Focus and Scope Jurnal Keperawatan Muhammadiyah (Muhammadiyah Nursing Journal) is a peer-reviewed scholarly periodical managed by the Nursing Science Program, Faculty of Health Sciences, Muhammadiyah University of Surabaya. As a knowledge dissemination platform, this journal publishes evidence-based original works encompassing contemporary nursing science and healthcare research. Aims: To establish itself as a primary reference for nursing science advancement by publishing methodologically rigorous articles with clinical relevance and theoretical contributions to healthcare. Subject Coverage: The journal features multidisciplinary research focusing on: Emergency and Critical Care Nursing Maternal and Neonatal Nursing Mental Health and Psychiatric Nursing Community and Population Health Nursing Gerontological and Palliative Care Nursing Adult Medical-Surgical Nursing Basic Nursing Theory and Practice Nursing Management and Clinical Leadership Accepted Article Types: Quantitative/Qualitative/Mixed-Methods Research Evidence-Based Clinical Case Studies Systematic Reviews and Meta-Analyses Critical Literature Reviews Conceptual and Theoretical Framework Analyses Health Policy Discourses Publication Frequency: Published quarterly (March, June, September, December) in both online and print formats.
Penulis tetap memegang hak atas karyanya dan memberikan hak publikasi pertama kepada jurnal ini yang secara simultan karya tersebut dilisensikan di bawah: Creative Commons Attribution-ShareAlike 4.0 International (CC BY-SA 4.0)
Developmental Status of Toddlers with Stunting
Background: The development of children who experience stunting is slower than the development of normal toddlers. Developments in this case, include gross motor, fine motor, social independence and language. This study aims to determine the development of children under-five years who experience stunting in the Public Health Center in Malang Regency. Research method The research design in this research is a descriptive study with a cross-sectional design approach. This research was conducted on 72 children under-five years in the Tajinan Public Health Center, Malang Regency, which was carried out in June- July 2022. The research instrument was the developmental pra- screening questionnaire and growth assessment using HAZ compared with z-score table. Data analysis in this study is univariate analysis. Result The results of the study showed that most of 67% had a suspect developmental level of 48 toddlers, almost half of the toddlers 28% of the aberration development had deviations of 20 toddlers and a small proportion of toddlers 5% (4 toddlers) had a normal development. Based on the research results, it is hoped health workers and health cadres will provide health education to mothers of toddlers regarding the fulfillment of essential nutrients to support the growth and development of toddlers, besides that health workers are expected to be able to monitor and evaluate toddlers with stunting cases.
Copyright (c) 2025 Agung Rahmat Sulistiyo, Apriyani Hastuti, Rifatul Fani, Ardhiles Wahyu Kurniawan http://creativecommons.org/licenses/by-sa/4.0
Hubungan Antara Self Efficacy Dengan Manajemen Diri Pada Penderita Hipertensi Di Masyarakat RW 07 Desa Genengan Kabupaten Malang
Background: Hypertension management heavily depends on patients self-efficacy and self-management behaviors. Self-efficacy, defined as one’s belief in their ability to perform specific tasks, plays a critical role in motivating hypertensive patients to manage their condition effectively. Poor management of hypertension can lead to severe complications such as heart attacks, strokes, and kidney failure. Therefore, understanding the relationship between self-efficacy and self-management is essential to improving health outcomes in hypertensive populations. Objective: This study aimed to explore the relationship between self-efficacy and self-management among hypertensive patients in RW 07, Genengan Village, Pakisaji District, Malang Regency. Methods: A quantitative correlational study was conducted involving 38 hypertensive respondents. Self-efficacy was measured using the General Perceived Self-Efficacy Scale (scores 10–30), categorized into poor (10–20) and good (21–30). Self-management was assessed through the Hypertension Self-Management Behavior Questionnaire (HSMBQ) with scores ranging from 25 to 125, classified as poor, moderate, or good management. Data were collected through questionnaires and analyzed using Spearman Rank correlation with SPSS version 23 at a significance level of α < 0.05. Results: Findings revealed that 65.8% of respondents possessed good self-efficacy, while 34.2% had poor self-efficacy. Regarding self-management, 47.4% exhibited moderate management behaviors, 28.9% poor, and 23.7% good. Most participants were female (79%) and married (100%), with a majority having family history of hypertension (63%) and long disease duration of 10–20 years (79%). The use of antihypertensive medication, primarily Amlodipin, was common. Self-efficacy showed a significant positive correlation with self-management. Conclusion: Higher self-efficacy is associated with better self-management among hypertensive patients. Interventions aimed at enhancing self-efficacy may improve patients’ ability to manage hypertension effectively, potentially reducing complications and improving quality of life.
Copyright (c) 2025 Intan Permatasari http://creativecommons.org/licenses/by-sa/4.0
Hubungan Keaktifan, Peran Kader Dan Dukungan Keluarga Dengan Kepatuhan Ibu Membawa Balita Ke Posyandu
Background: Integrated Health Service (Posyandu) has a strategic role in maintaining toddler health through growth and development monitoring, immunization, and nutrition education. The level of maternal compliance in bringing toddlers remains a challenge due to the influence of both internal and external factors. Objective This study aims to analyse the relationship between activeness, the role of cadres, and family support with maternal compliance in bringing children under five years Method This study uses correlational study with cross- sectional. Data were collected through a questionnaire covering independent variables (activeness, role of cadres, family support) and dependent variables (compliance). The population was all toddlers registered at the Integrated Health Service Seruni BTN Graha Pasir Ona Rangkasbitung, Banten in 2025, totalling 69 toddlers. Technique sampling used accidental sampling so that the entire population became respondents. Inclusion criteria included mothers who have children under- five years and recorded until July 2025. Data analysis was performed using the Chi-Square test with p < 0.05. Results The results of the study showed that there was a significant relationship between maternal activity (p-value= 0.001), the role of cadres (p-value= 0.004), and family support (p-value= 0.002) with maternal compliance in bringing toddlers to the integrated health service. Conclusion In conclusion, maternal compliance is influenced by a combination of active participation, cadre support, and family involvement. Optimizing the role of cadres and strengthening family support are crucial for increasing maternal participation in integrated healthcare activities.
