Jurnal Pustaka Keperawatan (Pusat Akses kajian Keperawatan)

Pengaruh Senam Tai-Chi Terhadap Tekanan Darah Pada Lansia Penderita Hipertensi di Posyandu Lansia Nusa Indah 7 Desa Cemani

Wildan Muttaqin Nur FahleviFahlevi — 2026-06-29

Hypertension is a non-communicable disease that can cause serious complications such as stroke and heart failure, especially in older adults. According to the Indonesian Health Survey, the prevalence of hypertension is quite high throughout Indonesia, including in the Sukoharjo area. Non-pharmacological management, such as Tai-Chi is quite effective because it is light aerobic and can reduce stress and improve cardiovascular function. The purpose of this study was to determine the effect of Tai-Chi on blood pressure of elderly people with hypertension in Posyandu Nusa Indah 7. The research methodology used a pre-experimental design with a one group pre-test and post-test design. A total of 31 elderly respondents were selected using total sampling. Three times a week. Data analysis was performed using the paired t-test statistical test. The findings showed that there was a significant decrease in systolic and diastolic blood pressure after Tai-Chi intervention (p < 0.05). This indicates that Tai-Chi is effective in reducing blood pressure in hypertensive elderly. This study highlights the importance of using non-pharmacological interventions, such as Tai-Chi, in elderly health programs, both as a treatment for hypertension and as a preventive measure.

Strategi Koping Orang Tua dan Dukungan Keluarga dengan Kualitas Hidup pada Anak Kanker yang Menjalani Kemoterapi

Dyah Ayu Puspita Dewi — 2026-06-29

Cancer is one of the non-communicable diseases that is the leading cause of death in children worldwide and must undergo intensive treatment such as chemotherapy which has side effects of anxiety and depression that affect the child's quality of life. In this situation, family support and parental coping strategies are important factors that can help children in the process of adapting to the disease and treatment. Parents who are able to manage stress with positive coping strategies and strong family support can improve the child's psychological well-being and improve their quality of life during therapy. To determine the relationship between parental coping strategies and family support on the quality of life of children with cancer undergoing chemotherapy at Dr. Moewardi Surakarta Regional Hospital. The research method used a cross-sectional design and consecutive sampling technique on 50 respondents. Statistical results using the Spearman-Rank test showed a p-value of 0.000 (p <0.05), which indicates a significant relationship between parental coping strategies and family support on the quality of life of children with cancer undergoing chemotherapy. Parental coping strategies and family support play an important role in determining the quality of life of children with cancer. Health workers are expected to provide education and ongoing psychosocial support to families.

Intervensi Cold Pack Terhadap Intensitas Nyeri Pasien Pasca Prosedur Kateterisasi Jantung

Riska Dhivenka Perwita Putri — 2026-06-29

Pain is a common side effect experienced by patients after undergoing cardiac catheterization procedures, primarily caused by trauma to the vascular tissue at the catheter insertion site. To address this issue, a non-pharmacological intervention that is easy to apply, safe, and effective is the use of cold pack therapy, which works by inducing vasoconstriction and inhibiting the transmission of pain impulses through nerve fibers, thereby reducing pain perception. This study aimed to determine the effect of cold pack application on pain intensity in post-cardiac catheterization patients at Dr. Moewardi General Hospital, Surakarta. This study used a quasi-experimental design with a pretest-posttest control group approach, involving 46 respondents selected using accidental sampling technique. The respondents were evenly divided into two groups of 23: the intervention group received cold pack therapy, while the control group received standard care. The measurement instruments used were the Numeric Rating Scale (NRS) and an observation sheet. Data were analyzed using the Wilcoxon Signed Rank Test and the Mann-Whitney U Test. The Wilcoxon test showed a significant change in pain intensity in the intervention group before and after the application of cold pack (p = 0.000). In addition, the Mann-Whitney test showed a significant posttest difference between the intervention and control groups (p = 0.000). The results indicate that cold pack therapy is proven effective in reducing pain in post-cardiac catheterization patients and can be implemented as part of non-pharmacological nursing interventions in the management of pain after invasive procedures.

Pengaruh Edukasi Kesehatan Reproduksi Terhadap Pengetahuan Remaja dalam Pencegahan Kehamilan Remaja

Septy Ariani — 2026-06-29

Pregnancy in adolescence can have quite serious psychological impacts, especially due to mental unpreparedness in facing various physical and emotional changes during pregnancy. The role changes that occur also cause their own stress, because many teenagers are not ready to carry out responsibilities as a mother or face the dynamics of household life. Preventing teenage pregnancy is an effective solution to help them be wiser in sexual behavior, avoid sexually transmitted diseases and adopt healthy behaviors. Objective: This study aims to determine the effect of reproductive health education on adolescent knowledge in preventing teenage pregnancy. Method: This study uses a quantitative research method. The design of this study uses a Pretest-Posttest Control Group design. Data collection was carried out using a questionnaire on preventing teenage pregnancy. Results: The results of the study showed that before the intervention,. A total of 105 people (78.4%) were included in the category of poor knowledge, while 29 respondents (21.6%) were in the category of good knowledge. After the intervention, there was an increase. A total of 131 people (97.8%) were included in the category of good knowledge, while 3 respondents (2.2%) were in the category of poor knowledge. The results of the Wilcoxon test showed a p value = 0.000. Conclusion: Based on the research findings, reproductive health education significantly improves adolescents' knowledge of pregnancy prevention. This education also contributes to shaping adolescents' ability to make more informed and healthy decisions.

Penerapan Ankle Pump Exercise Kombinasi Elevasi Kaki 30° pada Pasien dengan Penyakit Ginjal Kronik

Januwarti Halifat — 2026-06-29

Chronic kidney disease is characterized by a decline in glomerular filtration function, leading to sodium and water retention, which increases extracellular fluid volume and causes edema, including anasarca, peripheral edema, pulmonary edema, and periorbital edema. To Implementing nursing care for Mrs. M with Chronic Kidney Disease through the application of Ankle pump exercise combined with 30-degree leg elevation. A case study using the nursing care process, including assessment, nursing diagnosis, planning, implementation with pre- and post-intervention evaluation. The instruments used were standard operating procedures (SOP), edema grading observation sheet, fluid balance observation sheet, foot support/pillow, stopwatch, and goniometer. There were differences in edema grade, pitting depth, and rebound time before and after the intervention. The application of ankle pump exercise combined with 30-degree leg elevation, along with diuretic administration, had an effect on reducing pitting edema, as evidenced by the decrease in edema grade after the intervention

Manajemen Perianestesi dengan Subarachnoid Block dan Sedasi pada Pasien Sectio Caesarea Emergency dengan Plasenta Previa dan Hipertiroid: Studi Kasus

Dwi Darmawan Dani — 2026-06-29

Emergency cesarean section in patients with placenta previa and hyperthyroidism presents significant anesthetic challenges due to the risk of massive hemorrhage and thyroid crisis. This case report describes the perioperative anesthetic management of a 31-year-old woman, G3P2A0, with complete placenta previa and uncontrolled hyperthyroidism who underwent emergency cesarean section. The patient presented with active vaginal bleeding at 39 weeks gestation. Laboratory findings revealed anemia (Hb 11.6 g/dL) and hyperthyroid state (TSH 0.10 mIU/L, FT4 3.24 ng/dL). Subarachnoid block was performed at L4-L5 level using levobupivacaine 12.5 mg combined with intrathecal morphine 70 mcg, achieving sensory block up to T6 dermatome. Light sedation with midazolam 3 mg and propofol 4 mg was administered intravenously after delivery. Intraoperative hypotension (90/61 mmHg) was managed with fluid resuscitation and ephedrine 10 mg IV, resulting in stable hemodynamics. The procedure was completed successfully without major complications. Postoperatively, the patient recovered well with Bromage score improving from 3 to 2 and Aldrete score reaching 9. This case demonstrates that subarachnoid block combined with light sedation provides safe and effective anesthetic management for emergency cesarean section in patients with placenta previa and uncontrolled hyperthyroidism, avoiding the risk of thyroid storm associated with general anesthesia

Manajemen Perioperatif pada Tindakan Eksisi Tumor Mammae dengan Anestesi Umum : Studi Kasus

Yuniani Candrasari — 2026-06-29

Mammary tumor is an abnormal growth in breast tissue that can be classified as either benign or malignant. Early detection and appropriate treatment are crucial to prevent complications and ensure optimal patient outcomes. This case study describes the perioperative management of a 44-year-old female patient diagnosed with left mammary tumor (tumor mammae sinistra), who underwent excision surgery. The research method applied was a descriptive observational design with a case study approach. Data were collected from medical records, physical examination, laboratory findings, imaging results, and continuous monitoring of vital signs during the preoperative, intraoperative, and postoperative periods. The findings showed that a comprehensive approach, including thorough preoperative assessment, careful anesthetic induction, precise surgical excision, and intensive postoperative monitoring, resulted in stable hemodynamic status and reduced the risk of perioperative complications. The patient demonstrated a favorable recovery with no recurrence observed in the short-term follow-up. In conclusion, comprehensive perioperative management in excision of a mammary tumor provides a positive prognosis and underscores the importance of multidisciplinary collaboration between surgical and anesthesia teams. Moreover, this case highlights the potential benefits of adopting similar protocols for patients undergoing mammary tumor surgery

Manajemen Perianestesi dengan Balanced Anestesi pada Pasien Operasi Laparoscopy Konversi Open Laparotomi Diagnosa Cholelithiasis dengan Anemia dan Trombositopenia : Studi Kasus

Muhammad Naufal Abdurrahman — 2026-06-29

Cholelithiasis with comorbid anemia and thrombocytopenia poses significant challenges in perioperative management, particularly when laparoscopic cholecystectomy must be converted to open laparotomy due to severe inflammation and adhesions. This case report describes the anesthetic management of a 57-year-old male patient diagnosed with cholelithiasis, anemia (Hb 10.8 g/dL), thrombocytopenia (96 ×10³/µL), and leukopenia, who underwent surgery under balanced general anesthesia. The procedure was initiated laparoscopically but converted to open laparotomy due to gallbladder wall thickening and distorted anatomy. Intraoperatively, bleeding of approximately 500 mL occurred, requiring transfusion of packed red cells and platelets. Hemodynamic fluctuations in the form of hypotension were successfully managed with fluid therapy and transfusion, ensuring adequate tissue perfusion. Postoperatively, the patient experienced delayed emergence, which improved following antagonization with atropine and neostigmine. The patient was subsequently transferred to the ICU for intensive monitoring given the risks associated with anemia, thrombocytopenia, and suboptimal recovery. This case highlights the importance of comprehensive preoperative evaluation, vigilant intraoperative monitoring, individualized anesthetic strategies with balanced anesthesia, and multidisciplinary collaboration to minimize complications in biliary surgery patients with hematological comorbidities

Efektivitas Pemberian Terapi Dzikir Terhadap Penurunan Resiko Self Harm pada Remaja di SMPN 30 Banjarmasin

Nila Melanda — 2026-06-29

Adolescence is characterized by physical and psychological changes that often cause emotional distress, so some adolescents express stress through self-harm behavior. This condition can have an impact on the appearance of shame, depression, and anxiety. This study aims to analyze the effectiveness of dhikr therapy in reducing the risk of self-harm in adolescents at SMPN 30 Banjarmasin. The study used a quantitative method with a pre-experimental one group pretest-posttest design. The sample consisted of 35 respondents who were selected through purposive sampling techniques. Data collection was carried out using the Self-Harm Inventory (SHI) questionnaire and analyzed using the Wilcoxon test. The results showed a significant difference in the level of self-harm before and after dhikr therapy (p=0.00), with all respondents (100%) experiencing a decrease in the level of self-harm to the mild category. These findings prove that dhikr therapy is effective in reducing the risk of self-harm in adolescents. This therapy can be a simple, independent intervention that is beneficial for improving adolescent mental health and emotional control

Pengaruh Kepatuhan Self-Management Terhadap Kualitas Hidup pada Pasien Stroke

Gratsia Victoria Fernandez — 2026-06-28

The involvement of individuals with stroke in self-management is a key factor in recovery, empowerment, and improved health outcomes, which can ultimately influence their quality of life. The aim of this study was to analyze the effect of self-management adherence on the quality of life among stroke patients. This research was a quantitative study using a cross-sectional design, with purposive sampling and a total sample of 120 stroke patients. Data were collected using the Out-of-Hospital Adherence Questionnaire for Stroke Patients (OHAQ-SP) and the Stroke Impact Scale 3.0 (SIS), and analyzed using the Spearman rank test. The results showed that most respondents were adherent to self-management (76.9%) and had a high quality of life (62.3%), with a significant correlation (p = 0.000; r = 0.833). These findings indicate that self-management adherence has a positive, strong, and significant relationship with the quality of life of stroke patients. The higher the patient’s adherence to self-management behaviors, the higher their quality of life

Manajemen Perianestesi Subarachnoid Block Pada Pasien ORIF Fraktur Femur Dextra: Studi Kasus

Muhammad Farhan Abdurrahman — 2026-06-29

Femoral fracture is a major orthopedic injury requiring operative management to prevent complications and restore limb function. Anesthetic technique plays a crucial role in the success of surgical intervention. This case report employed a descriptive observational method with a case study approach on a 36-year-old male patient with a complete fracture of the middle third of the right femur who underwent Open Reduction and Internal Fixation (ORIF). Data were collected from medical records, physical examination, laboratory tests, radiological findings, as well as intraoperative and post-anesthesia monitoring. Anesthetic management was performed using spinal anesthesia with 15 mg of intrathecal bupivacaine, supported by multimodal analgesia and fluid therapy to maintain hemodynamic stability. During surgery, the patient remained stable, although shivering occurred and was successfully managed with intravenous pethidine and external warming. Post-anesthesia, the patient demonstrated gradual motor recovery, stable vital signs, and no serious complications. In conclusion, spinal anesthesia proved effective in providing adequate analgesia, maintaining hemodynamic stability, and reducing intraoperative complications in patients undergoing ORIF for femoral fracture. This case highlights the importance of selecting an appropriate anesthetic technique, close monitoring, and prompt intervention to ensure patient safety and favorable clinical outcomes

Implementasi Asuhan Keperawatan Untuk Optimalisasi Nafsu Makan Pada Anak Dengan Demam Tifoid: Tinjauan Literatur

Thea Gracia Taihitu — 2026-06-29

Typhoid is an acute infection caused by Salmonella typhi and remains a significant health issue in children. One of the clinical impacts that often arises is a decrease in appetite due to nausea, vomiting, and gastrointestinal tract disorders. This condition risks degrading nutritional status and slowing down the recovery process, so the implementation of appropriate and comprehensive nursing care is needed to address this problem. This literature review aims to evaluate the effectiveness of implementing observation, education, therapeutic actions, and collaboration in increasing the appetite of children with typhoid fever. The literature search was conducted using Google Scholar, with a publication range of 2020-2025. Six articles met the inclusion criteria and were analyzed in accordance with the PRISMA guidelines. The results showed that three articles (50%) reported that child nutrition problems were only partially resolved when nursing implementation was carried out comprehensively. In contrast, the other 50% (n = 3) of the articles reported an increase in appetite and improvement in clinical conditions when all four components of the implementation were fully implemented. Observation of nutritional status, education directed at families, therapeutic actions such as providing a high-calorie and protein-rich diet, and oral hygiene, as well as collaboration with medical teams, have been proven to have an effect on increasing children's food intake. Therefore, the application of comprehensive and consistent nursing care has been proven effective in supporting and overcoming the increased appetite of children with typhoid fever.

