which ultimately reduces quality of life. In Indonesia, factor VIII/IX replacement concentrate is the main treatment for hemophilia which is given on-demand. Its is because the price is still relativelt expensive and the stock is unevenly distributed in all regions. This systematic review aims to explore various non-pharmacological approaches that are eddective in improving the quality of life of adult with hemophilia. The method used in this research is article searches. Data obtained from 8 databases such as PubMed, ScienceDirect, Scopus, Wiley, ClinicalKey Nursing, Taylor & Francis, Proquest and Springer Nature Link by filtering articles based on year of publication, title, abstract and full text. The result obtained 10 articles that match with inclusion and exclusion criteria. There were three aspects of quality of life in hemophilia, five articles focused on addressing problems in the physiological aspect, five anothers discussed problems in the psychological aspect, and only one study intervened social aspect. Intervensions were carried out with various method such as education, watching virtual reality videos, counseling, hypnosis, use of knee support and physical exercise. Non-pharmacological approaches have been shown to improve quality of life with various intervention, but all interventions were given when there was no acute bleeding episodes (hemarthrosis).
Copyright (c) 2025 Alfi Kurnia Adha, Sri Yona, Riri Maria https://creativecommons.org/licenses/by-sa/4.0
ANALYSIS OF THE LEVEL OF NICOTINE DEPENDENCE AMONG TEENAGE SMOKERS IN SERANG CITY BANTEN PROVINCE
Smoking is a serious public health problem with a high prevalence among adolescents, including in Serang City, where it reaches 18.17% among adolescents aged 15–24. The purpose of this study was to analyze the level of nicotine dependence among adolescent smokers and the factors influencing it in Serang City, Banten Province. This quantitative study used a cross-sectional study design to analyze the level of nicotine dependence and its influencing factors. The population was estimated at 3,698 active adolescent smokers in Serang City. The sample size was calculated using the Krejcie and Morgan method. The sample size was 351 individuals. The sampling technique used was consecutive sampling. The research instrument was the Fagerström Test for Nicotine Dependence (FTND). Analysis used the Chi-Square statistical test with a significance level of α = 5%. The results showed a significant relationship between age at smoking initiation, duration of smoking, and number of cigarettes consumed per day with the level of nicotine dependence. Early intervention through education, smoking cessation counseling, and restricting cigarette access for adolescents is essential to prevent long-term addiction. Keywords: Nicotine Dependence, Adolescents, Cigarettes
Copyright (c) 2025 Jajang Ganjar Waluya, Lisnawati Yupartini, Soleh, Belvana Ainul Fitriyani https://creativecommons.org/licenses/by-sa/4.0
THE RELATIONSHIP BETWEEN BURNOUT AND NURSES’ PERFORMANCE IN THE EMERGENCY DEPARTMENT OF PROF. DR. MARGONO SOEKARJO HOSPITAL
Burnout is a condition of physical, emotional, and mental exhaustion caused by excessive work demands. Emergency Department (ED) nurses are at high risk of burnout due to heavy workloads and intense emotional pressure, which may affect their performance. This study aimed to determine the relationship between burnout and nurses’ performance in the Emergency Department of Prof. Dr. Margono Soekarjo Hospital. This research used a quantitative approach with a descriptive analytic design and a cross-sectional method. The sample consisted of 45 ED nurses selected using a total sampling technique. The instruments used were the Malach Burnout Syndrome (MBS) questionnaire for burnout and a performance assessment questionnaire for nurses’ performance. Data were analyzed using descriptive statistics and the Chi-Square test. The findings showed that most respondents experienced mild burnout (88.9%) and had high performance (88.9%). The Chi-Square test indicated a significant relationship between burnout and nurses’ performance (p = 0.01). Conclusion: Lower levels of burnout are associated with higher performance. These results emphasize the importance of preventing burnout to maintain the quality of nursing care in the Emergency Department. Keywords: burnout, nurses’ performance, emergency department, work fatigue
Copyright (c) 2025 Leny Desti Pratami, Nurul Fatwati Fitriana, Endiyono Endiyono, Ragil Setiyabudi https://creativecommons.org/licenses/by-sa/4.0
EFFECTIVENESS OF BASIC PRE-HOSPITAL LIFE SUPPORT TRAINING FOR AMBULANCE PERSONNEL: A LITERATURE REVIEW
Medical emergencies remain the leading cause of death worldwide, with most occurring in the pre-hospital phase. Ambulance personnel play a vital role in providing initial assistance, requiring basic skills through Basic Pre-Hospital Life Support (BPHLS) training. The purpose of this study was to review the effectiveness of BPHLS training in improving the competence of ambulance personnel through a literature review. This study is a a systematic literature review based on PRISMA guidelines. Searches were conducted in PubMed, ScienceDirect, and Google Scholar for articles published between 2018 and 2024. Of the 152 articles identified, 12 articles met the inclusion criteria and were analyzed narratively. The results of the study showed that most studies showed that BPHLS training improved the knowledge, skills, confidence, and behavior of ambulance personnel in handling emergencies. Simulation-based training methods were more effective than lectures. However, several studies reported a decline in skills within 6–12 months without refresher training, and the impact on patient clinical outcomes was still inconsistent. BPHLS training has been proven effective in improving the competence of ambulance personnel, but it needs to be conducted regularly, be standardized nationally, and be supported by quality facilities and instructors. It is recommended that there be periodic refresher training programs and integration of training into the education system and pre-hospital services.