Copyright (c) 2025 Dwi Harnanik Yudhyas Suci Ningtyas, Ardhiles Wahyu Kurniawan; Apriyani Puji Hastuti http://creativecommons.org/licenses/by-sa/4.0
Hubungan Trauma Masa Kecil Dengan Kesehatan Mental Remaja Di Wilayah Kerja Puskesmas Limboto
ABSTRAK MIRANDA PUTRI BELENETI. Hubungan Trauma Masa Kecil Dengan Kesehatan Mental Remaja Di Wilayah Kerja Puskesmas Limboto. Dibirnbing oleh Firmawati sebagai Ketua dan Nur Uyuun I Biahimo sebagai Anggota Kesehatan mental dan trauma memiliki hubungan yang sangat erat. Trauma yang terjadi pada seseorang dapat berdampak signifikan pada kesehatan mental. Penelitian ini bertujuan untuk mengidentifikasi hubungan antara trauma masa kecil dan kesehatan mental remaja di wilayah kerja Puskesmas Limboto. Metode yang digunakan adalah penelitian deskriptif kuantitatif dengan desain cross-sectional. Sebanyak 50 responden remaja yang memiliki riwayal trauma masa kecil dipilih sebagai sampel. Data dikumpulkan melalui kuesioner yang mengukur pengalaman trauma dan kondisi kesehatan mental. Hasil penelitian menunjukkan bahwa 29,57% responden mengalami trauma masa kecil dan 63,45% memiliki kesehatan mental yang baik. Analisis bivarial dengan uji Chi-Square menunjukkan p-value sebesar 0,001, yang berarti terdapat hubungan signifikan antara trauma masa kecil dan kesehatan mental. Remaja yang mengalami trauma memiliki risiko 416 kali lebih besar untuk mengalami gangguan kesehatan mental dibandingkan mereka yang tidak mengalami trauma. Ternuan ini menyoroti pentingnya penernuan dini dan intervensi psikologis bagi remaja yang mengalami trauma. Penelitian ini merekomendasikan agar Puskesmas meningkatkan layanan kesehatan mental dan melibatkan keluarga dalam proses pemulihan remaja untuk mengurangi dampak negatif trauma di masa depan Kata kunci: Kesehatan mental, Trauma masa kecil
Copyright (c) 2025 Miranda Putri Beleneti, Firmawati, Nur Uyuun I. Biahimo http://creativecommons.org/licenses/by-sa/4.0
Differences in Anxiety Levels Between High-Risk and Low-Risk Pregnant Women at Brondong Public Health Center.
Anxiety is a common psychological issue experienced by pregnant women and can negatively impact both maternal and fetal health. High-risk pregnancy refers to a condition with a greater potential for complications compared to normal pregnancy, whereas low-risk pregnancy typically proceeds without significant risk factors or serious complications. This study aimed to examine differences in anxiety levels between high-risk and low-risk pregnant women at Brondong Public Health Center. A comparative study with a cross-sectional approach was conducted, involving 70 respondents selected through quota sampling. The research instruments included the Poedji Rochjati Risk Assessment Card to categorize pregnancy risk and the Depression Anxiety Stress Scale (DASS) to measure anxiety levels. The Mann-Whitney test revealed a p-value of 0.000 (p < 0.05), indicating a significant difference in anxiety levels, with high-risk pregnant women exhibiting higher anxiety compared to those with low-risk pregnancies. In conclusion, there is a significant difference in anxiety levels between high-risk and low-risk pregnant women at Brondong Public Health Center. These findings are expected to inform healthcare professionals in enhancing the quality and quantity of Antenatal Care (ANC) services by integrating targeted educational programs, particularly for high-risk pregnant women.
Copyright (c) 2025 Rahadian Rizqullah, Diah Eko Martini, Heny Ekawati http://creativecommons.org/licenses/by-sa/4.0
Gambaran Tingkat Pengetahuan dan Sikap Remaja Tentang Pencegahan Diabetes Melitus
Background: Diabetes mellitus is a non-communicable disease whose prevalence continues to increase worldwide, including in Indonesia. The increase in diabetes cases at a young age is a particular concern because it is related to unhealthy lifestyles since adolescence. Lack of knowledge and attitudes about prevention among adolescents has the potential to increase the risk of diabetes in the future. This condition emphasizes the importance of understanding the description of adolescents' knowledge and attitudes about diabetes mellitus prevention as a basis for developing health education programs in schools. Methods: This study used a descriptive design with a cross-sectional approach which was conducted in September 2025. The study population was 563 students in grades VIII and IX with a sample of 233 respondents taken using stratified random sampling technique. Data collection was carried out using a structured questionnaire, then analyzed univariately to see the frequency distribution of adolescents' knowledge and attitudes about diabetes mellitus prevention. Results: The study showed that most respondents were aged 13–14 years (84.6%) and female (55.1%). The level of knowledge of adolescents regarding diabetes mellitus prevention was mostly in the low category with 107 respondents (45.8%), while the majority of adolescents' attitudes towards diabetes mellitus prevention were in the poor category with 222 respondents (95.1%). Conclusion: Adolescents' knowledge and attitudes towards diabetes mellitus prevention are still relatively low. This low level of knowledge and attitudes indicates the need for targeted and sustainable health education in the school environment to raise adolescents' awareness in implementing a healthy lifestyle from an early age.
Copyright (c) 2026 NI Made Candra Citra SARI, Putu Noviana Sagitarini, I Kadek Nuryanto http://creativecommons.org/licenses/by-sa/4.0
Faktor Faktor Yang Mempengaruhi Perilaku Seksual Berisiko Pada Remaja Di SMPN 1 Karanggeneng
Background: Risky sexual behavior among adolescents is a health issue that can have long-term impacts on both physical and psychosocial well-being Objective: to identify The aim of this study was to determine the factors influencing risky sexual behavior among adolescents at SMPN 1 Karanggeneng. Methods: This article design employed a descriptive-analytic method with a cross-sectional approach. The study sample consisted of 100 students selected using a total sampling technique. The variables examined included parental role, peer influence, and social media. Data were collected using validated and reliable questionnaires, then analyzed using Chi-Square and Spearman tests (α ≤ 0.05). Results: The results showed no significant relationship between parental role and risky sexual behavior (p = 0.097), peer influence and risky sexual behavior (p = 0.056), as well as social media and risky sexual behavior (p = 0.092). This indicates that adolescents with inadequate parental supervision, unhealthy social media exposure, and negative peer interactions are at greater risk of engaging in unhealthy sexual behavior Conclusion: of this study is that parental role, peer influence, and social media do not have a significant effect on risky sexual behavior among adolescents at SMPN 1 Karanggeneng.