Intervensi Keperawatan untuk Penguatan Otot pada Anak Ensefalitis : Literature Review

Frischa Ananda Putri — 2026-06-29

Encephalitis is an inflammatory condition of the brain parenchyma that often causes serious neurological disorders, as well as muscle weakness, motor dysfunction, impaired coordination, and decreased independence in children's daily activities. The broad clinical impact of encephalitis makes it not only an acute infection but also a condition with long-term implications for children's motor development and quality of life. Therefore, nursing interventions should focus on two main aspects: medical stabilization during the acute phase and structured rehabilitation during the recovery phase. This study aimed to evaluate the effectiveness of nursing interventions in improving muscle strength in children with encephalitis by reviewing the latest literature. This research employed a literature review approach, searching publications from 2020 to 2025 and identifying six articles that met the inclusion criteria. The analysis shows that 83.3% (n=5) of the articles focused on rehabilitative interventions such as muscle strengthening exercises, gait correction, balance exercises, range of motion (ROM), and functional activities, which have been shown to improve motor function and accelerate neurological adaptation. Meanwhile, 16.6% (n=1) of the articles emphasized the importance of close monitoring during the acute phase, focusing on neurological observation, complication prevention, maintaining respiratory stability, and monitoring the risk of increased intracranial pressure. These findings confirm that nursing interventions, which include comprehensive observation, family education, structured therapeutic measures, and multidisciplinary collaboration, significantly optimize neuroplasticity, improve postural control, and maximize muscle strength recovery. Overall, these evidence-based nursing interventions are crucial elements in enhancing the quality of life and independence of children with encephalitis.

Studi Kasus Orif Tibia Fibula Sinistra dengan Diagnosa Fraktur Tibia Fibula Sinistra dengan Teknik Regional Anestesi

Anisa Nur Istikomah — 2026-06-29

Tibia-fibula fractures are among the most common lower extremity injuries resulting from high-energy trauma, particularly traffic accidents, and often require definitive management through Open Reduction and Internal Fixation (ORIF). The choice of anesthetic technique plays a crucial role in ensuring patient safety and procedural success. This case report describes a 47-year-old male patient with a left tibia-fibula fracture who underwent ORIF surgery under regional anesthesia using the Subarachnoid Block (SAB) technique. During the procedure, the patient developed hypotension and shivering as anesthetic-related complications; however, these conditions were successfully managed with intravenous fluids, vasopressors, and supportive therapy, leading to the stabilization of vital signs. Postoperative monitoring revealed good consciousness, adequate pain control, and gradual recovery of physiological functions. This case highlights the importance of comprehensive preoperative assessment, proper application of spinal anesthesia, and vigilance in managing intraoperative complications to ensure patient safety and support optimal postoperative prognosis.

Hubungan Dukungan Keluarga dengan Kepatuhan Minum Obat Pasien dengan Halusinasi

Mohamad Iswanto Nani — 2026-06-29

Schizophrenia with hallucinations is a chronic mental disorder that requires long-term treatment, but medication non-compliance remains a major problem, increasing the risk of relapse. In primary healthcare, family support plays a crucial role as the closest support system influencing patient adherence. This study aims to analyze the relationship between family support and medication adherence in patients with hallucinations undergoing outpatient care at the Suwawa Community Health Center, Bone Bolango, Gorontalo. The study used a quantitative approach with a cross-sectional correlational design. A sample of 30 respondents was selected using a convenience sampling technique. Data were collected through a structured questionnaire and analyzed using the Spearman Rank correlation test. The results showed a significant and positive relationship between family support and medication adherence, with a p-value of 0.009 and a correlation coefficient of r-value of 0.471, indicating a moderate relationship. These findings emphasize the importance of the family's role in improving medication adherence in patients with mental disorders in primary healthcare

Peran Dukungan Keluarga dalam Pengendalian Kadar Glukosa Darah pada Lansia Diabetes Melitus

Felicia Matindas — 2026-06-29

Diabetes mellitus is a chronic disease with a rapidly increasing prevalence among older adults. Poor glycemic control in the elderly increases the risk of complications, reduces quality of life, and leads to greater health care utilization. Beyond pharmacological treatment, family support is an important non-pharmacological factor that may influence diabetes self-management and blood glucose control, particularly in primary health care settings. This study aimed to examine the role of family support in controlling blood glucose levels among older adults with diabetes mellitus. A quasi-experimental study with a pre-test and post-test control group design was conducted among 40 older adults with diabetes mellitus in the working area of Tadoy Primary Health Care Center, North Sulawesi, Indonesia. Participants were assigned to an intervention group (n = 20) receiving structured family support in addition to routine care, or a control group (n = 20) receiving routine care only. Blood glucose levels were measured before and after the intervention and analyzed using paired and independent t-tests. The intervention group showed a significant reduction in blood glucose levels (p = 0.000), whereas the control group showed no significant change (p = 0.087). The reduction was significantly greater in the intervention group than in the control group (p = 0.000). Family support significantly improves blood glucose control among older adults with diabetes mellitus. Integrating family-based approaches into primary health care is recommended to enhance diabetes management in elderly populations.

Hubungan Kepatuhan Minum Obat dengan Tekanan Darah pada Pasien Hipertensi di Puskesmas Mangaran

Lavenia Yeane Mangundap — 2026-06-29

Hypertension is a chronic health problem with a high prevalence and risk of serious complications if not optimally managed, making medication adherence a crucial factor in blood pressure control. This study aims to analyze the relationship between adherence to antihypertensive medication and blood pressure status in hypertensive patients at the Mangaran Community Health Center. The study used a quantitative observational design with a correlational approach and a cross-sectional design. The study population was all hypertensive patients undergoing routine treatment, with a total sampling technique and a total of 30 respondents. Adherence data were collected using a standardized Morisky Medication Adherence Scale (MMAS-8) questionnaire, while blood pressure was measured directly according to clinical procedures. Data were analyzed univariately and bivariately using the Chi-Square Test. The results showed a significant relationship between medication adherence and blood pressure status, where higher adherence is associated with better blood pressure control. These findings provide practical implications for primary health care in strengthening education and monitoring adherence, and contribute theoretically to strengthening the concept of adherence as a major determinant of the success of hypertension therapy

Hubungan Health Locus of Control dengan Kepatuhan Minum Obat pada Penderita Hipertensi yang Masih Aktif Bekerja di Desa Taman Wilayah Kerja Puskesmas IV Abiansemal

Ni Komang Srinadi — 2026-06-29

Hypertension is a non-communicable disease with an incidence rate that increases annually, while low medication adherence indicates that hypertension management remains suboptimal, particularly among patients who are still actively working. One psychological factor that influences health behavior is health locus of control (HLC), which refers to an individual’s belief regarding control over their health condition. This study aimed to determine the relationship between HLC and medication adherence among hypertensive patients who were still actively working in Taman Village, within the working area of Abiansemal IV Primary Health Center. The study used a descriptive correlational design with a cross-sectional approach and involved 87 respondents selected through purposive sampling. The instruments were the Multidimensional Health Locus of Control (MHLC) questionnaire and the Hill-Bone Compliance to High Blood Pressure Therapy Scale. Data were analyzed using the Spearman Rank correlation test. The results showed that most respondents had a high level of HLC (72.4%) and good medication adherence (74.7%). The Spearman Rank test produced a p-value of 0.000 with a correlation coefficient of 0.410, indicating a statistically significant relationship with moderate strength and a positive direction. These findings indicated that higher HLC was associated with better medication adherence, supported by internal HLC and external factors such as family support and the role of health services, which motivated patients to adhere to treatment consistently

Gambaran Tingkat Fatigue pada Pasien Chronic Kidney Disease yang Menjalani Hemodialisa Reguler

Andika Prajadita — 2026-06-29

The number of chronic kidney disease (CKD) patients undergoing hemodialysis continues to increase. Fatigue is one of the complaints that often arise in patients undergoing hemodialysis (60-97%). This has a serious impact on the quality of life and daily activities. This study aims to provide an overview of the level of fatigue in CKD patients undergoing regular hemodialysis at Tabanan Hospital. This study used a quantitative descriptive design, involving 151 respondents through purposive sampling techniques. The instrument used was the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) questionnaire, with data analysis using descriptive and univariate statistics. The results of the study from a total of 151 respondents were obtained with moderate fatigue levels of 78 respondents (51.6%), severe fatigue as many as 41 (27.2%), and mild fatigue as many as 32 (21.2%). Moderate levels of fatigue are thought to be related to biological factors, especially anemia, where low hemoglobin levels lead to reduced oxygen supply to tissues and cause sustained fatigue. In addition, the patient's psychological adaptation to chronic diseases and hemodialysis routines undergone for a long period of time can form a coping mechanism so that the level of fatigue tends to be in the moderate category. Thus, moderate fatigue is a dominant problem in CKD patients undergoing hemodialysis and requires special attention in nursing care

Gambaran Pelaksanaan Sholat pada Pasien Rawat Inap di RS PKU Muhammadiyah Bantul

Vinna Widiasari — 2026-06-30

Fulfilling spiritual needs, including prayer, is an essential part of holistic care for hospitalized pediatric patients, but its implementation often faces challenges. This study aims to determine the practice of prayer among pediatric patients hospitalized at PKU Muhammadiyah Bantul Hospital. The method used was a qualitative research approach with a single case study approach, with a 5-year-old child and her mother as participants. Data collection was conducted through in-depth interviews using open-ended questions based on Gordon's theory. The results indicate that religion plays a significant role as a source of peace and guidance for patients and their families. Prayer practice during hospitalization tends to decline, influenced by the patient's health condition, lack of habituation, and inadequate family support in assisting children with worship. On the other hand, illness is interpreted as a means of reflection to draw closer to God and cultivate patience. The results of this study conclude that the implementation of religious activities among hospitalized pediatric patients is still suboptimal, necessitating the active involvement of nurses and families in providing support and facilitating the fulfillment of patients' spiritual needs during the treatment process.

Efektivitas Peran Caregiver Terhadap Penerapan Diet Hipertensi pada Lansia

Nouvi Nawa Syarifah — 2026-06-30

Hypertension is a crucial health problem in the elderly (aged ?60 years) in Indonesia, with a high prevalence of up to 69.5% in those aged ?75 years (Barus Sitorus, 2025). Control through a low-salt diet requires the role of family caregivers, because the elderly are often dependent due to limited independence and minimal formal education. To assess the effectiveness of hypertension education assistance to caregivers for implementing a diet in elderly people with hypertension. Descriptive case study on elderly (84 years old) and family caregiver in Dukuh Sonopakis Kidul, Bantul (October 15–November 12, 2025). Intervention 4 meetings (education definition, risks, complications, control, diet via posters; blood pressure checks). Results: Hypertension education assistance to caregivers has proven effective as evidenced by the caregiver's understanding of hypertension knowledge, statements by the elderly about reduced complaints such as dizziness and insomnia, and gradual improvement in blood pressure throughout the meeting sessions. Effective mentoring improves knowledge and dietary compliance in the elderly, demonstrating the crucial role of caregivers in implementing a hypertension diet for the elderly

Pembatasan Asupan Cairan pada Pasien Penyakit Ginjal Kronik yang Menjalani Dialisis dan Non-Dialisis : Narative Review

Made Suandika — 2026-06-30

Hemodialysis is a complex and long-term renal replacement therapy that requires strict adherence to multiple medical recommendations, including fluid restriction, medication adherence, dietary regulation, and scheduled therapy sessions. Non-adherence to the hemodialysis regimen can worsen clinical conditions and increase the risk of complications, morbidity, and mortality. Therefore, effective and sustainable intervention strategies are needed to improve adherence among hemodialysis patients. This narrative review aims to integrate recent findings from studies that examine various adherence-enhancing interventions, including interactive education, psychosocial support, behavioral interventions, and physiological monitoring. A narrative synthesis was conducted through a literature review of ten recent studies evaluating the effectiveness of different approaches, such as teach-back methods, nurse-led follow-up calls, behavioral self-regulation strategies, psychosocial support, and physiological monitoring, in improving adherence to fluid restriction and therapeutic regimens. The findings indicate that interactive educational interventions, particularly teach-back techniques and nurse follow-up calls, significantly improve patient understanding and adherence to treatment protocols. Behavioral interventions, including self-regulation and positive coping skills training, support patients’ psychological adaptation to long-term therapy. In addition, psychosocial support from family and healthcare professionals enhances motivation and promotes sustained adherence. Routine physiological monitoring, such as assessment of interdialytic weight gain, further supports adherence to prescribed regimens. Overall effectiveness

Perbandingan Efek Salin dan Kristaloid Seimbang pada Pasien dengan Penyakit Ginjal Kronis dalam Setting Perioperatif : Narative Review

Made Suandika — 2026-06-30

Intravenous fluid management is a critical component of perioperative care in patients with chronic kidney disease (CKD). The type of fluid administered may influence acid–base balance, electrolyte status, and the risk of acute kidney injury (AKI). This article aims to review the latest scientific evidence comparing the effects of 0.9% saline and balanced crystalloids in CKD patients in the perioperative setting. A narrative review was conducted by searching PubMed, Scopus, ScienceDirect, and Google Scholar using keywords related to saline, balanced crystalloids, CKD, perioperative care, and AKI. Eligible articles included randomized controlled trials, meta-analyses, and systematic reviews published between 2015–2024. Results: Evidence from multiple studies indicates that balanced crystalloids are superior in maintaining acid–base stability, reducing chloride levels, and lowering the incidence of AKI compared to saline. Large trials such as SMART, SALT-ED, and BEST-Fluids demonstrated reduced major adverse kidney events and delayed graft function in the balanced group, although mortality outcomes remain inconsistent. Balanced crystalloids provide greater physiological advantages and renal protection compared to saline in CKD patients undergoing surgery. While mortality reduction has not been consistently observed, current evidence supports the use of balanced crystalloids as the preferred perioperative fluid, particularly in patients at high risk of AKI.