Copyright (c) 2025 Muhammad Syukri, NLP Inca Buntari Agustini, Ni Made Dewi Wahyunadi, Yustina Ni Putu Yusniawati https://creativecommons.org/licenses/by-sa/4.0
DEVELOPMENT OF AN AI-BASED SYSTEM FOR IDENTIFYING VAGINAL DISCHARGE DISEASES IN WOMEN USING THE FORWARD CHAINING
Vaginal discharge is a common gynecological symptom that often indicates various diseases, but its diagnosis frequently requires specialized medical examinations. The limited access to healthcare professionals and the lack of awareness can lead to delayed diagnosis and ineffective treatment, potentially resulting in more severe health complications. This research aims to develop an artificial intelligence (AI) system capable of identifying common vaginal discharge diseases, such as Bacterial Vaginosis, Candidiasis, and Trichomoniasis, based on a series of user-provided symptoms. The study utilizes a rule-based expert system approach with the forward chaining method to process symptoms logically and arrive at a probable diagnosis. The system's knowledge base is constructed from established medical literature and expert physician consultations to ensure high accuracy and reliability. The developed system was tested using a set of clinical cases, achieving an accuracy rate of 92.5%, demonstrating its effectiven ss as a preliminary diagnostic tool. This AI-based system is expected to serve as a valuable early screening instrument, helping to increase access to gynecological health information and facilitating timely medical intervention for women, particularly in areas with limited medical resources.
Copyright (c) 2025 Devy Putri Nursanti, Bonifacius Vicky Indriyono https://creativecommons.org/licenses/by-sa/4.0
THE INFLUENCE OF INSTRUMENTAL MUSIC ON ANXIETY LEVELS IN PATIENTS UNDERGOING HEMODIALYSIS AT JOMBANG GENERAL HOSPITAL
Chronic Kidney Failure (CKF) with hemodialysis is a therapy used for patients with stage 5 chronic kidney failure (ESRD) to maintain kidney function. Hemodialysis is one of the therapies for patients with chronic kidney failure followed by electrolyte fluid imbalance disorders. Where the patient's blood containing toxins is diverted to the dialyzer to filter or clean through a semi-permeable membrane and then returned to the patient's body. The purpose of this study was to provide non-pharmacological therapy to reduce anxiety in patients with hemodialysis. This study is a true experiment study with a pre and post test approach with a population of 250 and a sample of 75 people was taken using random sampling techniques. Data were collected and analyzed using the Paired T Test. The results of the study showed that the results of the Paired T test for the instrumental music group obtained a sig value (2 tailed) in the pre and post test of 0.000 <0.05, which means that there is one group that has a very significant difference. The conclusion of this study is that there is anxiety and stress in patients undergoing hemodialysis, especially in new patients. Anxiety can be minimized by diverting attention using music, including instrumental music.
Copyright (c) 2025 Asri Putri Kisfandari, Yuly Peristiowati, Indasah, Dewi Retno Puspitosari, Achmad Wahdi https://creativecommons.org/licenses/by-sa/4.0
THE RELATIONSHIP BETWEEN SUBJECTIVE SLEEP QUALITY AND BLOOD PRESSURE AMONG UNIVERSITY STUDENTS
Poor sleep quality among university students is often associated with academic stress, lifestyle habits, and irregular routines, which may influence blood pressure (BP). This study aimed to examine the relationship between sleep quality and BP in Indonesian university students. A descriptive correlational study with a cross-sectional design was conducted among 207 students at a private university in North Sulawesi Province of Indonesia. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) and BP was measured with an aneroid sphygmomanometer. Data analysis included descriptive statistics and Spearman correlation. The mean sleep quality score was 8.50 (SD=3.51) and 84.1% of participants were classified as having poor sleep quality. The mean systolic and diastolic BP were 107.76 mmHg (SD=13.61) and 75.91 mmHg (SD=11.91), respectively. A significant but weak negative correlation was observed between sleep quality and systolic BP (r=-0.191, p=0.006). While these findings differ from much of the global evidence linking poor sleep to higher BP, they highlight the complexity of sleep-BP interactions in young and healthy populations. These findings emphasize the importance of promoting better sleep hygiene, healthier lifestyle behaviors, and cardiovascular health strategies within university settings.