Copyright (c) 2025 Bima Destira, Heny Ekawati, Dias Utomo http://creativecommons.org/licenses/by-sa/4.0
Hubungan Karakteristik Responden Dengan Self Manajemen Pada Pasien Diabetes Mellitus Type 2 Di Poli Penyakit Dalam Rumah Sakit Santa Elisabeth Bantul
Background: Type 2 diabetes mellitus is a metabolic disorder characterized by high levels of glucose in the blood due to impaired insulin secretion or insulin resistance. Macrovascular disorders (eg coronary heart disease) and microvascular disorders (eg retinopathy) are complications that often occur in patients with uncontrolled type 2 DM. Proper treatment to avoid complications requires efforts to be made by type 2 DM patients to control themselves by implementing self-management. Objective: This study aims to determine the relationship between respondent characteristics and self-management of type 2 diabetes mellitus in the internal medicine clinic at Santa Elisabeth Hospital, Bantul. . Methods: This research method is a quantitative descriptive study with a simple survey. The instrument used is the DSMQ (Diabetes Self-Management Questionnaire) questionnaire which is used to measure diabetes self-management. The number of samples in this study was 73 diabetes respondents who met the inclusion and exclusion criteria Results: The results of this study show that education and family history (Type 2 DM) have a p value >0.05. Conclusion: Based on this research, it can be concluded that education and family history (Type 2 DM) significantly influence self-management in Type 2 DM patients. It is hoped that the results of this research can be a guide in making decisions regarding appropriate nursing actions for Type 2 DM patients Keywords: Respondent Characteristics, Self Management, Type 2 Diabetes Mellitus
Copyright (c) 2025 Fittriya Kristanti, Bernadetta Eka Noviati, Susan Permata Sari, Umi Zulaika http://creativecommons.org/licenses/by-sa/4.0
The Implementation of Audio-Based Guided Walking Imagery on Stress Levels Among Nursing Students in Preparing Their Final Thesis
Background: The final project is one of the main factors contributing to stress among final-year students. The pressure intensifies due to challenges such as limited time, restricted access to data, and repeated revisions. One non-pharmacological solution that can be applied to reduce stress is Guided Walking Imagery Audio, a relaxation technique based on audio guidance that helps calm the mind through guided visualization. Objective: This study aims to determine the effect of implementing Guided Walking Imagery Audio on stress levels among nursing students in completing their final projects. Methods: The study employed a pre-experimental design with a one-group pre-test and post-test approach, using total sampling on 19 final-year students of the Diploma III Nursing Program. Data were collected using the PSS-10 questionnaire, with the Guided Walking Imagery Audio intervention administered over five days, 15 minutes per session. Results: Data analysis using the Paired Sample T-Test showed a p-value of 0.000 (p < 0.05), indicating that this intervention effectively reduced students’ stress levels. Conclusion: Guided Walking Imagery Audio can be considered a practical and easily applicable solution to help students manage stress during the final project process.
Copyright (c) 2025 Cholid Tri Ananta Hanan, Muhammad Al-amin, Yulifah Salistia Budi http://creativecommons.org/licenses/by-sa/4.0
The Relationship Of Spinal Anesthesia With Shivering In Post Operation Patients In The Recovery Room
Objective: Post-anesthesia shivering is a common side effect that can cause complications due to the resulting increase in oxygen consumption. Oxygen consumption increases fivefold and can reduce arterial oxygen saturation so that if shivering is not treated it can cause an increased risk of myocardial ischemic disease. This study aims to determine the relationship between Spinal Anesthesia and Shivering in post-operative patients in the Recovery Room. Methods: The research design used was Cross Sectional with 50 respondents using Purposive Sampling technique. Using the Bedside Shivering Assessment score (BSAS) and Bromage score instruments, then analyzed using the Spearman rank test. Results: The results of the research showed that the bromage score for spinal anesthesia was 2, namely 24 respondents or (48%) and most of the shivering grades experienced by respondents were grade 1, 17 respondents or (34%). There is a relationship between spinal anesthesia and shivering with a value (P value) of 0.000. The correlation results obtained were (r=0.86), where the figure was in the correlation range (0.80-1.000), that is, the level of relationship between the two correlation variables had a very strong relationship. Conclusion: Observation of post-operative patients should be included in the operating room to prevent prolonged post-anesthesia shivering
Copyright (c) 2025 Annisa nazmi, Fajri andi rahmawan, Fransiska Erna Damayanti http://creativecommons.org/licenses/by-sa/4.0
The The Relationship Between Stress and Anxiety and the Incidence of Insomnia Among Nurses During the COVID-19 Pandemic
Introduction: The increase in COVID-19 cases has put nurses under pressure. This condition can affect the stress and anxiety levels of nurses in treating patients. Stress can cause sleep disturbances, such as insomnia. Research objective: To determine the relationship between stress and anxiety and the incidence of insomnia among nurses during the COVID-19 pandemic at the South Tangerang City General Hospital. Research Method: A cross-sectional study was conducted to determine the relationship between independent and dependent variables. Data were collected using questionnaires. A total of 84 nurses at the South Tangerang City General Hospital were sampled using simple random sampling. Research Results: The characteristics of the respondents based on age showed that almost half of the respondents were aged 30-39 years old (38 people or 45.8%), most of the respondents were female (62 people or 73.8%), more than half of the respondents had a D3 nursing education (53 people or 63.1%), almost half of the respondents had been working for 3-5 years (38 people or 45.2%), more than half of the respondents experienced insomnia (62 people or 73.8%), more than half of the respondents had moderate stress levels (44 people or 52.4%), and almost half of the respondents had moderate anxiety levels (32 people or 38.1%). Statistical test results showed stress levels with a p-value of 0.000 and anxiety levels with a p-value of 0.029 (alpha <0.05). Conclusion: There is a relationship between stress and anxiety and the occurrence of insomnia among nurses during the COVID-19 pandemic at the South Tangerang City General Hospital.
Copyright (c) 2025 Rahmat Kurniawan Rahmat, Diana Dhia Diana Fitriani, Selina Selina, Supriadi B. Supriadi B., Nurmiaty Nurmiaty, Iskandar T. Iskandar Faisal, Khaira Nuswatul Khaira http://creativecommons.org/licenses/by-sa/4.0
Intervensi Pemberdayaan Keluarga Dalam Penggunaan Obat Herbal Terhadap Pengobatan Gejala Tuberkulosis
Background: Tuberculosis (TB) remains a public health problem. TB control programs involving the community have increased the detection of TB suspects, but these cases are not followed by treatment. The purpose of this study was to determine the effect of family empowerment on TB patient compliance.. Methods: This research is a pre-experimental research type. The population is all patients diagnosed with TB in Probolinggo Regency amounting to 35 people, the population is all families at risk of tuberculosis amounting to 30 heads of families, a sample of some families at risk of tuberculosis according to the inclusion and exclusion criteria amounting to 30 people, with a simple random sampling technique. Data collection using a questionnaire sheet before and after the intervention. Educational and training interventions were carried out in 1 meeting with 2 (two) sessions. Data were analyzed statistically with the help of SPSS paired T test. Results: The results of the study showed that knowledge was lacking 25 (83.3%), attitude was lacking 20 (66.7%) and skills were lacking in the use of herbal medicine 16 (53.3%) and after the intervention most of the knowledge was good 23 (76.7%), attitude was good 22 (73.3%) and skills were good 21 (70%) The results of the analysis showed the influence of family empowerment in the Use of Herbal Medicine on the Treatment of Tuberculosis symptoms (p.0.001 < α, 0.05)Conclusion: With the increase in knowledge, attitudes and skills of families in preventing tuberculosis, it is hoped that families can use herbal medicines for tuberculosis symptoms. Family empowerment, use of herbal tuberculosis medicine
Copyright (c) 2026 roisah roisah, nurul laili http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Early Mobilization Terhadap Kekuatan Otot Dan Tingkat Nyeri Pada Pasien Post Operasi Orif Di RSUD Karsa Husada Batu
ABSTRACT Objective: The number of patients undergoing fracture surgery with Open Reduction and Internal Fixation (ORIF) continues to increase each year, accompanied by postoperative complications such as pain, decreased muscle strength, and limited mobility. Early mobilization is considered an effective intervention to prevent these complications. This study aimed to determine the effect of early mobilization on muscle strength and pain reduction in postoperative ORIF patients. Methods: This research employed a quasi-experimental design with a pre- and post-test approach. The sample consisted of 16 patients in each group, selected using the Federer formula. The intervention group received early mobilization and analgesics, while the control group received analgesics only. Muscle strength was measured using the Manual Muscle Testing (MMT) scale, and pain levels were assessed using the Numerical Rating Scale (NRS). Data were analyzed using the Wilcoxon test with a significance level of <0.05. Results: The early mobilization group showed an improvement in muscle strength to level 3 in 68.8% of patients and a significant reduction in pain, with 87.5% of patients reporting mild pain. In contrast, the control group reached only level 2 muscle strength in 87.5% of patients, and only 31.3% experienced mild pain. The p-values were 0.002 for muscle strength and 0.001 for pain level Conclusion: Early mobilization is more effective than standard care in improving muscle strength and reducing pain in postoperative ORIF patients. Failure to implement early mobilization may lead to complications such as joint stiffness, contractures, muscle weakness, and circulatory issues that increase the risk of thrombosis. It is recommended that ward nurses provide education and implement early mobilization interventions in accordance with standard operating procedures.