Factors Associated with Mortality Among Stroke Patients Admitted to the Intensive Care Unit: A Retrospective Study

Andriani — 2026-06-30

Stroke is a leading cause of mortality worldwide, particularly among patients requiring intensive care. Identifying factors associated with mortality in the intensive care unit (ICU) is essential to improve clinical management. This study examined factors associated with mortality among stroke patients admitted to the ICU. A retrospective analytic study was conducted using secondary medical record data of stroke patients admitted to the ICU of TK. II R.W. Mongisidi Hospital, Manado, Indonesia, between December 2025 and January 2026. A total of 55 patients were included. Mortality during ICU stay was the primary outcome. Sociodemographic variables, clinical factors, and length of stay were analyzed using Chi-square and Fisher’s exact tests in SPSS version 26, with significance set at p < 0.05. The mortality rate was 41.8%. Most patients had a history of hypertension (78.2%) and uncontrolled blood pressure (87.3%). Age, gender, education, employment status, marital status, genetic factors, medication adherence, history of hypertension, and blood pressure status were not significantly associated with mortality (p > 0.05). Length of ICU stay was significantly associated with mortality (p < 0.001), with deaths occurring more frequently among patients with shorter stays. Length of ICU stay was the only factor significantly associated with mortality among ICU-admitted stroke patients

Implikasi Terapi Cairan dalam Transplantasi Ginjal pada Pasien dengan Penyakit Ginjal Kronis : Narative Review

Made Suandika — 2026-06-30

Kidney transplantation is the treatment of choice for patients with end-stage chronic kidney disease. The success of this procedure is highly influenced by appropriate perioperative fluid management. Fluid imbalance can lead to serious complications, including delayed graft function, impaired renal perfusion, and increased postoperative morbidity and mortality. This review aims to evaluate the current evidence on perioperative fluid therapy strategies in kidney transplantation, focusing on fluid type selection, monitoring methods, and clinical implications. A narrative review was conducted by synthesizing recent studies on fluid management in patients with chronic kidney disease undergoing kidney transplantation. The findings show that balanced crystalloids are preferred over 0.9% sodium chloride because they improve acid–base balance and renal perfusion. In addition, goal-directed fluid therapy guided by dynamic hemodynamic parameters helps maintain intraoperative hemodynamic stability. The combination of these approaches is associated with reduced postoperative complications and improved graft function. In conclusion, optimal perioperative fluid management plays a crucial role in improving kidney transplant outcomes. An individualized approach based on patient hemodynamic status, surgical phase, and graft characteristics should be applied to achieve better, safer clinical outcomes consistent with current evidence-based practice. The clinical implications highlight the need for standardized perioperative fluid management protocols across transplant centers to improve patient safety, reduce clinical practice variability, and support the consistent implementation of evidence-based guidelines in modern healthcare. This approach is also expected to enhance long-term patient outcomes and healthcare efficiency in referral hospitals through improved coordination of an integrated multidisciplinary clinical team.

Efektivitas Akupresur dalam Mengurangi Nyeri pada Pasien Gagal Ginjal : Narative Review

Made Suandika — 2026-06-30

Chronic Kidney Disease (CKD) is a global health problem that requires patients to undergo long-term hemodialysis therapy. This procedure is frequently associated with various physical and psychological complications, including pain, muscle cramps, anxiety, and decreased quality of life. Pharmacological management of these symptoms has limitations due to potential side effects and the risk of drug dependence, highlighting the need for safe and effective non-pharmacological interventions. This narrative review aims to analyze and synthesize scientific evidence on the effectiveness of acupressure therapy in managing complications experienced by CKD patients undergoing hemodialysis. A total of ten relevant studies were reviewed, focusing on the effects of acupressure on physical symptoms (pain and muscle cramps), psychological symptoms (anxiety), and patients’ quality of life. The findings indicate that acupressure therapy is effective in reducing the intensity and frequency of muscle cramps, alleviating post-hemodialysis headaches, and decreasing anxiety levels. Additionally, acupressure contributes to improvements in overall quality of life among patients receiving regular hemodialysis. In conclusion, acupressure demonstrates significant potential as a complementary non-pharmacological intervention in nursing care for CKD patients undergoing hemodialysis. Further randomized controlled trials with larger sample sizes are recommended to strengthen the existing evidence base.

Hubungan Pola Makan dengan Prestasi Belajar Siswa di SMP Negeri I Sumedang

Ismi Sabila — 2026-06-29

Diet plays a crucial role in supporting cognitive development and academic performance, especially during adolescence when growth is rapid. This study aims to analyze the relationship between diet and student achievement at SMP Negeri 1 Sumedang. Using a quantitative approach with a correlational design, this study involved 258 eighth and ninth grade students selected through proportional stratified random sampling. Data collection was conducted using the Food Frequency Questionnaire (FFQ) to assess eating habits and documentation of the last semester's report card grades to measure academic achievement. Data analysis used the Spearman Rank correlation test because the data were not normally distributed. The results showed a significant and positive relationship between dietary patterns and academic achievement (p=0.000; r=0.517). A correlation coefficient of 0.517 indicates a moderate strength of relationship, where the better the quality of students' dietary patterns, the higher their academic achievement. These findings conclude that adequate nutritional intake is an important factor in supporting the academic success of adolescents. The implications of this study emphasize the need for school-based nutritional intervention programs and education for parents to ensure balanced nutrition for students in order to optimize learning achievement

Analisis Pelaksanaan Handover Perawat di Bangsal Al – Ikhlas Menggunakan Metode Fishbone Diagram

Nafi Salsabila Putri — 2026-06-30

Patient handover is an important process in ensuring the continuity of nursing care and patient safety. This study aims to analyze the implementation of nurse handover in the Al-Ikhlas Ward of PKU Muhammadiyah Hospital Bantul and identify the influencing factors using the fishbone diagram method. This study uses a qualitative approach with data collection techniques through interviews and observations of nurses involved in the handover process. The results of the study show that the implementation of handover in general has gone well and uses the SBAR communication method which is carried out in a structured, concise, and clear manner. However, there are still several obstacles that affect the effectiveness of handovers, including interruptions due to doctor visits, a less conducive environment, delegation of duties from other professions, delays of nurses during shift changes, and limited facilities and infrastructure such as interference in computer systems. These factors have the potential to cause suboptimal communication and increase the risk of miscommunication. The conclusion of this study is that the implementation of handover is quite good but not optimal because it is still influenced by human factors, methods, time, and facilities. Therefore, improvement efforts are needed through improving time discipline, strengthening structured communication, workload management, and providing adequate supporting facilities so that the handover process can run more effectively, safely, and support the improvement of the quality of nursing services

Hubungan Kepatuhan Minum Obat dengan Kualitas Hidup Pasien Diabetes Melitus Puskesmas Pelambuan

Nor Nadia Rizqi — 2026-06-29

Diabetes melitus is a chronic disease that requires long-term management to achieve optimal glycemic control. Patient adherence to medication is a key factor in managing this disease. Low adherence can lead to increased blood glucose levels, accelerate complications, and reduce the quality of life of patients in physical, psychological, and social aspects. This study aims to analyze the relationship between medication adherence and quality of life in patients with diabetes mellitus at Pelambuan Health Center, Banjarmasin. The study employed a correlational analytical design with a cross-sectional approach and accidental sampling technique involving 54 respondents. Medication adherence was measured using the Morisky Medication Adherence Scale-8 (MMAS-8), and quality of life was assessed using the Diabetes Quality of Life (DQoL). Data analysis was performed using the Spearman Rank test at a significance level of 0.05. The results showed that most respondents had high adherence (46.3%) and high quality of life (81.5%). Statistical tests revealed a significant relationship between medication adherence and quality of life (p = 0.025; r = 0.304). This positive correlation indicates that the higher the adherence, the better the quality of life, although the strength of the relationship is considered weak. In conclusion, medication adherence plays an important role in improving the quality of life for patients with diabetes melitus.

Faktor-Faktor yang Berhubungan dengan Kepatuhan Monitoring Early Warning Score (EWS) di Ruang Rawat Inap Rumah Sakit X Kota Tarakan

Andini Safitri — 2026-06-30

Early Warning Score (EWS) is a system designed to detect early clinical deterioration in patients through the monitoring of vital signs. Although EWS has been implemented at Hospital X in Tarakan City, its implementation has not yet been fully optimal. Nurses’ compliance in conducting EWS monitoring may be influenced by several factors, including knowledge, training, and workload. This study aimed to determine the relationship between nurses’ knowledge, training, and workload and their compliance with EWS monitoring in the inpatient wards of Hospital X, Tarakan City. This research employed a quantitative approach with a cross-sectional design. A total of 49 nurses were selected using total sampling technique. The instruments used were questionnaires and observation sheets. Data were analyzed using the Gamma statistical test. The results showed that the majority of respondents had good knowledge (85.7%), had attended EWS training (71.4%), and demonstrated a high level of compliance in EWS monitoring (95.9%). Most respondents also perceived a high mental workload (63.3%). The Gamma test results indicated that there was no significant relationship between knowledge (p = 0.182), training (p = 0.153), and workload (p = 0.885) and compliance with EWS monitoring. In conclusion, knowledge, training, and workload were not significantly associated with nurses’ compliance in monitoring the Early Warning Score. Other approaches are needed to improve compliance, such as routine supervision, evaluation of EWS implementation, and improvement of the documentation system.

Keseimbangan Asam-Basa pada Pasien dengan Kronis Ginjal Penyakit PGK : Narative Review

Made Suandika — 2026-06-30

Chronic kidney disease (CKD) is a major global health burden characterized by progressive loss of renal function and impaired acid–base regulation resulting from reduced hydrogen ion excretion and limited bicarbonate regeneration.These abnormalities frequently lead to chronic metabolic acidosis, contributing to disease progression and increasing perioperative risk in surgical patients.This narrative review evaluates the impact of intravenous fluid choice, specifically 0.9% saline versus balanced crystalloids, on acid–base homeostasis in CKD patients undergoing surgery. A critical analysis was performed using ten peer reviewed articles from reputable journals, focusing on the pathophysiology of acid–base disturbances in CKD, biochemical effects of perioperative fluids, and clinical outcomes related to fluid selection.The findings indicate that 0.9% saline, due to its high chloride concentration, is associated with hyperchloremic metabolic acidosis and may worsen renal function.Conversely, balanced crystalloids contain metabolizable buffers such as lactate or acetate, preserve a more physiological strong ion difference, enhance acid–base stability, and are linked to a lower risk of acute kidney injury.In conclusion, balanced crystalloids are preferable to saline for perioperative fluid management in CKD patients, as they support better acid–base balance and may reduce postoperative complications. Individual patient factors and electrolyte status should guide perioperative therapy decisions.

Penerapan Knee Exercise dalam Menurunkan Nyeri Lutut pada Lansia dengan Osteoartritis di Wisma Grojogan Sewu

Rossana Jane — 2026-06-29

Knee osteoarthritis is a degenerative disorder of the musculoskeletal system commonly experienced by the elderly, characterized by pain, joint stiffness, and reduced mobility, which can affect the patient’s quality of life. One of the recommended non-pharmacological therapies to help alleviate symptoms and improve physical function is knee exercise. This case report aims to describe the implementation of knee exercise as a form of nursing care for older adults with knee osteoarthritis. The method used was a case report on an elderly male patient, aged 64, presenting with knee pain due to osteoarthritis. A knee exercise program was administered for seven consecutive days, once daily, with each session lasting approximately 15–20 minutes. Evaluation was performed using the Numeric Rating Scale (NRS) to assess pain intensity and the Timed Up and Go Test (TUGT) to assess the patient’s functional mobility. The results showed improvements in several clinical parameters following the intervention. Pain intensity decreased from an NRS of 5 to an NRS of 4, while functional mobility improved, as indicated by a reduction in TUGT time from 17 seconds to 16 seconds. In addition, the patient appeared more stable when performing the sit-to-stand movement. The conclusion indicates that the implementation of knee exercises can lead to initial improvements in physical mobility among older adults with knee osteoarthritis. These exercises are a simple, safe, and easy-to-implement nonpharmacological therapy as part of nursing care.

Manajemen Anestesi pada Gagal Ginjal dalam Pengaturan Perioperatif : Narative Review

Made Suandika — 2026-06-30

Background: Intravenous fluid management is a critical component of perioperative care in patients with chronic kidney disease (CKD). The type of fluid administered may influence acid–base balance, electrolyte status, and the risk of acute kidney injury (AKI).Purpose: This article aims to review the latest scientific evidence comparing the effects of 0.9% saline and balanced crystalloids in CKD patients in the perioperative setting. Methods: A narrative review was conducted by searching PubMed, Scopus, ScienceDirect, and Google Scholar using keywords related to saline, balanced crystalloids, CKD, perioperative care, and AKI. Eligible articles included randomized controlled trials, meta-analyses, and systematic reviews published between 2015–2024. Results: Evidence from multiple studies indicates that balanced crystalloids are superior in maintaining acid–base stability, reducing chloride levels, and lowering the incidence of AKI compared to saline. Large trials such as SMART, SALT-ED, and BEST-Fluids demonstrated reduced major adverse kidney events and delayed graft function in the balanced group, although mortality outcomes remain inconsistent. Conclusion: Balanced crystalloids provide greater physiological advantages and renal protection compared to saline in CKD patients undergoing surgery. While mortality reduction has not been consistently observed, current evidence supports the use of balanced crystalloids as the preferred perioperative fluid, particularly in patients at high risk of AKI.