Copyright (c) 2025 Ferdy Lainsamputty, Mutiara Nala Aurelia Dotulung, Leroy Avron Justin Mononutu, Febi Ruth Alexandra Pikan, Maria Kristyani Lontaan, Metty Wuisang https://creativecommons.org/licenses/by-sa/4.0
MOTHERS' KNOWLEDGE AND PERCEPTION OF ADOLESCENT REPRODUCTIVE HEALTH BEHAVIOR: A LOCAL PERSPECTIVE ON ADOLESCENT FEMALES AGED 12-18 YEARS IN KEDIRI DISTRICT
The impact of negative reproductive health outcomes is greater for female adolescents than for males, so the role of parents in providing health education to female adolescents is an important thing that requires serious attention. Mothers are parents as primary caregivers who have an important role in the development of reproductive health in adolescents. Lack of knowledge and perception of mothers about reproductive health in parents can trigger reproductive health problems, such as unwanted pregnancies, abortions, early marriages, sexually transmitted diseases (STDs), and HIV/AIDS. The purpose of this study was to determine the relationship between knowledge and perception of mothers on adolescent reproductive health. The sample was adolescents aged 12-18 years in the working area of ​​the Ngasem Health Center, Kediri Regency, as many as 80 respondents who were obtained based on proportional random sampling techniques. The instrument used to measure the variables of knowledge, maternal perception and adolescent reproductive health used a questionnaire. Data analysis used the Spearman rank test with a significance level of 0.05. The results of the study showed that there was a relationship between maternal knowledge and adolescent reproductive health education with a fairly strong correlation value (r = 0.482), and there was a significant relationship between maternal knowledge and adolescent reproductive health education with a fairly strong correlation value (r = 0.482), there was also a significant relationship between maternal perception and reproductive health education in adolescents with a strong correlation value (r = 0.777). Efforts are needed to improve maternal knowledge and perception in order to provide reproductive education so that adolescents become more responsible for their reproductive health. Keywords: knowledge, perception, reproductive health, adolescent mother
Copyright (c) 2025 Indah Jayani, Susmiati Susmiati, Eko Winarti, Devangga Darma Karingga, Sri Haryuni, Idola Perdana Sulistyoning Suharto https://creativecommons.org/licenses/by-sa/4.0
TRANSFORMING THE HEALTH OF THE ELDERLY THROUGH THE COMBINATION OF HATHA YOGA AND CHAYOTE JUICE FOR MENTAL HEALTH AND BLOOD PRESSURE
Hypertension in the elderly is still a serious health problem, especially in the Surabaya area with the highest prevalence in East Java. This condition not only affects the physical, but also has an impact on the mental health of the elderly, such as anxiety and depression, which often go unnoticed and actually worsen blood pressure. This study aims to examine the effectiveness of the combination of Hatha Yoga therapy and chayote juice in lowering blood pressure and improving the psychological condition of the elderly. The research design used a quasi-experiment with a pre-post test approach in two groups. A total of 100 elderly hypertensive patients in RW 04, Sumber Rejo Village, Surabaya, were divided into treatment groups (n=50) and control groups (n=50) through purposive sampling techniques. The treatment group underwent Hatha Yoga and consumed chayote juice twice a week for four weeks. Meanwhile, the control group participated in routine elderly gymnastics. Data were collected through questionnaires and observations, then analyzed using Wilcoxon and Mann-Whitney tests. The results showed a significant improvement in the emotional aspects of the elderly and a marked decrease in blood pressure in the treatment group with significant difference results (p = 0.000). This combination therapy has been shown to be effective and can be recommended as a safe, easy-to-apply, and beneficial nursing intervention in treating hypertension and mild psychological disorders in the elderly. Keywords: Hypertension, Elderly, Mental Health, Hatha Yoga, Chayote.
Copyright (c) 2025 Nurul Imam, Shinta Wurdiana Rhomadona, Nasywa Benita Trismantoro, Savira Agustina https://creativecommons.org/licenses/by-sa/4.0
PATIENT COMPLIANCE IN CHRONIC DISEASE MANAGEMENT PROGRAMS BASED ON THE HEALTH BELIEF MODEL HOLISTIC NURSING APPROACH IN BANTUL
The Chronic Disease Management Program (Prolanis) is a systematic strategy aimed at improving the quality of life for patients with chronic illnesses such as hypertension and diabetes mellitus. However, patient adherence to this program remains relatively low, particularly in semi-rural areas such as the Dlingo II Primary Health Center, Bantul. Understanding the factors that influence adherence is crucial for designing more effective and contextually appropriate interventions. This study aims to analyze the determinants of patient adherence to Prolanis using the Health Belief Model (HBM) framework and interpret the findings through a holistic nursing perspective. A quantitative approach with a cross-sectional design was employed, involving 163 active Prolanis patients within the working area of Dlingo II Primary Health Center. The variables examined included perceived benefits, perceived barriers, social support, and cues to action, analyzed using bivariate chi-square tests and multivariate binary logistic regression. The results indicate that all variables within the HBM framework significantly influence patient adherence (p < 0.05), with cues to action being the most dominant factor (OR = 8.615), followed by perceived benefits (OR = 5.637), social support (OR = 5.026), and perceived barriers (OR = 2.878). These findings highlight the importance of contextual education, meaningful reminders, and supportive social environments as key factors for program success. Adherence to Prolanis is influenced not only by individual perceptions but also by social dynamics and local cultural values. Integrating the HBM approach with holistic nursing provides a more comprehensive understanding of patient behavior and supports the effectiveness of community-based interventions in semi rural settings.