Copyright (c) 2025 Tyo Herfindo Putra, Marsaid Marsaid, Erlina Suci Astuti, Roni Yuliwar http://creativecommons.org/licenses/by-sa/4.0
The Effectiveness of Finger Grip Relaxation Technique versus Deep Breathing Relaxation on Pain Intensity Reduction in Post-Appendectomy Patients in Edelweiss A Ward, Karsa Husada Hospital Batu
Background: Appendicitis is the most common cause of acute abdominal pain, typically managed through appendectomy. Postoperative pain is a major issue that affects patient recovery. Non-pharmacological interventions, such as finger hold relaxation and deep breathing techniques, are considered effective in reducing pain intensity. Objective: This study aimed to compare the effectiveness of these two techniques. Methods: A quasi-experimental design with a two-group pre-test and post-test approach was used, involving 30 patients at Karsa Husada Batu Regional Hospital. The analysis used is the bivariate Wilcoxon Sign Rank Test and Mann Whitney U Test. Results: The results of the study showed that the level of anxiety before CA mammary surgery patients were given progressive muscle relaxation was 9(60%) seriously anxious and before the patients were given slow deep breathing 8(53.3%) were seriously anxious. After the intervention, 2 (13.3%) patients had the criteria for Severe Anxiety and in the slow deep breathing relaxation technique group 6 (40%) had the criteria for Severe Anxiety. Conclusion: Both techniques were found to be equally effective in reducing postoperative pain following appendectomy.
Copyright (c) 2025 Pinggan Ratu Pramudiva Kencana Wungu, Roni Yuliwar, Rudi Hamarno, Marsaid http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Penerapan Metode Simulasi Terhadap Sikap Kesiapsiagaan Bencana Banjir Pada Siswa PMR Di SMP Negeri 7 Kota Gorontalo
ABSTRAK AQSAL MACHDI ADAM, Pengaruh penerapan metode simulasi terhadap sikap kesiapsiagaan bencana banjir pada siswa PMR di SMP Negeri 7 Kota Gorontalo. Di bimbing oleh PIPIN YUNUS sebagai ketua dan HASLINDA DAMANSYAH sebagai anggota. Bencana suatu peristiwa yang dapat mengancam dan mengganggu kehidupan yang diakibatkan oleh faktor alam atau non alam, maupun faktor manusia, sehingga menimbulkan korban jiwa, kerusakan lingkungan, kerugian dalam harta benda, dan dampak psikologis (Ferianto & Hidayati, 2019). Penelitian ini bertujuan untuk mengetahui pengaruh penerapan metode simulasi terhadap sikap kesiapsiagaan bencana banjir pada siswa PMR di SMP Negeri 7 Kota Gorontalo. Metode penelitian ini menggunakan penelitian kuantitatif dengan metode pra experimental design dengan pendekatan pre test dan post test one group, sampel diambil menggunakan total sampling, jumlah sampel sebanyak 20 orang. Pengumpulan data menggunakan lembar kuisioner, analisis data menggunakan paired t-test dengan kemaknaan p = (0,05). Berdasarkan hasil penelitian ini pada pengetahuan nilai mean 9.700 dengan standar deviasi 7.828. Pada hasil penelitian sikap nilai mean 5.300 dengan standar deviasi 5.017. Hasil penelitian menunjukan adanya perbedaan rata - rata antara pengetahuan dan sikap dengan nilai statistic p= 0,000 lebih kecil dari pada 0,05 (p < 0,05). Kesimpulannya terdapat pengaruh penerapan metode simulasi terhadap sikap kesiapsiagaan dalam tanggap darurat bencana. Kata Kunci : Kesiapsiagaan, Sikap, Simulasi
Copyright (c) 2025 Aqsal Machdi Adam, Pipin Yunus, Haslinda Damansyah http://creativecommons.org/licenses/by-sa/4.0
Analisis Faktor Determinan Yang Berhubungan Dengan Kesembuhan Pada Pasien TB Paru di Puskesmas Rejotangan Kabupaten Tulungagung
Objective: Pulmonary Tuberculosis is still a public health problem in many countries including Indonesia. The key to successful prevention of Pulmonary TB is the discovery of patients and treatment of patients until recovery. This study aims to identify determinant factors associated with the recovery of pulmonary TB patients at the Rejotangan Community Health Center, Tulungagung Regency. Methods: The research design used was quantitative with a cross sectional approach and analytic in nature. The study population was 47 patients, with a sample of 36 respondents selected by purposive sampling. The instrument used was a questionnaire. Data analysis using the spearman test with a significance level of <0.05. Results: showed that, there was no relationship between age and recovery of pulmonary TB, no relationship between gender and recovery of pulmonary TB, no relationship between nutritional status and recovery of pulmonary TB patients, there was a relationship between knowledge and recovery of pulmonary TB patients, there was a relationship between treatment compliance and recovery of pulmonary TB patients, there was a relationship between the presence or absence of PMO with the recovery of pulmonary TB patients. The results of the spearman test showed a significance value on knowledge (p value = 0.001), treatment compliance (p value = 0.006), PMO (p value = 0.002) which means there is a relationship with the recovery of pulmonary TB and the most dominant factor is the knowledge factor with strength (-0.517) Conclusion: Spearman's test results showed an association between knowledge, medication adherence, and the presence or absence of PMO with TB cure. It is expected that patients can maintain knowledge about compliance in treatment according to the rules in order to avoid failure. Factor, Recovery, Pulmonary TB
Copyright (c) 2025 Tri Nataliswati, Marsaid Marsaid, Sulastyawati Sulastyawati http://creativecommons.org/licenses/by-sa/4.0
The relationship The relationship between parenting and child feeding with the incidence of picky eaters in toddler age children (1-3 years old).