Gambaran Tingkat Pengetahuan Remaja Mengenai Penatalaksanaan Dismenore Secara Non-Farmakologis

Putu Luna Lakaruna Wigraha Dewi — 2026-06-29

Dysmenorrhea can interfere with adolescent girls' physical and emotional activities, but few seek medical help, so non-pharmacological management such as warm compresses, exercise, relaxation, massage and knee chest position is highly dependent on adolescents' level of knowledge about their effectiveness and how to apply them. This study aims to find out the overview of adolescents' knowledge level regarding the management of dysmenorrhea in a non-pharmacological manner at SMP Negeri 1 Ubud. This study uses a quantitative design with Proportionate Stratified Random Sampling with a sample of 222 people. Data were collected through a questionnaire on adolescent knowledge level regarding the management of dysmenorrhea in a non-pharmacological manner which has been tested for validity with a result of 0.382 and a reliability test with a result of 0.819. The results of respondent identification found that the most respondents were in class VIII with a total of 81 respondents (36.5%), most of the respondents were 13 years old, namely 80 respondents (36.0%), the most respondents experienced menstruation for 6-7 days with 77 respondents (34.7%), the most dysmenorrhea management was carried out by rest, namely 100 respondents (45.0%), and as many as 8 respondents (3.6%) used pharmacological methods. The level of adolescent knowledge about the management of dysmenorrhea non-pharmacologically was in the sufficient category, namely 119 people (53.6%), 83 people (37.4%), and 20 people (9.0%) with poor knowledge. Education to adolescent girls about reproductive health, especially about the management of dysmenorrhea in a non-pharmacological manner, needs to be done to increase adolescent knowledge

Pengaruh Puasa Daud Terhadap Kejadian Penyakit Tidak Menular (PTM) pada Lansia di Provinsi Gorontalo

Sarif S Gubali — 2026-06-30

Non-communicable diseases (NCDs) such as hypertension, diabetes mellitus, storke, and heart disease are the leading causes of morbidity and mortalility in the elederly. Efforts to prevent and control NCDs through a healthy lifestyle apporoach, including diet and worship, are gaining increasing attention. The Davie Fast, a from of sunnah fasting perfomend alternately, is believed to have physiological benefits that have the potential to reduce the risk of NCDs in the elderly in Gorontalo Province. Methods : This study used a qualitative study design with an accidental approach. The sample consistend of 15 elderly people aged ?60 years old who were divided into two groups : those who regularly practice the David fast and those who do not. Data was collected through interviews. Data analysis was carried out using the chi-square test and logistic regression to determine the relationship between the practice of David fasting and the incidence of non-communicable diseaases. Results: The results of the study showed that there was a significant influence between the frequency of David fasting and the incidence of non-communicable diseases in the elderly in Gorontalo Province, with a p-value of 0,018. This indicates that the practice of David fasting has an effect on the incidence of non-communicable diseases in the elderly. This fast can be an effective non-pharmacological intervention in the elderly health promotion strategy in Gorontalo Province

Kesejahteraan Spiritual dan Kualitas Hidup di antara Lansia yang Dilembagakan: Studi Korelasi

Setiadi Syarli — 2026-06-30

The increasing number of older adults in Indonesia poses challenges in maintaining physical, psychological, social, and spiritual well-being. One important factor influencing the quality of life of older adults, especially those living in social care institutions, is spiritual well-being, which includes the relationship with God and a sense of meaning in life. This study aimed to examine the relationship between spiritual well-being and the quality of life of older adults at Tresna Werdha Social Care (TWSC) Kasih Sayang Ibu Batusangkar and TWSC Sabai Nan Aluih Sicincin. This study employed a quantitative correlational analytic design with a cross-sectional approach. The study population consisted of all older adults residing in the two TWSCs, totaling 180 individuals, using a total sampling technique. The instruments used were the Spiritual Well-Being Scale (SWBS) and the Indonesian version of WHOQOL-BREF. Data analysis was conducted using univariate and bivariate methods, with the Chi-square test at a significance level of 0.05. The results showed that most older adults had a high level of spiritual well-being (67.2%) and a good quality of life (63.3%). Statistical analysis indicated a significant relationship between spiritual well-being and quality of life among older adults (p = 0.000; OR = 3.4; 95% CI = 2.1–5.7). Older adults with high spiritual well-being were 3.4 times more likely to have a good quality of life compared to those with low spiritual well-being. Spiritual well-being plays an important role in improving the quality of life of older adults in social care institutions. The spiritual dimension helps older adults achieve inner peace, find meaning in life, and strengthen social relationships. Therefore, the implementation of spirituality-based nursing interventions and the strengthening of routine religious activities in social care institutions are necessary to enhance the holistic well-being of older adults

Hubungan Shift Kerja dan Stres Kerja Terhadap Kepuasan Kerja Perawat di Rumah Sakit Islam Banjarmasin

Siti Normalia Amali — 2026-06-29

Nurses are essential healthcare providers who work in shift systems that may lead to work stress and affect job satisfaction. Poorly managed shift work can have negative impacts on nurses’ physical and psychological well-being as well as their performance. This study aimed to analyze the relationship between shift work and work stress with nurses’ job satisfaction at Islamic Hospital Banjarmasin. This study employed a quantitative design with a cross-sectional approach. The sample consisted of 60 inpatient nurses selected using stratifed random sampling. Data were collected using questionnaires and analyzed with the Spearman Rank correlation test. The results showed a significant relationship between shift work and nurses’ job satisfaction (p = 0.000; r = 0.661), and a significant relationship between work stress and job satisfaction (p = 0.000; r = 0.760). Nurses working evening and night shifts, as well as those with higher levels of work-related stress, tend to have lower job satisfaction. The study concludes that shift work and work stress are strongly related to nurses’ job satisfaction. It is recommended that hospital management implement fair shift scheduling, effective work stress management, and organizational support to improve nurses’ job satisfaction and enhance the quality of nursing care

Analisis Relaksasi Autogenik terhadap Perubahan Nyeri Ibu Post Sectio Caesarea RSUD I.A. Moies

Siti Nur Rahmadani — 2026-07-01

Cesarean section is a surgical procedure that often causes acute pain in the postoperative period. Uncontrolled pain can interfere with mobilization, rest, and the patient’s recovery process. Therefore, non-pharmacological interventions are needed as a complement to pharmacological therapy, including the autogenic relaxation technique. This study aimed to identify changes in pain level in post–cesarean section patients after the implementation of the autogenic relaxation technique. The intervention consisted of structured autogenic relaxation, including breathing regulation and relaxation suggestions, which were administered according to the patient’s condition. The results showed changes in pain level after the autogenic relaxation technique was applied. Patients experienced increased relaxation and comfort and demonstrated better control of their responses to pain. Improvements in comfort and quality of rest were also reported. Autogenic relaxation can be used as an effective non-pharmacological nursing intervention to help control pain in post–cesarean section patients and to support the postoperative recovery process.

Uji Komparatif Air Rebusan Daun Bangun-Bangun dan Daun Katuk Untuk Meningkatkan Produksi ASI pada Ibu Menyusui di Desa Sampali

Lesi Krisna Hayati Gea — 2026-06-29

Bangun-bangun leaves (Coleus amboinicus) and katuk leaves (Sauropus androgynus) are known to contain compounds that enhance breast milk production. Bangun-bangun leaves contain lactagogue, polyphenols, and flavonoids, while katuk leaves also contain lactagogue, saponins, and steroids. This study aims to compare the effectiveness of bangun-bangun leaf decoction and katuk leaf decoction in increasing breast milk production in breastfeeding mothers in Sampali Village, Percut Sei Tuan District, Deli Serdang Regency. This study employed a quasi-experimental method with a two-group pre-post test design. The sample consisted of 20 breastfeeding mothers divided into two groups: the first group received bangun-bangun leaf decoction, and the second group received katuk leaf decoction. Data were collected by measuring breast milk production before and after the intervention. Data analysis was conducted using bivariate and multivariate statistical tests. The study findings indicate that both bangun-bangun and katuk leaf decoctions positively impact breast milk production. However, when comparing the magnitude of the effect, katuk leaves had a greater influence (coefficient 0.035) compared to bangun-bangun leaves (coefficient 0.015). Additionally, the significance value of katuk leaves (0.001 < 0.042) demonstrated a higher level of confidence in their effectiveness. Among the two types of leaves, katuk leaves showed a more significant and stronger effect in increasing breast milk production in breastfeeding mothers in Sampali Village. Therefore, it is recommended that mothers experiencing low breast milk supply consume both katuk and bangun-bangun leaves, as they have been proven effective in increasing breast milk production

Efektivitas Akupresur P6 Terhadap Mual dan Muntah pada Hiperemesis Gravidarum

Shofia Dewi — 2026-06-30

Hyperemesis gravidarum is a condition characterized by excessive nausea and vomiting during the first trimester of pregnancy, which may lead to dehydration, electrolyte imbalance, and nutritional deficiencies affecting maternal and fetal health. Management of this condition is not limited to pharmacological therapy but may also involve non-pharmacological approaches, such as acupressure at the Pericardium 6 (P6) point. This study aimed to determine the effectiveness of P6 acupressure in reducing the severity of nausea and vomiting in pregnant women with hyperemesis gravidarum. This study used a descriptive case study design involving three first-trimester pregnant women with hyperemesis gravidarum. The P6 acupressure intervention was applied manually for 10 minutes per session and administered three times daily in the morning, afternoon, and evening. The severity of nausea and vomiting was measured using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) instrument before and after the intervention. The results showed that all participants experienced a decrease in PUQE scores, with an average reduction of 2.1 points. This reduction indicated decreased nausea intensity and vomiting frequency. In addition, participants reported improved comfort and increased ability to consume food and fluids. No significant side effects were observed. P6 acupressure is an effective, safe, and easily applicable complementary therapy to reduce hyperemesis gravidarum symptoms in first-trimester pregnant women

Faktor yang Berhubungan dengan Speech Delay pada Anak Prasekolah

Amanda Salwa Zafirah — 2026-06-29

Speech ability is an important indicator in the development of preschool-aged children. Speech Delay can affect a child's cognitive, social, and emotional aspects if not addressed early. Parental factors, especially maternal factors, such as knowledge, attitudes, and stimulation are thought to play a role in the development of children's speech abilities. This study aims to determine the relationship between maternal knowledge, maternal attitudes, and maternal stimulation with the incidence of Speech Delay in preschool-aged children at the Children's Polyclinic of Ulin Banjarmasin Regional Hospital. This study used a quantitative design with a cross-sectional approach. The study sample consisted of 32 respondents selected using an accidental sampling technique. Data were collected through questionnaires that had been tested for validity and reliability, then analyzed univariately and bivariately using the Chi-Square test. The results showed that 65.6% of children experienced Speech Delay, which consisted of the categories of suspect, mental retardation, and communication disorders. Bivariate analysis showed a significant relationship between maternal attitudes (p = 0.010) and maternal stimulation (p = 0.029) and children's speech ability, while maternal knowledge showed no significant relationship (p = 0.464). It can be concluded that maternal attitudes and stimulation play an important role in preschoolers' speech ability. Knowledge alone is not sufficient to prevent Speech Delay without active parenting practices

Pengaruh Edukasi Postpartum dengan Metode Family Centered Maternity Care Terhadap Dukungan Keluarga dalam Pemberian ASI

Gusti Winarti — 2026-06-29

The postpartum period is a crucial phase for mothers as it involves physiological and psychological changes that require adjustment to their new role as parents. Family support plays a significant role in the success of breastfeeding, encompassing informational, emotional, instrumental, and appraisal support. This study aims to analyze the effect of postpartum education based on Family Centered Maternity Care (FCMC) on family support in breastfeeding. The research design employed a quasi-experimental method with a pretest and posttest control group approach. The study population consisted of pregnant women without complications at 36–40 weeks of gestation in the working area of UPT Puskesmas Kampung Baru. A total of 52 respondents were selected, divided into an intervention group (26 participants) and a control group (26 participants) using consecutive sampling techniques. Data analysis was conducted using Paired T-Test and Independent T-Test. The results showed that FCMC-based education effectively increased family support (p = 0.000; p < 0.05). In conclusion, FCMC-based education is proven to strengthen family support for postpartum mothers, thereby contributing to the success of exclusive breastfeeding.

Pengaruh Senam Yoga Restorative Terhadap Tingkat Kecemasan Ibu Hamil Primigravida Trimester III di Kelurahan Sidorejo

Alda Rosita Sari — 2026-06-30

The third trimester of pregnancy is a period that is vulnerable to psychological disturbances, particularly anxiety, especially among primigravida pregnant women who are facing childbirth for the first time. Anxiety is an emotional condition characterized by feelings of fear and worry accompanied by physiological and psychological responses, which, if not properly managed, may negatively affect maternal health and fetal development. One non-pharmacological intervention that can be used to reduce anxiety is Restorative Yoga, a form of yoga that emphasizes deep relaxation through gentle movements, controlled breathing, and the use of supportive props.This study aimed to determine the effect of Restorative Yoga on anxiety levels among third-trimester primigravida pregnant women in Sidorejo Village. This study employed a pre-experimental design with a one-group pretest–posttest ap-proach. The research was conducted in Sidorejo Village and involved 36 third-trimester primigravida pregnant women as respondents, selected using a non-probability sampling technique with purposive sampling. Anxiety levels were meas-ured using the Hamilton Anxiety Rating Scale (HARS) before and after the imple-mentation of restorative yoga exercises. Data analysis was performed using the Wil-coxon Signed-Rank Test.The results showed that before the intervention, most respondents experi-enced moderate anxiety (69.4%) and severe anxiety (5.6%). After the Restorative Yoga intervention, anxiety levels decreased, with the majority of respondents classi-fied as having mild anxiety (91.7%), and no respondents experienced severe anxie-ty. The Wilcoxon test showed a value of p = 0.000 (p < 0.05), indicating a statistical-ly significant difference in anxiety levels before and after the intervention. These findings indicate that Restorative Yoga is effective in promoting relaxation and re-ducing anxiety in pregnant women. Based on these findings, it can be concluded that restorative yoga exercise has a significant effect in reducing anxiety levels among third-trimester primigravida pregnant women in Sidorejo Village.

Faktor-Faktor yang Berhubungan dengan Kepatuhan Perawat Terhadap Risiko Jatuh di Ruang Nilam RSUD Dr. H. Moch. Ansari Saleh Banjarmasin

Yunita Sari — 2026-06-29

Patient falls are a patient safety issue that can cause serious injury or death; therefore, nurses’ adherence to the Standard Operating Procedure (SOP) for fall-risk prevention must be maintained consistently. To analyze the association of age, workload, and nurses’ attitudes with nurses’ compliance with fall-risk prevention in Nilam Wards 1 2 at Dr. H. Moch. Ansari Saleh General Hospital, Banjarmasin. A quantitative analytic cross-sectional study involving 41 nurses (total sampling) conducted on 13–16 January 2026. Data were collected using a biodata sheet and modified questionnaires on compliance (Putrina, 2019), workload (Subagya, 2016), and attitude (Fajrin, 2024) with validity reliability testing. Univariate (frequency percentage) and bivariate (Spearman) analyses were performed. Most respondents were adults (82.9%), reported light workload (92.7%), had positive attitudes (90.2%), and were compliant with the fall-prevention SOP (87.8%). Spearman test showed no significant association between age and compliance (p=0.291; r=0.169), while workload was significantly associated with compliance but with a weak correlation (p=0.040; r=0.317), and attitude was significantly associated with compliance but with a weak correlation (p=0.027; r=0.225). Nurses’ compliance is associated with work conditions (workload) and individual factors (attitude); thus, sustaining compliance should focus on proactive SOP integration into daily workflow, audit–feedback, and strengthening a patient-safety culture not only after fall incidents.