Copyright (c) 2025 Widarto Widarto, Joko Prasetyo, Novita Anna Anggraeni https://creativecommons.org/licenses/by-sa/4.0
ARRIVAL TIME OF ACUTE CORONARY SYNDROME (ACS) PATIENTS AT THE EMERGENCY DEPARTMENT BY MODE OF TRANSPORTATION: A CORRELATION STUDY
In Acute Coronary Syndrome (ACS), the time elapsed between the onset of symptoms and the patient receiving treatment is an important determinant of survival and subsequent recovery. However, many patients do not receive treatment as quickly as recommended, largely due to substantial pre-hospital delays such as waiting to seek medical attention after the initial onset. Objective to determine the relationship between the mode of transportation used by patients and delays in their arrival at the Emergency Department (ED). This study used a cross-sectional design. The population in this study were SKA patients at Dr. Mohammad Zyn Sampang Regional General Hospital. The sampling technique used was simple random sampling, with a sample size of 35 people calculated using the Slovin formula. Based on data analysis and statistical tests, it was found that there was a relationship between the mode of transportation and the time of patient arrival at the ED. The arrival time of patients at the ED can be influenced by several factors, one of which is the mode of transportation used to go to the hospital. There is a need for education regarding the importance of arriving at the ED immediately for patients and families with Acute Coronary Syndrome
Copyright (c) 2025 Dessy Rindiyanti Harista, Andrean Dwi Ainur Rohman, Yunita Amilia, Satria Eureka Nurseskasatmata https://creativecommons.org/licenses/by-sa/4.0
NURSES’ KNOWLEDGE, BARRIERS, AND SOLUTIONS IN IMPLEMENTING HANDS-FREE INTRAMURAL INJECTION TECHNIQUE DURING CAESAREAN SECTION: A MIXED-METHODS STUDY
Sectio caesarea carries a high risk of sharp injuries that may endanger medical personnel. The Hands-Free Technique (HFT) is a method of passing sharp instruments through a neutral zone to reduce such risks. However, its understanding and application during intramural injections remain limited. Methods: A mixed-method approach with an explanatory sequential design was employed. Quantitative data were collected from 30 nurses using a questionnaire, and qualitative data were obtained through focus group discussions (FGDs) with 15 nurses. Descriptive, inferential, and thematic analyses were conducted. Results: Most respondents (53.3%) had a low level of knowledge about HFT. No significant differences were found by years of experience, prior training, or procedure frequency. The FGDs identified key barriers: limited knowledge, insufficient training and monitoring, and established routines perceived as more practical. Suggested solutions included regular practice-based training, visual aids in the workspace, supervisor accompaniment during procedures, and periodic monitoring with feedback and recognition. Discussion: These findings highlight the need for systematic interventions such as routine training, visual aids, and regular evaluations to support more consistent and safe implementation of HFT in operating rooms. Keywords: Barrier, Hands-Free Technique, nurse knowledge, sectio caesarea, solutions
Copyright (c) 2025 Gilny Rantung, Desmond Kristanto, Cori Epang https://creativecommons.org/licenses/by-sa/4.0
PSYCHOLOGICAL WELL-BEING OF CKD PATIENTS AND INFLUENTIAL FACTORS: A CORRELATION STUDY
Chronic Kidney Disease (CKD) is a major global health problem due to its irreversible nature due to the inability of the kidneys to function optimally in carrying out their regulation. CKD patients can experience psychological problems, requiring spiritual needs and family support that can affect psychological well-being. This study aims to determine the relationship between psychological well-being and influencing factors in CKD patients. This research method used a quantitative research type with a cross-sectional design. The population of this study was all CKD patients treated in the Hemodialysis Room at Dr. Adjidarmo Regional General Hospital with a sample size of 115 people using quota sampling in August 2025. Data analysis used univariate and bivariate using the chi-square test. The results showed a significant relationship between spirituality and psychological well-being (p-value 0.001 <0.05) and no relationship between family support and psychological well-being (p-value 0.08>0.05). High spirituality will have a 3.54 times greater chance of having good psychological well-being compared to low spirituality. In conclusion, nurses need to pay attention to the spiritual aspect of CKD patients in order to improve the psychological well-being of patients by implementing spiritual care for patients.
