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Efektifitas Terapi Clapping Terhadap Peningkatan Saturasi Oksigen Pada Remaja dengan Tuberculosis Yeni Ika Wulandari; Raden Maria Veronika Trilupi; Apriyani Puji Hastuti
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.58052

Pulmonary tuberculosis (TB) remains a global health problem and often causes respiratory disorders, including decreased oxygen saturation. This condition requires effective nursing interventions to improve respiratory function. This study aimed to determine the effectiveness of clapping therapy in increasing oxygen saturation among adolescents with pulmonary TB at Dr. Saiful Anwar Regional Hospital, Malang. This study used a quasi-experimental design with a pretest-posttest control group approach. The sample consisted of 30 respondents, divided into an intervention group and a control group, with 15 respondents each. The intervention group received clapping therapy combined with nebulizer treatment, while the control group received standard therapy using a nebulizer only. Measurements were taken before and after the intervention using a sphygmomanometer, pulse measurement, and pulse oximeter. Data were analyzed using the Wilcoxon test and independent t-test with a significance level of α = 0.05. The results showed a significant increase in oxygen saturation in the intervention group from 95.73% to 99.80% with a p-value of 0.001. Meanwhile, changes in blood pressure and pulse rate were not statistically significant. These findings indicate that clapping therapy is effective in improving oxygenation without negatively affecting hemodynamic parameters. In conclusion, clapping therapy is an effective, safe, and applicable nursing intervention to improve oxygen saturation in adolescents with pulmonary tuberculosis.

PENGARUH POSISI SEMI FOWLER TERHADAP SATURASI OKSIGEN PADA PASIEN DENGAN VENTILATOR MEKANIK arifah arifah; APRIYANI PUJI HASTUTI
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 3 (2026): Juli 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i3.1376

Background: Patients using mechanical ventilators in the Intensive Care Unit (ICU) are at risk of impaired oxygenation due to ventilation-perfusion imbalance. One nursing intervention that can improve oxygenation is the semi Fowler position. This position can increase lung expansion and improve gas exchange, thereby increasing oxygen saturation. Objective: This study aimed to determine the effect of the semi Fowler position on oxygen saturation in patients with mechanical ventilators in the ICU. Methods: This study used a quantitative method with a pre-experimental one group pretest-posttest design. The study was conducted in the ICU Room of RSUD drg. Clara Gobel Boalemo Gorontalo from April to May 2026. The sample consisted of 20 respondents selected using purposive sampling technique. The intervention was the semi Fowler position with head elevation of 30°–45° for 30 minutes. Oxygen saturation was measured using a pulse oximeter before and after the intervention. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of α = 0.05. Results: The mean oxygen saturation before intervention was 90.90% and increased to 98.05% after the semi Fowler position intervention. Statistical analysis showed a p-value of 0.000 (p < 0.05), indicating a significant effect of the semi Fowler position on increasing oxygen saturation in patients using mechanical ventilators. Conclusion: The semi Fowler position is effective in improving oxygen saturation in mechanically ventilated patients in the ICU and can be used as a simple, safe, and evidence-based independent nursing intervention.

Hubungan Peran Manajer Pelayanan Pasien dengan Keberhasilan Implementasi Patient-Centered Care Erna Susanti; Apriyani Puji Hastuti
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.60553

Manajer Pelayanan Pasien (MPP) merupakan tenaga profesional yang berperan dalam mengoordinasikan pelayanan pasien secara terintegrasi guna menjamin kesinambungan pelayanan, meningkatkan mutu layanan, serta mendukung kepuasan pasien dan tenaga kesehatan. Pelaksanaan manajemen kasus yang optimal menjadi salah satu indikator keberhasilan pelayanan kesehatan yang berorientasi pada patient-centered care. Penelitian ini bertujuan untuk menganalisis pelaksanaan manajemen kasus oleh MPP serta tingkat kepuasan pasien dan perawat terhadap kinerja MPP di RS Hermina Tangkubanperahu Malang. Metode penelitian ini menggunakan desain deskriptif kuantitatif. Responden terdiri atas 17 tenaga kesehatan yang terlibat dalam pelaksanaan MPP, meliputi perawat dan dokter. Data dikumpulkan melalui telaah dokumen manajemen kasus dan kuesioner kepuasan pasien serta perawat. Variabel yang diteliti meliputi karakteristik responden, pelaksanaan manajemen kasus, cara pelaksanaan manajemen pelayanan pasien, serta indeks kepuasan pasien dan perawat. Data dianalisis menggunakan analisis deskriptif dalam bentuk distribusi frekuensi, persentase, dan nilai indeks kepuasan. Hasil mayoritas responden berpendidikan Sarjana (82,4%), berstatus pegawai tetap (82,4%), berprofesi sebagai perawat (58,8%), dan memiliki masa kerja kurang dari lima tahun (47,1%). Pelaksanaan manajemen kasus menunjukkan hasil yang sangat baik dengan pengisian formulir mencapai 100%, kelengkapan asesmen dan perencanaan masing-masing 99,9%, serta kelengkapan implementasi 97,6%. Koordinasi pelayanan melalui single provider mencapai 100%, sedangkan visite bersama dan interprofessional team meeting masing-masing sebesar 63,9% dan 63,2%. Indeks kepuasan pasien sebesar 63,7%, sedangkan indeks kepuasan perawat sebesar 77,8%. Analisis dan diskusi tingginya tingkat kepatuhan dokumentasi dan penilaian positif terhadap aspek pengetahuan, perilaku, profesionalisme, kerja sama, serta komunikasi menunjukkan bahwa MPP telah menjalankan perannya secara efektif dalam mengoordinasikan pelayanan pasien. Implementasi MPP berkontribusi terhadap peningkatan mutu pelayanan, penguatan kolaborasi antarprofesi, serta mendukung kepuasan pasien dan tenaga kesehatan di RS RS Hermina Tangkubanperahu Malang.