Hubungan Perilaku Menguras, Menutup, Mengubur Plus dengan Kejadian Demam Berdarah Dengue pada Balita di Kelurahan Kalibaru

Claudia Silfi Amanda — 2026-06-29

Dengue Hemmorhagic fever (DHF) is still a disease that often becomes a public health polemic in Indonesia, especially in children under five. One of the recommended prevention efforts is the Menguras, Menutup, Mengubur Plus behavior. However, public awareness in implementing 3M Plus is still low. Objective: To understand the relationship between 3M Plus behavior and the incidence of DHF in children under five in Kalibaru Village, North Jakarta. This study adopted descriptive quantitative with cross-sectional approach. The population of this study was mothers with toddlers with a sample random sampling technique of 99 respondents. The instrument used 3M Plus questionnaire and DHF questionnaire and analyzed through the use of Chi-square test. The findings elaborated that 66.7% of respondents complied with 3M Plus and 23.2% of toddlers experienced DHF in the past year. The findings suggest that there is a significant relationship between 3M Plus and the incidence of DHF in children under five with a P Value: 0.040. This indicates that 3M Plus has an effect on the incidence of DHF in toddlers. Conclusion: The more obedient parents are in implementing 3M Plus, the smaller the risk of toddlers being infected with DHF disease

Hubungan Perubahan Fisik dengan Tingkat Kecemasan Pasien Kemoterapi

Sulastri Abusalam — 2026-06-29

Chemotherapy is one of the main treatment methods for cancer patients; however, it may cause various side effects in the form of physical changes that can affect patients’ psychological conditions. Physical changes such as nausea, vomiting, decreased appetite, hair loss, fatigue, weight loss, and changes in body appearance may become stressors that trigger anxiety in patients undergoing chemotherapy. This study aimed to analyze the relationship between physical changes and anxiety levels among patients undergoing chemotherapy in the Chemotherapy Unit of RSUD dr. Hasri Ainun Habibie, Gorontalo Province. This study used a quantitative correlational method with a cross-sectional approach. The sample consisted of 63 respondents selected using purposive sampling based on inclusion and exclusion criteria. Data were collected using a physical changes questionnaire and the Hamilton Anxiety Rating Scale (HARS) to measure anxiety levels. Data were analyzed using the Chi-Square test. The results showed that most respondents experienced severe physical changes, namely 27 respondents (42.9%), followed by moderate physical changes in 20 respondents (31.8%), and mild physical changes in 16 respondents (25.4%). The anxiety level of respondents was mostly in the moderate anxiety category, namely 30 respondents (47.7%), followed by mild anxiety in 20 respondents (31.8%), and severe anxiety in 13 respondents (20.7%). The Chi-Square test obtained a p-value of 0.0001, indicating a significant relationship between physical changes and anxiety levels among patients undergoing chemotherapy. The more severe the physical changes experienced by patients, the higher the anxiety level that may be felt during chemotherapy.

Efektivitas Pemberian Jus Psidium Guajava L. dalam Meningkatkan Kadar Trombosit pada Anak dengan Dengue Hemorrhagic Fever (DHF)

Ruth Amensia Hede Wiwi — 2026-06-29

Dengue Hemorrhagic Fever (DHF) is a viral infection transmitted by mosquitoes and is typically characterized by symptoms such as sudden high fever (39–40°C), retro-orbital pain, muscle pain, joint pain, malaise, nausea, rash, lymphadenopathy, and thrombocytopenia. The most feared complications of dengue virus infection are bleeding and plasma leakage, which can lead to shock. Bleeding may occur due to impaired platelet function.To address thrombocytopenia, various approaches can be used, one of which is non-pharmacological therapy. The administration of red guava juice is believed to help increase platelet levels in patients with DHF. The purpose of this study is to increase platelet levels in children with Dengue Hemorrhagic Fever (DHF) through the intervention of administering red guava juice. Research Method The method used is a descriptive method with a case study approach involving a sample of 2 patients. Results The first patient showed an increase in platelet levels after receiving red guava juice therapy for 3 days, administered twice daily (morning and evening) at a dose of 200 cc. Before the therapy, the platelet level was 13,000/mm³, and after therapy, it increased to 134,000/mm³. Thus, there was an increase of 56,000/mm³. The second patient did not receive the red guava juice intervention; the initial platelet count was 32,000/mm³, on the first day it was 13,000/mm³ (decrease of 19,000/mm³), on the second day 52,000/mm³ (increase of 39,000/mm³), and on the third day 141,000/mm³ (increase of 89,000/mm³).Conclusion: The conclusion of this study is that the intervention of administering red guava juice can increase platelet levels in children with Dengue Hemorrhagic Fever (DHF).

Analisis Pengukuran Mean Arterial Pressure (MAP) Dengan Kejadian Preeklampsia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Curahnongko

Faura Kurnia Annisa — 2026-06-30

Preeklampsia merupakan salah satu komplikasi kehamilan yang masih menjadi penyebab utama morbiditas dan mortalitas ibu serta janin. Salah satu metode sederhana yang dapat digunakan untuk mendeteksi risiko preeklampsia adalah pengukuran Mean Arterial Pressure (MAP). Peningkatan nilai MAP dapat menggambarkan adanya peningkatan resistensi vaskular yang berhubungan dengan kejadian preeklampsia. Penelitian ini bertujuan untuk menganalisis hubungan pengukuran Mean Arterial Pressure (MAP) dengan kejadian preeklampsia pada ibu hamil di Wilayah Kerja Puskesmas Curahnongko. Penelitian ini menggunakan desain kuantitatif observasional analitik dengan pendekatan cross sectional. Sampel penelitian berjumlah 109 responden yang dipilih menggunakan teknik cluster random sampling. Pengumpulan data dilakukan menggunakan lembar observasi berdasarkan buku KIA dan rekam medis ibu hamil. Hasil penelitian menunjukkan sebagian besar responden memiliki nilai MAP normal dan tidak mengalami preeklampsia. Analisis bivariat menggunakan uji Spearman’s Rho menunjukkan terdapat hubungan signifikan antara Mean Arterial Pressure (MAP) dengan kejadian preeklampsia pada ibu hamil dengan nilai p-value <0,001 dan koefisien korelasi sebesar 0,698 yang menunjukkan hubungan kuat. Ibu hamil dengan nilai MAP tinggi memiliki risiko lebih besar mengalami preeklampsia dibandingkan ibu hamil dengan MAP normal. Pengukuran MAP dapat digunakan sebagai metode skrining sederhana untuk membantu deteksi dini preeklampsia pada ibu hamil.

Efektivitas Senam Lansia dan Senam Ergonomis Terhadap Perubahan Skala Insomia pada Lansia

Rif'atul Fani — 2026-06-30

Insomnia in the elderly is a health problem that impacts quality of life and cognitive function. Non-pharmacological interventions such as physical activity are effective alternatives in improving sleep quality. This study aims to analyze the effectiveness of elderly exercise and ergonomic exercise on changes in the insomnia scale in the elderly and to compare the effectiveness of the two interventions. This study used a quasi-experimental design with a two-group pretest-posttest. The sample consisted of 40 elderly people divided into two groups, each with 20 respondents. The intervention was carried out for four weeks with a frequency of three times per week. Measurements used the Insomnia Severity Index (ISI). Data analysis was performed using paired sample t-tests and independent t-tests. The results showed a significant decrease in insomnia scores in the elderly exercise group (p=0.001) and ergonomic exercise group (p=0.000). In addition, the results of the independent t-test showed a significant difference in effectiveness between the two groups (p=0.023), where ergonomic exercise was more effective than elderly exercise in reducing insomnia scores. The conclusion of this study indicates that both interventions are effective in reducing insomnia in older adults, but ergonomic exercise provides more optimal results. These findings can inform the development of community-based nursing interventions to improve sleep quality in older adults

Terapi Aktivitas Kelompok (TAK) Tebak Gambar pada Lansia dengan Demensia di Panti Sosial Tresna Werdha Budi Mulia 2

Elisha Aprilia — 2026-06-30

Dementia is a cognitive disorder that commonly occurs in older adults and may affect memory, concentration, thinking ability, communication, and daily activities. One non-pharmacological intervention that can be implemented to help maintain cognitive function in older adults is Group Activity Therapy (GAT). This study aims to describe the implementation of a picture-guessing therapy in improving the cognitive function of older adults. The method used was Group Activity Therapy with a picture-guessing game approach, conducted among older adults at PSTW Budi Mulia 2. The results showed that the participants were able to follow the activity well, appeared more active and focused, and demonstrated improvements in memory and concentration. In addition, this therapy had a positive impact on the participants’ mood and social interaction. Therefore, picture-guessing Group Activity Therapy can be considered a simple, safe, and applicable non-pharmacological nursing intervention to help maintain cognitive function and improve the psychosocial well-being of older adults.

Pengaruh Antara Terapi Mindfulness dengan Tingkat Kecemasan pada Mahasiswa Keperawatan Tingkat Akhir di STIKes X

Larasuci Arini — 2026-06-29

Based on data from the World Health Organization (WHO), 450 million people globally suffer from anxiety-related health issues. Young adults account for 150 million of these individuals, and 57% of the total population experiences work-related anxiety during their studies. The prevalence of anxiety in Asia is 65 million young adults with anxiety issues during their undergraduate studies, with final-year students being the most affected. A preliminary study conducted through interviews with eight final-year nursing students at STIKes X revealed that five of them experienced anxiety while facing their thesis.This research aimed to determine the effect of mindfulness therapy on the anxiety levels of final-year nursing students writing their thesis at STIKes X. The study used a This research aimed to determine the effect of mindfulness therapy on the anxiety levels of final-year nursing students writing their thesis at STIKes X. The study used a Hamilton Anxiety Rating Scale (HARS) questionnaire and analyzed using a paired sample t-test.The study, conducted from July 10, 2025, at STIKes X, found a p-value of 0.001 (< 0.05). This indicates that there was a significant effect of mindfulness therapy in reducing anxiety levels among final-year nursing students. The conclusion is that mindfulness therapy can be an effective method to decrease anxiety for students, particularly those working on their thesis, and future researchers are encouraged to explore other non-pharmacological therapies to address anxiety

Analisis Penerapan Komunikasi SBAR dalam Pelaksanaan Handover Perawat di Bangsal Al-Ashr

Dina Meilani — 2026-06-30

Effective communication is a crucial factor in ensuring patient safety, especially during nursing handover. One commonly used communication method is SBAR (Situation, Background, Assessment, Recommendation). This study aimed to analyze the implementation of SBAR communication in nursing handover in the Al-Ashr ward at PKU Muhammadiyah Bantul Hospital. This study used an observational design with a descriptive approach and cross-sectional method. Data were collected using an observation checklist involving 12 nurses with a total of 30 observations conducted from March 23 to April 4, 2026, across morning, afternoon, and night shifts. The results showed that the overall implementation of SBAR communication was mostly optimal (56.7%), while 43.3% was not optimal. Among the components, situation had the highest optimal rate (93.3%), followed by background (90.0%) and assessment (90.0%), while recommendation had the lowest (83.3%). In conclusion, the implementation of SBAR communication in nursing handover was generally good; however, improvements are still needed, especially in the recommendation component to enhance patient safety and continuity of care.

Pengaruh Edukasi Kesehatan Menggunakan Media Ular Tangga Terhadap Tingkat Pengetahuan Tentang Hiv/Aids pada Remaja di SMP Budi Utama

I Gede Ari Sanjaya Putra — 2026-06-29

Adolescents often have limited knowledge about HIV/AIDS, lacking understanding about transmission, prevention, and the long-term effects of HIV/AIDS. The main objective of this study was to investigate whether a redesigned snakes and ladders game with an innovative approach could significantly improve adolescents' understanding of HIV/AIDS. This study used a pre-experimental design with a single group pre-test and post-test approach. The sample consisted of 74 ninth-grade students from Budi Utama Junior High School, who were selected through purposive sampling. Data on HIV/AIDS were collected using questionnaires administered before and after the intervention using the snakes and ladders game. Data analysis used the Wilcoxon Signed Rank Test with a significance level of ? = 0.05. Most respondents (66.2%) had a low level of knowledge about HIV/AIDS. After the intervention with the snake and ladder game, most respondents (86.5%) demonstrated a good level of knowledge, as indicated by the Wilcoxon test results, which produced a p-value of 0.000 (p < 0.05), showing a significant positive effect after education using the snake and ladder game medium. Therefore, the use of the snakes and ladders game as an educational method can be an innovative and attractive alternative in health education efforts for adolescents in HIV/AIDS prevention

Hubungan Tingkat Depresi dan Insomnia dengan Kualitas Hidup pada Pasien yang Menderita Penyakit Kronis

Erin Seppritah Suhenni — 2026-06-29

Based on data from the Sejiran Setason Regional Hospital's Medical Record, 38 patients with chronic illnesses were found to have depression and 22 with insomnia in 2022. In 2023, 37 patients experienced depression and 21 with insomnia. The purpose of this study was to determine the relationship between levels of depression and insomnia and quality of life in patients with chronic illnesses in the Internal Medicine Clinic of Sejiran Setason Regional Hospital in 2025. The study used a quantitative cross-sectional approach, with a sample of 100 individuals. Univariate and bivariate data analysis was performed using the chi-square test. The results of the study showed that there was a significant relationship between the level of depression and the quality of life in patients suffering from chronic diseases, as evidenced by the Asymp.Sig value of 0.000 <0.05 and the POR value of 170.033, which means that patients who experience mild depression have a tendency 170.033 times greater to have a fairly good quality of life compared to patients who experience moderate depression. Furthermore, there was a significant relationship between insomnia and quality of life in patients with chronic illnesses, as evidenced by an Asymp.Sig value of 0.008 < 0.05 and POR of 0.103, indicating that patients with insomnia were 0.103 times more likely to have a moderately good quality of life compared to patients without insomnia

Penerapan Metode Kanguru terhadap Berat Badan dan Respons Fisiologis Bayi BBLR

Shanti Hartati — 2026-06-29

Low Birth Weight (LBW) infants, defined as infants born weighing less than 2,500 grams, are at higher risk of physiological instability and growth problems. One non-pharmacological nursing intervention applied in the care of LBW infants is Kangaroo Mother Care (KMC). This study aimed to describe the implementation of KMC and its association with changes in body weight and physiological responses in LBW infants within the nursing care process. This study employed a descriptive case study design using a nursing care approach conducted in the Neonatal Intensive Care Unit (NICU). The subject of the study was one clinically stable LBW infant. Data collection was carried out through nursing assessment, observation, physical examination, and medical record review. Observed parameters included body weight, body temperature, respiratory rate, heart rate, and oxygen saturation before and after the implementation of KMC. The results showed an increase in body weight from 1,945 grams to 2,118 grams following the application of Kangaroo Mother Care. The infant’s physiological responses remained within normal ranges, as indicated by stable body temperature, regular respiratory rate, stable heart rate, and adequate oxygen saturation. The application of Kangaroo Mother Care in nursing care may support physiological stability and weight gain in low birth weight infants. This intervention can be considered a supportive nursing approach that emphasizes family involvement in the care of LBW infants.