Copyright (c) 2025 Syafrina Arbaani Djuria, Epi Rustiawati https://creativecommons.org/licenses/by-sa/4.0
PARENTING PATTERNS AND DEPRESSION LEVELS IN ADOLESCENTS AGED 16-18 YEARS: A CORRELATION STUDY
Depression in adolescents is a growing mental health problem that can impact psychological, social, and academic aspects. Parenting styles significantly impact adolescent mental health. Inappropriate parenting styles have the potential to lead to emotional problems, including depression. This study aimed to determine the relationship between parenting styles and depression levels in adolescents aged 16–18 at SMAN 1 Widodaren, Ngawi Regency. This study used a descriptive correlational design with a cross-sectional approach. The population was 1,158 and the sample size was 92 respondents, selected using stratified random sampling. Data were collected using the Parental Authority Questionnaire (PAQ) to measure parenting styles and the Beck Depression Inventory (BDI-II) to measure depression levels. Statistical tests used the Spearman Rank Test. The analysis revealed a significant relationship between parenting styles and depression levels in adolescents aged 16–18 at SMAN 1 Widodaren. The findings confirm that implementing appropriate parenting styles is crucial for maintaining adolescent mental health and preventing depression. It is recommended that future research include other variables, such as social support or the school environment, to gain a more comprehensive understanding of the factors influencing adolescent depression. Keywords: Depression, Parenting Styles, & Adolescents Aged 16-18.
Copyright (c) 2025 Olliviyani Eka Dewanty, Sulistyo Andarmoyo, Siti Munawaroh https://creativecommons.org/licenses/by-sa/4.0
FACTOR ANALYSIS OF STRESS LEVELS AMONG PARENTS OF CHILDREN WITH DISABILITIES
Parenting stress among parents raising children with disabilities is a mental health concern that significantly impacts caregiving quality and family well-being. This study was conducted to identify factors associated with parenting stress levels among parents of children with disabilities in the Pekalongan Residency. The purpose of this study was to analyze the relationship between parental characteristics, social support, illness uncertainty, and the type of child’s disability with parenting stress. This research employed a descriptive analytic design with a cross-sectional approach and involved 39 parents as respondents. Data were collected using validated questionnaires and analyzed using the chi-square test. The results showed that the majority of parents experienced a moderate level of parenting stress (61.5%). There were significant associations between parenting stress and several factors, including the parent's gender, level of social support, illness uncertainty, and the type of the child’s disability (p<0.05). These findings highlight the importance of implementing family-based interventions and strengthening social support to reduce parenting stress among parents caring for children with disabilities.
Copyright (c) 2025 Ade Irma Nahdliyyah, Rahajeng Win Martani, Nur Baiti Nasution, Septiana Arifadhi, Endang Axtia https://creativecommons.org/licenses/by-sa/4.0
THE IMPACT OF ONLINE GAMES ON SLEEP QUALITY IN SCHOOL AGE CHILDREN
Excessive use of online games can have a negative impact on individual behavio, one of wich is reducing rest time and decreasing sleep quality, especially in school-age children. This research aims to determine the impact of online games on sleep quality in school-age children at SDN 11 Duri Kepa, West Jakarta. This research uses quantitative methods with a cross sectional approach. The total sample of 69 respondents was taken using a non-probability sampling method. Online game use was measured using the Game Addiction Scale for Adolescents and sleep quality was measured using the Pittsburgh Sleep quality Index. Meanwhile, the statistical test used is the chi-square test. Shows that more than half of the respondents use online games moderately, namely 47 respondents (68.1%). More than half of the respondents experienced poor sleep quality, namely 43 respondents (62.3%). The results of statistical tests show that there is a relationship between the use of online games and sleep quality in school-aged children with a p value = 0.001 (<0.05). The conclusion of this research is that there is a relationship between the use of online games and sleep quality in school-age children at SDN 11 Duri Kepa, West Jakarta. This research can be used as a source of information regarding the impact of online games on sleep quality in school-age children.
Copyright (c) 2025 Ana Zakiyyah, Roza Indra Yeni https://creativecommons.org/licenses/by-sa/4.0
MENTAL EMOTIONAL CHANGES WITH EATING DISORDERS IN ADOLESCENTS AGED 13-17 YEARS
Eating disorders are eating disorders that are often experienced by adolescents. Most adolescents consume unhealthy foods causing disturbed eating patterns. Adolescence is a transition period from childhood to adulthood, the transition includes many aspects, one of which is emotional mentality, which triggers deviant eating behavior known as eating disorders. This study aims to analyze the relationship between emotional mental changes and eating disorders in adolescents aged 13-17 years in Tegalsari Village, Tulungrejo, Pare-Kediri. This type of research is quantitative with a cross-sectional approach design. The population of adolescents with emotional mentality and eating disorders was taken by simple random sampling, a sample of 45 respondents was obtained. The independent variable in this study is emotional mentality which is measured using a questionnaire and the dependent variable in this study is eating disorders which are measured using a questionnaire with data processing using the Spearman rank test analysis. The results showed that of the 45 respondents, most of them experienced bad emotional mentality. and most of them had eating disorders with bad categories. based on the Spearman rank test, the p value = 0.012 was obtained, so H1 was accepted. The conclusion is that there is a close relationship between emotional mental changes and eating disorders in adolescents aged 13-17 years. Suggestion It is hoped that teenagers can maintain good mental health and eating patterns so that they can grow and develop according to their age.
