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All Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) An Idea Health Journal Indonesian Jurnal of Nursing Sciences and Practice
Sumarmi Sumarmi
Universitas Islam Negeri Alauddin Makassar
Dentistry Health Professions Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences

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Malnutrition and its Association with Heart Failure Severity in Children with Congenital Heart Disease: A Cross- Sectional Study in Indonesia Ferdy Lainsamputty; Fransiskus Xaverius Widiantoro; Sumarmi Sumarmi; Keysha Maryel Pandelaki; Joy RJ Maramis
An Idea Health Journal Vol 6 No 01 (2026)
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i01.651

Abstract

Background: Congenital heart disease (CHD) is a major cause of pediatric morbidity and mortality. Malnutrition often coexists with CHD and may be associated with poorer heart failure (HF) outcomes. The study aimed to assess the prevalence of malnutrition (underweight, wasting, and stunting) and its association with HF severity in children with CHD. Methods: This was a single-center cross-sectional study at a tertiary hospital in Indonesia. The study included 41 pediatric CHD patients, recruited using a total sampling technique. Anthropometric data were assessed based on World Health Organization standards. HF severity was evaluated using the Modified Ross Score. The Mann-Whitney, Kruskal- Wallis, Spearman correlation, and multiple linear regression were applied. Result: Among participants, 26.8% were underweight, 22.0% were wasted, and 36.6% were stunted. The mean HF severity score was 3.07 (SD = 1.40). Most were categorized as having mild HF (63.4%). Residence (Z = 1.967; p = 0.049), underweight (Z = -2.394; p = 0.017), stunting (Z = -2.497; p = 0.013), and wasting (Z = -2.236; p = 0.025) were significantly associated with higher HF severity scores. WAZ score significantly correlated with HF severity (r = -0.348; p = 0.026). Stunting (β = -0.334; 95% CI: -1.787 to -0.138; p = 0.023) and wasting (β = -0.316; 95% CI: -2.018 to -0.098; p = 0.032) were significant determinants of HF severity. Conclusion: Stunting and wasting were independently associated with greater HF severity. These findings suggest the potential clinical importance of early nutritional screening and multidisciplinary interventions to mitigate HF progression. Given the single-center design and small sample size, further multicenter studies are needed to confirm these findings and strengthen causal inference.
Integrating Healing Touch and Dhikr Therapy as Complementary Nursing Care for Chronic Pain Management in Cervical Cancer: A Case Study Nurul Qur’ani; Nurul Fadhilah Gani; Sumarmi Sumarmi; Nurhidayah Nurhidayah
Indonesian Journal of Nursing Sciences and Practice Vol. 9 No. 2 (2026)
Publisher : Fakultas Ilmu Keperawatan Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24853/ijnsp.v9i1.22-27

Abstract

Latar Belakang: Kanker serviks merupakan salah satu penyebab utama morbiditas dan mortalitas pada perempuan di seluruh dunia. Nyeri kronis yang dialami pasien kanker serviks tidak hanya berdampak pada aspek fisik, tetapi juga memengaruhi kondisi psikologis dan spiritual sehingga memerlukan pendekatan keperawatan yang holistik. Healing Touch dan terapi dzikir merupakan intervensi komplementer yang berpotensi membantu mengurangi nyeri sekaligus meningkatkan kenyamanan pasien. Objektif: Mendeskripsikan penerapan kombinasi Healing Touch dan terapi dzikir sebagai intervensi keperawatan komplementer dalam menurunkan nyeri kronis dan meningkatkan kenyamanan pada pasien kanker serviks. Metode: Penelitian ini menggunakan desain studi kasus terhadap dua pasien perempuan dengan kanker serviks yang mengalami nyeri kronis dan menjalani perawatan di ruang rawat inap. Intervensi berupa kombinasi Healing Touch dan terapi dzikir diberikan selama tiga hari sebagai bagian dari asuhan keperawatan. Evaluasi dilakukan menggunakan Numeric Rating Scale (NRS) melalui pengkajian sebelum dan sesudah intervensi, kemudian dianalisis secara deskriptif berdasarkan perkembangan kondisi pasien. Hasil. Setelah dilakukan intervensi terjadi penurunan nyeri dari skala 5 menjadi skala 3 sesudah intervensi, selain penurunan intensitas nyeri, kedua pasien menunjukkan peningkatan kenyamanan, relaksasi, ketenangan, serta kemampuan mengendalikan respons terhadap nyeri selama menjalani perawatan. Pasien juga tampak lebih mampu mengendalikan respons terhadap nyeri dan lebih kooperatif dalam mengikuti proses terapi. Temuan ini menunjukkan bahwa kombinasi Healing Touch dan terapi dzikir berpotensi memberikan manfaat pada aspek fisik dan psikospiritual pasien. Implikasi Klinis: Kombinasi Healing Touch dan terapi dzikir berpotensi menjadi intervensi keperawatan komplementer yang mendukung pengelolaan nyeri kronis dan meningkatkan kenyamanan pada pasien kanker serviks. Pendekatan ini dapat dipertimbangkan sebagai bagian dari asuhan keperawatan holistik yang terintegrasi dengan terapi medis standar. Penelitian lebih lanjut dengan desain eksperimental dan jumlah sampel yang lebih besar diperlukan untuk mengonfirmasi efektivitas intervensi ini.
Impact of Android-Based Reproductive Health Education on Knowledge Improvement Among Adolescent Girls in Takalar, Indonesia: A Quasi-Experimental Study in a Senior High School Sumarmi Sumarmi; Wahyuni Hidayati; Ernawati Ernawati; Salmah Arafah; Alwi Alwi; Raufina Riandhani Mulyoto
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 2 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i2.1011

Abstract

Background: Adolescent girls are particularly vulnerable to reproductive health problems due to limited knowledge and inadequate access to reliable information. Innovative educational strategies are needed to improve their understanding of reproductive health. Objective: This study aimed to evaluate the effectiveness of Android-based reproductive health education in improving knowledge among adolescent girls. Methods: A quasi-experimental study with a pretest–posttest control group design was conducted among 100 female students at a senior high school in Takalar, Indonesia. Participants were divided into an intervention group (n = 50) and a control group (n = 50). The intervention group received reproductive health education through an Android-based application, while the control group continued routine school activities. Knowledge was assessed using a structured questionnaire administered before and after the intervention. Data were analyzed using descriptive statistics and the Mann–Whitney U test. Results: The intervention group showed a substantial increase in mean knowledge scores from pre-test to post-test (11.52 ± 3.04 to 17.54 ± 2.29), while the control group demonstrated only a slight change (12.86 ± 3.74 to 13.24 ± 4.22), indicating greater short-term knowledge improvement in the intervention group. Conclusion: Android-based reproductive health education effectively improves knowledge among adolescent girls and represents a promising digital approach for school-based health promotion
Co-Authors Alwi Alwi arafah, Salmah Ernawati ernawati Ferdy Lainsamputty Fransiskus Xaverius Widiantoro Joy RJ Maramis Keysha Maryel Pandelaki Nurhidayah Nurhidayah Nurul Fadhilah Gani Nurul Qur’ani Raufina Riandhani Mulyoto Wahyuni Hidayati