Picky eating is a selective and limited eating behavior problem in toddlers, namely only wanting to eat certain types of food and refusing other foods.Children with picky eating often have difficulty consuming balanced and nutritious foods, which can affect their nutritional status and health. Factors that influence picky eating include maternal employment status, parenting patterns, child feeding, and parity. The purpose of this study was to analyze the relationship between parenting patterns and child feeding with the incidence of picky eating in toddlers (1-3 years).This study used an analytical design with a cross-sectional approach.The study population was 183 respondents, with a sample size of 125 respondents selected through a simple random sampling technique. The research instrument used a questionnaire. Data analysis was carried out using the Spearman rho statistical test in SPSS 27.0. The results of this study indicate that (32.0%) parents with permissive parenting styles have picky eater children, significant value p value = 0.03 (P <0.05) there is a relationship between parenting styles and the incidence of picky eaters as many as (80.8%) with inappropriate child feeding, significant value p value = 0.03 (P <0.05) there is a relationship between child feeding and the incidence of picky eaters.
Copyright (c) 2025 nandahalimatus@ http://creativecommons.org/licenses/by-sa/4.0
The Effect Of Baby Massage On Sleep Quality And Weight Gain In Infants Aged 3-12 Months
Background: Baby massage has been gaining popularity recently for its ability to promote healthier, less fussy babies. It can also strengthen muscles, boost immunity, increase weight gain, reduce pain, and promote deeper sleep. Objective This research To determine the effect of baby massage on sleep quality and weight gain in babies aged 3-12 months in PMB mrs. E Kelurahan Jogotrunan Lumajang Method In this study, employed a quasi-experimental research plan with a pre-post-test control group design. Experimental research is a research design used to establish causal relationships by involving researchers in manipulating independent variables. The research design used was a pre-test and post-test experimental study with a control group that began from December 24, 2024, to January 28, 2025. The population in this study were college 40 babies aged 3-12 months in Jogotrunan sub-district, Lumajang Regenc, the data from the examination results are analyzed using univariate and bivariate analysis. Results : Research results in the experimental group (pretest) showed that most respondents had sleep quality <9 hours, namely 12 respondents (60%), while in the treatment group after (posttest) most respondents had sleep quality >9 hours, namely 16 respondents (80%). In the control group (pretest) most respondents had sleep quality <9 hours, namely 11 respondents (55%), while in the control group after (posttest) some respondents had sleep quality >9 hours, namely 12 respondents (80%). Meanwhile, in the experimental group (pretest), most respondents had a steady weight gain of 11 respondents (55%), while in the experimental group after (posttest), some respondents had a steady weight gain of 15 respondents (75%). In the control group (pretest), most respondents had a steady weight gain of 12 respondents (60%), while in the control group after (posttest), some respondents had a steady weight gain of 11 respondents (55%). Conclusion There is an influence of baby massage on sleep quality and weight gain in infants aged 3-12 months at pmb ny. e, jogotrunan village, lumajang regency, This information can be a basis for providing guidance to parents or nurses regarding the importance of baby massage in improving sleep quality and weight gain in babies aged 3-12 months.
Copyright (c) 2025 Nadine Ringgy Ayu Imadilla, Apriyani Hastuti, Ardhiles Wahyu Kurniawan http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Sidewalk Chalk Painting Terhadap Perkembangan Motorik Halus Anak Usia 3-6 tahun di TK Muslimat Hayatul Wathon Kecamatan Glagah
Bahasa Indonesia: Untuk mengidentifikasi pengaruh Sidewalk Chalk Painting terhadap perkembangan motorik halus anak usia 3–6 tahun di TK Muslimat Hayatul Wathon, Kecamatan Glagah. Penelitian ini menggunakan desain pra-eksperimental one-group pretest-posttest dengan total sampling, melibatkan 35 anak. Perkembangan motorik halus diukur melalui lembar observasi berdasarkan indikator Denver II sebelum dan sesudah intervensi. Intervensi, Sidewalk Chalk Painting, dilakukan dalam enam sesi selama tiga minggu, masing-masing berlangsung 45–60 menit. Data dianalisis menggunakan Wilcoxon Signed-Rank Test melalui perangkat lunak SPSS. Sebelum intervensi, sebagian besar anak berada dalam kategori perkembangan normal, sementara beberapa dikategorikan sebagai suspect. Setelah intervensi, ada peningkatan yang signifikan dalam perkembangan motorik halus, dengan lebih banyak anak mencapai kategori normal. Uji Wilcoxon menunjukkan nilai-p sebesar 0,001 (p < 0,05), yang menunjukkan perbedaan yang signifikan secara statistik antara skor pretest dan posttest. Sidewalk Chalk Painting merupakan metode yang efektif dan menyenangkan untuk meningkatkan perkembangan motorik halus pada anak usia dini. Ini dapat diterapkan di lingkungan sekolah dan rumah sebagai alternatif kreatif untuk stimulasi perkembangan.
Copyright (c) 2025 Ratih Destasya http://creativecommons.org/licenses/by-sa/4.0
Symptoms of Shortness Breath With Cough and The Incidence of Tuberculosis in Indonesia: Analysis of The 2023 Indonesian Health Survey
Background: Tuberculosis (TB) remains a major public health problem, particularly in high-burden countries, where delayed diagnosis contributes to continued transmission. Cough and respiratory symptoms are often the earliest clinical indicators, making them essential for screening and case detection. Objective: This study aimed to analyze the association between cough with shortness of breath and TB diagnosis in Indonesia. Methods: A cross-sectional analysis was conducted using data from 2,435 male and female respondents in the 2023 Indonesia Health Survey. The dependent variable was self-reported TB diagnosis within the past year. Independent variables included age, sex, and occupation. Linear regression was applied with 95% confidence intervals (CI). Results: Of respondents, 41.15% reported TB diagnosis within six months, while 58.85% were diagnosed earlier. Males (60.04%) were more affected. Regression analysis showed a significant association between cough with shortness of breath and TB (Coef. = 0.16; p < 0.001; 95% CI: 0.111–0.208). Conclusion: Cough and respiratory symptoms remain strong predictors of TB, highlighting their importance in early screening and treatment monitoring.