Copyright (c) 2025 Iva Milia Hani Rahmawati, Inayatur Rosyidah, Zulvana, Anin Wijayanti https://creativecommons.org/licenses/by-sa/4.0
STUDI KASUS: KETIDAKSTABILAN KADAR GLUKOSA DARAH LANSIA DIABETES MELLITUS TIPE II MELALUI TERAPI REFLEKSI INJAK BATU
Diabetes melitus (DM) tipe II merupakan penyakit degeneratif yang banyak diderita oleh lansia di Indonesia. Tujuan: mengetahui gambaran asuhan keperawatan ketidakstabilan kadar glukosa darah pada pasien lansia Diabetes Mellitus tipe II melalui pemberian terapi refleksi injak batu. Metode: Desain penelitian yang digunakan adalah studi kasus. Jumlah klien yang digunakan adalah sebanyak 3 orang, yaitu pasien yang mengalami diabetes militus di RAAL Griya Asih dengan masalah keperawatan ketidakstabilan kadar glukosa darah. Hasil: Sebelum diberikan tindakan asuhan keperawatan pada ketiga pasien didapatkan bahwa ketiga pasien mengeluh sulit menggerakkan ektremitas, pusing, lemas, dan terkadang merasakan kebas, mulut kering dan mudah lapar selain kelemahan serta peningkatan gula darah sewaktu lebih dari normal yakni diatas >200 mg/dl. Setelah dilakukan terapi 1 x 10-15 menit per hari selama 3 hari berturut-turut terjadi perubahan pada kemampuan menggerakan ekstremitas, peningkatan kekuatan otot, lemah dan pusing yang dirasakan oleh pasien juga berkurang. Pasien dapat melakukan dan mengikuti terapi selama 3 hari, serta mengalami penurunan rata-rata kadar glukosa darah dari 261 mg/dL menjadi 211 mg/dL. Simpulan dan Saran: Terapi refleksi injak batu pada pasien lansia dengan ketidakstabilan kadar glukosa darah mampu memberikan hasil yang baik. Disarankan untuk melanjutkan terapi refleksi injak kaki secara rutin.
Copyright (c) 2025 Suparmin, Hilda Mazarina Devi https://creativecommons.org/licenses/by-sa/4.0
MOBILISASI PROGRESIF LEVEL 1 PADA PENINGKATAN HEMODINAMIK PASIEN ST ELEVASI MIOKARD INFARK (STEMI): CASE STUDY
Heart disease Acute Coronary Syndrome (ACS) causes a death every minute in the world. The impact of ACS itself includes pain due to myocardial ischemia, activity intolerance due to an imbalance between oxygen supply and demand due to blockage of the coronary artery walls, both of which can affect the patient's hemodynamic status to become unstable. For patients whose hemodynamic status is unbalanced, the recommended solution is to train the patient to tolerate changes in position rather than leaving the patient in a supine position. Progressive Mobilization is a form of exercise to overcome the problem of post-immobilization activity tolerance in ACS patients, which is useful for preventing and minimizing anxiety and depression, preventing thromboembolism, reducing morbidity, and improving cardiovascular function which can cause hemodynamic instability and reducing recurrence rates in ACS patients. This writing aims to analyze level 1 progressive mobilization training interventions using the case study method of a nursing care approach. The sample in this writing consisted of 2 patients and was carried out when they were pain-free and given the same treatment twice a day for 2 days, the sampling technique used purposive sampling, data analysis with 3 stages, namely: descriptive analysis, Pattern Matching, and quantitative analysis. The results of implementing Level 1 Progressive Mobilization in this writing show an increase in hemodynamic status (BP, HR, RR, TB, & SPO2) pre and post Level 1 Progressive Mobilization but still within normal limits.
Copyright (c) 2025 Yuliana, Ahmat Pujianto, Hendy Lesmana, Maria Imaculata Ose, M. Akbar Nugraha https://creativecommons.org/licenses/by-sa/4.0
THE EFFECTS OF HEALTH EDUCATION ON PREVENTING THE DANGERS OF PESTICIDE EXPOSURE ON FARMERS' KNOWLEDGE AND SKILLS IN USING PERSONAL PROTECTIVE EQUIPMENT (PPE)
Pesticides are chemical substances that eliminate pests, insects, weeds, and fungi. Improper use can lead to poisoning among farmers. The use of PPE during mixing and spraying can prevent the dangers of pesticide exposure. Objective : To determine the effects of health education on preventing the dangers of pesticide exposure on farmers' knowledge and skills in using PPE in Karanganyar Village. Method : This quantitative study used a pre-experimental design with a one- group pre-test and post-test approach. The respondents were 48 farmers, and the instruments used were questionnaires and observation sheets. Results : There is a significant effect on farmers' knowledge levels before and after being given health education intervention to prevent the dangers of pesticide exposure, with a p-value of 0.001 (p 0.05). There is also a significant effect on skill levels before and after being given PPE usage simulation, with a p-value of 0.001 (p 0.05). Conclusion : Health education significantly affects farmers' knowledge and skills in preventing the dangers of pesticide exposure by using PPE.