RELATIONSHIP BETWEEN MEDICATION COMPLIANCE AND BLOOD GLUCOSE LEVELS IN TYPE II DIABETES MELLITUS PATIENT APRIYANI PUJI HASTUTI; Santi Djakaria
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 1 (2026): Januari 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i1.1211

Background: Type 2 diabetes mellitus is a chronic disease requiring long-term therapy; therefore, medication adherence plays a crucial role in achieving optimal blood glucose control. Poor adherence often results in uncontrolled glucose levels and increased risk of complications.Methods: This study employed a cross-sectional design involving 60 patients with type 2 diabetes mellitus selected through simple random sampling at Jailolo General Hospital. Medication adherence was assessed using the Medication Adherence Rating Scale (MARS-10), and blood glucose data were obtained from laboratory medical records. The relationship between variables was analyzed using the Chi-Square test. Results: The analysis showed a significant relationship between medication adherence and blood glucose levels, with a p-value of 0.000 (p < 0.05). Patients with higher adherence demonstrated better-controlled glucose levels, while low adherence was associated with elevated glucose levels. Conclusion: There is a significant association between medication adherence and blood glucose levels in patients with type 2 diabetes mellitus. Improving adherence through continuous education and guidance is essential to support therapeutic success.

THE ROLE OF NURSE AS EDUCATOR IN REDUCING PATIENTS PRE-OPERATIVE ANXIETY APRIYANI PUJI HASTUTI; ANDRIO RIONALDO
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 1 (2026): Januari 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i1.1212

Background: Surgical procedures are medical interventions that often cause anxiety in patients. Preoperative anxiety may be triggered by a lack of knowledge regarding surgical procedures, anesthesia, the risk of complications, and the recovery process. Nurses play a strategic role as educators by providing information and health education to help patients prepare psychologically before undergoing surgery. Aims: This study aimed to determine the role of nurses as educators in reducing preoperative anxiety among patients at RSUD Jailolo. Methods: This study employed a quasi-experimental design with a pretest–posttest approach. The study population consisted of all patients undergoing surgical procedures at RSUD Jailolo during the period of September–November 2025. A total of 54 respondents were selected using a total sampling technique. The intervention consisted of preoperative education provided by nurses. Anxiety levels were measured before and after the intervention using The Amsterdam Preoperative Anxiety and Information Scale (APAIS). Data were analyzed using the Wilcoxon Signed Rank Test with SPSS version 26. Results: The majority of respondents were adults aged 41–60 years (40.7%), had junior high school education (33.3%), and were female (55.6%). The results of the Wilcoxon Signed Rank Test showed a statistically significant reduction in anxiety scores and total APAIS scores after the preoperative education intervention (p < 0.05). Conclusion: The role of nurses as educators has a significant effect on reducing preoperative anxiety. Preoperative education provided by nurses enhances patients’ psychological readiness for surgery and should be integrated as an essential component of perioperative nursing care.