Gambaran Pelaksanaan Spiritualitas Sholat Pasien Anak "Y" di Ruang Rawat Inap RS PKU Bantul

Ryian Aryiani — 2026-06-29

Spirituality is a fundamental human need that is inseparable from holistic healthcare. Illness and hospitalization affect not only the physical aspect but also the spiritual dimension, including the patient's ability to perform religious worship. This study aims to provide an in-depth description of prayer (sholat) spirituality practice among a pediatric patient during inpatient care at PKU Muhammadiyah Bantul Hospital. A qualitative approach with a descriptive case study design was employed. The research subject was a single female pediatric patient, identified as "Y", aged 17 years, Muslim, hospitalized due to febris. Data were collected through semi-structured in-depth interviews, direct observation, and document review in September 2025. Data analysis followed Braun and Clarke's (2022) thematic analysis framework, with trustworthiness ensured through source triangulation and member checking. Analysis yielded four main themes: (1) early internalization of religious values shaped by family and Islamic boarding school environments; (2) prayer as a source of psychological calm and strength during illness; (3) barriers to worship practice, including physical weakness, pain, and difficulties in ritual purification (thaharah); and (4) positive spiritual meaning-making of illness, perceived as a divine trial, a means of sin remission, and a catalyst for spiritual closeness to God. The findings indicate that despite physical limitations, the patient maintained strong spiritual motivation by positively reframing her illness experience. Nurses are encouraged to actively assess and facilitate spiritual needs, including informing patients about religious dispensations (rukhsah), as an integral component of holistic nursing care for Muslim pediatric patients

Pengaruh Local Hyperthermia Terhadap Frekuensi Napas dan Saturasi Oksigen pada Pasien Pneumonia : Studi Kasus

Vanessa Priscila Takwin — 2026-06-29

In pneumonia, alveoli may fill with fluid and secretions that hinder oxygen diffusion, causing dyspnea. Persistent respiratory compromise can disrupt vital organ function; therefore, comprehensive nursing care is required alongside pharmacological therapy. One non-pharmacological option is Local hyperthermia (controlled heat applied to the anterior chest), which may promote chest-wall relaxation and improve pulmonary perfusion, thereby supporting respiratory indicators. This study aimed to analyze the effect of Local hyperthermia on respiratory rate (RR) and oxygen saturation (SpO?) in a pneumonia patient in the ICU. The method was a case study using a nursing care approach in the ICU of RSUD Inche Abdoel Moeis Samarinda. The intervention used a hot-water bag (±50°C) wrapped in a towel and placed on the anterior chest for 23 minutes, twice daily (12-hour interval) for four consecutive days. RR and SpO? were measured immediately before and after each session through routine clinical assessment and bedside monitoring. Results showed a mean RR reduction of 5 breaths/minute and a mean SpO? increase of 1 point. The analysis indicates that Local hyperthermia is effective in stabilizing RR and improving SpO?

Analisis Keperawatan Kompres Hangat Aromaterapi Lavender pada Nyeri Sectio Caesarea RSUD I.A Moeis

Fhauzia Iin Iin Aldini — 2026-06-30

Postoperative pain is a common problem experienced by patients after sectio caesarea due to tissue damage and surgical incisions. Pharmacological pain management has the potential to cause side effects; therefore, safe and effective non-pharmacological alternatives are needed. One intervention that can be used is the combination of warm compresses and lavender aromatherapy, which has relaxing and analgesic effects.This study aims to analyze the effectiveness of the intervention in reducing pain intensity and improving patient comfort. The method used was a case study with a nursing process approach that included assessment, diagnosis, planning, implementation, and evaluation. Pain measurement was carried out using the Numeric Rating Scale (NRS) before and after the intervention. The results showed a decrease in pain intensity from moderate to mild levels. Patients appeared more relaxed, comfortable, and able to carry out activities gradually.

Pengaruh Edukasi Bullying Terhadap Tingkat Pengetahuan pada Siswa atau Siswi SMP Methodist Romalbest Medan

Agus Nurvianus Zebua — 2026-06-29

Bullying is also known as bullying. In Indonesian bullyng is a process, technique, or approach to hurt or intimidate others directly or indirectly. Bullying is a serious problem that occurs at various levels of education, including junior high school. Of the total number, 98 students or around 30% mentioned that they had reported being a victim of bullying at school. The fact that there are still many students who say below their low level of knowledge about the effects and dangers of bullying. To determine the effect of bullying education on the level of knowledge of students at Romalbest Methodist Junior High School in Medan. Quantitative method with Cross Sectional research design and using one group pretest - posttest design method. The sampling technique in this researcher was purposive sampling with a total trial sample of 30 students with varied demographic characteristics, consisting of 12 men (40.0%) and 18 women (60.0%). The results showed that before education, 83.3% of students had low knowledge. After education, 93.3% of students have good knowledge. Wilcoxon test showed a p value = 0.000 (p < 0.05), which means there is a significant increase after education. Bullying education is effective in improving students' knowledge. It is hoped that this program can be applied more widely to prevent bullying in schools. Students are expected to be more active in understanding and implementing bullying education to create a safe and comfortable school environment.

Hubungan Pola Konsumsi Minuman Berkafein dengan Kejadian Gastritis pada Pasien di Wilayah Kerja Puskemas Jenggawah

Ahmad Fadil Maulidi Rahman — 2026-06-30

Gastritis is an inflammation of the stomach lining that is still often considered a common condition in the general population. Chronic gastritis can lead to complications and even death. One contributing risk factor is the pattern of caffeinated beverage consumption. This study aims to identify the association between patterns of caffeinated beverage consumption and the incidence of gastritis among patients in the service area of the Jenggawah Community Health Center. This study employed a quantitative design with a cross-sectional approach. The study population consisted of adult patients within the service area of the Jenggawah Community Health Center, with a sample size of 52 respondents. Sampling was conducted using non-probability sampling, specifically purposive sampling. Data collection was conducted using a questionnaire. Data analysis was performed using the Spearman Rank test. The results indicate a significant association between caffeine-containing beverage consumption patterns and the incidence of gastritis, with a P-value of 0.001. This implies that the higher the consumption of caffeine-containing beverages, the more severe the gastritis experienced by the respondents. The conclusion of this study is that there is an association between caffeine consumption patterns and the incidence of gastritis among patients in the service area of the Jenggawah Community Health Center. The recommended interventions identified in this study include promotive and preventive measures through health education to control caffeine consumption patterns as a means of reducing the risk of gastritis in the community.

Analisis Perbedaan Gejala Kemoterapi Siklus 1-6 pada Pasien Kanker Nasofaring Berbasis Pengkajian “Esas” di Murni Teguh Memorial Hospital

Shara Audy Denada — 2026-06-30

Cancer is one of the leading causes of death worldwide. Nasopharyngeal carcinoma attacks the lymph nodes. The treatment that can be done is chemotherapy. Chemotherapy will cause symptoms, and one tool that can be used in assessing chemotherapy symptoms is ESAS, which is used to assess: pain, fatigue, nausea, depression, anxiety, drowsiness, loss of appetite, decreased well-being, and shortness of breath. Objective: To analyze the differences in chemotherapy symptoms in cycles 1-6 in nasopharyngeal cancer patients based on the ESAS assessment at Murni Teguh Memorial Hospital. Methods: A descriptive quantitative research method was used. The instrument used was a questionnaire. The results showed that moderate pain was experienced by 38.7% of patients, mild fatigue by 41.9%, mild nausea by 41.9%, no depression by 77.4%, anxiety in the no problem category (71%), drowsiness in the no problem category (48.4%), good appetite in the severe category (41.9%), feeling fresh and fit in the no problem category (58.1%), and shortness of breath in the no problem category (64.5%). The implications of this study are: 1. Minimizing or reducing the effects of chemotherapy in each chemotherapy cycle in nasopharyngeal cancer patients. 2. The results of this study can contribute to the development of oncology nursing science

Hubungan Durasi Hipertensi dengan Tingkat Kecemasan pada Lansia

Ria Purnama Neno — 2026-06-29

Hypertension is one of the most common chronic diseases experienced by the elderly and may cause psychological problems such as anxiety. The longer elderly individuals suffer from hypertension, the greater the risk of experiencing anxiety due to concerns about disease complications, long-term treatment, and physical limitations. This study aimed to determine the relationship between the duration of hypertension and anxiety levels among elderly people in Pentadio Timur Village, Telaga Biru District, Gorontalo Regency. This study used a quantitative method with an analytic observational design and a cross-sectional approach. The sample consisted of 68 respondents selected using purposive sampling technique. Data were collected using an observation sheet regarding the duration of hypertension and the Zung Self-Rating Anxiety Scale (ZSAS) questionnaire. Data analysis was conducted using the Chi-Square test with a significance level of ? = 0.05. The results showed that most respondents had suffered from hypertension for more than 10 years (38.2%) and experienced mild anxiety (55.9%). The Chi-Square test showed a p-value of 0.000 (p < 0.05), indicating a significant relationship between the duration of hypertension and anxiety levels among the elderly. The longer the elderly experienced hypertension, the higher the anxiety level tended to be. Therefore, psychological assessment and holistic nursing interventions are needed to improve the quality of life of elderly patients with hypertension

Efektivitas Kombinasi Aromaterapi Jahe dan Akupresur terhadap Penurunan Mual dan Muntah Pascaoperasi dengan Anestesi Spinal

Alvin Vermansyah — 2026-06-29

Postoperative nausea and vomiting (PONV) are commonly experienced by patients undergoing spinal anesthesia. This condition occurs due to the activation of the vomiting center situated in the medulla oblongata, activated by inputs from the gastrointestinal tract, vestibular apparatus, and the pharmacological effects of anesthetic agents and opioids. This process involves multiple receptor pathways, including dopamine (D2), serotonin (5-HT3), muscarinic (M1), histamine (H1), neurokinin-1 (NK1), and opioid (?) receptors, which collectively regulate emetic reflexes via the Chemoreceptor Trigger Zone (CTZ). Ginger aromatherapy exerts antiemetic effects by suppressing serotonin (5-HT3) receptor activity, thereby diminishing stimulation of the vomiting center. Meanwhile, P6 acupressure influences the autonomic nervous system and promotes beta-endorphin secretion, contributing to the inhibition of nausea and vomiting reflexes. This research sought to evaluate the effectiveness of combining ginger aromatherapy with P6 acupressure in alleviating PONV. This research utilised a quasi-experimental design with a pretest–posttest control group format and included 22 respondents chosen purposively. The assessment of symptoms was carried out using “the Rhodes Index of Nausea, Vomiting, and Retching (RINVR)”. Paired t-test analysis in the intervention group revealed a score reduction from 14.18 to 6.45 (p = 0.000), whereas the control group showed a change from 13.55 to 11.00 (p = 0.001). Independent t-test results on posttest scores confirmed a significant difference between groups (p = 0.000). These findings indicate that the combined intervention is effective in reducing PONV among spinal anesthesia patients

Kepuasan Orang Tua terhadap Kualitas Pelayanan Keperawatan pada Pasien Anak di RSIA Sitti Khadijah Gorontalo

Abd Hafit Botutihe — 2026-06-29

Nursing services are professional healthcare services provided by nurses to meet the health needs of individuals, families, groups, and communities comprehensively. The quality of nursing services plays an important role in determining patient and family satisfaction, particularly in pediatric care settings where parents are actively involved in the treatment process. This study aimed to describe the level of parental satisfaction with nursing services in the pediatric ward of RSIA Sitti Khadijah Gorontalo. This study employed a quantitative descriptive design. The population consisted of 288 parents of pediatric patients, while 75 respondents were selected using the Slovin formula. Data were collected using a questionnaire based on five dimensions of nursing service quality, namely reliability, responsiveness, assurance, empathy, and tangibles. Data were analyzed using univariate analysis and presented in frequency distributions. The results showed that the reliability dimension was categorized as good by 92.0% of respondents, responsiveness by 90.7%, assurance by 89.3%, empathy by 90.7%, and tangibles by 92.0%. Overall, parental satisfaction in the pediatric ward of RSIA Sitti Khadijah Gorontalo was predominantly categorized as satisfied, with 74.6% of respondents reporting satisfaction. These findings indicate that nursing services provided in the pediatric ward have met parental expectations. Continuous quality improvement is needed to maintain and enhance parental satisfaction with nursing care services.