Copyright (c) 2025 Elisa Khoerul Wijayanti, Nurul Fatwati Fitriana https://creativecommons.org/licenses/by-sa/4.0
THE EFFECT OF FIRST AID EDUCATION FOR CHOKING INCIDENTS IN TOODLERS USING AUDIO-VISUAL MEDIA ON MATERNAL KNOWLEDGE IN THE VILAGE OF BANJARSARI
Chocking is an emergency cinfition where there is a blockage of the respiratory airway caused by a foreign object, either partially or completely. The use of video media for the learning process is rapid and easily remembered by respondents because it involves not only hearing but also direct visual engagement through videos. Objective To determine the influence of first aid education on maternal knowledge in handling chocking incidents in toddlers. The study was conducted in Juni 2023 with 75 respondents. Method This study is quantitative research with a pre experimental design using a one group pre test post test approach. The sample consisted of 75 respondents selected through non probability sampling techniques . The research instrument utilized a questionnaire sheet and employed the Wilcoxon test for data analysis. Research results The results of the study showed that the average knowledge score obtained by 75 respondents before receiving audio visual (video) education was 11.64 and after receiving audio visual (video) education, it increased to 18.52. The bivariate analysis using the Wilcoxon test tielded a p-value of 0.001. Conclusion There is an of providing education using audio visual (video) media on maternal knowledge in handling chocking incidents in toddlers in Banjarsari.
Copyright (c) 2025 Enesia Windi Kurniawati , Nurul Fatwati Fitriana https://creativecommons.org/licenses/by-sa/4.0
FACTORS RELATED TO THE IMPLEMENTATION OF NURSE HANDOVER IN THE INTERNAL MEDICINE WARD AT RSUD (REGIONAL PUBLIC HOSPITAL) PROF. DR. MARGONO SOEKARJO, PURWOKERTO
The nurse handover is a technique for conveying and receiving information about patients in the most effective manner possible, involving brief, clear, and comprehensive explanations of independent nursing actions, collaborative actions that have been or need to be undertaken, and patient progress. Several factors influence the implementation of nurse handovers, including age, education level, work experience, knowledge, responsibility, communication, documentation, leadership of the head nurse, peer support, resources, nurse motivation, nurse attitudes, and coworker relationships. Objective: To identify factors related to the implementation of nurse handover. This study used a descriptive correlational quantitative method with a cross-sectional approach, employing the chi-square test. Data collection was conducted using total sampling with a questionnaire instrument distributed to 57 respondents. Results: The Chi-Square test with a significance level of 0.05 showed the following p-values for each factor: age (p = 0.005), education level (p = 0.008), work experience (p = 0.004), knowledge (p = 0.001), responsibility (p = 0.001), documentation (p = 0.000), and communication (p = 0.002). These results indicate significant correlation between age, education level, work experience, knowledge, responsibility, communication, and documentation, and the implementation of nurse handovers. Conclusion: Age, education level, work experience, knowledge, responsibility, communication, and documentation are significantly related to the implementation of nurse handovers.
Copyright (c) 2025 Hendri Susanto , Meida Laely Ramdani , Endiyono, Yektiningtyastuti https://creativecommons.org/licenses/by-sa/4.0
EFFECTIVENESS OF COUNSELING THERAPY ON SEXUAL DYSFUNCTION IN WOMEN WITH DIABETES MELLITUS: A SYSTEMATIC REVIEW
Diabetes mellitus (DM) is a serious long-term or chronic condition that occurs when there is an increase in blood glucose levels due to the body's inability to produce enough insulin or effectively use the insulin it produces. In patients with Diabetes Mellitus, sexual dysfunction is a frequently overlooked complication, despite significantly impacting quality of life. Female sexual dysfunction is defined as a persistent or recurrent decrease in sexual desire, persistent or recurrent decrease in sexual arousal, dyspareunia, and difficulty or inability to achieve orgasm. Several variables influence sexual dysfunction, including depression, anxiety, physical problems, marital issues, and medication side effects. Additionally, social and cultural norms related to diabetes and sexuality can lead to feelings of guilt, stigma, and low self-esteem. The aim of this systematic review is to analyze the effectiveness of counseling therapy on sexual dysfunction in women with diabetes mellitus. This article conducted a search of electronic database sources including Science Direct, Springer Link, Proquest, and Scopus, published from 2014 to 2024, using several keywords: (Female Sexual Dysfunction And Diabetes Mellitus And FSFI And Counseling). Results : Based on the analysis of four articles, there is a positive relationship between counseling therapy and sexual dysfunction in women with diabetes mellitus. Conclusion and Recommendations : Holistic counseling therapy that addresses various physical, psychological, cultural aspects, and individual temperament can improve sexual function, thereby enhancing patients' quality of life. Therefore, it is important for healthcare providers to consider counseling therapy as part of the care plan for women experiencing sexual dysfunction due to diabetes.