THE RELATIONSHIP BETWEEN THE TIMING OF POSITIVE PRESSURE VENTILATION AND APGAR SCORES IN ASPHYXIATED NEONATES IN THE NICU OF JAILOLO GENERAL HOSPITAL AFLITA MARDJAN; Mokhtar Jamil; APRIYANI PUJI HASTUTI
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 1 (2026): Januari 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i1.1213

Background Neonatal asphyxia is one of the leading causes of neonatal mortality. Prompt and appropriate management involves the administration of positive pressure ventilation (PPV) as soon as possible, ideally within the first minute of life (the "golden minute"). Delayed administration of PPV can lower the infant's Apgar score and increase the risk of complications. Aim The aim of this study was to examine the relationship between the timing of positive pressure ventilation and Apgar scores in asphyxiated neonates. Method This study employed a descriptive-analytic method with a cross-sectional approach to investigate the relationship between the timing of PPV and Apgar scores in asphyxiated neonates. The study population consisted of all neonates with asphyxia admitted to the NICU of Jailolo General Hospital from February to July 2025, totaling 52 infants. The sampling technique used was total sampling. The research instrument consisted of a secondary data observation sheet, prepared based on the medical record format for asphyxiated neonates in the NICU of Jailolo General Hospital. Result The results showed that, among the 52 asphyxiated neonates studied, the majority received PPV within less than one minute after birth (59.6%), while 40.4% received PPV after more than one minute. Conclusion Neonates who received positive pressure ventilation within the first minute of life had better Apgar scores compared to those who received ventilation after one minute.

THE RELATIONSHIP BETWEEN PARENT’S SMOKING BEHAVIOR AND THE INCIDENCE OF ACUTE RESPIRATORY TRACT IN PEDITARIC CLINIC AT JAILOLO REGIONAL HOSPITAL Nur Kayawati; Mokhtar Jamil; APRIYANI PUJI HASTUTI
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 1 (2026): Januari 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i1.1214

Background : Most of children population was passive smoker it is caused by Family smoking habit at home. Cigarette smoke can leave chemicals or residue on clothing, ceilings, sofa curtains, and other places in the home. One of the effects that can occur as a result of smoking is respiratory tract infections (ISPA), which are the main cause of illness in children.Aims: This study aims to determine the relationship between smoking behavior and the incidence of acute respiratory infections in children at Jailolo Regional General Hospital, West Halmahera Regency. Methods : This study used a descriptive design with a cross-sectional approach. The study population consisted of all pediatric patients who visited the pediatric clinic at Jailolo Regional General Hospital whose parents had a history of smoking. A total of 107 respondents were selected using total sampling technique. The Brinkman Index was used to measure the degree of smoking behavior. Data analysis was performed using bivariate analysis with the Chi-Square test. Results : It is known that 77 children (72%) who visited the Jailolo Regional General Hospital Pediatric Clinic suffered from ARI, while only 30 children (28%) did not suffer from ARI. Furthermore, 27 respondents (25.2%) had parents who smoked lightly, while 40 respondents (37.4%) had parents who smoked moderately and heavily, respectively. The results of the Chi-Square test showed a significant relationship (p = 0.000). Conclusion : .This study found a significant association between smoking and the incidence of ARI in children

THE RELATIONSHIP BETWEEN KNOWLEDGE AND ATTITUDE OF NOSOCOMIAL INFECTION AND NURSE’S COMPLIANCE IN THE USE OF UNIVERSAL PRECAUTION AT JAILOLO REGIONAL HOSPITAL Feronika Feronika; Mokhtar Jamil; APRIYANI PUJI HASTUTI
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 1 (2026): Januari 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i1.1215

Background: Nosocomial infections remain a major challenge in healthcare services as they contribute to increased morbidity, mortality, and healthcare costs. The appropriate use of Personal Protective Equipment (PPE) is a key preventive measure, and therefore the knowledge and attitudes of nurses are essential factors that may influence their compliance with PPE use. Methods: This study employed a cross-sectional design with a sample of 83 nurses selected using a random sampling technique at Jailolo Regional General Hospital. The research instruments consisted of questionnaires on knowledge, attitudes, and compliance with the use of personal protective equipment (PPE). The study was conducted from July to September 2025. Data were analyzed bivariately using the Chi-Square test. Results: The majority of respondents demonstrated good knowledge (85.5%), positive attitudes (86.7%), and high compliance with PPE use (96.4%). The Chi-Square test indicated a significant relationship between knowledge and PPE compliance (p = 0.000), as well as between attitudes and PPE compliance (p = 0.000). Conclusion: The findings indicate that both knowledge and attitudes are significantly associated with nurses’ compliance with PPE use. Strengthening educational programs and fostering positive attitudes among nurses are recommended to enhance adherence to infection prevention procedures in healthcare settings.