Copyright (c) 2025 Dian Pitaloka Priasmoro, Yuni Asri, Mokhtar Jamil, Rifzul Maulina http://creativecommons.org/licenses/by-sa/4.0
Hubungan Excessive Daytime Sleepiness Terhadap Tingkat Konsentrasi Pada Mahasiswa Jurusan Keperawatan
Objective: This study aims to determine the relationship between EDS and the concentration level of college students. Methods: This study used a cross-sectional design with a sample of 89 people. The EDS instrument was measured using the Epworth Sleepiness Scale and the concentration level instrument was the Stroop Test. Data analysis used the Chi-Square test. Results: The results showed that more than half of the college students experienced EDS (55.1%) compared to students who did not experience EDS (44.9%). Meanwhile, the concentration level of college students was in the poor category (40.4%), the less category (38.2%), and the moderate category (21.3%). The results of the statistical test showed a p-value of 0.021 (<0.05), meaning there is a significant relationship between EDS and concentration level. Conclusion: Based on the results of the research conducted, it appears that the analysis of the relationship between excessive daytime sleepiness and concentration levels in students indicates that students who experience excessive daytime sleepiness are more likely to experience it. Therefore, further research is needed to understand the factors that influence the occurrence of excessive daytime sleepiness and decreased concentration in students.
Copyright (c) 2026 Virginia Syafrinanda, Yunani http://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Parenting Styles and the Level of Independence in Activities of Daily Living among Children with Intellectual Disabilities
Objective : Independence in activities of daily living (ADL) refers to the fundamental ability to perform daily tasks without dependence. A lack of independence in children with intellectual disabilities can lead to increased reliance on their environment and delays in skill development. Methods: This research employed a quantitative descriptive design with a cross-sectional approach. The study population comprised 45 parents of children with intellectual disabilities, with a final sample of 40 respondents selected using consecutive sampling. Data were collected through a parenting style questionnaire and the Katz Index of Independence in ADL questionnaire.and data were analyzed using the Contingency Coefficient Test.Results: The findings reveal that parents who adopted an authoritative parenting style tend to have children with a high level of independence (65.7%). In contrast, an authoritarian parenting style resulted in children with moderate dependency (100%), while a permissive parenting style led to severe dependency (100%). Conclusion: Based on these findings, implementing authoritative parenting strategies could enhance independence in ADL for children with intellectual disabilities, reducing their dependency on external assistance and promoting skill development.
Copyright (c) 2025 resti niswah, Lilis Maghfuroh http://creativecommons.org/licenses/by-sa/4.0
Effectiveness of Foot Exercise Intervention in Stabilizing Blood Glucose Levels in Patients with Type 2 Diabetes Mellitus in the Internal Medicine Room of Blambangan Hospital in 2025: Case Study
Background: Diabetes mellitus is a chronic metabolic disorder characterized by elevated blood glucose levels due to insufficient insulin production or ineffective insulin utilization. Persistent hyperglycemia can lead to serious acute and chronic complications. One non-pharmacological approach to help reduce blood glucose levels is physical activity, such as foot exercises. Foot exercises are simple, easy to perform, do not require special equipment, and can be practiced independently by patients with type 2 diabetes mellitus. Objective: To determine the effect of foot exercise intervention on blood glucose levels in a type 2 diabetes mellitus patient with the nursing problem of blood glucose imbalance in the internal medicine ward of RSUD Blambangan Banyuwangi. Methods: This scientific paper is structured as a case study using the nursing care approach, which includes assessment, nursing diagnosis, planning, implementation, and evaluation. The non-pharmacological intervention consisted of foot exercises performed for three consecutive days, with blood glucose levels measured before and after the intervention. Result: After performing foot exercises for three consecutive days, the patient's blood glucose level decreased significantly from 316 mg/dL to 124 mg/dL. This result indicates that the foot exercise intervention had a positive effect on blood glucose stabilization. Conclusion: : Foot exercise is proven to be an effective, simple, and easily applicable non- pharmacological intervention to help reduce blood glucose levels in patients with type 2 diabetes mellitus. This intervention can serve as a supportive therapy in the management of hyperglycemia.
Copyright (c) 2025 achmad efendi, Anita Dwi Ariyani http://creativecommons.org/licenses/by-sa/4.0
Hubungan Paritas, Persepsi Risiko Dan Persepsi Manfaat Dengan Pemeriksaan Triple Eliminasi Pada Ibu Hamil
Background: Triple Elimination is a government policy aimed at reducing the incidence of HIV, Syphilis, and Hepatitis B transmission from mother to child. Low coverage of Triple Elimination screening in Indonesia is partly due to pregnant women's lack of knowledge about the benefits of screening, stigma surrounding sexually transmitted infections, and a perception of low risk of those diseases. Objective: This study aims to analyze the association between parity, risk perception, and risk benefit with Triple Elimination screening among pregnant women. Methods: A quantitative cross-sectional study was conducted using quota sampling, involving 30 pregnant women as respondents. Data were collected through a structured questionnaire administered via the Google Form platform. Univariate analysis was used to describe respondent’s characteristics, independent variables (parity, risk perception, and benefit perception), and participation in the Triple Elimination screening. Bivariate analysis was performed using the Chi-Square test and Fisher’s Exact test. Results: Most respondents were aged 20–35 years (73.3%), had completed senior high school education (50.0%), were unemployed (66.7%), and had a good knowledge of the Triple Elimination program (86.7%). The majority had non-risk parity (76.7%), half had good risk perception (50.0%), and most had good benefit perception (73.3%). Participation in the Triple Elimination screening was recorded at 50%. Bivariate analysis showed that parity was not associated with participation in Triple Elimination screening (p=0.666), whereas perceived risk (p=0.011) and perceived benefit (p=0.002) were significantly associated with participation. Conclusion: There was no association between parity and participation in Triple Elimination screening. However, significant associations were observed between perceived risk and perceived benefit with screening participation. Future research is recommended to analyse all aspects of perception using the Health Belief Model framework.
Copyright (c) 2025 Reynie Purnama Raya, Lintang Syafaroh, Nike Arta Puspitasari http://creativecommons.org/licenses/by-sa/4.0
Faktor – Faktor Yang Berhubungan Dengan Kepatuhan Perawat Dalam Melakukan Hand Hygiene Di Rumah Sakit Ummuhani Purbalingga
Hand hygiene is the most effective method for preventing healthcare-associated infections. However, its practice is still not optimally implemented in many healthcare facilities. Several factors may influence compliance levels, including age, gender, education, length of work experience, knowledge, attitude, and availability of supporting facilities. Objective: This study aimed to identify factors associated with nurses compliance in performing hand hygiene at RSIA (Obstetric and Pediatric Hospital) Ummuhani Purbalingga. This qualitative study employed an analytical survey with a cross-sectional design involving 46 respondents. The research was conducted at RSIA Ummuhani Purbalingga from January to June 2025. Sampling was conducted through direct observation and questionnaires (Google Forms). Data were processed using SPSS. Univariate analysis showed that respondents were aged 2535 years (76%) and 3645 years (24%), with 9% male and 91% female. Educational levels included Diploma III (55%), Bachelor of Nursing with professional degree (S. Kep., Ners) (43%), and Masters degree (2%). Length of work experience was 35 years (37%), 610 years (46%), and 1120 years (17%). Bivariate analysis using the chi-square test indicated no significant correlation between compliance and age (p = 0.743), gender (p = 0.152), education (p = 0.823), or length of work (p = 0.564). However, significant relationships were found for knowledge (p = 0.028), attitude (p = 0.006), and availability of facilities (p = 0.007). Knowledge, attitude, and supporting facilities are significantly associated with nurses compliance in performing hand hygiene. In contrast, age, gender, education, and length of work experience show no significant correlation.