Copyright (c) 2025 Nekka Juliani, Debie Dahlia, Dikha Ayu Kurnia, Riri Maria https://creativecommons.org/licenses/by-sa/4.0
SELF-ACCEPTANCE AND SOCIAL ANXIETY IN ADOLESCENTS: A CORRELATIONAL STUDY
Social anxiety is a psychological disorder commonly experienced by adolescents, especially during the transition to adulthood. Self-acceptance is believed to influence the level of social anxiety in adolescents. This study aims to identify the relationship between self-acceptance and social anxiety in seventh-grade students at SMP Negeri 2 Plemahan. The type of research is a quantitative approach with a descriptive-analytic design and a cross-sectional approach was used. The sample consisted of 69 students selected through purposive sampling. The instruments used included the Social Anxiety Scale for Adolescents (SAS-A) and Berger’s Self-Acceptance Scale. Data were analyzed using Chi-Square tests. The results showed that the majority of respondents were female and aged 13. Most respondents exhibited moderate levels of both social anxiety and self-acceptance. A significant relationship was found between self-acceptance and social anxiety with a moderate relationship strength. Conclusion and suggestions in this research is increasing self-acceptance can be an effective strategy to reduce social anxiety in adolescents. It is recommended that schools develop counseling programs to support the enhancement of students' self-acceptance.
Copyright (c) 2025 Zulvana, Didik Susetiyanto Atmojo, Iva Milia Hani Rahmawati, Erni Rahmawati https://creativecommons.org/licenses/by-sa/4.0
HEAD NURSES’ LEADERSHIP STYLES AND THEIR IMPACT ON STAFF INPATIENT NURSES’ JOB PERFORMANCE: AN INTEGRATIVE REVIEW
This integrative review aims to examines how head nurses' leadership styles impact quantifiable job performance metrics of staff inpatient nurses who work in acute care hospital settings. This research review synthesizes quantitative studies from peer-reviewed nursing journals over the past 10 years. We utilized databases CINAHL, PubMed, and Scopus to locate studies that incorporate standardized quantitative metrics and critical appraisal tools for assessing leadership effectiveness. The research team used a PRISMA flow diagram to maintain transparency throughout the process of literature selection. Transformative leadership shows the strongest positive correlation with nurse job performance outcomes such as increased patient satisfaction ratings alongside reduced staff turnover and improved clinical skills. The research field exhibits notable gaps because study designs vary widely while performance metrics and longitudinal data remain insufficient. Future research should employ strong methodological frameworks to further clarify how specific leadership behaviors affect staff outcomes. Nurse managers and policy makers should focus on creating leadership development programs and organizational approaches that optimize staff performance within acute care settings.
Copyright (c) 2025 Hamonangan Tambunan, Evelyn Hemme Tambunan https://creativecommons.org/licenses/by-sa/4.0
ANALISIS EFEKTIVITAS PELATIHAN TERHADAP KEMAMPUAN REMAJA DALAM MELAKUKAN PERTOLONGAN PERTAMA LUKA DAN PERDARAHAN: STUDI KUASI EKSPERIMEN
Remaja merupakan kelompok berisiko mengalami luka dan perdarahan akibat tingginya aktivitas dan mobilitas. Kondisi tersebut membutuhkan tindakan pertolongan pertama yang tepat untuk menghindari terjadinya perburukan kondisi sebelum mendapatkan tindakan lanjutan di fasilitas pelayanan kesehatan, sehingga perlu dilakukan upaya peningkatan kemampuan pertolongan pertama pada remaja agar mereka mampu memberikan pertolongan pertama pada diri sendiri dan orang disekitarnya. Tujuan penelitian ini adalah untuk menganalisis efektivitas pelatihan berbasis edukasi demonstrasi dan praktik terhadap kemampuan remaja dalam melakukan pertolongan pertama luka dan perdarahan sederhana menggunakan prinsip 4T (tutup, tekan, tinggikan dan torniquet), serta penanganan pada luka bakar. Penelitian ini menggunakan metode penelitian kuantitatif dengan desain quasy eksperimental study one group pre-post test. Teknik pengambilan sampel menggunakan purposive sampling pada 94 responden berusia 12 sampai 18 tahun yang sedang menempuh pendidikan di sekolah boarding. Pengumpulan data menggunakan kuesioner baru hasil modifikasi, dan telah dilakukan uji validitas expert, serta telah reliabel untuk digunakan dalam penelitian ini. Data penelitian dianalisis menggunakan uji wilcoxon. Hasil Penelitian menunjukkan bahwa terdapat peningkatan pengetahuan pada responden setelah mengikuti pelatihan ini dan hasil uji statistic Wilcoxon menunjukkan nilai p-value (0,000). Kesimpulan penelitian terdapat pengaruh pelatihan berbasis edukasi demonstrasi dan praktik terhadap kemampuan melakukan pertolongan pertama pada remaja.
Copyright (c) 2025 Rahmalia Amni, Jufrizal, Yudi Akbar https://creativecommons.org/licenses/by-sa/4.0