THE RELATIONSHIP BETWEEN STRESS LEVELS AND THE INCIDENCE OF DYSPEPSIA SYNDROME AT JAILOLO REGIONAL HOSPITAL Christy Ketty Leleany; Aloysia Ispriantari; APRIYANI PUJI HASTUTI
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 1 (2026): Januari 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i1.1216

Di~spe~psi~a me~rupakan salah satu gangguan pada si~ste~m pe~nce~rnaan yang se~ri~ng di~te~mukan dan dapat di~se~babkan ole~h be~rbagai~ faktor, te~rmasuk faktor psi~kologi~s se~pe~rti~ stre~s. Pe~ne~li~ti~an i~ni~ be~rtujuan untuk me~nge~tahui~ hubungan antara ti~ngkat stre~s de~ngan ke~jadi~an si~ndrom di~spe~psi~a pada pasi~e~n di~ RSUD Jai~lolo. Pe~ne~li~ti~an i~ni~ me~nggunakan de~sai~n cross se~cti~onal de~ngan jumlah sampe~l se~banyak 322 re~sponde~n yang di~pi~li~h me~nggunakan te~kni~k si~mple~ random sampli~ng. I~nstrume~n pe~ne~li~ti~an yang di~gunakan adalah kue~si~one~r De~pre~ssi~on Anxi~e~ty Stre~ss Scale~ (DASS-42) untuk me~ngukur ti~ngkat stre~s dan kue~si~one~r Ne~pe~an Dyspe~psi~a I~nde~x untuk me~ni~lai~ de~rajat di~spe~psi~a. Anali~si~s data di~lakukan se~cara bi~vari~at me~nggunakan uji~ Spe~arman’s rho. Hasi~l pe~ne~li~ti~an me~nunjukkan bahwa se~bagi~an be~sar re~sponde~n me~ngalami~ di~spe~psi~a se~dang (82,3%) dan me~mi~li~ki~ ti~ngkat stre~s normal (80,1%). Be~rdasarkan hasi~l uji~ Spe~arman’s rho di~pe~role~h ni~lai~ r = 0,172 de~ngan p = 0,002 (p < 0,05), yang me~nunjukkan adanya hubungan yang si~gni~fi~kan antara ti~ngkat stre~s dan ke~jadi~an si~ndrom di~spe~psi~a de~ngan ke~kuatan hubungan yang le~mah. Mayori~tas re~sponde~n be~rje~ni~s ke~lami~n pe~re~mpuan (59,6%), yang me~nunjukkan bahwa pre~vale~nsi~ di~spe~psi~a le~bi~h ti~nggi~ pada pe~re~mpuan di~bandi~ngkan laki~-laki~. Hasi~l pe~ne~li~ti~an i~ni~ me~ne~gaskan bahwa stre~s be~rpe~ran te~rhadap ti~mbulnya ge~jala di~spe~psi~a, se~hi~ngga di~pe~rlukan pe~nge~lolaan stre~s se~bagai~ bagi~an dari~ upaya pe~nce~gahan dan pe~natalaksanaan di~spe~psi~a.

HUBUNGAN PENGETAHUAN DENGAN KEPATUHAN BEROBAT PASIEN HIPERTENSI DI PUSKESMAS KEDI APRIYANI PUJI HASTUTI; Lenda Grande; Mokhtar Jamil
Jurnal Penelitian Keperawatan Kontemporer Vol 6 No 1 (2026): Januari 2026
Publisher : Program Studi S1 Ilmu Keperawatan dan Ners IKBIS Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59894/jpkk.v6i1.1270

Background Hypertension is one of the major chronic diseases that remains a primary health issue in society. One crucial factor influencing the success of hypertension management is the patient's level of knowledge about the disease and adherence to prescribed medication. Non-adherence to treatment often leads to serious complications such as stroke, heart failure, and chronic kidney disease.The purpose of this study was to determine the relationship between knowledge levels and medication adherence among hypertensive patients at Kedi Health Center. This study employed a descriptive analytic design with a cross-sectional approach. The population included all hypertensive patients visiting Kedi Health Center between March and June 2025, totaling 55 respondents. Sampling was conducted using a total sampling technique. The research instrument was a questionnaire that had been tested for validity and reliability, covering knowledge about hypertension and medication adherence. The results showed that most respondents were aged 46–60 years (54.5%), female (67.3%), and had a secondary education level (high school, 45.5%). Good knowledge levels were recorded in 60% of respondents, adequate in 27.3%, and poor in 12.7%. High adherence was recorded in 58.2% of respondents, moderate in 27.3%, and low in 14.5%. The Chi-Square test indicated a significant relationship between knowledge and adherence (p = 0.012, p < 0.05), with patients having good knowledge tending to be more adherent. The discussion of these results aligns with previous research by Bismantara et al. (2022), which showed that patients with good knowledge have 3.2 times greater odds of adherence. Based on the Health Belief Model, perceptions of the risk of hypertension complications encourage adherence. Other factors such as family support and health education also play a role. Study limitations include a small sample size, necessitating further research. Practical implications include enhancing counseling at health centers for better blood pressure control. The study concludes that there is a significant relationship between knowledge levels and medication adherence among hypertensive patients. Increasing knowledge through regular health education can improve adherence and aid in blood pressure management for hypertensive patients

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