Copyright (c) 2025 etlidawati, Ani Wahyuni http://creativecommons.org/licenses/by-sa/4.0
The purpose of this study was to determine the extent of the motivation and job satisfaction of employees at UPT Puskesmas Wajak, Malang Regency.
Methods: This research is an analytical study with a cross-sectional method. Sampling in this study used the total sampling technique with a sample size of 30 respondents. The correlation test used in this study is the Spearman test. Results: In this survey, those with the highest level of work motivation were 24 (84.7%) respondents and only 6 (15.3%) respondents with low motivation with the highest job satisfaction with a satisfied category of 30 (100%). There is a significant relationship between job satisfaction and work motivation at the Wajak Health Center UPT with a p value of 0.000 (p value <0.05) which indicates that the correlation value is significant and the Spearman correlation coefficient value is 0.542. Conclusion: There is a significant relationship between the study of the relationship between work motivation and the level of nurse job satisfaction at the Wajak Health Center
Copyright (c) 2025 indung kirono, indung susilo sekti kirono http://creativecommons.org/licenses/by-sa/4.0
Hubungan Dukungan Keluarga Terhadap Kesehatan Jiwa Remaja Pertengahan di SMA Widyagama Malang
Background: Middle adolescence is an important period in human development, during this period adolescents experience significant physical, emotional, and social changes so that they are vulnerable to mental health problems. Good family support can help adolescents face challenges, which can prevent adolescent mental health problems. Objective: to identify The purpose of this study was to analyze the relationship between family support and mental health of middle adolescents at SMA Widyagama Malang Methods: This article This research method uses a correlational design with a cross-sectional design. The independent variable is family support and the dependent variable is mental health. The subjects of this study were students in grades X, XI, and XII. The sampling technique used proportionate random sampling. The research sample was 87 respondents. Results: The results of statistical tests using Spearmank Rank on the difficult aspect obtained p = 0.000 (p value ≤ 0.05 means there is a correlation) and r = 0.500 (the strength of the correlation category is sufficient) on the strength aspect obtained p = 0.000 (p value ≤ 0.05 means there is a correlation) and r = 0.417 (the strength of the correlation category is sufficient). This means that there is a relationship between family support and mental health of middle-aged adolescents at SMA Widyagama Malang Conclusion: These results indicate that families play a role in maintaining adolescent mental health. The higher the family support given, the better the adolescent mental health, conversely, the lower the family support given, the worse the adolescent mental health. The results of this study are expected to make adolescents more open to their families when experiencing mental health problems and for schools to provide guidance to adolescents or their families to support adolescent mental health.
Copyright (c) 2025 Anggyta Fevtikasari, Kurnia laksana, Nining Loura Sari http://creativecommons.org/licenses/by-sa/4.0
Hubungan Tingkat Nyeri Dan Kualitas Tidur Dengan Pemulihan Luka Pasien Pasca Operasi Open Reduction Internal Fixation RSUD Kanjuruhan Kabupaten Malang
Objective: To determine the relationship between pain level and sleep quality with wound healing in postoperative ORIF patients. Methods: This study used a descriptive correlational design with a sample of 39 postoperative ORIF patients selected purposively. Participants were conscious, cooperative, had no history of diabetes, and were aged between 13–50 years. Instruments used to collect data included questionnaires on pain level, sleep quality, and wound healing. Results: Spearman Rank correlation test results showed a p-value of 0.000 (p < 0.05) with an R value of -0.772, indicating a strong relationship between pain level and wound healing after ORIF surgery. Additionally, a p-value of 0.000 (p < 0.05) with an R value of -0.789 indicated a fairly strong relationship between sleep quality and wound healing after ORIF surgery. Conclusion: There is a relationship between pain level and sleep quality with wound healing after ORIF surgery.
Copyright (c) 2025 DENNIS DENNIS, MARSAID MARSAID, SUPONO SUPONO, SULASTYAWATI SULASTYAWATI http://creativecommons.org/licenses/by-sa/4.0
Factors Affecting the Anxiety Level of Preoperative Sectio Caesarea Patients in the Operating Room of Betun Hospital, Malacca Regency
Abstrak. Sectio Caesarea adalah proses persalinan dengan tindakan pembedahan untuk mengeluarkan bayi dari perut seorang ibu dengan cara menginsisi bagian perut (laparotomi) dan dinding uterus (histerotomi). Penelitian ini bertujuan untuk mengidentifikasi dan menganalisis pengaruh faktor internal (umur, tingkat pendidikan, tipe kepribadian dan mekanisme koping) dan faktor eksternal (status kesehatan, akses informasi, komunikasi terapeutik dan dukungan keluarga) terhadap tingkat kecemasan pasien pre operasi Sectio Caesarea. Desain dalam penelitian ini adalah korelasi untuk mengetahui hubungan antara dua variabel dengan pendekatan cross sectional. Metode pengambilan sampel yang digunakan adalah accidental sampling dengan jumlah sampel sebanyak 53 responden. Hasil analisis statistik tingkat pendidikan, komunikasi terapeutik, dukungan keluarga, mekanisme koping, status kesehatan dan akses informasi memiliki hubungan pengaruh terhadap tingkat kecemasan pasien pre operasi Sectio Caesarea. Sedangkan faktor tipe kepribadian, tidak memiliki hubungan pengaruh terhadap tingkat kecemasan pasien pre operasi Sectio Caesarea. Saran bagi pasien agar lebih memperhatikan informasi yang disampaikan oleh dokter maupun perawat tentang prosedur tindakan pembedahan yang akan dilakukan sehingga mampu memahami dan mengerti atas tindakan tersebut agar dapat mengurangi tingkat kecemasan yang dirasakan serta melakukan pendampingan bagi keluarga yang akan menjalani operasi Sectio Caesarea. Abstract. Sectio Caesarea is a surgical delivery process to remove the baby from a mother's womb by inciting the uterus (laparotomy) and uterine wall (hysterotomy). This study aimed to identify and analyze the influence of internal factors (age, education level, personality type and coping mechanisms) and external factors (health status, access to information, therapeutic communication and family support) on the anxiety level of preoperative Sectio Caesarea patients. The design in this study is a correlation to determine the relationship between two variables with a cross sectional approach. The sampling method used was accidental sampling with a sample of 53 respondents. The results of statistical analysis of education level, therapeutic communication, family support, coping mechanisms, health status and access to information had an influence on the anxiety level of preoperative Sectio Caesarea patients. Meanwhile, personality type factors had no influence on the anxiety level of preoperative Sectio Caesarea patients. Advice for patients to pay more attention to the information conveyed by doctors and nurses about the surgical procedure to be carried out so that they are able to understand and understand the procedure in order to reduce the level of anxiety felt and provide assistance for families who will undergo Sectio Caesarea surgery.