Penerapan Terapi Orientasi Realita pada Pasien Waham Kebesaran : Studi Kasus

Faisal Asmi Zaelani — 2026-06-30

Mental health is a state of physical, mental, and social well-being that enables individuals to function optimally. Mental disorders such as schizophrenia can lead to distortions of reality, one of which is delusion, defined as a belief that is not consistent with reality but is strongly maintained. Delusions can disrupt thought processes, emotions, and behavior, thus requiring appropriate management. One of the nursing interventions that can be applied is reality orientation therapy. This study aims to describe the implementation of nursing care in a patient with a thought process disorder: grandiose delusion. This study used a case study design involving one patient with schizophrenia who had a nursing diagnosis of grandiose delusion, conducted over three days. The results showed that the implementation of the Implementation Strategy (SP) through reality orientation therapy improved the patient’s ability to orient to person, place, and time, and gradually reduced the intensity of delusional symptoms. The conclusion indicates that reality orientation therapy is effective as a nursing intervention in managing patients with grandiose delusions

Faktor Perbaikan Dehidrasi pada Anak dengan Gastroenteritis Akut

Sakina Hanapi — 2026-06-29

Acute gastroenteritis is one of the most common health problems in children and may cause dehydration due to excessive fluid and electrolyte loss through diarrhea and vomiting. Dehydration in children requires prompt and appropriate management because it can increase the risk of complications, morbidity, and mortality. This study aimed to determine the factors associated with improvement of dehydration status among pediatric patients with acute gastroenteritis at Toto Kabila Regional Hospital. This study used a quantitative method with a cross-sectional approach. The population consisted of 41 children aged 1–5 years diagnosed with acute gastroenteritis, and the sampling technique used was total sampling. Data were collected using observation sheets, interviews, and medical record documentation. The variables analyzed included age, gender, nutritional status, fluid therapy, and dehydration status. Data analysis was performed using the Chi-Square test with a significance level of ? = 0.05. The results showed that age was significantly associated with dehydration improvement (p=0.000), gender was significantly associated with dehydration improvement (p=0.043), nutritional status was significantly associated with dehydration improvement (p=0.000), and fluid therapy was significantly associated with dehydration improvement (p=0.031). This study concludes that age, gender, nutritional status, and fluid therapy are factors associated with dehydration improvement in children with acute gastroenteritis. Early assessment and appropriate fluid management are needed to support recovery in pediatric patients.

Penerapan Breastfeeding Father dalam Meningkatkan Produksi ASI Pada Ibu Post Partum Sectio Caesarea

Eka Riswanty Maharani Salahudin — 2026-06-29

Breastfeeding is a natural process that provides benefits for both mother and baby. However, post partum sectio caesarea mothers often experience various challenges in breastfeeding, such as surgical wound pain and lack of support, which can affect breast milk production. One effort to improve breast milk production is through the implementation of breastfeeding father, which refers to the involvement of the father in providing emotional, informational, and instrumental support to the mother. The purpose of this study is to describe maternity nursing care through the implementation of breastfeeding father in increasing breast milk production among post partum sectio caesarea mothers in the Anggrek Ward of RSUD dr. T.C. Hillers Maumere. The method used in this study is descriptive with a case study approach involving two post partum sectio caesarea mothers who experienced problems with breast milk production. The intervention provided included education and involving the husband in supporting the breastfeeding process. The results showed that after the implementation of breastfeeding father, there was an increase in breast milk production, indicated by smoother milk flow, increased breastfeeding frequency, and signs of adequate milk intake in the baby. In addition, both mothers showed increased confidence in breastfeeding. In conclusion, the implementation of breastfeeding father is effective in increasing breast milk production among post partum sectio caesarea mothers

Transformasi Perilaku Preventif Remaja: Integrasi Kebijakan dan Motivasi Internal sebagai Kunci Berkelanjutan

Nurma Zela — 2026-06-30

Maintaining preventive health behaviors among adolescents remains a significant challenge in building a resilient society. Compliance driven solely by external regulations is often temporary and fragile. To achieve sustainable behavioral transformation, a deep understanding of how policy frameworks interact with adolescent internal motivation is required. This study aims to analyze the relationship between policy support and adolescent motivation in internalizing long-term preventive behaviors. A quantitative study with a cross-sectional design was conducted on 427 adolescents selected through purposive sampling. Data were collected using structured questionnaires and analyzed using Pearson correlation and linear regression tests to measure the strength of the relationship between variables. The analysis revealed a mean policy score of 17.90 and an adolescent motivation score of 39.50. A significant positive correlation was found between policy and adolescent motivation (p=0.001; r=0.431). These results indicate that inclusive and effective policies act as catalysts, enhancing adolescents' internal drive to independently comply with health standards. Public policy should no longer be viewed as an instrument of coercion, but rather as a supportive ecosystem that fosters internal motivation. Sustainable transformation of preventive behavior requires policy approaches that empower adolescents, rather than merely restricting them. Future health strategies must focus on integrating participatory policies with the strengthening of adolescent health autonomy, ensuring that preventive behavior becomes an ingrained aspect of their daily lives.

Terapi Aktivitas Kelompok (TAK) Melalui Terapi Okupasi Kolase Biji-Bijian pada Lansia di Wisma Pisang PSTW Budi Mulia 2 Cengkareng Jakarta Barat

Munirah — 2026-06-29

Elderly individuals experience a decline in physical, cognitive, and social functions which leads to decreased activity, creativity, and social interaction. this condition may cause boredom and loneliness if appropriate stimulation is not provided. this activity aimed to improve activity, creativity, and social interaction among the elderly through group activity therapy using an occupational therapy approach with seed collage activities. the method involved implementing group activity therapy for 12 elderly participants at Wisma Pisang PSTW Budi Mulia 2 Cengkareng, West Jakarta, through orientation, working, and termination stages for 30–45 minutes using drawing paper, glue, and seeds such as mung beans and corn. the results showed that most participants were able to follow the activity well, indicated by increased participation, ability to paste seeds according to patterns, and interaction among participants. the activity also had positive effects on improving fine motor skills, concentration, creativity, and psychosocial well-being. obstacles such as motor limitations and difficulty understanding instructions were managed through guidance and motivation from facilitators. in conclusion, group activity therapy through occupational therapy using seed collage activities is effective as a non-pharmacological intervention to improve the quality of life of the elderly

Analisis Asuhan Keperawatan dengan Intervensi Aromaterapi Lavender untuk Menurunkan Tingkat Nyeri dan Kecemasan pada Ibu Post Sectio Caesarea

Eny Dewi Pamungkas — 2026-06-29

Caesarean section is the most frequently performed abdominal surgery in the world. Due to the invasive procedure of caesarean section surgery, the main problems often experienced by post caesarean section patients are pain and anxiety. Before the condition getting worse, post caesarean section pain and anxiety can be managed with pharmacological therapy combined with non-pharmacological therapy, namely lavender aromatherapy. The purpose of this study was to provide lavender aromatherapy intervention to reduce the level of pain and anxiety in post caesarean section patients. This study is a descriptive case study with a nursing care method for post caesarean section patients with nursing problems of acute pain and anxiety. The intervention was carried out on two post caesarean section patients by giving 3 drops of lavender essential oil on cotton ball that placed ± 10 cm from the nose for 30 minutes after 2 hours and 12 hours after caesarean section. The assessment was carried out using the Visual Analog Scale (VAS) instrument to assess pain level and the State Trait Anxiety Inventory (STAI) to score anxiety. After being given lavender aromatherapy twice in 2 hours and 12 hours after caesarean section, there was a decrease in pain level and anxiety in post caesarean section patients. Hopefully lavender aromatherapy can be used as a non-pharmacological therapy that can be carried out independently to reduce the level of pain and anxiety in post caesarean section patients

Hubungan Tingkat Kecemasan dengan Nilai Tekanan Darah Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisa

Dearni Kezia Lumban Toruan — 2026-06-30

Kidney failure refers to a decline in kidney function, namely a reduced ability of the body to eliminate metabolic waste products. This condition is irreversible and requires renal replacement therapy such as kidney transplantation or hemodialysis. Hemodialysis is a kidney replacement procedure designed to remove toxins and waste products from the body when the kidneys are no longer able to function properly. This study aims to determine the relationship between anxiety levels and blood pressure values in patients with chronic kidney failure undergoing hemodialysis at Murni Teguh Memorial Hospital.Method: This study was conducted using a quantitative approach with a correlational design employing Spearman’s test. The purpose was to identify the relationship between anxiety levels and blood pressure values in patients with chronic kidney failure undergoing hemodialysis. The analysis showed a significant relationship between anxiety levels and blood pressure values in patients with chronic kidney failure undergoing hemodialysis at Murni Teguh Memorial Hospital, with a p-value = 0.000 (< 0.05). This indicates that the higher the anxiety level, the higher the blood pressure. There is a significant relationship between anxiety levels and blood pressure values in patients with chronic kidney failure undergoing hemodialysis at Murni Teguh Memorial Hospital

Hubungan Tingkat Pengetahuan Diabetes Melitus dengan Kepatuhan Diet pada Pasien Diabetes Melitus Tipe II di UPTD Puskesmas I Denpasar

Ni Kadek Saniasih — 2026-06-30

Diabetes mellitus has become a global problem that threatens public health and socio-economics. One of the management options for diabetes mellitus sufferers is to regulate a healthy diet through diet management, but currently many diabetes sufferers still find it difficult to change their lifestyle. This study aimed to determine the level of knowledge of diabetes mellitus and dietary compliance in patients with type II diabetes mellitus. This type of research is quantitative correlational with a cross-sectional approach. The sample size were 186 respondents with type II diabetes mellitus. The instruments used were the DKQ-24 (Diabetes Knowledge Questionnaire) questionnaire to measure the level of knowledge and the PDAQ-9 (Perceived Dietary Adherence Questionnaire) to measure dietary compliance. The results showed that the majority of respondents were in the moderate knowledge category (102 people (54.8%), and dietary compliance was in the compliant category (171 people (91.9%). The results of the analysis using the Pearson correlation test showed a significant relationship between the level of knowledge and dietary compliance (p < 0.05), with a correlation coefficient of 0.000 meaning that the level of knowledge is related to patient consistency in following the diet, thus increasing dietary compliance. The higher the patient's level of knowledge about their disease, the more likely they are to comply with the recommended diet

Pengaruh Relaksasi Benson pada Nyeri Pasien Post ORIF Fraktur

Dede Yusuf Azhari — 2026-06-30

Postoperative pain of Open Reduction Internal Fixation (ORIF) fracture is a common nursing problem that affects patient recovery. Non-pharmacological interventions such as Benson relaxation technique are needed to complement analgesic therapy, reduce pain intensity through activation of the parasympathetic system and gate control theory. To evaluate the effectiveness of Benson relaxation technique on reducing pain scale in post-ORIF clavicle fracture patients in Al-Fath Ward, PKU Muhammadiyah Bantul Hospital. A descriptive case study on a male patient (31 years old) with a closed fracture of the left clavicle after ORIF, conducted on February 17–20, 2026. Pain measurement using the Numeric Rating Scale (NRS) before and after the 3-day intervention (10–15 minutes/session, 1 hour before analgesics) via interviews, informed consent, and independent practice. The pain scale decreased gradually: Day 1 (pre=5, post=4), Day 2 (pre=4, post=3), Day 3 (pre=3, post=2). Patients reported increased comfort after the intervention. Conclusion: The Benson relaxation technique is effective as a stand-alone non-pharmacological intervention to reduce post-ORIF fracture pain, with rapid patient adaptation.

Perbandingan Efektivitas Foot Massage dengan Head Massage Terhadap Penurunan Tekanan Darah pada Lansia dengan Hipertensi di Desa Sampali

Seni Warni Waruwu — 2026-06-29

Hypertension is blood pressure that experiences an increase in systolic more than 140 mmHg and diastolic more than 90 mmHg and is measured in two measurements within a period of five minutes, and the patient's condition is not tired. To determine the difference in the effectiveness of foot massage with head massage on reducing blood pressure in the elderly with hypertension in Sampali Village, Percut Sei Tuan District, Deli Serdang Regency. Quantitative research method with quasi-experiment with a two group pretest and posttest group design approach and divided into 2 groups with different treatments. The sampling technique is purposive sampling and a sample of 52 people. data analysis used is univariate and bivariate with independent samples t test. The results of this study indicate that there is a difference in the effectiveness of foot massage with head massage on reducing blood pressure in elderly with hypertension, namely p value 0.001 <0.005 where the average value of the decrease in both groups was 146.65 / 97.35 mmHg in the foot massage group and 141.77 / 88.31 mmHg in the head massage group. It is concluded that head massage therapy has a greater decrease in blood pressure when compared to foot massage. for further research, it can continue research on nursing care for hypertensive patients and also as a reference in making further papers

Pengaruh Pelatihan Bantuan Hidup Dasar terhadap Kesiapsiagaan Pertolongan Pertama pada Keluarga Risiko Cardiac Arrest

Yesi Indriawati — 2026-06-29

Cardiovascular disease is the leading cause of death and can trigger cardiac arrest due to decreased blood circulation to the heart. Delays in providing first aid cardiac arrest are a major factor contributing to the low survival rate of Out of Hospital Cardiac Arrest (OHCA) cases; therefore, family members play an important role as first responders before medical assistance arrives. This study was conducted to determine the effect of Basic Life Support (BLS) training on first aid preparedness among family members at risk of cardiac arrest. This research used a quasi-experimental design with a one-group pretest-posttest approach. The sample comprised 31 family members at risk of cardiac arrest enrolled using purposive sampling guided by the inclusion and exclusion criteria in the working area of Mayang Community Health Center. Preparedness was measured using a Guttman scale questionnaire consisting of 20 statement items. Wilcoxon Signed Rank test used to identify differences in preparedness before and after training. The results showed that before training most respondents had moderate preparedness (41.9%), while after training preparedness improved to a good category (74.2%). The Wilcoxon Signed Rank test showed a p-value <0.001 (p<0.05). Basic Life Support (BLS) training was effective in improving first aid preparedness among family members at risk of cardiac arrest.

Penerapan Kombinasi Terapi Relaksasi Benson dan Senam Kaki Diabetes terhadap Perubahan Gula Darah Sewaktu pada Ny. SR dengan Diabetes Melitus Tipe 2

Sherly Amor Regifta — 2026-06-29

Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by elevated blood glucose levels and is associated with various complications, including peripheral neuropathy and circulatory disorders. Non-pharmacological interventions are needed to support glycemic control and improve patients’ quality of life. Benson Relaxation Therapy and diabetic foot exercises are complementary approaches that may help reduce blood glucose levels and enhance peripheral circulation. Objective To determine the effectiveness of the combination of Benson Relaxation Therapy and diabetic foot exercises in reducing blood glucose levels in a patient with Type 2 Diabetes Mellitus. Methods This study was a case study employing a nursing care approach with a pre-test and post-test design without a control group. The research subject was a 65-year-old female patient with Type 2 Diabetes Mellitus. The intervention consisted of a combination of the Benson relaxation technique and diabetic foot exercises administered for three consecutive days. Evaluation was conducted by measuring blood glucose levels and blood pressure before and after the intervention. The intervention resulted in a reduction in blood glucose levels from 258 mg/dL to 149 mg/dL, representing a total decrease of 109 mg/dL. Blood pressure improved from 150/70 mmHg to 120/70 mmHg. The patient also reported reduced numbness and increased warmth in the feet, indicating improved peripheral circulation. The combination of Benson Relaxation Therapy and diabetic foot exercises appears effective in reducing blood glucose levels, stabilizing blood pressure, and improving peripheral circulation, making it a beneficial complementary therapy for holistic management of Type 2 Diabetes Mellitus.