Copyright (c) 2025 Sakti Oktaria Batubara, Charles Loddewyk Souisa, Sebastianus Kurniadi Tahu http://creativecommons.org/licenses/by-sa/4.0
The Relationship Between Self-Esteem and the Tendency of Bullying Behavior in Ninth Grade Adolescents at MTS Muhammadiyah 1 Malang
Background: During adolescence, there are several problems that occur, one of which is bullying. There are several factors that influence bullying behavior in adolescents, one of which is self-esteem. Objective: This study aims to determine the relationship between self-esteem and the tendency of bullying behavior in ninth-grade adolescents at MTS Muhammadiyah 1 Malang. This research is a quantitative correlational study with a cross-sectional approach. The sampling technique used in this study was purposive sampling with a sample size of 56 students. Data were collected using self-esteem and bullying tendency questionnaires. Data analysis was conducted using the Spearman Rank correlation test. Results: Based on data analysis, the results showed a value of r = -0.353 and a significance level of 0.008 < 0.05, which means the hypothesis is accepted. The results indicate that there is a relationship with a weak correlation strength and a negative correlation direction between self-esteem and the tendency of bullying behavior in ninth-grade adolescents at MTS Muhammadiyah 1 Malang. Conclusion: The lower the self-esteem, the higher the tendency to engage in bullying behavior. Conversely, the higher the self-esteem, the lower the tendency to engage in bullying behavior. Adolescents with low self-esteem tend to exhibit behaviors such as feeling incapable of building good relationships with others and being easily offended. As a result, these adolescents may engage in actions such as hurting, mocking, kicking, or fighting with others, which can be considered bullying behavior.
Copyright (c) 2025 Bella Arsinia Agustin, Lilla Maria, Kurnia Laksana http://creativecommons.org/licenses/by-sa/4.0
Pengaruh Posisi Head Up 30 Derajat & Murottal Al-Qur’an Terhadap Saturasi Oksigen Pada Pasien CVA Di RSUD Soegiri Lamongan
Objective: The blood flow in patients with cerebrovascular accident (CVA) is impaired, causing hemodynamic disturbances including decreased oxygen saturation. This study aims to determine the effect of the head-up 30-degree position and Murrotal Al-Qur’an on oxygen saturation in CVA patients at RSUD Soegiri Lamongan. Methods: The research design used a pre-experimental approach with a one-group pre-test and post-test design. From a population of 38 patients, samples were obtained using consecutive sampling. Oxygen saturation was measured using an oximeter for 30 minutes over 3 days according to Standard Operating Procedures (SOP). Data were analyzed using the Wilcoxon test. Results: Before the intervention, all 34 patients were classified as having abnormal oxygen saturation. After the intervention, 30 patients showed increased oxygen saturation. The Wilcoxon test results showed a significance value of p = 0.00, indicating a significant effect of the intervention on increasing oxygen saturation. Conclusion: One alternative to increase oxygen saturation is the combination of the head-up 30-degree position and Murrotal Al- Qur’an
Copyright (c) 2025 Windy Desy Nawang Ningrum, Rizky Asta Pramestirini, Virgianti Nur Faridah http://creativecommons.org/licenses/by-sa/4.0
Peran Kepala Ruangan Sebagai Supervisor Terhadap Kinerja Perawat Dalam Pelaksanaan Asuhan Keperawatan Di Ruang Interna RSUD Dr. Hasri Ainun Habibie Provinsi Gorontalo
ABSTRAK Tri Sulistianingsih Lihawa, S.Kep, Peran Kepala Ruangan Sebagai Supervisor Terhadap Kinerja Perawat Dalam Pelaksanaan Asuhan Keperawatan Di Ruang Interna RSUD Dr. Hasri Ainun Habibie Provinsi Gorontalo. Di bimbing oleh Ns. Sabirin B. Syukur, M.Kep Peran utama seorang kepala ruangan adalah mengelola seluruh sumber daya di unit perawatan untuk menghasilkan pelayanan yang bermutu. Kepala ruangan bertanggung jawab untuk melalukan supervisi pelayanan keperawatan pada pasien di ruang perawatan yang dipimpinnya. Dalam hal ini diperlukan evaluasi pelaksanaan supervisi terutama mengenai kompetensi dari supervisor dalam melaksanakan supervisi yang berupa masukan dari perawat pelaksana dan pengaruhnya terhadap kualitas kinerja perawat itu sendiri. Penelitian ini bertujuan untuk melakukan analisis terhadap Peran Kepala Ruangan Sebagai Supervisor Terhadap Kinerja Perawat Dalam Pelaksanaan Asuhan Keperawatan Di Ruang Interna RSUD Dr. Hasri Ainun Habibie Provinsi Gorontalo. Metode penelitian yang digunakan dalam penelitian ini adalah survey analitik. Penelitian ini menggunakan pendekatan cross sectional, Populasi dalam penelitian ini adalah semua perawat yang bekerja diruang interna, sampel pada penelitian ini adalah 16 orang perawat yang bekerja di ruangan interrna RSUD dr. Hasri Ainun Habibie Provinsi Gorontalo. Instrumen penelitian menggunakan wawancara, dan Kuesioner. Kuesioner yang digunakan dalam penelitian ini meliputi kuesioner supervisi kepala ruangan dan kuesioner kinerja perawat. Data dianalisis dengan uji Chi-Square dengan tingkat kemaknaan (α)<0,05. Berdasarkan hasil penelitian didapatkan bahwa peran kepala ruangan baik sebanyak 8 responden (50%) dan peran kepala ruangan cukup sebanyak 8 responden (50%). kinerja perawat baik sebanyak 9 responden (56%) dan kinerja perawat cukup sebanyak 7 responden (44%). Hasil uji statistik didapatkan hasil dengan nilai , maka dapat disimpulkan bahwa terdapat Hubungan Peran Kepala Ruangan Sebagai Supervisor Terhadap Kinerja Perawat Dalam Pelaksanaan Asuhan Keperawatan Di Ruang Interna Rsud Dr. Hasri Ainun Habibie Provinsi Gorontalo. Kata Kunci: Peran Kepala Ruangan, Kinerja Perawat, Asuhan Keperawatan
Copyright (c) 2025 Tri Sulistianingsih Lihawa, Sabirin B. Syukur, Rini Asnawati http://creativecommons.org/licenses/by-sa/4.0