Hubungan Loneliness dengan Stress Akademik pada Siswa Remaja yang Mengalami Broken Home

Qurhoisya Mutiara — 2026-06-30

Loneliness and academic stress frequently emerge during adolescence, particularly among individuals raised in broken homes, where family disruption may influence emotional stability and adjustment to academic demands. This study aimed to examine the relationship between loneliness and academic stress among adolescents from broken homes. A quantitative correlational design with a cross-sectional approach was employed. The participants were 114 tenth-grade students from two vocational high schools selected through purposive sampling. Data were collected using the UCLA Loneliness Scale Version 3 and the Student-Life Stress Inventory, and analyzed using normality testing and Spearman Rho correlation. The findings revealed a significant positive relationship between loneliness and academic stress, indicating that higher levels of loneliness were associated with higher levels of perceived academic stress. These results highlight the importance of psychosocial support in schools and contribute to the conceptual understanding of social connectedness in adolescent academic stress.

Pengaruh Art Therapy Terhadap Peningkatan Harga Diri dan Kualitas Hidup pada Pasien dengan Berduka di Desa Bunut Wetan

Fitriatul Hasanah — 2026-06-29

Grief is a natural response to the loss of a loved one. However, prolonged grief may negatively affect an individual's psychological well-being, leading to decreased self-esteem and poor quality of life. Art therapy is a non-pharmacological intervention that can help individuals express emotions, improve self-acceptance, and enhance psychological well-being.Objective: To determine the effect of art therapy on improving self-esteem and quality of life in a patient experiencing grief. This study employed a descriptive case study design using the nursing process approach, including assessment, diagnosis, intervention, implementation, and evaluation. The subject was a 60-year-old woman experiencing grief following the loss of her husband. Art therapy was administered in eight sessions over four weeks, with a frequency of two sessions per week. Self-esteem was measured using the Rosenberg Self-Esteem Scale (RSES), while quality of life was assessed using the World Health Organization Quality of Life-BREF (WHOQOL-BREF) questionnaire before and after the intervention. The intervention resulted in an improvement in self-esteem, with the RSES score increasing from 14 (low self-esteem) to 17 (normal self-esteem). Quality of life also improved, with the WHOQOL-BREF score increasing from 46.25 (poor quality of life) to 50 (good quality of life). Throughout the intervention period, the patient demonstrated better emotional expression, increased social interaction, improved self-acceptance, and a more positive outlook on life. Art therapy appears to be effective in improving self-esteem and quality of life among grieving patients. This intervention can serve as a beneficial complementary nursing therapy to facilitate emotional expression, enhance self-acceptance, and support psychological adaptation during the grieving process.

Hubungan Kualitas Tidur dengan Prestasi Belajar Siswa/I Kelas X di SMKN 6 Kota Tangerang

Diba Latifah — 2026-06-30

Sleep is a basic human need that plays a crucial role in supporting physiological and cognitive functions, especially during adolescence. Poor sleep quality can affect students’ concentration, memory, and academic performance. To identify and analyze the relationship between sleep quality and the academic performance of 10th-grade students at SMKN 6 Kota Tangerang. Sampling technique using simple random sampling. The sample totaled 163 respondents. Data analysis using the Chi Square correlation test. Based on the study results, good sleep quality was reported by 136 respondents (83.4%), while poor sleep quality was reported by 27 respondents (16.6%). Low academic achievement was found in 33 respondents (20.2%), whereas high academic achievement was observed in 130 respondents (70.8%). The Chi-Square correlation test between sleep quality and academic performance yielded a p-value of 0.002 (<0.05), indicating that the null hypothesis was rejected and that there is a significant relationship between sleep quality and academic performance among 10th-grade students at SMKN 6 Kota Tangerang.

Hubungan Perilaku Hidup Bersih dan Sehat dengan Kejadian Diare pada Balita di Kelurahan Mangga Dua Selatan

Azzira Zahwa Yulgian — 2026-06-29

Diarrheal disease remains one of the leading causes of death among children under five in Indonesia. One preventive effort against diarrhea is the implementation of Clean and Healthy Living Behavior (PHBS). However, many mothers have not fully applied PHBS in their daily lives. To determine the relationship between Clean and Healthy Living Behavior and the incidence of diarrhea among children under five in Kelurahan Mangga Dua Selatan, Central Jakarta. This study used a descriptive quantitative method with a correlational analytic design and a cross-sectional approach. The population consisted of mothers with children under five, and a total of 92 respondents were selected using simple random sampling. The instruments used were PHBS questionnaires and diarrhea incidence questionnaires. Data were analyzed using the chi-square test. The study found that 51.1% of mothers did not adhere to PHBS, and 88% of children under five experienced diarrhea in the past year. The chi-square test showed a significant relationship between PHBS and diarrhea incidence (p = 0.020 < 0.05), indicating that PHBS influences diarrhea occurrence in toddlers. The lower the mother's adherence to PHBS, the higher the risk of diarrhea in their children

Penerapan Teknik Backward Chaining untuk Meningkatkan Kemampuan Dental Hygiene pada Anak Tunagrahita di SDLB Bhakti Luhur Maumere : Studi Kasus

Odelbertha Fransiska Mitang Sika — 2026-06-29

Children with intellectual disabilities have limitations in self-care, attention, memory, communication, and fine motor coordination. These conditions may affect their ability to maintain dental hygiene, particularly toothbrushing, which is an essential daily self-care activity. This case study aimed to describe the application of the backward chaining technique to improve dental hygiene independence among children with intellectual disabilities. The study involved two children at SDLB Bhakti Luhur Maumere who had difficulty brushing their teeth independently. Data were collected through direct observation, nursing assessment forms, toothbrushing skill checklists, and daily SOAP progress notes. The intervention was implemented for six consecutive days by training the children from the final step of toothbrushing to the initial steps, supported by simple instructions, demonstration, gradual assistance, and positive reinforcement. The results showed improved toothbrushing skills in both children, although the level of progress differed according to their motor ability, concentration, and understanding of instructions. The children became more able to hold the toothbrush, follow simple instructions, perform several toothbrushing steps, and reduce dependence on assistance. The findings indicate that backward chaining can be used as a structured nursing intervention to improve dental hygiene independence in children with intellectual disabilities.

Penerapan Intervensi Gratitude Journal pada Pasien Light Chain Amyloidosis dengan Risiko Bunuh Diri: Studi Kasus

Yulia Sihombing — 2026-06-30

Light Chain Amyloidosis is a serious, chronic, progressive disease that causes multisystem disorders and physical weakness. Individuals with Amyloidosis face physical, financial, and psychological burdens lead to hopelessness, anxiety, and depression and even an increased risk of suicide. An intervention that can be used to help prevent the risk for suicide is Gratitude Journal. This study employed a single-case study design involving a patient with light chain amyloidosis with the nursing diagnosis “risk for suicide.” Monitoring was conducted before and after the intervention over a three-day period using the following instruments: the Patient Health Questionnaire-9 (PHQ-9), as well as the patient’s verbal expressions regarding suicidal ideation, suicidal threats, and suicide plans. Results: The intervention resulted in a decrease in the PHQ-9 score from 26 to 25, indicating an improvement in the category of “feeling unmotivated to do anything”; there were no verbal expressions of suicidal ideation, suicidal cues, suicidal threats, or suicide plans. The Gratitude Journal intervention was administered over three days through the development of a therapeutic relationship, education, Gratitude Journal writing, and daily evaluation. Patients demonstrated positive responses, including the ability to identify things for which they could still be grateful, greater openness in expressing their feelings, and an increase in life expectancy. Gratitude Journal has the potential as a simple and easily implementable psychosocial-spiritual nursing intervention to help increase gratitude, life expectancy, and psychological well-being in patients who are at risk of suicide. Consistent use of Gratitude Journal is necessary to achieve optimal results.

Optimalisasi Peran Kader PIK-R: Transformasi Pengetahuan TRIAD KRR melalui Program Edukasi Kesehatan

Sheilia Handi Dwi Fadellia Maharani Putri — 2026-06-30

The three critical risk factors for adolescent reproductive health (TRIAD KRR) is an important issue that requires more attention. PIK-R staff are agents of change and act as partners who can influence young people themselves. Therefore, there is a need to improve staff knowledge about the TRIAD KRR by providing reproductive health education as a key strategy in efforts to improve PIK-R staff knowledge about the TRIAD KRR. This study aims to analyze the impact of health education on the knowledge level of PIK-R program staff about this triad. The study used a quasi-experimental design with a single group and pre- and post-tests. The sample consisted of 15 PIK-R program staff selected using a large-scale sampling method. The statistical analysis in this study was based on the Wilcoxon Signed-Rank test. The results showed a statistically significant difference in the knowledge level of the participants before receiving the health education program, with 10 participants (66.7%) having a good level of knowledge and 5 participants (33.3%) having a sufficient level of knowledge. After the program, 12 participants (80%) demonstrated a good level of knowledge, while 3 participants (20%) demonstrated a sufficient level of knowledge. Statistical analyses showed a statistically significant difference (p = 0.001, p < 0.05) between the level of knowledge before and after the health education program on the KRR TRIAD model. Therefore, it can be assumed that the health education had a significant impact on the knowledge of the participants in the PIK-R program on the TRIAD KRR model

Efektivitas Akupresur Titik LI-4 Terhadap Nyeri Kanulasi AV-Fistula pada Pasien Chronic Kidney Disease di Unit Hemodialisis

Syahrul Aryandi — 2026-06-30

The kidneys are a pair of vital organs roughly the size of a fist and account for 1% of the total human body weight. Chronic kidney disease (CKD) is a medical condition in which kidney function progressively declines, resulting in the body’s inability to perform metabolism efficiently. One of the treatments for chronic kidney disease is hemodialysis, which aims to address the temporary or permanent loss of kidney function. The process requires vascular access to circulate blood, typically through the insertion of a needle into an arteriovenous fistula. This procedure causes a pain response that can lead to anxiety and fear during hemodialysis. This study discusses a case analysis regarding the management of CKD patients using acupressure at the LI-4 point to reduce pain intensity during the AV fistula cannulation process in the Hemodialysis Unit at Parikesit Tenggarong Regional General Hospital. The innovative intervention involved applying acupressure at the LI-4 point to alleviate pain for 2–3 minutes prior to and immediately before the AV fistula puncture. The study results showed a significant difference in patients’ pain scores after the acupressure intervention was applied. On the first day, the pain score decreased from 5 to 2; on the second day, from 4 to 2; and on the third day, from 4 to 1. The use of acupressure at the LI-4 point effectively reduced the intensity of pain experienced by patients during the AV fistula needle insertion process

Hubungan Tingkat Stres dengan Kepatuhan Minum Obat Pasien Hipertensi di Puskesmas Kediri III

Ni Putu Ratih Oktaviani — 2026-06-28

Hypertension is a chronic health condition that requires long-term treatment and consistent medication adherence. Psychological factors, particularly stress, play a significant role in influencing patients ability to adhere to antihypertensive therapy. High stress levels may disrupt concentration, reduce motivation, and contribute to forgetfulness, ultimately lowering adherence. This study aimed to determine the relationship between stress levels and medication adherence among hypertensive patients at UPTD Puskesmas Kediri III. This study employed an quantitative correlational design with a cross-sectional approach. A total of 100 hypertensive patients were selected as respondents. The Perceived Stress Scale (PSS-10) was used to assess stress levels, while the Morisky Medication Adherence Scale (MMAS-8) measured medication adherence. The results showed that most respondents experienced mild stress (45.0%), followed by moderate (44.0%), and severe stress (11.0%). Medication adherence was predominantly in the moderate category (59.0%). Statistical analysis using the Spearman Rank test indicated a significant relationship between stress levels and medication adherence (p < 0.05) meaning that stress levels are have correlation with patient consistency in following therapy increasing stress may reduce adherence. These findings highlight the importance of stress management and continuous health education to improve medication adherence among hypertensive patients, thereby supporting better blood pressure control and reducing potential complications

Faktor yang Mempengaruhi Kecemasan Keluarga dalam Merawat Anggota Keluarga dengan TB Paru

Irene Febriany Mamo Kitu — 2026-06-29

Pulmonary tuberculosis is a chronic, recurrent infectious disease that usually affects the lungs, and can even affect all organs. Pulmonary TB is spread through the air from person to person. When a person with pulmonary TB coughs, sneezes, or spits, TB germs are released into the air, which can be inhaled by others, potentially infecting them. Psychological distress in families with members with pulmonary TB can also occur due to fear of contracting TB, worry about the lengthy treatment process, and even concern about the social environment where negative stigma toward pulmonary TB persists. This literature review was conducted by searching the Google Scholar database and selecting articles based on inclusion criteria, resulting in the selection of 10 primary articles for analysis. Family anxiety in caring for a family member with pulmonary TB is a manifestation of multiple psychological burdens. The majority of families indicated that despite having the resilience to care, they remain emotionally distressed. Family anxiety in caring for a patient with pulmonary TB is a complex phenomenon triggered by a combination of a lack of accurate medical information, economic pressures, gender, age, and minimal social support in the surrounding environment. Education should not only focus on patient medication schedules but also address family anxiety management. Furthermore, it's crucial for healthcare facilities to initiate support groups for patient families to share emotional burdens and prevent caregivers from feeling socially isolated.Keywords: abstract keywords

Pengaruh Edukasi Anatomi Organ Reproduksi Wanita terhadap Pengetahuan Kesehatan Reproduksi Remaja Putri

Nela Novita Sari — 2026-06-29

Adolescent girls require accurate reproductive health knowledge to understand pubertal changes, menstruation, self-care practices, and early signs of reproductive organ disorders. This study aimed to analyze the effect of female reproductive organ anatomy education on reproductive health knowledge among adolescent girls. The researchers applied a pre-experimental design using a one-group pretest-posttest approach at SMPN 7 Pariaman in May 2026. The study involved 20 adolescent girls selected through purposive sampling. The educational intervention combined anatomical presentations, labeled illustrations, reproductive organ models, and interactive discussions for 45 minutes. Knowledge was measured using a validated questionnaire consisting of 20 items. The difference in knowledge scores was analyzed using the Wilcoxon test. The mean knowledge score increased from 62 in the pretest to 84 in the posttest, with a mean difference of 22 points. Statistical analysis showed a significant improvement in knowledge (p = 0.01). Education integrating anatomical concepts with practical reproductive health messages can strengthen conceptual understanding and reduce adolescents’ misconceptions. Schools and nursing professionals should provide reproductive health education regularly through interactive, age-appropriate approaches that consider cultural contexts.